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38A-138 MUNICIPAL SEWER/AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 103 Moser Street, Lot A9 Inquiry Made By: Kent Pecoy& Sons Don Clarke 246-3749 Date of Inquiry: 7/21/14 Reason for Request: New Construction Hooking into City Sewer Municipal Sewer Main in Front of Location: Yes No Municipal Storm Drain Available: 5 '/z deep Yes No Size of Sewer Main: Material: Age: Depth of Sewer Main: Length of Sewer Main: Size of Service Connection: Type of Service Connection: Tie-in to Sanitary Main Tie-in to Sanitary Stub Comments: 11/ 16 City Requires 6" cleanout installed at City Property Line Note: If this availibility is for new construction this form must be hand delivered to Building Inspector. A corresponding"sewer entrance fee"shall be paid prior to making any connection to the municipal sewer system.Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. J John all Sewer Department cc: Ned Huntley, Director DPW Louis Hasbrouck, Building Commissioner MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton,MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 103 Moser Street Lot A9 Inquiry Made By: Kent Pecoy& Sons Don Clarke 413-246-3749 Date of Inquiry: 7/21/14 Number of Type of Single Family X Type of Private X Units: 1 Unit(s): A p art. Comm Ownership: Condo Multi-family Rental (Annlicant to fill oil the shovel Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes:X No Size of Water Main: 8" Material: Ductile Iron Age: 2010 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 80psi If done attach results Size of Service Connection 1» Suggested Meter Size: 5/8" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. • nform to Northampton Water Department specifications. re R.Nuttelman, Superintendent of Water Dept. Water Entry$ 200 Meter$ 100 Radio $ 100 cc: Ned Huntley, Director Note: If this availability is for a new construction it must be hand delivered to the Building / Inspector. OV& L- 7��oliy Registry ID: Rating Number: HERS-353 Ifni _r ' Certified Energy Rater: MattTurcotte Rating Date: 8/5/14 103 Moser St Rating Ordered For: Northampton,MA 01060 Estimated Annual Energy Cost Projected Rating 5 Stars Plus Use MMBtu Cost Percent Projected Rating: Based on Plans, Field Confirmation Required Heating 29.8 $433 27% Uniform Energy Rating System Energy Efficient Cooling 1.6 $82 5% Hot Water 13.2 $186 11% 1 Star 1 Star Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus I 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 20.5 $930 57% 500 401 400 301 300 251 250-201 200-151 150 101 100-91 90-86 1 85-71 70 or Less Photovoltaics -0.0 $-0 -0% HERS Index: 51 Service Charges $0 0% Generatlttf6mation Total 65.1 $1632 100% Conditioned Area: 1600 sq.ft. HouseType: Single-family detached Conditioned Volume: 18933 cubic ft. Foundation: Conditioned basement This home meets or exceeds the minimum Bedrooms: 3 lr at sterns Teatwe>!t criteria for all of the following: Mechan Heating: Fuel-fired air distribution,Natural gas,97.0AFUE. Cooling: Air conditioner,Electric,16.0 SEER. Water Heating: Instant water heater,Natural gas,0.95 EF,0.0 Gal. Duct Leakage to Outside: 16.00 CFM25. Ventilation System: Balanced:ERV,46 cfm,24.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Bung Shen 1-eatu" Ceiling Flat: R-59.2 Slab: R-0.0 Edge,R-0.0 Under Sealed Attic: NA Exposed Floor: NA Vaulted Ceiling: NA Window Type: U-Value:0.300,SHGC:0.250 Above Grade Walls: R-26.0 Infiltration Rate: Htg:3.00 Clg:3.00 ACH50 Foundation Walls: R-12.0 Method: Blower door test Llghts and A ltt1C*'ireditlret TITLE Percent Interior Lighting: 80.00 Range/Oven Fuel: Natural gas Company Percent Garage Lighting: 80.00 Clothes Dryer Fuel: Electric Address Refrigerator(kWh/yr): 575.00 Clothes Dryer EF: 3.01 City,State,Zip Dishwasher Energy Factor: 0.70 Ceiling Fan(cfm/Watt): 0.00 Phone# The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Fax# REM/Rate-Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation,Boulder,Colorado. Grim DI m# ulll�c _--�--- ` a DUA.RT ENT Or BUILDING'NSPEC'TIONS �, �_ 212 Main Street D -Municipal BuDdin� INSPECTOR Norrhamptcm,MA 01060 LOCATION --- gQTJAR.E FOOTAGE AMOUNT BASEMENt @ -'20 I-3TFLOOR(g.50 7 2t'0FLR @ 30 Y.FLOORS, p'LNISH ATTIC,GARAGE @ 20 a�D DECK/POR=@ -20 TOTAL. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: I-If 4, C-S S S �5 `t License Number r r_ 'P f£T t �I 211',E.e-�lf t Address Expiration Date Signat&re Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number F . A t Address ' Expiration Date Telephone,//J A f � SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) _7 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....... 2" 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 ❑ Addition [] Replacement Windows Alteration(s) E7ftofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [Q Siding[p] Other[C1] Brief Descriptiop of Propose Work: Nt,�c/ Cd�US'1 C1�04/ S/I✓GLE /G✓�1�y�/ Q/00� 1CiQAIK£.� /_VW [✓ �E'�/�fff�! ,,,,ls��/� Alteration of existing bedroom Yes No Adding new bedroom Yes No rp(y' \ Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a, If New house and or addition to existing housing, complete the following: a. Use of building :One Family Two Family Other �`l b. Number of rooms in each family unit: G Number of Bathrooms �L- l c. Is there a garage attached? X- 0 d. Proposed Square footage of new construction. /,6 d _Dimensions Z/. e. Number of stories? f. Method of heating? O /�7 /�'1I� �/� Fireplaces or Woodstoves �`� A Number of each g. Energy Conservation Compliance. )(Es Masscheck Energy Compliance form attached? h. Type of construction VJ SG1 i. Is construction within 100 ft. of wetlands? Yes ✓ No. Is construction within 100 yr. floodplain Yes t/ 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 1, as Owner of the subject property hereby authorize to act on my behalf, in all matt relative to work authorized by this building permit application. If Signature of Owner Date 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. i Print Name J Signature of Owrer/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear _ Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill volume&Location) - A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW 0 YES IF YES, date issued:. IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON"r KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO " DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO IF YES, describe size, type and location: ; E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only . ( ' ity of Northampton Status of Permit: 8 ��14 uilding Department Curb CuW iveway Permit 212 Main Street SeweNSeptic Availability [LUG umfn Room 100 Water/Well Availabilnampt�&tGA 07oEO �A rthampton, MA 01060 Two Sets of Structural Plans -587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION /(\ This section to be completed by office 1.1 Property Address: (.w,,1,, d l t C Map Lot ' Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: S 7ZI� 7 , Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: �.% !� ;E._�rl � ��5 rs';t2��c���� S1��gf'�. C� ' Sr='�i�f��c_�� �i•�, Name(frint)' Current Mailing Address: Sig ature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by rmit applicant 1. Building 02 p �Q� (a)Building Permit Fee 2. Electrical D (b)Estimated Total Cost of 1 L .0 Dd Construction from 6 3. Plumbing O Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection r Od b 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0194 ly//V��k APPLICANT/CONTACT PERSON KENT PECOY& SONS CONSTRUCTION INC Q�U6c ADDRESS/PHONE 215 BALDWIN ST WEST SPRINGFIELD (413)781-7008 PROPERTY LOCATION 103 MOSER ST-LOT A9 MAP 38A PARCEL 138 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT SFH W/PORCH&DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052589 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I FO ATION PRESENTED: pproved 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 olit' y Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 103 MOSER ST-LOT A9 BP-2015-0194 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A- 138 CITY OF NORTHAMPTON Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2015-0194 Project# JS-2015-000372 Est. Cost: Fee:$700.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENT PECOY & SONS CONSTRUCTION INC 052589 Lot Size(sq. ft.): 4378.00 Owner: KENT PECOY& SONS CONSTRUCTION INC zoning: PV Applicant: KENT PECOY & SONS CONSTRUCTION INC AT. 103 MOSER ST - LOT A9 Applicant Address: Phone: Insurance: 215 BALDWIN ST (413) 781-7008 WC WEST SPRINGFIELDMA01089 ISSUED ON.812512014 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT SFH W/PORCH & DET GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sisnature: FeeType: Date Paid: Amount: Building 8/25/2014 0:00:00 $700.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner