23A-276 (2) BP-2022-0058
201 NONOTUCK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-276-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0058 PERMISSIONIS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 362144 RICHARD LEARY 116363
Const.Class: Exp.Date:07/05/2025
Use Group: Owner: RONCOM, MATTHEW A&JULIA G MCDOUGAL
Lot Size (sq.ft.)
Zoning: URB Applicant: SOUTHERN VERMONT HOME LLC
Applicant Address Phone: Insurance:
1328 BONNYVALE RD (802)689-0521 WC5-335-B210V3011
BRATTLEBORO, VT 05301
ISSUED ON:01/21/2022
TO PERFORM THE FOLLOWING WORK:
RENOVATION/ADDITION
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: i O .
, • , .
ciAr
Fees Paid: $2,360.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
7 =_ _
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11-• 1„..i'Jam." 1 i
The Commonwealth of Massachusetts ' JAN 1 n 1
wi Board of Building Regulations and Standards 2��2 FOR
Massachusetts State Building Code, 780 CMR.. MUN
/ ICIPALITY
/ USE
Building Permit Application To Construct,Repair,Renovate Orti6M_a slra�_..4evised Mar 2011
One-or Two-Family Dwelling - . : _.-ri '`•
This Section For Official Use Only
Building Permit Number: .jO• Qom- S.g Date Applied:
pADA,„ j _I 1t&&•• I 1
Building Official(Print Name) Signature
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
'LCS► ( c i' )L- S--• 2.S ik 2=1(43
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
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^ SO-C-4 ^. `low 'I c
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Ilk Private 0 Checkif yes 4,Zone: Outside Flood Zone? Municipal On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 wner'of Record
r10r4-+11 p� rib- -bN / Be-\,-4( Lp(o , VT 05301
Name(Print) City,State,ZIP
It,v & K0re S-P . 4i3-s)7, - I541 lMJar, cah ; ehrilivllcol,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building EA Owner-Occupied i , Repairs(s) piq Alteration(s) K Addition JK
Demolition 1p Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': y/�
SS c ?RP Po& 1- nO ✓GL1-1,in-1 / t�jL i I
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 'Zq3,(y .(,1/4.,i. oc 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 2../1, cz)o , 0-0 ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ .' i4S croo. 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire po
Suppression) $ Total All Fri dheck
Check No eck AmountIi100
Cash Amount:
n
6.Total Project Cost: $ ow,-3( 1 ,'"{1 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS Iklo S(0`\ ?-
C Q L Cry
License Number Expiration Date
Name of CSL Holder I
List CSL Type(see below)
ISit b as A(.y ok..— f -No.and Street Type Description
1�cz. bc�u OS3o ` U Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
ty M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
(bot c
,bMt- ct V Scut- 4-e-t -Hna"e(SMa nt�n.k.c I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
2o33 N tO•%0.23
t-CV-1 S V 01.(`-t1 H21iQ HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
1328 Q .c('(r 9-cQ • S r veMN!-lhurne to-\mA.1. Cam.
No.arAd Street I Email address
1):3•.•Q,,be-'et) / 0S30\ Coca)(08Z- 1
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 0 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 V drftz p Ltmtv1 S av:1-F R c_ -o-v \Ae,n e u-c-
to act on my behalf,in all matters relative to work authorized by this building p it application.
Yt41hei Roy) IZA2•- 2.1
Print Owner's Name(Electronic Signature) Dat
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.
(2-ko -6 Lt �( � 12 t \
Print Owner's or Authorized Agent' N (Electronic Sign. _ Date
N•
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.) 2oO2_ .5— (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Z'f]'-I. f Habitable room count 9
Number of fireplaces Number of bedrooms +•••1
Number of bathrooms 2 Number of half/baths 0
Type of heating system Q o.Av,,,.} I u 4 . Number of decks/porches
Type of cooling system Enclosed Open X,
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
Southern Vermont Home, LLC
Contracting Services-Renovations-Property Maintenance
Brattleboro,Vermont
Project Estimate
OWNER INFORMATION CONTRACTOR INFORMATION
Name Matt Ronconi and Julia McDougal Company Southern Vermont Home,LLC
Address 201 Nonotuck Street Submitted By Rich Leavy
City,State ZIP Northampton,MA Address 1328 Bonnyvale Road
Phone (802)490-2151 City,State ZIP Brattleboro,VT 05301
Email jmcdron@protonmail.com;Matthew.Ronconi@va.gov Phone (802)689-0521
Project name 201 Nonotuck Street Email southernvthome@gmail.com
Company Proposal
Southern Vermont Home,LLC respectfully submitts the following quote for the remodel construction of the home
located at 201 Nonotuck Street,Northampton,MA as requested by the homeowner. The quote provided
includes all labor and material to complete the job in a timely and effecient manner. Work is scheduled to begin
on TBD and will be completed by TBD.
Scope of Work
The scope of work is to include the following specifications:
Demo and Foundation Repair-
-Demo existing fronch porch area addition
-Remove existing siding,windows,and doors
-Remove existing roof system
-Install new concrete foundation wall,per engineer plan specifications
-Install new concrete footings for support columns in basement,as needed or required,per engineer plan specifications
-Install and/or replace new support columns,as needed or required,per engineer plan specifications
-Construct new bearing wall,per engineer plan specifications
Subtotal:$36,076.00
Porch Addition/Framing Adjustments and Repair -
-Construct new porch addition flooring system from 2x8 SPF,per plan specifications
-Sister existing floor system joists for 1st/2nd floor systems with new 2x8 SPF,as needed or required,per plan specifications
-Reinforce existing carrying beam in main floor living area with fabricated steel channel,per plan specifications
-Install new 3/4"subfloor throughout
-Install new 2x6 SPF framing for porch addition,per plan specifications
-Adjust exterior wall framing on firs/secondt floor,as needed or required,to accommodate all window/door installations
-Install 1.5"Zip-R insulated sheathing panels on exterior of home,tape and seal all seams and penetrations
-Window and Exterior Door Package is to include the following,per plan specifications:
-(15)3040 DH Anderson 200-series windows
-(1)3030 DH Anderson 200-series window
-(1)2030 Awning Anderson 400-series window
-(2)2040/4040/2040 DH-Picture-DH Anderson 200-series window
-(3)3068 Simpson Exterior Doors
-All interior framing to consist of 2x4 SPF material,installed per floor plan specifications
-Install LVL headers,as needed or required,per engineer plan specifications
-Install new roof system framing,sheathed with 5/8"Zip panels,per engineer plan specifications
-Tape and seal all roof seams and penetrations
-Install corrugated roof panels(color TBD),including all necessary trim and flashing components
-Install 5/4"FJP pine trim on all corners,windows,and doors
-Install lx FJP pine for all soffit and fascia trim
-Install 1x8 FJP pine starter trim around perimeter of building
-Pre-finish all exterior trim prior to installation(paint material not included)
-Install pre-finished 1/2"x 6"hardi-plank siding material and seal all seams with color-matching exterior caulk
Subtotal:$116,734.00
1328 Bonnyvale Road,Brattleboro,Vermont 802-689-0521
Decking Framing-
-Construct(1)approximate 8'x 16'exterior elevated deck w/attached exterior staircase to ground level
-2x8 PT joists set over(2)2x10 PT girder supported by(3)6x6 PT posts,secured to concrete footings,per plan specifications
-Install 5/4"PT decking
-Install PT railing system
Subtotal:$4,279.00
Electrical-
-Provide wiring for new 2400+I-square feet dwelling to include 200 amp over head service
-Supply and Install WeatherHead and 4/0 seu cable to 200 amp main meter socket
-Supply and install 200 amp main breaker meter socket Supply and Install 1200 amp 42 circuit main lug panel to include wholehouse surge
protection
-Supply and Install all appropriate breakers for all branch circuits
-Provide wiring/switching for all areas per print to meet nec requirements
-Supply and Install wiring and outlets for Single family dwelling to meet Ma electrical code
-All switches/receptacles and cover plates are to be type Standard.white/Ivory or Almond in color
-Wiring for vanity lights over sinks
-Supply and install I-Panasonic whisper quiet 100 cfm fan light forlst floor bath
-Supply and Install I-Panasonic whisper quiet 80 cfm Fan/Light for2nd bath
-Supply circuit for bathroom floor heat install box and conduit for heat
-Supply and Install ceiling fan boxes In all bedrooms/living room
-Closet lighting for all bedrooms(Fixtures supplied by others)
-Supply and Install Kiddie Interconnected smoke-heat and Co detectors with battery backup to meet NFPA code thru entire dwelling
-Supply and Install RG-6 cable for up to 4 locations of dwelling(optional)
-Install wiring for the following washing machine/dryer/dishwasher/cooktop/microwave/(Appliances installed by others)
-Install line voltage and low voltage wiring for Heating system/cooling system for up to 3 zones of heating/cooling
-Supply wiring for on demand water heater or electric/gas water heater
-Supply and install switched lighting throughout basement
-Supply wiring for outside lights for all doors leading out Fixtures supplied by others
-(I)front entrance porch outlet and(I)rear deck I within 25 ff.of NC unit
-All light fixtures and bulbs supply by others and carry no warranty except recessed fixtures supplied by contractor/electrician
-Additional Recessed lighting is$90.00 per fixture Includes can/led trim/wiring and labor
Subtotal:$23,500.00
Plumbing/Heating-
-Provide and install(1)Viessmann 200K BTU combi-boiler with additional 40-gallon super storage tank
-Provide and install 2nd floor baseboard zone heating system(standard baseboard included)
-Provide and install approx.1600 ft2 climate panel for first floor radiant heat
-Install all piping for boiler system
-Install all new vent,waste,and water lines for(1)kitchen,(2)bathrooms,(1)laundry room
-Install(2)exterior silcocks
Subtotal: $45,000.00
Insulation-
-Apply 4"closed-cell foam insulation to basement ceiling cavity
-Apply 7.5"closed-cell foam insulation to 2nd floor ceiling cavity
-Install R15 Rockwool insulation in all exterior wall cavities throughout
Subtotal: $35,600.00
Drywall-
-Install 1/2"gypsum board throughout over all wall and ceiling surfaces
-Install 1/2"moisture-resistant gypusm board in all bathroom areas
-Tape and mud all seams and penetrations
Subtotal: $20,800.00
Interior Finishes-
-Install Ditra Heat mats in(2)bathroom floors(wireless thermostat included)
-Install tile flooring in both bathrooms(tile and matching grout not included)
-Install bamboo flooring throughout first and second floor($4.00/ft2 material allowance)
-Install(12)interior doors,per client selection
-Install 1x FJP pine trim throughout,as needed or required
-Install new stair/hallway railing,per client selection
-Install Schluter shower system for bathroom showers and install shower tiling(tile and matching grout not included)
-Install kitchen cabinet system and countertops,per client selections($12,000 allowance)
-Provide and install(2)bathroom vanities,per client selections($1,000 allowance/each)
Subtotal:$64,475.00
1328 Bonnyvale Road,Brattleboro,Vermont 802-689-0521
General Contracting Services-
-Provide onsite portable toilet for duration of job with weekly maintenance
-Provide onsite generator and fuel for durationof job,as needed or required
-Provide scaffolding,as needed or required,for durationof job
-Provide onsite coordination of material deliveries
-Provide project budget tracking and invoicing
-Provide jobsite and adminstrative management of all subcontracted labor
-Coordinate onsite work with power utilitycompany,as needed or required
-Coordinate and facilitate all necessary inspectons,as needed or required
-Provide waste removal of all construction debris for duration of job
Subtotal:$15,680.00
PROJECT TOTAL:$362,144.00
Not Included
-No interior and/or exterior paint or stain is included in this estimate,unless otherwise noted
-No electrical fixtures or non-standard light switches or outlets are included in this estimate
-No plumbing fixttures are included in this estimate
-No exterior gutters are included in this estimate
-No door hardware(i.e.knobs,handles,latches,etc)are included in this estimate
-No interior custom and/or closet shelving is included in this estimate
-All allowances shown are for budgeting purposes only and are subject to change based on client selections. A balance
will be billed or credit issues based on final selections.
-No subcontracted labor not specifically mentioned is included in this estimate
-Any additional work not specifically mentioned in the above listed scope of work is included in this proposal. Any work
requested or performed outside this scope will be billed on a Time and Material basis at the rate of$50/hr.
Payment Schedule
Deposit: Scheduling Deposit-Permit Submitted(5%) $18,232.11
Payment 1: Material Deposit $51,933.51
Payment 2: Demo/Foundation Repair Complete(Excluding Roof) $31,875.00
Payment 3: 1st Floor Framing Adjustments Complete(including deck) $14,456.87
Payment 4: 2nd Floor Framing Adjustments Complete $14,456.87
Payment 5: Roof Framing Complete $14,456.87
Payment 6: Sheathing/Windows/Doors Installed $14,456.87
Payment 7: Siding/Exterior Trim Complete $14,456.87
Payment 8: Interior Finishes Material Deposit $21,395.04
Payment 9: Wood Floors Installed $8,333.33
Payment 10: Interior Trim Complete $8,333.33
Payment 11: Tile Work Complete $8,333.33
Payment 12: Cabinet/Vanity Deposit $9,152.00
Payment 13: Cabinet/Vanities Installed/Appliances Installed $4,928.00
Payment 14: Electric Deposit $7,833.33
Payment 15: Electric Rough-in Complete $7,833.33
Payment 16: Electric Trim-out Complete $7,833.33
Payment 17: Heating/Plumbing Deposit $22,500.00
Payment 18: Heating/Plumbing Rough-in Complete $11,250.00
Payment 19: Heating/Plumbing Trim-out Complete $11,250.00
Payment 20: Insulation Deposit $17,800.00
Payment 21: Insulation Complete $17,800.00
Payment 22: Drywall Deposit $10,372.00
Payment 23: Drywall Complete $10,372.00
Final Payment: Punch-out $2,500.00
Total: $362,144.00
1328 Bonnyvale Road,Brattleboro,Vermont 802-689-0521
Quote Submission
Southern Vermont Home,LLC respectfully submits the above mentiond scope of work for the estimated price of$362,144..00
Rich Leavy Date
Owner Acceptance Ile`' " it"-sr
I,(name],accept the above mentioned scope of work for the estimated price of$362,144.00.
4A/ J411*LC 1L/Lr ILI
Submitted By Date
1328 Bonnyvale Road,Brattleboro,Vermont 802-689-0521
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-'�! Northampton, MA 01060 r`' ,, ,0
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: cl.D eaAl- 54- • Lif{t-L, eqs, Gtag2.
The debris will be transported by:
Name of Hauler: --Tf_ ‘ - 03v 'T 1LA_ 1 N)ci _
Signature of Applicant: Date: I-2, Ili"Z.1 "
. The Commonwealth of Massachusetts
►' "• -ti, Department of Industrial Accidents
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al 1 Congress Street,Suite 100
_! :� Boston, MA 02114-2017
4'. www mass.gov/dia
11 in kers' Compensation Insurance Affidavit:Builders/Contractors/EiectriciansfPlumbers.
TO BE:FILED WITH THE PERMITTING AUTHORITY.
:luulicant Information Please Print Leciblr
Name(Husines&'Or_antzationrindtvtduall: 31 N V_r'[L _Fe.„
Address: 13'Lb S®NN y Y s i.tr; 'Q-O
City/State/Zip: a e r 7„,f3,,u, vti O S-301 Phone#: (SDZ) (0 5 k- or Z- \
Are yea ten employer?Cheek die attpeeprWe two: Type of project(required):
1. 1 am a employer with 2 empluyecs(full ardor part-timel.' 7• ❑New construction
2 1 ant a sole pruprrctor ur partnership and have nu employers working fur me in S.aRemodeling
any capacity.[Nu workers'comp.insurance required.)
9.aDemolition
30 I am a homeowner doing all wurit myself.[No workers'comp.uweirance n quiro.1.l'
4.0 1 am a evwru•r and will be hiring uuntraeturs to conduct all work un my property. I will
10 Eg Building addition
hum
ensue that all contractors either hake worker'is-mai/ens:shun insurance or are sole 1 10 Electrical repairs or additions
proprietors with nu employees_ I2.®'Plumbing repairs or additions
5.0I am a general contractor and I have hired the sob-contractors listed un the attached sheet. 13®ROOf repairs
These sub euntracton hake employees and have workers'comp.insurance.:
6.0 We arc a corporation and as officers have exercised their nglst of exemptwn per M(&L c.
14.0Other
15_`,t lt41.and we have no ernpluyecs.[No workers'comp.insurance required.]
•Any applicant that checks box++I must atau fill out the sectum beiuw showing then workers'compensation pulley information
'Homeowners who submit this affidavit indicating they arc doing all work and then hue outside contractors must submit a new affidavit mxlicatrng such.
:('o ntraeton that check this hot must attached an additional sheet show mg the name of the suh-contractors and state w h ether or nut those mimes hurt
employees. lithe sub•cuntractors(sake employees.they must pi-s ide their uurkcrs'szrmp.puhey nard;r.
l am an employer that is providing workers'compensation insurance for ml.employees. Below is the policy and job site
information.
Insurance Company Name: L.14t z v`t, �1/4r1-a.A ` .3.-1vSV f-PP.ttc,t.-
Policy#or Self-ins.Lic.#: We C - 33 S " Q 2.10 43 -0 I 1 Expiration Date: 6• Z'1- 20 22_
Job Site Address: 2.01 N 0t\p krt,V.. S - City?Stat&Zip: N o z t k>es-(v1 TM, rt P G\CIA Z
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 51,500.00
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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.
l do hereby l t under the painN and penalties o/perjure Mal the information provided abort Is true and correct.
Signature:\ Date: ‘2-• 20• 2- \
Phone': (50?i\( fj4- 0 1
Official use only. Da nor write in this area,to be completed by city or town officiaL
('its or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.Cityrfown Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
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Southern Vermont Home, LLC
Contracting Services- Renovations- Property Maintenance
Brattleboro, Vermont
January 13, 2022
Southern Vermont Home, LLC
1328 Bonnyvale Road
Brattleboro, VT 05301
Southernvthome@gmail.com
Building Commissioner's Office
212 Main St, #100
Northampton, MA 01060
To Whom It May Concern:
Please see the enclosed enclosed check for our permit application for the
proposed project at 201 Nonotuck Street.
Please notify me of any issues.
Sincerely,
Richard Leavy -}
General Manager
1328 Bonnyvale Road Brattleboro,VT 05301
(802) 689-0521
File # 1
APPLICANT/CONTACT PERSON:SOUTHERN VERMONT HOME LLC
1328 BONNYVALE RD BRATTLEBORO, VT 05301 (802)689-0521
PROPERTY LOCATION 201 NONOTUCK ST
MAP:LOT 23A-276-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: RENOVATION /
New Construction '41 °)
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN `ORMATION PRESENTED:
J Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR SpecialPermit With Site Plan
Major Project: Site Plan AND/OR SpecialPermit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic ApprovalBoard 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
Demolition Delay
4.2 a' 1/(0/aa_
.lure of Building Official I 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.
�
Southern Vermont Home, LLC
Contracting Services - Renovations- Property Maintenance
Bratttehoro, Vermont
Dec. 28, 2021
Southern Vermont Home, LLC
1328 Bonnyvale Road
Brattleboro, VT 05301
Southernvthome@gmail.com
Building Commissioner's Office
212 Main St, #100
Northampton, MA 01060
To Whom It May Concern:
Please see the enclosed permit application for the proposed project at 201
Nonotuck Street.
.46 Please notify me of any issues as well as the final associated fees in order to
make an accurate payment.
pal.A--
'luYAL
Sincerely, ct I- e
� zap
v hz„, S l ( 5
Richard Leavy n�
General Manager 0 01/70t_c4?pro
1328 Bonnyvale Road Brattleboro,VT 05301
(802) 689-0521
L...
1 A N — 3 2022
File No. LAL-1 114 (Ppq `0
ZONING PERMIT APPLICATION (§s o.2)
Please type or print all information and return this form to the Building
Inspector's Office with the$30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: QtCt -tom LE}"AA-1 I S src e"9--N t r - N.rv. .
Address: \2 2PJ r (Sc�.i\'l...bcw, vT Telephone: (fx _' 6,51-OS'Z 1
2. Owner of Property: fA H P-oncar‘., I a...1,c. Mc1095---
Address: lc C. G.,; rd‘ S--•, - Telephone: "A IS ' `�'z - \S
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) C6N-1 �4-44.
4. Job Location: 2- 1 Novo +c k_ S4/ t•-)c-2"T1-1 Pr‘p'T'ate , r`141- •
Parcel Id: Zoning Map# . ' Parcel# �/ t District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: S.,--)t, -
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
\ s k,•. S vz,��+`� (�,t-a— o- •.c Cw�1Y-�-�4 4 -
1-+--\ S c we(-1.¢_ ,
7. Attached Plans: Sketch Plan _ Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW /` YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
• 10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO ___
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size I,I 205 C.+2- S
Frontage
.
Setbacks Front '3 c c•
Side L: R: L: R: L: R:
Rear
Building Height
^-23 S s 0.
Building Square Footage .L '
2t1f y (1 uS-. S d=-+
%Open Space: (lot area
minus building it paved 7 1 7Li,..,L
parking
#of Parking Spaces
S -
#of Loading Docks
the-
Fill:
(volume It location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 12- llo- 2-k Applicant's Signature
NOTE:Issuance of a zoning permit does not relieve an applicant's b to comply with all zoning
requirements and obtain all required permits from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004