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32A-248 (10)
File #BP-2022-0195 APPLICANT/CONTACT PERSON:JOSEPH JASINSKI 43 Fair St NORTHAMPTON, MA 01060 PROPERTY LOCATION 43 FAIR ST MAP:LOT 32A-248-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out 1 � Fee Paid $62.40 Type of Construction: ADDING DECK TO BARN 67 New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 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 Perm it 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 Septi pprova I 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 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. r _ _, . i MAR — 1 r. The Commonwealth of MassaclW l sett 2022 j F R Q : Board of Building Regulations and gtan t IvIUNIC pALITY j Massachusetts State BuildingCode(780 C14`n)in n„�,; `�'V. ' TH4"an,1r,,!t sppc.7k USE Building Permit Application To Construct,Repair,Renovate Or IS&rtolii.1 1_,; )evised Mar 2011 One-or Two-Family Dwelling 2 This Secf For Official Use Only r Building Permit Number: p— a ` 0i �. Date Applied: & Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers ra 3) F/9 IR r sT 0>,9 /1 , L/X 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: /9/? R I'S 0 )LI000 1 J 0 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone:/ 9 Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: T(23-ep , iv 1-4StNc'k, AJcirr)I/;m 10)`c'JV MA 0! C'C,C Name(Print) City,State,ZIP '13i=/);(2 S'I y/,3•-3 2.-3.—Li723 til4 :TaR :rye 1)-'1i ( aoL, wlvl No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New ConstructionlEi Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work': f'2..r c C,(ti.,uy ct,.. t a-4 :�to CI P c� (1-/771 c.r c, 6.y et i/Pe A 4 ibt✓ t7 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 00 d 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ /L X0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ ,(.////. 2. Other Fees: $ 4.Mechanical (HVAC) $ i f 4. List: 5.Mechanical (Fire $ ✓A/M Total All Fees: $ 4 O Suppression) OA Check NoCheck Amount:4 Cash Amount: 6.Total Project Cost: $ 6 o0 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ,f o S P n k t.V J j S 1 v Sill License Number Expiration Date Name of CSL Holder List CSL Type(see below) C Li3p/) /n5i No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) 41C 1 11 4 114 f7 A..' 1VN A dI 060 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances �!l3 .3 F8-ZI 723 r o 4Li,'T j- c i y iM I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /06 6it /4--5-- 3-0 >3 co/v 5TUGT/ON TVS t'PA 1,v.:19$.L' A i HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name R -ci /?A(10f2 Tr,e7NFL( act(-oil No.and Street Email address Map fli A cpiaGc y 3 -5`I - 7) '3 City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE Ah'F1DAVIT(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 0 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 contained in this application is true and accurate to'the best of my knowledge and understanding. _To 5ep)\ i&J 1/i5TAi51r1 a Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. 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.) ' /0.s� P (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms_ Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" / /7 J� 011EMMMOMM The'Camtuantoeatth of Massachusetts Department afinthistrial Aeeidenti. 741—zr, I Congress Street,Sake 100 Banff'',MA 02114-2017 www.mass.govitlia Written!Compensation insurance EtaildersiContracturstEleetrlebtosinumbers. TO 1W!ILO vim THE PER1411171/1GAUTHORITC Applicant information Please Print Lenibtv Name alusinessiOrgadizationilndividual/: J-0.5 p it/ 779 S.2-A/c Ackiress LI 3 )-------A/ s,:„ LL.,0 n v), (3 cityistateizip:A.,62nrilafikritu cAQ t, Phone#: - 7 7_13 . frpat laployekt rite*the appropriate bovc,. Type or project(required): tritataaeinpleyer with ethplodea1illandbarinuitAline)_* 7- New constmeti94 431.,„„„i*r4blitiefix arpatirki-Atoiffid 122'p/dyes woeking kettle 8_ Remodieling ycaPieity_ worloirk comp.insithince airiLJ 9. 0 Demolition 30 Iant A tanneow-sterdoing all weak myself:No watt coarnii.idalcittee narired] 1 will 1)ci Building addition 441 latioza,,ner Sad will be biting contracthestO cneaductall wirlt polity ptoperty. isiadre that 211 ten eithet liat,elwneke'S' ot ate-2612- 11E1 Electrical repairs or additions proptiethri via& einplod 11E3 Plumbing repairs or-aklitions lam,4 conrcactor said hue.fined the sub-coardn.-this liated,on the attached sticet_ These inli-cdo-tatCtheilitnc 0206y-612nd have wntledis"&imp,ithiatence,1 13.0 Roof oapair s 14.0 Other We ate a edeporation and int otra:as hav 2 execthed 622 niglitof ex4aption pee1401-, 152.41(4),and we lave ctoplOyes.[Nit Witi•&lump.iiriStkratitt *19.4 app6c2iit dad cheeks box tanka ate till out the*mind below aim*their workers,co •.failtiod policy infneination_ t Howneowinces who'aidannt this affidavit fiCalirag theyare dota. 2 all wade and then hize.Onivide corananniii sand adroit a new affidavit indicating ii.x17„ Contractors that check-this box mad attached anadintithial beat sbOwing the name of the Mors uneiotate whether ur not those males have anployes. if the atth-contractorizbada einployea..they radd provide thrill wodusa!temp.isalioLl antiberi. torn an employer that is providing workers'compensation insurance for my employees. Below is the policy**job:slie Information. Insurance CornpaoyNarno: Policy#or Sell-ins.Lic,#: Expiration Dote, Sob.Siie Address.: City/State/Zip: Attach copy nf the'oineltere eimpetiSation polkr diebrattint Oger(iltawing the ptilley number:0d aspiration date),„ Failure to secure coverage as required under 1GL c 152,•§25A is a criminal violation punimhable by a frnetip to Si,50(l0 aridior orio-year iniprigoinnent,as well as civil penalties in the fortrt anBTOP WORK.ORDER and a fine dull to$2.50:1(1 day against the violator_A.copy of this Staternent may be:teritarded to the Office ofinvktigations of the DIA for coverage Verification I do hereby.eerttfy under the pains and peualtiv of pedury ikat the infarmation pradded above is true and correct. Signature: (A.1701JIA., .... Date:.(t)— 7- Phone:4'. 0/ 3- -•-• 7 7 t-/ 23 atficial use onlyl Do not write in this:area,to het Improve by city orlon;official City or Taoist: Peritiibtkense# issuing Mutuality(circle one): 1.,limird'of Health 2.Building Deportment 3,OrytroWst Clerk 4.tlectricol inspector S.Plumbing Inspector &Otber Contact Per*on; Phone* City of Northampton Massachusetts t ��f' 7 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building J11 oL� Northampton, MA 01060 sjti 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: Wo.fi r1 n The debris will be transported by: Name of Hauler: y c/? a r'mc;,:'./? Signature of Applicant: �,� C� Date: - ��" ------- -i- \ FAIR STREET Berkshire NNNN. ( \— _ PROPERTY UNE 171111••••MENEm..--- (Z.. C) •48" 2 ( ----- 00 . z > —2 i . TOP SPINDLE .00., •,,,,,•L "•• ilirdenFLAt Noiromptort Mo..eila01060 11131512,7000 • FM inDISLO MD HYD. s.. 4 „.....„.„,/ ELEV=10.67' 5 WOOD POST &RAIL N FENCE N MAP 32A LOT 248 1 43 FAIR STREET '—'1---„,_____, „ft/ N/F . TARA FUTRELL & 1:Z; \ M ARISSA ELKINS - N BOOK 8685 PAGE 34 APPROXIMATE LOCATION OF COMP STORAGE 7 _ . . II 1,598 CUBIC FEET TAKEN OVER 1,598 SQUARE FEET - - III_ I . WOOD P 1 & RAIL 43 Fair Street Il i-F11-11 II II TF-I F&-t. FENCE .,, Northampton,MA ly-- 1 l- g E 1=1 I-11 —11-111— I 1 IIf I —1-1 M• l-r--iiffil—ii I ' / 70 (3-z, -,11 --1 -•II . . ,....) < rn.... , 11111 r- / I I -• L-12 / m ' /1-- I * -T- I I I -‹ ...._. t i PRAPOSED b 5 /BARN ,,,- 10' PROPOSED SITE LAYOUT u'5 i •,.. '> al 0..„-- 5. woop , I RAIL 201 ../ / G •OST& I , FENCE 1, , __-, \ ) , i CI , ,,,.._/ PROPOSED LAYOUT NOTES Revisions S.ZrZFESZFT.7,7,E,==,, FEBRUARY S.203,oposTLO CATON ISINGV029 g 1 • 3 :o'Lonra mono N cotint=rmoiiILL iondroi A s.prz,r2 PROPERTY UNE rn=712F2MIEETEELiErl''EP I P 0 1 JAN./n*2On 711 -1.--4-0 7_ - LC2 — CITY OF NORTHAMPTON SETBACK PLAN MAP: ,D5 C LOT: a3ro LOT SIZE: a, tJ( U REAR LOT DIMENSION: /o!`G 1 REAR YARD L' SIDE YARD oo/O SIDE YARD 9©S .° FRONT SETBACK / FRONTAGE / 9,0 \ l j / 1 \ 2 fi 1 / 1 i N ° ' \ r I• ih 7 Q 1 / 'z ,......21 ,---11 4 �z > �,� ,4 „r� i . : �� 09 . • a 7ik7 111 \k\\�' 70%I Q P I k Hi S ad I i 1 pic) , \. 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