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36-380 233 EMERSON WAY BP-2018-0930 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:36-380 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 Sincle Family House BUILDING PERMIT Permit# BP-2018-0930 Protect# JS-2018-001699 Est.Cost: $460000.00 Fee:$1808.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SOVEREIGN BUILDERS INC060176 Lot Size(sg. ft.): 12022.56 Owner: BELDENGREEN CLAUDIA zo_ nine: Applicant: SOVEREIGN BUILDERS INC AT: 233 EMERSON WAY Applicant Address: Phone: Insurance: 135 SOUTHAMPTON RD (413) 527-8001 Workers Compensation WESTHAMPTONMA01027 ISSUED ON:4/25/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.NEW SINGLE FAMILY HOUSE 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: FeeTvoe: Date Paid: Amount: Building 4/25/20180:00:00 $1808.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2018-0930 FLAN APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC pcv t6W ADDRESS/PHONE 135 SOUTHAMPTON RD WESTHAMPTON (413)527-8001 PROPERTY LOCATION 233 EMERSON WAY MAP 36 PARCEL.380 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY PERMIT APPLICATION CHECKLIST D REQUIRED DATE ZONING FORM PILLED OUT Fee Paid Building Permit Filled out Fee Paid TvneofConstruction: NEW SINGLE FAMILY H New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 060176 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNINGPOARD PERMIT REQUIRED UNDER:§ Intermediate eject: Site Plan AND/OR Special Permit With Site Plan Major YProject: 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 Peonit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Smnn W eter Management molit on Delay r ato wilding Offic' Date Nota: Issuance of a Zen, g 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. c4a- Oepedmellt usewly City of Northampton Sia?d`s of 8 ItH Building Department Coq CutlDnueway Pbmiit 212 Main Street ISewerlSepto Availability Room 100 Watertlyell Availability.:y -�. .. _,. Northampton, MA 01060 1H'RSes pf Stmctuml -lam. phone 413-587-1240 Fax 413-587-1272 Pytt�Slte dens APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION i .SITE INFORMATION 1.1 Property Address: This section to be completed by office Map _ Lot Unit 233 Emerson Way zone-!.- Overlay District Elm St.Dlatricl: CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Claudia Bcldengreen d Susan Karas 65 Momingside Dr. Florence,MA Name(Pent) carrem Meu6ry Adm:s: 413-478-5951 Telephone 3ioratere 2.2 Authorised Adam: o D C � / 35- SoJ�(�awnn 2 Name(Pr, Current Mail'ng Address. r_ /.oiL U P �^l R1 `j —7 squat T¢Iapbob. SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /po OocJ (a)Building permit Fee 2. Elearca'. coo (b)Estimated Total Cost of Construction from 6 coo 3. Plumbing Building P¢rmlt Fee II 2 � _ L+ 4. M¢cnanical(HVAC) 5. Fire Protection utl/ tl a Cl - 6. Total=(1 +2+ 3+4+5) / O QQV Check Number This Section For Official Use Only Building Permit Number. Date Issued: r Signature' / Soldl mmissionerrinspecWr of BuiMings Data f� EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Commerce.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This calm—m Ix filled is by Building?,reamer Lot Size Frontage jq (__ _... Setbacks Front I i Side L ' R. L i R.1S Rear Building Height - - Bldg. Square Footage Open Scarce Footage (Let area miens bldg&paved oI q r)-l" _.. Mn ) _ Aof Parking Spaces - --- - Fill ,--id k Locsdon _ A. Has a Special Permit(Variance/Finding ever been issued for/on the site? NO DONT KNOW © YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES Q IF YES: enter Book Page. and/or Document# B. Does the site contain a brook, body of water or wetlands? NO )n DONT KNOW Q YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the constuction activity disturb(clearing grading excavat on,drilling)over 1 opera o,is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Nodhamption Storm Water Management Permit from the DPW is required. SECTION&DESCRIPTION OF PROPOSED WORK(check all applicable New House Atldition ❑ Replacement Windows Alt¢ratien(s) ❑ " Roofing ❑ Or Doors 0 ArA ry Bltlg. ❑ Demolition ❑ New Signs [0] Decks [ED Siding 17] Other[O] ription of Propos '� l u,c ' si GIO N'1� of existing bedroom`Yes No Adding nw bedroom Yes No NarratveRenovating unftcished basement Yes No lans Attached Roll -Sheet 6a. If.New house and or addition to existing housing, complete the following: a. Use of building: One Family K Two Family Other I, Number of rooms in each family unit Number of Bathrooms_ C. Is there a garage attached? y e/ / d. Proposed Square footage of new construction OS O✓5 C- Dimensions J 2 Y` 5 / Number of sfoeie0 f. Method of heating? ral(c A t"k Ari __ Fireplaces or Woodstoves Number of each g. Energy Conservation�CCompliance. Masscheck Energy Compliance form attached? In. K . Type of construction -7 I i. Is construction within 100 it, of wetlands? Yes -�—' No. Is construction within 100 yr. floodplain Yes 1[ No j. Depth of basement or cellar Door below finished grade_ '7 I e Will building ccnform to the Building anc Zoning regulations? _L Yes No . SomicTark City Sewer Private well_ City avatar Supply _ SECTION]a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMR as Owner of the subject Property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Slgnatum of Owner Date I, as OwnerlAuthorized Agent hereby declare Mat the statements and information on the foregoing appfcation are true and accurate,to the bast of my knowledge antl baler. Signed under the pains and penaloe of perjury. r� Print Name S' alure fOrvnedAgent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction SupervisorNot Applicable E) Name of License Holderhbl y�J License Number Atltless Expiratian Date � - 77- 6 - 5' nature TelepM1one 9.Realstered Home Improvement Contracibr' - _ 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 affitlsch will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ffi No...... ❑ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name(Bu3iness/Orgeniza4otd[ndividusl): - / rr T Address: f 3 S Sn, City/State/Zip: oL Phone#: `Il?— `):Z-7 Are you an employer? Check the appropriate box: Type of project(required) I I am a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction employees (full andforpart-tame).* have hired the sub-contractors listed on the attached sheet. ❑ Remodeling 2.❑ I am a sole proprietor or partner- t ' ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp.insurance. 9. ❑ Building addition (No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[] Electrical repairs or additions 3,❑ I am a homeowner doing all work right of exemption per MGL I1.❑Plumbing repairs or additions myself [No wothers'comp. c. 152,§I(4),and we have no 12.❑ Roof repairs insuraucc required. r employees. [No workers' 11D Other compinsurance required.] 'Any applicant that cheeks box fu must the.611 out the section below showing their workers'compensation policy information Homeowners wit.submit this affidavit indicating they are doing all work and then are outside contractors must submits new aff tdt,,n indicating such. "cam acters that check this bon must aaached an additloenl sheet showing:he time of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ( Insurance Company Name: Lp �-� r � f' T1 5 (' D --� � ' Policy#or Self-ins.Lic. #: w S ID70 Expiration Datc_� /7 ter/k i lob Site Addressev W 4 City/State/Zip: n)o'A� _-J x Attach a copy of the workers' compensation policy declar tion 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 8250.00 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 ins and penaf of perjury that the information provided a ve is ue and correct. Signafm'e, �— Date Z /7 / Phone#: / — - 77 — !�, n 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#: City of Northampton Massachusetts t 6"^ s 05PARTMENP OF BUIIdING INSPECTIONS 5 212 Main Sthan . p¢1 auiltling y �?�' Northamptonon,, MR 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 7�z � e��So^ W� (Please print house number and street name) Is to be disposed of at. pp (Please pnn nae*and location of fa ity) Or will be disposed of in a dumpster onsite rented or leased from: �� e � sc' l4 � rti ( ompany Name nd A dress) SO nature of P rmit Applicen orAnte If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Qlp, Louis Hasbrouck< asbrouck@northamptonma.gov> H Re: 233 Emerson Way_Northamton_Ma Building Permit application 1 message Louis Hasbrouck<Iasbrouck@northamptonma.gov> Wed, Feb 28, 2018 at 3:16 PM To: Todd Cellura <tcellura@sovereignbuilders.com> Todd, Based on the floor plans,the permit fee is$1,808.60: 603 at porch and garage $120.60 2110 sf basement $422 2510 sf 1st floor $1,266 That's assuming the basement isn't finished.Also, if the basement is heated (the HERS rating says it it), you should add some escape windows. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Sat, Feb 17, 2018 at 3:35 PM,Todd Cellura <tcellura@sovereignbuilders.com> Wrote: Hello Louie Attached are the plans for a home to be built at 233 Emerson Way I have not figured out the amount I always seem to get it wrong. Can you please let me know if there is anything else you need and the amount I owe. I am going to be out of town for 10 days but can mail a check right away. Thanks Louie Todd G. Cellura Sovereign Builders Inc. 135 Southampton Rd Westhampton, MA 01027-9535 tell: 413-527-8001 cell. 413-977-6608 tcellura@sovereignbuilders.com www.sovereignbuilders.com I„m„cid:image002.jpg@01 D2DF55.2E8l D300