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24D-208 (6) 12 WINSLOW AVE BP-2020-0432 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23d-208 CITY OF NORTHAMPTON Lot: - 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-2020-0432 Proiect# JS-2020-000667 Est.Cost: $250000.00 Fee: $1188.80 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Group: NU-WAY HOMES INC 013693 Lot Size(sg.ft.): Owner: NU-WAY HOMES INC Zoning: Applicant. NU-WAY HOMES INC AT. 12 WINSLOW AVE Applicant Address: Phone: Insurance: 10 WHITE AVE (413,) 563-0085 EAST LONGMEADOWMA01028 ISSUED ON.10/10/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:ZPA- NEW SINGLE FAMILY HOUSE -ZERO LOT LINE POST THIS CARD SO IT ISVISIBLE 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 De artment 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 Si nature: FeeTyue: Date Paid: Amount: Building 10/10/2019 0:00:00 $1188.80 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0432 APPLICANT/CONTACT PERS N NU-WAY HOMES INC ADDRESS/PHONE 10 WHITE AVE EAST LONGMEADOW (413)563-0085 PROPERTY LOCATION 12 W NSLOW AVE MAP 23d PARCEL 208 ZONEI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST FNCLOSEP7 n REQUIRED DATE ZONING FORM FILLED OUT' Fee Paid ' Building Permit Filled out Fee Paid Typeof Construction:_ZPA-NEW SINGLE FAMILY HOUS -ZERO LOT LINE New Construction Non Structural interior renovations Addition to Existin Accessoa Structure Building Plans Included: Owner/Statement or License 013693 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTE Approved Additional ermits 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 PER IT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: J Curb Cut from DPW y 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 Dela 0/10M Sig ture of Building Official ' VU 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 app icable permit granting authorities. *Variances are granted only to tihose applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development form re information. cco c ct-d- Department use only - City of Northampton Status of Permit: p ,�? Building Department Curb Cut/Driveway Permit i 212 Main Street Sewer/Septic Availability Room 100 WaterM/ell Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit Vl� J Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record,:/ T flu� —LtJ 14l�'JC �J �i /{ (J e . /6 L 4�H 9 iN r41�U1./L Name(Print) Current Mailing Address: Telephone Signa r 2.2 Authorized Agent: T /J / J(M�'1�% `'✓1, 1-41--,4 z-e/ fy/1 y)7]/t'l Name(Pr t) Current Mailing Address: �j/6;� Signatur Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building Q 7 Svc (a) Building Permit Fee 2. Electrical > 7 (b) Estimated Total Cost of rb n Construction from 6 3. Plumbing 17, Building Permit Fee /1 4. Mechanical(HVAC) j 5. Fire Protection �/ S UD' 6. Total = 0 +2 + 3+4+ 5) pi�ab Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: G a I Building Commissioner/Inspector of Buildings Date Irk v c V�n MIPs 6 @ '-.f-I'(4; 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 977//O Frontage 6 0 'Of Setbacks Front X69 J-1/ Side L: R: L: R: Rear 87'G Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved 76 parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/F'ndin ever been issued for/on the site? NO Q DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 0 YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW X YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O 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 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 O 140� 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 Addition Replacement Windows Alteration(s) Roofing ❑ Or Doors 13 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [[--3] Other[0] Brief Des�crii tion of Proposed Work: -V0 Cain R,��[' 4el'.) ��.f! t,,,,"71, is &)'7L--C I4K � R✓l'� @ .k: Alteration of existing bedroom Yes No Adding new bedroom Yes No fi• Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet = 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms /A c. Is there a garage attached? _ J z 37 d. Proposed Square footage of new construction. � v Dimensions e. Number of stories? f. Method of heating? C'4—s /'T cr /q/k Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. L" Masscheck Energy Compliance form attached? h. Type of construction 0 d-, Vfir7%i P7,-v- V-4 m-�f i. Is construction within 100 ft. of wetlands? Yesy/No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade /r� l` / k. Will building conform to the Building ,and dZZoning regulations? y Yes No . I. Septic Tank City Sewer v Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT lq , as Owner of the subject property hereby authorize X04, /41, ff Bil 7.i / to act on m behalf, in all matte relative to work authorized by this building permit application. G Sign of Owner Date I, U " ZQas Owner/Authorized Agent hereby declarEfthat the statements and informa(ionjWthe foregoing application are'tri rid faccurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signatur of wner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: 0 License Number Addre G/0 2,P Expiration ate / J 5 � 00 IS Signtelephone 9.Reallstered Home Improvement 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 • Massachusetts ' DEPARTMENT OF BUILDING INSPECTIONS �'• � 212 Main Street • Municipal Building b Northampton, MA 01060 Sfbh, {�0C 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 performing improvements or renovations on detached one to four family homes. 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, modemization, 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: Reg�tration is not required for the following reason(s): Work excluded by law(explain): /11 e(,J U-1-7 /L U G77 v7 _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: Wv- Date Ovkfer Name and Signature City of Northampton r.•� Massachusetts DEPARTMENT OF BUILDING INSPECTIONS P'... 212 Main Street • Municipal Building vhf 0C' Northampton, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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 Commonwealth of Massachusetts Department of Industrial Accidents d 1 Congress Street, Suite 100 Boston,MA 02114-2017 t www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aualicant Information Please Print LesTibly Name (Business/Organization/Individual): V'(v Address: A-)",'?X- li ue 67 ,M W,6/o C 1 /.5�3 Dt�s City/State/Zip: Phone#: 3 Are you an employer?Check the appropriate box: Type ofroject(required): l.0 I am a employer with employees(full and/or part-time).* 7. construction 2.r_j I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.n I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition 4.[:]1 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 11.0 Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.[]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E:]Roof repairs These sub-contractors have employees and have workers'comp.insurance. are a corporation and its offic$rs have exercised their right of exemption per MGL c. 14.[]Other � -152,§1(4),and we have no employees.[No workers'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. 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: 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 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 copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern under the pains and enaides of erjury that the information provided above is true and correct. Si nature: Date: �l7 Phone#: Official use onh'. 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia r � Permit No. D 09-20 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 09/24/19 Check #: FEE: $250.00 Proposed driveway must be staked and address and/or lot number posted. Public Shade Trees are Protected by MGL Chapter 87. Do not cut, trim or remove any trees on City property without the expressed written permission of the Tree Warden. The undersigned respectfully petitions The Department of Public Works for: A new Curb Cut Permission to install a driveway at: 12 WINSLOW AVE. Fifteen (15) foot maximum width from street line to property line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. The first one hundred (100) feet of the driveway surface shall be paved as soon as possible if the grade of the proposed driveway exceeds 3% at any point in the first one hundred (100) feet. Homeowners will be held responsible for any costs to the City of Northampton in the event of a washout of this driveway. City is not responsible for culverts installed under driveways in City layout. Code of Ordinances §350-8.8 providing standards for private, individual driveways as most recently amended, must be followed. No excavation is authorized without a valid trench permit in addition to this permit. By: JOHN HANDZEL/NUWAY HOMES Telephone: 413-563-0085 Signature: Superintend'nt-Tree Warde Highway Su r ntendent Dateores rks&Cemetery Date Proposed Location& Tree ProtectionPhA z �� / Z Ins ections �G 40,1 Gravel Base Grade Inspected Final Approval Director of Public Works Cc: Building Inspector (SUBJECT TO ATTACHED CONDITIONS 1 & 2) CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 125 Locust Street Northampton, MA 01060 413-587-1570 Fax 413-587-1576 Donna LaScaleia Director ASSIGNMENT OF HOUSE NUMBER Street: Winslow Avenue Assessors Map: Map 23D, Lot 208 House Number: 12 Date: September 23, 2019 Remarks: Address assigned to an existing lot on Winslow Avenue shown as "Lot-1" on a plan entitled Plan of Land in Northampton, Massachusetts, Owner: Nu-Way Homes, Inc. by Richard J. Labarge& Sons, Stephen A Salvini, registered PLS, dated September 4, 2019, and recorded in the Hampshire Registry of Deeds in Plan Book 245, Page 90. The number assignment was requested by the owner/applicant for permitting purposes for the construction of a single family dwelling with driveway entering from Winslow Avenue. v David K. Veleta, P.E. City Engineer cc: Central Dispatch Board of Health Water Division --- Sewer Division National Grid Streets Division Verizon Telephone Inspectors Comcast Assessors Columbia Gas of Massachusetts Police Department Post Office(Northampton) James Thompson ( IS Coordinator) Post Office(Easthampton) Registrar of Voters School Department MassGIS (via email) Address Management Systems Owner/Applicant: Nu-Way Homes, John Handzel 10 White Avenue East Longmeadow, MA 010?8 M:House NumbersWinslow Ave 1;12WinslowAve 20190923.doe 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: 12 WINSLOW AVE Date of Inquiry: 09/24/19 JOHN HANDZEL/NU-WAY HOMES 413-bb3-0085 Inquirer with contact info: nuwayhomes60@gmail.com Reason for Request: NEW CONSTRUCTION Municipal Sewer Main in Front of Location: Yes V No Size of Sewer Main: I Material: V G Age: 1 9 }- Depth of Sewer Main: �- Length of Sewer Main: 3 �� Size of Service Connection: Type of Service Connection: 1le✓' +Q rv&M Domestic Tie In: //($1,250) Subdivision Tie In : ($2,500) Tie-in to 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 7 shall conform to Northampton Streets Department specifications. A/4" Date: Sewer Dept. Foreman *Sewer Entry$ *Fees will be charged based on current fee structure at the time of entry application 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: 12 WINSLOW AVE. Inquiry Made By: JOHN HANDZEL/NUWAY HOMES 413-563-0085 (Name) (Telephone Number) Date of Inquiry: 9/24/2019 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 No X Size of Water Main: 8" Material: Ductile Iron Age: 2015 Approximate Static Street Pressure: 70 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' New tap required in the street. - A corresponding water enterance fee shall be paid prior to making any connection to the municipal water system. -Arrangement of such installation shall be made with the Northampton Water Department within a minimu wor ng days notifi -All work shall c for o a pton ater Department specifications. " , 9- 0? (Water Superintendent) (Date) *Water Entry X ($1,250) Domestic *Meter $ 450 *Radio Read $150 ($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 l b- O I City of Northampton •'` Massachusetts ���5`S I DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street •Municipal Building Jy Oa Northampton, MA 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: 310 IlUP (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: /q��/ '" ,��CvLC It f: (Company Name anAddress) ds Pt L-r, 0 o C-) 0 Signatur of ermit Applicant or Owner Da e 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. The Commonwealth of Massachusetts = Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electr-icians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Ch k the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. New construction 2.E]I am a sole proprietor or partners and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.in ce required.] 9. ❑Demolition 3.F1 I am a homeowner doing all work myself workers'comp.insurance requ d.]t 10 Q Building addition 4❑I am a homeowner and will be hiring contractors conduct all work on in property. I will ensure that all contractors either have workers'co m nation insurance are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contract liste on the attached sheet. 13.FlRoof repairs These sub-contractors have employees and have workers'co nsurance.t p 6.❑We are a corporation and its officers have exercised their ri of emption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'corn .insuranc equired.] *Any applicant that checks box#1 must also fill out the sectio low showing th workers'compensation policy information. t Homeowners who submit this affidavit indicating they are ing all work and then outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an addition sheet showing the name oft ub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they ust provide their workers'comp.NLicy number. I am an employer that is providing worke 'compensation insurance for my a toyees. 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 worker compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage a required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprison nt,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and penalties of perjurr that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/To"n Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: The debris will be transported by: U5 /r9U lee t C d S6K -r- '0 i d�F The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant City of Northampton v Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yJ` CLQ Northampton, MA 01060 Fee Calculator for Residential Properties r Location : / Square Footage Amount Basement @ .20 / 1ST Floor @ .50 S 2nd Floor @ .50 '/2 Floors, Finish Attic, Garage @ .20 Deck / Porches @ .20 'L/ Total : r R Commonwealth of Massachusetts 1 Division of Professional licensure Board of Building Regulations and Standards ConstKrdi$A'1§t*grvisor / CS-013693 FAm i re s: 07120/2021 JOHN M HANPZEL i 10 WHITE AVENUE _ EAST LONGP4ADO 1028 Commissioner N WINSLOW AVENUE W E S 9°10'06"E 60.00' 20.5ft 12.Oft PROPOSED HOUSE I I t I 16.Oft I H 1 1 z i D 1 IN o I I to A 4' v1 w 1 Im I I i I I 87.5ft LOT 1 1 I 8740.0 SQ. FT. 1 0.20 ACRES I I I I S 00°49'53"E j 2.00' I I I - ---- ------- ----Z-- -- �t�OD" ---------------- 20.00'1 S 89,10,06"W I 1 I I 1 LINES PER PLAN 211/106 OF Mgs�9 AND PLAN 162/101 O �yG MICHAE CD SM -' No.48742 e 0 ( LANA S�Q� OWNER: NU-WAY HOMES INC. PLAN OF LAND AT: SAME ADDRESS: 1XWINSLOW AVENUE NORTHAMPTON, MA DATE: 9/9/2019 SCALE: 1" =30' HAMPSHIRE COUNTY BOOK OF PLANS: 245 PAGE NO.: 90 LOT NO.: 1 SMITH ASSOCIATES DEED BOOK: 13341 i p SURVEYORS, INC. PAGE NO.: 30J 468 BALDWM STREET-EAST LONGMEADOW,MA-01028 (413)525-8801 Quick Analysis Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DellaTorre Rater ID:8776762 � �,,Q Q,DA7;�-, Registry ID: Weather:Chicopee, MA Builder LCl John Handzel Custom John Handzel -Nu-Way Homes Inc HERS-0073-0754—John Handzel-1 2 Winslow Ave Projected Rating: Based on Plans - Field Confirmation Required. Design Load (kBtu/hr) Total Area (sq ft) Heating 31.4 Door 57.8 Cooling 17.7 Ceiling 1138 Annual Load (MMBtu/yr) Skylight 0.0 Duct 1034.7 Heating 46.7 Cooling 4.9 Ratios Water Heating 12.9 Window-to-Wall 0.115 Window-to-Floor 0.085 Annual Consumption (MMBtu/yr) Heating 49.6 Window Area by Orientation (sq ft) Cooling 1.4 North 28.9 Water Heating 13.4 theast 0.0 Lights 8 Appliance 23.5 94.3 Photovoltaics -0.0 east 0.0 Total 87.9 So 30.1 171 1) st Annual Energy Cost ($/yr) Sout 0.0 86.2 Heating . `6 North 0.0 Cooling Water Heating 186 Codes Lights it Appliances 890 IECC 2018 UA Fails Photovoltaics -0 IECC 2018 Performance Fails Service Charges 177 IECC 2015 UA Passes Total 1968 IECC 2015 Performance Passes Total Area (sq ft) IECC 2012 Code Fails IECC 2009 Code Fails Conditioned Space 2803 IECC 2006 Code Fails Shell Area 5594 Iowa Code Fails Above Grade Shell Area 3964 Michigan Code Fails Foundation Wall 992.0 Illinois Code Passes Slab Floor 886 NY-ECCC 2016 Performance Fails Floor 250 North Carolina Code Fails Rim And Band Joist 248.0 North Carolina HERO Fails Above-Grade Wall 2080.0 Window 239.5 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. Quick Analysis Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DeRaTorre Rater ID:8776762 Registry ID: Weather:Chicopee, MA Builder John Handzel Custom John Handzel -Nu-Way Homes Inc HERS_0073_0754_John Handzel 12 Winslow Ave Projected Rating: Based on Plans - Field Confirmation Required. Programs EPA ENERGY STAR 3.0 Fails EPA ENERGY STAR 3.0 Topics Fails EPA ENERGY STAR 3.1 Fails EPA ENERGY STAR 3.2 WA, OR Fails EPA ENERGY STAR 1.1 MF NC Fails Tax Credit Fails DOE Zero Energy Ready Home Fails,p HERS Index (with IAF) 54/Jg,D-&7; - IECC 2015 ERI 56 IECC 2018 ERI 56 WH Infiltration Natural ACH 0.16 ACH50 (Pa) 3.00 CFM50(Pa) 1022 ELA(sq.in) 56.1 SLA CFM50/sf shell L) WH Ventailation (continuous) Type Exhaust Only Asls (equiv. cfm) 100 62.2-2010 (cfm) 66 62.2-2013 (cfm) 89 REM/Rate - Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. © 1985-2018 NORESCO, Boulder, Colorado. Page 2 of 2 2015 IECC Building UA Compliance Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DellaTorre Rater ID:8776762 Weather:Chicopee, MA Builder John Handzel Custom John Handzel -Nu-Way Homes Inc HERS_0073_0754_John Handzel 12 Winslow Ave Elements Insulation Levels 2015 IECC As Designed Shell UA Check Ceilings: 29.6 23.9 Above-Grade Walls: 123.0 116.9 Windows and Doors: 95.1 75.0 Floors Over Garage: 8.3 8.8 Basement Walls: 48.9 61.6 Overall UA(Design must be equal or lower): 304.9 286.3 Mandatory Requirements Shell UA Check PASSES Duct Insulation R Check(per S[15 3.3.1) PASSES Window U Val eck (p 5) PASSES Home Infiltrati Section .1.2 PASSES Duct Testing ( ion 403.3. PASSES Mechanical Ve tion (Sect 03. PASSES Mechanical Ve tion Fan acyn 6.1) PASSES Mandatory Req ment BoxIEC PASSES This home MEETS the overall thermal performance requirements and verifications of the International Energy Conservation Code based on a climate zone of 5A. (Section 402, International Energy Conservation Code, 2015 edition.) In fact, this home surpasses the requirements by 6.1°x. Name Paul J. DellaTorre Signature / g� 7�'1n0' Organization Noonan Energy Corp Date: 1 October 2019 REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. 2015 IECC Energy Cost Compliance Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DellaTorre Rater ID:8776762 Weather:Chicopee, MA Builder John Handzel Custom John Handzel -Nu-Way Homes Inc HERS_0073_0754_John Annual Energy Cost $/yr 2015 IECC As Designed Heating 758 720 Cooling 165 126 Water Heating 316 316 SubTotal - Used to Determine Compliance 1239 1161 Mechanical Ventilation Fan 38 18 Lights ft Appliances (minus MechVent) 990 872 Photovoltaics -0 -0 Service Charge 177 177 Total 2443 2228 Mandatory R is Annual Energy Check PASSES Duct Insulation lue Chec r S n 405. PASSES Window U-Valu d SHGC C (p 5) PASSES Home Infiltrati ection 40 1) PASSES Duct Testing (S n 403.3 PASSES Mechanical Ven n 403. PASSES Mechanical Venti ation Fan Efficacy( ection 403.6. PASSES Mandatory Requirements Check Box(2015 IECC) PASSES This home MEETS the annual energy cost requirements of Section 405 of the 2015 International Energy Conservation Code based on a climate zone of 5A. In fact, this home surpasses the requirements by�66..2%. Name Paul J. DellaTorre Signature✓'"�g Organization Noonan Energy Corp Date 1 October 2019 In accordance with IECC, building inputs, such as setpoints, infiltration rates, and window shading may have been changed prior to calculating annual energy cost. Furthermore, the standard reference design HVAC system efficiencies are set equal to those in the design home as specified in the 2015 IECC. These standards are subject to change, and software updates should be obtained periodically to ensure the compliance calculations reflect current federal minimum standards. REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. © 1985-2018 NORESCO, Boulder, Colorado. Air Leakage Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DellaTorre Rater ID:8776762 Weather:Chicopee, MA Builder John Handzel Custom John Handzel -Nu-Way Homes Inc HERS_0073_0754_John Handzel-1 2 Winslow Ave Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.17 0.13 ACH @ 50 Pascals 3.00 3.00 CFM @ 25 Pascals 652 652 CFM @ 50 Pascals 1022 1022 Eff. Leakage Area (sq.in) 56.1 56.1 Specific Leakage Area 0.00014 0.00014 ELA/100 sf shell (sq.in) 1.00 1.00 CFM50/sf shell 0.18 0.18 Duct Leakage Leakage to Outside Units Ducts' CFM @ 25 Pascals 4 CFM25 / CFMfan 0.0036 C 0.0 C er Std 1 C er Std 15 FA / C 50 Pasca 7 Ef akage Ar q.i 0.38 Th al Effi T age Un 5/CFA Total Duct Leakage 0.0209 Ventilation Mechanical Exhaust Only ASHRAE ASHRAE Adj. Sensible Recovery Eff. (%) 0.0 62.2-2010 62.2-2013 Adj. Total Recovery Eff. (%) 0.0 Rate(cfm) 100 66 89 /qg,D,&7'""¢' Hours/Day 24.0 24.0 24.0 Fan Watts 14.0 Cooling Ventilation Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-building' requirement under that version of the standard. The 62.2-2013 rate incorporates any appropriate'infiltration credit'. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate - Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado. ENERGY STAR v3 . 1 Home Verification Summary Property Organization HERS John Handzel Noonan Energy Corp ProjectedWorstCase 12 Winslow Ave 413-427-2423 Rating No:0073-0754 Northamton, MA 01062 Paul J. DellaTorre Rater ID:8776762 Weather:Chicopee, MA Builder John Handzel Custom John Handzel -Nu-Way Homes Inc HERS-0073-0754—John Handzel 12 Winslow Ave Projected Rating: Based on Plans - Field Confirmation Required. Building Information Rating Conditioned Area (sq ft) 2803 ENERGY STAR HERS Index Target 60 Conditioned Volume (cubic ft) 20448 HERS Index w/o PV � 9 554 4 Insulated Shell Area (sq ft) 5594 HERS Index Number of Bedrooms 4 Housing Type Single-family detached Foundation Type Conditioned basement This home DOES NOT MEET the energy efficiency requirements for designation as an EPA ENERGY STAR Version 3.1 Certified Home. HERS Index w/o PV<= ES HERS Index Target to comply. Building Shell Ceiling Blown, A 21 Win Seal c 0 Vaulted ing None Window/ Ratio 0.12 Above Grad lls R 21** 05 Infiltra wer door Found. Wall nd) R10.2 inu I 4g: 3.00 Clg: ACH50 Found. Walls( nd) None age t tside 7.00 CFM @ 50 als ors R- 0.035 Duc kage 87.00 CFM @ 5 at Sla Mated*** ******** 6 Mechanical Systems Heating Fuel-fired air distribution, 57.0 kBtuh, 95.1 AFUE. Cooling Air conditioner, 28.0 kBtuh, 13.0 SEER. Water Heating Instant water heater, Gas, 0.96 EF. Programmable Thermostat Heat=Yes; Cool=Yes Ventilation System Exhaust Only: 100 cfm, 14.0 watts. Lights and Appliances Interior LED Lighting (%) 100.00 Clothes Dryer Fuel Natural gas Refrigerator(kWh/yr) 709.00 Clothes Dryer CEF 2.32 Dishwasher Energy Factor 0.46 Clothes Washer LER 704.00 Ceiling Fan (cfm/Watt) 0.00 Clothes Washer Capacity 2.87 Range/Oven Fuel Electric Note: Where feature level varies in home, the dominant value is shown. REM/Rate- Residential Energy Analysis and Rating Software v15.7.3 This information does not constitute any warranty of energy costs or savings. ©1985-2018 NORESCO, Boulder, Colorado.