36-308 (2) ., 'mo ----------------TG ,GIF LOAN INSPEC .#.101
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LOCUS REFERENCE:
Book 6790 Page 0100 (Port-ion)
Plan Book 192 Page 84
TO: National. Ci't Mort .a e Co.
AND.First American Title Insurance Co OWNER. David. M. Eepine
I hereby report that the premises shown on this plan are LOCATION:
not located wilbin a,plood Rawd Area as she ,on the Cardinal Way, Lot 4
Federal Emergency Management Agency's Flood NorthaTi j ton Massachusetts
Insurance Rate Map,
comet nity NoM_ 250 67-OOOIA - - --- E. B. HOLMBERG &Associates
Etfec i,ve Date Apr i 1 31, ;19 7 8 pq(%pr LAND SURVEYORS ---
.+__»_•—, a nro TYATYAI'A.T G'ar'rVn%_.TM" 'V A 40ArLTA'ALAI%'r^kT A,RA OnA.0
109 CARDINAL WAY MP-2003-0171
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS -
Map; - 6
ZONING PERMIT
"Permit. G R LI
{;ZONIN PERMIT APP
- - - APPLICATION PERMIT
Category: Zoning Permit
2
Permit# ,MP- 003= 1...
I_ __ _ 017 - - PERMISSION IS HEREBY GRANTED TO:
'Project# JS-2003-1667
_ - - -Contractor: License:
Est Cost:
-`�--_____- 7Homeowner as Contractor
Tee:-- $10.30
- Owner: BADORINI MICHAEL&DAWN
#of Fixtures: _
A cant: BADORINI MICHAEL&DAWN
AT: 109 CARDINAL WAY
ISSUED ON: 23-May-2003 AJVENDED Ot'V: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ZPA-INGROT--VD POOL
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO
ANY OF ITS RULES AND REGULATIONS.
Signature:
r
Fee Type- Receipt No: Date Paid: Check No: Amount:
V Y
Zoning Permit Application REC-2003-003518 21-May-03 685 $10.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®2003 Des Lauriers Municipal Solutions,Inc.
Jul 02 03 11 : 47a p. 6
a�ttAMPT ��
O o
of Nttrtliam rtnn
9 Alit 56801IT9ette
� DEPARTMENT OF I3UILDI)�,70 INSPECTIONS
INSPECTOR 212 Main Streo 0 Muuieipd Building
Noribainptun, MA 01060 \ �
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
• r{ rr• - 1 {.— cc
act aS l.is!her construction Sul".: .;;or. t liL Star, ciC,lnes Hoilleowilel" as, .. P erson(s)
who owns a parcel on which he/she resides or intends to be, a one or two fancily
(livening, attached or detached structures accessory to such use and/or farm structures_ A
person who constructs more than one home in a two-year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s)who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backrtll),
sonotube holes (before pour),a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such ti as the proper permits and inspections are
made
understand the above.
(Home owner/res' cot's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date /—
Address of work
location /07 cR,r�„(,o-L_ L•t/q y
Jul 02 03 11 : 46a p. 5
° "a CriiR Jolf wart1}ampt-011 —
� B ,�lxnencilctsctts'
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORI='S COMPENSATION msuRANa7 Aivm Ayrr
with a principal place of business/residence at:
DinraC may MA O fo G 2 (pllonei#) 11
(str�Uci ty!sta teln p)
do hereby certify, under the paths and penalties of pequu, that:
( ) I am an employer providing the following woiicer's compensation coverage for my
employees working on this job:
az-su c-- Compazy) (Poky Number) (Fxvmtion Date)
( ) I am a sole proprietor, general contz-actor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (ln-surancr CornpanY/policy Number) (Fxpirntion Date)
(Nauie of Coutracm) (Insurance Compaq/PoLcy Number) (Expiration Date)
(Name cf Contractor) (Insura.octi Coa7paoy/Policy Number) (Expir on Date)
(Name of Contractor) gnsurmce Company/Policy Numbe.0 (Expiration Date)
(attach addici l soh ct if ncccauv to i-4 infonruriou jx t—ivg wall oontracton)
i
( ) I am a sole proprietor and have no one wcrld.ng for me.
KI am a home owner performing all the work myself.
NOTE:ptease be aware that wbilc homeoavm who employ persons to do asn,i� •nc ioa cr tfpair worst on a dwelling of
not nwre tivn thtno trnis is which the homeoµacr wide a oc the gcOtux zppurL-nani thacto acs not grncally omsickrrd to be
employers undo tha wotioer s o atim Act(GL152-�s 1(5)),application by a homoowna for a bo=M a permd may cvidcaoc the
leaxl ctatua of an amployer under tho Wocfeet Cocepomaiioa Ad-
1 underAAnd that a copy of lhia stal®mi may ba forwnrtW to tho Depart.x of A.ccid-ey OfSoo of In—for the
owtraga verifiestioa and that failure to accua covrrag a under soc tioa 25A of MOL 152 can lead to the inxpos 0,1 of criminal pain cs
oomist=g of a fine of up to S 1,500.00 Kq&OC of tip to a,x yssr and civil pe=L16 a is the form of a Stay W otk Ord-:and a
film of 5100.00 a day s gaino mr.
For 't use onty
L permit Number
7 z a 3 1vSap11 _Lot n
Sign,�ttzuc of Licenxx/Pcrmitl.re ��
Jul 02 03 11 : 46a
p. 4
S sC9NSTRUG7ION SERVICES f'
8.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
0 lam `men" ``:. a Not Applicable ❑
Company Names Registration Number
Address Expiration Date
Telephone
SECTION 10-WQRKERS'COMPENSATION INSURANCE AFFiDAYIT(MiG!:L.c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No....-. fl
t nm. Own
V 1.10
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also he advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compli ce with the State Building Code,City of
Northampton Ordinances,State and L I Zoning La nd o sa setts General Laws Annotated.
Homeowner Signature
Jul 02 03 11 : 45a
p. 3
L;Aw.
i
3M11M
..
WWWWAV
New House ❑ Addition Replacement Windows Alterations) ❑ Roofing 0
Or Doors CJ
Accessory Bidg. Demolition❑ New Signs [ ] Decks [ ] Siding L ] Other[ ]
I �q —
Brief Description of Proposed Work: 1,V5 ,41-4 /p 'x3G /'V4<1f aA1b ,4
Alteration of existing bedroom Yes ✓No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes ✓�No
Plans Attached Roll❑- Sheet
Air a. Use of building: One Family Two Family Other
, b. Number of rooms in each family unit: Number of Bathrooms
r . Is there a garage attached? ry
d. Proposed Square footage of new construction. a s f 2 Dimensions 36 ( o a L
//
e. Number of stories? IA
f. Method of heating? A)/A Fireplaces or Woodstoves 100A Number of each l-A
g. Energy Conservation Compliance. N/A Masche/c�k Energy Compliance form attached?
h. Type of construction !a 5*tALL If %)I,* 2
+JGajtJh P+oL_
i. Is construction within 100 ft.of wetlands? Yes —X,No. Is construction within 100 yr, floodplain Yes ANo
j. Depth of basement or cellar floor below finished grade AlIA
k. Will building conform to he Building and Zoning regulations? V"'-Yes No .
I. Septic Tank Cp ewer Private well City water Supply
S C Ir N 7 pWNERAU7 ORIZAI ION TO BE COMPLE'T .W,HEN
¢kYNEESa�CENT�OR GOIVTRACTO R APPLIES FORBUILDINC�'PER.Mi7
AR
as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, Z (' CAM
hereby declare that the statements and information on the foregoing application are true and accu o the best of my
knowledge and belief.
Signed and the pains and penalties o
Print a e
Signature Owner gent Date K�
Jul 02 03 11 : 45a p. 2
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 Z A/o C h(Aa&,r
Frontage �� .3 7 v� 14, -C H')('ic
Setbacks Front -V/A f •
O L Side L: �A R: L:��R�
PO
ON1� Rear VIA N�A SiDLsU
cvj
Building Height
3 -1� Cd O'13A) n�• N406
Bldg.Square Footage -5
li�rQ z
0 7
Open Spate Footage %
(Lot area minus bldg&paved x J? V�O (� -7
arkin > o�7
#of Parking Spaces o C Nn A)(,
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO V 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:
Jul 02 03 11 : 45a P. 1
` Q it orthampton
"� l5 -i I �iDepartment r
bin Street
,i ll JUL — 3 X03 on 100 a
�i
North mptan, Fax 413-587-1272
MA 01060
a W
� e RI 124x
r�
`'sct,l
DEPT REM F. ���
L TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be coi3ipleted;by office
�� / C_��D�i✓�L aA Map Lot Uni#
Zorie OverlayDistnct
Elm St. District CB District.
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: f�.� L.��,�.•JAI WAy
a4 J0610 E <-r iGNi !2 �°O41
. O/,0Co
Current idlaiiing Address:
--- 1 elephone
Signature
2.2 Authorized Agent;
Name(Print) Current Mailing Address:
Signature I elephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
item Estimated Cost(Dollars)to be Official Use Only
com le d by ermit applicant
1. Building '/v vj (a) Building Permit Fee
2 Electrical / C-) (b) Estimated Total Cost of
Construction from 6
3. Plumbing p Building Permit Fee
4 Mechanical(HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4+ 5) —� Check Number
f h s Section For Official Use,Qnl
Building Permit Number: Date Issued;
Signature:
Budding Commissioner/Inspector of Buildings Date _
File#BP-2004-0011
APPLICANT/CONTACT PERSON BADORINI MICHAEL&DAWN
ADDRESS/PHONE 109 CARDINAL WAY (413)585-9001 O
PROPERTY LOCATION 109 CARDINAL WAY
MAP 36 PARCEL 308 001 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 70 ZQ
Typeof Construction: CONSTRUCT 18 X 36 INGROUND POOL
New Construction
Non Structural interior renovations
Addition to Existing
Accessoa 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
INFO,P4ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Co Sion
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.
r
,x, n BP-2004-0011
GIs#: COMMONWEALTH OF MASSACHUSETTS
AXON ," ,:` CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2004-0011
Proiect# 35-2004-0021
Est.Cost: $8940.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): Owner: BADORINI MICHAEL&DAWN
Zoning: SR Applicant: BADORINI MICHAEL & DAWN
AT: 109 CARDINAL WAY
Applicant Address: Phone: Insurance:
109 CARDINAL WAY (413) 585-90010
FLORENCEMA01062 ISSUED ON.718103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 18 X 36 INGROUND POOL
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 Sienature:
FeeTvpe: Receipt No: Date Paid: Check No: Amount:
Building 7/8/03 0:00:00 702 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
109 CARDINAL WAY 8P-2004-0011
GIS#: COMMONWEALTH OF AIASSACHUSETTS
Map-.Block: 36-308 CITY OF NOW I-5,"ImPTON
Lot: -001
Permit: Building
Cateory: .0 IhT I ���G PERMIT
e
<Yr M1��11ir1�Y�IMIl IM411��
Pen-nit ft BP-2004-0011
Pro o--t.# 35-2004-0021
Est. Co,t: S1'240.00
I'ee: $50.00 . [LIIS'S101V <_ .'�': ::'R 9NTE_l? 2'0:
Const. Class: Contractor: &A.en,se:
Use Grog y:: H n.-owner as ('Dr;tractor
Lot Sizes .f ?:lift_,__: 3ADORI_,i MiCHi'_ i,&Di,.WN
A licattt Address_ _`'!tune: I_�ts:rrwice:
109 CAPDINAL WAY (41", 5)8'-99001
FLOP,ENCEMA01062 LSSUED ON.718103 0:00:00
TO PERFORM THE FOLLOWING ,'%'O-RK:CONSTRUCT 18 k ) NGROUND POOL
_P%0ST THIS CARD SO IT IS VISIBLE FROM THE STREET
I%,s,):!,:tar of Plumbing Inspector of Wiring D.P.W. Building Inspector
1 Inderd:•oand; Service: Meter:
Footings:
Rough: Rough: house# Foundation:
Aar t5y1X1i1r* 7//�/�� rive)vav Final:
Final: Final: ; !/
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
dough: Oil: Insulation:
Fin::'.: Smoke: Final: !� • C _;�,, �
THIS PERMIT WY.3E REVOKED BY THE 'rV OF NORTH,%MPTON UPON VIOLATION OF
ANY OF ITS It.I1LES AND REGULA'
Certificate of Occupancy Signature:
eeT je: _ Receipt i`1o: Daf,-,Paid: Check No: Amount:
Budding 7/8/03 0:00:00 702 $50.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Bni'.ding Conuiussioner-Anthony Patillo