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37-065 Units 1 & 2 r 678 FLORENCE RD-UNITS I &2 BP-2005-0375 uts#: COMMONWEALTH OF MASSACHUSETTS Is1gp:Block:37-065 CITY OF NORTHAMPTON et;-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT _Fer�iit# BP-2005-0375 Project# J5-2005-0497 E_yt Cost:$311000.00 Fee;$2065.9Q PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: e G onp: Kohl Construction_,. 051622 Lot Size(sa. 0.): 371566.80 Owner: TOFINO ASSOCIATES INC ,Zoning:SR Applicant: Kohl Construction AT:: 678 FLORENCE RD - UNITS 1 & 2 Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256-0321 Workers Compensation HADLEYMA01035 ISSUED ON:10/21/04 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 FAMILY DUPLEX POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 10/21/04 0:00:00 26097 $2065.90 212 Main Street,Phone(413)587-1240,Fax; (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2005-0375 APPLICANT/CONTACT PERSON Kohl Construction ADDRESS/PHONE 31 Campus Plaza Rd HADLEY (413)256-0321 PROPERTY LOCATION 678 FLORENCE RD-UNITS 1 &2 MAP 37 PARCEL 065 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 2 FAMILY DUPLEX New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owned Statement or License 051622 3 sets of Plans/Plot Plan ..�i`�� " __✓ THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQtMATION 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 Conunissi .��fBuiG�y !X O 200 Signature of Building Officra 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. / Ua' i7" S / 4-- *-- - e-ay ' 'a 4,z�" 1.sti ` ,-`- City of Northampton -.0 _--+-__ ,3'- ".:-�`' Building Department a7`. ?, b'i'4-� `, - .'�- 212 Main Streeter y,Er , `e § Room 100 . _ .. !S , -_ Northampton, MA 01060 a, . w,a- 2tg phone 413-587-1240 Fax 413-587-1272 5C- dt-...--3F--,7,i... 0a- t L. to "M-f. a APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Adtlress: is This section to bA coompletedby office. 078 FOAL-u car- -b n-H. V Egt O $ - -- rco A E-AtEC,, M 19 7 .zips Oveday"DistncL =Ebn0€.11 ict ,_<CBD6trict .._ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 70Ftu0 5Soe- .4mC - 3r CAA-tpv5 Pi-4.-09 iib. 4,1bLct ,q4 Name(Print) / Current Mailing Address. 'I ,)-4-6 —032 ' ata5 It A,, - t Telephone gnature - C 2.2 Authorized Agent: L (on /d� c7rgn/ ILC- 3104,-IPus pv�z/3Ab . i�k4b4=Y;,tiY4 oio . Name(Pri Current Mailing Address: ::; 1.4`FC-r- 11 .2'5-6 —05 t Signatur- Telephone SECTION 3-ESTIMATEDCONSTRUCTIONCOSTS Item - Estimated Cost(Dollars)to be Official Use Only comnletedy permit applicant 1. Building 81-5-0, O G V�q (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of V i Ct U C)O Construction from(6) 3. Plumbing $ ! 1! C tJ Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 7 S7 0 Q 0 6. Total=(1`2+3+4.5) '1 " 311) 000 Cheat Number ' �om`+r!/ O This Section For Official Use Only Building Permit Number, d 41-..-- '7 Building Date. Issued: Signature: _ r Building Commissioner/Inspector of Buildings Date "`r. Section 4. ZONING All Information Must Be Completed,Permit Can Be Denied Due To Incomplete Information Existing % Proposed Required by Zoning This column to be filled in by Building Depamnent Lot Size -P-(4.97 Ae,v, i '. j'Qn= _ . Frontage fOQn(-yl /Od .69 I I Setbacks Front >7„m f ltl'r i --e. _0 Side L: --R: L:?fW RW Rear 7 75co 1 Building Height %.-^ f • ITi Bldg Square Footage I I % ;tint Open Space Footage % (lot area minus bldg&paved 7ku k5 -`70u parking) #of Parking Spaces Fill: i (volume-&location) I A. Has a Special Permit/Variance/Finding ever been issued far/•n the site? NO 0 DONT KNOW 0 YES l+ . IF YES, date issued:' /O/ //p3 ' IF YES: Was the permit recorded at the Registry of Deeds? (''� NO 0 DON'T 0:l KNOW © YES IF YES: enter Book '. 7'7 4 ---, Page: / • and/or Document 6', B. Does the site contain a brook, body of water or wetlands? NO © DON'T KNOW O YES IF YES, has a permit been or need to be obtained fromomthe Conservation Commission? Needs to be obtained O Obtained ( 1 Y . Date Issued: ! sty a/o cj C. Do any signs exist on the property? YES Q "`VVV NO �3' I IF YES, describe size, type and location: f D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO VA IF YES, describe size, type and location: i I E. Will the construction activity disturb( ear i grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check allaoplicable) New House INN Addition ❑: Replacement Windows Alteration(s) n Roofing n Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [O Siding[O] Other[O] Brief Descngkon of Proposed work: COuSTA UCT A =cu 2-5ToKY ruc - Dr/i44-r L-'-b b0 Ai_CX ✓9srbC-�i /d&-- Alteration of existing bedroom Yes No Adding new bedroom Yes No . Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet ea-l€iiiiewtroaaear Xora$ilftoa..tuez' 1'eiq�fiahlliti ebllrnfel .`1tFre`fulowmp: a. Use of building:One Family /T^wo Family ' X Other b. Number of rooms in each familyunit: L/2/ 4 7 Number of Bathrooms 3/� C. Is there a garage attached? , 0 d. Proposed Square footage of new construction. q 2-'-I G Dimensions / x l]S TA Q. e. Number of stories? LL f. Method of heating? 64S/wA/d k-/ A"1,AN. Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? X e'15 Li ( escAlPrlv� P H. Type of construction ,�n J I. Is construction within 100 ft.of wetlands? Yes /V No. Is construction within 100 yr. floodplainDC ll Yes No j. Depth of basement or cellar floor below finished grade \ t/0 - S t k. Will building conform to the Building, -and Zoning regulations? X Yes No. I. Septic Tank City Sewer_ /K Private well City water Supply, SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1•tr ()l 1 a'-A-TAND CYO C- / IVO •T SOC ' 1 ,as Owner of the subject property /I__'' { hereby authorize /' ON// /� h/ `0 '•5 ve 470-1 1ne • to act on my behalf,in all -• - -lativ- r.rk authorized by this building permit application. •_. ( O S•nature of Owner - Date I. - L_,. 4 ser-r- _ P. A. 415 y- ,as Owner/Authorized Agent hereby declare that • e s t=-men. and in ormation on the oregoing application are true and accurate,to the best of my knowledge and belief. Signed under the •ains and penal •-o •erju '.. ., _ ` _/_(V di_ / Wil_ n Name ,1� -1a .G Date 2 94 9/ Li Signature of Owner/Agent SECTION 8-CONSTRUCTION SERVICES V • 8.1 licensed Construction SppeMsort //�� Not Applicable/ ❑ Name or License Holder: DAUVQ A• . 1/(1—CCALA o (56 / �d� .... license Number (1 tatkat ( �r31 Lai .sy ©'7-0/. a5 Address Expiration Date ER \Ji , 01034 Signator- / Telephone yea fsa ,v .254 0381 :"rte ar [Fullµ:- "±l f x ,dam *ax's i .a _+-r Not Applicable ❑ fri L C6wsl- �uC: ArWict5 Company Name egistration Number 3/ C4.4.ts 412A A /02-?-5-?„ [ / } 7 1d2�5?,. _ _ Address TelePh0002 4J-2),S6j Expiration/ te I-1 A ; cC - 6/ / V!}k SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(KG.L.c.152,:$250(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 0 No 0 uNri} ' � ,'3't Mai lA l9 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 hue who does not possess a license,provided that the owner acts • as suoetvisor.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 then one home in a two-year period shall not be considered a konreowng,L. Such"homeow,m"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 perfonn 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 • File No. Please type or print all information and return this form to the Building Inspector's Office with the $io.filing fee (check or money order)payable to the !- City of Northampton. 1. Name of Applicant: rs c g-t_ de fru STo ,.�. AlIE. Address: 3) (%w.pcS f4 24 f` dII / d/Py Telephone: 1s4 03 a-( 2. Owner of Property: TO r/ iLt d A sca Address: 3 / (2t.4.yci.' Y 4 74 1Q el. ALT d/e k' Telephone: 2-5-6 —6,J 2 3. Status of Applicant: Owner Contract yP7urchaser LesseeOther(explain) A c t 4. Job Location: 6 7 9 Flo ' -'i CQ `t b • Ft() / LTA)e(c`, N1 $ 17 wi'p +� -.� FS 1 • 1 ( a1 m. THISI luiUtilaailifita 5. Existing Use of Structure/Property: L`6 D is C L o l 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): CousTAU or NEIL) PRI v /3- Ac iAiuD , 8 Al au si b L=hi c e 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES_... IF YES, date issued: /7/?-/ /C7) IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES V IF YES: enter Book 79 74, Page 1572 and/or Document it xooy CcCc,7-7 ))0 9. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? �t / Needs to be obtained Obtained +!1 ,date issued: 9// 30J 6 (Form Continues On Other Side) • 10. Do any signs exist on the property? YES NO IF YES,describe size, type and Location:_ ' Are there any proposed changes to or additions of signs intended for the property? YES NO 4K — IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING. Lot Size .1?- y . cf 7 A0 Les 9 7 `-f Ae ves Frontage I / / 00 (oy IOd_ 69 Setbacks Front - 7. 700 Side L: R: L: 7 / R: 7 /00 1: It: Rear > S 0 U Building Height 3 Building Square Footagerj- rl t& / / %Open Space: flat area t >��/ ( 3 / Civ 5 "�Dty�,✓ '4- mines building a paved parking )AevCS S-ee c Pira ah/ 1O fa H .. #of Parking Spaces L1 Se-eb(..<9 #of Loading Docks Fill: (volume & location) 12. Certification: i hereby certify that the information contained herein is true and accurate to the best of my knowledge.W`)17/7° e. r`/ V G/�// Date: J t ` J I ° Applicant's Signature o Mr NOTE:Issuance of a zoning permit does not relieve an app ant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. 000.pdf ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION Applicant Name:� '7 tt I ( �-5 I- T rte . Site Address: 67?��0,04e--Ai �rk 4� i� Is Applicant Address: 3/ • (t4MPUS,1 ft z43- f(t City/Town: . ! r�/sir1Y • Il f-)-P}DLEyj A44 OLo lc Use Group: a- . Date of Application: '''Mar a _ Applicant Phone: 2-54 —O 3 X ) Applicant Signature: ir�i1 „4. Compliance Path(Check one): Prescriptive Package(for 1-ort-family residential buildings not heated by electric resistance) ill in all values that apply from Table 15.2.1 b: Package Number(A through 1(K): V a. Gross Wall Area '/ 7&R sq.ft f. Wall R-value R 73 b. Glazing R.O.Area '7/�/ 7. soft. g. Floor R-value R- 14 c. Glazing%(b+a) /-1 . 9 % h. Basement wall R- // d. Glazing U-value d a I. Slab Perimeter R- �' e. Ceiling R•value $- . 0 ,. Q j. Heating AFUE 73 Q Component Performance(Manual Trade-Off) Climate Zone(from Figure 36.2.2) 0 Zone 12 0 Zone 13 0 Zone 14 Attach Trade-Off Worksheet from Appendix 1, [and HVAC Trade-Off Worksheet, if applicable] O MAScheck Software Attach Compliance Report and Inspection Checklist printouts. O Systems Analysis 0 Renewable Energy Sources Attach approved Analysis Official's Name: Official's Signature: Application Approved 0 Date of Approval: Application Denied 0 Date of Denial: �. Reason(s)for Denial: (over for more) encs ivoarot Nk • • +E ) (iiii-a of Northampton a4 .. 1 .A.,anchnsttr. 5 DEPARTMENT OP BUILDING INSP?MON$ ' 212 Maio Street ' Municipal Building Northampton, Mass. 01060 "r ' WORICitS COMSENSATLON1 CISSUJRJ ACc A1T13)etV1T I. LP-t .loe_ i errssri o�' �nce\ C nn�TnAcctcN iLU Licc (icensxlp:ucittrr) ooh+ a principal place of business/residence al: - -- 2,1 Cr.v,.. fy, ` flim„ 1°. af‘� rnA (phonei)_clS(0 034;0 (snr-ltdfytsereca ) dohereby certify, under the.pains and penalties of perju y, rite(V5/I zrD an employer providing the following'worker's cosnocrs_uori covea;c for my employees working on ties job: A I . M . UAua,ctI Whn ZLIQ,16 -7),, c12j1n nc arson=Coap=nv) (Policy Wa.t1 (-:pin fan 'an ( ) I am a sole proprietor, genera! conraaor or homeoceoer(dere one) and have lured the conn-actors Lied below who have the following worker's coopensadon policies: (Nora: oc Co Jacor) (Inshore Company/?cher Naan_crl .pvd_o.c Oahq _ (?t me of Conm_aor) (lnslrzne=ComooaviPo[icc Nrsabs) {tipiraan Die) . __ (Nome of Coaaaaor) (1n rano Company/Policy Nushul (Expir_-coo Date) (Name of Con2aeror) (Jnquance Comoatry/Palicy Nuetbrl (Expiation Date). °,oath Wit—,cc.;te. ..re a,41dam info.x„aoa p +c u.0��-,) ( ) I ate a sore proprietor and have no one woriang for me. ( ) I am a home owner performing all the work myself. NOM:pica tx awevono..zlc bcw tcaabo arptay pC.cnv to Liz--- e-3.0 , cva-rsz wee m.li r'at act mom thee Ora laais wide ea b o—a-rodeo ar w,L4 pwn+.3:J7.1nozc lbC.,e cc we L.... Vly C.-ni to tc c ,Iaymaaa.»vka c.,,,,. ..,m w(OLtS'L I(5)),applicanoo by.botaaaa fa t 5ck a pc-.an=Y<vacua it r,.Epr a._,of.a oaatoy.r aaec tha wo.4ce,Coope n..;aa Ax Iaadca.ad GC a a,fl ares oalmB may b to, -.J..i to st c,,,-A mt A L+6,-Ad h AAA"OWos or`"'s-. al.A. wrevy<.6c4a1,and zits f :a.musmw-ayv+mdc:zvw.25A of MOL.151 as t=41.01ix i 6ofcviuA xnska toe-loin ofaGeo crapmrI}oo.oOvUor Orrprioomaj of op a as ra.cad oath poeatim a&room oft sap wort ort tads fru azio Ov LPL=me Y L¢i -. / / Mc dZ... `arc WY Person Number S Cnaonc of L;..- . -contuse. Dote J S .1r �� g'edka Lifp u# urfliam}ttim ,•-.v.3 tD• iiin,acl n.dUs -- 3I DEPARTMENT OF BUILDING INSPECTIONS =al1— /? INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 e' HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supe: .'isyr. 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 wilt 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 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 11I 1 I - i aTnnNpr i 2� �4 �� t i � 1 A �E V.TEU al Xerilmumplon •r€ • t ` DEPARTMENT OF BUILDIC INSPECTIONS 2)2 Main Strccl • Municipnl Building 1 l[+SpECTOR Northnmp ton, Mars. 01000 1 -- Square Footage Amount - Basement 0 $-is I I.(0" 1 Qr.) 1i.j-C.q t} . 1s Floor E +9_� 11SI -h' it?) 7(5..x. 00 2nd Floor $ $30 57A4- 7 J 'las. 60 1/2 Floors, Attic. Garage $_15 .kct t-51, >.38 ` b 0 Deck. Porches $-15 I SR— ?-le 80 2-ocs, id %t(1191));): to7 rccRowe k) --Pick-,1X-7- 37 — a 6S" MUNICIPAL SEWER AVAILABILITY APPLICATION ,— __ __, Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-I570 A Dep?rtment of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: -678 Florence Road -(Black Birch Trail) Inquiry Made By: Steve Ferrari 256-0321 ext. 103 Kohl Construction Date of Inquiry: 104104 Municipal Sewer Main in Front of Location: Yes No X Municipal Storm Drain Available: Yes No X Size of Sewer Main: 8" Material: PVC Age: 2004 Depth of Sewer Main: Varies throughout project Size of Service Connection: 6" for all units Comments: . The sewer line that services this project "Rocky Hill co-housing" is a private Sewer. The sewer connects to the City system at the intersection of Burts Pit Road and Clement Street. The City will not maintain or repair this private sewer system. 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 t a Joseph Thomas, Superintendent Douglas McDonald, Environmental Planner Streets Department Engineering Department cc: Ned Huntley, Asst. 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: 678 Florence Road Unit#1 Inquiry Made By: Kohl Construction—Steve Ferrari 256-0321 ext. 103 Date of Inquiry: 9/29/04 Municipal Water Main in Existing service to Yes: No: site? Yes: Front of Location? _X_ No: X Size of Water Main: 8" Material: Ductile Iron Age: 2005 Number of Type of Single Family Type of _X_Private Units: I Unit(s): _Accessory Apart. Ownership: Condo _X Multi-family Rental Approximate Static Street 60 Flow Test Conducted : Yes: No: X Pressure: If done attach results Size of Service Connection: I" Service Y4"Meter Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plan. Inspection required at house curb stop during installation_ • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • m Arrangements of such Ilation shall be made with the Northampton Water Department with a minimum 0 5 'orking days ' cation. • work s 1 co form to Northampton Water Department specifications_ David W. Sparks, Superintendent of Water 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: 678 Florence Road Unit#2 Inquiry Made By: Kohl Construction-Steve Ferrari 2556-0321 ext. 103 Date of Inquiry: 9/29/04 Municipal Water Main Existing service to In Yes: No: de? Yes- - Front of Location? X No: X Size of Water Main: K" Material: Ductile hon Age: 2005 Number of Type of Single Family Type of _X Private Units: _1_ Unit(s): Accessory Apart. Ownership: Condo X Multi-family Rental Approximate Static Street 80 Flow Test Conducted : Yes: No: X Pressure: If done attach results Size of Service Connection: I"Service /4"Meter Comments: The Water Department cannot guarantee adequate watt,pressure during peak demand times at elevations above 320 fret. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plan. inspection required at house curb stop during installation. • A corresponding waiter 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 Irking days not " on. • All r•rk shall t nn to Northampton Water Department specifications. lei 4.4 David W.Sparks, Superintendent of Water cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector