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1 AK) SNP t, t--\ „ --114 N 0 > ) \ (t1 v ( "' C S j 305.0 � Sd � t � '� � . ELT A= % 5 a0 . \ �r R 3 a ' � � q. ` L ° -0 \ p te' x. 03 ` -c gi \ \ isi cs Yr 1 0 �� 9 ,$3 6 'Q •4 ` �g 1 _---- c o ti5 0 51 O' 0$ »i ` 1.-.1 --. -, -t , \ ... ‘.3 3s..,cva._, ■ .....,i , •• Lp.. "° CITY OF NORTHAMPTON, MASSACHUSETTS ,0 ' DEPARTMENT OF PUBLIC WORKS \� i 125 Locust Street _ a*-• Northampton, MA 01060 v 1, 413 - 587 -1570 Samuel B. Brindis, P.E. Fax 413-587-1576 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. ' nuel B Brindis, P.E. Director of Public Works C:\MyFiles\Lyn\Driveway Permit General Instructions • (SUBJECT TO ATTACHED CONDITION 1 & 2) Permit No. D66 -04 Conditions: Driveway Permit In lieu of plan approved by City Engineer I 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. By: y ' e titioner Dav to epine 413 -527 -3975 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: Building Inspector • E C lE [ Permit No. D66 -04 , a j I JUL - 7 2004 j CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT DEa D� BUILDING NSPECTOS No TK `i'ION, 01050 Date: May 25, 2004 FEE: $25.00 CHECK #: 7028 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 177 Cardinal Way Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: Dave Lepine 2 a st Street Easthampton MA 01027 Telephone #: 413 - 527 -3975 Proposed Location Inspected By: ��, „�.174} 7 —4: Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1098 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 177 Cardinal Way Inquiry Made By: Dave Lepine 413 -527 -3975 Date of Inquiry: 06/30/04 Number of Type of _X_ Single Family Type of X_ Private Units: _1_ Unit(s): — Accessory Apart. Ownership: — Condo Multi- family _ Rental (Applicant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes X No: site? Yes:X No: Size of Water Main: 12" Material: Age: 2002 A roximate Static Street Flow Test Conducted: Yes: No X pp 70 Pressure: If done attach results Size of Service Connection: 1" 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 orking days notification. • A work shall co to Northampton Water Department specifications. 0--rz C i 444 David W. Sparks, Superintendent of Water cc: Ned Huntley, Asst. City Engineer • CITY OF NORTHAMPTON BOARD OF PUBLIC WORKS SANITARY SEWER FORCE MAIN POLICY The purpose of this policy is to establish the guidelines, procedures, specifications and conditions associated with sanitary sewer force mains that will become the responsibility of the Department of Public Works (DPW). The following conditions shall apply: 1. All information associated with the entire force main system shall be submitted by the applicant to the DPW for approval. The information shall include, but not be limited to, technical specifications of every system component, capacity of system, operation of valves, pumps and other controlling mechanisms, installation procedures and detailed testing protocols. 2. If the force main system is part of a proposed subdivision, its installation and inspection shall conform to the City' Subdivision Rules and Regulations in addition to the conditions stated in this policy. In all other cases, its installation and inspection shall conform to applicable Rules and Regulations of the DPW in addition to the conditions of this policy. 3. Force main systems shall be designed so that individual pump chambers shall be located outside the street layout. Curb stops and check valves shall be installed at the property line. 4. No connection to the common force main system shall be allowed unless a "Municipal Sewer Availability" and "Residential or Commercial Building Sewer Application" are submitted and approved by the DPW. Attached to these documents shall be the technical specifications, manufacturer's name, model and rated capacity of the proposed pumping system. 5. Prior to the replacement or upgrade of any existing pumping system, the information requested in Item 4 above must be submitted to the DPW for approval. 6. Pumping chambers on private property shall be accessible at all times. The DPW has the right to enter said property at any time for the purpose of examining the pumping station for compliance with the regulations stated in this policy. The DPW will not be responsible for damage to any plantings or landscaping placed over or in close proximity to the pumping chamber access. 7. A red light indicating system problems /failure shall be installed outside every structure connected to the force main system. Said light shall be clearly visible from a vehicle traveling on the adjacent roadway. 8. It is the responsibility of every owner of a property/structure that is connected to the common force main to insure that all components of their service line are functioning properly and in accordance with the approved submittals. 9. Any violation to this policy may cause the service line of the structure in question to be shut -off at the curb stop. In addition, if the violation causes damages to either the common force main or to adjacent structures connected to the system, the responsible party shall bear the cost of all repairs and claims associated with said violation. 10. The DPW will become responsible only for the components of a sanitary force main system located within the layout of a City accepted street. Acceptance of a street can only be approved by the Northampton City Council. Adopted by the Board of Public Works on May 14, 2003. C:\ Policies \SanitaryForceMainsApril2003 MUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department �--� 125 Locust Street r.° Northampton, MA 01060 i ` 587 -1570 I JUL " 7 2004 D ; part ent of Public Works Trench Permit shall be require !' onst uction or connection activity associated with this application. DEPT NORT A . WING IN MPTON, MA S H Location: 177 Cardinal Way Inquiry Made By: Dave Lepine 413 - 527 -3975 Date of Inquiry: 06/28/04 Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: Yes X No Size of Sewer Main: 2.5" Material: PVC (Pressure New in Sewer) Age: 2003 Depth of Sewer Main: 5' Size of Service Connection: 1 1/4 Pressure Line 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. Storm Drain Concurrence sepliThomas, Superintendent Douglas McDonald, Enviromental Planner Streets Department Engineering Department cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector • • t . 1 ' o I ; - I . • iA c)-1- I f - te • c ElvE • t ca . {..s.chnIrctIs .Ci‘ • I 1: , 1 I DEPART i OF Bin LZ)1.G INSPEC-TIONs .44 — !••• • A ' • g04.1\-fa- A hfunicipal Building \n N 01060 . rwp ec R571,DNG INSPECTiNS • Square Footage Asnoun • gasemeni." @ • $.15 • /40 S asa. • :1st Floor @ $-5.° /44/ grY0- 2nd Floor C $.30 1/2 Floors. Attic. Garage • $.15 Dec):. Porches $ - 34°0 57/ TOTAL • • 7 • -' `://7(0,1t _ . • - • • • : 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) Vapor Retarder: [ ] 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: 06/21/04 TITLE: 177 Cardnal Way Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity insulation Comments: Above - Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R -19.0 cavity 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 1. Door 1: Solid, U- factor: 0.350 Comments: [ ] 2. Door 2: Glass, U- factor: 0.350 # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Floors: [ ] 1. Floor 1: All -Wood Joist /Truss, Over Unconditioned Space, R -19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 78 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number 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 cfm (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. Permit Number MECcheck Compliance Report Massachusetts Energy Code I s = r `�' MECcheck Software Version 3.2 Release la r- jChecked By/Date TITLE: 177 Cardnal Way ',- - 1 -t l CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non- Electric Resistance) DATE: 06/21/04 DATE OF PLANS: 6 -21 -04 PROJECT INFORMATION: The Plantation At West Farms COMPANY INFORMATION: Dave Lepine Building Contractor J 22 1 COMP - _: es 9/ J Maximum UA = 433 Your Home = 372 14.1% 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 1561 38.0 0.0 47 Wall 1: Wood Frame, 16" o.c. 2640 19.0 0.0 139 Window 1: Wood Frame, Double Pane with Low -E 262 0.350 92 Door 1: Solid 28 0.350 10 Door 2: Glass 32 0.350 11 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1561 19.0 0.0 73 Furnace 1: Forced Hot Air, 78 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% • esi ' n load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer _ Date C y L=800.571N-V4v) - 1' 3 V 1 1502 i '25 . ., r i -- R 305.00' 30.04' \ k i - 1 05*-389 :4 \ Ihth '0.03' 2 1 st ,..,'.0A e � ') , io ik i -1 Crtry cV tad. , cc; I1 L.L. I \ . coi , co t OA zo ...- 1 \ VI ai kJ co e, , .... ,.. 0) 4.. . 19,838 So.FT± / 1 ..., crt 0) aa O. 455 A C ± • - / \ r Pit 0 3 ---- i Z I ..■' I \ 0 ..1 -"`" Si 2 153.919 o I LP 1 r---H . i _ 71r. . rr l . 7i. !1' L ' - "'' H LI i c A th\ - c 3) ‘- i ' '■ ' .... j 21 1 . . p iwli r „ p in Cr - eMitgp, (4 • • T'� � r • � lAff AC}'liftt DEPARTMENT OF BUILDING INSPECTIONS .4 _ � i Z INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 s`.� >1 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 .•i sor. 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 0 4., • ', '. f, Gitn of Northampton ) i • ,-, % VO4 ilk et 4 ..,7 mt I ,": M It. • - 7 - _-=_---- --- 3 - 4;1 :i. t, 40 • , - ,.., '''fli..2. D EP ARTMENT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 -, , • ___ WORKER'S COMTENSA'11ON INSURANCE A:Ifiell)AVIT - I, -- P__AUL.0 ( ic-zriftt_sli v.ritia a prin cipal place of business/residence at.: 04:), EAST Srr ___.545 A46) 6/0 .;27_,,(phonej.) (st!rcc tici tylatfhi p) do hereby certify, under the pains and penalties of per _ jury, :ha:: (f) I am an employer providing the followinci v compensation coed For my employees working on this job: ...-- -..... :sr/Ai /7/ 4 s,„,-, .1. 6, ,2oso gz-u 44 &- 5= -40•4 as ., - ansurana: compan ci Number) (Expiration Date) „.... _ . ( ) 1 am a sole proprittor401111M , :ir homeowner (circle one) and have hired the contractors listed elow wno have the foincz workes's compensztion polices: A - -T6 •) P Bt 0 Coto cle Te.... i.A.) C.. a L iaa 3 6- 57- o.3" 1,0 Vict c_( (Name of Contractor) (Instmilcc Corlipa:i-fPolicy Nurnbcr) IFixr,:rat:on Date) - q,uifivotko . ihret/v E tecirziL Fri-wiaratigiungfam.r -7gaigqi Co-/0 - 0..5 (Name of Contraclor) (Ins ConaD7 Number) (fix7, Date) Fv 63 1 It ' 1 . P4de cAs -,r cosTrI0c ____ K deir el-- 607 (Name of Contractor) (In.s (2 o a; pan :,v lic-..• Number) (Exi Date) /(05 ?It/i-‘6 Hear 7 0.s: CO _ 7) 7774 * g 4.5 3 (Name of Contractor) (Insurance C o mr.:(__--,y1P o 'Icy N umbzr) (Exnization Date) . c.... 7 ..c...ti thrtiti ::.,:ct if :b...c,-.,...-. ...: :7.-::•.:•-"., ;:•,:-•:, ,,,,:, c., •-...-- •., - • , : • • .• i j ,,,---- --.. •• ... ) Pik•fr a 05 C 0 „SID i iti A 1., i/14 C Loa 7 '7 V— ( ) I ain a tiole proprietor anti have no one - •, -, , - 01Y,111::; for me. ( ) 1 am a home OWI1C7 performing all the -, me, NOTE: plcsc bc riwalc the v.±.: h<t s. - 1 . r ., p1 , - - 7:( ;) :z eo :.. o..; cr : r:pa it ,,,,:): , ..":1 1 dweilini cf not :.ricr thzu ihrco unit, ir, wi tf, b.t,-- r .,,,,,_ , ,,, or oe, Lb.: E7: zz a:t n.:,{ gcr_raily o: :3 bc cmployc-3 und,cr thc. woric.,:e: ccr i•..ct (GI_ I 52.;:a 1(5)). r-p..:::_ by a. hOtncowncr for a Lc.c 4 c.. legal rtai_u4 of r-zi ocuployor under tho \Notice-et CoceperzAtio-ri Act_ I uadc. the. 2. copy of tit:, cta.tcr.c^ may bo forv...ucio•J to tlro 1),:c>...rtr.cre: of Lochlr4rir.1 Aot-id-=IY Off; co of ht.:or...not for cov=gc vcri5=1:03 end that failure to e.: COvrzag.a und.:::::z.Ctic of MGL 152 can luai to tlx impositim of cr'-'nxr ' Pcr-- CocaistLig of a f o f up t s 1_500.00 ar"nr irr:pri...-.tnm:c:t of up to cr..: )--,:ar ".:-.1 civil perattica in thc loon of a Sic-,, Wcril Oni----. tr..-.1 f or too.oa . th iv.in....1 rn-_. . . For &pr.:um-res.! trkc on) y . Permit Nuaibcr __ lvf:1,)fl 1,0t :i _ ___ j — SiGnnturci of 1,i ,, r , c dp er - r n ',It CI:, . - ' " • ..... rii ' :::%" , • , SECTION 8 ,CONSTRUCTION SERVICES ' 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : %$O ksit License Number ( tc 3 , s r 774 r JL2 '-✓o. 01 d Y(/ / ir Address _ Expiration Date � f 5D - 3f7j Signature Telephone /"l 07 (to 4 Re: e ea ' �.om "m • 'vemen. « on rac , r._` ._:z ,. � Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone ;SECTION o 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 ❑ t Ill • 1 P 6 ' 9I1; 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 �SECTON�D'i =S -R � N(��FROPOSED VIfORK (check�lt appl�ca�le) �r New House ° Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] D-cks [ Siding [ ] Other [ ] Brief Description of Proposed Work: CevO ' 7704-J o O•r 6/4 (C ywr /S /76)1 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 $1311 'ew o sai B ui o atlition ttgait i iT Uo sing c mo 1e tie foli.ortt g_ a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms .2. 5 c. Is there a garage attached? d. Proposed Square footage of new construction. �PS Dimensions 5 ( 6 6 S Z e. Number of stories? rr O c eAtivvc P f. Method of heating? .1a !replaces or Woodstoves IBIS Number of each g. Energy Conservation Compliance. p Mascheck Energy Compliance form attached? ')( h. Type of construction obi, S (le. ,,`. i. Is construction within 100 ft. of wetlands? Yes ,c 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? X Yes No I. Septic Tank City Sewer X Private well City water Supply SECT10�1 N:ERUHORIZATION TO BE COMPLETED WHEN OWNERS AGE 7'° Ve0NNTRACTOR APPLIES FOR BUI LDI NGPERMIT , as Owner of the subject property hereby authorize _ to acs. on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, - , 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. � c) r,9 M J Print Na . - i Signature of Owner /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 1 8 /9 � � "� Frontage 9C Setbacks Front 'QS" / '10 Side L: / S R /6 L: R: as Rear Building Height 3a� Bldg. Square Footage % ay/ 7 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 DONT KNOW YES A IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT 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 y IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: • City of Northampton Building Department 11 1 �� t � - 1 Main Street Room 100 _ � :. No mton MA 01060 i p, - dhd8�1413 -1240 Fax 413 - 587 -1272 4 A ,t ed fib` rRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION ; ' T,his section to be completed bg p€HEe 1.1 Property Address: � / .7 �e4✓c'17vA L. 1-J A Y ap �� .. .ot ` � q l nit } v w.°f#� hv`'r' c x 0 ,67- . 16) Zone 1 D ,EimSt District - ca District SECTION 2 - PROPERTY OWNERSHIP /AUTH.ORIZED AGENT 2.1 Owner of Record: DA,' 0 �-i . L, P� F 9 loa E3s r ST EAsr ,,9 ;o&) Name (Print) Current Mailing Address: St/; 34" 41111 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 /do. Gec. o 0 (a)"Bwlding Permit Fee 2. Electrical /0 , (5 Q o , e, (b) - Estimated Total Cost of :.' Construction from t 3. Plumbing /0 , d o Z Building" Permit Fee 4. Mechanical (HVAC) / O . Cs o O . 4 O 5. Fire Protection 3. .00 a 6. Total= (1 +2 +3 +4 +5) /S'`;.000 ® 6 a Check Number ,742 n / This Section For Official Use'Only Building Permit Number: n/ / Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2005 -0001 APPLICANT /CONTACT PERSON DAVID LEPINE ADDRESS/PHONE 262 EAST STREET EASTHAMPTON (413) 527 -3975 PROPERTY LOCATION 177 CARDINAL WAY - LOT #10 MAP 36 PARCEL 314 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /! Fee Paid 70.E O LO 6 T ' 4,› Tvpeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 0441 8 red 3 sets of Plans / Plot Plan e/j10 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN PRESENTED: Approved 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 Str ommission ee 9/34Y 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. • 4 1t1AMp ? , � 0 Crzt v. of Northampton }_ = *= 4. .04- ��, t Z — $ �` ;t(j « i lassachusrtts _' -= " ' l- DEPARTMENT OF BUILDING INSPECTIONS j4 _ =a = — INSPECTOR 212 Main Street • Muuic i al Building t . ' � Northampton, MA 01060 ea CERTIFICATE of OCCUPANCY and USE This is to certify that permission is hereby granted under 780 CMR, sixth edition of the Massachusetts State Building Code, allowing the occupancy or use of the premises or occupancy structure or part thereof located at 177 Cardinal Way - Lot #10 as shown on the Assessors Page# 36 , Lodi 314 , Zone SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 58 USE GROUP CLASSIFICATION (780 CMR 3 R4 OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF 30 PSF LIVE LOAD PER FLOOR (780 CMR Table 1606.1) 40 PSF Under the following limitations, special stipulations, and /or conditions of the permits: Issued this 21st day of April . , 2005 Certificate of Occupancy and Use # BP -2005 -0001 Authoriz v ment P - sonnel Electricae. /It.., -.-( . Elevator jor Fire 411 - P umbing , � 67 A Building f i„ - , , - Gas , ' s , , — Building Commissioner This certificate shall be posted by the owner, in a permanent manner and in a visible location, on all floors designated as use group H, S, M, F, or B, and in every room where practicable of use group A, I, R -1, or R -2 per requirement of 780 CMR section 120.5 Posting Structures. ( i 177'CARDINAL WAY - LOT #10 , -- BP-2005-0001 4 GIS P.. COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 314 CITY OF NORTHAMPTON - ,,,-0, Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS 7. Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) , Category: BUILDING PERMIT Permit # BP- 2005 -0001 ....Y- Project # JS- 2005 -0001 n7,711.74 Est. Cost $153000.00 Fee: $1428.05 PERMISSION IS HEREBY GRANTED TO Const. Class: 5B Contractor: License Use Group: R4 DAVID LEPINE 044188 Lot Size(sq. ft.): Owner: LEPINE DAVID M WILLIAM P WZOREK SR A - Zoning: SR Applicant: DAVID LEPINE K AT 177 CARDINAL WAY - LOT #10 Applicant Address: Phone: Insurance :, 262 EAST STREET (413) 527 -3975 Workers Compensation EASTHAMPTONMA01027 ISSUED O.N :7/13/04 0 :00 :00 TO PERFORM THE FOLLOWING WOE' K CONSTRUCT 2 STORY SFH W /ATT ` -i GARAGE /DECK/PORCH 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: y Rough: House # Foundation: g g / � ' /�� Driveway Final: / L �' © ' / u �. Final : .. . 0 ,''� Final: y/Ves a r c v ` � Rough Frame: 0 C - g _0 ` 6 Gas: Fire Department Fireplace/Chimney: - morampor Rough: - ,. y O il: Insulation: c lf��r� ix' _ a —v Final• 4 "1 ° 4 Smoke: `:7/20f`..5 ae Final: air Li. 2/ _a & f' - ., THIS PERMIJ' MAY BE REVOKED BY THE CI Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. i , / t . Certificate of Qccl..' anc si. nature: FeeType: ___ Receipt No: Date Paid: Check No: Amount: Ill- Building 7/13/04 0 :00 :OC' 7033 $1428.05 ; il 212 Main Street, Phone (413) 587 - 1240, Fax: (413) 587 -1272 Building Conunissionet '- Anthony Patiilo