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36-378 217 EMERSON WAY BP-2020-0374 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36-378 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-2020-0374 Proiect# JS-2020-000638 Est.Cost: $798601.00 Fee: $2114.00 PERMISSION IS HEREBY GRANTED TO.- Const. O.Const.Class: Contractor: License: Use Group: SOVEREIGN BUILDERS INCO60176 Lot Size(sq. ft.): 12022.56 Owner: RIES CARL&CHRISTOPHER zonini;: Applicant: SOVEREIGN BUILDERS INC AT. 217 EMERSON WAY Applicant Address: Phone: Insurance: 135 SOUTHAMPTON RD (413) 527-8001 Workers Compensation WESTHAMPTONMA01027 ISSUED ON:10/2/2019 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: FeeType: Date Paid: Amount: Building 10/2/2019 0:00:00 $2114.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0374 APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC ADDRESS/PHONE 135 SOUTHAMPTON RD WESTHAMPTON (413)527-8001 0 {� PROPERTY LOCATION 217 EMERSON WAY MAP 36 PARCEL 378 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENC REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Ll Building Permit Filled out Fee Paid Tyaeof Construction: NEW SINGLE FAMILY HOUSE 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 TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I RMATION 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 V Water Availability V 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 LJ LVVJ l� Si ature of Building Official 10 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. E-DR7 Department use only - . City f No thampton atus of Permit: Buildi g D�pa"OnO 2019 C rb Cut/Driveway Permit 1 212',Main Street S wer/Septic Availability ! F�OOm 100 VV ter(Well Availability y ON.MA 1060 TvJo Sets of Structural Plans phone 413-587-1240 Fax 13= -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 217 Emerson Way Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Carl & Christopher Ries 3733 W. Clayton Ave. Los Angeles, CA 90027 Name(Print) �� Current Mailing Address: (213)300-4423 - Telephone Signature 2.2 Authorized Agent: Todd Cellura erei n ders, Inc 135 Southampton Road, Westhampton, MA 01027 Name(Print) Current Mailing Address: (413) 527-8001 / (413) 977-6608 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $716,896.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of $ 25,975.00 Construction from 6 3. Plumbing $ 24,650.00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $ 31,080.00 6. Total=(1 +2+3+4+5) $798,601.00 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: 6An&m2i Building Commissioner/Inspector of Buildings Date tcellura@sovereignbuilders.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 02023 Sq Ft Frontage E-- —� Setbacks Front 31g Side L:0 RE I L: 1 75' R: 17.5' Rear 0 E47.5 Building Height 33 Ft] L' Bldg. Square Footage % L,666 Open Space Footage 0/o (Lot area minus bldg&paved 8690' parking) 0 #of Parking Spaces ' 2 Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DON'T KNOW O YES IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW © YES IF YES: enter Book Page and/or Document#! B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES Q 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 ® 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 0 NO Q 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? YESQ NO O 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 Q Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[O] Other[0] Brief Description of Proposed Work: 2 Story,Wood Framed, Single Family Residence Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished 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 3 c. Is there a garage attached? Yes d. Proposed Square footage of new construction. 3,038 Dimensions 33X50X59 e. Number of stories? 2 f. Method of heating? Gas Fireplaces or Woodstoves Fireplace Number of each g. Energy Conservation Compliance. # 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 X No j. Depth of basement or cellar floor below finished grade 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 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Carl Res as Owner of the subject property hereby authorize Todd Cellura of Sovereign Builders, Inc to act on my behalf, in all matters relative to work authorized by this building per it ap Iication. Signature of Owner Date Todd Cellura 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 andp it' of perj y Todd Cellura / Print Name �' Q Signature f OwnerXgl6nt Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Todd Cellura CS-060176 License Number 135 Southampton Road 01/19/2021 Address Expiration Date Westham to iA 01027 (413) 527-8001 / (413) 977-6608 Signature Telephone 9. Registered Home Im nt 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....... ® No...... ❑ City of Northampton . � sus •'» s4c Massachusetts DEPARTMENT OF BUILDING INSPECTIONS y. 212 Main street • Municipal Building Northampton, MA 01060 fsazyi�a AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation "OCABR" regulates the registration of contractors and subcontractors Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: Est. Cost: Address of Work: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature ' City of Northampton Massachusetts ocPxRzMcNr OF BUILDING zmaeEcrzoma eze m°i" Street °m""i=ip=l a"^lui"« Northampton, au oz000 Debris Disosal Affidavit In accordance of the provisions of K8GL o4U. 854. | 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 IVIGL c 111, S 150A. The debris from construction work being performed at: G4Sovereign Way (Please print house number and street name) Is to be disposed of at: []VIVI Holdings, 886Main Street, Holyoke, MA 01048 (Please print name and location of facility) C>rwill badisposed ofinadumpstmronsite rented orleased from: Inc.,Associated BuildingWreckers St., Springfield 01105 (Comp �me ZandAd� s) gignatur6 of Perm itAp-plicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department osto the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents d I Congress Street,Suite 100 Boston,MA 02114-2017 M www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Sovereign Builders, Inc. Address: 135 Southampton Road City/State/Zip: Westhampton, MA 01027 Phone#:(413)527-8001 / (413)977-6608 Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with 5 employees(full and/or part-time).* 7. ®New construction 2.M I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F]Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. tContractors 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: Selective Insurance Co of Southeast Policy#or Self-ins.Lic.#: WC 9057080 Expiration Date:_ 7/1/2020 Job Site Address: 64 Sovereign Way City/state/zip: Northampton, MA 01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A co of this stat ent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify andt e pains a enalties of perjury that the information provided above is true and correct. Si natur Date: C Phone#: (41i) 52 8001 /(413) 977-6608 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 DEPARTMENT OF BUILDING INSPECTIONS r i . " 212 Main Street • Municipal Building Northampton, MA 01060 ;�;•s;'" Fee Calculator for Residential Properties Location Square Footage Amount l Basement @ .20 C 1ST Floor @ .50 2nd Floor @ .50 '/2 Floors, Finish Attic, Garage @ .20 � Deck / Porches @ .20 �� w Total : q, T0 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: 217 EMERSON WAY Inquiry Made By: Carrie Dearing/SOVEREIGN BUILDERS 413-717-5106 cdearing@sovereignbuilders.com (Name) (Telephone Number) Date of Inquiry: 9/20/2019 Fire Line Irrigation Domestic x Number of Units: 1 Type of Units: Type of Ownership: Single Family x Private x Apartments Condo Multi-Family Rental Commercial (Applicant to fill out the above) Municipal Water Main in Front of Location: Yes X No Existing service to site? Yes X No 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 conducted 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' - A corresponding water enterance fee shall be paid prior to making any connection to the municipal water system. -Arrangement of such installation s all be made with the Northampton Water Department within a m1�7R or 'ng ys tion. - co fo m mp o Water Department specifications. 23 -l (WaterSuperintendent) (Date) *Water Entry x ($1,250) Domestic *Meter $ 450 *Radio Read $1S0 ($2,500) Subdivision (fee to be determined) (Includes fire line if required) cc: City of Northampton Building Dept./Commissioner NOTE:If this availablitiy is for a new construction,it must be hand delivered to the Building Inspector *Fees will be charged based on current fee structure at the time of entry application / �O �� C 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 required prior to any construction or connection activity associated with this application. Location: 217 Emerson Way Date of Inquiry: 09/20/19 CarrieDearing/ overeign Builders 413-717-5106 Inquirer - - Inquirer with contact info: cdearing@sovereignbuilders.com Reason for Request: NEW CONSTRUCTION Municipal Sewer Main in Front of Location: Yes b/ No 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) Subdivision Tie In : ($2,500) Tie-into Private Sanitary: $ - N/A Tie-in to Existing Sanitary Service: $ - N/A Comments: City 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 notificaiton. All work shall conform to Northampton Streets Department specifications. m-- Date: 9Z-- (9 Sewer Dept. Foreman *Sewer Entry$ *Fees will be charged based on current fee structure at the timof entry application \ an E-merso,t u7% �ej- W4'JeA- Nome Energy Rating Certificate Rating Date: 2019-09-19 Registry ID: Unregistered POWERHOUSE Projected Report Ekotrope ID: MvDVba6L � •� , IndexHome: EmersonYour home's HERS score is a relative 217 performance score.The lower Florence, MA �. the more energy efficient the 54learn more, visit www.hersindex.com *Relative. i Builder: o an average U.S.home SovereignBuilders Your • - Your Home`s Estimated Energy Use: This home meets or exceeds the Use[MBtu] Annual dost criteria of the following: Heating 91.2 51,303 2015 International Energy Conservation Code Cooling 1.3 $64 Hot Water 14.0 $0 Lights/Appliances 33.3 $1,572 Service Charges $0 Generation(e.g.Solar) 0.0 $0 Total: 139.8 $2,940 HERSIndex Home feature Summary: Rating Completed by: r•a.wrp HomeType: Single family detached Energy Rater:David Gagne rso Model: NIA RESNET ID:7013322 1=12Community: N/A 138 Conditioned Floor area: 4,477 ft' Rating Company:Powrer House Energy Consulting "0 479 West St Suite 105,Amherst,MA •m Number of Bedrooms: 4 Nome 300 Primary Heating System: Furnace•Natural Gas•95 AFUE Primary Cooling System: Air Conditioner•Electric•13 SEER Rating Providtffnergy Raters of Massachusetts Pflmar Water Heating. Water Heater•Propane•0.95 Ener Factor ?Wrx>dlavrn Street Amesbury,MA 01913 ro Y 9= p 9Y House Tightness: 2.5 ACH54 978-270-3911so 1 T {e i Ventilation: 82.0 CFM•60.0 Watts w Duct leakage to Outside: 0 CFM25(0/100 s.f.) �a Above Grade Walls: R-19 zwo Erw aa' Ceiling: Vaulted Roof,R-52 ►so•ne 0 Window Type: U-Value:0,29,SHGC:0.25 David Gagne,Certified Energy Rater .M„n,.. Foundation Walls: R-13 Digitally signed:9/23/19 at 11:14 AM wtropeEkotrope' This porret does . constitute a BUit_'FBS SNC vqD �_._____ ._..._____.__......_t.._..............__..._..._...._._.._._.... 29.77 EMERSON WAY .......................... _...... ................ NGRWIMPTON.MA / 7 i{...' ....f f n. 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