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36-309 (4) Told 1d101 4 i .. DEPr1.�+.i T CIF EUL*S7L'+t - Va?=IONS ' IAtSpEC7'OR lei am�itc�0.�L� 0 tG' • I[. ,fin t : OV 1 L J H2 v-...1 FAX THIS T-6:413-587-1272 REQUEST FOR PERMISSION TO-VIEW RECORDS OR HAVE COPIES OF DOCUMENTS MADE -PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER* DATE: MAPJ � � BLOCK FILE ADDRESS: _ game NAME f � ADDRESS: ' cc- -d t PHONE UNDER MASS GENERAL LAWS WE HAVE THE RGHT TO MEET THE . !j ABOVE REQ4JEST WITHIN TEN (10) DAY_S OF THE ABOVE LIS ED DATE. I 1 I • 76//TO'd LSTO EBS 2Tb T SNdIOISAHd AlNnoo N3adwuH Zv:2T LOOZ-EZ-100 OD 1 DEPT OF BUILDING INSPECTIONS NORTHAMPTON,MA 01000 co � I �FC 19 IY C N lq,�p/�iv�e Ivry \Y i 1105"W 177.54' LU 5 1 Q. FT. Y r Z V 09.41 05� 81 A . 79 N 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) r 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: [ ] ( 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: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55 °F must be insulated to the levels in Table 2. w MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release I a DATE:07/31/02 Bldg. Dept. Use I I Ceilings: [ ] ( 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity+R-38.0 continuous insulation Comments: I Above-Grade Walls: [ ) I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity+R-19.0 continuous insulation Comments: I I Windows: [ ] I 1. Window l:Vinyl Frame,Double Pane with Low-E,U-factor: 0.350 I 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: [ J I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space, R-19.0 cavity+R-19.0 continuous insulation Comments: I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air I 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. I 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin (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. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ J 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 Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE: lot-5 Cardnal Way CITY:Northampton STATE:Massachusetts HDD: CONSTRUCTION TYPE: 1 or 2 Family,Detached i HEATING SYSTEM TYPE:Other(Non-Electric Resis�tandJ a L< DATE:07/31/02 i DATE OF PLANS: 7-31-02 PROJECT INFORMATION: Plantation At Westfarms COMPANY INFORMATION: Dave Lepine Building Contractor COMPLIANCE:Passes Maximum UA=410 Your Home=231 43.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1496 38.0 38.0 21 Wall l:Wood Frame, 16"o.c. 2480 19.0 19.0 75 Window 1:Vinyl Frame,Double Pane with Low-E 236 0.350 83 Door l: Solid 42 0.350 15 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 1496 19.0 19.0 37 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 1250 a de ' n load as specified in Sections 780CMR 1310 and J4.4. Date 7 Builder/Designer ! n.m^ MUNICIPAL WATER AVAILABILITY !!J Northampton Water Department �� 237 Prospect St. Northampton, MA 01060 587-1098 Location: 125 Cardinal Way Lot 15 Inquiry Made By: David Lepine 527-3975 Date of Inquiry: 07-31-02 Municipal Water Main in Front of Location: Yes x No Size of Water Main: 1211 Material: D.I. 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 times 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 De artment with a minimum of 5 working days notification. All work shall conform to ampt Wate De ment specifications. 1 4 ,,,,,,(2&,� Charles Borowski, Superintendent of Water cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector y i o��c sw-r pro of NortlIqlIlpfall Fi; L r2` �'ft OF BUILDING INSPECTIONS 1 212 rain trect ' Municipal Building It�SPECTUR �— - - - ------ Tortl amp ton, Mass. 01060 F 0�1 016,60 Square Footage Amount Basement @ .10 As 1f o 10� ,Cj lst Floor @ .40 . Y 2nd Floor @ .20 112 Floors, Attic, Garage . 10 Deck, Porches .10 TOTAL • f . MUNICIPAL SEWER AVAILABILITY NO?Northampton Streets Department -- 125 Locust Street i3O�iS 4^0 Northampton, MA 01060 587-1570 Location: 125 Cardinal Way Lot #5 Inquiry Made By: David Lepine J 527-3975 Date of Inquiry: 07-31-02 Municipal Sewer Main in Front of Location: Yes g No Size of Sewer Main: 2" Material: PVC Age: 2002 Depth of Sewer Main: 5' Size of Service Connection: 1-11" 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 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 Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Joseph Thomas, Superintendent Streets Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector Aug 14 02 10:49a DPW 4135871576 p. 2 MUNICIPAL WATER AVAILABILITY Northampton Water Department 237 Prospect St. Northampton, MA 01060 587-1098 Location: 125 Cardinal Way Lot #5 Inquiry Made Tay: David Lepine 527-3975 Date of Inquiry: 07-31-02 Municipal Water Main in Front of Location: Yes No Size of Water Main: Material: Age: Approximate Street Pressure: PSI Size of Service Connection: Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. This subdivision was approved by the Northampton Planning Board on 5/23/02. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plans. A corresponding "water entrance tee" shall be paid prior to making anv 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 spe ilications. Charles Borowski, Superintendent of Water cc: Ned Huntley, Asst. City Engineer Awliony Patillo, Building Inspector Rug 14 02 10: 49a DPW 4135871576 p. 3 MUNICIPAL SEWER AVAILABILITY Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 Location: 125 Cardinal Way Lot #5 Inquiry Made By: David Lepine i27-3975 Date of Inquiry: 07-31-02 Municipal Sewer Main in Front of Location: Yes No Size of Sewer Main: Material: Age: Depth of Sewer Main: Size of Service Connection: Conunents: This subdivision was approved by the Northampton Planning Board on 5/23/02. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plans. 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 Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. 2,t— _�2 r2-,y Joseph comas, Superintendent Streets Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector AVM IVNIONVO NVId l e2 I 6Z 9 9Z =1110 'ANI g 2 J 6Z'OLZ -'A313 b--- , t 'Vls 13INI aNno 311Nvao z t eo %69'Z=9 d38 OX. 30 -ML vf z s so s Z t U , N 3.9£,9¢.ZLN ---+- - - - ---F-- 0O+L 1 QD+9l .Zt t t 80 d %o'tmso ss .,Z t d0 d'1L t 6Z'99Z -inn 'Anil 6Z'OLZ ='A313 WIN 1'0 L is+9 t 'Vl 131NI SbnO 311NVb0 LL 80 8 6 t CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 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 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 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. z:bttamuel B Brindis, P.E. Director of Public Works C:AMyFileslLyn\Driveway Permit General Instructions t Permit No. D04-03 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. ,C By: pn David Lepine - pgr 262 East Street, 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. Permit No. D04-03 I � �---- C TY OF NORTHAMPTON MA DRIVEWAY PERMIT Date: 07-31-02 FEE: $25.00 CHECK#: 5208 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway.at 125 Cardinal Way-Lot 5 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. x By: David Lepine 262 East Stre t, Easthampton, MA 01027 Telephone #: 527-3975 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 CITY OF NORTHAMPTON boo OFFICE OF THE PLANNING BOARD NORTHAMPTON, MASSACHUSETTS COVENANT RELEASE Northampton,Massachusetts, July j 2002 The undersigned, being a majority of the Planning Board of the City of Northampton, Massachusetts, hereby releases and discharges Lepine Wzorek Associates a Massachusetts General Partnership , and its successors,form the Covenant dated May 22, 2002 recorded in the Hampshire County Registry of Deeds in Book 6673 ,Page 183 as well as the property referred to therein, which covenant relates to the Definitive Plan of Subdivision for The Plantation at West Farms, dated Apr118 2002 which plan is recorded in Hampshire County Registry of Deeds in Plan Book 192 ,Pages 76-118 Lots released include: 1-9; 11-14; and 15-29 ,1 avirig. lots_ 10'--k' ,15 subject to the original covenant. Executed this S day of July 2002 Majority of the Planning B and the City of Northampton: THE COMMONWEALTH OF MASSACHUSETTS HAMPSHIRE, SS. July a s' .2002 Then personally appeared �°� T°��'[' ,one of the above named members of the Planning Board of the City of Northampton,Massachusetts, and acknowledged the foregoing instrument to be the free act and deed of said Planning Board before me, Gtr w��. �• ���, Notary Public: My Commission Expires: (1'w m t-X.\dots\191\3\lettrncmo\W031859.DOC;1) )-JUL-2002 10:10:04 Hampshire County Registry of Deeds Receipt No: 175229 Marianne L. Donohue, Register of Deeds 33 King Street Northampton, MA 01060-3298 Name: ATTY ROGER WALASZEK Addr: 76 GOTHIC STREET NORTHAMPTON, MA 01060-0000 ATTY WALASZEK Receipt Type: OR Payment Total Pages: 0001 Fees Taxes Fee: $ 10.00 Cash: $ 0.00 $ 0.00 Tax: $ 0.00 Check: $ 30.00 $ 0.00 Misc: $ 20.00 Charge: $ 0.00 Charge Code: Comment: WZOREK ASSOCIATES Receipted By: LINDA Status: PAID DOCUMENTS: 992222377 to 992222377 •----------------------------------------------------------------------------------------------------------------------------------- fype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status ---- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------ NIS3 001 0001 0001 0.00 10.00 0.00 20.00 30-JUL-2002 10:09 992222377 OR /6728/0300 INIT Page' 0001 of 0001 2-JUN-2002 14:36:29 Hampshire County Registry of Deeds Receipt No: 172186 Marianne L. Donohue, Register of Deeds 33 King Street Northampton, MA 01060-3298 Name: ATTY ROGER WALASZEK Addr: 76 GOTHIC STREET NORTHAMPTON, MA 01060-0000 Receipt Type: OR Payment Total Pages: 0060 Fees Taxes Fee: $ 1106.00 Cash: $ 0.00 $ 0.00 Tax: $ 0.00 Check: $ 2006.00 $ 0.00 Misc: $ 900.00 Charge: $ 0.00 Charge Code: Comment: LEPINE-WZOREK Receipted By: MARILYN Status: PAID DOCUMENTS: 992217465 to 992217467 ------------------------------------------------------------------------------------------------------------------------------------ Type Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status ---- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------ MIS3 015 0001 0001 0.00 21.00 0.00 20.00 12-JUN-2002 14:19 992217465 OR /6673/0168 INIT aClrleti MIS3 002 0001 0000 0.00 10.00 0.00 20.00 12-JUN-2002 14:20 992217466 OR /6673/0183 INIT COvu'#f'7� PL4 043 0043 0000 0.00 1075.00 0.00 860.00 12-JUN-2002 14:25 992217467 PLAN/019210076 INIT Page 0001 of 0001 PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON d City Hull• 21 o Main Street,Room 1 t • N0nfjampton,MA o i o60-3 i 98 (413)587 1266 Fax 587-1264. Wayne Feicien, Director • pl ariniiig @nortfjainptoaplanning.org wrviv.nortijamptonp(anning.org DECISION OF NORTHAiyIPTON PLANNING BOARD APPLICANT: Lepine-Wzorek Associates ADDRESS: 262 East Street Easthampton, MA 01027 _. l OWNER: Wzorek Family Investment T u'st, ADDRESS: 383 Westhampton Road Northampton,MA 01060 p, ! - 5 2002 Melanie Gulow pEP?OF BUiLO NG INSPECTIONS MA a106o 363 Westhampton Road ��,a�unMPTON, Florence,MA 01062 RE LAND IN NORTHAMPTON AT: Burts Pit Road and Westhampton Road MAP AND PARCEL NUMBERS: MAP: 36 PARCEL: 71, 74 & 75. PROPERTY RECORDED IN THE HAMPSHIRE COUNTY REGISTRY OF DEEDS IN BOOK 5911 AND PAGE 308. At a meeting conducted on April 4, 2002, the Northampton Planning Board (unanimously) voted 5:0 to GRANT the request of Lepine-Wzorek Associates for a Special Permit with Site Plan (major project) under the provisions of Sections 6, 10 & 14 of the Northampton Zoning Ordinance to construct a single-family residential development with a total of 29 units, to be constructed and located as shown on the following plans and information submitted with the application and as amended by any conditions attached to this permit. Unless otherwise noted, all plan sheets identified below are prepared for Lepine-Wzorek Associates,prepared by Almer Huntley Jr. &Associates, Inc., dated December 20, 2001 and revised on March 7, 2002. 1. "Construction Notes, Definitive Subdivision Plantation at West Farms,Northampton, MA" Sheet No. 2 of 43; 2. "Construction Notes, Definitive Subdivision Plantation at West Farms,Northampton, MA" Sheet No. 3 of 43; 3. "Key Sheet, Definitive Subdivision Plantation at West Farms, Northampton,MA" Sheet planning board•conservation commission •zoning boardof appeals •housing partnership •redevelopmentauthoritvv•nortbampton GIS economic clevelopment•community Jevelopmen t•historic district commission •historical commission•central businessarchitecture original printed on recgc(ed paper Q4-�r�pTO e Crtt� of wart }ampfo11 B 8 �:�sncilnsttta° 9`r DEPARTMENT OF BUILDING INSPECTIONS �. 212 Main Street ' Municipal Building j Northampton, Mass. 01060 " WORKER'S "OMPENSATION INSURANCE AFFMAVIT icenseaJpermittec} v,ith a principal place of business/resideLCe at: alb Sr' ST' gSTffA�1,O7 kA4 GrQa7 -(phone#) Y/3- Sd7-397, "_`7`(—street city/stat�':�p). do hereby certify, under the pains and penalties of pelluy, that: ( I ant au employer providing the folloNvi�g worker's coin};°nsa6on coverage for my employees working on this job: (Insurancc Company) (Policy Number) (Expiration Data) am a sole ro rietor, general contzactor or homeowner (circle one) and have hired the contractors listed below who have the foUotiving workees compensation policies: 0. (Name(Name of Contractor) Gnsamnc;;Compauy/Peticy Nutrdxr) ( xpixatian Date) w14 a 6cv a 5770/4OC'r f w Colocyt c i e. *MICA 14004 f}g Y�X� c®� S-63 (Name of Contractor) (Insw-ance Comp an !Policy Number) (Expiration Date) �s G 5'10 9 i sy l efthT%ffheV C_ftj4?L4 CAII'71R, /ws 60• (Name of Contractor) (Insurance Corn y�/Policy Nu.tnber) (Lxp:radon Dale) 6mY Kt �'rtk i'✓ �c� rws svtaces_ 41--ao-0 3 (Na=me of Contractor) (Insurance Company/Policy Nurnbcr) (Expiration Date) (atfarh A'Aitiotlil lhcct tfnars- rj to if-'-3c informstioa pa�tc al!ox=raclors) 6JC (}� I vial a sole proprietor and have no one working for me. { ) I am a home owner performing all the work myscif. NOTE:please be nwaro thaa whila havexav nevi Htto ccnplay pc;seas to d)caiuer UW1,=r=Uc iota or rtpair w"arir M a&Aching of not mars than thr"units in t the bomcowvcr resides a oa the V=rb:s appurtceaat tha-cto arc txxt Lcocralty oocsidacG to be raraloyrrs ur""the tvorices's-a* satiQQ/Ixt(GL152,"1(5)3 appU4=a�m lry it homooKm at a Ccrz=cc perrri:cagy cvid the legal status of an employer under aw Workees Compeculiou Aa I undcrrrsnd dMI a copy of this CUICUIcat may be forwn Jed to the Dcpertarnt of r ,a:,;al Act A=&pffi oe of luau-ance for the «' 8z vctiacdloa and that faiitue to$=Ire WNtnL O under-zlion 25A of N(GL 152 ca4 lead to the imposition of crimitul penalties coaustin of a fine of up to S 1.300.00=Nor isaTtt-isxn of up to one}tar and cavil prnahi C3 in the form of a Stop Wart O'de_-End a ftna of S.oQ.00 a day egain;t tzar For dr{x.-hr dal use«,ly ^-- }�' �j Permit Nt1rnE�' r�1:"� lb'AALt1TT�i'lfj,l�l2`' (i!1'CfI1111tCC ] e? �� r� SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ,- ^4 ,p Not Applicable ❑ Name of License Holder : `DAoD i- License Number Addres Expiration Date Signature Telephone W • . �;r, Not Applicable ❑ Reg" sereii HbmarQvement�ontractor�� � _. aaa . ..�s PP Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ss �z '` � ' ®�vne ExemMOri The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780 Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-Year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official, on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner" certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature } .sue .'SECTION 5 DESCRIPTION OF PROPOSED WORK,(chek a!I applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ Signs [ ] Decks [ ] Sid' g[ ] Other [ ] Brief Description of Proposed Work: 7?(X no.y df N+F�J C,•�"s�e � t� ttb'""lE: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ sa ilf.New ho ise aind or,ad'dition:to=existing=housing,.;.co'ripleteithe`fotlowi": a. Use of building : One Family _ Two Family Other b. Number of rooms in each family unit: 77 Number of Bathrooms o� c. Is there a garage attached? d. Proposed Square footage of new construction. as/a Dimensions e. Number of stories? f. Method of heating? fA$ tzwlc It A 1-14 AeZ Fireplaces or Woodstoves q#5 t-6_!i' Number of each f g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? V h. Type of construction 0V 517L° i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade /'o k. Will building conform to the Building and Zoning regulations? Yes r/ No . I. Septic Tank City Sewer X Private well City water Supply_ SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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, 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 car/'l Signature of Owner/Agent Date Aw 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 j% 7 03 5AM<f Frontage Setbacks Front Side L: R: L:cxo! R: A., i Rear W f Building Height C3 8 Bldg. Square Footage % o0 P+?� l `dL� Open Space Footage % c A'- (Lot area minus bldg&paved 17/ 3 Q, � rg` Q parking) U #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issu�eddffor/on the site? NO DON'T KNOW YES V IF YES, date issued:K41 -2ooa IF YES: Was the permit recorded at the Registry of Deeds? / NO DON'T KNOW YES V IF YES: enter Book Uo(o73 Page /&S- 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 V 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: �C' Northampton S j� �ln Ls t1 I g Department C r Main Street om 100 ai - e or am ton, MA 01060 5s , i � ph - 87 1 40 Fax 413-587-1272 Pla I,Slte a FG?iGNS E �F OF"I", t " . (11007 0 Spec t (CATION 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,completed by offce / !VI'ap Loot Unit Zone OwerlayDistrict Elm St:District ' CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ` 4yro wt �-eP/•Jc- &a 615; s r r '41044/ftlo 1v4 Name(P Current Mailing Address: �a7-3S7S 5 ys5/3 ) _ Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use Only completed by ermit applicant 1. Building /�I (a) Building Permit Fee 2. Electrical Y (b) Estimated Total Cost of /0' 0o. Construction from 6 °�� o c7 3. Plumbing 000 40 Building Permit Fee 4. Mechanical (HVAC) /o?. G o a 6 G 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) tlop?- C5 ac;, • © Check Number This Section For Official Use Only Building Permit Number: 3 a Date Issued: Signature:. Building Commissioner/Inspector of Buildings Date File#BP-2003-0122 APPLICANT/CONTACT PERSON DAVID LEPINE ADDRESS/PHONE 262 EAST STREET (413)527-3975 PROPERTY LOCATION 125 CARDINAL WAY MAP 36 PARCEL 309 001 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 I a� Typeof Construction:_CONSTRUCT 2 STORY SFH ATT GARAGE/DECK 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 F,QELOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFqRMATION 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 Commissio 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. ' BP-2003-0122 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building -Category: BUILDING PERMIT Permit# BP-2003-0122 Project# JS-2003-0242 Est. Cost: $162000.00 Fee: $916.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID L E P I N E 044188 Lot Size(sq. ft.): Owner: DAVID LEPINE Zoning: SR Applicant: DAVID LEP I N E AT: LOT #5 - 125 CARDINAL WAY Applicant Address: Phone: Insurance: 262 EAST STREET (413) 527-3975 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON:8123102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH ATT GARAGE/DECK 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/23/02 0:00:00 5209 $916.80 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo B P-2003-W 22 GIS#: COMMONWEALTH OF MASSACHUSETTS �k:36-304 . f CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Pennit# BP-2003-0122 Project# JS-2003-0242 Est. Cost: $162000.00 Fee: $916.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DAVID LE P I N E__ __ 044188 Lot Size(sg ft.): Owner: DAVID LEPTNE Zoning: SR Applicant: DAVID LEPINE An LOT #5 - 125 CARDINAL WAY Applicant Address: Phone: Insurance: 262 EAST STREET _ (413) 527-3975 Workers Compensation EASTI-IAMPTONMA01027 ISSUED ON:8123102 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH ATT GARAGE/DECK POST 'PHIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: 316rlp3M� )deter: Footin(Ts: Rough:L � Rough: )U1ZSr1����' � Heuse# F'owidation: ----- — ri v Final: Rough Frame: 6k Gas: � �-�C� e art Fireplace/Chimney: Rough: Oil: Insulation: Final: S oke: l� — 1 k SPIRTS H3/18f THIS PERMIT MAY BE VOKE THE CITY Ok' NORTHAMPTON UPON VIOLAT OF ANY OF ITS RULES AND REGUL TIONS. _ � r Certificate of Occu anc - -;; _ nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5209 $916.80 212 Main Street,Phone(413) 587-1240, Fax: (413) 587-1272 Building Comnussioner- Anthony Patillo w