37-114 •
T
> 0 DAVID A. HARDY, CONTRACTOR 82 Laurel Hill Road
' Westhampton, MA 01027 I
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DEPARTMENT OF BUILDI.NG INSPECTIONS •
1::SPGCTO2 2) 2 Main Street. /\funicipal Building
Nor 1.11n nip Lori, frf 11 SS . 01060
Square Footage Amount
•
Basement @ _15 • 5C> 1 7g- 57 °
1st Floor @ ji () 5,670
2nc5 Floor @ $ - 9 c/ A L1,7 o
1/2 Floors, Attic, Garage • _15
Deck, Porches $.15
L i I )7- Cl 70
— r
APR 2 8 2004
4 5
TOTAL /
=
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, •
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.
• Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non - Circulating Runouts Circulating Mains and Runouts
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.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 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, 40 -55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
• 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- values, and heating equipment efficiency must be clearly 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 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 clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 120 ° F or chilled fluids below 55 ° F must be insulated to the
levels in Table 2.
•
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
DATE: 04/27/04
TITLE: Ice Pond Drive
Bldg.
Dept.
Use
Ceilings:
[ J 1. Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity insulation
Comments:
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R -15.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frame, Double Pane with Low -E, U- factor: 0.340
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[ ] 1. Door 1: Solid, U- factor: 0.280
Comments:
[ ] 2. Door 2: Glass, U- factor: 0.330
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Floors:
[ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -13.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Boiler 2: , 86 AFUE 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
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 -in- winter side of all non - vented framed ceilings, walls, and floors.
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code .
MECcheck Software Version 3.2 Release la Checked By/Date l < ' r
TITLE: Ice Pond Drive
t `) .
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non - Electric Resistance)
DATE: 04/27/04
DATE OF PLANS: 4 -25 -04
PROJECT INFORMATION:
Lot # 24 Ice Pond Drive
Northampton ,MA
COMPANY INFORMATION:
David A Hardy Contractor
82 Laurel Hill Road
Westhampton, MA
COMPLIANCE: Passes
Maximum UA = 376
Your Home = 366
2.7% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R -Value R -Value U- Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1235 38.0 0.0 37
Wall 1: Wood Frame, 16" o.c. 2162 15.0 0.0 139
Window 1: Vinyl Frame, Double Pane with Low -E 260 0.340 88
Door 1: Solid 37 0.280 10
Door 2: Glass 54 0.330 18
Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1150 13.0 0.0 74
Boiler 2: , 86 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la.
The heating load for this building, and the cooling load if appropriate, has been determined using the applicable
Standard Design Condi 'ons found in the Code. The HVAC equipment selected to heat or cool the building shall be
no greater than 125% f the sign 1911d specified in Sections 780CMR 1310 and J4.4.
Builder /Designer .1.. /'j' Date `/' d- 5' 4(
Permit. No 053 -04
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 04 -05 -04
FEE: $25.00 CHECK #:
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at 10 Ice Pond Drive Lot 24
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 2,
David Hardy
82 Laurel Hill Road Westhampton, MA
01027
Telephone #: 413 -527 -2655
Proposed Location
Inspected By:w 7
Gravel Base Grade
Inspected By:
Final Approval
THE BOARD OF PUBLIC WORKS voted that petition be granted.
George Andrikidis
Director of Public Works
•
A''
•
��P CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
.• it • \
125 Locust Street
Northampton, MA 01060
413- 587 -1570
•
Samuel B. Brindis, P.E. Fax 413 - 507.1576
Director, Cify 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.
W amuel B Brindis, P.E.
Director of Public Works
•
C:\tvtyFiles\Lyn'Driveway Permit General Instructions
(SUBJECT TO ATTACHED CONDITION 1 & 2)
D53 -04
Permit No.
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.
/1 / 7)
By: ` Z
etitione( ,_ --
David Hardy 413- 527 -2655
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
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northamnt n 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: 10 Ice Pond Drive Lot 24
Inquiry Made By: David Hardy 413 - 527 -2655
Date of Inquiry: 04 -05 -04
Municipal Sewer Main in Front of Location: Yes X No
Municipal Storm Drain Available: Yes No X
Size of Sewer Main: 8" Material: PVC Age: new in
2003
Depth of Sewer Main: 8.8'
Size of Service Connection: 6" PVC
Comments: . The City of Northampton has not accepted responsibility for the
Maintenance of the sewer main and service connections as of this date of inquiry.
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the
municipal sewer system. Arrangements of such installation shall be made with the Northampton
Streets Department with a minimum of 5 working days notification. All work shall conform to
Northampton Streets Department specifications.
Storm Drain Concurrence
- Joseph Thomas, Superintendent Douglas McDonald, Enviromental Planner
Streets Department Engineering Department
cc: Ned Huntley, City Engineer
Anthony Patillo, Building Inspector
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St. R
Northampton, MA 01060
587 -1098
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 10 Ice Pond Drive Lot #24
Inquiry Made By: David Hardy 413 - 527 -2655
Date of Inquiry: 04 -05 -04
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: 2003
Number of Type of X Single Family Type of X 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 maintenance
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 Department with a minimum of
5 working days notification.
— Al rk shall conform Northampton Water Department specifications.
David W. Sparks, Superintende of Water
cc: Ned Huntley, Asst. City Engineer
1
I
:::"2lze 6antma4uuea`t al, llaasacluaselk
") BOARD OF BUILDING REGULATIONS
;License: CONSTRUCTION SUPERVISOR
Number: CS 043898
Birthdate: 11/12/1960
Expires: 11/12/2005 Tr. no: 10033
Restricted: 00
DAVID A HARDY '� 0'/
82 LAUREL HILL RD ��
( ,.,, "�'
WESTHAMPTON, MA 01027 Administrator
•
.,\ ' ✓lie 6o mo)uuea/CLt a` . / /.r,�;;a, c/usalta .
n Board of Building Regulations and Str,ndards .
.- _' ,
HOME IMPROVEMENT CONTRACTOR
\ Registration: 101710
Expiration: 6/29/2004
Type: Individual
DAVID A. HARDY CONTRACTOR
David Hardy
82 Laurel Hill Rd
‘,T st1'ca(?fpt. n, MA O'C27 _ y ,
Aunnnim rafor
�
� �c� T VIA e Oiztp• of i:f ellaUt Ttt t • . 1. = _ / ,
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'Z ' ' _ DEPARTMENT OF BUILDING INSPECTIONS 1 , ='_ _{ J
INSPECTOR 212 Main Street • Municipal Building '
,~ S`•
Northampton, MA 01060 �y.
I
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction sups: H sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill)
sonotube holes (before pour), a 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 to me.
Date
Address of work
location
, , •
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DEPART ,ii.maitr=
T.1ENT OP BUILDING INSPECTIONS
=1.1.....4.--_- .
212 Main Street ' Municipal Building
Northampton, Afass. 01060 ' to'
WORKERS CONITENSA'llON INSUIZANCE AFFIDAVIT
I ' f's U i 0 ft J-1- 0- RiPy
(li,..^-cnseelpormittce)
with a principal place of busm essiresidenee at:
. 1 „
c-itire.-i i+ al Poc, 'CC We - 0 41) C 1 -‘ 41 ,7ra? (Phone) 5
(streeticityls
do hereby certify, under die-pans and penalties of perjury, rilat, -
I am an employer providing the following worker's compensation covera2,e for my
employees working on this job:
ii •
1 in Muiverd :ficurteit)ce 800 3 5 7;
- ("basurancz Company) (Policy Number) (Expiration Dare)
( ) I am a sole proprietor, general conti actor or homeowner (circle one) and have hired
the contractors listed below who have the following, worker's compensataon polio:es:
(Name of Contractor) (Insuranoc Comcam, Number) (Exc:rnelon Date)
(Name of Contractor) (Irisurance ComcanviPohm' Number) (Fixciration Date)
(Name of Contractor) (Inar.rance Co LI3 pal; yi? 0 1 i Cy Numixir) ,:E.x; Date)
(Name of Contractor) (I nsd ranc.zi C o mcany1P o Li cy Numb-cr) (Expiration Date)
(mt.-wit, -..... ii - 7 -.,::-., ,.1:,,,,....,-:,,,-)
( ) I a_in a :;o1(:, proprieol and have no one, ' for me.
( ) I am a borne owner oe,rfo7minc all the v, iT,:iscif
NOTE: p[cr.c bC aware that wb.tic Ircsr.covorrra ,, ,t - .-o cc. p-7.7.77-77* to :',) t; x tztt,caacc, cirt r.--:.rc.-t co Cr :r.pau , s . : - .. C'n I C."tilinZ C ' :
not LCCC: than throe units ict v. . 2. -- 11.:.--.n.,aw - u-aa - rca:‘_'-:a s:., cc :1 gr at: .o.11.1 cat act C=w-rzily
cznploy=a u, -9„Lct- taro tvcria- canc-_ Ac (G1..152..:7. I (5):1, T-r■-•::=r by a bc for a I.:c=1.r.o cr pttrrnr:
legal rta.tuR of an employes- under the Worker's Cornporr....tion.A..ct.
. ,
I an-de:mulct that a copy of this cta.tc,-.„,....t a......y be forwars.le-d to 11 D. v.. tmcat of Lr Laq i al Accif.',...,a& Offlosa of 1, for the
covallgc vcrifislioa =Id that ftilurc to ! cov.:1-113,1 un:::- :cclIcr. 2 S A of MGT- 152 can Icat.ti to tho impositim ciCr.r21r PC
cocaiatLig of a fine of up to .1.500.C.0 ' r i•. of up to cr,-.. r s . r .-i c i v il p in :14 fcsnn of a Ste;) Wc''''' ( - ) rc" . - -- ' and ".
fin--- of S10.0.0.0 t thy 1.22,izr.i m..-..
For ci.-4..mrtm ,,„.„ u,... ully
Pcrm _ it Niuntx:r
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stgprtture oi
.:.: . • . ,:
SECTION 8 :CONSTRU SERVICES
8.1 Licensed Construction Supervisor: �� Not Applicable 1:
Name of License Holder : Oft L) L J3 � / (T R izOy C (1�✓ 8 `/ g
7 ( License Number
d C C x L i v - e ( W 71 I'ic,c ( (Je 4 - Iciwl ) I / Ii 2- 1 o 5
Addre s Expiration Date
4L 1 1(8
Signature Telephone
' ere® rr " "8r..uemen tContractor ate- °;qf ,WaRWV'w Not Applicable D
Drub .14 H F1- & &y (Q,' /1-4cto. /0/71 6
Company Name (/(1/ , Registration Number
g Lc ref / f r l� Ct �`';j N'tl!c <i1y,� Y 6 / ( 2-9 - / 0 2 - OC1 y
Address Expiration Date
Telephone `//a -5 7 5 5
SECTION`10 WORKERS' COMPENSATION INSURANCE: AFFIDAVIT (M'.G:L. c: 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No ❑
P,° :70r1 1i !l )111
The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (I) 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
SECTIO • DESCRIpT1ON OF PROPOSEDMO (check ail a pplicab le) 4
New House Tit Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: n .. • r ! e 'TL`cv►1f I Urn fir
i
Alteration of existing bedroom Yes No Adding new bedroom Yes . No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll - Sheet 0
61 : orvatit ition.xto ezi itira uo sing; com ere the following:
a. Use of building : One Family _ )6 Two Family Other
b. Number of rooms in each family unit: 7 Number of Bathrooms t t 5 •
c. Is there a garage attached? Yei
d. Proposed Square footage of new construction. i l E V 6c-t✓c-3 e bimensions 3 5 Y 5 3 6'
s.1 port I YY p N Ck-
e. Number of stories?
f. Method of heating? CSI 9( Fireplaces or Woodstoves Number of each /`
g. Energy Conservation Compliance. _ ye S Mascheck Energy Compliance form attached? Ye'S
h. Type of construction t.2.k`od2 F vhe
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
�r
k. Will building conform to the Building and Zoning regulations? V Yes No .
I. Septic Tank City Sewer k Private well City water Supply
;SECTION ! V R AUT H O RIZATIO N iTO BE!COMPLETED WHEN:
OWNESAGENT'O�CONTRACTOR'APPL1ES FOR BUIL'DING.PERMIT'
I, , 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
I, 1 ) nt.) I 0 I I 1'24ay , 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.
riv 1q 14 14 f4 (1»/
Print Name
4 1 :.✓" V - G 7
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 I I , ' E /0 f id
Frontage f3 . d 7
Setbacks Front 3°
Side L: i�` R: L: I5 R:
Rear (p r
Building Height
Bldg. Square Footage % 075 82
Open Space Footage % I
(Lot area minus bldg & paved QC 3 ? J ,
parking) V
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO DONT KNOW )( YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW X YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO K 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 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:
City of Northampto �_-
Building Department 4
212 Main Street
ec.l:, aai � n :.
Room 100 T f '' .`
Northampton, MA 01060 a � �� ..
phone 413 -587 -1240 Fax 413 - 587 -1272 ®_ �� `
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOY i E 3 ' D M O'L T S H A ONE Oft TWO FAMILY DWELLING
APB 2 8 G
SECTION 1 -SITE INFORMATION i
'
` T e atio ta Co 11 p leted 1 ► office
1.1 Property Address: �� � t
6 1-- c� J � n �� (.�C Ma1� 3 9 � x� //9 fi
Z > ' } ,f�-s r O Distnc
Elm � District •" DWr�ct
r :.v 1 1 <� , _ gy p. „ ti
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGE
2.1 Owner of Record:
Nam�(Print) Current Mailing Address:
O
,if ,4„ - sue?- ( 9( 5 5
VV- , Telephone
Signature
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ES IMATED CONSTRUCTION
Item
1. Building Estimated Cost (Dollars) to be Official Use Only
complete
d by permit a
(a)" "_Building ; Perm
it Fee
33 `1, 80o , OC)
2. Electrical (b) Estimated.Total of
(.0 U U Construction from Cost `(6)
3. Plumbing � �) Building Permit"Fee SO
�� (000 Q l � c�� ,
4. Mechanical (HVAC) / D 4 f O
5. Fire Protection 7, (&0O ' Ca b
6. Total= (1 +2 +3 + + 5) a-6 U�C>UC� 00 Check-Number
i; "// 5-0 / This; Sect For off Use"Only , //r
Building Permit Number . % J Date Issued: .. Signature:
Building Commissioner /Inspector of Buildings Date
•
File # BP- 2004 -1034
APPLICANT /CONTACT PERSON DAVID A HARDY CONTRACTOR
ADDRESS/PHONE 82 LAUREL HILL RD WESTHAMPTON (413) 527 -2655
PROPERTY LOCATION 10 ICE POND DRIVE - LOT #24
MAP 37 PARCEL 114 001 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 /L79J'Zi 47 rO
Typeof 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 043898
3 sets of Plans / Plot Plan ,..40-14/1/pi/k4/114
..4(T 14" pi/k4/1
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFWVIATION 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 mmission
.2 O
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.
,IttAMp
�O O
a �� a ( of Noriliampthn )- * 1
9 VIya i a Jassadiusctts E: __'�_ 't'�
0: Va4 CAS DEPARTMENT OF BUILDING INSPECTIONS '� '1
INSPEC 212 Main Street • Municipal.Building
Northampton, MA 01060
CERTIFICATE of OCCUPANCY and USE
This is to certify that permission is hereby granted under 780 CMR, sixth edition of the
Massachusetts State Building Code, allowing the occupancy or use of the premises o_r
structure or part thereof located at
10 Ice Pond Drive - Lot 424 •
as shown on the Assessors Page# 37 , Lot# 114 , 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 for conditions of the
permits:
Issued this 8 th day of April , , 20 05
Certificate of Occupancy and Use # BP- 2004 -1034
Authorized Department Personnel
t
Electrical ' A...,, �
, , 1_ ,. _ Elevator
Fire ' '7, �t�.l Plumbing , , { • 4 ,i�. . , r
AWN,/ .1
Building _'�� -�-�t�'� Gas a ' ladro
Building Commissioner off/ 1!`
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
04 iHAMp 7 .
etaita ° 4 ;
UiAi P yt LX1J of Northampton 1,
= L
`! '� j lauadiusctts
a ��' DEPARTMENT OF BUILDING INSPECTIONS —
INSPECTOR
212 Main Street • Municipal Building
Northampton, MA 01060 ,~ }
FAX THIS TO: 413 - 587 -1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER* ftra
DATE: . / 1 D ' MAP: 3 T BLOCK:
FILE ADDRESS: l / r p r
NAME: ;;;i c) e , ,(_
PHONE #: _S (o _ 0 / 3 /
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.
:,.= * Or `5 1, ' ears
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10 ICE POND DRIVE, - LOT #24 BP-2004-1034
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map131qck: 37 - 114 • CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:, BUILDING PERMIT
wa Num remora assaumasaaaiwteamoosmEamosammunw,ameuniewams nommarsmonrores
Permit # BP-2004-1034
Project # 3S-2004-1555
Est. Cost: $26000(.00
Fee:1_1166.50 PERMISSION IS HEREBY GRANTED TO:
Coast. Class: 513 Contractor: License:
Use Group: R4 DAVID A HARDY CONTRACTOR 043898
Lot Sin_ j_sft.): . Owner: DAVID A HARDY CONTRACTOR
Zoning: R. Applicant: DAVID A HARDY CONTRACTOR
AT: 10 ICE POND DRIVE - LOT #24
4pplic(!nt Address: Phone: Insurancq
82 LAUREL HILL RD (413) 527-2655 WC
WESTI1AMPTONMA01027 issUED ON:5/11/0411:00:no
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH " :
. ,
-
W/ATUGARAGE/DECK/PORCH .fo
POS'r THISCARD.30 IT IS VISIBLE FROM 'FIEF STREET . .
Inspector of Thinning Impel or of Wiring D.P.W. Building Inspector
Un d erg ro u ud S - • Mel et • . , . , . .
9/6?-f , , . L Footings:
fOugh: ' a i..,...vs Rough: 4 i L j House # Foundation :cf k.
7 A 9/ c?, i Driveway Final:
Final: a. ",- ag
,2----1 '0( Final:
k, I , , r9 HoLES ok 9-.y.0
• .4 ,
5ec.. 31/10,5" Rough Frame: Of
/7,14) 3 / P770.3"
Gas: Fire Department Fireplace/Chimney:
'
Rough: Qil: ,--- — Insulation6 tr t 0 ' i 3 L i "
..-•
Final: J-2-3 - 2.Z / ae Smoke: .2k Final: Of( I-1-7-e 6
.e/L,
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. n 2
... .
Certificate of O --
ccupancy ..
FeeTyne: Receipt No: _ Date Paid: - Cheek No: Amount:
Building 5/11/04 0:00:00 10982/10983 $1166.50
212 Main SOW, Phone (413) 587-12.40, Fax: (413) 587-1272
13uildinL ( crio's.::otier • F. r:'.ony Patillo