41-058 BP-2023-0959
39 RIDGE VIEW RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
41-058-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0959 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 NEW SFH Contractor: License:
Est. Cost: 400000 CS-091657
Const.Class: Exp.Date: 08/08/2025
Use Group: Owner: JAMES BACHAND,
Lot Size (sq.ft.)
Zoning: RR Applicant: 21ST CENTURY GREEN HOMES
Applicant Address Phone: Insurance:
134 NORTH WASHINGTON ST (413)219-8643 CORPORATE EXEMPTION FILED
BELCHERTOWN, MA 01007
ISSUED ON: 08/21/2023
TO PERFORM THE FOLLOWING WORK:
NEW SINGLE FAMILY HOUSE WITH ATTACHED GARAGE & DECK
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
T.; i •
Fees Paid: $1,368.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
File #BP-2023-0959 gT
APPLICANT/CONTACT PERSON:21ST CENTURY GREEN HOMES
134 NORTH WASHINGTON ST BELCHERTOWN, MA 01007(413)219-8643
PROPERTY LOCATION 39 RIDGE VIEW RD
MAP:LOT 41-058-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $1,368.50
Type of Construction: NEW SINGLE FAMILY HOUSE WITH ATTACHED GARAGE &DECK
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
XApproved 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:
X Curb Cut from DPW Water Availability Sewer Availability
gal). Septic Approval Board of Health IZeVb, Well Water Potability Board of.Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission X • Permit DPW Storm Water Management
Demolition Delay
%
� a _ I
Sign. ure 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,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
g Mal ( Cates
-
`" ��? The Commonwealth of Massachusetts
1, . - Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
--1 - USE
P.) Bui lg Permit Application To Construct,Repair, Renovate Or Demolish a Revised Mar 2011
I: ` One-or Two-Family Dwelling
7 -----I._ This Section For Official Use Only
Building Permit Number:5P-2023-0g6f �I.te Applied:
Building ,.; ' W ' I- Tb34.(37)‘
Official(Print Name) Signature /Date
�
SECTION 1:SITE INFORMATION
r 1.1 opgrty ddressHi cil c v _ / a 1.2 Assessors Map& Parcel Numbers
bers _OO (
1.1 a Is this an accepfed street?yes V no Map Number Parcel Number
1.RZoonning Informatiog: 1.4 Property kimiee S ns: 1 F5r6 3 8
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
-I av•Val-a l43. 9
1.6 Water Supply:(M.G.LG. c.40,§54) 1.7 Flood Zone Inform tio Zopn: 1.8 Sewage Disposal System:
Public 0 Private L� Zone: _ Outside Flood e? Municipal 0 On site disposal system I
Check if yes
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
a. -To oes F- l)ct1At../D 3r- Beick0rriOwi\ MA- O f o0
Name(Print) City,State,ZIP
I3L( N lidiCtSiIASTon Sr- ql3 z 11 $Lt3 JbachA(4 i IL I P GMA i i-
No.and Street Telephone Email Address • CO /t't
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction I�Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units ( Other 0 Specify:
Brief Description of Proposed Work': Iv ew ('ebrk,S CT r a'k)
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 32,5-0ob I. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 0 O ❑ Standard City/Town Application Fee
0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ ZL BU 0 2. Other Fees: $
4.Mechanical (HVAC) $ I S OO O List:
5.Mechanical (Fire
Suppression) $ I S 0 0 0 Total All Fees: $,3l02`=� 5°
Check Ni j/63- Check Amount: -Cash Amount:
aim 6.Total Project Cost: $ q 0�/ Co 40 CI
❑Paid in Full 0 Outstanding Balance Due:
I
/T7L ,S A)rrb
_— City of Northampton Jon)
r� s 'rr Rt92-L�
,� " g� ,,,7,,,_, Massachusetts �÷ _ '%,
`j� DEPARTMENT OF BUILDING INSPECTIONS �,,;'
212 Main Street • Municipal Building -�F,. ,:`3�_
th.b e r o Northampton, MA 01060 s"!iy ")%.
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171 Qti I c
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PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR, ETC.
v . Building Permit Application signed by legal owner and filled out by owner or authorized agent.
i. One set of plans and specifications of proposed work. (Digital and hard copy)
'1/3. Site plan with location of proposed structure(s) and set backs.
Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
J6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/ replacement windows).
V/A- 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable).
9. Note any Conservation and/or special permit requirements (if applicable). 10.
Driveway Permit (if applicable). (i1)'f'1 s C'b 'u-) i A°-`-"'
11. Proof of Water and Sewer entryfees paid (if applicable). 'R (1/2'(6 ( ) LA,
12. Trench Permit- public land by DPW/ private land by Building Dept. lout �
13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit
application before issuance of permit.
14. Please provide the appropriate fee in the form of a check made payable to: The City of NorthampIon.
UK
I.
1
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) C S . O9 (6 S 7 ?f''ZO Z.3
C 0 ( � . ?
S � 9 License Number Expiration Date
Name of CSL Holder ! '
a es f- � C V A^ \J( � List CSL Type(see below) V
goo No.and Street Type Description
i 3 y N . LA) Sk n51-0 n S t- U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
^�
B e 1 cv,e r- v...o v . , ' `4- D (o U'7 RC Roofing Covering
WS Window and Siding
� SF Solid Fuel Burning Appliances
tf i 3 z/1 G(13 1bq civ)A b i i 2( Q CCU4, I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Co ractor(HIC)
HIC Registration N ber Expiration Date
HIC Company Name or HIC Re an ame
No.and Street E it ad ess
City/Town,State,ZIP Telephone
SECTION 6: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 d No ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pai. and penalties of perjury that all of the information
contained in this application is true and accurate to the •:s of my ' owl dge and understanding.
l• M Qc P 1 ckftlec�� 7jI191zuz3
Print Owner's or Authorized Agent's Name(Electronic Signat ate
N I ES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
• Total floor area(sq.ft.) -° 2 5 (including garage,finished basement/attics,dicks or porch)
Gross living area(sq.ft.) ZO ,5- S) Habitable room count Z
Number of fireplaces Number of bedrooms
Number of bathrooms ,2. ' S Ter I Number of half/baths
""•40. Type of heating system 6-A S F fj Number of decks/porches (
Type of cooling system EteC ri C/$ L.Y Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
441461?
°6‘rot
IG o59°
//) )1"of\ .2,
., \ /
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
Massachusetts wtr
¢ +r
it14 DEPARTMENT OF BUILDING INSPECTIONS 7;
212 Main Street • Municipal Building
�. Northampton, MA 01060 . jL`''�''
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
MS Location of Facility: JCkII '
The debris will be transported by:
AO Name of Hauler: b`-i'V Tc\ic - ctrv1CS Sic
f;.
ws
Signature of Applicant: Date:
t
The Commonwealth of Massachusetts
EN1=1:11113 Department of Industrial Accidents
.1141111."
Wilt; I. I Congress Street,Suite 100
UM akwww
Boston,MA 02114-2017
www.mass.goWdia
orkers Compensation Insurance Affidavit:Builders.:ContractorsiElectricianstPlumbers.
It)RE FILED WITH rHI PERNIITTING AUTHOR'II.
Applicant Information Please Print 1.ev.ihtv
Name tausincss;Chisaritzation 30-43 etet*AD 13:133— 2-I L—/.
?1,j(iirj GT-eel\ 1446fridt5
Ilk Address: 13 ti JJ Jel, LA 15 I-0 3 T
City'StateiZip:B e tc.t.N er=ro A $M oioo 7 Phone#: 9(3 2 1L3
Are no an employer?Check thr ippIuirbiit hot:
PC of roject(requiredi.
0 a emplopa tth employees anti andsn part-time I.* 7., New construction
21:3 1 am a sole proprietor or punnenstup and bay':Z14 loyee:A vrkin; Game 2n K. 0 Remodeling
any 4:apaesty_fNo °Att.*.cOmp.maurance wonal./
9. Demolition
10 am 11(1174004.1tIrl dt'Art$all work myself ibto*orkeri,'comp itas,urance requited
o 0 Building addition
sit]l sun allot-rya/ono and wit!bc hiring contractors to exinduct all wutk on My property. Is
emore that all contractors enhair haw wankel,. eumperilatunt insturansx or are sole I i a Elc.cuical repairs or additions
prupnetors Altno employer
12.0 Plumbing repair's-or additions
50 I am a rtnictal contraetor and I bas.e.hind the aub-cuntraeturs hiaed Om:aual:hed shian.
1 3.E3 Roof repairs
em:Th sub-contractor%has employee%and has e comp.'ussunuace.:
c..16TV.:UV a 1,V711.11raliVAI and ita officers have exercised then right of exemption per UtiLt. 14,°Other
1'54§It4t,and sse!use no ernplo).ces.[No*miters'comp,insurance requatti. .1
Any applicant that check%bo t maw also t.Il out the socction iscluo ht.,»trig their wurius.i.cumperbatitin policy mformation.
Hanlork nen who sultana this aiIdasac neheatme they an:dosng all work and then hire 611J bide(Andras:tut%mini submit a new atftdas it indicating web
kontractor%thia check tilts box mug attached art additional%beet shoo In the name of the wt.-col. ttractorl mul gale hciher not tho,e oitsLin.base
empluyec% If the Kub-cucaractors,base.emplo;sees.they MI fl provide their n,trk ra t5mp pa number
lam an employvr that is providing worriers compensation insurance for my employees, Below is the policy and job sire
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Dale:
Job Site Address: City:StateZip:
Attach a copy of the workers'compensation policy declaration page(showing the polies number and expiration date).
Failure to secure coverage as required under NAGE c. 152, *25A is a criminal violation punishable by a fine up to S1,500.(X)
and or one-year imprisonment.as well as civil penalties in the form era STOP WORK ORDER and a line of up to S250.00 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 ht rehC)riifi uader th pouts and penalties of perjury that the information provided ohove is irate and correct
c- ifteizaz_j
00 Signature: Datc.:
Phone e: Lit 3 - it3
Ittlicial use only. Do not write in this area.to be completed by city or town Vidal
ity or Town: PermitiLicense#
I V4uitig Authority(circle one):
Board of Health 2.Building Department 3.("itytiown Clerk 4.Electrical Inspector 5. Plumbing Inspector
G.Other
Contact Person: Phone#:
FORM 153 The Commonwealth of Massachusetts DIA Use Only
Department of Industrial Accidents
kt -
o ft Office of Investigations- Dept. 153
we= 4' Lafayette City Center,2 Avenue de Lafayette,Boston,MA 02111-1750
e S_=�j . http://www.mass.gov/dia
AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE
OFFICERS OR DIRECTORS Invest./SWO ID#:
Chapter 169 of the Acts of 2002 amended M.G.L. c. 152, ¢1(4)by adding the following paragraph:
"This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding
stock of the corporation.Notwithstanding section 46,these provisions shall apply only if the corporate officer provides the
commissioner of industrial accidents with a written waiver of his rights under this chapter. Said commissioner shall promulgate
regulations to carry out the purpose of this paragraph. Violations of this paragraph shall subject the corporation to the penalties set
forth in section 25C."
Pursuant to M.G.L. c. 152, §1(4)as amended,I/We the undersigned officers of:
n
c I ' Cep 1-v t3 Cree Ai 1-1 0 mit5 Trc
Name of Corporation
13 Li 4CJ (A)c,,,_sl„l,..\t; T-vv\ S t- 6et&lnerT U.,-)A M A 01007
Address of Corporation
-Gm..PS PDaCkftrOk 413- Z19 - gL y3 jb-id/►t4►titD I I al eGM/4-11
Contact Name Phone Email Co
each holding at least 25%of the issued and outstanding stock in said corporation, do hereby invoke the right to be exempt from the
provisions of M.G.L. c. 152,§25A and therefore are not required to carry a workers' compensation policy covering the undersigned
corporate officer(s)or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in
M.G.L. c. 152 for any injuries that may be sustained while in the employ of the above-named corporation.
Further,Uwe the undersigned do understand that,should the above-named corporation hire or have in its employ any employee(s)in
addition to the undersigned corporate officer(s)or director(s),said corporation is required to obtain workers' compensation coverage
for the employee(s)as prescribed by M.G.L. c. 152, §25A.
I/We the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the
appropriate box below my/our name(s)indicating my/our desire to be exempt or not to be exempt from the provisions of M.G.L. c.
152.
Signed under the pains and penalties of perjury:
3yej @ "7/ I B/�z3
Signal IF Print Name& TitleDate(MM/DD/YYYY)
51 I to exercise my . f exemption or ro6I wish NOT to exercise my rights of exemption
Signature Print Name&Title Date(MM/DD/YYYY)
DI wish to exercise my right of exemption or ❑I wish NOT to exercise my tights of exemption
Signature Print Name&Tale Date(MM/DD/YYYY)
0 I wish to exercise my tight of exemption or 0 I wish NOT to exercise my rights of exemption
Signature Print Name&Title Date(MM/DD/YYYY)
0 I wish to exercise my right of exemption or ❑I wish NOT to exercise my rights of exemption
Subrnut ',
"Note:ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN. THERE CAN BE NO MORE THAN 4 SIGNATURES Instructions on back
Form 153-Revised 11-05_2021
Commonwealth of Massachusetts
> Division of Occupational Licensure
Board of Building Re4ulations and Standards
ConstotiQ tS rvgsor
}
CS-091657 �.
JAMES F BAiHAND,JR ` fires"08/08/2025
134 NORTH WASHINGTON ST
BELCHERTOINN MA 01007
`lr�l.tt'il.1�1 ti g ,.
Commissioner
A. Z/utiui.e.`
MASSACHUSETTS DRIVER'S SE
0810212022 S32666983
1108/2025 Q8128/1963
".�1,. h CLASS 12 RED ^a eno
BM 71 1 BACHAND NONE x
2 JAMES FREDERICK,JR
134 NORTH WASHINGTON
i BELCHERTOWN,MA 01007.9337
(�f�}f"'V�(�_' Neves BLU
`� 15 DO 0H0212022 Rev 02212016 08/08/63
Home Energy Rating Certificate Rating Date: 2023-07-19 If
Projected Report Registry ID:
Based on Plans Ekotrope ID: 2RMZVZBv
HERS° Index Score: Annual Savings Home:
Your home's HERS score is a relative 39 Ridgeview Rd
5 performance score.The lower the number, 6 060 Northampton, MA 01060
the more energy efficient the home.To Builder:
learn more, visit www.hersindex.com *Relative to an average U.S.home James•Bachand
Your Home's Estimated Energy Use: This home meets or exceeds the
Use[MBtu] Annual Cost criteria of the following:
Heating 59.7 $2,556 Massachusetts Stretch Code
Cooling 1.7 $115 2021 International Energy Conservation Code
Hot Water 12.7 $532
Lights/Appliances 24.2 $1,578
Service Charges $84
Generation (e.g.Solar) 0.0 $0
Total: 98.3 $4,865
HERS Index Home Feature Summary: Rating Completed by:
iiIr. ......—m, Home Type: Single family detached Energy Rater: Rachel Baton
150 Model: N/A RESNET ID: 1726523
Existing 1<o Community: N/A
Ho es '30 Conditioned Floor Area: 3,104 ftz Rating Company: Power House Energy Consulting
10 Number of Bedrooms: 4 PO Box 9571,North Amherst,MA 01059
Reference s Primary Heating System: Furnace•Propane•96 AFUE 413 835 5162
Home 100
90 Primary Cooling System: Air Conditioner•Electric•14 SEER Rating Provider: Energy Raters of Massachusetts
8C Primary Water Heating: Residential Water Heater•Propane•0.95 UEF 2 Woodlawn Street Amesbury,MA 01913
70 House Tightness: 3 ACH50 978-270-3911 .••-«.
sow 52 on:Ventilati 78 CFM•30 Watts•ERV
so ,"
40This Home Duct Leakage to Outside: 62 CFM @ 25Pa(21 100 fe) e. ,• _.. 'r
so Above Grade Walls: R-21
14 Ceiling: Attic,R-59 11'1.1/7/ , , ..,'
Zero Energy c Window Type: U-Value:0.3,SHGC:0.25
Foundation Walls: R-15 Rachel Balon,Certified Energy Rater
e risen lets Energy Framed Floor: R-37 Digitally signed:7/20/23 at 9:45 AM
kot ro a Ekotrope RATER-Version:4.1.13203
The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This report does not constitute any warranty or guarantee.
orb
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Plan Book 205, Page 71
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L=37.03'
R=270.00' S 33'46'52" E 96.35'
City of Northampton
Massachusetts _. ,x
t t A. :‘; ,... ,--,
4 DEPARTMENT OF BUILDING INSPECTIONS
;` 212 Main Street • Municipal Building
� ar Northampton, MA 01060 ,,f. ,i '
Fee Calculator for New Residential Construction ONLY
Location : 3 7 Rt 0I 5 c Lr1 w 1-Z4
Square Footage Amount
Basement @ .20 1 C) Z. Li Z 0 Li Fa
1ST Floor@ .50 I03 `i 6--7 7
2nd Floor @ .50 9 / tri 5 -5 v
1/2 Floors, Finish Attic, Garage @ .20 S 7 E ( 15 -
Deck / Porches @ .20 / S « 36
Total : ) 36 v