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JO ua1!el s!As!pq!suodsal oN'(331)uolelodlo3 8uuaau!8u3 ssn11 Aq papddns se sassnll;o uoleool ay18u!A;guap!10;pap!nwd s!ue!d luawaoe!d!elnpnlls-uou s!yl, Q g o .9„ �Y A 0 0 1 0 0 1 0, 10d • • 1111 ilkIN ,0 1Q'LIp,', 1III 66 • ' r o1« W. o ' CO I 112 Ed inn I 0 II 1 1 0 0 11 I 0 N II Cr) • r LL IL �,% 110 1 I- 0 ;.Al I V . I l'< 00-00-61. CONTRACTOR QUOTE PRINTED ON: 10/04/13 PAGE 1 QUOTE# Q1310037 DATE QUOTED:10/04/13 TR1J 181 GOODWIN ST VALID UNTIL: 11/01/13 . . 01: , . PO BOX 51027 Job: MARSHA LEAVITT ►���∎■∎�■i INDIAN ORCHARD, MA 01151 WRIGHT BUILDERS MANUFACTURERS OF ROOF& FLOOR TRUSSES 113 BLISS STREET Phone(413)543-1298 Fax(413)543-1847 Toll Free(800)456-0187 FLORENCE, MA Quote To:r.k. Miles, Inc. 24 West St. Requested By: ANDY CLOGSTON West Hatfield, MA 01088 Attn:ANDY CLOGSTON Quoted By: Brian Tetreault Phone:(413)247-8300 SPECIAL INSTRUCTIONS: *BASED ON 9/25/13 PLANS. *NEED TO REVIEW STAIR OPENINGS AT ORDER. ROOF TRUSSES LOADING TCLL-TCDL-BCLL-BCDL STRESS INCR. ROOF TRUSS SPACING:24.0 IN.O.C.(TYP.) LAYOUTBRT 10/03/13 INFORMATION 50.0,10.0,0.0,10.0 1.15 PROFILE QTY PITCH TYPE I BASE I 0/A LUMBER OVRHG/CANT I SHIPPING I UNIT I PLY TOP BOT TRUSS ID SPAN SPAN TOP BOT LEFT RIGHT HEIGHT WEIGHT SPECIAL 00-10-08 00-10-08 12 8.00 4.75 S1 19-00-00 19-00-00 2 X 4 2 X 4 07-04-00 87 {j�� SPECIAL 00-10-08 00-10-08 aG�"'Zln 2 8.00 4.75 S1GE 19-00-00 19-00-00 2 X 4 2 X 4 07-04-00 77 Special Truss 00-10-08 00-10-08 03-04-08 73 6 3.00 0.00 T2 19-00-00 19-00-00 2 X 4 2 X 4 05-00-00 FLOOR TRUSSES LOADING sTRESS INCR. FLOOR TRUSS SPACING:16.0 IN.O.C.(TYP.) YOUTBRT 10/03/13 INFORMATION 1TcLL-TCDL-BCLL-BcDL 40.0,10.0,0.0,10.0 FLOOR QTY TRUSS ID DEPTH I BASE 0/A END TYPE CANTILEVER STUB UNIT I PROFILE PLY SPAN SPAN 1.00 LAYOUTBRT RIGHT LEFT RIGHT LEFT RIGHT WEIGHT 28 F1 01-00-00 19-00-00 19-00-00 70 2 F1A 01-00-00 19-00-00 19-00-00 r 3 76 `"1"1 14 F2 01-00-00 11-06-00 11-06-00 C ni 42 s' 1 F3 01-00-00 04-05-00 04-05-00 I 3 18 ErtEraj 1 F4 01-00-00 08-02-12 08-02-12 r ni 26 Truss Engineering Corporation(TEC)strictly adheres to the'Standard Responsibilities in the Design of Metal Plate Connected Wood Trusses'as defined by TPI Chapter 2(available upon request)regardless of any Job specific SUBTOTAL specifications unless clearly defined otherwise in writing by TEC. This product list is Truss Engineering Corporation's INTERPRETATION of plans and drawings as supplied to us. No responsibility Is taken or implied by TEC for the structural integrity of the structure below the trusses or the affects of TEC's product on the structure as a whole. The building owner/owner's agent is solely responsible for verifying all dimensions,geometry,loads and load requirements for accuracy and full compliance to construction documents and shall be responsible for notifying TEC immediately of any discrepancies. Truss Engineering Corporation is NOT responsible for field verification of dimensions or special conditions. The building owner/owner's agent is responsible for coordinating all construction details between trades. The truss installer shall follow all BCSI recommendations,construction document specifications as well as any site specific GRAND TOTAL requirements to ensure safe and proper installation. No loading shall be applied to trusses until properly and fully installed,including all sheathing,hangers,wall anchors,lateral web bracing(as shown on Individual shop drawings),and permanent bracing(as required by the construction documents). Installation contractor shall refer to the Individual truss shop drawings for all structural requirements of trusses,including but not limited to bearing locations and requirements, ply to ply nailing,lateral web bracing,and truss spacing. No trusses supplied by Truss Engineering Corporation may be cut,drilled,or altered in any way without first contacting TEC and receiving engineering documents allowing such. *** THESE DRAWINGS HAVE BEEN REVIEWED AND ARE APPROVED AS AN ORDER *** Approved By: Approval Date: PO#: Requested Delivery Date: A ENERGY CONSERVATION APPLICATION FORM FOR LOW=RISE RESIDENTIAL NEW CONSTRUCT ION and ADDITIONS 780 CMR Appendix J - Applicant Name: (Ari� t �u��e nc- Site Address: H1°� `�j'6 ']tour Applicant Address: ' Sled -Xrtar City/Town: rirtrree. .thrgzimet Use Group: 4, .k ..:ly T7well a Date of Application: O • • Applicant Phone: A pplicant Signature: ►'? fp.% w Compliance Path(check one): a2 O Prescriptive Package.(Limited to 1-or2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table 15.2.1b): - Heating Degree Days(HDD,$)from Table 15.2.1a: • • (cor items d.through i.,fill in all values that apply from Table 35.2.1b:) a. Gross Wall Area sq.ft f. Wall R value R- - b. Glazing Area' sq ft g. Floor R-value R- C. Glazing%000 x b+a) % h. Basement wall It- • d. Glazing U-value . U- • i. Slab Perimeter R- e. Ceiling R-value •R-• j. Heating AFUE ❑ Component Performance:"Manual Trade-Off"(Limited to wood or metal framed buildings only) • Climate Zone(from Figure I62.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 • Attach Trade-Off Worksheet from Appendix J.[and HYAC Trade-Off Worksheet,if applicable] ❑ MAScheckk Software . Attach ComplianceReport and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS.rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources • Attach Mass Registered Architect or Engineer Analysis ' • ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area 1,fgn. sq.& b.Glazing Area' 3'O sq.ft. c.Glazing%(loo x b+a) 17ot% [ADDITION with Glazing% (c.)up to 40%may use 780 CMR Table 11.1.2.3.1 below: MA7QMUM v-Vaitie MINIMUM li-values Fenestration 2 Ceiling 3 I Wall Floor Basement Wall Slab Perimeter,Depth 0.302 R-38 R-20 f R-30 I R-10 Continuous I,Slab 2 ft ' 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing..Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling.area (i.e.-not compressed over exterior walls,and including any access openings.)' ❑ "SUNROOM"addition(greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form".from 780 CMR Appendix B. Official's Name: . _ •Official's Signature: .. • Application Approved ❑ Denied ❑ - Date of Approval/Denial: Reason(s)for Denial: . (provide.additional details as needed on back side) ••• • • 11/7/13 City of Northampton Mail-Re:113 Bliss St,Florence-cons corn determination Igaudreau @wright-builders.com www.wright-builders.com (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.) 2 attachments vn 113 Bliss Street Addition.pdf 70K 113 Bliss Attachment A.doc 41K https://mail.googIe.com/mail/ca/u/O/?ui=2&iIrec5f19a57e&uew pt&q=113BIiss&qs=true&search=query&th=141e13b39e484189 3/3 11/7/13 City of Northampton Mail-Re:113 Bliss St,Florence-cons corn determination Sarah I. LaValley Conservation, Preservation and Land Use Planner City of Northampton Office of Planning and Sustainability 210 Main Street, Room 11 Northampton MA, 01060 413-587-1263 On Tue, Oct 22, 2013 at 12:17 PM, Linda Gaudreau <LGaudreau @wright-builders.com> wrote: Afternoon Sarah, Email confirmation of your online DEP filing was forwarded to me. Could you please email over a copy of the determination? We are starting the bldg. permit process with the city and the Bldg Dept has requested a copy. Thank you Best, L IA/via/ Cutuive ct4A. Linda Gaudreau Operations Manager 0 RIGHT BUILDERS RS 48 Bates Street Northampton, MA 01060 t. 413.586.8287 x. 116 f. 413.587.9276 https://mail.google.com/mail/ca/u/0/?ui=2&ik=ec5f19a57e&viev�pt&q=113 Bliss&qs=true&search=query&th=141e13b39e484189 2/3 11/7/13 City of Northampton Mail-Re:113 Bliss St,Florence-cons corn determination X # 1-s; Re: 113 Bliss St, Florence - cons corn determination Sarah LaValley <slavalley @northamptonma.gow Tue, Oct 22, 2013 at 1:34 PM To: Linda Gaudreau <LGaudreau @wright-builders.com> Cc: "Louis Hasbrouck (Ihasbrouck @northamptonma.gov)" <Ihasbrouck @northamptonma.gov>, "Charles Miller (cmiller @northamptonma.gov)" <cmiller @northamptonma.gov>, Roger Buzzell <RBuzzell @wright-builders.com> Attached for your reference. The original will be recorded and sent out when the appeal period ends. Sarah I. LaValley Conservation, Preservation and Land Use Planner City of Northampton Office of Planning and Sustainability 210 Main Street, Room 11 Northampton MA, oio6o 413-587-1263 On Tue, Oct 22, 2013 at 1:30 PM, Linda Gaudreau <LGaudreau @wright-builders.com> wrote: That would be great Thanks! Linda From: Sarah LaValley [mailto:slavalley @northamptonma.gov] Sent: Tuesday, October 22, 2013 12:21 PM To: Linda Gaudreau Cc: Louis Hasbrouck(lhasbrouck@northamptonma.gov); Charles Miller (cmiller @northamptonma.gov); Roger Buzzell Subject: Re: 113 Bliss St, Florence - cons corn determination Hi Linda- The appeal period for this Order will not end until November 4 and construction can't start until then. I can send you the unrecorded version if you'd like. -Sarah https://mai I.g oog le.corn/mail/ca/u/0/?ui=2&i Ir ec5f19a57e&\A evw pt&q=113 BI i ss&q s=true&search=q uery&th=141 e13b39e484189 1/3 as replacement. Prior to conducting any knotweed removal, the applicant shall conduct a baseline documentation survey on knotweed onsite. The request for Certificate of Compliance must demonstrate that knotweed is at least 75%reduced from baseline conditions after three growing seasons, and success of native plantings. 28. Soils exposed for periods greater than two months shall be stabilized with erosion control blankets and netting, a covering of straw mulch, or a temporary cover of rye or other grass to prevent erosion and sedimentation. Drainage ditches shall be stabilized and seeded with a native perennial grass mixture. Any stabilization materials such as jute netting shall be firmly anchored to prevent them from being washed from slopes by rain or flooding. Preference should be given to biodegradable materials. 29. All disturbed areas shall be graded, loamed and seeded, or stabilized with erosion control blankets or netting, and a covering of straw mulch prior to November 30, of each year. No disturbed areas or stockpiled materials will be left unprotected or without erosion control after this date. 30. No disposal of soils or other materials shall be allowed within: a 100-year floodplain; 40 feet of the 100-year floodplain elevation; any wetland; any area within 100-feet of a wetland; any area within 200 feet of a perennial stream; a vernal pool, or any area within 200 feet of a vernal pool unless such areas are specifically approved by the Commission, in accordance with 310 CMR 10.00, and City of Northampton Ordinances - Chapter 337 31. Ongoing conditions that shall not expire with the issuance of a Certificate of Compliance are as follows: 33 32. Upon completion of the work covered by this Order,the applicant shall submit an as-built plan,together with a written request for a Certificate of Compliance. The plan and written request shall specify any ways that the completed project differs from the plans referenced in the Order. The as-built plan shall include, at a minimum, and as applicable to the project: elevations of all pipe inverts and outlets, pipe sizes, materials, and slopes; all other drainage structures; limits of clearing, grading, and fill; all structures, pavement, and contours within 100 feet of wetland boundaries; all alterations within the wetland resource areas; and all dates of fieldwork. 33. The owner of the property described in this Order must advise any potential buyer of the property that any construction or alteration to said property, including brush cutting or clearance,may require approval by the Northampton Conservation Commission. Any deed or legal instrument conveying any or all of the owners' interest in said property or any portion thereof, shall contain the following language: "This property is subject to the Northampton Wetlands Protection Ordinance and/or Wetlands Protection Act. Any construction or maintenance work performed on this property may require an Order of Conditions, and/or a Determination of Applicability from the Northampton Conservation Commission. 34. Knotweed removal shall be conducted in accordance with the `Protocol for Removal of Japanese knotweed,' and appropriate native plantings must be provided in removal areas "ATTACHMENT A" 20. Prior to the initiation of any work,the applicant/owner shall submit a letter of understanding to the Commission stating that he/she has received, read,understands and shall comply with these Orders. The applicant, and,his or her contractor, foreman and/or construction manager shall sign the letter of understanding. 21. Prior to the initiation of any work,the applicant shall submit to the Commission a sequencing plan for construction, and erosion and sedimentation control installation. 22. Prior to the start of any site work, excavation or construction, a pre-construction conference shall be held on the site,between the contractor conducting the work,the site/project engineer, the applicant, and a member or agent of the Conservation Commission, in order to ensure that the requirements of this Order are understood by all parties. Prior to the pre-construction meeting, all erosion control devices must be installed. Erosion control shall be installed at the edge of the limit of work, in a location to be approved by the Commission or staff. 23. All required permits must be obtained from federal, state and municipal agencies and departments prior to the start of any project. 24. A copy of this Order and associated plans shall remain on site during all construction and/or building activities. The project manager and all equipment operators shall be familiar with the approved plans, and shall be informed of their location on the site. This location shall be accessible to all contractors whenever work is occurring on site. 25. All revised plans,referenced within this Order of Conditions, shall be approved by the Conservation Commission and incorporated into the permit by reference and shall be followed during the course of construction. 26. The areas of construction shall remain in a stable condition at the close of each construction day. Erosion control measures shall be inspected at this time, and maintained or reinforced as necessary. All such devices shall be inspected, cleaned or replaced during construction and shall remain in place until such time as stabilization of all areas that may impact resource areas is permanent. These devices shall also be inspected to assure that the maximum control has been provided. Any entrapped silt shall be removed to an area outside the buffer zone and resource areas, and maintained or reinforced as necessary. Erosion controls shall be inspected after every rainfall to assure that maximum control has been provided. 27. An adequate stockpile of erosion control materials shall be on site at all times for emergency or routine replacement and shall include materials to repair or replace silt fences, straw bales, erosion control blankets,riprap, filter berms or other devices planned for use during construction. Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 \`* WPA Form 5- Order of Conditions eDEP Transaction#:605234 l\ Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NOR"ITIAMPTON G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. NORTHAMPTON Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. To: NORTHAMPTON Conservation Commission Please be advised that the Order of Conditions for the Project at: 113 BLISS STREET 246-0673 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for. Property Owner MARSHA LEAVITT and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land,the instrument number identifying this transaction is: Instrument Number If registered land,the document number identifying this transaction is: Document Number Signature of Applicant Rev.4/1/2010 Page 9 of 9*ELECTRONIC COPY LiMassachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 eDEP Transaction#:605234 WPA Form 5- Order of Conditions Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTHAMPI'ON E. Signatures This Order is valid for three years from the date of issuance,unless otherwise specified 10/21/2013 pursuant to General Condition#4.If this is an Amended Order of Conditions,the Amended 1.Date of Original Order Order expires on the same date as the original Order of Conditions. Please indicate the number of members who will sign this form.This Order must be signed by 7 a majority of the Conservation Commission. 2.Number of Signers The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner,if different from applicant Signatures: Tim Parshall Cynthia White Kevin Lake C.Mason Maronn Steven A.Sauter Tricia McGovern R Downey Meyer by hand delivery on by certified mail,return receipt requested,on Date Date F. Appeals The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant,if he/she is not the appellant Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing,requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L.c. 131,§40),and is inconsistent with the wetlands regulations(310 CMR 10.00).To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,the Department has no appellate jurisdiction. Page 8 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: ` -- Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 \``* WPA Form 5-Order of Conditions eDEP Transaction#:605234 1\ Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NOR'ITIAMPTON j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. I) Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable?o Yes No 2. The Conservation Commission hereby(check one that applies): a. _ DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: 1.Municipal Ordinance or Bylaw 2.Citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: b. 0 APPROVES the proposed work,subject to the following additional conditions. NORTHAMPTON 1.Municipal Ordinance or Bylaw WETLANDS 2.Citation CHAPTER 337 OF THE ORDINANCE 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: FINDINGS:PURSUANT TO 310 CMR 10.58(2)1(B),THE NORTHAMPTON CONSERVATION COMMISSION FINDS THAT THE UNNAMED STREAM REFERENCED IN THIS ORDER IS PERENNIAL.PLEASE SEE ATTACHMENT A FOR CONDITIONS. Page 7 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: N.L--- Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 WPA Form 5 -Order of Conditions eDEP Transaction#:605234 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTHAMPTON Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;iii. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a pennittee for purposes of implementing the requirements of Conditions 19(0 through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs.A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook. g) The responsible party shall: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof;and disposal(for disposal the log shall indicate the type of material and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulations. i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. Page 6 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 ` eDEP Transaction#:605234 WPA Form 5-Order of Conditions City/Town:NORTHAMPTON Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash,refuse,rubbish,or debris,including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken, until all proceedings before the Department have been completed. 9. No work shall be undertaken until the Order has become fmal and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or'MassDEP"] File Number:"246-0673" 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) i s is not(2)u subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Page 5 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 WPA Form 5- Order of Conditions eDEP Transaction#:605234 Li Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Citylrown:NORTIIAMPTON a square feet b.square feet c.square feet d.square feet 18.i ',Land Under Salt Ponds a.square feet b.square feet c.c/y dredged d.e/y dredged 19. J Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet Indicate size under Coastal Banks,inland Bank,Land Under the 20.i Fish Runs Ocean,and/or inland Land Under Waterbodies and Waterways, above c.dy dredged d.c/31 dredged 21.J Land Subject to Coastal Storm Flowage a.square feet b.square feet 22. Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BVW b.square feet of Salt Marsh 23. 1 Streams Crossing(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state,or local statutes,ordinances,bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance.If this Order is intended to be valid for more than three years,the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. Page 4 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: - -- Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 eDEP Transaction#:605234 Iiiiiii, WPA Form 5 -Order of Conditions Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NOR'ITIAMPTON 5.-; Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 6. E Land under Waterbodies and Waterways a.square feet b.square feet c.square feet d.square feet e.e/y dredged f.e/y dredged 7. Bordering Land Subject to Flooding a square feet b.square feet c.square feet d,square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8._ Isolated Land Subject to Flooding a.square feet b,square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9.o Riverfront Area 900 900 a total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft 900 900 g.square feet h.square feet i.square feet j.square feet Coastal Resource Area impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10.3 Designated Port Areas Indicate size under Land Under the Ocean,below 11. Land Under the Ocean a square feet b.square feet c.c/y dredged d.c/y dredged 12._i Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.- Coastal Beaches a.square feet b.square feet c.c/y nourishment d.c/y nourishment 14.] Coastal Dunes a.square feet b.square feet c.e/y nourishment d.ely nourishment 15. ; Coastal Banks a.linear feet b.linear feet 16.J Rocky Intertidal Shores a square feet b.square feet 17. Salt Marshes Page 3 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:246-0673 eDEP Transaction#:605234 WPA Form 5- Order of Conditions t Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Towz:NORTHAMPTON NOTICE OF INTENT PACKAGE NEW ENGLAND AND APPENDICES- ENVIRONMENTAL BRUCE GRIFFIN,PWS 9/11/2013 NA SINGLE FAMILY HOUSE ADDITION B. Findings 1.Findings pursuant to the Massachusetts Wetlands Protection Act Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. ❑ Public Water Supply b. ❑ Land Containing Shellfish c.❑ Prevention of Pollution d. ❑ Private Water Supply e. ❑ Fisheries f ❑ Protection of Wildlife Habitat g. ❑ Ground Water Supply h. ❑ Storm Damage Prevention i. ❑ Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: a.❑ The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: b._1 The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c. The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource 3' area specified in 310CMR10.02(1)(a). a.linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. ❑ Bank a.linear feet b.linear feet c.linear feet d.linear feet Page 2 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: MassDEP File#:246-0673 Bureau of Resource Protection-Wetlands WPA Form 5- Order of Conditions eDEP Transaction#:605234 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTHAMPTON A. General Information 1.Conservation Commission NORTHAMPTON 2.Issuance a. ❑ OOC b. Amended OOC 3.Applicant Details' a.First Name MARSHA b.Last Name LEAVITT c.Organization d.Mailing Address 113 BLISS STREET e.City/Town FLORENCE f.State MA g.Zip Code 01062 4.Property Owner a.First Name MARSHA b.Last Name LEAVTTT c.Organization d.Mailing Address 113 BLISS STREET e.City/Town FLORENCE f.State MA g.Zip Code 01062 5.Project Location a.Street Address 113 BLISS STREET b.City/Town NORTHAMPTON c.Zip Code 01062 d.Assessors Map/Plat#23C e.Parcel/Lot# 065 f.Latitude 42.32567N g.Longitude 72.67464W 6,Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page HAMPSHIRE 11396 213 7.Dates a.Date NOI Filed: 9/11/2013 b.Date Public Hearing Closed: 10/10/2013 c.Date Of Issuance: 10/21/2013 $.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: NOTICE OF INTENT-BLISS NEW ENGLAND STREET ENVIRONMENTAL NA 9/10/2013 1:20 RESIDENCE,SHEET 1.0 Page 1 of 9*ELECTRONIC COPY Attachment A ************************************************************************************** EMAIL ID OF THE USER: slavalleV @northamptonma.gov ************************************************************************************** EMAIL ID OF THE OTHER USERS: Ibadgett @wright-builders.com ************************************************************************************** 2 Linda Gaudreau From: Lynne Badgett Sent: Monday, October 21, 2013 4:06 PM To: Linda Gaudreau; Roger Buzzell; Richie Frend Subject: FW: eDEP Submittal Confirmation for DEP Transaction ID: 605234 ffi FYI... DEP filing for Marsha Leavitt's project Original Message From: eDEPConfirmation @massmail.state.ma.us [mailto:eDEPConfirmation@massmail.state.ma.us] Sent: Monday, October 21, 2013 3:57 P slavallev @northamptonma.gov Cc: Lynne Badgett Subject: eDEP Submittal Confirmation for DEP Transaction ID: 605234 Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message, this email address will not receive messages. For assistance with eDEP Online Filing, please email the EEA Help Desk at mailto:helpdesk.eea@massmail.state.ma.us or call 617-626-1111. MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts- and-feedback.html. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. ************************************************************************************** DEP Transaction ID: 605234 Date and Time Submitted: 10/21/2013 03:56:45 ************************************************************************************** Form Name: WPA Form 5 -OOC Conservation Commission: NORTHAMPTON Mass DEP File#: 246-0673 Applicant Name: MARSHA LEAVITT Signed by: Cynthia White Ancillary Document Uploaded/Mailed : Approved Plansheets 1 t 406411, , x - l'.HT of 1 .liar 1p'LYII'i -�Y i," 1 i= 3— ° t 1 �41.11i.r�ascus ..1 [I r DE?:�TMENT OF 2GILDGG INSPECTIONS `- _4g ,4 INSPECTOR 3I_ Main Street ' Municipal BuiIdin ` Northampton, Mass. 01060 Square Footage Amount » - •Bassent @ " gq,f fk.PO 1. 1st _lccr @ , JO (O a 3/b • '•. z' 2nd Floor cor @ •30 (fl(` ilia2 I 1/2 Floors, Attic,c, Garage,a.0 - . I Deck, Porches ,67.0 - (,y f gyp)1,16-s / - i 14i/. � 1 � • � � 4. .1 • .• �e7(1/1, : . et-,- sr, p.-wc.� ..., -made. P,;•.'t. , . • . - . , • . CST -fige_, t 1411410(z*" • e.c,4■naqieti-jo IF 31 cb 1.Y X ft,6 7 by 0 a'`f • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: w ' n-rt' R /J( ev - i`f b License Number ttqf eke Sr) N'1PTA7441.411-014 M 3/b! I Address Expiration Date c2r /5 7 --rYt1 Signature Telephone 9.Reoisteied Registered Home Imorovemeet Contractor: Not Applicable ❑ bu P 4-r-r jetr 114 c!po Gam-- gin;vt <-- I b/ S3 Company Name Registration Number Addres -Q Expiration Date 7����� Telephone Ja y�° " /f� 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House El Addition 1721a Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition El New Signs [D] Decks [0 Siding [0] Other[D] Brief Description of Proposed U • D�_ / b M C NN66mIg.+Brork Lit? Alteration of existing bedroom Yes No Adding new bedroom Yes X No 4 P Attached Narrative Renovating unfinished basement Yes K r No Plans Attached Roll -Sheet 6a.if New.house a nd r addition to existing housinq.'+mpiete the following: a. Use of building :One Family Two Family Other b. Number of rooms in each family unit: 3' 5111,1 a Number of Bathrooms I c. Is there a garage attached? Nir' t/Oh i MUpkOaM d. Proposed Square footage�ofnew construction. G � G Dimensions too e. Number of stories? 1 v W S _ , { f. Method of heating? P-010 fri *re' • ireplaces or Woodstoves Number of each . M 'tit 6(15T N- h- -Q M V Oo o,L (,fir-P p 1 g. Energy Conservation Compliance. (� Masscheck Energy Compliance form attached? (L h. Type of construction J i. Is construction within 100 ft.of wetlands? u Yes d No. Is construction within 100 yr. floodplain Yes )( No j. Depth of basement or cellar floor below finished grade 0 ( i L i V b�e'b M ' S 1AJ 014 64.-Ate) k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer y Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Ad AS � -�' UlJc G4t " 1 ,as Owner of the subject property ! Q hereby authorize 0 i&i? - / Ali: to act on �behalf, all matte s��ive t�uthorized by this building permit application. Signature of Owner /�/ Date W MI fltr Cl);1/0 t -d ,as Owner 'uthorized Agent ereby declare that the statements and information on the foregoing application are true and accurate,to the best o my n. -dge belief. Signed under the pains and penalties of perjury. Print Nam/ I, 2?-77 ✓" 1' / O/EZ ('3 Signature of Owner/Agent Date SA Plbvel) ZoM'Nc -- Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information.., Existing • Proposed Required by Zonin This column to be f in by Building Depa ent Lot Size Frontage Setbacks Front Side L: R: L: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking S..ces a . Fill •olume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 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 0 DON'T KNOW 0 YES ®, IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained r1® , Date Issued: 10(el Ii C. Do any signs exist on the property? YES 0 NO Or GPs Ott(,3 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: E. Will the construction activity disturb(clearing, gradin•, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO f�■ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. �'�' City of Northampton �� , 4e '3 f,) z 4 i t- - _P r - , ° Building Department C b ul e� ,ti 212 Main Street 90 �'� ®Att�lt' � l� �_' fii' r Room 100 a, � ��, �� � �13 , Y /� 1 ,f;', Northampton, MA 01060 � � �� �� �� ; � G 14 .E gym,,. ` .-4� , ►° • 13-587-1240 Fax 413-587-1272 a lets. � s � Mills �yt„t(! ./jft W a . a m. r' .'`ter ', ,w ,, �E ," F� EL.. . APPLICAT I• 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 13 L4 S S g-f(2-ee--y- Map ' Lot tai Unit g tj'v I•`„ c/ q,r A Zone Overlay District '� Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: M ASS • Vt It' 167 8(-ft-q B,(2-(H 1 R)L p; JC Name(Print) F Current Mailing Address: it'3' A 310 t L( // G Z,G�i�-- i Telephone Signatur 2.2 Authorized Agent: (kP1 til< kI1(11> /(2'aEw- 6u'2/1, fig' $ Sr1 tvo —a-.Iltt r) Name(Print}"/—"7 l Current Mailing Address: lC// / 7 �� Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building t /O 1 q a-9- (a)Building Permit Fee / 2. Electrical 4 / - n t".-�. (b)Estimated Total Cost of b 1 Construction from(6) 3. Plumbing 't /CI` C Y/, Building Permit Fee 4. Mechanical(HVAC) 0 r la�61 1, �► 5. Fire Protection �/'' ] _ ' � �^ 6. Tota 1 +2+3+4+5) $ l a'0� O 3 S . �' Check Number y T pl q / t''�+ MI This Section For Official Use Only Date Building Pe it Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date Nh' $ 6c,v File#BP-2014-0522 ��//-�f J(t�l G" 1 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586-8287(116) 1.10 (0 L A ��V PROPERTY LOCATION 113 BLISS ST MAP 23C PARCEL 065 001 ZONE URA(100)/WSP(100)/SR(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST 6 i1 E rv;c o C E: ENCLOSED REQUIRED DATE (4 pj T i L (G PI} (0 or, rf et- ZONING FORM FILLED OUT Fee Paid rf 0 0 t ; (%A` (.1) Building Permit Filled out 4 4,5177 0/_ 6 Fee Paid T°` ' ` �/ Typeof Construction: CONSTRUCT ADDITION(9 X 19 MUDROOM&2 STORY 26 X 19 STUDIO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 84280 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 000,411ii .40#111#1.<111111111111111e Signature of Bu • g 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. 113 BLISS ST BP-2014-0522 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23C-065 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:Zoning Permit BUILDING PERMIT Permit# BP-2014-0522 Project# JS-2014-000673 Est. Cost: $120035.00 Fee: $636.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WRIGHT BUILDERS 84280 Lot Size(sq. ft.): 111949.20 Owner: LEAVITT MARSHA Zoning:URA(100)/WSP(100)/SR(0)/ Applicant: WRIGHT BUILDERS AT: 113 BLISS ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 (116) Workers Compensation NORTHAMPTONMA01060 ISSUED ON:11/7/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ADDITION (9 X 19 MUDROOM & 2 STORY 26 X 19 STUDIO POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 11/7/2013 0:00:00 $636.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner