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36-304 (3) r.. I \ I ,Qo1 l4 OA l \cT % Fo W 10 Y Aj / r / RISOV Tod CARDINAL WAY CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS t 7 125 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. q'amuel B Brindis, P.E. Director of Public Works C:\MyFiles\L}mlDriveivay Pernut General Instructions „ Permit No. D44-03 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: I. 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. -'Yz-:' By: Petitioner David Lepi , Building Contractor 413-563-4543 262 East Steet, Easthampton, MA 01027 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. f + Permit No. D44-03 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 05/20/03 FEE: $25.00 s�'� THE BOARD OF PUBLIC WORKS -; 2,23 The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 294 Cardinal Way - 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 Raved as soon as possible if the grade of the proposed driveway exceeds 3% or more Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: avid Lepin gilding Contractor 262 East S eet Telephone #: Easthampton, MA 01027 413-563-4543 cell Proposed Location Inspected By: Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector MUNICIPAL SEWER AVAILABILITY Northampton Streets Department 125 Locust Street Northampton, MA 01060 JUN 1 7 2um 587-1570 Location: 294 Cardinal Way Lot # C Inquiry Made By: David Lepine, 413-527-3975 Date of Inquiry: May 20, 2003 Municipal Sewer Main in Front of Location: Yes Y, No Size of Sewer Main: 211 Material: PVC Age: 2002 Depth of Sewer Main: 5' Size of Service Connection: 1-1 PVC Comments: The City of Northampton has not accepted responsibility for the maintenance of the sewer main and service connections as of this date of Aporresponding"sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Joseph llilloltuas, Superintendent Streets Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, ffillldflig Inspector lc File#BP-2003-1046 �� Z APPLICANT/CONTACT PERSON DAVID LEPINE �� ADDRESS/PHONE 262 EAST STREET (413)527-3975 O _xf: PROPERTY LOCATION 294 CARDINAL WAY-LOT C r MAP 36 PARCEL 304 001 ZONE SR THIS SECTION FOR OFFICIAL USEI PERMIT APPLICATION CHEM u'F` S � ENCLOSED ZONING FORM FILLED OUT a Fee Paid Building Permit Filled out Fee Paid b X7'77 Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Ou License 044188 3s THE FG HIS APPLICATION BASED ON INFOR C - o ER:§ i.e.. �- { 's eds Pi Other Penmts Curb Cut from DPW Water Availabi, _la. Septic Approval Board of Health Wel, 1/0 4,!�tS Permit from Conservation Commission Permit from CB Architectw., _ Permit from Elm Street Commission 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. } MUNICIPAL WATER AVAILABILITY Northampton Water Department 237 Prospect St. 4 � Northampton, MA 01060 587-1098 "} JUN 1 7 2003 '! Location: 294 Cardinal Way Lot # C �---�;i DEPT C 6 C t "�ca C-�`rS Inquiry Made By: David Lepine, 413-527-3975 Date of Inquiry: May 20, 2003 Municipal Water Main in Front of Location: Yes x No Size of Water Main: 12" Material: DI Age: 2002 Approximate Street Pressure: 72 PSI Size of Service Connection: 1" copper Comments: The Water Department cannot guarantee adequate water pressure during peak demand tunes at elevations above 320 feet. The City of Northampton has not accepted responsibility for the maintenance of the water main and service connections as of this date of inquiry. A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to Northampton Water Depaartpment specifications. "f- 4-tlQ Char es Borowski, Superintendent of Water cc: Ned Ilunticy, Asst. City Engineer Andionv Patillo, Building lnshector 10. Do any 4ns sit on the propetv YES„_,,,, NO IF YES.devoibe$do,typo WW loosWn' _.._...�. . Ate there any pmp*W dmftts to of add km of sorts implied for Im prq*V YES NO IF YES.d000lbe We.%W snd laotltlon• 11. A,Z 3717V P1JWZCS' !tD'A'!' BE dlMPl.AM, or PXIW1'r CM P8 DBNI'ED Dajr M ZACK OF XM"JdtI'FX'ON. !1►s,P Awift e w be rixiwj L:", _ it "0 99ad§ a Required u1isting Proposed By Zoning Lot size Frontage Setbacks fccat Jr -side L. 'c R: 0 L;,, _Ml;, ire 02 rear Building height VA Bldg Square footage, 1,Po o 710 Asp d s7' %Open Space: (tat area minus md# �► ► 4patmed par7ainy) 0 of larking spaces !r of Loading Ducks 9 rill: t Volume -A location) 13. Certification: Y hereby certify that the lata.rataetion contained heroin is true and accurate to the b"t Of •y Jcnov1*d9'*. DATE: rt % h� ApPUCAUT's SZON�ld't PA ` Md7'!�iora.a�teesi N �srtlne POOMM M not MIt+alee on m to oompky vo"h ell weniis►sMttt,�l0Nts tarot M 14"60 werki and iii1+MM UEir0061a M spa Ming air6%a►FM1&m. IT" f . •y .t t 'rile MO.-- ZO=*G PJCPJaT APP.LSCA7X0N (514. 2) PL A= TYPE CM VFJNT ALL ZT1 MMU0N 1. Name of Applicant: o ,� ' �► Address: 1 1 ,`r , — Z. Owner of Property: f,L S.. Address; ,! - ,- - Wt� � � 3. Status of Ifeant: .,,,r�OWrter rr Con MctPurchumr Lsieee _,Other(explain): 4. Joie Location: �i�.ri� �► ` lit '�U."' �,J - Parcol Id: Zoning Map# psraw -viez District($): C A� (TQ eE FILLED IN SY TK (LDING DEPARTMENT) 5. Ustng Use of Structure/Property_ $. Description of Proposed Use/IiN6&Mrojsat/Occu 5w: (UN edditonal sheets if necessary): r 7. Attached Plans: Plan __ bits Dian _ Engineered/Surveyed Playas Answers to the following I?questions may be obtained by ehuNng wfm tha IiMM#Crept or ptanhlnd Departnwnt Filat. S. Has a Special Perrmmltt//variance/Findlltp.,.ta+tpr.been ir&ued lotton,the sits? N DON'T KNOW YES IF YES,data issued;_,,,_„___ IF YES: Was the permit recorded at the Registry of Deeds? N4., DON7 KNOW_ YES.,__. IF YES: enter Book r and/or Document S _ $. Does the site contain a brook,body of water or wetland:? NO- DON"f KNOW Yl~s 1.--•'_� IF YES,has a psrmit been or need to be obtained from the Conservation Commission? Needs to be obtained. illy Obteined­­_�­,date issued:, (FORM CONTINUES ON OTHER SIDLE Aft File#MP-2003.0127 APPLICANT/CONTACT PERSON MIRANDA THOMAS A ADDRESS/,PHONE b7 DIVISION ST (413)527-0717() MOPERTY LOCATION BURTS PCT RD MAP 3636 pA>tCE,,1W o ZONE CR IWSS SECTION gEn TAL,IME U=gh g2j" ENCLOSED REQUMD DATE G LLED OUT auildina Permit FilleRut Fee Paid �..,._.,.�.. A. T3=of anst=on: ZPA--MVII_.9 621=P'b,Y HOME Nsw Construe_ tiort ._��s.�A��..�._,..AA....��....� _..I %ruch al interior reanvations__„ Addition to Exi"� Acoeayr_on_►-Structure 13cu1 Plans Included: o,%%ffi Statemew or Li 3 sets of Plana/Plot Plea THE FOLLOWING ACTION HAS BEEN TAKEN ON THS APPLICATION BASED ON II F30MAIION PRESENTED: Approved _Additional permits required(am below) A PLANNYNG BOARD PERMIT USQL'MD UrMR;6 Intemx-diate Project: _Sato Plan ANDRUA Special Permit with Site Plan ,,,, Major Project:_Site Plan AND/OR Special PertrAt with Site P,. , /�'�" '' ZONING BOARD PERMIT REQVIUD UNiDItR: , w,r c .O.0% c,"'Olr. .4 Finding_ Special Pvza t Varianoeo Received&Recorded at Registry of Deeds Proof Enclosed _Other Permits Required: Curb Cut ftm DPW Water Availability Sewcr Availability Septic Approval Baud of%Wlb Well Wster Potability Board of Heslth Permit from Comrvation Commission _Permit from CH Architecture Ca,rnr"te Permit horn Elm Stmt C ion Signature of Building OM AR Date Note:taaaace of a Zoning permit does not refitve it appfkaat's burden to cornoty with all zoning requirements and obtain all required permitr from Hoard of Health.Cooaervattan CosttMsslon.Uepartme At of publtt works and other applicable permk Srapthf authorities, .variances are grastted only to those aMtcsttta who stoat the attlet otindrtrde of MGL 40A.Contact the Office Of Plauning do Dawelopmw for snore infomtkw- Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to l" Up to 1.25" 1.5"to 2.0" Over 2" 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ) I Materials and equipment must be identified so that compliance can be determined. [ ) I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ J I 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. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. i Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ J I HVAC piping conveying fluids above 120°F or chilled fluids below 55 °F must be insulated to the levels in Table 2. MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE:05/19/03 TITLE:Miranda House Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ J No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.350 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: I Slab-On-Grade Floors: [ ] I 1. Slab 1: ,R-0(uninsulated) Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air, 78 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm (0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Miranda House CITY:Northampton STATE:Massachusetts HDD: 6404 - CONSTRUCTION TYPE: 1 or 2 Family, etached . HEATING SYSTEM TYPE: Other(Non- ctric Resistance) DATE:05/19/03 s DATE OF PLANS: 5 -19-03 PROJECT INFORMATION: Plantation At West Farms COMPANY INFORMATION: Dave Lepine Building Contractor COMPLIANCE:Invalid Area(s) _ Gross Glazing Area or Ca ' Cont. or Door Perimeter R-Va R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1330 38.0 40 Wall 1:Wood Frame, 16"o.c. 2675 19.0 0.0 141 Window 1: Wood Frame,Double Pane wi Low-E 264 0.350 92 Door 1: Solid 54 0.350 19 Floor 1:All-Wood Joist/Truss,Over U onditioned Space 1087 19.0 0.0 51 Slab 1: ,0.0'insul. 0 0.0 0 Furnace 1:Forced Hot Air, 78 AF Air Conditioner 1:Electric Central,Air, 10 SEER 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 shall be no greater than 125% he d 'gn to a - pecified in Sections 780CMR 1310 and J4.4. Builder/Designer Date,`T�&—d 3 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4- Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside I conditioned space, including stud bays or joist cavities/spaces used to transport air,shall be sealed I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. i Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the I levels in Table 2. MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 06/16/03 TITLE:Miranda Home Lot C Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.350 Comments: I Floors: [ ] ( 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: i Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,78 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm (0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Miranda Home Lot C CITY:Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE:06/16/03 DATE OF PLANS: 6-16-03 PROJECT INFORMATION: Plantation At West Farms COMPANY INFORMATION: Dave Lepin tractor COMPLIANCE:Passes Maximum UA=407 Your Home=343 15.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling l:Flat Ceiling or Scissor Truss 1330 38.0 0.0 40 Wall 1:Wood Frame, 16"o.c. 2675 19.0 0.0 141 Window 1: Wood Frame,Double Pane with Low-E 264 0.350 92 Door 1: Solid 54 0.350 19 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 1087 19.0 0.0 51 Furnace 1:Forced Hot Air, 78 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. 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 shall be no greater than 125%o design load s specified in Sections 780CMR 1310 and J4.4. Builder/Designer °•"i7�rnrjK:fw i-( e� DEPARTMENT OP BUILDING' INSPECTIONS � A NS�CC70� 212 Main Strut. ' A.unicipn0 Bu'l'4 Northampton, MRS-4 0106C �� Squ::rc. ro.L.an,o r�mou�C aa�Qrnc.-t C 10 L�7- _ /®'iS 70 2nd Flcor 2 .20 - C> a 'Ot3 1/2 Floors, Attic, Garag iC �fJr/• 70 Deck, Patches i0 0-1—a ®! C;_p� if l 9 B �i,a,aclin,cll, e DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ` Municipal Building ' Northampton, Mass. 01060 WORKER'S COMTENSA`MN INSURANCE AFFMAVTT tam) with a principal place of business/residence at: ad i Sr'_ pro (phone#).5'13-�Q2. 3f'7S- (strt,--Ucity/staW2ip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following workees compensation coverage for my employees working on this job: Gasu=ce Company) (Policy Number) (Expiration Date) 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: `-D / 41q m u ry A �L�lLf? Civ 'lr/e a+,� L�2 t►y s�ao101�}e� e�3'ya14-ZS (Name of Contractor) (Insurance Compny/.olicy Number) (Expim6on Date) Ael el2l44v /Am e- <- (Name of Contractor) insurance Company/Policy Number) (Expiration Date) t,7✓6W f- 5"6 -5*,efs e36 --��.s')64474J w_G v00/ g3a V> /-/ (Name of Contractor) (Insurance Com 7 Roky Number) (Expimdoa Date) ame of Contractor) (Insurance Cotnpany/Policy Numbe=r) (Expiration Date} (0-ch ukiidoaxl shad it nwc=Ary to include infmuboa pertautiog w.1=dr'dora) AV I am a sole proprietor and have no one world"ng for me. ( ) I am a home owner performing all the work myself, NOTE:ptesse be Aware that*tole bomeowocm who ct=p1crj pcn-a=to do",•,,•=3ncs,cvrrmvmoo or repair wo*on s dwelling of not wom then tlsroe units is w@ich the homeouae r resides or ea the p-ouods sppeutetsa:d shesdo are nx gvowatty oowi&r to bo cznployen andcr the wort,-&s s4om Act(GLI5?,ss1(5)),appUmdoo try a homeo%mir for a iiccwe or paza may cvidaree the 49411-111 of an employer udder the Woc4 ova Compeosatioa AcL I uadaxtnad due a eopy o£this etalcmcat may be fwwnrded to the Dtpaut--g o£Iodustzj J Aeadw&OfIioe of I wku for do coverage verificatioa alai flat failure to glare coverago utsd:r soctim 25A of 140L 152 can tad to tbd nVosidoa of ct^miat!pa ac$ 000sittwa or&f oc of up to 11,500.00 awor inpr6ombca of up to coe ysar and civa pr oUcs in the form of it Stop Wxk Orddr,ad a r=ors 100.00 a day 1gain4 me For dgrmat-'use caly ' pertnit Number Wo Lot# Sigzaatiu e ' of Li errnittec � V r EC 0 ,8•,t QN5TRUCTION SERVICES 81 Licensed Construction_Super 's r: Not Applicable dame a License Holder :��A_.vi -�,, ' !�► ^_ d55��f fir$ License Number Addr / _ Expiration Date yr3 .5d7-3�'7 Signature Telephone J 1 11,, 11,11 11111111 ? G3 311 Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SG'fti 1tGiliRS C0`M�'EiJSAT ION"INSU RAN CI:AFFIDAVIT(M.G.L. c. 152, C .. , . §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavi' will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dweliines 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 7$0 Sixth Edition Section_108.3.5.1. Definitlon 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 imrson 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 resgonsible 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.(hapter 153 (Liability of Employers to Employees.for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(; 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 ' e' O i ' .. I� �[�� 'r. .p I. f I' t r � _. , � a — ,,. _�� i ^� i � ti 'ti '�. � � ,.. ,. ,' +,e ��. L Ir , r SECTION 5- bESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: TKyO ©"� e Srs E' �? ti� ST'ZV&J HO Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative D Renovating unfinished basement Yes No Plans Attached Roll D - Sheet D 6a:1f Ne`w douse and or atl`dition to exi§tin fiousin g- ,-:complet"tie:followrniY: a. Use of building : One Family Two Family_ _ Other b. Number of rooms in each family unit: _ Number of Bathrooms �. c. Is there a garage attached? ")c Id d. Proposed Square footage of new construction. ;? Dimensions e. Number of stories? f. Method of heating? SAS /47- A// Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction C�vJ f i. Is construction within 100 ft. of wetlands? Yes _,X_ No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade n k. Will building conform to the Building and Zoning regulations? _ X Yes No . I. Septic Tank City Sewer Private well City water Supply _ SECTION 7a OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING C�ytn,&I - AIV as Owner of the subject property hereby authorize ��U/� /� �, 1���� __ to act on my behalf, in atters relative to work authori ed by this building permit application. Signat re of Owner Date ✓AvtY� 'A jam, T 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 Na Signature of Qwner/Agen Date i 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 •��AC>2. J• AC t2. Frontage C 2 •• i `�Ar l 69,5— Setbacks FrontOt Side L: 0 R: � L: ©/ R: 3a / dO tRear of O fi q p Building Height a Bldg. Square Footage % f Open Space Footage % (Lot area minus bldg&paved atkin #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Ti 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 # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES __ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES _ NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location:_ -w City of Northampton S Building Department Ctt:b 212 Main Street Room 100 a e...' e 4 Northampton, MA 01060 Tw i v �ai�ot G 13 X587,1240 Fax 413.587.1272 Pi�lSle a ., 1 a v APPLICATION T4 CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 3�o 3oi f This section to bencampll?t�� bfflce 1.1 Property Address: Cj✓c'� IJ5 r, °tcX Map LotrF 3'{' Zone Overlay District +� M`F `` ` Elm St. District CB Dg's rict i` SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print 7 Current Mailing Address: Telephone Signature 2.2 Authorized Agent 17Z)J1,0 `-(. 1,610A/E Name(Pr Curren; Mailing Address; V13 S27 39�� _ Signature Telephone y- SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be�� Official 'Jse Only — completed b ermit a licant r Building �iSC7•ooa ctic i (a) Building Permit Fee ! . � j 2. Electrical �p o o p (b) Etirnated Total Cost of I Construction from 6 3. Plumb;ng ~� j ��, '. O� Building Permit Fee ! i / ! 4. Mechanical (HVAC) j f ._0co 5, Fire Protection d C) C7 o 6. Total =(l + 2 + 3 + 4 -t5) t t _G70O 06 Check Number 77 aO This Section For Official Use Only Building Permit her• 3 /�� Date Issued: Signature; Building Cornmissionerilnspector of Bui(dings Date. J File#BP-2003-1046 APPLICANT/CONTACT PERSON DAVID LEPINE ADDRESS/PHONE 262 EAST STREET (413)527-3975 PROPERTY LOCATION 294 CARDINAL WAY-LOT C MAP 36 PARCEL 304 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Pemut Filled out Fee Paid 277-7 i O Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 044188 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Stree ommission Signature of Building Official Dat 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. wHY BP-2003-1046 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-1046 Project# JS-2003-1669 Est. Cost: $185500.00 Fee: $809.20 PERMISSION IS HEREBY GRANTED TO: Const.Class:5B Contractor: License: Use Group: R4 DAVID LEPINE 044188 Lot Size(sq. ft.): Owner: MIRANDA THOMAS A& Zoning: SR Applicant: DAVID LEPINE AT. 294 CARDINAL WAY - LOT C Applicant Address: Phone: Insurance: 262 EAST STREET (413) 527-3975 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:712103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH W/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: Receipt No: Date Paid: Check No: Amount: Building 7/2/03 0:00:00 5777 $809.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 10. Do any signs ebst 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 N!,;t IF YES,describe size,type and location: 11 . rZT, T�'FnRMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF INFORMATION. This cclu to be filled in by the Rud2a .,g >nrtmnt Required Existing Proposed By Zoning i Lot size Frontage Setbacks - frnnt r) I - side L:-5 c; R: _ C' L: s� R: — I - rear -- - i Building height N� Bldg Square footage _ /�a'���:� i�� � r) - ------� %Open Space: (Lot area minus bldg ^�� c� } 7- &paved park.Lng) # of -Parking Spaces i f ! # of Loading Docks {vol-ume -& location) 1 13 . Certification: I hereby certify that the information contained is true and accurate to the best of my knowledge. p DATE: r /', <- NOTE: Issuanoe of zoning permit does not relieve an applionnt's burden to oomply with.+rail zoning requirements and obtain all required permits from the Board of Health, Consc--c-vc tio,;, Commission, Department of Pubiio Works and other applloabla permit granting authorit{E3s_ FILE if ` l _ 1 4 Fi1e No. ZONING PEST APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_�;i �j2ST eoiep "�:"J Address:��7 � �i�,`c,��/'/ S,� elep ane: 2. Owner of Property:����� _ �L G -yZ =SSIa.. 1�J 2."✓ y: Address: 4 T2 .S C�'�i Sr c f�4n Telephone: / S -rZ ? d i/ 7 LV s"may 3. Status of Applicant: Owner G- --Contract Purchaser Lessee Other(explain): _- 4. Job Location: Parcel Id: Zoning Map#—�7-,, _ Parcel# . c7 -c District(s):_S' __ _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. Description of Proposed UseANork/Project/Occupation: (Use additional sheets if necessary). 7. Attached Plans: Sketch Plan Site Plan Engineered/St,rve,,,ec Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitNariance/Finding ever been issued for/on the site? NO DON'T KNOA'. ----_ _ 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 DON'T KNOB`. E �- 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) File#MP-2003-0127 APPLICANT/CONTACT PERSON MIRANDA THOMAS A ADDRESS/PHONE 67 DIVISION ST (413)527-0717 Q PROPE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST sia��'� ENCLOSED REQUIRED DATE CLONING FOR ILLED OUT _Building Permit Filled out Fee Paid Typeof Construction: ZPA-BUILD SINGLE FAMILY HOME New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INJQRMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § �U✓ijNW S�/�L� Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan �'1� '��' ►'�' '� � ZONING BOARD PERMIT REQUIRED UNDER: § c.'X_c .vo i�x"R>Ac it 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 Cc rIssion Signature of Building Offi aI 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 the Office of Planning&Development for more information. C2) 294 t"ARDINAL WAY-LOT C BP-2003-1045 COMMONWEALTH OF MASSACHUSETTS 1+ �.Blo1G,3s-304 CITY OF NORTHAMPTON Lot: Percent Building BUILDING PERMIT Permit# BP-2003-1046 ' Protect#. ,: JS-2003-1.659 Est.'Cost $185500.00 Fee.$80920- PERMISSION IS HEREBY GRANTED TO: Const:Class:'5 Contractor: License: US&Group R4 . DAVID LEPINE 04 188 Lot Sizefsq:ft.): Owner: MIRANDA THOMAS A& zonirin SR` Applicant: DAVID LEPINE AT: 294 CARDINAL 1^JAY LOT C Applicant Address:. Phone: Insurance: 262-EAST STREET ('413)527-3975 Workers Compeiasation FASTHA(y1 -TONMA01027 ISSUED ON.-712103 0:00:00 PERFORM THE FOLLOWING IVORK:CONSTRUCT 2 STORY SFH WATT GARAGE POST THIS CARD'S0 IT IS VISIBLE FROM THE STREET 7uspector of�'lumbiug Inspector of Wiring D.P.W. Building Inspector Iluderground �� rinj Service:; Meter: �- �f Footings: RcaghJ": Rough: House# Foundation: 7• rveway Final: Final Final: A& /,'4 Rough Frame:af(' 413 Gas Fire Department Fireplace/Chimney: Rough. "1G�." � Oil: Insulation: 440 Final � \ Smoke: Final: ®k 3 �dO THIS PERMIT'MAC'BE REVOFXD BY THE C ; OF NORTH AM UPON VIOLATION OF AORITE AN REGULATIONS. Certificate of Occupancy Signature: FeeType Receipt No: Date Paid: Check No: Amount: Y OC - PIINCYXP3RE5 428/04 � Building 7/2/03 0:00:00 5777 "809.20 212 Ma;n Street,Phone(413)587-12 40,Fax: (413)587-1272 --— ---- - - --Building Crnnmissioner-Anthony Pal illo 294 CARDINAL WAY-LOT C BP-2003-1046 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-304 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2003-1046 Project# JS-2003-1669 Est.Cost: $185500.00 Fee:$809.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID LEPINE 044188 Lot Size(sq.ft.): Owner: MIRANDA THOMAS A& Zoning: SR Applicant. DAVID LEPINE AT. 294 CARDINAL WAY - LOT C Applicant Address: Phone: Insurance: 262 EAST STREET (413)527-3975 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.712103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH W/ATT GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring inWiring D.P.W. Building Inspector Underground: Service: / ' ' /a Meter: /2 Footings:•� /,�1� 7.43 Rough: �' 7 ova/�j,+Rough: (r�2��a� ,G House#• Foundation: Driveway Final: r Final: � '�,�• Final: Rough Frame: 0 3 Gas: Fire Department Fireplace/Chimney: Rough: ':' -� Oil: Insulation: OK CT /I -O 3 Final: / ^^ Smoke: Final: ©� I/ -, D THIS PERMIT MAY BE REVOKED BY THE Cl, Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu anc Si nature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 7/2/03 0:00:00 5777 $809.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo