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31A-039 (9) BP-2024-1468 197 ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-039-001 CITY OF NORTHAMPTON Permit: Acc Structure PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1468 PERMISSION IS HEREBY GRANTED TO: Project# POOL HOUSE 2024 Contractor: License: Est.Cost: 194300 STEPHEN ROSS 079160 Const.Class: Exp.Date:04/28/2025 Use Group: Owner: SANBORN NOVACK, STACEY &GEOFFREY Lot Size (sq.ft.) Zoning: URB Applicant: STEPHEN ROSS Applicant Address phone: Insurance: 36 SERVICE CENTER RD (413)584-1224 NORTHAMPTON, MA 01060 ISSUED ON:11/19/2024 TO PERFORM THE FOLLOWING WORK: DEMO POOL HOUSE AND REBUILD NEW WITH 2 UNITS 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: 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: $308.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ....,, .....,_a i i„ ii _ •II :e, . 1Li&- Pia '/s r -NoV The :o tonwealth of Massachusetts FOR 1 9,,11rd p Bu i .ing Regulations and Standards MUNICIPALITY �`i .sa, use State Building Code, 780 CMR '. ,/ - 1 USE f(`';a el tvr�;t: • s m.,;,i catiII To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 ""4 ' .' oNs 0 ',-or Two-Family Dwelling `_`1 This Section For Official Use Only Building Permit Number: hia• ?-' /5(07 Date Applied: L/1.L.) ,�055 /lam !I-l6-zoZi1 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers ,q7E/o-v) St . 1.la 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(ii) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 2o, le / S" ' t r- ! s !s-- 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage D' posal System: Public lJ Private❑ Zone: — Outside Flood Zone? Municipal Q}'On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 rvner1 of Recor // // et e Eons e- � ��� ,714"_ /0/¢ G l v(F me(Print) Q tv.State,ZIP // e /9 ? il s/r-e-- Y/3-3V 7��Z 2 $i Yt,J t/4C/ �ree;s 1¢t(• e-'•� No.and Street Telephone Emil d SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ve Existing Building hit/ Owner-Occupied 12/1 Repairs(s) Cl Alteration(s) ❑ Addition 0 Demolition El/Accessory Bldg. E l Number of Units i Other 0 Specify: Brief Description f Proposed Work': ,2-�, / -cr5 eft II ON f/t- rJ (w C yea Pee c /14,l4,— 2 e SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /7 j apU, `1) 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 8 Dd. / 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ ?l Sp a, to P2. Other Fees: $ 4. Mechanical (HVAC) $ 4 eav, cAl List: 5. Mechanical (Fire Suppression) $ "' Total All F 4 , 1 CO Check No.01 V Check Amount: Cash Amount: 6.Total Project Cost: $ h I.(l 3dCJ. 0 Paid in Full 0 Outstanding Balance Due: d d7CTi SERVICES 5.1 Construction Supervisor License(CSL) 079160 4/28/25 Stephen D Ross License Number Expiration Date Name of CSL Holder 36 Service Center Road List CSL Type(see below) U No.and Street Type Description Northampton Ma 01060 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-584-1224 ste yahoo.com I Insulation Telephone D Demolition 5.2 Registered Home Improvement Contractor(HIC) 150847 5/03/24 Stephen D Ross HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 36 Service Center Road stepdrossna.vahoo.com No.and Street Email address Northampton Ma 01060 413-584-1224 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 Stephen D Ross to act on my behalf,in all matters relative to work authorized by this building permit application. 1/0 V4g C-- /ZC/ Print Owner's Na (E(�ctronic Signature) Date SECTION 7b:a vrER'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. Stephen D Ross //f t! O tt 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 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.) yso (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) y D*) Habitable room count I Number of fireplaces "�' Number of bedrooms Number of bathrooms 1 Number of half/baths —'- Type of heating system /{wit f ..v,6 . Number of decks/porches t Type of cooling system $cA ,� / Enclosed Open o CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD rG SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton -.�.- �.. . ..S!C �r 3 i; ,� Massachusetts .Ih a I'.. ktit DEPARTMENT OF BUILDING INSPECTIONS212 Main Street • Municipal Building 4" "-'`•' _ Northampton, MA 01060444 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: Vet 64(14 The debris will be transported by: Name of Hauler: (7Q°�` 7 Signature of Appli . ' v Date: a/ V 2`/ The Commonwealth of Massachusetts 1; �, ` !l. Department of Industrial Accidents =;e �= 1 Congress Street,Suite 100 :illi1 li Boston,MA 02114-2017 ,.a�t�, . wow mass.gov/dia Workers'Compensation Insurance Affidavit:Bu1Wers/Contr>actors/EIectr'iciani/Ptumbcrs. 1'0 BE FILED WITH THE PERMITTING Alt7'HORITI'. Applicant Information I Please Print teibiv Name(B suxss'Chsatuzation'Indivxlual): 11,r,,1,.,,4i`-' a se,,1 - — Address: 34 S-e{t ,et-1-- C.-f(,-4+.- ec,, k City/State/Zip: (v A vt 7144- Phone#: rgY-1 e--Z t( Are,or an employer?Check the zpproprt*te box: Type of,(iroJeci(required): daigfit 1a employer with__-�___ employees(full un�1'ot pnrl-tier 1_• 7. Irta�New construction 2m a ark proprietor or patine ship and have nu employees worki ng for me is S. 0 R. “odc.ling any ca f a ity_[No waken'romp.insurance minimal_I 301 ant a homeowner doing all wuh myself.(No workers'counp.tnsvtranu-e requirol.)" 9. A • •lition I0 O Building addition 401 am a homeowner and will be hiring uontryc-turs to.lnndu•t all work ern my property. 1 u ill eatvure that all dmtrsctura either have wurken*compensation insurrnat or arc sole 1 I a Electrical repairs or additions proprietors with nu employees_ 12.0 Plumbing repairs or additions 50 I am a general contractor and 1 Luse hired the sub-contractors listed un the attached sheet. 130 Roof repairs These subcontractors have employees and lave swam'comp.insurance_: 60 We are a curpuratiun and its officers have exercised their nght of exemption pet Wit.e 1 4. Other — 152.*1(4).and we have no employees.(No worker'comp.insurance required.) °Any upplu-ant that chocks box al must span till out the sedum below showing their workers'compensation policy information. n Hetrnettwnen who submit this affidavit indicating they ate doing all work and then hue outside cantrscturs mutt submit a new affidavit indicating such :Contractor:that check this Ixax must attached an additional sheet ahowins the mope of the 1mb•contractars and state w hillier iv not those entities have employee.. lids,:sub-cuntracturs Ince entrpluyees.they ntu.t pn»ide then uurkcn'annp pulley nutnl r. I 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 MGL c. 152, §25A is a criminal violation punishable by a fine up to S1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby e y u er the pa :a penalties of perjury that the information provided above/is tit '/cam/orrect Sign:'a — - bate: , ( ` F� Phone: Y/3- -i ) 2 I Official use only. Do not write in this area,to be completed by city or town official ('its or Town: Permit/License a Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CltyfTossn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Commonwealth or Massachusetts Division of Occupational Licensure Board of Building Reel`ations and Standards Consi ion S%,,rvisor r CS-079160 ti, spires: 04)28/2025 STEPHEN D 0-OSS 36 SERVICE TR RD .:. NORTHAMPT9N MA 01060 n. f (1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff. P• • Business Regulation 1000 Washing,•.: - Suite 710 Bosto �- 118 Home 1m•ro = __ - •'station 1,....a..z. vr.. ..rr. it . - 7.11V gri ir f 1.4 iv 'z� `44 Type: Individual ii%... ""e•ti-ton: 150847 STEPHEN D. ROSS E , :ton: 05/03/204 36 SERVICE CENTER RD. = NORTHAMPTON, MA 01060 '' , 0 '�[:IK i► Ziiii r 4 N. " r woi Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer • 8,Business Regulation Registration valid for individual use only before the IA HOME IMPROV=t'{1,4 ONTRACTOR expiration date. If found return to: Aa*.ar..a;..,i Office of Consumer Affairs and Business Regulation Re•1st::-. - = ,,,.�,r:4,,..n 1000 Washington Street -Suite 710 r e ;� - q• Boston,MA 02118 a r" -e;r, ,TEPHEN D.ROSS ,:.r :.r i = tt t r- 14 ,TEPHEN D.ROSS ci b., ;6 SERVICE CENTER t /4,„,,om'G.,..r/ifcs.C- , .IORTHAMPTON.MA 0 ''< -' .4 Undersecretary Not valid without signature "...1 CONSTRAS01 CDANDY ACOR[Y CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 16....-/ 7/15/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT AXIA Insurance Services PHONE FAX 84 Myron Street (ac,No,En):(413)788-9000 (ac,No):(413)886-0190 Suite A Wass,info@axiagroup.net West Springfield,MA 01089 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURERA:Arbella Mutual Insurance Company 17000 INSURED INSURER B:A.I.M. Mutual Insurance Co. Stephen Ross INSURER C: 36 Service Center Road INSURER D: Northampton,MA 01060 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1• INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS _LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 8520139378 7/1/2024 7/1/2025 PAMAGE r0 RENTED 100,000 PREMISES(Ea ocwrrencs) $ MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER EPLI $ 25,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) S ANY AUTO 1020098280 7/1/2024 7/1/2025 BODILY INJURY(Per person) $ — OWNED SCHEDULED _ AUTOSRE� ONLY X AUTOS y�.� p BODILY INJURY(Per accndent) S x AUTOS ONLY X AUTOS ONLY PPerr a tlent)AMAGE $ S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2,000,000 EXCESS LIAB CLAIMS-MADE 4620098565 7/1/2024 7/1/2025 AGGREGATE S 2,000,000 DED X RETENTIONS 10,000 S B WORKERS COMPENSATION X STATUTE OTH- AND EMPLOYERS'LIABILITYER Y/N WMZ-800-8006546-2024A 7/1/2024 7/1/2025 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L DISEASE•EA EMPLOYEE $ 500,000 It yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2024 00018103 Bk: 15285Pg:306 Page: 1 of 2 Recorded: 11/18/2024 11:48 AM Planning & Sustainability • City of Northampton planning I resiliency I conservation I place-making I sustainable transportation I zoning I GIS I historic I CB architecture I agriculture and food (413)587-1266•northamptonma.gov/plan Planning Board Decision:Approved . Applicant: Owner if Different Than Applicant: STEPHEN ROSS Stacey Novack 36 SERVICE CENTER RD 197 Elm St. NORTHAMPTON, MA 01060 Northhampton,Mass 01060 413-584-8974 413 387-8082 stepdross@yahoo.com slnovack@gmail.com Site Address: Site Assessor Map ID(s):31A-039-001 197 ELM ST Book/Page Number: 14381/1Q NORTHAMPTON, MA 01060 Zoning District: Elm St./Round Hill Historic District URB zoning district Additional Location(s): Permit Type(s): Site Plan Approval-Intermediate Project Description:Construction of a—550 square foot pool house with option to be used as a second unit will replace an existing pool house on the property. The relocated structure will meet the required setbacks. Planning Board Decision Details: Date Submitted:July 24,2024 Hearing Date: September 12,2024 Extension Date: Hearing Closed Date: September 12,2024 Decision Date:September 12,2024 Filed with Clerk Date:September 26,2024 Appeal Deadline Date: October 16,2024 An appeal of this decision by the Zoning Board may be made by any person within 20 days after the date of the filing of this decision with the City Clerk,as shown,Appeals by any aggrieved party must be pursuant to MGL Chapter 40A,Section 17 as amended and may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of the City of Northampton. Planning Board Members: Vote: George Kohout Favor Melissa Fowler Favor Janna White Favor Chris Tait Favor Stacey Dakai Favor Richard Baker Favor Planning Board Findings: Upon review of the application and the public hearing statements,the Planning Board approved the second detached unit/conversion of pool house upon determining that the following criteria in 350-11.6 and 6.1I had been met. A.The requested use protects adjoining premises against seriously detrimental uses.If applicable,this shall include provision for surface water drainage,sound and sight buffers and preservation of views,light,and air; The replacement of the pool house to a new structure with living area as a second unit is allowed and of similar scale to surrounding neighborhood. B.The requested use will not alter vehicular and pedestrian movement within the site and on adjacent streets,cycle tracks and bike paths. The structure is accessed from the existing driveway.The Board waived the traffic mitigation,based on the fact that this second unit size would have qualified for an exemption previously as a detached dwelling unit. Access by nonntotorized means for this residence is typical of two family dwellings C.The site will function harmoniously in relation to other structures and open spaces to the natural landscape,existing buildings and other community assets in the area as it relates to landscaping,drainage,sight lines, building orientation,massing,egress,and setbacks. D.The requested use will not overload,and will mitigate adverse impacts on,the City's resources,including the effect on the City's water supply and distribution system,sanitary and storm sewage collection and treatment systems,fire protection,streets and schools. E.The requested use meets any special regulations set forth in this chapter,which includes 6.1 I for second units with design and energy systems. F.Compliance with the following technical performance standards: Pedestrian,bicycle and vehicular traffic movement on site is separated,to the extent consistent with single and two family use. Certification: I,Carolyn Misch,attest that this is an accurate decision of the Planning Board and certify that notice of this decision will be mailed to abutters. Received SEP 2 6 2024 ,a.o�pmy .oR.l+4!Hpro. at Cll�'s Mat • Northampton,MA 01000 P City Hall•210 Main Street,Second Floor Northampton,MA 01060•NorthamptonMA.gov/plan October 17, 2024 I, Pamela L. Powers, City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Planning Board was filed in the Office of the City Clerk on September 26, 2024 that twenty days have elapsed since such filing and that no appeal has been filed in this matter. Attest: City Clerk, City of Northampton ATTEST:2ritutaial.j. HAMPSHIRE REGISTER MARY OLBERDING s ! Official Receipt for Recording in: Hampshire County Registry of Deeds 60 Railroad Ave. Northampton, Massachusetts 01060 Issued To: STEPHEN D ROSS 36 SERVICE RD NORTHAMPTON MA 01060 Recording fees Document Recording Description Number Book/Page Amount DECIS 00018103 15285 306 $105.00 197 ELM ST $105.00 Collected Amounts Y : Payment Type Amount Y Y Check 513 $105.00 $105.00 Total Received : $105.00 • Less Total Recordings: $105.00 Change Due $.00 Thank You 1 MARV OLBERDING - Register of Deeds By: Ann S Receipt# Date Time 0434074 11/18/2024 11:48a