54 Fort St demo 2016-08-18.pdfFile # BP-2017-0203
APPLICANT/CONTACT PERSON BRANCH DIANNE E
ADDRESSJPHONE 161 northampton st apt f EASTHAMPTON01027 (413) 313-26850
PROPERTY LOCATION 54 FORT ST
MAP 38B PARCEL 216 001 ZONE URB(85)/SC06)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
BuikLirlg Permit Filled"-o",,u~t_~_~________________~____~_
FeePaid~___~______________________________________________~_=====
Typeof Construction: DEMO SFH
NewConstructw~n~_________________________________________-=_______
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Includ=e",d...: __~__~_~________~_____________
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWIN=AC,ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR ENTED:
__Approved _~ dditional 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: u _______•__________
Finding'--__ Special Permit ____ Variance*---
__._~Received & Recorded at Registry of Deeds ProofEnclosed____
___Other Permits Required:
___Curb Cut from DPW ___Water Availability _~_Sewer Availability
__~Septic Approval Board ofHealth ____Well Water Potability Board ofHealth
___Permit from Conservation Commission ___Permit from CB Architecture Committee
___....Permit DPW Sto:m Water Management
t:..JiJ .IV\-ft.-I\tI S&\1:)'N
ermit from Elm Street Commission
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 ofMGL 40A. Contact Office of
Planning & Development for more information.
RECEIVED
IlK1 , 620tS
of Northampton
ing Department
2 Main Street
Room 100
pIon, MA 01060
gEPT. OF BU1tD\wp'IPI~ENORTHAMprt:;N'.lWIJ'I~ 1240 Fax 4'13-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONe OR TWO FAMILY DWELLING
/ SECTION 1 -SITE INFORMATION
1.1 Propertv Address:
;-, ~ra.T' 3r
}\Ib~"'~~'M
. SECTION 2 -PROPERTY OWNERSHIPJAUT/:-IORIZED AGENT
Current Mailing Address: O/OZ.tN'~ ~ 113,.3l.O.. ,Y1lSi9~, Telephone
. SECTION 3 -ESTIMATED CONSTRUCTION COSTS
2.1 Owner of Record:
2.2 Authorized Agent:
}(e.1SrEh I3flH1c.H
Telephone ~
S1 west .It "r 2.,E'"Mfa~
Item
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
5. Fire Protection
Official Use Only
,(a) Buildin~ Permit Fee
(D) Estimated Total Cost of
Construction from 6
Building Permit Fee
6. Total =(1 +2 + 3+ 4 + 5)_-'-____~--'-,_6_~_O________:..,'_C.::...he_c_k_N_u_m_b_er_____I'_--~-~__"-_"______-j
This Section For Official Use' On_'Y_~.'_____________--I
Building Permit Date
Signature: ____
Building Commissionerllnspecio['of Buildings Dale
SECTION 5-DESCRIPTIOi'll OF PROPOSED WORK (check all aplPlicable)
New House o Addition D Rep~acarnei1i Windows o Roofing 0
GrOoors 0
Accessory Bldlg. 0 ! Demolition D New Signs [0] Dec!(s [0 Siding [0] Other [0]
Brief Description of Proposed I""
Work: t>f;4ut(llbl\ C~ ZOJc'O S'AJl.c. f'AMIL'I
Alteration of existing bedroom No Adding new bedroom Yes _-:-;-_ No
Attached Narrative Renovating unfinished basement _'--_ Yes ___No
Plans Attached Roll -Sheet
a. Use of building: One FaFf.lily ____ 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? ______________ Firepla,c!3s or Woodstoves _____ Number of each
v6. Energy Q(ilnservat[on 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.f1oodplain ___Yes __No
j. Depth of basement or cellar floor below finished grade ___________
k. Will building conform to the Building and Zoning regulations? ___Yes ___No.
J. Septic Tank __ City Sewer ___ Private wef! ___ City water Supply ___
SECTION 7a • OWNER AUTHORIZATION· TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, as Owner of the subject I, \>ttH1I\E
property
I, KB\~-EV\ t?Mt\tkt " , .. ;" ' .. ' ,~: Owner/Authorized
Agent hereby declare that the statements and informatiowbi\'rthe:~oregoij.')g apP'lication are, tqJe.lI1i!wL~~ra'te; to the best of my knowledge
and belief. '" c"""
The Cl/Jmml/JTJ1].welfllltlfrt I/Jfllilfllssadnuseits
Dept1J1V'tmeni oflil1J1riUBrffrilf!J! Accidlemuts
Office I/Jf][TJ1].vestiglflitions
6tH) Waslfrtingil:l/Jn Srffreeil:
]EI/JSl!I/JTJ1]., MA OJ111
/ www.massogovldiidll.
J W <1JJJr'lkeJr§' C<1JJllIilljpltellll§211biollll Kllll§1l1lJr21Jmce Mlliicllillvll1l:: IB1Jluilldien/OolIDl1tJr'Iillc1i:!lJJJr:§lflEKe<Cli:Jri<CJililllllt§/JPll1l1lllIilllOeinl .
AplPllIiclilllllt1l: ]:llltif<1JJrrllIilllill1tft<1JJlllt JPKtelillse JPrrmt Leg;ftlOHy
Name
City/State/Zip: Phone
Are you an employer? Check the appropJriate box:
1. 0 I am a employer with 4.
employees (full and/or part-time).*
2. I am a sole proprietor or partner
ship and have no employees
working for me in any capacity.
. [No workers' compo insurance
5.i flequired.]
3.0' I am a homeowner doing all work
myself [No workers' compo
insurance required.] t
I am a general contractor and I
. have hired the sub-contractors
listed on the attached sheet,
These sub-contractors have
employees and have workers'
compo insurance.t
We are a corporation and its
officers have exercised their
right ofexemption per MGL
c. 152, §1(4), and we have no
employees. (No workers'
compo insurance required.]
Type of project (required):
6. 0 New construction
7. Remodeling
8. 0 Demolition
9. 0 Building addition
10.0 Electrical repairs or additions
11.0 Plumbing repairs or additions
. 12.0 Roofrepairs
13.0
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
tHo meowners who submit this affidavit indicating they are doing all work and then bire outside contractors must submit a new affidavit indicating such.
+Contractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and state whether or not those entities have
employees. Ifthe sub-contractors have employees, they must provide their workers' compo policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy andjoh site
information.
Insurance Company
Policy # or Self-ins. Lic. .________~______--'-__ Expiration Date: _________
Job Site Address: Citr/8,J£lte/Zip:{c'.. ii"
Attach a copy ofthe workers' compensation policy declaration paget5hoWi:B:gtJ1epo1icY<nlllmber"ana ~a!it1n date):
Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalti;s 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 fme
ofup to $250.00 a day against the violator. B.e advised that a copy of this statement may be forwarded to the Qffice:6f: ...
Investigati~n.i ofthe :mA for insurance covera everification.' "; '...'~'. ,.i
erjury that the infoi1:nationproJ!ide'd aQd~e~is t'rue and correct .
. \ fi,/'
)I;; ,... ','
Phone#: 113 .. 313-~
Official use only. Do not write in this area, to he completed hy city or town official
City or TOffil: _______________PermitiLicense
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. Citytfown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.0ilier ______________________
Contact
City ofNorthampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, 854, I acknowledge that as .
a condition of the building petmitall debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c iii! 8 150A.
Address of the work: .5:"\ .fQ(2..T 57
The debris will be transported by: A"",heJl$T ~tNr-
The dE?bris will be received by: 1J~\t.y ttc.YG I~
Building permit number: _____________
Name of Permit Applicant K,.\)re~ BjZ...~
.~~
Date Signature of Permit Applicant
8/]2/20]6 Print
Subject:
From:
To:
Date:
Fwd: Fwd: 54 Fort St -Sewer Pipe Cap
David Veleta (dveleta@northamptonma.gov)
branchstudio@yahoo,com;
Friday, July 8, 2016 1 :01 PM
--------Forwarded Message -------
Subject:Fwd: 54 Fort St -Sewer Pipe Cap
Date:Thu, 30 lun 2016 15:32:41 -0400
From:David Veleta <dveleta(q:northamptonma,gov>
To:Louis Hasbrouck <Ihasbrouck@northamptonrna.gov>
CC:Charies Miller <cmiller@northamptonma,gov>, Rich Parasiliti <rparasiliti@)northamptonma.gov>,
bra nchstudi o@'yahoo.com
Louis,
Please see the email and photo below and attached photo. The sewer department was not on site to inspect the
cap shown below but verified the stake in the field today and discussed the future connection with the contractor
as noted below, Based on the information provided, the DPW confirms that the sewer was capped off on
6/29/2016,
David
David veleta, P.E.
Department of Public Works
125 Locust Street
Northampton, MA 01060
T: 413-587-1570 ext.4310
C: 413-320-0198
F: 413-587-1576
E: dve1eta@northamptonma.gov
W: www.northamptonma.gov/dpw
--------Forwarded Message -------
SUbject:54 Fort St -Sewer Pipe Cap
Date:Thu, 30 lun 2016 14:49:25 +0000 (UTC)
From:kristen branch <branchstudio@yuhoo.com>
Reply-To:kristen branch <branchstudio@yuhoo.com>
To:dveleta@'northamptonma.gov <dveleta@northamptonma.gov>
Hi,
Attached please find photo taken yesterday by Matt Gilmore, excavation contractor. As you can see it is staked and this
stake is now about 18" out of the dirt, it was covered after capping. Chuck Miller in the bid. dept. is requesting a letter from
1/2
C"Dlulnbia (~as
of Massachusetts
A NiSource Company
995 Belmont Street
Brockton, MA 02301
August 4, 2016
To Whom It May Concern:
Our records indicate that the address below does not have gas
service from Colulubia Gas of Massachusetts.
54 FOli St
Northampton, MA 01060
Thank you,
Heather Meunier
(508)580-0100 Ext 1342
Integration Center
Columbia Gas of Massachusetts
nationalgrid
40 Sylvan Road.
Waltham MA 02451
5/23/2016
54 Fort St.
Northampton, MA 01060
RE: Service Removal for Building Demolition.
To Whom It May Concern,
This letter is to confirm that, per your request National Grid has confirmed
electrical service has been removed from 54 Fort St. Northampton, MA 01060.
If you have any questions or need further assistance, please feel free to contact
me at (508)357-4778.
Sincerely,
C){) , t,... \. LL.>l';C.,:;t.·;LA ~.a>¢"·r .~~) (' (,! ,
e .er \.....Q.A~Y·~) ().'(-"
Elisabeth Coleman
Customer Order Fultlllment
nationalgrid