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37-109 • . . • ::'.:::: 7::: -::. : • : ----- '' -- "Iiit . -7 "zr I ! , • .. .: 'A's ' ' .... . . , 1 ii:( ttAotiP). L i C) 1 C C C) ILI D . ■ j . I : al_:■ . qi laf '..Tortlillip to n srftrile,rcit• i - I , - i =---L----------- f; - ! • 4.-•••• Ca • 7. --- =-7f . . f , !DEPARTMENT OF DUI WIG INSPE.CtiONs 1::SPGCTOP i 2-/ 2 Main al-cc!. ' M unicipal Building — Nor Lim my> Lori, l'itiss. 01000 . 1 - . . Square Footage Amount - Basempr.- '-' •t080 70 1 1L0 S60 c,4 1/22 _ )0 et0 3 ) 2_ H ,---- A lt- 7J • • . • gefr6 if - i . 6. 6 . tl 17,A . Q r o f - i 1 1 TOME) . . - ---- 4't6 .ti:61_*-- ......, . - . . _ k / 47, gel — LI • 4 1 0.0 - 17, - :, -- 1.- -- ; 0 - • l 0 9 0 • • • ..., . . 2 3C 0 • ( f . 7 2 .....--- --- 6 • . : • . . . . ' . • . APR -06 -2004 14:48 LEADER HOME CENTER 14137746317 P.08 (�Tuo asn auawazvdaa 6uTPITn8) Q1 Li OZ SB�d� TOTAL P.08 r Y j 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: [ ) 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. Duet. gape 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 rest.riet or shut off the heating and /oz 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 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. [ 1 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 7.0 1.0 1.5 Steam condensate any 1.0 1.0 1.S 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 ( ) CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following 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 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100 -130 0.5 1 0.5 0.5 1.0 L0'd LIf=902,2,ETbi 8311433 3WOH 83031 9b:17T t7130Z- 90-eldt1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 4 -6 -2004 Bldg. Dept. Use CEILINGS: t ] 1. R -38 Comments /Location WALLS: ( ] 1. Wood Frame, 16" O.C., R -13 Comments /Location WINDOWS AND GLASS DOORS: ( 1 1, U- value: 0.35 For windows without labeled U- values, describe features: # Panes Frame Type Thermal Break? [ ] Yes ( ] No Comments /Location DOORS: ( 1 1. U- value: 0 -206 Comments /Location FLOORS: [ J 1. Over Unconditioned Space, R -13 Comments /Location HVAC EQUIPMENT: [ ] 1. Furnace, 91 -0 AFUE or higher Make and Model Number AIR LEAKAGE: [ J Joints, penetrations, and ali 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 Lhan 2.0 cfm (0.944 L /s) air movement trnn the the conditioned space to the ceiling crcvity, The .lighting fixture shall have been tested at 15 PA or 1.'7 lbs /tt2 pressure difference and shall be labeled. VAPOR RETARDER; I 1 Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: 1 materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for ell installed heating 90'd LT£9PLLETht 213JN39 3WOH 63031 LP:PT PO - 90 -2ldti • — £10 1 C• po N. Q R��� MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MASeheek Software Version 2.01 Chocked 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 = 367 Your Home = 502 Area Or Cavity Cont. Glazing /Door Perimeter R -Value R Value U -Value UA CEILINGS 1460 3 6.0 0.o 44 WALLS: Wood Frame, 16" O.C. 2737 13.0 0.0 225 GLAZING: Windows or Doors 439 0.350 154 DOORS 38 0.206 8 FLOORS: Over Unconditioned Space 1120 12.0 0.0 71 HVAC EQUIPMENT: Furnace, 91.0 AFUE COMPLIANCE STATEMENT: The proposed building desiqn 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 t - a..licable Standard Design Conditions found in the Code. The ip - n , Selected to 110,1 or cool the building shall be no great .r than 25': •, the design load as specified in SectiOns 780CMR 13 and A.4 41 /o Builder /Designer Ain Date lQ1 S0 ' d L rS9PLL2 T P T b31N3. 3WOH 83031 : P T POUZ- 90 -21dk f k ` t R t t R' s 1 1 \ \ „. \ * 1 . 1 ': \ 1 ; . \ 1 . \' \ 1 ': 4 i \ • \;\ 1 , -,.... 1 \\:.' .1 '''' . It % t C.1 \ \\ j \\ ` J fit f {`` .2 r r' \ \ \% • .\.. ,. #1. ...-:-. *. <, 1 4 \ . 1.,; . 1 : • ' 1, .. , . : , , , A -- .,, , ' „: ' , ' , ,- >7 . , - -,-. %Ilk. ,,„. 11 * ' . \----: ' . \ \:---..... -7 ' ,_ •. t, . 4r, , ........_, ,,,,%, _ ......- \ \ ,..... - - :,,,e,,,, . .. , 2 ....... 4P--- .- -- \ , -..\ ' ' . _______ - bilLk. -4.. , A „.....- ... ALL4 12 0: % \ , 74 -`,...\, .. \ : N 7 7, ‘ 441 -... _ t \ \\: 1. 1 .....7 . . ... ,, )� ` �� f+ vs fir` . . • ( ;-.. ...... .. .... - I ..„.... , , ____, eiv , :ti --.....reis ..,.. 1 . ,• : , ,.._,,,....,,---,„ ...... ,..:..._ 0 „. , , .,,,,,,_. .. -4'4,41"414, . . , 0,,,....: ...... , „... , , ., : ,,,-,0_,_ .....„ ..•:, ,:,,...: , ... _ .. ".......„, -------___._..., ...„. . ... _•::•:: ...,...„ , , .., ., ar , ,.. -,." .: • : . : : ••• ' --------- *Ili : . : ...-- , "4-.N......---- - - _ era JA . : i,,,. , : 1 ` • ; "fi'''r > 43.46,. �' - J J _ `. �'""'°„ CITY OF NORTHAMPTON, MASSACHUSETTS 1 , . �, DEPARTMENT OF PUBLIC WORKS 1 ' -� 125 Locust Street \r 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 I3OARD 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 b"4muel B Brindis, P.E. Director of Public Works . . C:AMyFiles\LynlDriveway Permit General Instructions (SUBJECT TO ATTACHED CONDITION 1 & 2) D48 -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. F By: Ara rdir Pe 'over ontemporary 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. D48 -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 40 Ice Pond Drive Lot #19 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: Conte " pry Country Builders 82 Coles Meadow Road Northampton, Ma 01060 Telephone #: 413 -586 -7708 Proposed Location Inspected By: n 2rift-051/241A1 Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works .- - . : . . 4 i 1 . I / : i i . . I ; I 4.. i.• . : i . . 1 i . . . 1 \ : 1 :: 1 I s,. 1 -: 1 1 ,.: 1 . i OZ 1 : --: i 1 \ i , • . . : I A 1 ; ; : . I : .1 Li I : ! . . 1 . 1 . .• : : • ,-.. I ": I .. I I = 1 : . ; I I ; . - : , . : 1 t. : 1 \ t s . : ; : \ . 1 1 i \ : 1 1 ; I . • . ; . 1 : 0 i 1 -, • - \ :, . I : 11.',, 1 I, I : . : : :. 1, 'I \ ,...,,.. ...,..... ' : 1 1 A : /..,.../ ,,,, ,-... ip , -: : / : P./ '•--. k : , % \ t \ : : : . -. : ---.. .i 4 \ - 1. 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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: 40 Ice Pond Drive Lot 19 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 03 Depth of Sewer Main: 7.5' Size of Service Connection: 6" 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 oseph 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: 40 Ice Pond Drive Lot #19 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. -• + 11 work shall confo to Northampton Water Department specifications. I tti,,... d David . S parks, Superinten .ent of Water cc: Ned Huntley, Asst. City Engineer ;.�� � Oat of Northampton ■ ■_ _ * *_� A Y �� � �il assacliusetts — ' " DEPARTMENT OF BUILDING INSPECTIONS , _' =i= /_ INSPECTOR 212 Main Street • Municipal Building 'c � , Northampton, MA 01060 ^y S y el HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as Lis/her construction sups: :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 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 .... , . , Hp '. .....0 . . __... .47- 1 1 fit „„ of Northampton c- . Aggio 11. llref ° --,111 c t I e A' <,-_,. • ) 414,47.zi- DEPARTMENT OF 13UILDIJG INSPEU 1 IONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S C0MTENSA'110N INSUIZANCE AFFIDAVIT II P-0 GLiii-k21 (lic:ensedr. with a prin cipal place of business/residence at: 02- 6 - 0 C- 6 tle / Vi 1Q.- t ek-cia-Tih9qf TO/Ad 11 14 (p hone (strec ticl tyl:;a:_fl do hereby certify, Linder dic pains .,:nd penalticr, di - t.hat. ( I arn an employer providing the followiniz worker's compensation coveraQe for my tCniloyees workinv, on this job: Tkik-)vELEIP___5 7 P3 '7 eto x q so aasurancz company) (Polic. Number) (F_xpig.:tion Date) ( ) 1 a_ai a sole proprietor, r.r,erieral contactor c_. homeowner (circle one) and have hired the contractors listed below who have the foLic worker's compenson pohcies: tinVtP31 LotLco.5.76- 60012_11 t KscAtificc& c, asve ollk 3 3 S c)e (Narne of Contractor) ansurancc Con2o,::::] (17_'.):plrat:on Date) 6 R64 (-I Pi tiA ELEC. 1 1-(A k 1 0 4 1- 3o ( 3 (Name of Contraclor) CInsurancc Con Nurntro.r) ( Dale) faz)UL- 5 pLu kte,titt, SP F Lt i ks (--0, ( 0 5 e (Name of Coutractor) (Insurance Co m pan yildo I i cy Number) ,:Exi Date) ck.*5 0 vs ( cuc ISE:g..66U titykA,A Lc. atjtext-i OAT r 1 i■JS _ 4 It't A) 6 (1 6 to6-oci (Name of Conti (las Colnl ,- Iy/P o Li cy Num1 (EY.r):: Date) (,.a..,th .....6-.4..,:i00.2., i..:c .c , .51,....-2 , -_-, 17; ..:, :, 1.1!7 T . .Z.i.1:11 , ... ,11 , , , ..r. , : ,', .. ,,' ) ( ) 1 tin a sole proprie:_or and have no one - ;-,:i.. - kii): - 4 for Inc. (:, ) 1 am a home ov'ncr Derforininc: all the \vor''.-: ihy:.elf NOTE: plerse be :0,1 11.11 W;11)C lir/COVZ. , S1::3 CInp10 P■ ,-,) ■'..) Lir 0... CS I zpatr w c.. I ,dwellin; not more than throe units in. trt.:dill redt:2-75 or cc: t.:Ic ,- zr-e-n.11- '-:t cx C r2-11. / c ''''''''' :; '''''' ''' Is ` ccIploya-s und.c.r the workes's ( Act (Gi-l52j-a1(5)). e_r..c.li.:.7.:ior. by a homcots-per for a Ucc cc p..7-.r:r.:: :-.1ey .:.:-....:ri:c the. legal status of an orctployer under thc wk-'n Con...tsorron A.cs_ I un-dc.sta_ncl that a copy of thie etatc,-,---: relay be forwnrcleed to tdet Cs-evert:nerd of Loeleutrial Accid.--,-,IY 0flic.0 of 1::...+r•-,74 for tho cOVC vcrin. earl that failure to !dr-ztre coverage utw scctids of MCI, 152 cem Ic.aci to the imposition of rr=1 per_slli es cocal_aly, of a n o f up to S I .Z,00.00 „,:1,.:'..°0( impr1:--..yel::: of :27 to Cr:. r.Z.,” ?.: civil pc:lit/tics in tic orm of a Sit.--,, Woric OriLs-.- and a fir4 of 7;100.00 a day a.g:ainst For. .. ciiqiiutrurreal u. C y , , 1 Pcr mit Naultr',:s _ I r -ot I gnttzurc of I .icc:11211)c.r nlil, t, • 1 . -- )1: - , - ,, 1 Mar,q; _________ '• _. _ ___ 1 .., SECTION 8 - ; CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : I � l G/ Kkol2 6O i -O CS 062...s 7 �1 1 License Number LO t. 5 r r 08cAk 171 n Ff To Oii(- kg! lI /Zs1Us Address/ Expiration Date Signature Telephone ` Re i t re8`I o eir overier Contr'a F . ., ¢ Applicable ❑ � .,�; Not A Company Name Registration Number Address Expiration Date Telephone SECTION - 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 pC 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) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for . under th's per 1 . The undersigned "homeo ■ner" certn •s an: ass mes responsibility for compliance with the State Building Code, City of Northampton Ordinances, tate and Le cal o'in_ Laws and State o? Massachusetts General Laws Annotated. ) g Homeowner Signature .4 _ SECTION ..ID: SOR PAT�ONSOF PROPOSED WORK (checkka1I applicable) -9�� �,N• �� . _ Win, �.. . ,. ��- ,.� w .. New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: St i G LC T=p3M(( Li 2 5 7t1 OivEU- i Vim` Z c 692.C,tchz 9E 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 6a ifiNe°" hctuse"tatid dditi5 to,exist'marhougi tVfaf `iefe'the:fol:lowmg: a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: e Number of Bathrooms L c. Is there a garage attached? Y5 d. Proposed Square footage of new construction. 2- tot-) r Dimensions t q 67U�(.-C e. Number of stories? / f. Method of heating? (=c.(2cE O l l G S Fireplaces OF -Wood t es ( Number of each ( g. Energy Conservation Compliance. `1 C S Mascheck Energy Compliance form attached? kC 5 h. Type of construction °'p Fi?_Ji t-1E i. Is construction within 100 ft. of wetlands? _ Yes �_ No. Is construction within 100 yr. floodplain Yes t\ No • r j. Depth of basement or cellar floor below finished grade C7 - k. Will building conform to the Building and Zoning regulations? )( Yes No . I. Septic Tank City Sewer Private well City water Supply X SECTIONy7a t. OWNER AUTHORIZATION -' BEiCOMPLETED WHEN. 'OWNERSV'AGENIrORCONTRACTOR APPLIE FOR BUILDING PERMIT ,r , as Owner of the subject property hereby authorize to ac; on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date RU `1 G(44 PG ►2C6 t2 (0 , as Owner/ t hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed _ pains . s penalties of perjury. Print me V\A x(1(3(c( Signature of Owner / • : 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 8 L { ` r j /9 M f= Frontage 9 _1, .S 7 5 E Setbacks Front 2 S Side L: R: L: 2- 3 R: 23 r Rear 6 3 2 Building Height ( / J© 2 Bldg. Square Footage % t zcf ' (CJ 4 C 1 Gil OA 6E c, 7 LC t Open Space Footage /� % a S t✓l T i v t;n R (Lot area minus bldg & paved (0 © $ 9 . Z 9 ,s,0 parking) # of Parking Spaces (volume ume &c Location) S 2 I" �� LL A. Has a Special Permit/Variance /Finding ever been issued for /on the site? NO r( 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 2: 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 x 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: 3O Q S 1 G ti ) K City o f Northampton ` � '� �_ �� Building Department • �� " � 212 Main Street =. ; . e # , .� !�, Room 100 �� ` d �. � '` ID a a. s 'G � s { �� „ .. .: tee e,}""^m. : , Northampton, MA 01060 re s �� t w�� " - T . , ,, �� '- ' phone 413 - 587 -1240 Fax 413 - 51272 -„i';„,, � x k ^ S :. .wz" rr.* ieeR . 4 . ' ,- x � x�Y ., x:'�"r , APPLICATION TO CONSTRUCT ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OI�T FAMILY DWEL , - 9 SECTION 1 -SITE INFORMATION This sect�on to be coitnpleted by offi i 1.1 Property Address: c { f �- c E A M I'' 1 L) 1 „,, {, O j 0 G 0 Zone O�eirl�ay Distri , E Im S t Distrrct . C B D�stn c t SECTION 2 - PROPERTY OWNERSHIP /AUTHO AGENT 2.1 Owner of Re • rd: lk-t ii ��n �,. , ± t 4 /u &Q G cr t ( 2 LG 5 ME-/410 aw /9C t-1 rt ame (Print) Cue .ling A ddr s: Telephone Signature • \ 4- t _ &(? ' 7 7 G 2.2 Authoriz . qen _ sp M (= Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTI COSTS Item Estimated Cost (Dollars) to be Offic Use Only completed by permit applicant 1. Building (0°C) dr (a) Bui i8 lding'Permit Fee 2. Electrical � cJa (b) Estimated Total Cost of Construction from (6) 3. Plumbing Q L� �o ° Building Perm Fee 8 c 4. Mechanical (HVAC) 2__ ° 5. Fire Protection ( (� ° c 6. Tota = (1 + 2 + 3 + 4 + 5) Zd 7 0000 6 Check Number Building Permit Number: This Section For Offi Use Only Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2004 -1001 APPLICANT /CONTACT PERSON Roy Giangregorio ADDRESS/PHONE 82 COLES MEADOW RD NORTHAMPTON (413) 586 -7708 PROPERTY LOCATION 40 ICE POND DRIVE am/ /9 6. MAP 36 PARCEL 366 ZONE SR 39,.y#9, THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE i ING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvpeof Construction: CONSTRUCT SINGLE FAMILY HOME WITH ATTACHED GARAGE New Construction Non Structural interior renovations Addition to Existing C tO C – ' / //Z — Accessory Structure Building Plans Included: Owner/ Statement or License 062571 ��� n � 3 sets of Plans / Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Appr 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 7 Z , , 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. o ttAMF T ...3 o • ��� 1 ri 6 �Ti ta�sxchusrsts _: B� � = t= DEPARTMENT OF BUILDING INSPECTIONS '4 _': �= .;.1. ' 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 40 Ice Pond Drive - Lot #19 as shown on the Assessors Page# 37 , Lot# 109 , 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: Issued this 23rd day of June 20 05 Certificate of Occupancy and Use # BP- 2004 -1001 Authorized Department Personnel i Electrical ` ,_,,,,, , t,. "+ _ , . levator / • / Fire el Plumbing r / / ir / i Building A L . —, �.� Gas P' ., /_ 4; .. e ∎ #, . , Building Commissioner i 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. I i 40 ICE POND DRIVE -.LOT #19 BP- 2004-1001 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 109 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 -1001 Project # 3S- 2004 -1471 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 2 Tf`e_. Pr‘!"-!E' ;.': 1 C77 ;4_ 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 /PORCH 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: j ,1 - .3 - Rough: House # Foundation: 6, 6- aLf. ,� ,,� Driveway Final: l Fina/) -�`tV Final: the /0,7 '.�%Urr ( '" Rough Frame:Qk / ,, - /� j'. 69 f .a r,� Gas: Fire Deer lent ' Fireplace /Chimney. _ _____ —_ Rough: j j.. -517 Oil: ■ / >,'" Insulation: ( C. / g_ - 'V, O" 66 - 4 Final: ,3 I Smoke: 1 '. � t h Final: 6/C 5-)5 -o $ -1-4.4 THIS PERMIT MAY BE REVOD BY 1 E CITY OF NO AMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION .4"/ .---- Certificate of Occupancy signat 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