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16C-039 (3) /111111111111111111111..1.11 224 SPRING ST BP-2008-0089 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16C-039 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2008-0089 Project# JS-2008-000135 Est. Cost: $400000.00 Fee: $1417.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 DANIEL HEWINS 049714 Lot Size(sq. ft.): Owner: MARSHALL HAL&VALERIE BUNNELL Zoning:URA Applicant: DANIEL HEWINS AT: 224 SPRING ST Applicant Address: Phone: Insurance: 1504 WESTHAMPTON RD (413) 582-9929 FLORENCEMA01062 ISSUED ON:8/3/2007 0:00:00 TO PEIIFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W/ATT TUDIO 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: 10/1., 1 ; Driveway Final: h 6'-a83 Final: I) " � nal: c i�r /r�� Rough Frame:(' J e4t Gas: Fire Department Fireplace/Chimney: Rough: Oil: e'•f Insulation:O k 3 -U Final: Smoke: f Final: , z ., fe, ,, F -v- G-2'f--08 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF ANY OF ITS RULES AND REGUL NS.- - •1.,T, .may Certificate of Occupan si!nature: FeeType: Date Paid: Amount: Building 8/3/2007 0:00:00 $1417.507347 �^ , 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo �' Per �e.et a 1111111111111111 BP-2 08-0089 GIS#: COMMONWEALTH OF MASSACHU ETTS 039 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.14 A) Category: BUILDING PE IT Permit# BP-2008-0089 Protect# JS-2008-000135 Est.Cost: $400000.00 Fee: $1417.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: R4 DANIEL HEWINS 049714 Lot Size(sq.ft.): Owner: MARSHALL HAL&VALERIE BUNNELL Zoning:URA Applicant: DANIEL H EW I N S AT: 224 SPRING ST Applicant Address: Phone: Insurance: 1504 WESTHAMPTON RD (413) 582-9929 FLORENCEMA01062 ISSUED ON:8/3/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH WATT '.TUDIO POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/3/2007 0:00:00 $1417.507347 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo • File#BP-2008-0089 APPLICANT/CONTACT PERSON DANIEL HEWINS ADDRESS/PHONE 1504 WESTHAMPTON RD FLORENCE (413)582-9929 PROPERTY LOCATION 224 SPRING ST MAP 16C PARCEL 039 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /, 15/ Fee Paid Vj 407,50 Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT STUDIO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 049714de,ttaid� 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: t/Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: I l Finding Special Permit Variance* "/0 Received&Recorded at Registry of Deeds Proof Enclosed C Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission O /O3/07 Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Departm nt of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 77 ... 7 \ ,. Department use only city of Northampton Status of Permit: ;,,,‘,Y' ildi • Department Curb Cut/Driveway Permit ,, r$ 12 :in Street Sewer/Septic Availability �h R•, 100 Water/Well Availability \, No P- pton, MA 01060 Two Sets of Structural Plans Z� -‘ pi ne9- 87-1240 Fax 413-587-1272 Plot/Site Plans �� ' ~ Other Specify `APPLICA ., O CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - ITE INFORMATION 1.1 Property Address: This section to be completed by office z,Z, 4 S Pk, 1 G S T, Map ® e/ Lot 9 Unit CG1)15 i /p A Zone ."eA/44 Overlay District Elm St.District CB District 4- SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: H - \P 9k AL fVALk, -3,ririFe..L I S A A'. S c r. Name(Print Current Mailing Address: c A T N A pT O,J / hl ATelephone J 2_7, 0`-7‘9 2.2 Authorized Agent: - 1)Ari tE l-- NEWI r15 -0 --- ESTN 'rNPTor-s kD . Name(Print) Current Mailing Address: X _ -----7 \--,, .> Loki--ic( 9 2 . '4 Tzf Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building x 3 O 0 o O (a)Building Permit Fee 2. Electrical X `O Q 0 (b)Estimated Total Cost of Construction from(6) 3. Plumbing Z r y Building Permit Fee 4. Mechanical(HVAC) V S I 0 O 0 5. Fire Protection '/ �/ 6. Tota =(1 +° 4+ X µ V 0 t Ot� 0 Check Number 7 1 7 1t / 7'/7,5d This Section For Official Use Only Date Building Permit Number: Issued: 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 be filled in by Building Department /� Lot Size -2.--. i - �. �� �O(Vvv— ter Frontage — �S 7- Setbacks Front ; ' Side L.-Z R: i s/ L �� R:• - 7_15- /S Rear .f/ _20 Building Height = I / Bldg. Square Footage —. /a , % —7 1 Open Space Footage % (Lot area minus bldg&paved 0 parking) 0 #of Parking Spaces Fill: (volume&Location) 1 — A. Has a Special Permit/Variance/Finding been issued for/on the site? ever NO 0 DON'T KNOW J YES 0 ------- IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 0 YES IF YES: enter Book Page and/or Document#' I B. Does the site contain a brook, body of water or wetlands? NO a- DON'T KNOW O YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? ' Needs to be obtained Q Obtained ® , Date Issued: • C. Do any signs exist on the property? YES 0 NO c IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO e 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 O 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 d Addition ❑ Replacement Windows Alteration(s) n Roofing ri Or Doors Cl Accessory Bldg. n Demolition ❑ New Signs [O] Decks [[] Siding[O] Other[l ] Brief Description of Proposed .,,��-- ( oft- - Work: ��i��. Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No - Plans Attached Roll -Sheet sa-If`New-house and or=additio/n to.existing hoging,-complete the following: a. Use of building:One Family ✓ Two Family Other b. Number of rooms in each familyil unit: Number of Bathrooms 2' i J c. Is there a garage attached? 1' 0 i d. Proposed Square footage of new onstruction. 3 fl° F• Dimensions 2- X 70 e. Number of stories? f f. Method of heating? 0 r ik a r a 7 T` Fireplaces or Woodstoves 4 i.4 Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction CT/C K i. Is construction within 100 ft.of wetlands? Yes 17 No. Is construction within 100 yr. floodplain Yes -1.r'No j. Depth of basement or cellar floor below finished grade 1.11 A k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer ✓ Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMITr �� 1, L hf)4 C K5 1 A L L / J 1'.L E Q 1 e 1 V rJ i-J E L L , as Owner of the subject property L hereby authorize D ii i L p t vn/i ti S i to act on my beha 'n all matters relative to work authorized by this building ermit pplication. Date -A--- ----- --- bbk I'l I EL `1r' W 1 t-f S , as Owner t razed) Vie, ereby declare that the statements and information on the foregoing application are true and accurate,to the best of my ow an. belief. Signed under the pains and penalties of perjury. - Print Name , \- 1 7 / I1 /07 Signature of Ownea Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applica` Qblle ❑ Name of License Holder: O 4 17 )/ r1L.. ff License Number Q��1 t1g S Address Expiration Date I c 04 ati2THA^`pmo,-J kD L©kEricE Signature h Telephone ------1 \/- / �'2 9 5 Z 9.Registered Horne Improvement:Contractor _, ; we_ , , , . .. ; Not Applicable 0 106790 Company Name Registration Number ,bAr'( L- I-I- L,-J ' NiS 7 C 06' Address l Expiration Date fA �6 Telephone �NE 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 I1V No 0 it.—Home Owner Ex-niptio» The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature I A k. The Commonwealth of Massachusetts Department of Industrial Accidents 1 _ 'lid►=�� Office of Investigations ► a 600 Washington Street ale= VCf_ � Boston, MA 02111 N4,7:. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): )) k ri I E L 1 1-1/t/f S Address: ! '0 v1 E ST H Ac'r P T o 1J itlb . City/State/Zip: ko k 6-1-1 C 1 ^'\ A Phone#: P Z, , q 17 2-q Are you an employer?Check the appropriate box: Type o project(required): 4. I am a general contractor and I 1.❑ I am a employer with 6. New construction thployees(full and/or part-time).* have hired the sub-contractors 2. 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. # 9. ❑Building addition insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions 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.] 'tiny applicant that checks box#Tmust also till 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 mtbt 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: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 certi nder the pains and penalties of perjury that the information provided above is true and correct 1 Signature: ,-7 _7 J Date: 7/L) /07 _ Phone#: ` 9 Z . Cf (1Z4 t 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 Inspectolr 6. Other Contact Person: Phone#: psoHAMp10 —�Lx �r of lnrtl tptn z . blirard �, ass achus cif e = 1_ 'm`" DEPARTMENT OF BUILDING INSPECTIONS _— /f INSPECTOR 212 Main Street • Municipal Building ay-1`•` Northampton, MA 01060 . HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup<:: .. sor. 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 person(s) 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 required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result 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 I, A understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Ii I A Address of work location • tviAMp oa._-_ _�o CITY OF NORTHAMPTON, MASSACHUSETTS �i'__ . _ti4, DEPARTMENT OF PUBLIC WORKS a. � i,: i I . 125 Locust Street tr �� Northampton, MA 01060 413-587-1570 Fax 413-587-1576 Edward S. Huntley, P.E. Director ASSIGNMENT OF HOUSE NUMBER(S) �'Street: SpringStreet pE 1 , Assessors Map: _' . MAY - 9 2007 . :,;." House Number: #224 Spring reet Date: May 4, 2007 L_.._ Remarks: House number assigned to an existing building lot on Spring Street. House number was requested by the Applicant for permitting purposes. ,AAA, James I.urila, P.E. City E�:- ineer i cc: Central Dispatch Board of Health Water Division Tax Collector Sewer Division National Grid Streets Division Verizon Telephone Inspectors Comcast Assessors Bay State Gas Police Department Post Office (Northampton) James Thompson(GIS Coordinator) Post Office (Easthampton) Registrar of Voters Applicant: Valerie Bunnell 17 Clematis Street Winchester, MA 01890 K:\House Numbers\ • Permit No. CITY OF NORTHAMPTON,MA DRIVEWAY PERMIT Date: 7/2/07 FEE: $25.00 CHECK#: 1463 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 224 Spring Street, Northampton, MA New Construction Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway.Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. • ,� , By: F-1 . 44l U )Valerie Bunnell & al Ma all Telephone#: 413-527-1349 cell 718-249-7688 Proposed Location Inspected By: /-^ "3 % 3 / U ? Gravel Base Grade Inspected By: Final Approval • • THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward Huntley Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector Permit No. D:$-Q$ Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. 7� By: L�tt� �-�-� U Peti ione Valerie Bunnell & Hal Marshall 15 Adams Street, Easthampton, MA 413-527-1349 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. For commercial and industrial applicants, a plan showing the proposed dnveway with grades and location is required. cc: Building Inspector MUNICIPAL SEWER/STORM DRAIN AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton,MA 01060 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: 224 Spring Street, Northampton, MA Inquiry Made By: Valerie Bunnell & Hall Marshall 781-249-7688 Date of Inquiry: 7/2/07 Reason for Request: New Construction Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: 51 deep Yes No Size of Sewer Main: /d g Material: ED V •.C. Age: 01000 Depth of Sewer Main: 6 Size of Service Connection: (p /I Type of Service Connection: Tie-in to Sanitary Main Tie-in to Sanitary Service at Street Line X Comments: Note: If this availibility 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 notification. All work shall conform to Northampton Streets Department specifications. Storm Drain Concurrence ei-IQAU daW John Hall Douglas McDonald, Environmental Planner Sewer Department Engineering Department cc: Ned Huntley, Director DPW Anthony Patillo, Building Inspector 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: 224 Spring Street,Northampton,MA Inquiry Made By: Valerie Bunnell & Hall Marshall 413-527-1349 Cell 781-249-7688 Date of Inquiry: 7/2/07 Number of Type of Single Family X Type of Private X Units: 1 Unit(s): Accessory Apart. Ownership: Condo Multi-family Rental (Annlicant to fill out the shovel Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: X No Size of Water Main: 24" Material: D.I. Age: 1997 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 75 If done attach results Size of Service Connection 3/4"to 1" Suggested Meter Size: 5/8" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. Contractor to connect to existing stub at property line. • 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 w king days no cati•:. • work shall co ., t• 'orthampton Water Department specifications. (_ 22 David W. Sparks,Superintendent of Water Water Entry$200 Meter 5/8" Radio$100 cc: Ned Huntley,Director cc: Tony Patillo, Building Inspector Note: If this availability is for a new construction,it must be hand delivered to the Building Inspector. (1,rri >?t �-�larij7a11i foil ems_ I ? • - .93.s,.,cifn,cfla3r DEPARTMENT OF BUZ LD IRC INsPEct roN S • E PG�fOa 212 hfain SLrc:L ASunicipal Building 1 NorlhaznpLon', A4nrs. 01060 - • Square Footy-c A / V v Amount ' 151: Floor a $-?0 / / 5 _ q 0 7• . 2nd Floor @ $.30 7 c- -2 d .' 1/2 Floors. Attic. Garage •$_15 /��.A D--ck, Porches $-,15 ti IA • . • • • 707.:a Fa �l / 7• so • SEC-•7 JP21r-+ G 17 di • • • • • • • • - - . ��C7—i 1 _ li n I/I I`ic)u 7\%1"l3 I-Ln O : /N 1 1,4 1'19 3 . - hk I 444; : :' 1 1-tii I.!) ISz: 1 !••,.,,. %,,a,,,.. „.. I.: , .iiii 1,4. i. ....._ _ ,,....,, 1 bh. w•• .;42,1912.°:.le-.'..,,,..1'1::,11.:4417,7.-v....;r4 , • , . li ';431 I I ��� itjI = 1 1 Win' t ? r I , 1 j :ej,tt� Y ..-....... --7) r \ F 1 O Z. IP 1 _ / i / / o / �j' a '-^ . o - 1 --, 11oy 1 P. 4 s ,� �, i � h . CL't" 'i` p�."�' �'�j,? ® 1,-,414.. , . T + w•.4Ii ,:y 11''%'a yt L y, c i 7 :?,¢,�; 4T� yk r f 'C � , WO'i' �a I P 0 a y. .,s':wti w.,a s..3 , `-• '. [Flit 17t 1 s y .-- • 1)1Z-L L 1 f1 11J ,C Z% 1iJ '/7"1 {�LJ VA I O 14 < �,_v„ �o = i i _i i -- - H- ...; J j \ [ 1 . , . \ •44.; 20Fair li ‘.1#.• '. 1. /ii IIIIMMIllat 6 , , r/MI .11 U -i I r ' \ r' pl a "i ' ti ` ,. ,y l 1 f`*}� bL fi, 11 f _a 1. i,',€, , ice..`' 4 S .,/ .."-;.2 ; r �' I ° I; i ., t F 1 5 1 P 1-'( `1INARi 0\51 L VkTIOjJ VI - I - o No I-LL Q(V , -/ 'N 1 ,41-1:hUej 0- 1 = 0 V, N O I_, b/=l J-Y; M 2W & ' 41 -1 21,3 ;I sue , „ .,, a Commonwealth of Massachusetts City/Town of Florence ITL Form 11 - Soil Suitability Assessment n g s o DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information 1. Facility Information Valerie Bunnell Client Name 226 Spring Street Map/Lot Street Address Florence MA City/Town State Zip Code B. Site Information 1. (Check one) New Construction ® Upgrade ❑ Repair ❑ 2. Published Soil Survey available? Yes ® No ❑ If yes: Dec. 1981 1:15840 CnB Year Published Publication Scale Soil Map Unit Charlton,very stony sandy loam Soil Name Soil limitations 3. Surficial Geological Report available? Did Not Review Yes ❑ No ❑ If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes ® No ❑ Within the 100 year flood boundary? Yes ❑ No Within the 500 year flood boundary? Yes ❑ No ® Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 1 of 7 Commonwealth of Massachusetts o>� City/Town of Florence 1I-44 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 1,1 6. Current Water Resource Conditions (USGS) February Range: Above Normal ❑ Normal ® Below Normal ❑ Month/Year 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: DH-1 March 20,2007 9:00AM Sunny.cool Date Time Weather 1. Location Ground Elevation at Surface of Hole Unknown Location (Identify on Plan ) 2. Land Use: Field N/A 2-5 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Poplar,Pine,Oak Kame Terrace Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body > 100' Drainage Way>100' Possible Wet Area >100' feet feet feet Property Line 30' Drinking Water Well >100' Other feet feet 4. Parent Material: Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) 0 Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ® No 0 If Yes: Depth Weeping from Pit 48" Depth Standing Water in Hole 60" Redox(Iron) accumulations 36" Estimated Depth to High Groundwater: 36" Unknown inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 2 of 7 Commonwealth of Massachusetts * City/Town of Florence (1' =" _` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: 1 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Horizon/ Color-Moist (mottles) Texture %by Volume Consisten Other Depth Layer (Munsell) (USDA) ce (In.) Depth Color Percent Gravel Cobbles (Moist) &Stones 0-8" A 10YR 3/3 _ _ _ SL 10 5 Granular friable 8-24" Bw 10YR 3/2 _ SL 5 Subangular massive blocky 7 24-48 C 10YR 5/6 36_ 7.5YR 6/8_ 60 gravelly 0 C: 10 - Structureless loose Sand S: 0 48-65" C2 10YR 5/2 all 7.5YR 5/8 20 gravelly 60 C: 10 Structureless loose 10YR 4/2 Sand S: 0 Additional Not s ESHWT 36" DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 3 of 7 Commonwealth of Massachusetts **_ — City/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: DH-2 March 20,2007 10:00AM Sunny,cool Date Time Weather 1. Location Ground Elevation at Surface of Hole Unknown Location (Identify on Plan ) 2. Land Use: Field N/A 2-5 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Oak, Pine Kame Terrace Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way>100' Possible Wet Area >100' feet feet feet Property Line 25' Drinking Water Well >100' Other feet feet 4. Parent Material: Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material!: Impervious Layer(s)❑ Weathered/Fractured Rock!: Bedrock❑ 5. Groundwater Observed: Yes ® No ❑ If Yes: Depth Weeping from Pit 50" Depth Standing Water in Hole 57" Estimated Depth to High Groundwater: 50" Unknown inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 4 of 7 Commonwealth of Massachusetts __km - City/Town of Florence === ►= Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal =t=i_= Deep Observation Hole Number: 2 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistenc Other Layer (Munsell) (USDA) e (In.) Depth Color Percent Gravel Cobbles (Moist) &Stones 0-6" Ap 10YR 3/3 _ _ _ SL Granular friable 6-12" Bw 10YR 5/6 _ _ _ SL 5 Subangular massive blocky 12-36" C1 10YR 5/4 7 Cobbley C: 40 Structureless loose Sand S: 0 36-60" CZ 10YR 5/3 — — _ Gravelly 40 C: 15 Structureless loose Sand S: 0 Additional Not s ESHWT: 57" DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 5 of 7 Commonwealth of Massachusetts— City/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method used: ® Depth observed standing water in observation hole A. B. 57 inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. 36 B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material - Not Applicable 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ❑ No ❑ b. If yes, at what depth was it observed? Upper boundary: Lower boundary: inches inches F. Certification I certify that I have passed the soil evaluator examination*approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature of Soil Evaluator Date Daniel M. Nitzsche April 1997 Typed or Printed Name of Soil Evaluator *Date of Soil Evaluator Exam Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 7 Commonwealth of Massachusetts City/Town of Florence = ►_ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Use this sheet for field diagrams: SPRING STREET #226 North 4 - DH-1fl< 25'1 t HD DH-2 25'± N.T.S. DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 7 of 7 I C 131115 REScheck Software Version 4.0.1 Compliance Certificate Project Title: Bunnell+Marshall Residence �1 ��_ \-!3 _\1 Report Date: 09/24/07 Data filename:C:\Current Data\PFRA\PROJECTS\0705BMR\REScheck0l.rck NOV 1 6 2- 107 Energy Code: Massachusetts Energy Code Location: Northampton, Massachusetts Construction Type: 1 or 2 Family, Detached DErt OF PF;Ed�'C'hS 010E0 Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 12% Heating Degree Days: 6404 Construction Site: Owner/Agent: Designer/Contractor: 224 Spring Street Valerie Bunnell,Hal Marshall Peter Frothingham Florence,MA 01062 15 Adams Street Office of Peter Frothingham,R.A. Easthampton,MA 01027 181 Main Street Suite One Northampton, MA 01060 413 585 5910 • Compliance:Passes Maximum UA:747 Your Home UA:507-->32.1%Better Than Code(UA) Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic): 1810 58.0 0.0 33 Wall 1:Wood Frame,24"o.c.: 4159 27.0 0.0 179 Window 1:Other: 370 0.320 118 Door 1:Glass: 140 0.350 49 Floor 1:Slab-On-Grade:Heated: 201 20.0 128 Insulation depth:6.0' Boiler 1:Other(Except Gas-Fired Steam):86 AFUE Air Conditioner 1: Electric Central Air: 15 SEER Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. 1 fl 2 f'1 li-f iOGRAv l 1 Wit vflic (t1 - Iran t Z'� i q) 0�' Name-Title Si nature Date Project Notes: PASSIVE SOLAR TEMPERED BUILDING WITH ENERGYSTAR CERTIFICATION: GLAZING NOTES: Total Glazing= 13.4%of conditioned floor area Southern Glazing=63.2%of total glazing Shaded Glazing=48%of southern glazing HEATING NOTES: 6"radiant concrete slab,on continuous R-20 insulation,heated with 90deg.solar hot water(future installation),bioheat(oil)fired back-up boiler w/indirect hot water tank. COOLING NOTES: Mini Split System AC units serving just studio spaces(1,330 sf). Main house(2,290 sf)not actively cooled. 1 Bunnell+Marshall Residence Page 1 of 4 CIREScheck Software Version 4.0.1 Inspection Checklist Date:09/24/07 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-58.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,24"o.c.,R-27.0 cavity insulation Comments: Windows: ❑ Window 1:Other,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.350 Comments: Floors: ❑ Floor 1:Slab-On-Grade:Heated,6.0'insulation depth,R-20.0 continuous insulation Comments: Slab insulation extends down from the top of the slab to at least 6.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 6.0 ft. Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):86 AFUE or higher Make and Model Number: ❑ Air Conditioner 1:Electric Central Air: 15 SEER or higher Make and Model Number: Air Leakage: Li Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. Li When installed in the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: Li Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating and cooling equipment efficiency are clearly marked on the building plans or specifications. Bunnell+Marshall Residence Page 2 of 4 ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts are insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. • The HVAC system provides a means for balancing air and water systems. Temperature Controls: Li Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Li Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: • HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Bunnell+Marshall Residence Page 3 of 4 4. Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" Temperature(°F) 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Bunnell+Marshall Residence Page 4 of 4