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25C-093 (8)
I 3 !/ aCaCr'o�td�a�a!aG�S�'Ca�t�tde- r ✓/��ozrticzc�a.�luC�td,P���uilcCiut�v -130-1 KENTARO TSUTSUMI ARO130 PAUL CELLUCCI Chalunan Governor " �pd�(j�t� � eClCltfLd� 0708 THOMAS L.ROGERS JANE swirr Adodnistrator Lieutenant OuvernOr TEL: (617) 727-7532 FAX: (617) 227-1754 JAN13 P13hLOv secretnry Juste 15, 2000 Avis America Corp. P.O. Box 42U Avis, PA 17721 RE. Aunual 1Ze-Certipc:tt[ott iu the 1 1:tss:>Ichusetts Mnnttfnclw ed l3uildiug Prngrttm TO Whom It Muy Concern: "I'itis letter is to cvnftrnt eiti 1eltewed forttl�eeperiold MUSSItchusetts 11wutgl► Aheil Butlding Program ltas be 30, 2001. This renewal is contingent upoti a ��t�i1e a 7of lIle Nlassachusetts conditions of your approval, and compliance i provisions Btlilding Code, Electrical Code, u►id Fuel/aus Code. Sincerely. Thomas L. Rogers Administrator CC, . Mil Boau,.� orgx�i��iners oflrle plumbers and CJ as Filters MA By 1 2 - ,.r T• CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS Y 125 Locust Street 8 - Northampton, MA 01060 413-587-1570 Xi 17 Samuel B. Brindis, P.E. Fax 413-587-1576 Director, city Engineer 7 OF ill Guilford B. Mooring, P.E. Assistant Director of Public Works ASSIGNMENT OF HOUSE NUMBER(S) Street Lincoln Avenue Assessors Map Off of Sheet 25-C Lot 93 House Number #56 Lincoln Avenue Date October 13, 2000 Remarks This is Parcel l area 8,112 s.f being divided off of Sheet 25-C Lot 93. This new lot does not have an Assessors ID yet. The number is being given for building permit application purposes. Ned Huntley Senior Engineer cc: George Andrikidis Fire Dept. Guilford Mooring Registrar of Voters Streets Division Tax Collector Water Dept. Massachusetts Electric Sewer Dept. Verizon Telephone Ann Marie Schauer Media One Inspectors Bay State Gas Assessors Post Office Police Dept. Applicant: Jason Harder 16 Bates Street Northampton, MA 01060 E:\Engineering\House Numbers\56 Lincoln Avenue NORTHAMPTON WATER DEPARTMENT 3 237 PROSPECT STREET NORTHAMPTON, MA 01060 583-1098 Subject: Municipal Water Availability Location: 56 Lincoln Avenue Jason Harder 587-9886 Inquiry Made By: t Date of Inquiry: October 18, 2000 Municipal Water Main in Front of Location: YES % NO Size/Material/Age of Water Main: 6" C.1. 1934 Approximate Street Pressure: 110 PSI Size of Service Connection: The Water Department cannot guarantee adequate water pressure Comments : 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. 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. e � Charles Borowski Superintendent of Water Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14, 1991. cc: Samuel B. Brindis, Director, DPW Guilford Mooring, Assistant Director,DPW George Andrikidis, Assistant City Engineer /Anthony Patillo, Building Inspector A:\WATER\Availabl.50S i V3 OCT OCT 3 0 2000 NORTHAMPTON SEWER DEPARTMENT 125 LOCUST STREET NORTHAMPTON, MA. 01060 587-1092 Subject: Municipal Sewer Availability Location: 56 Lincoln Avenue Inquiry Made By: Jason Harder 587-9886 Date of Inquiry: October 18, 2000 Municipal Sewer Main in Front of Location: YES % NO Size/Material/Age of Sewer Main: 8" Clay pipe 1892 Depth of Sewer Main: 9' Size of Service Connection: Comments: 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 Sewer Department with a minimum of 5 working days notification. All work shall nform Northampton Sewer Department specifications. orge Brehm Superintendent of Wastewater Treatment & Collection cc: Samuel B. Brindis, Director, DPW Gilford Mooring, Assistant Director DPW eorge Andrikidis, Assistant City Engineer /Anthony Patillo, Building Inspector C:\WP51\LETTER\SEWERFOR FORM A t'''^l OF NORTHAMPTON, MA APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL file six completed forms and plans and_one m yl.ar with th e C ity Clerk and the Planning Board in accordance with the requirements of Section 3.02. I(we)believe that the attached plan of property in the City of Northampton does not constitute division within the meaning of the Subdivision Control Law,and herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. Holt Paul L. Hot 1. Applicant(print or type): Pau Signature: f Address: 3 Graves Avenue, Northampton, MA phone: 584-4933 Paul L. & K, 2. Owner(print or type): Pamela K. Holt —Signature:' 3 Graves Avenue, Northampton, MA Phone: 584-4033 �r Heritage Surveys, Inc 3. Surveyor(print or type): Si gnature:� & P.O. Box 1, Southampton, MA 01073 527-3600 Address Phone Deed or property recorded in Hampshire County Registry of Deeds or Land Court: Book 5842 Page 186 5. Location and Description of Property: Parcel 1 Area = 8,112 square feet and Parcel 2 Area - 10,116 square feet as shown on accompanying plan dated February 7, 2000. 00 0� n C.0 l f /00rch S� 6. Assessor's Map ID:25gLot(s): 93 Date Submitted for Tanning Date Plannin and . Board Approva. 6p�� Decision o1 L `' AL • ,0 City Cl r O City Cler a e): (111198) SUBDIVISION REGULATIONS-------PAGE 60 y` a3EAC{Itt6CYIa - m DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S CONIPENSA'RON INSURANCE AFFIDAVTr (Ii cc n ser�pel-m;flee) with a principal place of business/residence at: (phone#) S Y ' (strecf/oi ty/stalfJzi p) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following workers compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Con:panylPolicy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insuran(-- Conpaily/policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shoo if necessary to iachide information pertniuiag to all coats ) 44/1 am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that wbilo homoownas who anploy pasom to do¢rxmic„ane,cousuuctioa or repair work on a dweRiag of not more than throe unite in which the bomeow=resides or on the grvundz appurtenmi thereto art:nor gcoaally oomidemd to be auployrra under tbo workee,oompeasation Act(GL152,ss 1(5)),application by a homeownrr for a license or permit may evideace tho legal etatua of an employer under the Workct'a Compema2yon Act I understand thsi a copy of this rfticmcnt may be fotwardnd to tbo Dcpertmccst of Dial Acci&c&OfSoo of Insurance for the oovaage;vaifieatioa and that failure to t ocure coverago under socUoa 25A of MGL 152 can lad to the imposition of criminal P,n- es oonsutiug of a fine of up to 51,500.00 andloe i apriso of up to om year and civil pcnaltics is the form of a Stop Work Older and a Eno of 5100.00 a day against ma For tuo only v Permit Number J 1S �% Map# Lot# •-1.., Si of Licenseelpertni e SECTION 8-CONSTRUCTION SERVICES look 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : — License Number --� 2 /,-?/,Y-0 Z-c S —J— T��� . h� o , Address Expiration Date Signature Telephone "9 Rekisteretl Home ImproV ni4ht Coritractor Not Applicable El 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 affidavi', will result in the denial of the issuance of the building permit. ,Oma%* 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 'ECTION 5 DESCRIPTION OF PROPOSED WORK(check all applicable New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs Dec [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: t u ��57 e C'T ,LG 3 /Vi iv` l I-( J iL 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 existing housing, complete the followinir: a. Use of building : One Family _ Two Family Other _ b. Number of rooms in each family unit: Number of Bathrooms s c. Is there a garage attached? n�V ? d. Proposed Square footage of new construction. �� 4/ Dimensions Y 1 e. Number of stories? "),-'r f. Method of heating? 6/",£ A-,9"edI4r 4T c4 Fireplaces or Woodstoves A Number of each POW g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction r t s4'-•'' L i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Nc j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . 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 n - - as Owner of the subject property hereby a orize to act of my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I as Owner/Authorized Agent hereby declare hat the statements an i ormation on the foregoing application are true and accurate, to the best of my knowledge an belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner Agent D to 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 r Lot Size Frontage Setbacks Front Side L: R: L: R: Rear , �� is a10 Building Height Bldg. Square Footage �' % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 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 X_ IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property?YES No IF YES, describe size, type and location: r iepar#went use only rthampton Status of F'errn,t r Q C "wow epartment I , = Cut 21 in Street wer/Sepfc , ,I,ty _ E FEB 14 100 { Northa pto , MA 01060 Two Setsf Struc#uraiPans DEPT S OW 124 Fax 413-587-1272 Plot/S,te Plans jKAti 4P1ON,MA 01060 Othe'Spec NOR .e APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1- SITE INFORMATION This section to be completed by office 1.1 Property Address: r C G i, ivC J L tv �T.y�� l�CU Map n�� Lot _Unit d tv ,Lm„ d N Zone-,� Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: \l ,-q S J Name(Prin Current Mailing Address: Telephone Signature' 2.2 Au orized Agent: _ Name(Print) Current Mailing Address: Signature Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars)to be Official Use Only com feted 1-w pprrnit Anplicant 1. Building '76 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of C 0 o Construction from 6 3. Plumbing ' d J Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(I + 2 + 3 + 4 + 5) Check Number 14:110 This Section For Official Use Only Building Permit Number: Date Issued: Signature:... Building Commissioner/Inspector of Buildings Date LINCOLN AVENUE -- - S42'09'03"E _--- -- 165.42' 63.04 100. 1 _�. 0 1N t i N N �. 1 O �} xr �_ PARCEL 2 �, PARCEL AREA = r AREA = 10, 116 SQ.FT. 8, 1 12 SQ.f7. k" N p GARAGE O) � N 104.31 ' I- --- N45'48'54"w 169.67' i I ROBERT RAYMOND D (� Q M E BOOK 3667 PAGE 98 f FEB 14 2x11 DCNORT}WMLPOTON,MAPO 060NS REGISTRY OF DEEDS PLAN OF LAND HAMPSHIRE COUNTY NORTHAMPTON, MAS: SURVEYED FOF PAUL L. & PAMEL,� File#BP-2001-0687 +* APPLICANT/CONTACT PERSON JAMES HARRITY ADDRESS/PHONE 16 CORTICELLI ST (413)585-8025 ERTY LOCATION 215 NORTH$T 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: CONS RUCT 2 1/2 STORY SINGLE FAMILY MODULAR HOME New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052260 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: AA proved as presented/based on information presented. 1/ Denied as p resented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS / Received&Recorded at Registry of Deeds Proof Enclosedy°� b1 Variance Required under: § Ze -j w/ZONING BOARD OF APPEALS 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 Comm' n Permit from CB Architecture Committee 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. ?Pik, 6 �lxssxcflxsctts' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORT EWS COMPENSATION INSURANCE AFFIDAVIT f, (licenserJpermittee} with a principal place of business/residence at: (phone#) (st=t/city/statdzip) ' do hereby certify, under the pains and penalties of penury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: st<5 (Insurance Company) (Policy Number) Jixpiration Daze) ( ) I am a sole proprietor, general contractor o7liom.eown .rcle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (E)Tiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Comparry/Poficy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attadr addditioml shed ifneeenjuy to include infornsation pataiain to all ooatrad ) am a sole proprietor and have no one working for me. ( I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ pcn=to do maiatc+*n.,consbvctionor repair work on a dwcUing of not more than throe units is which the homeowner resides or oa the grounds appurtenant thereto art not gaxtally oo=datd to be employers under the worker's eompeasslioa Act(GL152,=1(5)),application by a homeowner for a license oc permit n]ay evidence the legal statist of an employer under the Worker's Compensation Ac< I underttaad data copy of thin rutemew mty be forwarded to the Deputmeal of Indrsstrial Aocidm&Ofoe of Inwn*nca for the coverage verification and that failure to seatre coveraga under section 25A of MOL 152 can kid to the imposition of criminal penalties oomisting of a Sme of up to 11,500.00 andlor bprbownent of up to ono year and civil penalties in the form of a Stop Work Order and a Leto of Sloo. against tree For deputes use ody Permit Number tJ ;C1� //��.• ! _Lot# Signature of Licensee/Permitt,ee Date a SECTION 8-CONSTRUCTION SERVICES d.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SE TIQN 10-WOkkERS'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. igned Affidavit Attached Yes....... ❑ No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780 Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon ` completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r r 5-R, W�1?,'MQN O-E PBQENgD W ORK(check p1l apRilcabl-e) New House ❑ Addition ❑ Replacement Windows Alteration(s) Ir' Roofing ❑ / Or Doors ❑ Accessory Bldg. ICJ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: re mG4"f. r-eo—r 0v-ft rx. L,0 '�:cr +ly CA t Alteration of existing bedroom Yes No Adding newbedrotm Yes o Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ • Sheet❑ 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? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-�GWNER AUTHORIZATION-TO BI COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES.M BUILDING PERMIT as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 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. igned under the PA40s and penalti s of perjury. Print Name Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 0 i 0-00 + Frontage Setbacks Front fwS tJ Side L: R: �}' L: R: 7 Rear " Building Height Bldg.Square Footage _40;K % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces E e&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. A;pethere any proposed changes to or additions of signs intended for the property?YES— No IF YES, describe size, type and location: DE C E ty orthampton ----r i Department ain Street MAR 2 0 2001 m 100 North mp on, MA 01060 DEPT Of I -12 0 Fax 413.587.1272 NORTHAMPTON,MA 01060 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING NA-,SITE INFORMATION Th�s se � b Bonn fl?I + 1.1 Property Address: z f T IAVJ c� zon + i tey I f 3 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: L PAM 4,. 4t Nam rint) Current Mailing Address: y/ -`r �3 Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SEC TION3 ,"ESTIMATED CON STRUCTION'COM Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 3 6 0 If 00, (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from "6 3. Plumbing /U Building Permit Fee 4. Mechanical (HVAC) 0 5. Fire Protection 6. Total =(1 + 2 + 3 +4+ 5) 4&0 Check Number D , This Section For Official Use.Only "" Buitdi.ng"Permit Number: 6 17 3 Date Issued: Signature: Bujlding Commissioner/Inspector of Buildings Date File#BP-2001-0733 APPLICANT/CONTACT PERSON HOLT PAUL L&PAMELA K ADDRESS/PHONE 215 NORTH ST (413)584-4933 Q PROPERTY LOCATION 215 NORTH ST MAP 25C PARCEL 093 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid l _ Typeof Construction: REMOVE REAR LEFT CORNER OF GARAGE TO ALLOW FOR PROPER SETBACK 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 F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 1,-'Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § _w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Co ission Permit from CB Architec a Committee L O Signature o 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. 215 NORTH ST BP-2001-0733 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C-093 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: demolition BUILDING PERMIT Permit# BP-2001-0733 Proiect# JS-2001-1382 Est. Cost: $400.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 1 7903.1 6 Owner: HOLT PAUL L&PAMELA K Zoning:URB Applicant: H O LT PAUL L & PAMELA K AT: 215 NORTH ST Applicant Address: Phone: Insurance: 215 NORTH ST (413) 584-4933 () NORTHAMPTONMA01060 ISSUED ON:3121101 0:00:00 TO PERFORM THE FOLLOWING WORK.REMOVE REAR LEFT CORNER OF GARAGE TO ALLOW FOR PROPER SETBACK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House#. Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/21/010:00:00 5709 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo FEB-09-01 FRI 02:07 PM AVIS ENGINEERING FAX;5707588259 PAGE 5 7 ----NOTES TO FIELD (Building Department Use Only)------------------------- FEB-09-01 FRI 02:07 PM AVIS ENGINEERING FAX:5707538259 PAGE 4 be. detr_rmined. Manufacturer manuals for all installed heating and cooling equipment and service water heutin:3 equipment must be provided. Tn.uulati.On R-values and glazing V-values mi�F. he clearly marked on the building plans or specifications. DUCT INSULATION: I 1 Ducts shall bo inuulutud per Tab16 J4,4,7,1. DUCT CONSTRUCTION: [ 1 All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh Cape may be Omitted where gaps are less than 1/8 inch. Duct taps is not permitted. The HVAC system must provide a means for balancing air and water systems. f TFMPFRATURF CONTROLS: [ J Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input. to each zone or floor shall be provided. t RVAC 6QUIPMCNT SIZING: I l Rated output capacity of the heating/cooling system is not greater than 1268• of the design load as specified in Sections 780CMR 1310 and J4.4. [ I SWIMMING POOLS: All heatPrl gwi.rrnning pools must have an on/off heater switch and require a cover unless over 20W of the heating energy is from non-depletnbl.e sources. Pool pumps require a time clock. [ j f HVAC PTPING TNSUTATTON: 11VAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (inn.) HEATING SYSTEMS: TFMP (P) 2" RUNOUTS 0.1" 1.25-2" 2.5-4" Low preasure/temp. 201-250 1,0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam conden3LIte any 1-0 1.0 1.5 2.0 (=(X)I,INt. SYb'TE:MOS: Chilled water or 40-55 0.5 0.5 0.75 1.0 � refri,ger.ant• below 40 1.0 1.0 1,5 1-5 [ J CIRCULATING; HUT WA!rlik SYSTEMS: J insulate circulating hot water pipes to the fallowing levels (in.) : PIPE SIZES (in.) _ NON-CIRCULATING CIRCULATING MAINS & RUNOUTS 11EKrlEl) WATER '172MP (F) : RUNOUTS 0-l" 170-180 0.5 i 1.0 1.5 2-0 140-160 015 O.S 1.0 1.S 100. 130 015 0.5 0.5 1.0 FEB19-01 FRI 02:07 PM AVIS ENGINEERING FAX:5707538259 PAGE 3 MAScheck INSPECTION CHECKLIS'(' MassachuseLts Energy Code MAScheck Software version 2.01 Q# 9696 DATE: 2-9-7.001 EIC1g. I Dept. I Use I C6IT,INGS: [ ) I 1. N-30 Comments/Location WALLS: ( j I 1, Wood Frame, 24" 0•C., R-19 I (:ommerita/LOCdClOn _ _-_ I WINDOWS AND CLASS DOORS: [ J 1. l7-value: 0.36 For window8 without labeled U-values, describe features! I 4 Panes_. Frame Type Thermal Areak? [ ] 'Yee ( ) No .- [ 1 I 2. U-value: 0.28 I For windows without labeled U-value°., describe features: # Pines, .,_, Frame -type Thermal Break? [ ] Yes ( ) No J Comments/Location_,, „_,,,,, I UOOR> [ ) I 1. U-value: 0,14 Comments/Location vr,cx)Rs: ( 1 I 1. Ovcr Unconditioned Space, R-l9 comments/Location I I AIR LXAKACS: ( j J Joints, penetrations, and all other such openings in the building I envelope that are sources of Air leakage must be sealed. When J installed in the building envelopa, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or gaskated to prevent air leakage into the unconditioned space- I 7. Type IC rated, in accordanCe with Standard ASTM E 263, with no I L110re thall 2.0 Cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lb3/ft2 pressure I difference and shall be labeled- VAPOR RETARPSR: = ( J I Required on the warm-ill-winter wide Of all non-vented framed I ceilings, wa].1z, and floors. MATERIALS IDENTIFTC:ATION: _ - [ ) I Materials and equipment must be identified so that compliance can ,-. 4 j FEB-09-01 FRI 02:06 PM AVIS ENGINEERING FAX:5707538259 PAGE 2 � I MASChCCk COMPLIANCE REPORT Massachusetts Vlergy Code ! Permit # I MAScheck Software Version 2.01 I I Checked by/parr.. CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2,9 2001 DATE, OF PLANS: 2/9/01 TITLE: 0# 9696 PROTECT TNFORMATTON: THE HOME STORE ANDY GIANTNO 73 STATE. RD, PO BOX 300 WNATEi.Y, M. 01093 (413) 665-1266 COMPANY INFORMATION: AVIS AMERICA HENRY ST AVIS PA 177;1 (570) 7533700 COMPLIANCE: PASSES Required UA - 318 Your Homc = 271 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGrS 864 30-0 0.0 30 WALLS: Wood Pramc, 24" O.C. 1828 1910 0.0 107 GLAZING: windows or Doors 207 0.360 75 GLAZING: Windows or Doors 43 0.780 12 DOORS 42 0.140 6 FLOORS: Ovex Unconditioned Space 864 19.0 0.0 41 COMPLIANCE, S'PATRMENT: The proposed building design described here is consistent with the building plans, SpecifiCattons, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this, building, and the cooling load if appropriate, -wrY r L(/ 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 125gt of the design load as specified in - 58CC i.OY�P, '7$OrMR 1310 and `- Buildcr/Dcsigner_-�' —^�.'... . .. Date a A, .. ,_-..�...._, r�i �,� i w.�.. l.-_. �ocz-tc�i t�i °�cetCa/i�i�� trcltaCt>vstd�cr�aca/i�'Ccz�etalc�tda.- ��1•Co�t£��a,�irsf! Anct:o PAUL CELLUCCI VltPie.�dlG(�tl L`a�L _ �lfL�.i"Q7 CJovernor �t KENTARO TSUTSUI,' JANE swirr �(7od�o�7f r� dlZCltLla4 ` ` Q' 'O8 Chalttnan Lieutenant Uovernor THOMAS L.RooERs p IAtJti lritLOV TEL! (617) 727.7532 PAX: (617) 227-1754 Adntlniattator a� V M E fE8 14 I o DEPT Of BUILDING IMCDOXiiier1cp Corp. NORTHAMPTON, 06 Avis, PA 17721 RL: Annual Re-Cerfirlcation ita the Al:assachusetts Manur:tctu►'ec! luilding Program To Whom it May Cunccril: This letter is to eonlirttl that your certificate in lice MOSSacllUsettS MauUl'actured Building Program has been renewed for the period or July I, 2000 1 through Al it 30, 2001. This renewal Is contingeltt upotf compliance with all previously listed conditions or your approval, and compliance with the provisions of the Massachusetts State I3Uilding Code, Electrical Code, acid Vl.tel/Cas Code. _Sincerely. Thomas L. Rogers Administrator cc: - MA .Board of Examminers of Plumbers and Cas Fitters MA Board of-Examiners oCL-'lectricians 2001 FORM A [KTAPR 13 NORTHAMPTON, MA DEPT Of BUILDING INSPECTIONS APPLICATION FOR ENDORSEMENT "NORtRAM.G'tON,h4.A 01060 AN BELIEVED NOT TO REQUIRE APPROVAL File seven completed forms and plans and one mylar with the City Clerk and the Planning Board in accordance with the requirements of Section 3.02. 1(we) believe that the attached plan of property in the City of Northampton does not constitute division within the meaning of the Subdivision Control Law, and herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. V� Paul L. Holt le Applicant(print or type): Signature:_ Address: 3 Graves Avenue,Northampton,MA Phone: 584-4�9�-3\ Paul L. & 2. Owner(print or type): Pamela K. Holt Signature:_ U Address: 3 Graves Avenue, Northampton,MA Phone: 584-4033 3. Surveyor(print or type):Heritage Surveys, Inc. Signatur • ,/, Address: P.O. Box 1, Southampton, MA Phone: 413-527-3600 College Highway & Clark Street 4. Deed or property recorded in Hampshire County Registry of Deeds or Land Court: Book 5842 Page 186 5. Location and Description of Property: Parcel 1 Area = 8,375 sq.ft. , and Parcel 2 Area = 9,853 sq.ft. as shown on accompanying plan dated March 30, 2001. 6. Assessor's Map ID: 25C Lot(s): 93 Date Submitted for Planning Date Pl 3rd Board Approval: Decision F ed: � d City Clerk(signature): City Clerk tur (08112199) ' ' SUBDIVISION REGULA T IONS-------PAGE 61 FEB-09-01 FRI 02:07 PM AVIS ENGINEERING FAX:5707538259 PAGE 5 1 ----NOTES TO FIELD (Building Department Use On1y)------------------------- FEB-09-01 FRI 02:07 PM AVIS ENGINEERING FAX:5707538259 PAGE 4 be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heatilly equipment tau3t be provided. znrulatS.On R-val.uea and glazing U-valuez rmlr.t be clearly marked on the building plane or specifications. ( UUC'r INSULATION: [ 1 Duct-3 shall be insulated per Table J4.4.7.1. ( ( DUCT CONSTRUCTION: ( 1 All accessible joints, seams, and connections of supply and return { ductwork located outside conditioned space, including stud bays Or ( joist cavities/spaces used to transport air', shall be sealed ( using mastic and fibrous backing tape installed according to the { MW1Ufacturer'5 installation instructions. Mash tape may be ( omitted wbgre gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. ( TEMPERATURF. CONTROLS; [ J ( Thermostats are required for each separate HVAC system. A manual ( or automatic mcane to partially restrict or Shut off the heating ( and/or cooling input to each zone or floor shall be provided. ( { HVAC RQUIYMRNT SIZING: [ J { Rated output capacity of the heating/cooling system is ( not greater than 1258 of the design load ab specified in Sections 780CMR 1310 and J4.4. ( [ ) { SWIMMING POOLS: { All heated swimming pool-, must have an on/off heater switch and { require a cover unless over 203 of the heating energy is from { non-depler.abl.e sources. Pool pumps require a time cIOCk. [ J ( HVAC PIPING SNSUIAT7.ON: { HVAC piping conveying fluids above 120 F or chilled fluids ( below 55 F must be insulated to the following Levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TV-MP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" ( Low pressure/temp. 201-250 1.0 1.5 1•S 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam conden3atc any 1.0 1.0 1.5 210 CCx)I�INC. SYSTEMS: Chilled wafer or 40-55 0.5 0.5 0.75 1.0 ( .refri.gerant. below 40 1.0 1.0 1,5 1.5 ( J ( C;LRCULATINC; HOT WA'r8R SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) NON-CIRCULATING ( CIRCULATING MAINS E< RUNOUTS A&MVED WATER TRMP (F) RUNOUTS 0-1" ( 0-1 .25' 1.5-2.0" 2,0+" v^) 1�0-180 0.5 j 1.0 1.5 2.0 ___ 140-itip 0.5 { 0.5 1.0 1.5 100. 130 0.5 ( 0.5 0.5 1.0 FEB-09-01 FRI 02:07 PM AVIS ENGINEERING FAX:5707538259 PAGE 3 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MASCheck Software version 2.01 Q# 969E DATE: 2-9-2001 Bldg. j pPpt. � Usc I GEIIiIN(iS: Comments/Locution WALLS: ( J ! 1. Wood Frame, 24" O.C., R-19 comments/Location I WINDOWS AND CLASS DOORS: ( J 1. (Y-value; 0.36 I For windows without labeled U-values, describe features: j 4 pane,,_. ,_, Frame Type Thermal Rreak? ( I Yes [ J No Comments/'Locatio:t 1 7 I 2. U-value: 0.28 I For window¢ without labeled U-values, describe features: # Panes„ .,_. Frame 'type Thcnnal Break? ( I Yes I 3 No Comments/Location_,, „_ DOORS: [ J 1. 11-value: 0,14 Comments/L�cation _ —.......... .:. S � F•l,cx)R5: ] I 1, Ovcr Unconditioned Space, R-19 comments/Location I AIR LEAKACR: [ J I Joints, penetrationz, and all other such openings in the building envelope that are aourcez of air leakage must be sealed. When in.ital,led in the building envtlopa, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC ratted, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and Sealed or gasketed to prevent air .leakage into the unconditioned space. 2. Tyne IC rated, in accordance with Standard ASTM E 263, with no more than 7.0 rfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER ( J Required on the warm-ill-winter wide of all non-vented framed ceilings, walls, and floors. _ MATERIALS IDENTIFICATION: - [ ] materials and equipment must be identified to that compliance can FEB-09-01 FRI 02:06 PM AVIS ENGINEERING FAX:5707538259 PAGE 2 MAScheck COMPLIANCE REPOItT Massachusetts Energy Ccxie I Permit # I MAScheck Software version 2.01 I I Checked by/Date+ CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: '1 or 2 family, Detached HEATING SYSTEM TYPE: Other (Non-electric Resistance) DATE: 2.9 2001 DATA,' OF PLANS:: :/9/01 TITLE: Q# 9696 PRO.T6CT TNFORMATTON: THE HOME STORE ANDY 0IANTNO 73 S'rATF. RP, PO BOX 3Qo WNATRLY', Mh. Oir)93 (413) 665-1266 COMPANY INPORMATION: AVIS AMERICA HENRY ST AVIS PA 1772.1 (570) 7533700 COMPLIANCE: PASSES Required OA - 318 Your Home . 271 Area or Cavity Cont. Glazing/Door Perimeter R-value R-Value U-Value UA CEILINGS e64 30-0 0.0 30 WALLS: Wood Framc, 24" O.C. 1828 1910 0.0 107 GI.AZ:NG: Windows cr Doors 207 01360 75 GLAZING: Windows or Doors 43 0.780 12 DOORS 42 0.140 6 FLOORS: Over Unconditioned Space 864 19.0 0.0 41 ----------------------------------------------------------------------__ ....., COMPLIANCE STATE'MEN'T: The proposed building de9igu described here i5 consistent with the building plans, specificattons, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, `- hao been determined using the applicable Standard resign conditions found in the Code. The HVAC equipment selected to heat or cool the building ohall be no greater than 1252 of the design load as specified in - Secti.one 760CMR 131.0 and _%;4.,4. O Builder/Designer Date -_- �Ii� ��a���a u1a is r,�QrzCf�z ��CfG�Gl1jP/ ��GCPi 3 � �ccLCcri ��.�ui v1�lt�Qc�.zrsirxc/a�`ix�v(��e,.�uildcs� ARCED PAUL CGLLUCCI �ltpi Gtr �`ofi�` _ o�1ti 7�Q7 oovernur „ KENTARO TSUTSUN' JANE Swff'fodtor ors ��CZddczc/sudeC�O,O�f'O8 Chairmen Lloulertanl C7overnor -_ THOMAS L.R0C7ERS !`" Tip(: (617) 727-7532 1'AX: (6 i 7) 227-17Sd Adadtdatrator A{Jli P�RL9V ...._..._ t � 1 L t Df L r_t±il �r 3i1i�C� rfca orp. Avis, PA 17721 RE: Aunual 1te-Ceriificaiiuii in ill f<,I:tssacliuse((s ltii:tuuf:tcturetl I3uiltliiig Phogrnu� TO Wltofrt It May Concerti: This letter is to eonlirJ]1 that your certificate in the Massachusetts NIanufac(ttred Building Program lies been l-euewed for the period ul-July 1, 2000 (I:rou13h April 30, 2001. This renewal Is contingent upoli compliance with all previously listed conditions or your approval, and compliance witil the provislons or the Ivlassaclfusetts Stale l3Uilding Code, Electrical Code, acid Fuel/Gas Code. _Sincerely. Z� Thomas L. Rogers Administrator CC, . MA Board of Examiners of Plumbers and Gas Fitters MA Board or Examiners or8lectriclans R® ECEQ �IC u FEB 14 2MI I�CHAMPTON WATER DEPARTMENT 237 PROSPECT STREET DEPT OF BUILDING INSPECTIONS ORTHAMPTON, MA 010 60 NORTHAMPTON,MA 01060 58.7-1098 Subject: Municipal Water Availability Location• 56 Lincoln Avenue Inquiry Made By• Jason Harder 587-9886 Date of Inquiry: October 18, 2000 Municipal Water Main in Front of Location: YES % NO Size/Material/Age of Water Main: 6" C.1. 1934 Approximate Street Pressure: 110 PSI Size of Service Connection: 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. 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. Charles Borowski Superintendent of Water Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14, 1991. cc: Samuel B. Brindis, Director, DPW Guilford Mooring, Assistant Director, DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector A:\WATER\Availab1.50S E C Q U E D FEB 14 2M1 NORTHAMPTON SEWER DEPARTMENT DEBUILDING NORTHAMPTON,INSPE 01 125 LOCUST STREET NORTHAMPTON, MA. 01060 587-1092 Subject: Municipal Sewer Availability Location: 56 Lincoln Avenue Inquiry Made By: Jason Harder 587-9886 Date of Inquiry: October 18, 2000 Municipal Sewer Main in Front of Location: YES % NO Size/Material/Age of Sewer Main: 8" Clay pipe 1892 Depth of Sewer Main: 9' Size of Service Connection: Comments: 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 Sewer Department with a minimum of 5 working days notification. All work shall nform Northampton Sewer Department specifications. orge Brehm Superintendent of Wastewater Treatment & Collection cc: Samuel B. Brindis, Director, DPW Gilford Mooring, Assistant Director DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector C:\WP51\LETTER\SEWERFOR OAT tiAM p�O `e (rzt of 'Naztjj�tll iptoll DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, mass. 01060 �\ Square Footage Amount Basement @ .10 lst Floor @ -40 2nd Floor @ .20 '�q f 7)"90 112 Floors, Attic, Garage .10 �4 1 Deck, Porches .10 TOTAL d L=� v E FEB 14 2001 DENOW M ON,NSPECT NS O 060 LINCOLN AVENUE ti 1-1 - - S42'09'03"E -- -- - 165.42' 63.04 �--� 100. W N � Z GATAGE s �'. 3? a_ CP_ �'s PARCEL 2 �, AREA = 10, 116 SQ.fT. Z -p W O GARAGE N -P 1D _ 104.31 ' --- N45-48'54"W 169.67' ROBERT RAYMOND BOOK 3667 PAGE 98 REGISTRY OF DEEDS HAMPSHIRE COUNTY PARCEL 1 AREA = 8, 112 SO.FT. *65.36' ,1 i i C 0 n rn �- KATH BOOT 0 PLAN OF LAND IN NORTHAMPTON, MASS, SURVEYED FDR PA UL L. & PAMELA =T' CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 1 125 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 1. A "Driveway Permit" is required in all cases where a new curb cut or an alteration to an existing curb cut is proposed on a City public way. 2. Driveway permits issued by the Board of Public Works (BPW) shall be attached to and become part of the 'Building Permit" issued by the Building Inspector. 3. Prior to the issuance of a 'Building Permit" the owner of any lot to be serviced by a new driveway shall apply to the BPW for a "Driveway Permit" by completing the pertinent portions of the permit (see attached). Once the location of the driveway is approved by the BPW, a building permit may be issued. 4. The Building Inspector shall not issue an "Occupancy Permit" unless the driveway to the lot has been approved by the BPW. 5. By the issuance of a driveway permit for the stated location, neither the City of Northampton nor the Department of Public Works imply that no drainage problems will result with the driveway when constructed. Properties situated or driveways installed in low lying areas in the path of the natural drainage will be subject to water problems. These problems may include water sheeting across roadways adjacent to the driveway. The City and the DPW assume no responsibility for any such drainage problems. The owner of the property is responsible for constructing and maintaining the driveway with adequate provision for natural water runoff situations. 'r Wamuel B Brindis, P.E. Director of Public Works CWyFiles�L,yn\Driveway Permit General Instructions D11—01 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: (i- Petitioner NOTE: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. DII—01 DU l C !. WY 114OLV1T PT0N, MASS. 1 I DEPT OF BUILDING INSPECTIONS 2000 i NORTHAMPTON.IA 01060 October 18, THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 56 Lincoln Avenue 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 if the grade of the proposed driveway exceeds 37 or more. Note — curb cut to left of driveway to be closed By: Jason Harder 587-9886 16 Bates Street, Northampton, MA 01060 Proposed Location Inspected by: �'�n•--� Gravel Base Grad Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 709 George Andrikidis, Acting Director Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) O��ttAAf p�O '�a1E$CI�aECIIE DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licenseeJpermittee) with a principal place of business/residence at: (phone#) (streei/city/stair Zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Daze) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) ,, (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml short if necessary to include information perta ining to all ooatr d ) 44/1 am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homcovnners who employ persons to do maint'nan r,coosrru on or repair work on a dwelling of not more than throe units in which the homeowner resides or on the groin apgtttanaai thereto are not generally 000ikkrtd to be employers under the workees oompmsstion Act(GL152,ss 1(5)),application by a homeowner for a licetue or permit may evidence the legal statue of an employer under the Wodcoea Compamation Act I understand that a copy of this rtatcmeai maybe forwarded to tbo DVutmccd of In&otrial Aoddeatd Offroe of Im4uance for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the'imposition of criminal pemltics consisting of a fine of up to S1,500.00 and/or imprisonment of up to one year and civil p.LWes in the form Of ft Stop Work Order and a fins of 5loo.00 a day against tax. For deputovatal use onty f permit Number t v 2f Mao—_-----Lot# _ Si of LianseelPeit i ^ F Not Applicable 0 .1 Licensed Construction Supervisor: Name of License Holder :—,Y,4AC3.- C9rdd,(z) License Number 7h Address Expiration Date Signature Telephone NMI Not Applicable 0 COMDa y 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. The current exemption for^homeowuem''was extended toinclude one(1) or two(2)families and m allow such homeowner to engage au individual for hire who does not possess ulicense, 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 advised that with reference to Employees for injuries not resulting iu D�u��of the Massachusetts General La=x Annotated,you may be liable fo«po,oun(o) you hire o`perform work for youundcr 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 CTION 5-„DESCRIPTION f%r PROPOSED WORK(€heck all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs Dec [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: d A'N 02 r Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative ❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ "'x::..o -h .u= i D° _ 0-4 he.fai win 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? A)0 d. Proposed Square footage of new construction. 91� 7 Dimensions L e. Number of stories? �-'r f. Method of heating? /SAS£sS_,q..e_J_� 4. 4- C4 Fireplaces or Woodstoves kd Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction 'e A,' i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No i j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply K _ SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ---- as Owner of the subject property hereby a orize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, /I ain�! VA'(A� , as Owner/Authorized Agent hereby cleclar�ojlhat the statements an i ormation on the foregoing application are true and accurate, to the best of my knowledge an belief. .-I-Signed under the pains and penalties of perjury. JVWK Print Name Signature of Owner Agent D to 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 4SxJ 7 3 'Q-3 7 ,S Frontage Setbacks Front aj ' Side L: R: L: 9 R: Z/O 5- Rear A) j4 Building Height N J? Bldg. Square Footage /1 f/ % r " Open Space Footage / % (Lot area minus bldg&paved 7 J- / D y"'06-7 parking) #of Parking Spaces Fill: A 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 X IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: �( Cky rthampton 3 , ge ul epartmentutiri 21 in Streets ,, v FEB 1 4 2401 100 Northa pto , MA 01060s3 pE� ► -124 Fax 413-587-1272 NCftTHAM?TCN,MA 01060 APPLICATION TO CONSTRUCT, ALTER, REPAIR, R�5N0>1�3dR1 �H A O qE OR TWO FAMILY DWELLING APR 1 2001 SECTION 1-SITE INFORMATION 1.1 Property Address: to;b&corril ted'by office G I'lJ �p f ' U"nit' 6&-rli A-M o rd Zone k, Overlay District- E[m.St.D[strict CB.-Qistrict SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ' '"��# �� arc•� �' 7 in s t- J7 /rG c7 Name(Prin Curren�Mn�dcjrO-A � GL Telephone �� Signature` 2.2 Au, orized Agent: j/ / Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS' Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical 3 d o 0 (b) Estimated Total Cost of Construction from 6 3. Plumbing / 0 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4+ 5) 3 tai Cr 6- Check Number T is Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2001-0687 APPLICANT/CONTACT PERSON JAMES 14ARRITY ADDRESS/PHONE 16 CORTICELLI ST 71J, 585-8025 PROPERTY LOCATION 215 NORTH S �'4"'-4 MAP 25C PARCEL 093 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid lypeof Construction: CONSTRUCT 2 1/2 STORY SINGLE FAMILY MODULAR HOME New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included• Owner/Statement or License 052260 3 sets of Plans/Plot Plan THEYOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § _w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § _w/ZONING BOARD OF APPEALS 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 Conservatio mmission Permit from CB Architecture Committee 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. " i1vCC311+IAVIr: BP-2001-0687 GIS#: COMMONWEALTH OF MASSACHUSETTS 1 S -093 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category'New Single Family House BUILDING PERMIT Permit# BP-2001-0687 Project# JS-2001-1256 Est.Cost: $83000.00 Fee: $703.20 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: R4 JAMES HARRITY 052260 Lot Size(sq. ft.): 17903.16 Owner: JAMES HARRITY Zoning:URB Applicant.• JAMES HARRITY AT. 56 LINCOLN AVE Applicant Address:_ Phone: Insurance: 16 CORTICELLI ST (413) 585-8025 FLORENCEMA01062 ISSUED ON:41241010:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 1/2 STORY SINGLE FAMILY MODULAR HOME POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/24/010:00:00 369 $703.20 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo f "'..�� !i .{ T/� � ' r�.-,r �����, .6-,t-�.r1--��11'�7: _. V ,.............. 1 1 5 tFYe �r qgw AI-O �' rytcX'� J 2/42/0,1V AeAll y BP-2001 0687 COMMONWEALTH OFVIASSACHUSETTS CITY OF NORTHAMPTON Lot:-401 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2001-0687 Project# JS-2001-1256 Est.Cost:$83000.00 Fee:$703.20 PERMISSION IS HEREB Y GRANTED TO: Const.Class: 5B Contractor: License: Use Group: R4 JAMES HARRITY 052260 Lot Size(sg.ft.): 17903.16 Owner: JAMES HARRITY Zoning:URB Applicant: JAMES HARRITY AT: 56 LINCOLN AVE Applicant Address: Phone: Insurance: 16 CORTICELLI ST (413) 585-8025 FLORENCEMA01062 ISSUED ON.•41241010:00:00 TO PERFORM THE FOLLOWING WORK.•CONSTRUCT 2 1/2 STORY SINGLE FAMILY - MODULAR HOME POST THIS CARD SO IT IS VISIBLE FtLCYI THE STREET - Inspector of Plumbing Inspector of Wiring D.P.W. ins'pector of Buildings a Underground: Service: I Z) �' - Meter: // Footings: Rough: 71' l�: Rough: House# Foundation: ©`( —j 0 w Final: 71AJlbj Final: - Rough Frame: V e,� d Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: �'C. Final: o K -7-6 7 •O!� 79'PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT N OF ANY OF ITS RULES AND REGULATIONS. & did tJ an Si nature: 'Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/24/010:00:00 369 $703.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo