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34-027 (3) ' No. FEE COMMONWEALTH OF MASSAC14USETTS Board of Health, DISPOSAL SYSTEM C®NSTRI T I®N PERMIT Permission is hereby granted to; Con ruct_ Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at .3 � 1Z'Lz as described in the application for Disposal System Constructio VIP ermit No. / fO ,dated �. Provided: Construction shall be completed within three years of the date of thiyer it. xl �ll co ^s must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date � � Board of Health � � ^ • a- c Y T } ZZ j fL, 1' 1 f: , f' /`EP-13-00 WED 10:42 P. 02 w. PUl7XX%l!. iro�fi r�/ o�nr'nlr�r/ Box.1142 Stadler Street, Belcbertown,MA-0100 7 fly px s _ (413)-323.7134 ` " 1a SEP 2 12000 Name, -- -- Soverei Buiddars _ _ Sample Date: _ �'ORF8 i �lIN Add;ross: 135 So — m�ton Ruad EP, Report Date: _ 9.13- T Westhampton.MA 01027 Collected By. —_- Elbert Lynde(LWD).. . SwnVle LocAi.ion: _..... ._ Typo Sugpiy: WaII _.. STvgeiga Builders _ Samples No.: QAL 1741 T.*t 3,Turku ETill _ L,Ab fD _ M•D2434 ___ Noith_atn ton MA 01060 _ --- T'ESTED FOR RESULTS MAX.ALCONMNDED LEVELS Total Coliform BacterlA Absent Present or Absent Fecal Coliform Bactnrla Absent Prescut or Absent __._. . ..._ Hitt lte 4 1.0 mgll NiEtate 10 PR--.. . _ 8.42 -- ---� 6.5-8.5 Alkalinity - _5$,0 _.._.._ No Limit Mnngancro _Copp`; 0 1.3 mgJi --- Sol#ate 12.0 --- - 250 WgA _ 009ride 3.09 -250 tttg/l IIartloesr; _ 48.0 No Lima _y Crioductivity 126.6 No Tamil Total Dissolved Scdids $3.5 500 WEE 9`grbitfity - _. 4.2 ... S NTU �—.... — Ciilori>ac _ 0 No 1,imit No Limit _.. ltvs lts arc oAIY ter those items%sled above and oo the almvs collected dote.Yacqu lbr the famewing"IM at lrtaugaaese.tht sample was lnuud to be MOW serep We krels for IMEY.DrWag Wager$tsttdatds. 1t tbere are say qtt Wan es tbls wool piece to dot kkiltate to call tbts a45w l�trvl Ctll?4 ntrertor -- v. � � -ash..-'• - - e+z�r 09/15/2000 10:22 413-527-8153 1UllU CLLLUKA HAUL Ub Pursuant to Massachusetts General Laws (:110L), Chapter 40A, Section 11, no Special Permit, or any extension.modification or renewal thereof,shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days have elapsed after the decision has been filed,or if such an appeal has been filed that it has been dismissed or denied, is recorded in the Hampshire County registry-of Deeds-or Land Court,as applicable and indexed under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant, h is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and record it at the Registry of Deeds. The Northampton PIanning Board hereby certifies that Special Permits with Site PIan Approval for five flag lots have been GRkNTED and that copies of this decision and all plans referred to in it have been filed with the Planting Board and the City Clerk. Pursuant to iviassachusetts General Laws, Chapter 40A, Section 15,notice is hereby given that this decision is filed with the Northampton City Clerk on the date below. If anyone wishes to appeal this actian, an appeal must be filed pursuant to MGL Chapter 40A, Section 17, with the Hampshire County Superior Court and notice of said appeal filed with the City Clerk within hventy days(20) of the-date of that this decision was filed with the City Clerk. Applicant: Sovereign Builders - 92 Turkey hill Road C Q DECISION DATE: November 13, 199 DEC 51997 DECISION FILED WITH THE CITY CLERK: December 5, 1997 CITY CLERKS OFFICE NORTHAMPTON MASS 010617 r 09/15/2000 10:22 413-527-8153 TODD CELLURA PAGE 05 t ATTACHMENT A. Ss'�ti{Zn 6.1> F1ao-j,piS. In reviewing the application for a Special Permit with Site Plan Approval for five Flag Lots, the Planning Board found said lots have: 1. met the requirements of the Table of Dimensional and Density Regulations,Section 6.2; and 2. access roadways with no curve having a radius of less than eighty (80) feet or, if access is from another lot, an area on the flag lot for an access roadway with no curve having a radius of less than eighty(80) feet; and 3. configurations such that the principal structure (erected or to be erected) may be located on the lot in such manner that a circle, with a minimum diameter equal to one and one- half(1 1/2) times the amount of the minimum frontage requirement required for a non- flag lot in that distzict,can be placed around the principal structure without any portion of said circle falling outside of the property's line; and 4. for the subdivision of any single lot or contiguous lots under comrnoaow-nership, in existence at the time of adoption of this Ordinance or subsequent thereto,there may be no more than three Flag Lots having abutting,contiguous street frontage. Said contiguous Flag Lots under common ownership shall share one common curb-cut and driveway access. Appropriate easements shall be delineated on the Plot Plan and on the deeds to the lots, including a clear provision for the responsibility for the maintenance of the common driveway,common utilities (if any) and snow removal, running with the land. Said easements shall: A. become part of all of the deeds, and B_ be recorded at the Hampshire County Registry of Deeds or-Land Court, as applicable(proof of recording shall be submitted to the Building Commissioner prior to the issuance of any Building Permits). 5. the grade, length and location of access driveways are of suitable construction, in the opinion of the Planning Board, for the access and,where applicable,the turn-around for vehicles, including moving vans, ambulances, fine and police. Said driveways shall conform to all applicable provisions of the Zoning Ordinance. 6. Flans submitted to the Planning Board under this Section shall he the same as the plan submitted to the Planning Board under the Subdivision Control Lau, and shall include the statement "Lot(s) is a Flag Lot: building is permitted only in accordance with the special Flag Lot Provisions of the Northampton Zoning Ordinance." 7. The Special Permit application shall include a plan showing the location and layout of the and house and all provisions for drainage and storm water run-off. 0 l5 l5 � V t5 4 DEC 5 199 0 CITY cLEAK5 OFFICE NORTHAMPTON MASS 01060 Uy/15/1000 1U:11 41.3-5'11-1315.1 IUUll ULLLUKA h'Aut U4 11 F. 1. Curb cuts onto streets have bt.n minimized by the use of ttivo common dives to serve six lots. 2. Pedestrian, bicycle and vehicular traffic movement on sae-are separated to the extent possible. Conditions imposed upon the Special Permit for five Flag Lots are as follows: 1. The applicant shall comply with any Conservation Commission conditions. 2. On Lots 2,3 and 6, no more than forty percent(40%) of the total area below the elevation of four hundred (400) .feet shall be cleared. 3. Any Common Drive Special Permit granted hereunder shall be deemed validly exercised for the purpose of.preveoting a lapse of said Special Permit once the driveway has been constructed. 4. Any Flag Lot Special Permit granted hereunder shall be deemed validly exercised for the purpose of preventing a lapse of said Special Permit once the deed for such flag lot is recorded at the Registry of Deeds. 5. In the area where the two common driveways are very close together, a vegetated border shall be maintained between the driveways to insure thev remain separate entities. THE PLANNING BOARD VOTED 6:0 TO G&A.NT THE `Y.OVERS AS REQUESTED IN THE APPLICATION. =G '5 CITY CLERKS OFFICE NORTHAMPTON MASS 01060 3 09/15/217017 10:11 413-511-131b3 IUVV ULLLUKA HAUL UJ A. The requested use for flag tots protects adjoining premises against seriously detrimental uses by providing for surface water drainage as depicted on plans and information submitted with the Special Permit application. Also, run-off from the development has been minimized by the applicant's agreement to a condition limiting clearing on portions of Lots 2, 3 and 6. B. The requested use promotes the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets and minimizes traffic impacts on the streets and roads in the area by providing access to-a total of six lots with nvo common driveways, reducing the number of curb cuts onto City streets. C. The requested use promotes a harmonious relationship of smlctures and open spaces to the natural landscape, existing buildings and other community assets in the area because the lots range in size from three to seven acres, maintaining the rural character of the surrounding area. Also, because the lots are flag lots, houses on the lots will have twice the minimum setbacks of other lots in the zoning district, maintaining suitable buffers between properties. D. The requested use will not overload, and will mitigate adverse impacts on. the City's resources, including the effect on the City's water supply and distribution system, sanitary and storm sewage collection and treatment systems, fire protection„ streets and schools. E. The requested use meets all special regulations set forth, in the Zoning Ordinance. specifically, Section 6.13 - Flag Lot; see "Attachment A," for criteria. F. The requested use bears a positive relationship to the public convenience or welfare because it will provide additional housing. The use will not unduly impair the integrity of character of the district or adjoining zones because flag lots are allowed in the Rural Residential Zoning District Also,common drives to access the lots will reduce the amount of pavement and the number of curb cuts into City streets and will help maintain the rural character of the district. The use will not be detrimental to the health, morals,or general welfare and shall be in harmony with the general purpose and intent of the Ordinance. G. The requested use will promote City planning objectives to the extent possible and will not adversely affect those objectives, as defined in City master or study plans adopted under M.G.L. Chapter 41, Section 31-C and D. In addition, in reviewing the Site Plan, the Planning Board found the applicant has complied with the following technical performance standards:{y � R @R0 ' I 2 OEC 5 1997 CITY CLERKS OFFICE JNORTHAMPTON-MASS 01060 09/15/2000 10:22 413-527-8153 TODD CELLURA PAGE 02 M City of Northampton, Massachusetts ph, Office of Planning and Development ` 5 City Hall • 210 Main Street , Northampton, MA 01060 - (413) 586-6950 . ��' ..INSPECT ct FAX (413) 586-3726 DEPT Of 8UILC. NC�o •Conservation Commission•Historical Commission qtr` •Housing Partnership • Parking Commission vTnr • Planning Board •Zoning Board of Appeals �✓ DECISION OF iYQRT ,a 11PTQI r..aNVL`i��32.�.D APPLICANT: Sovereign Builders ADDRESS: 135 Southampton Road OEC 5 f597 U Westhampton, NIA. 01027 CIlY CIc�CS OFFiC� OWNER: Anthony Stefan. Donald Stefan and Michael Ste f^' NDStNAMPT(}tl MAS5 Q1060 _ ADDRESS: 92 Turkev Hill Road Northarpton, NIA 01060 RE LAND OR BUILDINGS IN NORTH_A-MPTON AT: 92 Turkey- Hill Road rn Fi iviAP AND PARCEL NUMBERS: 7NIAP 35 PARCELS r ri At a meeting conducted on November 13, 1997, the Northampton Plarming Board wtq..d unanimously 6:0 to grant the request of Sovereign Builders for SPECIAL, PER.MiTS '�T SITE PLAIN APPROVAL under the provisions of Section 6.13 in the Northampton?on�}a A. Ordinance, to create five flag lots (Lots 1,2,3,5 and 6) at property located at 9?Turl:�HMI Road, also known as Map"35, Parcel 45 as shown on the following plans: 1. "Plan of Land in itiIorthamntaq,,��veved for Sovereign Builders_" Drawin;No. TURKCOMIR, by Lewis & Cook Surveyors, Inc. dated November 11, 1997. 2. "Plan & Profile, 91 Common Drive�if y,,S�YP.rSio Ruilderc, T rkev Hili Road Northampton MA Prcp r for- 4nVFREt rN B 1T DE139" by P.B. Hatch Consulting Engineers, dated August, 1997 and revised September 9, 1997 and October 9, 1997; 3. "Plan R; Profile #1 Common Driveway(, SovPreio R�i1_ der_s,Tur .v HTill Road Northampton.-MA Pr aced for-g0VEREIGN Bt jJ)ERS_" by P.B. Hatch Consulting Engineers,dated August, 1997 and revised September 19, 1997 and October 9, 1997. Planning Board Members present and voting were: Chair Andrew J. Crystal,Jody Blatt, Paul Diemand, Nancy Duseau,and Associate Members Rick Marquis and M, Sanford Weil, Jr. In Granting the Special Permit, the Planning Board found: 1 ORIGINAL PRiNTc0 ON RECYCLED PAPER "` B B ,�lassachnscttn - ;. DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street Municipal Building Northainpton, Mass. 01060 Square Footage Amount Basement @ .10 lst Floor @ _40 1 576 63/, ZD 2nd Floor @ .20 1029 20S , 90 1/2 Floors, Attic, Garage .10 ` sl bo Deck, Porches .10 300 '— 1T/ DENORFSUkp�f`GINSP E� �G#; FCTIO F ' �0I060 NS 777�W�; ,, s=°� T°y� (rztp ,af 'Nart4aiiiptalt _ � B �assxchusctte DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ♦ Municipal Building INSPECTOR Northa►npton, Mass. 01060 Square Footage Amount Basement @ .10 1st Floor @ -40 1575 2nd Floor @ .20 1029 20s , go 1/2 Floors, Attic, Garage .10 ST (00 Deck, Porches .10 � �,. 0 TOTAL Lo! -3 DEPT NoR Wp4G INSPE f dI G 10NS now G. y ` itox"r ts"0 t .��_{�M1w{'��4�'r`��'i r .- r�.y d.fi .• . , t � � s arr_FL Y• . • y r �H A vi. PT *`r✓ eW�� `@1t ka j l t d �i kMa Q IR M1 r Yr.A,�kt} sly S S yr,!e t 34-'tc't ,.�'�, '�� ,�.'..r s •� �� ttl k / ��� `�,x£7t b:^i�..�.�.: - .....,.s�{... �� L'xri�$..:;VSyn �`if'��l*L•i...'wli' r _.try • 4, t f3�,' 4`,�. '€^�'thy k y1 1 9 Y+t.7�iv9Y 1�ifi >ti 08/28/2000 11:15 413-527-8153 TODD CELLURA PAGE 02 err PLANNING AND DEVELOPMENT • CITY OF NORTHAMrMN City Hau• Z10 Mai"Stmet•Nortljarnpton,MA ox oho '413)07-111166 • rax:14 1 31 5 8 7-t.z64 • ,,,• Wagrebeiden,Director•emai Cpla nnino@citg.northampton.ma.us internevwwwcity.nortbamptonma.us DECISION OF NOR'I'IIAMPTON PLANNING BOARD APPLICANT: Doug,Kohl ADDRESS: 'Turkey Hilt Partnership, LLC 31 Campus Plaza Road Hadley,MA 01035 OWNER: Sovereign Builders,Inc.(Lots 2,3,4&5) Kimberly A.Jarvis(Lot 6) ADDRESS: 135 Southampton Road 124 Turkey Hill Road Westhampton,MA 01027 Florence,MA 01062 Anthony W.Stefan and(Lot 1) Donald W. 92 Turkey Hill Road Florence, MA 01062 RE LAND OR BUILDINGS IN NORTHAMPTON AT:T4rkge Hill,Road MAP AND PARCEL NUMBERS: MAP 34;35 PARCEL 27,28,29,30;5,301 At a meeting conducted on February 10,2000 the;No,ithampton,PlanningBoard voted unanimously 6:0 to grant the request of Doug,Kobi tp; Ineh ;SP , i j?ERMITS WITH SITE PLAN APPROVAL filed In the City.&ik i ci ce op,l ecembef5t 1997 under the provisions of Section 6.12 in the Northampton Zotwtg Qrdinancos i. aliow two common driveways to serve six lots(Lots 1,2,3,-4,Sand�6),ou,Turkty;�,N ;Road,also known as Map 35,Parcels 5 and 301 and Map 34,Parcels 27,A 29 and i.0,rgspecdyely. Original approval was based on the following plans, 1. "Plan of Land in Northampton.MA Surveyy��'Qr Sovereign Builders,"Drawing No. TIJRICCOMIR,by Lewis&Cook Surveyors;Inc..dafed Ncvembel 11, 1997. , � 2. "Plan&Profile,#1 Common 12rivewAy.% urk a Hill Road, NortharnRton.MA.Prepared or: "B,Patch Consulting Engineers,dated August, 1997 anrlrevisedSe�tembel9 , 6ber,9, 1997; 3. "Plan o #2 Common Drivewa y Hill Road, Northampton,MA.Prepared for: "r B. Latch Consulting Engineers,dated August, 1997 and rev}sedov i, �atober.9, 1997. In approving the Amended Special Permit,the Planning Board also.,approved the following. planning lw ard.conservationcommission-zoningboardotappeals ho"si►ig part Mersyip .rulevelopmentauthorits economic A uttopment,•communitg development•historiedistricteommimion-�iSto461comrmimion•nortbamptonGIS erl,ieeipi{ntreiec,,cie/p�rer ," r 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 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:AMyFiles\Lyn\Driveway Permit General Instructions • D08-01 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1) I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2) I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petitioner NOTE: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. • D08—01 CITY OF NORTHAMPTON, MASS. August 25, 2000 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 102 Turkey Hill Road Common driveway Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface. to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 37 or more. By: Todd Cellura 527-8001 'T Sovereign Builders, Inc. Southampton Rd., Westhampton, MA 010: Proposed Location Inspected by: 8.3!•oo Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid Ck No 6026 George Andrikidis, Acting Director Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) 4 ] ; Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only)------------------------- { % fAScheck INSPECTION CHECKLIST fassachusetts Energy Code fAScheck Software Version 2 .0 LATE: 9-1-2000 Ildg. )ept. Ise ; CEILINGS : ] 1. Raised Truss, R-38 Comments/Location Insulation must achieve full height over the exterior wall. WALLS : ] 1. Wood Frame, 24" O.C. , R-19 Comments/Location ' WINDOWS AND GLASS DOORS : ] ; 1. U-value: 0 . 35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: ] 1. U-value: 0 . 35 Comments/Location FLOORS : ] 1 . Over Unconditioned Space, R-21 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: C ] ; Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . ! TRMPRPATTTPR rnmTpnT.q r w t tAScheck COMPLIANCE REPORT , [assachusetts Energy Code Permit # ; tAScheck Software Version 2 .0 ; ' Checked by/Date :ITY: Amherst ;TATE: Massachusetts [DD: 6614 :ONSTRUCTION TYPE: 1 or 2 family, detached [EATING SYSTEM TYPE: Other (Non-Electric Resistance) )ATE: 9-1-2000 )ATE OF PLANS: TITLE: :OMPLIANCE: PASSES tequired UA = 387 dour Home = 384 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- .EILINGS: Raised Truss 1296 38.0 0 . 0 33 1ALLS : Wood Frame, 24" O.C. 1959 19.0 0 . 0 115 :LAZING: Windows or Doors 422 0.350 148 )OORS 84 0 .350 29 FLOORS: Over Unconditioned Space 1351 21.0 59 ------------------------------------------------------------------------------- :OMPLIANCE STATEMENT: The proposed building design represented in these iocuments is consistent with the building plans, specifications, and other :alculations submitted with the permit application. The proposed building ias been designed to meet the requirements of the Massachusetts Energy Code. the heating load for this building, and the cooling load if appropriate las 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% of the design load as specified in sections 780CMR 1310 and J4.4. 3uilder/Designer Date O�Sn�pTO ,'e Crz�r >af �ox�l�ttnt�r�lan � � �i3EirllAEr11E DEPARTMENT OF BUILDWG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 ' WORKER'S COMPENSATION INSURANCE AFFIDAVIT ��- (licenscc/permitzee) with a principal place of business/residence at: n (phone#) 11 1 3—Z7°2�CO l (street/city/scatel2ip) aua--7 do hereby certify, under the pains and penalties of pegury, that: ( i) I am an employer providing the following worker's compensation coverage for my employees working on this job: c m lol l X 9 23200 3- 2Z-Gy (Insurance Company) (Policy Number) (Expiration Date) (k) I am a sole proprietor general contractor or homeowner(circle one) and have hired the contractors listed below who have ttie following worker's compensation policies: 661-ham L Ie-ck_k c- Ai1Me r1t^li Y1SakS 01 We_ $OV 7 BRIO _ 6-;Z-0/ (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) i r� � �,�'l�m r' ra l tmt Eev8 0 �b7279�} (Name of Contractor) (Insurance Company/Poli Number) (Expiration Date) P�rr� r��j 5. /��ro35 I lay-o2 g�Z'&-o/ (Name of Contractor) (Insurance Company/Policy Number) (E_\piradon Date) _Nour— Tj�._C,a WC 01105ZI - - I- I -u 1 (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (ariach additioml&bete ifnooeuary to include kdbnnation pataiuing to ark ooatrr d ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners wbo employ pasom to do mx iui�coast t On or rcpa it worst on a dwelling of not more than thine units in which the homeowner resides er oa the gnunds appurteaaat tbado arc oot gcocrnlly ooasidcrcd to be employers under the worker's.not ion Act(GL152,ss 1(5)),npplira6c n by a homeowner for a liccase or permit may evidence tbo legal Axtus of an employer under the Wodc es Compomation AcL I undemaad that a copy of this rntc may be forwarded to tbo Dcvwtr a of I'hLd"d A=d= f offioo of lnsiu><noo for the coverage verification aad that failure to sea=coverngo under—Jon 25A of MOL 152 can kid to tbo imposition of criminal penalties comistiug of a fine of up to S1,500.00 and/or i aprisoon erd of tip to one year and civiil pemlties in the form of a Stop Work Order and a ' find 0(:S 100.00 a day against mr— For dq=tumes.l use coly Permit Number Maps Lot'I Signature of LianseelPcrmitice 1 SECTION;$-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: dd `(�ci li o/o N601 7(4 License Number Address Expiration Date � 41.3-527-8100 f Signature Telephone ON Not Applicable Company Name Registration Number Address ff''II Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)J 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...... ❑ , 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 DESPRIPTIQ14 OE EROPQ$ED c New House ,h4 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: 6(f*Yl c g cD L)ewstrtGllG fi)-mld CU -+1Q �2— c C. C�f'" iI'�C7 T� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ a. Use of building : One Family X, Two Family Other b. Number of rooms in each family unit: 8 Number of Bathrooms 2 12 c. Is there a garage attached?�—d L cl� �4 w Z`IX Z4 d. Proposed Square footage of new construction. 2 7 Dimensions q 2., X 0, e. Number of stories? Z f. Method of heating? 9 FRA Fireplaces or Woodstoves FI(ePDXNumber of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction (1=9 V02frtg i. Is construction within 100 ft. of wetlands? Yes �(_No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade PS' k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank (A_ City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION »TO:'8E COMPLETED WHEN OWNERS AGENT 01111CONTOACtOR,APPLIES FOR WILDING 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 wner Date as Owner/Authorized Agent hereby declare that the statements and information o6 the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Tnad Print Name �--' Signature of Owner/Agent Date A 1 � 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 5.q -Z-3 9 /' 16 C),C,o-0 Frontage " go q, l"y Setbacks Front 108 Side L: R: L:Z`12.5 R Rear 2- Building Height -29- S Bldg.Square Footage 2Jc07 Open Space Footage % ��c (Lot area minus bldg&paved Z Z parking) #of Parking Spaces q Fill: 0 volume&Location / A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES _ IF YES, date issued: 11-13—a7 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW NOW YES X IF YES: enter Book - ate_ Page 2691 4 z95 and/or Document # B. Does the site contain a brook, body of water or wetlands? NO X 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 x 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: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587.1240 Fax 413.587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: i 102- -For�eLA 411� Ruo (Lo + WZ R ZA1 E 0 Fl ,Stx Dlstrlct SECTION 2 'PROPERTY OWNERSHIP,/AUTHORIZED AGENT 2.1 Owner of Record: r Am a.. Name(Prim Current Mailing dress: Telephone Signature 2.2 Authorized Agent: Name(Print Current Mailing Address: q 13-S 7-9001 Signature Telephone-F-SECTION 3- ESTIMATED CONSTRUETION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 5-15rg) 4w— (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost pf Construction from 6; 3. Plumbing � Building P'ermit,Fee 4. Mechanical(HVAC) 1 5. Fire Protection / 000 6. Total =(1 + 2 + 3 +4 + 5) c� S ���-r Check Number C d t This Section For Official Use Only Building Permit Number: pate Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2001-0264 APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC ADDRESS/PHONE 135 SOUTHAMPTON RD (413)527-8001 PROPERTY LOCATION 102 TURKEY HILL RD-LOT#3 MAP 34 PARCEL 027 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid o S )0 Typeof Construction: CONSTRUCT SINGLE FAMILY HOUSE W/DET GARAGE New Construction Non Structural interior renovations Addition to Existing - Accessory Structure Building Plans Included• Owner/Statement or License 060176 3 sets of Plans/Plot Plan TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commissio Permit from CB Architecture o ittee Zo a a 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. 102 TURKEY HILL RD-LOT#3 BP-2001-0264 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 34-027 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2001-0264 Project# JS-2001-0442 Est.Cost: $365000.00 Fee: $1088.40 PERMISSION IS HEREBY GRANTED TO Const.Class: 5A Contractor: License: Use Group: R4 SOVEREIGN BUILDERS INC 060176 Lot Size(sg.ft.): Owner: SOVEREIGN BUILDERS INC Zoning: RR Applicant: SOVEREIGN BUILDERS INC AT. 102 TURKEY HILL RD - LOT #3 Applicant Address: Phone: Insurance: 135 SOUTHAMPTON RD (413) 527-8001 Workers Compensation WESTHAMPTONMA01027 ISSUED ON:9122100 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SINGLE FAMILY HOUSE W/DET GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 9/22/00 0:00:00 6057 $1088.40 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo .00 oos °• _ u_ 9 ,L 07 �1 cl bt y o 6n ,, y , Cyj ..e0 8< C / Y. �J E J07 2'96 ' a J07 o 6 aT ..E0,22.S8 tf ,90 BF S 1 "4z,o6£ M ..S9.B5.2'B S M ..Eo,0l.6q S co 0. 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