41-016 (4) POTASSIUM:. Soft metal often linked up.with chloride to form a salt. Not normally
considered a toxic metal.
MAGNESIUM: A component of the water's hardness. Magnesium is found in soil and
can leach into water supplies affecting hardness.
CALCIUM: A component of the water's hardness. Calcium is found in soil and can
Ieach into water supplies affecting hardness,alkalinity and pH.
AMMONIA: Part of nitrogen cycle. Indication of organic waste. A gas produced by
the breakdown of organic waste materials.
SEDIMENT: A visual identification made for the presence or absence of sediment after
a period of standing.
COLOR: A measurement of clarity or discoloration.-Color is considered for aesthetic
reasons and can also be used to confirm problems with various minerals and metals such
as iron. The standard allows for 1-15 cu.
ODOR: Odor is measured in threshold number units. Its presence indicates possible
contaminan'ts. The standard allows for 0-3 ton.
LEAD: Lead and its-compounds are poisonous and accumulate in the.bone structure
when ingested in amounts exceeding the natural elimination rate of about 300
micrograms per day. Accumulation of significant amounts of lead in the body may cause
severe and permanent brain damage, convulsions,and death. Environmental concern
with lead poisoning has resulted in a national program to reduce the concentration of lead
in consumer products.
ARSENIC: This element occurs naturally in the environment, especially in the western
United States,and it is also used in insecticides. It is found in tobacco,shellfish,drinking
water and in the air in some locations. The standard allows for 0.01 milligrams of arsenic
per liter of water. If persons drink water that continuously exceeds the standard by a
substantial amount over a lifetime,they may suffer from fatigue and loss of energy.
Extremely high levels can cause poisoning. Arsenic can be removed by filtration,
- I
•
QUABBIN ANALYTICAL LABORATORY
P.O.Box 1192,'9 Stadler Street,Belchertown,MA 01007-1192
413-323-7134
Fax 413-323-5033
INTERPRETATION OF RESULTS OF CHEMICAL EXAMINATION OF WATER BY
THE MASS.DEPT. OF ENVIRONMENTAL QUALITY ENGINEERING.
AS J?RESENTED BY THE QUABBIN ANALYTICAL LABORATORY
COLIFORlVI BACTERIA: Coliform bacteria are widely distributed in nature.
Contamination from surface waters, septic systems and direct contamination from animal
feces can contribute to the growth of coliform bacteria in wells. Chlorine is used 1.0
disinfect well water that contains any coliform bacteria per 100 ml of water. If you have
a problem with coliform bacteria in your well it is a good idea to check for bacteria every
six months.
NITRITE: Part of the nitrogen cycle. Can be correlated to high levels of nitrate. The
standard allows for 1.0 milligrams of nitrite per liter.
NITRATE: In drinking water above the standard poses an immediate threat to children.
under three months of age. In some infants,excessive levels of nitrate have been known
to react with the hemoglobin in blood to produce an anemic condition commonly known
as"blue baby." If the drinking water contains an excessive amount of nitrate it should
not be given to infants under three months of age and not used to prepare formula. The
standard allows for 10.0 milligrams of nitrate per liter.
pH: A measure of hydrogen ion concentration in water. Values range from 0-14. A
value of 7 indicates neutral water;values less than 7,increasing acidity; and values
grertaer than 7 indicates increasing alkalinity. The pH of water often varies from 4 to 9.
Determination of pH assists in the control of disinfection and corrosion,
ALKALINITY: The alkalinity of water is a measure of it's ability to neutralize a strong
acid. Alkalinity is imparted to water by bicarbonate(HCO3), carbonate(CO3), and/or
hydroxide(OH). The presence of these compounds is determined by standard methods
involving tirration with a strong acid using various indicator solutions. The results are
reported as mg/I of calcium carbonate(CaCO3)per liter of water. A water with low pH
and low alkalinity might be considered to be corrosive. An alkalinity of less than 100
mg/1 is desirable for domestic purposes.
IRON: Small amounts of iron are frequently present in water because of the large
amount of icon present in soil and because corrosive water will pick up iron from cast
iron.pipes. The presence of high levels is considered objectionable because it stains
laundry and porcelain, and it also affects the taste of beverages. The recommended limit
for iron is.30 milligrams per liter.
MANGANESE: Although rarely present in excess of one milligram per liter,
manganese imparts tenacious stains to laundry and to plumbing fixtures. A limit of.05
mgrl is recommended.
rs;AL#7644 Continued Page 2
TESTED FOR RESULTS MAX. RECOMMENDED LEVELS
Potassium 3.7 No Limit
Magnesium 8.0 No Limit
Calcium 14.4 No Limit
j IE
Ammonia 0 No Limit
Sediment Neg Pos or Neg
Color 1.0 15 cu
Odor 0 3 ton
j Arsenic 0 0.01 mg/1
Lead 0.0007 0.015 mg/1
Radon 9000.0 10,000 pCi/L
- i
II
i �
Box 1192 Stadler Street, Beichertown, MA 01007
(413)-323-7134
Name:
i
William Walker Sample Date: 10-1 Q-09
Address: 1253 Westhampton Road Report Date: 10-16-09
Florence, MA 01062 Collected By: William Walker
Sample Location: Type Supply: Well
William Walker Sample No.: QAL 7644 with SP 8002
1253 Westhampton Road Lab ID#: M-02454 &M-MA 138
Florence, MA 01062 Device No:
Log No:
1 • TESTED FOR RESULTS MAX.RECOMMENDED LEVELS ,•
•
Total Coliform Bacteria Absent . Present or Absent •
Fecal Coliform Bacteria • Absent Present or Absent
Nitrite 0 1.0 mg/1
Nitrate 0.4 10.0 mg/I
PH *6.28 6.5-8.5
Alkalinity 28.0 No Limit
jIron .04 .30 mg/1
Manganese 0 .05 mg/I
l Copper .02 1.3 mg/1
Sulfate 17.0 250 mg/I
Chloride 2.11 250 mg/1
Hardness 40.0 No Limit
Conductivity 80.2 No Limit
1 Total Dissolved Solids 52.9 500 mg/1
Turbidity . 0:1 . 5 NTU ,. . .
•
Chlorine 0
- No Limit
1 Sodium 2.30 No Limit ,
1 Results are only for those items listed above and on the above collected date. Except for the following 1( t' , the
sample was found to be within acceptable levels for D.E.P.Drinking Water Standards. If there are any questions on this report,please
do not hesitate to call this office.
David Fredenbur:h,Director
AUG-73-2012 ni:33P FROM:QUABBIN 413-323-5833 TO:1E033578572 P.1
4 /0gIa'7�„,
Box 1192 Stadler Street, Belchertown,MA 01007
(413)-323-7134
Name: Cushing& Sons Sample Date: 8-02-12
Address: P.O. Box 668 Report Date: 8-03-12
Walpole, NH 03608-0668 Collected By: G.O.
Sample Location: Type Supply: Well
Dan Teagno Sample No.: QAL 4987
1253 Westhampton Road
Northampton, MA 01060
I I
TESTED FOR RESULTS MAX. RECOMMENDED LEVELS
Total Coliform Bacteria Absent Absent
Fecal Coliform Bacteria Absent Absent
Nitrite 0 1,0 mg/1
Nitrate 0.3 10.0 mg/1
pH *6.29 6.5-8.5
Alkalinity 12.0 No Limit
Iron *.38 .30 mg/1
Manganese .03 .05 mg/1
Copper 0 1.3 mg/1
Sulfate 13.0 250 mg/1
Chloride 2.29 250 mg/1
Hardness 60.0 No Limit
Conductivity 93.1 No Limit
Total Dissolved Solids 61.4 500 mg/1
Turbidity 4.6 5 NTU
Chlorine 0 No Limit
Sodium 1.42 No Limit
Results are only for those items listed above and on the above collected date. Except for the following*pH&Iron,the sample was found
to be within acceptable levels for D.E.P.Drinking Water Standards. If there are any questions on this report,please do not hesitate to
call this office.
David Fredenburgh,Director
•
Gushin ..
&Sons Water Wells and SN r:UM
t1'tti\V'.�lltil?711¢.?:,l'?�ttionj,ii.F,i;l
Teagno Construction
ATTN: Don Teagno
228 Triangle Street
Amherst, MA 01002 ph 413-364-8768 fax 413-549-2628
RE: Well Test - 1253 Westhampton Road, Northampton, MA
Dear Mr. Teagno,
Today we checked out and tested the well at the above noted site. We pulled the pump,
measured the depth of the well, installed a 1.5hp pump in the well, pumped the well for
yield, took a water quality test(and delivered to Quabbin Lab), then reinstalled the
original pump into the well.
The results are as follows:
Existing pump assembly: .5hp 3 wire 230V 7gpm pump set at 191 ft., date of pump is
2004.
Static level of well (distance from grade to water): 30 ft.
Well depth: 238 ft.
Well pumped and emptied at the rate of 15 gpm, well found to be producing 10 gpm yield.
Well static recovered to 30 ft. 30 minutes after end of test.
It is my opinion that the well has sufficient yield for the size of house proposed. We would
recommend a 12 gpm pump set on 1.25"pipe and delivery line to supply the proposed
residence. This is a perfect site to utilize a 15 gpm VFD pump to meet peak demands.
Submitted: Bart C. Cushing, MA Lic. #558 DATE: 8/2/12
I
r
rt �c."n(Il ?;`]-hS±j i 6(B-,,' KNht. �.1.,it 4) ��. '::
City of Northampton
as s:�s
,:,.-- ' x�~ ` Massachusetts ' ,?� Ffee,
c.
r 'k J. +, 7' *. .. Vii.
■1 tfi, DEPARTMENT OF BUILDING INSPECTIONS yY ! i. m;
\\{�jr5 pT-' 212 Main Street • Municipal Building 6.. ��a
. : �,. Northampton, MA 01060 �i'lv art' �`
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. 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
The Commonwealth of Massachusetts
frame Department of Industrial Accidents
r.,--_ - Office of Investigations
=rte= 600 Washington Street
v �, Boston, MA 02111
`'y `., '.5" wwN.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ` - -0 CCm..) cSjCST. (�--Ki 11/ ( _
Address: -2-2-- '7 21 Cll,t-E—Sr1
City/State/Zip: NV .1,-11€ vt.v d L002.-Phone#: -i3 5-tt i —O
Are you an employer? Check the appropriate box: Type of project(required):
1I am a employer with b 4. n I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition .
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.
9. 111 Building addition
required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions
3.17 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. "I"-
Insurance Company Name: H. Mk „QC ��I�µ T-)Slti.i2-A-x.J�—e.O
Policy#or Self-ins.Lic.#: W WIZ, 'U-C7 — (FOO(e 1-23 20(3 apiration Date: ef/ t (t4
-- Job Site Address: 12- 5�b W t✓s r&v'MA.P fT N IQ-D City/State/Zip: $ d'1-� p i O(e
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby tify nder the pains and penalties of perjury that the information provided above is true and correct.
Signature: ..P . 7:,(4),k. Date: (0(�I /3
Phone#: 13 R c' 8o 3
-- --Official-use only. Do-not write-in-this-area;to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable El
•
Name of License Holder: 1'J 1\1--,1) `(�j 7 /J3 CS 0 b41 Ile
License Number
Z-43 7L��!M/ G t l [(O j (Lf
A.• ess Expiration Date
Signature ` Telephone
9'Registared Home Improvement co-ntractoi:7;.2777.
_«m Not Applicable ❑
ceNki /J t hJ L t a f C)
Company Name Registration Number
Address Expiration D e
Telephone 7/3 51(q OJdj
SECTION:10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G L.c. 152,1§-25C(6)r-- -- -
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 ❑
11 Home Owner.-Exemption
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
•
A
SECTION 5-'DESCRIPTION OF PROPOSED WORK(check all.applicable)`- ,,
New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [p Siding[D] Other[ ]]. Vt----
Brief Description of Proposed J p
Work: coctiJ D 14-1-to o10 p rd W PUT = 0h� ttiS L-/ I� 4 9e
Alteration of existing bedroom Yes y No Adding new bedroom Yes °\ No 30 )(;1 LI
Attached Narrative Renovating unfinished basement Yes )X No
Plans Attached Roll -Sheet
SW. If:New house and or addition tO existing housing, complete the following: ` flI F`
K1-tsc,L) bt-C1&5 E j
a. Use of building : One Family X Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 3
c. Is there a garage attached? V
F1Nist d- - t74 LVA ,tv P`f2 1
d. Proposed Square footage of new construction. Dimensions ! X 5�/-
1— -t cm,
e. Number of stories? p
f. Method of heating? C�P.OU-NP £Oun-C-- kis Ji NIM fireplaces or Woodstoves X Number of each I
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? F12-e•-'1-11‘^- 12...L
h. Type of construction kA-115-16 ! 2 i Vie
i. Is construction within 100 ft. of wetlands? I Yes >. No. Is construction within 100 yr. floodplain Yes y No
j}. Depth of basement or cellar floor below finished grade 6 C K-e4 I)E
k. Will building conform to the Building and Zoning regulations? X Yes No.
I. Septic Tank_( City Sewer Private well u City water Supply
SECTION 7a_-OWNER AUTHORIZATION-TO BE COMPLETED-WHEN -
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, �l ft T t b1Jr1-- ,as Owner of the subject
property
hereby authorize et-f\I i f t- 7• D
t tin my bel'i • tters relative to work authorized by this buil ing'perr�it a plication.
Signature of Owner Date
I, t ,3 a ,as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed_under.the pains and penalties of perjury.
7-(--. t -z)
Pri we
Signature of Owner/A.t Date
•
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
e
Existing Proposed Required by'Zoning
This column to be filled in by
Building Department
Lot Size
arc
Frontage Sod(f
Setbacks Front 1.,� —
Side L:`2-- 1R:' 0 L:i. R:i , -I 1
Rear '240 14 i
Building Height i I { j
Bldg.Square Footage ? [ i % I i ,
Open Space Footage
(Lot area minus bldg&paved = i i i I I ` 3
parking)
#of Parking Spaces E I —"--i
Fill: ___
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW c4 YES 0
IF YES: enter Book I Page 1 and/or Document#1
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: I j
k
D. Are there any proposed changes to or additions of signs intended for the property? YES t NO .4/41
IF YES, describe size, type and location: i
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO 110
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
K ,, / C)10 r " Department use only
City of Northampton Status of Permit K
•
Building Department Curb Cut/Dnveway Permit
,JUN 2 ?343 9 p
j 212 Main Street Sewer/SepticAvailability
Room 100 Water/V1/ell Availability r
rr- �.�a� ���
1 orthampton, MA 01060 T
- wo Sets of Structural Plans
� phone 413-587-1240 Fax 413-587-1272 Plot/Slte Plans i. ix
Other Specify .
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION a'
This section to be completed by office
1.1 Property Address:
Map Lot Unit
tZS3 Wt-1.T kiivi,kp 7-z)ou Rs),
Zone Overlay District - _
r. Elm St:Distrii t CB District"
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT -
2.1 Owner of Record:
tr U it> F rz*0 F-tt r t.o P Prrt-cam- sT RQv cam- ,(Vt 14 0 too.--
Na ( rint) / Current Mailing Address: —S-1. 4J
CTelephone
Signature ,
2.2 Authorized Agent:
.RL Q f -^( ,rJ a 9--Z--e 7YL I �4-1-&-� T !4"74t ►-L 1
Name(Print) Current Mailing Address:
6-Leg -o,r-0 3
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
2. Electrical •(b);Estimated Total Cost of =
Construction from (6).:- ._
3. Plumbing Building Permit Fee _
4. Mechanical(HVAC) _
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
__ This Section•ForOfhcial Use Only _ -
Date -
Buildin Permit Number: -
9 ":_,-:-..:::.:,-."-:.',•-•.•,::::::-.._-:::::..-. . _, Issued. .
Signature. :-..-.s.:.:-.',-,.::. _ - _
Building'Commissioner/Inspector of Buildings - Date
•
File#BP-2013-1254
APPLICANT/CONTACT PERSON TEAGNO CONSTRUCTION INC
ADDRESS/PHONE 228 TRIANGLE ST AMHERST (413)549-0803
PROPERTY LOCATION 1253 WESTHAMPTON RD
MAP 41 PARCEL 016 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Fee Paid Permit Filled out /5-27/ :55 y- AR'!)
Typeof Construction:_CONSTRUCT FOUNDATION ONLY(SFH/ATT GARAGE)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 034716
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
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 Commission Permit DPW Storm Water Management
Demolition Delay
C /1� 9 73/13
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.
1253 WESTHAMPTON RD BP-2013-1254
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 41 -016 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: FOUNDATION BUILDING PERMIT
Permit# BP-2013-1254
Project# JS-2013-002010
Est. Cost:
Fee: $554.40 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: TEAGNO CONSTRUCTION INC 034716
Lot Size(sq. ft.): 2147508.00 Owner: FIERST FREDERICK U&EVA C
Zoning: Applicant: TEAGNO CONSTRUCTION INC
AT: 1253 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
228 TRIANGLE ST (413) 549-0803 Workers Compensation
AM H E RSTMA01002 ISSUED ON:7/8/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT FOUNDATION ONLY (SFH/ATT
GARAGE)
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:
Date Paid: Amount:
Building 7/8/2013 0:00:00 $554.40
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner