11 Hatfield BP-18-1348 Signoff11 HATFIELD ST -DIAL SELF
GIS#:
' BP-2018-1348
COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23B -030 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
::....;:Pe=rm=it;.;_: --=B=ui=ld=in.:...a.g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: NEW COMMERCIAL BUILDING BUILDIN.G PERMIT
Permit# BP-2018-1345
Project# JS-2018-002396
Est. Cost: $725000 .00
Fee: $4712 .00
Const. Class:
Use Group:
Lot Size(sg. ft.): 5793.48
Zoning: URB{IOO)I
Applicant Address:
35MAINST
PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
KEITER BU I LDERS __ ___;_1..;:;..;02;;;..4~5-'--7
Owner: RINGWOOD PHILLIP
Applicant: KEITER BUILDERS
AT: 11 HATFIELD ST -DiAL SELF
Phone:
(413) 586-8600 ()
Insurance:
WC
FLORENCEMA01062 ISSUED ON:
TO PERFORM THE FOLLOWING WORK:NEW 2600 SQ FT 2 STORY BUILDING WITH 4
SRO UNITS-FOUNDATION ONLY F~vt, f€-IZ/\I\\\ 4/'-{ / 19
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Ins'.,hi of Plumbing Inspector of Wiring D.P.W.
// z ')f dt:-
Undergroun . Service: Meter:
Rough: Rough: c:J, G.,-I f House#
~rr ~ Driveway Fina l:
Final:/-7-ZO Final:/-/'--~ ;,1£ ~~~
Building Inspector ,..
I foO((~~ '
9/'ll (~4A f f2tJN'i S€<-t f'N ok_
Footings: / /t ~ l 64i ~undation: Of l g ?))
o, I< t of 1) 1 i tJ t __,,
LAst 8€fdl'lf: ~l~
Rough Frame: Ci 1<.". 6 · Z 1 · I 'f /( fl.
Gas: Fire De12a rt ment Fireplace/Chimney:0 -i C/~/1)-Jt"I // ~
Rough: Insu lation: / { tl c...u. SL.A, c,i'-ii ~ l CJ I y
Fina l: 0.J{ J-2l/,2DZO JI{? Final: Smoke: OJ-j ... J7-~
~~
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE UL TIONS.
Certificate of Occu
FeeType:
' Building
Si nature:
Date Paid: Amount :
$4712 .00
212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272
Louis Hasbrouck -Building Commissioner
ASAP
CITY OF NORTHAMPTON, MASSACHUSETTS l lA -11 B HATFIELD ST
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
413-587-1570
Fax 413-587-1576
Trench Permit Number: 2019-209
Date Approved: / 0 -2 2 -/ g {J,,G
Expiration Date: {I {t£/, '2 f~
. (for City Use Only)
EX CA V ATION/fRENCH PERMIT
Pursuant to G.L. c. 82A and 520 CMR 14.00 et seq. (as amended)
This permit must be fully completed prior to consideration. Submit completed form with permit fee to
Northampton Department of Public Works , 125 Locust Street, Northampton, MA 01060.
This permit is issued under the provisions of M.G.L. c. 82A, 520 CMR 14.00 and applicable sections of the
· Revised Ordinances of the City of Northampton, including, but not limited to, Section 285-21.
Fee: $250 Check#: 9097 Date Issued: l 0/16/18
Name of Applicant Primary Phone #
KEITER BUILDERS, INC 413-586-8600 .(JILL)
Street Address Emergency Phone #
35 MAIN STREET 320-9035
City/Town State Zip Email
· FLORENCE MA 01062 bmoynihan@keiterbuilders.com
Name of Excavator Primary Phone #
SAME
Street Address Emergency Phone #
City/Town State Zip Email
Name of Property Owner(s) Primary Phone #
DIAL SELF 413-774-7054
Street Address Emergency Phone #
11 HATFIELD STREET
City/Town State Zip Email
N'HAMPTON MA 01060
Insurance Certificate# Policy Expiration Date
ON FILE ·
Name & Contact Information of Insurer
ON FILE
Dig Safe#
2018-420-2371
3 &TEJ\lS I Ol\\S' Pg .1/4, Excavation/Trench Permit
-fu )0 w~-+twJ+~
Project Description/Location of Work. Provide the following: Iv! Description of purpose and exact location of proposed work including description of what is to
be laid or repaired in the proposed trench (e .g. water pipe, sewer pipe, drain pipe, gas line,
power line, communication lines, etc ~ Anticipated Start of Work Date.
~ Dig Safe number.
~. Submit plans -very specific and include a sketch or drawing showing proposed work.
lvl tnclude color photo of work site from several angles.
Iv I Insurance certificate of liablity.
lvl All contact informati on.
1 v I $250 payable to the City of Northampton.
Tie into city water and sewer for new and exisiting building.
Start October 22,2018
YES NO
X
Check here if Emergency.
Describe.
X Work in Public Right-of-Way
X Work on Private Property
,)( Work within State Layout ( If yes, attach State Permit)
X Work within I 00 ft. of a wetland or 200 ft. of a stream or river. (If yes. attach Permit)
X Work within Floodplain. (lfyes attac h Permit)
X Public Water/Sewer/Drain Entry Permit (Attach Permit, if available)
X Driveway Permit (Attach Permit, if available)
Pg .2/10
By signing this form, the applicant, owner and excavator all acknowledge and certify that
they are familiar with, or, before commencement of the work, will become familiar with, all
laws and regulations applicable to work proposed, including OSHA regulations, M.G.L. c.
82a, 520 CMR 14.00 et seq., and any applicable municipal ordinances, by-laws and
regulations, and they covenant and agree that all work done under the permit issued for such
work will comply therewith in all respects and with the conditions set forth below.
The.tfodersigned owner authorizes the applicant to apply for the permit and authorizes
persons duly appointed by the municipality to enter upon the property to monitor and
inspect the work for conformity with the conditions attached hereto and the laws and
regulations governing such work for the duration of the construction.
The undersigned applicant, owner and excavator agree jointly and severally to reimburse the
municipality for any costs and expenses incurred by the municipality in connection with this
permit and the work conducted thereunder, including but not limited to enforcing the
requirements of state law and conditions of this permit, inspections made to assure
compliance therewith, and measures taken by the municipality to protect the public where
the applicant, owner or excavator has failed to comply therewith, including police details and
other remedial measures deemed necessary by the municipality.
The undersigned applicant, owner and excavator agree jointly and severally to defend,
indemnify, and hold harmless the municipality and all of its agents and employees from any
and all liability, causes or action, costs and expenses resulting from or arising out of any
injury, death, loss or damage to any person or property during the work conducted under
this permit.
By signing this form, the applicant, owner and excavator acknowledge that they have read
and understand all the information set forth in and referenced within this application
package and that they agree to comply in all respects with the requirements therein.
Applican '
/o/r f fry
Date' 1
Date
Owner Signature (if different) Date
Pg .3/10
To be completed when approved permit is picked up.
By signing below, the applicant acknowledges and agrees to all the conditions of approval stated below
Date
For City Use --Do not write in this section
Department Approvals/Comment
,water Ult i o in 1 (~-
sew•~ W /n /J_~
.Streets ~(j-/0-/$
Condition of road~---F----"=----.cc.---------
Road last paved: ______ _._/---lq--+q---+7_
Conditions of Approval
D
D
D
Fee
Control Density Fill Required
Must install clean-out (See Attached)
Other requirements (See Attached)
D
D
D
Other Referenced Permits
Refer to Engineering for plans
Subject to 5-yr. pavement moratorium
Water/Sewer/Drain Entry Permit
D $250 Permit Application Fee received (Check payable to the City of Northampton)
D Fee Waived. Reason: ________________________ _
Date
Pg.4/4
CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton, MA 01060
413-587-1570
Fax 413-587-1576
Sewer Entry # __ ___c::....=--=----
Date A pproved :-4-o=--__.""----r----
SEWER CONNECTION/ENTRY PERMIT EXTENSION REQUEST
Pursuant to G.L. c. 82A and 520 CMR 14.00 et seq. (as amended)
This permit extension request must be fully completed prior to consideration. Submit completed
to Northampton Department of Public Works, 125 Locust Street, Northampton, MA O 1060.
This permit extension is issued under the provisions ofM.G .L. c. 82A, 520 CMR 14.00 and applicable
sections of the Revised Ordinances of the City of Northampton, including, but not limited to, Section 260.5 .
It is subject to all the same requirements and regulati'ons that are required in the original permit and as
amended as conditions of this permit extension.
By signing this form, the applicant acknowledges that he/she has read and understands all the
information set forth in and referenced within this application package and that they agree to comply
in all 1·espects with the requirements therein.
Issued
Projected Completion Date :
Applicant Signature
Zip ..
oLUbV
___________________ Date: _____ _
For City Use --Do not write in thjs section
Conditions of Approval: If applicable (See Attached)
(}.)
Director of Public Work~
/" I
CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS ~--------------,
Water Entry# W '/{)-I 2 125 Locust Street
Northampton , MA 01060
413-587-1570
Date Approved: { 0 -1...1.. -l ~ '!fl-
Fax 413-587-1576 Revised Expiration Date: __ _
(for City Use Only)
WATER CONNECTION/ENTRY PERMIT EXTENSION REQUEST
Pursuant to G.L. c. 82A and 520 CMR 14 .00 et seq. (as amended)
Th is permit extension request must be fully completed prior to consideration. Submit completed
to Northampton Department of Public Works, 125 Locust Street, Northampton, MA 01060.
Thii : permit extension is issued under the provisions of M.G.L. c. 82A, 520 CMR 14.00 and applicable:
sections of the Revised Ordinances of the City of Northampton, including, but not limited to, Section :125-3.
It is subject to all the same requirements and regulations that are required in the original permit and as
amended as conditions of this permit extension.
By sign ing this form, the applicant acknowledges that be/she has read and understands all the
informHtion set forth in and referenced within this application package and that they agree to cc,mply
in all respects with the requirements therein.
Issued Water Entry Permit Number
__1y Llo -1i
Name of Applicant
¥:-e( if ~\t c..L~
; d._j_ s-t
Zip Email
otObO
xplanat ion of reason for request for permit extension.
~ le_ /li & LA--V't
vJ e_r;v--¥
Proj~-: ________ _,___,,_A) __ ~ ___ W_;__ ___ t) ___ .~ __ l_/
Applic __ Ll~ . .-d':~--~----) ~ Date: {O/lr/tl
-----------I
For City Use --Do not write in this section
Conditic,ns of Approval: If applicable (See Attached)
CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust St reet
NorthamptQn, MA 01060
413-587-1570
Water Entry# W ~ ~1~
Date Approved : ( O -],, 1 ~ ( ~ {h_
Fax 413-587-1576 Revised Expiration Date: ______ _
(for City Use Only)
WATER CONNECTION/ENTRY PERMIT EXTENSION REQUEST
Pursuant to G.L. c. 82A and 520 CMR 14.00 et seq. (as amended)
Th is permit extension request must be fully completed prior to consideration. Submit completed
to Northampton Depa rtmen t of Public Works, l 25 Locust Street, Northampton, MA O 1060 .
Thii : permit extension is issued under the provisions of M.G.L. c. 82A , 520 CMR 14 .00 and app'licabk
sections of the Revised Ordinances o f the City of Northampton , including, but not limited to, Section J25-3.
It is subject to all the same requirements and regulations that are required in the original permit and as
amended as conditions of this permit extension.
By sign nng this form, the appli cant acknowledges that be/she bas read and understands allithe
information set forth in and referenced within this application package and that they agree to comply
in all respects with the requi rements therein.
Primary Phone #
Emergency Phone #
3· os<
Zip
OLO
xplanat ion of reason for requ e st fo r permit extension.
s~e.uJJL ~J
U)12A.-f(;U,/
Projected Completion Date :
Apprn_e....,~r-------=-~------Date:
For City Use --Do not write in thjs section
If applicab le (See Attached)
Director of Public Works
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
413-587-15 70
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: 11 A & 11 B HATFIELD STREET
Date of Inquiry: ____________ 0_6.,__/_14-.J./_1_8 _________ _
Inquirer with contact info: KEITER BUILDERS INC. 586-8600 ---------------------------
Reason for Request: NEW CONSTRUCTION EXISTING HOUSE 2 APARTMENTS
NEW CONSTRUCTION BUILDING WITH 4 APARTMENTS
Municipal Sewer Main in Front of Location: Yes ./ No
Size of Sewer Main: Material: Age:
<1 I / ll Depth of Sewer Main: , (2 ---------------------------
.., 1..1 I Length of Sewer Main: '-----,-------------------------
,: \l
Size of Service Connection: \/
Type of Service Connection: T )'j.'
6in to Sanitary Main:~~ Tie-in to Sanitary Stub: ----
Tie-in to Private Sanitary: ---Tie-in to Existing Sanitary Service: ---
Comments:
City Requires 6" cleanout installed at City Property Line
Note: If this availability is for new consn-uction, 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.
Date:
Sewer Dept. Foreman oo
Sewer Entry$ 2.DO -
--------
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. Lu Lf O -1
Location: 11 A & 11 B HATFIE LD STREET 2 BUILDINGS
Inquiry Made By: KEITER BUILDERS 586-8600 ----------------(Name) (Telephone Number)
Date of Inquiry: 6/14/2018 -~-"'-----Fire Line X Irrigation __ Domestic X
Number of Units : 2 &4
(Applicant to fill out the above)
Type of Units :
Single Family
Apartments_!.._
Muli-Family
Commercial
Typ e of Ownership:
Private X
Condo
Rental X
Municipal Water Main in Front of Location: Yes X
No~-
CI
No
Existing service to site?
Size of Water Main: tO /I
Yes.....L~
Material: Age: ,i,s -------
Appro ximate Static Street Pressure: -'IS ps, Flow Test Conducted: Yes No~
(If flow t es t conducted attach results)
Size of Se rvice Connection : D.L I ;'/ -II A "'\ "" -I IB Suggested Meter Size : '1 ti---
Comments: The Water Department cannot guarantee adequate water pressure during
peak demand times at elevations above 320'
-A c orre sponding water enterance fee shall be paid prior to making a ny connection to the municipal
water system.
-Arrangement of such installation shall be made with the Northampton Water Department within a o'v
minimum of 5 working days notification . 5 b (}
-All work shall conform to Northampton Water Department specifications. } J fr I ~ · =---ee-2 6-18-t? 11 13 7J
(W~~
0
er
0
Superintend~nt:) t'~ 180.00 (Date) l 1S
~ 1.q-t~9S r
Wate r Entry$ 'l,kO Fire Line $ ~00 Mete r$"" -' ()() Radio Read$ I 3S
cc: City of Northampton Building Dept/Commissioner
NOTE: If this availablitiy is for a new construction, it must be hand delivered to the Buildin /
Inspector
L'S 8-03 O·C>Dl
·ill_ =r: D
HEATLOK®I:~ HIGH LIFT Company Name Spray Right Foam Insulation Applicator Name Nathan Abdelmaseh Jobsite Address 11 Hatfield St Northampton MA 01060 Permit Number Cathedral Ceiling 6.5 Inches Exterior Walls Under Cellulose 21nches Exterior Walls Full Thickness Slnches Attic (Flat Ceiling) Air seal Sheetrock Penetrations www.sprayrightfoam.com www.Demilec.com Phone Number 413-657-3713 Installation Date · August 28 thru 30th 2019 A-Side Lot #'s GE018657 & GE018670 B-Side Lot #'s P1269814419 & P3704717119 R49 R15 R13 Cellulose over foam R38 13.2 Inches of Cellulose R49 ori top of air seal 4DEMILEC