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36-105 (2) TSB rA [ ] All accessible joints , seams , and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed � using mastic and fibrous backing tape installed according to the manufacturer ' s installation instructions . Mesh tape may be omitted where gaps are less than 1/8 inch . Duct tape is not permitted. The HVAC system must provide means for balancing air and water systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict (-,,. shut off the heating and/or cooling input to each zone or floor shall be provided. (, HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cool.iilq system is not greater than 125% of the design load specified in Sections 780CMR 1310 and J4 . 4 . [ ] I SWIMMING POOLS : All heated swimming pools must have an ori.­) f heater switch and require a cover unless over 20% of the hearing energy is from non-depletable sources . Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F ­ _ chilled fluids below 55 F must be insulated to the follo,. Lng levels ( in. ) : 'IPE SIZES ( in. ) HEATING SYSTEMS : TEMP (F) 2 " RUNOTJTS 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 [ ] CIRCULATING HOT WATER SYSTEMS : Insulate circulating hot water pipes to tl,.e following levels ( in. ) : PIPE SIZES ( in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1 " 0-1 . 25 " 1 . 5-2 . 0 " 2 . 0+" 170-180 0 . 5 1 . 0 1 . 5 2 . 0 140-160 0 . 5 0 . 5 1 . 0 1 . 5 100-130 0 . 5 0 . 5 0 . 5 1 . 0 ----NOTES TO FIELD (Building Department Use Only) - -- ----------------------- v A; �y 4f -� m a -n ® o � o � -� z � O -< r e MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 01 CHOICE BUILDER/ LEBLANC DATE: 8-19-1999 Bldg. Dept Use CEILINGS : [ ] 1 . R-30 ,. Comments/Location WALLS : ( ] 1 . Wood Frame, 24 " O.C. , R-19 Comments/Location WINDOWS AND GLASS DOORS : ; ( ] 1 . U-value : 0 . 36 For windows without labeled U-values , describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location IN. DOORS : ( ] 1 . U-value : 0 . 25 Comments/Location y, FLOORS : [ ] 1 . Over Unconditioned Space, R-25 Comments/Location J , AIR LEAKAGE : [ ] Joints , penetrations , and all other such o )enings in the building envelope that are sources of air leakage must be sealed. When ;qr 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 tt 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 cavit-; The lighting fixture shall have been tested at 75 PA or 1 . 111 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings , walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be _. provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts shall be insulated per Table J4 . 4 . 7 . 1 . DUCT CONSTRUCTION: O 't7 rn CD -n U) o ° m Pav � c M MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 01 Checked by/Date CITY: Northampton STATE: Massachusetts s HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Electric Resistance DATE : 8-19-1999 DATE OF PLANS : 08/18/99 TITLE: CHOICE BUILDER/ LEBLANC PROJECT INFORMATION: 2636 CAPE COMPANY INFORMATION: CHELSEA MODULAR HOMES NOTES : FLOOR INSULATION BY BUILDER COMPLIANCE: PASSES Required UA = 167 Your Home = 161 Area or Cavity Cont . Glazing/Door Perimeter R-Walue R-Value U-Value UA ------------------------------------------------- - ---------------------------- CEILINGS 936 31j . 0 . 0 33 WALLS: Wood Frame, 24 " O.C . 811 19 . " 0 . 0 47 GLAZING : Windows or Doors 98 0 . 360 35 DOORS 40 0 . 250 10 FLOORS : Over Unconditioned Space 936 25 . ! 0 . 0 36 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans , specifications , and other calculations submitted with the permit application. The propos d building has been designed to meet the requirements of the Massachu. '-:� tts Energy Code . The heating load for this building, and the coolitri load if appropriate , has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in { Sections 780CMR 1310 and J4 . 4 . 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AID dz NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDI- TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plans,must be fil jIn before a permit be granted. Zone _ _ .. Af'F°I,ICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit P "'a Northcnnpton,Mass. . . . . . . 19 . a Telephone No. -<� 5.S_ . 7b the Supt.of Buildings: Application for a permit to build is here4y made acco ng to the f owing:- 1. Location, Street and No. ; . . 1. . . . . . . . . . . .. . . . . . . . . . . . . L No. . . . . 2. Nearest cross street . . . . .(C% £.� �- . . .�. . . . . . . . . . . . . . Size of lot . .Z'J ,j. . . . . . . . . . 3. Owner's name . Li5r9' ,( �.Et.�. . .�r14 v`!`��. . . Address . 7_�-. ''L/C1�Q ! " 5t' �Ei t , . .J 4. Architect's name . . . .C�'. .. 1�. . . . . .. . . . . . . . . .. . . . . . . . . . . Address . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . L�12.1 S �w�.�'(�. . �� }} 5. Builder's name . . . . . . . . . . . . . . . . . . . . .9. .`( . . . . . . . . Address . .I.z . . . . . . . . . . t`'` . . Mass.Construction Supervisor's License No. . . . . L{ 7 Y. �� �3 Lj. . .�. l. . . . . .. Expiration Date . . . . . .�.! �.� � 6. Use of Building:One-family . . . . . . . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . .. Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . . .CF.7. . . . . . . . . . . . . . Number of Bathrooms . . . . / . . . . . . . . . . . . . . . . 8. Is there a garage attached? . . . .�. . . `� •�.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . 9. Size of building . . . . .�. .�(. . . .4 �- . . . Square footage . . . . . .w. . . . . . . . . . . . . . . . . . . . . 10. Number of stories . . . `. . t .. 11. Distance from finished grade to high point of roof . . . . . . Z-`f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . . .(43. .. .� ... . . . . . . . .. . . . . . . . . . . . . . . . . 13. Distance from building to street line in feet . . . . .t`L%�.J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . 14. Distance from building to side lot lines in feet:Left . . . . . . . . . . . . . . . . . . . Right . . . . .J. . . . . . . . . . . . . . . . 15. Distance from building to rear lot line in feet . . . . . c. . f. .7-�.%. ... . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . G.£ . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 17. Species of framing lumber:DF . . . . . .L. . . . . . . . . . . Spruce . . . . . . . . . . . . . . . . . . .. Other . . .. . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . .�.�i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . 19. Nature of land upon which the structure will be erected:Natural . . . �. . . . . . . . . . . . Filled . . . . . . . . . . . .. . . . . . . 20. Depth of basement or cellar floor below finished grade . . . . .' ?. . . . . . . . . . . . . I . . . . . . . . . . . . . .._ .i� . . . . . . . . . 21. Material of foundation walls . . . . . ` C ���-� . . . . . . . . . . . . . . Thickness in inches . .. . .e-'. . . . . .. . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . .. . . . ./. . . . .. . _/ (Piitchhed . . . . . . 1�. . Z . . . . . . . . . . . . . .. . . . . . . 23. Material or roof covering . . .4�P� .G. . .5!!�. . 1-'!.". . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . 24. Method of heating . . F 4140. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . .�. L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? . . . ..C�" (D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? . . �. .� :5. . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 28. Construction within 100 year flood plain? . . . ".v . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . 29. Estimated cost:Total $ . . . . . . .,jJ. ).0 L) No building or structure which is erected or altered,shall be used,in whole or in part,for any se until a certi i e of occupancy is issued by the Building Inspector. 1 ThDundersigned certifies at the above tatements are true to the bes his ow dge and belief. i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature o Contractor Signature of responsible applicant WRITTEN DESCRIPTION OF WORK TO BE DONE a . . . . . . . . . . . . . . . . . . . . . . k-1. >- �?c( z 3 C . . �` Z `}?' . ` .�u?.�. -. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FOR ALL 1,.&.2.FAMIELY PROJECTS The following Items are considered to be tli, irNI1VIUM information to be submitted with ALL permit applications Please utilize this checklist to assure completeness A.) Scaled_drawings & details shall be submitted with each application proposing construction, reconstruction, addition, alteration„ or repair. The building official may waive the requirements for filing plans when the work involved is of a minor nature. B.) Scaled drawings & details shall indicate& describe all proposed work , including location, size, grade& quality of materials & equipment to be used. C.) PLOT PLAN Pshow roperty address; map &lot number, zoning district & overlays (such as wetland) well and septic locations (if applicable) 200cation cation of lot lines, dimensions of lot, frontage &dimensions of public easements, public utility easements, railroad right-of-ways, ai�d established zoning setback requirements 01 Location& dimensions of primary& accessory buildings & structures FLOOR PLANS ©' Floor plan of each floor and any intermediate levels . includin basements , crawlspaces,t rraces P orches�g ara es c arport s, and decks Dimensions, location&materials of foundations, footings, columns&piers {including f �orcmg) Direction, dimensions, spacing, species& ade of all framing. itions} ti' airing members (floors, roofs, wall, ation of all walls, partitions, windows stairs &doors t ation&description of all electrical equipment and alarm devices f17�/ ati'on&type of all heating and air conditioning(H'VAC) equipment HVAC schematics (check with building inspector) E.�) EXTERIOR ELEVATIONS R; Front, rear& side elevations including foundation and finish grades H' Location& dimensions of windows& doors PIDescription of exterior cladding or siding material Y"Show exterior stair locations & dimensions 5""Show chimney and vent locations F.) DETAILS & SECTIONS Sections through exterior walls showing details of construction from footing to the highest 1 pint of the building (see attached) l� .Sections through shafts, landings & stairs {include framing etails tread Describe location &dimensions of handrails& g ead &riser dimensions guardrails ev.,p6aions through fireplaces &chimneys (show clearances) Lo tion&details of any roof trusses, glue-lam, or engineered lumber {include connection tails and Mass. professionals stamp on specification sheet} Exterior envelope energy requirements: Uo -of the walls, roof/ceiling&floors, OR R- of walls/roof/floor, also percent of windows to walls.(see attached) O PTO _ , Bz tig . (rit�r of 'Nortljailipt SEP 1 51999 } DEPARTMENT OF BUILDING INSP C7 �711IF���k INSPECTOR 212 Main Street Municipal Iluilding ;, /,, Northa►npt.on, Mass. 01060 Square Footage Amount . 2 Basement @ .10 1`j lst Floor @ .40 ^ 2nd Floor @ .20 / �F 112 Floors, ?�LLi L�ar` ay L0 t1 Dec k, Porches .10 TOTAL Lyelll u F EP 1 5199A [DE-ft OF BUILDNG INSPECTIONS o 1%0RTHAkiPTD', IM 01060,b,.' NORTHAMPTON SEWER DEPARTMENT 125 LOCUST STREET NORTHAMPTON, MA. 01060 587-1092 Subject: Municipal Sewer Availability Location: 851 Burts Pit Road Lot 12 Inquiry Made By: Edward Mazur 584-2134 Date of Inquiry: June 16, 1999 Municipal Sewer Main in Front of Location: YES g NO Size/Material/Age of Sewer Main: 1999 Depth of Sewer Main: 6' 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 Br m 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 a SEP 15M9 DEPT Of BUILDING INSPEGTI Sires 4v0�its:, `'TC �'j:;' VORTHAMPTON WATER DEPARTMENT 237 PROSPECT STREET NORTHAMPTON, MA 01060 587-1098 Subject: Municipal Water Availability Location• 851 Burts Pit Road Lot #2 Inquiry Made By• Edward Mazur 584-2134 June 16, 1999 Date of Inquiry: Municipal Water Main in Front of Location: YES % NO Size/Material/Age of Water Main: 12" A.C. 1966 Approximate Street Pressure: 50 PSI Size of Service Connection: 3/4" The {dater Department cannot guarantee adequate water pressure Comments: during peak demand times at elevations above 320 feet. 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 dorowski Superintendent of Water Enclosure: better 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\Availabl.50S MRIONNOW SEP' 519 s , . �tt�rxrt,asrtli . DEPT OF BUILDN(i INSPECTIONS DEPARTMENT OF BUIMMG INSPECTIONS ---- 12•Main Street a Municipal•Building Northampton, Macs. 01060 WORICER'S COMPENSAITON )TISURANCE AFM' A.VTT • (litxnscclpetmittcc) . with a principal place of business/residence at: Z m4w� C /'�t IA- (phone#) � (sa>wc/t:ity/stalrlap) do hereby certify, under the pains and penalties of pejury, that: ( ) I am an employer providing the following workees compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Data) I am a sole proprietor, general contractor or homeowner(circle one) and have hired e contractors listed below-who have the following worker's compensation policies: (Name of Contractor) Onsuranc:::Company/Policy Numbcr) (Expiration Datt) (Name of Contractor) (Insmancc Company/Policy Number) (Expiration Date) (Name of Contractor) ([n_surancc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoE Number) (Expiration Datc) (,filch sdditioml ibod ifnoocavy to include iafocraatioa p<-tx ag to.11 ooa7acton) I am a sole proprietor and have no one workdng for me. I am a home owner performing all the work myself. 1 NOM please be awzm that w&lo homcavocra wbo amploy pc==to do to :;u�coa::r ioo•or repair work oa a d—Lrmg of not mom thin throo units is whic4 the homoowca raidcs or 00 the rsouada rptxuka%d tbatito ua not C•ma-aily ooasidcrod to be amplaycaa under tho wn i=c oompcav ioa Act(GL152,a 1(5)1 applirx6oe by a homoownct far a liccox or pamit may cvidcaoo the IeVI status of as employer uodorthe Workoex CocVawatioa Act. I ur,derctaod that&oopy of"culemmt may be focwaided to the Dew ofladuatria!Accidoa&Qfr—ottasureow r-d- ooticragc vcxification=A that Auure to 5=2M covaiv uadcr sottion 25A of btOL IS2 cal lad a iba is ioa of criai+a+l pmdccs • :} 00•muting of a fwo of up to «iwprlsc�of tip to Doe)ar lad Cha pcaaltin is the tocm of.stop W«k ordu and a .. find ofSloo.00a da tae: Permit Number �((7 Maps Lot o r'``a• oaf I."`gcasoelP`rautL°c C. ; tj cf— ' N U� - pA vv 7 1 �vll �S �v � � J s V CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS i 125 Locust Street Northampton, MA 01060 413-587-1570 Samuel B. Brindis, P.E. Fax 413-587-1576 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. 'r6Wamuel B Brindis, P.E. Director of Public Works C:\MyFiles\Lyn\DriveNvay Permit General Instructions D07-00 ti Y 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. By: Petitioner 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. 4 D07-00 T SEP 1 510 CI Y`t, } ' , S,� MPT0N, M A S S. August 19, 19 99 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 851 Burts Pit Road Lot #2 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: it a anc - w 584-1967 58C Bridge Street, South Hadley, MA 01075 Proposed Location Inspected by: %�1� �o�41, Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 149 Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) t t3UIL0ING LOT too. J E N 86.19'03. E The Planning Board has made no s s !S V LK iJ iS 95.00. determination as to oonformanp of this lot vAth the provisions l rn g of a,.Zoning Ordin�rj , ! ;!. SEP 1 5 �I 4�►!v,. v R,�� O) DEPT °Et'1I S w _ ° \ \ \ SO' w rn \ \ \ \ \ \ BUILD BUFFER I 30.00• \ \ ONE \ h a f N 86.19'03^ E 17 \ 0 00' (total) w f N 86.19 03\ \ o f E 1 119.69' co LJ oo f ci V OL !n °�f W I Ott yl < I N f f fe°f tfaaluf f... x 1 _ o + ( LOT 3 Y °; 9 rn w `� 52535+/- SQ. FT. C) Z 1 .2060+/- ACRES o f cor IN r; p \� PORTION OF BOOK 1485, PAGE 368 o f r g \ m cr f O N O N fear b%)dd Clore rn, ` u I 0 36.9 f � 5f�3� 1 �j\ f ` f S tip Is �'• \ 1 15y.3S 6a,3214 i \ 125.E w W 5 63214 eve � , T 31 m(",z 0 to AP n Z tn 9 rr m 0 3 0 [per xfo r 4 in V m o nm �► 0 -UOSSAW 0,01s Jnod woJ j algopmo J!DJap uoijonilsm) a6D1D6 ay} Mollo j of arcs 98 -empnils ay} ui sit asn puD uol}anJ}suoa JadoJd Job jaal!pM JnoA linsuoo osIV '}39}I4oJD JnoA q)!M u6!s9p ay} MC�IA J 'a}!s uo!}onJ}suoo 9qj ;D suoij puoo 41!M }uals!suoo si 'suoi}DO!ppow Jo suoi}nj!}sgns AUD puD 'u6isap palsa66ns 941 ID41 AJ!JaA o1 -s}uawaJlnbaJ puD Sap09 6ulppq IDaoi llD sJaaw tajDw noA jDgj suolIDO!I!pow Jo suoijnjgsgns AUD puD) u6!sap aqj ID41 BUTAI!JaA JOJ '}:)aJM 6uwaq s}uauuaJnsoaw IID Jol alq!suodsaJ WD noA -uDld 6u!ppq p04SIUIJ D 4ou s! u6isap pa;sa66ns a41 pa}!goyu! aq o} papu04UI a6DJD6 aye s! Jou `a6DJD6 POgDD41D uD Jo} }ou si u6isap pa}sa66ns ayl :310N 146184 uo!jDpuno j a Zl puD 146!ay 110M ,g D papalas noA :ST1VM -uo!pnJ}suoa Ja4 jDH puD 6uDgjaAo 9lgD6 „ 0 '6uo4JOA0 OADa „ Zl '4aI!d Zl/Zl D pa}galas noA :dOOtl Al/E 9 A7 all OT ,a i2/I I ,6 .211 01 Z .41/6 9 & N- A (D N N CO N VW '0-131diVH A OWd d3H 66/Li/60 31VO 133HIS A VZ OWd / S3'ladHO -- 83NO1SnO 00 a38vgni OOfld M31A NV-Id a a U � mW� J J "tyF C#S CC r. g"Zr r V/ r d� 1 AC (1 fx�) �0 i �u -JW 4¢ U� S Sao 3 �q It sccUn I� SEp 1 5 W. DEPT OF 301 i t r y f, i 5 i ko CVY 8 ` 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col== to be filled is by the Bnildfng Drpartment Required Existing Proposed By Zoning Lot size Frontage Co)j Setbacks 0 U - side L: '4 0 R: L:UC) R: - rear 100 Building height — Bldg Square footage %Open Space: (Lot area minus bldg r &paved parking) (�! # of Parking spaces f of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the informati containe herein is true and accurate to the best of my knowledg . DA'Z'E: l 9 5 APPLICANT'S SIGNATURE 0 NOTE: lssu no of a zoning permit does not relieve an app ioant's burden to oomply wlt*h ail zoning requirements and obtain all required permits from the Board of Health, Conservotion Commission, Department of Publio Works and other appliomble permit granting authorities. FILE if Ir SEp 1 51999 DAFT OF c�l)h r ",° r �1CJtJ5 Fi 1 e No.B c wo �, I•. 'r, '' ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: C jN t4g2(C� U40 Address: Z_ 09 W (t t Telephone: 2. Owner of Property: Ll S vi ( Af�-- Address* S-PC(Jrzid S �/'4 ' Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee '�I Other(explain): Cefq 4(2 o-14-C+0 Q 4. Job Location: Au t2 ' Parcel Id: Zoning Map# �-36-1-1 Parcel# ) ? District(s): (TO BE FILLED IN PY T BUILDING DEPARTMENT) 5. Existing Use of Structure/Property L) tq 6. Description of Proposed Use/VVork/Project/Occupation: (Use additional sheets if necessary): A 7. Attached Plans: _Sketch Plan _ Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. 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 DON'T KNOW YES IF YES: enter Book Page _ and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO—L- 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: (FORM CONTINUES ON OTHER SIDE) r File#BP-2000-0280 APPLICANT/CONTACT PERSON Charles Amo ADDRESS/PHONE 123 Hawley Street (413)585-0353 PROPERTY LOCATION 841 BURTS PIT RD-LOT#2 MAP 36 PARCEL 105 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid IM/0 0 Typeof Construction: CONSTRUCT 2 STORY SINGLE FAMILY MODULAR W/ATT 2 CAR GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildina Plans Included: Owner/Statement or License 044171 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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 Conservati ission 1 Signature o Building Officia 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. i. BURTS PIT RD-LOT#2 BP-2000-0280 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36- 105 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2000-0280 Project# JS-2000-0452 Est.Cost: $83000.00 Fee: $656.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Charles Amo 044171 Lot Size(sc ft) 558439.20 Owner: LEBLANCE LISA&KIRK Zoning: SR Applicant' arles Applicant.-_C AT:, $URTS PIT RD - LOT #2 Applicant Address: z, / Phone: Insurance: 123 Hawley Street (413) 585-0353 NORTHAMPTON 01060 ISSUED ON. TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2 STORY SINGLE FAMILY MODULAR W/ATT 2 CAR GARAGE 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: Footings: Rough: Rough: House# Foundation: 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: Fee Type' Receipt No' Date Paid: Check No:_ Amount: Building $656.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo