13-099 (3) I i� l
U �' J U L 1 6 2003 L
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON, MA 01060 4;
rHUrtHIY L1NtJ AJ JrruwN Ant tiAJtU UN A PLAN OF LAND IN NORTHAMPTON, ORENCO BIOTUBE EFFLUENT FILTER
MASSACHUSETTS, PREPARED FOR ROY GIANGREGORIO, PREPARED BY HAROLD L. MODEL # FT0436 � SYSTEM DIMENSIONS SITE LOCUS
EATON & ASSOCIATES. AVAILABLE FROM SANECO. INC., ESSEX, MASS.
PHONE (978) 768 -3840
SCALE 1° = 20' SCALE 1" = 2083'
U.S.G.S. EASTHAMPTON OUAORANGL
4 LE#GE _
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\ \ \ \ \ \ 6 33. 0q j \ . L OCATED ON LOT 5N 24' P DIE . / / /
\ \ / ELEVATION .. 226.05' M.S.L.
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SITE PLAN
AS -BUILT LOCATIONS AND ELEVATIONS ARE SYSTEM INSTALLED BY: cR SCALE 1 =�o
BASED ON FIELD SURVEY BY MACLEAY ROY GIANGAEGORI0
ASSOCIATES. INC. ON NOVEMBER 18, 1999. 31 RUSSELLM00 RIDGE gl' ire EN =Er
NORTHAMPTON. MA 0 1060 0 40 80 120
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COVngc vcification reed tiu feilueo 10 _c..trc covrrngo ut: - et —o 25A 0 001, 152 can 1cod to tl>c i:n ;o rl ,
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.n: of SIP (_ 1 ity .g:.i :).:N
Yor dc,,,:11n==- 1 ur , rly .
1 Permit 1`.uu;L_� �
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J11;1);ttl1: 11"...11 ' trn; ;r 1 , %` i
SECTION 8 CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: (� Not Applicable ❑
Name of License Holder : P_O �?' 1/41�./G a_C ' V �" ur o - c_-s �,27
License Number
L ° ‘ 4.11 i o 2 Dc?�- `Tbf,� rvl(- -1'�y4 l �ZO
•dress Expiration Date
C S 6C7- 7'7$08
Signature Telephone
Not Applicable
Company Name Registration Number
Address Expiration Date
_Telephone__ _
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 ❑
171; T omet. wner EXemp.tion
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
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors El
Accessory Bldg. ❑ Demolition❑ New Signs [ 1 Decks [ ] Siding [ 1 Other [ ]
Brief Description of Proposed Work: A Dh I (0 x 2 at __- _- 'T t±12E6 S ci DCJ
Alteration of existing bedroom Yes , No Adding new bedroom Yes x, No
Attached Narrative ( Renovating unfinished basement Yes _ No
Plans Attached Roll- Sheet 11
6a.= If 'New hou"se',and or-addition to existing housing, complete the following_
a Use of building : One Family ) - v,c I anlily Other __ --
7 2 b Number of rooms in each family unit: __ l _ _ _ Number of Ba thro om s
c. Is there a garage attached? \le 5
d. Proposed Square footage of new construction 336 Dimensions _ —_ b ?(Z)
e Number of stories? C'.� 1.J
Method of heating? U-00 IO S T V e�r
�. -; ac. o Woodstoves Number of each 0E
GI ;.; i; i t.t#3 PO
g Energy Conservation Compliance. .S¢_{}c4 -__ Mascheck Energy Compliance form attached?
h. Tyne of construction W0? 0 F 'I
1
Is construction within 100 ft. of wetlands? Yes )( No. Is construction within 100 yr. floodplair, ;ns X Nc.
j. Depth of basement or cellar floor below finished grade C5 f..3 C...0 NC ∎1 T6 PiGe-
k Will building conform to the Building and Toning r ep,uIat1ons? Yes No -
i
I. Septic Tank City Sewer Private well _ -- - - -_ City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
f
I. • �; r , as Cv of the subject ro erty
hereby authorize 1l 0 G(4914- Gog_t0 -- _ to - o-
my behalf, in all m tters re . ive to work author ., t�, wilding permit application
1
I t ( I
t 0703
Signat re •f 0 ner 'v D r'e
Z:.- P'�, .. r c c � t ;:- � .. ," 1." 4` <���'ts +r vt. °Y,�. rr:{
1, R-- ( Z c (. N G(-e R4o— - - -_ as Owner% Auti zed Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the hest of my
knowledge and belief.
Si:•-• .••er t - •ains .nd penalties of perjury.
_ -O ' - GC b40erGvEG0 R_10
Pr t Name
7PS Q'
3
Signature of i Dat
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
ct 6cn-u-S s A M
Lot Size _ P)o Lit A n
Frontage \ 1 , t S it M E
—
Setbacks Front
l
Side L: 3740R: 1,: 9-1146 R: SF' (ME
Rear S
Building Height ._ 6 * Ski HE
Bldg. Square Footage 2 t 3oz1! % 2
Open Space Footage ` / c/
Q
(Lot area minus bldg & paved t (Ill l ' 9 (
parking)
# of Parking Spaces
Fill:
Jvolume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DON'T KNOW YES X
IF YES, date issued: 12,7 1 q
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Pape and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES x _ IF YES, has a permit been or need to be obtained from the Conservation Commij ;sion ?/
Needs to be obtained Obtained _ ? , Date Issued: to // 1
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Ar there any proposed changes to or additions of signs intended for the property ?YES _
No
IF 'YES, describe size, type and location: _
,l
a `, ,ep P,r.,1 t
r a ► •rtharnptolt S Permit � kQp 4 .,„ t U e Y4
I f, _ 'iB[i if re )ep elit C urb Cut /Drtueway;Rermtt �� ,w.
f s i ra t reef S / S e pti c Ayatla � � . " �
I t o in 1 J 00 Water /Well AVa ' x <_ § 3 *
� i
i JUL � � ��thart � .n, MA 01060 i T w o Set of S truct u ral P,Jans � �
p hone 41 = 58 ' 12 0 Fa,x 413 _ . i r .' / � Plot /Site Plan , i
Other Speetfy .
DEPT Q BUILDING INSPECTIONS .;> � ,
13T • MPT1N MA OTObO
- - H . - i e TER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
1 SECTION 1- SITE INFORMATION 1
This section to be completed by office
1.1 Property Address:
p
t CCJ C7C c.:-,s GI` tX- a-Ua — — Map � ` Lot 99 Unit
too A:r H �� p— MO ®(0(�CJ Zone _/ Overlay District
—t' 111 ��� `
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT I
— — — — -- ,
1 2.1 Owner of Record: Gle5 J
K11Vus e)--)c\- 96 I'. c to 1 II on. olc0
� l es s .
1 eg
0 't - -,519 7
I
2.2 At • zed A: t:
, = " , � ,. _i ci Nor --T rot P "r° M A
t ,
i
SECTION 3 II 11 - ESTIM CONSTR ON COSTS
lem. Esti atea Cost (DoLar:, Official Use Only
completed bv� r r:i± , ir.,
:iiing 3 2 � 1 rat Building Permit Fee
(. Pao c, T tml,.teci Total Cost of
— _
i t 1 , :cnstruction from 6
PI imuir Building Permit Fee
girt r rote n l:00
N.1 r �i , iic C HVAC
i
o 1 of I_ �t 2+ 3+ 4 ; j 1 '..5QOCy 1 r_ileck Number Q j J
F
This Section For Official Use Only _- _ ___
Building Permit Number: 0 Cate Issued:
Signature
L Building Commissioner /Inspector of Builaings Date
File # BP- 2004 -0055
APPLICANT /CONTACT PERSON Roy Giangregorio
ADDRESS/PHONE 82 COLES MEADOW RD (413) 586 -7708
PROPERTY LOCATION 96 COLES MEADOW RD
MAP 13 PARCEL 099 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ls,/ /t `
Typeof Construction: CONSTRUCT 21 X 16 THREE SEASON ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 062571
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9CVIATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special P
Major Project: Site Plan AND /OR Special P j „v
ZONING BOARD PERMIT REQUIRED UNDER: § cooa'c" awe*
Finding Special Permit Varianc ( ..'" 93 V 0 v
Received & Recorded at Registry of Deeds Proof Enclosed �y
Q � J C mi l/
Other Permits Required:
Curb Cut from DPW Water Availability CZ1 0,0GU
Septic Approval Board of Health Well Water Pota.
Permit from Conservation Commission Permit from C
8Q
Permit from Elm Street Commission
■
1 7 JJ( J 3
Signature of Buil' ing icial 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.
96 COLES MEADOW RD p4.49 /Ty BP -2004 0055
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map :Block: 13 - 099 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT'
Permit # BP- 2004 -0055
Project # JS- 2004 -0092
Est. Cost: $35000.00
Fee: $168.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Roy Giangregorio 062571
Lot Size(sq. ft.)L Owner: CHAFFEE RUFUS J & JOAN L
Zonin;RR Applicant :_ Roy_ Giangregorio '
AT: 96 COLE, i'i P UYV i U
Applicant Address: Phone: Insurance:
82 COLES MEADOW RD (413)586-7708
Workers Compensation
NORTHAMPTONMA01060 ISSUED ON :7/18/03 0 :00 :00
TO PERFORM THE FOLLOWING WOR:: :CONSTRUCT 21 X 16 THREE SEASON ROOM
POST THIS CARD SO IT IS VISIBLE FROM TI-[E STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service:lf jj 0 5 Meter:
Footings:
Rough: Rou h: ? J house # Foundation:
ti Driveway Final:
—
4
Final: Final: -- .. Z1 ,'� , Rough Frame: r c - c3 p
Gas: Fire Departinnt Fireplace /Chimney:
Rvugii: r'i:: IA, ...d.iti. ,.t: V .sY -..� (P O 3 -1‘ I
Final: Smoke: Finale) K (7-p.4-1( ;,&
THIS PERMIT MAY BE REVOKED BY THIE, CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RECULA IONS,
Certificate - of Occupancy '
FeeType: Receipt No: Data Paid: C±ieck No ° Amount;
Building ii ; 8103 0:00:00 6118 $168.00
212 Main Sticet, Phone (413) 587 -1240, Fax: (413) 587 -1272 • . ,
Buildiu2 Commissioner - Anthony Paulo
•