37-098 1 , l ' /mo t '1.,.i- . ..°I Ili.rj auap -i�.li - '7 ` ,
. ' W' D E P T M E T OF 3UILDE G TTSPY-GTIONS = _r
1NSPSCTQR S tires 5w Municipal Bi:ilci ,, !`
ortamptoc, MA 01060 --
3 ''' 09g ,
AX THIS TO: 413- 587 -1272 -
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: -7/0/09 MAP: BLOCK:
FILE ADDRESS: C-e Poi-) ve--
NAME: (-) c1V. -cS (,..,Ot.
ADDRESS: G DEC. I ■ 5 CcA fb
PHONE #: S / - 5 Zi Z
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.
r
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.
George Andrikidis, P.E.
Director of Public Works
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Permit No. D23 -06
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.
c
B y : Ai , ''', ' ,, h."
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oner
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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
Permit No. D23 -06
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 3/15/06
FEE: $25.00 CHECK #: 7235
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
49 Ice Pond Drive, Northampton, MA. Lot #8
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:
C me • o a ountry Builders
Telephone #: Roy Giangrego io 413 - 586 -7708
Proposed Location 'x
Inspected By: i_; (-/ ()
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
D. 3 CDC
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Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non - Circulating Runouts Circulating Mains and Runouts
Heated Water
Temperature ( °F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170 -180 0.5 1.0 1.5 2.0
140 -160 0.5 0.5 1.0 1.5
100 -130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes
Insulation Thickness in Inches by Pipe Sizes
Fluid Temp.
Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201 -250 1.0 1.5 1.5 2.0
Low Temperature 120 -200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD: (Building Department Use Only)
49 Ice Pond Drive Page 4 of 4
the manufacturer's installation instructions. Mesh tape may be omitted where 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.
Temperature Controls:
❑ 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.
Heating and Cooling Equipment Sizing:
❑ Rated output capacity of the heating /cooling system is not greater than 125% of the design load as specified in Sections
780CMR 1310 and J4.4.
Circulating Hot Water Systems:
❑ Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from
non- depletable sources. Pool pumps require a time dock.
Heating and Cooling Piping Insulation:
❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
49 Ice Pond Drive Page 3 of 4
0 R EScheck Software Version 3.7.3
I nspec tio n Check
Date: 03/29/06
Ceilings:
❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-41.0 cavity insulation
Comments:
Above -Grade Walls:
❑ Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
Windows:
❑ Window 1: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1: Glass, U factor: 0.280
Comments:
Heating and Cooling Equipment:
❑ Fumace 1: Forced Hot Air. 92 AFUE or higher
Make and Model Number:
❑ Air Conditioner 1: Electric Central Air. 13 SEER or higher
Make and Model Number:
Air Leakage:
❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed.
❑ When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements:
1. Type IC rated, 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. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 Us) air movement from the the
conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 Ibsfft2 pressure difference
and shall be labeled.
Vapor Retarder:
❑ Required on the warm-in-winter side of all non - vented framed ceilings, walls, and floors.
Materials Identification:
❑ Materials and equipment must be identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided.
❑ Insulation R- values, glazing U- factors, and heating equipment efficiency must be dearly marked on the building plans or
specifications.
Duct Insulation:
❑ Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
❑ 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
49 Ice Pond Drive Page 2 of 4
Permit #
Permit Date
CI REScheck Software Version 3.7.3
Comp Cert
Project Title: 49 Ice Pond Drive
Report Date: 03/29/06
Data filename: Untitled.rck
Energy Code: Massachusetts Energy Code
Location: Northampton, Massachusetts
Construction Type: 1 or 2 Family, Detached
Heating Type: Other (Non - Electric Resistance)
Glazing Area Percentage: 10%
Heating Degree Days: 6404
Construction Site: Owner /Agent: Designer /Contractor:
49 Ice Pond Drive Roy Giangregorio
Northampton, MA 01062 C. C. Builders
82 Coles Meadow Rd
Northampton, MA 01060
413 - 586 -7708
Compliance: Passes Maximum UA: 441 Your Home UA: 269 - -> 39.0% Better Than Code (UA)
Gross Cavity Cont. Glazing UA
Assembly Area or R -Value R -Value or Door
Perimeter U- Factor
Ceiling 1: Flat Ceiling or Scissor Truss: 1562 41.0 0.0 45
Wall 1: Wood Frame, 16" o.c.: 2738 19.0 0.0 148
Window 1: Wood Frame:Double Pane with Low -E: 266 0.280 74
Door 1: Glass: 7 0.280 2
Furnace 1: Forced Hot Air: 92 AFUE
Air Conditioner 1: Electric Central Air: 13 SEER
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 REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checklist. 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 specified in Sections 780CMR 1310 and J4.4.
l ' /' `'i C IA kt)a..EGG el° ` Pc 4'i" I V4 Ic.- 4 -& a' /2_`i /oc
Builder /Designer Company Name Date
49 Ice Pond Drive Page 1 of 4
' MUNICIPAL SEWER 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: 4 Ice Pond Drive (lot 8)
Inquiry Made By: Roy Giangregorio
Date of Inquiry: 586 -7623
Municipal Sewer Main in Front of Location: Yes X No
Municipal Storm Drain Available: Yes No K
Size of Sewer Main: r Material: P V C Age: 3 14445
r
Depth of Sewer Main: g 4'
Size of Service Connection: P VC
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 Streets
Department with a minimum of 5 working days notification. All work shall conform to Northampton
Streets Department specifications.
Storm Drain Concurrence
`ca- roa._..)
Joseph Thomas, Superintendent Douglas McDonald, Environmental Planner
Streets Department Engineering Department
cc: Ned Huntley, City Engineer
Anthony Patillo, Building Inspector
•
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: 49 Ice Pond Drive (lot 8)
Inquiry Made By: Roy Giangregorio, 586 -7623
Date of Inquiry: 2/09/06
Number of Type of x_ Single Family Type of _x_ Private
Units: 1 Unit(s): Accessory Apart. Ownership: Condo
Multi- family Rental
(Applicant to fill out the above)
Municipal Water Main in
Existing service to
Front of Location? Yes: X No: ❑ site? Yes: X No❑
Size of Water Main: 8" Material: DI Age: 2004
Approximate Static Street Flow Test Conducted: Yes: ❑ No: X
Pressure: 65 If done attach results
1 "
Size of Service Connection:
Suggested Meter Size: 1"
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.
• gements of su installation shall be made with the Northampton Water Department with a minimum of
orking s of cation.
• / All work sh co orm Northampton Water Department specifications.
David W. Sparks, Superintendent of Water
cc: Ned Huntley, City Engineer
\ \snrh I \adrnin \I enints,AWater Application \water Aeailahi(itv=doe
.- d � Q ��
NORTHAMPTON CITY OF NORTHAMPTON
.,f,..„..s,* 212 MAIN STREET- MUNICIPAL BUILDING
t. ;Y ;° „ NORTHAMPTON, MASSACHUSETTS 01060
n
- BUILDING PERMIT FEES
DEMOLITION $15 -O ACCESSORY STRUCTURE
$35 -00 - PRINCIPAL BUILDING
* NEW CONSTRUCTION, (I I Q CM
.50 , per square foot for the 1" floor <. Z�
$.3:0 "2"a floor -- I U ?
$ .15 " %2 floors, attic, basement, garage 23%2Z 5
INTERIOR STRUCTURAL ALTERATIONS IN ALL USE GROUPS:
1110
$5.00 Per Thousand dollars of estimated cost or fraction SO 6
thereof, with a minimum fee of Fifty Dollars ($50). r--'
I6) -6x.15
WOODBURNING STOVES - $25.00
? 2 92. Lio
* NEW ACCESSORY STRUCTURES , one hundred twenty (120) square feet and over. S S S
$.10 per square foot with a minimum fee of Twenty -five
Dollars (525.00) 3 Z L t. • 0O
* NEW ACCESSORY STRUCTURES, under one hundred and twenty (120) square feet: ,■.- -�
$25.00 per inspection i �, 1 ."
* SWIMMING POOLS $25.00 FOR ABOVE GROUND
$50.00 FOR INGROUND
* SIGNS AND AWNINGS $30.00
* Decks $50.00
REPLACEMENT WINDOWS $25.00
SIDING AND ROOFING - residential Commercial — Siding & Roofing
per structure $25.00 per structure $50 min or
$5 /M estimated cost
Tents $25.00
* ZONING REQUEST FORMS $15.00
* Borne Office /Occucation Reaistration
REPLACEMENT OF LOST
BUILDING PERMIT $25.00
CERI'IHCATES OF ANNUAL INSPECTION $75.00 MINIMUM
PERMITS REQUIRING ONLY ONE (I) INSPECTION WILL BE A MINIMUM OF $25.00 ALL
OTHERS WILL HAVE A $50.00 MINIMUM PERMIT 1.>_.hS SHALL BE MADE OUT TO THE CITY
OF NORTHAMPTON AND SUBMITTED WITH THE COMPLETED PERMIT APPLICATION TO
THE O1.1.10E OF THE BUILDING INSPECTOR WORK STARLED WITHOUT PERMIT SUBJECT
TO DOUBLE NORMAL N.
CHECK OR MONEY ORDER ONLY PAYABLE TO THE CITY OF NORTHAMPTON
*Filing Deadline is Wednesdays by Noon
DEPARTMENT OF BUILDING INSPECTIONS
413 -587 -1240 Fax 413 -587 -1272
. ' .
4 .TtiAMp 2 ,
� , .. �±± Iy IIZf i 1lt�J t7TC Z —* /.
$ =c� n +a " .ffir assacipasetts -----1.--f-f- - i
'};� DEPARTMENT OF BUILDING INSPECTIONS ' — / :
INSPECTOR 212 Main Street • Municipal Building ' a „, S
Northampton, MA 01060
ei
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction sup, :: , : The state defines "Homeowner” as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two --
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 - ta
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 i egulations. 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 rough 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- tome
Date
Address of work
location
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i
•
cf Padlizamptaii J �!
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•
DEPARTMENT OP BUILDING INSPECTIONS
212 Min Street Municipal Building
Northampton, Mass. 01060
WORKER'S CONCPENSATIO Mai - RANCE AFFIDAVIT
(IICC.S
IIJpCTmJitCC) . .... --- - --
with a principal place of businessfresidence at: -
j
02- CO C , C - 5 fa t 6 e l C'iv • kJ a r i o t / N f l (phone;') it l 3 - S% 7 ?O&
(sJt /city /sta>_c/np)
do hereby certify, under the pains and penalties of perjury, thai •
I am an employer providing the following worker's compensation coverage for my •
employees worl6rig on this job.
"t --�. -— - 7P-51) aka 76 3 C . : 4 , o ( # o , S _._ / ( G _
(I some Company) (Policy Nu abcr) (E:piratior, Dal`)
•
( ) I am a sole proprietor, general contractor or homeowner (ci cie one) and have hired
the conuactors listed below wbo have the follo:vin2 worker's compensaiion policies:
G' A 1l i M Ec.FC t P_ t. f 4` we (u 6
j P L5 Pt-Q�4 67 GdhiA.1J ter) co, Pi9K,c:. 1i7�? 'I �foL G' ( `7-
(Name of Cont^cto') (Insurance Comparryf?oiic— Nam. :) (1_splyduon Date)
004PS4lt I t+Au 653i e(2-ci
P-(0. /-1 'si �j�y lsi, hiL�iktC.4o� i M✓� fG P 70 t�Lt `� 106
(Name of Cont actor) (Insurance C.omoanvz ?obey Numi:_r) (L\Dirtiion Dale)
A 1 (`'1 NIuT'UA (. [ ILA CV. 70 I,SN 3 - i 1 f 1 7
(Name of Conrraeto (Lnsurane; Company/Policy Numtu) (E.xpiradon Date)
(Name of Contractor) (Lnsuranca Comp rry/P o !icy Numb`r) (Expiration Date) -
(iGat1 oc71 bcC;tn« -r -to "ac iafotcu- oa pc - utiaias to .11 oocn-_c.ors) -
-
( ) I am 'a sore proprietor and have no one working for me.
( ) I a.ima home owner performing all the work myself.
NOTE: p1c4c be asv-uc ti, tilL1 wtr.Dc loc0000wtocro wtoo ci plcy pc. -oai to do • sJao c rcpau s.orz on • d.. <tl sT, of
loot mot tbea t.'-m =its is w ch the bomoowoc raid= oc oa the r7 zr^R -= tT'•D ' r ax a.• -cd to t c
citployco unG = the •-c6: —. Pct (GUI 52- =1(5)), pliaaco by • bomraax fc c ti c or pc-non coy e,ideooc (Se
lc-p.1 nee of as under ciao W ock Coosp000 •bolo Ae _
I undast nod that : copy of Ltd, eaf.emcv =Ay be focwurded to the C-opertmcca of lucf.ixr4.1 A<odcash' OfGoe of for tits
00VC1Sc veil] ioo vd tau f iltac to r«tuc covcrad^c t l - soadon 25A of }.MOL 152 an lc to the imposition of c imiaal pcnaltia
oocoi slog of • ring of tap to 51.300.00 •ndfor mxlaih ocrme-hl or up to ooc yes: gad a tiil pco Mint in ttx fort of • Stop Work Ord cad • -
it= 0(5100.00 • day icaiu -t mc.
ra dcy.r ^- u+c only -
Pcrmi Numbs -
Signata.tr - of Licza fPcrmi Date
SECTION 8 CONSTRUCTION SERVICES i
8.1 Licensed Construction Supervisor: ! Not Applicable ❑
Name of License Holder : tee 1 C $' j.J( C,: (-0 kiti 2 5 7
License Number
_ 14, (9 z - ACS HU0Qoi�(.,, P-0e4 b u tu M & 11 Iz_gc2
ddress Expiratio Date
� 4 -ii3 - S 6` 70a
Signature ) _ T e lephone
a f ix. .:..wrkames:�+aC �;,r -�i. -' N:,,, . _vs
9LR ster i omnfine �emen t�Cor>Et : �.. r ry w i,', - : :::-.17P Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10 WORKERS' COMPENSATION - INSURANCE AFFIDAVIT (M:GL c.1,52, §,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 ❑
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
.
f,:
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all'aoplicable)
New House in Addition Q, Replacement Windows Alteration(s) n Roofing 1 1
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [l ] Decks [EJ Siding [o] Other [CO
Brief Description of Proposed
Work: C.[7 VS ) c T A t -<'-G R.. s t & •-,_( C' 1=4 M t Lv iV 1 Wiry ('k /2.966
Alteration of existing bedroom Yes I\ No Adding new bedroom Yes X No .
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet
sa_ if -Work i i a 43 addiit6Wr exls fir a> ieriW6WifiWli ` et iov Ong:
a. Use o f b • One Family K. Two Family Other
i
b. Number of rooms in each family unit: I Number of Bathrooms Z f 2
c. Is there a garage attached? 4 ES
_ i !l
d. Proposed Square footage of new construction. Z. ( 6 10 Dimensions . )( 1 40 OUC=0_4.)
e. Number of stories?
f. Method of heating? Rieke f I 4 Gicl 5 Fireplaces or Woodstoves Y E S Number of each
g. Energy Conservation Compliance. Ni £ 5 Masscheck Energy Compliance form attached? 1 E 5
h. Type of construction ►( I(.4 e
// YY
i. Is construction within 100 ft. of wetlands? Yes X. 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? X Yes No .
I. Septic Tank City Sewer X Private well City water Supply X
SECTION 7a - OWNER AUTHORIZATION - TO , BE COMPLETED- WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, qpi j ( OQ (/✓C thi 64 A. Le rt/"Q i it e (QS/ h skf / 7 , as Owner of the subject
property /
hereby authorize t o C/ a n 1 C 0 r (] t �,
to actrpn my beh , in all m rs relative to or a orize by th bu p e it application.
Signature of Owner Date
I, Qo L I G f / PG _ETG o f (C , 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.
04 3 1 , GlPt JG - CGc -(O
Print me ; r
V 4 i u4 ' ,3/2. C O 6
Signature of caner /Ag t Date ((
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I
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning f
This column to be filled in by
Building Department
�3,3T-l Z 3'$ -1 a;
Lot Size --
Frontage &G, 7 , , ; e6. 7
Setbacks Front !. l _] i kb I :
Side L:.36 ' R'30 • L: R:= ,30
Rear =_5 ' 40 2S-
Building Height - W 77 - - -/
J�
Bldg. Square Footage j i ; i % 1 Ll4`}I`' ( I l
Open Space Footage
(Lot area minus bldg SE paved ' i WO ` ( E La3 „ ti 3/ �O
parking)
I
# of Parking Spaces
Fill: r 3 i 90 `i A S
(volume & Location)
�KI'i(.l
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO @ DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book : Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO re DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
• Needs to be obtained 0 Obtained Date Issued:
C. Do any signs exist on the property? YES NO NO (3
IF YES, describe size, type and location: i �U IS Sl GNI 2 X 3
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO `ham `F�'�
IF YES, describe size, type and location: i 1
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 r NO te`
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
A City of Northampton tie
Building Department C Guy �� t:
212 Main Street e e = �• IQ.,
Room 100 LW`e s
Northampton; MA 01060 a S
eft phone 413 - 587 -1240 Fax 413 - 587- 1272
f7fhe ' `
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION t - SITE INFORMATION
1.1 Property Address:
This section to be compret ofrice '-
Z / (c_.(;. P G j d it) 0 kl U c . 'svr
/V° . t- 1 6 d K. I f4 0 i Gi & G :`
Zone r-Overta4 District --
k EImFSf2 D�strrct ^ � CB D�stFict
SECTION 2 - PROPERTYOWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
(flip DESPtc4N0.LUf t E Y415/A,5K1 ( I 1. - / &(.Tc` "i. Aue
Na7Print) Current ailing Address:
1 i2 - ru kaMit ^Tc PIP x1060
Telephone
Signatu
2.2 Authori d • en IQ-u 4
E' t :
. t CCC ..1 G° �L �u�.c S m D �' v,
` Current Mailing Address:
• • i 064 p kJ 01 0 60
Signature ' Telephone 4 1 I .3 S & 7 Toe
SECTIO E A r. CONSTRUCTION COSTS I
Item - Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 3c), (a) Building Permit Fee .5 I St .3017,
2. Electrical ( K (b) Estimated Total Cost of • q ")
Construction from (6)
3. Plumbing ( 0 K Building Permit Fee
112-h V /l
4. Mechanical (HVAC) ( 8
5. Fire Protection
6. Total = (1 + 2+ 3+ 4+ 5) 3 5 k Check Number 1 2,6 3 /12,1 ci O
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature: •
Building Commissioner /Inspector of Buildings Date
file # BP- 2006 -1017
APPLICANT /CONTACT PERSON Roy Giangregorio
ADDRESS'PHONE 82 COLES MEADOW RD NORTHAMPTON (413) 586 -7708
r
PROPERTY LOCATION 49 ICE POND DRIVE
MAP 37 PARCEL 098 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Luilding Permit Filled out
ePaid A `-)261 4 f L `f U
Typeof Construction: construct SFH with Attached garage A
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included: n �+� �,��-
Owner/ Statement or License � � n �� S A 1 U � ( - �G�E� I' �R-M � l S — • i �' `' �
3 sets of Plans / Plot Plan d. 1 i 'o
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQ 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
„ - - id , - .4. . . . t . . . . . --:, - , /7 - " {" - - k - - - -re OL-f/0 y /6-6
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.
3
49 ICE POND DRIVE BP- 2006-1017
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 37 - 098 CITY OF NORTHAMPTON
Lot: -
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2006 -1017
Project # JS- 2006 -1507
Est. Cost: $345000.00
Fee: $1121.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 Roy Giangregorio 062571
Lot Size(sq. ft.): Owner: DESMOND DAN & LORAINE YASINSKI
onii :SR Applicant: Roy Giangregorio
AT: 49 ICE POND DRIVE
Applicant Address: Phone: Insurance:
82 COLES MEADOW RD _ (413) 586 -
Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON ::4/4/2096 0:00:00
TO PERFORM 7HE FOLLOWING WO,K :CONSTRUCT 2 STORY SFH W /ATT GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground:71166 ,i rvice: Meter:
Footings: f
Rough:" /'* / ' : Rough: %1J/2 • House # Foundation :a% ! �'L � s ��
6 (" a 0 d - PC/ /I Driveway Final:
Final: 2,- 1,6( J Final: t 15/16o -'l-'
t� 1 /
/j j/ & Rough Frame:
Gas: Fire Department Fireplace /Chinmey:
Rou : 7' f// f Oil: J.2 - - 6
O. 5� Insulation: k
Final: f a_ ( „ 0� at Smoke: /a ' 7 66 1 Final: 0 c
1Zf i 2 •(, i
«l d1s
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULAT Y T
Certificate of Occupancy Si. nature:
FeeType: Date Paid: Amount:
Building 4,4/2006 i,:6a :00 $1121.407263
212 Main Street, Phon (413) 587 -1243, 'ix: (413) 587 -1
Building Commissioner - Anthony Patillo