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Louis Hasbrouck From: Sarah LaValley Sent: Monday, April 05, 2010 12:56 PM To: Louis Hasbrouck Subject: Cardinal Way Building Permit Hi Louis: Ted Towne just stopped by regarding a building permit on Cardinal Way. I agree with Bruce's assessment from a few years ago of the site. Based on GIS, it doesn't appear to contain any wetlands resource areas, and it's not within too feet of the created wetland on Cardinal Way. Let me know if you need anything else, see you Wednesday. -Sarah Sarah I. LaValley Conservation, Preservation and Land Use Planner City of Northampton Office of Planning and Development 210 Main Street, Room 11 Northampton MA, 0106o Ph: 413.587.1263 1 ro l N80'00'00 "1 I": ''' .._._ .._ .._... _. 272;-73' _ . 7 ' 3 t �� 1 _ it 14%. (f) . . .... . . ---- w vt4 � � Q ' i ' . ,, u, • 04t, t) / . .1. 0—, cs kko4, 46.4 ..... 0 * v- 4 , a 0, .. . - 1_, 0 , ..:. * rik 266.8' '`�� P wtm 00/ ' 880'00'00"W " 0 "": oi` vh . \ { N80'00'00 *E 3 105' TOTAL • 247.00' ~~ 7 ( V_ 1, i (3) , 4 M W 1 1 41 1 1 ` " \ t S. 16 '1 '..-21 ' , w �lgfRl ei 1 .... . r: s 'lb , frz } w i i (Q w ill ^+. i $ I .�_ 1 I Pi f r.- ®� �!, 1 - N.80'00'00 "E 240.49' TOTAL d z 130.35' ' 110.14' -'' ' . 1 !,I N co . 1 z 1 1/44:61 it, igt August 20, 2008 Dear Northampton Building Inspector's Office, I am submitted this application in the hopes that it will satisfy my potential lender on the purchase of the property listed on the application, 23 Cardinal Way. I am currently attempting to get a land loan to purchasing the property and have a signed and approved offer for the purchase. We are currently in the process of completing our purchase and sale. One of the identified items still outstanding with United Bank is some documentation from the City that this is an approved building lot. Since we are not intending to pull a building permit right now, I am hoping that getting a zoning permit from the City will satisfy their requirements and allow our closing to move forward. 210- SZ�a -, Please feel free to contact me directly at 4I3 -7-3.3.n5=798 during the day or you can contact my attorney, Len Jekanowski at 586 -5900 if need be. Thank you. Lynne Wallace 4 -- • ° n , o5 N4 12.8,9 1°'! _ _-,,... -� ,Hc.,', Al I ,180,10 101AL. T 1 ,, .7 i .\ . ' ,,_____ ! tt 1.-- 11 wF#F 8 ` ' \, a l ready ' '! W 1 Ir \ � n. z L =4712' �._ ._ I�c� o �1 11 L106.vi i . • o 2 " n M � CHD N51 53 42 r cn � ; �, � `✓ ! �' 10 0 M 42.43' f '4 . F ..Z' o � g O 5 r __. _ l r� 3a, 347 �.7 ! I. 1�m �'� N. il H 2Adt� S W tc.4.11 CI • a c-) CI ° ?y �2�I g 01. d - 241.21' --, " a, ca Iv I 1 910'00 00 E c.5.1 HOUSE C.' 6 1 , \ 1 �� M 1 2 5.00 o� se`s ∎ ,i 1 G — _ —0 -- — — — — — �� o — -- — — -- W � `-T' '• , ,C 49.3 i3' . ^,- 376.16' N: 2937509.69 9. __ S ©9'32'32 "E 425.49' TOTAL . E: 334'199.05 ,1 ' --7-:------- ���; -`'° MI& • .. I. 4:W1i...I -'• ..1L1 S'.:ply,1 NN:fry.I.,, NU, . . . % ; . — ...... : . ....-„.......,.... .......,..,..„,...- --,.,- ....V.7.,..:-.1*1.:-.!,:•,.. . . , ':::: .A-gli NI nH ....7Z.L3Si * *2.02,Jire.:12111M ,....,,,, .,., ....v.., • • . S. . * — • . • . • . • s ' ' • '.." ' ... "-•'' ". " " ''' • ' — ••••••• rk....4 : •-,.....1:::::": ...;:.: ..t. .,. - .- ....!....•• ...,,„ =••••'.....• • . ..."ri:Zi,::::::.f-,........ • • - - - . . :i? , :■'.;;;....•?...*:; - :V. 1 .-. 7 .fi':;;:::::::..... , ;:... ; %; f .!;Z!....' .. .<::ait.:: ••:;;:':•.'!'.!:`:' '' ' :' '', ..".. ' ' ' ' ' " " " ' . • '' ':•-:'::!../3.4.:::::•:•••;:::::"•::::•:•?:' ; ,,,,,... . . ..- r"-.".• • • •%Z.-=:'-'•;'2:';);':::':::..:•:•:.--:•:::•::'::',"••;":•'.it."•;!;:', - (.....,.. ... • • Iv, -V, 4.:Won... 46'. '..7.•.:41 N ' • ..■■ :V. Mr,: - At , 11.. , 1 •fi!.■ ..::..'• ..! ........fl'Z' ... .......f.i. . Itkt. 't.',..., .- tk;.; v2.7:.1 .`&i . • 1.5neu. 1Pee(f-ANI ...........,.:,•: .1.151fej: )adQ7414 4411 ' •, :•:::::::",-;:;;::t:::)..-:: :',i1;"*.:: • • • :4•?•;'....:-....0.k:$ ......,.............-...-......... ... • . -:-.4.----,,.-..!.: • ...... •. .1 Ir. ../... li . . . • . . . . ... . . ...., , f,...1.•., • •.1 ' ". ..k; ', :r . ...7; '2: 1 . 7.■• • P . I.t . 1 . 1: : :..S:: : : . .Z=e; • • ''.• " .1; `...'.• .•?...■ ,....?..;.' . " .• •• '•:••■ i i hre 11 ' "nV" ''' . T \ .1.k- • .......,.... ........... ......... ..... '.......--,.,',,1 ‘• • t.,c,.„ ...-.. • • '';: • . • . . ...,,,.„..___ . - ..1.. : 041 ,—.—C-4.tr ... .: . . • ...t.t.tt:- • ••••:-.''':. ,., ,.,..,_,...,,. •,-,..,;...._•.,-- . . ..- 1 - ' • .. .-. .. . t • • .....7 - ---- ------1 _ - . .... \ ........--/:. - .... 1 :- . :. .,..,.:' ...,—N-0:. ••_.-=t4 ' .' rid r ' \ .• 'i • '',,c,,'.•• .- - • : %, - ,s...•.: - : : "t '. Li t 1 " • • • t ....., . .. .... . .. \ t. • - i ...T..?: ')......•••• •.' l' . ...... - . •• • Je. • )* 1 1 4 1, :....,,,,,,.=::::,..-.,..: ,.... \ 7-;r' ' : • ‘o '.- . . V''' ■ '. . . ..•:: .. . 9 ..101' .. ... • • l k,1 ' A . - • . ....,• -- 1" , ,■,..,,...!?:',.., 1. 1 ......: i ....., • i .. 1C f.,..:, 1 ;r:ir' A. • • \' • ,. • --- ...., • . . 7/ . .. • . ... . . ...). ,-; ,,., 1.' ,,,,,,... ' j...., ‘..""7:13'...'1. ''' '...' " '; ' ',. :: -, : •. : '1 ' ' .::,: ' El - . - . . i I , -- -,...,f . .:J.i . • ...t. - • • - • ,•:;;•[ . , • • -...... ......-..."- • . ... .. .. ., . . „.. . , ... ........4,:--,-t:.' ,..::::::::.:-::-. • • . ..., .. • • i • , • . . 5: . . •.... - - . . 10 • . • . ......-.•:•::::..,..:•:•.....:-::::-.;::,:::-.-::::::...:::::,. ... - • - - ....-. . . • • • • , . . • .... . : . . . • • ...... . - - . . .., I • 1 . . 1 . - . . S 6 [ C.td • S• P -) 1 -11 ---' - 1 t . .t 1 10. Do any signs exist on the property? YES NO _ IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO__ IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) ov�r.,1 _� acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size '},.,, Frontage _ L i -, t bCo- tI / 2! Setbacks Front C Side L: R: L: R: L: 20 R: Rear Building Height N` A Buildin S Foota N/A % Open Space: (lot area minus building Et paved ��7F i� y f� . ` / parking l U� ` �j ; : �y�� D # of Parking Spaces P- # of Loading Docks gi Fill: (volume Et location) 13. Certification: I hereby certify that the information contain d - ei is ,e and accurate to the best of my knowledge. Date: 2 16 Applicant's Signature / PP g NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\Documents \FORMS\ original\ Building - Inspector\Zoning - Permit- Application - passive.doc 8/4/2004 File No. ZONING PERMIT APPLICATION 01o.2) o.2) Please _type or__print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: �-;�ntr�C s. ` G t 4 G C- P u . Address: 1 t ". et) c6-5 _6 55� Telephone: 2. Owner of Property: / ! `7) 74( 5 12.- 4 l 1 -r , O—' ' �f.'�' - '.a( ! i V ( S t 1J4 mc' Address: �� Telephone: 3. Status of Applicant: Owner Contract Purchaser , Lessee Other (explain) 4. Job Location: 2-T V'JA.,e A14-t` Fn2"c Parcel Id: Zoning Map# 6 Parcel# D istricts): .5/e/0 S 1 ( 1 In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: V-- 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans X 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW _ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # 9.Does the site contain a brook, body of water or wetlands? NO X 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: (Form Continues On Other Side) W:\Documents\FORMS \original\ Building- Inspector\Zoning- Permit- Application - passive.doc 8/412004 • File # MP- 2009 -0022 APPLICANT /CONTACT PERSON WALLACE LYNNY ADDRESS/PHONE 1023 WESTHAMPTON RD (413) 585 -8556 () THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO • ILLED OUT ee -al. s ,�, Building Permit Filled out Fee Paid Typeof Construction: ZPA - SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTI HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRES TED: 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 Se ' Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co -I! 'ssion Permit DPW Storm Wate , Ma agement .,.. z� _ Signature of Building ‘6. Dat- 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 the Office of Planning & Development for more information. 08/2'1 /20118 110:50 41:5869112 DELAP REAL ESTATE PAGE 18/1E •1 ND}' 4 - 0 SC/Ate- "V 3 3D itE 2 3A 3?' 461 • 35' Z5 r 37 ' 3!' 3o' L..O+ 3 Massachusetts Department of Environmental Protection Caro[na1 Vy , f `s'�f^�� a Bureau of Resource Protection - Wastewater Permitting Program ads addrees or Mapllot Number M A Form 12 r- Percolation Test m ■ m 03 A. Facility Information 1. f=acility Information W zoee.L f oil ily7: " c t o X (°3 7 Mspkoi ! • La St Address ID as - �• a p -6fr• Kok v %,0L7 ' N Cray Slate Zip Code : Percolation Test Date: :S e, 9 � Soot : Observation Hole # 3A 3B` Depth Of Pero 3' " 39 Start Pre -soak 1.,07- 3 ; o .4 m End Pre -soak 3'01 3.19 D Time at 12" : 3,,1 � 3:t;9 ° Time at9" 7:z. 3•Z7 Time at6" 3 47 3;3;9 r Time (9 " -6 ") - z.0 m13 iZ AO - Rate - Min/inch , - 7 MINI/id 1 r1uN /0 A ' Minimum of 1 Percolation test must be performed in bosh the primary area AND reserve ores Site Passed [Site Failed -�❑'7 • Performed 8y: �ct✓k ! Lti fp c i.i Witnessed By: gvne.5+ Mc+I*t i Comments m 0 tO r-+ DEP Furor t. t-ercofatton rest • rage 1 of 1 i • L a i Massachusetts Pepadment of Environmental P Ca d " aI W«y, (�dr4�4�.f{*�• • Bureau t)f Resou Protection — W astewater Permitting Program slleAddreas orMallet N mtrcr . cc Form 11 - Soli Suitability Assessment for On -Site Sewage Disposal co D. Determination of High Groundwater Elevation ; 3 A . 3 B 3 c, 3 t Method used: ❑ De th Observed standing water in observation hake A. . ( io 4i) & g M ) (244'6.) Ul Ul Ul ❑ Depth weeping from side of observation hole A. __ B. Er/ Depth to soil redoximorphic features (mottles) A. ? 34 n B. 34 " 30 ` Z 9 n w f CO . 1:1 Groundwater adjustment (DSGS methodology) A. B. o . ._ .. - 2: - IndeccWell Number . ..._._. . Reading Date ...... __.. .- index Well Level e............_...... Adjustment Factor I Adjusted Groundwater Level E. Depth of Pervious Material 1 1. Depth of Naturally Occurrin Pervious Material a. Does at toast four feel of naturally pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes (IVo 0 p b. if yea, at what depth was it observed? Upper boundary: 1 Lower boundary: J ZO `•` 1 F. Certification 1 l m En I certify that i have passed i ihe soil evaluator examination' approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expOrtise and experience described In 310 CMR 15.017. 6 20 (fr1y 7,zDc) Slgn we d Sol Evaluator e Mark Thomason Aortl 29.1997 ' . Typed or Printed Hama of Soil Evaluator 'oadr of Soil Evaluator{Exa E r n rf / 4 f" ( P 4ev P A !rigth /Ua tn„ipJis 4Jyevi+j Name of Board of Health Witness L Board of Health m Note: This form must be submitted to the approving authority with Percolation Test Form 12 m CD CEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 4 of 4 ea v r--- Massachusetts Department of Environmental Protection 6+ 3 t,.�rt�tth air �1ar - r e, y - � - oy � o Bureau of Resource Protection — Wastewater Permitting Program Sit &Mteas m Ntapftot Number N L Form 11 - Soil Suitability Assessment for On -Site Sewage Dispos co ea G. On -Site Review (minimum of two notes required at every proposed disposal area) m ' Deep Observation Hole: Date: 5 /7 f — Time: 9 z5 Weather. .Juan 7!a ° in ' 1. Deep Hole dumber 335 Location (Identify on Plan ): w ' 2. Land U s e : G ( ' e l Lot Surface Stones: Z -3 / Slope (%):. 2 % Vegetation Nor e- m (e.g. woodland, agricuIural tieid, vacant id, Mc w Landfomr. around t:saiiiil , Position an landscape: N 3. Distances from: Open Water Body,lcef f.. Drainage Wayloo+ ft. Possible tiVet itn-F-" ..._:_- v T ~"�._" Property Line Zo ft. Drinking Water Well 15-0-4- It Other ft 4. Parent Material: 4r4 0414-1 ( t Unsuitable Materials Present Yes ❑ No 0 It Yes: ilsiurbed Salo Fill Materiel0 Impervtoes Layer(s) 13 Weathered/Fractured Mock Q Bedrock Q 5. Groundwater Observed: Yes E1 No 0 G 9 If Yes: Depth Weeping from Pit 87 Depth Standing Water in Hole Estimated Depth to High Groundwater . edaximarpttic Features Coarse Fragments r Soli Soli Matrix. (mottles) % by Vulurne ; m Depth Horizon! sot? Texture Color -Model Depth Color Percent Gravel Cobbles Soil Structure Soil Consistence a (In.) Layer (USDA) (Mansell) & Stones (Moist) Other I, r: i d 7 lSw L Z.5YS /c massivt. - .-cgtal.e_ D , i�'tgSS Iv ,� t { 7-124' C L5 io YR. 611 Z9j ( s ysit f % IO 5/ crf.'oli. i ■ A •1 m A H Additional Notes f/ �, / �rizo rs�+ -. as 5A»c1C1j c -' Y 1 MILLTOWNENWRONM774L CONSULTING 1 °D P.C 90X 31A i { L?k"i' Fatal 11 Fait fiidtvhmt n.___ .......; :.,., ,.,,,.4,,,u � swisge umposat CHESTERFIELD. MA otosz 1 f413) 296 - 4499 1 Massachusetts Department of Environments! Pratecti Lam+ 3 C.Ar•tina i way •, fJar-f 1►a.p +o n. Q Bureau of Resource Protection — W astewater Pe Program i Site Address or Map/Let Number N Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal N C. On -Site Review (minimum of two holes required at every proposed disposal area) ` r9 ra Deep Observation Hole: Date 7 o Time: $ tgo Weather: 7unhi. 65' 0, • 1. Deep Hole Number 3C location (Identify on Plan ) • 2. Land Use: c 1 eo{rtct k+ Surface Stones: ,1 , Slope (%); 3 Vegetation:, a' - c (e.g, woodland. agricultural OOld, vacant lot, etc a Landform: aroa.ri4 l orair e , Position on landscape: N 3_ Distances from: Open Water Bpdy. Jao+ ft... _Drainage Way Nei, ft, . Passible WettArea Ica 4. ft. '' ..... " , Property Line ZS ft. Drinking Water Well l Co fi ft. Other i _ ft. 4. Parent Material: 4 Unsuitable Materials Present ❑ No g ' . ff Yes: Disturbed Soli(] FM Materiel[} Impervious Layer(s) 0 Weathered /Fractured Rock • Q Bedrodc Q 5. Groundwater Observed: Yes (21 No ❑ d If Yes: D �� 'r P Depth Weeping from Pit $ S Dept Standing Water in Hale Estimated Depth to High Groundwater. 30 Redoximorphtc Features Coarse Fragments ' Soli Soil Matrix: (mottles) % by Volume � De Ho Horizon/ Soil Texture Cotos Mofat Depth ' Color Percent Gravel Cobbles • Sou Structure Soil Consistence N La (USDA) (Munsell) & Stones (motet) Other - i 0 —, „ B 5L 2.5 `l 5 Jb 5 r+- ,ass, - - , - ;-.L lc 9 -IZ4 • C• 46 toyR4 /z. 30" 5 y,rl( 5% lO° 5% rv, ASrivt c ri+ble. A 't >~ Additional Notes /� Ho ri ot, now S- tr oalCp i I e a h S'i +4. co • HILL.TOWN ENVIRONMENTAL CONSULTING m P.O. BOX 3 DEf Form 11 Soli Suftebilky Assessment for On-Site Sewage DtsnnnaJ CHESTERFIELD, MA 01012 ;1141 2ne ..Yw I LA/ t v Massachusetts Department of Environmental Protection �1ar 1���- H�+aw�p .' Bureau of Resource Protection — Wastewater Permitting Program sile addracsor Mapr Lotrlumhe► 1 Form 11 - Soil Suitability Assessment for On -Site Sewage Dis pos al i t ©n -Site Review (minimum of two holes required at every proposed disposal area) 1 ' Deep Observation Hole: Date: 4 - 9 -0 4 Time; 1 % So • W eather: �'"q Ky J 1. Deep Hole Number 33 Location (identify on Plan j: 2. Lend Use: woo Surface Stones: feu- Slope ( %)i 1-2 Vegetation: -Sry vc - t (e.g. woodland, agricultural field, vacant tat, etc c i Landform: Marai}ne.• Position on landscape: t F 3. D front: O en VIl er Body + Drama a Wa I ft. Possibl t' cod ti _ r . . . P.... Y . �3•, g Y e.lt[t.Afea L .ft- ' Property Line 30' ft. Drinking WaterWeli t5b -1-• 'ft. Other It 4. Parent Material: Ablakio►,1 1 Unsuitable Materials Present: Yes QK No ❑ If Yes: Disturbed Solis] Fill MalerletQ Impervious Layer(s) 0 WeatherediFractured flock 0 Sedroek ❑ Bo--101w3 e-• (06 5. Groundwater Observed: Yes (3' No ❑ ■ If Yes: Depth Weeping from Pit 11 Depth Standing Water in Hole 14" Estimated Depth to High Groundwater: 36' ,. 1 Redoxlmorp is Features Coarse Fragments F Soil Soli Matrix: (mottles) % by Volumd 3 DWI"' Horizon/ Soil Texture Color -Moist Depth Color ' Percent Gravel Cobbles Solt Structure Soil Consistence r (rn.) Layer (USDA) (Mansell) & Stones . (Moist) c Other i 0-6' A c3 to`fg 1 Gevv'+lo j vaJ.4 • r 6 -15 Bv., LS to YiLSib 5`7. w,oasib� ;a�tst` N ,r t rr IbYR �� 1Jr-iulo G' ( rot op. 36 is`iR 7/1 (b�a �O7 57*, 4�. Yia�n Co- . x Additional Notes a o ri 3ov 1 £.Y - • c c j h DEP form 11 Soil Suitability AMspacmant inr fln.ga. Causna nlenne*1 . Cana 1 ..I . r LD''r •'' t t n Massachusetts Department of Environmental Protection Ct'wc4�rlat Ilia ; iver��t4w�� +, Bureau of Reso Protection — Wastewater Per mitting Program Ske Address orMaylol Humber Form 11- - Soil Suitability Assessment for On -Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole: Date: 6 --' -O4- Time: 1Z;30 _ Weather: 5..4'4 go° 1. Deep Hole Number 3A Location (Identify on Plan }: f 2. Land Use: " eoctS Surface Stones: 50d Slope ( %): 2 Vegetation: Serve-z- (e.g. woodland, agricultural flekt. vacant tot, etc t f Landforrn: G.r.ltiorain . , Position on landscape: t r 3. QTtetence,t from _Open Water Body. .1° . !".- ft..-.Drainage Way lo ff. Possible Wet Area .I °° 5t. . • • ... . Property Line 3D ft Drinking Water Well 15 t- It. Other _ -ft. 4. Parent Material: 461 +ii *. 1' t 1 Unsuitable Materials Present Yes ❑ No Q/ `: if Yes: Disturbed Soil❑' Flit Materia° impervious Layer(s) ❑ WeatheredlFracitsed Rook (3 Bedrock ❑ 5. Groundwater Observed: Yes (r No ❑ if Yes: Depth Weeping fromPtt 77- Depth Standing Water in Hole la4 Esttrnaied Depth to High Groundwater: 31 F Redo,dmorphic Features Coarse Fragments g Dell') Soil Soil Matr1�C (mottles) % by Volume i Horfzonf Soil Texture Color -Moist Depth ' Color Percent Gravel Cobbles Soil Structure Soil Consistence n On-) Layer (USDA) (MunssiI) & Stones (Moist) Other s 0 -5" A c5i. 10Yr�3 /Z C. rvt•n ( lo `csos.a.. 1 i .r �' _11, ,,, i!..5 Je`JR S' /, 1 rtia:s.ve - crro,Ll 1io - tW , G L5 1 ° 'iR &t2- 34 Lc 7(1 10X, (o% S i . 4 1 D g Additional Notes • a e DEP Form 11 Soil Suitability Assessment for On -Site Sewage Disposal • Page 3 of 4 a Lot- 3 El Massachusetts Department of Environmental Protection CaYrtr>nat �1d ar, Nor gw.P ,, t Buraau.of Resource Protection ,-• Wastewater Permitting Program Site Addressor Map/Let uumbe's - h Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal a A. Facility Information �- OwnerName: YV Zea c f a r+.i i7 Ts- NILLTQWN ENVIRONMENTAL CONSULTING aMeepernir Street Address: ct • Box 1039 MapJLot: s F City x 41 ar.p IV In stater M A► 73p Code: O I P2.7 (44 3) 296 - 44-99 u 0 a u B: Site information i n 1. (Check o n e ) ... . New Construction [r • U p g r a d e ❑ ... • Repair , ❑ .' 2. Published Soil Survey available? Yes Er No ❑ It yes: l 9111 1 : 15046 A in B Amosfat - Year Published Publication Seale Sell Map UM Sail Name Soil limitations Wellness Feces slew I/ i 3. Surficial Geological Report available? Yes 0 No ❑ If yes; Year Published l Publication Scale Map Unit Geologic Material Landiorm D • 4. Rood Rate Insurance Map: • • r Above the 500 year flood boundary? Yes El No ❑ With Er the 100 year flood boundary? Yes ❑ No u Within the 500 year flood boundary? Yes ❑ No [f Within a Velocity Zone? Yes ❑ No 0 5 rr • 5. Wetland Area National Wetland Inventory Map Mep Unit Name Wetlands Conservancy Program Map Mop UnR Name 6. Current Water Resource Conditions (USGS) 1 04 Range: Above Normal a Normal Q Below Normal ❑ Oe, odL Is) orMa 7. Other references reviewed: v m m ea w co DEP Fomi 11 Soil Sultabffity Aseessmerit for On•Site Sawaae Dianna& • Parr i of a *..w,. I n 1 S.. 1 IT.L VAi i 6 ' HILL TOWN ENVIRONMENTAL CONSULTING • P.O. BOX 3i4 CH *:TERFIELD, MA 01012 1 _ (413) 296 -- 4499 • Invoice No. 08-013 May 7, 2008 Client. Towne Builders ... __211:6 - LiMie Road Easthampton, MA 01027 (413) 5279645 Site Location: Lot 3 Cardinal. Way Northampton, MA Services and Cost: j . • S© ft Evaluations ( 108) $150.00 .W ' ION A . Oil N. • • 0'051V 12 � 1=� rte. t roil., ;r �" , � X 180.1. J TO"f A1` � �A•o. � ... 120 , ; � � V � � -3 ' 1 R=3o.00' rivilri \ . i . L =47.12' V ° _.- 1°4 W 16 r� , cs CHD �jV51'53`42'. i h »� o� • q ,, 42.43` r F 7: . i 30 3470S 3 T� .m '`` yaid a 7y Q I Ca a map s� 2 iSY 3�' ' i w o i' r31 • I 'pp CI CI ' w '�'� 241.21 - I 510.0.'0. E j , 40i . III i i • It HOUSE BARN , V ' 125A0' Go LOT 1 • 1.258 A RES..a� 510 0 'O0" i 1 -- ___ ..-•- cn — — — .4.. c7 • 1R 1 G 1-1 - q -- O ✓�" W.¢ 4. ./f 49.33'_ 3 6.18'-- --- '�..°__ . � _ ...._. ---- N: 29375.9.69 /�. S09'32'32 E 425.'4'9' TOTAL. E 334199.05 644.-... 2 w J . • ... .. 1..... ...... ........ , -..t..w. 1 7 . - .14'411-03~4.1015310 4:11042M s - - .1 1 .• • ;V: -• ' • ' .4......... : -•■•••••, ...a ' Tga r S ta„,...................... .. ...an. MreaUlANK.aKt sa.a. .telia.E. t • ." a... 1 :::.,:ka ......... ... H .. . 7.14Eften5--" . aSzaal sli 27 ..... . ..... •,:,..z.,, I • . • • ............,...= :,.. .....1=ZAW4A.114 .A.,F, ••••• 8 ...• A . 4 , i ::: • • .2.4 ..- 4 - 4.• 0 • 4 4 4.4 . tnA•11.-.."'Atr.P‘PaR4.0.."..V.'".4.4f**-4 144'41 • • • • . . i ... aa K • 146 4 I I 4 . .Z. 4 4• •4 1 .*". .A.V. C■79:= •ft, • !AA:W.V 4 . -- ty: - ,,,.....„•; .."4•4,4e,:i-M:F.--Pip'":,„%* '1:1---;.'3.9.74,..z.*•:.........m.a.^r *: ..... ...."-.. 7rat -. •r•V•hrt•••■ fro. - .. • tar% 4:11;K•a•M lart • : IK•01/4".... la Wm:till= av,tat-f-sz •In.061 $ ISakt..0134M0 . ••.v.ve.NTZ•16100 _••■■ Arolti 401021% ;ft • .1.t.V.%••■•••V 2.. OM OUP . OZ. . • 0 ,4. • ..• . strralAys .... ... • ......... 6,.." , •••-••••••• •,...S., ..$ :4 - N.4 t...• • ..1.4 saa.. s • Ka • .61: ....„_...■%/1•• a"."'" s • ...... /..... • • . - ...Z.,..... . ....••• 70. :46101.• . • 1.• %A • r• .....• 4.Ktt.,.1 sot ' . ow $ ..........o......, • ••■••.•••,••••,, . • •••." ......... .1t.' .„,..,...,, ._,............ • 1.a ..••••■ . '74 ,......1•• 0 .60.4.••••••■ • , ,rn • .14,0 44,■■■• • ." ',1;47•":43: • M1•1•4•••■■•• i •1•41.0••■• ■ ...., ........K.Dan ...mamonta e ..,. .5t at ....,..r...• •............. , . ..,..................._ % .,.... 444 , = .4. 4:44 .... 4 . 2 . 40 , 11.7.1.0,9"14 -.. Llt. • te • r • . . 1. ...., • -., • .....-4:F.4.77‘.. \X. , .... . .. • . .. ,--- • ......„.. • —...........R.. s . ‘.. ..• . • . ' • • ...,.. ' ..... • •• • --•: .. ' 1 . ' t•••44.1 . ..+ Gt "WI "IV iail • •.. .. - -, .1 : .... as........t... -... :•• • . • 4...4 • 41d...—•••••1 . • •_• . -.. • r • ...._,......... ., 1 .. , :•_.-:-... .• , ,............: tra• • - i 1 . • !.- .,, c.',..,...1* - ..:__ : 1 . . fltii.442 " ' `MAW 1W7 i -, 9 .207 : •—: • • - .4. - .. l'ilite 1 • '''''' • •'''''. ' '..4..:....- . ..... .• ? s • 1 • , • - .9 .13:: • +.:. t t • . . . -. - • ,... ../ : '7:11 . . . • •••.- .,.... • -: 'Al' i .,•-- .: ,.., ,. , — . - •••.47: : . 7,. ' . • ••••‘ “•.: -' 1"- . - ..-.• .4 • - Zie.M .. • • • • S . • • •.. •••.... ••"- •,••••••••' .,"."'' " ••••' ' • . . • " • — • . •^4. ...... •• • • . • • Ni$1,...r.... ... ... .. ..4. ' . '." • • • Lii * . .-.. . .- .... • •• . l • ,.. / 2 •Cl•■•: ..."••••......... • •• •-•<•;•:•..... • . . .. . • ' . - •; 1 7::..:Z . 4.4 •• ••:. - - , , • . . • .. • •'• •••,•• •-t.:Nt• ...: -'• ' ... - • •-• ' Stkt . • . . • : 1 • K•aa lz...aval a...,, . • . . • • • •••••■••aa .a. aala.r..Pe....*.•;44361: Xh • • , t • . . -1 . . . .. .fi,. S 7.' i rN 6 : 1 I, ID Til 7.1.--H 10. Do any signs exist on the property? YES NO __X_____ IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X IF YES, describe size, type and Location: 11. Will the construction activity disturb (clearing, grading, excavation, or fitting) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size 3 3 -1- 1 -30 344 " " i 1 ' Sp a Frontage J t6.01 pi tb t C'1 / 2.C Setbacks Front i Side L: R: L• R: j L 20 R: 2,3 Rear Building Height /V j& Building Square Footage 0 414- 1 I fio % Open Space: (tot area 851. t minus building Et paved E, parking 00 /' .:,;� . �' /g # of Parking Spaces N /ft g 4 „�.� I 7 `# of Loading Docks Af/ Iv / Y' lef Fill: (volume Et location) 13. Certification: I hereby certify that the information contai • , is a and accurate to the best of my knowledge. Date: P v /6 A pplicant's Signature i / / NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and. Architectural Boards, Department of Public Works and other applicable permit granting authorities. WA DocumentsWORMSIoriginat \8ailding- lnspectoaa ing- Permit- Application- passive.doc 8/4/2004 0 t5 l� E li U E U1 , QcP 2 2008 Li ; ///P-9-07.02. File No. ZON....FNG PERMITAPPLICATION ( §io.2) ___-__Please_typeorprint all information and return this form to the Building Inspector's Office with the $i5 filing fee (check or money order) payable to the City ofNorthampton i . Name of Applicant: �-'� ^if l �4U.44 C (P012+bu^' VNl5oz. tt 71)--)j) Address: 1 07-3 tNa1 4 ` 1 e l) r( Telephone: 5 65 S5C 2. Owner of Property: TO) 77/1.44-i 3 1. Si t )\Fl L'Li. sr>7v� Address: � � Telephone: 3. Status of Applicant: Owner Contract Purchaser X _ Lessee. Other (explain) 4. Job Location: 1.--051.- a- 2-3 C 1 . 4JA"( r 26. Parcel Id: Zoning Map# 6 Parcel# . 3 District(s): 34LW .S 1 11 In Elm Street District to Central Business; District (TO BE FILLED IN BY TFIE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: V . / y i L—' ' 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans X 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT 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 # 9.Does the site contain a brook, body of water or wetlands? NO X 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: (Form Continues On Other Side) WA DocumentslFORMSIoriginnllBuilding- IospeciorlZoning- Prnnit- Application- passive.doc 8/4/2004 File # MP- 2009 -0022 APPLICANT /CONTACT PERSON WALLACE LYNNY ADDRESS/PHONE 1023 WESTHAMPTON RD (413) 585 -8556 0 PROPERTY LOCATION 23 CARDINAL WAY MAP 36 PARCEL 344 001 ZONE SR/WSPII THIS SECTION FOR. OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ONIN FO' _41 *a OUT • - e - :. • Building Permit Filled out Fee Paid Tvpeof Construction: ZPA - SFH New Construction Non Structural interior renovations Addition to Exist Accessory Structure Building Plans Included: Owned/ Statement or License 3 sets of Plans /Plot Plan THE FOLLOWING A C TI HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P i E : _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 PIan AND /OR Special Permit with Site Plan ZONING BOARD PERMIT REQUIRED UNDER § Findin • Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Perniits Required: Club Cut from DPW Water Availability Sewer Availability Se • Approval Board of Health WeII Water Potability Board of Health L/Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co ,:,' 'ssion Permit DPW Storm Wate , Management ..,-°.� Signature of Building Offici: Da t 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 the Office of Planning & Development for more information. ' Bruce Young From: Bruce Young Sent: Tuesday, September 09, 2008 11:49 AM To: Anthony Patillo Subject: 23 Cardinal Way Hi Tony, Earlier today I spoke with Lynn Wallace about a Zoning Permit Application that she filed for 23 Cardinal Way. According to the Northampton GIS, 23 Cardinal Way is located outside of the 200 -foot Riverfront Area, and wetlands are shown to the north and east of the property. I cannot confirm or deny the presence of wetlands on the property, however, I can attest that there are no resource areas shown on the GIS. Please be advised that the lot is located within the WSP II zoning overlay. Best, Bruce Bruce W. Young Land Use and Conservation Planner /Senior Community Preservation Planner City of Northampton, Office of Planning and Development 210 Main Street, City Hall, Room 11 Northampton, MA 01060 (413) 587 -1263 / fax (413) 587 -1264 www.NorthamptonMA.gov 1 • File # MP- 2009 -0022 APPLIC \NT /CONTACT PERSON WALLACE LYNNE s 0 ADDREO/PHONE 1023 WESTHAMPTON RD (413) 585 -8556 Q id Amt tj j PROPERTY LOCATION 23 a ...a, / , ry Y, . MAP 36 FARCE 44 ; latzviP 1 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE • GFON FILLED OUT • 411 r Building Permit Filled out Fee Paid Typeof Construction: ZPA - SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License • 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON a I - INFOiGIATION PRESENTED: I/Approved Additional permits required (see below) 444.Ale. 44(44i4 PLANNING BOARD PERMIT REQUIRED UNDER : § /r¢— Intermediate Project : Site Plan AND /OR Special Permit with Site Plan ✓YuA.A✓a A`..1/4L 4-€116.411 Major Project: Site Plan AND /OR Special Permit with Site Plan " 'fir _ . j ZONING BOARD PERMIT REQUIRED UNDER: § /12 �`~� 4 Finding Special Permit Variance* A J . _ 1, / a ff Received & Recorded at Registry of Deeds Proof Enclosed ) + .. Q Other Permits Required: C,a• CAA.dt) uAA Curb Cut from DPW Water Availability Sewer Availability r tid � �, Septic Approval Board of Health Well Water Potability Board of Health / " "", '' Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management 0 9/211a 8 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 the Office of Planning & Development for more information. uce Young /From: Bruce Young Sent: Tuesday, September 09, 2008 11:49 AM To: Anthony Patillo Subject: 23 Cardinal Way H Tony, Earlier today I spoke with Lynn Wallace about a Zoning Permit Application that she filed for 23 Cardinal Way. According to the Northampton GIS, 23 Cardinal Way is located outside of the 200 -foot Riverfront Area, and wetlands are shown to the north and east of the property. I cannot confirm or deny the presence of wetlands on the property, however, I can attest that there are no resource areas shown on the GIS. Please be advised that the lot is located within the WSP II zoning overlay. Best, Bruce . Young Land Use and Conservation Planner /Senior Community Preservation Planner City of Northampton, Office of Planning and Development 210 Main Street, City Hall, Room 11 Northampton, MA 01060 (413) 587-1263 / fax (413) 587-1264 www. NorthamptonMA.aov YU 1141)11114: g (15 19 1129 S$ 1 . No. -7 —°10 FEE ' S'O '•► COMMONWEMTR Or MASSACHUSETTS Board of Health, r at i'ha„ 1k pJon , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT 'Permission is hereby granted to; Construct( ) Repair( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at CAr as described in the application for Disposal System Construction Permit No. '7 oto 3 , dated ■AP4ch 3 D,?a' 0 Provided: Construction shall be completed within three years of the date is permi . All ocal conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Chadestaen, MA Date 3 3 t 0 Board of Healt j 4 ...,:. 80 2 '0 77.5_1 0 1 00 . z... _ ,_. X11 T t `� .' ........ ., ... a • . ......--- i : A - 4,' t sig., (f) , . ...... . .,...- 0. • . .<0'.--- . . , s 0 9.0 o * , - s , 0 . , At, , iiNki i. 1 7' . ,... t N4-ct-cie. . , . , 3 . \ S itii 4% 414 P4* ?il ' 0/q ,.. ' ‘ i * •901 a6.a8' o� �T` .. 4 S80'00 00 " w ' 04 �s t , / r . t' ' '""� -` s "E 323:05 TOTA .• 76.03 .• : • 14 6 00 0 . P 247.0 , +1 1 � �e v ',,, 1 \ d I ...s. , 4. , , ,;_, ,,,, ; ,'\, , :'.::,, r „, 0 ‘ \ 1 . 1 , 0 I 21 8 fa -' . - • . t ,;( ot i \ ' i I M r- N a0 •D .� 'l10.i o t. . .- 13Q. . . . . 4. 1 0 •� k LJ 3 l VI ` [' I `Y?�� 4 ,. .. ., ., .H.`'���:i. .. n, . 4 (a; �:.. 7.�:��,� .. ... .... 1. >, .>I. :r-n��.�' ";91:: .. ✓. ....� ) .. :.i . . ra t. Permit No. D6 -10 Conditions: Driveway Permit In lieu of plan approved by the 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: Petitioner ignature Name: Theodore D. Town - Address: 23 Loudville Road Easthampton, MA 01027 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. For Commercial and Industrial applicants, a plan showing the proposed driveway with grades, location and Planning Board permits are required. Cc: Building Inspector • _ LJ n Permit No. D6 -10 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 2/10/10 Check #: 3628 FEE: $250.00 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Construction of a new driveway Permission to install a driveway at: 23 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. Code of Ordinances §350 -8 8 providing standards for private, individual driveways as amended by the City Council on October 15, 2009, must be followed. By: Ted Towne Telephone: 413 - 246 -6841 Signature: V, Proposed Location Inspection By: %r / /3 T,, / / $ l / o Gravel Base Grade Inspected By: Final Approval: THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward S. Huntley, P.E. Director of Public Works Cc: Building Inspector (SUBJECT TO ATTACHED CONDITIONS 1 & 2) it MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 23 Cardinal Way Inquiry Made By: Ted Towne 413 -246 -6841 Date of Inquiry: Number of Type of Single Family X Type of Private X Units: 1 Unit(s): Accessory Apart. Ownership: Condo Multi- family Rental (Annlieant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: No: X Size of Water Main: 12" Material: DI Age: 1978 Approximate Static Street 65 - Flow Test Conducted: Yes: No: X Pressure: If done attach results Size of Service Connection 1" Suggested Meter Size: 5/8 Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. •.- Arrange nts of suc st. .tion shall be made with the Northampton Water Department with a minimum of 5 wo g days . catio . • All ork .. -•• to Ni ii ampton Water Department specifications. -,m' David W. Sparks, Superintendent of Water Water Entry $200.00 Meter $100.00 Radio $100.00 cc: Ned Huntley, Director cc: Tony Patillo, Building Inspector Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. o o y 1 1� a (i?7ZDtrItillIII1- J ` 1 85S RLlIBLfi.9 ' Ins J '� `" � D EPFRTiVfENT OF BUILDING 'INSPECTIONS `.- . INSPECTOR 212 Main Street • Municipal Building '� a, p / +. 5` Northampton, MA 01060 LOCATION 23 C_ (a.>C vt ti AL Iv /) y SQUARE FOOTAGE AMOUNT BASEMENT @ :20 1 Co 3 Z 3 Z.. Co • 4c 1 ST FLOOR @ .50 1 "5 'Z 8 ((o . , 2 FLR @ :30 . FLOORS, FINISH ATTIC, GARAGE @ .20 (v O - — 1 Z.-/ , L0 " . `T 7to'*7�Z DECK/PORCHES @ :20 ) 9z 36. y° TOTAL. 1 -5 O Z- ci( 2006 IRC Energy Efficiency Certificate Insulation Rating R -Value Ceiling / Roof 48.00 Wall 22.50 Floor / Foundation 19.00 Ductwork (unconditioned spaces): Glass & Door Rating U- Factor SHGC Window 0.30 0.32 Door 0.29 NA Heating & Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments: 7 Cardinal Way, Northampton, MA Page 4 of 4 j Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. D Recessed lights are either 1) Type IC rated with enclosures sealed /gasketed against leaks to the ceiling, or 2) Type IC rated and ASTM E283 labeled, or 3) installed inside an air -tight assembly with a 0.5" clearance from combustible materials and a 3" clearance from insulation. Vapor Retarder: LJ Vapor retarder is installed on the warm -in- winter side of all non - vented framed ceilings, walls, and floors; or it has been determined that moisture or its freezing will not damage the materials; or other approved means to avoid condensation are provided. Comments: Materials Identification: u Materials and equipment are identified so that compliance can be determined. j Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. • Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications. D Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R -value without compressing the insulation. Duct Insulation: D Ducts in unconditioned spaces are insulated to R -8. • Ducts in floor trusses are insulated to R -6. Duct Construction: D Air handlers, filter boxes, and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. D All joints, seams, and connections are made substantially airtight with tapes, gasketing, mastics (adhesives) or other approved closure systems. Tapes and mastics are rated UL 181A or UL 181B. j Building framing cavities are not used as supply ducts. • Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. D Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist 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 is provided. Heating and Cooling Equipment Sizing: D Additional requirements for equipment sizing are included by an inspection for compliance with the International Mechanical Code. Circulating Hot Water Systems: D Circulating hot water pipes are insulated to R -2. u Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: D HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 2. Certificate: D A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R- values; window U- factors; type and efficiency of space- conditioning and water heating equipment. NOTES TO FIELD: (Building Department Use Only) 7 Cardinal Way, Northampton, MA Page 3 of 4 ci R EScheck Software Version 4.1.0 I nspec tio n Check Date: 03/24/10 Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R -30.0 cavity + R -18.0 continuous insulation Comments: 16" oc R-48 blown in Above - Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R -21.0 cavity + R -1.5 continuous insulation Comments: 2x6 R -21, BACKER Basement Walls: ❑ Basement 1: Solid Concrete or Masonry, 7.5 ht / 6.5 bg / 7.5' insul, R -8.0 continuous insulation Comments: 1" R -MAX INTERIOR ❑ Basement Wall 2: Wood Frame, 7.5' ht / 0.0' bg / 7.5' insul, R -21.0 cavity + R -1.5 continuous insulation Comments: 2x6 R -21, BACKER Windows: ❑ Window: 2030: Wood Frame, Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ANDERSEN 200 SERIES ❑ Window: 2049: Wood Frame, Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ANDERSEN 200 SERIES LI Window: 3049: Wood Frame, Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ANDERSEN 200 SERIES Note: Up to 15 sq.ft. of glazed fenestration per dwelling is exempt from U- factor and SHGC requirements. Doors: ❑ Door: 2/8xX6/8 6 -pan: Solid, U- factor: 0.290 Comments: ❑ Door: 3/0x6/8 15 lite: Glass, U- factor: 0.290 Comments: ❑ Door: 3/0x6/8 w /2s1: Glass, U- factor: 0.300 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: 7 Cardinal Way, Northampton, MA Page 2 of 4 REScheck Software Version 4.1.0 Comp Cert Project Title ?T 3 Cardinal Way, Northampton, MA Report Date: 03/24/10 Data filename: C: \Program Files \Check \REScheck \7 cardinal way.rck Energy Code: 2006 IRC Location: Northampton, Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner /Agent: Designer /Contractor: Theodore Towne, Jr. IBID Towne Builders 21 Loudville Rd Easthampton, MA 01027 413 527 -9645 TowneJr @aol.com Compliance: Passes Maximum UA: 346 Your Home UA: 344 = 0.6% Better Than Code Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Basement 1: Solid Concrete or Masonry 750 0.0 8.0 53 Wall height: 7.5' Depth below grade: 6.5' Insulation depth: 7.5' Basement Wall 2: Wood Frame 555 21.0 1.5 30 Wall height: 7.5' Depth below grade: 0.0' Insulation depth: 7.5' Wall 1: Wood Frame, 16" o.c. 1520 21.0 1.5 69 Window: 2030: Wood Frame, Double Pane with Low -E 12 0.300 4 Window: 2049: Wood Frame, Double Pane with Low -E 86 0.300 26 Window: 3049: Wood Frame, Double Pane with Low -E 71 0.300 21 Door: 2/8xX6/8 6 -pan: Solid 18 0.290 5 Door: 3/0x6/8 15 lite: Glass 40 0.290 12 Door: 3/0x6/8 w /2s1: Glass 36 r _._~ , 0.300 11 Ceiling 1: Flat Ceiling or Scissor Truss 1632 30.0 18.g .,r 36 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1632 „19.0 `0.0 77 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 2006 IRC requirements in REScheck Version 4.1.0 and to comply with the mandatory requirements lis ed in the REScheck Inspection Checklist. � - -- Name - Title ' nature Date 7 Cardinal Way, Northampton, MA Page 1 of 4 Resriraed tix 03 - 1ln+sachus(tts - Department of Public Safety 1G -1 2 Family Homes Board of Building Regulations and Standards s Construction Supervisor License License: CS 722 - - " Restricted to: 00 (0011) Failure to possess a current edition of the .;e. Massachusetb State Building Code THEODORE D TOM .02 _ is cause for revocation of this license. _ 21 LOUDVILLE RD,. "7 - EASTHAMPTON, MA 01027 '' Refer to: WWW.M.Gav/DPS - i —eo'- -r,„c- Expiration: &202011 1 . L. ( ommissi..nrr Tr.: 1919 I Li ense or registration valid for individul use only .��e ax ' wcrzc�� o ilaafirclrurdta before the expiration date: If found return to: _ \ Board Regala and Standx:•6s • Board of Building Regubtions and Standards ' q • --- One Ashburton Place Rm 1301 p HOPE CONTRACTOR f Boston, Ma. 02108 »�}t ' b 132751 . z j :Q-5 Ai2/2 11 TeX 283518 . 1 ; = Ty IllOduat _ ■ . ; -_ _ _ — _ - `'c -., 7 /� t3iE0DOfiE T OIl11IiE . Not valid witho+2 sig ore 21 LOlD1Ilt1,E RU. . EASTHAINION. MA 01027 Adtaioishritor Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub - contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self- insured companies should enter their self - insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit /license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617 -727 -4900 ext 406 or 1- 877 - MASSAFE Fax # 617- 727 -7749 Revised 4-24-07 www.mass.gov /dia `�N The Commonwealth of Massachusetts "" Department of Industrial Accidents i Vt Office of Investigations 600 Washington Street 1 Boston, MA 02111 . ?,t. -�-�, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization /Individual): �I H ee.:>E1sS -C. I O : ,,.,. . ..t L J R , Address: :2—'i 1.-0 -m.) v 'fin, City /State /Zip: ;/ r- Hp,r -i Frio 1;. , rlA k );:1 Phone #: LA 1 52:1 "1 - ci Are you an employer? Check the appropriate box: Type of project (required): 1. _ I am a employer with 4. I am a general contractor and I employees (full and /or part- time).* have hired the sub - contractors 6. New construction 2. n I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. n Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 1011 Electrical repairs or additions 3. U 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or riot those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: t..16 fl i IJS C i I w; e ( M 7)4 P' Policy # or Self -ins. Lic. #: 1 l,5j (0 Expiration Date: 6., v1 - 10 Job Site Address2 3 G P,t'_D i N h L. (j k`j City /State /Zip: (j d r2)1, , Attach a copy of the workers' compensation policy decrafation page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: / t,r,✓' / Date: Phone #: 1 '113 5 27 - 9 L- - - ,''1 D Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: MAR /24/2010/WED 09:24 AM FAX No. F.001/UU2 ACORQ CERTIFICATE OF LIABILITY ATE (MrwDOTYYYY) ILITY INSURANCE 03/24/2010 PRODUCER 413.586.0111 FAX 413.586.6481 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber &Grinnell Ins. Agency, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES S BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIC # INSURED Theodore Towne, Jr. WSl7✓E2A NGM Insurance Company 14788 21 Loudville Road nnsuRERe: MCAR- Savers Property Casualty Easthampton, MA 01027 INSURER C. INSURER D: INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREPI IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM. TYPE OF INSURANCE POUCY NUMBER POLICY E pa EFFECTIVE DATE AINDO YY) LIMITS ®AIi11DD1YYYY) GATEMMIOdYWY! GENERALLIABLnY MPI51046 06/29/2009 06/29/2010 EACHOCC $ 1, 000, 00_0 DAMAGE X coMMERCIA GENERAL LINTY PREMISES (E HENT tectuon r ca) $ 500, 000 CLAIMS MADE ( X ( OCCUR WED EXP (Airy one person) $ 10,000 A PERSOw&. a ADv aw v s 1,000,000 _ GENERAL AGGREGATE _ $ 2 ,000,000 GERI AGGREGATE LIT APPLES PER PRODUCTS- COMP/OP AGG $ 2, 000, 000 POLICY n jEcT n LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Es accident) $ ALL OWNED AUTOS BODILY WIRY SO-EDlLED AUTOS (Per person) HIRED AUTOS BODILY NON- OWNED AUfOS (Per sodded) $ PROPERTY DAMAGE (Per accident) GARAGE LMMIUTY AltO - EA ACCIDENT _ S ANYATTO OTHER THAN EA ACC $ AUTO ONLY_ A G $ EXCESS T UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR t (CI AIMS MADE AGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AR0426328 07/07/2009 07/07/2010 X ,1y ins 1 � 0 AND EMPLOYERS LIABILITY OMT OCCLUDED? ( Y , I EL EACH ACCIDE n Nt 100, 000 S (Mandatory in NH) EL DID - EA EMPLOYEE $ 100, 000 S PROVISIONS ONS below EL DISEASE - POLICY LIMIT $ 500, 000 OTHER DESCRIPTION OF OPERATIONS t LOCATIONS U VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT (SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING POURER WLL ENDEAVOR TO MP& 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL City of Northampton IMPOSE NO OBUGATIDPt OR LABILITY OF ANY KIND UPON THE INSURER ffS AGENTS OR Mai n St reet REPRESENTATIVES. Northampton, MA 01060 ALIMORIZEOREPRESENTATNE - _ 7enna Rodrigue, CISR/CINDY ACORD 25 (2009101) FAX: 413.587.1576 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD L.�, ' SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : —] '7- - .— �' f License Number ` Fl (tr�l � ✓�1..1 , P\4?:' (>1.0 s. 2 2i Address Expiration Date 7-1 - �Lt Signatu Telep e 9. Registered Home Improvement Contractor: Not Applicable ❑ 1 t c 2- i u X11= tn_ _ l Z f i 51 Comp ny Name �,- Registration Number Ur? o Address Expiration Date Telephone C 3 5z SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes / No ❑ 11. - Home Owner Exemption 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 ( Ik SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House 0 Addition ❑ Replacement Windows Alteration(s) [] Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [E1 Siding [O] Other [0] Brief Brief Description of Proposed n+ � a ��� n „ A e9 %" 11 Q�, Q/� New ipti Wood frame constriction Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existina housing, complete the following: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit 6 Number of Bathrooms 2 c. Is there a garage attached? Yes d. Proposed Square footage of new construction. 224 Dimensions 58'0"x58'0" e. Number of stories? 1 f. Method of heating? Propane, Hot air Fireplaces or Woodstoves Gas Number of each 1 g. Energy Conservation Compliance. Pass Masscheck Energy Compliance form attached? Yes h. Type of construction Wood frame i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade '[ 'LtL_. k. Will building conform to the Building and Zoning regulations? N .,<, Yes No . I. Septic Tank X City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT l f�fi�� ��1i; Jr- , as Owner of the subject property hereby authorize to act on my behalf, in all matter ative to work auth9rized by this building permit application. ///, Signatu of Owner Date 1, 1 t lt; r�? L' f r� t Atli --3 4- . , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature .f Owner /Agent Date Section 4. ZONING AU Information Must be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 30347 30347 P`' Frontage 12500 12500 Setbacks Front 70 Side L: R: L:42 R: Rear 119 Building Height 19 Bldg. Square Footage % 2240 7 %, Open Space Footage (Lot area minus bldg & paved 266fi 88 "i. parking) # of Parking Spaces Fill: (volume & Location) _ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW O YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Q 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 (3 NO Q IF YES, describe size, type and location: nia D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 0 IF YES, describe size, type and location: n / a E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO ® IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability (� Room 100 Water/Well Availability MAR 2 6 261 RVorthampton, MA 01060 Two Sets of Structural Plans phone 413 - 587 -1240 Fax 413 -587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 7.3 Pr iNk.L c Pr`; Map 3e Lot 3$1 Unit (mil v ifi 'r1 kit VT - 41 , 1 1;1 , 1 ED (Z._.> Zone v0 erlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Theodore Towne Jr 21 Loudville Rd., Easthampton, MA 01027 Name (Print Current Mailing Address: 413 527 -9645 � �, Telephone Sign ure 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 311,000 (a) Building Permit Fee 2. Electrical 9,000 (b) Estimated Constr Total from Cost (6) of 3. Plumbing 10,000 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 10,000 6. Total = (1 + 2 + 3 + 4 + 5) 340,000 Check Number (0 J This Section For Official Use Only Building Permit Number: Issued: s g I Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0844 APPLICANT /CONTACT PERSON THEODORE TOWNE JR ADDRESS/PHONE 21 LOUDVILLE RD EASTHAMPTON (413) 527 -9645 _�' PROPERTY LOCATION 23 CARDINAL WAY 0 4 MAP 36 PARCEL 344 001 ZONE SR(100) //WSP II THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out , !` g 1 t Fee Paid 'f�(p � 3o 7 Q�l Typeof Construction: CONSTRUCT SFH W /ATT GARAGE/REAR DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 722 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: L/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 Commission _ Permit DPW Storm Water Management Demolition Delay j . 4tem 67''"-1- 471/14(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. 23 CARDINAL WAY BP- 2010 -0844 GIS #: COMMONWEALTH OF MASSACHUSETTS l 1 BIodc: 36-344 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- 2010 -0844 Project # JS- 2010- 001254 Est. Cost: $340000.00 Fee: $1302.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 THEODORE TOWNE JR 722 Lot Size(sq. ft.): 30361.32 Owner: THEODORE TOWNE JR Zoning: SR(100)! /WSP II Applicant: THEODORE TOWNE JR AT: 23 CARDINAL WAY Applicant Address: Phone: Insurance: 21 LOUDVILLE RD (413) 527 -9645 WC EASTHAM PTON MA01027 ISSUED ON:4/13/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH W /ATT GARAGE /REAR DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 4/13/2010 0:00:00 $1302.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo