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7/3112014 Cityof Northampton Mail-Re:17 Fair Street
(City of Northampton E-mail is a public record except when it falls under one of the
specific statutory exemptions.)
(City of Northampton E-mail is a public record except when it falls under one of the
specific statutory exemptions.)
in 17 Fair St Deck.pdf
306K
https://mail.g oog le.corrVmai I/ca/u/0/?ui=2&i k-ec5f19a57e&�Aevv=pt&search=sent&th=1478d6314043f549&si ml=1478d6314043f549 2/2
7/31/2014 Cityof Northampton Mail-Re:17 Fair Street
Re: 17 Fair Street
Louis Hasbrouck <[has brouck@northam ptonma.go\/> Thu, Jul 31, 2014 at 1:06 PM
To: Sarah LaValley <slavalley @northamptonma.gov>
Here's the plan
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
On Thu, Jul 31, 2014 at 12:43 PM, Sarah LaValley <slavalley @northamptonma.gov> wrote:
Hi Louis-
I think well just need a basic drawing of what's proposed.
-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
413-587-1263
On Thu, Jul 31, 2014 at 12:28 PM, Louis Hasbrouck < has brouck @northamptonma.go\/> wrote:
Sarah,
We got a permit application for an addition to the deck at 17 Fair St (the house that burned in 2009). The
base flood elevation is well established. The only volume below base flood elevation is -6 cubic feet, even
without taking away the existing supports. I suspect that the net increase will likely be less than 3 cf. Let
me know if you can approve this or if you'll need more info Thanks.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 office
(413)587-1272 fax
https://mail.g oog le.com/mai I/ca/u/0/?ui=2&i{rec5f19a57e&\iev,=pt&search=sent&th=1478d6314043f549&si ml=1478d6314043f549 1/2
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10.0 Engineered Flood Openings Certificate
Engineered Flood Oipenings Certificate
To satisfy requirements of the National Flood Insurance Program
This certification must be submitted to,and kept on file by,the local jurisdiction's permit authority. A copy
Should be retained by the owner to demonstrate compliance in order to receive the best flood insurance rating.
The Smart VENT®and Flood VENTM Foundation Flood Vent is certified as meeting the flood opening requirements for engineered openings
as set forth in the Federal Emergency Management Agency's National Flood Insurance Program regulations(44 CFR 60.3(c)(5))and ASCE 24-
98,provided it is installed according to the those references,as summarized below. Flood openings are required in enclosures below elevated
buildings,attached and detached garages,and accessory structures that meet the required limitations. For a copy of the report documenting this
certification dated June 21,2002,and a copy of the National Evaluation Service report NER 624,contact Smart VENT,Inc.,at 8771441-8368 or
visit:
www.smartvent.com
I do hereby certify that the Smart VENT®Louvered Foundation Flood Vent and the FloodVENTr'M
Insulated Foundation Flood Vent opening(s)is designed for installation in buildings,will allow for the
automatic equalizing of hydrostatic flood forces on exterior walls by allowing for the automatic entry
and exit of floodwater during floods up to and including the base(100-year)flood.One Smart VENT®
or one FloodVEN Fm for every 200 Sq.Ft.of enclosed area will provide sufficient hydrostatic pressure
equalization during a flood provided the installation limitations and instructions are followed as listed
below. To Calculate the required number of Smart VENTS® or FloodVENTSTM divide the Square
Feet of enclosed area by 200.
Example:A2000 S .FF`t..e enclosed area requires 10 vents. 000 S .Ft/200=10 Ven
Signature NW EALTh
Title e J%og Pkanec.; G7.+G I JEER O� a�tsrt o O
Type of License Zli6 l reez� Peor .s.o,0#-L E�+b �eE+z satxnt
License Number DS'6171-E STEVEN 141.URICH
ENGtNEl�r
*Project Name
F �
*Project Address 'I'rVS Y t J P�
*Date Submitted
*Required Fields* Professional Seal
Installation Limitations and Instructions
1. The Stuart VENT&or F1oodVDMm unit provides sufficient automatic equalization of hydrostatic pressure on walls and
foundations of buildings located in flood hazard areas where the rate of rise is expected to be less than ar approximately 5 feet
per hour.
2. Enclosed areas below otherwise elevated buildings,non-elevated attached and detached garages,and certain non-elevated
accessory structures located in flood hazard areas are to be used solely for parking of vehicles,building access,or storage.
3. Each enclosed area shall have at least two flood openings,installed on different sides of the enclosed area
4. The bottom of the flood openings shall be no more than one foot above the adjacent finished ground level.
5, Installation must be in accordance with manufacturer's instructions.
"REFERENCE ONLY"From FEMATB 1-93
Guidance for Engineered Openings
Openings in Foundation Walls
National Flood Insurance Program P Technical Bulletin TB 1-93
"In situations where it is not feasible or desirable to meet the openings criteria stated previously, a design professional (registered engineer or
architect) may design and certify openings. This section provides guidance for such engineered designs. For openings not meeting all four
requirements for non-engineered openings listed on page 2 and 3 of TB 1-93,certification by a registered professional engineer or architect is
required. Such certification must be submitted to,and kept on file by,the community. These certifications must assure community officials that the
openings are designed in accordance with accepted standards of practice. A certification may be affixed to the design drawings or submitted
I+ separately.It must include appropriate certification language,and the name,title,address,signature,type of license,license number,and professional
seat of the certifier." (TB 1-93 is available through Smart VENTO or online at www.feTna.gov)
Form:SMRT100 Rev.A
This rorm is the property of Smart VENT Inc.Modification or Duplication is Strictly Prohibited without authorization.
Certification of Engineered Opening(September 3,2002) 8
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YESKIE RESIDENCE
17 FAIR STREET
Vreeland Design Associates 01060AMRTON, MA
an integrative approach to residential design,engineering, TITLE.
and site planning FOUNDATION—SECTION
116 River Rd.,Leyden, MA 01337 DRAWN; Rre CHECKED: DRAWING N0.
Contact:David Vreeland, PE
Phone(413)624-0126 - Fax(413)624-3282 Dam o+.os.io SK -2
44'-6`
4` 9 FLOOD VENTS
REQUIRED FOR — _2L
CRAWL SPACE
NOTE: BOTTOM OF
FLOOD VENTS MUST
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o LESS ABOVE FINAL
GRADE.
�a TOP FOUNDATION WALL = 122.15'
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3 FLOOD VENTS
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YESKIE RESIDENCE
17 FAIR STREET
Vreeland Design Associates 01060AMPTQN, MA
an integrative approach to residential design,engineering, TrrLE:
a FOUNDATION—PLAN
and site planning
116 River Rd., Leyden, MA 01337 DRAWN: M CHECKED: DRAWING NO.
Contact:David Vreeland, PE
Phone(413)624-0126 - Fax(413)624-3282 DAB 0485.10 E: SK-
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Northampton,MA Property Detail Page I of 3
City of Northampton, MA: Residential Property Record Card
tLew—Search Property Type Classification Code Reference Card 1 of t
Parcel - Location-Zoning -Assessment
Map-Block-Lot: 25C-256-001 Zoning: Assessment:
Location: 17 FAIR ST Neigborhood: 20 Land: 61,200
#Living Units: 2 Deed Book: 4323 Building: 157,100
Class: 8-104 Deed Pap-e: 118 Total: 218,300
DuTeAing Information Building Sketch
Style: Conventional Descriotor/Are
Year Built: 1900 A-.:2Fr/B , ,
:971 sqft
Story Height: 2
0.irf/B
None
Attic: 49 sgft
Basement: Full :1$ Oft
Total Rooms:
"2 .294 sqft:
Bedrooms: 4 1 E E:E..FP/1.NO
Full Baths: 2 1.38 sqft
Ile-
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Half Baths: 0 4 le 25 sqft
Exterior Walls: AlumNinyl
Unfinished Area: 0 24
Ground Floor Area: 971 30
Total Living Area: 2144
Finished Basement Living Area: OX 0
6
Basement Recreation Area: 0 X0 25
Woodburning Fireplace
Stacks/Openings: 0/0 , Addition Information:
ZZ E�4CLO S ED N F,F— A, 1 , 19 8
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��� �'� /�QoOG�P /pya� ✓ o NATIONAL FLOOD INSURANCE PROGRAM
Q \!)
FLOOD INSURANCE RATE MAP
CITY OF
NORTHAMPTON,
MASSACHUSETTS
HAMPSHIRE COUNTY
i t.
/
COMMUNITY-PANEL NUMBER
250167 0002 A
xk
d
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' PAGE 2 OF 2
�-
It<
r (SEE MAP INDEX FOR PAGES NOT PRINTEDI
4 >' EFFECTIVE
APRIL3,1978
a
i ro US.DEPARTMENT OF HOUSING.
AND URBAN DEVELOPMENT
FEDERAL INSURANCE ADMINISTRATION
This Is an official copy of a portion of the above referenced flood map. it
was extracted using F-MIT On-Line. This map does not reflect changes
or amendments which may have been made subsequent to the date on the
title block. For the latest product Information about National Flood Insurance
Program flood maps check the FEMA Flood Map Store at www.msc.fema.gov
6. Since the enclosed area of the original house was not vented for flood waters there will be
a net gain in terms of flood water storage volume with the proposed house. Assuming an
average grade at the foundation of the original house at 121.0', an enclosed area of 1,198
sq.ft., and with the base flood elevation= 125.0', the loss of flood storage volume would
have been 125.0' — 121.0'=4' x 1,198 sq.ft.=4,792 cu.ft. gross volume. Assuming an
approximate volume of 594 cuft for the thickness of the original foundation,exterior
and interior framed walls,the net loss of flood storage volume for the original house was
approximately 4,792 sq.ft.—594 sq.ft.=4,198 cu.ft. Based on the proposed exterior
grade at the new foundation,as well as the proposed elevation of the crawlspace slab=
121.4',and the garage slab at 121.30' to 121.55',the loss of flood storage volume due to
foundation and framed walls, and exterior and garage stairs=260 cu.ft. Therefore,the
approximate net gain in flood storage volume for the proposed house is: 4,198 cu.ft.
(original house net loss of flood storage volume)—260 cu.ft. (net loss proposed house)_
3,938 cu.ft.
Based on the attached documentation,the proposed foundation system appears to be in
compliance with 780 CMR: 120.G501 FLOOD HAZARD ZONES.
Please contact me if you have any questions or need additional information.
Sincerely, -X�OF 440
AVID A.
EELAND ng
CIVIL
G
David Vreeland,PE q .46317
Vreeland Design Associates °� co,
2
Vreeland Design Associates
An integrative approach to residential design, engineering and site planning
Date: April 5,2010
To: Louis Hasbrouck
Inspector of Buildings/Zoning Enforcement
Northampton,MA 01060
From: David Vreeland,P.E.
Vreeland Design Associates
Re: Elaine Yeskie, 17 Fair St.,Northampton,MA: Construction in a flood plain of new home
to replace existing home destroyed by fire.
Dear Louis,
I have been consulting with Jim Harrity in regards to the foundation requirements for the
construction of a new home, at 17 Fair Street,for Elaine Yeskie,to replace the existing home
destroyed by fire. The lot,as is most of Fair Street, is in the flood plain of the Connecticut River.
The following is a summary of information for the proposed foundation:
I. The 100 Year Base Flood Elevation for this section of Fair Street is 125.0 feet with a
flood hazard classification zone of A-13. See the attached section of the Flood Insurance
Rate Map.I have marked the approximate location of the lot.
2. Richard Labarge,PLS,has prepared a Site Plan.Sketch,dated 3/8/10, showing existing
ground elevations with an apparent average ground elevation at the location of the
proposed foundation to be 120.5 . See the attached copy of the Site Plan Sketch.
3. The enclosed area of the original house footprint was 1,198 sq.ft. See attached Assessor's
Property Record Card.Based on photos from Google Earth,see attached photos for the
north, west,and east elevations,of the original house and the topographic data from the
Site Plan,it appears that the approximate elevation of the first floor was around 122.5'.
The proposed enclosed area for the new house is 2,253 sq.ft. In accordance with 780
CMR: 120.G501.4,the spaces below the Base Flood Elevation will not be used for
human occupancy,except for the proposed garage area. See the attached Foundation Plan
and Foundation Wall Detail. The garage area has an enclosed area of 552 sq.ft. and will
have three (3) engineered SmartVentTM flood vents installed,two vents in the east wall
and one vent in the west wall. The crawlspace area has an enclosed area of 1,701 sq.ft.
and will have nine (9)engineered SmartVentTM flood vents installed,two vent in the east
wall,three vents in the south wall,and four vents in the west wall. The SmartVentTm
flood vents have been approved by FEMA to provide for 200 sq.ft. of enclosed area per
vent. See the attached Engineered Flood Openings Certificate.
4. The short framed wall attached to the foundation and supporting the proposed house will
be constructed with 2x6 pressure treated studs at 16"on center with %2"plywood or OSB
sheathing. The pressure treated sill plate will be bolted down with 1/2"anchors at 4'-0"
o.c..and 12"maximum from corners and all ends of sill members.
5. The mechanical and electrical systems will be installed above the Base Flood Elevation.
116 River Road, Leyden, MA 01337 Phone: (413) 624-0126
Email: dvreeland @verizon.net Fax: (413) 624-3282
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: / 7 �'�Cr r--- `
The debris will be transported by: C
The debris will be received by:
Building permit number:
Name of Permit Applicant
r
Date Signature of Permit Applicant
_ City of Northampton
Massachusetts by' fri
v
{ ",; i DEPARTMENT OF BUILDING INSPECTIONS x
212 Main Street • Municipal Building
Northampton, MA 01060s��y
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
1, 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
Office of Investigations
Washington 600 W ton Street g
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information 4 Please Print LeLuibly
Name (Business/organization/Individual): 60 16 VelJg
Address: 4k Zle
City/State/Zip: 4 AAl AJ /� 0�P 7
Phone# : 4/3
Are you an employer? Check the a propriate 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.U I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ 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.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ 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.
tHo meowners 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 certi nder the pains a penalties of ry that the information provided above is true and correct.
Sign ature:
Date: %1,�?-I?lie
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#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Su eL isor: Not Applicable £ /1
Name of License Holder: 1/ C 5—0
License Number
49 �A- AWZIK) rrlA /.;�g115
Address - I Expirat' n Dat
- 70 o
Si ature Telerhone
9.keg'
e istered Home 6-63'r`6 veni-ent'don-ti-a'c,tor-, Not Applicable £
®ISJ 146 292
Company Nam Registration Number 4t1,9L11 6�
Address —7 ExpiratioM Date
T e I e p h o n 43)539-Foo3
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§26C(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..V,..£ No...... £
11: = Hame Owner:Egemption
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.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks Siding[❑] Other[❑]
Brief Description of P_ pos i J
Work:
Alteration of existing bedroom Yes_ No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa If New douse and or'addition to existing h"ousing,'complete tfie foflowing:
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
lam'l i as Owner of the subject
1, , 4z y�sk� �_
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date rJ tea/
as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
w
Signa r f Owner/ nt I Dat
.
^
Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Building Height Ljj UVI
Bldg.Square Footage 010
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
fill
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
^r� x��
,
NO y�� DONTKNO\� x�� YES �~�
|F YES, date ioued:
IF YES: Was the permit recorded at the Registry ofDeeds?
NO �� DONTKNOYY YES
�=�
IF YES: enter Book Page[ and/or Documen�#
B. Does the site contain a brook' body uf water orwetlands? NO DONT KNOW Y[S�
lc�w IF YES, has a permit been or need tobe obtained from the Conservation Commission?
Needs to beobtained |ssued'
�~� Obtained �~� Date
�~� �~� ' .
C. Dn any signs exist on the property? YES �~/ NO
IF YES, describe size, type and location:
D. Are there any proposed changes toor additions 0 NO
IF YES, describe type '
' ' .
E. Will the construction activity disturb(clearing,grading,excavation,orfi|Ung)over 1 acre o/isd part ofa common plan
' that will disturb over 1acre? YES NO S
^
IF YEG,then o Northampton Storm Water Management Permit from the DPW in required.
City of Northampton Status ofP+~rmrt
Building Department Gttrti Cut/Drlueway Perrrttt`
JUL 3 0 2014
I``
i 212 Main Street Sewer/SepllcAyailaf�Il�ty
i ! ROOM 100 �/1/aterfUkfeiiAyaila6111#y
Ei ctric, Piur i;r n 4t!or ; Northampton, MA 01060 Twd Sets ofS#ructural Plans
he ' t` 3e�413-587-1240 Fax 413-587-1272 P[of/Slte Plans
_
Otfier Specify ,
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE.INFORMATION
1.1 Property Address: This secfion to°be completed 6y office-
--_'.
� l J� Map Lot Unit
Overla Dtsfrict
EImSt'District
C BDistnct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
J /I
Name(Print)/ Current Mailing Address:
f1 A /&P L � Telephone e�
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
ell'3
Signa a Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building / (a)Building Permit Fee
2. Electrical (� (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number: IIsssued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0126
APPLICANT/CONTACT PERSON WAYNE BOISVERT /!��,�(j tazv
ADDRESS/PHONE 48 CARILLON CIR EASTHAMPTON (413)539-8003
PROPERTY LOCATION 17 FAIR ST
MAP 25C PARCEL 256 001 ZONE SC(100)/ , �- . x, �
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 14 X 20 DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 087453
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOJ04ATION 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
la
V /r/
Signatu ilding fici< 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.
17 FAIR ST BP-2015-0126
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C-256 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2015-0126
Project# JS-2015-000225
Est. Cost: $6000.00
Fee: $56.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WAYNE BOISVERT 087453
Lot Size(sq.ft.): 13808.52 Owner. YESKIE PAUL&ELAINE&PAUL YESKIE JR
Zoning: SC(100) Applicant: WAYNE BOISVERT
AT. 17 FAIR ST
Applicant Address: Phone: Insurance:
48 CARILLON CIR (413) 539-8003
EASTHAMPTONMA01027 ISSUED ON.81112014 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 14 X 20 DECK
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 8/1/2014 0:00:00 $56.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner