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17D-082 (3)
Bk: 09666 Pg: 332 w • Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2009 -0001 Date: September 16, 2008 1 certify that a copy of this decision has been mailed to the Owner and Applicant c irAktrtio - NOTICE OF APPEAL An appeal from the decision of the Zoning Board may be made by any person aggrieved and pursuant to MGL Chapt 40A, Section 17 as amended, within (20) days (30 days for a residential Finding] after the date of the filing of this decision with the City Clerk. The date of filing is listed above, Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of Northampton. R ECEDWE] SEP 1 6 2008 • CITY CLERKS OFFICE NORTHAMPTON, MA 01060 October 7, 2008 I, Wendy Mazza, City Clerk of Northampton, herbby certify that the Decision of the • Northampton Zoning Board of Appeals was filed in the office of the City Clerk on SEptember 16, 2008, that twenty days have elapsed since such filing and that no appeal has been filed in this matter. Attest: City Clerk -C 6,4 1 Northa on • • GeoTMS© 2008 Des Lauriers Municipal Solutions, Inc. ATTECT: HAMPSHIRE,4la44a+v.t � .,REQI8TER MARIANNE L. DONOHUTE • Bk: 09666 Pg: 331 Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2009 -0001 Date: September 16, 2008 10) All other conditions from the original Comprehensive Permit approval stand. Note: This plan provides a separate 8' wide pedestrian access at the end of the hammerhead that is within the right of way. A 15' wide vehicular access is offered and provided across the paved parking area of lots 4, 5 & 6 for the purposes of allowing Department of Public Works access to the landfill for required maintenance. Though not an officially voted upon condition by the Zoning Board of Appeals, condition 18 of the original permit shall be modified to incorporate language regarding easements as adjusted in this amended plan for the two proposed pedestrian and vehicular access points. FINDINGS: The Zoning Board of Appeals granted the amendment to the Comprehensive Permit based on the following information and plans submitted with the application: 1. "Overall Plan Garfield Avenue Extension", prepared by The Berkshire Design Group, inc. for Pioneer Valley Habitat for Humanity, page 11, revision date: 8/14/08 Zoning Board of Appeals submission. 2. "Plan and Profile Garfield Avenue Extension", prepared by The Berkshire Design Group, Inc. for Pioneer Valley Habitat for Humanity, page L2, revision date: 8/14/08 Zoning Board of Appeals submission. . 3. Letter dated August 15, 2008 regarding Application to revise Comprehensive Permit submitted by Pioneer Valley Habitat for Humanity. In granting the Comprehensive Permit Amendment, the Zoning Board of Appeals reviewed recommendations from the Planning Board and the Department of Public Works. The Board approved the project with waivers as deemed necessary to accomplish the construction of five single family homes on individual lots. The reconfiguration of the lots reduces the total number of units from three single family homes with three accessory apartments to 5 single family homes and no accessory apartments without substantially altering the location of the structures from the original approvals. Waivers from the Zoning Ordinance that were granted: 1. Reduction in frontage for Lot 2 from 75' to 51' 2. Reduction In frontage for Lot 3 from 75' to 57.5' 3. Reduction in side setback for Lot 3 as shown on plans (minimum of 10' at corner) 4. Reduction in lot area on Lot 4 from 8,000 sf to 7,651sf 5. Reduction in side setback for Lot 4 from 15' to 10' +- 6. Reduction in front yard setback for Lot 4 from 20' to 10' 7. Reduction in lot area on Lot 5 from 8,000 sf to 4,900 + - sf 8. Reduction in side yard setback on Lot 5 for the non-zero-lot-line side from 30' to 10' 9. Elimination of required sight - impervious fence for the zero lot homes on lots 5 and 6 10. Reduction in frontage for Lot 5 from 65' to 0' 11. Reduction in frontage for Lot 6 from 65' to 0' • 12. Common driveway and access to parking for lots 4, 5, 6 in order to share parking area 13. Reduction in width of common driveway for Lots 2 and 3 from 15' to 13' 14. Waiver from Chapter 350 *8.6 for all bituminous parking lot with striped parking stalls to allow trap rock gravel for the parking stalls with no striping and bituminous for the traveled area 15. Required curbs along the street to be eliminated. No curbing along Garfield Avenue extension COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 8/28/2008 9/4/2008 9/25/2008 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 9/1/2008 10/22/2008 9/11/2008 9/25/2008 10/6/2008 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 9/25/2008 9/11/2008 9/11/2008 9 /16/2008 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 9/4/2008 5:30 PM 6/13/2008 12/10/2008 MEMBERS PRESENT: VOTE: Malcolm B.E. Smith votes to Grant Sara Northrup votes to Grant Bob Riddle votes to Grant MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: Malcolm B.E. Smith Bob Riddle 3 Granted w/ Conditions MINUTES OF MEETING: Available in the Office of Planning & Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date noted above. GeoTMS® 2008 Des Lauriers Municipal Solutions, Inc. • Bk: 09666 Pg: 330 Zoning Board of Appeals - Decision City of Northampton � � �IuII ' .'I � I �� , j �!' III IN Hearin No ZBA- 2009 -0001 Date: September 16 2008 �N) �' � - APPLICATION TYPE: SUBMISSION DATE: Bk: 9888Pg: 330 Page: 1 of 3 Modification of Comprehensive Perm 8/18/2008 Recorded: 12/22/2008 10:11 AM Applicant's Name: Owners Name: NAME: NAME: Pioneer Valley Habitat for Humanity Pioneer Valley Habitat for Humanity ADDRESS: ADDRESS: P 0 BOX 60642 P 0 BOX 60642 TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: FLORENCE MA 01062 FLORENCE MA 01062 PHONE NO.: FAX NO.: PHONE NO.: FAX NO (413) 586 -5430 0 (413) 586 -5430 0 EMAIL ADDRESS: EMAIL ADDRESS: Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 39 VERONA ST URB TOWN: ACTION TAKEN: ADDRESS: FLORENCE MA 01062 Approved w/ Conditions MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 17D 071 _ 001 Chpt 350- 6.2/Attach 2: Table of Dimensional TOWN: STATE: ZIP CODE Book: Page: Requirements 4685 81 PHONE NO.: FAX NO EMAIL ADDRESS: NATURE OF PROPOSED WORK: Amendment to Comprehensive Permit originally granted April 1, 2004. The permit expiration date is hereby extended as if this were a new permit HARDSHIP: CONDITION OF APPROVAL 1) Prior to construction of the lots, a final plan that incorporates the conditions below shall be submitted to the Office of Planning and Development. 2)The final plans shall be stamped and signed by a Professional Engineer. 3) The parking lot serving Lots 4, 5, & 6 shall be bituminous for the portion of the lot that serves as access to the landfill and to the parking spots. The parking stalls themselves may be trap rock gravel (TRG). 4)The south side of lot 4 (existing neighborhood side) shall have a side yard setback of 15' to the proposed structure to comply with the URB zoning setbacks. The north side may be reduced to whatever distance is necessary to accomplish the 15' side yard setback on the south side. 5) The neighborhood association lot for the stormwater facility should have Its own lot label for clarity and ease of reference. (e.g. Lot A) The maintenance of Lot A shall be spelled out in the Owners Association. 6) The stormwater lot should be enlarged to Include all the area from the end of the paved portion of Garfield Avenue extension to the sediment forebay. This area shall not be part of Lot 5. It will also function as snow storage area for Department of Public Works plowing at the end of Garfield. 7) The lot size of Lot 5 shall be recalculated to incorporate the change in area resulting from the allocation of the grassed area to the stormwater lot area. 8) Prior to any construction, the southerly Activity and Use Limitation (AUL) limits for the Verona Street Landfill closure shall be staked and clearly labeled by a registered surveyor. The stakes shall be maintained and reestablished as required throughout the construction. No work or disturbance shall occur within the AUL limits. The registered AUL plan is located in Plan Book 196, Page 20. 9) No accessory apartments may be created within or part of any of the single family homes on Lots 2- 6. GeoTMS® 2008 Des Lauriers Municipal Solutions, Inc. - I I I I I I 1 I I 1 1 1 1 1 1 1 1 LI I i 0' Setback 1 ' 5 0' 18' PROPOSED HOUSE 1,0' setback IS � LOT 4, GARFIELD AVENUE Scale: 1/8" = 1' -0" MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 6 Garfield Avenue, Habitat for Humanity Inquiry Made By: MJ Adams 586 -5430 Date of Inquiry: 11/16/10 \lumber of Type of Single Family Type of Private Units: Unit(s): Accessory Apart. Ownership: Condo Multi- family Rental ( knnlicant to fill out the above) Municipal Water Main in Existing service to ?ront of Location? Yes: X No: site? Yes: X No Size of Water Main: 8" Material: Ductile Iron Age: 2009 A pproximate Static Street Flow Test Conducted: Yes: No: X Pt 70 If done attach results Size of Service Connection Suggested Meter Size: 5/8" :comments: The Water Department cannot guarantee adequate water pressure during peak demand Time's at elevations above 320 feet. Contractor to install water utility according to plans approved by 'tanning Board. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • angements of such install tion shall be made with the Northampton Water Dept tment with a minimum of working s noti a on. • 1 wor sha c f to North" mpton Water Department specifications. 5 -"avid W. Sparks, Superintendent of Water Water Entry $200.00 Meter S100.00 Radio $100.00 tc : Ned Huntley, Director gc: Louis Hasbrouck, Building Commissioner Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. MUNICIPAL SEWER/ AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. ocation: 6 Garfield Avenue, Habitat for Humanity Inquiry Made By: MJ Adams 210 -3284 Date of Inquiry: 11/16110 Reason for Hook into Sewer Main Request: Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: 5 1 /2 deep Yes No X Size of Sewer Main: M aterial: L,r C Age: D epth of Sewer Main: Size of Service Connection: k, A/C — AtI j-kfL ?Teo i) R 6 y ype of Service Connection: ie -in to Sanitary Main Tie -in to Sanitary Stub omments: , ( , � 44- [„G 5 % NIt: �1 F j4 fY2tc.' !j7&crg , 5 /Ohba Off Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer .ystem. Arrangements of such installation shall be made with the Northampton Streets Department with a inimum of 5 working days notification. All work shall conform to Northampton Streets Department pecifications. , 41,0 //' Jon Hall ' Sewer Department c: Ned Huntley, Director DPW Louis Hasbrouck, Building Commissioner Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for . the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub - contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liaiility Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of • Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self - insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc) said person is NOT required to complete this affidavit.... _ The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617- 727 -4900 ext 406 or 1 -877- MASSAFE Revised 11 -22 -06 Fax # 617- 727 -7749 www.mass.govidia The Commonwealth of Massachusetts Department of Industrial Accidents 1 „► = ' l Office of Investigations •� = 600 Washington Street • .no i f tea,, Boston, MA 02111 . �„•� www.mass.gov/dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers A • • licant Information ' leas • Print Le. ibl Name ( Business /Organization/Individual): '' ", �� ir�;(j�( s ` _ � Address: Pb 60 (p O(,, to— — - yr City /State /Zip: ,f /) QMi /U4 0/0k Phone. #: /I.- 3 ; — Are you an employer? Check the appropriate box: Type of project (required): / 1.0 I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and. have no e.�loyees These sub - contractors have. g. 0 Demolition for me in any capacity. employees and have workers' working Y P ty 9. 0 Building addition [No workers' comp. insurance nip. insurance. required.] 5. fjAe are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] `Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self-ins. Lic. #: Expiration Date: Job Site Address: City /State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA or insurance coverage verification. I do hereb • i un' er ild I , , airs and penalties of perjury that the information provided above is true and correct , 4 1 Ueca Date: ' b aO Si b .tore: � ,�� L_ l.I, �i Phone #: Lii 3' J^ Je '�.r - Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other , - Contact Person: Phone #: 1j , 11-5-61.'_' j1 d) Ab 6 - / 1 1 1 - \ • g \ ( O I • O \ t - , , I ---2 \ / � W ',.,„.,.....L.9..../ - ® a 0 �� :14, 1) 1) I r\® I 1 r----e---I 1•.1 lrip Ws iI1 1 MP 9 R 2E i 11 ® ®®Obf® 9 oz o _ iD mg 2 ` a _1 u 1 (/.. y HEATER cb dA r: —, -:' © N \ r 0 IMMMIJ 0 e. ;....0 4 1 I [o® 1) 6 GARFIELD AVE., FLORENCE, MA Scale: 3/16" = 1' -0" PIONEER VALLEY HABITAT FOR HUMANITY NORTHAMPTON, MA ELECTRIC PLAN NOVEMBER 1, 2010 • ir REScheck Software \teroion 4.4.0 - Compliance Certificate Project Title: 6 Garfield Avenue Energy Code: 2009 IECC Construction Type. Single Family Glazing Area Percentage: 12% Heating Degree Days: 6404 CIiniat Zone: 5 Construcilon Site; Owner/Agent. Florence, MA 01062 PO Box 6042 PO Box 94 Shutesbury, MA 01072 Florence, MA 01062 413658.8059 413,586.5430 Comptine: 26.2% Better Than Cod Maximum UA 351 Yor UA: 259 Thf, % Better or Wnrse Than Code t'ItItata reteraN how nirwe to consonance the lornae rs based on node 1,1,14 ndes DOCS 401 prowde an estannte et energy ear, or cont relative at a meerratarnn.le ,on, Gaf** Cavity,' Coot Glazing Assembly Ares " ft-Value MiiVieltte or Doer ' Pertmettiar U Ceiling 1: Raised or Energy 'Truss 780 50.0 0.0 16 Wafl 1: Wood Frame, 16 o.c 1332 19.0 5.0 49 Wndow 1: Other 15 0.290 4 Window 1 copy 1: Other 15 0.290 4 Window 1 copy 2: Other 15 0.290 4 Window 1 copy 3: Other 15 0.290 4 Window 1 copy 4: Other 15 0.290 4 Wiridow 1 copy 5: Other 15 0.290 4 Window 1 copy 6: Other 15 0.290 4 Window 1 copy 7: Other 15 0 290 4 Window 1 copy 8: Other 15 0 290 4 Window 1 copy 9: Other 15 0.290 4 Window 1 copy 10' Other 15 0 290 4 Window 1 cpy 11 Other 15 0.290 4 Window 13: Other 9 0.290 3 Window 13 copy 1. Olher 9 0.290 3 Window 13 copy 2' Other 9 0.290 3 Door 1; Sard 20 0,230 5 Door 1 copy 1: Solid 20 0.230 5 Wali 2: Sod Concrete or Masonry'lnlenor Insualion 394 0.0 20.0 17 Oasemant Walt 1: Solid Concreto or Masonry 304 0.0 10.0 22 Wall height: Depth below grade: 5.0' Insulation depth: 7.5' Floor 1: Slab-On-Grade:Heated 128 10.0 88 nsuaton depth: 6.8' Cornp/ianco Statement: The proposed buUdin design descilbed here s consent w6h the buliding pIans. specifications, and olher cacuIa1ions submittad wlth the permit application. The proposed building hne SCan designe0 10 meat the 2009 IECC requirernents 0 REScheck Version 4.4,0 and to comply with the mandatory requirement§ listed in the REScheck Inspection Checklist. ( i t Report date' 11/12110 Page 1 of 2 'v_'{XAFlp2 "'c Q / a urz1jamp t DEPARTMENT OF BUILDING 7NSPBCTIONS ' , _ - INSPECTOR 212 Main Street 6 Municipal Building ;- Northampton, MA 01060 '� , /40- Did 6 Z LOCATION � 66>feld �� SQUARE FOOTAGE AMOUNT BASEMENT @ :20 2 !) / `t' (- Z 1 @ .50 '= 3b / g f , _ 2 FLR @ r3O FLOORS, FINISH ATTIC, GARAGE @ .20 DECK/PORCHES @ :20 ° ( „ p TOTAL. 't6 Jo -op • • • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: { Not Applicable ❑ Name of License Holder : ; G:(4 L )( 4. . License Number Address _ 'C Expiration Date K2. Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ 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 ❑ 11. — Home Owner Exemption 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House [ Addition n Replacement Windows Alteration(s) n Roofing 7 Or Doors Ca Accessory Bldg, 1 1 Demolition U New Signs [0] Decks [C] Siding [O] Other [D] Work: Description of Proposed . 7 4` i r"' „ i �� - Work a ct ►l ` �g,,,yut G'� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family ✓ Two Family Other b. Number of rooms in each family unit: 3 Number of Bathrooms 1,5 c Is there a garage attached? 11 0 d. Proposed Square footage of new construction. / 0 fi Dimensions TV 41� e. Number of stories? 2-- f. Method of heating? _ evbecv ^Q.. Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? r h. Type of construction 000 Ga i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? ij Yes No . 8( ) 4o6 it,.( 61 I. Septic Tank City Sewer ■/".. Private well City water Supply _ V V SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR SX R APPLIES FOR BUILDING PERMIT I, E y/' k•a 1 G7l etw�.( tr iQc 7 , as Owner of the subject property hereby auth. - 4 1.34,,,44.0 _ CJ (1.4ti wl #f to a on r y behalf in ? I matters relative to work authorized by this building per it lication. 1 . Signs e o i Dat � J.. I, � ,c-:-.),,..7,.) , as Owner /Authorized Agent hereby declare that the stattl<nents and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Sig ed under the pains <d penalties of perjury. l Print N % f 0 _ - /718107, Signature of Owner / Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 1 5 Frontage Setbacks Front ip Side L: 410 R: i3 L: R: Rear Id5 Building Height Bldg. Square Footage ' LD Open Space Footage ��/ Qo (Lot area minus bldg & paved [ parking) # of Parking Spaces 0). Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for/ n the site? NO Q DONT KNOW 0 YES IF YES, date issued: yl / cz-- y .--.e+ e,11 42 0 oa IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES IF YES: enter Book Cl6(.esco Page ,33 Document # a9/ B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES 25 NO Q IF YES, describe size, type and location: CI D. Are there any proposed changes to or additions of signs intended for the property ? YES a- NO Q IF YES, describe size, type and location: ak � ctcs A E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO y IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • Department use only ■ City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 4 ;) 212 Main Street Sewer /Sept Room 100 Water/Well Availabilit y Northampton, MA 01060 Two Sets of Structural Plans phone 413 - 587 -1240 Fax 413 - 587 -1272 Plot/ Other Sp Site ecify Plans APPLICATION 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 office Gc,�( 'eg Ave_ .. Map 4- 1p Lot 0 403-11,44a F O(00 2 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: ( _ C ) 0 11.6 ( C ) (( Nam (Pri t) rr t Mailing Address: 5—ky b rt' c:. c.. Telephone Signature 2.2 Authorized Agent: 1 E; l j //� Name (Pri Current Mailing Address: — Signature Tel SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) ?- t(Q3i 000 Check Number ; `l ( j ' This Section For Official Use Only T Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date' File # BP- 2011 -0459 APPLICANT /CONTACT PERSON LAWRENCE SAWULA ADDRESS/PHONE 73 PLAIN RD HATFIELD () 247 -5442 0 PROPERTY LOCATION 6 GARFIELD AVE MAP 17D PARCEL 082 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out � $/ � Fee Paid l7 S bid Typeof Construction: CONSTRUCT SINGLE FAMILY HOUSE 5 New Construction & 3uLti<<l" Ef ec.T A1(C i'J ( srfiR. ss _ Non Structural interior renovations '' uti,"4g Addition to Existing .-'-e scayace_Riz.4 Accessory Structure Building Plans Included: Owner/ Statement or License 064587 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON CU , l ► �h INFORMATION PRESENTED: 1 Approved Additional permits required (see below) ., N l c) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition elay S e of Bui ding Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. r$. 4 BP- 2011 -0459 GIS #: COMMONWEALTH OF MASSACHUSETTS • 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-2011-0459 Project # JS- 2011- 000740 Est. Cost: $100000.00 Fee: $630.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LAWRENCE SAWULA 064587 Lot Size(sq. ft.): 24742.08 Owner: PIONEER VALLEY HABITAT FOR HUMANITY Zoning: URB(100)/ Applicant: LAWRENCE SAWULA AT: 6 GARFIELD AVE - LOT 4 Applicant Address: Phone: Insurance: 73 PLAIN RD 0 247 -5442 O HATFIELDMA01038 ISSUED ON:11/18/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT SINGLE FAMILY HOUSE - must submit electronic I -joist & truss before rgh 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: Date Paid: Amount: Building 11/18/2010 0:00:00 $630.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner