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C y } try "L -1 i V rn xi L 4A to ,vn o r � ITT. Deep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A O Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z� r 0 A- ,O . 0Z D v0 Z N N M -� o Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 filed with this application before a permit be granted. s 03 1999 Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit Northampton,Mass. . . . . . . . .`F''. . . . . . 19 Telephone No. . . . . . . ,;.Z.7. .-. .�-0.6.Q. . . . . . 7b the Supt.of Buildings: _ Application for a permit to build is hereby made according to the following:- 1. Location,Street and No. . . . .%�. . . . . . ��kc . . . . . . . . . .. . r. . . . . .. . .. . . . . . . . . . Lot No. . 3. . . . . 2. Nearest cross street . . . . . .. . . . . . . . . . . . . . . . . . . Size of lot . . . . .2-3 .a-�. . . . .. �. r 3. Owner's name . . �. .oU. . o- !`r�-. . . . . . . . . Address . .�. •�r ./ . . .C� o di 4. Architect's name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . :. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 5. Builder's name . . .13-. .- - .o. . . . . . . . . . . . . . . Address . 4. .� .+�.�. . . . . . . . . . . . . . Mass.Construction Supervisor's License No. . . 0.0.7�-# . . . . . . . . . . . Expiration Date . . . .9�r `{��� . . . . . . . . . . 6. Use of Building:One-family . . .7-P-0 . . . . . . . . . Two-family . . . . . . . . . . . . . . . . . . .. Other . . . . . . . . . . . . . . . . . . . . 7. Number of rooms in each family unit: . . . . . . . .4? . . . . . . . . . . . . Number of Bathrooms . .3.. . . . . . . . . .. . . . . . . 8. Is there a garage attached? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of building . .X. . ...2.1 . . . . . . . . . . . . . . . Square footage . . .13(2 7( . . .. . . . . � 10. Number of stories . . . . . . . . . . . . . .f. ._;;�. . . . . . .. . . . . . . . . . . . . . . . . . . . . . .1. . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . �.Is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . . . .Lfl/p-owl. . . jib-G ^Z !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 13. Distance from building to street line in feet . . . . . . . ..3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I � 14. Distance from building to side lot lines in feet:Left . . . . A60. . . . . . . . . . . . . . . . . Right . . . . . . . . . . . . t 15. Distance from building to rear lot line in feet . . . . . . . . . ..=2 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 16. Is a plot plan being filed with this application? . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . pruce . . . 1/. . . . . . . . .. . . . . . Other . . .. . . . . . . . . .. . . . . . . 18. Are all structural conditions noted on drawings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Nature of land upon which the structure will be erected: Naturaf l . . . 41.. . . . . . . .. . . Filled . . . . . . . . . . . .. �. 20. Depth of basement or cellar floor below finished grade . . . . I. . . . . .lj?. . . . .. .C.f'"11". - � . . . . . . 21. Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness in inc es . .. . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . . . . . . . . . . .7 4! x .-7. . .����.�. . . . . . 23. Material or roof covering . . . . . . . . . . :. . . .. . . . . . .c.. . . . 24. Method of heating . . . . . . . .U�.c- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . . .-/�,�!?-'. . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City Sewer? ..l.71-16-4 L. . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft. of wetlands? . . . . TI z'ZI� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Construction within 100 year flood plain? . . . .,.yam.. . 29. Estimated cost: Total $ . . . . . ..1 G.jl . cf.0.G? . . . . . . . . . . . . . . . . . . No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the best of his knowledge and belief. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . '1� . Signature of Contractor 6ignature of responsib applicant WRITTEN DESCRIPTION OF WORK TO BE DONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .! �'�. . . . (. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts Department of Environmental Protection • Bureau of Resource Protection—Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 0 Appeals The applicant,owner,any person aggrieved by this Determina- issuance of this Determination.A copy of the request shall at tion,any owner of land abutting the land upon which the the same time be sent by certified mail or hand delivery to the proposed work is to be done,or any ten residents of the city or conservation commission and to the applicant if he/she is not town in which such land is located,are hereby notified of their the appellant.The request shall state clearly and concisely the right to request the appropriate Department of Environmental objections to the Determination which is being appealed.To the Protection Regional Office to issue a Superseding Determina- extent that the Determination is based on a municipal bylaw, tion of Applicability.The request must be made by certified and not on the Massachusetts Wetlands Protection Act or mail or hand delivery to the Department,with the appropriate regulations,the Department of Environmental Protection has no filing fee and Fee Transmittal Form(see Appendix E:Request appellate jurisdiction. for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of zoaaadsul 2uTpTTng o1TTIgd iiuouguy Rev:10/98-— -— -- v� o n n Massachusetts Department of Environmental ProteCt%on - Bureau of Resource Protection- Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. C. 131, X40 Determination (coot.) Negative Determination = 5.The area described in the Request is subject to protection Note: No further action under the Wetlands Protection Act under the Act.Since the work described therein meets the is required by the applicant.However,if the Department of requirements for the following exemption,as specified in Environmental Protection is requested to issue a Supersed- the Act and regulations,no Notice of Intent is required: ing Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post- Ewmpt&hvity marked for certified mail or hand delivered to the Depart- ment.Work may then proceed at the owner's risk only upon notice to the Department and to the conservation 6.The area and/or work described in the Request is not commission. Requirements for requests for Superseding subject to review and approval by Determinations are listed at the end of this document. = 1.The area described in the Request is not an area subject Mme ofMuntapatay to protection under the Act or the Buffer Zone. pursuant to a municipal wetlands law,ordinance,or bylaw, = 2.The work described in the Request is within an area (name and citation of bylaw). subject to protection under the Act,but will not remove,fill, dredge,or alter that area.Therefore,said work does not require the filing of a Notice of Intent. $ 3.The work described in the Request is within the Buffer Zone,as defined in the regulations,but will not alter an Area subject to protection under the Act.Therefore,said *Grading work shall not commence until Apri work does not require the filing of a Notice of Intent. * of 2000. Prior to the commencement of eart .4.The work described in the Request is not within an Area moving activities, armored haybales must be subject to protection under the Act(including the Buffer added along the length of the proposed silt Zone).Therefore,said work does not require the filing of a fence as shown on the plan. Notice of Intent, unless and until said work alters an Area subject to protection under the Act. Authorization This Determination must be signed by a majority of the conservation commission.A copy must be sent to the This Determination is issued to the applicant and delivered appropriate Department of Environmental Protection as follows: regional office(see appendix A)and the property owner(if by hand delivery on different from the applicant). - Signatures: Dale X by certified mail,return receipt requested on November 29, 1999 Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal,state,or local statutes,ordinances,bylaws,or regulations. October 25, U99 Rev.10/98 Date - — - _ Paoe 3 of 4 Massachusetts Department of Environmental Protection . Bureau of Resource Protection— Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 Ja Determination (coot.) The following Determination(s)is/are applicable to the 5.The area and/or work described on plan(s)and proposed site and/or project relative to the Wetlands document(s)referenced above,which includes all or part of Protection Act and Regulations: the work described in the Request,is subject to review and approval by Positive Determination Note:No work within the jurisdiction of the Wetlands Name of Municipality Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or pursuant to the following wetlands law,bylaw,or ordinance Abbreviated Notice of Intent)has been received from the (name and citation of law). issuing authority(i.e.,conservation commission or the Department of Environmental Protection). 1.The area described on the plan(s)referenced above, which includes all or part of the area described in the Request,is an area subject to protection under the Act. Therefore,any removing,filling,dredging,or altering of that area requires the filing of a Notice of Intent. ` 6.The following area and/or work,if any,is subject to 2.The delineations of the boundaries of the resource municipal bylaw but not subject to the Massachusetts areas listed directly below,described on the plan(s) Wetlands Protection Act: referenced above,which includes all or part of the area described in the Request,are confirmed as accurate: = 7.If a Notice of Intent is filed for the work in the Riverfront Area described on plans and documents referenced above, Therefore,the resource area boundaries confirmed in this which includes all or part of the work described in the Determination are binding as to all decisions rendered Request,the applicant must consider the following pursuant to the Wetlands Protection Act and its regulations alternatives(Refer to the Wetlands Regulations at regarding such boundaries for as long as this Determina- 10.58(4)c.for more information about the scope of tion is valid.However,the boundaries of resource areas not alternative requirements): listed directly above are not confirmed by this Determina- tion,regardless of whether such boundaries are contained — Alternatives limited to the lot on which the project is on the plans attached to this Determination or to the located. Request for Determination. Alternatives limited to the lot on which the project is 3.The work described on plan(s)and document(s) located,the subdivided lots,and any adjacent lots formerly referenced above,which includes all or part of the work or presently owned by the same owner. described in the Request,is within an area subject to protection under the Act and will remove,sill,dredge,or — Alternatives limited to the original parcel on which the alter that area.Therefore,said work requires the filing of a Project is located,the subdivided parcels,any adjacent Notice of Intent. parcels,and any other land which can reasonably be obtained within the municipality. 4.The work described on plan(s)and document(s) _ referenced above,which includes all or part of the work — Alternatives extend to any sites which can reasonably described in the Request,is within the Buffer Zone and will be obtained within the appropriate region of the state. alter an Area subject to protection under the Act.Therefore, said work requires the filing of a Notice of Intent. Rev.10/98 -- -- — -Am -4-A Massachusetts Department ofviionniental Protection _ ate Bureau of Resource Protection—Wetlands WPA Form 2 - Determination of Applica i �. Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 � ' General Information NOV 2 91999 s From: 3. Title and Final Revision Date of���-aiid ether' $t�'�iSients. Northampton Conservation Commission "Lot 13, 4x•768 Burts Pit Road" rSketch Conservation Commisston attached to Request for Determination) 1. Applicant: Theodore Towne Name o!Person Making Reou-st 67 Division Street Mailing Address Easthampton City/Town MA 01027 State Zip Code 2. Property Owner: Theodore Towne Name of Property owner(it dWerent tram appicant) 67 Division Street Mailing Addfess Easthampton Ciwown MA 01027 "r State Zip Cone Determination Pursuant to the authority of M.G.L.c. 131,§40,the Northampton Conservation Commission Conservation Commission has considered your Request for a Determination of Applicability,with its supporting documentation,and has made the following Determination regarding: Lot 13, Burts Pit Road 'StreetAddress Northampton CiWown essors Map/Plat/ ParcelAot 1 Rev.10198 ` Att $ ,Iva u NORTHAMPTON SEWER DEPARTMENT 125 LOCUST STREET NORTHAMPTON, MA. 01060 587-1092 Subject: Municipal Sewer Availability Location: 768 Burts Pit Road Lot #13 Inquiry Made By: Theodore Towne 527-9060 Date of Inquiry: July 16, 1999 Municipal Sewer Main in Front of Location: YES x 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 conform to Northampton Sewer Department specifications. Ge ro ge Brehm 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 .! t<p.k T N YJ. .t 1 r3 r 4 .r r 0. ki .t i t �!4 L r"�!. k y J 1 9a"vt F k.,:p+ n c 'r'- �r 1 y bra'", i 7 Y 7 }5 ! n ON. G .i i,i .. t "'V < a `�. S, a J+}'tM6jialr u,`,.+.S.t UFk" a . l24, wtr'M aaip$„rr�N+.ta. � J3+ GM"Jk: 'i!k :,F A _ ..a ,, "+ • > ? a S� rvdJet xY.dkx":-it'-lIr-;y�.,0. tTt 9 -mot ��? t� �a ` 161r; y �.,.11 I "rY" ^d �c r !; P.r�r 'Y•r y t-a S. , e. 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J t i��§1 §r} .t i .., -:-u I .M Cr i :i t tk y1x Drf'?.ei y„ ;! h h. •1 f ^ R'}bl �w r F .ir.'; F •inr **k1Nh3M `r?: � '}nortl itr`ir' .; a-' ^ttr aSdk- "s. s r,:J e '{" ?:s } �' e inn F .r e t l w'["° s "s n.�i t, ti -+S 3*t +S',. .� ,��. y.` r , a, � �. -ke AUG 3 A 2 0 sea NORTHAMPTON WATER DEPARTMENT 237 PROSPECT STREET DEKOf BUILDING INSPECTIONS NORTHAMPTON, MA 01060 NORTHAMPff C 1 SIA 01060 a 587-1098 Subject : Municipal Water Availability Location• 768 Burts Pit Road Lot #13 Inquiry Made By• Theodore Towne 527-9060 Date of Inquiry: July 16, 1999 � Municipal Water Main in Front of Location: YES R NO Size/Material/Age of Water Main: 12" D.1. 1978 Approximate Street Pressure: 45 PSI Size of Service Connection: 3/4" copper Comments : The Water Department cannot guarantee adequate water pressure 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. CharleAorowski 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 En meer Anthony Patillo, Building Inspector A:\WATER\Availabl.50S th AM pTO ti Gztp of 'Wart4alnptall _ $ e 3 _: assnchusrtte DEPARTMENT OF BUILDING INSPECTIONS rPT Of INSPECTOR °° -- 21.2 Main Street ' Municipal Building orthampton, Mass. 01060 Square Footage Amount Basement @ .10 / h 1st Floor @ _40 13 y f 2nd Floor @ .20 ,r 1/2 Floors, Attic, Garage .10 4— Deck, Porches .10 tv�c►a-� iao _ Ia.� TOTAL 7, [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . 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 restrict or 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/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 768 Burts Pit Rd. DATE: 8-3-1999 Bldg. Dept. Use CEILINGS : [ ] 1 . R-38 Comments/Location WALLS : [ ] 1 . Wood Frame, 1611 O.C. , R-15 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value : 0 . 32 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : [ ] 1 . U-value: 0 .35 Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Boiler, Gas Steam, 82 .0 AFUE or higher Make and Model Number THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. 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, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION: MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 AW 3 19 Checked by/Date CITY: Amherst STATE: Massachusetts HDD: 6614 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-3-1999 DATE OF PLANS : Aug. 2 , 1999 TITLE: 768 Burts Pit Rd. PROJECT INFORMATION: Raised Ranch COMPANY INFORMATION: Towne Builders 67 Division Street Easrhampton, Ma. COMPLIANCE : PASSES Required UA = 366 Your Home = 316 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1304 38 . 0 0 .0 39 WALLS : Wood Frame, 16" O.C. 2012 15 . 0 0 . 0 155 GLAZING: Windows or Doors 203 0 .320 65 DOORS 81 0 .350 28 FLOORS : Over Unconditioned Space 616 19 . 0 29 HVAC EFFICIENCY: Boiler, Gas Steam, 82 . 0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building $hall be no greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4 .4 . p g Builder/Designer / -''k z 2,5::� Date L G0P 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 colunm to be filled in by the Building Department Required Existing Proposed By Zoning Lot size ;t s F_ 30, 00 v Frontage S(0 16,._ Setbacks - frnnt _3 side L: R: L: -rdr R. ?� - rear Building height oZ-� Bldg Square footage 3 O y 000 11 %Open Space: .33 ) I ' f7 (Lot area minus bldg / 0 &paved parking) 0. # of -Parking Spaces # '6f Loading Docks i*✓ H Fill: -(volume--& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: CL±j-j c2 , I 9!Z APPLICANT's SIGNATURE NOTE: Issunrioa of is zoning permit does not relieve an appl' ant's burden to comply Wit" all zoning requirements and obtain all required permits from the Board of Hea th, Conservtation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # File No ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: 5-� —SGtvV 2. Owner of Property: Address: Telephone: 3. Status of Applicant: ,Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map#_ _ Parcel# District(s): Ile) (TO BE FILLED IN BY THE ILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: (` Sketch Plan Site Plan 1!'� 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 KNOvAl YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO l� 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 DON'T KNOW YES L-� 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) Jr CITY OF NORTHAMPTON, MASSACHUSETTS T 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 I. 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 pen-nit 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. amuel B Brindis, P.E. Director of Public Works C:\IvlyFiles\Lyn\Driveway Permit General Instructions NNW d DOI-00 {}j � 1 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: /s - 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. • D01-00 kR G A fR/lJ V W11 C ITS ( ,:F;;-; NORTHAMPTON, MAS S. July 16, 19 99 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 768 Burts Pit Road Lot 113 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 37 or more. By: 193 Northampton Street 527-9060 Easthampton, MA 01027 Proposed Location Inspected by: Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 4965 Samuel B. Brindis, P.E. , Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) FLOOR M.'ANITABLES n For floor joists that ` are not conlinunlr8 luisln �Jokls H+nt<rs ;4 a Joists arc either lapped over beam or supported by haugt rs as shot-nn F or simple span heanis(n'i(h it support at each end) or continuous(ntullipli-span)beams if spans ate equal 3" bearing length is required at end supports x 6" bearing length is required at interior supports 71/t"bearing length is required al interior supports io shaded areas FLOUR 40 PSF LIVE 15 PSF DEAD 100%r Beam Sian Ft Carried By Beam Span(Ft) 20 22 24 1 28 30 32 34 36, 38 40 2 '4 1/2 xW4 3Lzx91/a 31,2x9'/4 352x9'/4 3Yzx9!4 3!/2x9!14 8 3:1x1/.+ 3r2 x7,4 3/rx7i4 5114x7'/4 5!/4x71/4 5!'4x7:/4 51/4x714 5!4x71/4 51/4x_7'/4 51_4x_71/4 312x954 3'''x91'4 i !, y ,� i -r, 312x9'2 3'/2x11';4 )!'2x11 /a 311'2 x11'/4 3'/2X1114 312X11"a 10 3;2X9 4 3 X9'4 3;2X914 3112 xJ/4 r, 1i 5/•+x7,'4 5/4x914 �/4x9,4 5�'ax9/4 5/4x9/4 5/4x9/4 5:'4x9.''4 3' x 1 1'.4 312 X 11'/, 31/2 x 111/4 3112 x 111"4 + x 1 -3,/2 - ', ";va x 11�'a 3112 x 11 l,'8 31/2 X 11�/e 3�2 X 114 3'12 x 14 12 � 1/ 32X11,4 3/2X1114 5' v v +1 v ',/4 ,� 4 5.4x9.4 5t/4 x9,4 5/4x914 5,4x9%2 _ 5,4x11,'4_ �/4x1_l,a _5,4x1114 5,4x11 514_x11,4 3112x11e 3'5 x117o 311?x14 3'2x14 312x14 3'/2x14 lr/2x14 3+/1x14 31/2x14 _ 14 „ v �� 72 51./4 7 312 x 14 312 X 14 5,4x11 4 5 ,a 11 + 5/4x11/+ 54x1114 5/4x11 4 5,4x11,8 5/4x11/a 5/4x11/8 x11//8 3',!x14 312x14 3yix14 31. x16 31-x16 3'12x16 312x16 3'/2x16 31'2 x16 3'%2x16 312x16 16 514x11?»_ 5_S.lX1171a 5/4x14 51/4x11 515x14 5114x14 514x14 514x14 51'4x14 51/4x14 3'2x16 111x16 354x16 312x16 3'/x16 3':2x16 3'2x18 3+: x18 3'!,x18 31.2x18 354x18 18 514 x 14 5'/4 x 14 T/4 x 14 55'4 1- 51/4 x 14 51/4 x 14 5'/4 x 16 51.''4 x 16 514 x 16 555 x 16 5'/4 x 16 312x16 3':'2x18 T',x18 3"2x18 31'2x18 3112x18 5yex16 5'/ x1G 5114x18 .5'14x1$ 11:,X14 614X16 .`-1';4x16 514x16 514x16 514x16 l i 1 II P TOWNE BUILDING SUPPLY TEL - 1-413-527-7370 Aug 04 99 1121 No :uui r .ui x _ .e- cif ,tftTaxtl�unt;t#an 1 ;, �taatadjpelta t VZMTMENT OF 13VILDW WspwrioNs . 2x2'Main Street ' Mlimtcipal•Building Northampton. Muss. 01060 WORIC61US COMITENSATION INSURANCE A.IMMAVI-r �WA2.. Z I t� � [Ocdne, �nG . (tiaetrserlpermitrosj � - with a principal place of business/residence at: �-^� �roa'f CLI ct o N)f (phoneit)�97-q OG 4 (stm�t/ci � do+,eftby certify,mltttr the pains and penalties of perjury, that: ( ) I am an employer providing(lie following worker's compensation coverage for my etIIploy=worldbg on this job: "TPA fortQ cs We 406l (Ianuance Company) (Policy Nombet) ( yipeio412atc} ( ) I am a sole proprietor nerai contractor r homeowner(circle_uu4 aadhavc hWcd Elie contractors fisted below who have the f0 lowiog worke?s compcosation policies: (Nome of Co actor) (Inwrwico Com /['oli umber} (r�epirotiott Det4) (Name or Conti-actor) (Insl MUCr Company"ey Numtxt) (Gxpiradoa D . • ice: � � _ � � � (Nair Contxaaor) (In.iilll cec Compaa��l--'/palicy NN,uml>,J�)^ (ExplMdan Date) (Nime of Conttaetor), - (lmvtance Company/poucy Number) (r'sxpimtion Dalf-)� (6=A,ukl CKW,bad jr0eo4..vy b kWj;k oarareu[ien paj.iaiioj Io.t1 Wat%44n) ( ) I ani a sole proprietor and have no one wonting for rue. ( ) X am a 4oxne w-Vraer perfofrning aff the work myself. NOTE:please be-%we ant eiora Ihsn�bros uglti �t wbl r ma dweulb�of to w � aar oa&-Donn& bade aro ant twasgr eoeaadaaod 1�be arplayaf vmdct da wakah compcmeiao Aes(GL11�sa t(�x applicaDet y a baLOeavoir ra - �,J t kpl daa.r-ar�wrptoyt-uad.r tba Werirdat`t+mgroa.tit.aJMa. � ��6"f � 1 nado.uee au4 a eery ar,La se lmmt may ba rarwwiW to dA lkprarr.t d LAA*%;.l^ owa►�c va►C►c+ILa�aad Was f.:Irra Mreaareery■fie tender uotra,ffil or1i0L 13`l w lad .Iy P aoquftafa$ FAfV pail.0.ooSao-igr+nowa34*Is—ywad"pco.W*i ' fiat of 1100.00 allay tp1eA sot $' two A' ^° ?j ' File#BP-2000-0133 APPLICANT/CONTACT PERSON TOWNE THEODORE&EVELYN M ADDRESS/PHONE 193 NORTHAMPTON ST (413)527-9060 PROPERTY LOCATION BURTS PIT RD MAP 36 PARCEL 196 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid 57:;�Ox it ' Typeof Construction: CONSTRUCT SINGLE FAMILY RESIDENCE W/ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. _tZDenied 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 t/ 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 s' / - Signature of B ' ing 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. Lot 13, #768 Burts Pit Road F. 9 � t 1,'�s O SEP3Oft i! Q0 P stag S F siltation fence (existing) proposed clearing for lawn and yard area 100 foot Buffer Zone o� siltation fence (proposed) 50' undisturbed forested buffer ,etated Wetlands Bordering Veb �1 1 I ` 40 r File 4 BP-2000-0133 APPLICANT/CONTACT PERSON TOWNE THEODORE&EVELYN M ADDRESSIPHONE 67 DIVISION ST (413)527-9060 PROPERTY LOCATION 768 BURTS PIT RD MAP 36 PARCEL 196 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid A-Z-6 T_ypeof Construction: CONSTRUCT SINGLE FAMILY RESIDENCE W/ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan T OLLOWING 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 Conse tion Co on 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. 768 BURTS PIT RD BP-2000-0133 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36- 196 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2000-0133 Project# JS-2000-0197 Est. Cost: $105000.00 Fee:$657.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THEODORE D TOWNE 000724 Lot Size(sa.ft.): 33715.44 Owner: TOWNE THEODORE&EVELYN M Zoning: SR Applicant, D TOWNE AT: 768 BURT S PIT RD Applicant Address: Phone: Insurance: 67 DIVISION ST (413) 527-9060 EASTHAMPTON 01027 ISSUED ON.ioluag99 o:0 m TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SINGLE FAMILY RESIDENCE W/ATT GARAGE/DECK 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 10/14/1999 0:00:00 $657.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo ton M DEPARTMENT Of:BUILDNG INWCTIONS: INSP.E.CTOR X12 Main.Strett • Mumgpal $uiding Northampton, Mask. -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 768 Burts Pit Road as shown on the Assessors Page# 36 , Lot# 196 Zone SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 5 USE GROUP CLASSIFICATION (780 CMR 3 R-4 OCCUPANT LOAD PER FLOOR(780 CMR Table 1008.1.2 40 PSF - 1st 30 PSF - 2nd LIVE LOAD PER FLOOR(780 CMR Table 1606.1) 40 PSF Under the following limitations, special stipulations, and/or conditions of the permits: Conservation Commission Issued this 3rd day of January W 2000 Certificate of Occupancy and Use# BP-2000-0133 Authorized Department Personnel i Electrical Elevator Fire Plumbing Building Gas Building Commissioner his 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. Building Department 413-587-1240 fax 413-587-1272 ; � SOL low N a % } x.? * sx L j cr w �Y g i � E i f: A, { 1 4 v y � Ski a% r 768 BURTS PIT RD -BP-2000-0133 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:B1 1t:36-196 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:New Single famft BUILDING P Permit# BP-2 -O"i33 Project# JS-2400 fl167 Est.Cost:$105000.0(? Fee:$657.60 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: Use Group: THEODORE D TOWNE 000724 Lot Size(sg ft.): 33715 44 Owner: TOWNE THEODORE&EVELYN M Zoning;SR Applicant: THEODORE D TOWNE AT___768 SURTS PIT RD Aga&ant Address: Phone: Insurance: 67 DIVISION ST (413) 527-9060 EASTHAMPTON 01027 ISSUED ON:I011411999 0:©Q Q© TQ,PERFORM THE.FOLL007NG WORK.-CONSTRUCT SINGLE FAMILY RESIDENCE;W/ATT GARAGE/DECK 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: .� ' '1 f� W Footings: Rough; 10411517 Rough: / � House# Foundation; Final: Final: Rough Frame: k Gas I-Y/IP7 Fire Deuartment Fireplace/Chimney Rough:/ 0 oil: Insulation;Dl1;' !! - 4 4 Final: Smoke: 1, 3 O—g q A et Final: 0 kr 11 THIS PERMIT MAY BE REVOKED BY THE CITY O ORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. i nature Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/14/1999 0:00:00 $657.60 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo