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