44-133 994 FLORENCE RD BP-2018-1099
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:44-133 CITY OF NORTHAMPTON
Lot: PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category:New Single Family House BUILDING PERMIT
Permit# BP-2018-1099
Project# JS-2018-001977
Est.Cost:$133000.00
Fee:S 1138.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use croup: Homeowner as Contractor_
Lot size(so.ft.): 169448.40 Owner: KAINDL MATTHIAS
Zoni= Applicant: KAINDL MATTHIAS
AT. 994 FLORENCE RD
ApplicantAddress: Phone: Insurance:
109B DAMON RD (413) 276-8124
NORTHAMPTONMA01060 ISSUED OM4129/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW SINGLE FAMILY CONSTRUCTION
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 Find:
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 Oocuoancy signature:
FeeTvpe: Date Paid: Amount:
Building 42920190:00:00 $1138.00
212 Main Street,Phone(413)597-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
oK w
File k BP-2019-1099
APPLICANT/CONTACT PERSON KAINE MATTHIAS
ADDRESS/PHONE 40AB71(1tL1PL NOI HAMPTON (4 )923-00290 J
LOW 8 IDAtAAON RD
PROPERTY LOCATION 994 FLORENCE D N S
MAP 44 PARCEL 133 001 ZONE
THIS SE( 'ION FOR LFF4( 44:USE QNLY:
PERM 'AQPLICAT12* ' ''CKLIST N
PN, AGF REQUIREI DATE
ZONING FORM FILLED OUT
Fee Paid V
Building id nit Filled out
FeeePaid
TvueofConstroction: NEW SINGLE FAMILY C014MTJCT'ION `
New Construction •(t,
Non Structural interior renovations �,AP
Addition to Existing
Accessory Structure D I/
Building Plans Included: \
Owners Statement or License
3 sets of Plans/Plot Plan
THEATIO LOWIN ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ELATED: aE-VE:e �
Approved dditional permits required(see below) WE'f
MINfiTIDa P62mNSmM
PLANNING BOARD PERMIT REQUIRED UNDER-.§ r I
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Cs� SMP
Major Project: Site Plan AND/OR Special Permit With Site Plan � C
STIw NE61)$
ZONING BOARD PERMIT REQUIRED UNDER:§_ _ ,I, N� L PLANS
Finding Special Permit Variance•
Received&Recorded at Registry of Deeds Proof Enclosed
_Other Permits Required:
Curb Cut from9PW 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
D_eemmolition`n Delay
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden/o 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&Developmem for more information.
C:tIVE -
10
Department use only
Iry ton_ Status of Permit:
er,
IQ
- eparimerit cum cuvoriveway Perna
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 Prooeriv Address: This section to be completed by oiace
994 ����,�� �U\ Map Lot 133 Unit
Zone Overlay District
Elm SL District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
u41)yu e1 t, 1<o-.Yj 1 i 0 M011 A/or 4Lina I q
N ((PH I) Current Melling Address:
Telephone
Signature
2.2 Authorized Agent:
Name(Prng Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permitapplicant
1. Building //O (2c)(J (a)Building Penna Fee
2. Electrical EstimaTotal Cst
7 do 0 (t) Co struction froma6 of
3. Plumbing 1,2 10 O T Building Permit Fee
4. Mechanical(HVAC) V 0/! f 3 D
5. Fire Protection /0 QI)o
6. Total=(1 +2+3+q+5) 3 U Check Number //a47
This Section For Official Use,only
Building Perms Number Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must se Completed.Permit Can se Denied We To Incomplete Information
Existing Proposed Required by Zoning
�� This column to be fulled N by
Building Depanmrnr
Lot Size 1.� 7 t{ 5 Fr I (a 1p(p
Frontage Sul
Setbacks Front (� 5 U r
Side L R: L:S(f R:S
Rear —--
Building Height
Bldg.Square Footage % "�7C]
Open Space Footage - �yy�/'�
(Lot area minus bete&Weed I-0%
erkiv
#of Puking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Fin ing ever been issued for/on the site?
NO O DONT KNOW , YES Q
IF YES, date issued:
........
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO/�) DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O N0',6
IF YES, describe size, type and location:
E. WIII the construction activity disturb(Gearing,grading,ex�vation,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 Stoml Water Management Permit from the DPW is required.
OF
SECTION S DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Addition ❑ Replacement Windows Alterations) ❑ Roofing ❑
th Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[] Other 101
Brief WorkDascnption of Proposed Ale w {e -f {L \\ l r-m—'sfs—c) iUl
Alteration of existing bedroom_Yes_No ?Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
Ga. If New house and or addition to existing housing, complete the following
a. Use of building_One Family X Two Family Other '\
b. Number of roams in each family u'niit/ Number of Bathrooms
c. Is there a garage attached? ]U /
d. Proposed Square footage of new construction.��(,7(-) Dimensions SU x 3
e. Number of stories? ,� p _
f. Method of heating? -(wrLe Gsf -P1"^T �NFireplacescr Woodsloves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? y p r
In. Type of construction O
i. Is construction within 100 If.of wetlands? Yes 4-1 No.-PT
Is construction within 100 yr. floodplain_Yes_No
- I
I. Depth of basement or cellar floor below finished grade 7 '
k. Will building conform to the Building and Zoning regulations? yYes No.
I. Septic TanQ—( — CitySewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS 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.
Signature of Cane'r� Date
I, Y / fL{'�--4 rytA K(4rM1 as OwnedAuthonzed
Agent hereby declare that the statements and Information on the foregoing application are hue and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of penu
1,W
Print Name
Signature of Ovmer/Agent Date
SECTION 8•CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.1 25C(8))
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....... O No...... ❑
City of Northampton
. .:i .�..-.'
Massachusetts f/ L
e
1
212A MLNT OF BaI nisiING al sui diO
Y10 IYin Stewt , n 01l Building
Netlh�mpton, wa 01060 �0
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, demolHton, or construction of an addition to any preexisting cwnerb cupied building containing
at least one but not more than Pour dwelling units....or to structures which are adjacent to such residence or building'be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered
Type of Work k/P 11 . (an&-4-({-fc A4 c}(// Est.Cost: � 33� �7or)
Address of Work: 9 9 4 —/ 16^x P A( Q i dT
Date of Permit Application: I o /
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
Job under$1,000.00
Owner obtaining own permit(explain):
_Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEW OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBHATES 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 building permit as the agent of the owner:
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice, I hereb apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts
o[ 5L
rBPBNTNENT OF NDILDIM INSPECTIONS
212 Nein Street • Municipal Building
Northampton, M. 01060
Massachusetts Residential Building Code
Section 110.R5.1.2
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.
Section I I O R5.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.85, provided that if a homeowner engages a person(s)
for hire to do such work, then such homeowner shall act as supervisor.
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 thejob 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.
City of Northampton
i�
"i Massachusetts 1�(1
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street .Municipal Bmltling
Northan ton, MA 01060
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:
9 9 q -Acxen( e Q1 1o1-,A2 h. xr ,^wp�juv
(Please print house number and street name)
Is to be disposed of at:
Q161QAAS Bolo l7-q SP-f Vl(-q i E--t5+�wpTov
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
6.fOv\S 20k\ C>PSQ
(Comp
a
ny
Name and Address)
�G4X-r?n KeNnb
Signature of Permit Applicant 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
Department oflndustrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Almlicant Information Please Print Letzibly
Name (Business/Organization/Individual): Gj
Address: .as 1LGavv�n ��
City/State/Zip: Phone#: I-11 � -Z�7fs, — 4
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ElWJ
I am a general contractor and I 6. New construction
employees(full and/or pan-time).• have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers comp. insurance. 9. ❑ Building addition
[No workers comp.insurance 5. ❑ We are a corporation and its
required,] officers have exercised their 10.E] Electrical repairs or additions
I$ 1 am a homeowner doing all work right of exemption per MGL I1.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' l3.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such.
;Contractors that check this box must attached an additional then showing the name of the sub-commctors and their workers'comp.policy information.
if 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.Lie.#: 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 cerlify under the pains and pen/a�lties of perjury that the information provided
^above is true and correct.
Signature, ✓ � I�li`I,.I.XD Date, rtl/I C?
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License If
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,in the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificam(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP) with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Alan be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit most be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26.05 Fax# 617-727-7749
www.mass.gov/dia
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Hain Street • Municipal Building
Northampton, Me 01060
Fee Calculator for Residential Properties
Location
Square Footage Amount
Basement @ .20 1 '71
1sT Floor @ .50 gs7 7a�
2nd Floor @ .50 I Z �riy
'/2 Floors, Finish Attic, Garage @ .20
Deck / Porches @ .20 /`f O d
Total : 3
Commonwealth of Massachusetts �0I8_
City/Town of Florence Namaer
Application for Disposal System0, r
Construction Permit
Form 9A
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site
sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and
riot to placQe system In operation until a Certificate of.Compliance has been issued by this Board
V ofHealth. �+ `n
Signature Dare
Arove
tion Approved B
P PP '
ems � D
Application Disapproved forthe following reasons:
Appounnyal
y[,iPTu r pmrt q.M 9DAND �1F NFAI Tk t
AM :11011,
t5form la.doc-o5f03 Application for Disposal System Construction Permit•Page 3 of 3
• Commonwealth of Massachusetts
City/Town of Florence Nuemer
Application for Disposal System /Ooo
Construction Permit Fee
Form dA
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site
sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and
not to pla��eys�{�a ssysst�em-in1=614,a.Certifiiiccate of Compfiance has been issued by this Board
Health. II I 'Wpl RWrrn` V
Signature Date
tion App/roved-B
Application Disapproved for the following reasons:
8ID ornVQ
NORTHAMPTON BOARD OF HEALTH
2,L _,....t ^.TREE?
jAA 01960
t5forml s.aoo•05M3 Application for Disposal System Construction Pont•Page 3 of 3
6112018 City of Northampton Mail-Re:994 Florence Rd
CRO of
(1ForUKUrkellM Louis Hasbrouck<Ihasbrouck@northamptonma.gov>
Re: 994 Florence Rd
1 message
Sarah LaValley<slavalley@northamptonma.gov> Wed, May 30 2018 at 11:24 AM
To: Louis Hasbrouck<Ihasbrouck@northamptonma.gov>
Hi Louis-
The new owner will need to have the 100'marked in the field,since this Order is expired the delineation isn't valid
anymore. It's possible the boundary may have changed judging by a quick plant assessment.
On Mon, May 7,2018, 12:53 PM Louis Hasbrouck<lhasbrouck@northamptonma.gov>wrote:
Sarah,
Here's what I have. They may not all be relevant.Apparently the lot has a(very) recent pare test, so things can't be as
bad as the contractor 1st said. It sounds like the plans are changing to eliminate the basement and go to slab-on-grade
or a small crawl space.The contractor is going to do a test hole next week.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 office
(413)587-1272 fax
https:/Imeil.google.wWmail/ca/u/0/Iui=2&ik= 5flga57e&jwer.dxVVNc9V02g.en.&cbl-gmail_fe_160516.06_16&vie -pt&q=994&qs=tme&search=query&th=16;
r
6/112018 City of Northampton Mail-990 Florence Rmd
Cftof p Louis Hasbrouck<Ihasbrouck@northamptonma.gov>
994 Florence Road
1 message
Louis Hasbrouck<Ihasbmuck@northamptonma.gov Wed, May 30,2018 at 12:37 PM
To: mejohnb <mejohnb@comcast.net>
Mike,
I just talked to Sarah LaValley about the new house at 994 Florence Road.She told me the wetlands need to be surveyed
and marked.The original permits are years old and have expired.
I'll call if I can find your phone number.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 once
(413)587-1272 fax
Mips://mail.google.mmlmaiilca/uWui=2&ik=ec5f19a57e&jsv --4zVNc9Y02g.en.&cbl=gmail fe 180516.06_p6&vises=pr&q=996&qs=true&search=query&th=16:
Commonwealth of Massachusetts
Cityrrown of Florence Number
Application for Disposal System $
Construction Permit Fee
Form toy.%J #1470
DEP has provided this form for use by local Boards of Health if they choose to do so. Before using
the loan, check with your local Board of Health to m aka sure that they wig accept#.
A.'FatiMy Information
Important:
When filling out Application is hereby made for a permit to:® Construct a new on-she sewage disposal system
tonna on the ❑ Repair or replace an existing on-site sewage disposal system
wmputer,use ❑ Repair or replace an existing system component
only the tab key
to move your
cursor-do not 1. Location of Facility: / \
use the return Lot#I'-Florence Road Formerly hand of John Ewing
key. /
Addrew:or lona
VS.
Florence MA 01062
OACayrrown stele Zip Code
2. Owner Information
Matthais Kaindl
Name
10:8-:8 Dan"Road
Address(d different from above)
Northampton MA 01060
FiL E COP Y own Teles Zip Code
Telephone Number
3. Installer Intr
'IBD
Name Name of Company
Address
Cyyfrown state Zip code
Telephone Number
�tl Of
4. Designer Information
Timothy E. Maginnis ( �.
Name
70 Montagm Road.
Westhampton s'1NI7A 01027
City?own Zip Cade
(413)527-5291
Telephone Number
t5formta.dotr 08/03 Application for Disposal System Construction Penult•Page 1 of 3
Commonwealth of Massachusetts Aon?a
-,.i City/Town of Florence Nurri
Application for Disposal SystemOe
Construction Permit ���
Fee
Form 1A
A. Facility Information (continued)
5. Type of Building:
JZ Dwellutg ❑ Garbage Grinder(check if present)
6
Other Type460ding Number of Persons Served
❑ Showers Numtar of shoNars ❑ Cafeteria ❑ Other fixtures
Specify other fixtures:
330 gpd
S. Design Flow. Gallon,Per Day
Calculated Daily Flow: 330 Bpd
Gallons
7. Plan: February 12,2018
Dab of orginal
2
Alanxer of 4k b oats
Subsurface sewage disposal system design
Tilb of Plan
8. Description of Soil:
Sandy Loam,silty sandy loam
0. Nature of Repairs or Alterations('dappilcable):
N/A-This is new construction
10. Date last inspected N/A
Dab
t5forml e.doa 0=3 Application for Disposal System Construction Perms•Page 2 of 3
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: 994 Florence Road, Florence
Inquiry Made By: Charles Amo/Choice Builders 695-3500
Date of Inquiry: 6/17/11
Number of Type of Single Family Type of Private
Units: Unit(s): Accessory Apart. Ownership: Condo
Multi-family Rental
lAnnlimnt to fill not the ahnvel
Municipal Water Main in
Existing service to
From of Location? Yrs: X No: site? Yes: X No
Sim of Water Main: 8" Material: 8"C.I. Age: 1925
Approximate Static Street Flow Test Conducted: Yes: No: X
Pressure: 75 If done attach results
Sim of Service Connection
Suggested Meter Sim: 5/Sn
Comments: The Water Department cannot guarantee adequate water pressure during peak demand
times at elevations above 320 feet. Contractor to do 2"tap. 2"line will be manifold to three separate
Services from beginning of common driveway
• A corresponding water entrance fee shall be paid prior to making any connection to the municipal water
system.
• ents of such installatioaLsall be made with the Northampton Water Department with a minimum
of 5 wolifing days n tfi
• All loll cpnfo to No tampto Water Department specifications.
`
L/{
David W. Sparks,Superintendent of Water Water Entry $200.00 Meter$100.00 Radio$100.00
ce: Ned Huntley,Director
cc: Louis Hasbrouck,Building Commissioner Note: If this availability is for a new construction.
It mast be hand de8vered to the Batldine Inspector.
.n�lr A,ivn Permit, N-ol:, Availability tluc
w37la
o'
�.Q \ Permit No. D10.12
y ��l CITY OF NORTHAMPTON MA
DRIVEWAY PERMIT
Date: 6/19/12
Check#: P06
FEE: $250.00
THE BOARD OF PUBLIC WORKS
Driveway must be staked and house& lot number Dosted
The undersigned respectfully petitions your honorable body for: A new driveway (Common
Drive for #'s 994, 1006, 1020 /
Permission to install a driveway at: 994 Florence Road
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. Code of Ordinances§350-8 8
providing standards for private,individual driveways as amended by the City Council
on October 15,2009,must be followed.
By: John W Ewing
69 3Sm
Telephone: 297 Old Wilson Road, Florence, MA 01062
ature:
•. Proposed L:Dcafi ction B
Gravel Base Grade Inspected By: a tHao l VR• /a — 5— ��^
Final Approval: JR
THE BOARD OF PUBLIC WORKS voted that petition be ✓ granted.
Edward S.Huntley,P.E.
Director of Public Works
Cc: Building Inspector /OQ
37-/.)-/ (.U38-/Z 1139-/�
a • •
(SUBJECT TO ATTACKED CONDMONS 1 &2)
Permit No. DIO-12
Conditions: Driveway Permit
In lieu of plan approved by the 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.
By:
Petition ignat
Name: John W.Ewing
Address: 297 Old Wilson Road,Florence
695-3500
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 driveway with
grades, location and Planning Board permits are required.
Cc: Building Inspector
Home Energy Rating Certificate Rating Date: 02/222018
Projected Report Registry ID: Unregistered
p Ekotrope 10: kLZ6Ex8L
HERS" Index Score: Annual Savings Home:
Your home's HERS score Is a relative • • + Florence ' •
, Northampton, MA
performance score.The lo,.,the number, 01060
the more energy efflclent the home.To $ 2,437 Builder:
55learn more,visit www.hersindex.com -Relative to an average U.S.home Jeremy
Ober
Your Home's Estimated Energy Use: This home meets or exceeds the
Use(111018tul Annual Cost criteria of the following:
Heating 36.1 $702
Cooling 0.7 $37
Hot Water 2.4 $124
Lights/Appliances 17.6 $768
Service Charges $60
Generation(e.g.Solar) 0.0 -$0
Total: 56.8 $1,692
Home Feature summary: Rating Completed by:
• +..r.m Home Type Single family detached Energy RatenAdin Maynard
Conditioned Floor Area: 1.639 sq.it RESNET ID:9463452
s Number of Bedrooms 3
Primary Healing System: Furnace•Propene•95.1 AFUE Rating Cam;,,ay:HIS&HERS Energy Efficiency
Mailing: 12 Perkins Ave.Northampton MA 01060
Pefe,e,ee °o Primary Cooling System: Air Conditioner•Electric•14 SEER 4136598784
ao sO0 Primary Water Heating: Water Heater•Electric•3.39 Energy Factor
House Tightness: 25 ACH50 Rating Pns•IdenEnergy Raters of Massachusetts �y
Ventilation: 46A CFM•11,O Watts t •- +;r
Duct Leakage to Outside 40CFM25 ff
rnu x°me Above Grade Walls: R-21 -
Ceiling: Attic,R-59
+° Window Type. U-Value:0300,SHGC:0.190 [�G�
FoundationWalls: WA
xm o
A igi Maynard, .4/2 /1 Energy Rater
OIgIGIty signed:4/29/18 at 3:49 PM
elwtrope� The Home Energy Rating Standard Disclosure for this house Is avaliable from the rating provider.
Building Specification Summary
Property Organization
994 Florence Rd HIS S HERS Energy ERici,
Northampton,MA 0106D 4136588784 Inspection Status
Adin Maynard Results are projected
994 Florence Rd_Prelim
994 Florence Rd_Mathias Ober Builder
Jeremy Ober
Building Information Rating
Conditioned Area[sq. ft.] 1,638.00 HERS Index 55
Conditioned Volume[cu.ft.) 13,864.00 HERS index w/o PV 55
Thermal Boundary Area[sq.ft.] 3,905.00
Number Of Bedrooms 3
Housing Type Single family detached
Building Shell
Ceiling w/Attic R58,CE16',8-16 U-0.02 Windows(largest)1 U-Value:0.300,SHGC:0.190
Vaulted Ceiling None Window/Wall Ratio 10.13
Above Grade Walls R21,FG1,6-16 U-0.05 Infiltration 12.5 ACH50
Found.Walls None Duct Lkg to Outside 140 CFM25
Framed Floors 2x10 R-30 Batts R-31 Total Duct Leakage 165 CFM25(Post-Construction)
Slabs None
Mechanical Systems
Heating Fumace •Propane•95.1 AFUE
Cooling Air Conditioner •Electric•14 SEER
Water Heating Water Heater-Electric-3.39 Energy Factor
Programmable Thermostat yes
Ventilation System 46.4 CFM • 11.0 Watts
Lights and Appliances
Percent Interior Lighting 100% Clothes Dryer Fuel Electric
Percent Exterior Lighting 1009/ Clothes Dryer CEF 3.7
Refrigerator(kWh/yr) 625.0 Clothes Washer LER(kWh/yr) 98.0
Dishwasher kWh l yr Z70,0 Clothes Waster Capacity 4.5
Ceiling Fan (CFMNyatt) 100.0 Rarge/Oven Fuel Natural Gas
Ekcaope RATER-Version 2.2.4.1913
mis�Mamwm aces ria mncec�e.w.raeya w+nis of nitre ere,gy penanww.
Component Loads
Property Organization
994 Florence Rd HIS&HERS Energy Effici:
Northampton,MA 01060 4136586784 Inspection Status
Adin Maynard Results are projected
994 Florence Rd_Prelim
994 Florence Rd_Mathias Ober Builder
Jeremy Ober
Heating & Cooling Loads
14
12
I
10
6
6
m
T q
m
2
.2
.4
_6
-6
Above-Grade Infiltration & Slabs& Roofs Ducts Windows & Foundation Internal
Walls Ventilation Floors Doors Walls Gains
Heating
Cooling 0 Elmtrope RATER-Version 2.2.4.1913
WCAS DEOELOPMENT, INC.
BOOK 8272, PAGE 319
PLAN BOOK 124, PAGE 32
RUSSELL J. AND MARY A. TAV ACCI LEONARD ELI-BER31 72,EN
BEGERON AND AL WF C-98
BOOK 3747, PAGE 340 MARY ELLEN BERGER19
PLAN BOOK 124. PAGE 32 ON
BOOK BOOK
PAGEIROM E �'11
LOT 1 PLAN 80OR 154, PAGE 14 A
PARCEL A
WF C-34 WF C-97
N 16 0.01 U-96 4i
WF C-95 S
z
8
z r - --
� WF C-93 �t
EDWIN H. AND JANET K. CARSON m I AL I N
BOOK 3070, PAGE 224 ul m
PUN BOOK 138. PAGE 86 I a
LOT A F .�I, WF C-92
�YfL ee9e ormowing
WF C-89 ^' F C-91 $
�ic
P WF `89A LiLfc "E ORS MAP
N 8416'42 E 251981'I Com,` WF C�l� / I m
— — — WF 0-1 D �MfL - AREA: (_769;4Y/69f S.F. d"--
- W C-90A (3.390± Ac.) / m
WF D-z � e�"°"" /
WF 11 Weug�� m
u u WF E-2 WFD 10
oaea
m u WF E-4
F
6 fi.2'WF 3 WF E-1 WF D-9 �� o Inv. In=6815'
AL �� - m (12- cP.P.)
WF
ti
gate
till,
LW_ E-5 W — OOD✓!t' ) I ;+�+ oxen
r contdi Luc, W"F11 -8 I"
Inv. Ia-68.9T '1 vk-. ¢`
0 pyx
WF
M
E-6 E-12 In¢ out-68.88' -�-_�[
VIP L
C7 u m "-7 fWF D=7 `3 ..+. r �}v./ r -forer
m EI
m N F E-8 umou area) ' OOPlion i rim
p, InIn=68.80'
ew 2' watw line WF D-fj'' ,r, !r �j"-"' (f 2' c.p,p.) / utility
Wtgot.
tJ'DRroE11R1 EASEMENT(�dmSvl area) I / �v. out 28' ��.
DM OF 35 �'"''�t,, ' �!"12' '` of IMPROVEMENT LOCATION"
o eagas -w_ -- y prep z, 56° PLAN OF LAND IN
� $ blt.paem<nt ------- ;% = NORTHAMPTON MASSACHUSETTS
uti-Fit -ole ---'�---- ----------- '----- f
11.89, DMITS OF 35' WIDE COMMON DRI = �' PREPARED FOR
— 5 8416'42 W 308.79'
approx. bound MATHIAS KAINDL
ox. l o location
't, OF
un
;a utility linea fwd
0 RAND ALL � SCALE: 1"=60r FEBRUARY 15, 2018
p E.
IZER HAROLD L. EATON AND ASSOCIATES, INC.
!35032 REGISTERED PROFESSIONAL LAND SURVEYORS
<,E 4 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
S0R E 413-584-7599 413-585-5976 (fax)
email — hleaton®aol.com
01 60' 120, 180'
LUCAS DEVELOPMENT, INC.
B001t 8272• PAGE 319 i
PLAN BOOK 124, PAGE 32
RUSSET J. AND MARY A. TAVOLACCI LEONARD BERGERON AND _o
BOOK 3747• PAGE 340 MARY ELIFN BERGERON i
rMIN
OOK 124. PAGE 32 BOOK 3172, PAGE 319
LOT 1 PLAN BOOK 154, PAGE 14
PARCEL A
a22 S
021 Qz
N 84'1642 E 250.01'
o29
9
N
g I k
. AND JANET K. LARSON TOTAL BUFFER AREA ON LOTK 3070. PAGE 224 9.BOOK 0138. PAGE 88 T A 7 e I 86697.8 Sq. Feet
s 2.0 Acres
_ I �
s a1�16 0�
As ' i TOTAL CURRENT IMPERVIOUS IN BUFFER
N 8418'42" E 253.98 — QRS MAP 44-133 S o 6707.4 Sq. Feet
LOT 1 g° Q 9 0.2 Acres
I ?
629 end a1L 169, f FO.s' m TOTAL CURRENT MOWING IN BUFFER
be I (3.890 q 6 71 H 7383.2 sq. Feet
$$ a mo b 7 derF s> 0.2 Acres
fb 6 I I £
f w n. 49.0•
® FF 5.6'
a 4 I 9 ° ® mP 4.1' Proposed 1 Inv. Inw68)IS,
6
L _ D I a
house
.ns a m1 9 �e 20.9•
TI Nenle
oxen
r — — aSet a i
O Inv. In=6
Z
n
M X. xatlon b of berm
ni ur (tumau area) tl°r
m newaP 2 I
water line 4 °P
water gate / (I °P P.) i Utility
F �IS OF 35' NIDE MON DRIVEWA (EASEMENT( bl ut area, 15/ /;/
02'°Vt 0,28' box
4
"PROPOSED IMPROVEMENT LOCATION"
Qu f/ �bl3580 PLAN OF LAND IN
c ull it a �— t °moment - - - - - � � r /
11 LIMITS OF35' M1D COMMON DRIVEWAY — - $ NORTHAMPTON, MASSACHUSETTS
S 841642 W 308.79' f a PREPARED FOR
approx. location a at
�6 end MATHIAS KAINDL
O d ro nd e
utllit linea u etlge of wetland
Dv S est °Fs' SCALE: 1"=60r MARCH 26, 2019
HAROLD L. EATON AND ASSOCIATES INC.
N RANE.ALL y REGISTERED PROFESSIONAL LAND SURVEYORS
IZER 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
413-584-7599 413-585-5976 (fax)
g SUR email — hleaton®aol.com
a ��\ 0' 60' 120' 180'