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32A-153 (8) FIRE NARRATIVE FOR 18 STRONG AVENUE Fire protection will be provided through the existing automatic sprinkler system; which includes appropriate sprinkler heads, fire warning strobe lights and signal horns. R-�tw•rnT / �. E �I 3 of k1ortijulllpf01l R - ,t3l caancEJnsrlfs" - l DEPARTMEIrT OP ➢UILDf7\C INSPecT1O1:'S -- - 212 Alain Street ' Municipal Budding Northampton, Mass. 01060 '.`ORICCI?'S COiVEPENSATTON. ENSURANCF AFFU A.VIT itt > (l-2 S� d � 4!4?5 (ph on oT? £f 3 $ (SC-r--uc� P) do hereby certify, under the pains and penalties opper'u:ry, . hai I arm an employer providing die following ��,orkcr's coinmns-nu.of, coverage Cor 111ti emplovees \vor�Jing on L is job: (L�sur� CoEI=Y) (Polio Nu-mbcr) -- (T :"pimtion Dar-) ( I am sole proprietor taeral coot racor or homeowner (c cie one) a.nd have hired the cone aclors listed below who have the follo%irIEQ worker's coCoellsanon policies: (Name of Co`,.= ior)- _ (1RR!t3llt�. CorIlDa,'1}"/PGUCi'Nu",—) (Name of Contracor) (ins-,rrzncz Comoa wPolie; Nuracrr) (Lx-Dili Pion Date) (Name of CO=Cld,) (Lastuane: Compao)"/PoUq- N.dmb,-r) (Espiraoa Dale) I (Name of Conn c-Lor) (I.osuranc-- Comca ry/Poucy Numbs) - (Expi—,,ioo Dal-). (aIIVj]ad��ocxl bcG ifnoc.�czi�"co mc?u�uitccevaoo pcstafaia�to.L oc�-�".o:a) i I am a sole proprietor and have no one worlong forme- ( ) I am-a home owner perfor-mma all tine work myself. NOTE:ple be ew-,c ifi- 6coeo i,w•bo aaploy p-iOm w& C=—.:ems'Q c rc-,-u-ore oa.d,-,U_;of e.oc¢.rocs thm t'Vroc?_:.ts.in u'yr;+t ttx homoownc raido a oe the p-ou.orta zpputie- tbean L-c ripe�e-.lf-r 0.�erd.--ui to be CCVIoy,=u 0..a=-,ioa Act(GLI52-=1(S)).:L4V iatioa by a bomco-=rcr c Gc _cc pama t>_y--id—crc Ic pJ ct,'iu of ea exployx uadrr tt,a Worcoe-Coczp<m.Z on Ad I undcst.ind dh, >copy of tbi,c tc o y bo for-wdod to tbu poparcmcat or 1ccSiuicl Any •f OM-of U=--m covca&c v=-!ction zad ax--t L-.-i7czc to sccuxt`covcrasc unc'.cY ua60a 15 A of MGL 152 m Icd to the"^xi Oa of ciminA pcnalt ooxz:mg of.riot oC ttp to S I S00"00 an&or¢��oC up to ooc yr=r r'd a,il pm,,t'.ic io c`x Corm or a Stop Work Otdc and a of S 100.00,day a fp,imt me For dcp.nm=-�uK only — 1,�p:: Si�acum,of c�scrlPcrmittcc —)S-3Ce -• .� Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, __,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 1, 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 Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ r Name of License Holder: License Number 0-50". 1 j1 Address Expiration Date Signature / Telephone "Z- SECTION 13-WORK S'COMPENSATION SURANCE 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 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 9.2 Registered 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 Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Version 1.7 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 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 ® DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES 0 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 Q 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 Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. I 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 [AL Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. R,6 N 0 V RTE a ATH U6 4,i TO c c is Of Proposed Work: , / % / � � �� /�`✓�[ 1/ G� // 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 ❑ 113 ❑ B Business 2A ❑ E Educational ❑ 2B F Factory ❑ F-1 ❑ F-2 ❑ 2C El H High Hazard ❑ 3A ❑ I 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 ❑ 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 sc 18� 2nd 2nd 3r' 3`d 4m 4`h 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[-] MunicipaIX On site disposal system[] Versionl.7 Commercial Buildin Permit May 15,2000 Department use only City of Northampton Status of Permit: - Building Department Curb Cut/Driveway Permit - .212 Main Street Sewer/Septic Availability µy' Room 100 Water/Well Availability J Northampton, MA 01060 Two Sets of Structural Plans _ phone 44-587-1240 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 Map Lot Unit •� r�i���r avI ✓�� Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: hen A'rr�?Ye)i P 0 , Bey- � r�t lU Name(Print) Current Mailing Address: Signature .4 1 4414 Telephone 2.2 Authorized gent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building " l'd �'�' (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing � ���/ Building Permit Fee 4. Mechanical(HVAC) r •�� 5. Fire Protection /iaru - G eel 6. Total=0 +2+3+4+5) (i Ga 0,11 Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date K File#BP-2007-0453 APPLICANT/CONTACT PERSON WINTHROP GOULDING ADDRESS/PHONE 11 STEVEN DR SOUTH HADLEY (413)427-6835 PROPERTY LOCATION 18 STRONG AVE MAP 32A PARCEL 153 007 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Ttipeof Construction: ADD SHOWER STALL&PRIVACY WALL FOR FITNESS SUITE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 013317 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: io 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 to V2- Signature of Building fficial 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. 18 STRONG AVE BP-2007-0453 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Black: 32A- 153 CITY OF NORTHAMPTON Lot: -0107_ PERSONS CONTRACTIIJG WITH UNREGISTERED CONTRACTORS Permit`_ Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categyry: renovation BUILDING PERMIT Pernvt# BP-2007-0453 Project# JS-2007-000562 Est.Cost: $7200.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WINTHROP GOULDING 013317 Lot Size(sg. ft.): Owner: FERR�,RONE STEPHEN Zoning: CB A 2licgnt. WINTHROP GOULDING AT- 1 A -rpnNl^ -,"!r: Applicant Address: �+ _Phone: Insurance: 11 STEVEN DR 413 427-6835 SOUTH HADLEYMA01075 ISSUED ON.1012712006 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE EXISTING SPACE TO ADD ACCESSIBLE BATHROOM & PRIVACY WALL FOR FITNESS SUITE POST THIS CARD SO IT IS VISIBLE FROM THE STREET_ Inspector of Plumbing Inspector of Wiring D.P.VV. Building Inspector Underground: ervice: Meter: Footings: Ruugiu� 1 6 Rough. ,���j,r, � House# Foundation: Ul f Driveway Final: �? �� / Final./' �> -0 Final: 0�3�of 1i '� 2 Rough Frame:`1 � 1 Gas: Fire Department Fireplace/Chimney: "" Insulation: Final: Smoke: i�� ;;�f^ 7 + �K,� Final: (`f / `07q THIS PERMIT MAY BE REVOKED BY T CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGU TIO Certificate of Occupanc Signature: I'eeTvne: Date Paid: Amount: Building 10/27'2006 0:00:00 $50.002070 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Building Conuitissioner-Anthony Patillo