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37-113 (3) LOT 21A LOT 24 PORCH LOCUS REFERENCE 33.79' BOOK 7713 PAGE 232 PLAN BOOK 196 PAGE 66 ICE pOND PROPOSED HOUSE LOCATION PREPARED FOR 97.17• © DAVID A. HARDY LOT 23 CE POND DRIVE NORTHAMPTON MASSACHUSETTS APRIL 19. 2004 i' - 20' EBHA JOB #2004 -041 q { r " ., LOT 22 PROPOSED HOUSE 1 7' +/- ( + j 48.05 ' p E. B. HOLMBERG & ASSOCIATES 87 UNION STREET DRIVE EASTHAMPTON MASSACHUSETTS (413) 529 -1700 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) 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, glazing U- values, and heating equipment efficiency 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. • J MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 04/28/04 TITLE: Lot # 23 Ice Pond 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 -15.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame, Double Pane with Low -E, U- factor: 0.340 For windows without labeled U- factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door 1: Solid, U- factor: 0.280 Comments: [ ] 2. Door 2: Glass, U- factor: 0.340 # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -13.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1: , 86 AFUE 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. Vapor Retarder: [ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors. Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la + ! hfeckedBy/Date TITLE: Lot # 23 Ice Pond AFT 2 CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non - Electric Resistance) DATE: 04/28/04 DATE OF PLANS: 4 -25 -04 PROJECT INFORMATION: New Home COMPANY INFORMATION: David A Hardy Contractor 82 Laurel Hill Road Westhampton,MA COMPLIANCE: Passes Maximum UA = 407 Your Home = 403 1.0% 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 1257 38.0 0.0 38 Wall 1: Wood Frame, 16" o.c. 2344 15.0 0.0 149 Window 1: Vinyl Frame, Double Pane with Low -E 329 0.340 112 Door 1: Solid 17 0.280 5 Door 2: Glass 57 0.340 19 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1257 13.0 0.0 80 Boiler 1: , 86 AFUE 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% • the design load a specified in Sections 780CMR 1310 and J4.4. i Builder/Designer • `I Date 7-.24 Y L- �{{ wit , 4 , . , Y t. ' WO v 10 IP 1 0 r o r... 1. ‘ I 11 ({ i 1 h- .s ' MUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 2 A Department of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: 16 Ice Pond Drive Lot 23 Inquiry Made By: David Hardy 413 - 527 -2655 Date of Inquiry: 04 -05 -04 Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: Yes No X Size of Sewer Main: 8" Material: PVC Age: New in 2003 Depth of Sewer Main: 8' 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 ose h Thomas, Superintendent Douglas McDonald, Enviromental Planner p P g Streets Department Engineering Department cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1098 1 1 2 d VY A Department of Public Works Trench Permit shall be required prior to any construction_or connection activity associated with this application. Location: 16 Ice Pond Drive Lot #23 Inquiry Made By: David Hardy 413 - 527 -2655 Date of Inquiry: 04 -05 -04 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 Number of Type of X Single Family Type of X Private Units: 1 Unit(s): Accessory Apart. Ownership: Condo Multi- family Rental Approximate Static Street 65 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 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. ork shall conform t orthampton Water Department specifications. t d David W. Sparks, Superintendent of Water cc: Ned Huntley, Asst. City Engineer -. 90'L.97;26 — RaiON . _ .... .... I tr r L. ' ' .1.SV.*-f v (44***TICIk6*‘*4%%*'%**44.4k**44146418****"%%. 4 ii.it ., Qi c, ., , A u 4,c, ti / f li * - . �,. • 94/ • •bs OGO Z i ‘, (Y Vigli , , ,,,, Illoco• , ,,1 --)` / VI �; � , erie ' �► -3M Tir 'i' 1 , 4 r VI. 4 4 CA 0 , 11 ubs 009 1 filli f. ,, ,. ■ f "M "? CITY OF NORTHAMPTON, MASSACHUSETTS 1 ,., ; . DEPARTMENT OF PUBLIC WORKS ' 125 Locust Street Pr• Northampton, MA 01060 • IM 413-587-1570 Fax 413 - 5871576 Samuel B. Brindis, P.E. 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. • • 'b"muel B Brindis, P.E. Director of Public Works C :AMyFiles\Lyn\Driveway Permit General Instructions (SUBJECT TO ATTACHED CONDITION 1 & 2) D52 -04 Permit No. 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: f Petitioner 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 Permit No. D52 -04 CITY OF N( HAMPTON, MA DR V P R I . IT` Date: 04 -05 -04 FEE: $25.00 �` r R 29 L ^i - C�IE #: THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 16 Ice Pond Drive Lot #23 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 1, / David I4ar•dy 82 Laurel Hill Road Westhampton MA 01027 Telephone #: 413 - 527 -2655 Proposed Location Inspected By: 17,rna2- ' d • 6Y Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works i HH 1 ? • .. _� • i • - J • i •. �r� Y • • ,-f twf p�, - ?p r •p� • ,w � Gifu cif . ' f c fIlampton • �► =�_— I � . . � :s+ncli nrrlfs _�_ � DEPARTMENT OF BUILDI)■C INSPECTIONS 2 - 12 n - f n Streit. - nfunic nl Building • I7 :5PCC7Q2 �' NorLIlAnnpLo!?, M r s . 01050 Square Footage Amount Basemen 7: @ $.15 • /d-5 7 G 81 1st Floor @ $ --� / a 5 _ 6d-6-4 5? faitv ?re) . 2nd Floor @ $_30 g a 1/2 Floors, Attic. Garage �$_33 Y� o� `r+ Deck Porches $_15 3 • o b L ic 2-6 • tt s) . r ArvE, 2 9 ,7:904 • TOTAL loo S' ?e • 14 • lot a,3 I cQ Qr (ce • • • • • • • File # BP- 2004 -1085 APPLICANT /CONTACT PERSON DAVID A HARDY CONTRACTOR ADDRESS/PHONE 82 LAUREL HILL RD WESTHAMPTON (413) 527 -2655 PROPERTY LOCATION 16 ICE POND DRIVE - LOT# 23 MAP 37 PARCEL 113 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 1/41P Fee Paid 1 / OO / O Typeof Construction: CONSTRUCT 2 STORY SFH /ATT GARAGE/DECK/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 043898 3 sets of Plans / Plot Plan yl�` T�LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: A pproved 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 • i . ssion 0: 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. ✓ /e toononaseveald a ,liaauu %uaelts BOARD OF BUILDING REGULATIONS • License: CONSTRUCTION SUPERVISOR Number: CS 043898 Birthdate: 11 /12/1960 Expires: 11/12/2005 Tr. no: 10033 Restricted: 00 DAVID A HARDY 82 LAUREL HILL RD WESTHAMPTON, MA 01027 Administrator ?Tie - 6.non«realh 76Jaacktae% t i 3 Board of Building Regulations and St:.ndards _ HOME IMPROVEMENT CONTRACTOR is =_ Registration: 101710 Expiration: 6/29/2004 Type: Individual DAVID A. HARDY CONTRACTOR David Hardy 82 Laurel Hill Rd 'f. esthae 1ptan. !'vl.y 01C2 .\iilaifiiSrr:ltnr 4 dgeitAz■ ' 4 a t xty of 'orfli &lnptun • 11' _ ** - i .. n Alassachusetts — _ - 1 - `�' 4'= DEPARTMENT OF BUILDING INSPECTIONS ^ , _'5. ai= /, INSPECTOR 212 Main Street • Municipal Building 7c, o 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: 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 -clt.A . • ....3...1 .. .,_e L f Olitir of \l'ortliaiiipfon fal.„,,,i . v_-_-_-• . — t t4/1'.. IfP . •c....•'''11,,•agt.,- ..., s..... DEPARTMENT 01' BUILDING INSPECTIONS — - 111=----- -. : 212 Main Street ' Municipal Building , ....._-_. Northampton, Mass. 01060 WORKER'S COMTENSA'nON INSURANCE AFFIDAVIT I OHO I 0 19 _il 0 gil (licz with a pan cipal place of business/residence at: . X ),..___Ictorej (II iZcxcl toe c ( p11011e ) if( a -S 7 - 57_5 - # (strcticityl:li71;up) do hereby certify, under the pains and penalties of that 0.") I am an employer providing the follo%virici worker's compensation coverage for my employees working on this job: 6 Moi rti5urcoice /a goc).7,5 (90 0.003 "2 /Oa, Jo 'T (Lnsuranc- Company) (Pclic-y Number) (Expiration Dale) . ( ) I act a sole proprietor, general con Or homeowner (circle one) and have hired the contractors listed below who have the fo(lo workers compensation policies: (Name of Contractor) (Insurance CornparnylPolicy Numbcr) ( Date) (Name of Contmc.tor) (Insurance Compact/Policy Number) (F,Y.DiratIon Date) . . (Name of Contrac,tor) ( Inal ranee (2o m pal] yil'olic. Numb-cc) (Eixri Date) __ ---- (Name of Contractor) (Insurance Co mr;arly/P oLicy Numbes) (I-Ixr):ET:lio: Date) (.,.,..1L.,..h.,..6tic,J 2::!,:t if :: ',-, rr.- :::: tn.:: c-ii 7...:-.iii::'.: n i; c , :t.::,, - 1 ( ) I urn a :301e proprie:,:)f and have no °DC ' for me. ( ) I am a home owner De:Termini; all rho wo iii . .......... NOTE: please be a SN that •h,ia 1-,c.:7 ,,, ,a,p1,:rf p.:7 L.) C'.) ....--vi2i.1.—..1... ccrrin nr iri w vri i. L . i v:clan:, n: not co thza throe uni in wilidlthc i%si:,..:: rnziili:i5 or a; f_:',.n ,,- cr.r....1.rt: ...:t trz< co-- employes ury_tcr tbs wock.-. cr:cr: Act (Gi.,152.1 ni by a hotnco‘A for :.1.c=1.r. cc p-. in.i...y lesal ;talus of ral ecaployor under thn Woricret Corl..-periv..Ation . 1 urxicrid that a copy of thi... rts.t.cni—riii may bo f000..n.rci..d to tan rpontalcra of laNdalatrial Accieanta' Of Soo of in.t.urvan.74 for tlic covet- agn vcrifi=tioc and (hitt failure to rcc,.. can 111'41.74 f-Ci: 25A of ?..1C1., 152 ro n icui to tlx impocitiai GI Crr-lr- PCC COMisthlg o f , f o to ;1_500,0 zu,...2,4.:, i or ,:p t..., cr. yzz..; rt civil perultics in :14 fr nf n Stc-,i Wcrrir. Orii-.•:' rind r. flnc of S100.00 a day 'F261)7.1 rrc-.... . ... . For 6,-4.1.tmnr.t1 lira _ only ' permit Niuntx:s _ Signature of Acca,ce/Perrn il.tc,:. - . - - ---- 7; ■'.:::-:- ,..- • SECTION 8 CONSTRIJGTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : O 1 r D 10 1 J 1-0Y C3 L i 38 F License Number 0()-- -Ct ( 11/U RUC.t lti.. 3 e 1 ') /I l id-00 (-/ Address Expiration Date Q 2 J � , yi, - 50 - ? 5 5 Signature Telephone R efe"• . orne m m r:. eme11 .Con recto . :�����;�� .,,;�;�� Not Applicable ❑ 1)9 I9 HO kdy Con c:.fcr- )6 i 7 0 Compan Name Registration Number �. L ure/ IJcl/ oc u' lc, fc, 6 J co Address Expiration Date • Telephone 1 3 _ v 7 - 6. S 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 A No ❑ Y � ) la Q � I ee sot � I 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 far 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 • SECTI.ONJ n S RIP,iION OF PROPOSED WORK (checklall New House li21 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New S• :ns [ Decks [ ] ! !ding Other [ ] f Brief Description of Proposed Work: �5 t Qf" �✓ , j c ei tt / e ijoai E'_ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes - No Plans Attached Roll p • Sheet ❑ 6511:# , ew: of a .nd O adlditibIl t exisfin OOtin mpRere tt a following: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: 7 Number of Bathrooms J , J c. Is there a garage attached? �t , j f Plo c'.:;C 1 46 )6'') S ' )( 35 1 d. Proposed Square footage of new construction. id-0 Porch Dimensions /'.1 / Oec #- e. Number of stories? ff f. Method of heating? o f I /t(i{ p it- Cireplaceor Woodstoves Number of each _ g. Energy Conservation Compliance. Ye) Mascheck Energy Compliance form attached? 1 h. Type of construction LOOKS lYrs,c i. Is construction within 100 ft. of wetlands? Yes ) No. Is construction within 100 yr. floodplain Yes fr No j j. Depth of basement or cellar floor below finished grade l (D k k. Will building conform to the Building and Zoning regulations? k Yes No . I. Septic Tank City Sewer Private well City water Supply Ctletega CIYVN SE ER AUTHORIZATION TO BE COMPLETED :WHEN 'OWNERS CAGE T t CONTRACTOR APP ! ES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to ac; on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date x., 1, D By I b ,__ `• , 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. tD V t to f3 6 i20 y Print Na � 1 -' � i r ',sr' ` � — / —�' � 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 117- Building Department Lot Size I I 4-561 ii ; t r , Frontage g I r Setbacks Front 3 Q Side L: R: L: /(, R: Rear r Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved g 7 77, 15% 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 fr 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 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: ' 3 ` tae I aaeA City of Northampton " - Building Department g bsT fi 212 Main Street Room 100 = . g� , v - Northampton, MA 01060 �g «� ��� � 41 phone 413 - 587 -1240 Fax 413 - 587 -1272 APPLICATION TO CONSTRUCT, ALTER, REPAIRil RENOV u itbEMOLISH A ONE OR TWO FAMILY DWELLING AF K 2 9 2004 SECTION 1 - SITE INFORMATION r > This section to lie completed by office 1.1 Property Address: �� �= s 4 4p ?m h�+ F.. S k` � ' � Zone Overlay District ,El S D CB Distri ,. SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: DEC) i17 h tti4f ' Lo ,irk/ c Q (,e3ii, a 7 Name (Ant) Current Mailing Address: 5 Vin/( 41' 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 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of `% UO , 00 Construction from (6) 3. Plumbing Building Permit Fee l0 6 00 UCH 4. Mechanical (HVAC) 5. Fire Protection OO • C)C1 6. Total = (1 +2 +3 +4 +5) V 2 6 7 5 O' , DC) Check Number 9 C( fsd( �a U This Section For. Official Use Only Building Permit Number: / fh ' /O 5" Date Issued: Signature: Building Commissioner /Inspector of Buildings Date ., T• y 6 tOs : . 1 .-`" � �, �\' C C K � �� ..KLS \ ,, cogtocit* 'O 6t- opt. c e \ 04' 3 4 .,�k� �. tan, 55 c� ' ,. 1 0 • O +el H+3 -54:7 47? " ?5G O (� f' 11 4%L ..7q �5v r e cc-4 413 6 0 may\\ `' ‘'',-1,\ eC �h Y wi, \ • 5 - ..0 A A . L t a? .0 L s ,Vt ,,. ....# 7,.. ...--- te ID / - ` � l " 'i U ' `;"� � (✓` .} * b 0 I:\ '\ %., - 4., , , - - I- \- ,..,\ . ,-- \ d\ 1470 0,1% ,,,\.4\ ,c'c 4-04 , s , ,.*N ---- ..! m 'e—/ 10 ` ` ....NN, `, .c.) fig• cb 4 bb . . �� me. 7 JUL -19 -2004 07:28P FROM: T0: 14135453965 P:1/1 DAVID A HARDY 1NA;s e,:pton.MA 01027 CONTRACTOR July 19, 2004 Dear Sir or Madam: I hereby give up any interest in the building permit for lot # 23 Ice Pond Drive Any questions feel free to call Office 413 -527 -2655 Cell 41 3- 563 -7567 SI rely, David A Hardy Owner 16 ICE POND DRIVE - LOT# 23 BP- 2004 -1085 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 113 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 -1085 Project # JS- 2004 -1618 ILA Est. Cost: $267500.00 Fee: $1005.30 FERMI IN IS HEREBY GRANTED TO: ) Const. Class: 5B Coiztr# or: License: I 6g- Use Group: R4 DA DA HARDY CONTRACTOR 043898 Lot Size(sq. ft.): h wner: DAVID A HARDY CONTRACTOR Zoning: SR Applicant: DAVID A HARDY CONTRA G ' t/" AT: 16 ICE POND DRIVE - LO • Applicant Address: ' one: Insurance: 82 LAUREL HILL RD (413) 527 -2655 WC WESTHAMPTONMA01027 ISSUED ON: S /11/04 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH /ATT GARAGE /DECK/PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET 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 VIOLA-TIO F ANY OF ITS RULES AND REGULATIONS. Ceitificate of Occupancy - Signature: _ FeeType: Receipt No: Date Paid: Check No: Amount: Building 5/11/04 0:00:00 10984 $1005.30 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo