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36-319 n U / 0 Z, 1 i 1 f -\-. ( (. •r 1,/--)iii . / , / 5 . . , ,• c7r .,, . L s :itfAMp 7 , ViNatrie! i i Qat rtf No ile a ssa C1j llStttB {_ DEPARTMENT OF BUILDING INSPECTIONS ok _.5. - •/? INSPECTOR 212 Main Street • Municipal Building ' > a•y — • Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction sup,.: zisor. 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 construs 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 ,- f . �O 9tltn}f p?.. 1 - ( ±L of parii tpfo g E g�.s.i<rhrtsrtl.. _ • _ i :,.. - DEPARTMENT OP Bu1LDfrszc INSPECTIONS i 212 Main Street ' Municipal Building • Northampton, Mass. 01060 r' WORKER'S COMTENSA`IION MSURANCr_ AFFITM..VVfl I, 1. !10 --el>1 (liccnsx/perm.ittcc) --- _- with a principal place of businessfresidence at: 116 JJ`t\ t OS Yt (9..m) mil— O (shone) 1(I' 1 Lr3t ( city /slatefrip) do hereby certify, under the.pains and penalties of perjury, that ( I am an employer providing the following worker's coinoensadon cove age for my employees wor on this job: (Emir -i ce Comn .nv) (PcLic: Nu�r) �xpirano • ( ) I an a sole proprietor, general contractor or homeoWner (cicie one) and have hired the coaiTactprs listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Numixr) (E.xpirauon Date) (tame of Coarraor) (insu CompaavPo1Ci `time -er) (Expiration Date) (Name of Conuacio;) (Insurance Co mpazy/Polic - y N:imbu) (Expiration Date) (Name of Contractor) (Iasuranca Comcany/Poticy Number) (Expiration Date) . (atxst : d.± cc ...1 rbc.i.f accx.ia --y to ancuAO iafvcau ;oc pc-taioin to ..11 ocar LOrs) . ( ) I am a sole proprietor and have no one working for me- ( ) I am.a home owner performing all the work myself. • NOTE: p l,—.. be t o tt+*• ' c bcoco ocr wbo G1play pc to do f" +;-- c.7.;=oo C tcaII'-oric on • cfs.,..U.ina of not Inert tk_n t:so tails in t cb the bowoowoc made cc oa the pvur4i zppurictut t tbeen � ax C^�.rtly coed. —ai to be cixploycs uoe..: the t tx C cz ,cn Act (G12152ss 1(5))- z...pvlica.cioo bye botnooa far c bier _ cc pctart may c id000c the legs] rue-nu or en est, layer under tho Workeer Coo ap- r tioa Ant - I v.nd - Otnd the a copy of (hi. e'te nes oney be foceeu sed to the Dunertu eo¢ of Ind:xrnal Acoa4Cal Off+oo of laxtr.oea for the covcrx vcif °21°c .ad th_I L -iliac to seaatc ... Cr ACC t« -- scctioo 25A of MOL 152 ew 1ed to the imposition of criminal prT ••11ie oomi zing of a fine or. to S 1300 -09 to Yoe iaapriyoame;y of up to occ yoor Lod dl.-it po.altio in be form of a Stop Wort. orde and • e fm of 5100.00 i d_y egging ax. For dcq.rta u.a Drily Permit Nu.cotXS / SipaaLUn of Li ccmitt 33te • t. r ' SECTION 8 - CONSTRUCTION SERVICES ? 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone CRegisterei#FIome iitlii rement*Cori a ctor "; W,,,. ": M , : Not Applicable ❑ 'Pcc( l /to ay 1tiQ tran 1 ° ) Company Name Registration N ber it L 0/YeS Qfj Address Expiration ate OT mf 076 36 Telephone I li; _S 6 ,104 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 budding permit. Signed Affidavit Attached Yes e] No ❑ The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts - as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ , Replacement Windows Alteration(s) J Roofing Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [D Siding [D] Other [D] Brief Description of Proposed, " Work: To i>OfA ' ?tU TAL)cciaSUihrgryt,k� peel Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes L Attached Narrative Renovating unfinished basement Yes t/ No Plans Attached Roll - Sheet sa If New Frc use a oP ai c�Etia to eic stECrq hous1 t comptete the fo fcivr Ei q: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction / I. Is construction within 100 ft. of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes " No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT a e. I A\42) , as Owner of the subject property hereby authorize Pte) - ft h r q0 1 � e l 4,6 4 to act on my beh in all matters relative to ork authorized by this buildi permit application. IA) ( ?)AP X0/11 /0 Signature of Owner Date 1 JV? ( Abe J)i , as Owner /Authorized Agent hereby decla a that the stateme is 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. Lop= vuetN, %o Print Name r � Air /0, it CA Signature of Owner /Agent Date Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department 1 , - Lot Size Frontage f ��(1 ! ��© i 1 Setbacks Front ' Gov i i Side L:: R: 'L:' zC' R: 46 Rear 5 Building Height ,— Bldg. Square Footage --- I % i r Open Space Footage % (Lot area minus bldg & paved i : , = i i , i l parking) ■ # of Parking Spaces Fill: i_ i (volume & Location) - - - A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO '' DON'T KNOW Q YES 0 IF YES, date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page i and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES 0 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 0 NO ei IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO F IF YES, describe size, type and location: 3 E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q • NO 0 i IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r i.1 _ *4 4: , RP: ;-: : -""' % ak47- .4,.--- 4 ---- c ty o N ortha mpton sty e r ;C \c' �; gilding Department _•',,,.',1, 3 q e v a ' — — — ; : 12 Main Street S e w eti c a � .ii i ' Room 100 er�f`ei vaaitae '' ' ' x � g r ` 1 ' , I rt am p ton; MA 01060 vice e o r ;St riictt�ra l 'larrs 4 V 4,4`x"- 4�g °^ 77* � tr "4 phone 413 -517 -1240 Fax 413- 587 -1272 Pttof/St � u t, �� � .,c; ' S other ` i a;�` j ', ,� ' n * , ` APPLICATION TO'C 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 offi C C,�P�� i � � ,Flap Lot Unit I l' y Zone Overlay District ElmtSt. District CB District SECTION 2 - PROPERTY`OINNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Oj & N N J CA2 D),Lc 4)J Name (Print) Current Mailing Addr s I 0-1`494).- � fey I )/6 Telephone Signature 2.2 Authorized Agent: 9CX 1 rite e i- (Ajelti6 116 4616-c r //�h l ie M4 c76.,-)6 . Name (Print) Current Mailing Address: Signature ( Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item - Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building /5 s z o .(C (a) Building Permit Fee 2. Electrical ‘ (� (b) Estimated Total Cost of 1 o Construction from (6) 3. Plumbing - Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) i ) l CC©.CCi Check Number v y 'ILO — This Section For Official Use Only Date Building Permit Number. Issued: Signature: r i Building Commissioner/Inspector of Buildings Date File # BP- 2005 -0436 APPLICANT /CONTACT PERSON POOL TIME G ADDRESS/PHONE 208 WILDWOOD AVE SPRINGFFIELD (413) 596 -2038 PROPERTY LOCATION 209 CARDINAL WAY MAP 36 PARCEL 319 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ' L/7 � �,/ Fee Paid J9Y J� 1 ,50 -- Typeof Construction: CONSTRUCT 20 X 40 INGROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 128341 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF R MATION 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 /0 4 2 00 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. 209 CARDINAL WAY BP- 2005 -0436 GIS #Y COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 319 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A) Category: Inground Pool BUILDING PERMIT Permit # BP- 2005 -0436 Project # JS- 2005 -0580 Est. Cost: $17000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: POOL TIME 128341 Lot Size(sq. ft.): Owner: REINHART DAVID Zoning: SR Applicant: POOL TIME AT: 209 CARDINAL WAY Applicant Address: Phone: Insurance: 208 WILDWOOD AVE (413) 596 -2038 WC SPRINGFFIELDMA01118 -1953 ISSUED ON:10/21/04 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 20 X 40 INGROUND POOL 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 2944 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo - MUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: 209 Cardinal Way Lot 15 Inquiry Made By: Dave Lepine 413 - 563 -4543 Date of Inquiry: 11/14/03 Municipal Sewer Main in Front of Location: Yes x No Municipal Storm Drain Available: Yes No Size of Sewer Main: 2" Material: PVD Age: 2002 Depth of Sewer Main: 5' Size of Service Connection: 1 - 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 i Joseph The , Superintendent Douglas McDonald, Enviromental 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 -1098 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 209 Cardinal Way Lot 15 Inquiry Made By: Dave Lepine 413- 563 -4543 Date of Inquiry: 11/14/03 Municipal Water Main Existing service to in Yes:_X No: site? Yes: X No: Front of Location? Size of Water Main: 12" Material: Ductile Iron Age: 2002 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 70 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. This subdivision was approved by the Northampton Planning Board on 5/23/03. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved Plans. • 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. • All work shall conform to Northampton Water Depai tnient specifications. David W. Sparks, Acting Superintendent of Water cc: Ned Huntley, Asst. City Engineer tl` . . , , oi , , co i __,r-- y __N 16 Nt. - 1 In (--L co. 18 , 324 Q. F'1`. 0.421 AC.± / t • c ,st. ;� eG `° � ,( , N 1 1 . 5 „� . "'' � ;, tiF _ .3 2> -. IA' k __, ic , s.- &,,) ef, ISO ...( t\* WETLAND / --- Y 1/4 *1*-i,..._•--Illkl■lio, / 17° :4 j 4) :L i I itio, 7 ►� �1 , 2 2 , Q. FT. 0Prg ,_ s r . v- � R_3 0. 1 AC . ±- °0' .N c �k — : -- , 38 7 ------- i; C .' 10,1W Svc '— \ l ' 6.89' . lk V N11 .53'/ ISOLATED 1 '`�..1''E WETLAND 1 85 . 0,, i f ' R — 9 5.00' ' Ni L= :•.97' / , 1= 6' 20'-19" le • d= N: :'- 39' -01 "W / - 86.68 18 401 S . T.± ° • v- � ti• 0.42X. 0) ' hts- ..._ ,ah r ---- ' ; r cn' � N f " OWNER ---3.0,47 I NT/ k J< 1 HuN-TLEy LOCATION HUNTLEY ASSOCIATES, P.C. c C i (A06 /,.)(1z i J SURVEYORS ENGINEERS LANDSCAPE ARCHITECTS JOB NO. DATE SCALE 30 INDUSTRIAL DRIVE EAST NORTHAMP'T'ON, MASSACHUSETTS 01060 00 -013 5/13/03 N/A t jP � ,1� "M CITY OF NORTHAMPTON, MASSACHUSETTS __ � p T� \ \ DEPARTMENT OF PUBLIC WORKS 19' A'd 125 Locust Street a r Northampton, MA 01060 413 -587 -1570 Fax 413- 587 -1576 Samuel B. Brindis, P.E. • Director, City 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. f egtuel B Brindis, P.E. Director of Public Works C:1MyFiles\Lyn\Driveway Permit General Instructions Permit No. D30 -04 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. B y: itioner Dave Lepine - 563 -4543 262 East Street Easthampton, MA 01027 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. cc: Building Inspector Permit No. D30 -04 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 11 -14 -03 FEE: $25.00 CHECK #: 6216 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 209 Cardinal Way Lot 15 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: /i- Dave Lepine 2 62 East Street Telephone #: 413- 563 -45 3 Easthampton, MA 01027 Proposed Location Inspected By: � /7/� 01 Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector 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 and glazing U- values 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: 11/12/03 TITLE: 209 Cardnal Way Bldg. Dept. Use Ceilings: [ ] 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 -19.0 cavity insulation Comments: Windows: [ ] 1. Window l: Wood Frame, Double Pane with Low -E, U- factor: 0.350 For windows without labeled U- factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door 1: Solid, U- factor: 0.350 Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 78 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 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 /$2 pressure difference and shall be labeled. Vapor Retarder: [ ] 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 TITLE: 209 Cardnal Way CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non- Electric Resistance) DATE: 11/12/03 DATE OF PLANS: 11 -12 -03 PROJECT INFORMATION: Plantation At West Farms COMPANY INFORMATION: Dave Lepine Building Contractor COMPLIANCE: Passes /CIQ Maximum UA = 462 Your Home == 395 14.5% 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 1342 38.0 0.0 40 Wall 1: Woad Frame, 16" o.c. 2848 19.0 0.0 150 Window 1: Wood Frame, Double Pane with Low -E 285 0.350 100 Door 1: Solid 62 0.350 22 Floor 1: All -Wood Joist /Truss, Over Unconditioned Space 1761 19.0 0.0 83 Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in 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 Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125 a . ign load as specified in Sections 780CMR 1310 and J4.4. . ' - � Builder/Des igner „ Date /1— 9 —4%' a 00 16 v. , , (c). 18,324 Q.F / -.1 ' lo I 0.421 AC.± ... A' _ C -- ' ,c. NY CO '19 3 11L--- % /It 1 8 4.38, 0) ISOLATED ' To ✓ AAA � WETLAND aecl�efo � (hr, i to., Tel a` c F tvx 4/ / , 1 �', 2 r, Q 7 r R 305.00 j ►c. 3 c • k i 47 b I C Al 6.89' 1 J E ISOLATED ,' ti 1 1''' WETLAND R— 05.00' L =: •.97' ! 1 I= 6' 20' -19" 10 ,• ..21 d= N:: 39' -01 "W 86.68' 18,401 SOFT.± 0 ° �``' •�/ 0.422 SAC. ,� to HUNTLEY OWNER ----4-11/4) i li LOCATION HUNTLEY ASSOCIATES, P.C. 06 7 A'O' `'' SURVEYORS ENGINEERS LANDSCAPE ARCHITECTS JOB NO. DATE I SCALE 30 INDUSTRIAL DRIVE EAST NORTHAMPTON, MASSACHUSETTS 01060 00 -013 5/13/03 N/A r • — /z %JPY / /; 3 '' I 31 # - 2 h n r s/ __ s , .{aaa n ' L L pe a6_, ' o' nv 'sJooT�l z/T 0,..g. _ co)e SIS O£ 4e J Jooij Pu OS 'Og /e71...I 4 0 . 5 # ) JCOT_3 ,s / -, C �� �►+ 1 ,.. ) „!awas'N �unourt/ a5 nook a �enbS -irrai' 000 to 's sow `uo1ciu"uj1.io�j :O :l �= --)1 � hnylmg ludioniny� 1ao115 uic�.� 'LIZ SN011�3dSNi J (Ia 7l flfl .10 .LN7W_L21VJ11Q �� ��6 r ttoTcttttt3LI Jn X j) a , ; ��` ,, : 0 ....... - .... ' • . . • • ,_' . • .. . ..., Q_I,tiyt of - Alariliallipion italluteriffil: -i7I _Wat - * • I.Z., 4( ; \..... 'Mut .......__== i DEPARTMEN'T OF BUILDITZG INSPECTiOT.:S 212 Main Street ' Municipal I3uilding Northampton, Ma. 01060 WORKER'S COMPENSATION niSURAiNCE t's-FFT_DAVIT r i-, DAl.),LC kt _ _ ______ .. , __ __ Cliccnsee/ccrTm ace) b . . , with a principal pace o messiresioec-e at ti 57 t ts.) irik,1- (tMaric.::!': (// 3 - SD 7 — 3 , ____________ r,1,1-c_-cticity,ii , do liclelv cc.f nii ...,,,,,,.... p;I:i1S acid penalties or pc_..1 ia - ._. ( ) I am an employer proviclin:R the follovvinc.:, - , , , , olker's compensnnon cove:, for in eamlovct,s 1, on thilot). _ -- - (Insuranc..c. Company) (Potici Nurnly.'.1) (11- Data) . , 4 I am a sole A : c.ontrac 7 homeowner (Gude one) ail.: ha ruled the contractors Ilsted below who have the fol.lowizz worke compensator. pc:lc:es 4tri ivt Ortiv=5— Der cso.,,,•_,Iiii.1( n oci (Wet" (A) nAZ, 1 0 c) 5170a 5-- 4 ....,. , ., (Name o ontractci il_nstiri CoirTazy,?elicy,Numbc.;) (1:).-.1-.. Date) .* B . 0. 0 WC 'g0 51 3 s ( of Con tracion iirLsurarice Coirt. NULTk. (EX 17::,;.1 D2ic) Filecf qoto + 60 co-) 6 a =ree.A4.....-Ei.e2 •pa' ±,-..) Ku B - 7 .)Es8 A oc '7 _ me. of l_. intrii,cier, (1.5-Slirana... Co mpaa yrPot:cy 1' a riii-y:.1) ;Ey; tk) ft 11 ke-) Ei-e072 t(.. ' CE:iorri4k 4 to (Name of Conn (ina.r-aRce Comr-LnyiP3tic Number') (17.: Date) (.E..E.0.......ii.,i-Jitiociii. o',...,-i.,:-....-,-,....--. M.. :'..- ■.:' l -- .C.. r..C1.1,::111nS '..; .il C.,(:-.^.!-C4.. qPii_ Kosretc ?1,0..im:, , rterir 2 4- 7 1 1 ZecK '•-•.6 5..t'Oice..5 (/''‘) - ° V ( ', t-ut. SIDI Ile I (0 iC'i i I am a i_ioleFlopii - ,ina have no one -..7., cd;inf..) for me, (. ) I an.. a home own „- ,-L-.±(y. - : - ainr- 3 a:l the v,- NOTE: Pic- 1 - . <- , " ,- ift Uli. ,, :]C heCtri tSti-') CZ:rpicly P',':14;:::: LO 6) 2cr, cz,-::::„.^,:r-:0( r_.:r ;-,-.;-au• thrco Wilt1 III Wt;:d1:1)..: 11.2 rnif... ,),- c),1 tht r, z;,-TkIrteer • r..t t'.;. r:- 1) G.:re-rally crf or...k.f- t].: %.,r re: CC177..;•: Act f QL1.51:_a 1 (5)), :ffic-;; by ;,. bccirosvres l'cr .t1 c< s,-1 ''-^”. -, '""r'c Icgij claw; of aa ect:Icyas uocLetr t:,,c. Wc.rior's. C- ,.d_ D.cputax.o.1 of Ine.1.14.-le.: Ar,t-i6,-lis Ofr,00 of 1,-,,,,,, for U.K °to.gt vcriliczL:(X1 ::Lra:' 11- Lt■ fl-OL4r1 to !-'! c 11:-..,3::( tatc- 25A c/M0,1, 152 c.n Ir...c.' tc Voc. inI;Nylitic ocsr......ting of A iirK. of Up te..) -11:/i.. CO ap 1 „,.1 of ur) t? cn- } n.:).1(.. pc-...t!'i= ,,/, , ...hc f-,411-1 Dr rt ;,...-.-,, ,. .,' , ..- , i - . 01 :Ind a nn,- oroo.ou 1 (.1., t rr 7 /./ /,/ 1 ,, , " ,,,/,,,■ /,,..• 1 fr,t . . „ • SECTJON 8rt- CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 1 1 7' 1 V _ - Ai/ - License Number r C: Ps3r s r S ma' eiqy,' Address Expiration Date Signature Telephone y _ 5' 4 A .. Not A ❑ ..dre_ e�e'•.. bin m " ® K:vemenon.i•: cto . „.'`�"���.��:. - PP licable Company Name Registration Number Address Expiration Date Telephone SECTION°10 VIC,ORKERS' COMPENSATION INS,URANCEAFFIDAVIT (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 ❑ The current exemption for "homeowners” was extended to include Owner - occupied Dwellings of one (1) or two(2) fami:ies 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 fo-r 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 »a `' r `\ 'lilom©F Pxi bPOS ED$WORK (che 11 ai plicab e) i iSECT�ION� s S �,z��, . �, _. _� ,��•��,�� ILI K . New House !'1 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: ( G CO.'- C Sat; -/e / 4i ..t Alteration of existing bedroom Yes No Adding new bedroom Yes ✓ No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet 0 e 'f teWVrgtis'e' and , r ddi =t "ion to ezistingghousin om"" J tfie oIMWit g: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: < Number of Bathrooms <2 S c. Is there a garage attached? jy '- d. Proposed Square footage of new construction. 4 (77 Dimensions Wu x Y g e. Number of stories? t 0 , C' l e:I12Hs.ar `45 c( f. Method of heating? Hi /2 C, 'repla Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? '''), h . Type of construction OA) S / i. Is construction within 100 ft. of wetlands? Yes )C` No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade ( DI k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank City Sewer X Private well City water Supply x SECT,IOff!7 R4 RIZATION TO BE!COMPI_!ETED WHEN OW.NEFO, ONTRACTOR A PPLIES FOR BUILDING 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, 0,0 4.4, 1,,EP/ Ase, , 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. Print Name c< 6 , z ,..-___,- //—A 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 / �p z ``R 1 ' 00 Frontage Q 0 Setbacks Front L.9 5" / yS Side L: f .j R: 7 5 L: /4 R: s.3 { 6? Rear t !� Building Height Bldg. Square Footage % 11- Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) 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 DON'T 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: .............. I City of Northampton w� Building Department 212 Main Street Room 100�����' Northampton, MA 01060 phone 413.587.1240 Fax 413 - 587.1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: 4 This sectio com a #ed�by affice� ‘1 6.0 iOverla D�strrct E St *District GCB D�sfrict' SECTION 2 - `PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: iV 1 o . 1),"-f.' - Er15 i' s %_i ///15/ ' /74, , Name (PrIv Current Mailing Address: .. Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION3 .- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Buildin '� g //5.. Q01 OCR (a) Building Permit Fee 2. Elec.rical Jl„ CO C) p � (b) ':aimated Total Cost of Construction ,from,: (6) 3. Plumbing C) Building Permit Fee 4. Mechanical (HVAC) AA 0 z) 6 n E✓ 5. Fire Protection 9', 0 • ' 6. Total = (1 + 2 + 3 + 4 + 5) 5 5 t=� CJI CheckNumbe �,/e 1j5 3 1 , <°� This Section For Official Use Only B ildin: 'er' it umber: 0 ''(DS Date Issued: /s ../ ®/ d.® Signature: Building Commissioner/Inspector of Buildings Date File # BP- 2004 -0609 APPLICANT /CONTACT PERSON DAVID LEPINE ADDRESS /PHONE 262 EAST STREET EASTHAMPTON (413) 527 -3975 PROPERTY LOCATION 209 CARDINAL WAY - LOT #15 MAP 36 PARCEL 319 001 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 ‘o iff/53�i (o'S 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 044188 y ��� 2 �� 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFlp:14IATION 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 /Z%4Q3 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. 1 .5tvogp ae eQisu O-P - 4- . 4,a (. of NortItampton L. = = r �3 ^ 4 ' DEPARTMEN O F BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal,Building Northampton, MA 01060 sr' 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 or structure or part thereof located at _ 209 Cardinal Way - Lot #15 as shown on the Assessors Page# 36 ; Lodi 31 -- - Zone - SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 5B 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 /or conditions of the permits: - Issued this 4t11 day of Octobe 20 04 Certificate of Occupancy and Use # BP -2004 -0609 . Authorized Deg ent P onnel Electrical C ,,. Elevator Fire r; / �' Plumbing ��' )� r Building • „ , g — , K ___ ,/ Gas i :!� �- Buildin g Commissioner 4,111112111,-# 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. r I ,.