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Cost: $110000.00 Fee: $604.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: R4 John Zieminski 017889 Lot Size(sq. ft.): 80034.00 Owner: John Zieminski Zoning: URA WSP Applicant: John Zieminski AT: 103 BLISS ST Applicant Address: Phone: Insurance: 16 Dwight St (413) 247-9014 Workers Compensation HATFI ELDMA01038 ISSUED ON:6/29/00 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SINGLE FAMILY HOME W/ATT GARAGE/DECK/PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: g Footings: Rough: 3�= 1.7 ,, Rough:O �• House# Foundation: - ; Final:6 K/44:6p�� Final:f p`��` pv Y ! - 14 Rough Frame:a`'r s).3/044— Gas Fire Department Fireplace/Chimney: - CEO' Rough: Oil: /6 3 Insulation q -6• c 77 Final: Smoke: Final: 9/c `0 7_O THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 0/&- Certificate of Occupancy Si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: -3uilding 6/29/00 0:00:00 3705 $604.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo 4 File#BP-2000-1189 APPLICANT/CONTACT PERSON John Zieminski ADDRESS/PHONE 16 Dwight St (413)247-9014 PROPERTY LOCATION 103 BLISS ST MAP 23C PARCEL 104 ZONE URA WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid S 0L% Typeof Construction: CONSTRUCT SINGLE FAMILY HOME W/ATT GARAGE/DECK/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 017889 3 sets of Plans/Plot Plan THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Co ion Permit from CB Architecture Committee d.57/,c,e, Signature of Building Of cial 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. r E rEIvf, , 1 brthamptonF , Buil.11 , Department . 2 7 20DOplf ∎ ain Street spoil 100 DEPT OF BUILDING ' t..ri ispton, MA 01060 N(? _.. . i�t. -` �" ' 0 Fax 413 587 1272 M1 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: T 1 d0 - : ! a 1 . 3P1� k�f'.,� -y.► /Li/9 SECTION 2"",."PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: sg-6t717`i / 4 2/c.--")V/,,J3ley `lam .7S e-)/6‘,1-P----,C7.7 - d N4A--. Name(Print) Current Mailing Address: <.) Telephone signature 2.2 Autho a Agent: Name(Print) Current Mailing Address: Signature Telephone SECTIONS.ESTIMATED CONSTRUPTIONCOSTS Item Estimated Cost(Dollars)to be 0fti ial Use Only completed by permit applicant 1. Building . 006,0 (a)Building Permit Fee 2. Electrical / (b)Estimated Total Cast of / d J Construction from(6) 3. Plumbing /® 0 a Building Permit Fee 4. Mechanical (HVAC) 0 D 5. Fire Protection d d D 6. Total =(1 +2 + 3+4+ 5) / /O/LdD Check Number „4 e 5 „z " This Section For Official Use Only Building Permit Number: 1 Date Issued: signature: I . wilding Commissioner""nspector of Buildings b t &H4H; 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 6 0/03 41 gD 4 3 y 15 0,arD Frontage /2 s /Z J /61) Setbacks Front 32' v?a Side L: O R: 0 L: 0 4 R: Rear 0 7c2"= 30 Building Height D 2-? 55- Bldg. Square Footage © % .2D 83 .2-C °Z. 1S- Open Space Footage (Lot area minus bldg&paved D b 779S7 7 *4- �s parking) 0 474 #of Parking Spaces Fill: (volume&Location) 0 A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X 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 9C IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: 5/2E f'!'T-ActzE ) .2-?'-17 "7/22-M C. Do any signs exist on the property? YES NO x IF YES, describe size, type and location: ffile D. Are there any proposed changes to or additions of signs intended for the property?YES No IF YES, describe size, type and location: CIT',ON S- ,OF PROPOSED WORT fcheck all I pjicable) New House 44 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ r Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work: CVO 57)24c cr— 77-1/r7 .3 719,1-7 S/—5G1-F `'`T 3i7J�' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet 0 ?ie - -i ."' 1� : a. Use of building: One Family X . Two Family Other b. Number of rooms in each family unit: !' Number of Bathrooms 2- c. Is there a garage attached? 12/6- d. Proposed Square footage of new construction. -7 ( Dimensions .`� e. Number of stories? 2 f. Method of heating? "'- /4-r /ki e. . Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? .- /01/4'. Type of construction I 7c' ne-or,-C i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? X. Yes No . I. Septic Tank City Sewer X Private well City water Supply X SECTIQN 7a OWNER AUTHORIZATION -TO BE CQMPLETED WHEN, OWNERS AGENT'OR CONTRACTOR APPLIES FOR/BUILDING PERMIT AL, -2. , as Owner of the subject property hereby authorize o/ !1c 2—/ )- 7'— S' ', 13c--a to act on my behalf, in all matters relative to work authorized by this building permit application. 4/2-7/2v.-rrIo Signature of ner Date , 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. Print Name Signature of Owner/Agent Date /' SECTION 8 CONSTRUCTION SERVICES' eiii, .1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: `'Tl3l�'J '� 2..e--)-7, rr' 5... ? /749---ii License Number / lr Z'.weC. T 7-.... �'ZT) 4--- O2/O2- Address Expiration Date -.5-t_._(,/-(?)„,._______ - Signature Telephone ?.=; , ,{„� :, t' ,,,n/a=�„ ,„,,,,,;,t,, , ,,,,,,,,t , , ,, ,'' �...���a ,. ' Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c..152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 0 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 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 ��tv.rrnT C.' (rii� of :l�nu;tllelliptoll 1 - - ,.4. 9 1 �la�enchncctta _ DEPARTMENT 01' BUILDING INSPECTIONS etott: 212 Alain Street Municipal Building Northampton, Mass. 01060 WORT E,IZ'S COMTENSA`I'ION INSUR.ANCE AFFID \ T (li ccuscclpermi ttec) with a principal place of business/residence at. (phone') (strt aJdty/statclzip) do hereby certify, under the pairLs and penalties of-perjury, that ( ) I am an employer providing the hollowing worker's comnensarion coverage for my employees wort:ng on this job. (In_usa Coror_=m') - (Polio: Nu_ r) (r,;pirztion Date) ( ) I am a sole proprietor, general contractor or homeowner (cu cie one) 2_0d have hired the contractors listed below who have the following worker's c000en anon policies: (Name of Coat actor) (Insuranc;. Coinpanyi'Pobc Number) (::_oinmon Date) (Name of Contractor) (Lns-drancc Company/Policy punier) (E.-oir Lion Date) (Name of Con -actor) (Insurance Company/Police Number) (Expiraon Date) (Name of Contractor) (Ir.>_suranca Comrany/Poticy Number) (Ex-puation Dale) (en�c/1:tt'!i:;ocal r'xC if❑crctrrr to iodu&infoca.:ioo pertzinins to.1J ( ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:plcs:be ewafc rl...u{Jc bcm00µwn wbo employ pezanr to do n-a rr2..0 work co.d' -I1.0g of not atcc=th✓n =its in aInch the bor000uvc rroido or ca the QachY:,appurtc -tc t&oOn er OC 0-xc:11y cccod -cd to tY c employe-5 undo 1110..tx1:1111'1 tica Act(GLI 51.,5,11(5)),opplicotioa by a be-31°0,13a for r_test/cr po-mit rz_y c.idc:rcc the Icgr cYaau of co esp loyor under tlr.o Woc4a'r Compom.tion AoL I uockr tkod th,¢a copy of thi.c,jo,o vl may bo for-w rt od to tbo Doportroccu of loch's/id Anodcrti 010o0 of Lra,r.oco for tbo oovmsc vvt[clioo a d lJt t f iltrc to smart covctn,sc tndcr soctioo 25A of hMOL 151 can%cad to the tmoosition of Main.,"pcwltics opener ms of a fax of up to S1_500.00 and/or icapriz.oamcat of up to ooc ycnr Lind ate pc al'oa is dtc form of e Stop Work Order Lod n CM o(S 109.00 s clay epin9 For dcp.rut�_al u,c only ------- Permit Number Lot ti Signatua of Licensce/Pcnnittcc Date •_ O��HA4p?, �� (rxt of Xortltttmptott 1z - t)�•i�s1► + Massachusetts - L. \ DEPARTMENT OF BUILDIT G INSPECTIONS _i 1` 212 Main Street • Municipal Building 7r o. INSPECTOR ,,, ors 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 103 Bliss Street as shown on the Assessors Page# 23C , Lot# 104 , Zone URA/WSP 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 - 1st flr 30 PSF - 2nd f lr 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 19th day of October , 2000 Certificate of Occupancy and Use # BP-2000-1189 Authorized Department Personnel Electrical • - i/ 1 Elevator .j Fire //I,,1/ '. ,,: ..._,af{�-"'�T '�'j Plumbing k /t,). r6(A 4111 Building _A Gas Building Commissioner . , /A 5- 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 L . ENERGY CONSERVATION APPLICATION FORM • FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION Q E C 1 I . W n JUN.2. 7 2frO Applicant Name: 6 - �Fn•+/-3S((/ . Site Address: 1423 g(.-ts S Applicant Address: (4, "bu.,16r1r 57. City/Town: 02 c- • DEPT IF . ii ,6c JidS f f 11-P1ez, , M Fr Use Group: = •. ._.."oF,rl;.� _ r , ,,,.. . tr7!©3 Y Date of Application: - 26 ?wori) Applicant Phone: 7 g0 I "f Applicant Signature: .. ..1)Compliance Path (check one): • Prescriptive Package (for 1- or 2-family residential buildings not heated by electric resistance) • Fill in all values that apply from Table .15.2.1b: Package Number(A through KK): a. Gross Wall Area -•-O /‘ sq.ft f. Wall R-value R-. / 7 b. Glazing R.O. Area 237.L 17i sq.ft. g. Floor R-value R- c. Glazing% (b-i- a) I I.7 g % h. Basement wall R- 1/ • d. Glazing U-value U- ► 3 / i. Slab Perimeter R- e. Ceiling R value R- `/U j. Heating AFUE 22 0 Component Performance (Manual Trade-Off) Climate Zone (from Figure J6.2.2) 0 Zone. 1.2 0 Zone 13 (21- Zone 14 Attach Trade-Off Worksheet from Appendix J, [and 1IVAC Trade-Off Worksheet, if applicable] 0 MAScheck Software Attach Compliance Report and Inspection Checklist printouts. • 0 Systems Analysis Renewable Energy Sources Attach approved Analysis Official's Name: Official's Signature: Application Approved 0 Date of Approval: Application Denied ID Date of Denial: • Reason(s) for Denial: `$;•.:=r.'. -' (over for more) BERS 12/og/97 .• • Manual Trade-Off Worksheet' .,//���� Per mit; Builder Name O�� (,�( � l•C�r I�5(6% • .Date (® Builder Address /!o D r-d i&41 r Si- a la - - Checked E Site Address 1 0 3 134-i SS 57. Fi c 1c <e Zone 012 013 [:4 Submitted By '• Phone Date megt,lystg.ggigY:.44MARCOP.ROPOSED �?�OSAftilmigam.rdi magemiREQuIREDrer Ceilings, Skylights, and Floors Over Outside Air ''Required Insulation x Net •'U-Value Description R-Value U-Value Area = UA (Table J6.2.21, . x Area = U, Ceiling ft' (Table J6.2.2a) . �� . D z5 7G a 2-2,27 . U2-L 7 4,�e 19. 9G Floor Over Outside Air ft2(..-- f _; (Table J6.2.2a) ft2 f- ft2 Total Area 7w 112 , • Walls, Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value x Area = U, Walls fe (Table J6.2.2b.c.d) / 7 , V 1716.3 y ..—, /•6Q,0"f . /1 �b/i 22/i 76 sMndows — G y / (NFRC.orTable J1.5.3a) • 3 / Z3, J3• b iDoors ft' .r (NFRC or Table J1.5.3b) , 3 ZU —; 7,0 0 Sliding Glass Doors — 12 ft2 13.84 • (NFRC or Table J1.5.3a) 3 --+ ft2 ft • Total Area jL 242ft2 ► S Floors and Foundations Insulation Insulation x Area or Required Description Depth R-Value U-Value Perimeter = UA U-Value x Area =UP. =loor Over Unconditioned (Table ft2 Space J6.2.2e) ' 3asement Wall (Table 1 / eD�'� ft? �3 J6.2.2f) ( V $��^ Zoo, 193 Slab ft Table J6.2.2g) in. -leated.Slab ft Table J6.2.2g) in. re ft,_ Total Proposed UA must be less Total / G3 + Z(��,7 Total 'L. than or equal to Total Required UA Proposed UA Zzl� • Required UA ;tatement of Compliance:The proposed building design represented in these documents is consistent with the building plans, pecifications, and other calculations submitted with the permit application. CA' StG{� h�. 21 /NS/ci -zro uil er esigner • Company Name ate • . • i t • • . • -'-•-•'------ -c, C. \ c;�1 1 T (rx Nadi/amp. to xnt r n 1 _*_y•• 41`:z4, �ii Ina+ac4asctts _'_ = -rW, " ill tic, c i' DEPARTMENT OF BUILDDIG INSPECTIONS 'i '-2•11-----,----•;-)E.PI 9 F�` ,f ,. 212 Main Street ' Municipal•$wilding _, • Northampton, Macs. 01060 quo,,. WORKER'S COMPENSATION INSURANCE AFFIDAVIT ./ee'1 2- 7 • )4-/ r ,-5 C/ (licenscdpermittcc) . with a principal place of business/residence at: • /1'P 6 ti,)l 6 / T ST /:-/V- --7-------,&---2_ (phone#) 02- 2 ->o r YF (strtt/city/staidkip) do hereby certify, under the pains and penalties of perjury, that: • 64 I am an employer providing the following worker's compensation coverage for my employees working on this job: i /c=z (-mss c9 Da-S y rev c/3 '� a (Insurance Company) (Policy Number) (Exptra on Datc) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below-who have the following worker's compensation policies: • (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shoot itnooenary to iodude information pert loin&to.11 mere tarn) ( ) I and a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself r NOTE:place be aware that whilo bomoowacrs who employ persona to do rrae+.+,.,,r,.ooesructioo•or repair work on a dwelling of not morn than throe%arts k which the homeowner racdca or oa t e grounds apputtcaaat thacto arc oot tcna ally coc cide:4 to be employers under tbo work es ooarpcas.aion Act(GL152.3a 1(S)),application by•bomoowoi•fora liccnx a permit may cvidcaoe the legal mama.of an.mploy.c und.e the Workers Coc apem.tiou Ad I understAind that a Dopy ortbia asslcmrr3 may he fonrvd.d to 64 Dep.rtwmt eflad+asLrial/toodr,m•Ornoe of Insa+ranea(cc t . • oovecage vccifieatioa*ad that failure to secure covcraco taoder soctioa 25AoCldQL 152 ens kad to the imposition of a cimiaal•pesaktcs . . ooatiatir of a'fiae oft, S I,S60.00 medlar is peisoeacat or+ip to oat roc civil pcaaltics is the focus of a Stop Work Order and a • g fins oCS100.120 a day against tae: "Fordgnrtmeat:4 use only 4 `L_ (o ` o Permit Number A. -)-1,-ii Map$ .. Lot 4. ' ,_ _ .. •4 •74. .. S':.M. afLi._. - - ., %tea cis �'r'i'tt,g-4.. . .. . • . .._._._ . �� a T,I__L.,11.., \\', , \ . N2 T 2� N THAMPTON WATER DEPARTMENT 237 PROSPECT STREET t. FP OF SU'17`10G�4 A''l°':---...� T 6 � NORTHAMPTON, MA 0106 0 587-1098 Subject: Municipal Water Availability . 103 Bliss Street Location: Inquiry Made By• John Zieminski 247-9014 626-6320 (7-3) June 09, 1999 - Date of Inquiry: Municipal Water Main in Front of Location: YES NO Size/Material/Age of Water Main: 8" A.C. pipe 1962 Approximate Street Pressure: 100 PSI Size of Service Connection: Comments : A corresponding"water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to Northampton Water Department specifications. Charles Borowski Superintendent of Water Enclosure: Letter to Frank Sienkiewicz from Sam Brindis, dated June 14, 1991. cc: Samuel B. Brindis, Director, DPW Guilford Mooring, Assistant Director, DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector A:\WATER\Availab1.50S o-� E JUN 2 7 2111) spa ORTHAMPTON SEWER DEPARTMENT GPT OF BUILD G " 125 LOCUST STREET NORTHAMPTON, MA. 01060 r.587-1092 Subject: Municipal Sewer Availability Location: 103 Bliss Street Inquiry Made By: John Zieminski 247-9014 626-6320 (7-3-) Date of Inquiry: June 09, 1999 Municipal Sewer Main in Front of Location: YES x NO Size/Material/Age of Sewer Main: 1972- - 16" AC Depth of Sewer Main: Size of Service Connection: 6" • Comments : 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 Sewer Department with a minimum of 5 working days notification. All work shall confo o Northampton Sewer Department specifications. • eorge B hm Superintendent of Wastewater Treatment & Collection cc: Samuel B. Brindis, Director, DPW Gilford Mooring, Assistant Director DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector C:\WP51\LETTER\SEWERFOR ; D08-00 !4277 / as CITY OF N ;0' -AMPT0N, MASS. September 30, 1999 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 103 Bliss Street Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. By: Ziemin ki 24/-9014 1. ight S t, Hatfield, MA 01038 Proposed Location Inspected by: ;, 7/3o/�/`� Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 3346 Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) ?o4� TO" `` 1 t of Northampton -* a�' fl 'U SUN 2 � . }�to�t 1 - —� B 04: .F6 1N„,„tn,r,16. as.xchusctta °_` : ►"y z- DE o6pM}RON �01EPARTMENT OF BUILDING INSPECTIONS _? = INSPECTOR 212 Main Street ' Municipal Building ".,,c !l= /,; Northampton, Mass. 01060 Square Footage Amount Basement @ .10 -Jt Y. 7 , 60 1st Floor @ .40 `7G,, ? 36 7 jo -- v 2nd Floor @ .20 `O / S 1/2 Floors, Attic, Garage _ 10 ` gO - Vs2 • /t...c., 9v Deck, Porches .10 • 2N " /8t' 18 TOTAL .(=a./2�-%�• _ /03 ec-'Ss $2 '-/r/(0:1 t 23 c" di (. 0 • .0_5> E_ QS. a- —>� t ..9, // .. 9, // klIs 141 o N � : . . . 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