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23D-037 (6) City of Northampton Mail - 11 Ormand use group classification https://mail.google.com/mail,/u/0/?ui=2&i1--3921lafc3d&view=pt&se... (\, , COY f R Charles Miller<cmiller@ northamptonma.gov> e f 11 Ormand use group classification 1 message Louis Hasbrouck<Hasbrouck @northamptonma.gov> Thu,Jul 30,2015 at 2:35 PM To: Charles Miller<cmiller @northamptonma.gov> Chuck, Mass amendment: "308.5.2 Replace as follows: 308.5.2 Child Care Facility.A facility that provides supervision and personal care on less than a 24-hour basis for more than five children two years nine months of age or less shall be classified as Group 1-4. Exceptions: 1.A child day care facility that provides care for more than five but no more than 100 children two years nine months of age or less,where the rooms in which the children are cared for are located on a level of exit discharge serving such rooms and each of these child care rooms has an exit door directly to the exterior, shall be classified as Group E. 2. See use group R-2 or R-3 for a day care with six to ten children.Also see M.G.L. c. 15D." Do the plans show a door directly to the exterior? Also,the change of use triggers IEBC prescriptive change of use(307.1, compliance with base code for new construction)or Chapter 4 classification of work(406)which pushes them to Chapter 9(912)which I think(based on increased hazard classification)pushes them to Chapter 8. And then there's the AAB and the plumbing code. I'd be willing to see what the EEC licenser says and maybe go with those requirements. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax 1 of 1 7/31/2015 9:15 AM Cr .. z,, x- fit' ': e Existing Parking Area Existing Parking Area OW y A� Existing Driveway(fits 2 cars) Existing Parking Area F a ,x Driveway 321sgft } �if Iii III ,a Structure Footprint 1,739sgft Indoor Useable Area 1,417sgftj E � � i \, Property 7,888sgft 78%Open e 740/ Permeable * a cu � Site Plan Graphic Scale=20ft Existing Conditions as Currently Used Hospital 3, Driveway `< " I MOW �-�'�� s..' { �t � - ra•�^� lr � - °ate ;� spy : � a �' � sr tea: w 3 .a � -as h •- 3 � � �k s A High School Parking Area .: a �-' IN Al 2, 85ft t0 Riverside 235ft to Area 44, �• - - � ^ .� p P x� ;. ads �'., w High School: 3 Lower Field o: Parking Area �, y Context Plan 1--�Graphic Scale= 100ft Proximity to High School Lower Field Parking Lot, Riverside Drive, and Cooley Dickenson Hospital Text and Supporting Information Planning Board Site Plan Application for 11 Ormond Drive,Florence,MAO 1062-August 2,2014 General Requesting City approval to operate a Daycare Center in a residential property. Currently, an in-home family daycare operates at the property, which also serves as residence and home office. The intent is to transition all current operations and to a Daycare Center. Property 11 Ormond Drive, Florence, MA 01062 Property ID: 23D-037 Zoning: URB Registry of Deeds Book 7493 Page 94 Existing Conditions • 7,888 sqft property, 78% open and 74% permeable • One floor single family structure • Single width 2 car length driveway • No garage • In addition to 2 parking spaces in driveway, there are 3 existing (potentially non-conforming) parking spaces used intermittently (mainly during snow emergencies) • Ample on-street parking: up to 15 legal on-street parking spaces on the property's block.All other properties are residential and have their own off-street parking spaces • Adjacent to busy road (Riverside Drive) • Adjacent to existing expansive lower field parking lot at high school which is rarely used and never full during business hours Current Operations at Property • (A) Residence: a 2 driver 3 vehicle household (Candice Chouinard and Jonathan Fogelson); • (B) Large in-Home Family Daycare: serving 10 children in one group, requiring 2 workers in addition to owner/operator(Candice Chouinard); and • (C) Home Office: serving the independent consulting practice of Jonathan Fogelson Summary: total 4 adults working at the property daily, 2 of which live at the property and own 3 cars, 2 of which drive to work. Total 5 cars regularly parked at and nearby the property with no current parking requirements. • Current In-Home Daycare MA Early Education & Care (EEC) license number: 9011230 • Current Daycare hours of operation: 8:30am-4:30pm • Current parking requirements: non Requesting Approval for the Following Planned Operations Seeking approval to transition all current operations into a Day Care Center. Day Care Centers are not "in-home" and therefore the property will no longer function as residence and home office. Specifically: • Day Care Center serving 27 children in 3 groups of 9 • Workers(including owner/operator): 6 teachers with 1 vehicle maximum per teacher(instead of the current 4 adults and 5 cars) • Actual useable indoor area: 1,417 sqft • Same hours of operation: 8:30am4:30pm Other Considerations • Daycare follows all public school delays and closures during snow and other emergencies • Siblings receive preferential placement(i.e.: potential multiple children per drop-off/pickup) • Due to proximity to Smith College, Cooley Dickinson, and downtown, many children are currently dropped-off/picked-up by foot and by bike, this is expected to continue • Will not impact daily peak traffic count: on a sample school day over 70 cars were counted driving down Ormond Drive between 7 and 7:30am Planning -Decision City of Northampton Hearing No.: PLN-2015-0007 Date: September 15, 2014 from the nonvehicular route.Staff note: The applicant states that this center will serve residents within walking,cycling as it currently does as a family day care. Approximately half of the families come on foot or by bicycle. C. The site will function harmoniously in relation to other structures and open spaces to the natural landscape,existing buildings and other community assets in the area as it relates to landscaping,drainage,sight lines,building orientation,massing,egress,and setbacks.No change to the site or the exterior of the existing home is planned. 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. Department of Public Works had no concerns about the change of use at it relates to distribution of services. (1)Curb cuts onto streets shall be minimized.Access to businesses shall use common driveways,existing side streets,or loop service roads shared by adjacent lots when possible.More than one curb cut shall be permitted only when necessary to minimize traffic and safety impacts. There is no change to the site.Existing curb cuts will remain (2)Pedestrian,bicycle and vehicular traffic movement on site must be separated,to the extent possible,and sidewalks must be provided between businesses within a development and from public sidewalks,cycle tracks and bike paths. There is no construction. The site will still present as a residential unit and bicycle access will remain available and encouraged. COULD NOT DEROGATE BECAUSE. FILING DEADLINE: MAILING DATE. HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 812112014 91412014 9/25/2014 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY APPEAL DEADLINE: 812812014 1011012014 911112014 912512014 101512014 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 812812014 911112014 911112014 911512014 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 91412014 7:00 PM 1211012014 1 1211012014 MEMBERS PRESENT: VOTE: Theresa(Tess)Poe votes to Grant Alan Verson votes to Grant John Lutz votes to Grant Karla Youngblood votes to Grant Debin Bruce votes to Grant Ann DeWitt Brooks votes to Grant Mark Sullivan votes to Grant MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: Karla Youngblood Ann DeWitt Brooks 7 Approved MINUTES OF MEETING: Available on the City of Northampton website at www.NorthamptonMa.gov/Plan 1,Carolyn Misch,as agent to the Planning Board,certify that this is a true and accurate decision made by the Planning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant. Notice of Appeal An appeal from the decision of the Planning Board may be made by any person aggrieved pursuant to MGL Chapt.40A,Section 17 as amended within twenty(20)days after the date of the filing of the notice of the decision with the City Clerk. The date 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 the City of Northampton. GeoTMS®2014 Des Lauriers Municipal Solutions,Inc. Planning -Decision City of Northampton Hearing No.: PLN-2015-0007 Date: September 15, 2014 APPLICATION TYPE: SUBMISSION DATE: PB Intermediate Site Plan 81612014 Applicant's Name: Owner's Name: NAME: NAME: FOGELSON JONATHAN FOGELSON JONATHAN ADDRESS: ADDRESS: 11 ORMAND DR 11 ORMAND DR TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: FLORENCE MA 01062 FLORENCE MA 01062 FPHONE .: FAX NO.: PHO NE NO.: FAX NO.: 5-5965 (413)585-5965 0 RESS'. EMAIL ADDRESS: Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 11 ORMOND DR URB(100)1 TOWN: ACTION TAKEN: ADDRESS: FLORENCE MA 01062 Approved MAP: BLOCK: I LOT: MAP DATE: SECTION OF BYLAW: 23D 037 001 Chpt.350-11:Site Plan Approval TOWN. STATE. ZIP CODE: Book: Page: 1109 108 PHONE NO.: FAX NO.: EMAIL ADDRESS: NATURE OF PROPOSED WORK: Convert existing in home family day care to stand alone day care facility. HARDSHIP: CONDITION OF APPROVAL: FINDINGS: The Planning Board voted to approve the conversion of the single family home with in-home family day care to a stand alone day care center based on the information provided with the application and statements made during the hearing. In approving the site plan,the Board found that the criteria in 350-11.6 had been met as follows: A. The requested use protects adjoining premises against seriously detrimental uses.If applicable,this shall include provision for surface water drainage,sound and sight buffers and preservation of views,light,and air,•No site changes are proposed. The existing yard area currently used for the day care will remain. All changes will occur inside only. B. The requested use will promote the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets,cycle tracks and bike paths,minimize traffic impacts on the streets and roads in the area.If applicable,this shall include considering the location of driveway openings in relation to traffic and adjacent streets,cross-access easements to abutting parcels, access by public safety vehicles,the arrangement of parking and loading spaces,connections to existing transit or likely future transit routes,and provisions for persons with disabilities;and: (1)The Planning Board may allow reduced parking requirements in accordance with§350-8.6,Shared parking. Staff note:there seems to be ample available public parking on the street and at the adjacent school lot. (2)The project,including any concurrent road improvements,will not decrease the level of service(LOS)of all area City and state roads or intersections affected by the project below the existing conditions when the project is proposed and shall consider the incremental nature of development and cumulative impacts on the LOS. The project proponent must demonstrate that all cumulative and incremental traffic impacts have been mitigated.If those impacts are not mitigated, the Planning Board shall require in-lieu-of payments to fund a project's proportional share of necessary improvements to mitigate off-site traffic impacts,including provision of public transit and pedestrian or bicycle paths,in lieu of requiring off-site improvements. URB Zoning Districts=$1,000 per peak trip. Based on the hours of operation,the number of new trips generated would not be during the peak hour period and therefore not negatively drop the level of service on area roads. The neighborhood abuts the high school and parking lot for that school and handles much greater volumes during school arrival and departure times. It was demonstrated that there is ample public parking within the vicinity on street as well as in the overflow parking lot for Northampton High School. (3)Access by nonmotorized means must be accommodated with facilities such as bike racks,sidewalk connections from the building to the street,cycle tracks,and bike paths that are clearly delineated through materials and/or markings to distinguish the vehicular route GeoTMS®2014 Des Lauriers Municipal Solutions,Inc. Hana Halt vial! New - vVashing aid diape exrenor Sink changinq Station 'loot T t)ffice I i Nook F Storage Class§room t -378 sgft _ ana Mechanical �' Kitchen , 1i Mudroom Classroom 3 — — 372 sgft u I Classroom 2 Storage Shed 375 sqft Baby gate V�e�sib half door Entry Removed �i(�R�.4 P- Stoop wall TYP J I See Detail WalkVisy or ilarnp per 521 CIMR 22.00 ntry Ramp � ✓ S/�-�./ I Question for Bldg Dept:must ADA pattirramp meet roadway. or can it end at property line? ±� j _ _ _ _ DAYCARE CENTER - OVERALL I I City Ctivned Portion of, 1 'I Ormond Dr. Florence. MA J81K>>r8S' Scale. 1 = 8-0', July 20, 2015 _-- Most windows not shown & Hopefully window can remain /- ��il and existing in nook. 6 \V /J conflicting with no walls Existing walls on either side of existing toilet shifted if necessary to accomodate code ° Door approaches per 521 C(vIR 26.00 / 50" / 32' J 18" / 60" VVaII may reduire oversized studs See fixture directions 30" / 72 / New ADA exterior door with 1/2 lite,no storm or screen / 18" d 36" / 18" / door Both indoor and outdoor approaches per 521 - - --- ---- -- - - - _ CMR 26.00,symmetrically arranged as to acomodate opposite door swing. ADA bathroom per 00" 521 CMR 30 00 42" i 18' ►� `� / 72" / 12"/ 36" ✓'12" DAYCARE CENTER - DETAIL New ADA toilet placed as to minirnize 48° moving existing waste.pipe. I ocate viali accordmmly and adjust window if necessary 6r, X 11 Cri-nand Dr, Florence, MA Scales 1" - 4'-0 j u I Y 20 201 City ofNoz-thampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal AffidaVit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: I � Orm &,�= The debris will be transported by: 6((/')S ( � The debris will be received by: Pd JLGCk V* C Building permit number: Name of Permit applicant " $zz Date Signatile of P�licant The Commonwealth of Massachusetts Department of Industrial Accidents .k Office of Investigations 600 Washin9ton Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name (Business/Organization/Individual): Address: 1pb Pb( b City/State/Zip: f W MA 0 ) Phone#: - 2 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ew construction 2.© I am a sole proprietor or.partner- listed on the attached sheet. 7: modeling ship and have no employees These sub-contractors have 8. emolition working for me in any capacity. employees and have workers' ' insurance. 9. Building addition com p [No workers'comp.insurance required.] 5. [�We are a corporation and its 10.0'J;ectrical repairs or additions officers have exercised their 1❑ umbing repairs or additions lf. m se o workers'comp. right p y � ht of exemption MGL P 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers'. 13.F Other, r comp. insurance required.] a *Any applicant that checks box#1 must also fill out the section below slowing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must sulynit a new 2ftidavit indiciLti such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state tr.Uieton notxh®se.eatities ave 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: .bra Job Site Address: City/State/Zip: i 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 for insurance coverage verification. I do hereby certify un 'ns Ities of perjury that the information provided above is true and correct. Sienature: 1 Date: `C Phone#: F al use only. Do not write in this area, to be completed by city or town official r Town: _ __ __ Permit/License g 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#: Versionl.7 Commercial Building Permit May 15,2000 J S SECTION 10-,STRUCTURAL PEER REVIEW(780,CMR.110 11); Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION 11 -OWNER:AUTHORIZATION-:TO 8E COMPLETED.WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ . . __._. ....... _ as Owner of the subject property hereby authorize I!....LhlI,1_ _.__.. _ _ .._. _._ _..... _ to act on my beh f, in all matters relative to work authorized by this building permit application. An- Signatur o O er _Date as,JmwxWAuthorized 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 _ it ._ . ... ..�._.. .._ ......_... , ............ _....._... Print Name Signature of gr*owvedAg nt Date SECTION 12-CO T�UCTION:S�ftff 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:?. L.t. 1d�1 .. •--.__ _, _., �. ,,.w. , .......0 ,..H.. .. ..°�.�.� : License Number ---- -_.__ ----------- ._.. Address Expirati n Date Signature Telephone SECTION 13-WOR. ERS'COMPEN77TIL7Rl INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affiqavii t must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b 'ding permit. Signed Affidavit Attached Yes No 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION,:SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR:116(CONTAINING MORE THAN 35,000 C.F.OF EWLOSED SPACE) 9.1 Registered Architect: Not Applicable El Name(Registrant): .___. Registration Number Address _ Expiration Date E Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number s` Signature Telephone Expiration Date .. Name Area of Responsibility _._----_- Address mmµ _ Mm Registration Number � t Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date ...._..... _._........_ _-_.. ........ ... ..... __._.. _.._ _._.. _ -, _.v ,a.. . .. _..., _,. ..._ _. Name Area of Responsibility i Address Registration Number F Signature Telephone I Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of onstruction Address__-__- - All Signature Telephone Version1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column tb lie filled in by Building Department Lot Size Frontage .. __..._._ ..._...,. Setbacks Front Side Rear .. _. Building Height i } Bldg. Square Footage Open Space Footage Lot area minus bldg&paved parking) #of Parking Spaces F . Fill: . (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? t IN NO DONT KNOW 0 YES o IF.YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW C YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: ......__.... ...... ....... D. Are there any proposed changes to or additions of signs intended for the property? YES 0 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 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. r _ Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,.000 CUBIC FEET OF ENCLOSED SPACE - Interior Alterations ❑ Existing Wall Signs ❑ Demolition F-1 Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description ;Enter a brief description here. Of Proposed Work:? �(J Q OVA n6ve- k�rQ�ctrS /I'lA rt :�� �z Y, SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational Cl 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ --- . _ -- - 3A ❑ -1 ❑ ❑ ❑ Institutional ❑ ❑ 1-2 1-3 3B M Mercantile Cl 4 El R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage F1 S-1 F-1 S-2 ❑ 5B ❑ UUtility El Specify:j_ �._ �,..�..,_...___.,�.._.�.._.._.._.. .... ,.._..�...._.__.�...._....___.._�..._..._.____..__._ . M Mixed Use ❑ SpecifyY SSpecial Use El Specify:�,_.....,.._....�...,.,�...�. .��._.__..�,.,,�..,.�.-.. _,..-..._,_._.�� .,r.._._..._,�..__.....w_.n..._.._...._ ..; COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS ADDWTItSA DlQR ONE IN USE Existing Use Group: Proposed Use Group: t ! Existing Hazard Index 780 CMR 34):-'-- _r.._._,_- ,..__ ._._.._ ____.Y Proposed Hazard Index 780 CMR 34)::.-111.1---1-1---1V11-1-1 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so q; St _ 151 _ 2nd 2nd _._ .... _._. .._ .__ ._._w.... . .,., 3rd 3`d th 4th 4 Total Area(sf) - Total Prop sed New Construction(so Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone ' Outside Flood Zone❑ Municipal ❑ On site disposal system[] l Versionl.7 Commercial Building Permit May 15 2000 � Departure t use,onlX z 1.1 ! City of Northampton StkWof`Per6t y JUL 2 9 201�j Building Department Curb Gut/Dnyeway Perrrt�tr iV- t 212 Main Street Sewer/Septi Availability _F pectlons Room 100 Water/UVeU Ayatlablhfy Northampton, MA 01060 Two Sets of Structt�rai;Plans phone 413-587-1240 Fax 413-587-1272 Plot/Siie Plans Other,Speclfy APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION This section to be completed by office 1.1 Property Address: _._ Map. Lot Unit Zone Overlay District -- = Elm St."District CB District" SECTION 2,PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address Signature Telephone 2.2 Auth r ed A ent f (k..L.Gnt ...... .... Rb- - -I► ( '1C r t o - Name(Print) Current Mailing Address Signature Telephone SECTION 3-:ESTIMATED ONSTRUCTION cOSTS Item EsNwsi" Q• t(Dollars)to be Official Use:Only completed by ermit applicant O a Buildin g Permit Fee 1. Building 2. Electrical i (b)Estimated Total:Cost of Construction from 6 Bu Permit Fee 3. Plumbing �"�� 3 9 4. Mechanical(HVAC) 5. Fire Protection �— 6. Total=0 +2+3+4+5) Check Number This_Section For Official Use Onl Building Permit Number L Date Issued Signature:__ Building Commissioner/Inspector of Buildings Date D k. rz, File#BP-2016-0111 APPLICANT/CONTACT PERSON MARK LANDY ADDRESS/PHONE P O BOX 61 ASHFIELD01330-0061 (413)625-6999 Q PROPERTY LOCATION 11 ORMOND DR MAP 23D PARCEL 037 001 ZONE URB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 14 g&azl Building Permit Filled out Pleir 71 Fee Paid Typeof Construction: REMOVE PARTITIONS,RENO FOR HC BATHROOM&ADD RAMP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 077431 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF4?AMATION 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 Commission Permit DPW Storm Water Management olition la Sign ure of Bui mg O cial 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. 11 ORMOND DR BP-2016-0111 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D-037 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2016-0111 Project# JS-2016-000201 Est. Cost: $11500.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MARK LANDY 077431 Lot Size(sq. ft.): 7535.88 Owner: FOGELSON JONATHAN Zoning: URB(100)/ Applicant: MARK LANDY AT. 11 ORMOND DR Applicant Address: Phone: Insurance: P O BOX 61 (413) 625-6992-0 ASHFIELDMA01330-0061 ISSUED ON:811412015 0:00:00 TO PERFORM THE FOLLOWING WORK.REMOVE PARTITIONS, RENO FOR HC BATHROOM & ADD RAMP 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 8/14/2015 0:00:00 $75.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner