22B-037 (7) BP- 022-0441
24 CORTICELLI ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-037-001 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-2022-0441 PERMISSIONIS HEREBY GRANTE1' TO:
Project# WORK SHOP Contractor: License:
Est. Cost: 26000 LOUIS MONTGOMERY 013471
Const.Class: Exp.Date: 1 1/19/2023
Use Group: Owner: HARVEY FELIX
Lot Size (sq.ft.)
Zoning: URB/WP Applicant: LOUIS MONTGOMERY
Applicant Address Phone: Insurance:
PO BOX 951 413-268-2028
WILLIAMSBURG, MA 01096
ISSUED ON:08/15/2022
TO PERFORM THE FOLLOWING WORK:
WORK SHOP ROOM UNDER REAR 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:
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 VIOL TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
.5.9 • 3-41
rh
Fees Paid: $169.00
•
212Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
File #BP-2022-0441
APPLICANT/CONTACT PERSON:LOUIS MONTGOMERY
PO BOX 951 WILLIAMSBURG, MA01096413-268-2028
PROPERTY LOCATION 24 CORTICELLI ST
MAP:LOT 22B-037-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $169.00
Type of Construction: WORK SHOP ROOM UNDER REAR ADDITION
New Construction
Non Structural Renovations
Addition try Existing ` `I
Accessory Structure �\
Building Plans Included: v
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PB�ES'�NTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:*
Intermediate Project: Site Plan AND/OR Special Penn it With Site Plan
MajorProject: 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 Perm its Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Wa ter Pota bility Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
�/c? L/ 2 Zaz2
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, 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.
The Commonwealth of Massachusetts
Ap Board of Building Regulations and Standards R 6 FOR
Massachusetts State Building Code, 780;C Top 20�2 �I ISPE LITY
`Building Permit Application To Construct, Repair, Renoite-t ?'De ish a Revised Mar 2011
One-or Two-Family Dwelling . a, F"- -
This Section For Official Use Only ,
Building Permit Number: Qba"' ` y4i/ Date Applied:
KcZi,s,� (145 j( 7 g-is-zazz
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
Z-t CO/-T c -t- ST- j...2-.3 037
1.1 a Is this an accepted street?yes `' no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
ie c:m/4 .. L/.-/°
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
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Of Private❑ Zone: Outside Flood Zone? Municipal%On site disposal system 0
Check if yesg
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Recot-`A ��
��t,i>C rT r(.012.PN Le— t ri1,A- f'l 0(7 2-
Name(Print) City,State,ZIP
7/14 Gb121-1u... Sr- 043)sw-can a ru►nn(krFeti,K0c5.Act'C,cosi
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Er 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 Work2: Goers/,- o c,r G4.-cis/i S'Nvy=) 200.� v"e��,---
/fart/S f!i,9 ./4,4.4- Atzfe,t'i Ti or-, On/ tVee'Sf2-
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I. Building $ Zv o o o I. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 4 ' oao 0 Total Project Cost3 (Item 6)x multiplier x
3. Plumbing $ "VA 2. Other Fees: $
4.Mechanical (HVAC) $ / List:
5. Mechanical (Fire $ Total All Fees: $
Suppression) ,v
Check No. \1gCheck Amount *A Cash Amount:
6.Total Project Cost: $
Z fi/0 0 0 0 Paid in Full 0 Outstanding Balance Due:
The Commonwealth of.tlassachusetts
Department of Industrial Accidents
a l Congress Street,Suite 100
Boston. MA 02114-2017
►u rf,ri:ntass.gow'dia
11urkers' Compensation Insurance flidavit: Builders/Contractors/Electricians/Plumbers.
I t) BF f 11.F Ii IA I I I HE PER11I rfI\G At'111014I Tl.
Applicant Information Please Print Leeib(s
Name iBusiness-Urgantzauun Individual
):
Address:
City/State/Zip: Phone#:
Are sae as e.Myee Cheek die appropriate boa: Type of project(required):
1.0!am a employer with ,eni ►totes(felt anchor part-rimek• 7. 0 New construct'on
2C:I I am a mute proprietor or partnership and base no employees working for me in 8. azi Remodeling
any capacity (Nu workers'comp.insurance nxtuuexl.)
9. Oa Demolition
10 I am a hume,owner doing all work myself.1No winker,'comp.,merino roomed.]
10❑Building adds
4.C71 I am a horrsa,wraa and will he hiring sanatrsours to c+oodtwi all work on my property. 1 win
ensure that all contractors either hate workers'compensative insutanex ur ITC MAC 110 Electrical r or additions
prvprr,tors a ith rw e7tpk»'ee5 12.0 Plumbing repo -or additions
5Ci I am a general contractor and I bate hired the sub-contractors listed on the attached sheet 1 3 f"1( jf repairs
these sob-contractors hate employees and have workers'comp.rnsunssue. el
�((���j
6.a, We are aawrpcxatron and its officers hate exercised thee nght of exemption per Mt,L c. l4'LJQth --__
1<2§,I(+N,and we hale no employees.[No workers'comp.insurance required.]
yns applicant that cheeks hot*I must also till out the section below show ing their workers'compensation policy information.
' Romeo%nen who submit this attrdasit indicating they are doing all work and then hue outside contractor/m t'about a new affidavit indicating such-
t ontractors that check this leas.must attached an additional sheet showing the name of the sub-contractors sad data whether or oat%Muse entitles hate
errcploycc% If the sub-contractors ha%c cn> k.'.cc,.the% must pro.ide their aorker."comp pc,h.s numh'r
l am an employer that is providing worbers'compensation insurance for my entplorees. Below is the policy and fob site
automation.
insurance Company Name:
Policy#or Self-Ms.Lie.#: Exptrttton Date:
Job Site Address: City State Lip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and don date).
Failure to secure coverage as required under MGL c. 152,§25A is a cnminal violation punishable by a fine up r SI.SW.($)
and'or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of ' to S250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DR for insurance
coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si ture: � /' Iv' f/icors Dat, / 2 zz
Phone#:
Offieial use only. Do not write in this urea. to he completed ht city or town official
('its or Toss a: Permit/License#
Issuing.tuthorit (circle one):
I. Board of Health 2.Building Department 3.( ity''Tuwn Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
1 Contact Person:_.. _._ _... Phone#:_
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
O /.? Y7/ //4f/l_f
GO(/' S ✓ G.�t�j06m',e/ License Number Expiration Date
Name of CSL Holder l
7� �2 if' coAfTlf' `7 / List CSL Type(see below)
No.and Street �f Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
G✓! ( l t.,.2r iQ✓dc y ,df-I 41#74 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP ` M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
y/3 2 G Zaz, I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) l7 3 ik/ _ �Z 7�Z.
LG!/!S ,T ?drvt(d s -'y HIC Registration Number xpuation Date
HIC Company Name or HIC Registrant Name
19 /Ii coytT ix,//
No.and Street Email address
-!//t it.n r /4. M'.4 e"/Ff C-
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 1—Oca t S I1,ON T a0bAE 21c
to act on my behalf,in all matters relative to work authorized by this building permit application.
F ELI�C t-t-kleV LI I a 12�Z
Print Owner's Name(Electronic Signature) t 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.
Print Owner's or Authorized Agent's Name(Electronic 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 fund 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"
City of Northampton
p-1,;-3-4 ,
4Massachusetts
tj f DEPARTMENT OF BUILDING INSPECTIONS '-'.' Lqi, :
212 Main Street • Municipal Building O.
!. t Northampton, MA 01060 8 �,)\\
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: G/i //17, 47,4c f,„.-/i �� .�v' c,i`/Sr Ny 901`/1V
The debris will be transported by:
Name of Hauler: .S -/ z/ '),,,,-,, % -A- `*'I 2 kr149 PA--74,.-itw2#7
Signature of Applicant: Date: V/I/2L
1
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LMassachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form 2 - Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out From:
forms on the Northampton
computer, use Conservation Commission
only the tab
key to move To: Applicant Property Owner(if different from applicant):
your cursor-
do not use the Felix Harvey same
return key. Name Name
24 Corticelli Street
tab Mailing Address Mailing Address
Florence MA 01062
/ Xrewin
Ni
City/Town State Zip Code City/Town State Zip Code
1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
RDA Packet with plan 05/08/2022
Title Date
Title Date
Title Date
2. Date Request Filed:
May 10, 2022
B. Determination
Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
Expansion of interior workshop space beneath an existing deck and living area.
The area, currently hard pack gravel, will be excavated and enclosed. An existing deck above the
space will also be replaced in-kind. Work will take place 160' +/-from the bank of the Mill River.
Project Location:
24 Corticelli Street Northampton
Street Address City/Town
22B 037
Assessors Map/Plat Number Parcel/Lot Number
wpaform2.doc•Determination of Applicability•rev.4/22/2020 Page 1 of 5
Massachusetts Department of Environmental Protection
L_ Bureau of Resource Protection -Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of
Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s) is an area subject to protection under the Act.
Removing,filling, dredging, or altering of the area requires the filing of a Notice of Intent.
E 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are
confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid.
® 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
No resource area boundaries confirmed
❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to
protection under the Act and will remove,fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone).
® 5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Northampton
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Northampton Wetlands Ordinance C 337
Name Ordinance or Bylaw Citation
wpaform2.doc•Determination of Applicability•rev.4/22/2020 Page 2 of 5
Massachusetts Department of Environmental Protection
'L
Bureau of Resource Protection - Wetlands
WPA Form 2 - Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
E Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability, work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post-marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
❑ 2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent. A straw wattle shall be installed downgradient of the disturbance area.
❑ 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work does not require
the filing of a Notice of Intent, subject to the following conditions (if any).
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
wpafonn2.doc•Determination of Applicability•rev.4/22/2020 Page 3 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice of Intent is required:
Exempt Activity(site applicable statuatory/regulatory provisions)
❑ 6. The area and/or work described in the Request is not subject to review and approval by:
Name of Municipality
Pursuant to a municipal wetlands ordinance or bylaw.
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on ❑ by certified mail, return receipt requested on
June 1, 2022
Date Date
This Determination is valid for three years from the date of issuance (except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not
relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances,
bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to
the appropriate DEP Regional Office (see https://www.mass.gov/service-details/massdep-regional-offices-
by-community) and the property owner (if different from the applicant).
Signatures are made in accordance with M.G.L. c.110G and pursuant to the board's electronic
signature authorization vote recorded on June 5, 2020 in Book 13653, page 165 at the Hampshire
Registry of Deeds.
Signatures:
Jev►,S ntith, Pa.u.L Footei-Moore/
C. MaaQvvMc ronw Aleo3ervtstet;w
a.ndy Krotoowski% Ja4awPerryy
wpaform2.doc•Determination of Applicability•rev.4/22/2020 Page 4 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
May 26, 2022
Date
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office (see https://www.mass.gov/service-details/massdep-regional-offices-by-
community)to issue a Superseding Determination of Applicability. The request must be made by certified
mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see
Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7) within ten
business days from the date of issuance of this Determination. A copy of the request shall at the same
time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if
he/she is not the appellant. The request shall state clearly and concisely the objections to the
Determination which is being appealed. To the extent that the Determination is based on a municipal
ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department
of Environmental Protection has no appellate jurisdiction.
wpaforn2.doc•Determination of Applicability•rev.4/22/2020 Page 5 of 5