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06-064 PROD# A B C D AC-D-250 H 2'-10" 2'-V' 6-8" 5"-0" AC-D-750 H 4'4" T-2" 6'-6" 5-8" AC-D-1000 H 6'-5" 5,-7" 6'-6" 5`-0" o.a'�6•�bd4."a�y L1tt MN �®q t I .9.99 Q n a 191� � � a Iz 0 21 M nil ig M Q ' S, 1 DESIGN NOTES 1. Concrete - 4000 p.s.i., 28 days 2. Reinforcement - steel wire mesh 6"x 6", 10 ga. and #3 RR BAR - IN p, 0 Q - �1 Ac' s D w w E L L HEXAGON 560 COLLEGE HIGHWAY GRANBY, CONNECTICUT 06035 (203) 653-5063 ERIT GE SURVEYS, INC. Professional Surveyors and Engineers 241 College Hzuy & Clark St, P O Box 1 Southampton, Massachusetts 01073-0001 Bruce A. Coombs, President Telephone(413) 527-3600 Professional Surueyor, MA, CT& VT Facsimile(413) 527-8280 E-mail: bruce@heritagesurveys,com Website: heritagesurueys.com July 29, 2015 City of Northampton Department of Public Works Attn: Douglas S. McDonald 125 Locust Street Northampton, MA 01060 RE: Beaver Brook Estates Chestnut Street Extension & Evergreen Road Northampton, MA HSI Job#3923-121106 Dear Mr, McDonald, On behalf of our client Patrick J. Melnik, we are filing an As-built Basin Plan, dated July 29, 2015 that shows modifications made to Basins IP and 3P, as well as the construction of Basins 2P - 4P (basin combined), 5P and 6P and revised Drainage Calculations reflecting the current as-built data. The As-Built Stormwater Management System Drainage Calculations contains two (2)tables entitled"As- built Stormwater System vs Proposed Construction Drainage System Summary" and"Basin Volume Summary Table"which demonstrate that the modifications made to Basin#1 & 3, as well as the other basins on the site meet or exceeds the original approved design. The overall volume provided with the As-built Basins exceeds the originally proposed design and the peak discharges for the 2, 10 and 100 year storm event have been reduced from the originally proposed design. Five(5) concrete dry wells with cast iron catch basin covers have also been installed as shown on the approved plans. Three(3) dry wells have been installed in front of unit's#2-5; two (2)dry wells were installed on either side of unit#8. The dry wells are not connected into the roadway drainage system. The concrete dry wells were supplied by Arrow Concrete Products product number AC-D-250 H and were installed in stone. The detail sheet of the dry well is attached. Other dry wells will be installed for the units that have already been constructed. If you have any question regarding the above information please contact this office. OF, Sincerely, � �i1Clr°iARD y Richard P. Weisse, P.E. No.sus � lei �j c7re; cc: Patrick J. Melnik(by e-mail) Carolyn Misch,Northampton Office of Planning& Sustainability(by e-mail) Louis Hasbrouck,Northampton Building Commissioner(by e-mail) City of Northampton _ w Massachusetts � f�{� DEPARTMENT OF BUILDING INSPECTIONS ` 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Ed Jazab July 31,2015 9 Shepherds Hollow Leeds, MA 01053 Subject Location: 65 Chestnut Avenue Extension, Lot 21 Map Block:06-064-065 Mr.Jazab, We have issued the building permit for the single family house at 65 Chestnut Avenue Extension (unit 21). The permit is issued subject to the condition that, prior to the final building inspection,a drywell as detailed by Heritage Surveys in a letter dated July 29,2015 is installed to accept the roof runoff from this building. Attached is a copy of that letter. Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday,8:30 am to 4:30 pm. My email address is: Ihasbrouck(ab-northamptonma.gov . Respectfully, Louis Hasbrouck Building Commissioner City of Northampton cc: Charles Miller Carolyn Misch Doug McDonald Patrick J. Melnik aw 4 - Tits of xort4amptrrn DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Huilding Northampton, MA 01060 INSPECTOR L CK BUILDING PERMIT FEES Phone: (413)587-1240 BUILDING COMMISSIONER Effective July 21,2008 Fax: (413)587-1272 DEMOLITION $ 20.00 ACCESSORY STRUCTURE $ 35.00 PRINCIPAL BUILDING—Residential $200.00 PRINCIPAL BUILDING-Commercial *NEW CONSTRUCTION $ .50 per square foot for 1s`floor .30 2nd floor x U l .20 %floors,attic,basement,garage STRUCTURAL ALTERATIONS IN ALL USE GROUPS $6.00 per thousand dollars of estimated cost or fraction thereof, q 6 with a minimum fee of$55.00 $25.00 WOODBURNING STOVE *NEW ACCESSORY STRUCTURES one hundred twenty(120)square feet and over $ .20 per square foot with a minimum fee of$25.00 *NEW ACCESSORY STRUCTURES under one hundred twenty(120)square feet $25.00 per inspection *SWIMMING POOLS $30.00 for above ground $60.00 for in-ground *SIGNS&AWNINGS $30.00 *DECKS $50.00 REPLACEMENT WINDOWS $35.00 SIDING&ROOFING Residential $35.00 per structure Commercial $55.00 min.per structure OR$6/K of estimated cost TENTS $25.00 *ZONING REQUEST FORMS $15.00 (includes home occupation registration) REISSUE OF LOST PERMIT $25.00 CERTIFICATE OF ANNUAL INSP. $100.00 (minimum) Temporary Certificate of Occupancy $25.00 PERMITS REQUIRING ONLY 1 (1)INSPECTION WILL BE A MINIMUM OF$25.00;ALL OTHERS WILL HAVE A$50.00 MINIMUM. PERMIT FEES SHALL BE PAID TO THE ORDER OF THE City of Northampton AND SUBMITTED,WITH THE COMPLETED PERMIT APPLICATION,TO THE OFFICE OF THE BUILDING INSPECTOR. WORK STARTED WITHOUT PERMIT IS SUBJECT TO DOUBLE NORMAL FEE. !! NO CASH - CHECKS OR MONEY ORDERS ONLY !! *Filing deadline is 12:00 pm(noon)on Wednesday. PROJECT Proposal Number Date Agreement Number Page N/A 5-22-15 N/A 6 SIGNATURES CONSTITUTE ACCEPTANCE OF THE TERMS AND CONDITIONS CONTAINED HEREIN, AGREEMENT VALID UPON SIGNATURE OF RED HAWK MANAGER. Red Hawk Fire&Security, LLC Proposed By: Accepted By: \ - .' FJ-� \L Te ry anechak Date Date Sprinkler 1p�s Representative/Estimator Accepted By: Date Minager,Red I lawk Fire& Security PROJECT Proposal Number pate Agreement Number Page N/A 5-22-15 N/A ? named as additional insured under the Commercial General Liability policy only with respect to liability arising out of bodily injury or property damage but only to the extent resulting frorn the negligent acts or omissions of Seller or its willful misconduct arising out of the ongoing performance of its obligations under the contract. . Seller does riot waive Its right to subrogation or provide copies of its policies,certified or otherwise nor does it provide endorsements. 4. FORCE MAJEURE: Seller shall not be liable for any failure to perform or delays in installing or repairing equipment or systems,or for any interruption of any service to be performed hereunder, or in the performance of an obligation hereunder as a result of an event beyond its reasonable control, including, but not limited to, strikes, industrial disputes,fire,flood,acts of God,war,vandalism,riot,national emergency,acts of terrorism,embargoes or restraints,supplier default,supplier default,extreme weather or traffic conditions,order or other act of any governmental agency,and shall not be required to supply any service to the Customer while interruption of such service due to any such cause shall continue. Service charges shall cease until service is resumed. 10. MUTUAL WAIVER OF DAMAGES: NOTWITHSTANDING ANYTHING ELSE IN THIS AGREEMENT, NEITHER PARTY SHALL BE LIABLE FOR ANY INDIRECT, LIQUIDATED, CONSEQUENTIAL, SPECIAL OR ECONOMIC LOSS, COST LIABILITY, DAMAGE OR EXPENSES HOWSOEVER ARISING, WHETHER OR NOT FORESEEABLE AND WHETHER OR NOT DUE TO NEGLIGENCE OF EITHER PARTY IN PART OR IN WHOLE. 11, LIMITATION OF LIABILITY: Notwithstanding anything to the contrary herein and to the extent permitted by law, the aggregate liability of Seller to the Customer,whether in contract,tort(including negligence),or otherwise will be limited to one(1)times the contract value,provided however the foregoing does not limit the liability of Seller for any injury to,or death of a person,caused by the gross negligence of Seiler. 12. ENVIRONMENTAL: Customer agrees and acknowledges that Customer shall be solely responsible for all costs, expenses, damages, fines, penalties, claims, and liabilities associated with or incurred in connection with hazardous materials or substances upon,beneath, about,or inside Customer's equipment or property,and Customer shall be solely responsible for reporting the presence of said hazardous materials or substances to the proper governmental authorities. Customer further agrees and acknowledges that title to,ownership of,and legal responsibility and liability for any and all such hazardous materials and substances at all times shall remain with Customer and that Customer shall be solely responsible for the removal, handling, and disposal of all hazardous materials in accordance with all applicable governmental regulations. 13. EXPORT COMPLIANCE: Customer hereby represents and warrants that it will comply with the requirements of all applicable export laws and regulations, including but not limited to the U.S. Export Administration Regulations,in the performance of this Agreement and the treatment of Confidential Information herein. Customer agrees to indemnify and hold harmless Seller from any costs, penalties, or other losses caused by, or related to, any violation or breach of the representations and warranties in this provision. T his provision shall survive any termination or expiration of this Agreement. 14. COMMERCIAL ITEMS: Seller agrees only to perform a contract for the sale of a commercial item on a fixed-price or time and material basis.The components, equipment and services proposed by Seller are commercial items as defined by the Federal Acquisition Regulations("FAR")Part 2,and the prices in any resulting contract and in any change proposal are based on Seller's standard commercial accounting policies and practices,which do not consider,and twill not meet,any special requirements of U.S.Government cost principles and procedures under FAR or similar procurement regulations, 15, GENERAL: (a)This Agreement,and the Scope of Work,constitutes the entire Agreement between Customer and Seller and supersedes all prior written and oral agreements in relation to the work contemplated under this Agreement. (b)No amendments,modifications,or supplements to this Agreement shall be binding unless in writing and signed by both parties. (c)Any rejection of goods for being nonconforming under the requirements of this contract must be made by the Customer by sending written notification to Seller of the rejection within fifteen (15)days after their delivery. Such notification shall state the basis of the alleged nonconformity of the goods and the description of that portion of the shipment being rejected. (d) This Agreement shall not be in effect or binding upon Seller until signed by its duly authorized representative. (e) Customer may not assign its rights or delegate its duties hereunder without the specific,written consent of Seller. 16. GOVERNING LAW: This Agreement shall be interpreted in and governed by the laws of the State in which the work Is to be performed including all matters of construction, validity, performance and enforcement. Attorneys' fees and other legal costs may be assessed. This Agreement may be executed in multiple counterparts,each of which shalt be deemed an original and of equal force;and effect. 17. COSTS AND ATTORNEYS' FEES: In the event that it shall become necessary for Seller to employ a collection agency or attorney to collect unpaid charges or any other sums Customer may owe hereunder,Customer shall be liable to Seller for Seller's reasonable and necessary costs of collection and attorneys'fees incurred in such collection activities. In the event of any other legal proceeding related to this Agreement,the prevailing party in such proceeding shall be entitled to recover its costs and reasonable attorneys'fees from the other party. 18, SEVERABILITY: If any term,covenant,condition or provision of this Agreement,or the application thereof to any circumstance,shall,at any time or to any extent, be determined by a court of competent jurisdiction or an arbitrator to be invalid or unenforceable, the remainder of this Agreement, or the application thereof to circumstances other than those as to which it is held invalid or unenforceable,shall riot be affected thereby and each term,condition or provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. 19. SUBCONTRACTING:Seller shall have the right to subcontract, in whole or in part, any installations and/or services,including but not limited to,monitoring services and/or limited warranty/extended limited warranty services which Seller may perform. Customer acknowledges that this contract and particularly those paragraphs relating to Seller's limited liability,disclaimer of warranties,and third party indemnification,inure to the benefit of,and are applicable to,any assignees and/or subcontractors with the same force and effect as they bind customer to Seller, 20. NOTICES: All notices under this Agreement shall be in writing,signed,dated and sent by overnight courier or registered or certified U.S.mail,postage prepaid,return receipt requested,to the parties at the addresses shown below.All changes of address must be in writing and delivered as provided in this Section. Notices are deemed given when deposited,as described above,with the U.S.mail or in the overnight receptacle. Attn: And if sent by the Seller to the Customer,shall be addressed as follows: Attn: PROJECT AGREEMENT Proposal Number Date Agreement Number Page ,PROJECT AGREEMENT GENERAL TERMS AND CONDITIONS THE FOLLOWING TERMS AND CVw0Tmwo WILL GOVERN ALL TxxwoAcr0wS BETWEEN CUSTOMER AND SELLER FOR THE GOODS AND SERVICES THAT ARE THE SuaJeor OF THIS AGREEMENT. 7nsos TERMS AND CONDITIONS ARE |wooRpomxTem BY REFERENCE INTO ANY PURCHASE ORDER ISSUED oY CUSTOMER AS |F EXPRESSLY SET FORTH THEREIN. ANY ADDITIONAL om DIFFERENT TERMS nnCONDITIONS CONTAINED IN CUSTOMER'S PURCHASE ORDER OR IN ANY OTHER DOCUMENT SHALL BE DEEMED OBJECTED TO BY SELLER AND SHALL BE OF w0 FORCE 0REFFECT. THE PARTIES EXPRESSLY AGREE THAT MONITORING SERVICES ARE SPECIFICALLY EXCLUDED FROM THE SCOPE OF THIS AGREEMENT. 1 pAvmcmT As a condition of performance,payments are to be made on a pro re,,»^m"a"f000w^ Customer will pay 3V%upon contract signing,oomupon shipment of equipment to Seller or Customer designated site,30%upon substantial completion and 10%upon final acceptance by Customer. The Customerwill promptly pay Invoices within thirty(30)days of invoice date, Should a payment become thirty(30)days or more delinquent,Seller may stop all work under this Agreement without notice andlor cancel this Agreement,and the entire Agreement amount shall become due arid payable immediately upon demand. A finance charge will be added to past due accounts at the rate of one and one-half percent(1.5%)per month,or at the highest legal rate,whichever is less.Any standard goods that are either received at the Seller warehouse, or delivered to the Customer site, that are later canceled or returned by Customer are subject to a fifteen percent(15%)restocking fee. Any custom orders are subject to a one hundred percent(100%)restocking fee, z. TAXES: The Customer shall be responsible for all taxes applicable to the work and/or materials hereunder. o. WORK HOURS: Seller will perform all work during normal mmio,",xvv,,: Monday through Friday,r:oou/n./ooznpm. Any requests m,mmmm^operformed Outside nornial bUsiness hours will be billed at Seller premium rates in effect at the time the work Is perfornied. ^. /wun^LLxrmmonsuowmromu: Seller will arrange for Installation w the equipment m accordance with specifications,drawings and Instructions provided»v Customer,which specifications and drawings are considered opart of m| Customer shall provide Seller"safe working environment and unencumbered onceno to all areas where work is to be perfomied. Customer acknowledges that Seller's sew|ov »vwvnoo| have been inn|m:md not to perform any work in xmm,00uo locations until working conditions have been nmom nofe, as determined in the service »emvnnv|`o sole discretion, and it is the responsibility of the Customer to take any measures necessary to eliminate such hazards before the work may proceed. Customer shall provide reasonably adequate fighting,noaono. ventilation and other working oonoiUvnam permit safe and proper installation. Suitable foundations,wall openings.curbing holes,pits,mnoo|o culvert piping,»mmino surrounding masonry and concrete,canopies arid architectural enclosures,and sun screens shall be constructed by others at Customers cost, Customershall also provide at its own expense the power arid lighting that Is required for proper operation of Ilia equipment. If,through no fault of Seller,Seller cannot proceed with the work within a reasonable time after delivery of the equipment and/or Settees arrival at the work site,Customer shall pay Seller's actual expenses,including, but net limited to,additional service fees and any storage fees incurred by Seller In waiting to proceed or In returning to Customers premises to perform the woik. Customer shall notify Seller of any cancellations forty-elght(48)hours In advance of any scheduled service call. Failure to so notify will result in an additional service fee charged to Customer. Customer shall secure and pay for any required building permits and governmental fees,licenses,arid inspection necessary forthe proper execution arid completion of the Installation of the equipment which are legally required at the time that the Installation is done. Customer shall give all notices and comply with all laws,ordinances,rules,regulations and lavAul orders of any public authority bearing on the performance of the work. In the event that Seller is required,inconnection with Ilia installation of the equipment,to do additional work either because Customer did not prepare the job site,or because the drawings,wiring,or other work done by Customer or for Customer by others.was not properly represented In the drawing supplied to Seller,Seller shall have the option of doing the additional work required to complete the job,and%-All charge Customer at Sellers current prevailing rates for such work,or,of abandoning the installation and being paid in full by Customer upon demand therefore. Any additional amounts so charged shall be due wiWn ton(10)days of receipt of invoice by Customer. Customer represents to Seller that it has an Interest In the real estate on which the equipment is to be Installed and that has the authority to and hereby authorizes Seller to do the work as provided in this Agreement. Further,Customer warrants that the job site at which the Installation work to be done hereunder,complies with all applicable safety and work rules,OSHA regulations,arid other governmental and contractual requirements as to working conditions. 5. TIME AND MATERIALS SERVICE WORK/CHANGE ORDERS: In the event that Seller Isasked by Customer to perform additional work,e,g,,on a tinie and mom.ix|o basis or per change order, during the term of this A«remnem, arid such vm/k Is outside No 00000 of work ouotomo|x|od knmin. the Cvvmu`er understands and agrees that any such work will be performed by Seller pursuant to the terms and conditions contained herein and at Seller rates in effect at the time the work/xperformed. 6. WARRANTIES: Any equipment provided by the Seller will be warranted for a period of ninety(90)days from Ilia date the equipment or replacement parts are installed by Seller, Notwithstanding the foregoing, equipment and labor provided by Seller on any physical security equipment specified on the Equipment list attached hereto shall be warranted for a period of one(1)year from the date the physical security equipment or replacement parts are Installed by Seiler. In no event shall Seller have any obligation to make repairs, replacements or corrections required, in whole or in part, as the result of(I) normal wear and tear, (ii) accident,disaster or other event beyond the reasonable control or fault of Seller, (III)misuse, fault or negligence of or by Customer, (Iv)use ofthe equipment or replacement pails in a manner for which they were not designed, (V)Causes external to the equipment or replacement parts such as, but riot limited to,water damage, power failure or electrical power Surges or (vi) use of the equipment or replacement parts supplied by the Seller In combination with equipment or software riot supplied by Ilia Seller. Any Installation, maintenance, repair, service, relocation or alteration to of of, or other tampering Mith the equipment or ireplacenient parts performed by any person or entity other than Seller without Seller's prior written approval, or any use of replacement parts not supplied by Seller,shall immediately void and cancel all warranties with respect to the affected products. PHYSICAL SFCURITY- Notwithstanding the foregoing, excluding inspections, eqUipment arid labor provided by Seller on any physical security equipment specified on the Equipment|iotwunnondhmmmuho||bormvvnted for n period or one(V year from the date tire physical security equipment or replacement parts are installed oySeller. THE ponsoo/mo mmnnAwnso ARE THE xoLs AND sxoLuu/vs wwnnAwr/so omsw BY SELLER IN COwwcnT0w WITH THE Ssnv|osn PERFORMED AND EQUIPMENT PROVIDED HEREUNDER, AND ARE IN LIEU OF ALL OTHER WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED,ORAL OR WRITTEN,WHICH ARE HEREBY DISCLAIMED AND EXCLUDED BY SELLER,INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY oR FITNESS FOR A PARTICULAR PURPOSE onUSE. 7. INDEMNIFICATION: Seller agrees to indemnify the Customer for losses due to bodily injury,or property damage to the extent caused by Seller's negligent ux or omissions,or the negligent acts or emissions of its employees,agents arid subcontractors during the performance of this contract,butnotto the extent CaLised by others. o. |NSVRxw0c: 8oxo, uOmpo to maintain the following mSvenoo v"nnS the /o,m of the xp,rnmvm with omi/o not exceeding the stated amounts: k0 Comprehensive General uo»i|Ky |noumnoo mvonnn bodily |Nv� and pm»ony uom ' with v limit of V2.000.000 per vrvvnnoce and *c/mo�Uu Oaoom| aggregate, (N nmmm�rm,*,m'compensation arid employer's liability insurance for olimit of$1.000.000 per vmnnvncm arid Automobile|(uo|Uty covering bodily injury and property damage with a combined single limit of$2,000,000 per occurrence. If Seller is performing services on Customers site,[uxmue,wn|ou PROJECT Proposal Number Date Agreement Number Page N/A 5-22-15 N/f1 - 3 B. Exclusions: 1. Utility or alarm company fees 2. Control wiring 3. Electrical Nviring or alarm connections to a central monitoring station 4. Insulation over the top of the piping run in attic spaces 5. Painting 6. T=ire extinguishers 7. Premium portion of overtime labor 8. Bond premium (available upon request) 9. Testing and flushing of underground piping installed by others 10. Galvanized piping 11. Cutting of ceililigs to accommodate sprinklers 12. Structural load beaming analysis Red hawk, Fire & Security, operates an open shop. We have figured this project at our usual rates for mechanics. This quotation is contingent upon a satisfactory credit check of the General Contractor, Owner, and/or the project finding. Due to the uncertainty of material prices we will be unable to honor this quotation after ten (10)days. This proposal is submitted subject to the execution by the parties of a negotiated and mutually agreeable contract for the ivork described herein. This proposal is made Nvith the undel'stalltlilig that this project will not be the subject of a United States Govern rent contract or otherwise subject to the Federal Acquisitions Regulations. This proposal will become attached and made a part of said contract and shall serve as the scope of work. We thank you for the opportunity to cluote and hope we may be of further service to you on this project. If you have any questions regarding this quotation, please contact our main office at (413) 568-4709. Regards, 1' w 13 , I-lanee oak Spriilk ales Represcntativc/Estimator Reel I lawk, ire and Security cc: E. Stokes PROJECT AGREEMENT Proposal Number Date Agreement Number Page AGREEMENT DESCRIPTION: By and Between Red Hawk Fire & GmmiritV Patrick Melnik 33 Char Drive 110 King Street Westfield [NA 01085 NOrth@OnC40D MA 01000 (Hereinafter "Seller") (Hereinafter "Customer") Installation and / oYService Location: Leeds, MA STATEMENT OF WORK Su6\eot: Automatic Fire Sprinkler(}uu(nhou Re: Duxvmrhvnok Estate—Lot#2| Leeds,MA Gentlemen: Red }lonk Fire & Security is o oniionu| ioy(oU/Aim) and service company with u uoivmdk of approximately 1°000 kxJhuioiuuxoud more than |OO'OOOoumkxnon. Red Hawk Fire & 3cuohh/ is one of<ho largest all([ most credible sprinkler oun1roo(om in the Northeast United 8{otoo. With local bonding capacity of million's of dollars and an annual voltinic of 18 million dollars, our company lias never failed to complete m)y jnh ill its 4O-yenrhimtory. We are obnsod to offer our quotation ill ihc amnxok of Thirteen Thousand Seven Hundred Twenty-Five Dollars ($13,725.00)to furnish and hm|oU an nuUumuho fire sprinkler system niU/cubovc referenced yngcct- /\. 011rqo01,Uknl ix based oil the fo|kon'iugsoopoofwork: ). Plans as prepared by Nonnno |lomo P|mm' Inc., drawings | ' 7 2. Specifications design build (unless noted ndxxn'imJ J. Permit fees 4. Sales tax 5. Starting out-work a< mnoo(|o1 |pD hv others inside(lie building\� 0. etsprinkler uvo�/n im designed i 'uocordnocev/idhNyPA#\3D "Lostx|btioxnfSp,iuk|urBvatoomio ()ne' uod Tw -Fanuik/lJxeUiugsmx| y�ano�mtomx| Romcy" 7. 5cknn|c ' will be installed ill accordance with Y4FP& 8tandnnJsoud the Building Code.Not included are any engineered seismic calculations. D. /\doqoo{o heat in all areas o[the building protected hv tile vetmyxtum 9. Installing xmivhKnoodoo( sprinklers oil exposed piping io all areas with exposed construction 10. Installing concealed pendent sprinklers ill all areas xiU) suspended ceilings 11. Pendent sprinklers will be installed visually straight but not necessarily ill (lie center of the ceiling tile I D H.,A.W. , K Fire & Security Project Agreement Prepared for Patrick Melnik 110 King Street Northampton, MA 01060 patmeinik @gmail.com 32 Char Drive Westfield, MA 01085 (413) 642-9214 . (413) 562-7298 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: 65 Chestnue Ave Ext. Unit 21 Beaver Brook Inquiry Made By: Pat Melnik Sr. 584-6750 5/20/15 Date of Inquiry: Number of Type of Single Family X Type of Private X Units: 1 Units : Ownership:� ) Apart. Comm. p: Condo Multi-family Rental (Annlicant t� fill out the abovel - Municipal Water Main in Existing service to Front of Location? Yes: No: X site? Yes: X No Size of Water Main: 8" Material: Ductile Iron Age: 2006 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 60 PSI If done attach results Size of Service Connection 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. work shall conform to Northampton Water Department specifications. r . Nuttelman, Superintendent of Water Dept. Water Entry$ 200 Meter$ 130 Radio $ 135 cc: Ned Huntley, Director Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. SI711' C1&11u7 Pcl111it- MUNICIPAL SEWER/AVAILABILITY APPLICATION Northampton Streets Department �r 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: 65 Chestnut Ave Ext, Unit 21, Beaver Brook Inquiry Made By: Pat Melnik Sr. 584-6750 Date of Inquiry: 5/20/15 Reason for Request: New Construction Hook into City Sewer Municipal Sewer Main in Front of Location: Yes No Municipal Storm Drain Available: 5 t/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: re\U 1r 1 Citv Requires 6" cleanout installed at City Property Line Note: If this availability 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. John Hall Sewer Department (� cc: Ned Huntley, Director DPW OV Louis Hasbrouck, Building Commissioner Registry ID: d/)!+� �/ a {,{� � , Rating Number: HERS-480 L y Certified Energy Rater: Matt Turcotte aze ; ' ! !Jr Rating Date: 619/15 •7JC 21 Chestnut Ave Exte Rating Ordered For: Leeds,MA 01053 Estimated Annual Energy Cost >/ ( Projected Rating Use MMBtu Cost Percent 5 Stars Plus Heating 56.6 $851 37% Projected Rating: Based on Plans, Field Confirmation Required Cooling 3.1 $158 7% Uniform Energy Rating System Energy Efficient Hot Water 15.7 $221 10% 1 Star 1 Star Plus t���3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 23.3 $1076 47% 500-401 400-301 150-101 100-91 90-86 i 85-71 70 or Less Photovoltaics -0.0 $0 -0% HERS Index: I Service Charges $0 0% General information Total 98.7 $2307 100% Conditioned Area: 1953 sq.ft. HouseType: Single-family detached Conditioned Volume: 32545 cubic ft. Foundation: Unconditioned basement This home meets or exceeds the minimum Bedrooms: 3 criteria for all of the following: Mechanical Systems Features Heating: Fuel-fired air distribution,Natural gas,95.0 AFUE. Cooling: Air conditioner,Electric,13.0 SEER. Water Heating: Instant water heater,Natural gas,0.82 EF,0.0 Gal. Duct Leakage to Outside: 117.18 CFM25. i Ventilation System: Exhaust Only:50 cfm,10.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Building Shell Features Ceiling Flat: R-50.4 Slab: None Sealed Attic: NA Exposed Floor: R-0.0 Vaulted Ceiling: NA Window Type: U-Value:0.300,SHGC:0.260 Above Grade Walls: R-20.1 Infiltration Rate: Htg:3.00 Clg:3.00 ACH50 Foundation Walls: R-15.0 Method: Blower door test Lights and Appliance Features 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): 0.00 Clothes Dryer EF: 3.01 City,State,Zip Dishwasher Energy Factor: 0.00 Ceiling Fan(cfm/Watt): 70.40 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 v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation,Boulder,Colorado. •i �.i a` U-Value SHGC Windows . S-0 x 2� Glass Doors D 2� Skylights Solid Doors N/A Primary Fuel BNatural Gas []Propane []Electric El Fuel Oil Equipment Type '®Furnace ❑Boiler ❑Heat Pump Efficiency(AFUE) (e.g. 95%) Manufacturer Model# it • Cooling Capacity Efficiency (tons) (SEER) Manufacturer Model# AHRI Reference# Coolant Control ❑TXV ❑EXV ❑None MITRE . • Location ❑Unconditioned Basement ❑Attic ❑ Garage ❑Exterior Walls (check all that apply) ❑ Conditioned Basement ❑ Interior Walls Insulation ❑R8 fiberglass ❑R6 fiberglass Primary Fuel Natural Gas []Propane ❑Electric ❑ Fuel Oil Equipment Type X Instantaneous ❑Indirect Storage ❑Stand Alone Tank ❑Heat Pump Energy Factor Manufacturer Model# Type of System ❑ Exhaust-only Fan ❑HRV/ERV Manufacturer Model# Home Specifications Form The information on this form will be used by Power House Energy Consulting to complete a Home POWERHOUSE Energy Rating and advise you on how to meet your project goals. Please fill out this form to the best of your ability. Missing or incomplete information may affect the accuracy of your preliminary rating. Your final rating will be based on as-built information obtained through inspections and performance testing. This form must be submitted with the following: • Plans:floor plans,elevations,foundation plan,and any sections&details necessary to clarify the building envelope • Complete window schedule with rough opening dimensions s • Company Name: G>8 �� G. Phone: 1413— 2.Z2 — H 9 ) D Company Address: g S H��'l Gl2 DS 1 v L L a V�/ Email: �,J b (g y fo+vo. tiv, Town &Zip Code: L��`bc,A NIX 3 Primary Contact: Project Street Address: C,�� Nom; A V(f L%% -N Permit#: Project Town&Zip Code: �L�75 � Estimated Completion Date: LL Za �S • Insulation Type Insulation Thickness/R-Value Framing Size &Spacing (e.g. Dense pack cellulose) (e.g. 20) (e.g. 2x6, 16 OQ Foundations Walls C LO,5 L'b CL-LL � 6MAY �t y IL oc Slab Perimeter ,R-- (required if any portion is at grade) ~^ Under Slab Basement Ceiling Garage Ceiling o CN CL_LL , — 9T-a2 1/,35;t:f-s Cantilevered Floors Band Joists C LOG E p Exterior Walls etfv.J CCLL z X C l(o sIP9J_1V_/ Flat Ceilings 0 few C L—LL- �_ C) C) VS Sloped Ceilings Attic Hatch c�rc N N1S0 rurc txc:lubtvt ACCESS PLATE /� UNIT 10 T TRANSFORM ER0 3 / a �� �' CBCI 10 �428� _ X426 � � / C OX-ACA�a G G N 42 ' RCP v, D D D 18-►("P D CBCI 7D 8 BfL BERM 18• RCP b� GRANITE CURB _ s - s DMH 6 D'�-i----D DMH 7 ISLAND R MAIN °�`O �s 8• PVC s s s SMH 5 0�2 o S S s--- 4 S c --W � W w W W W ww W MW W , 86—INC W W W W S < 3z 8 D.I. �- to F CB 81 c6,WATER MAIN. X40 \ BEAVER BROOK ► ELECTRIC N '�° Hm D 18' DMH 9 w \ LOOP SIGN N i 1 rn 5=6 �� DMH 8 RCP N wso v , 3 STUB/ I ; � — — —N5° c 9 \ 428 o 1N \ N .p 1,,, ws \; / b i GAS, ELECTRIC do ul / TELEPHONE SERVICE TO BE INSTALLED (EXCLUSIVE UNIT 25; n25I Dc 0 � DA Rll IN SU cp --430— loe �- -..✓ r 432_ � ,. ,, / � .432 � 7n � � �. \�, :156•. a],]Ea,,,E 9r eD,]TR eR°Nt ��».,�i».» NNr6 Tt BROOK ._- \ ME wwA _ x .\ .` VA yy Spf. 9.111 Y S a- J9]6 UT yfi15 TA Z S�, PERMANENT CONSERVATION R SiRICTION �.]iA�v6T ",�� �u Y:u �' COMSERVAI]Ox PERwR A66r-099.OEW Irp FF4E r]» i ,': / x GOS FlfX�PnlN[Y i'V1Hi E uk]t�t Pw�Fss Y]leliT (4L xvlE,� �rC6w4 ae4T �»n I AREA=40 98�ACRES 1 RxaL 1FaaL S PARCEL CN-1 5. c m.axaRwrar /COMMON AREA/I NO TO PC., EA O CONVE Imt AREA 10.878 ACRES CI --F RTHMPETD O/// 25.43 ACRES 70 vu»M a°wv w y ss P V�w�e[ ], S MR FI.W -- lE¢W � I °$ ,A� 15]a�KTeE »p 1 j y5 5$ +7 .v121� ) wAxvAT a.RrRr xmri eoux6 FwRU ) WxrCOmF la BE sLT �. I9 / - ia4: xousWE unR unE — — ]..Je xim' ; RMAOaD — Mr Y 15 \ W ] aPPROx6nif FDGE-Era.E d a — — SmJS'S9Y I .•R��4,Pd] pREA � !IN eW»usr FwE xee »Env9AiFDmv.xtTi..c I - I I F _ — COMMON gYi�� e>;eEMRn AlTLWU L _) I a I J \ AREA "$ > I ° y rEatn].&E»TaraR,vOaL © ��u pc� �I � � II{°e °y8 zfi.e,'I7• \ \ 16 \, 26 / t — b/ ]]2 F l��\ ` � r9ii r.�iia co»SERVAnax ® 9ouizw v _ # \ vwlm a-, ® • „ I 1 III �.o' / JY °'"'T'° / BEAVER BROOK /$ sen9'PY rb.c0 m,z1P�� EVERGREEN ROAD CONDOMINIUM w mxvElrt III8- 25 (UNITS 6-29) 70 4 - 5 eoa>» vwe III I�gI �II^°E- Eye oY1j 12 24 I 29 COMMON AREA// 72050 8 € ANEA= 10.878 ACRES m Vu" �M AF6ox�mIrs1EE 'I,1 xerm9e'E I� a wimo NOTEi AREA=30.479 S.F.4 i� � I I 21 r FOR RC [tNCE ro ENCLOSED KMMEIERS ASE[BoOIt 5»91.PALE 2J BWK 5869. I'1 ' �.g,56 69 2 PAGE 6. 5917,PAGE I06 BOOK ,PACE IJJ PUN BOOK J2.PAGE 36, I 1 - Y at' PLW BOOK 58 PACE J]PLw W 6O;AGp 90 BOOK 125,PAGE 12. 5&'u MY JI 3 — - ]519 Liv eooK]e PACE r9 PIAN K 1 Ie AcE zi Pux ec°K reB P.cE lo]. 111 sezrszeY —serlTssY —sar.9' Y / em, urTSi w¢�"e6" BOOK 206.PALE r PLw BOOK 212 PAGE»]M P—BOOK 220,PACE 26. SEE ALSO.;NPROVK NOT REWIRED P(AN.BEAVER BROOK ESrArES.NORRrAwprOn. 1 1 �' $ rv]AEpµl]{p 22 1t5b SeJ03'bYEtp. Mn666CNV5ETl5'By HERITAGE SURVEYS,INC.,6.i£0 MRIL 22,1009 Lr°eE RECaR°EO rN rHE rWwsxME ca°Nn RECIS]Rr°F OEE05). 1�l / I m»°°aIt ' EXCLUSNEAvNr1S SHOwx xEREON ARE sUBOECI T g AN EISEMENT)0 VEieZON ENCIANO IxC,RECORDED m BOOK 68/. E ZS>. I»yWAI HORIZONTAL SCALE, 1' 100' 2. EXG.lISNE UN?AREAS WERE MPRO O IINOEft A 4IROEP OEYEL 111 iVe IM01 Nuwc�10scc ww`w"s 1, °i a P"MacP•"n sl]eRr�w'APPRmAL II j W vvn mB00o.re.vws =� , n r, „��N a, y°r ,r. ,� .m SFF PUNNrNG OECISrox.NFAMSx GP _I�EO°B-O°iOJe. `SHEET I OF 4 LL 9.20Lb.RECORDED IN BOON 9.82.PAE J. Homz°NrAL c mOL WAS Esr sNEn .u PR I'1 � � O © 9N xso R.»How m,wx 66 xIR e'ca+°vcrE°Br vArESSC H. Ex emisruv.rxc. suPP°rR'E11rBO(wPSI I�l p� C0N0°1°"'w OVERALL PLAN I.u;E suReEx.ee.°N FEeRUARV»,1000. 1,1 n . � WE WO Bo nRrS s„cw HEREON RE B O°`°""w N ES°"�` II /— o " BEAVER BROOK ESTATES PLw 9 Kx�A65�w]E5 NEW ENGAxp,xTN RMSEO a ar NNm°ISM'20sL'ca sArNr 1.o°D oONRF° EO e c RES H.nN �1 / 6 N NORTHAMPTON, MASSACHUSETTS Au»E O AOpn NAL [RSi. Or002°� 28 EVERGREEN ROAD —6BTIrmY i vER l,'I CONDOMINIUM t i OWNER/DEVELOPER: NnnI�RALL HEaI„ACC o M �ERr s Ecrest v�aora�.wrwE.uss.a'°sETrs C -) °- REGISTRY OF DEEDS PATRICK J.MELNIK, TRUS-EE PRELIMINARY III § R^ COMM ON3 AREA —SHIRE COUNTY l E BEAAR BROOK 101-E Ri UST THIS P(AN SHOWS TH£PROPERTY FINES THAT ARE THE LINES OF i v1 EXISRNG OWNERSHIP,ANO THE ONES OF STREEfS ANO WA15 SHOWN TEL.T(413)TSB�1.01060 EN ROAD PATE: JUNE 5, 2009 ARE THOSE OF PUBLIC OR PRN TE STREETS OR WAYS ALREADY EVERGRE _ ESQ BUSHED,ArvO NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP (' OR FOR NEW WAYS ARE SHOWN. NRTHERMORE,THIS SURVEY AND PLAN WERE PREPARED IN ACCORDANCE WITH THE RUSES AND RECU(ARONS » N /I/,m,69.� HERITAGE SURVEYS, INC. OF THE REGISTERS OF OEEpS,ANp THE PROCEDURAL ANO TCOMMOAL 'S, t PROFESSIONAL SURVEYORS AND ENGINEEPS STANDARDS FOR THE PRACTICE OF(AND SURVEYING IN THE COMMONWEALTH arc N �; F ,3'c a 241 COLLEGE HIGHWAY&CLARK.STREET OF MASSACHUSETTS. POST CF CE HIG 1 SOUTHAMPTON,MASSACHUSETTS 01073-0001 GATE REGISTERED(ANp SURVEYOR 888 (413)52:-3600 392}_980831 }92}ME05 }92}-0906C8 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 1 Congress Street, Suite 100 �= Boston, MA 02114-2.017 G^M S�e www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name (Business/Organization/Individual): Edward Jazab Address:9 Shepherd's Hollow City/State/Zip: Leeds Ma 01053 Phone #:4132224910 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.FE I am a sole proprietor or partner- listed on the attached sheet. 7. F1 Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. F-1 We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.F-1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: — Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under at and penalties of perjury that the information provided above is true and correct. May 19, 2015 Si nature: a p Date: Phone#: 4132224910 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: D I Not Applicable `❑ Name of License Holder: ����{ ` A_ Z.4` C .S f A J y f U� / License N ber 9 1Ne, L4^JJ Ph2Cb� l�e s �► or2 oy a 6 Address Expiratio Date X Signatur Telephone q, D 9.Re 1stered Hor&1 rovement Contractor:: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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.......A 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 mbre 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 ❑J Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors C] Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[0] Other[O] r / Brief Description of Proposed �r [ Work: Construct new house for unit 21 under approved cluster plan.Will comply with all permit criteria / Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing;complete the following: a. Use of building : One Family x Two Family Other b. Number of rooms in each family unit: 6 Number of Bathrooms 2 c. Is there a garage attached? yes d. Proposed Square footage of new construction. 1900 Sf Dimensions e. Number of stories? I f. Method of heating? gas Fireplaces or Woodstoves no Number of each g. Energy Conservation Compliance. Yes Masscheck Energy Compliance form attached? yes h. Type of construction wood frame i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes a No j. Depth of basement or cellar floor below finished grade 6 � k. Will building conform to the Building and Zoning regulations? A—Yes No. I. Septic Tank City Sewer X Private well City water Supply 1_ SECTION 7a OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT/PR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize '75 LO to act on my beh n all matters relative to work authorized by this building permit application. r/I ►S_ Signature of Own Date l 4rAzii as Owner/Authorized Agent hereby declare that the statements and inforfhation on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed and r the pains and penalties of perjury. r'051 GIB er- Print Name Signature of O er/Agent t 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 25 Acres. 2,5 Acres. Frontage 250 250 Setbacks Front 0 $00. Side L:0 R: 0 L:M... . R:500 Rear 0 800 Building Height 20 Bldg.Square Footage 0 0 % 1900 N. Open Space Footage % (Lot area minus bldg&paved 24A ` 99% parking) #of Parking Spaces 3 Fill: 0 0 volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO `0 DON'T KNOW YES IF YES, date issued: 04/09/2008 IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW Q YES IF YES: enter Book 9482 Page, 3 and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O Date Issued C. Do any signs exist on the property? YES NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Departme t use'duly` City of Northampton Statws of Pisrmit.. Building Department Curb Cut/Driveway Pemtit 212 Main Street 8ewer/Septi6Au ilabili Room 100 V1later/Welt Avalbbilitj orthampton, MA 01060 Two Sets df Struoturai3O ians " 201�horte-4113-587-1240 Fax 413-587-1272 Plot/Site Mans Other Spacify ing c , ;s ;r. ,ctions NortApfttCATI0N W CON TRUCT,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 iJ.✓t"r 70 — Ra.o�en /l�Otl�t LrjTAt'v1 D Map Lot Unit _ `.�! Zone Overlay District n�ors piv� � Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patrick J.,A4elnik,trustee of Beaver Brook Nominee Trust 110 King St. Northampton Ma 01060 Name J(Pri Current Mailing Address: 413-584-6750 Telephone Signature 2.2 Authorized Agent: J-04,/s 411,4 Xj(./A(^o( .10AZ.o� q Ohl c,P�.�f MiLCo� Name(Print) Current Mailing Address: Z 13- �aa - `l19► ► Signature Telephone SECTION 3-ESTIMATED ONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 150,000 (a)Building Permit Fee 2. Electrical 10,000 (b)Estimated Total Cost of Construction from 6 3. Plumbing 15,000 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 25,000 6. Total=0 +2+3+4+5) 200,000 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-1284 �16W Al !� l� APPLICANT/CONTACT PERSON ED JAZAB ADDRESS/PHONE 9 SHEPHERDS HOLLOW LEEDS01053 (413)222-4910 Q PROPERTY LOCATION UNIT 21 -65 CHESTNUT AVE EXT {� MAP 06 PARCEL 064 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: Yp� PERMIT APPLICATION CHECKLIST 11 ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Ll WC1 V I r Fee Paid Typeof Construction: CONSTRUCT SFH W/ATT GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 050099 c 3 sets of Plans/Plot Plan �G I iC�n t( C Rcixf THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON ���/// INFOIjA�I-ATION PRESENTED: �hx G 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 e" n Delay Signature of Buildi;g6fricial 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. UNIT 21 -65 CHESTNUT AVE EXT BP-2015-1284 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 06-064 CITY OF NORTHAMPTON Lot: -001 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-2015-1284 Project# JS-2015-002364 Est. Cost: $200000.00 Fee: $1396.60 PERMISSION IS HEREBY GRANTED TO Const. Class: Contractor: License: Use Group: ED JAZAB 050099 Lot Size(sq. ft.): Owner: MELNIK NOMINEE TRUST Zoning: URA Applicant: ED JAZAB AT. UNIT 21 - 65 CHESTNUT AVE EXT Applicant Address: Phone: Insurance: 9 SHEPHERDS HOLLOW (413) 222-4910 0 LEEDSMA01053 ISSUED ON:81312015 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT SFH W/ATT GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTyne: Date Paid: Amount: Building 8/3/2015 0:00:00 $1396.60 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner