18D-071 Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Carla J. Cosenzi
, as Owner of the subject property
hereby authorize Associated Builders, Inc.
to
act on my behalf, in all matters relative to work authorized by this building permit application.
Carta/ a CaLfeewZ1/ 03/02 /2013
Signature of Owner Date
l Kimberly M. Masiuk of Associated Builders, Inc.
, 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 Na • •
'� 4iiale �� � /
S. natur Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Scott Downie CS 63481
License Number
4 Industrial Drive, South Hadley, MA 01075 04/24/2013
Address Expiration Date
rier (413) 536 -0021
Signature ' 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 0 No 0
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
Name (Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Kimberly M. Masiuk Site Civil, Architectural, RDP
Name Area of Responsibility
4 Industrial Drive, South Hadley, MA 01075 40474
Addre,.' Registration Number
i� �, i (413) 536 -0021 06/30/2014
Signal ., 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
Associated Builders, Inc. Not Applicable ❑
Company Name:
Scott Downie
Responsible In Charge of • onstruction
4 Industrial Driv /South Hadley, M 01075
Address Cam[
' J (413) 536 -0021
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 2.215 acres
Frontage 293.44'
Setbacks Front 80.0f
Side L: R: L: 148.f R 41'
Rear 65.5
Building Height 21' -
Bldg. Square Footage % 1842 19%
Open Space Footage
(Lot area minus bldg & paved 1290 13.3
parking)
# of Parking Spaces 216
Fill:
(volume & Location) 5865 cy for entire
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO Q DON'T KNOW 0 YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW 0 YES Q
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained
0 , Date Issued:
C. Do any signs exist on the property? YES (3 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO tQ
IF YES, describe size, type and location: Traffic signage per plan. Building signage by others
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 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wail Signs ❑ Demolition 0 Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑
Brief Description Enter a brief description here.
Of Proposed Work: ST V�1&r \ 1D () 4Z. 1
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A-4 ❑ A -5 ❑ 1B ❑
B Business 1151 2A ❑
E Educational ❑ 2B I
F Factory ❑ F -1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1 -1 ❑ 1 -2 0 1 -3 0 3B 0
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R -2 ❑ R -3 0 5A ❑
S Storage ❑ S -1 IN S-2 TA 5B l ❑
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" 18,421
2nd 2
3 rd
3 rd
4th 4m
Total Area (sf) Total Proposed New Construction (sf)
18,421
Total Height (ft)
Total Height ft 22
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public p Private ❑ Zone Outside Flood Zone p Municipal p On site disposal system
P
Ms4
1iCi Version] 7 C ommercial Building Permit May 15, 2000
'�""� �_ Department use only
C ty of Northampton Status of Permit:
5 2013 Building Department Curb Cut/Driveway Permit
212 Main Street Sewer /Septic Availability
DEPT. OF BUILDING Room 100 Wa #er/WellAvailability
NORTHAMPTON, MA wow ilampton, MA 01060 Two Sets of Structural Plans
phone 413 -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: s section to be completed by office
361 King Street Map l Lot 97/ Unit
Northampton, MA 01060
Zone Overlay District
Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Cosenzi Automotive Realty Limited Parntership 40 Russell Street, Hadley, MA 01035
Name (Print) Current Mailing Address:
cada. C (413) 570-1302
Signature Telephone
2.2 Authorized Agent:
Kimberly M. Masiuk, Associated Builders, Inc. 4 Industrial Drive, South Hadley, MA 01075
Name (Print) Current Mailing Address:
(413) 536 -0021
Signature ,411tAArt,f .4/ ����_4( Telephone
SECTION 3 - E TIMATED CO TRUCTI • COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building
$1,978,500.00 (a) Building Permit Fee
2. Electrical $280,700.00 (b) Estimated Total Cost of
Construct from (6)
3. Plumbing
$115,000.00 Belding Permit Fee
4. Mechanical (HVAC)
5. Fire Protection $237,600.00 ('
6. Total = (1 + 2 + 3 + 4 + 5) $2,611,800.00 Check Number / g6 W , d I Ok 5 b
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File # BP- 2013 -0862
APPLICANT /CONTACT PERSON ASSOCIATED BUILDERS NC (-
ADDRESS /PHONE 4 Industrial Drive SOUTH HADLEY (413) 536 -0021 j/ ( \)
PROPERTY LOCATION 361 KING ST
MAP 18D PARCEL 071 001 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT i6kle J /O I S _ ! �
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 18,421 SQ FT VOLKSWAGON CAR DEALERSHIP
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 63481
3 sets of Plans / Plot Plan Oge;
1Q
6
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
L A(Piproved 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
- -�'�
(` 3
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.
361 KING ST BP- 2013 -0862
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18D - 071 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: NEW COMMERCIAL BUILDING BUILDING PERIVIIT
Permit # BP- 2013 -0862
Project # JS- 2013- 001479
Est. Cost: $2611800.00
Fee: $9210.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ASSOCIATED BUILDERS INC 63481
Lot Size(sq. ft.): Owner: CONSENZI AUTOMOTIVE REALTY LIMITED PARTNERSHIP
Zoning: HB Applicant: ASSOCIATED BUILDERS INC
AT: 361 KING ST
Applicant Address: Phone: Insurance:
4 Industrial Drive (413) 536 -0021 WC
SOUTH HADLEY MA 01075 ISSUED ON:4/4/2013 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 18,421 SQ FT VOLKSWAGON
CAR DEALERSHIP
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 4/4/2013 0:00:00 $9210.50
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck - Building Commissioner