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32C-174 (28) ' tt lifv oaf irrff ant mz �. M �asaacascfls' +l€ DE? +�i�vfE?1T OF BUILZ)WG INSPECiiC�l° E 213 Main Street ' Municipal Building Northampton, Mass. 01060 WOR=R'S CO1I'ENSATION INSURANCE A=A'YTT vita a principal place of buW=--- residence a**: (pce�e ) ( u citf p) do hereby ce may, Wider he pair and penaltes of per7u , th:::: O I am an eWplover providi_:2 &.e following -:vcrkce s comperzdon covers--e for my empleve-es worming an this job: (Pe:.e;Number) (Zx :mdoa Dal.-.) ( ) I am a sale propr-letor, ge-neral con=dor or homeowner(ccscte one) and have hired the contractors listed below who :lave the foLo lag worker's cacp=sadon policies: (Name of Coacnccr) (lnsurancc Co>z* azy/poiief Numbs) F--zpiratioa Date) (N=e of Contraccr) (LaS7,u-ancc Co=a--y/PcUcv Nuru er) (E.:�i.udon Date) (Name of Con=uccr) (Inrsa.nc--Compa�lpalicf Number) (E4imdon Daie) (Name of Conuacor) (Inman=Conrpmny/Policy Number) (E.mimdon Date) (—A s4didoc2l xbcct ifaecaaary to 6--su a iaiocta,aion pa"amag �aII oaotradaa) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself NOTE piece&sprats thi2 whilo hame9wnets who ccMpiay pazoas to do�_;T• �., ,s.:on or spar work on,dwel�aY of not mace thsa tbrom vain is which the homeowner resides or an the g'otmds sppartaasatthasro ace act gamily eoasideod to be 'Ploy—undrr the wocic="—P—xuca Act &wli=d=by a hoc%c0w cc far a Scmx or permit may cvideaae the Iagal straw of aa.mployrr uodwi:he Warkeez Campemation Ad I uodecstscd than.a copy of this mlemeat essay be forward d to the Depacoxsaot of lo&*iai A=i&=&Cfoe of Imcu+oos for tb@ ea4a'8e vaidcxtinn and tha f urc to soaus coverago tinder zoetian 25A of UCL 152 csa!ad to tSe j=posidca of aimi pe &Wcs 00mizdc8 of a f=e of uP to 11�'W-00 and/ar 0f UP to ooe yea wad dvd p=udct is the fo=of s Stop Wodt Order and a ` flap oC21Q0.40 a.day against ma •- For dam use oafy Permit Number :;c�<.... Shat t � Version 1.7 Commercial Building Permit May 15, '_000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes......❑ No.... SECTION 11-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT cm t I, i , as Owner of the subject property hereby authorize �� Gi`S 'Mnr- — my behalf, in all matters relative to work authori _d by this building permit application. 5 3-2,6.CD C� Signature of Owner Date Z l I, i"6►' y ; pW�� I VVfl (!A+T- 91A a&-99 as Owner Authorized Agen hereby declare that the stateme is and information on the foregoing application are true and accurate, t e e_L t my knowledge and belief. Signed under the pains and penalties of perjury. M*V- Print Name Sig ture of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: i�/�-� / Not Applicable �❑ Name of License Holder: Iv►t 4- Wpm"yl,� l b`4-114-16 License Number P , MA- 2(°1k7 Address Expiration Date 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....... No...... 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES- FOR BUILDINGS AND STRUCTURES SUBJECTTO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: -J��b V N`S Not Applicable ❑ Name(Registrant): �N{ p u �I pntQ^ ' Ar`f ��D Registration Number Address tb l'0(o 24s—Do �i`(P Etipirati n Date l lD (J I�`1" Signature Telephone 92 Registered Professional Engineer(s): I 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 Wp(l Y r Not Applicable ❑ Company Name: M VFD�� Responsible In Charge of Construction S-r Q f f N M Pt- Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 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 ❑ Municical ❑ Can site discesal system ❑ f 8. NORTHAMPTON ZONLNG I. S IJb 6 -1— Existing Proposed Required by Zoning This column to be filled in by Building Department s Lot Size Frontase Setbacks Front Side L: R: L: r" Rear Building Height Bldg. Square Footage Open Space Footage + % (Lot area minus bldg&pored parking) ", #of Par S aces Fil . (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW 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 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: 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 A Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ #/ Accessory 13 iidin [ ] Repairs [ ] iyr►ASG I P Nos a �tr �i�nn E'h'r'EF E CR AT�"rhJ: eE� M L �S►Stt�. Na STRtcc rr�K. SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business 2A ❑ E Educational ❑ 23 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C I ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I.1 ❑ 1-2 ❑ 1.3 Cl 1 38 ❑ M Mercantile ❑ 4 Cl R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ I 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ I 58 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: I MIKSSS I Proposed Use Group: - Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA OFFICE,USE..0NL)[ -* BUILDING AREA EXISTING PROPOSED NEW C,ONTQRIlC {�S �Ofl N f�• �LI/ �i ' 1• Vf/ Db w Ifr l iA�`F�F�Gh w'�t'f i_ WrM►N �►sn►R,-C�aI'P��rJT" Floor Area per Floor(sf) 1St •�` J <&y _, ,, ,. " 2nd4 1st 3'd ` 2"d i 3rd 4th 4th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft.................... F ' Versionl.7 Commercial Buildin= Permit Nlay 15,2000 ^ �Y Department se onl City 0 Northampton Stas of Pe mt j Building Department 'Cut/Dave Rermi 4 ± 212 Main Street Sewer/Septia.Val affil' i �.5��.O w Room 100 WNr/W_ell . a►a - 5 Northampton, MA 01060 TwaSets ofx5' ra a *r ,`ways �2 j phone 413-587.1240 Fax 413-587.1272 Poe/SitePlans: _ 1 ' Qt Sp eccii /`` _ _ _ y•S;�, 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 p y �'Pf1G�L STUD l This section to be completed by office 1.1 Pro ert Address: OS _ /4 PLEASANT �fi Map Lot Unit Zone Overlay District _ Elm St District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of ecord: 174 Name(Print) Current `Railing Address: Is Signature Telephcne 2.2 Authorized Agent: (ANT 60 s I Mq*-uL- 4!a sT N n+t�MF�N Name(Print) I Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use Only completed by permit aoolicant 1. Building i—1 Z��J (a) Building Permit Fee ( S !! floo'o 2. Electrical (b) Estimated Total Cost of I& q CD. _ Construction from 6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection C3 e+ b ' 6. Total =(1 +2 + 3 +4+5) a . Check Number _ r Th is Section For Official Use On ly Buildmg'Permtt Number ,4 r. zr � Date Issued - Signature: - J •�%-%'Building Commissioner/Inspector of Buildings �= - Date - ' "' g `�°6 /0E File#BP-2006-1018 LL APPLICANT/CONTACT PERSON WRIGHT BUILDERS INC b ADDRESS/PHONE 48 BATES ST NORTHAMPTON (413)586-8287 Q PROPERTY LOCATION 274 PLEASANT T MAP 32C PARCEL 174 001 ZONE C THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid C-tuilding Permit Filled out Line Paid mr l 0.6 0 Typeof Construction: Repartition sxisting space New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 Co ssion a t as 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. 274 PLEASANT ST BP-2006-1018 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 174 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-1018 Project# JS-2006-1508 Est. Cost: $23310.00 Fee:$90.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group Wright Builders Lot Size(sg. ft.): 5706.36 Owner: ERB MARIBETH Zonin-I.- CB, Applicant: WRIGHT BUILDERS INC AT. 274 PLEASANT ST Applicant Address: _ Phone: Instirance: 48 BATES ST (413) 586-8287 Q NORTHAMPTONMA01060 ISSUED ON:41312006 0:00:00 TO PERFORM THE FOLLOWING WORK:RE PARTITIONING OF EXISTING SPACE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground �f'�-" service: Meter: �7 Footings: Rough: 4 f%. ' l� Rough:Lice�/l House# F:;3 ,dation: Driveway Final: t Final: .) °J 06XI I� Fina1: 1 5 a&_ ✓l-lk�All--: /,,P, kor60-I�� G rlv� Rough Frame: C a y Q�- Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: B1 (� L,.V 6N5P,-erto 3'©G—6zy THIS PERMIT MAY BE REVOKED BY THE CI 7Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. �L7 Certificate of Occupanc � si nature: FeeType: _ Date Paid: Amount: Building 4/3/2006 0:00:00 $90.00023629 212 Main Street,Plrone(413) 587-1240,Fax: (413)587-1272 Building Cornmissiouer-Anthony Patillo