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29-560 (3) 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued Issued by the Noah Conservati n Co ission Signature s) 1A Order must be signed by a majority of th onservation Commission. On this 8th day of May 000 ,before me personally appeared Michael Reed ,to me known to be the person described in,and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My Commission Expires Dec. 27, 2002 The applicant,the owner, any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the Department of Environmental Protection to issue a Superseding.Order, providing the request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form as provided in 310 CMR 10.03(7)within ten days from the date of issuance of this determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. Detach on dotted line and submit to the Northampton Conservation Commission prior to commencement of work. ......................................................................................................................................................................................................... To Northampton Conservation Commission Issuing Authority Please be advised that the Order of Conditions for the project at_ File Number has been recorded at the Registry of and has been noted in the chain of title of the affected property in accordance with General Condition 8 on 19 If recorded land,the instrument number which identifies this transaction is If registered land,the document number which identifies this transaction is Signature Applicant 4/l/94 310 CMR- 423 423 31. The Commission may, at its discretion, allow minor changes to the turtle nesting sites without requiring the filing of a new Notice of Intent. VEHICLE ACCESS/STORAGE: 32. Vehicles shall avoid entering standing water to the greatest extent possible, and the contractor shall use construction vehicles sparingly within the wetlands area. 33. All motorized/construction equipment shall be operated, parked, and maintained in such a manner that will prevent potential alteration of the wetland/resource area and buffer zone, except as approved within this Order of Conditions. POST CONSTRUCTION SUBMITTALS & WORK IN BUFFER ZONE: 34. Upon completion of the project, the Applicant shall submit a certification that all work has been done in conformance with the provisions of the Order of Conditions and request a Certificate of Compliance. If checked: [X ] YES Certification shall be by a Wetlands Consultant who shall have been approved by the Commission. 6 PRE-CONSTRUCTION REQUIREMENTS: 22. The applicant must retain a wetland specialist to oversee the project and compliance with the Order of Conditions. Prior to the start of any work, the name of the wetlands specialist shall be submitted to and approved by the Conservation Commission. 23. Prior to the start of any site work, excavation or construction, a preconstruction 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, also. 24. Prior to the pre-construction meeting, the wetland scientist shall submit a baseline elevation of the water level of the marsh using the top of the dropped inlet/catch basin on Ellington Road as a benchmark. This measurement shall be obtained after the pipes have been cleared of debris as provided for in the existing maintenance contract. This baseline elevation will ensure that the post-project water level of the marsh is not altered. 25. A minimum of three pipes shall be permanently installed in the new dam to prevent water in the marsh from rising above the benchmark level established by the preceding condition. The pipes shall be configured in such a way to meet the performance standard of maintaining the baseline water level of the marsh. 26. The pipes shall be kept clear of debris so that the above performance standard continues to be met. The person contracted to maintain the pipes should report any problems that prevent the proper maintenance and operation of the pipes to the Conservation Commission. A report shall be provided to the Commission annually immediately following the time of high water flow in the Spring on the performance/functioning of the drainage pipes. 27. Large [tree] logs should also be placed within the restored wetland to provide basking sites and shelter for Spotted Turtles. 28. The proposed turtle nesting area nearest:the stream should not be placed so that it is overshadowed by trees growing on the adjacent slopes. 29. On-going maintenance of the turtle nesting areas is necessary to ensure their use. The berms should be mown annually in November to prevent shrubs and trees from growing. 30. The nesting areas should be monitored by a wetland scientist to determine whether they are working as turtle nesting grounds. The wetland scientist shall provide a report to the Natural Heritage & Endangered Species Program upon completion of the project on the success or failure of establishment of these nesting areas. 5 Conditions, and/or a Determination of Applicability from the Northampton Conservation Commission"; 14. The contractor is as responsible as the applicant and property owner for any violations of the Orders of Condition and penalties under the law, while all activities regulated by this Order are being performed. 15. 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. 16. All required permits must be obtained from the Army Corp of Engineers (Section 404, Water Quality Certification), Planning Board,Zoning Board, Department of Public Works, or Building Inspector prior to the start of projects involving fill within any wetland resource area; 17. 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; or any area within 100-feet of a wetland, unless such areas are specifically approved by the Commission, in accordance with 310 CMR 10.00, and City of Northampton Ordinances- Chapter 24; 18. Any change or deviation from the Notice of Intent,plans and/or Order of Conditions approved by the Commission,prior to or during construction, shall require the applicant to file a request for an amendment with the Conservation Commission. It shall include a written inquiry as to whether or not the change is substantial enough to require the filing of a new Notice of Intent. After making a positive determination, the Commission shall conduct a public hearing to amend the Order or to issue a new Order, if a new Notice of Intent is required. 19. In accordance with General Condition 8 on page 5-2 of this Order, this Order shall be recorded at the Hampshire County Registry of Deeds by the Northampton Conservation Commission prior to commencement of work on the site. 20. All revised plans, referenced within this Order of Conditions, shall be approved by the Conservation Commission and incorporated into this Order by reference and shall be followed during the course of construction. 21. Ongoing conditions that shall not expire with the issuance of a Certificate of Compliance are as follows: (#25, #26, #29). 4 s 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 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 to be done. The recording information shall be proposed work is to be done. The recording information shall be submitted to the Commission on the form at the end of this Order prior to commencement of the work. The Commission usually will record the Order in the Registry of Deeds. It is the applicant's responsibility to insure the Order is properly recorded. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the works, "Massachusetts Department of Environmental Protection, File Number 246-462." 10. Where the Department of Environmental Protection is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before;the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions: PLANS /TITLE DATED SIGNED & STAMPED BY: "Brookwood Marsh Restoration, Northamp- ton, MA,"prepared by New England 02/06/00 Environmental, Inc. Rev. 02/13/00 Rev. 03/11/00 All Plans and information on file with Northampton Conservation Commission SPECIAL CONDITIONS: 13. This Order of Conditions shall apply to any successor in interest or successor in control; Any instrument conveying any or all of the owners' interest in said property or any portion thereof, shall contain language similar to the following: "This property is subject to the Northampton Wetlands Protection Ordinance and/or Wetlands Protection Act. Any construction or maintenance work performed on this property requires an Order of 3 M � p ilS 8 i YAM Therefore, the Northampton Conservation Commission hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations, to protect those interests checked above. The Conservation Commission orders that all work shall be performed in accordance with said 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. General Conditions: 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,by-laws 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 and both that date and the special circumstances warranting the extended time period are set forth 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. 6. Any fill used in connection with this project shall be clean fill, containing 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. The applicant is prohibited from using demolition materials, asphalt, large chunks of concrete, tree stumps and limbs, and general refuse; 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings, before the Department have been completed. 8. No work shall be undertaken until the Final order 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 2 1�Y 162000 310CMR 10.99 DEPT i}r K11 `"° ��'�[I�i�15 � DEP File No. 246-462 I � (To be provided by DEP) Form 5 City/Town Northampton Applicant Planning&Development Commonwealth Map#29 Parcel#484 of Massachusetts Order of Conditions Massachusetts Wetlands Protection Act G.L.c.131,§40 and the Northampton Wetlands Protection Ordinance From Northampton Conservation Commission Issuing Authority To: Northampton Conservation Commission Office of Planning&Development City of Northampton City of Northampton Name of property owner Name of Applicant 210 Main Street,Northampton,MA 01060 210 Main Street,Northampton,MA 01060 Address Address This Order is issued and delivered as follows: [X] by hand delivery to applicant or representative on May 15,2000. [] by certified mail,return receipt requested on_ (date) This project is located in Northampton at the end of Ellington Road. The property is recorded at the Registry of Hampshire County Book_ Page_ Certificate(if registered) N/A The Notice of Intent for this project was filed on March 13,2000. The public hearing was closed on May 8,2000. Findings: The Northampton Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Conservation Commission at this time,the Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): []Public water supply [ ]Flood Control [] Land containing shellfish []Private water supply [X] Storm damage prevention []Fisheries [] Ground water supply [ ] Prevention of pollution [X]Protection of Wildlife Habitat Total Filing Fee Submitted$0.00 State Share$ City Share$ ('/fee in excess of$25) Total Refund Due$ City Portion$ _State Portion$ (1/2 total) (1/2 total) 1 a 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued Issued by the North Conservati n Co ission Signature s) Order must be signed by a majority of th nervation Commission. On this 8th day of May 2000 before me personally appeared Michael Reed ,to me known to be the person described in,and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My Commission Expires Dec. 27, 2002 The applicant, the owner, any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the Department of Environmental Protection to issue a Superseding.Order, providing the request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form as provided in 310 CMR 10.03(7)within ten days from the date of issuance of this determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. Detach on dotted line and submit to the Northampton Conservation Commission prior to commencement of work. ......................................................................................................................................................................................................... To Northampton('Conservation Commisgion Issuing Authority'` ' Please be advised that the Order of Conditions for the project at_ File Number has been recorded at the Registry of and has been noted in the chain of title of the affected property in accordance with General Condition 8 on 19 If recorded land,the instrument number which identifies this transaction is If registered land,the document number which identifies this transaction is Signature Applicant 4/1/94 310 CMR-423 423 J PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON City Hal(. 2 r o Main Street • Nortbamptonr MA oz o6o •413)587-1266 • Fax 413)5 87-1264 Wayne reiden,Director•emaif:p fanning @citp.northampton.ma.as•internet:www.citv.nortbampton.ma.us Northampton Planning Board Minutes of Meeting April 27, 2000 The Northampton Planning Board held a meeting on Thursday, April 27, 2000 at 7:00 p.m. in Council Chambers, Puchalski Municipal Building, 212 Main Street,Northampton, MA. Present were Members: Acting Chair Kenneth Jodrie, Paul Diemand, M. Sanford Weil, Jr. and Associate Members Alton Neal and Orlando Isaza. Staff: Planning Director Wayne Feiden. Jodrie opened the meeting at 7:05 p.m. Members set their summer schedule, deciding to meet July 27th and August 24th. The first meetings in July and August will be dropped. Members discussed a process for proceeding with discussions with the Town of Hatfield regarding proposed zoning changes on the Hatfield/Northampton line. A subcommittee consisting of two Planning Board members and City Councillor Bill Dwight or another councillor will be formed, and staff will call Hatfield to tell them to form a committee. The two committees will meet together until they are no longer making progress, members agreed. At 7:30 p.m., Jodrie opened the Public Hearing on a request from the City of Northampton Office of Planning & Development to Amend a Special Permit with Site Plan Approval filed in the City Clerk's office on February 29, 1988 to delete the requirement for a parking lot at the base of the driveway under Sections 6.12, 10.10 and 10.11 of the Zoning Ordinance, for property located at Birch Hill Road and Pioneer Knolls, also known as Assessor's Map 29, Parcels 12, 560, 561, 562, 563, 564 and 565. Jodrie read the legal notice. Feiden described the reason for the amendment. There was no public comment. Weil moved to close the hearing. Isaza seconded. The motion passed unanimously 5:0. Isaza moved to amend the Special Permit with Site Plan Approval to delete the requirement for a parking lot at the base of the driveway for property located at Birch Hill Road and Pioneer Knolls. Diemand seconded. The motion passed unanimously 5:0. planning board•conservatii zau0zsszunuo0 tnership-redevelopmentauthoritV •economic development•comn $uzpTing �toricalcommission •northampton GIS oTTTlud Xuoq:tuy ongma,p,P­_­_Z__, Planning Board -Decision City of Northampton File No.:PL-2000- Date:A ri127,2000 Pursuant to Massachusetts General Laws(MGL),Chapter 40A,Section 11,no Special Permit,or any extension,modification or renewal thereof,shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days have elapsed after the decision has been filed,or if such an appeal has been filed that it has been dismissed or denied,is recorded in the Hampshire County registry of Deeds or Land Court,as applicable and indexed under the name of the owner of record or is recorded and noted on the owner's certificate of title.The fee for such recording or registering shall be paid by the owner or applicant.It is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and record it at the Registry of Deeds. The Northampton Planning Board hereby certifies that an Amended Special Permit with Site Plan Approval has been GRANTED and that copies of this decision and all plans referred to in it have been filed with the Planning Board and the City Clerk. Pursuant to Massachusetts General Laws,Chapter 40A,Section 15,notice is hereby given that this decision is filed with the Northampton City Clerk on the date below. If anyone wishes to appeal this action,an appeal must be filed pursuant to MGL Chapter 40A,Section 17,with the Hampshire County Superior Court or the Northampton District Court and notice of said appeal filed with the City Clerk within twenty days(20)of the date of that this decision was filed with the City Clerk. Applicant: City of Northampton/Office of Planning&Development-Birch Hill Road and Pioneer Knolls DECISION DATE: April 27, 2000 DECISION FILED WITH THE CITY CLERK: May 15, 2000 L detrimental uses because a common drive reduces the linear feet of roadway required to service a group of homes,thereby reducing impervious surface and enhancing the absorption of stormwater. li."'' U'ffie4kkuested use promotes the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets and minimizes traffic impacts on the streets and roads in the area because common drives reduce the number of curb cuts onto City streets. C. The requested use promotes a harmonious relationship of structures and open space to the natural landscape, existing buildings and other community assets in the area. D. The requested use will not overload the City's resources, including the City's water supply and distribution system, sanitary and storm sewage collection and treatment systems, fire protection, streets and schools. E. The requested use meets all special regulations set forth in the Zoning Ordinance. F. The requested use bears a positive relationship to the public convenience or welfare and will not unduly impair the integrity of character of the district or adjoining zones. The use will not be detrimental to the health,morals, or general welfare and shall be in harmony with the general purpose and intent of the Ordinance. G. The requested use will promote City planning objectives to the extent possible and will not adversely affect those objectives, as defined in City master or study plans adopted under M.G.L. Chapter 41, Section 81-C and D. In reviewing the Site Plan,the Planning Board found the applicant complied with the technical performance standards as follows: 1. Curb cuts are minimized because multiple homes are served by a common drive. 2. Pedestrian, bicycle and vehicular traffic movement on site are separated to the extent possible. No new conditions were imposed on this permit. Any conditions attached to the previous approval remain in full force and effect, with the exception of the condition specifically deleted by this decision. CERTIFICATE OF SERVICE Pursuant to M.G.L. Chapter 40A, Section 11, I, Laura Krutzler, Board Secretary, hereby certify that I caused copies of this decision to be mailed, postage-prepaid, to the applicant and owner on May 15, 2000. 2 �A iw PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON City Hall• 21 o Main Street • No4ampton,MA o1 o6o •(413)5 87-12 66 •Fax:(413)587-12�� toK wayrePeiden,Director-email:pl arming @citV.nortbampton.ma.us•internet:ivww.c* .no_Ttham ton.ma.us ?' DECISION OF u MAY 1 6 2H NORTHAMPTON PLANNING BOARD DEPT OF Sl�i? ?`;G INSPECTIONS APPLICANT: City of Northampton/Office of Planning& Devel ° NTH"''' MA 01060 ADDRESS: City Hall,210 Main Street Northampton,MA 01060 OWNER: Renee Wetstein Christopher H. Collins ADDRESS: 54 Birch Hill Road 62 Birch Hill Road Florence,MA 01062 Florence, MA 01062 Robert J. and June A. Gardner David J. and Amanda M. Cronin 70 Birch Hill Road 103 Pioneer Knolls Florence, MA 01062 Florence,MA 01062 Scott A. and Cheryl A. King Robert and Maureen Driscoll 95 Pioneer Knolls 87 Pioneer Knolls Florence, MA 01062 Florence, MA 01062 Hathaway Construction Corp. 41 Perry Hill Road Westhampton,MA 01027 RE LAND OR BUILDINGS IN NORTHAMPTON AT: Birch Hill Road & Pioneer Knolls MAP AND PARCEL NUMBERS: MAP 29 PARCEL 12,560,561,562,563,564&565 At a meeting conducted on April 27, 2000, the Northampton Planning Board voted unanimously 5:0 to grant the request of the Office of Planning & Development to Amend a Special Permit with Site Plan Approval filed in the City Clerk's office on February 29, 1988 to delete the requirement for a gravel parking lot at the intersection of the common driveway and Pioneer Knolls/Birch Hill Road (Condition D) under Sections 6.12, 10.10 and 10.11 of the Zoning Ordinance, for property located at Birch Hill Road and Pioneer Knolls, also known as Assessor's Map 29, Parcels 12, 560, 561, 562, 563, 564 and 565. Planning Board Members present and voting were: Acting Chair Kenneth Jodrie, Paul Diemand, M. Sanford Weil, Jr. and Associate Members Alton Neal and Orlando Isaza. In Granting the Amended Special Permit, the Planning Board found: A. The requested use for a common drive protects adjoining premises against seriously 1 planning board-conservation commission-zoning board o f appeals -housing partnership-redevelopment authoritg -economic development-communitN development-historic district commission -yistoricafcommission -northampton GIS originai prim teaon recyleJ paper ■ �y Apo k • n Z O n O � n 2 � �G` 0 $ � ,�tassactinsrtts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building a Northampton, Mass. 01060 ' WORKER'S COMPENSATION INSURANCE AFFIDAVTr I, Nelson A. Shifflett / valley Home Improvement, Inc. (licrosea/pernaittee) with a principal place of business/residence at: 320 Riverside side privet Northampton, MA 01.060 (phone#) (4.13) 584-7522 (strect/city/vats;/:ip) do hereby certify, under the pains and penalties of perjury, that: M I am an employer providing the following worker's compensation coverage for my employees working on this iob: American International Companies WC 6554540 00 02/01/2002 (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Numixr) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (ImZurance Company/Policy Number) (Expiration Date) (anach additional ghed if neoenary to include information peratining to all ooahnctora) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware thu while homoowmn wbo etaplay persom to do tnaiotmaace,000saacuonor rtp=work on a dwelling of not axxa then droe units in which the bomeowaer raids err on the grounds appnrtenwtbecdo are not generally oonidemd to be exnOoyrrs under the workers c oavensaticn Act application by a homeowner for a Gcsma cc permit may evidence the Itgal ctabn of an wvloyw under the Warkees C,ompematm AcL I undawAnd tbat a copy of this etatemeat may be forwarded to tbo Departmcat of Ieditrial Aoddeo&Otrwe of Lrwraooe for the coverage verification and that failure to sw re mverago under section 25A of MGL 152 can lead to the imposition cf criminal penalties oomisting of a fine of up to S1,500.00 andlor imprjsc ,of up to one year and civil peaLwes in the focm of a stop Wak Order sad a fine of 3100.00 a day against mc. signed this day of k/t, , For deer rural use only Permit Number Map# Lot# Signature of Li etmi .1 Licensed Construction Supervifig Not Applicable 0 Name of License Holde :_Nelson Shif f lett 060300 Valley Home Improvement, Inc . License Number 320 Riverside Drive 9/02 Address Expiration Date Northaaton, MA 01060 Signature Telephone 2 584-7522 Valley Home Improvement, Inc . 105543 Company Name Registration Number 320 Riverside Drive 7/17/02 Address Expiration Date Northapton, MA 01060 Telephone_ 584-7522 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152, 2S 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. The current exemption for°homc*vwners`was extended toinclude one(1) or two(2)banUies and to allow such homeowner to engage unindividual for hire who does not possess ulicense, provided that the owner acts as sui)ervisor.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. Such^^homeovwoer`shall submit to the Building Official,onu form acceptable bmthe Building Official, responsible for all such work performed under the buildins!permit. As acting Construction Supervisor your presence on the job site will be required from time u/time,during and upon completion mf the work for which this permit iuissued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter |j3 (Liability of Employers»u Employees for injuries not resulting in Death)uf the Massachusetts General Laws Annotated`you may be liable fo,pemon(s) you hire un perform work for you under this permit. Thcundorsignmd'^6omeovwue''uertiOeuaoduuxumocon:aponyihUbyfovommp|iuoccvvdhthe8tate8ui\diogCode,Cityo/ Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature w • i � 'FCTION 5-DESCRlellQN OF PRQPOSED WORK(check all applicable) New House ❑ Addition ,$f Replacement Windows Alteration(s) ❑ Roofing ❑ lefld ` Or Doors 13 Accessory Bldg. ❑ Demolition❑ New (Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: X'Jl/N//`1AwC J r 1 - �i9�� Gt)f 4f- Alteration of existing bedroom Yes LNo Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes L----`No Plans Attached Roll Sheet ftw .aionow&M 1* 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? y— d. Proposed Square footage of new construction. ID 0 Dimensions e. Number of stories? /f f. Method of heating? < ZA e% /;�� �/� fireplaces or Woodstoves Number of each g. Energy Conservation Corm_pliance. Mascheck Energy Compliance form attached? Type of construction �f1L�D� � �> eta 2"-Z;7 — 1-1 Cee, - 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 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, Esther & Stephen Bean _ as Owner of the subject property her aut one Nelson Shif flett, Valley Home Improvement Inc . to act on my beh i atters rel to work authorized by this building permit application. 911g f Date 1, Nelson Shif f lett, Valley Home Improvement, Inc . as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Nelson Shifflett Print Name (j Signature of Owner/ nt Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 'Y5 S,i�0:) S�` i S 0� sr j Frontage �' v Setbacks Front ' do Side L: 4 _R: A L:. 3 R: /V Rear *0 ° ��v v Building Height a , A ,3 2 , Bldg. Square Footage f % • � c Open Space Footage �3 9C►a f % O,n 0 (Lot area minus bldg&paved parking)/g/ f, 001 �J bbbA #of P arking Spaces Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW _ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO �� DON'T KNOW _ YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location:_ D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location:__ �� rtham ton@ t5 h�il Department ! in Street m 100 SAN 2 Wth t zin, MA 01060 hone 413-587-1240 Fax 413-587.1272 DE°T Dr BUILDING INSPECTIONS 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�leted by office 46 Birch Hill Road Map I:ot Unit.. Florence MA 01060 Zone Overlay District_ Elm St.District ce District.,, SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 46 Birch Hill Road Esther telphein B an Florence, MA 01062 Name(Pr' Current Mail ing Address: 586-0220 IL Telephone Signa ure 2.2 Authorized Agent: Nelson Shi f f l e t t Valley Home Improvement, Inc . P.O. Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: 584-7522 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of a lw Construction from 6 3. Plumbing /jJ Building Permit Fee 4. Mechanical H�VAC) 3 00d 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) 5"pQ Check Number O ThiA Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date . . s File#BP-2002-0668 APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ADDRESS/PHONE P O Box 60627 (413) 584-7522 PROPERTY LOCATION 46 BIRCH HILL RD MAP 29 PARCEL 560 001 ZONE URA V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out s 44 _ Fee Paid Typeof Construction: ENLARGE EXISTING PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 060300 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF,QRMATION 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 Signature of Bu' ing Off al 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. 43RCkI HILT:RD BP-2002-0668 ., ,. GIS#: COMMONWEALTH OF MASSACHUSETTS ia •Block:29-560 CITY OF NORTHAMPTON Lot: -001 Permit: Buildinl7 Category:ADDITION BUILDING PERMIT Permit# BP-2002-0668 Project# JS-2002.1067 Est.Cost: $35500.00 Fee: $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Valley Home Improvement, Inc 060300 Lot Size(sq. ft.): 142005.60 Owner: BEAN STEPHEN&ESTHER D Zoning:URA Applicant: Valley Home Improvement, Inc AT. 46 BIRCH HILL RD Applicant Address: Phone: Insurance: P O Box 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:1124102 0:00:00 TO PERFORM THE FOLLOWING WORK.-ENLARGE EXISTING PORCH 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 si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1/24/02 0:00:00 14555 $150.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo