36-365 137 EMERSON WAY BP-2020-1273
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-365 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-2020-1273
Pro iect# JS-2020-002127
Est.Cost: $304000.00
Fee: $1556.70 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: GREGORY QUILL 105857
Lot Size(sq.ft.): 10367.28 Owner. ROSEMUND LLC
zoning: Applicant. GREGORY QUILL
AT. 137 EMERSON WAY
Applicant Address: Phone: Insurance:
23 E HADLEY RD (413) 695-4195 WC
HADLEYMA01035 ISSUED ON.6/22/2020 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:
FeeTvpe: Date Paid: Amount:
Building 6/22/ 020 0:00:00 $1556.70
12 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 Curb Cut/Driveway Permit
c f 212 Main Street Sewer/Septic Availability
Room 100 Water/Well 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
137 EMERSON WAY - LOT #17 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
ROSEMUND, LLC 23 EAST HADLEY RD, HADLEY, MA 01035
Name(Print) Current Mailing Address:
y413-695-8795
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address.
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 250.000 (a) Building Permit Fee
2. Electrical 18,000 (b) Estimated Total Cost of
Construction from 6
3. Plumbing 18,000 Building Permit Fee 170
�t
4. Mechanical (HVAC) 18,000
5. Fire Protection /
6. Total= 0 + 2+ 3+4 + 5) 304 000 Check Number �7
This Section For Official Use Only
�� �
Building Permit Number DateIssued:
Signature: TIM
(0 �V
Building Commissioner/Inspector of Buildings Date
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
phis column to be filled in by
Building Department
Lot Size 10,361
Frontage 85.81
Setbacks Front 25 35
Side L: 15 R: L: 16.5 R:
Rear 25 26
Building Height 23
Bldg. Square Footage 2 860 %
Open Space Footage
(Lot area minus bldg&paved 7,501 72
parking)
4 of1parking Spaces 4
Fill:
(volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
65(
NO DON'T KNOW Q YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO () DON'T KNOW Q YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 9 DON'T KNOW C) YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained I Obtained 0 Date Issued:
C. Do any signs exist on the property? YES NO
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
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of LicenseHolder:GREG QUILL CSFA-105857
License Number
23 EAST HADLEY RD, HADLEY, MA 01035 04-29-2021
Address Expiration Date
q1
413-695-4195
Signature Telephone
9.Registered Home!Improvement Contractor: Not Applicable ❑
Company Name X 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
r° Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building �3
Northampton, MA 01060 ��t yp ��tiIN
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, 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 contract itl:a corp ion 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$1,00(.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 DON T 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 buildingllpermit 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
i
City of Northampton
Massachusetts
o
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building
Northampton, MA 01060 rlyt. 71titi
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:
137 EMERSON WAY - LOT #17
(Please print house number and street name)
Is to be disposed of at:
SOLID WASTE SOLUTIONS, NORTHAMPTON, MA
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
qKe LI(,
Signature of Per t Ap icant 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.
The Commonwealth of Massachusetts
W Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
ANockers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluutbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information �+ Please Print Legibly
Name (Business/Organization/Individual): ROSEMUND, LLC
Address: 23 EAST HADLEY RD
City/State/Zip: HADLEY, MA 01035 Phone#:413-695-4195
Are you an employer?Check the appropriate box: Type of project(required):
I.Q I am a employer with employees(full and/or part-time).' 7. QrNew construction
2.y1 am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling
any capacity.[No workers'comp. insurance required.]
(). El Demolition
3❑1 am a homeowner doing all work myself[No workers'comp.insurance required.]t
10E] Building addition
4.[:]l am a homeowner and will be hiring contractors to conduct all work on my property. 1 will
ensure that all contractors either have workers'compensation insurance or are sole 1 I.[]Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. [3.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.1
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 t!1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit ihdicating 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.
1 ant an employer that is providing workers'co►npensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: INSUREON - ROCKINGHAM CASUALTY COMPANY
Policy#or Self-ins.Lic.#: R MAG-216203-00 Expiration Date:05-11-2021
Job site Address: 137 EMERSON WAY - LOT #17 city/state/zip:FLORENCE, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as req ired 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 under the pains and penalties ofppJet:
errrjury that the information provided above is true and correct
Si nature: 4a Date: 06-09-20
Phone#: — —
4195
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 ones):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#: __
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department Director
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: 137 EMERSON WAY
Date of Inquiry: 06/09/20
Inquirer with contact info: ROSEMUND LLC 695-8795
Reason for Request: NEW CONSTRUCTION
Municipal Sewer Main in Front of Location: Yes X 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-in to Existing Sanitary Service: ($1,250)
Comments: Connect to Private Sewer
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.
Brendan Shea Date: 6/9/2020
Sewer Dept. Foreman
*Sewer Entry $ N/A
*Fees will be charged based on current fee structure at the time of entry application
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department Director
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: 137 EMERSON WAY
Inquiry Made By: ROSEMUND LLC 413-695-8795
(Name) (Telephone Number)
Date of Inquiry: 6/9/2020 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 till 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: 2015
Approximate Static Street Pressure: 55 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 shall be made with the Northampton Water Department within a
minimum of 5 working days notification.
-All work shall conform to Northampton Water Department specifications.
David Sparks 6/9/2020
(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
fs^ry
Stretch Code Specifications
Project Address 137 Emerson Way Northampton, MA 01060
POWERHOUSEi HERS Rater I Rafael Loveszy
Insulation & Air Sealing
Slab Uninsulated
Foundation Walls R-13 fire-rated foamboard
Blockers & Runners R-20 spray foam
Exterior Walls R-20 dense cellulose
Flat Ceilings R-49 loose cellolose (14" deep)
Windows & Glass Doors U-Factor= .30
Maximum blower door test of 2.5 ACH50
Air Barrier &Air Sealing Details
Must comply with air sealing table R402.4.1.1 in 2015 IECC
Mechanical Equipment
Heating Equipment 97% AFUE Propane Furnace
Cooling Equipment 13 SEER Central AC
ALL DUCTS LOCATED WITHIN ENVELOPE
Ducts Duct Leakage: No more than 1 CFM per 100 CFA
Must comply with 2015 IECC R403.3.3
Ventilation System continuous exhaust fan (Panasonic FV-0511VKSL2)
Ventilation Type Continuous
Projected Ventilation CFM 78
Water Heater .94 Energy Factor Propane On-Demand
Lighting &Appliances
Lighting 90% LED bulbs
Refrigerator Energy Star certified (If provided)
Dishwasher Energy Star certified (If provided)
Washer Energy Star certified (If provided)
Dryer Energy Star certified (If provided)
Projected Rating Results
Scenario HERS Index Score
All specifications used above, and
home built per plans 53