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36-365 137 EMERSON WAY BP-2020-1273 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36-365 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2020-1273 Pro iect# JS-2020-002127 Est.Cost: $304000.00 Fee: $1556.70 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: GREGORY QUILL 105857 Lot Size(sq.ft.): 10367.28 Owner. ROSEMUND LLC zoning: Applicant. GREGORY QUILL AT. 137 EMERSON WAY Applicant Address: Phone: Insurance: 23 E HADLEY RD (413) 695-4195 WC HADLEYMA01035 ISSUED ON.6/22/2020 0.00.00 TO PERFORM THE FOLLOWING WORK.-NEW SINGLE FAMILY HOUSE 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 6/22/ 020 0:00:00 $1556.70 12 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit c f 212 Main Street Sewer/Septic Availability 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 Map Lot Unit 137 EMERSON WAY - LOT #17 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ROSEMUND, LLC 23 EAST HADLEY RD, HADLEY, MA 01035 Name(Print) Current Mailing Address: y413-695-8795 Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address. Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 250.000 (a) Building Permit Fee 2. Electrical 18,000 (b) Estimated Total Cost of Construction from 6 3. Plumbing 18,000 Building Permit Fee 170 �t 4. Mechanical (HVAC) 18,000 5. Fire Protection / 6. Total= 0 + 2+ 3+4 + 5) 304 000 Check Number �7 This Section For Official Use Only �� � Building Permit Number DateIssued: Signature: TIM (0 �V Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning phis column to be filled in by Building Department Lot Size 10,361 Frontage 85.81 Setbacks Front 25 35 Side L: 15 R: L: 16.5 R: Rear 25 26 Building Height 23 Bldg. Square Footage 2 860 % Open Space Footage (Lot area minus bldg&paved 7,501 72 parking) 4 of1parking Spaces 4 Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? 65( NO DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO () DON'T KNOW Q YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 9 DON'T KNOW C) YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained I 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 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of LicenseHolder:GREG QUILL CSFA-105857 License Number 23 EAST HADLEY RD, HADLEY, MA 01035 04-29-2021 Address Expiration Date q1 413-695-4195 Signature Telephone 9.Registered Home!Improvement Contractor: Not Applicable ❑ Company Name X Registration Number Address Expiration Date Telephone 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....... %] No...... ❑ City of Northampton r° Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building �3 Northampton, MA 01060 ��t yp ��tiIN AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G:L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contract itl:a corp ion or LLC,that entity must be registered Type of Work: Est. Cost: Address of Work: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,00(.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DON T HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a buildingllpermit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a,building permit as the owner of the above property: Date Owner Name and Signature i City of Northampton Massachusetts o DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 rlyt. 71titi Debris 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. The debris from construction work being performed at: 137 EMERSON WAY - LOT #17 (Please print house number and street name) Is to be disposed of at: SOLID WASTE SOLUTIONS, NORTHAMPTON, MA (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) qKe LI(, Signature of Per t Ap icant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts W Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia ANockers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluutbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information �+ Please Print Legibly Name (Business/Organization/Individual): ROSEMUND, LLC Address: 23 EAST HADLEY RD City/State/Zip: HADLEY, MA 01035 Phone#:413-695-4195 Are you an employer?Check the appropriate box: Type of project(required): I.Q I am a employer with employees(full and/or part-time).' 7. QrNew construction 2.y1 am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp. insurance required.] (). El Demolition 3❑1 am a homeowner doing all work myself[No workers'comp.insurance required.]t 10E] Building addition 4.[:]l am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 1 I.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. [3.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box t!1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit ihdicating 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 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. 1 ant an employer that is providing workers'co►npensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: INSUREON - ROCKINGHAM CASUALTY COMPANY Policy#or Self-ins.Lic.#: R MAG-216203-00 Expiration Date:05-11-2021 Job site Address: 137 EMERSON WAY - LOT #17 city/state/zip:FLORENCE, MA 01062 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as req ired under MGL c. 152, §25A is a criminal violation punishable by 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.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 the pains and penalties ofppJet: errrjury that the information provided above is true and correct Si nature: 4a Date: 06-09-20 Phone#: — — 4195 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 ones): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: __ MUNICIPAL SEWER AVAILABILITY APPLICATION Northampton Streets Department Director 125 Locust Street 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: 137 EMERSON WAY Date of Inquiry: 06/09/20 Inquirer with contact info: ROSEMUND LLC 695-8795 Reason for Request: NEW CONSTRUCTION Municipal Sewer Main in Front of Location: Yes X No Size of Sewer Main: Material: Age: Depth of Sewer Main: Length of Sewer Main: Size of Service Connection: Type of Service Connection: Domestic Tie In: ($1,250) Subdivision Tie In : ($2,500) Tie-in to Existing Sanitary Service: ($1,250) Comments: Connect to Private Sewer 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 entrance fee" shall be paid prior to making any connection to the municipal sewer system.Arrangements of such installation 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. Brendan Shea Date: 6/9/2020 Sewer Dept. Foreman *Sewer Entry $ N/A *Fees will be charged based on current fee structure at the time of entry application MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department Director 237 Prospect St. Northampton, MA 01060 413-587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 137 EMERSON WAY Inquiry Made By: ROSEMUND LLC 413-695-8795 (Name) (Telephone Number) Date of Inquiry: 6/9/2020 Fire Line Irrigation Domestic X Number of Units: 1 Type of Units: Type of Ownership: Single Family X Private X Apartments Condo Multi-Family Rental Commercial (Applicant to till out the above) Municipal Water Main in Front of Location: Yes x No Existing service to site? Yes x No Size of Water Main: 8" Material: Ductile Iron Age: 2015 Approximate Static Street Pressure: 55 psi Flow Test Conducted: Yes No x (If flow test conducted attach results) Size of Service Connection: 1" Suggested Meter Size: 5/8" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320' - A corresponding water enterance fee shall be paid prior to making any connection to the municipal water system. -Arrangement of such installation shall be made with the Northampton Water Department within a minimum of 5 working days notification. -All work shall conform to Northampton Water Department specifications. David Sparks 6/9/2020 (Water Superintendent) (Date) *Water Entry x ($1,250) Domestic *Meter $ 450 *Radio Read $150 ($2,500) Subdivision (fee to be determined) (Includes fire line if required) cc: City of Northampton Building Dept./Commissioner NOTE: If this availablitiy is for a new construction, it must be hand delivered to the Building Inspector *Fees will be charged based on current fee structure at the time of entry application fs^ry Stretch Code Specifications Project Address 137 Emerson Way Northampton, MA 01060 POWERHOUSEi HERS Rater I Rafael Loveszy Insulation & Air Sealing Slab Uninsulated Foundation Walls R-13 fire-rated foamboard Blockers & Runners R-20 spray foam Exterior Walls R-20 dense cellulose Flat Ceilings R-49 loose cellolose (14" deep) Windows & Glass Doors U-Factor= .30 Maximum blower door test of 2.5 ACH50 Air Barrier &Air Sealing Details Must comply with air sealing table R402.4.1.1 in 2015 IECC Mechanical Equipment Heating Equipment 97% AFUE Propane Furnace Cooling Equipment 13 SEER Central AC ALL DUCTS LOCATED WITHIN ENVELOPE Ducts Duct Leakage: No more than 1 CFM per 100 CFA Must comply with 2015 IECC R403.3.3 Ventilation System continuous exhaust fan (Panasonic FV-0511VKSL2) Ventilation Type Continuous Projected Ventilation CFM 78 Water Heater .94 Energy Factor Propane On-Demand Lighting &Appliances Lighting 90% LED bulbs Refrigerator Energy Star certified (If provided) Dishwasher Energy Star certified (If provided) Washer Energy Star certified (If provided) Dryer Energy Star certified (If provided) Projected Rating Results Scenario HERS Index Score All specifications used above, and home built per plans 53