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16B-067 (4) BP- 2010 -1177 GIs #: COMMONWEALTH OF MASSACHUSETTS 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 Permit # BP- 2010 -1177 Project # JS- 2010- 001713 Est. Cost: $226000.00 Fee: $379.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: INTEGRITY DEVELOPMENT & CONSTRUCTION INC 059672 Lot Size(sq. ft.): Owner: SHARTRAND ANGELA Zoning: URB Applicant: INTEGRITY DEVELOPMENT & CONSTRUCTION INC AT: 42 FERN ST Applicant Address: Phone: Insurance: 110 PULPIT HILL RD (413) 549 -7919 Workers Compensation AMHERSTMA01002 ISSUED ON. 7/7/2010 0 :00:00 TO PERFORM THE FOLLOWING WORK.- CONSTRUCT 2 STORY SF MODULAR W /GARAGE (FOUNDATION ONLY) 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: Date Paid: Amount: Building 7/7/2010 0:00:00 $379.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo File # BP- 2010 -1177 APPLICANT /CONTACT PERSON INTEGRITY DEVELOPMENT & CONSTRUCTION INC ADDRESS/PHONE 110 PULPIT HILL RD AMHERST (413) 549 -7919 PROPERTY LOCATION 42 FERN ST MAP 16B PARCEL 067 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid ` Typeof Construction:_ CONSTRUCT 2 STORY SF MODULAR W /GARAGE (FOUNDATION ONLY) New Construction Non Structural interior renovations Addition to Existin Accessory Structure Building Plans Included• Owner/ Statement or License 059672 3 sets of Plans / Plot Plan L- THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9&MATION PRESENTED: (/ Approved Additional permits required (see below) 12 Gl J 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 Permit DPW Storm Water Management Demolition Delay _7/ C) 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. f City of Northampton Building Department 212 Ma!n Street Room 100 y: Northampton, MA 01()60 " phone 413587.1240 Fax 413- 587 -1272 APPLICATION TO C O NST RUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 • SITE INFQ 13MATION This srectr�ri t�itaE�comPleted °b„„y offrce 11 Prep Address t' r '' ,�. 7 Xone . pvEriay' QistrrcE - ' F ,. EIm St. bistnct CBDistricL SECTION 2 - PROPERTY OWNERSHIP1AUTHORIZED AGENT l 2.1 Own ord; ` �. fi'''b N me Ci r r. - ilin � S &nat 2.2 Authoriz Aeent, Name (Print; - _ Current Mailing Address: Signature Telepl CT10N 3 ��T111147EC10(?fJSTRLI .7 }0 CASTS I Itt�rn Estimated C•cst (Do tars) to be Off•cral Use Only cornp!eted by permit applicant 1. Building - -- (a) BUildir•ig Perrt;t Fee 2 EIe? t•ir.al UU v ! (b) Estimated To Cost of r I Gcn$trur,ic��..f -om (51 1 3, Pl- .rnbing ('� `udv guitding Fee 14 . Nlecnanlca! ; - HVAC) f 5. Fi ro Protection j O �. 6. Totz! - (; —2 + 3 + + 5j ' _.,..... (Q�00c) : hec t. Number r q fhts Section For Official *fs19rtl iiidmgF?, r i?fumper gate issued Signature: Buup ,ing`,Cgrmmissiuner /Irispettor of Bulld.ngs Date Section 4. ALL INFORNUMON MTGST BE COMPLETED, or PERMIT CAN BE DENTED DUE TO LACK OF LN'FORINIATION Existing proposed Required by Zoning j This column to be I'lled in by 1 t3uifdin� Deportment bra Lot Size Setbacks Front c2U Side I.: R: L:�` Rear c ;20 Building height 62 Bldg. Square Footage °'o Open Space Footage. % c/ (Lot area minus bldg & pay.d 4 of Parkuig Spaces Fill: �! volume &: Location) A. Has a Speciai 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 7 KNOW YES IF'YES: enter Boom_ Page anc /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES f 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? YE S .. __ NO ✓ ___ IF YES, describe size, type and locatio,r D. Are there any proposed changes to or additions of signs intended for the property ?YES _ .. No IF YES, describe size, type and location:_____ y c , s�.;tllIn . •y:ti ' . y5 p@ rl hKt`,iiu qiz LMI --T 0 New House Addition I3 Replacement Windows Aiteration(s) O Roofing Or Boors Q Accessory Bldg. ❑ Demolition) New Signs [ j Decks [ ] Siding [ J Other [ 1 4rief Description of Proposed Work: Alteration of existing edroom Yes No i. g Add new bedroom Yes No Attached Narrative Q Renovating unfinished basement Yes No Plans Attached Roll ❑ • Sheet 0 - u - �Mn- MM wwwrowNWIMamm"an: a. Use of build! ng : One Family _ "wo Farr.ily Other c— b. Number of rocrns in each family unit: Number of Bathrooms •v I , ` r IS there a _^_a a f � _ FG, ogc d _� d. Proposed Square footage of new construction. o Dimensions 5, ? e. Number of stories? f. Method of heating? aJ G;Sle. X1Qr "ire places or Woodstoves aS Number of each g. Energy Conservation Compliance, _._.— lascheck Energy Compliance form attached? f h. Typo of construction V / i i. Is construction within 100 ft. of wet1w;ds? _____,_ Yes — 1 Is construction within 100 yr. ilcodola n _ Z N0 \� j. Depth of basement or cellar floor below firished grade 27 2 k. Will building conform to the Building and Zoning regulations? ✓ Yes Nc . I I. Septic lank City Seri er. ✓ Private well _ C ty water Supaly o x Ak X E � 1za�a0N a� B6 �o P CTrJR`>S�FLf1<S FOR F{11i1:D[AlG'PERMl R ,H +'� ° "` 1, as Ownet of the si.hject prcperty hereby a orze to act on my beh f, n all matters lativ thTorlarby this L i ' g pe*mit appl l /O Signature of Owner Date IL A - & as Owner /Authorized Ag?nt hereby declare tha he statements and information on the foregoing application are true and acatrate, to the best of my knowledge and be ef. Signed un 4A the pains and penalties cf r. Jlf ZA Print NapVe Al fo Signature of'Jwn Agent Date i yr b '4v3'PIJ�.'T1.01d Ct~RV(CES. u k 8.1 Licensed Constructi Su ervisor } . Nct Applicabfe ❑ License Nurirber Address Expirarsan Signature. Telephone r Not Applicable ❑ Comoany Flame Vk Registration Nurn3er Addrss Expiration at,. _ Taiephone�� �( gal 'ION � 0 WOfiKENS' C OMPENSATION IMStl A P OAV 1T (M G L. c: 152. 25C(6)) Workers Compansatlor Insurance affidavit mist be conioleted and submitted with this appiication. Failure to provide, this afidavit will result in the denial of the is suance cf the bu permit. L Signed Affidavit Attached `'es,..... L W " O=ri�i , The current exemption fpr "homeownets" was extendrd to include Owner -occu pied Dwellings of one 1) or wo(2) families and to allow such f.om , ner to engage an individual for hire who does not possess a 1!cense, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 1083.5.1 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.stmctures accessory to such use and/ or fare structures. A_person who constructs more than ore home in a two -near period shall not be considered a homeowner Such "homeowner" shall suornit to the Building Official, or a form acceptable to the Building Official that helshe shall be responsible for all such work 6erfor under the buildip2, pgrmit. As acting Construction Supervisor you: presence on the job site will be required 11= time to time, :luring and upon cornpietion of the work for which this permit is issued. Also be advised that with ri ference to Chapter 152 (Workers' Cornpensation) 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 Noitliarnpton Ordinances, State and Local Zoning Laws and State of Massachuseus General Laws Annotated. Homeowner Signature _ �� .tttl�MPJ.O e GZf7 riff WaJ- t4aJJJPtGn x g, � ,�tat4C�ti4lld �� DEPAAnfENT UP BVIL )ING NSPEMONS C 212 Main Strut ` M=iaipal Building Northamptou, Mass. 01060 NVOMC.EPLIS CozTR�NSATIO v MURAINCE AFFTDAV T UL tivith a prLiczpal place o businesslresidence a:: at tstrestkityi sta:t/� p) do hereby certify, under the pai= and penalties of pens , tha:. am an employer pro riag the. zcllawi.ng vorlsers coa)pensation cove age fir Try employees wor =g url ti�,S job: - fin;uranx. Compam•) (%'011 ^' N+un�:r) C= �^p�arion Date) () I am a sole p. oprietor, geaerai contractor or hoi aeowcer (cccle oae) and have Hrrd the centractocs listed beiow who have the bUow -rig worker's xmp=SP-t0 policies: Coazae of Coancior) Gasli=rc , cOmT �?r�Ul]Cy �r u31bc.) ( cpicutzon Datc) (14arae of copti� �•.or) {�ssurats ; Ca=zxy/YoUcy Number) CE xp rtnon Daze) (Name of Co *actor) Lsur,: ° C�oz> rFrlirp Nu (F- - piration Dale) 1? s r_ of ( rI=,n Comp=- /PoEcy Nwnbl u)� (Exp►-' Date) (&(Udi ad6*t owd s : .0 nn un/ to i r.su ie infc at c p= t-:"' to el! vxt wzt - N) () I am a sole proprie*_cr and have ro, one wori,-ing for me. () I am a holsle owner performing all the viork myself. N.al rtz". be aw,uc that Whitt b c�axzxto a'so ccwliry persoct to do ��1 ea swac oc repaiz work cc a cr a of thorn thm t:�ce unts in texich the b rlYzr*ocr xaicka ar eu cao gov;C 6 alp :Yeaaztt tbeate .rs net ctom W,13i&md b be emplcy— und*x tbo wQuk= spy LCZ: co trY a homeowacr kr a liar= a pcy=a mey e"idco- :fro lepi r t=a ofaa cmployw %wd*r6a Workves Can� AcL I unc vsaad tbii a copy of this a3t-=. a may bo [awarded to t!x 0"e-WA of Ias-- AT tfm - vengo Yu iEauioa fiwC tbat failure to tours cowragn mkt section 25A of MGL 152 cm lean w tsa ittP�oa of aim:-i Nadlics ADC?ltsta:'$ cr a lnoQ of up w S 1,514.00 ansce ixpWisvncxai of up to ow )tar end CiA paalda in die rcrn of a StW2 Work orc'a nod a 1to of 8100.00 a Coy against ttx y ` ra � u.a ooty Prrmit Numt�r _ __. `Mai Si of crmitSix — Tri (� �Iaaachusctt• - Department of Public safct" 9 Board of Buildim' Re�-ulationx and "tandards Construction Supervisor License License: CS 59672 Restricted to: 00 PETER W JESSOP 110 PULPIT HILL RD AMHERST, MA 01002 Expiration: 6/7/2012 Tr#: 26864 Boar ofi� 1ingeguYa o a �dlnar A == HOME IMPROVEMENT CONTRACTOR Registration: 118041 Expiration: 1/20/2011 Tr# 278284 Type: Private Corporation INTEGRITY DEVELOP & CONST INC PETER JESSOP 110 PULPIT HILL RD AMHERST, MA 01002 Administrator ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD1YYYY) 04/12/2010 PRODUCER 413. 586.0111 FAX 413. 586.6481 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber & Grinnell Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIC # INSURED Integrity Development and Construction, Inc. INSURER A: A.I.M. Mutual 110 Pulpit H i l l Road INSURER B Amherst, MA 01002 INSURER C. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR DD' POLICY EFFECTIVE POLICY EXP LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM1DD DATE MMIIRATION DD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE 10 R1E17rE1)__ COMMERCIAL GENERAL LIABILITY PREMISES Ee occurrence $ CLAIMS MADE 0 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ POLICY F 7 PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR LI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WMZ80062242010 04/10/2010 04/10/2011 X TORY LIMITS V 1 ER AND EMPLOYERS' LIABILITY YIN ANY A OFFICER/MEMBER EXCLUDEEXECUTIVE —] E L EACH ACCIDENT $ Soo, 000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ Soo, 000 It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. - - - -- For Information Purposes Only - - - -- AUTHORIZED REPRESENTATIVE Cynthia Henderson CINDY ACORD 25 (2009101) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 125 Locust Street Northampton, MA 01060 413- 587 -1570 Fax 413 - 587 -1576 Edward S. Huntley, P.E. Director 1 ; ASSIGNMENT OF HOUSE NUMBER(S) Street: Fern Street Assessors Map: Off of 16B Lot 032 House Number: #42 Fern Street Date: October 2, 2009 Remarks: Reference is made to "Plan of Land in Northampton, Massachusetts Prepared for Charles and Clara M. Bode" by Harold L. Eaton and Associates dated September 18, 2009. House #42 is assigned to Lot 2 (containing 9,233± SF) on said plan. A new Assessor ID has not been issued for Lot 2 at the time of this assignment. 6 11�wz i 6 - James L rila, P.E. City En neer cc: Central Dispatch Board of Health Water Division Tax Collector Sewer Division National Grid Streets Division Verizon Telephone Inspectors Comcast Assessors Bay State Gas Police Department Post Office (Northampton) James Thompson (GIS Coordinator) Post Office (Easthampton) Registrar of Voters Applicant: Scott Andrew & Angela Shartrand 121 Bridge Road Florence, MA 01062 KAHouse Numbers\ 07/06/2010 11:53 . 14135497918 PAGE 01/03 DEVELOPMENT & CONSTRUCTION INC, 11.0 PULPY!' HILL ROAD., AmiMMT, MA 01002 ftONE # ( 413) 549 -7919 JUL - n 2010 FAX # (413) 549 -7918 To: Louise HWobtook From Heidi Flanders - Integrity Fmn (413) 587 -1272 rafts 746.10 Parana: IP*gm 3 Rea Anew- 5hartrend Residence LAm 42 Fem A Florence, Ma Louis, Attached are the sewer& far the Andrew- Shartrand Muse. 1 will send over the driveway permit once I receive it Thanks Heidi 07/06/2010 11:53 14135497918 PAGE 02103 MUNICIPAL SEWER/ AVAILABILITY APPLICATION �--- Northampton Streets Department 175 Locust Street Northampton, MA 0' n =l 587 -1570 % L4 A Department of public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location, 42 Fern Street, Florence Inquiry Made By: Scott Andrew & Angela Shartrand $86 -7584 wk or 587 -1414 x 341 Date of Inquiry: 10 Reason for New building hooking Into City Services Request: _ Municipal Sewer Main in Front of Location: Yes No Municipal Storm Brain Available: 5 % deep Yes No Size of Sewer Main: Material: % ��G Age: / t Depth of Sewer Main: �--•' Size of Service Connection: Type of Service Connection: Tie -in to Sanitary Main Tie-in to Sanitary Stub Comments: t -A1. - l..,�3F�Y2 - / -- 2.c lam_ /.� "up1 .� , Iibl n n s AI e'i}_ live to ild Ins 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. c _�_L . L-4 r U _ John HHah Sewer Department cc: Ned Huntley, Director DPW Anthony Patillo, Building Inspector 07/06/2010 11:53 '14135497910 PAGE 03/03 MUNICIPAL WATER AVAILABILITX APPLICATION Northampton Water Depat mmt 237 ftspect St. Northampton, MA 01060 S ^-7 lr .' 87I97 �j� — `l ��`� A Department of Public Works Trench Per ntit s all be required prior to any construction or connection activity associated with this application. Location: 42 Fern Street, Florence Inquiry Made By: Scott Andrew & Angda Shartrand home or 587- -1424 z 34 wk Date of Inquiry: Number of Type of Single Family X Type Of Pnivaw X Units: I Unit(s): ,A, ory A Owuersbdp: C Multi - family Rental --(ARA hovel Municipal ipal Water Mafia in Existing service to )Front of Location? Yes: X No: site? Yes: NO X Size of WOW Mats: 6" Material: A.C. ,Age: 1948 Approximate Static Sbxmt Flow Test Coed: Yes: No: X Pressure; "; Hdone attach results Sim of Service Connection 1" SuggesW Meter Siza: 5/8" Co Mumits: The W D epartm e a t cann guawonrtm adegnste water prmsure dwlnX peak demand tines a elevati above 3 feet. • A ceding water enftm= fee shall be paid prior to malting any conQeotim to the tmmic ipal wam system. • AM is of such inAW be made vn* the Northamrptan Water Depsttment With andnimmof W 5 All shat ov ew I gxwtmmt spec ftcaomm 200 a r LL� L• David W Sparks, Sulxxinicrrcfcat of Water Water Entt , too �dCr cx: Ned Hundey, Director cc: Tony Patillo, Building inspector o c: if thif availabiMy is fora j in & it rat► bac�ntl l to tk ftlfta Insm r, • a tr It Permit No. D11 -10 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 6/24/10 Check #:'. FEE: $250.00 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: A new driveway Permission to install a driveway at: 42 Fern Street, Florence 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. Code of Ordinances §350 -8 8 providing standards for private, individual driveways as amended by the City Council on October 15, 2009, must be followed. By: Angela Shartrand Telephone: 413 -586 -7584 Signature: Proposed Location Inspection By: idV4 rte 1 , I I J Gravel Base Grade Inspected By: Final Approval: THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward S. Huntley, P.E. Director of Public Works Cc: Building Inspector (SUBJECT TO ATTACHED CONDITIONS 1 & 2) Permit No. DI I -10 Conditions: Driveway Permit In lieu of plan approved by the City Engineer I agree to the following added conditions: 1. 1 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. 1 further agree that if in the inspections, any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. BY: Petitioner Signature Name: Angela Shartrand Address: 121 Bridge Road Florence, MA 01062 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. For Commercial and Industrial applicants, a plan showing the proposed driveway with grades, location and Planning Board permits are required. Cc: Building Inspector Commonwealth of Massachusetts Manufactured Buildings Program - Plan Identification Number Assignment Name of Manufacturer HUNTINGTON HOMES MC Identification Number 083 Third Party Identification Number 02 Project Title �, S��d M's 9399 V' -CA Use Group R3 BBRS \DPS Identification Number 0317 -10 Review by MA. State NO REVIEW REQUIRED OS 09 J l 0 Inspector Required Date: Manufactured Buildings Program From: Linda Shea Manufactured Buildings Program Re: Confirmation of Receipt of Building Plans & Assignment of BBRS \DPS Identification Number (BBRS \DPS I.D. Number) The Board of Building Regulations and Standards and Department of Public Safety (BBRS \DPS) has received your building plans for the referenced project and has assigned the identification number noted above (in the block marked BBRS \DPS I.D. Number). This number has been assigned for purposes of internal tracking methods. This number shall be used in reference to this project and on all future correspondences, inquiries and plan revisions. ACCEPTED MASSACHUSEMMANUFACTURED 81ALDING8 PROGRAM STATE 90ARD OF UILDINGS RHO CATIONY STANDARDS d4 z BItlNATU OA BAS 0 THIRD RTV CH ICATION ONLY Thank you for your cooperation with this matter. BJECT TO FURTI ER REVIEW. Send all correspondences, inquiries and plan revisions to: BBRS /Dept. of Public Safety Linda Shea 1380 Bay Street . Building B Taunton, MA 02780 Bbrs\ forins2\ manufacturedbldgplanid - June 30, 2009