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46-058 (12) Louis Hasbrouck From: Sarah LaValley Sent: Wednesday, October 24, 2012 10:59 AM To: Louis Hasbrouck Subject: Re: 503 Mt. Tom Rd Hi Louis - The Commission approved the driveway as part of an Order of Conditions for the FEMA project, and the permit has been extended through the permit extension act. If you need details, let me know and I'll find the plans. Thanks very much - Sarah On Wed, Oct 24, 2012 at 9:50 AM, Louis Hasbrouck <lhasbrouckanorthamptonma.gov> wrote: Sarah, Here's a rough map of the property at 503 Mt. Tom Rd. It looks like they'd be able to get a driveway outside of the 100' wetlands buffer but they'd still be in the flood zone. I'll find out if they're adding any fill. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 (City of Northampton E -mail is a public record except when it falls under one of the specific statutory exemptions.) (City of Northampton E -mail is a public record except when it falls under one of the specific statutory exemptions.) 1 PENDING APPROVAL 503 MT. TOM ROAD BY SIGNING THIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH, OR, BEFORE COMMENCEMENT OF THE WORK, WILL BECOME FAMILIAR WITH, ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED, INCLUDING OSHA REGULATIONS, G.L. c. 82A, 520 CMR 7.00 et. seq., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY -LAWS AND REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTH BELOW. THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT THE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND REGULATIONS GOVERNING SUCH WORK. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, INCLUDING BUT NOT LIMITED TO ENFORCING THE REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT, INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH, AND,MEASURES TAKEN BY THE MUNICIPALITY TO PROTECT THE PUBLIC WHERE THE APPLICANT OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL MEASURES DEEMED NECESSARY BY THE MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY, CAUSES OR ACTION COSTS, AND EXPENSES RESULTING FROM OR ARISING OUT OR ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING THE WORK CONDUCTED UNDER THIS PERMIT. APPLICANT GNA DATE /D ay f Z EXCAVATOR SIGNATURE (IF DIFFERENT) DATE OWNER'S SIGNATURE (IF DIFFERENT) DATE For City/Town use -- Do not write in this section WATER / 9' ❑ Control Density Fill Required SEWER A /G /a 9- D Must install clean-out (See Attached) STREETS Fred 6 - - ` ❑ Refer to Engineering for plans ❑ Subject to 5 -year pavement moratorium Condition of road/Road last paved: 1 9 + C ar. Signed: el/Y%"? , City Engineer PENDING APPROVAL 503 MT. TOM ROAD CITY OF NORTHAMPTON Permit No. 6925 " "moo DEPARTMENT OF PUBLIC WORKS ePPR VED DISAPPROVED 125 Locust Street Date Issued 10/5/2012 Wi t) ' Y. , Northampton, MA 01060 By Phone 413 -587 -1570 (Department of Public Works) FAX 413 -587 -1576 No work to start until signed ci -:.� -- TRENCH PERMIT Pursuant to G.L. c. 82A § 1 and 520 CMR 7.00 et seq. (as amended) THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION This permit (License for excavating on any public way and private property) is issued under the provisions of M.G.L. c. 82A § 1 and 520 CMR 14.00 and Section 285 -21 of the Revised Ordinances of the City of Northampton subject to the "Specifications for Care of Street Cuts" approved and adopted by the Department of Public Works on September 21.1991. The applicant hereby agrees to protect all cuts with barricades and lights, and to save the City of Northampton harmless from all claims fur damages whatsoever arising from the occupation of all properties affected by this permit, until such time as the work has been approved and accepted by the Department of Public Works as provided for below, and in the case of private utility, to pay all charges for resurfacing. Fee: $250.00 Check # 2169 Valid for 30 days from date of approval. Expiration Date: // ? � J Name of Applicant Phone Cell ERIC MOOS TRUCKING 413 - 237 -9447 Street Address 16 MARSHALL STREET City/Town STATE ZIP NORTHAMPTON MA 01060 Name of Excavator (if different from applicant) Phone Cell SAME Street Address City/Town STATE ZIP Name of Owner(s) of Property Phone Cell MARY GLAZEWSKI Street Address 503 MT TOM ROAD City/Town STATE ZIP NORTHAMPTON MA 01060 Location of proposed trench: 503 MT TOM ROAD Description and purpose of proposed trench: please describe the exact location of the proposed trench and its purpose. Include a description of what is (or is intended) to be laid in proposed trench (eg; pipes/cable lines etc...) NEW DRIVEWAY INSTALLED AT REAR OF HOUSE Estimated dates of occupation of street: PENDING APPROVAL Insurance Certificate #: ON FILE Name and Contact Information of Insurer: ON FILE Policy Expiration Date: ON FILE Dig Safe #: 2012- 400 -1301 ALL PERMITS ISSUED PURSUANT TO 520 CMR 14.00 SHALL BE POSTED IN PLAIN VIEW ON THE SITE OF THE TRENCH ' Note Contractors will be charged for Inspections requested outside of regular working hours (7:00 a.m. - 3:00 p.m. M -F) Contractor to notify DPW when job is in progress. NOTE: Engineers need ties to this service for our records. TEMPORARY INFRA -RED SHALL BE REQUIRED AFTER TRENCH CUT IS MADE PATCH REQUIRED - 1) ocs1-- -- r / Permit No. D08 -13 Conditions: Driveway Permit In lieu of plan approved by the City Engineer I agree to the following added conditions: 1. I 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. By: Petitioner Signature Name: Eric Moos Excavating Address: 16 Marshall Street Northampton, MA 01060 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. For Commercial and Industrial applicants, a plan showing the proposed driveway with grades, location and Planning Board permits are required. Cc: Building Inspector Li IQ de Permit No. D08 -13 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 10/2/12 Check #: 2170 FEE: $250.00 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: A new driveway Permission to install a driveway at: 50-3 Mount Tom Road, Northampton Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All Drainage shall be directed off the driveway surface to adjacent land and not on the existing Roadway. Driveway surface to be paved as soon as possible if the grade of the proposed Driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. Code of Ordinances §350 -8 8 providing standards for private, individual driveways as amended by the City Council on October 15, 2009, must be followed. By: Eric Moos Trucking Telephone: 413- 237 -9447 . ature: t I Proposed Location Inspection By: db � ,! Y #1 / - 3 - /O- / 2 Gravel Base Grade Inspected By: 3 Final Approval: THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward S. Huntley, P.E. Director of Public Works Cc: Building Inspector (SUBJECT TO ATTACHED CONDITIONS 1 & 2) Et TAQA c A Er 7 -- / ?L/U L6 1 \11 \ 340 G G 365 N Q• 585 46 -058 v::,.., 65 % b '- �, y t 1 ,,,, o - o 345 \ vi > l " - `c Lam' _ -l't' 7 pr Mary Glazewski A = House PLOT PLAN 503 Mt. Tom Road B = Existing 20' x40' garage/sheds Northampton, MA 01060 C = Proposed 12' x 16' shed D = Proposed driveway E = Proposed 16' x 24' elevated deck F= Fxi sh 15 CVAitiZ -b toe, b i o,,k eA off )p Jt‘ GorN7e il ntco &NI . , et tc 10. Do any signs exist on the property? - YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the I prroperty? YES x NO ` IF YES, describe size, type and location: / r). � (1-ry CV / , / f L✓�' ��o,1 oil oI / 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage 1 Setbacks Front I Side L: R: L: R: L: R: Rear Building Height Building Square Footage % Open Space: (tot area minus building & paved parking # of Parking Spaces # of Loading Docks Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of -3, my knowledge. Date: / 0 � � ° Applicant's Signature _ NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\ Documents\ FORMS\ original \Building - Inspector\Zoning - Permit- Application- passive.doc 8/4/2004 OCT 'l012 _ File No. /-12P 1 �- ...T. OF ttiLL i Tsuw . ONING RER IT PLICATION NORTiAMPTO tv1A Q °6° Please type or print all information and return this form to the Building Inspector's Office with the $15 filirig fee (check or money order) payable to the City of Northampton 1. Name of Applicant: ' 1 I ° 5 Address: (LP t ?' 1 - 1V0 (I'k?r )ten Telephone: ( (3 a 37 `I 7 2. Owner of Property: ?%) `7 1 Address: 5 1)-1) t41- ��^ 2 d i\ MA Telephone: N 3 CS 3 357 3. Status of Applicant: Owner X Contract Purchaser / Lessee Other (explain) 4. Job Location: SO P"L. Io 1� fv -.t M,/� Parcel Id: Zoning Map# Parcel', District(s): In Etm: Street District In Central Business District (TO BE FILLED IN BY TEE BUILDING DEPARTMENT) 5. Existing Use of Structure /Property: t \ ^ ( i ?r;i -' 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): G /I jrc/C /�f l� ��� it !,i? 1 b /oe I' 4/7 e),/,'„),1 jJ �i r ( U ✓ tY G v .-• 447 7. Attached Plans: Sketch Plan Site Plan ) Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and /or Document # 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW K YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) W:\ Documents\ FORMS \original\ Building- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004 File # MP- 2013 -0052 APPLICANT /CONTACT PERSON MOOS ERIC ADDRESS/PHONE 16 MARSHALL ST (413) 237 -9447 () cods C0— PROPERTY LOCATION 503 MOUNT TOM RD MAP 46 PARCEL 058 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT 9 C3 V Fee Paid �a J Building Permit Filled out Fee Paid Typeof Construction: ZPA - DRIVEWAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON R ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER : § Intermediate Project : Site Plan AND /OR Special Permit with Site Plan Major Project: Site 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 IC I 2_,(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 the Office of Planning & Development for more information. 503 MOUNT TOM RD MP- 2013 -0052 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS #: 8607 o aiHAMpTO Map: 46 �' Block: 058 t ik ZONING PERMIT Lot: 001 �� �,�� Permit: ZONING PERMIT APPLI �� ��' �k�EN1E�P APPLICATION PERMIT Category Zoning Permit Permit # MP -2013 -0052 PERMISSION IS HEREBY GRANTED TO: Project # IS -2013- 000788 Est. Cost: Contractor: License: Expires: Fee Charged: $15.00 Homeowner as Contractor Balance Due: $.00 Owner: GLAZEWSKI HELEN S & MARY # of Fixtures: Applicant: MOOS ERIC DigSafe # AT: 503 MOUNT TOM RD UseGroup ConstClass ISSUED ON: 25 -Oct -2012 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA - DRIVEWAY THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fixtures: Floor: Type: # of Fixtures Floor: Type: # of Fixtures Fee Type: Receipt No: Date Paid: Check No: Amount: Zoning Permit Application REC- 2013 - 001680 24- Oct -12 2203 $15.00 212 Main Street, Phone:(413) 587 -1240, Fax:(413) 587 -1272, Email :lhasbrouck®northamptonma.gov GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc.