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17C-224 (5) DESIGN& CONSTRUCTION FIRE NARATIVE Subject property; 1 North Main Street Florence, Massachusetts Building is equipped with a full fire suppression system. Sprinkler heads will be altered to meet current fire codes Double acting pull stations located adjacent to each egress door. Horn/ Strobes there are two, located above each egress door. Fire extinguishers, two adjacent to each egress door. Wm.J. TUROMSHA♦ P.O. Box 141 ♦Leeds♦ Massachusetts 01053 Versionl.7 Commercial Building Permit May 15,2000 77777771777,j77 7,7-,�,7,77- SECTION 30 STRUCTURAL.PEER REVIEW(780 CMF3 310 11) Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ SECT40N:31 "OWNER-AUTHORIZATION TO BECOMP.LETED WHEN OWN ERS,,4GENT'OR C6kTRACTOR,4PPLlES FOR BUILDING PERMIT 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 I' 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 32 CONSTRUCTION SERVICES g. 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone SECTION 1;3 WORKERS'CQMf?ENSA7ION",INSURANCEAFFiDAYl7 (M G t,c 152, 25C(6)) . , . aib' 3 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...... ❑ r a `E (rii 3 Of �\Tcz:t[julltptoll _- g f -a,asaachnsrtle' W DEPARTMENT OP DUILDf)\1C INSPQCTIO).'S - 212 Main Strcct ' Municipal Building Northampton, Mass. 01060 �VORICEIZ'S CONQ'ENSATTON MSURANCE AfTMANIT I, WbNtA 7T• )vrtorAsHA {li�Jpermi tree) �Vith a principal place of business/residence at: _ 58 FRztct C.IEEI:)g 'M,4 01053 /3 594 g00S- (Scm._Uci ty/stale/z]P) do hereby certify, under Ole pains and penalties of perjury., hal ( ) I an an employer providing die following «vorker's colnDenScuion covervge for Im eluployccs wor­�Dng on Lius job: (Insure Corer ny) (folic: Nu_—,�xr) --- (r:-pirz do r, D2j-) O I am a sole proprietor, general contractor or homeowner (circle one) amd have hired the contractors Listed below vgho have the folio\'vi�g worker's c0m0ensa6on policies: (game Oi Contmc-,or) (IRRumno Coinm iyoi obc-, Num'.'Cr) �_?:J1idG0? DIIC) (Name of Cootractor) (Lnsurzn Comaav/Po1e1, Numi:cr) Date) (Name of Conramo;) 0116, raIlC:Compare}•/PoUcy N;tmbu) (Exaimftn Dalc) (NP-me of Contractor) (Insuranct CompaQy/Pobcy Numb:r) 'Ex�iratioa Datc). (nnicb additioca!r!7—if Doo-un•to cx.Iucic Lafcxm+60.pa-caini.¢S to.0 O=r-mon) Qd I am a sole proprietor and have no one worL-ing for me. ( ) I am.a home owner perfon=g all the work myself. NOTE:ple.}c be evrzr=tha t^Je 6emoavoci�ubo employ pc orm to do r-•:.„-,•.,.,, c=�_jcw)c repair worx as a d..clLZ of not moct then ` w tmi'j in%t'icb the bomoo+v raid=or oe dS4 pvuac s zpputtc tbceo LT we C=--ally oc<=dcrcd to be c-Ploy—undo the-- crh C..,r, oa Acr(GL152-=1(5)).appti=600 by a homcoaoc fcr c Gc=r---_or permn rr y n-idmcc the IcVJ n-n,,of to ax-.,,loyu under dso work=!,compomar.ioo Ad- t under%u th+a a oopy of thin mtemam ovy be to Lb-Dcyortmee¢of Inmtuid^e d a&Mo.or Ira�foe th. oovcxSe veRLatioo and U"L-i=to saw=t0%-crxse undcr stc6oa 25 A of MGL 152 can tczd to the i-positica of aimiall Peaalti= 000sizi g of a fine of up to S I}00.00 andfor imPrisoomo =Cup to oar year tad CiV0 Pmatjo is tSc form of a Strop Wort Ordct and. fim of S 100.00 a day L pica t>x For d i=r--' u,o only .-- Pcrmit Number Lot K Sr£�aatn of LiccnscclPcrmiuccj ee Versionl.7 Commercial Building Permit May 15,2000 sE na a o �CSac�n0 k w . . Independent Structural Engineering Structural Peer Review Required Yes ® No SECTIQN 11 �111�G�tFRA4'FHORIZAION>-T O�BE GOMPE 1111HEI�C. OWNERS AGENT ORiGO[kTRACTORAPF1r1ESwFgf Bt11LD1tC ?EEt�ViIT !<Z A as Owner of the subject property hereby authorize1��►Aµ S �L>a�n.b N A to act o b h if,in all tters rel a to work authorized by this building permit application. 1 -- Signa of Owner Date I�1<L�up}11J Idfhlw�v► L�,�omsh,a ,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 Rains and penalties of pedury. 4ELEU�'KANU Print J k� Signature of Oq(eyfAgent Date SEG TO[� C2 COKSTiCJC�T)Q� 10.1 Licensed Construction Supervisor: Not Applicable ❑ 1 Name of License Holder:; W1111AM License Number ( 5 8 Fp41A-T S T"a-r 13ox 141 L&ecs M A O 1 0 5 3 FE%acAAay Zoo Address Expiration Date . . , YIS- .98 q005' Signature Telephone 7TSECTLON 13-WORKEE2Sr,COMPENSATION`INSUCN.,CE A6j=1DAI1`(M 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 r Version 1.7 Commercial Building Permit May 15,2000 S� IE7t� 9 PRt?FESSIq[Vi4AESIGAND�iOIiCSR � EDBllll�fl � � COPIS Ut I70�1 CONeT tO�.PfJRSU F T `E 0. M '�1 C . A1�t1�1.�,,MODE 1F1A1 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): { Registration Number f Address l + Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility L Address Registration Number Signature Telephone Expiration Date E Name Area of Responsibility i I Address Re istrabon Number i Signature Telephone Expiration Date l - j Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date i I I Name Area of Responsibility Address Registration Number j Signature Telephone Expiration Date 9.3 General Contractor WA:T Tuaer.�st►� 'L�iF_s161J + GouSTRtcCTo�1 Not Applicable ❑ Company Name: Wm T `f'UtloM 4b1A Responsible In Charge of Construction 58 FP-09T -ST1 COT Ugba MA 01463 Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be fiUW in by Building Department • r Lot Size —� f Frontage 63 Gbv F7: Setbacks Front Side L:= R:r- L:= R= Rear Suild tng Heignt E= _.. Bldg.Square Footage 1=50V 01/0 Open Space Footage r— � % (Lot area minus bldg&paved #of Parking Spaces O Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW ® YES 0 . IF YES: enter Book Page and/or Document B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained © , Date Issued: t 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 0 IF YES, describe size, type and location: I I? se,-F-+ WAIL S►a1N a ham& Fr"A f W1"*0&4J x,orvrtu,.s 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 © I NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versioal.7.Commercial Building Permit May 15,2000 SEA F7�OC r � C k 4' -5 A a w *�st+C x.. ---O / . Interior Alterations❑ 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. C 6A"'r1L&eT C,C F" /A/ Fix/a fi/Hey row a QN A,.r�a SpACes Of Proposed Work: 17J acco nA wr•as w�1 .p 7TA r Fi Ito platy. 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 ❑ 213 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi h Hazard ❑ 3A ❑ Institutional 1-1 ❑ I-2 ❑ 1-3 ❑ 313 M Mercantile ® 4 ❑. R Residential ® R-1 ❑ R-2 ® R-3 ❑ 5A S Storage S-1 ❑ S-2 ❑ 56 U Utility Specify M Mixed Use ® Specify Ri S t a EµG P t z N a+ Ra F L•e�t M>;ecA►►T�e rsT Fce. STe�a�e l3Aseersp�r S Special Use Specify CQMPLEEE IIS%SECzTriD CiS ll`(6 Ei'11MO[l�l, .E Q GQ L>fC�{A (®G S� t CftO{fSi1 IiT I E Al C31 i1 L SE Existing Use Group: Ml?RCAt+T��.B Is7- P6oe� Proposed Use Group: Existing Hazard Index 780 CMR 34):• Proposed Hazard Index 780 CMR 34): 5E�'CdG`NC�L11)=bII�GIG�' C,,N1R�E ; ��" BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1st I 3o�Z SF 1 sr 2nd 2nd 3oyz SF ; ' 3`d $O y Z S�" j 3rd 4t' 4th Total Area(sf) ; Q126 SF Total Proposed New Construction s Total Height(ft) �- Total Height ft 1 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[-] Municipal M On site disposal system❑ w + r Version 1.7 Cotnmercial Building Permit May 15,2000 pity of Northampton Building Department 212 Main Street Room'100 Northampton, MA 01060 phone 411-587-1240 Fax 413-587-1272 J F _APPLICATION TO CONSTRUCT;REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ��y`�; E=I�FORMATIOL�:x :r - _" rs 'ectro a coiefe`�b £fi"` . -Property-Addres E )40KT14 mwm s7ya-eP--r� 1Fr.or'-e71ee Mp. e y L4f�P F �7 : T auy, lF'•+ 'K4 4 C�.K„Jl t st(n^C:�.s.b�%Q ' — •- SEC N.'M PIN 1P/'ACiTEOhIZEDAG n. 2.1 Owner of Record: 14E Lie N kAH14 I t$4 FEQffiQALS=mrr RoasrucaMA d o Name(Print) Current Mailing Address: r yr3- Sag -4565 E Signature Telephone 2.2 Authorized Agent: 1 Will'A' ,c T TvaoMSx,s S8 gRow sraEr? LElvos Mss ojosa Name(Print): Current Mailing Address: { V13 581.. 1006 Signature Telephone SEITIOAF.3. .EStfN IATEb�GONS'fRUG=TTOI+14CflS•'[S Item Estimated.Cost(Dollars)to be ., QC�a�CJs n1 com leted b ermif a licant 1. Building Ia Buridurg RermitFee t 2. Electrical l0 vroo °O (ti Estimated Total Cost'of 3. Plumbing oo Bulld Pe 4. Mechanical(HVAC) r y6=• ec { 5. Fire Protection I 2zoo: po 6. Tout (14:2+3+4+5) A'I487J y. QO Chedk Number �' jM w'[!�s SecortFor OfficraE'llse:onl `SI - gnateJre; - . Building_Commissioner.160 Of, Date File#BP-2006-0450 APPLICANT/CONTACT PERSON William Turomsha ADDRESS/PHONE P O Box 141 LEEDS (413)586-4005 PROPERTY LOCATION 1 NORTH MAIN ST MAP 17C PARCEL 224 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid _ T_ypeof Construction: CONSTRUCT CAFE IN EXISTING MERCANTILE SPACE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 000515 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 sion LOa�� Signature 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. I NORTH MAIN ST BP-2006-0450 GIs#: COMMONWEALTH OF MASSACHUSETTS MU:Block: 17C-224 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0450 Project# JS-2006-0669 Est.Cost: $46884.00 Fee: $113.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: M,Mixed,S2 William Turomsha 000515 Lot Size(sq.ft.): 7187.40 Owner: VALLEY COMMUNITY DEV CORP Zoning: GB Applicant: William Turomsha AT: 1 NORTH MAIN ST Applicant Address: Phone: Insurance: P O Box 141 (413) 586-4005 WC LEEDSMA01053 ISSUED ON.111212005 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT CAFE IN EXISTING MERCANTILE SPACE 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 11/2/2005 0:00:00 $113.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo I NORTH MAIN ST BP-2006-0450 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-224 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0450 Project# JS-2006-0669 Est. Cost: $46884.00 Fee: $113.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: M,Mixed,S2 William Turomsha 000515 Lot Size(sq. ft.): 7187.40 Owner: VALLEY COMMUNITY DEV CORP Zoning_GB Applicant: William Turomsha `'�-. 11 e :.v 0T vO ? 1vt .j Applicant Address: Phone: Insurance: P O Box 141 (413) 586-4005 WC LEEDSMA01053 ISSUED ON.111212005 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT CAFE IN EXISTING MERCANTILE SPACE 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: a �(��' Rough:/21/16#-- House# Foundation: riveway Final: Final: l r l(—d Final: i�f / Rough Frame: �� Z�d 9/O Gas: Fire Department Fireplace/Chimney: �p, il: Rough: Insulation: �,2"c�"��/� Final: -�b � Smoke: , Final:o/<' Q11' 9106 L <AI'J THIS PERMIT MAY BE REVOKED BY THE Y OF NORTHAMPTON UPON VIOLAT N OF ANY OF ITS RULES AND REGULATIONS. r Certificate of Occu anc Signature: l/ FeeType: Date Paid: Amount: Building 11/2/2005 0:00:00 $113.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo