36-331 (5) 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.
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating /cooling system is
not greater than 1250 of the design load as specified
in sections 780CMR 1310 and J4.4.
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
- -- -NOTES TO FIELD (Building Department Use Only)
4AScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.0
DATE: 2 -10 -2003
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R -38
Comments /Location
WALLS:
[ ] 1. Wood Frame, 16" O.C., R -15 + R -3
Comments /Location
WINDOWS AND GLASS DOORS:
[ ] 1. U- value: 0.40
For windows without labeled U- values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments /Location
DOORS:
[ ] 1. U- value: 0.35
Comments /Location
FLOORS:
[ ] 1. Over Unconditioned Space, R -19
Comments /Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air -tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm -in- winter side of all non - vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R- values and glazing U- values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R -5.
Ducts outside the building must be insulated to R -8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure- sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.0
Checked by /Date
CITY: Springfield
STATE: Massachusetts
HDD: 5955
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 2 -10 -2003
DATE OF PLANS : 2�E' /2-z' T
TITLE: /67"---(3 7 .77e / %
COMPLIANCE: PASSES
Required UA = 728
Your Home = 522
Area or Insul Sheath Glazing /Door
Perimeter R -Value R -Value U -Value UA
CEILINGS 1150 38.0 0.0 34
WALLS: Wood Frame, 16" O.C. 4789 15.0 3.0 320
GLAZING: Windows or Doors 239 0.400 96
DOORS 49 0.350 17
FLOORS: Over Unconditioned Space 1150 19.0 55
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 1250 of the design load as specified in
sections 780CMR 1310 and J4.4.
Builder /Designer Date
• 1 �
CITY OF NORTHAMPTON, MASSACHUSETTS
a" • ._TOti �, DEPARTMENT OF PUBLIC WORKS
tr' , r) 125 Locust Street
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.
Wgnuel B Brindis, P.E.
Director of Public Works
CAMyFiles \Lyn \Drivewav Permit General Instructions
y
Permit No. D25 -03
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.
By
P e ,eoner
Thomas Boyle, Autumn Properties Construction
P.O. Box 628, Easthampton, MA 01027
413 - 527 -1580
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. D25 -03
1 y
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 10 -29 -02
FEE: $25.00 CHECK #: 1408
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at 140 Cardinal Way Lot # 27
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.
By: , ii 7'21?
Thomas Boyle, Autumn roperties Construction
P.O. Box 628, Easthampton, MA 01027
Telephone #: 413- 527 -1580
Proposed Location
Inspected By: �-.. � /0/3//a -2
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
MtNNICIPAL WATER AVAILABILITY
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587 -1098
Location: 140 Cardinal Way Lot # 27
Inquiry Made By: Thomas Boyle 413 - 527 -1580 Autumn Properties Construction
Date of Inquiry: 10 -29 -02
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.
Y bsti,c_
Charles Borowski,
Superintendent of Water
cc: Ned I luntlev, As ('itv l:n1ineer
Anili l,uildine lnspoci n
W16 -03
Water Entry Application
DATE: cc r,79q SIGNED:
A li i s Name : le h ne No.
can e o
Thomas oyle, Aut r operties)Construction
P.O. Box 628, Easthampton, MA 01027
(Address of Applicant)
413- 527 -1580
$ 200.00 entry fee paid. Check No.: 1406
$ 200.00 meter fee paid. Check No.: 1406
Application approved and permit issued:
DATE: (O r O' a iv SIGNED: ? t 014 4 7( - - C-7
(Director of Public Works)
FEE SCHEDULE:
Water Entry. Permit Fee = $200
Water Meter Fees:
5/8" Meter = $100
3/4" Meter = $150
1" Meter = $200
( I'L `,`, inu,
W16 -03
RESIDENTIAL OR COMMERCIAL BUILDING WATER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the
Owner, Owner's Agent
property located at 140 Cardinal Way Lot #27 a does
(Number) (Street)
hereby request a permit to install and connect a 1 " Water
(Size)
Service to the Residence at said location.
(Residence, Commercial Bldg., etc.)
1. "Owner shall mean the person holding title to the property
served or to be served by the water service.
2. The name and address of person or firm who will perform the
proposed work is Dietz Construction 527 -2695
134 Lovefield Street, Easthampton, MA 01027
3. Plan /Sketch and specification for the proposed water service
shall be attached to permit.
In consideration of the granting of this permit, the undersigned
agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT fee is $200.00.
3. Additional work performed by City forces from the water main
to streetline shall be paid at the prevailing labor rates and
cost of material.
Water Meters 5/8" $100.00
3/4" $150.00
1" $200.00
Water Meters 1 1/2" and above shall be purchased by the owners -
using city specs.
4. The Water Superintendent shall be notifed for water line
inspection prior to backfill of trench.
4.
'11TUNICIPAL SEWER AVAILABILITY
Northampton Streets Department
DEC 1
125 Locust Street
Northampton, MA 01060
587 -1570
Location: 140 Cardinal Way Lot 1! 27
Inquiry Made By: Thomas Boyle 413 - 527 -1580 Autumn Properties Construction
Date of Inquiry: 10 -29 -02
Municipal Sewer Main in Front of Location: Yes g 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 he 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 Thomas, Superintendent
Streets Department
cc: Ned Huntley, Asst. City Engineer
Anthony Paid In, Building Inspector
Page 2
R.C.B.S.A.
4. The City shall not be held liable for and open plumbing fixtures
below street level.
5. The applicant and /or owner hereby agrees to pay to the City any
sewer use assessments or charges as may be established under
city ordinance.
DATE: �( aei BOoL SIGNED: /r /
(Appli ant)
Thomas Boyle, Autumn Properties Construction
P.O. Box 628, Easthampton, MA 01027
(Address of Applicant)
413- 527 -1580
$ 200.00 Check No. 1407 inspection fee paid.
Appl i :cat ion approved and permit isued:
DATE:/�.3/ SIGNED: V
Superintenden
Attachments:
Code of Ordinances, Section 22 -41 through 22 -46.
Tie -in to sanitary main $200.00 X
Tie -in to sanitary service at street line $500.00
Tie -in to storm drain $100.00
• S23 -03
FORM 79 -
RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the
(Owner, Owner's Agent)
property located a t 140 Cardinal Way Lot #27 ,does
(Number) (Street)
hereby request a permit to install and connect a building sewer
to serve the Residence at said location.
(Residence,Commercial Bldg., etc.)
1. The applicant and /or owner shall furnish upon request of the
Superintendent the estimated quantity and characteristics of
waste to be discharged to the public sewer.
2. "Owner" shall mean the person holding title to the property
served or to be served by the building sewer.
3. The name and addre v i et o z f Co n s tr u o c t ion f 4 r 1 r 3 m 5 2 WW7h 11 perform the
proposed work i s 134 Lovefield Street, Easthampton , MA 01027 •
4. Plans and specifications for the proposed building sewer are
attached hereunto as Exhibit "A ".
In Consideration of the granting of this permit, the under-
signed agrees:
1. To accept and abide by all provisions of the Code of Ordinances,
City of Northampton, Massachusetts, Sections 22 -41 through 22 -46,
and all other pertinant ordinances or regulations that may be
adopted in the future.
2. To maintain the building sewer at no expense to the city.
3. To notify the Superintendent when the building sewer is ready
for inspection and connection to the public sewer, but before
any portion of the work is covered.
F
° . oYa3o-
O �(tlAlf plQ 1
ti
B �iL_� Ate , (rxt of azt.f 1ttt #utt ' _ # °�
4I " B � i " 1 • assnchnsctte I2 = = .
ciy. -DEPARTMENTi OF BUILDING INSPECTIONS ( , i _
INSPECTOR _ Main Street • Municipal Building \ c , ,
Northampton, Mass. 01060
Square Footage Amount
Basement @ .10 g' 0 /6i2' O
1st Floor @ .40 it:), i
2nd Floor @ .20 7 67 /� y 1'717
1/2 Floors, Attic, Garage .10 4/4-4 4 �
Deck, Porches - /, ><%'i r% fi // �
•
,
TOTAL / Yo.
_ - -j--/ I t....A ,K - .
1 ( & /
' V/ / - / 7 7 i did,L) - 7 - 4 , 7i0,,
i
/ ----- e -- e , „.,
t (ltf)? ref Nr7x tIt&inpfrltt _
t1 c6 f3iasaxcflttrrtis }� :
•
DEPARTMENT OF BUILDING INSPECTIONS j1
E3
212 Main Street Municipal Building
Northampton, Mass. 01060 ttr'
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(li censcr/perrni (tee)
with a principal place of b>_i_sb ess/residence at
(strer ty /staieJni p)
do hereby certify, under the pains and penalties of perjury, that
( an an employer providing the following workers compensation coverage for my
employees working on this job:
✓ sT Zri.:5t.41VV L LVelliozni 06 6 6 — y� 50e6
- (In_su Company) (Polio Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the followil. workers compensation policies:
(Name of Contractor) (Insurance Company /PoGef Number) (Expiration Date)
(Name of Contractor) (Insurance Com any/Po!icy Number) (Expiration Date)
(Name of Contractor) (Insurance Companyi olicy Number) (Expiration Date)
(Name of Contractor) (Insurance Comnany/Folicy Number) (Expiration Date)
(attach additional sleet ifncccaury to inoluc. information pctaioi_5:n
( ) I an a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE: ptc ac be awarr that Wlulc bOCIKOwIY_T3 w') employ T.a;t:tc- nancc, a r ^ im c repair work on a dwciling of
not met than thmo units in wivdt the botnGOSVOCC trsidcs cr co Ltic ua'_s z u c: f thcrcto tot oc( generally cxJidcral to be
carployrra ucdcr the workcrt axnpcsatico Act (GL152 n1(5)), application by a hotnonwncr for license cc pct may c.idcmc the
legal etatirc of an omptoyer under tho Wockees Compmvlion Act
I undczittnd th.: z copy of thin ctatcizerrt may ho forwoudo<i to rho Dcpa,t:rrnm of Industrial Acci&n ? Offioa of ln:ur.nco for the
coverage verification and that failure to :xtue eovcsago und;s section 25A of MGI, 152 can lead to the imposition of criminal penalties
oomisting of a hoc of up to S1.500.00 ontt'cc imprisoarnaL of up to one }tar and civil penalties in the form of a Step Work Otdc and a
firm of S100.00 a thy agzintt
Fcr dcputmaCal uao colt'
d _ l I Permit Number
t ..4) M.ap # ht#
Signature of LiccnscsJ rm.itt + Fete
r-k
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : �1iJ MCL S _s� —Ti - -- - - - -- '�! License Number
Ad ess Expira Date
Signature Telephone
: 9 Registered Haire improvertier f Contractor =rtr ,,,. , , ,, Not Applicable p.
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 f the building permit.
Signed Affidavit Attached Yes No ❑
11 ® omen mOttoli
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 fe- 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 Ye' Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New S:gns [ ] Decks Siding [ ] Other [ ]
J 7
: i`j"I
/ ■-R . ti../Eg gtom
Brief Description of Proposed Work: i t—� lcrj / if
Alteration of existing bedroom Yes //No Adding new bedroom Yes No
Attached Narrative ❑ Renovating unfinished basement Yes No
Plans Attached Roll [1.-
U
6a. If "New.:house_antl or- 'addition tto existing housing, complete the following:
a Use of building : One Family C/ Two Family Other
b Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? y 7 5
d Proposed Square footage of new construction. .23.2-07 D ifi i r'ldr•-
e. Number of stories? 02.
f. Method of heating? J !replaces or Woodstoves f/ Number of each 4
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction 4,/��77,
Is construction within 100 ft. of wetlands? 2,/"Yes _ No. Is construction within 100 yr. floodplain Yes _No
j. Depth of basement or cellar floor below finished grade C i
k. Will building conform to the Building and Zoning regulations? /1 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 ac; or
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
'"71/rll - 14S r" 6 as Owner/Authorized Agent
hereby declare that the staternente 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 — — �_ -- — —_ —
del ( a, . L i - — - — -- -
Signature of •w er /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
�J
Building Department
Lot Size / / / - S , r � � j 5 5 - . : —
Frontage J //5- 5
Setbacks Front i
Side L: R: 0' L: /7 R:
Rear C. 0• :'
Building Height a I � 25 "
Bldg. Square Footage °i°`
.2 8 ` o6
Open Space Footage % / S5 y 4 ,. -
(Lot
(Loki e minus bldg & paved 0 6 /-5l0 ( Q ) � 3.),4 4-7 1 �
ti of Parking Spaces _ 7
Fill:
volume & Location) L. y � /5✓ /A� L� ^ /� d
A. Has a Special Permit /Variance /Finding ever been issued for/on the site?
NO g, DON'T KNOW YES C�
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES G'''
IF YES: enter Book 7 3 Page /'7 - 1 and /or Document #
9 4/6"S'
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 Commis ion?
Needs to be obtained Obtained �/ , Date Issued: Y4,2376`..
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:_
. %
___ •__
r arty of Northampton Status o f ' Permit 3 t1 '; ,
. - Building Department CurbGut /D�euvay ° ° -
ga.
�,, 212 Main Street S /S at labt a � �o ,. `
f . Room 100 Water /Well A� ,''0 a F' . i _:
rn Northampton, MA 01060 Two Sets ' c ural ° ans " �
C 1 f hon - e 413- 587 -1240 Fax 413- 587 -1 -=? Plot /Site Pla s : g- K
a
t Other ecify P
APPLICATIONTO CONSTRUCT, ALTER. REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
'
f SECTION 1 - SITE INFORMATION
This section to be completed by office
1 . 1 Property Address:
//61 L: - iv / Map 3 "` Lot 33 � Unit
f r5,v / ( 4 D ( 4 , / . i / Zone Se......, Overlay District
1,6 I Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2_1 Owner of Record:
1 73? ! rr�Arne�5 L . 1, ( t ,C c=A �� /1 -�/`?�
Name Print) . ,. rent Mailing Addres
L ,12 1 ,6/KkPt° / i t 0' - r eptinne
Signature
2.2 Authorized Agent:
f b ), M - 75 - 0,/,--e a .3e) a% /).-P , ,r
Name (Print) „r urrent Mailing ) g Address:
X J27/if Cpl( 02 /Z2 5 J
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
hem Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
). Building (a) Building Permit Fee
I 2. Electrical � _ - (b) stimated Total Cost of
_I__ r� Construction from (6)
3. Plumbing 1 n,---e:, Building Permit Fee
4 Mechanical (HVAC) I /� - __--_-
1 5. Fire Protection /,/�
6. Total = (1 + 2 + 3 + 4 + 5) 2/:,,2� S' _ Check Number f
This Section For Official Use Only
Building Permit Number: — I Date Issued:
c'o --
Signature: -- - — — -- - --
Building Commissioner /Inspector of Buildings Date
•
•
File # BP- 2003 -0566
APPLICANT /CONTACT PERSON AUTUMN PROPERTIES LLC
ADDRESS /PHONE P 0 Box 628 (413) 527 -1580
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Peimut Filled out / ,�/ 3 fit/ p ! o
Fee Paid / � y/� l b 'T
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 04443 �
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
A 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 Stre9I;Commission
O O'"
Signature of Buildin Offi 1 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.
e(r' /mac t 4 A,
SrG e S Y .f.72-
d i s 6d4-4r vt r
.�:/� �o des p./4 s
p Plumbing ❑ Building Electrical ❑ •
City of Northampton
BUILDING INSPECTION LABEL
PP OVED
z I n spector ! "'
Date 1'1 -
140 CARDINA WAY - LOT #2� BP- 2003 -0566
GIs #: COMMONWE OF MA SSAC HU SETT S
Map:1 36 - 331 CITY OF NORT
Lot: -001
Permit: Building
Category:
BU Il DING PE�;M
BP- 2003 -0566
Permit #
Project # JS- 2003 -0929
Est. Cost: $212000.00
Fee: $1008.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: Li cense r
Use Group: R4 AUTUMN PR OPERTIES LLC 044431
Lot Size(sq. ft.): Owner: AU T UMN PROPERI LLC
zoning: SR Applicant: AUTUMN PROPERTIES LLC
AT: 1 40 CARDINAL WAY LOT #2
Applicant Address: Phone: Insurance
P ® 628 (413) 527 -1580 Workers
Compensat
EASTHAMPTONMA01027 IS SUED ON:3/6/ 0:00:00
TO PERF ORM THE FOLLOWI WORK CONSTRU 2 STORY SFH • W /ATT GARAGE /DEC .
POST THIS CA SO IT I VI SIBLE FROM THE STREET e
Inspector of Plumb Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
/ Footings:
Rough:.��_ �, Rough: House # Foundation:
7 = Driveway F inal: - _
Final: J �*° `ice jtr ,; Final: f/)Y 1 l 91 iO3� t
-�'' S U� Rough Frame: (,k 7 3 —
Gas?/37, Fire Department Firep /Chunne
or TM �6
Rough: Oil: Insulation d S O 3 �� _
F " _ _ 1 Smoke: Fii►al -tg
�� 1
THIS PERMIT MAY B ' —I r i ' r ° ' ' `Iti C ITY OF N ORTHAMPTO N , UPON V OF
ANY OF ITS RULES AND REGULATIONS..
Certific of Occupa _ ��, Sig nature:
FType: Receipt No: Date Paid: Check No: Amount:
Building 3/6/03 0:00:00 1458 $1008.40
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo