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MUNICIPAL SEWER APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
587 -1570
A Department of Public Works Trench Permit shall be required
prior to any construction or connection activity associated with this application.
Location: 55 Ice Pond Drive Lot 9.
Inquiry Made By: Glenn Bldg. Associates 413- 246 -2051 Chuck Conner
Date of Inquiry: 06 -15 -04
Municipal Sewer Main in Front of Location: Yes X No
Municipal Storm Drain Available: Yes , X No
Size of Sewer Main: 8" Material: PVC Age: new in
2003
Depth of Sewer Main: 8'
Size of Service Connection: 6" 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
seph Thomas, Superintendent Douglas McDonald, Enviromental Planner
Streets Department Engineering Department
cc: Ned Huntley, 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: 55 Ice Pond Drive Lot #9
Inquiry Made By: Glenn Bldg. Associates 413 - 246 -2051 Chuck Conner
Date of Inquiry: 06 -15 -04
Number of Type of X_ Single Family Type of X Private
Units: _1 Unit(s): — Accessory Apart. Ownership: —
Condo
_ Multi- family _ Rental
(Applicant to fill out the above)
Municipal Water Main in Existing service to
Front of Location? Yes X No: site? Yes: X No:
Size of Water Main: 8" Material: DI
• Age: 2003
Approximate Static Street 65 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. 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.
/ TI Z ork sh I cpflii to Northampton Water Department specifications.
i. im I
David W. Sparks, Superintendent of Water
P P
cc: Ned Huntley, Asst. City Engineer
•
Permit No. D63 -04
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: June 16, 2004
FEE: $25.00 CHECK #:
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for:
Permission to install a driveway at 55 Ice Pond Drive Lot 9
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 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. ''
B y: - C
Chuck Conner, Glenn Bldg Associates
Telephone #: 413 -246 -2051
Proposed Location
Inspected By: if/plc,/ 4L4 h o 4- w , a e c) 6 /i /o
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 I: 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)
r
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.
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 I .
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: 04/28/04
TITLE: NEW ENGLAND STEPPED CAPE
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 continuous insulation
Comments: t7/111/."7
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R -19.0 cavity + R -2.6 continuous insulation
Comments: 1 f�; ���.� z a T%S ,t ►'?s
Windows:
[ ] 1. Window 2: Wood Frame, Double Pane with Low -E, U- factor: 0.300
For windows without labeled U -fac ors,, describe features:
# Panes . Frame Type /y'/ 1 Thermal Break? [ #j [ ] No
Comments: c9✓7
[ ] 2. Window 1: Wood Frame, Double Pane with Low -E, U- factor: 0.340
For windows without labeled U- factors, describe features: ,/
# Panes , Frame Type �. / Gie-a„ -0/ Thermal Break? [ 1 '' ] Yes [ ] No
Comments:
z"; 1 /A4S r�
Doors:
•
[ ] 1. Door 1: Solid, U- factor: 0.140 /
Comments: 3 _ �.'f� /e41 cY z i.'€
[ ] 2. Door 3: Glass, U- factor: 0.340
# Panes Frame Type /1J et Thermal Break? [ -1 [ ] No
Comments: ,6.2 ,f 4.7..v.
[ ] 3. Door 2: Glass, U- factor: 0.300
# Panes <2 Frame Type jj /�/_ ) Thermal Break? [ ] Yes L-1 Nor
Comments: i�?'�l�ri' �re -L" �/ Y J �/ -4
Floors:
[ ] 1. Floor 1: All -Wood Joist /Truss, Over Uncopditioned Space, R -19.0 cavity insulation
Comments: .i"
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
Permit Number
MECcheck Compliance Report r �
Massachusetts Energy Code � `�
r . _�
MECcheck Software Version 3.2 Release la s j ' Checked By/Date
TITLE: NEW ENGLAND STEPPED CAPE �'j
CITY: Easthampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 04/28/04
DATE OF PLANS: 4/26/04
PROJECT INFORMATION:
Jackie and Charles Geschwind
Lot ( #9) 55 Ice Pond Rd.
Northampton, MA
COMPANY INFORMATION:
GLENN BUILDING ASSOCIATES INC.
CO d' - • . E: Passes
Maximum UA = 81 2/ 0
Your Home = 313
17.8% 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 1032 0.0 38.0 26
Wall 1: Wood Frame, 16" o.c. 2158 19.0 2.6 111
Window 2: Wood Frame, Double Pane with Low -E 14 0.300 4
Door 1: Solid 60 0.140 8
Door 3: Glass 14 0.340 5
Door 2: Glass 54 0.300 16
Window 1: Wood Frame, Double Pane with Low -E 230 0.340 78
Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 1392 19.0 0.0 65
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% of the design load as specified in Sections 780CMR 1310 and J4.4.
Builder /Designer �� ":'' '' Date•:`
.�A G t iJ 1 4 f-`�`• 26 k illt STREET • NORTHAMPTON, MA 01060 -2332 •
� �., ®� �' ` v PHO E 413- 586 -7000 • FAX 413- 586 -7001 .
.■. real estate
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DEPARTMENT OF BUILDING INSPECTIONS ^ '� a _ f
INSPECTOR 212 Main Street • Municipal Building '
Northampton, MA 01060 oAy 5
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction sups:.. sor. 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 constructs 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
•
I ,
, ,
S.
... ,,.A ..,-,, p
4 (_Tit ir ilf Nortliainpf oil
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DEPARTMENT OF BUILDING INSPEUI IONS - 4Will=
•=s1:4---. -
212 Main Street • Municipal Building ., -.......—...-= :
Northampton, Mass. 01060
WORKER'S CONITENSA'110N INSURANCE AFFIDAVIT
I
'
(licens,
with a principal place of businessiresidenc:_' a)..:
/'. 4_,S17 ,1-:0;te/. .A (phone) - 3 ..5",,v . _ _ .. ve, F 0
(st ty/;;Illf:Pi_ip)
do hereby certify, uncier the pains and penalties of perjury, :hat
_..
( ) I am an employer providing the followini: •., compensation coverage for Iny
employees working on this job:
i ////'', a(9,0 y-7is oaoy 0.7A:7 _
- (Insuranc- Company) ( Number) (E_):pira tie D Date) --
( ) I am a sole proprietor, general co=icior or homeowner (circle one) and have hired
the contractors listed below who have the follcc, workers compena(on pohc:es:
(Name of Contractor) (Insw CorntD::: - Number) (Ex::I:It:en Date)
(Name of Contrac-tor) (lasur CompaID,./Pelic Nariabcr) (E..):Dl Dare)
(Name of Contractor) (Ins Cornt 1 , :Exr,:ratioa Date)
(Name of Contractor) (lasuranc-z Cont7x. Numb•21) (I Date)
rall...v.th .arkilticcal sl.... if o7 Jr: ..., :!.-:, :::: ; .. nil C. • )
( ) I Cull a sole propm...or and nave no one - •, , , - ori-i; for me
( ) I am a home owner performing all the -,vor:; inys:‘_lf
NOTE: pl bc AV,.. that . .v!thlo b NA c P ',..) ,.■) :. o..,:z cr I 7.
not snore {Etc throe on/Li ir. V•11 the b:: r. CA" 0.(1'.1,: ' :4 th trc ix:4 Ct-no 0.7.::::‘, '...-., tse
calployoz u.rldor Lb tatri.,"..&:. C:"."..3:-.1 Art (GI..152,!. ! (5)), iT•, liy a hottirtowha 1Cr a 1 -: (1 :- .- a ' 1-'''''''''''
legal rtatus of all e!=ployer under tit!, Worker Con_tper---Ation
I un-clerrtAncl diet a copy of chi, cz.tcr rtlAy be for.varc!,e-J to ihn Dcv.a.rt.-ncrat of La-cf....atrial Accid.allY OfIioo of I:-.L. for the
c°w 'rigc vc e'zidth fzilurc to r.o cogo ut-4.74 :co:ioo. 25 A of MCI, 152 can lot.d to thc imp.ositio of oz pcoallics
coomi o f a f o f up to S I _SO0.00 "Cx. it of tip to ont yt....t.r er1 civil ptruitics in ti4 0x of a Sto V.' Orit. tri.ri a
f:a." of S 1 00.tX) a thy Lg....1mt too.
For
mb,:r es..! uf. onty 1
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<5.- &-•--- - tviapil ____ ____ Lot
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."-r2, . ;)! gurttu rc ori.icc:r;ec/PcrillIttc'.--
•
SECTION 8 , SERVICES
8.1 Licensed Construction Supervisor: '/ /� Not Applicable ❑
Name of License Holder : /+ i rJ c3777(7
License Number
Address Expiration D ate
Signature Telephone
' Re°"" 1"e a SN nTe lm eWe el on ra o _ ;€ � " ` _ Not Applicable 0
Company Name Registration Numb r
CY
Address � Expiration Date
/V -`:/ Telephone.' '/al
SECTION10 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 L7 No ❑
r ome43wne ton
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
•
SECT1ON5 - DESCRIP tION OF PROPOSED WORK (check all apalicable)
New House ® Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ .
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: ? 1 ..0 • * . .
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 / Renovating unfinished basement Yes No
Plans Attached Roll O • Sheet 0
6a t ; EWI see n fi aidi-tio'i to `ezistmMf titr Pcompl. theTfoll.owtng:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: b / f Number of Bathrooms —��
c. Is there a garage attached? 1 %S .4
d. Proposed Square footage of new construction. 3Q 0 f Dimensions 70f — AK 014,rof
e. Number of stories?
f. Method of heating? 6 a Fireplaces or Woodstoves C, Number of each I
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction AL'S
i. Is construction within 100 ft. of wetlands? Yes / /
No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade ` r'r9�
k. Will building conform to the Building and Zoning regulations? / Yes No .
I. Septic Tank City Sewer / Private well City water Supply /
'SECTION 7a -0WNERAUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT`ORTCONTRACTOR APPLIES FOR BUILDING PERMIT
I, C/#4& , as Owner of the subject property
hereby authorize ,/i/4/( 1 %. to act on
my behalf, On all matters r- 've to work autho' ized by this building permit application.
Signature of Owner Date
I, Ajoyz ot{/ , 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 pain .nd penaltie of perjury.
ORMA/1/ 6A'1i1,
Print ame
' 6 e/0
Signature . owner /Agent Date
f f
41
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION
, i-.fr- Existing Proposed Required by Zoning
1 �° �� This column to be filled in by
6 Building Department
i ,4r7 _.31g c( 77 P p_
Lot Size ` 5,. 74 V l' . 1 g ' l4 /
Frontage , 9 Sr d. ✓ 4 ...r; //
Setbacks Front i Q /_�
1
Le /
Side L:_ R: L: c?-- - R: y f
Rear / ,
Building Height 4:96
Bldg. Square Footage % (ply- g.s ,?4
Open Space Footage % ; (1 —( p�
(Lot area minus bldg & paved H. 9X #�° 0
parking) ' 1( J
# of Parking Spaces 72{/C,
Fill: /
(volume & Location) ✓(/ '
A. Has a Special Permit/Variance /Finding ever been issued for /on the site? ci
NO Y DONT 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 y 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 Y
IF YES, describe size, type and location:
D. Are )here any proposed changes to or additions of signs intended for the property ?YES _
No 1
IF YES, describe size, type and location:
r I t
/ ~
City of Northampton -1,..:,. �. e �
Pm
Building Department 9 4 e
212 Main Street "fi���
Room 100 ._ " rt,w�
Northampton, MA 01060 .1 V . • _� tt + ��* w
d
phone 413 - 587- 12A -ax r g � �
APPLICATION TO CONSTRUCT ALTER� RENOVATE OR �' Q�. I SH A ONE OR TWO FAMILY DWELLING 20 1____..._---7-;(.-J- 1 T,' ----t \
SECTION 1- SITE INFORMATION > ,. ; , (r -___
l
1.1 Property Address:
This secti to be compe by office
/`_}/ is ,� ^/ /�+�1 ['/��//' $ ■ ,.y�, � r �y
� N/'- �� V S/ ifs ' : 4aJii ''. " Uni
F K
,� Kr fi 5 {
f/c ) i'�! Zon L Oveirt Du
a
Elm S t. District' CB Distr
SECTION 2 - PROPERTY °OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
�K 66-1- uJ . 7 2 ,,�..Z'�T S ,, . 4= 4 e2R- 1'l/.�' 4/� ,#'
Name •rint) Current Mailing Address: ,
_ .�.�- .11, 4 Telephone
Signature
2.2 Authorized Anent:
/,�iiz 4 � . = l., ✓ , / / ,4 �h'O. ' C. ff <�� .1 7a/ 1,
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 v/. k,A, (a) Building Permit Fee
2. Electrical �x (b) Estimated_ Total Cost of
t 0 6e Construction from (6)
3. Plumbing .7 fQJ ` Building Permit Fee
4. Mechanical (HVAC) # S foo
5. Fire Protection -p/ 5(,l, ---
6. Total = (1 + 2 + 3 + 4 + 5) ,r/ /'4
-
—
Check Number 25 ,) � -
This Section For Official Use Only
Building Permit Number:_ Date Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
T
File # BP- 2004 -1304
APPLICANT /CONTACT PERSON BUILDING UNLIMITED
ADDRESS /PHONE 18 Ashley Circle EASTHAMPTON (413) 527 -4010
PROPERTY LOCATION 55 ICE POND DRIVE - LOT 9
MAP 37 PARCEL 099 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out (-75741 di Fee Paid is C i do
Typeof 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 039970
3 sets of Plans / Plot Plan
THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
f ir ZONING BOARD PERMIT REQUIRED UNDER: §
Y 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 Str t Commission
2 1N
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.
scsttAM p7•
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4-4011140114 Cif z f Nort1jamptan ) = 't= ' _/
te a,{ . / ., _•�
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�' DEPARTMENT OF BUILDING INSPECTIONS - 4 _' _ �
INSPECTOR 212 Main Street • Municipal.Building
Northampton, MA 01060
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
55 Ice Pond Drive — Lot #9
as shown on the Assessors Page# 37 , Lot# 99 , ZoneSR
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
JO 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 8th day of April , , 2005
Certificate of Occupancy and Use # BP-2004--1304
Authorized Department Personnel
Electrical ileety.4, fcru., t�Cc Elevator
Fire ..„.s.(4 Plumbing
4 vc 2
Building , ,� �, / Gas "t rt
Building Commissioner / •.- �' -'rs
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.
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55 ICE POND DRIVE - LOT 9 BP -2004 -1304
GI441: COMMONWEALTH OF MASSACHUSETTS
Afap Jock: 37 - 099 CITY OF NORTHAMPTON
Lot: 44)01', PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
�e>Irzit: Buildjpg DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Bp-V(471304 m ..
Project # ,IS• -2QQ4 -1964
Est. Cost: $197)00,00
Fee: $1126.?Q PERMISSION IS HEREBY GRANTED TO:
Const. Clash;, 5B Contractor: License:
Use Group R4 NORMAN GLENN 09970
Lot Size(sq 1 s Owner: GTF.-SC7-1 Thfll) GLENN 7ACKIE
L= iry�. - Wi.cant: %: ".J�KIKI�11
AT: 55 ICE POND DRIVE - LOT 9
Applicant Address: Phone: Insurance:
18 Ashley Circle (413) 527 -4010 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON :6/30/04 0 :00 :09
TO PERFORM THE FOLLOWING WORK :CONSTRUCT 2 STORY SFH '1N /ATT
GARAGE/PORCH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET- `
Inspectoe of Plumbing" " " Inspector of Wiring D.P.W. Building Inspector
Undergr°Imd:, . Service: D Meter:
�LLz
Footings:
Ranh: /2.43` Rough: ` Z e 4 House • Foundation:
Driveway Fits* OK. 0 b-'05/
Final: 3 -11- Final: tA/th:old `/ / /foci 4
`J �i kr / l Rough Frame: (� J.9
� 7
Gas: Fire department Firenlace?("hirmt —
Ron& J.M.1% Oil: Insulation; f �1�- ___ _...
11 ►a1..�j r l � a( Smoke: dt k
f Final•
Q
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON V1OLATI OF
ANY OF I S RULES AND, REGULATIONS.
.
f14Y
Eee 'vve Receipt No: Date Paid. _ Check No:
- Amount:
Building 6/30/04 0 :00 :00 5508 31126.20
212 Main Street, Phone (413) 587 -1240, Fax (413) 587 -1272
Building Commissioner - Anthony.