36-333 (2) No
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B - Certificate of Compliance
246-505
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
D. Recording Confirmation
The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of
Deeds or the Land Court for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
To:
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
Property Owner
and has been noted in the chain of title of the affected property on:
Date Book Page
If recorded land, the instrument number which identifies this transaction is:
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpaform 8b.doc • rev. 12/15/00 Page 3 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Com 246 -505
Massach W etlands Protecti Act M.G .L. c. 131 §40 Provided by DEP
B. Certification (cont.)
❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above -
referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is
therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act
may commence without filing a new Notice of Intent and receiving a new Order of Conditions.
❑ Ongoing Conditions: The following conditions of the Order shall continue: (Include any
conditions contained in the Final Order, such as maintenance or monitoring, that should continue
for a longer period).
Condition Numbers:
C. Authorization
Issued by:
1\1 or4 CUMI v, .. - At4.3A4k 2 2.003
Conservation Comrhission Date of Issuance
This Certificate must be signed by a maj rity the Conservation Commission and a copy sent to the
applicant and appropri -te- EP Regi9naf Office (See Appendix A).
( rr �,
Signatures:1 t r<7 f �J
IffimimEry
R S QV*
���'
On 2,0 aoo.„, Of ik1L t t.a � Q • "t 2
C 1
Day Mont : nd Ye. r
before me personally appeared te '" '. —'
4 - he moo . — i�a d • •� •, 1• ••4
to me known to be the person described in and who executed the foregoing instrument and -°
acknowledged that he /she executed the same as his /her free act and deed.
..° A. ..r 1 )9t, 44'01
Iotary 'ubic My codnmission e xpires
Page 2 of 3
wpaform 8b.doc • rev. 12/15/00
" Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
WPA Form 8B - Certificate o - T'Ire 246-505
Massachusetts Wetlands Protection Ac . . 31 40
Provided by DEP
1
A. Project Information ti •
Important: y�
When filling out 1. This Certificate of Compliance is issued to: psi OF �� , L�l�� ,,�A r,tOhQ
forms on the "t0µ,
Timothy J. Seney
computer, use Name
only the tab
key to move 43 County Road
your cursor - Mailing Address
do not use the Huntington MA 01050
return key. City /Town State Zip Code
k
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Lepine - Wzorak Associates
Name •
July 1, 2002 246 -505
Dated DEP File Number
3. The project site is located at:
Lot 19 Cardinal Way Northampton
Street Address City/Town
36 323
Assessors Map /Plat Number Parcel /Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Hampshire 6637 26
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
August 13, 2003
Date
B. Certification
Check all that apply:
❑ Complete Certification: It is hereby certified that the work regulated by the above - referenced
Order of Conditions has been satisfactorily completed.
® Partial Certification: It is hereby certified that only the following portions of work regulated by the
above - referenced Order of Conditions have been satisfactorily completed. The project areas or work
subject to this partial certification that have been completed and are released from this Order are:
The construction of a house, driveway and associated site work completed on Lot 19, Plan Book 192,
Pages 83 and 84, is in compliance with the Order of Conditions.
wpaform 8b.doc • rev. 12/15/00 Page 1 of 3
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OCT - L.00
_ -'
� mil! a5sachttaclte 1 f
` F PI II(Ot�IG INSP -= _
DEPARTMENT OF BUILDING [1�U 1 �
INSPECTOR 212 Main Street • Municipa Building
Northampton, Mass. 01060
Square Footage Amount
Basement @ .10 //6- AP. 3°
1st Floor @ .40 46.3 02O
2nd Floor @ .20 "OM (-g-. 7 CD
1/2 Floors, Attic, Garage .10 /7 79 d-o
Deck, Porches .10
TOTAL
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Oct 01 02 11:16a DPW 4135871576
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C8 20
GRANITE CURB INLET
r STA. 31 +20 1O'R
i " '
- ZU
Oct 01 02 11:16a DPW 4135871576 p. 3
Permit No. 018 -03
Conditions: Driveway Permit
In lieu of plan approved by 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.
y
By:
Petitioner
43 County Road
Huntington, MA 01050 -9765
413- 667 -023-
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 !iN)ector
O t 01 02 11:15a DPW 4135871576 p.2
36 - 35,3
ta
ermit No. D18-03
OCT CCT ti:coi\
L �- --- —� ITY F NORTHAMPTON, MA
OtPT rY R L P PERMIT
Date: 09 -27 -02
FEE: $25.00 CHECK #: 1209
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at 246 Cardinal Way
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All
drainage shall be directed off the driveway surface to adjacent land and not on the existing
roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or
more.
i By:
43 County Road
Huntington, MA 01050 -9765
Telephone #: 413 -667 -0230
Proposed Location
Inspected By:
Gravel Base Grade
Inspected By:
Final Approval
THE BOARD OF PUBLIC WORKS voted that petition be granted.
George Andrikidis
Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
cc: Building inspector
(c$ 3
l
t --._ ___�� �. -- _._ � � I ! I {
MUNICIPAL WATER AVAILABILITY
jil
° Northampton Water Department
r tc, . 237 Prospect St.
Northampton, MA 01060
587 -1098
Location: 246 Cardinal Way Lot # 19
Inquiry Made By: Timothy Seney 413 - 667 -0230
Date of Inquiry:
09-25-07
Municipal Water Main in Front of Location: Yes x No
Size of Water Main: 12" Material: DI Age: 2002
Approximate Street Pressure: 72 PSI
Size of Service Connection: 1" copper
Comments: The Water Department cannot guarantee adequate water pressure during peak
demand times at elevations above 320 feet. The City of Northampton has not accepted
responsibility for the maintenance of the water main and service connections as
of this date of inquiry.
A corresponding "water entrance fee" shall be paid prior to making any connection to the
municipal water system. Arrangements of such installation shall be made with the Northampton
Water Department with a minimum of 5 working days notification. All work shall conform to
Northampton Water Department specifications.
67/.497ct.- AhoQzy-- At;
Charles Borowski,
Superintendent of Water
cc: Ned Huntley, :Asst. City kuilinrer
Anthony PJtiilo. Build* Inspector ���///
310-333
•
�' ` MUNICIPAL SEWER AVAILABILITY
j
L SEP 3 0 n2 I Northampton Streets Department
125 Locust Street
DEPT OF P AIDING INSPECTIONS Northampton MA 01060
fs 7 GN.w.. otoso 587 - 1570
Location: 246 Cardinal Way Lot # 19
Inquiry Made By: Timothy Seney 413 - 667 -0230
Date of Inquiry: 09 - 25 - 02
Municipal Sewer Main in Front of Location: Yes x No
Size of Sewer Main: 2 " Material: PVC 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.
9 ` 27 -e
Joseph "I' onias, Sul rintendent
Streets Department
cc: Ned lluntley, Asst. City Engineer
Anthony Patillo, Building Inspector
lot19
[ ] 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-ualues, 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 HUAC system must provide a means for balancing
air and water systems.
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HUAC 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.
HUAC EQUIPMENT SIZING:
[
1 Rated output capacity of the heating /cooling system is
not greater than 125` of the design load as specified
in Sections 780CMR 1318 and J4.4.
[ ] SWIMMING POOLS:
All heated swimming pools must have an on /off heater switch and
require a cower unless over 28% of the heating energy is from
non - depletable sources. Pool pumps require a time clock.
[ ] HUAC PIPING INSULATION:
HUAC 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 -280 8.5 1.8 1.0 1.5
Steam condensate any 1.0 1.8 1.5 2.8
COOLING SYSTEMS:
Chilled water or 48 -55 0.5 8.5 8.75 1.8
Page 3
lot19
MAScheck Software Uersion 2.01
DATE: 9 -30 -2002
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R -38
Comments /Location
WALLS:
[ ] 1. Wood Frame, 16" O.C., R -13
Comments /Location
WINDOWS AND GLASS DOORS:
[ ] 1. U- value: 0.35
For windows without labeled U- ualues, describe features:
D Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments /Location
DOORS:
[ ] 1. U- value: 0.33
Comments /Location
FLOORS:
[ ] 1. Over Unconditioned Space, R -19
Comments /Location
HUAC EQUIPMENT:
[ ] 1. Furnace, 90.0 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner, 10.0 SEER
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.
UAPOR RETARDER:
Page 2
lotl9
I - E
MAScheck COMPLIANCE REPORT j
Massachusetts Energy Code _ r „EC'TNS Permit #
MAScheck Software Version 2.41 :
Checked by /Date
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 9 -30 -2002
COMPLIANCE: PASSES
Required UA - 592
Your Home = 499
Area or Cavity Cont. Glazing /Door
Perimeter R -Ualue R -Value U -Ualue UA
CEILINGS 1292 38.0 0.0 39
WALLS: Wood Frame, 16" O.C. 2553 13.0 0.0 210
GLAZING: Windows or Doors 337 0.350 118
DOORS 56 0.330 18
FLOORS: Over Unconditioned Space 2397 19.0 0.0 114
HUAC EQUIPMENT: Furnace, 90.0 AFUE
HUAC EQUIPMENT: Air Conditioner, 10.0 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 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 HUAC 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. )
Builder /Designer „ ��. Date
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
Page 1
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N � 3 MIL NORTHAMPTON, MA 01060
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DEPARTMENT OF BUILDING INSPECTIONS =
212 Main Street • Municipal Building
Northampton, Mass. 01060 ow "
WORKER'S COMPENSATION INSURANCE Al FIDAVTT
(lipermittee)
with a principal place of business/residence at:
A/.3 l ' A vw7'7AJviv,✓ / L/ i 4_ (phone #) 667 - 0 ,2 3 6
(str eet/ci ty /stat ehi p)
do hereby certify, under the pains and penalties of perjury, that:
( ) 1 am an employer providing the following worker's compensation coverage for my
employees working on this job:
- (Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor eral.contractolj or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
DekrJ OH t TR •(' t t_“ I d 'At/■: c.2s (4)C3 938gd 6 7//
(Name of Contractor) (insurance Conmpany/Policy Number) (Expiration Date)
't &IRV KU`TF r 2 0 /nt— tfr ic /./if" // /oN G/C5 /6/6$JO%%C/ y/CUJG3
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
�ir f/6 ( f( J, c/9 L /T/O/474 &'Alv(4 4A /3e, 3 6 //V/03
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
S v7c u ebsco Allman 6e,&)(70: ile'r 79)77 ,, ,9A3
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional shed ifnecciaary to include information per as:ming to all c airadon) ■
( ) 1 am a sole proprietor and have no one w orking for me.
( ) 1 am a home owner performing all the work myself.
NOTE: please be aware that while hemcownera who cucptoy pazons to do maintenance, carrion or rrpair work on a dwelling of
not mc* a t an throo units in which the homeowner r reaidcs Or Orr t5C grounds appurtenant thereto arc not gcoarally considered to be
employers under the worker's cempcssaticn Act (GL152s:is 1(5)), :application by a homcowv r for a license or permi< may evidence the
legal status of an e riployer under the Workcls Cou:poma ion Act_
I understand that a copy of this ctatcmcnt may bo forwarded to the Department of Industrial AccidmLl Oflioo of 1n5rraoce for the
coverage vaificatioo and that failure to soul= cove ago tmrl scuioa 25A of MQL 152 can lead to the imposition of criminal pcnall:cs
oom.isting of a fine of up to S1,500.00 and/or imprisonment of tip to one ynr and civil penalties in the form of a Stop Work Or&r and a
fine of S100.00 a day against mc.
For departurcal use only
Permit Number
-- Maps Lot #
Signature of Liconscclpernutt
•
:ass.:
SECTION 8 ,,CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : 1 tM JF_NkY 06/e ??j
License Number
y3 /2, 3/.2
Addres.. /1 Expiration Date
467 -0,23 0
Signature Telephone
Re S e.e , m =, iIn ro:remerrt& ontrac "fo e f , Not Applicable ❑
isq ,�ir.✓� 7 ( 7R 77.4,-1— /01 73 4 9
Company Name / Registration Number
/1 /A/; >.A../rr - - 2/.J /0//v/ f v Z
Address Expiration Date
Telephone C6 7- c2. O
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 issuanc of the building permit.
Signed Affidavit Attached Yes No ❑
1 mime .� ner . a ptiOn
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
•
'SECTIONS DESCRIPTION e O`F PROPOSED all applicable)
>,si ... »a..., a!3 Rte. �.. -•S. 1,3 Mvu.,4 ?i .da art; A.*ataa8
New House IR( Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ DemolitionD New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Q � 4 1- 5--1
Brief Description of Proposed Work: .i tyil0 t-Ic0: F,E.
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
s,- If2New ho d and,ror addition t i exigt'rng.housirig t comp lete fhe fol "loving:
a. Use of building : One Family / Two Family Other ,,��
b. Number of rooms in each family unit: / O Number of Bathrooms ri %?
c. Is there a garage attached? VES
d. Proposed Square footage of new construction. ,0 Dimensions 4// /4 v $ ±
e. Number of stories? o ?
f. Method of heating? CiA5 - How Fireplaces or Woodstoves 6 Number of each 1
g. Energy Conservation Compliance. YES Mascheck Energy Compliance form attached? V/E
h. Type of construction i.Joo7 �zaMF
1. Is construction within 100 ft. of wetlands ?, J Yes 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
, as Owner of the subject property
hereby authorize to act on
my behalf, in all matters rela ' e ork authorized by this building permit application.
„i2 GZ
Signature of Owner Date
I, �i r- fc)THY ,5;".-- !"7 , 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.
� /K ,Sri" y
Print Name
/
h P i 0
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 q 7.5 /1 7.5
Frontage 95 9 S ' °
Setbacks Front 3 0
Side L: R: L: 36 R: 1
Rear Bo ' 07;
Building Height
Bldg. Square Footage
di t�
Open Space Footage % 7o /� t:� ` n
(Lotarea minus bldg & paved ? p > :
parking) ✓ Q /
# of Parking Spaces Z
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: Mfly o73, 6�
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book G (.73 Page /6 7 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:
t ,K
�r� V ► •f Northampton ` V lr, l t� , 0 n g Departmen t ilii"*.0,k0iiiiiik•
a / � 1'' :
1
Main Street �® itt ��'
u CT — 1 2002 ' I . 00M 100 4V Ia
ti
t -.• No tha pton, MA 01060 '®` w 0 1i -.
�} / ,`�/' -587-1240 Fax 413 - 587 -1272 P o to PI � -,: > 7Vik
' ,r 01060 ®PPr pea � . ;y
- - APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section�to be completed by office
1.1 Property Address: _ ; ,.
.VA 0/ /4L /J1/ — iar# /9 Map It*
Z 3 L 'OuerlayiDi t "
Elm . District `CB-Dtstrict
SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
/ /,-/e" MY 5,C" V 5!3 ac..L.frt' /& /-14,_/ fi,s/er7 'P O` /a. U
Name (Print) / Current Mailing Address:
C �.�- acr... -c Telephone
Signature ,/
2.2 Authorized Agent;
SAMr ,5rlNtF
Name (Print) Current Mailing Address:
2 t/� L SiiM F.. ____
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
/.J`p 000 - °C.
2. Electrical (b) Estir; ,ated Total Cost of
H OoO . erL. Construction from (6)
3. Plumbing Building Permit Fee
—
'J 000 CJ' L
4. Mechanical (HVAC) .it G $`pv. 00
5. Fire Protection $ pU ci CCtt
6. Total = (1 + 2 + 3 + 4 + 5) 0 /S � OW eo Check Number / / }Q��T, /O
This Section For Official Use Only
Building Permit Number: i /,3 - 7d i Date Issued:
Signature:
Building Conimiss of Bu Date
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File # BP- 2003 -0348
APPLICANT /CONTACT PERSON TIMOTHY SENEY
ADDRESS /PHONE 43 COUNTY RD (413) 667 -0230
PROPERTY LOCATION 246 CARDINAL WAY
MAP 36 PARCEL 333 001 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 h247- // 079° /U
Tvpeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 06108 j 107/
3 sets of Plans / Plot Plan ,4; 7449(i/Ii4fZe
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRE SENTED:
pproved A dditional 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 Commi on
Signature of Building Official Da e
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.
, ; ,, ,,
ti BP-2003-0348
„'
GIS #: COMMONWEALTH OF MASSACHUSETTS
14 lode: 36- 323 1 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP- 2003 -0348
Project # JS- 2003 -0580
Est. Cost: $155000.00
Fee: $1019.10 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 TIMOTHY SENEY 061088
Lot Size(sq. ft.): Owner: TIMOTHY SENEY
Zoning: SR Applicant: TIMOTHY SENEY
AT: LOT #19 - 2.4-6 CARDINAL .' JAST
Applicant Address: Phone: Insurance:
43 COUNTY RD (413) 667 - 0230
HUNTINGTONMA01050 ISSUED ON:
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W /ATT
GARAGE /PORCH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
/NSi , -: t Ek. //r-1 /03,-.s-,9--
Underground: Service: �t /343 -�� Meter:
�,,��p /" /o3 i �,.,_ , Footings:
Rough: /�4%3(� ? ? . 5Rough: House # Foundation: O k / c ' a 3 - 0 a -� �,
/ � -i f 03 , . Dri Final:
NaL » Drt 1 I - `j p�
b (� ✓n I • '_. . .' a 3 g
Final: � ^
Final:. _;-k2 -- , - ?.�:ye�f!
S 45 L9 .�
Rough Frame: - �� - �
--- -- _� f or / _ 3
d ni
Gas: i! F rtment Fireplace /Chimney:
6j /4
Rough; Oil: 1n= .aaticn:0 jc l_gg - 03--/ - ect#7
Final: S i oke:� Final: S aD -o3,.. t�
, .. EXPIRES 10/18/03
THIS PERMIT MAY 1, VO f D :. THE CIT OF NORTHAMPTON UPON VIOLATIO F
ANY OF ITS RULES A D REG • IONS. y
Certificate of Occupanc e--1 - 7 Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 10/28/02 0:00:00 1218 $1019.10
212 Main Street, Phone (413) 587 -1240, Fax (413) 587 -1272
Building Commissioner - Anthony Patillo