25C-257 (6) r SECTION E CERTIFICATION
This certification is to be signed by a land surveyorrengimeer,or afehitect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30,AE,AH,A(with 6FE),V1—V30,VE,and V(with BFE) is required.
Community officials who are authorized by local law or ordinance to provide fioodplain management information, may also sign the
certification. In the case of Zones AO and A_(without a FEMA or community issued 8FE), a building official,a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6,7 and 8-Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use,wall openings,or unfinished area Feature(s),then list the Feature(s
included in the certification under Comments below. The diagram number,Section C, Item 1,must still be entered. ESN OF
1 certify that the information in Sections S and C on this certificate represents my best efforts to interpret the data avai PAUL
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. :W R
PAUL R. U 516iIZ MA, R�,S- f Z%,48 � �e
CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) E61STE� �s{`
5Et410R Aao-1ECr M.0,1AGER— A.MEE HUt TtOr' J2, 8. ,ASSOC CAT �o
TITLE COMPANY NAME
30 tNUU67-44A(. D2t1lE E,aST N027kAMPr0.Q A44 Ofo&a
ADDRESS �i CITY pSTATE ��� ZIP
��- 4�1 2Z2000 413- r7 8 4 --1444
SIGNATURE OATE PHONE
Copies should be made of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner,
COMMENTS:
ON WITH ON PILES.
SLAB BASEMENT PIERS,OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES-�
REFERENCE '±c
REFERENCE BASE i_NEL REFERENC'
t.E'/EL 0.000 LEVEL
ELEVAMN
USE
BASE AOJACE
FLGoO •• . Nr.:;''+''Y REFERENCE FLOCO
':••: ti;;
ELEVATION REFERENCE AO GRADE 4Y� EL_NAT)ON tACENT
LEVEL GRACE
.:%.i::i.• ':i.':.'•::'�+ .,�:�`:ADJACENT
:�ii:: r..•r'•'=.::�:.•.. .,,,��L� GRADE
• ...._•.��-...._... ....... :11111:�:.
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
- v.,n.o.rva J UO/V O
ELEVATION CERTIFICATE Ex puetMay3r, 1993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community ftoodpfain management ordinances. to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
M. JESSE 70FjZ11JI61-
STREET AOORESS(Including Apt..Unit.Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
IS FA i12 5T12EET
OTHER DESCRIPTION(Lot and Black Numbers,etc)
I
CiTY STATE ZIP CODE
No P--rH,4m PTW 114,4S SAC U567-rs 01660
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the fallowing from the proper FiRM (See Instructions):
1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 1 4.DATE tOF FIRM INOEX 5.FiRM ZONE 6.BASE FLOOD ELEVATION
2 rJQ �D7 000 2- A /APr;( 3� f R 7$
(in AOZ s.use depN)
7. indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD 29 '
_ Other(describe on back)
S. For Zones A or V, where no SFE is provided on the FIRM,and the community has established a BFE-for this building site,indicate
the community's SFE:! ! ! ! 1 !:! feet NGVD (or other FIRM datum—see Section 8, Item 7).
I
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions,indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level� 2 .
2(a). FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation
of! ! 11 1 !7 .10'• feet NGVD (or other FiRM datum—see Section B, Item 7).
(b). FiRM Zones V1 430, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram,is at an elevation of !.'_feet NGVO (or other FiRM datum—see Section B, Item 7).
(c). FiRM Zone A (without BFE). The floor used as the reference level from the selected diagram is _feet above_ or
below'! (check one) the highest grade adjacent to the building.
(d). FiRM Zone AO. The floor used as the reference level from the selected diagram is I I.'feet above' or below_(check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference
level) elevated in accordance with the community's floodplain management ordinance? Yes 7 No ` Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:YNGVD'29 _ Other(describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section S, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.) _
4. Elevation reference mark used appears on FIRM: 0 Yes • o (See instructions on Page 4)
5.The reference level elevation is based on: Lr! actual construction _ construction drawings
(NOTE. Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6.The elevation of the lowest grade immediately adjacent to the building is:` l 1!2'2! !�! feet NGVD(or other FIRM datum-see
Section 8, item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor"as defined in the community's floodplain management ordinance, the elevation of the building's"lowest
floor"as defined by the ordinance is: j ` I _ feet NGVD(or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81.31)MAY 90 REPLACES AL_PREVIOUS EDITiO`dS SEE REVERSE S,'CE FOR CONTINUATION
i
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Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
On Tue, Mar 11, 2014 at 12:58 PM, < sfounds @comcast.net > wrote:
Dear Commissioner Hasbrouck -
I would like to install a toilet and sink in the accessory building at my house at 15 Fair St. Northampton, MA
01060.
You may remember we attempted to do this almost 10 years ago.
I have attached the Restrictive Covenant, an Engineering Study of the proposed plumbing, and a recent Title
inspection.
I have spoken briefly with Lary (plumbing inspector).
Also, I am exploring the possibility of upgrading the electrical services in both the house and accessory
building. Please speak with Roger(electrical inspector).
need your guidance as to what and how to proceed. I will try to call you or please feel free to contact me.
Note: In the Engineering drawing, specifically see "Proposed Water Supply", "Proposed Bathroom Area", and
"Existing 4" PVC Line".
Thank you.
Respectfully,
Steve Founds
413-441-5980
(aka James Steven Founds)
(City of Northampton E-mail is a public record except when it falls under one of the specific statutory
exemptions.)
the electrical, it would need to come through the house because the building can only be used as accessory
to the principle use (single family). You couldn't have a separate service to the building. Also, since your
property is in the flood zone, any new electrical equipment (new panel, service, etc)would need to be above
the base flood elevation. As a point of reference, the first floor of the house at 17 Fair St. is at that elevation.
Also, the city zoning has changed to allow more home businesses. Here's the new ordinance (350-2.1). You
would need a finding from the ZBA (section K) because the building is too close to the side lot line.
HOME BUSINESS
A wcation, trade, small business, craft, art or profession which is conducted within the principal residential or
accessory building of a property by a bona fide resident of that main building and which, by nature of its limited
size and scope, does not cause any significant outward manifestation (such as traffic generation, parking
congestion, noise or air pollution, outdoor materials storage, and public service or utility demand)which is
uncharacteristic of or an additional disturbance to the residential neighborhood in which said property is
located.
The following occupations are not considered home businesses if clients will be seen in the home, although
other uses may be excluded on a case-by-case basis: any traditional medical/dental practice, veterinary
hospital, restaurant, retail or wholesale supply shop or store, or any mortuary. (See § 350-10.12 for additional
criteria.)
A home business is allowed by right when the following conditions are met:
A. It must not occupy more than 40% of the gross combined floor area of the main residential building and the
accessory structure (if such accessory structure is utilized for said home business).
B. It must be clearly incidental and secondary to the use of the building or property for residential dwelling
purposes.
C. Any practitioner of the home business who will work on-site must occupy the main residential building as
his/her bona fide residence.
D. There shall be no more than 25 visits per week by clients/customers/contractors, etc., related to the
business being conducted unless otherwise authorized through a Zoning Board of Appeals special permit. The
Building Commissioner shall make the final determination, subject to appeal to the Zoning Board, as to the
likely number of visits that a proposed use will generate.
E. For practitioners who see clients/customers or any kind of visitors, hours of operation shall be between 7:00
a.m. and 8:00 p.m. unless otherwise authorized through a Zoning Board of Appeals special permit.
F. For practitioners who see clients/customers or any kind of visitors, registration with the Building
Commissioner is required and shall include information on number of clients projected.
G. Up to two "open studios" per year, unless otherwise authorized through a Zoning Board of Appeals special
permit.
H. No more than one sign of one square foot in area may be displayed advertising the home business, provided
that: (1) It is attached to the structure next to or on the entryway for said home business; and (2) It is not
illuminated. I. No goods, except for those created in the home or those sold by Internet, telephone or electronic
transactions, may be sold from the premises. J. No outdoor storage of materials, merchandise, or equipment
for the home business is allowed.
K. If said home business takes place in an accessory structure, then said structure must conform to the
setback requirements for accessory structures in that district, unless a finding by the Zoning Board of Appeals
in accordance with § 350-9.3 is made.
L. It shall produce no noise, obnoxious odors, vibrations, glare, fumes or electrical interference which would be
detectable to normal sensory perception beyond the lot line.
M. The portion of any structure utilized for a home business shall conform to all applicable Fire, Building,
Electrical, Plumbing and Health Codes.
` Louis Hasbrouck <Ihasbrouck @northamptonma.gov>
Re: 15 Fair St.
1 message
Louis Hasbrouck <Ihasbrouck @northamptonma.gov> Thu, Mar 20, 2014 at 3:30 PM
To: sfounds @comcast.net
Steve,
I'e received your application for a bathroom in the rear building, A couple of things need to be addressed.
First, it isn't clear that you reside at 15 Fair Street. You applied for the permit with a Pennsylvania address. A
homeowner may obtain a permit for an owner-occupied dwelling. If you do not reside there, you will need to have
a contractor apply for the permit.
Second, please understand that the building cannot be rented separately from the house. Any use of that building
must be "incidental and secondary" to the principal use of the property (as a single family dwelling).
We will review the plans but will need a statement that you reside there or a contractor's name on the permit.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
On Thu, Mar 13, 2014 at 12:18 PM, <sfounds @com cast.net> wrote:
To - Building Commissioner Louis Hasbrouck
re: new ordinance (350-2.1) -am I required to file for this in order use the accessory building as
"storage,..workshop or studio"? - per Restrictive Covenant
Thanks
Steve Founds
---- Original Message --
From: "Louis Hasbrouck" <Ihasbrouck @northamptonma.gov>
To: sfounds @comcast.net
Cc: "Charles Miller" <cmiller @northamptonma.gov>, "Kyle Scott" <kscott @northamptonma.gov>, "Roger
Malo" <rmalo @northamptonma.gov>, "Lang Eldridge" <Ieldridge @northamptonma.gov>
Sent: Tuesday, March 11, 2014 2:56:22 PM
Subject: Re: 15 Fair St.
Steve,
As we discussed a few years ago, you can put a toilet and sink in the accessory building. As far as upgrading
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c a The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
_ I Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
James Steven Founds
Address: 15 Fair St
City/State/Zip:Northampton MA 01060 Phone #:413-441-5980
Are you an employer?Check the appropriate box: Type of project(required):
l.0 I am a employer with 4. 0 I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6.' E]New construction
2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have g. 0 Demolition
working for me in any capacity. employees and have workers' g 0 Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.F01 I am a homeowner doing all work officers have exercised their I l nM 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' 13.0 Other ____ __ __
comp, insurance required.]
`Any applicant that checks box#1 must also till 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:
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 day against the violator. Be advised that 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 of perjury that the information provided above is true and correct.
Sig nature: Dawes keveil -fDly Date:(f March 13, 2014
Phone#: 441-5980
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#:
City of Northampton
J � 1
Massachusetts
{ DEPARTBENT OF BUILDING INSPECTIONS y,
212 Main Street • Municipal Building
�,. Northampton, MA 01060 ssNyti y�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 mad//e
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 ZZ�
Address of work location
v'
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
Company Name 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....... ESC No...... ❑
11. - Home Owner Exemption
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 7awes SteIleir -Fb�mds
IZ4� r
i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors C)
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [Q Siding[Ell Other[Q
Brief Description of Proposed
Work. Install toilet and sink in accessory building,run water line t'rom house.connect to existing septic dMin
Alteration of existing bedroom Yes x No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes x 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.
1. 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
1, 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.
Signature of Owner Date
h_ 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 rider the pains and penalties of perjury.
C'P \
Print Na
Sign 0 Win e Date
Section 4. ZONING Alt 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 8460 8460
-Frontage 47 47
Setbacks Front 110 110
Side L: 22 R:2 L:22 R:2
Rear 46 46
Building Height 14 14
Bldg. Square Footage 9fi S % 396 5
Open Space Footage %
(Lot area minus bldg&paved 6484 77 6484 77
parking)
#of Parking aces 4 4
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO (�) DONT KNOW 0 YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 O NO Ui
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
J 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
pLo ampton, MA 01060 Two Sets of Structural Plans
�\'` 6 -587-1240 Fax 413-587-1272 Plot/Site Plans
p qtr'
Other S pe ci fy
PPLICATION 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
15 Fair St. Map Lot Unit
Northampton, MA 01060
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
James Steven Founds 2631 Glenchester Rd., Wexford PA 15090
Name(Print) Current Mailing Address: 413-441-5980
Jawes Sever purrs ,, 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 ermit applicant
1. Building 300 (a)Building Permit Fee
2. Electrical 0 (b)Estimated Total Cost of
Construction from 6
3. Plumbing 2,000 Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection 0
6. Total=0 +2+3+4+5) 2,300 1 Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/inspector of Buildings Date
Hap - S-K FlAKC.
File#BP-2014-0954
APPLICANT/CONTACT PERSON FOUNDS JAMES S&SANDRA A
ADDRESS/PHONE 2631 GLENCHESTER RD WEXFORD (413)441-5980 Q
PROPERTY LOCATION 15 FAIR ST
MAP 25C PARCEL 257 001 ZONE SC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid A
Building Permit Filled out ►7 0j Q( �_ � �_�
Fee Paid � 1�'(
Typeof Construction: CONSTRUCT BATHROOM IN ACCESSORY BUILDING(TOILET&SINKS f�
New Construction tAOT ALL
Non Structural interior renovations "hUt ,(
{
Addition to Existing_ T J
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
INLF-( ATION 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
_ 3 1
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.
15 FAIR ST BP-2014-0954
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C-257 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-0954
Project# JS-2014-001657
Est. Cost: $2300.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 8450.64 Owner: FOUNDS JAMES S&SANDRA A
Zoning: SC(100)/ Applicant: FOUNDS JAMES S & SANDRA A
AT. 15 FAIR ST
Applicant Address: Phone: Insurance:
2631 GLENCHESTER RD (413) 441-5980 O
WEXFORDPA15090 ISSUED ON:41312014 0:00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT BATHROOM IN ACCESSORY
BUILDING (TOILET & SINK) - electrical & plumbing must meet all code requirements
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 4/3/2014 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner