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49-044 741 PARK HILL RD-LOT 4R BP-2004-0168 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block:49-044 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0168 Project# JS-2004-0249 Est. Cost: $207000.00 Fee: $1145.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 GREGG F ORLEN CONSTRUCTION_ Lot Size(sq. ft.): Owner: GOLDMAN RICHARD Zoning: SR Applicant: GREGG F ORLEN CONSTRUCTION AT: 741 PARK HILL RD - LOT 4R Applicant Address: Phone: Insurance: 23 PHEASANT RUN (413) 532-4925 WC SOUTH HADLEYMA01075 ISSUED ON:9/22/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W/ATT GARAGE/DECK 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 9/22/03 0:00:00 1792 $1145.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2004-0168 APPLICANT/CONTACT PERSON GREGG F ORLEN CONSTRUCTION ADDRESS/PHONE 23 PHEASANT RUN (413)532-4925 PROPERTY LOCATION 741 PARK HILL RD-LOT 4R MAP 49 PARCEL 044 001 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 / 9a h/17457.5 Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: � � Owner/Statement or License ���`7,��" 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 .X/- 7 " 7a -© 3 Signature of Building fficial 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. S Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability — Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map_ l Lot 417‘ Unit LOT /L Ili r U 7c,a Zone__— _Overlay District Elm St.District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: arc' L . qo I J t c v‘ M.ra-C'1• DQiciu 159 C.k t io p.e S ., ra r b y , ftA 0033 N4ni (Print)VOL // C went aili Address: ---- — --- Telephone Signature 2.2 Authorized Agent: Name(Print) /-cia APR' 4', — Signature •� SECTION 3- ESTIMATED CONSTRI ' ai e'`ch' S'�i�c"`��' �A XLyz0 Item dyad 6� 9r ''3 Official Use Only 5//o 1.6"4.7 Fee 1. Building 2. Electrical 2. /v CvR )C(s6t)of ,..r r `g 3. Plumbing bR ae bf) q _ OPV .\) 4. Mechanical (HVAC) 5. Fire Protection /6. Total=(1 +2+ 3+4+5) 2 W151.1f-'"4"1 /99 - or'/15--� Date Building Permit Nu e� Issued: ------- Signature: __— Building Commissioner/Inspector of Buildings Date � AMp CITY OF NORTHAMPTON, MASSACHUSETTS too 0" DEPARTMENT OF PUBLIC WORKS _ 'T . 125 Locust Street �•s �1 ,. Northampton, MA 01060 413-587-1570 Fax 413-587-1576 George Andrikidis, P.E. Director,City Engineer ASSIGNMENT OF HOUSE NUMBS E C E (1 M E Street: Park Hill Road AUG 5 2003 Assessors Map: 49-044 pGv? r RttflDING INSPECTIONS Fa^,R'. ga r"OM MA 01060 House Number: 741 Park Hill Road Date: August 7, 2003 Remarks: Lot 4 containing 85,400 square feet ± shown on a plan titled: Revised Plan of Land in Northampton, Mass. Prepared for Thomas Hanley, 1"= 80' February 3, 2000. Prepared by Richard J. LaBarge Sr., PLS, 110 King Street, Northampton Mass. 01060. Requested by applicant. 141.4i5L7Z4C4 Ned Huntley Assistant City Engineer cc: Ann Marie Schauer Registrar of Voters Water Division Tax Collector Sewer Division Massachusetts Electric Streets Division Verizon Telephone Inspectors AT&T Broadband Assessors Bay State Gas Police Department Post Office Fire Department Applicant: Richard Goldman 159 Chicopee Street Granby, MA 01033 K:\House Numbers\Park Hill Road\741 park hill rd..doc • 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 25, '4O fi 85, 4100 eto Frontage I d 5; I a5. 00 (;;- Setbacks Front 110 Side L: R: L: Yi R: 'iD PO Rear a;o1.,D x 0 1.4*Ns Irreerlwrl j * Building Height 2.3 4 Shorat acid orb! Bldg. Square Footage % 4,'4,yy I)ton $ (01 Pr1')C) ito Open Space Footage % p a A.Q.tiV (Lot area minus bldg&paved v',d 6 6 90 parking) #of Parking Spaces z' Fill: (volume&Location) U /p S A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO \ DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO )( 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 )( 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: SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ® Addition ❑ Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks� [ ] Siding [ ] Other[ ] Brief Description of Proposed d ��zr '�'�/��oe _ 'Z Work: eov- 1-ruc 1'1tLo 51ne- w+�lj le1Gv 12 - Alteration of existing bedroom Yes____No Adding new bedroom______Yes ___ _ No Attached Narrative Renovating unfinished basement _______Yes ---_No Plans Attached Roll -Sheet 6a.If'New'house and or addition-- to existing housing,'complete`the'following: a. Use of building :One Family—V ____ Two Family Other—_--_ b. Number of rooms in each family unit:_— __ Number of Bathrooms c____ • rerx c. Is there a garage attached?_Ve5 _ q6►ra�c a &Z a p® 1 ttJl-400se 5qx z z; d. Proposed Square footage of new construction.__aLI-_6 ___--_Dimensions 'Ot'c.is ( X 19—__— e. Number of stories? T Q__—__-- f. Method of heating?Q t crrcec( Q t r' Fireplaces r Woodstoves Number of each_ / __ g. Energy Conservation Compliance\ _ Mascheck Mascheck Energy Compliance form attached? eS—_ h. Type of construction LOW' a+M<. i. Is construction within 100 ft.of wetlands?— _Yes __X_No. Is construction within 100 yr. floodplain_ __Yes—'L_No j. Depth of basement or cellar floor below finished grade_ _--_—_ _ k. Will building conform to the Building and Zoning regulations? ___\t___Yes _No. I. Septic Tank X— City Sewer ____ Private well X City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Ctord_ C �id/� n et-- _— ,as Owner of the subject property hereby authorize Grt 'OR/e_� to act on my behalf,in all matters relative to work authorized by this building permit application. 05/e.' Signature of Owner Date I,_ --_ ,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. i Signed under the pains and penalties of perjury. Print Name ------ ------------- Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: /1 � Not Applicable 0 Name of License Holder:_ G(' 7'. DY'14 h— l,i -`u�IA" __— Z3 e_es,sa A.} I�.a.t t/� License Number �.11"yad Iel_T a �_c� 6' _ _ O e - / 3S --- Address Expiration Date a— z z — 03 Signature Telephone 9. Registered Home improvement Contractor: Not Applicable 0 C-ompany Name Registration Number A-ddress Expiration Date -- 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 "tl No 0 11. — Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature o G Vil tg No. /'�� ..c' i . ��' � FEE 75 O o ® WEALTH OF MASSACHUSETTS o s cn ealth, � M 4/ 4 � A. SYSTEM CONSTR CTION PERMIT Permission is hereby ranted to; Construct(A1 Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at f.pi" I p K l ( - / as described in the application for Disposal System Construction Permit No. / .t 5 , dated .2.- ' 7'. 3 Provided: Construction shall be completed within three years of the date of this er it. All local conditio must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date O /j iJ Board of Health PAPi-f ` F Rug 06 03 02131p ' p. 1 • Zo G ,o oy -- • - A or alll}tfon I . A f „91¢dtnrlIn5rlta' • —i DEPARTMENT OP BUILDING INSPECTIONS — 212 Mnin Strcet Municipal Bui1d,nr Northampton, Mass. 01060 lull' WORKER'S COMPENSATION 1NSURINCE A1"1�IDA\TIT OKfP (li ccvsedpermi ttec) with a principal place of business/residence fat: / e.3 �I�S� IV,v/V- . 1y t�rj (phone=) .7 3Z " 'Q2cy (st t/city/sta crop) do hereby certify, under the pains and penalties of perjury, that ( ) I am an employer providing the following worker's compensation coverage for my employees woriung on this job. rAele— 03 — /— a Gi (1ASuj Comraov) (Folic:Nti_ r) (r:-oirauon Date) ( ) I am a sole proprietor, general contractor or homeowner (ci cie one) and have hired the corm-actors listed below who have the following worker's coo ensanon policies. (Nome of Conn tc,or) (1nu.rance CornpanyrPoiicr (_):atrutuon Dntc} (Name.of Contractor) (t ww-a ce CompanyfPoiic `w c-r) Expiration Date) (Name of Conzracto:) (Insurance CoznpanyiPolicy Nambu) (Expir._noo Dale) (Namc of Co(aractor) (Insurance Comaatry/Policy Numtr_r) (Expiration Date) (aoocb duct if ocoa>-.ry to c>Gudc ioformuoo peri+.iains to.L cw-rrr_o:-•) ( ) I am a sole propnetor and have no one worla-ng for me. ( ) I alma home owner performing all the work myself. NOTE:plesc br earvti thtt w.Je bocnco.tvera t•bo oceploy pezom w do t.^.-. a-hide.•• ca :woo G rvRu..art o t.d••et.tor riot more tSta throe tmrt,io..3iau the bor000woa'rcaido or oo the r rouortr tppurtra.ut the.cto trr o t G-,xrx(!y Doc Oocd to be cad loycs undid the"tX tx? ccr ...tiro Act(GLI523u 1(5)),application by a bo noot.oa fro a b .or r tr n re.y evidence tlx 1.13a1 naoa.of.a employer coder dto Woricoe.Compoo .lion Aea_ t undavL.lad tivi a Dopy of tbit tzttcmma mey b.(or-rrontod to the pop.nmeoa of Wu-4,W Aroda&orLoo or Ina.tr.00.for th. oovatsc vcriGattioo arid aux Lipid to too='covn-aso,,o&t section 2 S A of l.(QL 152 c.,n tcsd to chic iz_-1m'aiw of aimia.l pca�lbcc eoeoiAiog or.floc of up to S 1,500.00.ndlor iosprisoccrocat of up to Doc yeti Lod d it pcathio io&form of.Stop Work Order r and. fim of l00.00.day tgtino me For dcp._- enlY Pcrmit Numbor Map:: Lot Sigria m of Li crnuttee L79te MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Release 3 Checked by/Date CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: Multifamily HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DA • 7-23-2003 COMPLIANCE: Passes Ma •' = 671 Your Home = 382 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1307 30.0 0.0 46 WALLS: Wood Frame, 16" O.C. 1947 13.0 0.0 160 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1200 13.0 0.0 71 GLAZING: Windows or Doors 267 0.340 91 DOORS 50 0.280 14 HVAC EQUIPMENT: Furnace, 90.0 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 requirements of the Massachusetts Energy Code. 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. // 3 /o 3 Builder/Designer Date ,. MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 7-23-2003 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location BASEMENT WALLS: [ ] 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-13 interior cavity Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.28 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 90.0 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: [ ] 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-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 dwelling unit (non-dwelling areas must have one thermostat for each system or zone) . A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room shall be provided. ELECTRIC SYSTEMS: [ ] Separate electric meters are required for each dwelling unit. HVAC 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. 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. HVAC PIPING INSULATION: [ ] HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [ ] Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING 1 CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) Aug 06 03 p2 • • • "''749! • ,A.A4 p7. (5A-f12 of NorfIlqinp!on "jet • • ,Mal..clvercit• Ezdt• DEPARTMENT OF BI.ALD1NG /NSPECtIONS :zSPCCIOP 21 2 Main Street Municipal Building I Northampton, Mnss 01060 SguareFootage Amount Basemeni: @ $.15 / / _3 c) /6 9, 57) 15c Floor @ $-50 1J3t tro 2nd Floor @ $.30 97 02_1,1_0_6 d 1/2 Floors. Attic, Garage $.15 . 79, Deck, Porches $.15 c) 6 4 3 .9' 6•e) • • I / )-7) TOTAL . . • • . . PL( 4L [3:‘ _ b O` \JJJ PLACE OVER LID _ H 20 LOADINGADING IN contractor must confirm.02'/ft.pitch 4 from sill to s.tank • /4 T 3" c1 Loi yR $S)�,OO 4-(_ sF T O GRAVITY SLOPE SEPTIC SYS FOR HOMEOWNER: ''t 1. HAVE SEPTIC TANK PUMPEI h. 2. MAINTAIN AREA OVER SEP1 V ch. n 6a4Dek6b Y LTV ATTEMPTING TO MAXIMIZE • 3.DO NOT PLANT ANY TREES p OF LEACHFIELD. y ' T 4k b. 4. USE ONLY LIQUID DETERGI 5. CONSERVE WATER WHERE 6. KEEP ALL RUNOFF DRAINS Q" LEAST 25 FEET FROM LEAI AlbrE: OUT GET F 1 0 NOTE FOR HOMEOWNER: EXTF TO MAXIMIZE THE DISTANCE e , v ESTIMATED HIGH GROUNDWA) N f 3-5 FEET)IS NOT THE SAME A L THE ACTUAL FINISHED MOUND / / i stv Ob. ti '0.ot� 15 —Pa.F- v GvvroA 04 . v, V \L--v- 10o(OM.,, / / of 5,T PNA ./ 10 r • / , qvN —'fir iii— — cJ f TP-3 EFF. EL. 97.5' (eff \�\ 0-6" AP: SANDY LO )--- - — A --E X r�r'i,v (10 YR 3/3,2/2: F _ _ `� ,o CoNiZ r2 6-16" BW:SANDY LOA F S (10 YR 3/4,4/6) vz' O. 0_ 9 q 16-36" Cl C-M SANDY (10 YR 4/6 36-107" C2 FINE SAND,M V OXIDES @ 52&62"5 YR 5) ESHWT: 48"EFF.=92.6' f \ •TM�xo 9y.-G5 (Nql/i 3 Qop CO 80". STANDING H2O °� ?.LF-1oo.00' 80" WEEPING FROM FACE (107"+) BEDROCK (Note: use 6"OF 3/4-1 1/2"It I\ SYSTEM PIPES NO MORE THAN 3 FEET BELOW FINISH GRADE \ \ \ "BENCHMARK=TOP OF IN TELEPHONE POLE AT STREET= 100.00'. ELEV. = 100.5' OVER BED 2% min slope over system I \ 31 FINISH GRADE 1' min COVER 42' FEET LONG (20'WIDE) s�EEL B R \ 3:1 DBL.WASHED PEASTON6� I \ 2"OF 1/8"-1/2"STONE USE THREE PERFORATED PIPES AT 6 FT. SPACING, (4" I.D. SDR 35) I \ . - \ �. MAINTAIN 99.5O FOR 15'FEET OUT p 4"PVC PIPE 4"PVC SDR 35PIPE 13 CLEAR_ — — + y L TO 3 ��4/cif/ fhGt���red ( IL I l, l'`-� lI. vfl L Box 1192 Stadler Street, Belchertown,MA 01007 1 3 2003 ._,. (413)-323-7134 - '-'' SPECTIONS .+A 01060 Name: New England Water Supplies Sample Date: 7-16-03 Address: 158 Harris Street Report Date: 7-17-03 Granby, MA 01033 Collected By: Dennis Conti Sample Location: Type Supply: Well Rich Goldman Sample No.: QAL-9323 Lot 4R,Park Hill Road Lab ID#: M-02454 Northampton, MA 01060 TESTED FOR RESULTS MAX. RECOMMENDED LEVELS Total Coliform Bacteria Absent Present or Absent Fecal Coliform Bacteria Absent Present or Absent Nitrite 0 1.0 mg/1 Nitrate 0.3 10.0 mg/1 pH 8.04 6.5-8.5 Alkalinity 38.0 No Limit Iron .05 .30 mg/1 Manganese 0 .05 mg/1 Copper 0 1.3 mg/1 Sulfate 1.0 250 mg/1 Chloride 3.25 250 mg/1 Hardness 12.0 No Limit Conductivity 102.5 No Limit Total Dissolved Solids 67.6 500 mg/1 Turbidity 4.6 5 NTU Chlorine 0 No Limit Sodium 16.3 No Limit Results are only for those items listed above and on the above collected date. Except for the following the sample was found to be within acceptable levels for D.E.P. Drinking Water Standards. If there are any questions on this report, please do not hesitate to call this office. David Fredenburgh,Director , •: w RE .0 AUG 2 8 2003 Permit No. t DENORT►BUILDING INSPECTIONS CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: August)22. FEE: $25.00 CHECK it; 781 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permiltsj n to instalLa driveway at 741 Park HilLRoad Fifteen (15) foot maximum width at the street line. Gutter drainage not to he di i.w i cki drainage shall be directed off the driveway surface to adjacent land and_not on the r dway. Driveway surface to be paved as soon a ssibl if the glade of tl_ic, driveway exceeds 3% or more. Homeowners will be held responsible for any cost r ;: of Northampton in the event of a washout of this driveway. By: iejX Richard Goldman, 159 Chico- .. Granby, MA 01033 Telephone#: 413-467-9727 Proposed Location Inspected By: Z)02, Gravel Base Grade �~ Inspected By; Final Approval THE BOARD OF PUBLIC WORKS voted that petition be graii i George Andrikidis Director of Public Work, Z© 'd T8L£L9b£Tb OD210 WV 9Z: 1T £00Z-8Z-9(ltl Richard L.Goldman Myra G.Orlen 159 Chicopee Street Granby,Massachusetts 01033 (413)467-9727 FAX TRANSMISSION COVER SHEET DATE: August 28, 2003 TO: Northampton Building Department Linda LaPointe FAX NO. : 413 587-1272 RE: Building Permit Application 741 Park Hill Road NUMBER OF PAGES (Including cover sheet) : 5 Notes: This is what we received from the DPW regarding the driveway permit. Thank you for your assistance. Please call with any questions. Rich Goldman IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL AS SOON AS POSSIBLE TO'd T8L£L94£T4 09240 WV SZ: TT £0eZ-8Z- flW • (SUBJECT TO ATTACHED CONDITION I & 2) Permit No. D08-0.1 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. [will contact the Department of Public Works and have an inspector di and approve the graded gravel base prior to paving to insure compli,n,. with slope and location; 2. I further agree that if in the inspections any of the permit conditions arc met that I will at no expense to the City remove and replace the drive, as directed by the City Engineer. By: Petitioner Note: The Public Works Department recommends that you provide a plan showing ;1 proposed driveway with grades and location in the future to avoid possible expo] which you will incur by not getting approval of actual plans in advance. cc:Building Inspector £0'd T8L£L91,£11, 09210 WV 9Z: TT £00Z-8Z-9n* • I sit r(Nl TIM111US is AN HAS MAN NdPANLO is.C.O,.,o..un, rill, I.E AuLAS a NE/ULATNONS OF lit( NLGlll ENS Of Ut LDS OF list COIWIL), 1' / / WL KTH Of MASS / �/^/�-Y- z -atilt .J � I(` C\--- LOT 6 LOT LOT 3R 4R NOTES TM/PLAN SUP[IaEDE$LOTS 4III LOTS SOi. , . , LCT1 DN•ITN ANL fLAO lid, • , . 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