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38A-133 ttt1+}r * f �y tYl� FTIIT I z3"ii n _ __41 7° DEPARTMENT OF BUILDING TNSPECTIONS 212 Main Street 0 •Munici ia1 Btu1ding a. < INSPECTOR Northampton,MLA 01060 se r LOCATION go A14364 Sf /Ilcok'r1 f,tox, /11,' . • • SQUARE FOOTAGE AMOUNT f 0 BASEMENT @ :20 ' • //Y'c i2-3G ' 1sTFLOOR @.30 2maFIX @ 30' • , • h FLOORS, PIL ISFI ATTIC,GARAGE @ 20 92>16. / $ . • DECK/PORCECES @ --20 •. • • TOTAL. ig1L= • • • SEWER CONNECTION INSPECTION REPORT Northampton Sewer Department 125 Locust St. Northampton, MA 01060 (413) 587-1570 Date: 6/5/13 Engineering has taken ties to service Si nature Type of Service: New Renewal Repair Existing Q{`\v AT Sewer Entry Fee: Paid Yes X No N/A Check Cash Pipe: Size Length Material Age k.,ocation of Installation: 90 Moser Street, Lot A2 (Street and Number) ermit Issued To: Kent Pecoy & Sons/Don Clarke 246-3749 Contractor/Developer Installing Kent Pecoy & Sons Service Connection: 215 Baldwin Street, West Springfield, Ma 01089 Telephone No.: 413-246-3749 The service connection at this location was inspected by the undersigned on — _ (Date) at and approved by: (Time) Sewer Supervisor have instructed of that the installation can be backfilled. Measurements for all installation shall be listed on the back of this form. The information shall be attached to the permit on file at the Public Works Department office. Copy to Supervisor: Date: 6/5/13 Copy to Utility Billing: Date: 6/5/13 Copy to Office Manager: Date: 6/5/13 ps s,. � i iE 'f i.:.i. t:j.S'i' 1 <3i ,s, ( .t" .r{ 4E4 3. .9 4. The City shall not be held liable for any open plumbing fixtures below street level. 5. The applicant and/or owner hereby agrees to pay to the City any sewer use assessments or charges as may be established under city ordinance. 7 1 DATE: 6/5/13 SIGNED: (Applicant) Kent Pecoy& Sons/Don Clarke 215 Baldwin Street, W. Springfield (Address of Applicant) 413-246-3749 (Telephone No. of Applicant) $ 500.00 inspection fee paid Check No. 21569 Application approved and permit issued: ATE: $7/3 SIGNED: / •A �,� (Director o Pu. is s) Code of Ordinances Section 22-41 through 22-52 available upon request. Tie-in to sanitary main 201.11 Tie-in to sanitary service at street line $500.00 X \\win2\admin\Permits\Sewer Entry\Permits 2013 Sewer\S45-13 90 Moser St, Lot A2.doc Permit No. S45-13 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: The undersigned, being the Owner of the property (Owner, Owner's Agent) located at 90 Moser Street, Lot A2 , does hereby request a permit to install and (Number) (Street) connect a building sewer to serve the Residence at said location. (Residence,Commercial Bldg.,etc.) 1. The applicant and/or owner shall furnish upon request of the Superintendent the estimated quantity and characteristics of waste to be discharged to the public sewer. 2. "Owner" shall mean the person holding title to the property served or to be served by the building sewer. 3. The person or firm who will perform the proposed work is Kent Pecoy & Sons ,of W. Springfield,MA 01089 (Name) (Address) 4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit «A» In Consideration of the granting of this permit, the undersigned agrees: 1. To accept and abide by all provisions of the Code of Ordinances, City of Northampton, Massachusetts, Sections 22-41 through 22-52, and all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to the City. 3. To notify the Superintendent when the building sewer is ready for inspection and connection to the public sewer, but before any portion of the work is covered. kt 0... �.,�� �r:':! r�i Sul Li - " 7063 Permit No. W47-13 WATER CONNECTION INSPECTION REPORT Northampton Sewer Department 237 Prospect Street Northampton, MA 01060 (413) 587-1570 Date: 6/5/13 Type of Service: New X Renewal Repair Pipe: Size 8" Material Ductile Iron Age 2009 Water Entry Fee: Paid Yes X No N/A Meter Size 5/8/" Fee Paid Yes X No N/A Radio Read Fee: Paid Yes X Check# 21572 Cash Location of Installation: 100 Moser Street, Lot A8 (Street and Number) Permit Issued To: Kent Pecoy & Sons Don Clarke Contractor/Developer Installing Service Connection: Kent Pecoy& Sons Telephone No.: 413-781-7008 The service connection at this location was inspected by the undersigned on (Date) at and approved by (Time) Water Superintendent I have instructed of that the installation can be backfilled. Measurements for all installation shall be documented by the Water Department. The information shall be on file at the Public Works Department office. Copy to Supervisor: Date: 6/5/13 Copy to Utility Billing: Date: 6/5/13 Copy to Office Manager: Date: 6/5/13 Permit No. W47-13 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING WATEYR TRY APPLICATION DATE: 6/5/13 (Applicant) Name of Applicant: Kent Pecoy& Sons/Don Clarke Address of Applicant: 215 Baldwin St., W. Springfield, MA Telephone#: 413-781-7008 $ 200.00 Entry fee paid Check No. 21 570 $ 100.00 Meter fee paid Check No. 21570 $ 100.00 Radio Read Fee paid Check No. 21570 Application approved and permit issued: DATE: 003 SIGNED: (Director o Pus is Wor s) 1 Fee Schedule: Water Entry Permit Fee: $200.00 X 5/8"Meter Fee $100.00 X 3/4" Meter Fee $150.00 1" Meter Fee $200.00 Radio Read Fee: $100.00 X \\win2\admin\Permits\Water Application\Water Permit 2013\W47-133 90 Moser Street, Lot A2.doc Permit No. W47-13 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: The undersigned,being the Owner of the property (Owner,Owner's Agent) located at 90 Moser Street, Lot A2 , does hereby request a permit to install and (Number) (Street) connect a 1" Water Service to the Residence at said location. (Size) (Residence,Commercial Bldg.,etc.) 1. "Owner" shall mean the person holding title to the property served or to be served by the water service. 2. The person or firm who will perform the proposed work is Kent Pecoy & Sons of W. Springfield, MA 01098 (Name) (Address) 3. Plans/sketch and specifications for the proposed water service shall be attached to permit. In Consideration of the granting of this permit, the undersigned agrees: 1. The Water Department shall make all taps to the water main. 2. WATER ENTRY PERMIT FEE is $200.00. 3. Additional work performed by City forces from the water main to street line shall be paid at the prevailing labor rates and cost of material. Water Meters 5/8" $100.00 X Water Meters 3/4" $150.00 Radio Read $100.00 X Water Meters 1" $200.00 Water Meters 1.5" and above shall be purchased by the owners using city specs. 4. A fee of$100 for the Radio Read Fee with the purchase of a new meter. 5. The Water Superintendent shall be notified for water line inspection prior to backfill of trench. C ( - S ti 5-13 1 g 7 06 3 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction+S upervisor:: Not Applicable ID S Name of License Holder: ,C f/ f l (c.'y l J s tj'/ - ,,p�,ryry License Number 1/5 t�C yL�f£T �J �jik�/h.(/il1/) . !'li4. ()iT v_ q - 16 - /3 Address Expiration Date 1/43 - /3/ • /C c Signa re Telephone 9. Recilstered Home Improvement Contractor: Not Applicable ❑ /CA A / /' �i>/ ' JE./,-,S �'1,t'S)i?C //D/ti l N( /C %3( 7 Company Name Registration Number /S 6f1/ )tL'(/L! JkJs z f �!L%a 51`�K f IL f�/cl/ ) 44. Lei ig - 3/ - /s/ Address Expiration Date Telephone//.I 75'/ •At d 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 No ❑ 11. - Home Owner 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 ISECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[O] Other[o] Brief Description of Proposed Work: rt/i�47r_On1 l u 4,1 1.44.f +,1 /L Alteration of existing bedroom Yes /No Adding new bedroom Yes / No Attached Narrative Renovating unfinished basement _Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to 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? 'I 45 d. Proposed Square footage of new construction. //b' 2 Dimensions 3D A S-6 e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction / i. Is construction within 100 ft. of wetlands? Yes ✓ No. Is construction within 100 yr. floodplain Yes f No j. Depth of basement or cellar floor below finished grade '7 1 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 OWNER/S/AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,3T,tn /.2 LG/ ,as Owner of the subject property hereby authorize :,>)L!n.' C L;4r24' to act on my behalf, in all matt relative to work authorized by this building permit application. Signature of Owner Date - / I, jef it,r J (. / ,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. Signe under the pains and penalties of perjury. - etj 7 'I'i'W..<- - Print Name :t / .v Signature of Owner/Agent Date 0 g /3 4-, //k-iic,) /-)zt I /4 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 Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES Q 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 ® NO e 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 Q NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. c� Department use only C g LE_ City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit JUN j 2013 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability DEPT.OFg1J/L.pAG __ Northampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON,MA oso Oton.. 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION r This section to be corrlpleted by office 1.1 Property Address: thii,(f/r�>_ Ma J Map c _?e� Lot 3 Unit Zone Overlay District /214 £//66 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: />1(c V ti (S (, /it'd his 1s'.�tz?kw/4- keff T , ' r�� �i�t ), Name(Print) Current Mailing Address: -751 7605 Telephone Signature 2.2 Authorized Ascent: Ct if72 )I /.1,/au Sii1ffl it), Cf:Iii/A-1AifLal 4114. Name( yintA Current Mailing Address: /_ ( 1//s ,.��`/ Se79 Sig ature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by_permit applicant 1. Building (a) Building Permit Fee "I d.600 e‘° 2. Electrical 5-60 �, (b)Estimated Total Cost of ,72 Construction from{6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection ¢r �./ 6. Total=(1 +2+3+4+5) qy, S7O °�- Check Number 3`:jVj� ` y ag 1• qo This Section For Official Use Only Building Permit Number: I sssuu ed: Signature: Building Commissioner/Inspector of Buildings Date b4 /- ui1ubñi?O/J OAIL ' . File#BP-2013-1215 APPLICANT/CONTACT PERSON KENT PECOY&SONS CONSTRUCTION INC ADDRESS/PHONE 215 BALDWIN ST WEST SPRINGFIELD (413)781-7008 PROPERTY LOCATION 90 MOSER ST-LOT A2 MAP 38A PARCEL 133 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 3a ! ? b i < <1-6 Fee Paid c7 Typeof Construction: FOUNDATION(SFH/GARAGE) 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 INF9RMATION PRESENTED: V 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 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. 90 MOSER ST-LOT A2 BP-2013-1215 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A- 133 CITY OF NORTHAMPTON Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:FOUNDATION BUILDING PERMIT Permit# BP-2013-1215 Project# JS-2013-001987 Est. Cost: Fee: $284.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENT PECOY & SONS CONSTRUCTION INC 052589 Lot Size(sq.ft.): 8415.00 Owner: KENT PECOY&SONS CONSTRUCTION INC Zoning:PV Applicant: KENT PECOY & SONS CONSTRUCTION INC AT: 90 MOSER ST - LOT A2 Applicant Address: Phone: Insurance: 215 BALDWIN ST (413) 781-7008 WC WEST SPRINGFIELDMA01089 ISSUED ON:6/24/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:FOUNDATION (SFH/GARAGE) 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 6/24/2013 0:00:00 $284.40 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner