46-058 (7) BP- 2010 -0555
61S #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2010 -0555
Project # JS- 2009 - 001184
Est. Cost: $16923.00
Fee: $0.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CHARLES SEDER 94375
Lot Size(sq. ft.): 117612.00 Owner: GLAZEWSKI HELEN S & MARY
Zoning: SC(100) Applicant: CHARLES SEDER
AT. 503 MT TOM RD
Applicant Address: Phone: Insurance:
117 MOUNT WARNER RD (413) 315 -0045
HADLEYMA01035 ISSUED ON. 1113012009 0:00:00
TO PERFORM THE FOLLOWING WORK.-FILL BASEMENT & INSTALL COLUMNS
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 11/30/2009 0:00:00 $0.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
File # BP- 2010 -0555
APPLICANT /CONTACT PERSON CHARLES SEDER
ADDRESS /PHONE 117 MOUNT WARNER RD HADLEY (413) 315 -0045
PROPERTY LOCATION 503 MT TOM RD
MAP 46 PARCEL 058 001 ZONE SC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Bu_ilding_Permit Filled out
Fee Paid
T i Construction: FILL BASEMENT & INSTALL COLUMNS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 94375
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF(OMATION PRESENTED:
Approved _ _ _ _ Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site,Tlan AND /OR Special Permit 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 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
Demolition Delay
Signature of Building Offici 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.
413 -587 -1272 Fra: 8_ Pg 1/ 4 11/23/09 9:27 as
NOV -23 -00 07:26 fROM- j T -770 P.001 /001 F405
otperUnard uas ady
City of NWhampton SWAA of Pemtit
Building DopBttment Curb CuttDrlw w Pame
21 Main Strelst Se+trertl3tic Aitel {at:sitcy
Room 100 WatWW#1 Avaltab
Northampton, MA 0 1060 Two sets of Structursi Plans
phone 413 -587 -1 240 Fax 413 -587 -1 272 PlattSite PIMS
Othw 8peafy
APPLICATION TO CONSTRUCT, ALTER. REPAIR. RENOVATE OR DEN01.18F1 A ONE OR TWO FAMILY DVffdAING
OECTtON 1- SITE INFORMATION
This section to be completed by office
1.1 Prooeriy
503 MOUNT TOM ROAD Map Lot Unit
NORTakWTON, MASSACHUSETTS Ze Overlay DIMWA
Elm 9L olalriet as Dletrlet
SECTION 2 -PROPERTY OWNERSHIP /AUTHORLML) AG9NT
Zj Owrar of Reaaed
MARY GLAZEWSKI 503 MOUNT TOM ROAD - NORTHAMMN, MA
No ( } Current Mailing Addrac 413 - 9443542
QA TeMt>na+e
Si re
DER 117 MOUNT WARNER ROAD
WAO Current Marne Addraas:
413 -313 -0045
g� Telephw�e
sECTI N S • ES3ZATE9 CON STRUCTION COSTS
Item Eetimsted Can (pallsrs) to be WOW Use WAY
oom
1. Building 16,923 (a) Sulding Permit Fie
2. Eleatricsl (b) Estimated Total Cost of 16,923
Construction from 6
3. Plumbing Building Parrnit Fee
4. Mechanical (MAC)
S. Firs Protection
S. Total • 1 + 2 + 8 + 4 + s 16,923 Check Number
This Section For Official Use Onl
Date
Budding Permit Number: Issued:
signstura:
Building Commissioner/Inspectorof Buikfmgs Date
413 - 587 -1272 - Fran: (DES SEDER P9 2/ 4 11/23/99 9:27 as
NOV -28 -00 07:02 FROM- T -789 R -002 /004 F -004
Section 4. ZONING ' All kSfOMAbdl Witt Be Completed. perm Can Be Denied Due To Incomplete Infarmation
ExiSiizt� Proposed Required by Zovinz
This column to be fined in by
auildisr UCP=aent
Lot Sin
Fronugc —.: .. ............... ... - - _
Sctbacla From -- — -
Budd** HeIght
13149. Square Foaugc
OPca SPacc Foamy —• • . ,•, , %
(LM arts mi u+r bldi dt paved i . • ., _ .__ .. .
# of Parkin Spam
Fill.
�, a NONE ,18Q.4t
A. Has a Spedat Permft/Variana /Finding ever been rued for /on the site?
NO 0 Dowr KNQW YEs (D
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO C) DONT KNOW AW& YES . -.
iF YES: *mitt Book ; Page - and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO ,� DONT KNOW 0 YES 0
IF YES, has a permit bmn or nerd to be obtained from the Conservation Commission?
Nceds to be obtained 0 Obtained C , Date tswed:.
C. Do ony signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed charges to or additions of signs intended for the prop"? YES 0 NO
IF YES, CMCMb* sift, type and Umtlon:
E. Will the construction activity disturb (clearing, grading, cavation, or firing) ring) over 9 acre or is it part of a common plan
that will disturb over 7 acre? YES 0 NO &
IF YF$, then a Northampton 9t m Wdtw Management Porn* from the DFw i MgU"d.
413-W7 -1272 Frts: MAES SM Pg 3/ 4 11/Z M 9:27 as
NOV -28 -00 07:08 FROM- T -780 P.008/004 F -904
SECTION 5 DESCPJEn QN OF PROPOSEO Wf]RK (cha* ail aoalicablal
Now Meuse ❑ AddMon ® Rspisarsmon�tlillndo�ur: Altsratiorga) Rootins
rs [�
rr-- 0r Doom
Accessory Bldg. 0 DemoMon C3 Now 51gm [CQ Deeke (p Skiing [Lt] Other (ICJ
Brief Deseription of Proposed
Work. sn • = awstn�rrr terry caeu sroNE B IbISr �l L! no rent FNCiEieEllcinN - sr� RT CA[es€fl
Alterallon of existing bedroom Yes x No Adding new bedroom Yea XX No
Alt 0ed Nerrs" Rerova*v urdnlshed basamam Yoe =No
Plane Attached Roll - Sheet
ea. If New house and or additionjo exISUM hOURInal, CoMplete the faltowln
a. Use of building; One Famit Two Family Other
b. Number of =me In each family un Nurf,tlK of IBiathroorna
L Is there a garage attached?
d_ Proposed Square footage of n w ovnstnu:ian. Dimensions
a. Number d elorlss? ` 5
f. Me t O of helitktp? ssd'b. Fl repkose or Wood Nunes of each
4. Energy Coneervatton Compliance. Messeneek Energy Compliance form Mached?
h. Type of construction
i_ is constructon within 100 ft. of wettends? Yes No. is construction within 100 yr. floodplain Yes No
J. depth of basement or cellar lleoor below ttntelfed grade - 7
k, WIN building conform to the Sulldlmg and Zonlra roguistione? ,",_,_Yss No . I
I. Septic Tank City Sewer � _ Private well City water Supply
SLGTION 7a - OWNUR AUTHOR"TION - TO BE COi1Pl.EM WHEN
OWNERS AGENT OR CONTRACTOR APPUft FOR IBUR- NO PEPAIT
1 MARY 4LAZEWSKI as Owner of the Subject
property
hereby u riza CHARLE $EVER DBA SEDER & SON
to ail. in ratstive to uthorlmd by this bulld[ng permit applleaiion.
A V1 i MUM aao
CHARLES SEDER.
Sa DvrruarlAinr►Br�CI
Agent hereby decfare that the statements and infonnatlon on the foregoing appiksation are true and accurate. to the best of my knowledge
and bellet
Signed under the pains end pe n alties of parjury.
CHARLES S
Print alums
i ir+�raoo9
DM
413 - 587 -1272 Free: 131BiM SM Pg 4/ 4 11/23/x9 9:27 an
NOV -28 -08 07:08 FROM- T -780 P.004/004 F -804
GECTICN ■ - CONB TRUCnON SERVICES
8. Ligmmd Consh ua txt Su.�� Not Appliofble ❑
Name of Licwue l WgK : CHARLES SEDER 94375
Lies U Number
117 MOUNT WARNER ROAD - HADLEY, MALRA CHU9r3 01035 Sn VA I i
Al E)Oradm Date
413 - 315 -0045
S' Tune
Not Applicable 0
SEDER& SON 1SION
Company Registration Number
117 MOUNT WARNER ROAD - HAPLEY MASSACHUSET73 01035 5116J2010
Address Arta
Los—
SEC71ON 10- WORKERS' COMPENSATION INSURANCE AFFIiiAVIT (M.O.L. c. 152, S 25C(6))
Workers Compensation Insurance affidavit mPqt In oornpleted anti submitted with this appilwdon. Failure to provide this aHiddvit wall result
In the denial of the lasusnoe of the buldIng periNt,
$I ned AM1dw& Attac had Yee....... O No...... 0
11. - R Owner Exem Lion
The current exemption I1or "bODI Gownere" was extended incl of one (1 or two(2) &mI lles
and to allow such hcrneewner to engage as izZvidusl for hire wbo door not poeeats It lie ft", ", r
as sunaryisq& lath Edhion Seetian 1OR?1.5_t_
Definition or Homeowner Person (s) who own a parcel of land on which he/she asides or inrends to rtsidc, an which there
is, or is intended to bc, a one or two fomity dwelling, atmchcd or detached strumures accessory to suet use =a/ or farat
structures. A person who couxtructs mare than one borne it a two-year period shalt not be comddered a homeowner
Such "hotnaownet" shall stu Mit to 1110 Building Official, oa a 110rm aecepgbla to the 8ttllding 0lxici tlwt halthe sbsll be
M Ansibte for all nth work nerthr a under the baildinty permit.
As acting Canotructiah Sugarvlaar yg0r ptON=* on tha f o� b�l be requitd ftm time to tuna, during ed upon
compladon of the work for whicb this permit is issued.
Also be advised that with roftrencs to Chapter 152 (Workers' Comperuialion) and Chapter 153 (Liability of Entployers to
EMployros for injuries not resulting in Dcath) of the Massachusetts CAneral Laws Annotated, you mey be liable for person(s)
you hire to perform work for you under this pemlit.
The undmignad "homeowner" eertifirs and asm une s responsibill y for compliance with; the State Building Code, City of
NordAmpton Ordinances, S Local Zacn and Statc of
sachueatls General Ltwa AnnatatW,
Nam owner SlgA. tars
OWD A
Vreeland Design Associates VriEU AND
CIVIL -4
An integrative approach to residential design, engineering and site planning 49K317
Date: October 7, 2009 zap
Re: Mary Glazewski, 503 Mt. Tom Road, Northampton, MA: Flood Mitigation - lifting existing
house above flood elevation — Foundation Details. 100 Year Base Flood Elevation = 123.0'
REVISED DETAILS FOR FILLING BASEMENT
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FOUNDATION DETAILS
Y 2" = 17-017
116 River Road, Leyden, MA 01337 Phone: (413) 624-0126
Email: dvreeland@verizon.net Fax: (413) 624-3282
Vreeland Design Associates
An to l residentia esi enno, and site plannin
. . . . . . . . No. 4631,
IV', ISTS
0ctoL 20 j A'r-
Re: Mary Glazewski, 503 Mt. Tom Road, Northampton, I'VIA: Flood Mitigation — Locations of
FEMA approved FloodVENT TM in foundation walls.
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FOUNDATION PLAN
td( TES
I ALL FLOOD VENTS ARE LOCATED 51-ICH THAT FINAL GRADE 11- BE 12" OR LESS TO THE BOTTOMI
F THE VENT OPENING.
L16 Ri'vu Road, Leyden, MA 01337 Phone: (413) 624-0126
Ernai!• dvreeland@verizon.net Fax: (413) 0624-3282
I
PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON
b planning • conservation • zoning • housing partnership • redevelopment • northampton G1S
economic development •community development •historic • community preservation • cenhral business architectw e
1 B ruce Young, Land Use and Conservation Planner • BYoung@NorthamptonMkgov • 413 -557 -1263
i
i
June 12, 2009
Helen Glazewski
503 Moluit Tom Road
Northampton, MA 01060
Re: Administrative Amendment to Order of Conditions
Dear Ms. Glazewski,
amendment to Order of Conditions DEP File Number 2 n 46 ission voted to issue an administrative
I
On June 11, 2009, the Northampton Conservation Conu
-619 to allow the filling of the
basement located at 503 Mount Tom Road, located within Bordering Land Subject to Flooding,
without providing compensatory storage for the area to be filled. Please feel free to contact our
office with questions or concerns.
Sincerel
I
i
Brice Y
Land Use and onservation Planner
City Hall • 21.0 Main Street, Room 11 • Northampton, NIA 01060 • w\ • Fax 413 -557 -1.264
original printed on recycled paper
Page 1 of 1
Chuck Seder
From: "Glazewski, Mary" <MGlazewski @MassMutual.com>
To: <contact @sederandson.com>
Sent: Sunday, November 22, 2009 1:54 PM
Attach: Residential_passive[1].pdf
Hi, Chuck...
I've attached a copy of the permit application. I've edited Tony's email below as an FYI...
Mary
From: Anthony Patillo [ mailto :apatillo @northamptonma.gov]
Sent: Friday, November 20, 2009 3:13 PM
To: Glazewski, Mary
Subject: RE:
Hello Mary,
You need another permit. It's not just to fill in basement but to make the other structural changes that Dave has
outlined.
A new permit would then be taken out with the contractor of your choice who you choose to act as your
authorized agent (there is place on new building permit application for this). The fee will be waived for this
permit.
Please call me on Monday or I will call you at work to go over this.
Talk to you soon
Tony
---------------------------------------------------------
This e -mail transmission may contain information that is
proprietary, privileged and /or confidential and is
intended exclusively for the person(s) to whom it is
addressed. Any use, copying, retention or disclosure by
any person other than the intended recipient or the
intended recipient's designees is strictly prohibited. If
you are not the intended recipient or their designee,
please notify the sender immediately by return e -mail and
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---------------------------------------------------------
11/22/2009
The Commonwealth of Massachusetts Print Form
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): CHARLES SEDER DBA SEDER & SON
Address: 117 MOUNT WARNER ROAD
City /State /Zip: HADLEY , MA 01035 Phone #: 413 - 315 -0045
Are you an employer? Check the appropriate box: Type of project (required):
1. 1 am a employer with 5 4. ❑ I am a general contractor and I
employees (full and/or part- time).* have hired the sub - contractors 6. New construction
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑✓ Remodeling
ship and have no employees These sub - contractors have g• ❑ Demolition
working or me in c a p acity. employees and have workers'
g a n y P Y• 9. E] Building addition
[No workers' comp. insurance comp. insurance.
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 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' 13.❑ 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors 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.
TRAVELERS INSURANCE COMPANY
Insurance Company Name:
Policy # or Self -ins. Lic. #: UB- 3329M432 Expiration Date: 05/10/2010
Job Site Address: 503 MOUNT TOM ROAD City /State /Zip: NORTHAMPTON, MA
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 under the pains and penalties of perjury that the information provided above is true and correct.
Sijznature: Date: 11/23/2009
Phone #: 413- 315 -0045
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 #:
ACORD CERTIFICATE OF LIABILITY INSURANCE 1 05/09/09 D[YY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFES NO Chase /Clarke /Stewart & Fontana HOLDER. THIS CERT F CA E DOES NOT AMEND, EXT D
101 State Street - PO BOX 9031 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Springfield, Ma 01102 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Travelers Insurance Comp
Charles Seder DBA Seder & Son Contract Sery INSURER B,
117 Mount Warner Road INSURER C,
Hadley, MA 01035 INSURER D,
INSURER E,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. AG6REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTIR G ENERAL LIABILITY EACH OCCURRENCE $ 10 00000
✓ COMMERCIAL GENERAL LIABILITY NC540865 03/23/08 03/23/10 FIRE DAMAGE (Any one fire) $ 50000
A =CLAIMS MADE E] OCCUR MED EXP (Any one person) $ 5000
PERSONAL 8 ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2000000
,/7 policy = project loc
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON -OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ i 000000
--
r
OCCUR i— CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ❑� WC S LIMIT -
EMPLOYERS' LIABILITY T RY LIMIT ER
A UB- 3329M432 05/10/08 05/10/10 E.L. EACH ACCIDENT $ 100,000
E.L. DISEASE - EA EMPLOYEE $ 100.000
E.L. DISEASE - POLICY LIMIT $ 500 000
OTHER
DESCRIPTION OF OPERATI NSILOCATIONSIVEHICLES /EXCLUSIONS ADDED BY END R EMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
FILE COPY DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Lisa M. Clewes
AUTHORIZED REPRESENTATIVE
ACORD 25 -S (7/97) (DACORD CORPORATION 1988
F-
M�
1 v
94375
00
CHARLESE SEDER
117 MT WARNER RD
HADLEY, MA 01035
33
Licensee Details
M�
Department of Public Safety Licensee Complaints
License Type Home Improvement Contractor
License # 151088
Restriction
Company Seder & Son Contract Services
Name Charles Seder
Address 80 Conklin Rd.
City, State, Zip Stafford, CT, 06076
Expiration Date 5/16/2010
Status Current
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Vreeland Design Associates °? VREE
An i ntegrative approach to residential design, engineering and site planning 0 No IVIL rn
Date: May 23, 2009 F rsTt:P
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To: Ray Gray, Harris and Gray Excavating
Re: Mary Glazewski, 503 Mt. Tom Road, Northampton, MA: Flood Mitigation - lifting existing
house above flood elevation — Foundation Details. 100 Year Base Flood Elevation = 123.0'
REVISED DETAILS FOR PRESSURE TREATED CENTER BEARING WALL
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FOUNDATION DETAILS
Y2 = 1' -0"
116 River Road, Leyden, MA 01337 Phone: (413) 624 -0126
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