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18C-045 (5) aciliiv: 68 Hatfield Street, Northampton, MA Date: 8/28/2014 Project#: LPAB-1 4-B2536 LP Audette Builders, 717 Northampton Street, Holyoke, MA 01040-audlal 950@gmaii.com CONO((;owfition): DA- Darnaged DE- Doteriorated Si)-Significant DE'nlage IN - Intact I.*-- Exposed/Uncovered 0- Other I Nonfritlt)lo ACM, packings, ressilierit, floor cov�zdng, and asphalt roofing prodUcI& LOCATION 07" COND 10 311mibe' LOG Gilt. imi'l-a—r rn`at_e'_r'_ia1s t'_oiJh_o_s_e_i'd—entified herein that are located in other rooms are homogeneous,where indicated, and no additional samples were collected in those locations if no sample number is listed. The following inaccessible areas were not inspected or sampled: Wall and floor utility chases (unknown to exist); Pipe Tunnels(unknown to exist);Air plenums above permanent plaster or metal ceilings; Below-ground or below-grade(buried areas, parking lot, slab damproofing, etc.); All asbestos-containing material(both friable and non-friable) must be removed from a facility or facility component prior to demolitionfrenovation operations that will disturb these materials. N/S or NS= Not Suspect as containing asbestos per judgement of Inspector, It is recommended, but not required, that samples of negative resilient flooring& mastics be further analyzed by destroying the interfering matrix materials and isolating any asbestos fibers that may be present and analyzed by Transmission Electron Microscopy(TEM). Refer to the attached Asbestos Laboratory Report from the independent analytical laboratory. NSPECTOR: Stephen W Niec MADLS Lic. No. A1072373 Management Planner: Lic. No.: AP073456 'ollected by:FORBES&j'WHEELER 650 Dwight Street,#1337 * Holyoke,MA01041 Analysis by:CEI Labs* 107 New Edition Court+ Cary,NC 27511 r:413-22-1-8233 + F:866-423-6355 NVLAP Code: 101768-0 * MADLS Lie.#:AA0001 68 Page 3of3 Forbes &Wheeler ~ AU�ESTOS-CONTIXINING MATERIALS INVENTORY I'VIATRIX V--acifitv: 68 Hatfield Street, Northam ton, MA Date, 8128/2014 —Pr ject 9,-. LPAB-1 4-B2536-..--. LIP Audette Builders, 717 Northampton Street, Holyoke, MA 01040 -audlal 950@gmaii.com G111 - Cht yz;obla Asbestos ND- No Asbestos Datected PC Point Count AS-Assurned, no sample N'",-Noi Applicobl-,:� Nr-- Non-Friable ITS-Not suspe'd X- Sample Location OOND(Oco cidoil DA- Damaged DE- Doteriorate(l 8D- 13ignificant Damage IN- Intact E:- ExposedlUncovered 0-Other ...... Calof It in EPA I-at) 136 Plaster Kitchen wall X NA ND aster residue/debris 2nd Floor throughout NA NA NA H / ND NA NA ND g Paper, black, on wood Kitchen 10looring Pape _P!a(- Dining Room NA NA NA H / ND jl�, on wood Tan Linoleum remnant Layer I 16 Kitchen X NA NA NA ND under #18 all Panel Adhesive, brown NA NA ND [��mnant Kitchen NA NA NA 1 19 12: Floor Tiles, self-sLick X- NA NA NIA ---ND ing ining oom X NA NA NA ND 21 9" Red Floor Tiles/Black mastic 2nd�loor X 60 SF DE I CH 3% [Mastic NEG. Mi ti 23 Linoleum, white 2nd Floor X NAq NA NA ND _,9" Red Floor Tiles/Black mastic 2nd Floor X 60 SF DE I CH 2% Mastic NEG., under .L-.--24 Attic Insulation (cellulose mi 2nd Floor in wall cavities X NA NA NA ND NA NA ND 25 Roof Shin les Garage, exterior rear X NA 26 Garage, exterior rear X NA NA NA ND lWindow Glazing, white, thick, inner arage, inner side metal side NS t Chimney Patch Basement Walls 2nd Floor Stairwell Page 2of3 Forbes Wheeler ASBES;Tf3'113-CON U31MIrJ(y iVIA'(i!-,'R S 1Ni/FN I�OI<`l MA TRIM acility: 68 Hatfield Street, Northampton, MA _._ _ Date: 8/28/2014 __i'1,-jEct 0.- LPA8-14-82536 LP Audette Builders, 717 Northampton Street, Holyoke, MA 01040-audlal950 @gmail.com CH- Chrysotile Asbestos NLi- No Asbestos Dbtec lwl _.PC i'oint Count n_ � AS-AsSUITlerd, no sarnple C'1172-Crocirlolite Asbestoi> Pd-ji AiTio ite Asbestos V- Friable W- Hornogeneous R NA-Not Applicable NF;felon.Frial!1 N3:Not Suspect X- Sample Location y p� .....................................I._......_..... ....... ....._..................... 4 COND(Cotidiiion): DA D trnagod DE- Deteriorated SI)–Significant Damage IN-Intact t - Exposed/Uncovered O-t7ther ............................ ......................_.........................._�.__............................._....,,............._.-................._............................................_................ ..__. rir°11 C::at%f)r�Yic. ,. i= Nanfnebie,ACNI, packings, gtiskets, resilient, floor covering, and asphalt roofing products 1 ii= 11 other Nonfi iab".e ACM, F.)wl.!ding C@trgory I NACM-Friable, Regulated Asbestos KIATERI `<L LiMPLL ~�� EPAy Lab LOCATION Q- CO HD CD C t7iblMEt�J", if.,Nuantier j 1.5ty�;Cf;11'li"It7N/I YI - Lot' cat. Rc sult:s 01 Cement Siding Shingles Exterior ��— _ X 13,440� —SF 02A IN II CH 15% •�� Window Caulk storm to bottom — _ _.. Exterior, right side outer bead X NA NA NA ND _ frame-outer 02B Window Caulk storm to bottom l � Exterior, inner bead X� 192 LF� DE II CH 3% 12 ea 3x5 windows _ frame-inner _ _ 03 Winclow Caulk, wood to brick Exterior, Basement windows X_ 24 LF �DE II CH 3% 3 ea 1x3 windows 04 Window Glaze, white, behind silicone Bsmnt window, outer/ext. window X��NA �NA NA ND 05 I Window Glaze, white, behind silicone Bsmnt window, inner window X NA NA NA ND Exterior, behind A/C & 06 Asphalt Siding Shingles X NA NA NA ND Waferboard 07 Siding paper, Tan Ext., behind wood clapboards X NA NA NA ND 08A_ Roofmq Shingle/Adhesive Strip — Exterior front porch X_ _NA NA _NA ND_� RO$B rRoofrng Shingle/Adhesive Strip � lExterior rear entry X 4 NA _ NA� NA� —�ND 09A Felt Paper underlayment under #08JExterior front porch X NA NA NA ND 09B� Felt Paper underlayment under #08 Exterior rear entry X �NA —NA NA ND 10 Fiberglass batting Insulation paper, J 10 M Basement walls X NA NA NA ND Joint Compound w/sheetrock ceiling 11A #12 Basement X NA NA NA ND __ ._ ___._ r _ __.. _ __ _ _.___ - 116 Joint Compound w/sheetrock ceiling_Kitchen ceilin X 4 NA_ _ NA NA M�ND�� 12A Sheetrock ceiling Basement X_ __NA _ NA NA ND j 12B Sheetrock ceiling jjKitchen ceiling X NA NA NA ND Page 1 of 3 Forbes ;Wheeler More cON',P.s= #68 Hatfield Street lrbou John Halt<jhall @northamptcnma.gov> Stared to Me Larry,When you take the building down at this address and plug the house service,call 587-1570 ext.4330 and tell the secretary tha Important t you are ready to h: go there and inspect the cap.I will then E-Mail the Building Commissioner telling him that I have inspected the cap,and how it was capped,the date and John Hall Sent Mail Drafts(2) (City of Northampton E-mail is a public record e+:cept when i= falls under one of the specific statutory e::emptior 14 Junes Way 2014 Cutaway(2) Chase/Bank Amer._ Clio:here to 52n!�or Fo—erd Fink&Perras(1) Fleury Lumber Invs. X2014 Google-Terms a Pnvacv Florence Savings B- 0.45 Ga(2%)of 15 GS used Mznaoe Hatfield ST(1) Hatfield St invoic... Ins.Certificates KLM 5500 Lot 9 Old Harvest Lot 9Invoices(1) Lot 12 Old Harvest LPA CORP.(2) Mist.(7) Motor cycle New England Sucu.. Orchard St Orchard St Invoic... River View Bus.(1) Riverview Rent Re... RK Miles Scuderi Travel t f 12/12/2014 Je(h INSULATION & CONTRACTING; INC. STATE STREET BUILDING 119 P.O. BOX 3 75 LUDLOV%1, MA 01055 FAX ;413) -55-z;- MASSACHUSETTS CERTIFIED 1%,'SE October 21. 2014 Iv'r. Larry Audette E-Mail: audia1050g•gmail.com Dear Mr. Audette: We are pleased to submit our proposal for the asbestos abatement project at 68 Hatfield Street, Northampton; MA. please note the following Terms and Conditions. PRICE . . . . . $ 7,500.00 THE CONTRACTOR AGREES TO THE FOLLOWING: 1. To remove approximately 216 linear feet of window caulking from fifteen (15) windows. 2. To remove approximately 68 square feet of VAT in whole using the heat gun process. 3. To remove approximately 2,240 square feet of exterior siding. 4. To remove the storm windows from the windows and leave them inside the building. 5. To pre-clean the work area prior to commencement of abatement activity. 6. To furnish all barricades, scaffolding, aerial lifts, and safety equipment necessary for the safe completion of the pro iect. T To undertake asbestos abatement operations in compliance with Federal, State and local regulations. 8. To file all required notifications with appropriate regulatory agencies. 0. To dispose of all asbestos waste at an approved landfill. 10.Forward copies to you of regulatory notifications and waste manifests. 11.To commence work during normal business hours, Monday-Friday. 12.To supply water as needed. r THE OWNER AGREES TO THE FOLLOWING: 1 . To supply electrical receptacles in all work areas. December 15,2014 Louis Hasbrouck,Building Inspector Municipal Office Annex 212 Main Street Northampton,Ma 01060 Dear Mr. Hasbrouck: The water service at#68 Hatfield Street has been disconnected from the city water supply and the water meter has been removed from the premises as of December 15,2014. Please contact me if you have any questions. Sincer RR.Nuttelman ,,Nutt--17 ent of upogerintendent of Water Cc: Ned Huntley, Director of Public Works Jim Laurila, City Engineer More c0rta0se DEMO LTR-68 HATFIELD ST.,NORTHAMPTON,MA 01060 mbo,. Estrella,ArnMarie-InnMane.Estrallagnationalgrid ccm> Stared to me Important Sent Mail Drafts(3) 40 Sylvan Rd 14 Junes Way Waltham MA 02451 2014 Cutaway(2) December 22-2014 Chase/Bank Amer... Mr.Larry Audette Fink&Perras(1) LP Audette Builders Fleury Lumber invs. 717 Northampton St. Holyoke,MA 01040 Florence Savings B.. Hatfield ST(1) Hatfield St InvoiG.- RE: Service Removal for Building Demolition Ins.Certificates Dear Mr.Audette: KLM 5500 Lot 9 Old Harvest This letter is to confine,per your request,National Grid has removed electrical service and meter as of December 22,2014 from 68 H: you have any questions or need further assistance,please feel free to contact me at Lot 9Invoices(1) Lot 12 Old Harvest Sincerely, LPA CORP.(2) Mist.(7) ArznrYfarie rE,stre(Ca Motorcycle ,f_. New England Sucu... Customer Fulfillment Orchard St FAX: PH: Orchard St Invoic... River View Bus.(1) Riverview Rent Re... Ref:WP:13556579 RK Miles Scuded Travel This e-mail,and any attachments are strictly confidential and intended for the addressee(s)only.The content may also contain legal,professional or othe r 17/72/7014 A NiSource Company 995 Belmont Street Brockton,MA 02301 Date: March 23, 2015 To Whom It May Concern: The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : 68 Hatfield St TOWN : Northampton STATE : Massachusetts Sincerely, Maintenance Administrator Integration Center Columbia Gas Of Massachusetts 508-580-0100 Ext 1293 M�ltl:y'a:?t I1V�E1:1't �NLG1M)N t .a t'S9 �- LYO-064 UcG Z££^'05LL ,99,9v, n Z 1 / / i1t�831 %{Ct3NN3N jJ 1S.Z N J3N IOJ IY(!,}.1 1 {I ' '�N)7N0 w S'I NNUit. siz }J3NHD0 WOkld '4 Y'0 - LO L4 J 9NR HOi 013N ddl ,-•-'�.�3.8C.DS.9�S pity \ - Lt3Nt10'D W02ij .t'Z•1 I '�\ r , no 'bS Z508Y 9L�Z£ \, 3 j '0£^'1091 0330 a0��e � 1•� �� 0 1 I t bo 1 DNOO } 1i il�. 1 jdt X1YM '118 3Wl a03 Q93H 3d4 AYM onand Y CIVO Q ai.lt,l.l Qg i City of Northampton 212 Main Street, Northampton, Na 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 f=cility, as defined by MGL c 111, S 150A. Address of the work: rV1-3 lljgi;r'Lj 9I r The debris will be transported by: The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant Department of Industrial Accidents j l t Office of Investigations ' 600 Washington Street Boston, lllA 02111 4"'-'` •;%' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builder s/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organ ization/IndividuaI): Address: 7i 7 fl 4�•s?Tf�`i��,"� :,� City/State/Zip: Phone#: yi.j � 7 'i Are you an employer? Check the appropriate box: Type of project (required): 1.❑ I am a employer with 4. Q I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ 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' [No workers' comp. insurance comp. insurance.$ 9• ❑Building addition required.] 5. a We are:a corporation and its 10.[]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. fHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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. T 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 pai nd penalties of perjury that the information provided above is true and correct. 'ti/= // i Date: Ski nature: .�'�:�>j�i i ' .,.��. 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/Tonn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable E Name of License Holder: License Number 717 3 7 Address Expiration Date Z ,Jlgrrafure Telephone Re cl . istered. Not Applicable Z 7`1 )07 Company Name Registration Number 71 Address Expiration Date 114A/G'/ t i�7/), ;/L) 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... E No....., E ,,_,l...... I H 0 &W- 13,tioli 0,me,- 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-vear 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 buildinL3,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 Buildirg 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 D Ful Accessory Bldg. ❑ Demolition New Signs [O] Decks [M Siding[0] Other(O] Brief Description of Proposed , Work: of°I•a /E I� . C�i)i 1YY�JEid'i f�lahl.y ,i /�i%f<S cc' i?iJC,1 E^:a{�/±Crl Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. IfNew house and oraddition to extstinho m owira. q a.N 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. flcodplain 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 as Owner of the subject property hereby authorize to act on my behalf, in all titters relativ /r♦k authorized by this building permit application. Signature of Owner y Date 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. i Signed under the pains and penalties of perjury. Print Name' Signs re of OwnerlAgent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This colunn to be filled in by Building Depar=ent Lot Size Frontage ----/ Setbacks Front r 51 L_� Side L:' ''f� t R:�p- �``Rd�fi L: ___ R:4 iM Rear Building Height L:3%'i Bldg.Square Footage Open Space Footage % r l (Ut area minus bldg&paved parking) #of Parking Spaces I( I Fill: (volume&Location) - A. Has a Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW Q YES Q IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES Q IF YES: enter Book Paget 1 and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 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 Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. _ 'I s ' � Department use only ,-City of of Northampton Status ofPerm�t } I� € Building Department curia CuDr�YewayFerrnif } 11 r 212 Main Street SewerlSeEfrcA a�lablirty. F Room 100 - t x �t 5� aterll(te`fi�tva�lability ¢, , Y . - Northampton, MA 01060 Two Sefs o5'.Strtrctu`r'al"Plaps R��x phone 1'413-587-1240 Fax 413-587-1272 F'!of/S�te Plans { � � , '� `` Qther�5e��fy' A. # y Bid f APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE 0 DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This sectiorr to be completed by office 4 5t Ur1�t !1`�r`fr) 3�'3.f3°L 't� s Zone Overlay D�strtct Etm St`District ' �C8 District -= F*`r _ - SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT. 2.1 Owner of Record: ,v NamePrint / % Current Mailing Address: i %c Telephone Signature ,r 7 2 - 7`-S- i 2.2 Authorized A4ent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit aoclicant 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 Date Building Permit Number: Issued: Signature: Building Commissioner/(nspector.'of Buildings Date File#BP-2015-0882 APPLICANT/CONTACT PERSON L P AUDETTE BUILDERS INC ADDRESS/PHONE 171 LINCOLN ST HOLYOKE01040(413)539-9115 PROPERTY LOCATION 68 HATFIELD ST MAP 18C PARCEL 045 001 ZONE URB000)/ 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: DEMOLISH SFH&GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 021237 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved t` 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 Signature of Building Official Date r` 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. File# BP-2015-0882 APPLICANT/CONTACT PERSON L P AUDETTE BUILDERS INC ADDRESS/PHONE 171 LINCOLN ST HOLYOKE01040(413)539- 5 PROPERTY LOCATION 68 HATFIELD ST MAP 18C PARCEL 045 001 ZONE URB000)/ 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: DEMOLISH SFH&GARAGE New Construction Non Structural interior renovations Addition to Existina Accessory Structure Building Plans Included: Owner/Statement or License 021237 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 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 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. 68 HATFIELD ST BP-2015-0882 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-045 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-2015-0882 Project# JS-2015-001720 Est. Cost: Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: L P AUDETTE BUILDERS INC 021237 Lot Size(S9. ft.): 45738.00 Owner: L P AUDETTE BUILDERS INC Zoning: URB(l00)/ Applicant: L P AUDETTE BUILDERS INC AT. 68 HATFIELD ST Applicant Address: Phone: Insurance: 171 LINCOLN ST (413) 539-7381 (� HOLYOKEMA01040 ISSUED ON:412812015 0:00:00 TO PERFORM THE FOLLOWING WORK.DEMOLISH SFH & GARAGE 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 4/28/2015 0:00:00 $55.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner