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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. gn Builder/Desi er �' - / sp /Th Date cAS ....-‘. ......:' • - , t - -- -7-17:45 . _ . • . „....,,,....4,,,,,., . . i... I I- (fi i t P of Nor Ion ; ea - r' t ; 4i . .. . . - 0 PArtTmENT OF BUILDING i N PF.CtiONS i rISPECIOP 12 Mn Strect • Municipal1.3uildMg '. -- 1 Northampton, frfass. 01#00 . i • ■ - 1 Sqvare r• Amount 1 . Basement @ $.15 i 9 ,.. 55 isr. Flo-pc @ $.50 I A) ' 633••••so 2nd Floor @ $30 1/2 Floors, ALtic,; Garage _ Deck, Porches ..15 • , . • . . . 1 1 , ,. • 33,55 TOTAL ...._/. , ./71eire./C•%': a-,.) .ice OC:, 1 . ..- 1 • \ - . - . i -.. . .. - • . • . . . . \ . 1 1 -----...■••■••m•Immuniumemmonsommumemainammi IN ...,* Ihe (3) ocrog i . ; 8 a 8 ......... /: t Af 7464 ...... rc 4. a . , O'09 ,00'0Q. .9CE8 .." -* - * I ......... :..1...SIS 11 Y83A0 i t In 9Z .i., .......... . ....- ' I CINOd 331 ---- t....... skit- ..,...__ 2 '_4t, c4)\-)- 3 1 r n it-t . -,, Of ....„,„, r (c15)210 SI ' '1,41 /11-39 •IA0 • re 1.9Z • ' v . • - I. I. ,L. L S 1, N ........, .......,&,.... 400 / io6.ge iz I. *Cc ' , /le -*-V -- z rn 0 ....a .4'■ -.±. C trveri , i .: ' [ - • f - lt.: :A. / ri V I — z ill LI t , 1 7 g 0 '-",-' ti,4 4 MIIF ".4 I C A Ht Z `I `J cf • (.4 • ra 61 '- ' I/ ' l '-'----7 C) e' 7 li M 191 4h 91 .. , . A -4'4-40,, , c: 3 7 2 , 8' -1.e' . hRi_ )1 ") G4 (1) - ... a a us -- Y . .s' 7 1 0 • 7 IN3 - 0 :: '... 4— -- "r° h , . . i • ...,., : 41-- . - ifi( 6 v %y0 0M.S . 44.1,trn, . • . kr I ; Gi4. • - s - . * - . . 111.• /,- . . ,41...0 I N • . OZ 4.0.10 •,-,401.2:■ is), ... OC ° . I , • o ttA 1p ' �� �� e �xt of XtrtI umpttut • , z = *_" _ To , ^ l l! jer'i d lassaetfusetts -----_:.= -� _ / ,1.1..:, . . — 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 '1 ....., , . . , . .,, .. .. O fink 4 _. 0_,„_,, of t„,„ip,„„ ' t .,•., -, 0: • •f„..r. ft .0 , '. tr --•'------'-. D EP ARM ENT OF BUILDING INSPECTIONS za, - 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 .. ' . 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 _ . ' 1 "c fL 8 { assacliussctts - --_,---1---1 ' a ... :sue ,. —_— 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