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37-108 . -7:-.--. :_ „---- ... 6111111 : 10... / . k •. • . \ \ "t ,.• . : \ I .,..._ .• % k -..„ \ . .. -,„ ., ..-- ■ s , : , ... ..-- .... ‘ t 1 1 \ '■ -,. i . , , , , \ .... , „ ,. .. ... ...... , , „ , .,.... , , : , .... ..... .....„ ....... , .. ..... , .... \ ... ... , . \ , , \ \ \ . \ OZ \ : . ‘ ... --,....., '...... ..,''. ... t . 1 1, N, I, 1 \ 1 ‘ -.. - 1 ". . • I . - I .. .....-- -..• : t \ \ , ,. • : -..--?---.• ,...- .....- • . • . ....---• . . ...• '''• • • 1 .• . T. T. \ . .... . . . , . . .•••'''... \ 7'' ` "*..'s ••• ........, _.. . .1 ." '''''' ...... .......■...... ' ........”............ ................ ' .... ..'''' ' , ..• \ 1- ..... . ': • \ - .....//‘ , ,, ," • . :....,,, ... -._ . .... --- — z, ..,..' 0-..". :, \ ■ . \ ':-. ' .. ''.‘•'',‘",-;.• \ , ' ---- : .. ..... \ 1 *-- \ k .-- --; ., ...1 :...\...‘.......‘.. \._ L \ \ , „....... • •- • -_ ...... . ........ ..-----' - .- ........ /7:1_ ___..... :..... . • --,... ..... N., a , \ , , )11 •1%111P 44 ' '''''' ...... \ .... -1... i • "' - :1'. .. . _ _ • • '1 WO ,.._. 16 ..6 lireile 4,411i9ill ' ,D \ % ■ elf • „,--- --''-------"----■,.,,... *kir . 4. -- "..'—... , ,alk --.....„,. 1 . ...,"”' l 1 t \ .,... .... .... ------ n - --- 1 . %--•-•.. . ., , -•-. , aati,...... 'Ma 1 ..: • , •,, , 0 -.. ;I:k t ••' -4S 'k , 1 .. -. \ .... \ .. .." . ..... : ' \ • , \ , \ , - , --. \ \ 4,..,.. ... CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 1� og , (r/ 125 Locust Street Northampton, MA 01060 413 -587 -1570 Fax 413- 507 -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. • C e4a 2 muel B Brindis, P.E. Director of Public Works C:AIvlyFiles\Lyni\Driveway Permit General Instructions • (SUBJECT TO ATTACHED CONDITION 1 & 2) D49 -04 Permit No. 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. 411/ B y: ea���I�%.� A etitioner Contemporary Country Builders 413 -586 -7708 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. D49 -04 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 03/29/04 FEE: $25.00 CHECK #: 6386 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 50 Ice Pond Drive Lot 18 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. 4 11/ B y : ��� ontemporat'ry Country Builders 82 Coles Meadow Road Northampton, MA 01060 Telephone #: 413 - 586 -7708 Proposed Location Inspected By: j'avY <, aW.41LirisAU k , Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works APR -06 -2004 14:47 LEADER HOME CENTER 14137746317 P.04 (Arun asn auawazedaj 6 uTptTne) a'ir OZ S3LON - 1 and Cooling equipment and service water heating equipment must be provided. Insulation R- values, glazing U- values, and heating equipment efficiency must be clearly marked On the building plans or specifications. DUCT INSULATION: t) Ducts shall be insulated per 'fable J4.4.7.i. 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 manufacturerls installation instructions. Mesh tape may be omitted where yaps 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 separa -e ! 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: ( 1 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. ( ) 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- ' ] HVAC PIPING INSULATION: HVAC 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 -200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1,5 2.0 COOLING SYSTEMS: Chilled water or 40 -55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ 1 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the f.ollowing levels (in.): PIPE SIZES (in.) NON - CIRCULATING 1 CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0 -1" 1 0 -1.25" 1.5 -2.0" 2.0 +" 170 -180 0.5 1.0 1.5 2.0 140 -160 0.5 1 0.5 1.0 1,5 100 -130 0.5 0.5 0.5 1,0 20'd LIE9PLLEIPt 2131N3D 3W0H 634:130 Lb:bJ b00Z- 90 -21dH MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 4- 6-2004 Bldg. Dept. Use CEILINGS: [ ] 1. R -38 Comments /Location WALLS: ( ) 1. Wood Frame, 16" O.C., R -13 Comments /Location WINDOWS AND GLASS DOORS: ( 3 1. U- value: 0.35 For windows without labeled U- values, describe features: # Panes Frame Type Thermal Freak? [ 3 Yes ( 3 No Comments /Location DOORS: ( ) 1. U- value: 0.206 Comments /Location FLOORS: ( ) 1. Over Unconditioned Space, i -13 Comments /Location HVAC EQUIPMENT: [ 3 1. Furnace, 91.0 AFUE or higher Make and Model Number AIR LEAKAGE: ( 3 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 /fr.2 pressure difference and shall be labeled. VAPOR RETARDER: ( ) Required on the warm -in- winter Side of all non - vented framed Ceilings, walls, and floors. MATERIALS IDENTIFICATION: ( 3 Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating Z0'd LIE9bLLETbt 21311130 3WOH 21311t131 LP:VI b00Z- 90 -ddd t E poi 60vE,- - - MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by /Date CITY: Northampton STATE: Massachusetts HDD; 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non - Electric Resistance) DATE: 4 -6 -2004 COMPLIANCE: PASSES Required UA = 490 Your Home = 429 Area or Cavity Cont. Glazing /Door Perimeter R -Value R -Value U -Value UA CEILINGS 1026 38.0 0.0 31 WALLS: Wood Frame, 16" O.C. 2352 12.0 0.0 194 GLAZING: Windows or Doors 342 0.350 120 DOORS 55 0.206 11 FLOORS: Over Unconditioned SpaCe 1160 13.0 0.0 14 HVAC EQUIPMENT: Furnace, 91.0 AFUF 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 •' , quip - nt selected to heat or cool the building shall be no greate than 125 of he "design load .ls specitied in Sections 780CMR 131 an' %'.4 Builder /Designer I Date q I0'd Lt29PLL£IPT 831•3D 3W0H 830:131 9b:tT VOW- 90 -8dd „ .. . . . .... ...... .. .... .. ... ... ...... . . . .. . .. . ..... . ..- - - - ..- -- -- , ...,.... . ...,.. _ - - - - - .. „ .. .. ......... .. .."*. -------- ------ ......"*. ----- ---- ........ ______,„,. / - ...... . .... ' ' '-'''. .................... ..... ap .....----..„........ ... . ................ ..... .......Q...... ........... ..co.N... ......................... .. . .. .. . .... , . ...... y ..,......- , . . ...... _-:--7.7.::::: ... . / . ..... e• .."'.• ------ . • .. .. ' ., __ _. , l'-- '''41 ''''''''......../ ley / / ............. die / 7 ; r : : :, ,.. .... - ....,, ....... - ........... ....” .. ............... . .................................................... ...,..." . ....., . ,., , /4 , ,:, . ‘,........_,.........,, ... .... .............................. ... .................................... //s ... ... ,. ..... .... . / .................................................... .. ............... . ........ . , , _ _ . k , 1 - - , . , „ . . . . . , „ .................. . . ......... . ............................ . . . „,,,,, , t i ,.. ,..7. .. .. . ............. :.....;,,,....._,,,, . .. . ‘.1i,_ .......................... . v , / 2 i / -- - ................... ....... - : ..; / ....................................................................................... , ..., ... ,... ..- ...,... ........ ".. ...•”. , ::„.,..... ...................... , ... .. .. ...........44....................... .......... ... i t 1 N i p . t / 44• 1* 4 Cr) : 4.76 : ?, ‘ l''' . / : ; . ::1 \ 7Y /71 e.' et. .... ,..,... ..... , "...iii......i. : .... ..,....,.,..,..... ....... 4 ....................................... . ........ r , " / , .... . . ,.. ; ....... .... ._ , ...... .0/ .----7( , ., „ ...". / < /I / _47. / .. ' , ... ......... ...-- I • l • i \ ,: 1 , I l ir i ,.,■ 1 :I I / )1% '—: \ a , / i i ..... ..........— i ---V i / , • i / ,/ ! , / ,,,,/ , . , , . . , / „...., „,....,/ , .............. / .... .„. , , \ . • i _ I r i . . I 1-- i ■ , 1. l' i i r i ..,"......11.111 ,......... .... .. 1.1.1.. „ .................... / .....• ....- , ........ .,.. : .„.••• • \ . . : / / ...'' i / / I. .... I 11111MV . I \ Atil t ' 1 1 / 1 i I / ../.. / \ i *lb* • / / . 1 1 I 1 O . i i , i i N • I / i 141 i ( I I 1 ‘ I CV I 1+1 i I i 1 kir% , , .,....,, ,..„ , ,,,, ,,, i , , , , , , 4 , i* , , , i lui il: , : s , , \ le A 3.. • : , : ... ,, . ,. . \ \ 0 i • il • . • . ' . . . \ \ t , t 1 ‘. • . • . . ‘ \ \ I , \ ,.. 1, ; , $ ‘ \ . ' • - \ • . \ 1 % \ A \ , \ , d ,.... ,... , . . . . . ..„- ".."..4,„. -SO I LE, . Po ik) b . . - . .. . 3 km.. ••,1 (fiity af Northaililiton . ---,_----*----------__ , . .-. ...- - -• '.., - - .m.,..d.,„,.rti. , ; - -. . . • - .: -- ---_-__-,-; _ — .,,.. DEPARTMENT OF BUILDIRG INSPECtIONs • -,-=—. f ' . ; c : C • . • --- - --L- ---=/ ; 1::SPCTOP 2)2 Prfa in Street. ' hfunicipal 13uilding — E - -..... .„.. Norlhniliptori, /1,ins. 0) 0G0 .:, • Square Footage Amount 2 . • Basement @ • $.15 • .1 I 4 C 1 72 - _ , 1st. Floor e S . 1117 •-s 9 q . 2nd Floor @ $ - 30 . i 0 a . ,C) 7 1/2 Floors, Attic. Garage $.33 . & 56 - _ 5 . • Dec:, Porches $-15 , • ---___62________ • . • • . , . • - - TOTAL 1 / S 7 . . . -/ (477:-. . , •_,-, - • -, -- 4- f (A -c L i . . - 2 I • .1 • . • &IS ...._ • - , • : si _ c_ .. 7 . __.____.____... N LI 0 • ---7 - , i 7 • - 1 7 i , r i 0 2, S ---- # 3 -, 0 0 ,.. 2 ___.----- - ,1 c 1 . ,_ So ..---,---- 0 • ...____:.._____- • , 1 7 3 0 . 3...S o • -. • S -,'' . . • . . . . . . . . • . . . .....„ • ' . . . 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: 50 Ice Pond Drive Lot #18 Inquiry Made By: Roy Giangregorio, Contemporary Builders 586 -7708 Date of Inquiry: 04 -07 -04 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 Number of Type of X Single Family Type of X Private Units: 1 Unit(s): Accessory Apart. Ownership: Condo Multi - family Rental Approximate Static Street Flow Test Conducted : Yes: No: X Pressure: 65 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 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. ork shall conform t orthampton Water Department specifications. / d David . Sparks, Superintendent of Water cc: Ned Huntley, Asst. City Engineer MUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: 50Ice Pond Drive Lot 18 Inquiry Made By: Roy Giangregorio, Contemporary Country Bldrs. 586 -7708 Date of Inquiry: 04 -07 -04 Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: Yes No X Size of Sewer Main: 8" Material: PVC Age: New in 2003 Depth of Sewer Main: 7.5' 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 d o-e., \ rkerAli-drs) oseph Thomas, Superintendent Douglas McDonald, Enviromental Planner Streets Department Engineering Department cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector t w = =s- :• e (City of NortIIantp nn • )_ _ * ` ��y�.� w y .A55A[{ J Il ttt " DEPARTMENT OF BUILDING INSPECTIGNS �4 = "r l /_ INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 ' HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as Lis /her construction sup:,: .'isor. 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 in pection. The I building department requires these inspections before the work is concealed, failure to j 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 hi: ed 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 pen-nits 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 neces ary for the building permit issued to me. Date Address of work location ...rt. . . . , • L , .._ • ., . e V - . .. . firt 4 0:14 kit Nart IlailiP f tilt 1 1 — r .. • fir ,Qt31/1cfptsctts ' - r'7- ,........, -;. DEPARTMENT OF BUILDFRG INSPECTIONS . -;cct• 212 Main Street ' Municipal Building , . 4..- t1111_, ----": .. Northampton, Mass. 01060 WORKER'S COMPENSAUTON INSURANCE AVFLDAN'1.T 1, . P-0. GCA LC,9_12-G 0 0-(0 - - (1ioznstripcaniit) with a pan cipal place of business/residence 6 t P-6 i _(phonei;: \ ...f(5 - 5 6 6 - 77ce (stretqjcit do hereby certify, under the pains and penalties of perjury, :hat. - -_ ( 1 2.133 an employer providing the followinc worker's compensation coveraz,e for my (C_ truployees working on this job: TRA V CLEO- 5 7 P.301 7 go .N q - (Lasurancz Company) (Pc Licy Number) CE.,:pirztibn Data) ._ ( ) I am a sole proprietor, general con.rc or homeowner (circle one) and have hired the contractors listed below who have, the followinr: worker's compensation pojicies: 1 13 1 4 P 3 ti t12-4 Lott-04,-7C Giquiell t tkiSciting-€6 Gasur 1-)Plkdc-- 3 530 6 (Name of Contractor) (insurancc CompanyrPolicy Nurnbcr) lap:riluon Date) „ 6/4041114 ELEC_ TOG 140R-T F0A-6 0 4 30( 3 (Name of Contraclor) (itisur-anca Comparty/Poticy Nurnber) (E,xvirztion Date) POOL 5 pLu k 6/ ik Si4F-C-ri /OUS (-O. (605d • (Name of Contractor) (I ngliranct Co i.131:213V/P0 ''''.' NI iunIxtr) , '.ri:racor, Date) t-i '0.66.9(k/ *-S 0 IL-S (0.AUCAIT' /1 ( G q bos i li ,k., 6 i 1 cc ikrt-i GIAT F ipc 4 Pt it) 6 (( 6 to6-oci (Name of Contractor) (Insuranc-,-.- Company/Policy Numb-21) (Expiration Date) (:•.a.,thae.. shcct if r. , ...:1 irich:-.r:711:ic, ;--...-xt.::::n;, ( ) T. am a :;ole proprietor and have no on.. workinc; for me. ( ) I ain a home owner oerforming ail the -,. ill'iSts-lf NOTE: plc.:se he stsv2: the wt.:J.1c bftI wt.° c:rrpl cry p,-:-..--:r.,-. to do :.---Iir-1.--Laricc, conz.--trt:C.I.X1 Cr It pair not tnOce th.tn thirco units in tYdt the 1 r---zi.2-i_-3 or oi: the cr,:,urwis app.Irtzr.r-r-t thc-r.- it:c ly,:( cc-Krally o:.r.::::::::::: ..:.- b..... czYployc--3 u.. --xic- ths worit..-3's ca.rc,.-7.-,:.zticc i...c.: (G1...1 52.:z. ! (5p. arlAizaticr. by 1 hoc:Lc-owl fcr :. licc•-se cc rlirii: lesal ctalug of an c=iplOrer urgier the Woriccet Campo .rr.....tiort Act- , 1 unck.--stitztd ths.: a copy of this st..t.c:-.=.1 =ay be forwiutIsKS to th* Drcixi.nrocce: of 1o:his:rid AcciZollY °Moo of ::,raryas for the covanc vcrifitio0 and that Eilurc to f-:-.:,trt. covr.-rag-,-, ut-4,....-- 7.4.:tior.. 23A of MOL 132 can Icui ki the inipositim of l pcnallics coo:listing ot a fme. of up to SI.:)00.00 ard're irt:pri7..-yrzr.c.:tt of up to cr..: yv,,,, , c i v il pcn i t t. 4 f orm of r, Stc-,, Wi:-.ric 0:(..ss: :if-A .t fir= or1 a ct.ty tv.in.-.1 tn-_.. . . For dcps.ruxxxsa. txx.c only i -... . , pc-, rnii Numbcs ...._ .. SECTION 8 £ONSTRUCTION SERVICES 8.1 Licensed Construction (( Supervisor: ,n Not Applicable ❑ Name of License Holder : I`� 6(�} j 2E. 60 V C) � S O(2.. SZ l License Number c o 4416 Iv y 4 rc HA I[ /ZSlvs Address Expiration Date 1.11/41.0 4- f ( 3 S Signatuke Telephone K Reg 5f1'` er"e`dlgom Improver feritConti %ctor' r = ,! ,2,, Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10 WORKERS' COMPENSATION INSURANCE (M c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) 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) o the Mrachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work . you u .er t .•s pe mit. The undersigned "homeo ner" certi pies a a.sumes respons'bility for compliance with the State Building Code, City of Northampton Ordinances State and oca • ing Laws and State of Massachusetts General Laws Annotated. Homeowner Signature _ 1 wk, r SECTIONS.i 3ESCRIPZION ORPROPOSED>WO.RK [check all:";apalicable) New House lc Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ (� Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: At, Us..) Z C 6q 2 ,,q 6` 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 sa° If1Be ors and or a8diti t bl i lifikl outing ; co iffi e e th6fo Min: a. Use of building : One Family x Two Family Other pp b. Number of rooms in each family unit: CG Number of Bathrooms Z L c. Is there a garage attached? YL` 5 d. Proposed Square footage of new construction. Z 2- Dimensions i G X39' G Cef,4 C.(_ e. Number of stories? 2- f . Method of heating? F 1?_. _E0 1 t _ / CIO 5 Fireplaces or--IAieeds.t-evel Number of each g. Energy Conservation Compliance. `{ Mascheck Energy Compliance form attached? ' Es h. Type of construction t-C)cr 0 r" f2 i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X No r << j. Depth of basement or cellar floor below finished grade 6 k. Will building conform to the Building and Zoning regulations? )( Yes No . I. Septic Tank City Sewer _A_ Private well City water Supply K • SECTJOK"7,a OWNER AUTHORIZATION = TO BE'COMPLETE WHEN OWNERS�AGEryT' . .,.. OR CONTRACTOR APPLIES, FOR BUILDING PERMIT 1, , 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 R® ` Gr 69 Elk e G U 12 t(:7 , as Owner /Authorized Agent hereby declare that the statemees and information on the foregoing application are true and accurate, to the best of my kno edge . d belief. Si: ed un. -r e pa ns and penalties of perjury. a, IVW`A" Print Name N / � ° N G f o�G VZ o ►2 tO � L ( �/ Signature of Owner /Agent Date 1C " 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 12- L t b a C 5 6� 9"1'� t _ Frontag�pdj el 1 Z E, t 7 S E Setbacks Front 30 ZS Side L: R: L: 1 R: Rear L( a5"- Building Height Z t Bldg. Square Footage % i I c(-1 � p 2 35 C 69 Ri}6G lt�{5 ) Mfr Open Space Footage (Lot area minus bldg & paved (0 0 8c( (( 200 parking) # of Parking Spaces �{ Fill: (volume & Location) u 0 5 6Pkoz.. PLC, A. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: JO f3 3( ill City of Northampton - a - Building Department r : Y �' 212 Main Street '' k Room 100 �� n Northampton, MA 01060 a �� . } r' � � , y � F phone 413 - 587 -1240 Fax 413 - 587 -1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE 1} Ml. DWELLING li ../f p 6-''. I ? A 2004 1 p SECTION 1 - SITE INFORMATION - r., This section to i e cb 1 1.1 Property Address: a ;.„..*:‘,°, K C SC) - L t� j M p 'Lot 2 ark l 1GC poti6 p 1 2c v d y Iv d tLTN 6-M P-r° 1"' i Nil D l CI G G Zone Overlay D;siiync EIn St. Di GA Distract SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT O wner of Record: � j NG "E Go t _tC' Current Mailing Address: 2 C-O S NcE Opp i 4(-' 2.1 ame (Pn Ix'p -� J p 1 M1�} 0106 1 Telephone 1 Signature t-(( - 5 ( , `� 7 .708, 2.2 Authorized Agent: 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 (a )" Building Permit Fee I 7 y 1(2 ©° o 2. Electrical o c (b) Estimated Total Cost of ��:� Construction from (6) 3. Plumbing f , o Building Permit Fee 4. Mechanical (HVAC) 1' U ®o 5. Fire Protection �) vG' 6. Total= (1 +2 +3 +4 +5) 2G5 Cep © o ° Check Number This Section For Offic Use Only Bu Permit Numbers Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2004 -1002 APPLICANT /CONTACT PERSON Roy Giangregorio ADDRESS/PHONE 82 COLES MEADOW RD NORTHAMPTON (413) 586 -7708 PROPERTY LOCATION 50 ICE POND DRIVE Lo MAP 36 PARCEL 393 ZONE SR T /63 37 -/0 O THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvpeof Construction: CONSTRUCT SINGLE FAMILY HOUSE WITH 2 CAR ATTACHED GARAGE New Construction Non Structural interior renovations c K , qO 1 1 ) ,,,o,..____. . Addition to Existing Accessory Structure Building Plans Included: gOCI /3 Pi R tis Owner/ Statement or License 062571 3 sets of Plans / Plot Plan THE F LOVVING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: A pp r oved 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 C 'ssion „, -e--e&/--- ' 2_2, ZOO 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. 50 ICE POND DRIVE - LOT #18 BP- 2004 -1002 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 108 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2004 -1002 Project # 3S- 20044472 Est. Cost: $205000.00 Fee: $1137.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 Roy Giangregorio 062571 Lot Size(sq. ft.): Owner: Roy Giangregorio Zoning: SR Applicant: Roy Giangregorio AT: 50 ICE POND DRIVE - LOT #18 Applicant Address: Phone: Insurance: 82 COLES MEADOW RD (413) 586 -7708 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:5/6/04 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /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: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 5/6/04 0:00:00 6401 $1137.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo ?n ;;, (±t of Norf1iantptan .;, tv � , � �. Jilassachiusetts r ^ 7° !i v 4:2 2. 4 DEPARTMENT OF BUILDING INSPECTIONS - , ` - INSPECTOR 212 Main Street • Municipal,Building Northampton, MA 01060 r' , 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 50 Ice Pond Drive - Lot #18 as shown on the Assessors Page# 37 , Lot# 108 , Zone SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 5B USE GROUP CLASSIFICATION (780 CMR 3 - R4 OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF 30 PSF LIVE LOAD PER FLOOR (780 CMR Table 1606.1) 40 PSF Under the following limitations, special stipulations, and /or conditions of the permits: Special Permit • Issued this 20 day of October . , 20 04 Certificate of Occupancy and Use # BP- 2004 -1002 ` Authorized Department Personnel 1 / Electrical ,,,L , r� r' [.� levator / r< � i �, o Fire � � P lumbing f . �� - A._ - L. Building — 1 urt Gas - J A A ■_ Building Commissioner ' 7 ' 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. ( • Permit No. D49 -04 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 03/29/04 FEE: $25.00 CHECK #: 6386 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 50 Ice Pond Drive Lot 18 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing_ roadway. Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: / . /. rj ontempor. 'ry Country Builders 82 Coles Meadow Road Northampton, MA 01060 Telephone #: 413 -586 -7708 Proposed Location Inspected By: �� �•- /z.'�'S1ll��J k Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. /6+ 4 George Andrikidis Director of Public Works P 015 V V 1/4/00 07 i KOY )) At7 X07h/p/ ‘ /Y c-v ov if v / te2 Cv7ocrig7,_ Ce-zoy,1 Q ,e/4. 50 ICE POND DRIVE - LOT #14 BP-2004 - 100' GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2004 -100 Project # JS -2004 -147 Est. Cost: $207000.00 Fee. $ 1111.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 Roy Giangregorio 062571 Lot Size(sq. ft.): Owner: Roy Giangregorio Zoning: SR Applicant: Roy Giangregorio AT: g0 ICE POND DRIVE - LOT #18 Applicant Address: Phone: Insurance: 82 COLES MEADOW RD (413) 586 -7708 Workers Compensation NORTHAMPTO NMAO 1060 ISSUED ON :5/6/04 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /ATT GARAGE /PORCH POST 'PHIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.Y.W. Build.ng .Inspector Undergrou:id: Service: Meter: Footings: Rough: - , j 'el 0 Rough: House # Foundation: 6/1 6 - ''�• /04.f Driveway Final: Final: 0 g3 616t/ nal: <>V giee , v Gv i/vLri� �f s l v y / Rough Fraine:Q{( 8 - fo ' y r ot LA,o1/145,__L:6 : 4?) ) Gas: S-17 i w O Fire Departmeilt '. / Fireplace /Chimney: Rough: Oil: Insulation: CD/c 1" . c j ✓ �2 / 7 � Final: / l B . � S oke: 0`i v Final: 7K � 4 -a ze rt � Y THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL . IONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 5/6/04 0:00:00 6400 $1111.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo