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32A-191 . . ••• , ...10#4 ■ ,*we - «Ilp . . 1 t i 0 ,......eurasaaa.11110. 4.416 I ... 1-- v t . tree L f , r 1 1 . ..... i ,. , IN, i.,.. VeAlr.410 If' • T ,4411.141 . ve4.-.1- ..tirwitrev-,willi Plot Plan 50 Phillips Place Northampton, MA V r� //) � r4 City of Northampton Massachusetts ; , { { 4.4 f •" ' DEPARTMENT OF BUILDING INSPECTIONS 2 12 Main Street • Municipal Building UPPy ? " 4 * Northampton, MA 01060 n" INSPECTOR Louis Hasbrouck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for Entire Project) Project Title: 4 ri 95 51-e-4:;1--- 5 Date: .7 ti — Project Location: // PA H I r f 5 ?/a c y Map: Parcel: Zone: Scope of Project: 4( 5 1,6 (( o--, 5 L ;r-5 -CcO 2 ri r;-[ 5 a O rye � F4 -(66 (( GiOrx& In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: I, 3-0 Irv. LA Kri(y Mass. Registration # 50,95 7 , Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] ENTIRE PROJECT For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 10.7.6.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. „ A I C ,9 4 e p R EV IN 4 . %, ° Signature and Se I of Registered Professional Q o '� •k - 3 No. 30270 co L- i,7 i�� ��� pay o / , / r� 20 2-- it � OFtry p 4 (seal) vwo,vt°..4 _ The Commonwealth of Massachitsezis F Department of Indtzstrial Accidents .� Office of Iri estig ations _= 600 Washing on Street � Boston, A 02111 't.:.; www_mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /ElectriciansIPlumbers AD alicant Information Please Print Legibly Name ( Business /Organizatioa'Individual): YV,Y\`C% e. uTollt j ems d'(1 _ Address: St) �� N. ' \ O\02.."1 Citv:'State /Zip: *-AN, ‘ )44 1 %, Phone #: y13 —%C a"l - % \\p Are you an employer? Check the appropriate box: Type of project (required): ' . general contractor I 1. ®I am a employer with �❑ I am a 6. [] New construction employees (full and/'orpar- time)•* have hired the sub - contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub - contractors have g. D Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance.} required_] 5. 0 We are a corporation and its I0.0 Electrical repairs or additions 3. ❑ lam a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp_ right of exemption per MGL 12 Roof repairs insurance required.] ' c. 152, §1(4), and we have no employees. [lv o workers' 13 • Other 'Q, I I comp. insurance required.] *Any applicant that checks box in must also fill out the section below showing their workers' compensation policy inforrration. Homeowners who submit this affidavit indicating they are doing all work and then hire ouui ie contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub- cone-actors and state whether or not those entities have employees. If the sub - contractors have =riployez, 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 sire information. Insurance Company Name: A\ ( Policy # or Self -ins. Lic. T: �x\Oq, �� Expiration Date: ?- "W \ Job Site Address: S O ' 4 t c ) . S . W V s N a C S ) . • City /State /Zip: M 4 . C) ( ) 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 ofcririinal 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 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. I do hereby e under the pains and penalties of perjury that the information provided above is true and correct Signature: ... '^ Date: S • _ Phone .': - - , -% • - 1 O 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. Citv/Town Clerk Electrical Inspector Plumbing Inspector I 6. Other 1 1 I Contact Person: Phone ._• Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No , rd SECTION 11 - 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 matters relative to work authorized by this building permit application. Signature of Owner Date I, \s/,Q • as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best my knowledge and belief. Signed under the pains and penalties of perjury. `S'>eN\'v Q .Ne Print Na e Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 1:1 Name of License Holder :'ele AV\ Q - 1 w 1 �L \ "\" MS.0 License Number w w■• • 1 ‘`‘,. v.% • _ 'aZly►i1 VC) " C� -N Ad ress Expiration Date Sig ture Telephone SECTION 13 - 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 *s No Version1.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) • 9.1 Registered Architect: Not Applicable ❑ L4M4 dr < Name (Registrant): / 39/01 /QY Mer +1^ A., 54- Registration Number Address .3/3 2- Expiration ate y/3d0Y g88o Signature Telephone 9.2 Regi ered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor .M�'v1 •4g S cSc, Not Applicable ❑ Company Name: Responsible In Charge of Construction 0\C Add ss . Sign ure Telephone From: Jonathan Devins <jpdevins @amherst.edu> To: 'chiquinet @aol.com' <chiquinet @aol.com> Suhient! FW Winrinws Version1.7 Commercial Building Permit May 1.5, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % 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 CO DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO i140 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO X4.1 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 (dearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO ti+ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other Enter a brief description here. Brief Description Of Proposed Work: 'G"mRkyov c 1' $ SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A-4 ❑ A -5 ❑ 1B I ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 1st St 2nd 2 nd 3rd 3 rd 4 4 Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system Version1.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit: wilding Department Curb Cut/Driveway Permit j !!.JL 1 2012 212 Main Street Sewer /Septic Availability I 4 Room 100 Water/Well Availability pE. :Northampton, MA 01060 Two Sets of Structural Plans 3 =587 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office �p�t , Nr n►C.e Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: r e . Ne +p a1 �a►��ocKQ�r � ox� Name (Print) Current Mailing Address: N,\ 01Zs�� Signature VA) L Telephone 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 1 O ∎1 p O • (a) Building Permit Fee 2. Electrical '1 (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection T tal = ( + +4+5) Check Number 611 l 6 " se) This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0044 O �� J APPLICANT /CONTACT PERSON KEVIN NETTO CONSTRUCTION INC ADDRESS/PHONE 90 Southampton Rd. WESTHAMPTON (413) 527 -3168 PROPERTY LOCATION 50 PHILLIPS PL MAP 32A PARCEL 191 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid �) Building Permit Filled out 61,1T Fee Paid Typeof Construction: ADD EXTERIOR STAIRWAY TO ADD 2ND EGRESSES New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/ Statement or License 1317 Afe 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO)b?dVIATION 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 A lyfr,VZ igh t Suture of B . ilding • f icial 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. 50 PHILLIPS PL BP- 2013 -0044 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A - 191 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0044 Project # JS- 2013- 000058 Est. Cost: $10790.00 Fee: $64.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEVIN NETTO CONSTRUCTION INC 1317 Lot Size(sq. ft.): 7492.32 Owner: NETTO KEVIN C & JOVITA B Zoning: URC(100)/ Applicant: KEVIN NETTO CONSTRUCTION INC AT: 50 PHILLIPS PL Applicant Address: Phone: Insurance: 90 Southampton Rd. (413) 527 -3168 Workers Compensation WESTHAMPTONMA01027 ISSUED ON: 7/16/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD EXTERIOR STAIRWAY TO ADD 2ND EGRESSES 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 7/16/2012 0:00:00 $64.80 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner