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
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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