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12-032 (2) Nov 24 04 11:09a DPW 4135871576 p.3 . . ; . 5 l 0 i l , 2 h . ,1 ■ • r, ,fir'- - ...", � X . a • . ' 7' N 65 10.11 -. C . C .'r,. N n 9 .." 7 . ___ 01 ) li 1 ji , x "7.0 134 8' ,� Q , LOT 2 \� 3'� _ ��/ \ 4 • + '4, 4,- 3. , x �o ?` �.'4z * ' ' . or \tir;4_ h E / / /� 1 = . 22'00' M / 46. Q ,ttir 4. O LOT 1 s s 4 S�Eti E N� 0 01 0 1 qt 1 - L.6o.0e. . '. 66466.00' 0- 47'44'62 . ke it F "PROPOSED IMPROVEMENT LOCATION" PLAN OF LAND IN NORTHAMPTON, MASSACHUSL I 1 S PREPARED FOR " °° "' ALAN SHARPE AND NANCY BALIN nnN L SCALE: 1 " 150' AUGU 2 2004 6 asos s " HAROLD L. EATON AND ASSOCIATES INC. c, REGISTERED PROFESSIONAL LAND SUt VEYORS va 2 35 RUSSELL STREET - HADLEY - MASSACHUSETTS 0' 150' 300 450 Z00 /Z00 ] 1d8VHS WV`IV AILV ULt E9l ETV IV;1 L9 :fi RHZ 1700Z/9Z/9O I1ov e4 U4 11 U5a DPW 4135871576 p.2 Permit No. D21 -05 Conditions: Driveway Permit In lieu of plan approved by City Engineer 1 agree to the following added conditions: 1. 1 will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. B: Y Petitioner Kent Pecoy and Sons Construction 215 Baldwin Street W Springfield, Ma 01089 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. cc: Building Inspector ..... ._ . •.. a a • � ci o L I W at L. n t! / 1 n f b P - // / w � _--- -°— "'" Permit No. D21 -05 rr CITY OF NORTHAMPTON, MA N 2 004 , 'm DRIVEWAY PERMIT l� w�int s�IKAS Date: Nov 17, 2004 x CHECK: 7 THE BOARD OF PUBLIC WORKS 1 4' ' ' 11 ' r . i/ , 4 • ' The undersigned respectfully petitions your honorable body for: - 61 • ' • • - • . . . • ... £ . • 11. ... • • 1 • • • 1' .. - • • - • .. , 14 • • . - • - - 1'11 '.. •' • - •' 1 t • • • - • .4 . .1 .11 ..• •• 11 •• • 1 • • .. . . . . - . • • . - • 111 • . • - • • 1 , • • . I • • . • . • . • • • . .ii.. 1 . . 1 1 . 1 1 • . .•• • L ..• 1' • 1 R•:•1• V •: • 111 . 1 • . • • t • k 4 4 1 . 1 • 1 1 1 . 1 1 • • "1 ' • . . 1 • . • • • • • . Nand Balin and Alan Sharpe By: mink t ent Pecoy and Sons Construction Telephone #: (413) 781 -7008 Proposed Location '� Inspected By: c 71 ,xc8,1 1/ /7 • af! Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector Nov 24 2004 10:23AM CVAtJ g 1 �cs`i t i c 1 • -- Massachusetts Department of Environmental Management ' Office of Water Resources 130608 TYPE OR PPINT ONLY Well Completion Report Address at Well Location; JO Ru4st -leWMOD 43i-`,, Property Owner: . . ° _ . at Subdivision Name: Mailing Address: csa l ,G: City/Town: f rndL ►r% m I p`hD�.l i rY1 A.-- Clty/T'own: - # • { t 108 Assessors Map Assessors Lot #: NOTE: Assessors Map and Lot # mandatory if notd available Board of Health permit obtained: Yes 0 Not Required fja Permit Number -. ssueiY (� New Well ❑ Abandon Domestic ❑ irrigation C? Cable „_ - . IF ` *A uger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal t J Air HaA i _I ia D Push ..r..: e ❑ Other ❑ Industrial ❑ Other ❑ M . „ rte, .‘.-,S ', . • r _ >, Q Unconsolidated Consohdated •_ From (ft) To (ft) ' S Low C4 Other Rock Type 4 IllrIIIIMMIIIIIIIII IIIISSIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIII __::•,,..„._ ' 11 .w: -` - il ' sto . (n, ..,„ -, t.lrh teste,, .....- �,: Total Depth gritted .m�,�.. r..: ( � i'y. „. ditatinit Date Drilling Complete b, = ''..' -23 III /r// fib)/ MN -A1111111111111111111111 , From ft) To (ft) Slot Size :.--f ∎pe and - Material- Screen Diameter aIIIPLVMMIIINIIIIIIIIIIIIIIIIIIIIIIII From (ft) To (ft) Material Del_ Purpose Fracture Developed? ©Yes ❑ No Fracture IIIIIINIIIIIIIEIIIEMIIIMIIII Enhancement? ❑ Yes ❑ No . Method .1111111 IIIIIIIIIIIIIN-r.IIIINIIIIIIIII _ Disinfected? ❑ Yes ❑ No E f Yield. ped Drawdoam to Time Recovery to Depth Below Date Method (GP, r - y-: ;''''''& min) (Ft. 1308) (hrs • cap, (Ft. BGS) Date Measured Ground Surface (FT) EMI ILI Pub Description ' Horsepower Pump Intake Depth ___ (ft) Nominal Pump Capacity (gpm) - _' This well was drilled and/or abandoned under . , ; my saperoision, according to applicable rules and regulations, and this report i com stele • nd correct to the -best of my knowledge. '__ z Air s. Driller: d ..„6- _ . - _ Supervising Driller Signature !s■ . . 4r - a .W.11 RegiStrafion #:1 I 71 15 1 CONN . *VALLEY ARTESIAN WELL CO. INC. /i Firrn � ^ - Date: 9 �a Ai s Permit*: NOTE. Hill Completian Reports must be filed by the registered well driller within 30 days of well comp” lotion. non 1 CD rltw r .. �� ,.,.., - f 144:clanil L,vnw 4135e5411e p. 1 • /o 3;- CONNECTICUT VALLEY u-iY17'� P,, s AF?TESIAIV WELL CO., I nc. PERCUSSION DRILLING INDUSTRY its FARMS 58 Bond Avenue • East Longmeadow, MA 01028 • (413) 525 -7656 or (413) 287 -4230 • FAX (413) 525-4112 HOMES FAX TRANSMITTAL COVER SFMEs � [ ., NOV 7 4 rr4 Date: //l v/o y From: i. _......_ t Connecticut Valley Artesian Well Co., Inc. To «.. I► , `�.� - ,: Fax # ,.5"2 7 Message: 375 7Ce This transmittal contains .pages including this cover page. Please forward the transmitted document to the party named as soon as possible. In the event that you have not received all the pages sent or have encountered other problems with this transmission, please contact the sender at (413) 525 -7656. 11/ 1D/ LUU4 TUL i :41 t'AA 413 Z53 4142 Mil ALAN SHARPH 1/ 1009/020 . �7 ra4 MN" - •ri { �+ �r>�r�W/l // .7 a��wr ;o A4TD u:o4datt�q4.so�t ' �� /as f xsaT = T / � a a 1111466 • •s334Ru stq , part; uaaq SBtt teadde ou 4Euq. pue SuTTTx gores •uTs pasdeTa anteq sAep A4uaml. 1-m44 'L661 '6 ARK uo xsaTO X4TD ay; ;o anx330 aq3 UT paITJ sere p.x - eo$ buTuupta ua}dwelllsoN au4 ;a uoTsT as anoge eql 3et44 ;=aa .Cgasatt ' uo.duretnZCN ;O 4 :T3 /44 30 NsaTO 4 4T0 ' TNsdclioxs aut .sT2MD 'I 4661 'OE zeW • • • BVOI t66U9t/OI ., i/fIc/ 110 6fi Z00 /6 .i • • Doc: 970423349 OR /5222/0088 14/16/199714;48 Pursuant to Massachusetts General Laws (MGL), Chapter 40A, Section 11, no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days'have elapsed afCer the decision has been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in the Hampshire County registry of needs or Laad,,Court, as applicable and indexed under the name of the owner of record•or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. It is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and record it at the Registry of Deeds. The'Northampton Planning Board hereby certifies that a Special Permit with Site Plan Approval has been GRANT= and that copies of this decision and all plans referred to in it have been filed with the Planning Hoard and the City Clerk. Pursuant to Massachusetts General Laws, Chapter 40A, Section 1S, notice is hereby given that this decision is filed with the Northampton City Clerk on the date below. If anyone wishes to appeal this action, an appeal must be filed pursuant to MGL Chapter 40A, Section 17, with the Hampshire County Superior Court and notice of said appeal filed with the City Clerk within twenty days (20} of the date of that this decision was filed with the City Clerk. Applicant: Kevin W. Heafey - 186 North Farms Road and Rustlewood Ridge sC / DECISION DATE: April 24, 1997 DECISION FILED WITH THE CITY CLERK_ May 9 . 1997 MAY 9.1957 (14[010 1 / z i G • (20400A I►1V1V ZW.b S!e7 rib Y114 Tc:F Ani fAn7 /0T /TT 11/10/U4 rl(1 1U.JJ rr1A 1 , 11J ioi • Dec: 1(23349 0? /3222/0087 10/16/1337 10:48 the statement "Lot (s) is a Flag Lot: building is., permitted only in accordance with the special Flag Lot Provisions of the Northampton Zoning Ordinance." 7. The Special Permit application shall include a plan showing the location and layout of the proposed driveway and house and all provisions for drainage and storm water run -off. EiVE„ MAY S 1997 F RK NORM 6 ozorLO0 1 UNEN OM a.T_T.0 7.171i7 4 M17 VV3 TP' R afT {,11(17 /QT /TT • Doc; 970023349 OR /5222/0086 1011811997 10:48 ATTACHMENT A Section 6.13 Flaq „Lots_ In reviewing the application for a Special Permit with Site Plan Approval for five Flag Lots, the Planning Board found said lots have: 1. met the requirements of the Table of Dimensional and Density Regulations, Section 6.2; and 2, an access roadway with no curve having a radius of less than eighty (80) feet or, if access is from another lot, an area on the flag lot for an access roadway with no curve having a radius of less than eighty (80) feet; and 3_ configurations such that the principal structure (erected or to be erected) may be located on the lot in such manner that a circle, with a minimum diameter equal to one and one -half (1 1/2) times the amount of the minimum frontage requirement required for a non -flag lot in that district, can be placed around the principal structure without any portion of said circle falling outside of the property's line; and 4. for the subdivision of any single lot or contiguous lots under common ownership, in existence at the time of adoption of this Ordinance or subsequent thereto, there may be no more than three Flag Lots having abutting, contiguous street frontage. Said contiguous FIag Lots under common ownership shall share one common curb -cut and driveway access. Appropriate easements shall be delineated on the Plot Plan. and on the deeds to the lots, including a clear provision for the responsibility for the maintenance of the common driveway, common utilities (if any) and snow removal, running with the land. Said ea ements shall: A. become part of all of the deeds, and B. be recorded at the Hampshire County Registry of Deeds, or Land Court, as applicable (proof of recording shall be submitted to the Building Commissioner prior to the issuance of any Building Permits). S. the grade, length and location of access driveways shall be of suitable construction, in the opinion of the Planning Board, for the access and, where applicable, the turn - around for vehicles, including moving vans, ambulances, fire and police. Said driveways shall conform to all applicable provisions of the Zoning Ordinance. 6. Plans submitted to the Planning Board under this Section' shall be the same as the plan submitted to the Planning Board under the Subdivision Control Law, a all include 5 ' • MAY 9 1997 070/900V1 ID!V11S IJB1V X,T.LY 7611 N7 i'T6 YV..d Te.F TIT 6002/QT /TT • Doc; 90023349 OR 1522210085 101161149110 :48 3. Because of the location of this development within a Water Supply Protection District, restrictions shall be placed on the Deeds to all of the Iots (subject to the approval of the Planning Department and the City Solicitor prior to recording) , stating that: A. The commercial application of pesticides, insecticides, fungicides, biocides and fertilizers is prohibited. • • 4 MAY 91997 ` • OZO /400111 RANVA5 NV1V XJIV Zta ESZ ETA YVA OE:6 N(1J, tOOZ /9T /TT 11/17/U4 Ci(1 lo: J.) rt1A 1 .ii 101 11.1v nl:INx ■1:vvi a vv .v u �� DX: 970023349 OR 5222/0084 10/16/199710 : • • common driveway to access three lots will reduce the amount of pavement and the number of curb cuts into city streets and will help maintain the rural character of the district. The use will not be detrimental to the health, morals, cir general welfare and shall be in harmony with the general- purpose and intent of the Ordinance. G. The requested use will promote City planning objectives to the extent possible and will not adversely affect those objectives, as defined in City master or study plans adopted under M.G.L. Chapter 41, Section 81 -C and D. In addition, in reviewing the'Site Plan, the Planning Board found the applicant has complied with the following technical performance standards: F. 1. Curb cuts onto streets have been minimized by the use of a common drive to serve three lots_ 2. Pedestrian, bicycle and vehicular traffic movement 'on site are separated to the extent possible. Conditions imposed upon the Special Permit for Flag Lots are AS follows: 1. Any Flag Lot Special Permit granted hereunder shall be . deemed validly exercised for the purpose of preventing a lapse of said Special Permit if a plan showing the flag lots receives approval by the Planning Board in accordance with M.C.L. Chapter 41, Section 81P, (Form A, Subdivision Approval }tot Required) and is recorded in the Hampshire County Registry of Deeds prior to the date on which said flag lot Special Permit would lapse. Proof of recording. of the plan must be submitted to the Office of Planning and Development and shall become part of the file on that Special Permit to verify that said permit has been validly exercised. Also, conveyance of any Flag Lot to a bonafide purchaser shall constitute a valid exercise of the Flag Lot Special Permit on said lot. However, conveyance of a Flag Lot and one or more abutting parcels to the same person or entity shall not constitute a valid exerciser of said Flag Lot Permit and said permit shall lapse two (2) years from its date of issuance, unless construction of a dwelling has begun prior to that date. 2. The amount of manicured lawn on each lot shall be limited to a maximum of ten percent of the lot's total_ area, not to exceed 20,000 square feet. _spEI zo 3 .. MAY 91997 OZO/ 00 1 A,DW1TC V1 T.T.T.B 7fiWfi VC7 rft Y114 nr:a i+0tl7f01-/TT LL / 1D /V iiL LV• aria 1 ziv .vi •..vv ..... .—.- -- -- - -.— Doc: 970073349 OR /5222/0083 1Q/16/19 10:46 4. "S ;TE GRA.DIvg PLAN - LOTS 1 2, 3 & 5 for Land on Rustlewood Ridcze & North Farms Road. Northampton, MA, for Kevin W. Heafey et als," prepared by Charles H. Dauchy, Environmental Consultant, dated February 24, 1997 and revised April 10, 1991 and April 17, 1997. 5. "SITE GRADING PLAN - LOZS 4_6,7 & 9. for Land on North Farms Road, Northampton, MA, for Kevirr W. Heafey et als, " prepared by Charles H. Dauchy, Environmental Consultant,- dated February 24, 1997 and revised April 10, 1997 and April 17, 1997. Planning Board Members present and voting were: Chair Andrew J. Crystal, Vice Chair Daniel J. Yacuzzo, Jody Blatt, Paul Diemand, Nancy Duseau, Kenneth Jodrie, Anne Romano. In Granting the Special Permit, the Planning Board found: A_ The requested use for flag lots protects adjoining premises against seriously detrimental uses by providing for surface water and drainage as depicted on plans and information submitted with the Special Permit application. B. The requested use promotes the convenience and safety of-. vehicular and pedestrian movement within the site and on,, adjacent streets and minimizes traffic impacts on the streets and roads in the area by providing access to three lots with one common driveway. C. The requested use promotes a harmonious relationship of. structures and open spaces to the natural landscape, existing buildings and other community assets in the area through limiting the amount of clearing allowed to maxiriuze the amount of land left in a natural state. 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 a11d distribution system, sanitary and storm sewage collection.and treatment systems, fire protection, streets and schools. E. The requested use meets all special regulations set forth in the Zoning Ordinance. specifically, Section 6.13 - Flag Lot; see "Attachment A," for criteria. F. The requested use bears a positive relationship to the public convenience or welfare because it will provide additional housing. The use will not unduly impair the integrity of character of the district or adjoining zones because flag lots are allowed in the Rural Residential, Zoning Distr' EW o a 2 ! ` MAY 9 1997 Oti0 /na1 UNITR \18 LT.T.Y 7i7117 ce7 Mb Yu ns' : i A(1.T 'MOAT/TT A • • Doc: 970023349 OR /5222/4082 10116/199110:48 City of Northampton, Massachusetts Office of Planning and Development + 0 geb ° City Hall • 210 Main Street Northampton, MA 01060 • (413) 586 -6950 et) t . '�� FAX (413) 586 -3726 $ = j� - ^ i S • Conservation Commission - Historical Commission �! r . Vi.. • Housing Partnership Parking Commission • Planning Board - zoning Board of Appeals -iS'i DECISION OF NORTHAMPTON PLAN+lNING BOARD APPLICANT: Kevin W. Heafey ADDRESS: 197 North Maple Street Florence, MA 01060 OWNER: Elizabeth J. Olbris et al. ADDRESS: 186 North Farms Road Northampton, MA 01060 RE LAND OR BUILDINGS IN NORTHAMPTON AT: 186 North Farms Road and Rustlewood Ridge MA.P .AMo PARCEL NUMBERS : MAP 11; 12 PARCEL 16: 1 At a meeting conducted on April 24, 1997, the Northampton Planning Board voted 6:1 (Jody Blatt, opposing) to grant the request of Kevin W. Heafey for a SPECIAL PERMIT WITH SITE PLAN APPROVAL under the provisions of Section 6.13 in the Northampton Zoning Ordinance, to create five flag lots (Lots 1, 2, 3, 5 and 6) at property located at 186 North Farms Road and Rustlewood Ridge, also known as Map #11, Parcel #16 and Map 12, Parcel 1 as shown on the following plans: 1. "Plan of Land in Northampton, Massachusetts, Prepared for Kevin W. Heafev et als," by Harold L. Eaton and Associates.., Inc. dated January 14, 1997 and revised February 27, 1997, April 10, 1997 and April 15, 1997; 2. "Qjttmon Driveway Easement & Right of way,Plan; Plan of,` Land in Northampton, Massachusetts, Prepared for Kevin W.'. Heafev et als," by Harold L. Eaton and Associates, Inc. dated February 27, 1997 and revised April 10, 1997 and AA.ril 15, 1997; 3. "GENERAL SITE PLAN for Land on Rustlewood k & North Farms Road, Northampton,_ MA, for Kevin W. Heafey et prepared by Charles H. Dauchy, Environmental Consultant, dated February 24, 1997 and revised April 7, 199 April 17, 1997; 1 MAY 91997 ORIGINAL PRINTED ON RECYCLED PAPER O OZO /ZOO 1 1uvid h•T.T.V ZFI.ir £G7 Mir Y84 R7:R F(tf ATiTT 11 /1.7 /vf, rnl 1u.o. rna 1 41U IU1 I1%JU 1.0 .1 .LVVl ax Doc; 9300124 1:8 OR /5674/00S8 0WW73I19h 141)6 aaIBIT B DEED RESTRECTION Any future "Work" or "activity" as those terms are defined in 310 CHR 10.04 on land designated as "wetland" on a plan entitled 'SITE DEVELOPMENT PLAN LOTS 4, 5, 6, & 9 FoR LAND ON NORTH FARMS � ) ROAD, NO�, A FOR I IH or. haxacr E7 ' ALS" prepared by Charles R. Dauchy, Environmental Consultant, 24 Long Plain Road, Amherst, MA O1OO2 dated 2/24/97, reviled 7/1/97, 8/1/97, currently on file with the office of the Northampton Conservation Commission, is prohibited, except for work approved by the Northampton Conservation Commission in accordance with then c der of Conditions issued under the provisions of MGL Chapter 131, Section 40 and /or the Northampton Wetlands Protection Ordinance, file number 246 -410, and any future repair or maintenance of faci1.tiee constructed under said Order, subject to the approval of the Conservation Commission. Any future "work" or "activity" as those terms are defined in 310 COO 10.04, on land between the land designated as "wetland" and the land designated as "permanent work limit" on the above referenced plan is prohibited, except ae may bet approved by the Northampton Conservation commission in Accordance with an Order of Conditions or DatertminatiAms at Aprt fras.4 t icy issued under the provisions of MGL Chapter 131, Section 40 andlor the Northampton Wetlands Protection Ordinance. ATTZST8 11"5111321 + �.. DOH 21 • OZO /OZO11 UMW MVIV IIJV 7.bl.fi S'G7 Pit YV.4 14.3 TILT. bnn7 /QT /TT 1: 012409 DR 1%1414 041491199314 ;D6 AFFIDAVIT A. I am John T. Bennett III, Senior planner, for the Northampton Planning Department and the Northampton Conaervaition Commission. 2. The reference to *REJGISTRY EXHIBIT, Lot , North Farms toad, Northampton, NA, dated ^ contained in the Order of Conditions, Massachusetts Wetlands protection Art, G.L. 131, S40 and the Northampton Wetlands Protection ordina te, DEP Rile No. 246 *410, Attachment A, Draft Deed Restziatien, Lote 4, 5, s & 9, ar 186 North Farms Road, Northaapton, Nasaashmeatte, se recorded in the Hampshire county Registry of Deeds, Book 526$, Page 71, refers to a plan entitled "STIR DEVELOPMENT PLAN LOTS 4, 5, 6, i 9 PQ LAND 014 NORTH FAUNS ROAD, NORTHAMPTON, MA FDR IQSVXN W. HEAPEY ET ALS" prepared by Charles H. Dauchy, Tevironmental consultant, 24 Lang Plain Road, Amherst, MA 01002 dated 2/24/97, revised 7/1/97, 8/1/97 currently on file vitb the- officer of the Northampton Conservation Commission. A true copy of said plan is attached hereto as Eythibit A. 3. Any deed executed by the applicant or any aucCeesor in title which incorporates the language of the aforementioned Draft Deed Restriction, ea modified in accerdatnee with E hibit B attached hereto and incorporated herein by reference. Complies with the requirements of paragraph 23. and paragraph 47. of said order of conditions, and no such deed need be eubomitted to the Northampton Conservation Counmiasion for approval prior to recording. Signed tl er the pains and penalties of perjury this , 4- daY of , 1999. �.. . Bennett II COMONWEAWTH MASSACHUSETTS Hampshire, ss. /VP , 1999 Then personally appeared the above named John T. Bennett III and ackno iedged the foregoing instrument to be his free aot and deed, before roe, the Undersigned authority. E. AG q. 114 MEL. Notary Public my Commission uxpiras: 9 r ao OZ0/6TOl 5auVAC WTV Pe7 VT17 1114 b :R WIT bM7 /4T /TT 11110/0'* 1'I11 10.01 r!111 1 t10 101 1100 I\L'1\1. 1L'1.V1 IX JUIN. L4,.m 010 • • • !!. /SIAM 1AY1!0715:18 2ssue4 ay porthamotesl Conservation Comasioaion Signateroes �� A f • i•-ice._ .. r'.I � «..._ Thin Order much be signed by a majority of tile conservation Commission. _ On this . Q day yoofflq.� Jae) 1997; before ate peraneaily appeerfai -q esic aS �, �o tise known to be be person described in o nt caregaisp instrument and aaknowladged that he /eho'executed the same as his/her Sres act and deed. 's� DtotsryPe • f y L oss cup roe • firms applicant. ebe owner, any person aggrieved by this order, any owner of and abutting tha and upon which the proposed work to to be deem, or any tea • residents of the City or town in which euebland Ls looated, are hereby notified of their right to request the Department at v u,ronsent r Wrotsatice to issue a Supsreedieg order, providing the stagnant La made by certified mail or hemnd • • delivery to the Department, with the appropriate filing fen and Fee Transmittal Form ac provided in 310 CNA 10.O3( /). within ten days from tha data of issuance of this determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to time aoeearvatlan Ooemiaelon and the applicant. • • •Detach on dotted lino and atabmlt to the Worth on conservation C<weaiasion prior to commencement of work. mom sate --Tails !$ Mr RtQypR4 ip T COSISTSSION SAS • ALRy DI RECORDED TSg =CM SS IF TIIF E =tat PRACSI'Cff, SSLR¢t LAM ZS RECIS3ERFD • Ip LAND COMM- ...... �. to NorthamntQQ Censesution c neiseien: Please be advised that the Order of Conditions for the project at File Number 348- has been 'recorded at the Registry of fampshiro County and has been noted in the chain of title of the effected property 'moos with General Condition $ en .911 . if recorded land, the 3nerruecnt number Which identifies this transaction is . If regiatesed Sand, The document number which identifiae'thio transaction is • Signature Applicant . t ,-�- lTrBgiY:m page 5 - (memnerax \wp \conscom \order.oc) • OZO /RIO[J >t?i� hIB'i8 X.LT,V 7fi /.T S'C7 t'Tfi TIN fii'.R finn7 /QT /TT 11/IN/U4 rx1 1o:a1 rlA 1 41a 101 11)U nn,vi rnuui 01 ovvo A['14ACMCOMIEW A DRAFT • • DEED RESTRICTION 5 To be applied to LOS 4. 5, 6, & 9 Eg Any future "work" or "activity" as those terms are defined in 310 CMR 10.04, on land designated as "wetland" on the attached Exhibit A, titled "REGISTRY EXHIBIT, Lot North Farms Road, Northampton. MA ", dated , Is prohibited, except for work s' approved by the Northampton Conservation Commission in accordance with the Order of Conditions issued under the MGL Ch, 131, s.40 and/or the Northampton Wetlands Protection Ordinance, fie number 246 -410. dated , and any future repair or maintenance of facilities constructed under said Order, subject to approval of the Conservation Commission. Any future "work" or "activity' as those terms are defined in 310 CMR 10.04, or land between the "permanent work limit" and the " wettand" designated on the above referenced Registry Exhibit is prohibited, except as maybe approved by the Northampton Conservation Commission In accordance with an Order of Conditions or Determination of Applicability issued under the MGL Ch. 131, s.40 and /or the Northampton Wetlands Protection Ordinance. (20 /LTOf 1 1a )WuC WVIV ITTV 7i1l (C ('rig VVJ i,l''a JnT i,nn7 /(1T /TT Ooc: 97 3 OR . /5750077 I 7 15:18 43. if soils are to remain disturbed for longer than 30 days, a temporary cover of rye or outer grass shall be established. following U.S. NI&CS procedures, to prevent erosion and sedimentation. All temporary construction areas shall be restored to original condition or better upon completion of the project, including replanting of vegetarian. 45. Upon completion of the project, the Applicant shall submit a certification that all work has been done in conformance with the provisions of the Order of Conditions and request a Certificate of Compliance. 46. The owner of the property described in this Order,must advise any potential buyer of the property mat any construction or alteration to said property, cincluding brush cutting or clearing may require approval by the Northampton Conservation Commission. 47. The applicant shall be required to place deed restrietitms an Lots 4, 5, 6 & 9 similar to the language submitted to and approved by tho Commission in document entitled, "Draft flood Restriction." (See Attachment A) 48. Ongoing conditions that shall nor expinc with the issuance of a Certificate of Compliance arc as follows: (None). yrrrysM•* Mir *arw *M *011pow #rt srrr*****Mrssrs* 004.1146** *te+rs**srr page 5 - (:oemrrex \wp \con8COm \order. =c) • 020/9T0I gd>1VJT MVIV 1 7ir!f PC7 (Tir Yea OVA urn inn7 /nT /TT Bee: WEN m /5291/1107 12/17)1981 3118 34. The contractor is es responsible as the applicant and property owner for any violations of the Order of Conditions and penalties under the law. while an activities mutated by this Order are being performed, 35. No equipment is to enter or max x %wetland reseyree area at any time, unless the location of entry or disturbance is cletrdy indicated on plans (driveways /sewer line) and within information approved with thc issuance of this Order of Conditions. • 36. All equipment shall be operated, parked, and maintained in such a manner that will prevent potential alteration of the wetlandheusurr:e area and buffer none, except as approved within this Order crf Conditions. 37. Prior to excavation nPany wetland Brea, the wetland replication area(s) shall be excavated to the elevations indicated on the plans, and the sipplie.ant shall present the Conservation Commission with written eettilicatiaa by a wetland specialist, who is qualified in hydroloo, that the proposed wetland replication area reassesses the appropriate grfundwater rlcvations and ltydrnk gio arnrnoliens. ' 38. Excavated wetland soils for use in the replication area shall be protected with plastic in- canvas from erosion and drying out and shall be placed within the r plie.ation area s.s soon as possible following excavation. 39. A report of the success of re- vegetation activities shall be submitted to the Conservation Commission, by a qualified wetlands scientist on the following schedule: By - The end of the first growing season; and By - Zhe end of the second growing seasott. 40. If more than 73% wetland vegetation has not been established in thc replication and enhancement arras after two growing seasons (2 years), then additional plantings andtot changes to wetland replication plan shall be submitted to the Commission for consideration and approval. 41. Excavated ttatorial and topsail stockpiles shall be located and stabilized so as to minimi..v, washing into wetland areas or waterways as per plan entitled, "Site Development Platt, Lots 4, 5, 6 & 9 For Land on North Farina Road. Northampton. MA For Kevin W. Iieafey et Als, ' prepared by Charles H. Dauchy, Environmental Consultant and dated February 24, 1997, revised July 1. 1997 and August 1. 1997. 42. Adequate measures shall be taken to prevent erosion and siltation of all disturbed arras, anJ shall be implemented prior to any construction as per the above -cited plan. page s - i cleaver esAwp\conecom \ order . cc) • OZOJ IO 1 V)I tC KiVTV z.T.TV 7W' tC7 eTir YN,T erg TnT hnn7 /0T/TT tar,: 77W283 igillifig" 12/1 152 approved by the Conunissfon, prior to or during construction, shall require the applicant to file a request for an amendment with the Conservation Commission. It shall include a written inquiry as to whether DT not the change is sobatatttiat enough W require the filing of a new Notice of intent. After making a positive determination, the Commission shall conduct a public hearing for the purpose of amending the Order or to issue a new Ceder, if a new Notice of Intent is required. 26. The wetland replaccme iu area and permanent limit-of-work line on Lot 9 shall be staked out on thc lot prior to the start of work and verified by a wetlands consultant, with notification to the Conservation Commission. 27. Areas of clearing shall be limited as shown on plan entitled, "Site Development Plan, Lots 4.5,6 & 9 For ieed on North Forms Road, Northampton, MA For Kevin W. Heafey et ale," Prepared by Charles II. Dauchy, Environmental Consultant and dated February 24, 1997. revised July 1, 1 997 sad August 1, 1997. No work shall extend beyond the limit -of -work line shown on this plan. 28. Prior to the start of any site work, excavation Or construction on e>web let, a preermslruction conference shall be held on the site, between the arm:racier conducting the work, the site/project eagiveer, thc applicant, and a member or gent of the Conservation Commission, in order to ensure that the requirements of this Order are understood by all parties. 29. Prior to the pre - construction meeting, the boundaries of all wetland resource arras, limits of work, and grading boundaries, shall be identified by clearlysnarkel flagging and /or stakes, spaced at intervals not greater than 25 feel apart. Flagging used to identify wetland resource areas shall be a color different from any other flagging used on the vita, 30 The name of the wetlands specialist shall be submitted to and approved, by the Conservation Commission prior to the begituttirtg of work. 31. All silt fencing and erosion control shall be iostafed prior to removal of stumps and shrubs within the right efway. 32. Thc applicant shall notify the Commission in writing of the' name. address. business and home telephone numbers of the project supervisor and/or contractor who shall be responsible for ensuring compliance with the conditions in this Carder prior to duo issuance of 7 Building Permit. 33. Areas of construction shall remain in a stable condition at the dose ofeach construction day. Erosion controls shalt be inspected al this time,and any corrections must be made prior to leaving the site for thc day. The erosion controls must be maintained or rotnforccd to meet specifications in the plans and requirements in this Order. page S -S tmemorex \wrlconseo:a \order.cer 0Z0 /IIOI1 ,D1Vic uVIa ITTV 71 )b (C7 4!Tf VVJ t'(''a WIT I6fl7 /nT /TT Dec: • 9i0 EN � /52607 12/17/3715 :1 17. AMU of construction shall remain el a viable condition at the close oleeclt cuuahvcliun day. Etetion commie .ball be Inspected at this time, and maintained or retnfoeced to tract! speclticationt in the plans and This order; 1 >3, Alt construction areas sboll he reamed M original condition of better upon completion nr rho pttrjeei, including rep[arning of vegetation; iv. This Comrrtisston and its agents shall have the right to enter end inspect the properiy many time for wmpiiwa:e with the condlclerm of ihin Order, the Act, and Wetlands Protection Regulations; 310 CMR WAX and Chapter 3d of the City's Ctrdimnccs; 'rho Wetlands Protection Ordinance'. They shall have the right to request aril restive any data or documentation that is deemed nenegeavy for cvaluatian of curnplianec. 20. This Order of °auditions shall apply to only successor in intermit or sumereor io control; 21.. The contrw;tot is as responsible as the applicant and property owner for any violations of the Orders of Cooililion and penalties under the law, while all sativirics rwul send by this Order are lacing performed A copy of this Over and associated plans shall remain nn sks during all oo i5tNCtiott andfor building activities. The project manager and all equipment operators shall he familiar with the approved plant, anti *hall be informed of their location on the sins. 71tis location shall be awecasible to all comroctors whenever work is mewing nn sttc. .� copy of the Rumen of invent, ell plans sad Cheer nand always be on -site anti in ail excavating machinery *hen work is being performed: 22. All required permits most etc obtained from the Aaraty Corp of Engineers 0", , Water t�taality Cortificatlon },Planning hoard, Zoning Huard, Department of Public Works, and Building Inspector prior lo the S tart alp-ejects iuvo[ving fill within soy wetland resents* otos; 23. The owner ate property dcserihed in this Order, must advise any potential buyer of the property that ary conatruetiun nx alleteliod to said property, inclueGRe brush cursing ur cle ranee, may requite action by die Northampton Commotion Ceminiscion, Any instrument conveying any or all of the ownwe interest in said property or any portion thereof, shall contain Ianguage similar to the following, which shall he submitted to atld approved by the Conservation Comtnissien, prior to recording: "This properly is subject to the Northampton Wetlands Rvleclion Ordinance and/or Wetlands ProtectionAct. Any construction as maintenance work performed on this property requires an Order of Conditions, and /or a Determination orApplitability from the Northampton Conservation Commission. Any application. for additional wetland resource area impact shall be viewed in the context of ctunulative impacts as a result of this project" 24. Upon completion of the pmje t, the APPitcant shalt aubnatt a certification total all work has been done in conformance w it% the provisions of the larder of Cenditiotto and request i Cfntificata of Compliance. if checked. Pal YES Certification Awn be by a wetlands Consultant eta shall have hccn approved by the Commissian: 25. Any change or deviation from the Notice of Intent, plans and/or Order of Conditions page 5 -e tmen:rircx \wp \censeam \oader.ce) • • Q7.Q /STQfA VV9V T.T.T.V 7Ul.il Pe7 S'Tb YVT 7P:A NT. hnn7 /QT /TT Dx: 9/467E43 OR /5264/ 12/11/199715118 9. A in shall be displayed at the site net teas than rwo square feel or mare than three square feet hi size bearing the workt:, "Mssawtlawttts Oeparhnent of EnvironmentalPnncetine, Ntta Number 246-410 ". 10. Where to Department of EhvirontnenwI ?munition is requested rn make a detorminstton and. to mut a Saperaeding Order, the Conservation co ommissip shell be a pang to an agency nrttceedings and hearings before the Department. 11. Lyn conviction Mille week described herein, the applivantshall forthwith in writing 0113 a Certificate of Cor pliaa.ce be issued stating that (he work has bcno satialketo[ 11y completed. 12. The work shall conform to the feltowrng plans and special conditiuro; PLANS TITLE DATED SIGNED& STAMPED DE: " General She Plan IutLand ou Rustle wood 02/24/47 .. Rev. 04107197 Ridge.* Nnrtlt Mmes Road, Nun/tempt= Rev. *1/17/97 Rev. 07/01 /97 tileasaehutctta for Kevin W. Hca$y c ale.." PreparadjakCharles11- Elauchy. — All Plain on File with Northampton conservation Commissiow Specie! Conditions: I :1, The eppolesur shall notify the CAmtnisnion, in writing, alto the date that the work will be commencing on the Project. Said natttlentlso most be received by the Commtssioo no lamer than (10) days and no later thaw Gve IS) days prior to the Ca,Utteacantent of the appmre4 sctirtly; 14. Tin men wtbla the 100 year Iloodplain, any wetland, or area within 100 leer ors wetland or 40 feet of a t00 year floodplain, us defined In 310 C.'tdit to, end Only of Northampton Ordinances - Chapter 24, thalt he permitaih le dispels! sites, unless such areas art specifically approved by the Commission; 1 t. fittcavatod material and topsoil stockpiles shall be located and gtahilized so as lo minimize washing into wetland areas or waterways! IG. Adequate ntaasmet shad he taken to prevent erosion and sardine of ell disturbed arms, , md OA be implemented prier to any eottatreetion. $edimentttdan and minion control devices Shall be placed according m standards set m tJ.S.U.A. Soil Conservetion Service, "Cnldeliner for Sall and Water Conservation in Urbanized Areas of Meintteboee[u ", Placement of sedimentation and exotttsnconeel shell be dine* w talc site by the project engineer i nrdrr acenmplieh maximum uuntrol of erasion to ensure that no eroded niareriels will sate/ wetland resou 3rea5. Kay bales mast he staked. Silt fencing tt.v l be insea(ted is a dug !moth with sufficient purusity lo allow detained water to pass through while trapping suspended sediments; page 4 - ( memozex \srp\contacoat\c OZO/710131 INVIN VVIV ITTV 711)1 PC7 4Th VNJ 7e!a !CT inn7/0T/TT wet 970GI9 a OR /52b airl 12/1711` 715118 'l the Nnithamptnn Conservation Conirnission hereby finds they the following conditions me neeessaiy in avcordance with the Pertbrmonee Standartkxet firth In the rtpolationq, to mixer those interests Cheeited a)xrve. The Conservation Commission orders that e11 work shall he performed in accordance with safd ennditlepts end with the Notice of intent referenced above. To the extent that the %htawing conditions modify or differ from the plans, spednesttotu or outer puma's submitted omit the Notice of intent, the conditions shall control. General Conditions I. Failure to comply with all conditions Shutt herein, avid witb all related tutu ksand other regulatory treasures shall he deemed cause to rued c or modify This tinier. 2. The Order does not grant any property rights or arty+ reclusive privikl s; ix does not authorial lay injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or arty other paean ur the necessity of complying with all other applicable federal. auae nr meal statutes, omdinaneea, by - laws or regulations. 4. The work authorized hereunder shalt be enmpleted within three years tarn the dote of thts Order ankle either al the [Wino/mg apply: (a) the work is a m shale miFe dredging project as provided for in the Act: or (b) the time for completion has ban extended to a specified date more t three years, hid nce than Pint Yeats. from the date of issuance cod both diet date and the special circumstances warranting the extended limper/oil are ens forth in this Order. S. This Order may be extended by the issuing euthori(y for one or more paled% of op to three ye: ra each upon application to the ()rating authority yt least 30 Jay . prior to the exptratioet date oldie Ondet. 6. Any fill used in cnnnn firm with the pmjrst shall be chain fill, containing no hash, refuse. rubbish or debris. Including ben nor limited to homier, bricks. plaster, Brie, lath, paper, cardboard, pipe, tiers, mhos, refrigerators, motor vehicles or ports of any of the foregoing, 'E applicant is prohibited from using demolition materials, asphalt, large chunks of concrete, tree stumps and Ihttby and general rattle'. r, No work shall be undertaken until all udmntiatrative appeal periods from this Order have clapaud ur, if such en appeal has be filed, until all proceedings_ be fore the I)epemnent have been completed. n. No work shell be undo teken until the Final order has beet retarded in the Registry of Leeds or the Land Court far the Metrics in which the land is located, witbia the chain of title of the: affected property. le the case of recorded land, the Final Orrice shell also be noted in the Registry's Grantor tides under the name of the owner (Wine land upon which rite proposed work is to be done. In the case erf registered card, dm Finn( Order shall also be noted on the Lend Court Certificate ofZide of die owner of the pod upon which the proposed Work le in he dnne,. The tc cotdit* information than be proposed work is to be done. The recording information shall he submitted to the Camrniseioa on the forth et the veal of iris Osier ptior to comraeneement of the work. The Commtetdne month, will record the Order is the Registry of Deed*. it le the apptieanr e reeponrdbtlity to insure tho Order is properly recorded. 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I.II.or.rr 11/13/U4 NKL 1b:Z8 HAl 1 413 1211 r15U Rt1i1 MUM & SUNS WjUUI — ea crr 8e SCM•s t r � S �/ E NOV 1 9 TC4 T 1 ; 215 Baldwin Street DEPT 9c ' West Springfield, MA 01089 A °' n r ' T Phone: (413) 781 -7008 Fax: (413) 781 -7150 .YK�a•Yw'•Fk l �Y,Tl:>: .:/rv,Nl.- 1.�,. ,.,. . ✓yvTS T� s,. .i.T.cli.TZ: FAX COVER SHEET To: City of Northampton From: John Welch Attn: Tony Patillo Fax: 1- 413 -587 -1272 Pages: 20(including cover sheet) Phone: 1-413 -587 -1240 Date: November 19, 2004 Re: Rustlewood Ridge CC: Order of conditions Special Permit COMMENTS: The information in this transmission is privileged, confidential, and intended only for the use of the individual or entity named above. tf you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or the taking any action based on the contents of this facsimile transmission is strictly prohibited. If you have received this communication in error, please notify Kent Pecoy and Sons Construction Co. immediately by telephone collect and return the message to us at the address shown above via the U.S. Postal Service. You will be reimbursed for the required postage expense incurred by you. Thank you. IF YOU EXPERIENCE TROUBLE RECEIVING THIS FAX, PLEASE CALL (413) 781 -7008. No. '�G�''2 `( FEE , 12 CO Q I yv ONWMLTII or MA SACHUSfTTS Cie-el Ai' / 4910 Board of Health, /Li i - .�, Ara MA. ci DISPOSAL SYSTEM CONSIRUI TION P][J!'MIT Permission is hereby gr. nted to Construct t e o air ( ) pt rade ( A bandon ( , an individu se w disposal system dJJ� at �i �� ' 4 a;�iffi I ,� i, I r. / r .,t�..u' " as bed in the application for Disposal System Construction Permit N -0' /'L -;i , dated iii ill v . Provided: Construction shall be completed within three years of the date o t permit. 1 local conditions must be met. Form 1255 Rev. 5/96 A.M. Sulkin Co. Boston. MA Date/ [J (� Board of Health ERN EST M ! H.s M s C.H.Q V DIRECTOR IF HEALTH Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No 2 1 4V COMMONWEALTH O MASSAIllltSEITS ch," ge , 7 7 , Board of Health, DISPOSAL SYSTEM CONS'IRttTION PERMIT P • • ermissi n is hereby granted t9; Construct / Kepair( ) / Upgradc'( ),_ Alxindon( an individual sewage, disposal system ) 7 41 ( /, at 1-/ A t as described in tlie , st Disposal System Construction Permit N , dated Provided Construction shall be completed within three years of the date of thiS -permit. 201 local conditions must be Form 1255 Rev. 5/96 A.M. Sulkin Co. Boston, MA DateM Board of Health' s t 4 �, "zaY No. CJ r FEE - ! , ,,,.. 0 ORIGINAL -qty' 8 COMMONW1ALT1I O MASSACIIUSUTTS C E' �s; 5 , , . Board of Health, APPLICATION I O 1! DISPOSAL SYSTEM CON TfI. CT I 0 ) f PI 1 1- I • t4 F2 !-ns -A Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) - Complete System 0 L d 1V dJ onents"' DEPT OF BUILDIN "' C; 'o1'S i t AIPiGW, 4' Location L �u� -}-�� p � �/ i �� Owner's Name ��( 5 � rr P ' � G�. gait �" 5 , � '� / nl Map /Parcel# Address ZZ main Ap< A • c,�^ f C m (� Telephone# ej- I A ' Lot# . -j: 5- A 5-1' ! `f � k-l�t'QN�tci- Kr=� . P Z� j �' 7'� � O ---> Installer's Namejls)J ?Eay (i ii t. ck, mss✓ c) Designer's Name g �,,p65 e$ Address L 2u, l/ 1 cod ST L.0 el kw M4 010,51, Address ( ^ IO AA' Telephone# �1 3 (7-9? c c' Tel hone# S� S ._'- �_ - - 1 7T l P S x`75 / +/ 4-C- ' Type of Building ,( Lot Size (o sq. ft. Dwelling - No. of Bedrooms geSICCe -Q., Garbage grinder s Other - Type of Building No. of persons Showers ( ) , Cafeteria ( ) Other Fixtures Design Flow (min. re ired) 1 (0 gpd Calculated design flow 4Lto $ c) I. esign flow provided 713 gpd Plan: Date / � l� L� o Number o aG f sheets a r Revision Date Title t�lt 6 - 3- - 1r.fil Lo rct i ..U-J Description ofSoil(s) (A 2_ '•S Soil Evaluator Form No. Name of Soil Evaluator g- S +0 r Date of Evaluation 7 /A) DESCRIPTION OF REPAIRS OR ALTERATIONS CO/VI ( f C S/ c The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees fq t-to t acts system in operation until a Certificate of Con}pliance has been issued by the Board of Health. ) `' r _. ---- Date ` ° —�— X Inspections No. FEE /C25 COMMONWEALTH OF MASSACIIL SETTS Board of Health, 11.MthAr11#11 MA. �� - CERTIFICATE' ICATE' 0_: COMP- 2 Z3 Description of Work: 0 Individual Component(s) 0 Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and die approved design plans /as -built plans relating to application No. , dated . Approved Design Flow (gpd) T1) crallPr - 7 • t ,,^ ot Pt/ V (,, (� - \ � , � I /� , I� . t v4� �"- 11 - -� I ri \W " i� , �� MENDOTA� 0 ` ' r� ' , ) it — 5 ^CC5, 1/0 t. J`, GA DIRECT VENT FIkF. 'tA_ CF. fi ry WITH HEARTHGLO SEALED COMBUSTIONn YSTEI _. 1 Model DXV -35 DEEP TIMBER II with Direst Rear Vent O Ption -- _ _ FLAT FRONT BAY FRONT -. ; ; 11 �_ -�i i 1 �; 1 I i INSTALLATION & OPERATING INSTRUCTIONS NATIONAL We recommend that our gas NO. DT2 -0605 FIREPLACE INSTITUTE' h earth products be installed NFI and serviced by profes With ANSI H.t on.l sionals who are certified in . wnmock Honey E the U.S. by the National a 11/Ifti 7.2 Fireplace Institute® (N NFI Gas Specialists. FI) as - ® . CERTIFIED II c.o,fi www.nunimicimg Gas Appliance WARNING: Improper installation, adjustment, alteration, service or maintenance can cause injury or property damage. Refer to this manual. For assistance or additional information consult a qualified installer, service agency or the gas supplier. FOR YOUR SAFETY: FOR YOUR SAFETY IF YOU SMELL GAS: INSTALLATION AND SERVICE MUST BE PERFORMED BY A QUALIFIED INSTALLER, SERVICE AGENCY, OR THE GAS SUPPLIER. DO NOT STORE I. OPEN WINDOWS. OR USE GASOLINE OR OTHER FLAMMABLE VAPORS AND LIQUIDS IN THE 2. 00 NOT TOUCH ELECTRICAL SWITCHES. VICINITY OF THIS OR ANY OTHER APPLIANCE >. D() NOT TRY TO LIGHT ANY APPLIANCE. WARNING: 00 NOT OPERATE THIS APPLIANCE WITH THE GLASS 4 EXTINGUISH ANY OPEN FLAME REMOVED, CRACKED OF BROKEN. REPLACEMENT OF GLASS 5. 1)0 NOT USE THE PHONE IN YOUR BUILDING. SHOULD BE DONE BY A LICENSED OR QUALIFIED PERSON S,. IMMEDIATELY CALL YOUR GAS SUPPLIER FROM A NEIGHBOR'S PI IONE. WARNING: MENDOTA GAS FIREPLACES ARE HEAT PRODUCING 7. FOLLOW THE GAS SUPPLIERS INSTRUCTIONS. APPLIANCES. DO NOT BURN WOOD, PAPER OR OTHER 8. II' YOU CANNOT REACH YOUR GAS SUPPLIER, CALL THE FIRE MATERIALS IN THE FIREPLACE. THE FIREPLACE IS DEPARTMENT. DESIGNED AS A SUPPLEMENTAL HEAT SOURCE. IT IS ADVISABLE TO HAVE AN ALTERNATE HEAT SUPPLY. \A',ARNING: IF THE INFORMATION IN THIS MANUAL IS NOT FOLLOWED EXACTLY, A FIRI1 OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. IMPORTANT: THESE INSTRUCTIONS ARE TO REMAIN WITH THE HOMEOWNER! MENDOTA - � L� (LC, GAS DIRECT VENT FIREPLACE,, Model DXV -45 SHOWN WITH OPTIONAL PRAIRIE DOOR KIT AND OVERLAY , ,, J / ... ✓ , ..- �� 1 L i I INSTALLATION & OPERATING INSTRUCTIONS NATIONAL FIREPLACE NO. recommend that our gas NO. 0605 INSTITUTE hearth products be installed NFI and serviced by profes- With ANSI National sionals who are certified in Womack Haney the U.S. by the National a `41111111/ Fireplace Institute• (NFI) as w WI CERTIFIED NFI Gas Specialists. o Geeihad vntrudleseiffloiore Gas Appliance WARNING: This product must be installed by a licensed plumber or gas fitter when installed in the commonwealth of Massachusetts. Improper installation, adjustment, alteration, service or maintenance can cause injury or property damage. Refer to this manual. For assistance or additional information consult a qualified installer, service agency or the gas supplier. FOR YOUR SAFETY: FOR YOUR SAFETY IF YOU SMELL GAS: INSTALLATION AND SERVICE MUST BE PERFORMED BY A QUALIFIED INSTALLER, SERVICE AGENCY, OR THE GAS SUPPLIER. DO NOT STORE I. OPEN WINDOWS. OR USE GASOLINE OR OTHER FLAMMABLE VAPORS AND LIQUIDS IN THE 2. DO NOT TOUCH ELECTRICAL SWITCHES. VICINITY OF THIS OR ANY OTHER APPLIANCE 3. DO NOT TRY TO LIGHT ANY APPLIANCE. WARNING: DO NOT OPERATE THIS APPLIANCE WITH THE GLASS 4. EXTINGUISH ANY OPEN FLAME REMOVED, CRACKED OF BROKEN. REPLACEMENT OF GLASS 5. DO NOT USE THE PHONE IN YOUR BUILDING. SHOULD BE DONE BY A LICENSED OR QUALIFIED PERSON 6. IMMEDIATELY CALL YOUR GAS SUPPLIER FROM A NEIGHBOR'S PHONE. WARNING: MENDOTA GAS FIREPLACES ARE HEAT PRODUCING 7. FOLLOW THE GAS SUPPLIERS INSTRUCTIONS. APPLIANCES. DO NOT BURN WOOD, PAPER OR OTHER 8. IF YOU CANNOT REACH YOUR GAS SUPPLIER, CALL THE FIRE MATERIALS IN THE FIREPLACE. THE FIREPLACE IS DEPARTMENT. DESIGNED AS A SUPPLEMENTAL HEAT SOURCE. IT IS ADVISABLE TO HAVE AN ALTERNATE HEAT SUPPLY. • WARNING: IF THE INFORMATION IN THIS MANUAL IS NOT FOLLOWED EXACTLY, A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. IMPORTANT: THESE INSTRUCTIONS ARE TO REMAIN WITH THE HOME OWNER! • j ! • FO T O • •t Crit� zrf .NarfJ1anip1on = * =r= , t i DEPARTMENT OF BUILDING INSPECTIONS • 2] 2 Main SLrcaa Municipal Building i I_:5P[CTOP N Mass. O]OGO 'r • Square Footage Amount • Basement @ • $_15 ci C ' 35 � • 1st Floor @ $- VeCi "I /i J d 2nd Floor @ $..30 l S J 1/2 Floors, Attic, Garage $.15 J / 30 Deck, Porches $_15 / a • • • • • TOTAL `� V! I S 4 - I-e 001 c/ • • • • • • • BALIN 1 MISC REQUIREMENTS: [ ] 1 Refer to 780 CMR, Appendix 7 for requirements relating to swimming 1 pools, HVAC piping conveying fluids above 120 F or chilled fluids 1 below 55 F, and circulating hot water systems. - -- -NOTES TO FIELD (Building Department Use only) Page 3 BALIN WALLS: [ ] 1. wood Frame, 16" O.C., R -19 Comments /Location WINDOWS AND GLASS DOORS: [ ] 1. u- value: 0.35 For windows without labeled u- values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments /Location DOORS: [ ] 1. u- value: 0.35 Comments /Location BASEMENT WALLS: [ ] 1. 9.5' ht /8.0' b9/8.0' insul., R -11 Comments /Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Boiler, Gas Steam, 85.0 AFUE or higher Make and Model Number [ ] 2. Air Conditioner, 12.0 SEER or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R- values, glazing u- values, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R -5. Ducts outside the building must be insulated to R -8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure- sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and /or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating /cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. Page 2 • BALIN X1'7 MAScheck COMPLIANCE REPORT �� i i� Massachusetts Energy Code r -- ° — �~ { j Permit # MAScheck Software Version 2.0 , � � ` hecked by /Date NOV ItOV 1 7 2004 CITY: Amherst ---- -- �1 STATE: Massachusetts DE MONG!NSPEC1ICNS HDD: 6614 N� , +': ION Gluo_ CONSTRUCTION TYPE: 1 or 2 family, c ed HEATING SYSTEM TYPE: Other (Non - Electric Resistance) DATE: 11 -15 -2004 DATE OF PLANS: 9/15/03 TITLE: Nncy Balin and Alan Sharpe PROJECT INFORMATION: Ruslewood Ridge Northampton, Ma COMPANY INFORMATION: Kent Pecoy & Sons Construction 1 Inc. COMPLIANCE' PASSES / / Required ,A = 1643 " /"/) Your Home = 1141 Area or Insul Sheath Glazing /Door Perimeter R -Value R -Value U - Value UA WALLS: Wood Frame, 16" O.C. 10522 19.0 0.0 634 GLAZING: windows or Doors 904 0.350 316 DOORS 440 0.350 154 BSMT: 9.5' ht /8.0' bg /8.0' insul. 624 11.0 37 HVAC EFFICIENCY: Boiler, Gas Steam, 85.0 AFUE HVAC EFFICIENCY: Air Conditioner, 12.0 SEER COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design conditions found in the code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 131 and , J4.4. uilder /De igner x ate II �� - TV ' MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck software Version 2.0 Nncy Balin and Alan Sharpe DATE: 11 -15 -2004 Bldg.1 Dept.! Use 1 Page 1 08/26/2004 THU 9:57 FAX 413 253 4742 ATTY ALAN SHARPE 0 002/002 o — .094 ,00£ ,OS l .0 S113SnH6VSSVW — .131OVH — 133a1S 1"13ssna ssz . o p� a ^s o Sa,O, 3NonS ONY1 - 1VNOISS3d021d a3�13.ISI93ti / 8... �' `' ONI S31VI3OSSV ONV NO1V3 '1 Q1ONVH zeose• \ 4002 • Z 1Sn9nv .09 1�..I. =31VOS \ 1 NVL1 /1 N11 /9 ) ONVN CI 3ddVHS NV-IV \ .,,,o... LIO.3 0321Vd21d S I_L_Sf1HO »SSVIN `NOld WVHI ON NI ONV1 AO NV'ld g « NOIIHOO1 1N3V■3AO OE SOdO j K • .L9.1.1..ci -17 .00•os.•a •. .00•o; -1 M M � e � t �\ N P� �9 !S 99 �N 3 ^ M 3. . S • O T 101 \ \ a s` 9 q �� 6. / .B�.1SSL N 1p� - '9,8, / Q�' M Ao.re.49 ry / 3► M � , ,„ y , ..ry :x ,,,,-,. " � S r ' \ Z .1 1:11 App 8 13... � �`~ / : z / ` ,Fr -fret 4 I ._x 107 41;:•/As,„:.:- y \ / "' Jsx`X Z re' \ ..- i �� ''sb y y N S 1p7 -_ ___ _ -- ma X.� \ = 1p G `: ■ , i S. 107 �`• . . r. .>l :v .•.c+ 1 X .. y % 7- K .--- . R — , , '-d n V 1 AC ' CERTIFICATE OF LIABILITY INSURANCE 11 /15 /200 ' PRODUCER (413)586-5011 FAX (413) 586 -7973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alexander W. Borawski , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 88 Kin Street, Suite B HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060.3257 INSURERS AFFORDING COVERAGE NAIC # INSURED Kent Pecoy & Sons Construction Inc. INSURER A: National Grange Mutual 14788 215 Baldwin St INSURER B: AIM Mutual West Springfield, MA 01089 INSURER C; INSURER D: INSURER E: COVERAGES . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION •LTR INSRC TYPE OF INSURANCE POLICY NUMBER 11ATF (MMIjrlzeY1 04 IMM/OD/YYl , LIMITS GENERAL LIABILITY MSS21518 07/01/2004 07/01/2005 EACH OCCURRENCE 5 1,000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT — S PRFMISFC (F� Mriunnrkl 50, 000 CLAIMS MADE El OCCUR MED EXP (Any one person) 5 5,000 A PERSONAL d ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP /OP AGO S 2,000,00C n POLICY n J ECT n LOC AUTOMOBILE LIABILITY M9S21518 07/01/2004 07/01/2005 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS TM person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per scclden() PROPERTY DAMAGE $ (Prr accident GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 ANY AUTO OTHER THAN FA ACC 5 AUTO ONLY: AGG 5 EXCESSIUMBRELLALIABILITY CUS21S18 07/01/2004 07/01/2005 EACH OCCURRENCE $ 5,000,00C ^ OCCUR LJ CLAIMS MADE AGGREGATE 5 A 5000000 - $ 5,000,000 DEDUCTIBLE 5 RETENTION $ $ WORKER$ COMPENSATION AND WMZ8001732022004 06/30/2004 06/30/2005 l m T A T a I IO EMPLOYERS' UAQILITY B ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER /MEMBER EXCLUDED? E,L, DISEASE - EA EMPLOYEE s 500, 000 Ir yes, de rlbeunder SPECIAL PROVISIONS below E.L. DISEASE • POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I vEHICLEB 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS YERIIFIGATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Northampton EXPIRATION DATE THEREOF, THE ISSUING INSURER wILLENDEAVOR TO MAIL, Dept. of Building Inspecti ons 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 212 Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Muni c i pal Bi dg . OF ANY HIND UPON THE INSURER, ITS AGENTS OR REPRESENTA1 VE5, Northampton, MA 01060 AUTHORIZED REPRESENTATIVE �f Robert Borawski /BOR)M2 >` CORD 25 (2001/08) (ACORD CORPORATION 1988 , ` I.LAA1 P� " : $ • , , Qi x f of Northampton • i. = ** _ th ) , ,t o � DEPARTMENT OF BUILDING INSPECTIONS * 1 INSPECTOR 212 Main Street • Municipal Building � Northampton, MA 01060 ' �` e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction sups: visor. The state defines "Homeowner" as, "' Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family — -- dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and tegulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection.:The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper - permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are " made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location r f o y _ • • • ^ `� 46:1F. I� (iii .af Io fl1ai)tpto11 • P� E �laaswcltnsclte• Q - DEPARTMENT OP BUILDING INSPECTIONS • 212 Main Street Municipal Building Northampton, Mass. 01060 • 1 r OPJG R'S COMTENSATION INSURANCE A1'1" "LDAVIl • Kent Pecoy • (li ccnsxlpermi ttcc ) with a principal place of business/residence at: -- 215 Baldwin St. W. Springfield, MA 01089 (p 413-781-7008 (scr=ki tr /staIcra p ) do hereby certify, under the.paint and penalties of perjury, that (X) I : In an employer providing the following wori:cr's compensation coverage for lay • employees worng on this job: 7�� 1 • • 'NGM AIM See attached 7/1/2005 • (Insurnc Company) (Polio: Nurnrr_r) (l= • Dat) • ( ) I am a sole proprietor, general contractor or homeowner (ci cie one) and have hired the contractors listed below wbo have the following workers caopensanon policies: • (Name of Conu (Insuranc:c. Coinoa.nyt?olici Nuln =cr) -- (F_ in uon DD.uc) • • (Name of Contractor) (Insurance Company /Policy Nuncrr) . (17:ipirtion Date) • (Name of Contractor) (Insurance Company/Policy Nambc.r) (Expiation Date) • (Name of Contractor) (Lasurano Company/Policy Number) (Ex Date) . (an1G _d1.:'ocal bcd.if acceac -y" to inelu& . infora..--ioo p• - = to .1! 000rso:s) • ( ) I a.n'a - sole proprietor and have no one working for me. ( ) I am,a home owner performing all the work myself. NOTE: plc-.4 be aware lfic. '4 Jc homeowners wits croplay pc-toas to do r-.2 - . yr CIAO c- repair worie oa a dwciEle of ant mace than tci- ea =its in which the bomoawvc redder or oa the crouocla appuricv:.a them c.-c out Eor.11y coerdazd to be =a: playca ury c the eecc- w - - -*im Act (G 0152 1(5)). r ppliatioo by • boaiooanQ far a tic - or permit rr cvidmnc l>:< icgsl eta •. of ea a ploys uade,r dro W orkol. Comp om tioo Axe.. 1 uode,tn dsa a copy of thi. c t ®cm =ay be foremocl.d to the Doperurocat orlr••s••rricl Acvdcat? Oft oe of t+r.oueooe for te overage veirietioa cad tlu L•iltzc to taauttcovcrace wader soctioo 25A of MOL 152 on Iced to the imposition of crimias1 prn.trio coo: iz:1n of a at ortrp to S1.30100 ereor irripriloomx=1 of up to ace ycnr end dvi1 peaaltict io tSc form of.. Stop Work Order and • fim of 5100.00 • day tctinst me For dcp•'t•� -}t u.c only . Permit NWnbCr - 11/16/04 __ L o t Signer of Licasscr "Pcrmiucc gate - - • J SECTION . 8 - CONSTRUCTION SERVICES r ! > 3.1 Licensed Construction Supervisor: Not Applicable ❑ ■ame of License Holder : Kent Pecoy LS G�a589 License Number 215 Baldwin Street, W. Springfield, MA 01089 091 it Address Expiration Date 413 -781 -7008 Signature Telephone , lte .is ere. :.�'rr�'ta�lYai4 ®ii�ri :<,x ` : Not Applicable ❑ 6 Company Name Registod Number Address Expiratioa 0 Telephone SECTION 10- WORKERS' "COMPENSATION INSURAN iIT (NF 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 No ❑ Thecurrent exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts - . as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -vear period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check applicable) New House ® Addition Replacement Windows Alteration(s) I I Roofing E] Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] , Decks [ Siding [0] Other [0] Brief Description of Proposed a9 Are Work: NPw Cnnctrtirti nn Singlc Family Alteration of existing bedroom Yes X No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll - Sheet grift■lagarfaelraraiVir state he�O fo'v rrt • : a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: 9 Number of Bathrooms 6 c. Is there a garage attached? Yes d. Proposed Square footage of new construction. 5529 Dimensions l l t X t° e. Number of stories? 2 f. Method of heating? Oil fired h o i 1 e r . Fireplaces or Woodstoves 3 Number of each __a_h eoaCL g. Energy Conservation Compliance. Yes Masscheck Energy Compliance form attached? Yes h. Type of construction Wood Frame i. Is construction within 100 ft. of wetlands? Yes x No. Is construction within 100 yr. floodplain - Yes x No j. Depth of basement or cellar floor below finished grade 9 ' . 5" k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic`Tank X City Sewer _ Private well X City water Supply SECTION Ta OWNERAUTHORIZATION ` TO BE COMPLETED 'WFEN OWNERS AGENT OR CONTRACTOR APPLIES. FOR BUILDING PERMIT Alan Sharpe , asOwnerofthesubject ,•• pfoperfy herebyautho Pecoy and Sons Construction, Inc. • ac : • be' - , in all matters : - tive to work authorized by this building permit application. November 16, 2004 $ignature of Owner Date Kent Pecoy as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Kent Pecoy Print Name November 16, 2004 Signature of wner /Agent Date Section 4. ZONING All Informati6h Must Be Completed. Permit Can Be Denied Due To Incomplete Information • Existing Proposed Required by Zoning This column to be filled in by Building Department . Lot Size j 290,545 SF t6rC % Frontage Setbacks Front g Side L: R:I i 'L :�I R 100 � - .1 1ff0 Rear C LED) I 00 Building Height = ' 132 _ f _ _ __ Bldg. Square Footage I ! I % 1 1 Open Space Footage o r� { ��- (Lot area minus bldg & paved E J I 2 i"I-2 , 5 5 1 q 7 7 i •ai, f parking) # of Parking Spaces • ? Fill: 1 I 1 (volume'& Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES G IF YES, date issued:1 Ma 9, 4997 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES ®X IF YES: enter Book ` 5222 2 2 2 Pagel 0 0 8 2 I and /or D # 9700233491 B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? ' Needs to be obtained Q Obtained 0 , Date Issued: I 8/11/1997 C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: 1 i E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 r NO I • IF YES, then a Northampton Storm Water Management Permit from the DPW is required. s ! - f City of Nortl ?ampton " �a'� ii ,..-;;;-7-- 1 TM r ) Building DepartmentY'(� ` 2 Main Street . r— C an p Room 100 ',4k4:1.':: 1 n -- i mpto n, - MA 01060 :� a ; " „ . ,r { phon 41 - 1240 Fax 413- 587 -1272 Fi . X4r . , g i � h 0 V N 200 l o, e ec ,r , 3 _ ' - 4 r APPLICATIO _TO C C. - RUC , ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SE CII - ' S • RMATION ... A - M :? P , 'N - ;4 Thjs section to be com • leted: office i� ,„ 1.1 Property Address: � ,- n -a ., , t ,., �.S A s ?.n 3 r t' f'•�'ra ' u. ^� 6- 0 4CYtil Allap Y A La - " 7 , U r!!''I Aga Rustlewood Ridge qtr i t ' F , ; fi Northampton, MA 01060 o " 5- •O erlayfD.(s`tct . "� `� N.j 5 J sh7 M f y $ t ' lt;4 '; T 7 h' i y p <, k PEtm"Sf: Dtsinct sx C B D�stn * r SECTION 2 - PROPERTYOWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Nancy Ralin Alan Sharpe 22 Indian Pipe Lane, Amherst, MA 01002 Name (Print) Current Mailing Address: , 41 '1 - 7255 ' Telephone Signature 2.2 Authorized Agent: • Kent Pecoy and Sons Construction, Inc. 215 Baldwin St., W. S - pringfield, MA 01089 Name (Print) Current Mailing Address: 413 - 781 -17 Signature Telephone SECTIONS ESTIMATED-CONSTRUCTION COSTS . Item • Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $380,000.00 ' (a) Building Permit Fee 2. Electrical $ 16,000.00 (b ) Estimated Total Cost of Construction from (6) 3. Plumbing $ Building Permit Fee 20,000.00 4. Mechanical (HVAC) $ 3 , Q Q Q, Q Q 5. Fire Protection $ �. ; � d o . b 0 � �� 6. Total = (1 + 2 + 3 + 4 + 5) S 4 5 (1 , 0 Cl 0 ..no Check Number a a ✓ 90 ., This'SectionfFortOfficiai"Use Only it Number' Y�sued: `Date Building Perm C ' Signature: i Building Commissioner /Inspector of Buildings Date File # BP- 2005 -0610 APPLICANT /CONTACT PERSON KENT PECOY & SONS CONSTRUCTION INC ADDRESS/PHO■ BALDWIN ST WEST SPRINGFIELD (413) 781 -7008 'ROPERTY LOCATION 50 R STLEWOOD RIDGE - LOT #5 MAP 12 PARCEL 032 001 • NE RR THIS SECTION FOR OFFICIAL USE ONLY: ® PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid C,?d3 "" J 9e (a Typeof Construction:_CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 052589 `%'� -�-(/ 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 1 pproved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan 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 Cern n'1 t/Permit from Conservation Commission Permit from CB Architecture Committee t Permit from Elm Street C 'ssion p f Yc l 6 lace Signature of Building Official Date gna g C&Z d'7 y' Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning Y�',X i nit gP PP PY g requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. ` ' t'- * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. e T(e Fiovv ( F 50 RUSTLEWOOD RIDGE - LOT #5 BP- 2005 -0610 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12 - 032 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2005 -0610 Project # JS- 2005 -0807 Est. Cost: $450000.00 Fee: $2906.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 KENT PECOY & SONS CONSTRUCTION INC 052589 Lot Size(sq ft.): Owner: SHARPE ALAN NATHANSON Zoning: RR Applicant: KENT PECOY & SONS CONSTRUCTION INC AT: 50 RUSTLEWOOD RIDGE - LOT #5 Applicant Address: Phone: Insurance: 215 BALDWIN ST (413) 781 -7008 WC WEST SPRINGFIELDMA01089 ISSUED ON:12/1/04 0:00:00 TO PERFORM THE FOLLOWING WORIf:CONSTRUCT 2 STORY SFH W /ATT GARAGE /DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground:,fvice Meter: �f' 1/4/S- b j /Footings: Rough:g' A09 Rough: / ; House # Foundation: 4) 2 L .11 riveway Final: C k /a - a g , a Z/ co4s1y1 ZJ Final: t'27 A Finals: "4e44. l A. i4/G„✓'6 (z) Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough:[/ — -06 Insulation: �� Smoke: '2-/tl� ,„„,/<" Final: a [ob l x.40 " THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS Certificate of Occupanc rf si nature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 12/1/04 0:00:00 2235 $2906.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo responsibilities of the manufacturer which are offered to the original purchaser and accepted upon purchase of the appliance. Mendota Division, reserves the right to make changes at any time without notice, in design, material, specifications, prices and the right to discontinue styles and products. Some states do not allow the exclusion of limitation of incidental or consequential damages or limitations on how long an implied warranty lasts, so the above limitation or exclusion may not apply to you. This warranty gives you specific legal rights and you may also have other rights which vary from state to state. .Gj p r + ' ,, • , ,,. 6 ■■-""•■• a ''\; . ' j l' • ,1\ II liC s-------- """ /I 1 , \ . ',Alp i i ,-. - , 65 .4 } ! ! , 1 .? .. ....= , II ill 1 , ,,,,,..*,--- ...-w Li). . 1 .,-.- i,?/,:. '0. .,z.i. r \ ) a,. / / // / % , i.t lih, i i di. . j 1 !L r 4 " 7i ''' ......eland AMu10111l , datiIWMe , Johnson Gas Appliance Company 520 E Avenue N.W. - Cedar Rapids, IA 52405 Mendota Hearth Division www.johnsongas.com or www.mendotahearth.com 0904 Part # 65 -05 -00090 39 RE* /01 ..30,2____ Transmittal Cover Sheet etaihd, Grouped by Each Transmittal Number nn, r Balin /Sharpe Residence - l r of ect � 168 J Kent Pecoy & Sons Construction Lot #5 Tel: 413 246 -3898" Fax: 413 781 -7150 Rustlewood Ridge Northampton, MA Date: 8/2/2005 Reference Number: 0007 Transmitted To Transmitted By Anthony Patillo Normand LaPointe Northampton Building Dept. Kent Pecoy & Sons Construction 212 Main Street 215 Baldwin Street Room 100 W. Springfield, MA 01089 Northampton, MA 01060 -3189 Tel: 413 781 -7008 Tel: 413 587 -1240 Fax: 413 781 -7150 Fax: 413 587 -1272 ❑ Acknowledgement Required Package Transmitted For Delivered Via Tracking Number Information, As Requested US Mail Item # Qty Item Reference Description Notes Status 001 2.00 Specification Mendota Fireplaces 002 1.00 Specification Cianci & Cianci Steel to Wood Connections Cc: Company Name Contact Name Copies Notes Remarks Per our recent site inspection, the attached documents are as you requested. Cianci & Cianci has commented on the steel to wood connections and we comply with their recommendations. The roof rafter to top plate connection does already have a hurricane clip installed to accomodate the uplift factor. They are not readily visible as they were installed at the outer contact point. They are visible with a stepladder. The double top plate to the left of the living room fireplace has been cleated with a Teco 16 ga. tension plate as requested. The attached Mendota specifications are for your records for the two zero clearance fireplaces. If you have any additional needs, let me know. Thanks Norm //c of 4.7 76. 84 Signature Signed Date Prolog Manager Printed on: 8/2/2005 PM7Database Page 1 if NORTHAMPTON DEPARTMENT OF PUBLIC WORKS NOTICE OF INCOMPLETE APPLICATION STORMWATER MANAGEMENT PERMIT Project / Site Name: Lot 5 Rustlewood Ridge Project Street / Location: Lot 5 Rustlewood Ridge Applicant Name: Alan Sharpe and Nancy Balin Applicant Address /Phone: 296 Locust St., Northampton, MA 01060 Date Application Received: 9/21 /04 The Northampton Department of Public Works (DPW) is in receipt of the application for a Stormwater Management Permit for the above referenced project. The application has been found to be incomplete. The timeline for application review and final action by the Northampton DPW will begin once a complete application has been submitted. The application is incomplete for the following reason(s): X The Stormwater Management Permit Application is not complete and /or signed. X The Permit Review and Inspection Fee is not paid. The Operation, Maintenance, and Inspection Agreement was not submitted and /or is not complete. X The Stormwater Management Plan and Erosion and Sediment Control Plan are not complete. The following information has not been submitted and /or is not complete: No Information Was Submitted Please submit the necessary items to the Northampton Department of Public Works as soon as possible to start the application review process. The above- mentioned project is currently in violation of City Ordinance Chapter 22 Article V and must submit the required documents or risk penalty. For additional information contact Doug McDonald at 413 -587- 1582 x308 or e -mail at dmcdonald@nohodpw.org. a � TNPMP STORMWATER MANAGEMENT PERMIT APPLICATION DECISION City of Northampton Department of Public Works Z E f 2005 Project / Site Name: Lot 5 Rustlewood Ridge Project Street or Location / Assessor ID: Lot 5 Rustlewood Ridge Applicant Name: Alan Sharpe and Nancey Balin Applicant Address /Phone:269 Locust St., Northampton, MA 01060 Application Submission Date: 2/4/05 THE FOLLOWING ACTION BY THE NORTHAMPTON DEPARTMENT OF PUBLIC WORKS HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: X Disapproval of the Stormwater Management Permit Application based on a determination within seven days of the receipt of the application that the application is administratively incomplete (see attached documentation). Approval of the Stormwater Management Permit Application. Approval of the Stormwater Management Permit Application subject to any conditions, modifications or restrictions required by the Department of Public Works (see below) Disapproval of the Stormwater Management Permit Application based upon a determination that the proposed plan, as submitted, does not meet the purposes set forth in the Northampton Stormwater Management. Signature of City E ineer Date g Y g cc. Building Department E:AStormwater Permits \Stormwater Permits \Permits_new applications \Rustlewood Ridge -- Denial.doc Page 1 of 1 t b. Septic System and Well Location Design Plan for Lot 5 Rustlewood Ridge dated 9/4/2004 by Cold Spring Environmental Consultants, Inc. c. Lot #5 Rustlewood Ridge SWPPP Checklist submitted 3/4/2005 and completed by Civil Engineering Associates. d. EPA Form 3510 -9, Notice of Intent (NOI) for Storm Water Discharges Associated with Construction Activity Under an NPDES General Permit (MAR100000), signed by Robert M. Caferelli, P.E., Civil Engineering Associates, dated 2/25/05. e. Plan of Land prepared for Keven W. Heafey dated 1/14/1997 by Harold Eaton and Associates, Inc. f. Mortgage Loan Inspection Plat prepared for Alan N. Sharpe and Nancy A. Balin dated 12/23/2004 by Harold L. Eaton and Associates, Inc. 2. The Northampton Department of Public Works (DPW) or its authorized representative shall be provided access to the property to conduct inspections before, during, and after construction activities as necessary. The applicant shall arrange with the DPW to schedule the following inspections: Initial Inspection, Erosion Control Inspection, Bury Inspection, and Final Inspection. The DPW may also conduct random inspections to ensure effective control of erosion and sedimentation during all phases of construction. 3. If construction of the proposed stormwater system has not started within five years of the issue date of this permit, then the permit will expire and a new permit will be required. Construction is defined as clearing, grading, excavation, filling, and installation of drainage structures on the lots specified in this permit. Specific Permit Conditions: 1. The applicant shall submit the required Notice of Intent (NOI) to the U.S. EPA for coverage under the NPDES Stormwater Construction General Permit and maintain compliance with EPA's permit. The applicant has submitted to the Northampton DPW a completed NOI and stated that a Stormwater Pollution Prevention Plan (SWPPP) has been developed, but there is no evidence that the NOI has been submitted to EPA. Signature of Ci y Engineer ate cc. Planning Board c/o Office of Planning and Development Building Department Conservation Commission c/o Office of Planning and Development \ \smbl \engineering \Stonnwater Pennits \Stormwater Permits \Permits_ActiveARustlewood Ridge\Rustlewood Ridge- - Approval.doc Page 2 of 2 a . ynlnn i'` c STORMWATER MANAGEMENT PERMIT APPLICATION DECISION City of Northampton Department of Public Works Project / Site Name: Lot 5 Rustlewood Ridge Project Street or Location / Assessor ID: Lot 5 Rustlewood Ridge Applicant Name: Alan Sharpe and Nancy Balin Applicant Address /Phone:22 Indian Pipe Lane, Amherst, MA 01002 Application Submission Date: 3/4/2005 THE FOLLOWING ACTION BY THE NORTHAMPTON DEPARTMENT OF PUBLIC WORKS HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Disapproval of the Stormwater Management Permit Application based on a determination within seven days of the receipt of the application that the application is administratively incomplete (see attached documentation). Approval of the Stormwater Management Permit Application. X Approval of the Stormwater Management Permit Application subject to any conditions, modifications or restrictions required by the Department of Public Works (see below) Disapproval of the Stormwater Management Permit Application based upon a determination that the proposed plan, as submitted, does not meet the purposes set forth in the Northampton Stormwater Management. Standard Permit Conditions: 1. All clearing, grading, drainage, construction, and development shall be conducted in strict accordance with the following plans and information submitted with the application and as amended by any conditions attached to this permit: a. Sharpe /Balin Residence Site Plans dated 6/20/2000 and 5/18/2001 by Stephen Woolf Architect. \smbl \ engineering \Stonnwater Permits \Stormwater Permits \Pennits_ActiveARustlewood RidgeARustlewood Ridge- - Approva.doc Page 1 of 1