36-369 (2) 163 EMERSON WAY BP-2020-0108
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-Block: 36-369 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Zoning Permit BUILDING PERMIT
Permit# BP-2020-0108
Proiect# JS-2019-002425
Est.Cost: $10000.00
Fee: $431.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MATTHEW DERY 064404
Lot Size(sa."ft.): 15594.48 Owner: KENNAMER HAL
Zoning: Applicant: MATTHEW DERY
AT. 163 EMERSON WAY
Applicant Address: Phone: Insurance:
408 HOOSAC RD (413) 369-4447 ()
CONWAYMA01341 ISSUED ON.7/29/2019 0:00.00
TO PERFORM THE FOLLOWING WORK: - CONSTR CT NEW SINGLE FAMILY
HOUSE WITH ATTACHED GARAGE ^ Q/� )L,,M
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:
FeeTyAe: Date Paid: Amount:
Building 7/29/2019 0:00:00 $431.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2020-0108
APPLICANT/CONTACT PERSON MATTHEW DERY
ADDRESS/PHONE 408 HOOSAC RD CONWAY (413)369-4447 Q
PROPERTY LOCATION 163 EMERSON WAY
MAP 36 PARCEL 369 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION C LIS
EYLOSED R UIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T eof Construction: ZPA-CONSTRUCT NEW SINGLE MILY H SE WITH ATTACHED GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 064404
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)
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
Demolition Delay
-Z0�
7-Z� 9
Signa re 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.
ce, Pias
Department use only
City of N�rthar tE C E I V E tatus of Permit:
Buildingepa erif urb ut/Driveway Permit
212 Ml In Street ewer Septic Availability
Room 109 JUL 2 6 2019
ater ell Availability
Northampton, MA 01060 wo Siis of Structural Plans
phone 413-587-1240 F lot/Si Plans
F ��rtnt r?INIG INSPECTI
',O9� I�IAI,arTON.MAolo6o L2jerjpecify
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This secti6fi to be completed by office
Map Lot Unit
163 Emerson Way
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Hal Kennamer 524 Olde Englilsh Lane, Mountain Brook, AL
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
Stephen Ferrari 103 Ryan RD, Florence, MA 01062
Name(Print) Current Mailing Address:
413-588-8975
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee 4�
4. Mechanical (HVAC)
5. Fire Protection
6. Total=0 +2 +3+4+5) Check Number 012-Y IV
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
r
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 tilled in by
Building Department
Lot Size 15,549 sf 15,549 sf
Frontage 80.23' 80.23'
Setbacks Front 26.5'
Side L: R: L:27' R: 19'
Rear 26
Building Height 21'
Bldg. Square Footage % 3181 sf 20%
Open Space Footage %
(Lot area minus bldg&paved 11064 sf 71%
parking)
2
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issuedttfor/on the site?
NO 0 DON'T KNOW O YES t x)
IF YES, date issued: 8/11/2016
x
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'T KNOW 0 YES (X)
IF YES: enter Book 128386 Page 45 and/or Document # 00017807
B. Does the site contain a brook, body of water or wetlands? NO (x DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES Q NO (x)
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 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 0 NO (x)
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House [x] Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding [O] Other[O]
Brief Description of Proposed Construct poured concrete foundation for a new single family home
Work:
Alteration of existing bedroom Yes No Adding new hedroom Yes No
Attached Narrative Renovating unx ished basement Yes _No
Plans Attached Roll -Sheet
sa. 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: 7 Number of Bathrooms 2
c. Is there a garage attached? yes
d. Proposed Square footage of new construction. 2810 sf Dimensions 54'x 45' irr
e. Number of stories? one
f. Method of heating? air source heat pump Fireplaces or Woodstoves 1 Number of each
g. Energy Conservation Compliance. HERS rating Masscheck Energy Compliance form attached?
h. Type of construction Wood Frame
i. Is construction within 100 ft. of wetlands? Yes x No. Is construction within 100 yr. floodplain Yes x No
j. Depth of basement or cellar floor below finished grade 7 +-
k. Will building conform to the Building and Zoning regulations? x Yes No .
I. Septic Tank City Sewer x Private well City water Supply x
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNE�R�S� AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, L 7 ) "1 `tel- tq_Cc•j� as Owner of the subject
property
Stephen Ferrari
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
Stephen Ferrari 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.
Stephen Ferrari
Print Na
e,
Signa a of er/Agent Vate
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Matt Derry CS 064404
License Number
408 Hoosac RD, Conway 7/1/20
Address Expiration Date
413-369-4447
Signature elephone
9.Reaistered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§26C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton,MA 01060
413-587-1097
A Department of Public Works Trench Permit shall be required prior to any,construction or
connection activity associated with this application.
Location: 163 EMERSON WAY
Inquiry Made By: STEVE FERRARI 413-588-8975 fer!jri.steve@gmail.com
(Name) (Teleptione Number)
I
Date of Inquiry: 6/25/2019 Fire Line Irrigation Domestic.X
i
Number of Units: 1 Type of Units: Type of Ownership:
Single Family X Private X
Apartments Condo T
Multi-Family Rental
Commercial
(Applicant to fill out the above j
Municipal Water Main in Front ofl�ocation: Yes x No
Existing service to site? Yes x No
1
Size of Water Main: 8" Material: Ductile Iron Age: 2016
Approximate Static Street Pressure: 50 psi Flow Test Conducted: Yes No x
(If flow test conductjd attach results)
Size of Service Connection: ! 1" Suggested Meter Size: 5/8"
Comments: The Water De a tment cannot guarantee adequate water pressue during
peak demand ti es at elgy4tions above 320'
- A corresponding water enteranj a fee shall be paid prior to making any connection lb the municipal
water system.
-Arran e such installation 11 be made with the Northampton Water Depa ent within a
m' um of 5.,w6rking d s ific ion.
-All works I co fo North' ton Water Department specifications.
f 6262 ' 9
(Water Superintendent) (Date
*Water Entry x ($1,250) Domestic *Meter $ 450 *Radio Re! d $150
($2,500) Subdivision (fee to be determined)
i
(Includes fire line if required) j
cc: City of Northampton Building Dept./Commissioner
NOTE: If this availablitiy is fora new construction,it must be hand delivered to t e Building
Inspector
*Fees will be charged biased on current fee structure at the time of entri
application (�
j �V
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
413-587-1570
A Department of Public Works Trench Permit and Sewer Entry Permit shall be r uired prior to any
construction''or connection activity associated with this application.
Location: 163 EMERSON WAY a
Date of Inquiry: 06/25/19
Inquirer with contact info: 'STEVE FERRARI 413-588-8975 ferrari teve@gmail.com
Reason for Request: NEW CONSTRUCTION
Municipal Sewer Main in Front of Location: Yes s o
i
Size of Sewer Main: Material: Age:
Depth of Sewer Main: !?'
Length of Sewer Main:
Size of Service Connection:
Type of Service Connection; !�
Domestic Tie In: ($1,250)f Subdivision Tie 14: ($2,500
Tie-in to Private Sanitary: $ - N/A Tie-in to Existing Sanitary Servi : $ - N/A
Comments:
i
City Re uire� 6" cleanout ipstalled at CiV ProperLine
Note:If this availability is for new construction,this form must be hand delivered t6 Building Inspector.
A corresponding"sewer ehtrance fee" shall'be paid prior to making any c nnection to the
municipal sewer system.Arrangements of such installation shall be inI de with the
Northampton Streets Department with a minimum of 5 working days noti icaiton. All work
shall conform ito Northampton Streets Department specificati` ns.
UY� kid Date: Z l/SII
Sewer Dept. Foreman I
*Sewer Entry$ J
*Fees will be charged bared on current fee structure at the time of a try application