06-057 (8)edm
CONCRETE NOTES
1. CONCRETE SHALL DEVELOP A MINIMUM COMPRESSIVE STRENGTH
OF 3500 PSI AT 28 DAYS (UNLESS OTHERWISE NOTED).
2. CURRENT EDITIONS OF THE FOLLOWING SPECIFICATIONS AND
STANDARDS WILL APPLY UNLESS OTHERWISE MODIFIED ON THE
DRAWINGS OR IN THE JOB SPECIFICATIONS:
A. ACI 301 SPECIFICATION FOR STRUCTURAL CONCREI`E FOR
BUILDINGS.
B. ACI 315 MANUAL OF STANDARD PRACTICE FOR DETAILING
REINFORCED CONCRETE STRUCTURES.
C. ACI 318 BUILDING CODE REQUIREMENTS FOR REINFORCED
CONCRETE.
D. CRSI RECOMMENDED PRACTICE FOR PLACING REINFORCING
STEEL.
3. PORTLAND CEMENT SHALL CONFORM TO ASTM C-150 -TYPE I:
NORMAL PORTLAND CEMENT. AND!OR TYPE II: MODIFIED
PORTLAND CEMENT.
4. REINFORCING STEEL. SHALL., CONFORTM TO ASTM A-615, GRADE 60.
PROVIDE SUPPORTS FOR ALL ON GRADE BAR REINFORCEMENT AT A
MAXIMUM SPACING OF 4'-6" OC. CARE SHALL BE TAKEN TO
MAINTAIN REINFORCEMENT CLEAR DIMENSION.
5. READY MIX CONCRETE SHALL BE MIXED IN ACCORDANCE WITH
ASTM C-94 FOR READY MIX CONCRETE.
6. ALL BAR SPLICES SHALL BE CLASS B TENSION LAP SPLICES, UNLESS
OTI IERWISE NOTED.
7. GROUT SHALL BE NONSHRINK, NONMETALLIC GROUT.
166 east street
Pittsfield, ma 8, CONCRETE EXPOSED TO WEATHER, INCLUDING SLABS ON GRADE,
SHALL BE AIR ENTRAINED CONCRETE. AIR ENTRAINMENT SHALL BE
01201 IN THE RANGE OF 5% TO 7% AS PER ASTM C-260.
(413) 443-2374 9. ALL EXPOSED EDGES SHALL HAVE A 314" X 3/a" CHAMFER UNLESS
OTHERWISE NOTED.
fax (413) 443-6057
www.edm-ae.com
EAR I I I WI WK Not FS PAGE: 3
KENTUCKY BLUE GR -ASS 20
CREEPING RED FESCUE 20
20. M_tLCI I PLACED ON SLOPES GREATER THAN I V:4H SHALL BE
ANCHORED. MULCH ANCHORAGE SHALL BE A NONASPHALTIC
COMMERCIALLY AVAILABLE MULCH ADHESIVE FORMULATED FOR
THE PURPOSE OF ANCHORING OR TACKING STRAW N11.11,01.
1"AR111WO RK NO ILS
MOE:
11. STOCKPILES SHALL BE PLACED AND C0�1PAC'I'ED IN 24" LIFTS 10 A
MAXIMUM HEIGHT OF 8 FEET.
12. EXCAVATED SUBSOIL MATERIALS SHALL BE USED AS COMMON DILL.
13. COMMON FILL SHALL MEET THE FOLLOWING REQUIREMENTS:
A. REMOVE ALL, ORGANIC CONTENT INCLUDING ROOTS, PEAT, ETC.
B. REMOVE ALL STONES LARGER THAN 4" IN THE GREATEST
DIMENSION.
C. SILT AND LOAM MATERIALS ARE NOT ACCEPTABLE AND SHALL:
BE REMOVED FROM THE SITE.
14. BANK -RUN GRAVEL SHALL BE SOUND AND DURABLE
15. BANK -RUN GRAVEL SHALL HAVE NO PARTICLES GREATER THAN I2"
MAXIMUM DIMENSION. PORTION PASSING THE 4" SQUARE SIEVE
SHALL HAVE THE FOLLOWING GRADATION:
SIEVE SIZE PERCENT BY WEIGHT PASSING
NO. 40 0-70
NO. 200 0-1
16. EXCAVATF,D SUBSOIL MATERIALS NOT TO BE USED ON THE SITE
SHALL BE REMOVED FROM THE SITE.
17. TOPSOIL SHALL BE FREE OF SUBSOIL, WOODY VEGETA'T'ION AND
STUMPS, ROOTS, BRUSH, STONES, CLAY LUMPS, OR SIMILAR OBJECTS
LARGER THAN 2" IN THE GREATEST DIMENSION.
18. TOPSOIL SHALL MEET THE FOLLOWING REQUIREMENTS:
A. PH OF THE MATERIAL SHALL BE BETWEEN 5.5 AND 7.6.
B. ORGANIC CONTENT SHALL NOT BE I,ESS THAN 2% NOR MORE
TI IAN 20%.
19, THE SEED MIXTURE SHALL CONSIST OF THE FOLLOWING MIXTURE:
VARIETY PERCENT BY WEIGHT
PERENNIAL RYE GRASS 60
e'cim
EARTHWORK NOTES
1. AREAS OF WORK SHALL BE SUCH THAT DAMAGE TO EXISTING
GROUNDS AND FACILITIES IS KEPT TO A MININIUM.
2. ALL BACKFILL SHALL. BE PLACED AND COMPACTED IN 6" LIFTS
UNLESS NOTED OTHERWISE.
3. COMPACTION SHALL BE AS FOLLOWS:
UNDER NEW FOUNDATIONS - 95% MODIFIED PROCTOR.
STOCKPILES - NO REQUIREMENT.
ALL OTHER AREAS - 90% MODIFIED PROCTOR.
PROCTOR TESTING SHALL BE PERFORMED AS PER ASTM D1557.
4. ALL AREAS DISTURBED DURING CONSTRUCTION (NOT WITHIN
BUILDING FOUNDATION LIMITS OR PAVEMENT AREAS) SHALL
RECEIVE 4" TOPSOIL.
5. ALL AREAS WHERE TOPSOIL WAS APPLIED SHALL RECEIVE LIME,
FERTILIZER, AND SEED.
6. LIME AND FERTILIZER SHALL BE APPLIED AT A RATE DETERMINED
BY TESTING LABORATORY. THE CONTRACTOR SHALL SEND TOPSOIL
SAMPLES TO AN INDEPENDENT TESTING LABORATORY FOR TESTING.
7. ALL SEED SHALL BE APPLIED AT A MINIMUM RATE OF 50 POUNDS
PER 10,000 SQUARE FEET.
8. ALL SEEDED AREAS SHALL BE MULCHED AND MAINTAINED UNTIL
166 east street THE FIRST MOWING. AREAS WHERE NEW GRASS COVER IS NOT
COMPLETE OR SEED DOES NOTGERMIN ATE SHALL BE RESEEDED.
Pittsfieldrc�ma
9. TOPSOIL SHALL BE AS EXCAVATED FROM SITE AND STOCKPILED AT
o , a
AN OWNER APPROVED LOCATION.
(413)443-2374
10. EXCAVATED SUBSOIL MATERIALS TO BE REUSED ON THE SITE SHALL
fax (413) 443-6057 BE STOCKPILED AT AN OWNER APPROVED LOCATION.
www.edm-ae.com
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low cost vertical wind turbine, electrical power generator
Dimension: 24ft. x 16ft.
Weight: approx. 1700 lb
Electricity - in modest to good winds it produces approximately 20,OOOKWH per year
Contact us for pricing.
The UT -10 is designed for the customer who has a large power demand, or wants to supplement
their income by selling surplus electricity back to the utility. The UT -10 assembles and installs the
same as the smaller units.
We are currently offering financial incentives toward the purchase of this turbine in a
good wind location. Contact us for details on our current rates.
Dimension: 29ft. x 27ft.
Weight: approx. 3200 lb
Electricity - in modest to good winds it produces approximately 49,OOOKWH per year
Contact us for pricing.
25
The UT -25 is a small utility grade turbine designed for
municipal utility use or larger factories.
This model is currently under design - it will be
available when final trials and tests are completed.
http:/hwAv.urbanpomrusa.corrJProducts.html 2/3
7/16/2014
law cost vertical wind turbine, electrical power generator
Urban Power USA Inc.
Products
Urban Power USA Inc. will custom build a turbine to fit your business needs and your budget. We
guarantee every turbine we sell for ten years. Enjoy the confidence that comes from knowing that
all our turbines are handcrafted in Massachusetts, USA to work their best for years to come.
Because of the unique design, all UT model turbines can easily be assembled and installed. The
Urban Turbine is a true "plug and play" system. Simply assemble the UT, secure it to the roof,
plug the power cord into a net metering inverter attached to your buildings electrical system and
let the UT do the rest. The UT requires minimal maintenance, is absolutely quiet, and bird/bat
friendly - perfect for the urban environment.
All UT model turbines are modular and can be stacked to maximize roof area and increase the
amount of electricity produced.
Please use the comments section of the Contact Us page to indicate the UT model in which you
are interested.
UK- our smaller unit.
Easv to assemble and install. Great for small farms or to be stacked.
Dimensions: 15ft X 12ft.
Weight: approx. 1200 lb
Electricity- in modest to good winds it produces approximately 7,000 KWH to 15,000 KWHs per
year
'CuTrsp ering DIY special pricing. Contact us for more information.
UT -5
The UT -5 s enough power to supply amid sized multi -family apartment building, small machine
sho c. The UT -5 is easy to assemble and install. This unit is offered in a standard or high
performance model.
We are currently offering financial incentives toward the purchase of this turbine in a
good wind location. Contact us for details on our current rates.
1/3
http://www.urbanpanerusa.comlProducts.html
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Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
Smith College Mail - Fw: your phone call message to me
On Mon, Aug 18, 2014 at 8:41 AM, Kim Bierwert <kbierwer@smith.edu> wrote:
Louis - I am sorry but I was away and still am away helping one of my swimmers do an English Channel
Crossing and we have been hampered by bad weather/sea conditions. You left a message that you had
a question for me and if you email me, I will try to answer it or have Mark Maynard (Turbine person from
Urbanpower USA in Easthampton) answer it.
I am also trying to call your office.
Sorry for my not being home.
hope all is well.
Kim Bierwert
(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.)
https://mail.google.com/mail/u/0/?ui=2&ik=621 f6b91 e9&view=pt&search=inbox&type=148e5bf22cda4Od5&th=148e7f97bbd6b35d&siml=148e7f97bbd... 3/3
Smith College Mail - Fw: your phone call message to me
tour sections. We found it easier to over build the tower and foundation to meet any condition we could find so
we don't have to redesign the tower and foundation every time we install one. The foundation has 12 yds of
concrete which is 36,000 lbs and we use a earth anchor foundation which adds the earth on the footings to
the anchor with a total foundation weight of 125,000 lbs of foundation anchor. The concrete is all reinforced
with 1/2 re -bar. The tower is likewise over built using much heavier steel than needed for this small turbine. If
you have any additional questions please feel free to call me at 413-348-8906.
PS: Kim;
Good luck on your weather I hope you catch a break and you get the swim in. I am hoping for the best.
Mark Maynard President
Urban Power USA
180 Pleasant St.
Easthampton, MA 01027
This message contains PRIVILEGED AND CONFIDENTIAL INFORMATION
intended solely for the use of the addressee(s) named above. Any disclosure,
distribution, copying or use of the information by others is strictly prohibited. If you
have received this message in error, please advise the sender by immediate reply
and delete the original message and any and all attachments. Thank you.
From: Kim Bierwert <kbierwer@smith.edu>
To: Louis Hasbrouck <Ihasbrouck@northamptonma.gov>
Cc: Mark Maynard <mmayn5@yahoo.com>; Lou Ann Bierwert <Ibierwer@smith.edu>
Sent: Monday, August 18, 2014 9:07 AM
Subject: Re: your phone call message to me
Good Morning - Thank you for your quick reply.
Mark - Can you clarify for Louis that the turbine foundation is adequate/appropriate for the turbine that is to be
installed. Please copy me on your correspondence. If I need to do this, please let me know and I will see to it
when I return. I assume/believe it is the way the turbines are "labeled/identified" on the submittals.
The weather is killing us right now too much wind - where is a wind turbine when I can really use it:) - it will be
very sad if we have prepared for 20 months, come all this way and the weather stops us from making the
attempt
Best,
Kim
On Mon, Aug 18, 2014 at 8:56 AM, Louis HasbroucCk uc th ptonma.gov>
wrote:
hope the weather over there cooperates for yo he permit, bu want to be
sure the foundation/tower for the turbine matcheat goes on top I can't
imagine it wouldn't, but the permit says 20,000 Ktower plans y 5 KW. I'd
like some clarification (likely from the company she to Ill support the
turbine before it is installed. Again, I'm sure it's fine but we want verification.
Good luck over there.
Louis Hasbrouck
https://mail.google.com/mail/u/0/?ui=2&ik=621 f6b91 e9&view=pt&search=inbox&type=148e5bf22cda40d5&th=148e7f97bbd6b35d&siml=148e7f97bbd... 2/3
Mark Maynard <mmayn5@yahoo.com> Mon, Oct 6, 2014 at 8:19 PM
Reply -To: Mark Maynard <mmayn5@yahoo.com>
To: "Ihasbrouck@northamptonma.gov" <lhasbrouck@northamptonma.gov>, Kim Bierwert <kbierwer@smith.edu>
Hi Louis;
This is the email with a follow up conversation about the wind turbine
Mark Maynard President
Urban Power USA
180 Pleasant St.
Easthampton, MA 01027
This message contains PRIVILEGED AND CONFIDENTIAL INFORMATION
intended solely for the use of the addressee(s) named above. Any disclosure,
distribution, copying or use of the information by others is strictly prohibited. If you
have received this message in error, please advise the sender by immediate reply
and delete the original message and any and all attachments. Thank you.
----- Forwarded Message -----
From: Louis Hasbrouck <Ihasbrouck@northamptonma.gov>
To: Mark Maynard <mmayn5@yahoo.com>
Sent: Monday, August 18, 2014 12:43 PM
Subject: Re: your phone call message to me
Thanks, Mark
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
On Mon, Aug 18, 2014 at 12:25 PM, Mark Maynard <mmayn5@yahoo.com> wrote:
Good Morning Louis;
The Turbine is a 5 KW turbine which will produce 20,000 KWHs annually. The foundation is the same
foundation we use for a single 10 KW turbine (which has twice the surface area) on the same tower height of
https://mail.google.com/mail/u/0/7ui=2&ik=621 f6b91 e9&view=pt&search=inbox&type=148e5bf22cda40d5&th=148e7f97bbd6b35d&simI=148e7f97bbd... 1/3
7/16/2014
Urban Power USA Inc.
Projects
rrgec:xs
180 Pleasant St, Easthampton,MA
View from Pleasant St:
View from the rooftop:
In eight months, from August 17, 2012 to April 17, 2013, this turbine produced 3,433 KWHs
in Easthampton, MA which is a very poor wind site.
Diemand Egg Farm, Wendell, MA
During construction phase: Turbine raised into final position:
5..1:
Turbine viewed from the road:
http:/hwvm.urbanpoiroerusa.convRojects.php 1/3
7/162014
lav cost vertical wind turbine, electrical power generator
Urban Power USA Inc.
Urban Power USA- We have been honored as a winner of the "World Changing Ideas"
contest by Scientific American! See link on "About Us" page.
Urban Power USA, Inc.
is joining the ranks of new green sustainable companies.
We design and build a new patented type of vertical axis wind turbine called the Urban Turbine
to be placed on top of existing flat roof structures with reasonable wind.
The Turbine is low cost, lightweight, bird/bat friendly, makes no noise and works well in urban
environments.
The Urban Turbine is exceptionally versatile and can be specifically adapted to virtually any
environment. The Turbine can be stacked to optimize available roof space.
Our latest 10 kw turbine is on the grid!
The ground mounted unit in Brimfield, Massachusetts is producing power!
Check it out on ourrp oiects page.
Mission Statement
Urban Power USA Inc. is committed to promoting low cost environmentally friendlywind
generated electricity to all people.
Core Values
Making a difference is a core value of Urban Power USA Inc. and we have pledged supporting
sustainable business practices to achieve this difference.
In particular, Urban Power USA Inc. will contribute a portion of corporate profit to local and
regional communities for social reinvestment and share its profits with its employees. We believe
growth in corporate wealth is just one part of equity and will strive to promote community social
benefit.
http://www.urbanpowerusa.comlHome.html 1/2
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The Commonwealth of Massachusetts
Department of Industrial Accidents
"4 Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address: 2CA 1 10 l
City/State/Zip: UYrYr,, N% G 1 U5'- Z Phone #: q i 2 _;;Z
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on the attached sheet.
ship and have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No workers' comp. insurance
comp. insurance.$
rewired.]
5. ❑ We are a corporation and its
3. L am a homeowner doing all work
officers have exercised their
myself. [No workers' comp.
right of exemption per MGL
insurance required.] t
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11. ❑ Plumbing repairs or additions
12. ❑ Roof repairs
13.❑ Other
*Any applicant that checks box #1 must also fdl 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.
IContractors 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. Lie. #:
Job Site Address:
Expiration Date:
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 W� for insurance coverage verification.
Ido hereby certify pai and penalties ofperjury that the information provided above is true and correct.
Signature: c Date: T_V )
Phone #: rTq — -� 2 <--
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 #:
f F..
1 ;
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INSPECTOR
Louis Hasbrouck
Building Commissioner
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
Chuck Miller
Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3A 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, �;,,a )0=2Z: 'AJ understand the above.
(Home owner /resident's signature requesting exemption)
will call to schedule all required building inspections necessary for the building permit issued to me.
Date r — ) � - )y
Address of work location �`( �7 V�& -� (Ae
W&, i
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor:
Name of License Holder:
Not Applicable ❑
License Number
Address
Expiration Date
Signature Telephone
9. Registered Home Improvement Contractor:
Not Applicable ❑
Company Name
Registration Number
Address
Telephone
Expiration Date
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.
Affidavit Attached Yes....... ❑ No...... ❑
11. - Home Owner Exemption
The current exemption liar "homeowners" was extended to include Owner -occupied Dwelliw,,s of one (I ) 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. CV112 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 rnore 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 buildin}! 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 Chaptcr 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 lis permit.
The undersigned "homeowner" ccrtifi d assumesr ponsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and o iii&Laland State of Massachusetts General Laws Annotated.
Ilomeowner 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 [0] Decks [0
Siding [O] Other [p]--*"
Brief Description of Propased ` ��(( ` `
z9 00
Work:
Alteration of existing bedroom Yes a/ No Adding new bedroom Yes
I-"'N
Attached Narrative Renovating unfinished basement
Yes ./'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.
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
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.
Signature of Owner 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.
Signed under the pains and penalties of perjury.
Print Name
Signature of O r/Agent Date
�t
Section 4. ZONING
All 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 Departmcnt
Lot Size
i Z C Ac
Frontage
vo C"V\
Setbacks Front
Side
L: R:
Rear
Building [Leight
t
K
Bldg. Square Footage
0/
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO � 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 Q/
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, excav ion, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
At Ill ' (20i4 �Oj Building Department
I' 212 Main Street
Department use on
Status of Permit:
Curb Cut/Driveway Permit
Sewer/Septic Availability_
Room 100 Water/Well Availability
tectrlc. Plum'omg Ga, I','P coons ortham ton, MA 01060 Two Sets of Structural Plans
Northarr..ptcn, . p
p one 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION 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
Map Lot Unit
c A ` ` ��
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name (Pr t) 1
Current Mailing Address
K 1 2 S7L
_
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 permit applicant
1. Building
(a) Building Permit Fee
2. Electrical
2
(b) Estimated Total Cost of
lJ
Construction from 6
3. Plumbing
Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = 0 +2+3+4+5)
r
Check Number A.
This Section For Official Use Only
Building Permit Number:
DateIssued:
Signature:
Building Commissioner/Inspector of Buildings
Date
File # BP -2015-0177
APPLICANT/CONTACT PERSON BIERWERT KIM G & LOU ANN �J R", y
m
ADDRESS/PHONE 297 HAYDENVILLE RD LEEDS (413) 584-7256 Q Y5PROPERTY L
MAP 06 PARCOEL 0570 019ZONE DSR(100)/E RD m5i c—& 8 � 0,5
n
im, t
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 WIND TURBINE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building- Plans Included:
3 sets of P>is / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
TION PRESENTED:
led Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR
Major Project: Site Plan AND/OR
ZONING BOARD PERMIT REQUIRED UNDER:
Finding Special Permit
Special Permit With Site Plan
Special Permit With Site Plan
Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW
Septic Approval Board of Health
Water Availability Sewer Availability
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
d=�4j ��
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.
297 HAYDENVILLE RD
BP -2015-0177
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 06 - 057 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: WIND TURBINE
Permit # BP -2015-0177
Project # JS -2015-000134
Est. Cost: $53000.00
BUILDING PERMIT
Fee: $318.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 550162.80 Owner: BIERWERT KIM G & LOU ANN
tonin--: SR(I00)/ Applicant: BIERWERT KIM G & LOU ANN
AT. 297 HAYDENVILLE RD
Applicant Address: Phone: Insurance:
297 HAYDENVILLE RD (413) 584-7256-0
LEEDSMA01053 ISSUED ON. 1011612014 0:00:00
TO PERFORM THE FOLLOWING WORK. CONSTRUCT WIND TURBINE
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 10/16/2014 0:00:00 $318.00
212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272
Louis Hasbrouck — Building Commissioner