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12C-112 (2) (413) 587 -1240 City of Northampton email messages are public records except when they fall under one of the specific statutory exemptions. <87 Rick Drive Permit App 2012- 05- 03.pdf> 3 To: 'O2Ol'<DaDlC rdCrOcke[OODl> Subject: RE: Daniel Muscat 87 Rick D ive p 'ect Dan, I'm good with the plans. We'll need a copy of the Conservation Commission approval. I'll issue the permit and you can pick it up when you drop off the approval. You could also have Ms. La Valley email the paperwork to us and we'd mnaU the permit. Let me know what you're going to do. Louis Hasbrouck Building Commissioner • City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587-1240 From: pam [maiko:panncrawhord©crocker.cnm] Sent: Monday, June 18, 2012 8:46 PM To: Louis Hasbrouck Cc: Rena Johnston Subject: Re: Daniel Muscat 87 Rick Drive project Hello Louis The project was approved by the conservation commission at their meeting 6/14, with the following conditions: 1) erosion control during construction; 2) removal of existing railroad tie patio to offset roof; 3) installation of wells to capture runoff from roof. Is this permit now approved on your end? Thanks Dan On May 3, 2012, at I1:31 AM, Louis Hasbrouck wrote: Dan, I've reviewed the proposed work at 87 Rick Drive. Our map shows the boundary of a wetland — 88 feet north of the existing house. You need to contact the conservation commission staff person (Sarah La Valley) to find out the next steps. I've attached a copy of your application and copied Sarah on this email. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 2 Louis Hasbrouck To: pam Cc: Charles Miller Subject: FW: Daniel Muscat 87 Rick Drive project Dan. We'll need a drawing showing gutters and one or 2 dr°ywells to put with the plans. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 From: Sarah LaValley Sent: Tuesday, June 19, 2012 3:06 PM To: Louis Hasbrouck Subject: FW: Daniel Muscat 87 Rick Drive project Hi Louis - I'll be issuing the ConsCom Determination in the next few days, but the project received approval at last week's meeting. The Commission required a drywell to allow roof runoff to infiltrate rather than flow across the lawn. so you may need some additional information from the builder about that. - Sarah From: pam [mailto:bamcrawford @crocker.com] Sent: Tuesday, June 19, 2012 2:53 PM To: Sarah LaValley Cc: Rena Johnston; Louis Hasbrouck Subject: Fwd: Daniel Muscat 87 Rick Drive project Hi Sarah As per the below message, the building department needs the approval from you before issuing the permit. Also, please let me know what inspections, if any, you will be requiring for this project. Thanks very much Dan Begin forwarded message: From: Louis Hasbrouck < Iasbrouck a(�northamptonma.gov> Date: June 19, 2012 9:08:24 AM EDT Louis Hasbrouck From: Louis Hasbrouck Sent: Thursday, May 03, 2012 11:32 AM To: 'pamcrawford @crocker.com' Cc: Sarah LaValley Subject: Daniel Muscat 87 Rick Drive project Attachments: 87 Rick Drive Permit App 2012- 05- 03.pdf Dan, I've reviewed the proposed work at 87 Rick Drive. Our map shows the boundary of a wetland "'88 feet north of the existing house. You need to contact the conservation commission staff person (Sarah LaValley) to find out the next steps. I've attached a copy of your application and copied Sarah on this email. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 City of Northampton, MA: Residential Property Record Card New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 12C -112 -001 Zoning: Assessment: Location: 87 RICK DR Neigborhood: 15 Land: 115,200 #Living Units: 1 Deed Book: 2335 Building: 87,500 Class: R -101 Deed Page: 099 Total: 202,700 A 3 g , z 35 13 > �d 11 4 B 11 1 Fr /B 35 983 22 24 The Commonwealth of Massachusetts Print Form Department of Industrial Accidents 1 1 mom tr, Office of Investigations = 1 Congress Street, Suite 100 * Site= Boston, MA 02114 -2017 ��; www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 4� U ( (f � j ell- G'/ Address: ` l / ARA City /State /Zip: Alkiitair7 l Phone #: - 1 (8 (q- Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. El 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 8. ❑ Demolition working for me in capacity. employees and have workers' g any p ty• 9. 2 Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 1 .❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ 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' 13.0 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. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under 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 certi under the • ains and penalties of perjury that the information provided ab • ve is true and correct. Signature: . !. !,�r _ S, Date Phone #: L (I & (CJ I Y 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ) Not Applicable ❑ Name of License Holder : /#\-( ,LJ r 0 6 er License tuber 1 � � 6 C '5 20 //5 Address Expiratio Date 1ABC NI3 Goq(t Signs ure Telephone 0. Registered Riot* Imorov nteritCo actor: ; Not Applicable ❑ 4/e ( 52.—C6 Company Name Registratio Num r 22.6 Address Expiratio Date Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ,C No ❑ e . caner Exemption The current 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 -year 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 all applicable) New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing 7 Or Doors 0 Accessory Bldg. ❑ Demolition El New Signs [D] Decks [0 Siding [DI Other [D] Brief Description of Proposed Work: ) .. 14 ...A A -"IA !. A .■ ,:iyA . • it ., _ / Alteration of existing bedroom Yes V No Adding new bedroom Yes // No /- Attached Narrative Renovating unfinished basement Yes t� No Plans Attached Roll - Sheet 6a, If New house and or addltion existing housing complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? NO d. Proposed Square footage of new construction. 'Z-73— Dimensions /2--) � ‘ e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Complianc- Masscheck Energy Compliance form attached? 0 h. Type of construction Azy L•' Or •st i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade ` 71 k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO, BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Rena Johns ton , as Owner of the subject property hereby authorize Dan Plus cat to actgn.my behalf, in all ers relative to work authorized by this building permit application. Signature of Owner ✓ Date I, PA - 64,0 6 eAT , 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 perj Print Na 1 IA-LW P1 �-( ( P a ).„‘ ,o n th 1-6 /2— Signature of Owner /Agent Date Section 4. ZONING All Information 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 i _�.1`....._..___.. Frontage Setbacks Front Side L: =..2" R: Rear cQ Building Height Bldg. Square Footage 1 '18 3 = % 1 , 1 Open Space Footage (Lot area minus bldg & paved t. reVio parking) # of Parking Spaces Fill: _.... _ ..... ,..... _.. (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW CO YES 0 IF YES, date issued:` IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location:;' D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q IF YES, describe size, type and location: 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 NO Q IF YES, then a Northampton Storm Water Management Permit from the DPW is required. _ __ ---" _ Department use only % ' r -' - "`� City of Northamp us of Permit: Buildin Department Curb Cut/Dt veway.Per nit, 26 101Z \ 212 Main Street Sewer/Septic vatlabtlit? Room 100 Water/Weli Availability ` „rthampton, MA 01060 Two Sets of Structural Plans OF 6 UILDI l a itio t�T1 °N5 DEPT o N � R T H AMF 10" ' t 0' o ne 413- 5 87 -1240 Fax 413- 587 -1272 Plot/ i Plans , tther.Specyr, APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 87 Rick Dr. Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Rena Johnston 87 Rick Dr., Florence, MA 01062 Name (Print) Current Mailing Address: �. 5R4 -6776 r t�Yi . Telephone Signature 2.2 Authorized Agent: Dan Muscat 133 Gray St., Amherst, MA 01002 Name (Print) / Current Mailing Address: V at'' l 413 - 687 - 1817 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building /2, 000 (a) Building Permit Fee I 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection {�'��II // � 6. Total =(1 +2 +3 +4 +5) /'2. 00 Check Number c'/`1al0 It I ( l6 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date was cti°A File # BP- 2012 -0931 pAMv � G 0' APPLICANT /CONTACT PERSON DANIEL MUSCAT 0 � / ADDRESS /PHONE 133 GRAY ST AMHERST (413) 687 -1817 - • PROPERTY LOCATION 87 RICK DR C C lr MAP 12C PARCEL 112 001 ZONE RI(100)/URA(100)/WSP(100)/ Q cP THIS SECTION FOR OFFICIAL USE ONLY: ( cp t■' � PERMIT APPLICATION CHECKLIST ct\V' ENCLOSED REQUIRED DATE e+ ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �}�/ Fee Paid d �' 9C itigb Typeof Construction: CONSTRUCT 12 X 25 SCREEN PORCH & DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 69679 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: f 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 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 Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay 6)1 9/1 Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 87 RICK DR BP- 2012 -0931 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C -112 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2012 -0931 Project # JS- 2012 - 001621 Est. Cost: $12000.00 Fee: $140.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DANIEL MUSCAT 69679 Lot Size(sq. ft.): 10497.96 Owner: JOHNSTON RENA E Zoning: RI(100)/URA(100)/WSP(100)/ Applicant: DANIEL MUSCAT AT: 87 RICK DR Applicant Address: Phone: Insurance: 133 GRAY ST (413) 687 -1817 AM H E RSTMA01002 ISSUED ON: 6/19/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 12 X 25 SCREEN PORCH & DECK 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 6/19/2012 0:00:00 $140.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner