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16B-001 (34) RUG-03-2015 06:17 SALOONEY CONSTRUCTION P.06 SEWER CONNECTION INSPECTION REPORT Northampton Sewer Department 51- 125 Locust St. Northampton,MA 01060 (413) 587-1570 ate- Engineeziiig has taken ties to service � Si riatitrc Type of Service: x Renewal Repair Existing Sewer-Entry Fee, Paid -Yes No._ /A -=-�X�-, eck Cash Age ize ' Pipe: WARNER D h,�YJ E ILL E TAiES 'treet an umber Contractor/Developer lizstalling DIETZ CONSTRUCTION Service Connection: ( elepboneNo 413-244-8601 e service..connection at this location was inspected by the undersigne�on t approved by: M4 (Time) Fhave_instructedT of �n�sLlation can be backfilled. ty Tom_ �7� il q 77 c�e� �y S C eanout insta. Mat ej tY_P_roP--e,_RtYy ine. Measurements for all installation shall be listed on the back of this form.The information shall be attached to the pen-nit on file at the Public Works Department offlace. Copy to Supervisor: Date: Copy to Utility Billing: Date: — 6 Copy to Office Manager: Date: e r 6l 1:uC TOTAL P.06 AUG-03-2015 06:17 SALOONEY CONSTRUCTION P.05 4. 17he City shall not be held liable for any open plumbing fixtures below street level. 5. The applicant and/or owner hereby agrees to pay to the City any sewer use assessments or charges as may be established under city ordinance. 6. City requires 6" cleanout installed at City Property Line. DATE: S/18/15 SIGN E. (Applicant) .SALOOMEX CONSTRUCTION PO BOX 1203, WES"ITIELD (Address of Applicant) 413-244•-8601 (Telephone No. of Applicant) $ N/A inspection fee paid Check No. Application approved and permit issued: SIGNED: irector o u lic arks Fodef Ordinances Section 22-41 tbTough 22.52 available upon request. re-xn to sanitary m.ayn �'�•OF - Tie-fn-to sanitary service at street line \\win2\admin\Permits\Sewer Entr3\1?ermits 2015 Sewer\S30-15 33 Mark Warner Dr,Bear Hill Estates-doe AUG-03-2015 06:16 SALOOMEY CONSTRUCTION P.04 Permit No. S31-15 CITY•OF NORTHAMPTON,MA RESIDENTIAL OR CO1V MERCUL BUILDING SE WER APPLICATION A Department of Public'Works Trench Permit s hall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON,MASSACIIUSETTS: e.undersigned,being the OWNER �--f'the property (Owner Qwner's Ageut) �te�at �19A121� WARNER pRIVE does hereby request a permit to install and (Number) (Street) oiiuect a building sewer to serve the RESIDENCE at said location. (Residence,Commercial bldg.,etc.) 1. The applicant and/or owner skull furnish upon request of the Superintendent the estimated quantity and characteristics of waste to be discharged to the public sewer. 2. "Owner" shall mean the person holding title to the property served or to be served by the building sewer. 3. The person or firm who will perform the proposed work is Saloomey Construction ,of Westfield, MA 01086 (Name) (Address) - — 4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit «A» In Consideration of the granting of this pezmit,the undersigned agrees: i. To accept and abide by all provisions of the Code of Ordinances, City of Northampton, Massachusetts,Sections 22-41 through 22-52, and all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to the City. 3. To notify the Superintendent when the building sewer is ready for inspection and coDnection to the public sewer, but before any portion of the work is covered. y 3 EAU 2g115r �� d ,�[assac!��rseffs GFIY DEPARTMENT OF BUILD INSPECTIONS N JNSPECTOR 212 Miun Street ® -Municipal Building Nortbampton,MA 01060 LOCATION ![c!' i V e SQUARE FOOTAGE AMOUNT - � t�l EASEMENT @ 20 1sT FLOOR @ 50 2 FLR @.30. .. FLOORS, FINISH ATTIC,GARAGE g.20 d DECKIPORCHES @ .20 TOTAL. �! Jun 05 2015 9:35AM Northampton DPW 4135871576 page 2 May, 4, 2015 7: 34AM Northamp(on Wer Dept No, 6114 P. 1 MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 23? Prospect St, Nottharapton,MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construe on or connection activity associated with this application. ocadon: 19 Mark Warner Drive, Bear f fill Estates, 20 Bridge Road Inquiry Made By; Saloomey Construction/Tony Bilotta Date of Inquiry: 4/22/15 Number of Type of Slagle Family Type of Private ondo Units: Uult(s); Apart Comm, owneshi P Multi-family Rental Municipal'Water Main in Existing service to Front of Location? Yes: No:X site? Yes:X No Size of Water Main: 8" Material: Ductile Iron Age: 2005 Approximate Static Street Flow Test Conducted:Yes° No: X Pressure: SOpsi If done attach results Size of Service Connection Suggested Meter Size: 518, Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevatioba aUye 320 feet. A corresponding water entrance fee shall be paid prior to making any connection w the municipal water system a Arrangements ofsuch installation shall be mad c with theNortharnpton WaterDepartmentwitffi&minimum of 5 working days notification. All h to Northampton Water Department specifications, Gregory eltnan, Superintendent of Water Dept. Water Entry S 200 Meter S 130 Radio S 135 cc; Ned Huntley,Director Note: If this availability is for a new constructlon it must be hand delivered to the Buildin Inapector. 0mbl\adrnin\Permi1s\Wn1er ApplicationMAter AvailabilityAcc The Comm ealtn of Massachusetts Departm )---1ndi4,frlalAccfdents _ �'� •, �- A�cL•vf.Invest�gatiQns _ — 600 Washington Street ' Boston Mass 02111 Workers' Compensation Insurance Affidavit name: location- city phone# F1 I am a homeowner performing all work myself. C] I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. compattyname Sal0c7drie .COTlSrllCtlbT1 <.: ,i✓'•<;:: B - 03 P.O..' 12 oX' address- 0... ;>.. Westfiel-d-., Ma. 0.A 08 6 0::' `:<: •: : _: :< city: insurance co.. Mass Employers Ins. CO poficv#- QQ .20012.1-.0T-.-W I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name:-- - address• city phone:#: insurance co : . - .•:. •> ::•..:policy#' :. ;>;:;::.' company name- address- city- insurance co :.....• ::policy'#.;:.; :..;.::• :, ; :.. . . teach adastro`n° -sly - Failure to secure coverage as required under Section 25A of biGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby rtifi under the pain d enalties of perjury that the information provided above is true and correct Signature 0, Print name -Merri yn A. Gagne ' — Office Manager Phone# ( 413) 269--4360 {=official use only do not write in this area to be completed by city or town official city or town: permit/lictnse# _- _---Building Department OLicensing Board `3 (]check ifimmediate response is required ❑Selectmen's Office CiHealth Department Z. contact person: phone#; -Other ir--d 3;95 P1A1 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder XTTF.R SAT.00MF.Y 018780 License Number P.O. BOX 1203+ WF.STFTF.T.n., MA 01086 11 /13/15 Address Expiration Date 413 531 0062 S nature ep 9. Registered Home Improvement Contractor: Not Applicable ❑ SALOOMEY CONSTRUCTION, INC 100978 Company Name Registration Number P.O. BOX 1203, WESTFIELD, MA 01086 6/24/16 Address Expiration Date Telephone 413 269 436 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....... AX 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 ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[0] Other[d[ Brief Description of Proposed Work: NEW CONSTRUCTION OF A " " STYLE UNIT PER ATT(AHED DRAWINGS 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 Y Two Family Other b. Number of rooms in each family unit: Number of Bathrooms 2 c. Is there a garage attached? Y d. Proposed Square footage of new construction. Dimensions e. Number of stories? 5 f. Method of heating? GAS ireplaces r Woodstoves Y Number of each 1 g. Energy Conservation Compliance. Y Masscheck Energy Compliance form attached? h. Type of construction -�'Z X(0 C-J o(94 I. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes NNo j. Depth of basement or cellar floor below finished grade T rezA— k. Will building conform to the Building and Zoning regulations? )_Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ZITER SALOOMEY as Owner of the subject property hereby authorize TONY BILOTTA to act on my behalf, in all m tters relative to work authorized by this building permit application. 4/9/15 A M ure of Owner Date ZITER SALOOMEY 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. ZITER SALOOMEY Print Name CST 4/8/15 gnat re 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 _ _-,_. _ _? Frontage Setbacks Front Side L: R: L:.-_ R: Rear Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW © YES IF YES: enter Book Page; and/or Document#j AM B. Does the site contain a brook, body of water or wetlands? NO IF DONT KNOW O YES o IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained 0 , Date Issued: C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: 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 © NO 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 AIA 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability. !� Northampton, MA 01060 -lqets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR REN LISH A ONE OR TWO FAMILY DWELLING S n SECTION 1 -SITEINFORMATION ,�-J y; 1.1 Property Address: JUN 20� his section to be completed by office ��! !'--� 20 BRIDGE RD ! _ _ -7-Ma Lot Unit 0 /5 Mark Warner Drive BEAR HILL ESTATES =- �� Overlay District NORTHAMPTON, MA 01060 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 20 BRIDGE RD LLC P.O. BOX 1203, WESTFIELD, MA 01086 Name(Print) CurrenLAdailing,Qsld[esW 3 6 0 � 41 .i LL bbyy Telephone Signat e 2.2 Authorized Agent: _ ZITER SALOOMEY &/or TONY BILOTTA P.O. BOX 1203, WESTFIELD, MA 01086 Name(Print) Current Mailing Address: 413 531 0062 pat a Telephone SECTION 3-ESTIMATED ON UCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building r , (a)Building Permit Fee 2. Electrical - (b)Estimated Total Cost of G%C) • Ci C-� Construction from 6 3. Plumbing a Building Permit Fee ry C G v 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number �- This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2015-1263 APPLICANT/CONTACT PERSON SALOOMEY CONSTRUCTION ADDRESS/PHONE P O BOX 1203 WESTFIELD01086(413)269-4360 PROPERTY LOCATION 19 MARK WARNER DR-20 BRIDGE RD MAP 16B PARCEL 001 001 ZONE SR/URA/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: CONSTRUCT SFH W/ATT GARAGE/PORCH STYLE A New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 018780 �� 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: _joApproved 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 Commission Permit DPW Storm Water Management Degiolition Delay Signature of Buil ng 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. 19 MARK WARNER DR-20 BRIDGE RD BP-2015-1263 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16B-001 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: New Single Family House BUILDING PERMIT Permit# BP-2015-1263 Project# JS-2015-001890 Est. Cost: $244435.00 Fee: $862.00 PERMISSION IS HEREBY GRANTED TO Const. Class: Contractor: License: Use Group: SALOOMEY CONSTRUCTION 018780 Lot Size(sq. ft.): Owner: 20 BRIDGE ROAD LLC Zoning: SR/URA/WSP Applicant: SALOOMEY CONSTRUCTION AT. 19 MARK WARNER DR - 20 BRIDGE RD Applicant Address: Phone: Insurance: P O BOX 1203 (413269-4360 Workers Compensation WESTFIELDMA01086 ISSUED ON.81312015 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SFH WATT GARAGE/PORCH STYLE A 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 8/3/2015 0:00:00 $862.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner