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36-315 (2) DELONG CONSTRUCTION 76 BANCROFT ROAD NORTHAMPTON,MA 01060 H.I.C. NUMBER 105618 Mr. Anthony Patillo Building Inspector, City of Northampton 212 Main St. RM 100 Northampton, MA 01060 October 17, 2006 RE: Building Permit Application for basement renovation at 185 Cardinal Way, Florence, MA 01062 Dear Mr. Patillo, The scope of the work to be performed under this permit includes adding one window to the garage of the house, renovating the existing master bath and partially finishing the walk out basement to create an office and an entertainment room. The scope of the work includes adding a CO detector as well as a smoke detector. I have included a drawing of the proposed floor plan for the basement work. Please call me if you have any questions. Sincerely, Ed Lennihan s pic�Mpr� (}� _ giiig of Nort imutp ton ' _ __ _ i $ i %` � , t 4 jilassachusctts ^ 171 , ' ""�Y '= DEPARTMENT OF BUILDING INSPECTIONS `, '_ =f= /c INSPECTOR 212 Main Street • Municipal Building � %,y 5, , Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups: , isor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location 4 10. • VLAM P2 . (cit1 7 of Ncrriliampion 4 47■:C., # l e 4 Pu ey. jallasRciinsrtla —• •, tic DEPARTMENT OP DUILDDG INSPECTIONS W M- 1 111 = = xs, -. • 212 Main Street Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION rNsurzArrcE AFFIDAVIT Cdmv-tici km with a principal place of business/residence 76, 34-t/e,ear R.D • A/0 70-cl 44,4 (phone) --- (strectici tyl:;;:lf:Pip) do hereby certify, under the pains and penalties oirpe.rjury, that (x) I am an employer providing the follov,rinc: i.Yorl-icrits compensation coverage for my employees working On this job: S24 c' e - ?j-v3 - 77s 7 5 /2 643 7 - (Insu_ranc.2 Company) Number) ("Expiration Date) ) I am a sole proprietor, iteneral contir2ctor S homeowner (circle one) and have hired the contractors liste d below %-, :ho have the follow 'svorkes cornpensaon (Name of Contractor) (insumnce Comr. Number) (Ey.:)lratlor, Date) -- (Name of Contractor) (Insurance Companw?ohc Number) (17.,xpirntion Date) (Name of Contractor) ( Ina! r CO par; yi? 0 Cy Number) Ji.x:, Date) (Name of Contractor) (Insurance Co int. Number) (Exn!i Date) (attach add..itiocla/ ) I am a sole proprieol and have no o ne 'worltliii1:4 for Inc. ) I inn a home owner performing all the worl: NOTE: please tc ril\-Arc no: Whik \l)C WC..0 <zrzploy .-o_tort, co: r.:TJCI:<."{ or :zpair not mere th thrio unit., i ..f.ndi th 1-..;„-in...ow-n- r=iaza or; z:zpurt.snara thc-cto at Dot c-c-ezrally CO.0 10 cmploy-=-, urr:Iti- the \ CC-•• (G1-152- (5)). acc.1.:z'.:)oz. Oy a homcowncr for tic=ls.e prrrnf: z..z...7.-r,zc the legal hatua of on ccoployo-r under th Workoc't Cozetperr,ation Act_ 1 underhand that a copy of Chi, otatcr--,--1 chay o fp, to th-t D-tvarter_rd of IndhatrieJ Ofitoo of itratrarato for the c°vcri-g and that faiharr to rzcarz r-ccz.izn 2.5A of MG1.... 152 can lend to the imposition Of crirn102i pc-nal:its occniating of a. floc of up to S 1_500.00 an'2.'or nr.pz of up to onc p in the form of !t Stu \''?'""Ti• and of S100.90 it thy ig26/111 thc_. For ckpahrraatal • Pcr nut Numly:_x _ / 6 - . . :DIgnaturc of I .icc-n:;.ce../Pcrm ittee SECTION 8' C ONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : cd nt va/d. Zti^/ /"`/ �' S oyLS'O E, License Number 70 734-ace o .c7 Z / 0,e - rN.q r7 % , /__14 . Jot. 31 ZS I acF'' Address Expiration Date '/( Si' 7 — 0 y 37 Signature Telephone ter . Ohl #r:vem'en on`rac o d ' Not Applicable ❑ 7)(404 & ✓51,eUC -/rU j, e _ c C /S76// Company Name Registration Number 7 (v 3,1A/c•eoarr . 6 /iS /°ci" Address Expiration Date /1 / 0t ,4:(4 - a >3 Telephone (-/g^ 5d'7 -.y 37 SECTION 10 WORKERS' COMPENSATION INSURANCE- AFFIDAVIT (M :G.L..c 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No ❑ _ e ex 1 re4 en The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 4 .. .. x 5EC'T1 "i ® $ P22lON O ' " S EDVWO RK ( c h eck i � . r. la : _ ., . ; ,. a,. , , rye mrrs,� �;rt,. ; New House ❑ Addition ❑ Replacement Windows Alteration(s) Xi Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] ' 4. 5 Brief Description of Proposed Work: 74;;;;S ti v � �i,,.i5 d A564f( T' / nee � y r <lcE . ��r.. 1 � -, ,- �� e - /4 c:'dc( 444.31e- Pia &.Q .)o -=r, icc Ai , < . c! 34j - v Alteration of existing bedroom Yes , X No Adding new bedroom Yes No G °a'c'C. Attached Narrative 0 Renovating unfinished basement X Yes No Plans Attached Roll 0 • Sheet 0 65N1._ e a:etls nd ©rya iiiti,on tiT itin h.ertiting .compl:ie fdllowrng: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Nc j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No I. Septic Tank City Sewer Private well City water Supply SECtilJTl7 Ef AUitiORIZATION TO B COMPLETED WHEN OWNER AIGEN CONTRACTOR APPLIES FOR BUILDIN PERMIT e � , �, ,r4: . e .. .. 2�/ /ccE `r`/ A e r D es 04 , as Owner of the subject property hereby authorize Edh"I U*/d """• z. ii ✓/N44 to act or my behalf, in a matte relative to work authorized Z by this }3psilding permit application Signature of Owner Date I, cd -V /a . L6 , as-O,,bncr /.Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. ,4&,,,,,,,ud '.7b . 4 ,e.i,/.( Print Name '7 �.1...Z-- / 0 � 1 7 : 06 Si oPiormer /Agent Date Section 4. - ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear • Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW / YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO X IF YES, describe size, type and location: D. Are (here any proposed changes to or additions of signs intended for the property ?YES No ,A IF - YES, describe size, type and location: m* _ `e . City of Northampto Building Department ., y ,,t, 3 %447,& - 212 Main Street .:t �, � 1 . � , t� Room 100 - P"- ' .x. Northampton, MA 01060 W f&IrrI ,s . 1h phone 413.587 -1240 Fax -i. '� - � k � Z . #., �� q '1 /V c .r«,.. ,., .c .r fib � aY APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR D L { SH O tL€ b Y DWELLING r__ —__ - , OCT - 3 0 2C0b SECTION 1 - SITE INFORMATION s 1.1 Property Address: �< �T..+ tob ®me fifice. g Ig � AFC Map * a ; ": t : -a 1t 7 " x r r `,eLC4/Cf /4 ,4 • 0 / 0 62. Zone } - Overla Dast ' ri c� Elm S t Distri . ..A•-.‘, , w<:..<,., CB D istrict SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED-AGENT - 2.1 Owner of Record: 0 ,�� / / I.?i .T i y j��eeS� J /cJs (7 73 c✓ �/ , ,,cam' /0/,- e -4,� Name (Print) Q ,„ ���'W ; ' Current Mailing Address: 0/06 I '� )�' e / /3 — SJL ° 0 3 - 7 3 nature �„� t � i Le1' 2 '` 7 d`� Telephone Signature 2.2 Authorized Agent: l Ed L_c,5/„/iN4,/ 76, 4/c.ea,cT Ic 3. 7\ /o ( lass Name (Print) Current Mailing Address: .u4 - a /j --,,42 --- Lam-- _ y /3 587 oc /37, c //3- 69s -3 66, Z Signature Telephone SECTION::-- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use`Only completed by permit applicant 1. Building , <'-' (a) Building Permit Fee 17 2. Electrical 2,a' "o of (b) ::aimated Total Cost of Construction from (6) 59i v0 0 3. Plumbing , >> Building Permit Fee s' V(20 V(20 O — _. Building 4. Mechanical (HVAC) 15. Fire Protection — 2 3 S. — 6. Total = (1 + 2 + 3 + 4 + 5) yy, /6 . °U Check Number °3 ° /YS 0(1 .This Section For Official Use Only Building Permit-Number: Date Issued: Signature: _ Building, Commissioner /inspectorof Buildings Date File # BP- 2007 -0494 ' . LAIN APPLICANT /CONTACT PERSON i ADDRESS /PHONE 1 NORTHAMPTON 76 6 4/vazzr rZ PROPERTY LOCATION 185 CARDINAL WAY MAP 36 PARCEL 315 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT e Paid VB ' dinl Permit Filled out .. ee Paid • Typeof Construction: Finish basement, reno bath New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional peiniits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission / 0 111P a 3o v‘ Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 1'85 CARDINAL WAY BP- 2007 -0494 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 315 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2007 -0494 Project # JS- 2007 - 000717 Est. Cost: $45000.00 Fee: $195.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ED LENNIHAN /� Lot Size(sq. ft.): Owner: Orville & Judy Pierson C V Zoning: SR Applicant: Orvi#® -& sen AT: 185 CARDINAL WAY Applicant Address: Phone: Insurance: 1 7 6 B041l cif NORTHAMPTONMA01060 ISSUED ON:10/30/2006 0:00:00 TO PERFORM THE FOLLOWING WORK: Finish basement, reno bath POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/30/2006 0:00:00 $195.003829 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 185 CARDINAL WAY BP- 2007 -0494 GIS #: _ COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 315 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category BUILDING PERMIT Permit # BP- 2007 -0494 Protect # JS- 2007 - 000717 Est. Cost: $45000.00 Fee: $195.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: _ ED LENNIHAN Lot Size(s ,. ft.): Owner: Orville & Judy Pierson 7 ,:,• FR 4pnbr let: E L rzt;:t.,!! , Ni AT: 185 CARDINAL WAY Applicant Address: Phone: Insurance: 76 Bancroft Road 587 -0437 Northampton MAO 1060 ISSUED ON :10/30/2006 0 :00 :00 TO PERFORM THE FOLLOWING WORK: Finish basement, reno bath POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector ITnderground: Service: Meter: Footings: Rough: 2 kRough: F,' ` f' k House # Foundation: 7 Driveway Final: Final : - S0 = 77 (A' Final: / //9/07 Rough Frame: ; f . - r,,:- f '• 1 �� .,t,„, i ,, s L , `- 1C � % � r Gas: Fire Department Fireplace/Chimney: wc� • ;, ii pip. Insidation: , r 1 t' a 4 i r- r, . r Final: Smoke: Final: Q fc a'1..l a € 0 7 L.a ✓rt5 THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL N Certificate of Occu anc signature: FeeT a e: Date Paid: Amount: Building 10/30/2006 0:00:00 $195.003829 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo Sep 25 02 12:01p DPW 4135871576 p.9 r / , t 44 ' - f ,,, • i -- - nor ~ 9 _ 1 j 1 --/ T: !S \ \ ,270 41 i w jb (1/1 5 1 a N is r,�r ���� !~ 2 r .r- . --/' ...... r - - w...r► ■ ...•.. Ai cs(._. Sep 25 02 12:01p DPW 413587157E p, • t , CITY OF NORTHAMPTON, MASSACHUSETTS i " , ' • DEPARTMENT OF PUBLIC WORKS Vi i'; + 125 Locust Street Northampton, MA 01060 413 -587 -1570 Samuel B. Brindis, P.E. Fax 413 Director, City Engineer Guilford B. Mooring, P.E. Assistant Director of Public Works BOARD OF PUBLIC WORKS DRIVEWAY PERMIT GENERAL INSTRUCTIONS AND REGULATIONS 1. A "Driveway Permit" is required in all cases where a new curb cut or an alteration to an existing curb cut is proposed on a City public way. 2. Driveway permits issued by the Board of Public Works (BPW) shall be attached to and become part of the "Building Permit" issued by the Building Inspector. 3. Prior to the issuance of a "Building Permit" the owner of any lot to be serviced by a new driveway shall apply to the BPW for a "Driveway Permit" by completing the pertinent portions of the permit (see attached). Once the location of the driveway is approved by the BPW, a building permit may be issued. • 4. The Building Inspector shall not issue an "Occupancy Permit" unless the driveway to the lot has been approved by the BPW. 5. By the issuance of a driveway permit for the stated location, neither the City of Northampton nor the Department of Public Works imply that no drainage problems will result with the driveway when constructed. Properties situated or driveways installed in low lying areas in the path of the natural drainage will be subject to water problems. These problems may include water sheeting across roadways adjacent to the driveway. The City and the DPW assume no responsibility for any such drainage problems. The owner of the property is responsible for constructing and maintaining the driveway with adequate provision for natural water runoff situations. amuel B Brindis, P.E. Director of Public Works CAMyFiles \Lyn \Driveway Poi mil General Instructions ,Sep 25 02 12:01p DPW 4135871576 p. Permit No. 1)16 -03 Conditions: Driveway Permit In lieu of plan approved by City Engineer 1 agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. 1( By: _ Petitioner David Lepin 413 -527 -3975 262 East Street, Easthampton, MA. 01027 -1256 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. cc liondin. lnycctor Sep 25 02 12:01p DPW 4135871576 : . p . 6 ----`N W E Permit Na. D16-03 ' s r p 2 5 2002 S ITY OF NORTHAMPTON, MA DRIVEWAY PERMIT L__ �r pf BiliLD11iG INSPECTIONS Date: 09 -23 -02 � -, ,t, oN vN, 01066 1EF.r:,_.:1S:D@ - --- CHECK #: 5278 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway 4, 185 CaFairaa Way 4d ## Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall he directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. x By: .�1 David Lepine 262 East Street, Easthampton, MA 01027 -1256 Telephone #: 413- 527 -3975 Proposed Location // Inspected By: o-- // 9 - .2 S = ' 0 t. Gravel Base Grade ,� Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: 13uildin hnspectoi Sep 25 02 08:47a DPW 4135871576 p.3 MUNICIPAL SEWER AVAILABILITY Northampton Streets Department S j� V E 125 Locust Street MA 01060 IflI 587 -1570 tJ SEP 2 ` 2002 Li Location: 185 Cardinal Way Lot # 11 P P1 OF SU1p r INSPECTIONS 149744 ^ ?{1t kAA 01P6P Inquiry Made By: David Lepine 527 -3975 Date of Inquiry: 09 -18-02 Municipal Sewer Main in Front of Location: Yes x No Size of Sewer Main: 2 " Material: PVC Age: 2002 • Depth of Sewer Main: 5' Size of Service Connection: 1 -1 PVC Comments: The. City of Northampton has not accepted responsibility for the maintenance of the sewer main and service connections as of this date of inquiry_ A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Joseph Thomas, S lcrintendent Streets Department cc. Ned I I untlel. Asst. City Fnniinccr Anthony Paulin. 13urklinli inspector Sep 25 02 08:48a DPW 4135871576 P.5 MUNICIPAL WATER AVAILABILITY E 11; 1 )lr j� Northampton Water Department ,��,� sEp r r02 � �, 237 Prospect St. Northampton, MA 01060 II 587 -1098 nrt f ,r,MSrrr Location. 185 Cardinal Way Lot # 11 Inquiry Made By: David Lepine 527 -3975 Date of Inquiry: 09 - 18 - 02 Municipal Water Main in Front of Location: Yes x No Size of Water Maim 12" Material: DI Age: 2002 Approximate Street Pressure: 72 PSI Size of Service Connection: i" copper Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. The City of Northampton has not accepted responsibility for the maintenance of the water main and service connections as of this date of inquiry. A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to Northampton Water Department specifications. Charles Borowski. Sifhe1 \V'aic Ned . 1.;i Anillowl yr .SifT•' - ■ - - V .42'q MO U./1 I \ \ * ...... PIGA . ../. a t 5 t t i t - -- — — ' --- --- ' r. „1 I 1, • \ c - 70•6 - i v _Too iii - ,- , orte , 4 • . s- I - \ (g- j a "'a \ 1 , 4 1 / / .. f& f id .1 0S\ I N .4 4/t4 t4 4( g • ;000 '' ,, , IT-0e 1" i A--,1 / c e .. ._ -- _. ....„. i I "P ' ., .- -c t ---- -- '7 *-- Antio 0-- - ` .... j , 40 ;,47# !r•�/ 1 . k..493S / - I •0! 1441 4 ! / / T! *z 1,tai 2 . 4 / \ lir f"tO j ' i// VIS Os .. . 7 ;.:.:::: 1 17)46 .., --. / / 006 4 6 L 1 \ . 117: v 4 - ‘ rl: i t ili :7■___ '---.• :::#,:, Ull'AM, / i ' fi%*2" Y VOOg 8 2 t / M A SOS ; - / '- tsvi O 00 ` Z , - P l■. P) / o Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non - Circulating Runouts Circulating Mains and Runouts Temperature (F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170 -180 0.5 1.0 1.5 2.0 140 -160 0.5 0.5 1.0 1.5 100 -130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure /Temperature 201 -250 1.0 1.5 1.5 2.0 Low Temperature 120 -200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40 -55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) { [ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R- values and glazing U- values must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities /spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and /or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on /off heater switch and require a cover unless over 20% of the heating energy is from non - depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 ° F or chilled fluids below 55 ° F must be insulated to the levels in Table 2. MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 09/22/02 TITLE: Lot 11 Cardnal Way Bldg. Dept. Use Ceilings: [ ] I. Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity + R -38.0 continuous insulation Comments: Above -Grade Walls: [ ] 1. Wall l: Wood Frame, 16" o.c., R -19.0 cavity + R -19.0 continuous insulation Comments: Windows: [ ] 1. Window 1: Wood Frame, Double Pane with Low -E, U- factor: 0.350 For windows without labeled U- factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door l: Solid, U- factor: 0.350 Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -19.0 cavity + R -19.0 continuous insulation Comments: Heating and Cooling Equipment: [ 1 1. Boiler 1: , 80 AFUE or higher Make and Model Number 'gF,J- u / o ,'efts es &AA, �sX [ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number t Z9..Q t°y`1 (Zit KA - 0 3O371 Z ) O S4e'(Z 0 30 Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfin (0.944 L /s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs /ft2 pressure difference and shall be labeled. Vapor Retarder: 4 a Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE: Lot 11 Cardnal Way CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non- Electric Resistance) DATE: 09/22/02 DATE OF PLANS: 9 23 02 PROJECT INFORMATION: Plantation At West Farms COMPANY INFORMATION: Dave Lepine Building COMPLIANCE: Passes Maximum UA = 353 Your Home = 174 50.7% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U- Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1127 38.0 38.0 16 Wall 1: Wood Frame, 16" o.c. 2245 19.0 19.0 71 Window 1: Wood Frame, Double Pane with Low -E 140 0.350 49 Door 1: Solid 28 0.350 10 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1127 19.0 19.0 28 Boiler 1: , 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. i� Builder/Designer �r -t ��-- Date 9 a3 -6 y , • �sKKA?! qt. — . =rte 9 w�i�;; fir 6 _ _,� � i y ., raaRChssarth � — T _ 11. ' DEPARTMENT OF BUILDING INSPECTIONS � ,. _ c, , INSPECTOR 212 Main Street ' Municipal Building '� Northampton, Mass. 010GO Square Footage Amount Basement @ .10 11077 ild.7, 1st Floor @ -40 / /a7 tic,t, 2nd Floor @ .20 Yes `1766 1/2 Floors, Attic, Garage .10 53 55 Deck, Porches .10 .e;23 a3 90. TOTAL 73S "' &/' )`� /No I 1 • ittAM PTO r $ I 4 ^ �"_� DEPARTMENT OF BUII.DI?QG INSPECTIONS _ _ 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AF1+LDAVIT (licensu/permittee) with a principal place afbusiness/residence at: ,Ptp 44$ ,Sr Ea1.45•77/9'rlaYtto . F' (phone #) yf3-- "+7— 3 776 (street/city/state/zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following workers compensation coverage for my employees working on this job: - (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a _ ale proprietor teueral contractor :r homeowner (circle one) and have hired the contractors listed below who have the fallowing worker's compensation policies: Die CoNsrnv'n A:rm maw% l'°"44 95'7o +aaal 1 - ,96 -63 (Name of Contractor) (Insurance Company/Policy Numbr) (Expiration Date) If / (ea c4t.) #400te tts,ca/tr;.xe co /30w tewe./tere, u,3 C. S'ci) S/ 3 a•Y 4-S63 (Name of Contractor) (Insurance Compan Number) (Expiration Date) 2tAtic 0 .i-�5 . Sf//urCe5 qty* k1Jsrff 'f 4 Nfr' _ t•J C5 (0 / W 0 r / 4<70. —o 3 (Name of Contactor) (Insurance Conipany/Policy Number) (Expiration Date) SAu415 ptc tr t/I6Ql /'y 0016 , 4-S .J. Zsvll4 LQ( 000 i q 3Q / 6 3 (Name of Contractor) (Insurance Company /Policy Number) f, (Expiration Date) (attach aadd ttioo c s1 shoes if ne ar to i chode �� p to ic a tit'. ('' i (sW,.. & 6Iecic • 53 O V cif 7— Al — 43 (04 I am a sole proprietor and have no one working for me. ( ) I am a hone owner performing all the work myself NOTE: please be aware that while homeowners who rnp:ay porno a to do muryt--u +^+M, ca struoa or =Pair v'1113c an & dwcthog of not morn than throe units in which the homeowner resides or on the gronnis appurtenant thacto are not Snnerally considered to be cmpioyrr3 under the worker's mctQc netlort Aa (GLI52,s3 1(5)), applinrtion by a homeowner for a lipase or peamin may evidenoe the legit cram of an employer under the, Women Compensation Ad. 1 underetud that a ceny" of this rtatcmeat may be forwarded to the Department of Industrial Accidents' °Ince of insurance for the coverage vaif attioa and twt failure to twee coverage under section 25A of MO1. 152 can lead to the imposition of rrimMe! peretHod consisting of a fine of up to S1,SQO.00 and/or imprisonment of up to one year &oi civil penalties in tar form of a Stop Wok Order and a fine of 5100.00 a day against too_ r ;or depart. tal uac en — 1 Permit Nttmbes _____ 1vSaT;t I x)t t, _ • SECTION 8 - °,CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : P..PrUtO k4 L P / 4J< ,e2/V7 6S 3' License Number a F,A'5 r S ,9 ST r A.44 Address i Expiration Date Signature Telephone l y F � eT� �m t m�.r " v-eriien ��' ��n r.,� 8 r:, ; �� ° �,� �:ia �� s Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10- 'WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M,G.L. c. 152, § 250(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes IJ No ❑ The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION'S- DESCRYPTIONtOr PROPOSED WORK (check all applicable) New House 4e Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ ,.--- New Sig s [ ] De ks [, Siding [ ] Other [ ] dam _ L'I.0.. / _A '/ DD Brief Description of Proposed Work: Col 17' 6&1 o' Si A I/P. 0 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement - Yes No Plans Attached Roll 0 - Sheet 0 O'alfiNeVildaMfrd roTidd dition' >to eXist'ing:F ousinV.corti ete the'folWWi a. Use of building : One Family ✓✓ Two Family Other b. Number of rooms in each family unit: 7 Number of Bathrooms Sr— c. Is there a garage attached? yes � d. Proposed Square footage of new construction. P31/ Dimensions 5 X ` c e. Number of stories? f. Method of heating? ( "� ereldissu Nor $r4 Fireplaces or WretlIfFies Number of each i g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction 0 5 i re i. Is construction within 100 ft. of wetlands? Yes . v' No. Is construction within 100 yr. floodplain Yes ✓ No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? t/' Yes No . I. Septic Tank City Sewer ✓ Private well City water Supply SECTION 7a - OWNER AUTHORIZATION -'TO BE COMPLETED WHEN OWNERS AGENT "ORCONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, 0/4) 0"4. , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. P4vito /A) Print Name 9 — a 2 3 — Signature of Owner /Agent Date t , P Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by tiPli"),*".5 Building Department Lot Size / e. 33P 5. 2j /0 OD Frontage ' s / g U Setbacks Front 5-0' „2 Side L:© R: a41 L: R: I Rear 401 / Building Height • i 5 Bldg. Square Footage Ali i, Open Space Footage % (Lot area minus bldg & paved /S, ()O(7 parking) •c; •Pi C # of Parking Spaces !! Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO / DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO V IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No 4_ 1 IF YES, describe size, type and location: t City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 t� .... phone 413 - 587 -1240 Fax 413-587-1272 Qt tDr S e r s ` s d; APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed,by�office 1.1 Property Address: I ?S C"ARi0�1v4 r / Map Lot t Zone " Overlay District' Elm St. District p ,CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: VA vI D ,glad E.45r S % 6+5ri/ - 70,0.0. Name (P ' ) Current Mailing Address: n 5' 7- 3975 a �--- -� Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 4'/V0.600 (a) Building Permit Fee . Cry 2. Electrical (b) Estimated Total Cost of 7 06e) 00 Construction from (6) 3. Plumbing 0 p C) Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1+2+3+4+5) ,f( / it 000 . 0 Check Number n P d/ This Section For Official Use Only Building Permit Number: '03 Data ' Issued: Signature: Building Commissioner /Inspector of Buildings Date • File # BP- 2003 -0317 APPLICANT /CONTACT PERSON DAVID LEPINE ADDRESS/PHONE 262 EAST STREET (413) 527 -3975 PROPERTY LOCATION 185 CARDINAL WAY MAP 36 PARCEL 315 001 ZONE SR 4 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid ,,?f 493g cio Typeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 044188 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOygIATION PRESENTED: L Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co ■: on 44‘.....Z /0/./ Signature (tuilding 0 icial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. t f f,= #I'1 BP- 2003 -0317 GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP- 2003 -0317 Project# JS- 2003 -0535 Est. Cost: $164000.00 Fee: $738.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID LEPINE 044188 Lot Size(sq. ft.): Owner: DAVID LEPINE Zoning: SR Applicant: DAVID LEPINE AT: 185 CARDINAL WAY - LOT #11 Applicant Address: Phone: Insurance: 262 EAST STREET (413) 527 -3975 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:10 /1/02 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W /ATT GARAGE /DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/1/02 0:00:00 5283 $738.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo r -. 7 19 ?C/ 1 41 1 11 2 -r , a7j I < t7 I -7 - 9 - :PAW, 44. 185 CARDINAL WAY - LOT #11 BP- 2003 -0317 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 315 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Pernnit# BP- 2003.0317 Project # JS -2003 -0535 Est. Cost: $164000.00 Fee: $738.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID LEPINE 044188 Lot Size(sq. ft.): Owner: DAVID LEPINE Zoning: SR Amlicnnt: DAVID LEPINE - LOT #11 Applicant Address: Phone: Insurance: 262 EAST STREET (413) 527 -3975 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:10 /1/02 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /ATT - GARAGE /DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: 3 /07,o /() r_- M eter: Footings: Rough:`MA ept Rough: %1111 A'i '• House # Foundation: Q K 1 .� '_ e5,,7 `` Driveway Final: Final: f/,Q /3 _ Final: fia77i"G //�43 "0/-7 Rough Frame: O if / Gas: 5 /�/� () / AireDepartnment Fireplace /Chimney: ✓,!� Rough: Oil: /' 03 .7 e , Insulation: F ki 2 -pi - Final: Smoker ,tt : Ftnal:Ok i7 Y//5-/c_.5 THIS PERMIT AV BE REVOKED BY THETITY,,IY NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. _ 7 r . Certificate of Occupancy Si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/1/02 0:00:00 5283 $738.40 212 Main Street, Phone (413) 587-124C, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo