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37-093 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: 07/20/04 DATE OF PLANS: 7/16/04 COMPLIANCE: Invalid Area(s) Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U- Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1127 38.0 0.0 34 Wall 1: Wood Frame, 16" o.c. 1760 19.0 0.0 92 Window 1: Wood Frame, Double Pane with Low -E 156 0.380 59 Door 1: Solid 34 0.350 12 Door 2: Glass 38 0.410 16 Basement Wall 1: , 0.0' ht/0.0' bg/0.0' insul 0 0.000 0 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1116 19.0 0.0 52 Furnace 1: Forced Hot Air, 92 AFUE Air Conditioner 1: Electric Central Air, 11 SEER 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 to as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 19 Ice Pond Drive Lot 3 Inquiry Made By: Wright Builders 586 -8287 Date of Inquiry: 05 -14 -04 Municipal Water Main in Existing service to Yes: X No: site? Yes: X No: Front of Location? Size of Water Main: 8" Material: DI Age: 2003 Number of Type of X Single Family Type of _ Private Units: 1 Unit(s): Accessory Apart. Ownership: Condo Multi - family Rental Approximate Static Street 65 Flow Test Conducted : Yes: No: _X Pressure: If done attach results Size of Service Connection: 1" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. The City of Northampton has not accepted responsibility for the mainenance Of the water main and service connections as of this date of inquiry. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Depai tuient with a minimum of 5 working days notification. • 11 work shall conf to Northampton Water Department specifications. David ‘ /R14-i Sparks, Superintendent of Water cc: Ned Huntley, City Engineer • MUNICIPAL S WE AVAILABILITY APPLICATION 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: 19 Ice Pond Drive Lot 3 Inquiry Made By: Wright Builders 413 -586 -8287 Date of Inquiry: 05/14/04 Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: Yes No Size of Sewer Main: 8" Material: PVC Age: new in 2003 Depth of Sewer Main: 8.8' Size of Service Connection: 6" Comments: . The City of Northampton has not accepted responsibility for the Maintenance of the sewer main and service connections as of this date of inquiry. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Storm Drain Concurrence Joseph Thomas, Superintendent Douglas McDonald, Enviromental Planner Streets Department Engineering Department cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector • Permit No. D07 -05 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: Petitioner W. Marek Incorporated 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 • ` COMMON DRIVEWAY REFER TO PERMIT D46 -04 FOR Lot 26 179 Rocky Hill Rd Permit No. D07 -05 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 07/08/04 FEE: $25.00 CHECK #: 3426 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 19 Ice Pond Drive Lot 3 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: W. Marek Incorporated Telephone #: 413 -527 -7667 Proposed Location Inspected By: Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector t ztrr, i 1 0 w _ o •-,i. Criit of , �� ,Ctlaaa «cl `_ } ,' i �'-3:� D4PAJMTMENT OF DU1LD1)�C IN PF.G"T'1ONS A �` I::$f�[rTQ? 12 Main Street. Municipal 1)uile�ii�r. __ Northninpton, Mnss. 41 •DO '` • . Square F.'. tag i t�l lI n `` c -� � � bb u nt: t @ Basemen $.15; iia 1 aq° ; 1st Floor @ $-.- 0' , _ Sl 1, 2nd Floor @ $.30 - O. 319O 1/2 Floors, Attic. Garage $_15 • — 7335 Deck, Porches *-15 . •1 - 11 ) 2s . • TOTAL / , ./yc CZ( ---": : 1 1 ,Ife, E),,,,,Q . ,. �, ,,-i �? > 3 ,, � ► , 16J • 1 1 I . 9 I . i • 40 N2.4,- ,.....***"." )C ....•".. -ekts■ ,....,"""". 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I I .T��O p 0 4 •'�1 '� 1 of Nor #I an piou I _ * (ix T° 1 ':it ,� Iasssc>lnsetls = = *t v DEPARTMENT OP BUILUlT1G SPEGTIONS 212 Main Street • Municipal Building Northampton, Mass. 1060 �` IMO WORKER'S COMPENSATION INSURANCE AFFIDAVIT ��a' `"rte (I iccnseelpermittet) with a principal place of business/residence at: . 7 ;�» y� .rte R r h 1 4 hone #} � �� , r zi (street/city/ ' P) do hereby certify, under the pains and penalties of p - ` 4, , that: I am an employer providing the following worker's compensation coverage for my e ployees working on this lob: , a dn:14 - c- 5 ,a___ (A.C_ 93 1 (Insurance Company) (Policy N r) (Expiration Date) a ( ) 1 am a sole proprietor, general contractor or homegwner (circle one) and have hired the contractors listed below who have the following wcrkel's compensation policies: (Name of Contractor) (insurance Company/Policy Number) (Expiration Date) i (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) f (Name of Contractor) _ (Insurance Company/PolicylNumber) (Expiration Date) (Name of Contractor) (Insurance Company /PolicyfNumber) (Expiration Date) (amt additional sheet if aecestary to include information pertaining to all 000tracte s) ( ) 1 am a sole proprietor and have no one working foi me. ( ) I am a home owner performing all the work myseit NOTE: please be aware that while bosh:owners who employ persons to do construction or repair work on a dwelling of not mere than throe units in which the homeowner resides or m tie grounds agp x thereto are not geoersly considered to be employes under the werket'a oornpmsatim Act (GL152,3a 1(5)), application by a for a license or permit may evideaoe the legal atsew of an employer under the Warltwh Canpeceation Act, i 1 understand that a copy of this saatepoaot clay be forwarded to the Department Industrial Accidents' Office of Insurnabs for the coverage verification and that failure to amuse coverage under section 2SA of Ma 152 an lead to the imposition of criminal penalties consisting of a fiat of up to $1,500.00 autdla of up to one year std penalties in the form of a Stop Wait Order and a fuss of 5100.00 a day against ma. Signed this is day of J 0/6)ti For ciepastaseats1 use only permit Number �j .� s Map# Lot rr _ Si:— : • . of Li see/Permnttee • SECTi;ONB CONSTRUCTION SERVICES!" 8.1 Licensed Construction Supervisor: Not Applicable El able Name of License Holder : (. ALP / ()J�.)A ) Licen e Number _ • 6 a�d5 Address Expiratidn Date Signature Telephone • •' •Re "_ te:,e• H.a"'m"'m® :�yemeri =�: .n racto. n«:.��AR-. _w.zwgw, {ofe,,.. Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone .SECTION 10 WORKERS COMPENSATION INSURANCE?- AFFIDAVIT (M G.L. -c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed andsubmitted 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 ❑ n 'P1 t °©l[l' 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_timei, 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) p(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 Lags Annotated. Homeowner Signature • x SECTIO 5 D S:CRIPTION OF FROPOSED'WORK (checkrall ,aupllcab4le) t , 5 : New House /'Al Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ . Or Doors ❑ Accessory Bldg. ❑ Demolition0 New Signs [ 1 Decks [) Siding [ j Other [ Brief Description of Proposed Work: - '1. k h 1 9 . z� i j a . , (C✓c k 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 Mf re"WMo sM ; o ddiaion tfi exists iW uo sift r ifee, Gttie ftitl.b ,crnk: a. Use of building : One Family Pi Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? 9 d. Proposed Square footage of new construction. Dimensions LI ° e. Number of stories? a' f. Method of heating? SNS Ff F ireplaces or Woodstoves • Number of each / g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? 19( h. Type of construct V[Q i. Is construction within 100 ft. of wetlands? Yes Oc _ No. Is construction within 100 yr. floodplain Yes Vi 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 G(. Private well City water Supply ASECTi01 ' 1NNE AUT#IORIZATION , TO BE COMPLETED WHEN OWPfERS AGENIZ RTCONTRACTORPAPPLIES FOR BUILDING'PERMIT' • I Cb eL1 GQ L 5s , as Owner of the subject property hereby authorize ( )AL/ f to act on my behalf, in al matters relative to wick authorized by this building permit ppl'c ttion. Signature of Owner Date Ard( , 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 .nd penalties of perjury. (kJ,,k,i7L,fc afrtAI Print Name Signa ure of Owner /Agent Date ANINPr 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 I I ` C L ' 7 - i.0 o , r f Frontage RJ r RS" Setbacks Front 351 ,-2c Side L:_ R: L'' U R: I Rear Building Height 4 Bldg. Square Footage % I • �, / 7% Open Space Footage (Lot area minus bldg & paved osa 7( % 'q D parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO DONT KNOW if YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW '' 1 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Oc DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO Or 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: -. ,te r " City of Northampton t k � I �� r in Department �4� )Main Street �, °,, 9s44r g � } -- rom 100 ,. av , �� , ._ JUL 2 o ' f �° ton, MA 01060 , . ,i.,7,17-;;.!4-71,:;-,44,1-4.0 � phone 3 -:: 240 Fax 413 - 587 -1272 . Cf nr q�Itl CtNr -. u ' t �.. m I r s NrtGltO APPL RUCT ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING — SECTION 1 - SITE INFORMATION T hiss e ction to be completed by offi 1.1 Proper Address: �f €rn ��a "„ 1 9 ace._ PJ- or (izt 3) , y tyy; {{{�����_ Zo t" rerla �Distnct " 5 ^Ai � ��--zw��� ` ma,. "� t s: "E' �e$` c.+r�' s. z� 4 .,� . ,.,. hEIml Disu7 * r .. .:. _ ._ . .,ist SECTION;; 2 - PROPERTY OWNERSHIP /AUTHORIZED AG 2.1 Owner of Record: ar'‘cvlS efrit.CTOrN (-)c -?r ' Name (Print) }� Current Maijiciress: ?� (/" ° -t� Telephone Signature lu 2.2 Authori ed Agent: ,,,, P watA4pria-,614. 4,,,,x. Name (Pri t) Current Mailing Address. �- S > 146 ) Si nature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Odal Use Only completed by permit applicant 1. Building � ( a )" Building' Permit Fee 2. Electrical (b)Estirriated_Total Cos 1 , 6 Construction fro (6) of 3. Plumbing i ] C Building Permit Fee - 1 0 00E) 4. Mechanical (HVAC) 5. Fire Protection C� 5 / // 6. Total = (1 + 2 + 3 + 4 + 5) C -Check Number / 4 This` - Section For Official Use Only Building Permit Number: Date Issued: /id idzioliev Signature: Building Comm /Inspector of Buildings Date File # BP- 2005 -0083 APPLICANT /CONTACT PERSON Walter Marek & Son ADDRESS/PHONE 73 SOUTHAMPTON RD WESTHAMPTON (413) 527 -7667 0 PROPERTY LOCATION 19 ICE POND DRIVE - LOT #3 MAP 37 PARCEL 093 001 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 597 3 '4 /4' 6P Tvpeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 055201 3 sets of Plans / Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION PRESENTED: A pproved _ _ Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commis ' n --/ 7 " /. . . . d , - - 9 Z GO Signature of Building Official Dat- Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. d omul tb • e gi.it _ i $ G i j;�.. : � � y` _ ( 9 Alassachusctts w E-_=-71=11 - t � �� DEPARTMENT OF BUILDING INSPECTIONS - , _ '• � ' INSPECTOR 212 Main Street • Muuicipal,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 19 Ice Pond Drive - Lot #3 as shown on the Assessors Page# 37 , Lot# 093 , Zone SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 5 B USE GROUP CLASSIFICATION (780 CMR 3 - R4 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 19th day of May , 20 05 • Certificate of Occupancy and Use # BP -2005 -0083 Authorized De..:.• ent Per onnel Electri . ,, (9A.� I ( Elevator Fire 7 01 1 a � !! or -' P l umbing _ ',,4 1 i „.. w Building 1 ,L, _ : _ �/� Gas AWA . A. •• .Af._; .. r Building Commissioner O� ! � �! 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 l 'alimilvigglagalawaggagagNIIIN/4 19 ICE POND DRIVE - LOT #3 - . 2005 -0083 GIS #: COMMONWEALTH OF MASSA( USETTS Map:Block: 37 - 093 CITY OF NORTIiAVIPT4 Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CON i" )..' ' MS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (T- " •::. Lr`+) Category: �.J J .LING PERMIT Permit # BP- 2005 -0083 Project # JS- 2005 -010 Est. Cost: $206600.00 Fee: $1166.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 513 Contractor: License: Use Group: R4 Walter Marek & Son 055201 Lot Size(sq. ft.): Owner: Walter Marek & Son Zoning: SR Applicant: Walter Marek & Son AT: 19 ICE POND DRIVE - LOT #3 Applicant Address: Phone: Insurance: 73 SOUTHAMPTON RD - (413) 527 -7667 0 Workers Compensation WESTHAMPTONMA01027 ISSUED ON :8/19/04 0 :00 :J0 TO PER.FORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W/ATT GARAGE /DECK /PORCH POST TIIIS CARD SO IT ISfVISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inf,ptctor Underground: Service: Meter: !�- Footings: s(�/ 1. g 'o 2 T / Rough:id ; ,—tot, Rough:/64 /0 7. ,4 4 ,, i7 ,--, House # Foundation: ✓"� Driveway Final: Final: 6%4_ os- a r Final: S /O /o $ g6 Rough Frame: Q K 6 / 8--02/ -,11-4 Gas• f4-3 Fire Department Fireplace /Chimney: Rough: Oil: -- Insulation: .- a Final ..1 - �' a Smoke: "/Si Final : k .5" /S -QS -2&T- THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. , Certificate of Occupancy ..� Signatu _ FeeType: _ Receipt No: Date Paid: Check No: Amount: Building 8/19/04 0:00:00 3473 $1166.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo