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23A-067 Re: 81 Maple Street Page 1 of 1 Re: 81 Maple Street Iron_ Sarah LaValley Sent: Fri, Mar 22, 2013 at 5:22 pm o. Louis Hasbrouck Cc: Matt McDonough Louis and Matt - The Historical Commission held a public hearing on this demolition request in 2011, following an initial determination that the structure has historical significance. The Commission did not find that the building meets the 'Preferably Preserved' criteria, and no delay was imposed, so this won't need additional historical commission review. Thanks very much - Sarah Sarah I. LaValley Conservation, Preservation and Land Use Planner City of Northampton Office of Planning and Sustainability 210 Main Street, Room 11 Northampton MA, 01060 4 -1 263 On Fri, Mar 22, 2013 at 5:12 PM, Louis Hasbrouck < Inasbroucki6 , nolhdrivtonrna.gov> wrote: Matt, I looked at your permit application to demolish the house at 81 Maple Street. The assessor's list has the date the house was built as 1888 and it is on the historic inventory (file attached). The Cumberland Farms Store project in September 2011 proposed to demolish the house. I do not know if the Historical Commission made a determination about the structure's significance at that time. As the building may be subject to the city's demolition delay ordinance, I am referring it to the Historic Commission for review. If you have any information about an earlier review, let me know. (+ n C; ;rze Nor 10.%r of W 1rCi (413) 587-1240 free' (413) 587-'1772 'ax (City of Northampton E -mail is a public record except when it falls under one of the specific statutory exemptions.) https: // mail. greendaysgroup .com /versions /webmail /8.15.13- RC /popup.php ?wsid= 8744216... 3/25/2013 4 . r CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS : 125 Locust Street �`..,r •;;. Northampton, MA 01060 -2086 i y 41 3 - 5874570 Edward S. Huntley, P.E Fax 413.587 -1576 Director March 21. 2013 Louis Hasbrouck, Building Inspector Municipal Office Annex 212 Main Street Northampton, Ma 01060 Dear Mr. Hasbrouck: The water service at #81 Maple Street has been shut at the curb sto p and the water meter has been removed from the premises as of 1/9/2008. Please contact me if you have any questions. incerely, c. 74) 1 7 11 , David Spark Superintendent of Water Cc: Ned Huntley, Director of Public Works Jim Laurila. City Engineer nationaignd The power of actiorC. Reservoir Woods 40 Sylvan Rd Waltham, MA 02451 January 10, 2013 Graig Gooley Email: orchardelectricinc.com RE: Service Removal for Building Demolition. Attn: This letter is to confirm that, per your request; National Grid has removed the electrical • service and meter, numbers 15661477 and 30706198, located at 81 Maple Street in Florence on January 9, 2013. If you have any questions or need further assistance, please feel free to contact me at (508) 357 -4661. Sincerely, See / 7<e4y nationalgrid Customer Order Fulfillment Central & Western MA Office 508 - 357 -4661 Fax 888 266 -8094 Rebecca.Kelly@us.agrid.com • 04!01/2013 10:54 41:37327393 PAGE 01/01 Columbia Gas- of Massachusetts A NiSource Company 2025 Roosevelt Avenue P.O. Box 2025 Sprkngfield. MA 01102-2025 _R1Qt\ED Date: 4 / e APR 0013 CE: i r C- MA 01060 To Whom It May Concern, The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS :/ 17 ' l 4 TOWN : (/'C'2) STATE : Massachusetts Sincerely, s7e7j- c "Le Maintenance Administrator integration Center Columbia Gas Of Massachusetts 413 - 784 -2115 3/21/2013 11:00 AM FROM: TP Daley Insurance TP Daley Insurance TO: +1 (913) 5871272 PAGE: 002 OF 002 Client#: 17303 CHAARI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DOIYYYY) 3/21/2013 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 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 NAME: Kathy T.P. Daley Insurance Agcy, Inc PHONE 413 788 -0971 FAX 413 739 -2645 (A/C, No, Ext): (A/C, No): 1381 Westfield St. E-MAIL DSS: kathleendaley @tpdaleyinsurance.com P.O. Box 1150 West Springfield, MA 01090 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Scottsdale insurance INSURED INSURERS: Travelers Indemnity Co. Charlie Arment Trucking, Inc. INSURERC: Acadia Insurance Companies 47 Warehouse Street INSURERD: Safety Insurance Group Springfield, MA 01118 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR SR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD /YYYY) LIMITS A GENERAL LIABILITY X X CPS1686234 01/31/2013 01/31/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREM SE50 R occwr nce) $100,000 CLAIMS -MADE 51 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $1,000,000 POLICY X PRO n LOC $ V D AUTOMOBILE LIABILITY 5055601 01/31/2013 01/31/2014 ( E° acccdentSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) $ _ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) /\ X UMBRELLA LIAB X OCCUR U 01/31/2013 01/31/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 BED X RETENTION $10000 B WORKERS COMPENSATION 6KUB4951P33A13 01/31/2013 01/31/2014 X TO I ISTATUMI- TS E FR RH AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E. L, EACH ACCIDENT $1 000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Motor Truck CIM5032215 01/31/2013 01/31/2014 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i t more space is required) General Certificate CERTIFICATE HOLDER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. City Hall ,210 Main Street Northampton, MA 01060 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S96730/M96122 KJD i� no - L ^ '\ - f6 RI l v Ste\ IV = w P ^ — * 1 ) 1 C: as I f °-'v) - I °- • - U / / � // �l C ,.- ■ I , Si U U O U y C U — U rd f , O 0 C U O —�• > rt 1I U J �' _ ,....„ 4 . cc o _ .., 'Z , 0 ,, "4 7-7 .,_ '-: o 0 , az cc - r n t•� * I ! : f O LJ u m ,a -0 � ' _ _ r„,* et.'• . _ t ^� 1 cc _ _ O O z ; 3 � �I . ) il N 3 >>33 1 6} a. . ` � f 00 "r* 1¢ .N ' w = Z ❑ ❑ ❑ ❑ ❑ ❑ =- ¢ j :� ti — Z - > �.) N Z - i N a h o q L . yq [: 1 ❑ t5 ❑ ❑ _ ,„ ,.., -4-- ) ,,,, c.r.: _ . _ -1---. Cr f ' a) > e - " :.) to ) 4J f J • v a0 m cc O • = _ o Z c.. - > .._ z C... ° C U _ _ o — i " Z a.-2 J GC J Z oA o _ J - = ti E. a • a1 j v � U Gs -+ U U r y 0D. O 'a) C..) a) O O O O _ � J O W O O ca ,�,�` m C - -O O c a r y U Z is ."' L, C CZ N U G = ) c O y 6. L a U U • U= - Q — ra r 71 v r Z ._ , U U U C V r.-) v Z .� — .= r .- U W � ). m W � .. WHERE BUSINESS AND THE ENVIRONMENT CONVERGE S80 Silver St Agawam- MA 01001 tel 413.759.3530 far. 413.78Q 2776 www.ecsconsult.corn January 30, 2013 Job No: 207531.00 Doc No: 81 Maple Street Florence Middle Hampshire Development Group 270 Exchange Street Chicopee, MA Attn: Mr. Matt McDonough RE: Visual inspection 81 Maple Street, Florence, MA. Dear Matt, As per your request, EC S has completed a fmal visual inspection of work areas at the above referenced location. ECS personnel were on site on January 2, 2013. The visual inspections were conducted in work areas as requested by Western Mass Environmental. The fmal visual inspections yielded no visible debris on removed surfaces. Final visual inspections passed the Massachusetts Department of Labor and Work Force Development clearance standards (453 CMR i 1 e )(_)(b)(2)) of r_ f__ i • form with this letter A copy Ul the certification of visual inspections ll7rril is enclosed Wltll this 1GL6G1 1GpV1LL. If you have any questions regarding this information, please contact our office at your convenience. Sincerely, ENVIRONMENTAL COMPLIANCE SERVICES, INC. /1 / �' Christopher Godfrey • Project Monitor # AM070471 Enclosure - Certification of Visual Inspection • CIZINNECtIttrr V41101 3r' 1 ,, ,,. 49 City City of Northampton • _ � ; Massachusetts ' ~ F, t , 4 1 DEPARTMENT OF BUILDING INSPECTIONS B Y I £ ti . ' 212 Main Street • Municipal Building 4 . ` ^- «M.»' cS " Northampton, MA 01060 s .r,t INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and /or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location - - The Commonwealth of Massachusetts =,��,,. Department of Industrial Accidents .. = r t Office of Investigations ' 5 - = „; 600 Washington Street . 0 P q - Boston, MA 02111 . P-4 V� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly —, Name (Business /Organization/Individual): itifi ► C 4 i vl'l. . L 6 L Address: l 1) 07 ko ' City /State /Zip: C6) Pt ' f ri- 0/11 fC' Phone #:l�' 7 (i� -// ), Are you an employer? Check the a ppropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part- time).* have hired the sub - contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling These sub - contractors have ship and have no employees 8. demolition working for me in any capacity. employees and have workers' 9. [1] Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other 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 policy and job site information. Insurance Company Name: ' in' -Z 4,-..,1.-- �. P Di 1 . c s, Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: - 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 $250.00 a ay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o DIA for 'Aurance c verage verification. I do hereby c • der - pains an penalties of perjury that the information provided above is true and correct. Signature: Date: 1/20 Phone #: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: S ECTION 8 - ,CONSTRUCTION SERVICES, a . 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder c „ „rt'4l Ag-, .d1: 1 C$ 0 t77 6 Y License N mber ? w� 5 s fld ��i// 3 3' ' Y Address Expiration Date 6/3 739 - eXii Signat; - / Telephone u'” ' ` ere T oirie , roverrmen �= ontra O—Afftitt*MifftityttmviMintefff Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone I SECTION 10- WOR COMPEN INSURANCE AFFIDAVIT (M G L 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 ❑ The current exemption for "homeowners” was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside; .on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 4 SECTION 5= DESCRIPTIQN OF PROPOSED WORK (check all applicable).„ ,. s Y t �, t f New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition New Signs [G] Decks IQ Siding [p] Other [El] Brief Description of Proposed 1 L 4 C4/C1 ,M f f Work: De✓hi0� %� t�' / /l� P j Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet s e °.; ise aii • .ar. addition o 1 in t, a' sing; ciimp itif h4.fo r6Wina: 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 -, AUTHORIZATION_ 70 BE COMPLETED WHEN a ,, O WN 1 ENT O CONTRACTOR APPL1ES F BUIL PERMIT- ra :: ERS�AG i, 4,71AZ/ opixo , as Owner of the subject property �� hereb auth ri e C �n i . �� �� J 71-04i.,3 �P" to ac on my b half,, all matters relative to work authorized by this building permit application. S ignature of er Date 3/ (0 1, /4,1 , as Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to th st of my knowledge and belief. Signed under the pains and penalties of erjury. Print Name 1 � � Signature of Owner /Ag • Date r Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information r Existing Proposed Required by'Loning This column to be filled in by Building Department 1 i t Lot Size i F Frontage I Setbacks Front I 1 = 1---) Side L:' R: i L:7 R:I 1 = 1 = 1 _ Rear , Building Height Bldg. Square Footage I 1 3 I% 1 Open Space Footage %.____ (Lot area minus bldg & paved x parking) # of Parking Spaces �� Fill: r .�..._.._.._..__ _� ._.._ i (volume & Location) (, o A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW ED YES 0 IF YES, date issued: I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 F s IF YES: enter Book Page? and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 4* DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: 1 C. Do any signs exist on the property? YES 0 NO e 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 0 W YES, describe size, type and location: 1 � 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. r+.0. t r D e t se e • i City of Northampton S }as , e 5 s }tD { Building Department ��. " . `�� � , , „ ; . 212 Main Street e� r a lab r , Room 100.E Northampton, MA 01060 phone 413- 587 -1240 Fax 413 - 587 -1272 . , � � � APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 , SIT INFORM ; This section to b e completed by tiff ce 1.1 Property Address: �, - 1 =" " - �4 .1 t� 4 k^ . W /�{ , �n /,{ Q � � 1 ' • 8 3 �� i . l ` °"r Y� t � � a i' 4 �ry J4 �"'��'s' .d ltifi ; Zone -: „,),-.',7-k,-.• Ouerla District n4� x t,„ ,, E I St. Distric ITT Y: L ` . ' t ... C District k S E CTIO N 2 PR OPERTY OWNE RSHIPIAUTHORIZED AGENT 2.1 Owner of Record: �,�,� /n, id le � /1).4, D. r4Q ” -1-' . . 7 0 x c v� f� G�i�, i /o f ay e/3 Nam (P rint) Current Mali Addre 77) - f3 9i� Telephone Signature 2.2 Authorized Agent: A ii�w �p�o fa ,f ,9 ia� liv Na (Print) Current Mailing Address: 9/3 - s3 � - 9/ °1' Signature Telephone S ECTION 3 :ESTIMATED CONSTR •COS Item Estimated Cost (Dollars) to be .. Officia U completed by permit applicant : u 1. Building (a) Bui ld i ng Permit Fee �ernfl�fi /3 2. Electrical (b) Estimates! Total C ost of Constructio 3. Plumbing Butldirig Permit Fe e 4. Mechanical (HVAC) 5. Fire Protection �. fi f 6. Total = (1 + 2 + 3 + 4 + 5) �� 40a Check Num = `This Section Fo r O ffi c i al ' Use Only Building Permit Number . IIssued. Signature Building Com ssioner /Inspector of Buildin Date tchal • _� 4 HOLD 5 r Q f F caTE f File # BP- 2013 -0854 3 (2-Y1 APPLICANT /CONTACT PERSON CHARLIE ARMENT TRUCKING INC ADDRESS/PHONE 42 WAREHOUSE ST SPRINGFIELD (413) 739 -8431 PROPERTY LOCATION 81 MAPLE ST MAP 23A PARCEL 067 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 11,3 /�� Fee Paid Typeof Construction: DEMOLISH HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 017764 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INJORMATION 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 j) Demolition Delay /61/4-- Y/3/0 Signature of Building Official 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. 81 MAPLE ST BP- 2013 -0854 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A - 067 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit # BP- 2013 -0854 Project # JS- 2013 - 001461 Est. Cost: $13000.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHARLIE ARMENT TRUCKING INC 017764 Lot Size(sq. ft.): 5749.92 Owner: MIDDLE HAMPSHIRE DEV GROUP LLC Zoning: GB(100)/ Applicant: CHARLIE ARMENT TRUCKING INC AT: 81 MAPLE ST Applicant Address: Phone: Insurance: 42 WAREHOUSE ST (413) 739 -8431 Workers Compensation SPRINGFIELDMA01118 ISSUED ON:4/3/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMOLISH 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: FeeType: Date Paid: Amount: Building 4/3/2013 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner