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16B-060 (13) 9 HAYWARD RD BP-2020-1241 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16B-060 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:GREENHOUSE BUILDING P E RM I T Permit# BP-2020-1241 Proiect# JS-2020-002095 Est.Cost: $7000.00 Fee: $142.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PETER SHEPERD 077611 Lot Size(sq.ft.): 15333.12 Owner: ADAMS BRIAN Zoning: URB(100)/ Applicant: PETER SHEPERD AT. 9 HAYWARD RD Applicant Address: Phone: Insurance: 32 FOREST AVE (413) 658-5935 SOLE PROPRIETOR GREEN FIELDMA01301 ISSUED ON.6/19/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:FOUNDATION FOR 8X8 GREENHOUSE 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 6/19/2020 0:00:00 $142.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-1241 APPLICANT/CONTACT PERSON PETER SHEPERD ADDRESS/PHONE 32 FOREST AVE GREENFIELD (413)658-5935 PROPERTY LOCATION 9 HAYWARD RD MAP 16B PARCEL 060 001 ZONE URB(100) THIS SECTION FOR USE ONLY: PERMIT AppierCATION CH KLIST OS D REQUIRED DATE ZONING FORM FILLED OUT Fee Paid A 611, Building Permit Filled out Fee Paid Typeof Construction: FOUNDATION FOR U8 GRE OUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 07761 1 3 sets of Plans/Plot Plan 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 Project Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW 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 Demolition Delay 6/n/ -ao SignJure of Building Official V Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. it Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability ' ROOM 100 Water/Well Availability ' Northampton, MA 01060 Two Sets of Structural Plans g3 one 413-587-1240 Fax 413-587-1272 Plot/Site Plans o Q Other Specify rV UU APPLICAT ro CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING MATION 1.1 Property Address: This section to be complete by office 9 �;�y�� Map _ Lot 'f Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Nam CurreMaili g Ad ress: 41 � Telephone Signature 2.2 Authorized Aqent: j 2 t /� vc, �,C.o-e&/ Name(Print) Current Mailing Address: '6- yi3 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 610 This Section For Official Use Only Building Permit Number: 6��a)G —I� /�j! Date Issued: Signature: 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 This column to be filled in by Building Department Lot Size Frontage Setbacks Front b Side L: I�© R: 4o L: R: Rear 3z 1 Building Height Bldg. Square Footage 01 1 % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ger been issued for/on the site? NO O DON'T KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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? NO DON'T KNOW O YES O 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 Q 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,exc ation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O 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 ED Accessory Bldg. Demolition ❑ New Signs [O] Decks Siding[0] Other[oIJ Brief Description of Proposed �— Work: fbcy�l��p�J mar cy�wo' 6re-e.-d iau32- Alteration of existing bedroom Yes '-ZNo Adding new bedroom Yes V'No 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 c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 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 I, as Owner of the subject property hereby authorize ' obehalf, in all matters relative to work authorized by this building permit application. Signatu of Owner Date 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 pai nd penalties of perju Print Name" Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: .r� Not Applicable ❑ Name of License Holder:- )0 S OMW4��0 (5—L,)77C// License Number .,vw 5'12_TZzo2z Address Expiration Date igna Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ S11cyeL.o 1 e- Company Name L Registration Number 3Z -�6✓✓t� % �}L>e �l�pi�fic�� Nle. 6/'3y/ /0/✓`ill Zbz/ Address Expiration Date Telephone dl/3 6 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 7 s; Massachusetts G, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Jj cD F 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: Z4. �l . (Please print house number and street name) Is to be disposed of at: cpfffJP- �_ �'I r► o f30 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) / taro Signature of Permit Applicant 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. C/Eng /� C51,0;-a/J The Commonwealth of Massachusetts = Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia R'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant information Please Print Leltibly Name (Business/Organization/Individual): She&le MA;,-� ��-�� � Address: Z rr/,s l9 v e - City/State/Zip: h l� H. 6 Or, i Phone#: 4� `"5'35" Are you an employer?Check the appropriate box: Type of project(required): 1.❑ employer with employees(full and/or part-time).* 7. New construction 2.L!]I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doingall work myself o workers'co t 9. ❑Demolition ys [N comp.insurance required.] 10[]Building addition 4.M I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.17 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t ❑ 6.[—]We are a corporation and its officers have exercised their right of exemption per MGL c. 14, t11Er 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. $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 my employees. Below is the polio and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 1? 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. Ido hereby certify and the pains and penaIli of perjury that the information provided above is true and correct. Signature: -" e- - -- Datc;�/��e 7p Phone#:Phone#: 6.3�—.�3�3 - Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: • ��1 C fJ EXISTING WALL I I I I I � I ° WIDE CONCRETE l;OLNDATION dJ I I �16 WIDE C-01, TE FOOTING--I I \\ d cv I I I �.-- = I I I I I PLAGE 1/2'4V AWA40R I I I BOLTS AS SHOWN I I m I II I m L DETAIL -- --------J I — I DAG. FOUNDATION PLANA, 4 A zoo. 8X8 L/T C EH NE HO )5E DATE NOV. 25/1 a PNC. I of 2 CEDAR- 5UILT GREENWOU5ES UNIT 4 - 30528 CREAT NORTHERN AVE. ABBOTSFORD, BG GANADA, V2T 6H4 TEL. (604) 852-a3O2 - -- 6REENHOUSE BASEWALL INCL. 510IN6 d BASETRIM (INCL. WITH (91-1 KIT) 22' HOUSE 11— I/2"4) ANCHOR BOLTS SIDING ALLOW EXTRA FOR FOAM 51LL HOUSE 510INO IF GASKET NEGGE55ARY 6REENHOl15E FLOOR: MIN 4' CLEAR OF 3/4" DRAINROGK �= dr.. BACKFILL WITH GLEAN _ OR CONCRETE SLAB 6RANJLAR FILL �' �. m WEEP HOLES THRU CONCRETE r! �g�� RECOMMeV 4" PERF. ` m FOR DRAINAGE2 (I.E. PLACE 'm PVC PIPE DRAIN TILE AROUND PRIOR TO CONCRETE POUR) P�1 SLOPE A5 5HO4^W-4 LOCATION5 15 ADEQUATE EXISTING !n HOUSE FOUNDATION - FOOTING TO RE5T ON FIRM UNDI5TUR9® 6ROUNO BELOW FROST PEI TION 2-ISM REINFORC.I I'-(j° CHECK LOCAL CONDITION5 FOUNDATION DETAILS IN FOOTING FOR 501L BEARING CAPACITY PR0t FOOTI NO DETAIL ��'� ► .�^� °` 2OF2 CEDAR-BUILT GiREENHOU�EB UNIT 4 - 30528 GREAT NORTHERN AVE. ABE3OT5FORD, EIG CANADA TEL. (604) 852-g3O2 =ql � .:_.o_. - • � Peter R. Sheperd 32 Forest Ave Greenfield, MA 01301 413/658-5935 05/24/2020 i Contract of Agreement I, the above named contractor, agrees to complete the following work for the Homeowners, Brain & Morey Adams at the address of 9 Hayward Ave Northampton Ma. in the most workmanlike manor according to standard practices. Work to Complete: New foundation and floor with drains to support greenhouse structure. Plans with specified dimensions where provided by contractor assembling greenhouse with modifications to meet mass. Code requirements. All excavation ,clean up ,seeding lawn and proper permitting are included in agreed price. Work shall be started upon the city of Northampton acceptance of permit and granted permission to proceed with project. Included all labor, materials ,removal of debris and permit fees. Estimated cost : $7000.00 Down payment $ 2500.00 Payment when complete $ 4500.00 By signing below, both the home owner and contractor agree to terms. I omeow er Sigrftrre Peter R. Sheperd Contractor 6/5/2020 DIG SAFE SYSTEM,INC.-Create New Quick Ticket Request Number. 20202317126 Date 06/05/2020 Time 12:03 i Latitude: Longitude: iState: MASSACHUSETTS Municipality: NORTHAMPTON ! Address/Intersection:9 HAYWARD RD I Nearest Cross Street 1: NORTH MAIN ST Nearest Cross Street 2: HAYWARD RD Additional Information: Nature Of Work:FOUNDATION Area Of Work: PRIVATE.PROPERTY Area Is Premarked:Y Start Date: 06/15!2020 Start Time: 07:00 --- ------------ Callon --------Caller:PETER SHEPERD Title: OWNER Return Call: i Phone#: 413.658-5935 Fax#:AIL Phone#: Email Address: PETERSHEPERD02@GMAIL.COM Contractor: SHEPERD MASONRY Address: 32 FOREST AVE City: GREENFIELD State: MA Zip: 01301 Excavator Doing Work:DEANE EXCAVATING Member Utility List Code Abbreviation Name BB VERIZN VERIZON MC NGRDEL NATIONAL GRID ELECTRIC-MASS ELEC WG CMAGASS COLUMBIA GAS OF MASSACHUSETTS WG11 ' CMAGAS COLUMBIA GAS OF MASSACHUSETTS WG72 CMAGAS COLUMBIA GAS OF MASSACHUSETTS RJ VERIZN VERIZON • This ticket expires exactly 30 days from the following date—06/05/2020 • There may be non member utilities in the area that you need to notify. • Electric and other utilities may not mark lines they don't own or maintain. You may need to hire a private company to locate these lines. Visit Digsafe.com for more information. • The excavator is responsible to maintain marks placed by the member utilities. DIG SAFE ENCOURAGES A COPY OF THIS ELECTRONIC TICKET ON SITE AT ALL TIMES. digsafeform.digsafe.com/cgi-bin/diogi.exe 1/2 %fe�a��zmomueall�c�f'fra:t:tac�rudellt Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 176518 10/31/2021 PETER R.SHEPERD D/B/A SHEPERD MASONRY&SLATE PETER R.SHEPERD 32 FOREST AVE GREENFIELD,MA 01301 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons!41&%Aby rvisor _ r CS-077611 E�(pi res:05/23/2022 PETER R SHEPERD f, 32 FOREST AVE GREENFIEL"A 01$ Commissioner �a t bl&d"-