42-167 (3) 16 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS BP-2021-1757
Ma p:B lock:Lot:42-167-001
Permit: New Build CITY OF NORTHAMPTON
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1757 PERMISSION IS HEREBY GRANTED TO:
Project# BEM-202 1-00 1 04 1 Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 29000 LLC 103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: FLANNERY, JAMES J
Lot Size(sq.ft.)
Zoning: WSP Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 4132035888 R2WC130849
EASTHAMPTON, MA 01027
ISSUED ON:09/10/2021
TO PERFORM THE FOLLO WING WORK:
FOUNDATION ONLY
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.
Signature:
Fees Paid: $200.00
•
212Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
l
The Commonwealth of Massac setts , • 202/
W
Board of Building Regulations and tan ds F R
UNI IPALITY
Massachusetts State Building Code 7801VII�FButcorN SE
Building Permit Application To Construct,Repair,Renovate RTk p G hihc406 *vise Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: /Jr�'d/r/ 76.7 Date Appl• d:
I NI
4; i I�I ! �7 or t e
Building Official(Print Name) I Signature
II ate
SECTION 1:SITE INFORMATION
1.1 ro ty Address:/ 1.2 Assessors Map& Parcel Numbs s
i� G�e_4, �. 'o rr4 . 4 v 1 J
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 to erty Dimensi ns: t Z3 /
Zoning District Proposed Use L t d_ire& 6 Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public I Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system V
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
t j j� '�/� ,y
2 QP5 erQnhi 1-6(voice oice, P 4 et 0 Y 0
Name(P nt) City,St ZIP ,
No.and Street Telephone 31m4fict140.1wat E1 ress
SEC ON 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction fd' 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 Descriptio o Proposed Work': I h 11
2!' k ht5t/ f i 01 V h t r[0 a44. tI, Co?Crete
/ 7
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees
Check No. heck Amount: Cash Amount:
6.Total Project Cost: $11 Ud 0 4)0 0 Paid in Full 0 Outstanding Balance Due:
i\
1k
SECTION 5: CONSTRUCTION SERVICES
5.1 Cp&ctruction Super 'sor License(CSL) eC` J��o&f -2—
•._J �Q,,s, a rjn7 License umber ratio ate
Name of CSL Hol er
/ s List CSL Type(see below)
I cu ` rnee r Type Description
No.an Street ��
l d/`-�C �/i 610 o O / U/ Unrestricted(Buildings up to 35,000 cu.ft.)
4.612
/Ton,Statel,ZIP ,/( ! ! �--� Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
y SF Solid Fuel Burning Appliances
1I (4° JAI Q l7 4I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be co pleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance the building permit.
Signed Affidavit Attached? Yes 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 pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
?_ rn 4 PI/ e 13 /77
Print 0 e- 's or .1,h rized Agent's Na lectronic Signature) Date
NOTES:
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.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
s O6'K''05•E 210.05'
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in
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6.
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CPLAN BK. 195, PG. 98 0
\ % LOT 6 !
` , JAMES J. FLANNERY,JR.
�� \ o TAX MAP/42,PARCEL/167
^' e, BOOK 14009, PAGE 138
'cot Z I PLAN BK.195,PG. 98
1 o LOTS 6&7
g
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w
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\ � —;approximate edge of
abutter's lawn
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3 t
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beginning of g
row of arbor vitae', approximate edge of
abutter's lawn
oy ;
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14 w•4 0 /.
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___ .._........ __—... ..._i
N 03'00'10'E 123.05
GLENDALE ROAD "EXISITNG CONDITIONS"
LEGEND PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
O FOUND IRON PIN PREPARED FOR
• REBAR SET JAMES J. FLANNERY, JR.
SCALE: 1"=40' APRIL 5, 2021
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET — HADLEY — MASSACHUSETTS
413-584-7599 413-585-5976 (fax)
email — hleatonOaol.corn
0' 40' 80' 120'
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: 1-1 i LOT: b k 1
- / ,C'c-7 acles
LOT SIZE: '7 - L)2,7 3 sg
REAR LOT DIMENSION: Z t o • 6
REAR YARD ZS U /
f
SIDE YARD 7` SIDE YARD 1VO
( v `
FRONT SETBACK V
FRONTAGE I 0 /
Y,A �`rsrem PROF/L�': NOT IV S 4 E
sh
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-14)---Y.pd✓I�97S /r y- 6 ✓EF�q� c�iN
6.PAApKif fl•I TA'f1VR' r: fF. o ix TIL 16 GLENDALE ROAD O• 1l,B
Soy H keroo,MASS
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Lmdr:1.582 ease Sof 8) JRS'7R `sr- DNT p'ANX r7P Of AAofsr4NF /2'M/4;f0✓FR S ,CAPM
2,2,3 MN..wd(Lc(0 1 92.7
dbae82 scale l mN=L fact q
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1 NWrm Steer �L/ To. fa
tl'cb V✓J.Dn9/tAY .flS ByNu1�7s'./T�JJ/ To.Lb fLo.'r
Hay.,use /A'/i �s4e/28P /r e (p/�y.v„
01OW !YOAL/-!C� _ _ / �9.4J�GA'T'�'sHeD
Phone.(508)31,0w2 i39 E--/O' ease` /z'y1 47' k--.1-8+'1 A,'Lgr �J/ s-
s.1,r, Syr a/s. .
No nepllbmMWa Mn observed mean f/sNLD sza.-8AL'�4- L/ FS 930
00 lee of Nem..ad eleapom
.arm Ile---- ---.I T c 21* i$W /7r r rtN6N•>41c
Of
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/l GENERAL NOTES.
Ar_/' A presoneweum cmremee is REQUIRED.I WIab m.ww Deo.u least 22 house wnnr to
A /'� \J u:,:w1�Wucevv
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e •O i/Nf/1..Y11� pn.i�.1j1 Cock)IO CPR myna k.
Aµ LA 2q1 Nc,buavel5 aster Ins di be d-.no ter wa,mydeci tl PVC uW Supply 1 puivdmr
r N 612 A fise ewdyyr 10 pLd Priebtq'asisC Insu0mcrushedel mm no.00m ibumt sipmn.SceMAc4 PVCEsco oiler ea equivalent P.m
i. .� 14L 8.6m rd 10p16 Orme4 ovfriah wmomee.21.airbd bumml Scbe I pm beneVC.wwas.k or,mppm'.P.m
22,E c �r.�0a..4 13yYS Q� mMat benismoim,..ySeydrapdk ,,ca O,noe®emtrkuwlet,6(Cm.;65 Gnori
1. n r.m.me Mr m' Ash.h.I.Rmmnmed).NO S leech FT-ow M (Coasrt Skip Godridge,
weo Waepegmsem greened to]D inches BM Urdvemudhod to oc,s,IY.MA Id1139)-Se13))NO SUBSTrNT10N.Mdnkerc<imaucnms
N Serds�.Irnm Wages as.er BMW:mot mrtl mug ha.unishdbowdr.
94 Lim filtr m I m.by dieharyc is moody rm...
st
Betiasrrdsrl lyy..r>Ins imams
i DM godly Bnv.11l �,y6 yy • Sp.a deadypp for tlekamrl of moos from prime grinder.
0-14 A 6r wady loam 10 yell3 Fri.M Nai
ve • V.rSN obenmon 5501.um b<Omni at midpoint SA3 Foe-goo$wiry.
performed PVC
Si _ Ar.e��-�^1 WM Bw 6m•i 10yr SG Oracular may be mlimq brought b 3 inches below 6oii evade MB removable um.
J 9M9/,f' V R41R%S C rim lm4M•l 23yN Gnaw
7/
• Ptmwlml*oo(ell.ocew cocoon rank eanhuu bait code of 6.nibuuw YmJ,mammon.
pm(a).m be documented either by plrreeet arnbv w by rcrm.Wdkdimsas in rctek
f0 p jfy R� M911u�at s.gt s..26 inrbm pm-Wad b owv.BoeN of 31.16 and Deeper.
S SaasAug Mine Weepy el:sae R!,,,nee Mad • Pbm b be se level on compact Wee.Instal rime for lid if.nieh cover u pmprtlw 9 iehw
/6WarLF V P'rwb/...coal yak pb>126ixhn • No other unMryound examinations we.made than ea Muted.The maim barons of Al aub.urfxe
militim m damage easements,etc m.un2 known.Any pmblema compeer*during cwevu.roe or de
-N I Terns*.we/in of tle owner.
mmea. To pmeme be emynty tithe system.all veheulr odic mu.be precluded from easel over all mum
KD comma re.
• Ro06. allmp.etd.coreded Cal larof treefe.mu PS; i.dapoelrrm leveled and
dap,_)A
p` �d,. ivehw.Acted dap.w:Il very.Bomar or ae.ebn-905;Exurrm mutt he 1<vdd.d wi6ed.Title V
• M_-• rod is b be wmprrl iv am-inch lit.Comma of eumvatioe mum be reopen,'...meal pas b
washed
,0'a �,, placement
be,,cb marks Y�_IOD.O_mil ie l2-inch hoS.od
y - 02-100.8-mil in 14irh pine hem m shown
'A Ash,. • 3p-�.I D-RO.Y 1IE7A/L:iVTS' • No CHANGES m two pr ere b b.mole.;tor ne pear mtm;..dnn of m<Deia<r,re Bowel ash
sec:use a+-+r Nedk
•� 1 { �950 L eyebolt antben,tha- by Drimmim 111�� r.lwfa*e ns or looaviry or tl.
3 L(- !r/,?7fRs Plien applicable wrnm m we m effect.,
wuafs�9:...._:::.-.: r I- Mc nem of plan submilul.
i�yi I
6. '�•LN' - r/' f'.WLLo IO2 Je.
} ! J p p�Lsfy SEE ADDITIONAL ATTACHED NOTES
I.
v., _ %3IrBf�- frtH/l0 10
f 3!//9 p
v.• l-
r gaita` b ate,, raF� PPE/1/CH CROSS SECT/ON••N.ZS.
3.0, av sue.
• ,� 950 ~. EAS4D0 0✓6P sv.4s 00 0 !- b
V ® q g �//�p /2' /2 MLA,,CO KER OKE>A TipE,v42F$
0 tall /i'•/°YNft�% '.ti�0.M�7i • "Y...P.M.:2P. '------ 5/ Y.3.5-
p AMMO PROPLPTYPLAS$0PE SSNOIN PACMERTTUNBS 11,,..,- __ _
O/4ENTIOA AND3Z7PACCSSAVNW4NEF2Sw 072000 A":510A"`A/�P -"'0_.. •--. 0 ..... rid?, __ 23.0
6�(0 9
,r SAS DESIGN CALCULATIONS a o,0, Lfl
} bA
� M6'ASURAYRMS',GVDASURi£lA2IM/AGPROY/D60BY 31'�_p N�J`f/ / 1 O
THEORYA/ENTOFPL IATTHRCJ]TC8<'h/NQOWJTT DN O y J.~ . J 90.5 -0 - a
DEP./RLYRNTpFPL,NA'LtGANOS(.6TA/N./BLITT Percolation nb:Kok I Q min.1 4,i,b _-i- O- 9p.,f
Note 2 s miout./inch
THIS DRAWiNGISPIIENLIFDSOLDLYRJR 7HEPURPOSE Deuar rate: v3[iwzl6mb ,{[ y
OFLOCADAGANOL2OA67RL.CHAG THE PROPOSED Sod the Clue) J// #2
SUBEURF4CE-SOIL ABA:RAWNSISTIO1ONTHESUd3CT Lamb,rale :074 OPiMaq.ft
rP PROPRRTYTNSSA4fRTAGLS ADZ4PMOPl7TYSURYRE 0of bedrooms Throe
/TLS THE ORA2241JA4SRBS0OASTWILITi122A'AST/RR Septic tank minim -200 or e8 hr.Sow ��yyy /�/.t0"
1ALITTAW STS7S✓6LA6TA60 lL ON TN!SUB/ALTPAACEL 2 x 330164.660 86 min
thd.fmm propmed 1300-Bdlm tank 2 v-a
�
OK d 2 E 9' ,.1, H•
Deily Soo 330W5.9squhym
H5.9 aquae Red
Irech Irer..M+ two d)'x 30'x 2.5'daq � ��/ 16 GLEN£A L ROAD, ORTMAMO MI MA SA0ARED TS,
bdtmns-30x 3.2-180 square 0. KEY r6SURRDALE ROAD,AL SYSTEP20N,e1..55AOlRED F OI062
e mdevNb-30•x 23 a a-300 square 6. c/corma ODDER:JAMES DARRERY,1 w2LLUN 5o2ef,HOLYOKE,MA 01040
GCEN�AY n-_ �F �ry�N cleck:Pmyedd dl180+880-300 Wm 4800 gallons/day CONO S .. a✓awov.u.r
R"+1(J• c<�e't+l Prowled 335.2 avday >mpg.330 aUd.y , PROPOSED ' •/j/,..•L.. .ewe: 1•=70' - on,wn..g��L_.
A CONIOI.RS `� .0)1186 DATE RUNE 30,2021 ',Eve.O
PtlBUC lyy y P
PFNC SITE .„„ --2.Aa? SUBMITTED TO:NORTHAMPTON BOARD OF HEALTH
DEEP OBS HO .{ I
-----_` wArFA LLNE----- - -/ire 34 Q2/ BARRY L.SEARLE,RS 21195 (413)426-3159 DRAWING Hum..n
Mark LaValley & Sons Trucking inc.
207 Sylvester Road, Florence, MA 01062 - (413) 586-3779 - marklav695@gmail.com
PROPOSAL
Excavation and utilities for a single family dwelling at 16 Glendale
Road ,Northampton MA. 01060
TO: James Flannery Date:
1 Williams Street 07/09/2021
Holyoke MA.01040
Scope of Work
• Clearing
Pull out and dispose of stumps, Strip and stockpile loam from house and work area
(approximately 100'x100')
• Excavation
Excavate for full basement foundation and garage frost walls according to plan.
• Drainage
Install exterior footing drain using 4"PVC pipe laid in 3" crushed stone covered with
geotextile fabric. Exit to sump pit.
• Back filling
Back fill foundation using site material plus 45 yards of 3" crushed stone under basement slab
for radon remediation, Install interior perimeter drain. Fine grade and compact for garage and
porch slabs using 12" of processed gravel compacted to 95%compaction.
• Utilities
Install approximately 200' of 1"CTS water line for domestic water, Provide and
place 12" of sand for bedding pipes.
Install septic system according to Barry L. Searle plan dated March 30 2021.
• Power/Communication trench
Dig and back fill 200'of power and communication trench 36"wide 36"deep. Provide and
place 12"of sand for bedding conduits, (conduits by others)
• Driveway
Install 3,200 square feet of driveway 12'wide using 12" of 1 1" CRG
• Grading Grade all disturbed areas with loam stripped off site.
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3/ 5-T , veld—r s c( b -Ear f'' Ln , nf-er��,� P.QT( . ��wer ACrc,c. I
City of Northampton
4. / ti. Se r iC
1 Massachusetts ,' x- 4
�� °^' DEPARTMENT OF BUILDING INSPECTIONS a`• a �`a
212 Main Street • Municipal Building �Jb ca
s' Northampton, MA 01060 r ',... W0
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:
Location of Facility: C.tCc /l
The debris will be transported by:
Name of Hauler: _I 4,---s q4,A, 4 -
Signature of Applicant: Date:
inc i,ummunweuiin uj inussucnuseus
Department of Industrial Accidents
= Office of Investigations
600 Washington Street
' Boston,MA 02111
•��•
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/Individual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are ypu an employer? Check the appropriate box: Type of project(required):
I.L��-JI am a employer with 4 4. 0 I am a general contractor and I 6. Q New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am 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' 9. El Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 1.n Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 1 ..00f re 4 s
insurance re uired. t c. 152, §1(4), and we have no
q ] employees. [No workers' 13.0 Other J it-dC 1
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 are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Berkshire Hathaway Guard
Policy#or Self-ins. Lic.#: R2WC202869 Expiration Date: 4/27/2022
Job Site Address: l( 61-ekl,it. City/State/Zip: J d 1 1 kAA4, 14441..
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 certify un the aims and enalties of pernny that the infOrmation provided abov is true and correct.
Signature:' g
, Date: 0 l ( 2-1
Phone# 13$13-5888
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 Inspector
6. Other
Contact Person: Phone#: