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25C-160 (9) 4 ORCHARD ST BP-2020-0893 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C- 160 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2020-0893 Proiect# JS-2019-002301 Est.Cost:$120000.00 Fee: $780.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: TRAVIS TOOLE 106450 Lot Size(sq. ft.): 14897.52 Owner: CLEVIDENCE CABIN Zoning: URB(101)/ Applicant: TRAVIS TOOLE AT: 4 ORCHARD ST Applicant Address: Phone: Insurance: 350 WEST ST (413)212-9225 PITTSFIELDMA01201 ISSUED ON:2/10/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONVERT GARAGE TO APMT 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 2/10/2020 0:00:00 $780.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner �, +^ Department use only City of Northampton/ Status of Permit: { Building Department ��B Curb Cut/Driveway Permit - A 212 Main Street. S Sewer/Septic Availability j 'ay Room 100 �.� WaferlWell Availability ' Northampton, MA 0106&�`Iev Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-, Plot/Site Plans Other Specify i APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office -' 1.1 Property Address: j 4 orchard st Map Lot Unit northampton MA Zone Overlay District C Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: t 4- o Rr ST ffoR-7�4mPnpi KA ' Na (Print) Current Mainq Address: .�-t�l 2Zl Sys$ 010(, Telephone ignature 2. uthorized A e ' S Wand45 Pleasant St. Southampton MA 01073 Name(Print) Current Mailing Address: 413-824-0204 Signature Telephone i SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only j completed by permit applicant 1. Building00,000 (a) Building Permit Fee 2. Electrical 10,000 (b) Estimated Total Cost of I Construction from 6 3. Plumbing 13,000 Building Permit Fee i 4. Mechanical(HVAC) 9 5. Fire Protection � 6. Total.= 0 +2 +3 +4+ 5) 120,000 Check Number ? This Section For Official Use Only �P- a��. Date j Building Permit Number: Issued: i Signature: y _ Building Commissioner/Inspector of Buildings Date I villagecarpentryma. @ gmail.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 Frontage Setbacks Front Side L:—� R: L: R: Rear -------� Building Height t ✓ � 1-._..._.,3 Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved _! parking) #of Parking Spaces i Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES IF YES, date issued: _— I IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NOV DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtainedQ Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, gradina, e vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 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 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [[--3] Other Brief Description of Proposed h'1 e�1y3fi Work: I-., tbAR C'J f 1��� �L�UW� �Qr�2 tp_$ Alteration of existing bedroom Yes_:i,,_No Adding new bedroom _Yes No �c �6'- Attached Narrative Renovating unfinished basement Yes X 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 c. Is there a garage attached? ' ' (Z, Q i�u J����� c. ex_UK d. Proposed Square footage of n w construction� f ® Dimensions e. Number of stories? 4a, 6'k�' i 6C4,ur- f. Method of heating? 'L ' a- Fir laces or Woodstoves j Number of each , g. Energy Conservation Compliance. f�5 inLQ k/lasscheck Energy Compliance form attached? /V h. Type of construction i. Is construction within 100 ft. of wetlands? Yes A—No. Is construction within 100 yr. floodplain Yes No i j. Depth of basement or cellar floor below finished grade ,1 I k. Will building conform to the Building and Zoning regulations? Yes. No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, v_ ice as Owner of the subject property o hereby authori l �c Cf'R-1 ic-T4-C?- i to act on my ehalf, in 11 m tters relative to ' ed by this building permit application. i Zo Signature of caner Date Village arpentry and Landsca 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. Shelby Howland Print Name _gAizJ"� Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES s 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number ,3s-6 (AY0 �;/-o q A(9 Z40 Address Expiration Date .5ignature Telephone I 9. Registered Home q Improvement Contractor: Not Applicable ❑ Village Carpentry and Landscaping 191955 — Company Name Registration Number 05/27/2020 45 Pleasant St. Southampton MA 01073 _ .Address Expiration Date _ Telephone413-824-0204 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 in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 2 No...... ❑ -J Zoning Board of Appeals - Decision City of Northampton IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIII IIIIIIIIIIIIIIIIII Hearing No.: ZBA-2020-0002 Date: August 12, 2019 2020 00002266 Bk: 13533Pg: 179 Page: 1 of 2 F7P-1-CATIONITYPE: SUBMISSION DATE: ReCOICIed: 02/05/2020 02:54 PM Special Permit 7/10/2019 Applicant's Name: Owner's Name: NAME: NAME: CLEVIDENCE CAR/N CLEVIDENCE CAR/N ADDRESS: ADDRESS: 4 ORCHARD ST 4 ORCHARD ST TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: (41-1)303-0275 0 (413)303-0275 0 EMAIL ADDRESS: EMAIL ADDRESS: Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 4 ORCHARD ST URB(101)1 TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Grant MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 25C 160 001 Chpt.350-9.3:Pre-existing Nonconforming TOWN: STATE: ZIP CODE: Book: Page: Structures or Uses May be Changed, 3541 95 Extended or Altered. PHONE NO.: FAX NO.: ADDRESS: NATURE OF PROPOSED WORK: r57L Convert 3/4 of a detached existing garage into an accessory dwelling unit. HARDSHIP: CONDITION OF APPROVAL. FINDINGS: The Board granted the Special permit for the expansion of a pre-existing non-conforming rear and side yard setback and granted a special permit for the detached accessory dwelling based upon the materials and information submitted with the application. In Granting the special permit for the expansion of the non-conforming setbacks,the Board found that the change, which will result in residential use closer to the lot lines than the existing non-conforming setback of the home, will not be substantially more detrimental to the neighborhood than the existing nonconforming single-family house as it relates to its side lot. In Granting the Special Permit for a detached accessory dwelling, the Board determined that all the criteria in 350-10.10 for such units had been met. The space will not exceed 900 square feet and does not include a footprint expansion of the existing building. One of the four existing garage bays will remain on the south end of the garage. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: IDECISION DRAFT BY: APPEAL DATE: 7/9/2019 8/3/2019 8/15/2019 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 7/27/2019 9/13/2019 8/8/2019 8/22/2019 9/1/2019 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 7/25/2019 8/8/2019 8/8/2019 8/12/2019 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 8/1/2019 5:30 PM 11/6/2019 12/11/2019 MEMBERS PRESENT: VOTE: Maureen Scanlon votes to no action needed Elizabeth Silver votes to Grant David Bloomberg votes to Grant Sara Northrup votes to Grant Bob Riddle votes to no action needed GeoTMS®2019 Des Lauriers Municipal Solutions,Inc. Zoning Board of Appeals -Decision City of Northampton Hearing No.: ZBA-2020-0002 Date: August 12, 2019 MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: Sara Northrup Elizabeth Silver 3-0 Approved MINUTES OF MEETING: Available on the City of Northampton website www.northamptonma.gov. 1, Carolyn Misch,as agent to the Zoning Board certify that this is a true and accurate decision made by the Zoning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. l certify that a copy of Ps decision has been mailed to the Owner and Applicant. Notice of Appeal An appeal from the decision of the Zoning Board may be made by any person aggrieved pursuant to MGL Chapt.40A,Section 17 as amended within twenty(20)days after the date of the filing of the notice of the decision with the Citv__Clerk. The date is listed above. Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to lhg 6ity( leo r y peon. j ! L AUS J 2019 L-L CITY C' `73.<C OrFICE R'H�%,IN'C% yi September 4, 2019 I, Pamela L. Powers, City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Zoning Board was filed in the Office of the City Clerk on August 12, 2019 that twenty days have elapsed since such filing and that no appeal has been filed in this matter. Attest: City Clerk City of Northampton GeoTMS®2019 Des Lauriers Municipal Solutions,Inc. /f `E:�`3,: I:3�,���1flk�i,,y � ���t,�,� �s'';� .� it:►�t�7�3'�;c�Ft MAR Amo CERTIFICATE OF LIABILITY INSURANCE 7E(MMIDDNYYY) Ill 1/28/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Betsy Wholey Osell NAME: Blackmer Insurance Agency Inc A'C'No Ext): (413)625-6527 (FAX No): (413)625-8210 1147 Mohawk Trail E-MAIL betsy@blackmers.com ADDRESS: y@ INSURERS)AFFORDING COVERAGE NAIL# Shelburne MA 01370 INSURERA: Main Street America Assurance 29939 INSURED INSURER B; NorGUARD 31470 VILLAGE CARPENTRY AND LANDSCAPING INSURER C 45 PLEASANT ST INSURER D: INSURER E: SOUTHAMPTON MA 01073-9493 INSURER F: COVERAGES CERTIFICATE NUMBER: Master 19-20 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I SR ADUL SU13H POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 10,000 A MPT7291V 02/08/2019 02/08/2020 PERSONAL BADV INJURY $ 1,000,000 MOTHER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO- ❑JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY APer accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE F7�1 NIA SHWC044808 09/06/2019 09/06/2020 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Operations usual to a carpentry contractor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Carin Clevidence ACCORDANCE WITH THE POLICY PROVISIONS. 4 Orchard Street AUTHORIZED REPRESENTATIVE Northampton MA 01060 �J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Home Energy Rating Certificate Rating Date: 2020-01-30 HIS - Projected Report Registry ID: Unregistered HER Ekotrope ID: 6LAa31KL Index • Your home's HERS score is a relative 4 Orc6rd St performance score. • number, Northampton, f • the 3 learn • • home. $ 1 ,79i• Builder: more,ft: •' • • .•• r Shelby ! • nd Your Home's Estimated Energy Use: This home meets or exceeds the Use (MBtu) Annual Cost criteria of the following: Heating 6.4 $339 2015 International Energy Conservation Code Cooling 0.3 $15 Hot Water 4.3 $228 Lights/Appliances 9.4 $498 Service Charges $60 Generation (e.g.Solar) 0.0 $0 Total: 20.5 $1,139 Home Feature Summary: Rating Completed by: MagE—rr Home Type: Single family detached Energy Rater:Adin Maynard Jim ISO Model: N/A RESNET 0:9463452 ` Community: N/A Conditioned Floor Area: 782 WRating Company:HIS&HERS Energy Efficiency :w Mailing:12 Perkins Ave.Northampton MA 01060 Number of Bedrooms: 1 too Primary Heating System: Air Source Heat Pump•Electric•2.94 COP 4136588784 f 4o Primary Cooling System: Air Source Heat Pump•Electric.20 SEER Rating Provider:Energy Raters of Massachusetts N e0 r S ,° Primary Water Heating: Water Heater•Electric-0.95 Energy Factor 2 Woodlawn Street Amesbury,MA 01913 Y lN.1M8 if � House Tightness: 2.9 ACH50 978"270-3911 SD Ventilation: 30.0 CFM•7.0 Watts so— w This Home Duct Leakage to Outside: Untested 10 Above Grade Walls: R-20,R-56 " zcroEn¢rBY 10 Ceiling: Attic R-56 Home 0 Window Type: U-Value:0.28,SHGC:0.32 lnlEnerry Adin Maynard,Certified Energy Rater Foundation Walls: N/A Digitally signed:1/31/20 at 2:41 PM &Ctrc" • s• Energy • Disclosure for • .• from r• • e• Rating Provider. - �� ^Ud^n�� ��"�eci�cat^��n ��u����a�=� ~~ ��Q�� w mo~o Property Organization Inspection Status N���]�� dua mo��nu~o 4Orchard 3t HIS & HERS EnergyE#loi' Results are projected Northampton, K1AO1OG0 4136588784 AdinyWaynard 4Dmhand 4Onohavd Builder Shelby Howland | Building Information Rating Conditioned Area (ft') 782.00 HERS Index 43 Conditioned Volume[ftq 7.829.00 HERS Index vgoPV 43 � Thermal Boundary Area [h'] 2.704.00 Number DfBedrooms 1 Housing Type Single family detached Building Shell Ceiling w/Attic R54 40rcxan1 attic Uf0.02 Windows(largest) U4a|ue: 0.28. BHGC:0.32 Vaulted Ceiling None Window/Wall Ratio 0.09 Above Grade Walls R20. 8'16cellulose Brick U'O.05 Infiltration 2,9ACH50 Found. VVaUn None Duct Lkg(oOutside Untested Framed Floors None Total Duct Leakage|Untested Slabs|R10Punder all R'10 Mechanical Systems Heating Air Source Heat Pump ^ Electric^2.94COP Cooling Air Source Heat Pump`Electric^ 20SEER Water Heating Water Heater^ Electric^ 0.95 Energy Factor Programmable Thermostat Yon Ventilation System SODCFM ` 7.OWatts Lights and Appliances Percent Interior LED 100% Clothes Dryer Fuel Electric Percent Exterior LED 100% Clothes Dryer CEF Z6 Refrigomior(kVVh/yr) 400,0 Clothes Washer LER (kWh/yr) 1610 Dishwasher Efficiency 270 kWh Clothes Washer Capacity 3.3 Ceiling Fan None RangoA3venFue| Electric � EkotmpeRATER-Version 3.232348 All results are based undata entered o,eko,mrusers exo^ov^disclaims all liability for the information shown^"this report, End Use Energy Costs HIS Property Organization Inspection Status HERS 4 Orchard St HIS& HERS Energy Effici. Results are projected Northampton, MA 01060 4136588784 Adin Maynard 4 Orchard 4 Orchard Builder Shelby Howland Annual Energy Cost $450 $400 $350 $300 $250 F.............. 64 $200 $150 $100 $50 fy $0 Heating Cooling Water Heater Lights &Appliances Service Charges Ekotrope RATER-Version 3.2.3.2348 All results are based on data entered by Ekotrope users,Ekotrope disclaims all liability for the information shown on this report. Component Loads HIS & Property Organization Inspection Status HERS 4 Orchard St HIS& HERS Energy Efficii Results are projected Northampton, MA 01060 4136588784 Adin Maynard 4 Orchard 4 Orchard Builder Shelby Howland Heating & Cooling Loads 7 6 5 . 4 H 3 m y >. 2 1 � 0 ..... -2 -3 -4 Above-Grade Infiltration & Slabs & Roofs Ducts Windows & Foundation Internal Walls Ventilation Floors Doors Walls Gains Heating Cooling E Ekotrope RATER-Version 3.2.3.2348 All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report, File'#MP-2019-0072 APPLICANT/CONTACT PERSON CLEVIDENCE CARIN ADDRESS'PHONE 4 ORCHARD ST (413)303-0275 O PROPERTY LOCATION 4 ORCHARD ST MAP 25C PARCEL 160 001 ZONE URB(101V1 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATIO ` 'IIECKLIST /'E NCLO REQUIRED DATE ZONING FORM FILLED OIJT Fee Paid _ Building I'etmt Filled out Fce Paid Tyneof Construction: ZPA-ACCESSORY APMT IN 314 OF EXISTING SPACE,GARAGE IN 1/4 New Construction Non Structural interior renovations Addition to Existing Accessory`structure Buildina Plans Included: Owner Statement or License 3 sets of Plans/Plot Pian 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 Prcject:� _Site Plan AND/OR,Special Permit Nith Site Plan ZONING BOARD PERMIT REQUIRED UNDER:§ , Doyi-&wy7yu14 Finding Special Permit ✓ � Variance* j� Received& Recorded at Registry of Deeds Proof Enclosed oze ess� __Other dtueala Permits Required: 14- 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 �..........___...�_ __._ �_ __._............_......._....._......................................e..... _ _._......._.__......_--.....------........__.___. Signature.of Building Official Date Norte: Issuance of 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 the Office of Planning& Development for more information. RECEIVED File No. JUN 1 3 2419 ZONING PE"IT APPLICATI(J tNG,N!'+P=CT10Ns Please type or print all information and return this 9 Inspector's Office with the $30 flliny fee (check or money order)payable to the City of Northampton 1. Name of Applicant:.__ ti Address: G t t Telephone: Z. Owner of Property: SAiA�- Address:_ __ Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: SA(-11` Parcel Id: Zoning Map# �, Parcel# C District(s): In Elm Street District In Central Business District TO BE FILLED IN BY THE BUILDING DEPARTMENT 5. Existing Use of Structure/Property: &A4AGE &to C 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): rN A T Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding/over been issued for/on the site? NO DONT KNOW �! YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW ✓ YES IF YES: enter Book Page and/or Document# ,).Does the site contain a brook, body of water or wetlands? NO V/ DONT KNOW YES IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: r t tJ c ,r 1� 1 �{ �'��0• �y - (Form Continues On Other Side) W lkkumcnts':F(7RMSbnginall.Sw�lding�-Inspc�tcir.Zoni�q}1'Vermil-Applicationpaive.dce 8:d.'?(xW 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: .. .............. Are there any proposed changes to or additions of signs intended for the property? YES NO J IF YES, describe size, type and location: 11. Witt the construction activity disturb (clearing, grading,excavation, or filling) o I acre or is it part of a common plan of development that will disturb over I acre? YES NO 7 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PEP ,WT-CAL4 BE DENIED DUE TO LACK OF INFORMATION 71vis column reserved for use by the Building Del mrtment PROPOSED REQ ABED BY ZONING I A)l Size low e'- it Frontage2- Setbacks Front ir Side L: R: L: R. Rear 4 S Building Height Building Square Footage Acz-cSsopj A.PT- %Open Space: (lot area ( ONE A�!j minus building h paved 10+10 PAII�N(- pat kingi*ecu #of Parking Spaces 3 #of Loading Docks NA Fill: (volume Et location) A NA 13. Certification: I hereby certify that the informati contai d herein is true curate to the best of my knowledge. con Date: lot Applicant's Signatu NOTE: Iss-tiance of a zoning permit does not refiew an applicant's b en to comply-Aith all zoning requirements and obtain all required permits from the Board,ovvealth,(*onsemation Commission, Historic and Architectural Boards,Department of Public Works aAd_other aplicable permit granting authorities. W Ilk T"J t. '-V-T tj 1(17 -7j "/100006 N o ` -- NOTE- THIS PLAT 1S COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED ' 1 S J Lb 3175 �< 39.375' i � a� 10 I ca �' ` , # 1 a O: COMMONWEALTH LAND TTTLE ZNSI RNACE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING ONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON Dec' ion N041oe The Zoning Bard granted two special permits to Garin ClevirJence at 4 Orchard Street to convert e portion of a garage to an accessory dwelling at its meeting on Aug 8, 201 Decision Date: Aug 12, 2019 Q " appeal Deadline Sept 1, _2019 N V ?d O cD CD I 3 Appeals of the Board decision by an "aggrieved" party as defined in MGL 40A section 5 may be made in accordance with U standards in MGL 40A section 17 and must be filed within 20 0 days of issuance of the decision. m' All permit files related to this project can he viewed at " www, riorthamptoniii�i.gov/permitfiles ,r o (navigate to the folder that corresponds to Map Its nurnher) OR paper °opes may be viewed in the office of Planning Sustainability M—F 8,30 AM-4:30 PM. Questions: northamptonmagov/plan 413-587-126 m ; O N O N m N The Commonwealth of Massachusetts Department of IndustrialAeeidents I Congress Street,Suite 100 < Boston,MA 02114-2017 r` www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legiblv Name (Business/Organization/Individual): ( � O ­e, toL` a � Address: 415- &0 �eu�►�Crticol c��r� 4It� 3 City/State/Zip: Phone#: y/; —Y"Y " 62 6 11 AWI an employer?Check the appropriate box: Type of project(required): 1am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑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 1 am a homeowner doing all work myself[No workers'comp.insurance required.]t J-1 ❑4.[:][am a homeowner and will be hying contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑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.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers 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#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. +Contractors 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 inemployees. Below is the policy and job site information. a erl. uj Insurance Company Name: I ' `tI i �f �n `�Cet ✓✓ S.}� Policy#Or Self-ins.Lic.#: J rf UV C b gV S Expiration Date: 7 Z 0 Z D Job Site Address: C/IrC J "• City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and exp' tion 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 certify un er the pa' s and penalties of perjury that the information provided above is true and correct. Si afore: Date: 102 Phone#: — Oficial use only. Do not write in this area,to be completed by city or town ofciat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityiTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: I City of Northampton Massachusetts w IK Y ; DEPARTMENT OF BUILDING INSPECTIONS I� ' 212 Main Street •Municipal Building �y, ' Northampton, MA 01060 s "a-••t �'�0 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: (Please print house number and street name) Is to be disposed of at: Ct IcC/ Cl (Plea a print name a d locatio of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Si t re ermi pplicant 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 as to the location where the debris will be disposed. OMS Ver.0003.01.01(Current) village Product availability and pricing subject to change. 4 orchard str. Dealer PO Number:village Quote Number:UUQSXXV Architectural Project Number: UNIT SUMMARY The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item Quotes. Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit. NUMBER OF LINES: 3 TOTAL UNIT QTY: 5 EXT LIST PRICE: USD LINE MARK UNIT PRODUCT LINE ITEM LIST PRICE QTY EXTENDED LIST PRICE 1 Elevate Elevate Assembly 1,624.00 2 3,248.00 RO 98 3/4"X 48 3/8" 2 Elevate Double Hung 560.00 2 1,120.00 CN 3868 RO 38 3/4"X 68 3/8" 3 Elevate Double Hung 1 733.00 CN 3868 RO 38 3/4"X 68 3/8" OM5 Ver.0003.01.01(Current) Processed on:2/7/2020 12:45:22 PM Page 1 of XXX