36-005 (6) BP-2022-0813
22 FOREST GLEN DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-005-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0813 PERMISSIONIS HEREBY GRANTEI TO:
Project# 2022 ADD 2ND SFH Contractor: License:
Est. Cost: 151000 AUSTIN GREGORY 116643
Const.Class: Exp.Date:07/13/2025
Use Group: Owner: A GALVAGNI PETER L &KAREN
Lot Size (sq.ft.)
Zoning: WSP ,I pplirant: A GALVAGNI PETER L& KAREN
Applicant Address Phone: Insurance:
11 STANLEY ST
EASTHAMPTON, MA 01027
ISSUED ON:07/15/2022
TO PERFORM THE FOLLOWING WORK:
ADD 2ND 1 FAMILY HOME ON LOT, UTILITIES TO BE CONNECTED TO 1ST HOUSE, AND NO NEW C B CUT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.VV. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
.>2 • 1-11 /
Fees Paid: $463.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
. zo -anoccu fl'ec -
'O -OCCG1ea . REC -
t..:'V ED
The Commonwealth of Massachus; s ( 1 1 Z022 F•
: IT Board of Building Regulations and St. dart s
Massachusetts State Building Code, 7:0 CITV, IU.E C 'ALITY
or
�u't�!�'G ''S'Eari ised i ar 2011
Building Permit Application To Construct,Repair,Renova torit
One- or Two-Family Dwelling oto' �
is
This Section For Official Use Only
� _
Building Permit Number: ,g, - . Z`' p/. �3 Date Applied:
'htl •. .4t
Building Official(Print Name) Signature 1 D to
SECTION 1: SITE INFORMATION
1.1 Property Address: 22 Forest Glen Dr 1.2 Assessors Map& Parcel Numbers
Ave 36 -005-001
1.1a Is this an accepted street?yes_ X no 1 _ Map Number Parcel Number
1.3 Zoning 1.4 Property Dimensions: 80'
Information: Two single dwellings 15,542.94 SF
WSP Proposed Use Lot Area(sq ft) Frontage(ft)
f 1 ii ng Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
30' 30' 15' 15' 20' 20'
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public III Private❑ Zone: C Outside Flood Zone?
Check if yes Municipal In On site disposal system ❑
L SECTION 2: PROPERTY OWNERSHIP'
2.Peer ualvagmecord: Florence,MA,01062
Name(Print) City,State,ZIP
22 Forest Glen Dr 413.695.4845 kkg6356@yahoo.com
o.an treet Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction® Existing Building 0 Owner-Occupied 0 1 Repairs(s) 0 Alteration(s) 0 1 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: _
Construct a new 2 bedroom,single family home
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $1 135,000 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
3,000 0 Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 3 ono 2. Other Fees: $
4.Mechanical (1-IVAC) $ 10.000 List:
5.Mechanical (Fire
Suppression) $ Total Al -es i. I,
Check o. .. �r��y�� ck Amount: Amount:
6.Total Project Cost: $ 151,000 0 Paid ' ../� 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 onstruction Supervisor License(CSL) CS ` 1 66 4 13/a.p aS
RGre_507 License Number Expiration Date
Name of CSL Holder v
4 7 G' a"- S List CSL Type(see below)
No.xid Street Type Description
N 09 ,,`` U Unrestricted(Buildings up to 35,000 Cu.It.)
d f'' LOtit� C 1 V 3 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
I, SF Solid Fuel Burning Appliances
p�7- sa-0�i3 g_us{0_ f ej(j4-cti,w)k�.a1,,‘ I Insulation
Telephone J Eddress D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6: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 .....❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
conta' i2AaLftz
's applicatioand a to the best of my knowledge and understanding.
Gk
Print Owner's or Authorized Agent's Name(Electronicre) ate
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) 936 SF (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 936 SF Habitable room count 3
Number of fireplaces 0 Number of bedrooms 2
Number of bathrooms 1 Number of half/baths 0
Type of heating system Minisplit Number of decks/porches 0
Type of cooling system Minisplit Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
Massachusetts ws - <-•
•
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building `�E,, .
Northampton, MA 01060 Ss� ` jti�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Valley Recycling, Easthampton, MA
The debris will be transported by:
Peter Galvagni
Name of Hauler:
Signature of Applicant: ` Date:
The Commonwealth of Afassachusetis
Department of Industrial.-4ccidents
1 Congress Street,.Suite 100
Boston, MA 02114-2017
www.mass.gorMia
%Yorkers'Compensation Insurance AMdavit:Buildersit.7ontractorstEleetricians1Pluinhers.
Alt BE FILED wft II IDE PERMIFTINC;
Apollo!'Ht I nformt tion Please Print Lettiblv
Name 1.3usiness:OrtganticatioiVIndividuall: Peter
Address: 22 Forest Glen Dr
City/State/Zip: Fiarence.,11/1A,M062__ Phone#:
„
Are you ars employee Cheek the appropriate NA!
pe of project(required}
I.E3I am a employer with employees and.fOr part-tin ).' 7 a New constructim
I am a oils pp it partrienthip and haw ratiployees winking ler me in 8. 0 Remodeling
any capaeity.[Nlit workers'eonip insuranee required.]
9. E3 Demolition
3.511 am a homeowner doing all work myself.DM workers'corny.insurance requital
it/ Building addition
4.0I am a homeowner and will be hiring contraeom Lxxidnet.all work on my pnverty. I will
ensure that all contractors either have workers'compensation insurance or an:sok 11.E)Electrical repairs or additions
propirietors with no empliyees.
12.E]Plumbing repairs or additions
3E11 am a oemeraleinitractor and a have hired the subiseontrattors listed on the attached sheet
I.3.0 Roof repairs
These sub-coritiractors lust employees and have workers'comp.insuraricc:',.
14.0 Other
tio We ate a corporation and MN nitiCtra have exercised tlszir right of exemption per ISIGL c.
152.,*1141,and we itAw an employees.[NM workers'ciarip.insurance regained]
Any applicant that cheeks lxix==I roost also fill oat The section below show ing their workers'corapensation laitiey information.
f thunoowners wins submit this affidavit indicating they ate-doing all work and then hire outside contraetors meat submit a new atlidav it ritdrating such.
:Coranietoas.that check this beat thug attached an Ahlitional sheet showirm the mares of the sols-contradom and state whether or not dinae vanities liase
If al talracttri Itav pro.*ide eonir.poIky itinnbet
I am an employer that is providing workers'compensation insurance for my employees. Be/tiPt,is the policy and job site
information.
Insurance Contpany Name:
Policy or Self-ins.Lie. Expiration Date:
Job Site Address: CityStateiZip:
Attach a copy of the workers'compeasatkon policy declaration page(showing the policy number and expi tion date).
Failure to secure coverage as required mulct MCA.,c. 152,*25A is a criminal violation punishable by a fine up JO$1,500.00
andior 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 statetrient may be forwarded to the°Bice of Investigations of the DIA for insurance
cover a ue verification.
Ida hereby cer ant er the pains am!penal . of perjury that the in/Orme:ion provided above is trite and correct
Signature: CC" c Date: 67/9... g
Phone / 3 g
Official use only. Do not write in this area,to he completed by city or town official.
City or Town: Permitil.icense#
Issuing Authority(circle one):
I. Board of Health Z.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
t'ontact Person: Phone#:
City of Northampton
<L 174-}r y� -sip
� - Massachusetts ., .
s DEPARTMENT OF BUILDING INSPECTIONS a• ft,
x
' 212 Main Street • Municipal Building
� ` Northampton, MA 01060 ��4�sfrW 460
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, Peter Galvagni (insert full legal name), born (insert month,
day, year), hereby depose and state the following: a`// 4'1/4'slp
1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a
parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeo ers'exemption,
does not involve the field erection of manufactured buildings constructed in accordance with 780 I MR 110.R3.
3. I qualifiy under the State Building Code's definition of"homeowner"as defined at 780 CMR 110. '5.1.2:
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on w ich there is, or
is intended to be, a one-or two-family dwelling, attached or detached structures access'ry to such use
and/or farm structures. A person who constructs more than one home in a two-year per od shall not be
considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent ,hat I qualify for
and will abide by the Massachusetts State Building Code's requirements for the supervision of tl • project or work
on my parcel, I am not engaged in construction supervision in connection with any project o work involving
construction, reconstruction, alteration, repair, removal or demolition involving any activity •gulated by any
provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned projec or work on my
parcel,I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this °t-y day of tTL) in. "e-- , 20-"a"
41-2:/t ';:19
(Signature)
ormatormomMiliMMIk
Home Energy Rating Certificate Rating Date: 2022-03-14 HIS
Registry ID: HERS
Projected Report Ekotrope ID: 0vQ4xa4d
; ;MM*gan'WirMifreal.WAN&Ag240210,;
HERS Index Score: Annual Savings Home. ,
Your home's HERS score is a relative
22 Forest Glenn Drive
performance score.The lower the number,3
5 8 5
Northampton, MA 01062
the more energy efficient the home.To Builder:
more,visit www.hersindex.com 'Relative to an average U.S.home Backyard ADUs
Your Home's Estimated Energy Use: This home meets or exceeds the
Use[NlBtu] Annual Cost criteria of the following:
Heating 5.8 $374 2018 International Energy Conservation Code
Cooling 0.3 $21
Hot Water 1.9 $120
Lights/Appliances 11.9 $765
Service Charges $120
Generation(e.g.Solar) 0.0 $0
Total: 19.9 $1,401
HERS' Index Home Feature Summary: Rating Completed by:
Mors Energy Home Type: Single family detached
Model: N/A Energy Rater: Hayden Cantoni
1� RESNETID: 6193669
Existing taa Community: N/A
H°mE' : ' 73° Conditioned Floor Area: 927 ft2 Rating company: HIS&HERS Energy Efficiency
U4 7° Number of Bedrooms: 2 57R Adams Rd.Williamsburg,MA 01039
Referen.e . 1� Primary Heating System: Air Source Heat Pump•Electric•2.9 COP 4136588784
Horne
90 Primary Cooling System: Air Source Heat Pump•Electric•19 SEER Rating Provider: Energy Raters of Massachusetts
sa Primary Water Heating: Residential Water Heater•Electric•3.45 UEF 2 Woodlawn Street Amesbury,MA 01913
w HouseTightness: 1.5 ACH50 978-270-3911
ea Ventilation: 39 CFM•25 Watts
.50
6� Duct Leakage to Outside: Forced Air Ductless39
/�
i Above Grade Walls: R-30 �,�' ``
10 Ceiling: Attic,R-59 ThisHome '
ro
Zero Energy Window Type: U-Value:0.26,SHGC:0.26
Home , . ° Foundation Walls: R-10 Hayden Cantoni,Certified Energy Rater
L,t^:S',P 1*
�.� EessEnergy Framed Floor: N/A Digitally signed:4/8/22 at 11:25 AM
Ekotrope RATER-Version:3.2.4.2873
lib' ekatl"ope The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
Energy savings calculated without modifications to the energy model.(As Modeled) This report does not constitute any warranty or guarantee.
Building Specification Summary „HIS
Property Organization Inspection Status HERS
22 Forest Glenn Drive HIS & HERS Energy Efficit Results are projected
Northampton, MA 01062 Hayden Cantoni
22 Forest Glenn Drive Builder
Forest Glen Prelim Backyard ADUs
Building Information Rating
Conditioned Area[ftI 926.50 HERS Index 39
Conditioned Volume[ft'] 11,426.80 HERS Index w/o PV 39
Thermal Boundary Area [ftI] 3,425.10
Number Of Bedrooms 2
Housing Type Single family detached
Building Shell
Ceiling w/Attic R60 16"Celll 61-16; U-0.017 Windows (largest)I U-Value: 0.26, SHGC:0.26
Vaulted Ceiling None Window t Wall Ratio 10.11
Above Grade Walls 2x6, 16oc R20 FG G3, 1.5"iso; U-0.037 Infiltration 11.5 ACH50
Found.Walls 2"'XPS exterior R10; R-10 Duct Lkg to Outside I Forced Air Ductless
Framed Floors None Total Duct Leakage I Untested
Slabs Uninsulated; R-0
Mechanical Systems
Heating Air Source Heat Pump• Electric• 2.9 COP
Cooling Air Source Heat Pump•Electric• 19 SEER
Water Heating Residential Water Heater• Electric• 3.45 UEF
Programmable Thermostat Yes
Ventilation System 39 CFM•25 Watts
Lights and Appliances
Percent Interior LED 100% Clothes Dryer Fuel Electric
Percent Exterior LED 100% Clothes Dryer CEF 3.0
Refrigerator(kWh/yr) 670.0 Clothes Washer LER(kWh/yr) 151.0
Dishwasher Efficiency 270 kWh Clothes Washer Capacity 3.3
Ceiling Fan None Range/Oven Fuel Electric
Ekotrope RATER-Version 3.2.4.2873
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
22 Forest Glenn Drive HIS & HERS Energy Effici( Results are projected
Northampton, MA 01062 Hayden Cantoni
22 Forest Glenn Drive Builder
Forest Glen Prelim Backyard ADUs
Heating & Cooling Loads
6
5
4
3 . k
2 k"`
Ca
>, 1
m
c
G
-1 .'..'....:].,::!..i,:..,:.
-2
-3
-4 .____
-5
Above-Grade Infiltration & Slabs& Roofs Ducts Windows & Foundation Internal
Walls Ventilation Floors Doors Walls Gains
Heating
Cooling • Ekotrope RATER-Version 3.2.4.2873
All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report.
C
Official Receipt for Recording in:
Hampshire County Registry of Deeds
60 Railroad Ave.
Northampton, Massachusetts 01060
Issued To:
PETER GALVAGNI
413 262 8309
Recording Fees
* *
Document Recording
Description Number Book/Page Amount '
DECIS 00013273 14595 205 $105.00
GALVAGNI, PETER
$105.00
Collected Amounts
• Payment
Type Amount
* *
Check 324 $105.00
$105.00
Total Received : $105.00
Less Total Recordings: $105.00
Change Due $.00
Thank You
MARY OLBERDING - Register of Deeds
By: Debbie L
Receipt{ Date Time
nannocn ncinAinnoe ne.ee_
II I 2I I I I I II 3I III H
22 002 Bk: 14595Pg: 20 Page: 1 of 3
Recorded: 06/24 2022 08:58 AM
rN ._;,
?'* r
CITY OF NORTHAMPTON PERMIT DECISION 47.
DATES PROJECT INFORMATION
^
Submitted 4/19/2022 Owner Name/Address Peter Galvagni 22 Forest Glen MA 01062
Florence
Hearing 5/26/2022 Applicant Name/ Tim O'Reilly Holyoke MA 01040
Address(if different) 25 Holyoke St
Extension Applicant Contact Tim O'Reilly - 'I�2-8309 tim.oreilly@backyardadus.co
m
Hearing 5/26/2022 Site Address 22 Forest Glen Florence MA 01062
Closed _
Decision 5/26/2022 Site Assessor Map ID 36-5 B 11748 P64
Zoning District Water Supply Protection
Filed with 6/3/2022 Permit Type Planning Board Site Plan
Clerk _ .
Appeal 6/23/2022 Project Description Create new detached structure for living space.
Deadline
An appeal of this decision by the Planning Board may be made by any person within 20 days after the date of the filing of
this decision with the City Clerk, as shown. Appeals by any aggrieved party must be pursuant to MGL Chapter 40A, Section
17 as amended and may be made to the Hampshire Superior Court with a certified copy of the appeal seni to the City Clerk
of the City of Northampton.
Plan Sheets/Supporting Documents by Map ID:
BOARD MEMBER PRESENT FAVOR OPPOSED 1 ABSTAIN/NO COUNT VOTE TALLY
1 (Favor-Opposed)
George Kohout, Chair ✓ ✓ ❑ ❑
• Janna White,Vice Chair ✓ 0 0
Chris Tait V ✓ ❑ 0
David Whitehill ✓ - ✓ 0 ❑ 0
Christa Grenat ✓ V 0 ❑
Sam Taylor 0 0 ❑ ❑ -
Melissa Fowler ✓ ✓ 0 0
,Assoc. 0 0 0 0
Corinne Coryat,Assoc ✓ 0 0 7-0
-..] 1E C
JUN - 3 2022 ig .
CITY CLERKS OFFICE
NORTHAMPTON.MA 01060
pg. 1
c.anomy a. 'n,.
�"1 N .j�5
O C
CITY OF NORTHAMPTON PERMIT DECISION '`"a1` ea
APPLICABLE APPROVAL CRITERIA/BOARD;FINDINGS
ZONING
350 WSP Table of The Planning Board approved the site plan for the new detached unit on the information
Uses submitted with the application and determining that the criteria in 350-11.6 and 6.11 had
350-6.11 Two been met.
Family A The requested use protects adjoining premises against seriously detrimental uses. Two family
homes are allowed by right with site plan from the Planning Board.
B. The requested use will not affect the convenience and safety of vehicular and pedestrian
movement within the site and on adjacent streets. Parking will be provided onsite..
The project, including any concurrent road improvements, will not decrease the level of service
(LOS) of all area City and state roads or intersections affected by the project below the existing
conditions when the project is proposed and shall consider the incremental nature of development
and cumulative impacts on the LOS. The project proponent must demonstrate that alli cumulative
and incremental traffic impacts have been mitigated. If those impacts are not mitigate. The
Planning Board waived the traffic mitigation based on determining that its size previously was
below the threshold to trigger site plan review..
C. The site will function harmoniously in relation to other structures and open spaces to the natural
landscape, existing buildings and other community assets in the area. The new structure is located
behind the existing home.
D. The requested use will not overload, and will mitigate adverse impacts on the City'S resources,
including the effect on the City's water supply and distribution system, sanitary and stprm sewage
collection and treatment systems, fire protection, streets and schools. t
E. The requested use meets any special regulations set forth in this chapter. Including the design
criteria in 6.11.
F. Compliance with the following technical performance standards:
(1)Cub cuts onto streets shall be minimized.
(2)Pedestrian, bicycle and vehicular traffic movement on site is consistent with single/two family
use.
Minutes Available at WWW.NorthamptonMa.Gov
I, Carolyn Misch, as agent to the Planning Board certify that this is an accurate and true decision made bythe Planning
Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk and that a copy of
this decision has been mailed to the Owner, Applicant.
pg. 2
June 24, 2022
I, Pamela L. Powers, City Clerk of the City of Northampton, hereby certify that the above
Decision of the Northampton Planning Board was filed in the Office of the City Clerk on June 3,
2022 that twenty days have elapsed since such filing and that no appeal has been filed in this
matter.
Afitthi—V-62.0.e44.0
Attest:
City Clerk, City of Northampton
REGISTEII
Nut sorsteRE
)147
WIAFri CA-BE NG
Commonwealth of Massachusetts
lit 1
11 Manufactured Buildings Program-Plan Identification Number Assignment
Name of Manufacturer Professional Building MC Identification Number
Systems, Inc. 221
Third Party Identification Number
02
Project Title
104896
Use Group Single Family BBRS\OPSI Identification Number 0 1 /n 5-I22
Review Required All plans are reviewed by MA and a BBRS Number
assigned when approved 04/ 19/22
Date:
Manufactured Buildings Program
From: Syno Tell
Manufactured Buildings Program
Re: Confirmation of Receipt of Building Plans &Assignment of BBRS\OPSI
Identification Number (BBRS\OPSI I.D.Number)
The Board of Building Regulations and Standards and Office of Public Safety (BBRS\OPSI) has
received your building plans for the referenced project and has assigned the identification number
noted above (in the block marked BBRS\OPSI I.D. Number). This number has been assigned for
purposes of internal tracking methods. This number shall be used in reference to this project and on
all future correspondences, inquiries and plan revisions.
Thank you for your cooperation with this matter.
Send all correspondences,inquiries and plan revisions to:
Office of Public Safety&Inspections-Linda Shea
1000 Washington Street,Suite 710
Boston,MA 02118
Linda..shear(+niass.gov
Bbrs\forms2\manufacturedbldgplanid-06/2018
Your Confirmation number is 202207117975
Date of Confirmation: 7/11/2022
NOTE: When paying by ACH (Checking) it will take two business days for the payment to be debited from your bank account.
Your account number is not verified until this payment is presented to your bank. They have the right to return this payment if
unable to process this transaction against your account.
Your request for payment(s)of$466.95 has been received and is subject to approval by your financial institu'ion.
Account Information Payment Information
Name: PETER L GALVAGNI Payment Type: Credit Card
Note: QUICK PAY TRANSACTION Payer Name: PETER L GALVAGNI
Card Number: **************1518
Transaction Information
Transaction Quantity Amount Fee Payment Type
City of Northampton - Building 1 $463.00 $3.95 predit Card
Department
Misc. QP
Permit Option: Building-Zoning-Sheet
Metal Permits
Full Name: PETER GALVAGNI
Phone:413-695-4845
Property Address: 22 FOREST
GLENN
Notes:
Total: $466.95
Privacy•Terms
,
Dimension Requirements I
542.94 SF N WI:1 A'
Current Lots Size 15, E��C `
Current Open Space 81
RY� �t���
Proposed Open Space 75% TAX ,AP 36-004-001
Existing House 1,424 SF DEED K. 12175 PG, www.backyardadus.com
Proposed New Unit 928 SF PLAN K. 56 PG. 2 4 ( 607 30) ' 1I MA:413-23
4-4212
- 38-1866
Proposed Side Setback 15' 1
i ,
lliI
Proposed Rear Setback 20' 20'
1
TBM TOP HYDRANT i \i
EL. 100,00
0 - -- (ASSUMED)
Bulkhead protrudes r
less than 3' into ---
I
/ E
GRAVEL si
/ /
setiack - ` 15' Side Setback \ DRIVE / 1
1
I
t
Proposed 34 x 27'3" 2nd
r--- i _______ziA{ a) CN
, / 14 i >'• > N43
�* III o
_ DwellingShared water/ CONC ' v °'
C �JC A �HALT Q
Gross Foor Area: 92 SF electrical trench PATlO ( RIVE w H
. 1 WS 1110' ( 1 " FostaPex j! _ �'
- 9 STORY ._ o c
I Li—
ES 110' 200amp WOOD WD FRAME _�-I ® '0 N o
DECK 9,424 SQ. FT. --ss� ( = u_
`. / -- ' l o
#22
SSJ / a)
1184' 124" Drop 14" .VC �/ - �`-�
L
cn
`- ,�O _ — C on ct to SS i
' �' 4 ,'fonti and _/a
`r'
\6
� - -----..........--- !aU$L � .- ���:'---- _..___ Issue Date:
_wm
7 i 1:1
` LA _ �
03/03/2022w l
O •
/ \ f Drawn By:
VV
C.Lee
\ Revisions:
-- -_- T \
f
Orange plastic ADAM M, JR. & VIOLA M.
protection fencing PRYmOvViC.
TAX MAP 36-004-001
zi
DEED B . 12175 PG. 5
0 i Sheet:
PLAN BK. 56 PG. 24 ( LOT3 ) ---- - - I
" Site Plan - C 1
CCl l Scale: 1/8"/Ft when printed on 22"x34"Sheet
Proposed Site Plans
1/16"/Ft when printed on 11"x17"Sheet
N/F
N/F WILLIAM J.&JENNIFER M.
JAMES B.&CAROL M.LANDRY
TAX MAP 36-007-001 MARTINEZ
N/F DEED BK.12175 PG.5 TAX MAP 36-016-001
FRANCES E.&SHIRLEY M. I PLAN BK.56 PG.24(LOT 31) DEED BK 12175 PG.5
WHALEN PLAN BK.56 PG.24(LOT 31)
TAX MAP 35-112-001
DEED BK.10637 PG.261
PLAN BK.50 PG.54(LOT 4) I N/F
N/F
I ADAM M.JR.&VIOLA M. BRIAN T.MARCHESE NOTES
PRYMOWICZ DEED BKTAX P 36-017-001 12012 PG.63
, TAX MAP 36-004-001
DEED BK 12175 PG.5 PLAN BK 56 PG.24(LOT 7) 1)THE BEARINGS OF THIS PLAN ARE REFERENCED TO PLAN BOOK 56 PAGE
N/F I PLAN BK.56 PG.24(LOT 30) •
24.NO PUBLISHED GEODETIC CONTROL WITHIN 150 METERS OF LOCUS.
JESSE J.LAFORD
TAX MAP 35-110-001 I ! ,1 2)ELEVATIONS SHOWN ON THIS PLAN ARE IN AN ASSUMED DATUM.
DEED BK.10637 PG.261
PLAN BK.50 PG.54(LOT 4) 3)SURVEY PERFORMED ON THE GROUND IN THE
TBM TOP HYDRANT MONTH OF JANUARY 2022 UTILIZING A ROBOTIC
EL=100.0 (ASSUMED) GEOMAX Z90 AND CARLSON RT4 DATA COLLECTOR.
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=- ;: )" )� > , - - - __ __ TO THE BEST OF MY PROFESSIONAL ',
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,,� i -GRAVEL INFORMATION,AND BELIEF,I HEREBY 2 DANIEL �,
X L. ..•DRIVE REPORT THAT ' w\,-
20.00' ��� ZONING SETBACK LINE _- _ -_. %� 'I �q A
v THE STRUCTURES SHOWN HEREON ARE _I % SV LY
y T i'7 7//7 LOCATED AS _ -
27.25 '`DOWNCAST/DARK SKY'; , _ g�5a625
---�7N`^ sow y
---__ '� COMPLIANT(TYP) CO.NC / CONC mOLASPHALT
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ADU q o WOOD V WO FRAME / NAOMI CAIRNS
X 15.92'HEIGHT ` DECK / 1,424 S0.FT. . -1 z U TAX MAP 36-018-001
X / #22 o DEED BK.12400 PG.226 LEGEND
•
17
4"PVC SEWER LATERAL l \ •,___
cc ;.- `� ....,•� .rs; i C9 PLAN BK.56 PG.24(LOT 6)
o X I
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\ IP EXIST EDGE PAVE 0 UTILITY POLE
.• �/ /`"'� . m j PROPERTY LINE ELECTRIC METER
i I
x 20.00' ZONING SETBACK LINE i .\ ' . i t; CGAS__ C; UNDERGROUNDHYDRANT
r E ( s .,i, / IBLE OAK �/////0 -1 G f" 0 G . I�
x c SHED (� /r :OF%i Of G • G G ---—--- ABUTTER LINE PROP EXT LIGHT
N� .� h _—'� ,'y' -- o•\ - - •i �"f3' •;;t, #..;_ c� Of •OVERHEAD POWER CATCH BASIN
MATTHEW A.&STEPHANIE B. " v_ ,..____ �, ? cm X•P--0 __ __ FENCE {{���; DECIDUOUS TREE
MOTAMEDI 2G: X 1,' X X X X •' X X - <.)>' ): ' Y Y 'L.,/
'� N 88'45'25"W 1 g3.58' • FOUND IRON PIPE
TAX MAP 35-109-001 PROPOSED , 0, 1._. CONIFEROUS TREE
DEED BK.13180 PG.28 SNOW FENCE Z ❑ FOUND GRAN BOUND
PLAN BK.50 PG.54(LOT 3) u-
m h , LOCUS INFORMATION
OWNER:PETER L.&KAREN A.GALVAGNI
2 c : TAX MAP:36-005-001
'�` ' . DEED BOOK: 11768 PAGE 44
N/F O �"I PLAN BOOK:56 PAGE 24(LOT 29)
ADAM M.JR.&VIOLA M. d, ` CHARLES W.BARANOWSKI JR ZONED:WSP(NO OVERLAY DISTRICT)
PRYMOWICZ ^ TAX MAP 36-019-001
rn DEED BK.12175 PG.5 FLOOD ZONE C
TAX MAP36-004-001 w
1 LOT AREA=15,542.94 SQ.FT.(0.357 ACRES)
DEEDBK BK. �+ i PLAN BK56PG.24(LOT 6) OPEN SPACE AREA=75%
PLAN B 56 PG.24(LOT 30) TOWN WATER AND SEWER AVAILABLE
—_ —_--_---
ti
LZI NORTHAMPTON, MA ZONING TABLE
ZONING DISTRICT' WSP
p MINIMUM LOT SIZE: 15,542.94 SQ.FT.
N/F 0
JOHN D.&NANCY M.BOWLER. _ MINIMUM FRONTAGE: 80.00'
TAX MAP 35-095-001 FRONT SETBACK 30.00'
DEED BK.13049 PG.230 1 I
PLAN BK.50 PG.54(LOT 2) ' r-` REAR SETBACK 20.00'
1� SIDE SETBACK: 15.00'
,. - -- - -- - - - --MINIMUM LOT-WIDTH.: 50.00' ---
N/F OPEN SPACE REQUIREMENT: 60%
i JAMES V.&COLLEEN B.FOLEY
' TAX MAP 36-003-001 N/F 0 20 40 60
DEED BK.12175 PG.5 W KARL G.KREUGER - - _ —
PLAN BK.56 PG.24(LOT 31) rl TAX MAP 36-020-001
, rv` DEED BK.12175 PG.5 HORIZONTAL SCALE 1"=20'
IPLAN BK.56 PG.24(LOT 5)
N/F , Es-I SITE PLAN&EXISTING CONDITIONS
SCOTTA.&MARYELLEN S.I rr #22 FORREST GLEN DRIVE
ROUSSEAU
LOCATED IN
TAX MAP 35-094-001 1
FLORENCE,MASSACHUSETTS
DEED BK.13049 PG.230 I N/F N/F N/F
PREPARED FOR
PLAN BK.50 PG.54(LOT 1) MARYJOYP 36-001-001O'DONNELL HECTOR L.RIVERA-DELBUSTO CLARA S.GARLAND
i TAX MAP O TAX MAP 36-021-001 BACKYARD ADU'S
IDEED BK.12175 PG.5 TAX MAP 36-002-001
DEED BK.12175 PG.5 dry, DEED BK.13005 PG.167
PLAN BK 56 PG.24(LOT 1) - l PLAN BK.56 PG.24(LOT 3) DANIEL SALLS LAND SURVEYING
__ ______-_-- J _----_PLANBK.56PG.24(LOT2) r
• ____ ` ------------- 267 AMHERST ROAD SUITE 1B SUNDERLAND,MA(413)824-8165
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LIVING AREA
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Al )ProPosed
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Isometric Renders (not to scale)
Sheet:
CA2
_ Proposed Elevations
Scale:
1/4"/Ft when printed on 22"x34"Sheet AZ
1/8"/Ft when printed on 11"x 17"Sheet
Proposed Floor Plans
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/ DOUBLE PT 266 SILL PLATE SET IN UNE VAIN THE
OUTSIDE FACE OF FOUNDATION WALL FASTEN
BOTTOM PLATE TO WALL WI I••-
MODULAR COMPONENTS BY 1 O.C.AND ID'FROM ALL CORNERS.EMBED T MIN.
J
OTHERS.FASTEN TO DLL PER ,1 INSTALL SECOND PLATE TO HIDE HEADS OF ANCHOR
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FOOTING W/2 M< - eyU b GROOVE INSULATION
BARS.SEE DETAIL - �+r. , FULLY ADHERED TO
It CONCRETE •
WET SET DOWELS TO MATCH 4
VERTICAL BAR SPACING 4•CONCRETE SLAB W/6x6
F ,I.• .`y WI.I�I.I WWF O/STFGO
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INSUIATION STONE O/O/ ''
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3l'4' I11•011.WITH LANDSCAPE FABRIC ppyy'
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"�' ? Issue Date:
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1 CONTINUE VAPOR BARRIER BETWEEN
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f "T( BREAK BETWEEN THE FOOTING AND THE
FOUNDATION WALL A.Gregory
10•a20•CONCRETE FOOTING WI 2
RA BARS IN THE BOTTOM 3RD
Revisions
erxe.,•c TYPICAL B-0"NON ICE BASEMENT WALL DETAIL
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Sheet.
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Typical Foundation Plan
and Detail
COPYRIGHT 2022-PROPERTY OF BACKYARD ADUS LLC