36-306 MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587-1098
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 100 Cardinal Way Lot 2
Inquiry Made By: Walter Merik III 527-7767
Date of Inquiry: 11/14/03
Municipal Water Main
Existing service to
in Yes:_X No: site? Yes:_X_ No:
Front of Location?
Size of Water Main: 12" Material: Ductile Iron Age: 2002
Number of Type of _X_Single Family Type of _X_Private
Units: 1_ Umt(s): _Accessory Apart. Ownership: Condo
_Multi-family Rental
Approximate Static Street 70 Flow Test Conducted : Yes: No:_X
Pressure: If done attach results
Size of Service Connection: I"
Comments: The Water Department cannot guarantee adequate water pressure during peak demand
times at elevations above 320 feet. This subdivision was approved by the Northampton Planning Board on 5/23/03.
It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved Plans.
• 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.
• All work shall conform to Northampton Water Department specifications.
l r. A h&A?k!kX_
David W. Sparks,Acting S perintendent of Water
cc: Ned Huntley, Asst. City Engineer
Q
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
587-1570
A Department of Public Works Trench Permit shall be require
prior to any construction or connection activity associated with this application.
Location: 100 Cardinal Way Lot 2
Inquiry Made By: Walter Merik I11527-7767
Date of Inquiry: 11/14/03
Municipal Sewer Main in Front of Location: Yes x No
Municipal Storm Drain Available: Yes No
Size of Sewer Main: 2" Material: PVC Age: 2002
Depth of Sewer Main: 5
Size of Service Connection: 1 - 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.
L Storm Drain Concurrence
D �
rm Douglas McDonald
Joseph Thomas, Sup tendent g , Enviromental Planner
Streets Department Engineering Department
cc: Ned Huntley, Asst. City Engineer
Anthony Patillo, Building Inspector
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CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
r 125 Locust Street
Northampton, MA 01060
413-587-1570
Samuel B. Brindis, P.E. Fax 413-587.1576
Director, City Engineer
Guilford B. Mooring, P.E.
Assistant Director of Public Works
BOARD OF PUBLIC WORKS
DRIVEWAY PERMIT
GENERAL INSTRUCTIONS AND REGULATIONS
I. 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.
'�'muel B Brindis, P.E.
Director of Public Works
C:\IvlyFileslL3,n\Driveway Permit General Instructions
Permit No D31-04
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:t �i
Petitioner
Walter Marek III
23 Holly Circle, Easthampton, MA 01027
413-527-7667
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
MOMW
Permit No. D31-04
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 11/14/03
FEE: $25.00 CHECK#: 1181
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at
100 Cardinal Way Lot 2
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All
drainage shall be directed off the driveway surface to adjacent land and not on the existing
roadway. Driveway surface to be paved as soon as possible if the grade of the proposed
driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City
of Northampton in the event of a washout of this driveway.
By:v,
Walter Marek III
23 Holly Circle, Easthampton, MA 01027
Telephone #: 413-527-7667
Proposed Location
Inspected By:
Gravel Base Grade
Inspected By:
Final Approval
THE BOARD OF PUBLIC WORKS voted that petition be granted.
George Andrikidis
Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
cc: Building Inspector
s
rn nM$ AND L+drmTTL %
it . a Tees and authorises BUYER to begin
�a} The SELLER hereby g prior to the date Of closing;
construction
on the subject premises P , shall
r Peril - In connection therewith,nd an insurancef�binder
at BUYER' S F agreement
SELLER with an 'indemnification ag o t shah. en to the sati.s-
any
min SELLER as a. co-1n agreement to the commencement O It is
naming The indemnifycat Walaszek.
construction. Roger A. n does
faction and approval g SELLER' S attorney;
understood and agreed that in the event improvements made to the
also u and all imp
not close, BUYER shall forfeit any rp1mbursement of funds This provision shall
subject premises shall not be entitled to an
expended by BUYER for such improvements .,-
survive the closing-
t On the day and year 'first above
EXECUTED as a sealed instrumen
written.
Signed and sealed ixx the
presence of !
SELLER:
k T,,EPTNE-WZORFX ASSOCIATES
By Managing partner
David M. L ne,
BUYRR=
Walter L. Marek, }-1Z
4
11/17/2003 22: 19 4135645976 GFIFE AND WALASZEK PAGE 01
the deed should by law be recorded on January 5, 2004 at 10 : 00 A.M, ,
at the Hampshire County Registry of Deeds, unless some other puce
and time should be mutually agreed upon.
9. ACCE�?�Afi7�$
OF DEED:
If SELLER shall be unable to give title or make convey-
ance, the SELLER shall use reasonable efforts to remove any defects
in title and the time for performance hereof shall be extended for a
period not to exceed thirty (30) days, or to the date upon which the
BUYER' s mortgage co=itment expires, whichever date first occurs .
If, 'at the expiration of said extended time period, the SELLER shall
have failed to remove any defects in title any payments made under
this agreement shall be refunded, and all other obligations of
either party hereunto shall cease,' but the acceptance of a deed and
possession by the BUYER shall be deemed to be a full, performance and
discharge 'hereof, excepting those elements which are to be performed
after the closing or otherwise survive as a warranty or representa-
tion.
10. L1021DATED DAMAGES;
If the BUYER shall fail to fulfill the BUYER' S agreement
herein, all deposits made hereunder by the 131Ti-ER shall be forfeited
by the BUYER and retained by the SELLER as liquidated damages . This
shall be the SELLER's sole remedy for any breach of this Agreement
by the Buyer.
11. BROKER'S c-CM S°i,�:
A broker's commission as agreed shall be paid to Canon
Real Estate by the SELLER, provided said sale is consuzmmated.
12. TITij STANDARDa�
Any matter or practice arising under or relatina to this
Agreement which is the subject of a practice standard of the Massa-
chusetts Conveyancers Association shall be governed by such standard
to the extent applicable.
13. CONS=CTJQN OF AGREEMENT;
This instrument, executed in triplicate, is to be construed as a
Massachusetts contract, is to take effect as a sealed instrument,
sets forth the entire agreement between the parties, is binding upon
and inures to the benefit of the parties hereto and their respective
heirs, devisees, executors, administrators, successors and assigns,
and may be canceled, modified or amended only by a written instru-
ment executed by both the SELLER and the BUYER. If two or more
Persons are named herein as BUYER or SELLER, their obligations
hereunder shall be joint and several .
3
u
e
3 , S Ta M TITLE
To enable the SELLER to make Conveyance as herein provid-
ed, the SELLER may, if the SELLER so desires, at the time of the
delivery of the deed, use the purchase money or any portion there-
of to clear title of any or all' encumbrances or interest ; all
instruments so procured to be recorded simultaneously with the
delivery of said deed.
4 . PJMCHnSE M19ML
The agreed purchase price for said premises is ONE HQNDRED
TEN THOUSAND AZ+tD 00/100 DOLLARS ($110, 000.00) of which Five Thousand
Five Hundred Dollars ($5, 504 .00) � has been paid as a deposit this are
and One Hundred Four Thousand Five Hundred Dollars ($104, 500 - 00), certi-
f i be pashier's, treasureras , attorney' s, trustee,[orhbank check.
f a.ed, cash
5. G�JJ�IT�IC3FNCY s NIA
6 . nn�rrgT�N'�F
Taxes shall be apportioned as of the day of delivery of
the deed, and the taxes assessed for the period ending i
1st, 2004 shall be paid by the SELLER. if the real estate tax is
not set at the time of the closing, the apportionment of real
estate tames shall be made on the basis of the tax assessed for
the most recent preceding year, with a readjustment, at the re-
quest of either party, when the amount of the current year' s the
is set . T f the amount of the tax is reduced by
rebate, less the reasonable costs of obtaining it, shall be appor-
tioned between the parties, provided that neither party shall be
obliged to institute or prosecute proceedings for an abatement .
7 . va�v uw,
'Full possession of the said premises, is to be delivered to
the BUYER at the time of the delivery of the deed, the same premises
to be then in the same condition in which they are now, reasonable
use and wear of the buildings thereon . The BUYER shall be entitled
to an inspection of the said premises prior to the delivery of sai
Deed in order to determine whether the condition thereof complies
with the provisions of this SELLER remove
all of
ions and oherproper y which is not being sod o
SELLER' s possess
the BUYER, or left for the LCtyER' s benefit, as agreed to by the
BUYER in writing.
$. n�.TE ,1�1D LaaaA�O.z� OF CLOSZN�
The deed is to be delivered and the consideration paid, if
the office of BUYE�' 9 attorney and
he purchaser so requires , at the
2
AGREEMENT made this I day of November, 2003 by and
between LEVINE-WZORER ASSOCIATES of 262 East Street, Easthampton,
Hampshire County, MA, hereinafter reterred to as *SELLER" , and
WALTER L. MARER, III, of 73 Southampton Road, Westhampton, Hamp-
shire County, MA, hereinafter referred to as "BUYER" .
The SELLER hereby agrees to sell and the BUYER agrees to
purchase a certain estate situated in the sub-division 'known as
"Plantation at West Farms" located at Burts Pit Road, in
Northampton, Hampshire County, Massachusetts, being Lot 2 as shown
an plan of land entitled kPlan of Land in Northampton, Massachu-
setts, Hampshire County, Prepared for Wzorek Family Trust" dated
April 18, 2002 recorded with the Hampshire Registry of Deeds in
Plan Book. 112 , Pages 76-118 .
PIt R0NAL RaQPERTY TXC=EP• NIA
r
2. Or_ TITLE:
Said premises are to be conveyed on or before January 5,
2004 by a` good and sufficient quitclaim deed with the same cove-
nants as received by SELLER conveying a good and Clear record and
marketable title to the same, free from all encumbrances, except:
(a) Provisions of local zoning laws, if any;
(b) Existing rights of local distribution lines of
public utilities, whether of record or not, so long
as same do not materially affect the premises.
(c) Those taxes .for the current year as are not yet
due and payable on the date of the delivery of the
deed, after apportionment .
(d) Restrictions and easements of record, if any, which
do not materially affect the intended use of the
property.
(e) Any liens for municipal betterments assessed after
the date of this Agreement .
(f) Subject to Protective Covenants and Restrictions
and Order of Conditions imposed by the City of
Northampton.
(g) Subject to a condition relative to external anten-
nas reserved by the Wzorek Family investment Trust .
1
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la Checked By/Date
CITY:Northampton
STATE:Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE: Other(Non-Electric Resistance)
DATE: 11/19/03
DATE OF PLANS: 11/18
PROJECT INFORMATION:
100 Cardinal Way
Northampton,Ma
COMPLIANCE:Passes
Maximum UA=623
Your Home=412
33.9%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 1438 38.0 0.0 43
Ceiling 2:Cathedral Ceiling(no attic) 220 30.0 0.0 7
Wall 1:Wood Frame, 16"o.c. 3175 19.0 0.0 170
Window 1:Wood Frame,Double Pane with Low-E 242 0.320 77
Door 1: Solid 54 0.330 18
Door 2:Glass 41 0.310 13
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1380 19.0 0.0 65
Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 566 30.0 0.0 19
Furnace 1:Forced Hot Air,92 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 1 a.
The heating load for this building,and the cooling load if appropriate,has been determined using the applicable
Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be
no greater than 125%of the design load as spec�if d in Sections 780CMR 1310 and J4.4.
✓✓ �
Builder/Designer Date -'
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DEPARTMENT OF BUILDI)�C INSPECTIOTdS
I':5P[C10R 2l2 Nfain Slrect. ' Municipal Middin�
—
Northnmhton, Mncs. 01060
Square Footage Amount
1st Floor @ $-.50
2nd Floor E $.30 L&),40
1/2 Floors, Attic, Garage $.15
Deck, Porches
TOTALI •�
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e C-itp of Worthallipton z r
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DEPARTMENT OF BUILDING INSPECTIONS /=
INSPECTOR 212 Main Street • MuuicilW Building
Northwripton,MA 01060
y
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supc:-,"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 roueh 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
E Gifu 1.1}
6 it It 55 R C it n5 c l t5
s
DEPARTMENT OF EUILDI?�G INSPECTIONS
212 Main Street ' Municipal Building
Northampton, mass. 01060
(11CCIlS°_:.�i!'iII1;iiC^)
%vlth a principal place of busiresslresidcnc
do I1crcbY cCrt1l}r_ L'l]:Icl 1112 1)2!115 ::iic 1)cII 111Cs C;rjtlr-y, '.I1at
` nncsation coves c or illy o
cillployceS Working on this job:
- (Insr.r'anG. Cots�.m") (PcLc:Nt��nlxr) (E�:prr.:aoa D2IC)
( j I `Ci a sole proprietor, general contr-2c`er o- homcowoer (circle one) and 11ave hired
11iC contraclOrs hsteC below -�t o iii tll�' `011 ',..L:? �OritP�S Got pen��Or1 ; iic:CS:
ONTame of Contmctor) (Lnsumnc Date)
(Name of ar cro-) Date)
(Name of Contractor) (Ir1"'Mnoz con aoy/Po!Ic. Nlunj ,_r) Dalc)
- (Name of Cont"tctor) -- (Ian n��c CoTnP. }-6'olicti Numb:*)
{^tL1G1:.d_ia CQ 1I Sl'._-Gt::�• - - ^•••� .. :.,:'Y C:n[:Gl i-r_:e..::r.f,'.-'l;c:<::-_:�<:r-1
( I <LTl a sOlc prapnc"")i d!11 have 110 0I1C toi nl"C.
I ?i11 �i 110I11C O�;'I1C' i)Cr:G`II11I1" nl( i!.._ v" i:iV� 11-
�;'n c-�s_:Van ar:: �mcr:r,;a r. ,;;_,� «c!! Of
*70-ITi plcau Uc ntra:c t!s;'.t�•ilc Ix<rt:?:til�a:+t-�c:.-�.•;� _ _� ..
not mete th--u chino uni,I in«t cit oc a; - zn-ur cr_nt LheC.c-:c oc4 silly
�. Cam'
cznploy=3 ^n r S {GL!Sow 1(511,::,•t:c::ic.:by a ho_ico•� r`ct r <cx or p-r M.
net
legal etatur of an anPloyar under t:Io Wocicere
I unfit-ztind that a co?y of Chia ctatc::s1 c:ay bo fo`x ,tlo3 to L'rn fY_Siart.-nult of rttidu_striol f c6&=tf O moo oC":-+'r?'°for 12x
covcrasc va-jfiCrioc and that failure to 25 A of I;GL.151 can lead to tlxi impositiM of r.' i_1 pct al:cs
coaliltmg of a rtrr of up to S['SWoo any'x of up to cn-} -.i civil'_rulticz in fir Icx n c•f n S:c;'';."-iY 0=tr-•
fry
0f:3 I 00.00 a day igain:.1 rn.. .
_ Fo,&- -t'IX`.I lilC GIIy'
Ycrrnit Nuultxs __—..-----_...___-_
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naturc of i.iccnr.;cr Punti;tr.r;
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S�CTlONB'; CONSTRUCTION SERVICES
8.1 Licensed Construction•• S,,upervisor::� 1 Not Applicable 0
Name of License Holder : V I 1r F J' {� CS oc,"q xt
License Num er
Address � Expir ion bate
btil
Sgnature Telephone
19SR-e-grsfe-fe-tiffil ort7 vem:eri C n racto E w Not Applicable
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10 1M1IORKERS' COMPENSiAT10N INSURANCE AFFIDAVIT(M G:L.-c. 15 2, § 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...... ❑
<3
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"homeoNvner"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
'l * ..
ISd �
SECthQN 5� 5 R t414Q, J OEMROPOSEDM' ORK' check 11 a ` licab1`e
;li 'RI.1f'9+m'i',-Nb 4i+2,+.F+?{4YiY +.+'fFP.<.A,.,ro . •:R-"�..w`J^ibAA I.+A.'^'.a, }�nv
..;i"9�i v.°�:.ix.,.. ,_ '...?. _.r' "..xT� -..'.a:e�� .vi.,: Ir..::". ,," N.^.'r.'`�C�3';.;. � :�..aain.zt.<'a�cn' f!rn••'. �i�,.�.
gj
New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ .
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ )
Brief Description of Proposed Work: CF si e
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 . Sheet 0
6a 1': � e =ota nd,�r a" tlixtfon to exrsti'n ,K uo srngWcom01,'ete tHWUr1I --Er :•
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? 7ZS
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves f Number of each /
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? 7�S
h. Type of construction L"Ob
i. Is construction within.100 ft. of wetlands? Yes _ No. Is construction within 100 yr. floodplain Yes No
�
► if
j. Depth of basement or cellar floor below finished grade 6
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer X Private well City water Supply _
SECT0I7 1fffNER UTIORIZAION TO BE COMPLETED WHEN
OW[�fE SA 70RG0t TRACTOR'APPLIES FORLBUILDII�tG PERMIT
0;4d as Owner of the subject property
hereby aut rize "V if J06tr'_A�_ to act. on
my be Ltes at ive to work authorized by this wilding permit application.
G�3
Signature of 0 r Date
I "�'� !'`fir 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 of Owner/Agent Da e
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front / �2? '
161
Side Side L:� R: L: 17 R: i
Rear
Building Height
33'
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces 3
Fill:
volume&Location
A. Has a Special Permit/variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 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 4—
IF--YES, describe size, type and location:
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060
phone 4r} a 272 a
v
a
APPLICATION TO CONSTRUCT, ALTER, REPAIR, ,�APVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
INUV 1-0-29w t
. .
'I
SECTION 1 -SITE INFORMA710N
1
__. 51","iN, This section tom become,e#edbofficef='` >"
1.1 Property Address: �yy.�� �' �
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ap
✓ LL 0060 ?one �$ � Overla >IStr'ct
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SECTION 2-'PROP ER?<Y OWN ERSHIP/A,UT, QRIZED AGENT
2.1 Owner of Record:
--Wz° �� ►�lSs fo b�- e.� Aga, flirt"
Na r" Current Mailing Address:
ll.�+vtl� ` Ol� U{�11Du Telephone
Signatur ,t _
2.2/! 'Authorized/Aize�n�t:� �j
l/�� 1 r tarp+ /J 5'4� +m- �
Name(Pri t) Current Mailing Address:
Signature Telephone
SECT'ON.3 -!ESTIMATED CONS TRUCTION:COSTS,
Item Estimated Cost(Dollars)to be official Use'0_rily
completed by ermit applicant
1. Building �O (a) Building Permit Fee
2. Ele c.rical �� (b) �:stimated Totat Cost of
Construction.from 6
3. Plumbing ' I,$o Building Permit Fee
4. Mechanical (HVAC) Jaa6`'
5. Fire Protection I L
6. Total = (1 + 2 + 3_+ 4 + 5) Check Number JJa� v
This Section For Official Use Only
Building Permit Number: Apo Date:lssued;
Signature:
Date
Building Commissioner/inspector of Buildings
File#BP-2004-0632
APPLICANT/CONTACT PERSON Walter Marek&Son
ADDRESS/PHONE 73 SOUTHAMPTON RD SOUTHAMPTON (413)527-7667 Q
PROPERTY LOCATION 100 CARDINAL WAY-LOT#2
MAP 36 PARCEL 306 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT GARAGE/DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 05520
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission
20 6
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.
. Y
100 CARDINAL WAY-LOT#2 BP-2004-0632
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-306 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2004-0632
Project# JS-2004-0891
Est. Cost: $215500.00
Fee: $1552.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class:5B Contractor: License:
Use Group: R4 Walter Marek & Son 055201
Lot Size(sq. ft.): Owner: LEPINE DAVID M WILLIAM P WZOREK SR
Zoning: SR Applicant: Walter Marek &Son
AT.• 100 CARDINAL WAY - LOT #2
Applicant Address: Phone: Insurance:
73 SOUTHAMPTON RD (413) 527-7667 O
Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON.1215103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH W/ATT GARAGE/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 Shmature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 12/5/03 0:00:00 1184 $1552.80
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
100 CARDINAL WAY-LOT#2 BP-2004-0632
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma : lock:36-306 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2004-0632
Project# JS-2004-0891
Est.Cost:$215500.00
Fee: $1552.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class:5B Contractor: License:
Use Group: R4 Walter Marek & Son 055201
Lot Size(sq.ft.): Owner. LEPINE DAVID M WILLIAM P WZOREK SR
Zoninjz: SR Applicant: Walter Marek & Son
AT. 100 CARDINAL WAY - LOT #2
Applicant Address: Phone: Insurance:
73 SOUTHAMPTON RD (413) 527-7667 O
Workers Compensation
SOUTHAMPTON MAO 1073 ISSUED ON.1215103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH W/ATf GARAGE/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:,5 -e/ ��Rough: $2./hjAv� House# Foundations
/('A'2;0jl 3I/G1Oyj'r— Driveway Final:
5 ee, 94-0 4f
Fina1:6 -�-V4 Final: G/314 Lo)W
Rough Frame: (� 3-1 ,p y
s}
Gas: irel a artmen ' Fireplace/Chimney
p
Rough:�-YY- z<Oil: r' Insulation:G K,
Final: �°3-(qttrr Smokec a � Final: 0/f
THIS PERMIT MAY BE REVOKE B HE C TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL IONS.
0
Certificate of Occu an Si nature:
FeeType: Receipt No: Date Pa; I: Check No: Amount:
2 "4T-44 001
RES
Building 12/5/03 0:00:00 1184 $1552.80
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
O O
(�ixf� of Wort4ampton l
� 9 �NGlassachusetts
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal,Building
Northampton,MA 01060
CERTIFICATE of OCCUPANCY and USE
This is to certify that permission is hereby granted under 780 CMR, sixth edition of the
Massachusetts State Building Code, allowing the occupancy or use of the premises or
structure or part thereof located at
100 Cardinal Way — Lot: #2
as shown on the Assessors Page# 36 , Lot# 306 Zone SR
in the City of Northampton, as herein specified:
CONSTRUCTION TYPE(780CMR 6) R4
USE GROUP CLASSIFICATION (780 CMR 3 ` 5B
OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF
30 PSF
LIVE LOAD PER FLOOR (780 CMR Table 1606"1) 40 PSF
Under the following limitations, special stipulations, and/or conditions of the
permits:
Issued this 17th day of June , 20 04
Certificate of Occupancy and Use # BP-2004-0632
Authorized Department Personnel
Electrical o�- ,�i Elevator
Fire ,rte Plumbing
Building—�� Gas
Building Commissioner ,
This certificate shall be posted by the owner, in a permanent manner and in a visible
location, on all floors designated as use group H, S, M, F, or B, and in every room where
practicable of use group A, I, R-1, or R-2 per requirement of 780 CMR section 120.5
Posting Structures.
I
IA r",h
100 CARDINAL WAY-LOT#2 BP-2004-0632
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-306 CITY OF NORTHAMPTON
Lot: -001
Permit: Bu_ ilainci
Category: BUILDING PERMIT
Permit# BP-2004-0632
Project# JS-2004-0891
Est. Cost: $215500.00
Fee: $1552.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 513 Contractor: License:
Use Group: R4 Walter Marek & Son 055201
Lot Size(sq. ft.): Owner: LEPINE DAVID M WILLIAM P WZOREK SR
!ter Marek sL Son
Applicant Address• IN
AT: 100 CARDAL WAY - LOT #2
Phone: Insurance:
73 SOUTHAMPTON RD Phone:
527 7667 ()
Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON.1215103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH W/ATT GARAGE/DECK
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of PlumbingW w Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough:, o"y-ty Rough: 5¢./nj/�v� House# Foundation /
14QJQ�L 3 I//G�D�'•��� Driveway Final:
Final: e ,
FRough Frame: 0k -l1 , y Gas: ire De artm Fireplace/Chimney:
Rough:�4 yl-0� (Z<Oil: �
Insulation:G
Final: b-7-0 e•
Y •� -Smoke, Final: 6K (o' g.0 cf
THIS PERMIT MAYBE REVOKVBY-fHE TY OF NORT HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU
Certificate of Occupancy SiEnature:
FeeTyne: Receipt No: Date I's-1: Check No: Amount:
Building 12/5/03 0:00:00 1184 $1552.80
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo