32A-248 (11) BP-2022-0195
43 FAIR ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-248-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0195 PERMISSIONIS HEREBY GRANTED TO:
Project# DECK Contractor: License:
Est. Cost: 5000 JOSEPH JASINSKI CSL057025
Const.Class: Exp.Date:06/05/2023
Use Group: Owner: MARY JASINSKI JOSEPH W &
Lot Size (sq.ft.)
Zoning: SC Applicant: JOSEPH JASINSKI
Applicant Address Phone: Insurance:
43 Fair St 413-588-4773
NORTHAMPTON, MA 01060
ISSUED ON:03/17/2022
TO PERFORM THE FOLLOWING WORK:
ADDING DECK TO BARN
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I j
CS)
• `
Fees Paid: $62.40
•
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
File #BP-2022-0195
APPLICANT/CONTACT PERSON:JOSEPH JASINSKI
43 Fair St NORTHAMPTON, MA 01060
PROPERTY LOCATION 43 FAIR ST
MAP:LOT 32A-248-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $62.40 cJi
Type of Construction: ADDING DECK TO BARN
New Construction
Non Structural Renovations � 0"
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RIVIATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
MajorProject: Site Plan AND/OR SpecialPennit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Perm its Required:
Curb Cut from DPW Water Availability Sewer Availability
Septi •pprova I Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
3'17'26Z2
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.
MAR
The Commonwealth of Massachusetts/ f 2022
Board of Building Regulations and Stan FOR
�" MUNICIPALITY
� Massachusetts State Building Code;780 C r�1,,"r};.�;„7A --__.- 1 USE
Building Permit Application To Construct,Repair,Renovate Or Demolisfi wised Mar 2011
One-or Two-Family Dwelling
2 This Sec Secan For Official Use Only r
Building Permit Number: &ps a " Di olio Date Applied: &
I�Eu,r.- ` Koss i/!� 3-17-zrs ZZ
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
`i? F'9'R' s i g fi Li
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
/9l'i' F-PS I) DL-IUD() i o`ZO
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
PublieEei. Private❑ Zone:i2L9 Outside Flood Zone? Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
i s e p)7 i..4, 14 SAL/ ti, A!c'r HI/d in /l^&7v fYl.4 D 1 0 C,C
Name(Print) City,State,ZIP
L1.31=7?i(2 S.> Ni.3--S-13-N723 rl'/ic:ron .cc'e ccii P")a0G, c.o714
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New ConstructionlEf. Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': p_t c l,jt,,tv c.. t .i `,)to c/,pctc (3-1?A c r•ecf
1(i IP8 L 4 pkI
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building $ ;J„—oo O 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
0 Total Project Cost (Item 6)x multiplier x
3.Plumbing $ AJ///. 2. Other Fees: $
4.Mechanical (HVAC) $ A f,4. List:
5.Mechanical (Fire $ /1 G7 Total All Fees: $ c f O
Suppression)
Check NoCheck Amount: l l Cash Amount:
6.Total Project Cost: $ --
ii 00 0 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
70
`J O S e Oh (Ai J i 5 T A/54-i License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) CI
u3 w.� jn s;
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
IUG fi 1 h 4 i14 r)i GIV try)A 01 0 6 0 R Restricted 1&2 Family Dwelling
City/Town,State,DP M Masonry
RC Roofing Covering
—-- WS Window and Siding
SF Solid Fuel Burning Appliances
Lf 13 -S YQ 1/I7 3 r p 4 T 12 ,fu'. 4 N § 401,.(.r)M I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
i0O 6i to "5 - 3
j o 0 co iv 57-vc ri ON TvsePh w �s/�S i IV� i) HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
�l '3 I=4 l R c I j p Ac1V(2 ..i G e of 61 act 4-0/1'1
No.and Street Email address
it/or ih/1/11 pi-oi ' 01 A oio (,C 11 3
City/Town,State,ZIP Telephone
SECTION 6: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 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf;in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
7-.,seph Asi i541 - f�
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) /Z)_s ;J (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) CC'''' Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost" / c/JJ
The Continanii*Mth of MaS,iaehltsetts.
Mt,,... Department of Industrial A&Ments
1 Congress Street,Suite.100
% tiir---
fi=_
Bostan,MA 021M.2017
— www.nsoss.gavittio
illorkers Compensation Insurance Affidavit:BuildersfrontractorstEiertrielans/Plumbers.
TO EWP1.11..,tff WITIli THE riam1TTr6Airrnoitrry,
Annlicant information MOSE Print Leuiblv
Name alustnesOrgaitizationiltidivichialP _.,..Tp.S,ap A iv 7 i 5 Titic Al-
Address:. t-/3 F----A/0 _c):7- pc,1-7-1 2 A ni n ry iti f/Yi /3 5- I
City/State/Zip:lin :/-11 en p.i'Vl,./ cji 0 h 0 _ Phone#: Li/3-- 6- ir l— 14 2 7_:._"
_ . ... .._ .
Oa*yea so atoployell Omit the appropriate bola,. Type of project(required):
1E11 ant a einployet with cospial4es(Bill andbarpatmlitt4.* 7_ .EP,Iew construction
'..1.1.1n 1 ant it tole pinprtettst or Woo-ship end hares rapt/war working for did id S a Remodeling
env capacity_[No worker&comp.imamate reeptire'ill
9. 0 Demolition
30 i ant a hotiteownerdisiog all work myself.[14OonntkeA.comp.imamate narked]'
.441 lam itliciaeay.ium.nial will Or hiring,nontratiors to condustall ti,etit im my property.1 will
10 0 Building addition
"t inisure drat all exkfiraiel6r3 tither ithetAvockete compensatititt Meantime et am'sago 1 LEI Electrical remits or additions
prdpiitteds with no clinftlOydet-
12,0 Plumbing repairs or additions
NJ I am a general contractor anil 1 Envie hired.thest&emitractors listed,oil thio atuicknOlteat_
i ID Roof repair's
These sith-eMitotelois lia,t'e mopinyees and haw warliirs"Cann.ilisthanee
14.00ther
6.0 We are a corporation tad im btroeustots exercised their flit lit or etliltipliOn Pet MIGL c..
152.f1(4),iitd we kitb. nu emplayeea...Nei wmtits t.lfilli.ieiTailiracit tequipetif
*Ai mpLikram Ibac thockx box X1 omit also fill out did.seetion below shot:*their woriem.'comp:Isiah:la policy information_
t Horricuwoexs who sitimin this etit COEcotirs they arc doing all work and then Err outside commetott mug itthair a oeviatrodatit icidirating sh.
teonimetors that Ace:kilns box trust attached an oildnional sheet showing the name of the sub-contractors anti state whelha ta not those twines haw
moployee& tfthre smoo-actors-haw employees.they DUET pto vide their workers!komp.peaky minket
tarn an employer that is;omitting loathers'compensation insurance for my employees. Below is the policy andjah site
information
Insurance Companylkiamei:
-
Policy#or Self-ins:Lie,#:. Expiration Date.
Job Site Addres% : City/StaterZir
Attach a copy of the workers'comperitatiott policy declaration page(showing the policy number anti expiration date).
Failure to secure coverage as required under MGL e. 152,.§.2$A is a criminal.violation punishable by a lineup to$1,5001/0
rantifor ono- ear imprisonment,as well as civil penalties in the form a f a STOP WORK ORDER and a fine of up to$256.00 a
day against die violator.A•copy of Ibis sititerricoll may be.forwarded to the Office of InveStigations of the mik.for insttrarteo
coverage Verificinicili.
Ida hereby certify under the pains and penalthts ofpequry sitar the informan'an promided above is true and earrr!et.
Signature: (-A) .tki rA)). . .
7:)-X1174 7// . Date:...;)—`I-) 7
Phone4 11 I 3— /5--7 7— tr7 23
Official use only. Do not write In this-areas to herompleted by city or town official
City or TOME. Pertnit'License 4
Issuing Authority(circle one):
l.Board of Health 2.Building Department 3..City/Town Perk,.4.,$ieciricto Inspector numbing Inspector
(1,Other
COntact?Oxon; Phone*:
City of Northampton
d°aS�MprW •, SAS 'SAC
Massachusetts �?••
w t
1'(1
' DEPARTMENT OF BUILDING INSPECTIONS
a " 212 Main Street • Municipal Building 06k ;Cb
Fes` J Northampton, MA 01060 �sbjy1�d
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: AIL,r rl) n)14 rira,&'
The debris will be transported by:
Name of Hauler: V /A a ('P1Lv'fi
Signature of Applicant: C `�; i Date: - T--D,�
f FAIR STREET \ Berkshire
/ Design
Group
\ PROPERTY UNE \
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0 MAPLE 2 % TBM BOLL. \
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ELEV
PLANTED ^ TOP SPINDLE . „ ,..� . nin N•.•wv�'Ia AW oI„o
HYD. �r
5' WOOD
POST &RAIL \
\ FENCE \
MAP 32A LOT 248
"1� r� ; 43 FAIR STREET Q '7� =vYYtl
N `� N }I_
TARA FUTRELL & \
MARISSA ELKINS -o \ ,m„
BOOK 8685 PAGE 347"M
APPROXIMATE LOCATION OF COMP STORAGE
1,598 CUBIC FEET TAKEN OVER 1,598 SQUARE FEET �- 1� —III.. I ' WOOD
A—III—II I ' P FENCEAIL
43 Fair Street
Northampton,MA
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SETBACK PLAN
MAP: 095"C- LOT: cV-et
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REAR LOT DIMENSION: 4 01
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