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36-313 Mar 26 03 09:48a DPW 4135871576 p. 2 • Permit No D35 -03 s ' ` CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: s March 21, 2003 FEE: $25.00 CHECK #: 5639 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 169 _.arrdinal 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 ro. g' . f v - wa • dace ! - :: v - e as. soon' possible if the grad - of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northamuton in the event of a washout of this driveway, By: G' Dave Lepine - ve Lepine Building Contr. Telephone #: 413/527-3975 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 I & 2) cc: Building Inspector • 3G - 3 ( MUNICIPAL SEWER AVAILABILITY Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 Location: 169 Cardinal Way Lot # 9 Inquiry Made By: Dave Lepine Date of Inquiry: 3 -21 -03 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 -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. • • . Joseph omas, Superintendent Streets Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector� '' MUNICIPAL WATER AVAILABILITY Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1098 Location: 169 Cardinal Way Lot # 9 Inquiry Made By: Dave Lepine Date of Inquiry: 3 -21 -03 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. Chaff es Borowski, Superintendent of Water 10 ,j cc: Ned Huntley, Asst. City Engineer Anthony Patillo, 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. X � , MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 03/09/03 TITLE: Lot 9 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 1: 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/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. h — Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release 1a ,Checked By/Date n 1 TITLE: Lot 9 Cardnal Way CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non- Electric Resistance) DATE: 03/09/03 DATE OF PLANS: 4 -9 -03 PROJECT INFORMATION: Plantation At West Farms COMPANY INFORMATION: Dave Lepine Building Contractor COMPLIANCE: Passes Maximum UA = 322 Your Home = 282 12.4% 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 960 38.0 0.0 29 Wall 1: Wood Frame, 16" o.c. 2048 19.0 0.0 106 Window 1: Wood Frame, Double Pane with Low -E 234 0.350 82 Door 1: Solid 44 0.350 15 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1068 19.0 0.0 50 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 1a. 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° the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Design Date ,5- f' --a Q � It PT Z- 1: a y li a '01,1".. r of az- 11�znlpfnit = *€ W ...0 vh" B �nVJ a7snch++sclte = ,� DEPARTMENT OF BUILDING INSPECTIONS \ I 1 E 212 Main Street Municipal Building INSPECTOR - Northampton, Mass. 01060 Square Footage Amount Basement @ .10 10( 8 /),-' 1st Floor 0 _40 l 0 (v $ _ 707 d0 2nd Floor 0 .20 9( / fjo7.f5O 1/2 Floors, Attic, Garage .10 50 S - 501,-0 Deck, Porches .10 .3(/ 3 <c-/a TOTAL f O/ / • 7 D i �/' Q :s tfp2, • wt -. ,.. 6 8 �� ��+1► asaacli tta 1 ----"7-- '`! ti I 't ,45 1.511tri 731f ^'� DEPARTMENT OP BUILDING INSPECTIONS =i= -me • 212 Main Street • Municipal Building 1 _ Northampton, Mass. 01060 r' WORKER'S COMPENSATION INSURANCE AFFIDAVIT I - DA,1. 0 \ , L ,,,..' (licensee/permittee) with a principal place of business/residence at: ;&)°,Z S 5i 497 . 0/o c� 2 (phone #) W3 57 �/ (street/city /state/zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following workers compensation coverage for my employees working on this job: - (Insurance Corspany) (Policy Number) (Expiration Date) ( )(I_a -a sole proprietor, general contracto or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: Q f Ivi tit u ruvv,, '‘,%..s /e Co •0sr Roz Gaff i.00.42. web ._ 57 7oi c;�1 S' - a p b -3 (Name of Contractor) / (Insurance Coippany /Policy Number) (Expiration Date) 1 /4 11 644 e SS, - / 4 la Cc0NC /t ere (,G 51o4 , 3 2 Y - S- 03 (Name of Contractor) (Insurance Company /Policy Number) (Expiration Date) ihidek 'S p49/0 Gas i e -Ji t -S.,,s cr,,,s /4 vt. /7.4,1 K'o8 tr55')( 79 e y/ 3 -iy-oy (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) �f}� a)h Q tie ti �S Co ���� il?, IncfC ' t“"c ?9 3b (0 7 - i - o (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if necessary to include info((narioa pertaining to all contractors) K' rlt�% � �f7 1/n.+c� Zan/IC f`t3 .:lL�r.c c' q -9 Cj 3 :..:G= S Ie I (o) (P b' I (X) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. DAve r3r2uscc s,b %u �('W C r �� y -/ ter- 3 • NOTE: please be aware tffat wh„ilo homeowners who employ persons to do maintenance, uar ruc'.ion or repair work ce a dwelling of not note than three units in which the homeowner residci or on the grounds appurtenant thereto are not generally considered to be employers under the worker's compc=ation Act (GLI52,n 1(5)), appLiciion by a homeowner for liccasc or permit may evidence the legal ctetue of an employee under the Worker's Co npumatioa Act. I understand that a copy of thin statement may be forwarded to the Deportment of Industrial Accident? Ofrioe of Lesuraoce for the coverage verification and that failure to socurc covcrago under section 23A of MGL 152 can lead to the imposition of criminal pcn+itica oomisting of a fmc of up to S1,500.00 andlot impr of up to one year and civil pcnaltia in the form of a Stop Work Or and a film of 5100.00 a day against uric. .e.A.,./..,./, For a - 11 use only Permit Number 3-5 Map# Lot # Signature of Li ermit#ee L SECTION 8 - .CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : - DAL? t ID i-& telOPU"-e—, _ G vY/ License Number a Ci; i pr5'i ST r s7r4141-47 ' 0 /0a7 / —/ <> 5/ Addre / Expiration Date 'I i 3- 5 7- 39'$ - Signature Telephone �" �xmrn `.dx�wA"�.��- rrge�a�^+:r��w _•_ a . '�° 'w � s& k � h� �� "'"P' u` �i D Reg s e e Ro a rfi `ro ementContractor , ° w �, P � �. -r_ ��. ��� .�.s „� Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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 J . No ❑ 1k1: Home u wner Eemptlonn 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 SECTION 5 DESCRIPTION OF PROPOSED WORK (check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: (c?iosr?u f jc o-f' 0,0e a stoic t, .4 G — 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 Ca If "Newho se; a�ntl: for.. aiftlitfon- to�tezistingh °otising;a¢completethe: following: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: 5S Number of Bathrooms o2. c. Is there a garage attached? lies d. Proposed Square footage of new construction. 00o; 8 Dimensions S 35 e. Number of stories? oZ f. Method of heating? V.65 h/o f, 4"1 Fireplaces or Woodstoves i",45 • Number of each / g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction 6A.) S , X i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade �i 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 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 relative to work authorized by this building permit application. Signature of Owner Date , 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. Prin r� / Signature of Owner /A• t 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 544-t -t. 16 ) 000 Cc' Frontage /00 r / O D� Setbacks Front 2 Side L: / S R: /5 L: /t 7 R: / I� Rear 95 /� Building Height I 30 3� ' Bldg. Square Footage 57s Open Space Footage (Lot area minus bldg & paved u( n 520 parking) / � Q ( — / ° " 1 # 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 '■l IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES X IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO X 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 V 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: g .City of Northampton S o - -- - Building Department = p . vs '�- t: ?1,2 Main Street Se fSe. i is �� � AB 2 1 2003 ' Room 100 Wa ° . ® 7 W Northampton MA 0 4 1 1 0 3 6 . 0 87. �� � '" � �� a T.S� f phone 41'3 140 Fax 1272 F'olSlte t o k 0 er pct ��� APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to b mp e coleted by office 1.11�o9rty Address: v a 1 Map Lot „ i,' Unit Of:Op C ArirJx.A�- t.�p `� 6,0 T cf 3 Zo , Overl D ,, Elm St. District CB Distract SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 'i , 1,2P /n1 ;?ty 64s sr 44A5r‘hfAirrao0 o,c.,)7 Nam- nt) Current Mailing Address: - yi 7 3S7S � / Telephone Signature 2.2 Authorized Agent_ Narne (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 i.o?©•oO c' v (a) Building Permit Fee 2. Electrical 0 /a• o 0 - O u (b) Estimated Total Cost of Construction from (6) 3. Plumbing 6 /0- PO rs, G ' c. Building Permit Fee 4. Mechanical (HVAC) ,# /G -t�oc% - GO 5. Fire Protection * aoU . o o ` // 6. Total = (1 +2 + +4 + 5) /52. © ©. DC7 Check Number 56 aI f /T 9 7 c This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2003 -0773 APPLICANT /CONTACT PERSON DAVID LEPINE ' 3 1 ADDRESS /PHONE 262 EAST STREET (413) 527 -3975 / 1 j ^ r 3 PROPERTY LOCATION LOT 9 - 169 CARDINAL WAY MAP 36 PARCEL 313 001 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 X60 4W/44 'd Tvpeof Construction: CONSTRUCT 2 STORY SFH /ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 044188 j 3 sets of Plans / Plot Plan 74>() THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO A TION PRESENTED: pproved 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 2 AL 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. 'LOT 9 - 169 CARDINAL WAS BP- 2003 -0773 GIS #: COMMONWEALTH OF MASSACHUSETTS '36i-313 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2003 -0773 Project # 3S -2003 -1274 Est. Cost: $152800.00 Fee: $814.90 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID LEPINE 044188 Lot Size(sq. ft.): Owner: DAVID LEPINE Zoning: SR Applicant: DAVID LEPINE AT: LOT 9 - 169 CARDINAL WAY Applicant Address: Phone: Insurance: 262 EAST STREET (413) 527 -3975 Workers Compensation EASTHAMPTON MA01027 ISSUED ON :4/25/03 0:00:00 TO PERFORM THE FOLLOWING WORK :CONSTRUCT 2 STORY SFH /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: 6 /24 G> / V �-J' House # Foundation: 'J �� Driveway Final: Final` 13 gi:1 -°16 Final: � b - ,� 3A d ¥ 1 / Rough Frame: V w .5 t y V `� 1 J � Gas: 1 R6,),3 Fire Department Fireplace /Chimney: Rough: _ri Oil: insulation: Final: , r/ Smoke: j e / .01011F Final: ei< * x 'S:: 4/24/04 . THIS PERMIT MAY 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 4/25/03 0:00:00 5321 $814.90 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo