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18D-058 (5) Wright Builders Incorperated 48 Bates Rd. Northhampton Ma. 413-586-8287 Fax 413-586-8237 Owners: Saint Gobain Date:12 13104 X 7v�-� Scale: See dimensions (L( 5l d 3 Sheet# 1 of 1 Exterior Lot Existing Exterior Walls Dimensions not verified or needed eza• rs- LI --V r u S 10 HIS hollow metal door N Existing Overhead Door 5 3/4 jam w/hardware&closure a) •� 12x14 Roll up Door 08330/COP. i New Interior Block Walls 22'high Open Shop Area Wright Builders Incorperated 48 Bates Rd. Northhampton Ma. 413-586-8287 Fax 413-586-8287 Owners: Saint Gobain Date:12 13104 Scale: See dimensions Ll old 3 Sheet# 1 of 1 Exterior Lot Existing Exterior Walls Dimensions not verified or needed era• ,rs• .; ----------- A ter: we (� I Inca �: 4 c �o H18 hollow metal door Existing overhead Door 1 p 5 314 jam w/hardware&closure d o C c m w. r - - - .R 12x14 Roll up Door 08330/COR. New Interior Block Walls 22'high Open Shop Area 0" a - t o DEDAZTME.*IT OF BUILDING INSPECTIONS � c 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WOR=R'S CONi 'ENSATION MSURANCE AFFIDAVIT with a principal place of business/residence at_: - (phcneT} (sire✓:/cir�r s,::Llrip) do hereby ce =y, under the pates and penalties of perjury, the ( ) I and an eWployer providLing the followmig •vorire?s compe:sa lion cove:-age for my emplovees wor'Lng as this jeb: Cot :--y) (PC�.c�Number) (Exp:rdon Dase.) r.+• Y •1 r �O P I ( ) I am z svte proprietor, ge..e.al contracor or homeowner(crc.., or-e) and .gave hued the contract:ors listed below who have the foLo.rng worker's compensation policies: 9 (Name of Contrscor) (Insurance Com7_a=y/PoUc-1 Number) (E:�- iradon Date) (Name of Contractor) (Ins=cc Co=a-_y/PodC-Y Number) (Expiradoa Date) (Name of Con=cior) (Insu a.n=Compazy/poLicy Number) (1 xpiradon Date) (Name of Contracor) Company/Policy Number) (Expiration Date) (anach additioost zbeet ifneocaxry to 6wju&im%masica paoLia a aA ooaaacsom) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself NOTE:pl=w be swats that wbilc homoownm who empiay peso=to do,,•,:••--=,eaaemudioa cr ttpairwork an a dvNZIU&of not more than throe units is which the homoowoe resid=a m the Vwads appruteaaotthaeto acs act ga c ady ao=idard to be emplayen wader the wockcrt c compensation Act(GLI52,ss 1(5)),applitsdon by a homeowaar for a Ge=sse cc permit may evidence the Iegsl ataaaa of as e=ployae undactbe Warkeez Compaaaatioa Ad I uade=staad that a copy of this mf® =ay be farwwr cW to the Ogmr ac of Iaiuorisl Aecda,&Office of IaaKuaaoe far*9 oovmp vaiff==and that failure to sw=oovcmgo under soctira 25Aof UOL 152 as Lmd to the ism of tzimiasl pemwes comLdn of a fine of up to 11—MOO and/or jmprho==Ot of up to man y=and dva p=atties in the form eda Stay Wocit order and a ` find of 5100.00 a.day&pinst Mr— For departs xnw use aaty Permit Number -- - Lot : �.... Sipatiae of Licc=-bemermit tg= Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) 77 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 as Owner of the subject property hereby authorize 1" 1 � �`-Lt I Vv ��Vl. pl/t 1 ' �%r'S to act on y behalf in all matter relative to work au o ized by this building permit application. ignatu a of Owner Date - " ' k I vV6f` , (Nc' — as Owner AuthRWL ed Agen hereby declare that the statements and information on the foregoing application are true and accurate, to e o my knowledge and belief. Signed under the pains and penalties of perjury. L6D WEB Print Name Signature of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not� Applicable ❑ Name of License Holder : lie / -C W el l 5 04-7 0410 License Number j- �-- ') d I Address Expiration Date Signature Telephone SECTION 13 -WORKERS' COMPENSA ON 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...... ❑ Versionl.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 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 0_, R� VV �l,� p'U( ���� I��' Not Applicable ❑ Company Name: Responsible In Charge of Construction & sT�, ND " N� MA- Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 7. Water upply (M.G.L. c.40, § 54) 7.1 Flood Zone Information: 7.3 Sewa a D' posal System: Public Private ❑ Zone: Outside Flood Zone Municical On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning Atli, //i to W�1t4 This column to be filled in by 'YGV� V� Building Department Lot Size �1l�i l� Frontase Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved azkino #of Parkins Spaces Fill: (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 YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 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: N "1-1 tt'1�� � �� 5V4— D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: r Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations x Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] p Accessory Building [ ] Repairs [ ] l NT6Pr 0 1C- 8LA* PASONP1 V A'I-tg. (N STA-11, SECTION 5 - USE GROUP AND CONSTRUCTION TYPE DN� IZ'K1�� COIL boon $ WE 4Ak WA USE GROUP (Check as applicable) eteL Uvi CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ lA ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1.1 ❑ 1-2 ❑ 1.3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ I 5E3 ❑ 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: Y�"l"� "I Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING'HEIGHT AND AREA r� ��OFFICE USE-ONLY � , BUILDING AREA EXISTING PROPOSED NEW CONSTR CTION ON b r• Floor Area per Floor(sf) i:t ��,,� � • "4 � , } 2nd 1 St °- e 2nd 3rd r I ' 3 4th rd s 4th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft.................... VF Versionl.7 Commercial Buildins Permit May 15,2000 . Depa ,ent se onl .. , City of Northampton Status of Permit- Y Building Department Cgrb C it/Dnve ' 'ercni_! ` 212 Main Street S wer/Sept► I Room 100 Water/W III- va la i Northampton, MA 01060 T Sets afv phone 413-587-1240 Fax 413-587.1272 P�lS�te"Maps- W- pl Other 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 Map Lot 6 "Unit Zone Overlay District Elm St District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: •��' 1 I l i � e lher t5o il 15 �s� a Name( int) Current ;Mailing Address: ignature Telephcne 2.2 Authorized Aeent: tAc,yy- Name(Print) Current Mailing Address: 413-5?)6y eel a ure Telephone ��--^^�� lt SECTION 3 - ESTIMATED CONSTRUCTION COSTS J K ?� OaO� " 7 , Item Estimated Cost(Dollars)to be Official Use Only completed by permit aoolicant 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) / a D D• Check Number 4. �"-'r _ This Section For Official Use On Buildin'E�Permit.Number Date'Issued. ., . Signature Date 8uildmg Commissioner/Inspector of Buildings File#BP-2004-0686 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287 PROPERTY LOCATION 175 INDUSTRIAL DR MAP 18D PARCEL 058 001 ZONE GI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid 7 770–i — Typeof Construction: CONSTRUCT INTERIOR WALLS&2 DOORS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 047146 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOIjDvIATION PRESENTED: pproved 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 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. f *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 175 INDUSTRIAL DR BP-2004-0686 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-058 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0686 Project# JS-2004-0980 Est. Cost: $11000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Wright Builders 047146 Lot Size(sg.f.): 160300.80 Owner: OLDON LIMITED PARTNERSHIP Zoning: GI Applicant: Wright Builders AT. 175 INDUSTRIAL DR Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:12111103 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 INTERIOR WALLS & 2 DOORS 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:C/< THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIQN OF ANY OF ITS RULES AND REGULATIO � '' Certificate of Occupancy Sip-nature: ell FeeType: Receipt No: Date Paid: Check No: Amount: Building 12/11/03 0:00:00 17305 $55.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patiilo