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16B-001 (44) 25 MARK WARNER DR-20 BRIDGE RD BP-2017-0147 GIS 4: COMMONWEALTH OF MASSACHUSETTS Mao-Block: I6B-001 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: FOUNDATION BUILDING PERMIT Permit# BP-2017-0147 Project# JS-2017-000243 Est.Cost: Fee: 51492.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group SALOOMEY CONSTRUCTION 018780 Lot Size(sq. ft.): Owner: 20 BRIDGE ROAD LLC Zoning: SR'URA/WSP Applicant: SALOOMEY CONSTRUCTION AT: 25 MARK WARNER DR - 20 BRIDGE RD Applicant Address: Phone: Insurance: P O BOX 1203 (413) 269-4360 Workers Compensation WESTFIELDMA01086 ISSUED ON:8/31/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT FOUNDATION ONLY FOR SFH rev 8-31-16 SFH 2300 sgft 2 bedrm 2 bath w 2 car garage 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: FeeTvpe: Date Paid: Amount: Building 8/31/2016 0:00:00 $1492.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner BECE ED Department use only City of Northampton Status of Permit:. Building Department Curb Cut/Driveway Permit AUG 212 Main Street Sewer/Septic Availability RJta 1 9 2016 Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans DEPT.OFBUILDiNS iNSPE al -ne 13-587-1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON,MA cr r Other Specify 7 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION tal( f✓— "GeXi2tk!G 1.1 Property Address: This section to be completed by office /{MARK WARNER DRIVE Map Lot Unit _ BEAR HILL ESTATES Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 20 BRTDFF ROAn LTJ` P .O. BOX 1203 , WESTFIELD, MA 01086 Name(Print) Current Mailing Address: Ay e13-264-4160 ephone of 2.2 Authorized Agent: ZITER SALOOMEY 8r/Or TONY BILOTTA P.O. BOX 1203, WESTFIELD, MA 01086 Name(Print) Current Mailing Address: c-A c0 ~ (ZI1'k;tt) 4113-531 -0062 (TONY) 413-244-8601 S gna_r _' Telephone SECTION 3-ESTIMATED CONST- 4 COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant _ t Building4J35/3 J3- 0 (a)Building Permit Fee 2. Electrical /'/ r//� U (b)Estimated Total Cost of < Construction from (6) 3. Plumbing /a?l ,. 00 Building Permit Fee 4. Mechanical (HVAC) - / / V 5. Fire Protection /J /0 306 , 0 0 / 6. Total=(1 +2+3+4+5)_e{/D-3y Y. .3- L?) Check Number s3/ �h This Section For Official Use Only _ Building Permit Numb . Date Issued: Sig natur ' /V Airr 3i /i Building Commissioner/Inspector of Buildings 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 he filled in br Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage Open Space Footage ,o Lot area minus bldg pav& parkin_) #of Parking Spaces Fill: comn¢&L,eanon) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 4r%)' DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 't DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O 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, xcavation,or filling)over 1 acre oris it part of a common plan that will disturb over I acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House )a Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [C] Decks [q Siding[C] Other[CO Brief Description of Proposed Work: NEW CONSTRUCTION OF A "47" STYT.F POMP . PER A'ITACHFT7 fl AWTNRS Alteration of existing bedroom Yes X No Adding new bedroom Yes X 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 X Two Family Other b. Number of rooms in each family unit Number of Bathrooms 3 c. Is there a garage attached? YES d. Proposed Square footage of new construction. aY C 0. Dimensions YeXSc? e. Number of stories? oZ f. Method of heating? GAS Fireplaces or Woodstoves YES Number of each 1 g. Energy Conservation Compliance. I Masscheck Energy Compliance form attached? ft Type of construction amp w GOd 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 fev;1 k. Will building conform to the Building and Zoning regulations? X Yes No I. Septic Tank City Sewer X Private well City water Supply X SECTION 7a -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ZTTFR RATCYIMFY , as Owner of the subject property hereby authorize TONY BATA to act on my behalf, in all mat rs relative work authorized by this building permit application. JULY 27.2016 atu of Owner Date I, ZLTER SAIrein y 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. ZITE2 SALOONEY Print Name lb�! � JULY 27,2016 of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder ZITER SAIIJOMEY CS-018780 License Number P.O. BOX 1203, WESTFIEfD, MA 01086 11/15/17 Address Expiration Date 31-0062 naWr Te 'hone 8. Registered Home Improvement Contractor: Not Applicable ❑ SAIOOMEY CONSTRUCTION INC 100978 Company Name Registration Number P.O. BOX 1203, WESTFIELD, MA 01086 6/24/18 Address Expiration Date WI elephone 413-269-4360 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 XHI No ❑ 11. - Home Owner Exemption The current exemption for"homeowners.'was extended to include Owner-occupied Dwellings of one(I) 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 ofthe 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)ofthe 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 __ City of Northampton 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: a S Murk 00-cncr 0 r ro The debris will be transported by: ggiel QeavSe4 frockt'n5 The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant The Commonwealth of Massachusetts Department ofIndustrial Accidents )&—';. I Ofce of Investigations ' -.= 1= a I Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SALCIOMEY CONSTRUCTION INC Address: P.O. BOX 1203 City/State/Zip: WESTFIELD, MA 01086 Phone#: 413 269 9360 Are you an employer? Check the appropriate box: I am a general contractor and I Type of project(required): 4. ISE I am a employer with ❑ 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 1 L❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12 ❑ 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 ft I 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 oldie 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: MASS EMPLOYERS INSURANCE COMPANY Policy#or Self-ins. Lie. #: MCC200121012009 Expiration Date: Job Site Address: #32 MARK WARNER DRIVE City/State/Zip: NORTHAMPTON, MA 01060 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 51,500.00 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 under t pains and penalties of perjury that the information provided above is true and correct. Sianamr ,(, /j 12 0/71 Date: July 27, 2016 Phone#: 413 2 9 436. 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#: Q0 'Ii-J / _ QS • 2 L0JC boy] prize Q0,cL - 0--e - ( .cyjc- -, ;90 oc)•L2 9( ° © a I 0,) u o •lam = of obb C-7-31c) o°664, _ os • @ ASS I )Q j -fS � p i10d IfQa,]� _ vO, f-runci an, JQ JauYv09 y) 'roW Ce Hardwood Dint ,Flooring-Hardwood Hitch). Countertop+Stene/Gkanke/Solid,Stainless Steel Appliances Master Btu, Closet-Walk-In,Flooring-Wall to Wall Carpet Bedmgn 2: '" 1 Flooring-Wall to Wall Carpet Oath I: t getbroom-FtIlk flomia9-Stone/Ceramic Tile Bath 2: i Satfmam-Fog.Flood., -Stem9Ceramic The Bath 3: 2 Ballroom-Ant,Flooring-Stone/Ceramic Tb laundry: 1 Flowing-Stone/Ceramic Me Loft: 2 Closet-Walken,Flooring-Wall to Wall Carpet Features Other Property Info Area Amenities:Park,Medical Facility ---Adult Community:Yes Appliances:Range,Dishwasher,Disposal,Mlwwave,Refrigerator Disclosure Declaration:No Association Pool:No Exclusions: Basement:Yes,-- Lead Palnk:Unknown Beach No UFFI: Warranty Features: Construction:Frame Year Bu@/Converted:2015/ Energy Features:Insulated Windows,Ablated Doors,Prey,Thermostat Year Out Soutar•:~or Extenor:Vinyl Year Built Desc:Under Censtructlon Exterior Features:Deck Year Round: Flowing: Wood,This Wall to Wall Carpet Short SMB w/Lndr.App.MKT No Insulation Features:Full Lender Owned:No Interior Features:Calla Available Management Developer Cootie; Tax Information Pets Allowed:Yes w/Reanktions-other(See Remarks) Restrictions:Mrs Community ern e: Roof Material:Asphalt/Flbrybss Shingles Assessed:$0 Sewer UtllLties:CIW/Town Sewer Tax:$9 Tax Year:00 Water Utilities:City/Town Water Book:0000 Page:000 Waterfront:No Cert: 2aning Code:0000 Map; BIIXk: Lot: Te,nMmase In ew listing was gathered Oen third pans ewes IMuans the seer nM pons records.BIS weeny WmmNiwN9wa4sM Xs sflms l de*t aro and as reeeada%Iw wnnoss a ei nn assay does Mweatir emit®]yes MIS Aspens lnloma on wise*fix. File#BP-2017-0147 APPLICANT/CONTACT PERSON SALOOMEY CONSTRUCTION ADDRESS/PHONE P O BOX 1203 WESTFIELD01086(413)269-4360 PROPERTY LOCATION 25 MARK WARNER DR-20 BRIDGE RD t/01fi 0 N}(0);Y- sr— MAP 16B PARCEL 001 001 ZONE SR/CTION FOR ?)512 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 3/0176 OS,L Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT FOUNDATION ONLY FOR SFH 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 INF ATION 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 :-m lition Delay 8-3/// Sign. ore o• :u 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. \� C 26� y of Northampton Status of Permit: Department use only C rb B 12 Department t Sew Cut/DrivewayePermit 1116�''' txo_wspE�lons -12 Main Street Sewer/Septic Availability i�sgyn �ppor• Room 100 Water/Well Availability "^" Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 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 #25 MARK WARNER DRIVE Map 11.13 Lot DO I Unit BEAR HILL ESTATES Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 20 BRTDOR ROAD Lir P.O. BOX 1203, WESTFIELD, MA 01086 Name(Print) Current Mailing Address': 413-769-4360 Telephone Si• 2.2 Authorized Agent: Z ITER SALOOMEY &/or TONY BILOTTA P.O. BOX 1203, WESTFIELD, MA 01066 Name Pont) Current Mailing Address: 1 41/4 ZITER) 913-531 -0062 TONY 913-249-8611 Telephone SECTION 3-ESTIMATED CONSTRU. • F COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant _ 1. Building 239,343, .00 (a) Building Permit Fee 2. Electrical 6,800.00 (b)Estimated Total Cost of Construction from(6) 3. Plumbing 12,410.00 Building Perini ee et)Anti • aO 4. Mechanical(HVAC) 10,300.00 5. Fire Protection - ad r .[.y,/ 6. Total=(1 +2+3+4 +5) 263,853.00 Check Number $ I6 ",2/6 This Section For Official Use Only ♦ Building Permit Number. Date Issued: Signature Signature. Building Commissioner/Inspector of Buildings 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 he filled in by Bulldmg Department Lot Size Frontaue Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage °o Open Space Footage (Lot area mints bldg 8 paved parking) it of Parking Spaces Fill: (vuiame M Location) A. Has a S ecial Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 0 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO eI DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES 0 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 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Ali Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [C] Decks [CI Siding[0] Other[D] Brief Description of Proposed ��^' Work: NEW CONSTRUCTION OF' TV .F A " C" STROMP . PER ATPACHFD T)RAWTN(;S f OVr1r On doIY Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet ea. If New house and or addition to existing housing, complete the following. a Use of building '. One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? YES ll d. Proposed Square footage of new construction. /-5-F0 Dimensions 46 K �2 e. Number of stories, oZ u I Method of heating? GAS ireplace or Woodstoves Number of each 1 g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction a X(o W OnfT.� 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 g Fe CT k. Will building conform to the Building and Zoning regulations? Yes No I. Septic Tank City Sewer X Private well City water Supply X SECTION 7a -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ZTTFR SAT(YN'FV , as Owner of the subject property hereby authorize TONY BILOTTA to act on my behalf, in all matters r-ative to work authorized by this building permit application. ��1rI��1r�FTC L JULY 27.2016 -gGt if Owner Date I. ZITFR SAT OOMFV , 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 SALLOMEY Print Name C JULY 27,2016 Date nature (Owner/Agent ✓ SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: ZIEhdt SAIO@9EY CS-018780 License Number P.O. PDX 1203, WESTFIELD, MA 01086 11/15/17 AddressExpiration Date �r .`� 3-531-0062 re Teleph e 9.Renistered Home Improvement Contractor. Not Applicable ❑ SATfTN1Ey CONSTRUCTION INC 100978 Company Name Registration Number P.O. BOX 1203, WESTFIELD, MA 01086 6/24/18 Address (� Expiration Date `--'��— Telephone 913-269-4360 SECTION 10.WORKERS'COMPE • eN 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 XS] 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 buildinQpermit. 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 The Commonwealth of Massachusetts „� Department of Industrial Accidents I /, _tr Office of Investigations =t'�1- c 1 Congress Street, Suite 100 - _ Boston, MA 02114-2017 +.. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization:Individual): SALLQs7E.Y CONSTRUCTION INC Address: P.O. PDX 1203 City/State/Lip: WESTFIIIA, MA 01086 Phone#: 413 269 4360 Are you an employer? Check the appropriate box: Type of project (required): I I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. LI Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition {No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its I o.❑ Electrical repairs or additions officers have exercised their I L❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ' c. 152, §1(4). and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'Compensation policy information. I lomcosmers who submit this amdacit indicating they are doing all work and then hire outside contractors must submit a now a ffidavit indicating such. Kontractors 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: MASS EMPLOYERS INSURANCE COMPANY Policy#or Self-ins. Lic #: MCC200121012009 Expiration Date: Job Site Address: #25 MARK WARNER DRIVE City/State/Zip: NORTEIAMPION, MA 01060 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 he forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce tify under ihi pains and penalties of perjury that the information provided above is true and correct. Signature: 'LU.f . Ct-y 6 Q OW I Date: July 27, 2016 inPhone#: 413 26, 4360 X. 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#: RECEIR'L I) 2016—jMUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street p er RP no Northampton, MA 01060 413-587-1570 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. Location: 25 Mark Warner Drive, Bear Hill Estates, Bridge Road Date of Inquiry: 08/02/16 Inquirer with contact info: Tony Bilotta, Saloomey Contractor 413-244-8601 Reason for Request: New Construction Municipal Sewer Main in Front of Location: Yes No Size of Sewer Main: Material: Age: Depth of Sewer Main: Length of Sewer Main: Size of Service Connection: Type of Service Connection: Tie-in to Sanitary Main: Tie-in to Sanitary Stub: Comments: Av<i Itb le farawri. p.lvh le Canna.c.-1, City Requires 6" cleanout installed at City Property Line Note:If this availability is for new construction,this form must be hand delivered to Building Inspector. A corresponding "sewer enterance fee" shall be paid prior to making any connection to the municipal sewer system.Arrangements of such intstallation shall be made with the Northampton Streets Department with a minimum of 5 working days notificaiton. All work shall conform to Northampton Streets Department specifications. "�f-h....f•-- i Date: /f[ Sewer Dept. Foreman \\win2\Amin\Permits\Sewer Entry\Avail bll ities 2011\ 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: 25 Mark Warner Drive, Bridge Road, Bear Hill Estates Inquiry Made By: ` Tony Bilotta, Saloomey Construction 413-244-8601 Date of Inquiry: 8/2/16 I Fire Line Irrigation 'Domestic X Number of ( L`nits: Type of Single Family X I Type of 1 Private X I Unit(s): I Apart. Comm. Ownership: Condo - I Multi-family I Rental tAnnlirant to fill out the ahovel Municipal Water Main in Existing service to � Front of Location? Yes: No: V site? Yes:(�No Size of Water Main: 8 Material: D L Age: a s /PresApproximate Static Street Flow Test Conducted: Yes: No: 1-7- Pressure: sure: If done attach results Size of Service Connection Copper Suggested Meter Size: 5 /e // Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. • All work shall conform to Northampton Water Department specifications. 8-a -16 Water Superintendent Date Water Entry$ 'Z.00 Meter$ 130 Radio S 13$ cc: City of Northampton Building Dept. /Commissioner Note: If this availability is for a new construction,it must be hand delivered to the Building Inspector. laity of Nurtlp zmptun sxs s c. BRASSAtIpt$PYt3 s' 1::,3 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ao" USPI(C'f0 i2 Northampton, MA 01060 Saloomey Construction August 23,2016 Tony Balotti PO Box 1203 Westfield, MA 01086 Map Block: 16B—001—025 Location: 25 Mark Warner Drive Mr. Balotti: The plans for the Single Family Residence dated 07-11-2016 have been approved as noted; 1. The windows at the bottom of the 2n0 floor stair and to the left of the door to the deck must be tempered. 2. The garage face will require a PFH system with hold downs embedded into the foundation.These systems require straps and plates using 8d common nails or equivalent shaft size set flush to the surface, and 16d sinkers for blocking and plates. R602.10.3.3 3. The sunroom also requires a braced wall solution. R602.10.4.1.1 4. Any roof section which does not have ceiling joist or rafter ties in the bottom 1/31d of the rafter connecting one side to the other requires an engineered solution. (structural ridge) 5. Any attic having 30 SOFT and 30" clearance requires an access panel. 6. Structure must conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 7. Energy aspects shall comply with the stretch energy code.(appendix 115AA) 8. Smoke, heat and CO detectors throughout to code. 9. HVAC system requires a sheet metal permit. a. Manual J calculation room by room b. Equipment data with sizing and efficiencies c. Line drawing with CFM amounts for suppliesand returns As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes. Read only international codes are available on line at http://publicecodes.cvberregs.com/icod/one must also consider the MA amendments to these codes which can be found at www.mass.gov/dps/bbrs . The current relevant building codes are: 2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 20091ECC,AA115, MA amendments. 1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3.except those in group I , soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be '''A" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 8. Emergency escape is required out of every basement whether habitable or not. 780 CMR R310.1 9. Ceiling joist are intended to prevent spread,once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4"slope 8-16nd common are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is required with a load path to the foundation. 10. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/3°780 CMR R802.3.1 11. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 12. A complete window and header schedule is required.780 CMR Table R502.5 for header sizing and number of jack studs required. 13. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I-joist and or Floor Truss c. Roof truss 14. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall method being used.780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. NOT PNEUMATIC NAILS 15. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep perforate the sheathing weakening it and contribute to building damage in high wind events. 16. Ceiling heights minimum 7'for habitable spaces,618"for bathrooms includes tub/shower area if a shower head is used, 6'8" for basements, 6'4" at beams/ducts. 780 CMR R305.1. MA amended 17. Hazardous glazing locations,within 24" of a door, or within 60"of a stair,or across from hot tubs, spas, bathtubs within 60" if not 60"above the walking surface, and other locations. 780 CMR R308.4 18. Windows over 72"above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 19. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape.780 CMR R310 b. Windows within 44" of floor, DH 3.3 soft min window size, Casement 20"x41" exception 5 sqft at 1"floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel,opening measured from the face of the slab to the stop with door at 90 degrees,one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36"out and the width of the door minimum 36", maximum step 7%" from the top of the threshold and only in-swinging doors.780 CMR R311.3 20. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 81/4", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30"or less 780 CMR R311.7.4.3 Exception,4 3/8" on balustrade, 6" in the triangle. Graspable rail 1'/." minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8"ceiling height from nosing. 780 CMR R311.7. 21. Guards 36" minimum height above walking surface,a bench is a walking surface, required for more than 30" above floor or grade within 36",4" sphere rule.780 CMR R312.1. 22. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole. Notches are different. 23. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition requires a 16 GA 1'''A" strap across the area and 6" beyond each side with 8-lOnd nails. 780 CMR R602.6.1 24. Dryer ducts must terminate outside of the building, have a backdraft damper, cannot include a screen, and require 3' clearance from windows. 780 CMR M1502.3 25. Dryer duct transition is limited to 8' of aluminum flex, must be exposed, and the proper UL listing. 780 CMR M1502.4.3 26. Dryer duct maximum equivalent length is 25' less 5' per 90°elbow or per manufacturer's specs.780 CMR M1502.4.4.1, no screwed connections. 27. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 28. Fireplaces require all combustion air be provided from the exterior and below the firebox,duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces and airtight doors. 2009 IECC 402.4.3 29. Fire and draft stopping shall be completed before rough inspection.Typical locations, top (ceiling) and bottom (floor) plates, soffits, and every 10'within enclosed cavities.780 CMR R302. 30. Ignition barriers in place before final. 780 CMR R316. 31. Dwelling/Garage fire separation. An attached garage (within 3' of main structure) is required to have %" drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have 'A" drywall and the ceiling 5/8" drywall. 780 CMR R302.6 32. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. a Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity, which you must create. 33. Vapor retarders.Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier.An air barrier is intended to stop air flow(convection)a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99%of the moisture in a structure.This is evident every time one exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 34. Unvented attic assemblies. Hot roofs are allowed,but have specific requirements 780 CMR R806.4. 35. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:ThruLoks are engineered for post attachment supporting a railing. 36. Smoke and CO detectors as required.780 CMR R314 and R315. a. Smokes in each bedroom, within 10'of a bedroom door, and at the bottom of a stair leading to a finished floor above. b. CO within 10' of bedroom doors, at each level,for every 1500 sqft, (plumbing code in the mechanical room) Except if there are no fossil burning fuels. c. Heat detector in attached garage, and other large unfinished unconditioned spaces. 37. Closets beneath stair which have doors must be drywalled with'A".780 CMR R302.7 38. If there is mechanical equipment or a combustible roof,30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22"x 30" is required to be located in an accessible place. It must be insulated,gasketed,and secured in place. Relevant items must be submitted to the building department for approvals before inspections and or Certificates of Occupancy can be issued. Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email address is: cmilleranorthamptonma.gov Thank you for your cooperation on these matters. /Var----- huck Miller///!!! City of Northampton Assistant Commissioner and Zoning Enforcement