32A-138 (106) 31 MAIN ST BP-2007-0132
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 138 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0132
Project# JS-2007-000201
Est. Cost: $4500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Robert Reckman 009498
Lot Size(sq. ft.): 0.00 Owner: CHAMISA CORPORATION
Zoning: CB Applicant: Robert Reckman
AT: 3. 1 MAIN ST
Applicant Address: Phone: Insurance:
36 Service Center- Unit 2 (413) 584-1224 Workers
Compensation
NORTHAMPTONMAO1060 ISSUED ON:8/8/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:ATTACH DRYWALL TO FRAMING ABOVE,
REPAIR DUCTWORK & INSTALL NEW SUSPENSION CEILING
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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:0-76-g G
i — Rough Framel - 6 4
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: InsuiatiGn:
Final: Smoke: Final:
a 10 6 4:4
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG .. TI
Certificate of Occupant, ! Si.nature:
FeeType: Date Paid: Amount:
Building 8/8/2006 0:00:00 $50.0011861
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
4../1111\
- -
File#BP-2007-0132
APPLICANT/CONTACT PERSON Robert Reckman
ADDRESS/PHONE 36 Service Center-Unit 2 NORTHAMPTON (413)584-1224
PROPERTY LOCATION 31 MAIN ST
MAP 32A PARCEL 138 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out //yy ��JJ
Fee Paid Pa s'^�—
Typeof Construction: ATTACH DRYWALL TO FRAMING ABOVE,REPAIR DUCTWORK&INSTALL NEW
SUSPENSION CEILING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 009498
3 sets of Plans/Plot Plan
THE TO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intemtediate 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 n
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.
•
Vcrsionl.7 Commercial Building Permit May I5.2000
� Department use only
Ply P,(/ IS `y.of Northampton Status of Permit:
• I in
— - i3�ied,ing Department Curb Cut/Driveway Permit
hI12 Main Street Sewer/Septic Availability
AUG - 3 2006 Room 100 Water/Well Availability
` Northampton, MA 01060 Two Sets of Structural Plans
- hone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
,.p- .,�,5 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 ProperlyAddress'. This section to be completed by office
CJ+�I man']''# Map J d�J'1 /1. Lot / Unit
NO2/N1V2712/✓"�Ma a Meta Zone �l Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
,yagri.0 C'ARREM 31 MH/iJ ST /A4Rr/1Am,ro, .414
Name(Print) Current Mailing Address.
603- 68ic- 1/8/
Signature Telephone
2.2 Authorized Anent:
BM leekn2Aiv S& .S°cCvlre Cre Noei/omPrdv.W}
Name(Print) Current Mailing Address:
-`113 5sq- /sari
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building c7 h Soo , (a)Building Permit Fee
2 •
. Electrical (b) Estimated Total Cost of
1000 - Construction from(6)
3. Plumbing Building Permit Fee
4 Mechanical(HVAC)
5. Fire Protection //
6. Total= (1 +2+3 +4+5) 4/500 Check Number //X7 ck5'6'--
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This Section For Official Use Only CC YYff
Building Permit Number Date
Issued
Signature:
Building Commissionerllnspector of Buildings Date
Version) 7 Commercial Building Permit May 15.2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs ❑ Demolition❑ Repairs Additions 0 Accessory Building
Exterior Alteration 0 Existing Ground Sign❑ New Signs 0 Roofing Change of Use❑ Other 0
Brief Description Enter a brief description here. fiw,geN Jaeywrnt Pgopttty FRF/nlmg AboVE,
Of Proposed Work: Rjeteie k.'erwoa K ,rQsrf t£- NEN/ 610100J5/Q/JJ (611/tJ4,
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) I CONSTRUCTION TYPE
A Assembly ❑ A-1 5 A-2 ❑ A-3 5 1A ❑
A-4 ❑ A-5 0 1B 0
B Business 0 2A 0
E Educational 0 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard 0 3A ❑
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I Institutional 0 I-1 ❑ 1-2 ❑ I-3 ❑ 3B 0
M Mercantile ❑ 4 ❑
R Residential 0 R-1 ❑ R-2 0 R-3 ❑ 5A p
S Storage 0 s-1 0 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)
1s
151
2" 2nd
3rd
4 aro
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 0 Private 5 Zone Outside Flood Zone❑ Municipal 0 On site disposal system
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 /v0 CHiIA/QE TV s orpie/NT 6.0 u3
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage °o
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 O DONT KNOW ® YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
SN
NO 0 DONT KNOW YES 0
IF YES: enter Book Page and/or Document N
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES ® NO O
IF YES, describe size, type and location: 3 0RF_fienuT -F-BEN77 F/(19170IJ
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO k)
IF YES, describe size, type and Location:
E WII the construction activity disturb(clearing,grading,excavation, or filling)aver 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version1.7 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 0
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 Dale
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
Rthaen- RGeZRAAJ Not Applicable 0
Company Name:
RUofkr REee3/41,0
Responsible In Charge of Construction
3m 3e2v/6E eekiTEk. NOPTHAmPIonl jd4
Address
Signature Telephone
Version!.7 Commercial Building Permit May 15.2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q No Q
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
MA
RRA) C HRRE(ZA- as Owner of the subject property
hereby authorize )3CB LietOnApi to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signa 8/3/0
Date
I, eve, nEe t oMk , 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.
.Booetm,ttJ
Print Name
i - 3(b
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: (g Not Applicable D
Name of License Holder kW??T/?E'(/L/17fN 009498
License Number
Sb Jezdfee eix Nnerfigmcgyu ,un o fad o 6/7e 07
Address Expiration Da
40a -5t ' -hug
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 /ifp�Jfj(//r5 ox/ cf gL
Signed Affidavit Attached Yes Q No Q