Loading...
34-006 (12) 276 TURKEY HILL RD BP-2017-0262 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:34-006 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ADDITION BUILDING PERMIT Permit# BP-2017-0262 Project# JS-2017-000453 Est. Cost: $164383.00 Fee:$1072.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Vse Group: JASON WOLFE 102746 Lot Size(sq. ft.): 131072.04 Owner: Joel&Kathy Neveians nin : Applicant: JASON WOLFE AT: 276 TURKEY HILL RD Applicant Address: Phone: Insurance: 113 BRIDGE ST (413) 777-3146 Liability AGAWAMMA01001 ISSUED ON.:9/14/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT A SHED DORMER &2 DOGHOUSE DORMERS TO ALLOW FOR APPROX. 1600 SQ FT ADDITION POST THIS CARD SQ IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House N 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 9/14/2016 0:00:00 $1072.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner D'Ul o (iK:- File»BP-2017-0262 r/""'" /9 -" APPLICANT/CONTACT PERSON JASON WOLFE (NE N 8IQ ?) ADDRESS/PHONE 113 BRIDGE ST AGAWAM (413)777-3146 PROPERTY LOCATION 276 TURKEY HILL RD MAP 34 PARCEL 006 001 ZONE TH1$SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid C 4. 14 c 36 a- & /© "7a Building Permit Filled out Fee Paid TvpeofCanstruption: CONSTRUCT A SHED DORMER&2 DOGHOUSE DORMERS TO ALLOW FOR APPROX. 1600 SO FT ADDITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 102746t- 3 02746 // F 3 sets of Plans/Plot Plan of ICC7ied I C THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 � prion •lay Adi � Signature of Building 0 ial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain ail 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. 1 ( i- Guy Cr hichanecton Euiiitrino D. caren rm tcbil�G tnnve+ N11eamt _ _ 212 Main 'r- i o t3 L >xr ii dt�t Roo: IDr' nrh lavaa I - �-_. Nori a ton, NA 01'� J Iv a o v1cC r P n I �) phone .13587 12 . FX412-587-127e I V Dans - - I Otn K rP Section 4. ZONING I eV,rr'o.. =inn bis e Eumplered Deese Be,.ms.d cue To ie_mnpr _ int-or-matte - Ssnnp ocsod ( Rd..by Zoning DI I h o b .ed my ne Deperursn Tot Sitz .. �u... .. ...._ _`. none., Setbacks Front Side pea ._ . ,__ Fachling Eidg. Square Footage r _ __. _ F Open Space Footage _ / I 11.ri og mus d pave I _— ..,__ c2 .f?asking Spassa _.—. ^,--- -_ r selattie's A. Has a Special Permit/Variance/Hindirig ever been issued for tor.the site? NO Q DONT KNOW ._. 0 IF YES, date issued: IF YES: Was the permit recorded at the negist.el of Dee'^hs? NO DONT KNOW Y s 0 IF YES: enter Book Pape t and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW .1g) YES 0 IF YES, has e permit been or need to be obtained from the Conservation Commission' Needs to be obtained 0 Obtained , DSC f u_o't'"" E. Do any signs exist on the property? YES 0 NO kP Y_5, describe size, type and Location �. ......... D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO s, — ..... _..—._ ...... IF YES, describe size, type r and location: �.._.�._ �_.,. E WieVii the COE stm:;fion activitydi b(Paeang, c e i g excavation, ling) over 1 acre or it can of a common plan that ovill disturb over 1 acre? YES Q NO .c:A IF .YES,the 3 No-tempter Slorio.dater fdarngemphtPermi!foam the StFaXis tenoned. SECTION 8-CONSTRUCTION SERVIG'ES 8.1 Lic=nsec'Cocstruciicn Surerii_or: I Not Appiicacle Nateoeucens3 alae- 7is tw 1 (5 - (°27'♦L License N_n per Ira BiEsr ( �rylA if- 2 - 17 4,c______„, 3ili_i_n_3i_4_6____I adn im E-wrat e.Dake Sionasre Telephone 1 9. ReoisE r tl Homelrnorovemen.Coritr c.or Not Aoplicable 2i luocr &, / kcc I 7719'2` omsam,NameRegstratiion Number //3 �(i � sr•/ fl6m✓mr Mq. S — I — Iv _ Acores 9/3_ f�Exsira'lon Date Telephone ] ]7— J(/t/6 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.c-.L.c. 152, §25C(6)) Workers Compensation Insurance affidavit must be camp) ted and submied kith this application .Falure to or v his affdat i will result ji in the denial of the issuance of t building permit Signed Affidavit Afacha Yas.._ = Ns...... E 1 31. - li®ane Owner Exemption The current exemption for"homeovmers"was extended to i dude Owner-occupied Dwellinss of one(1) or two(2) Smikes and to allow such homeowner to engage an individual for hike who does not possess a license, nrovided that the owner acts as supervisor. CMR 780. Sixth Edition Section 10.35.1. 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 hi a two-year period shall not be considered a homeowner. Such"homeowner"shall submit o the Building Officio:,on a`arm acceptable to the Building Official.that he/she shall be responsible for all such work'performed under the building permit. As acing Construction Supervisor your presence on the job site will be required frcm time TO tine,dung and noon completion ofthe work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 1.53 (Liability of Employers to Employees for injuries rot resulting in Death)ofthe Massachusetts General Laws Annotated,you mak,be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"cert5es 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 Aamotated. Homeowner Signature SEC?iCirt E-DiESCRIFTIOki OF PROPOSED WOR„fithesit MI acoiicabl_e) New House IT ddion 7 ,.K , Replacement Windows I At1r5 ons) K 1 Pronn.o j Or Doora C r I Accessory Bldg. LT Demoldon _J New Signs fel Docs jD Sidint[PI Other(0) Brief Desch lion of Proposed Work: m. A A sr tflen tri f C r.7 [n.,¢r A t (,_2 ) O keh4-.2.-, 0 e`I...CrS gtlar�) fen. G prc (LO th S a -r A-r3J, h .n.., rJr. S'X'.�C'. . Alteration of existing bedroom 'Yes )( No Addint new bedroom )[ Yes No Attached Hands Renovative unfinished basement Vac _,y(' No Plans Attached R IUf-Sheet 6a if New house and crad(wutlon toP.ruiSd On hou&nn. comUle-t_ rhe: rof)owtna: a. Use of building '. One Family .r^N Two Family : Other b. Number of rooms in each family unit: _ Number of Bathrooms o. Is there a garage attached? d Proposed Square footage of new construction- Dimensions e. Number of stories' f. Method ofheatinp' Fireplaces or WoodstovesNumber of each a Energy Conservation Compliance Masscheck Energy Complianceloom attached?_ Type o:construction i. Is construction within fere of wet?aods? Yes Na. is constnrceoa gins lOCy. floodplain Yes No Depth of basement or cellar Boca beige finished grade k. Witt building conform to the Suildng and Zoning reputations? Yes No I. Septic Tank City Sewer Private well City avatar Supply SECTION la-OWNER AUTHORIZATION -TO EE COMPLETED WHEN , I OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property hereby authcrtze to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner t Date I, //'Y'{ 0".1 WorFC as OwnertAuthortzed Agent hereby cedars that the statements and information on the foregoing application are true and accurate,to'Me best of my knowledge and belief. Signed under the pairs and penalties of perjury - 7 eh-ii tn.°gig rf-ft— Print Name C___ a A - 3o- 16 gnature or Ownedno era —Date The Ccm Amin ✓E .,. Gjr lass c s;etc �— -> tit yf anm i t oofa .tial nE cl xt,( !mit" Waskingtraz Sfreeg CP Pr an.usd. r£ Oil to -,?, , dldhPfahmass.ggy/,vis✓^. tuckers' Compensation It s"aran e t�1'dfJu^. 1 nt,dvc?,..yr swirl re. viz . 6:a__ t:spsr Lei''mbers Aiyd1icaantt Information ?lease Print P.ej;in.v Name (5usiaess/c gantzation✓ndividual): ZON' Ci)Chtee— Address: /i'3 tee facc E sr City/State/Zipl. frefri lr`i Mk OO/Et?/ Phone tt: 4_113 - -17 7 - 32%16 { Are you an employer? Check the appropriate box: - iS'p20spa5sct{(required): 1.R I arm a employer wi*h 4. J j m a general contractor and I employees (mll and/or parttime).* have Lined the sub-contractors levw conEtn:chun 2..9 1 a sole proprietor or pane listed on the attached sheet 7. lc(Remodeling These sub-contractors have ship and have no employees I S. (]Demolition workbag for m.,in any capacity employees and have workers' [No workers' oma assurance comp vt'uranc i 9. YBuilding addition required.) 5. 1 We are acocpor tion aad js tar ElectRinal repairs or additions 11 3. I am a homeowner doing all work officers have exercised their I1 ❑ Plumbing repairs or additions myself (No workers coley_ right or exe nr ron net MG; 12.17 Roofre„aus c. 152, g14 insurance required.] §1.(4), and we have no employees, [No workers' 1.11 Onset cotnn. insurance required.] _. *hazy applicant that a&ecxs box f]must also[BI put the section below showing.their worker coon.-tsaton policy azbmaion. Flo neowmers who:uhmit this at5devifh-in:cating they are doing all work and then hireeoutsiue contractors must submit e new affidavit:ndicnti g such. Contractors that cheek this box trust attached an additional sheet showing the name of the sub-contactors and Sate whether or not hose entities have employe. lithe sub-convuctors have .m.loytes,they must provide their worker camp.policy number. I am an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site information. Insurance Company Name: (.-{f .»r-5,— nen* Policy#or Self-ins.Lie.,#: d nn Expiration Date: Job Site Address: 2.-7k . 17?t4'- (Fell ie211. City/State/Zip: PocM-. te k&i iv?/'} 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 DZ?for insurance coverage verification. I do hereby certify under the ,ins and penalties ofperjury that the information provided above is true and cones. Siersatur.: -- Date: ET' a o- / k Phone#: 4(f 3 - 721 - 3/y76 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # i Issuing Authority(circle one): .� II 1. Board of Health 2. Building Department 3. CByfil'own Clerk 4.Electrical inspector 5, Plumbing Inspector 6. Other I Contact Person: Phone#: _ � City of Nofthamtton taint ( iegigclifill ,,LL TICHT ,K7.2,.D.TNG0117S 22 M B 3- Nathan;ton, 3a 0: INSPECTOR Louis Hasbrouck Chuck Miller 9uldinc Commissioner Assistant Commissioner HOME OWNER ENINLwTlONACh oA EDGi11,1'INTT The State of Massachusetts allows the homeowner the right under 7800MR 108.3E to act as his/her construction supervisor. The state defines "Homeowner as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner," The building department for the City of Northampton wants any persons)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill).sonotube holes (before pour). a rough building inspection (before work is concealed), insulation inspection (if reouired) and a final building Inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can ;-exult in failure to obtain a certificate of occupancy until the work can be inspected. if the homeowner hires other trades to perform work (electrical, plumbing & gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections, Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner/resident's signature requesting exemption) - 1 will call to schedule all required building inspections necessary for the building permit issued to rne. Date Address of work location City of Nonhampton -12 Main Street, NorEhaimptcr, MA 01060 ;olid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, 354, I acFCnovviedge that as a condition of the bunting permit all debris resulting from the construction activity governed by this Building Permit snail be disposed of in a properly licensed solid waste disposal f_acilit'y, as defined by MGL c 111 , S 150A, Address of the work: _ 2 76 17r.r-K-�'-(. I647/ The cebris will be transported by: _ (ici Jl�u�fps /P� G�'1� •w 1— The debris -will be received by: ,. Building permit number: Name of Permit Applicant TiKm✓ do/G�/ Date Signature of Permit Applicant REJEAN REMILLARD INS Fax 14137860193 Aug 30 2016 12:1dpm P001/001 acotry CERTIFICATE OF LIABILITY INSURANCE I OSE`MANrt„° kilm,ISLE I a/30/18 THS CERTIFICATE IS ISSUED AS A MAI IYR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERHRCATE HOLDER THS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATEPRO OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED O REPRESENTATIVE OR PRODUCER,PND THE CERTIFICATE HOLDER. _.IMPORTANT: if tee certificate hdder is an ADDITIONAL INSURED,the policy(es)must be endorsed. SUBROGA -ON IS WAI _. subject to the terms and condition,Otte policy,certain policies may require an endorsement. A statement on this certificate does not confer lights to lie certificate holder in lieu of such endorsement's). MODULE'S - tONTACT n046; Hari Rusciaoy CISR Relent S. Remillard Ins Agency EINE n 'FAT _Naf - ( 13) 709789-3070D titc,Nd= 54)35 786-0193 1040 Springfield Street Views: Rusciauok awl.once _ HNSUI£ms1AFF()RDam covosAGc �. woo, INSURER A_Mai$L Street , ¢erican Assurance ,,,_ - ' esaaED INSURfNe National Grange Mutual Jason T. Wolfe :imam c-.I;hurry Mu mai Ins Co 113 Bridge Street INSURER6; J -- "-- —� Agawam, MA 01001 .-- ___. _.... . ., LsuR�e_, IINsuRw•: COVERAGES CERTIFICATE NUMBER, REVISION NUMBER: THIS IS TV CERTIFY THAT THE POLICES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE P4SLLIEO NAMED A9ovE FOR THE POLICY PERM INDICATED. NOTMTHSTAN(HNG MY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOJMENT WWH RESPECT TO WHIOH THIS •i CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IRMJRANCE AFFORDED BY Tl-€ PDLCIES DESCRIBED HEREIN IS SUBJECT TO ALL.l-IE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INfR 'q[oLSVERI . MOLICY PFr PWLY EXP LPR TYPE pFIN9URINS£ PWC NUMMIM,LpryYY1)I(pM/OPYYYYI UMTS A GENERAL U MUTY :! MPT3599B 7/1/16 7/7/17 NG MCH cCCUP4rE s 550 000 X I c33aER53a GENERAL L 5tY Y oR Ma s 500.000 S tE .emn.r CIAIMFAIgcEHXIDCv"UR -•_MEC EX'. M P>•ml_tL 10,000 ... ___ __. 1 1 PE SC riLtz 3.7.3osoum 3 500 000 .P oERAL owrr i 1000.0001 G,ErruCCREGLIELmm�PPLilis==_a .'GP 6 F 1,40000000. Xa`2"I E& I Lot B •'NITda6811ELwUWTY 4/4/1..SI 4/4/17,. cOFEmE7,6F16 [UMI' S Vf1T2659N EomAm I _ 50n000 ANLOWM1 • ' mom Amos'M ,w I 0.'L°MAIc CNECJLED -'- "-" AUTOS Y` 4 'J , 00G LV. 'VRYfPV?°C-d7;1 = • • N r,EC AUTOS pe'v+V.NED ` N 3P m(10,V. t a .-0705 I !g ms+- __._"- —i H I VVER:1P LIAR I Y I I i___. I EACH OC VM!'NCE_ S IXCE93 LNN CLAIMS-MACE I I_GY C T __., $ DED NETENT'QN I L YASKELZELIPL YERWLSATNXi HFOF4WA123>ED BY CO. f EH- A40ISOPRI EMs'URCISLITYTIER: • •. YIN I RmegP A$M Ffl ExcL CE RcGlITh6 N q: EL E C AC,Q,9)M (Ee CEP.mEMNH/gYCLILE] ____ _. (un0m --[ I I EL DO EASE.EA FNPLG EE �... OSS RIT'0$12O DES.R Prow GP.z, oNs u<o. • j ?L SISEASE.Pt7u6v LIMT x 1 W.£GRIPTION OF OPPRAnWONs,LOSATONS i VEc,ES /gtlgA ACORO %.PUTtlmu fee,mha 9eM1cdYe,n more/PIGS La rola ro]I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF ME ABOVE DESCRIBED POLICIES BE CANCELIEU BEFORE THE ExPRATION DATE THEREOF. NOTICE WILL BE DELIVERED N MOM of Northampton , ACCOROANCE WITH THE POLICY PROVISIONS. Dept. o£ Building Inspection 212 Main Street AO1 ORRC�Py0. 7ASWE Northampton, MA /-' I i 4< j/ o 19852010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks o1ACORD Phone: Fax: (413) 587-1272 E-Marl: City of Northampton Mail-276 Turkey Hill Rd htips://mail.google.cum/maiVu/0/?ui=2@ik=39211afc3d&vierpt&se... .1M? City of Northampton Charles Miller<cmiller@northamptonma.gov> 276 Turkey Hill Rd 1 message Daniel Wasiuk<dwasiuk@northamptonma.gov> Tue, Sep 13, 2016 at 12:45 PM To: Charles Miller<cmiller@northamptonma.gov> Hi Chuck, Sending you an email to indicate that the septic system located at 276 Turkey Hill Road is able to accommodate the construction of an addition (added bedroom). The septic system was designed larger than needed and is deemed suitable for added effluent flow. The current system is suited for up to 5 bedrooms. Pursuant to Title V code, each bedroom of a dwelling requires 110 gallon per day (gpd) design. The septic is designed for a load rate of 550 gpd. Any questions/concerns, please let me know. Thanks, Daniel Wasiuk Health Inspector Northampton Health Department 413-587-1217 office dwasiuk@northamptonma.gov of l 9/13/2016 12:46 PM