37-094 COMMON DRIVEWAY
e • REFER TO PERMIT D46 -04
•
Lot 26 179 Rocky Hill Road
Permit No. D65 -04
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 06/29/04
FEE: $25.00 CHECK #: 3393
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at 25 Ice Pond Drive Lot 4
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:
Wally Marek /W.Marek Inc.
Telephone #: 413 - 527 -7667
Proposed Location
Inspected By:
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: 25 Ice Pond Drive Lot 4
Inquiry Made By: Wally Marek 413- 527 -7667
Date of Inquiry: 06 -24 -04
Number of Type of X_ Single Family Type of X_ Private
Units: _i 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: 8" Material: DI Age: 2003
Approximate Static Street 65 -70 Flow Test Conducted: Yes: No: X
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. City of Northampton has not accepted responsibility for the maintenance
of the water main and service 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 notificat . .
A work shall cont (to Northampton Water Department specifications.
( A.A.: J c
David W. Sparks, Superinten lent of Water
cc: Ned Huntley, Asst. City Engineer
• MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
0 15 Li cust Street
Northampton, MA 01060
587 -1570
A Department of Public Works Trench Permit shall be require
prior to any construction or connection activity associated with this application.
Location: 25 Ice Pond Drive Lot 4
Inquiry Made By: Wally Marek 413 - 527 -7667
Date of Inquiry: 06/24/04
Municipal Sewer Main in Front of Location: Yes X No
Municipal Storm Drain Available: Yes X No
Size of Sewer Main: 8" Material: PVC Age: New in
2003
Depth of Sewer Main: 7.5'
Size of Service Connection: 6" 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.
Storm Drain Concurrence
(A5R .7: l= 7- z- o 4 f
Joseph Thomas, Superintendent Douglas McDonald, Enviromental Planner
Streets Department Engineering Department
cc: Ned Huntley, City Engineer
Anthony Patillo, Building Inspector
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release 1 a Checked By/Date
TITLE: 25 Ice Pond Dr.
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 06/29/04
DATE OF PLANS: 6/28/04
COMPLIANCE: Passes
Maximum UA = 511
Your Home = 371
27.4% 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 1208 38.0 0.0 36
Wall 1: Wood Frame, 16" o.c. 2740 19.0 0.0 141
Window 1: Wood Frame, Double Pane with Low -E 308 0.350 108
Door 1: Solid 33 0.390 13
Door 2: Glass 41 0.320 13
Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1267 19.0 0.0 60
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 13 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 Sections 780CMR 1310 and J4.4.
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Builder/Desi er �' - / sp /Th Date cAS
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1/2 Floors, ALtic,; Garage
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m `" "�'' DEPARTMENT OF BUILDING INSPECTIONS 4 =' _ f —
INSPECTOR 212 Main Street • Municipal Building
~ S
Northampton, MA 01060
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Lis /her construction sups: ,'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
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D EP ARM ENT OF BUILDING INSPECTIONS
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212 Main Street ' Municipal Building
..,
NTortharnpton, Mass. 01060 -. ,•
WORKER' S C 0 11.11) EN S A TIO N IN S UIZAN CE AFFIDAVIT
I. ' ,ti-j,_, 0,,e,./1
(11 crzr..s.ccircrrn it:cc)
with a prin cipal place of business/residence 3::
-- 73
(strecticityL",:llii
do hereby cet uncr the pams and penalties of :hat:
( ) I 3111 an employer providing the follo\vinci %vorker's compensation CO \'Cl or iny
employees woricing on this job:
(---_,_ _--
ionj JP ' . C tAic '-I 1 60-r al t Obr; ...
- (Las Company) (P c'li cy Nu.5.11.)cr) (Expirztion Date) ,...
( ) 1 a_ai a sole proprietor, general c.otna , ;ir" 110111CoViner (circle one) and have 'aired
the contractors listed below ;ho have the folli workers cornpensa:ion poi:lc:es:
(Name of Contractor) (Insumnce Company/1'011(7y Nusnbcr) (Exp:rntion Date)
(Nal of Contractor) (1.nsurar.c:: Cor.imany/Policy Number) (Eon Date)
_
(Name of Contractor) (Insuranc.c. (om T-113 yi? 0 1 C. ts111.11.1.b.1r) ( Date)
(Name of Contractor) (Inalrance_ Co m7,1 Numb (1-pie n Date)
0 zdditiccia.1 sh.act if tio to i. iri,:ti:'a-o. ---••""; • •
( ) 1 'ct a sole proprie'i31 Z1:1;.1 havc no one v.,•Drk.:1; for me.
( ) 1 am a home owner performing all the \vor:-: ii:fself
No:rE.: pl,, bc aAvarc that v.htic li<t \ vt orn-ph.ry p0: :00 e.) L'1-DC; 0,.. Cr "-- ir ' ''' )' C.:-.. ' C II in
1 also three unit in % *1)4 1 r CZ :,=:"..3 ( X 2..ot..artortt..Jal 2.1 iii ry.:‹ - co ,- -rally 0 ''' b.a
ca un..c! r [hot, WOrkt•e: Mr4:-,17, cc AC. (G1...152,rs1 (5Y), r.F.T.I:z by a. hotticownor for at:cc:se 0:
legal ratua of am azorployor under tho Woricoes Conar..tr--__ation Act
1 uncloratamol chit a. copy of thi. atatcy-aat ria-k y b. f,,rtu,d to t.b. 1} of looLuatri al A15' Oilioo of ;::: for U
coverage v anid that EilurctO V.:C.11r. co vcrzg ur.d.:4- section 2 5 A of ?..tOL, 152 can ler.41 to ths impositim of crinir•1 pc-c.111.: cs
coali of & f of up to s 1500.00 atleVer imp::: of up to ori..i )7.r..., atvi civil penalties in de form el a Stc-,i `‘Vriei.. Order arid a
frto of S100.00 a day against nye.
For ksastmesca
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P CT rni t Ntuntycs ______.
of lAcc.n...;cdPcimittc
,
SECTIONS CONSTRUCTION S ERVICES! •
8.1 Licensed Construction S upe / Not Applicable ❑
Name of License Holder : Wry ' `'f " I4 % l
Licen a Nu ber
Address Expiratio Date
« " ) 5 Sgnature Tephone
"Re ere ®.om' = rn: `ouemerf ;1-on racto :_ .emu, . ' Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION°10 WORKERS' COMPENSATION INSU'RANCEyAFFIDAVIT (MG. 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 ❑
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
•
SSE TON 'D Si 7�Q (F PROPOSEDiWO K check aI1 •1 +cable ;
E.... _. . • ...
New House QS< Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ .
Or Doors ❑
Accessory Bldg. ❑ Demolition New Signs [ ] Decks [ ] Siding, J
S
[ ] OtFtei
Brief Description of Proposed Work: l Y�- fif: -L c r tr.1i� Cs"•f 6r ,,
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
16a f eanr°" o s �n 6ka7df i inito errs inghousiffRPco triad l7e follow ng
a. Use of building : One Family (1 Two Family Other
b. Number of rooms in each family unit: V;) Number of Bathrooms 4.7
c. Is there a garage attached? �� S
i
cj-
d. Proposed Square footage of new construction. 1 Dimensions J ‘ ]
e. Number of stories? a
f. Method of heating? 3 Fireplaces or Woodstoves Fe. Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? V
r
h. Type of construction -' ■°?
i. Is construction within 100 ft. of wetlands? Yes (X No. Is construction within 100 yr. floodplain Yes 0( No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? 0 (' Yes No .
I. Septic Tank City Sewer D< Private well C ity water Supply I
SECTJON 7 bWN R AUT13ORIZATION "TO BE COMPLETED' WHEN
O YNERS ;AGE CONTRACTOR . rAPPL'IES FOR BUIL'D!NG°PERMIT
, 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
, t f'1 /' fk,'( , 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 enalties of perjury.
Print ame
Si of Owner /Agent D. e
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 I LOS 9 -25-
/6,
Frontage QS
Setbacks Front ac �-
Side L: R: L: )L R: 11 `�
Rear i>0
Building Height 1
Bldg. Square Footage %
Open Space Footage % } ``
(Lot area minus bldg & paved 1 '\taC�`
parking)
# of Parking Spaces as
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
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO I 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
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 Nation:
City of Northampton a . •
Building Department 1� ''�. fl ,
212 Main Street �g �. - 7,
Room 100 � a �� ;�.����.���r� � F"
Northampton, MA 01060 0. $ , , _, _
phone 413 - 587 -1240 Fax 413 - 587 -1272 ��0. '�-,
r i % � r� � � iii
APPLICATION TO CONSTRUCT, ALTER, R ..'i.
�CV ���AvC ONE OR TWO FAMILY DWELLIN
f
I
JUN 2 9 2004 L1
. ! SECTION 1 -SITE INFORMATION
1.1 Property
Address,_, i
rtr DFnT N � , ,.1 . . %Z. � se ;, a com • fete o ffice Ne r t ��� //'� �j { J ,g( \��/�� CJ v<. Ma� : ^ . x a#*^ , ; 4, 3. '1� \�S�' ? i-.2 - ;: .ems+ ' : - : *-- IC
Zone tk 3verlay Di strict
cur? '�" �^ , ''N 6 wn` " :;! �E . k-„ -
q , ' im St.. x "' ' C B Distt�c
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED'AGENT
2.1 Owner of Record:
fiv . � ar� C. ,c. )3 a � � L r R Q 15 ',, 4 u',)
Name (Print) Current Mailin A ddress:
y/3 )
Telephone
Si
2.2 Authorized Agent:
Name (Print) Address:
Signature Telephone Current Mailing
SECTION 3 - ESTIMATED CONSTRUCTION
be
Item Estimated Cost (Dollars) to b Offfciat "Use Only
completed by permit applicant
1. Building r ,z� (a) "Buitding'Permit Fee
2. Electrical I ; r (b) Estimated Total ,Cost of
construction from (6)
I a
3. Plumbing iP Building permit Fee
4. Mechanical (HVAC) jr0�
5. Fire Protection �o`'
6. Total= (1 +2 +3 +4 +5) '� � Number �� / 3 , 3O SS
This Section ForOff Use Only
rAfelae-Cf/ lat'
Building Permit Number: y'� /,3. ; Date Issued: Check
Date
Signature: _
Building Commissioner /Inspector of Buildings
File # BP- 2004 -1335
APPLICANT /CONTACT PERSON Walter Marek & Son
ADDRESS/PHONE 73 SOUTHAMPTON RD WESTHAMPTON (413) 527 -7667 0
PROPERTY LOCATION 25 ICE POND DRIVE - LOT #4
MAP 37 PARCEL 094 001 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 g 's bj, 330. s
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/ / P or License 05520�
Plans
3 sets of Plans /Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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 Street mmission
3 // /ad/
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.
25 ICE P6ND DRIVE - LOT #4 BP- 2004 -1335
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Bleck: 37 - 094 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- 2004 -1335
Project # JS- 2004 -2013
Est. Cost: $186000.00
Fee: $1330.55 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 Walter Marek & Son 055201
Lot Size(sq. ft.): Owner: Walter Marek & Son
Zoning: SR Applicant: Walter Marek & Son
AT: 25 ICE POND DRIVE - LOT #4
Applicant Address: Phone: Insurance:
73 SOUTHAMPTON RD (413) 527 -7667 ()
Workers Compensation
WESTHAMPTONMAO1027 ISSUED ON: 7/14/04 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /ATT
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: 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: Receipt No: Date Paid: Check No: Amount:
Building 7/14/04 0:00:00 3405 $1330.55
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
?�_ City of inrtli &mptn _ .
'
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DEPARTMENT OF BUILDING INSPECTIONS 14 =
_
INSPECTOR 212 Main Street • Muuicipal,Building ' ��
`
Northampton, MA 01060 0 ,4 ow '
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 o_r
structure or part thereof located at
25 Ice Pnd Dr - Lot #4 •
as shown on the Assessors Page 37 , Lots 94 , Zone SR
in the City of Northampton, as herein specified:
CONSTRUCTION TYPE(780CMR 6) 5 B
USE GROUP CLASSIFICATION (780 CMR 3 - R4
OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF
JU YSIi
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 24th day of January , 20 05
Certificate of Occupancy and Use 4 BP-2004 -1335 . .
Authorized Department Personnel
Electrical 1`.C,, -.`/- I;" , - , Elevator
,
Fire 6 ,, -� ,t y 2 „ 6,✓ , Plumbing �-" :&k .c ' �ii, / .a.�
Building _ w `, , ra. ,• Gas G"A f 1:44.(Z...(,). X )c . k -z.-
Building Commissioner `/ , ,' !'r/ -
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.
00.000000•00,
(13q
9 4,-/`--
(7 4
A b 0
r a7T 5-4/
25 ICE POND DRIVE - LOT #4 BP- 2004 -1335
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 37 - 094 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- 2004 -1335
Project # JS -2004 -2013
Est. Cost: $186000.00
Fee: $1330.55 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 Walter Marek & Son 055201
Lot Size(sq. ft.): Owner: Walter Marek & Son
Zoning: SR Applicant: Waiter Marek & Son
AT: 25 ICE POND DRIVE - LOT #4
Applicant Address: Phone: Insurance:
73 SOUTHAMPTON RD _ (413) 527 -7667 0
Workers Compensation
WESTHAMPTONMA01027 ISSUED ON ::7/14/04 0:00:00
TO PERFORM THE FOLLOWING WORK :CONSTRUCT 2 STORY SFH W /ATT
GARAGE/DECK/PORCH
P= ° p' TR TS f' ARiJ :S O IT IS "ISIBI.E FROM THE STRE i
Inspector of Plumbing inspector of Wiring ii.F.W. c.uauing it =sr �::::
Underground: Service: Meter:
1 1 .0 Footings:
Rough: q -„ p Rough: House # Foundation: 7
/ tl4P Driveway Final: �� 0 if Alt
t2v 15,E
Final :0 S %7 -' Final:
Rough Frame: de 9 40
Gas: Fire Department Fireplace /Chimney:
Rough: /l-p_ jj''�;Oil: Insulation k r0
Final: � /a/ Q 5 Smoke: / O � Final: -- d er" — °�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy y' Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 7/14/04 0:00:00 3405 $1330.55
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo