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32C-013 (13)
108 MAIN ST-NORTHAMPTON BP-2017-1149 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:32C-013 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2017-1149 Project# JS-2017-001947 Est.Cost: S 17000.00 Fee: 5119.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: D A SULLIVAN & SONS INC 053668 Lot Size(sq. ft.): 1742.40 Owner: DAS PROPERTY GROUP LLC Zoning:CB(I00)/ Applicant: D A SULLIVAN & SONS INC AT: 108 MAIN ST - NORTHAMPTON Applicant Address: Phone: Insurance: 82 NORTH ST (413) 584-0310 Workers Compensation NORTHAMPTON MA01060 ISSUED ON:4/21/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:1ST FLOOR - REMOVE EXISTING PARTITIONS ALONG PARTY WALLS FRAME AND BOARD NEW WALLS 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 4/21/2017 0:00:00 5119.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1149 APPLICANT/CONTACT PERSON D A SULLIVAN&SONS INC ADDRESS/PHONE 82 NORTH ST NORTHAMPTON (413)584-0310 PROPERTY LOCATION 108 MAIN ST-NORTHAMPTON MAP 32C PARCEL 013 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ,,,((( Building Permit Filled out \ /ST FL Fee Paid •.JJ Typeof Construction: REMOVE EXIS NG P NS ALONG PARTY WALLS FRAME AND BOARD NEW WALLS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053668 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO3MATION PRESENTED: 1.-""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 Permit DPW Storm Water Management mo y i At Sig raTu. ti _O mia'er 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. Version1.7 Commercial Building_Permit May 15,2000 ' Department use only APR 3 City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 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 o g tAA-r Ni 5r Map 301,c Lot Q 15 Unit ,rte t75 j pcb,a-r Zone Overlay District 11{•11 (y Elm St.District Ce District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: PAS 12(lcW612:5/ GveovF L-CC Sf No2T$ bT /Loy-irepslPron/ Name(Print) Ad Current Mailing Address: Signature Telephone 2.2 Authorized Agent: 0H'1 ,/. Lewy /N6 363 Pio' sr. moarkihneraki Name(Print) / Current Mailing Address: ¢I s5—ba c Signature Telephone SECTION 3 ESTIMA ED ••NSTRU•#•N COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (D/ Qou. 00 (a)Building Permit Fee 2 Electrical 3/ cook 00 (b) Estimated Total Cast of �.,/� Construction from(6) W 3. Plumbing boot Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection �} [[ 6. Total=(1 +2+3+4+5) N'fit /7;era Check Number 3 ,37 01 /7 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Version l.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE �// Interior Alterations CI Existing Wall Signs Ef Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs 0 Roofing❑ Change of Use❑ Other ❑ Brief Description Enter a brief description here. Fe/VI/6 &iX/ 72Al& P.9gi/T oN5 Of Proposed Work: dGON6- /12/9.12.72" &'4'45 /27194,7 E4wp /??&'?/LO N9 JImfto SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 0 A-2 0 A-3 101A I CI A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I 0 F Factory 0 F-1 ❑ F-2 0 2C ❑ N High Hazard 0 3A 0 I Institutional _❑_/ I-1 CI1-2 ❑ 1-3 0 3B 0 M Mercantile at —/ 4 ❑ R Residential 121R-1 ElR-2 ❑ R-3 / 5A GV S Storage ❑ S-1 ❑ S-2 ❑ 5B I 0 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: /r<enarit qe-gtdti7rfiKrbposed Use Group: •/.."1,2"a"-- Existing r•2x CExisting 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 Hoar Area per Floor(sf) 15' /671' 18' 2n4 l5-70 2 3rd /5o 3rd 4r /5/J7D 4th Total Area(sf) lino) Total Proposed New Construction(sf) Total Height(ft) t/ Total Height ft 7.Water pply(M.G.L.C.40,§54) 7.1 Flood Zone Information: 7.3 Sewage sposal System: Public [ Private ❑ Zone Outside Flood Zone( Municipal On site disposal systems Version!.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 mmus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Sp ial Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW O YES O IF YES, date issued: IF YES: Was t permit recorded at the Registry of Deeds? NO DONT KNOW O 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 O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Q , Date Issued: C. Do any signs exist on the property? YES I'�,1 QQ NO O IF YES, describe size, type and Location: {-iyeN $opY / D. Are there any proposed changes to or additions of signs intended for the property? YES V NO O IF YES, describe size, type and location: FemoyE tIT} - etgri QUkR. I -N /) E. W II the construction activity disturb(clearing,grading,ex tion,or filling)over 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 ❑ 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 Gener al Contra ctor ✓ nelC /"ct/ VQ1- O 5pN.9 Not Applicable ❑ Company Name: /V/9/GT/P X5'7 /1/027//9inPThN, '44• Responsible In Charge of Construction Vo/IA) gaOke/,V&- Address ,14 �j X13-575 6a?5 Signat dresfe x / Telephone C f Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) �(/ Independent Structural Engineering Structural Peer Review Required Yes 0 No iJ SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTORACAPPLIES FOR BUILDING PERMIT /ail Q lin"� / }' , as Owner of the subject property hereby authorize .10 44N l- L€- INId to act on my beh all ers ative to work authorized by this building permit application. iii if-/a /9 Signature of Owner �,,,r y'� Date I, ion" PC,<"bt4 l("5 as Owner/Authorized Agent hereby declare that the statements and information on thef�going application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of per Print Name )0MI)J- FCu/ ¢lofi7 Signature of Owner/Agent _ _ Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor:� Not Applicable ❑ Name of License Holder: JVr ry"IJ J . FCer421 t/.i(s C5- o5#oso License Number 353 /9/2 ,11,-----6-7- si- Ha i-mmPTon/,. +- 3-5-/8 Addres� / Expiration Date /i` li. L, l S a S Signal - / Telephone • SECTION 13-WORKERS'COMPE ATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance am vit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b ding permit. Signed Affidavit Attached Yes No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: /99 ,, i4"1 �7 The debris will be transported by:,, //P 4. J va-/J4V/t/ The debris will be received by: 1/i tt ek !ti CYCL'N4 Building permit number: n Name of Permit Applicant 0&5 Fizo G y e2t° P C LC- -/X/"Z Date Signature of Pernkapplicant The Commonwealth of Massachusetts �_ Department of Industrial Accidents ma I, Office ofinvestigations — ; �a .. 1 Congress Street, Suite 100 �''I"� Boston, MA 02114-2017 ~r� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): b ,A , S RI I I \'IU-n S t n,j 10 € , _ Address: 82 - 8+ fVCYtk St_ cityistate/zip: t't1-fhwrp7rIRI1- 0ftV0 Phone a: lh3 - 5-04- o3to Are you an employer? Check the appropriate box: Type of project(required): 1.NI am a employer with hA.S • 4. ❑ I am a general contractor and 1 employees ull and/orpart-time). s have hired the sub-contractors 6. ❑ New construction 2.CI 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.; 9. ❑ Building addition [No workers' comp. insurance l0.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ 1 am a homeowner doing all work officers have exercised their 110 Plumbing repairs or additions m self. [No workers' right of exemption per MGL ycomp. 12.0 Roof repairs insurance required.] f c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box ill must also fill out the section below showing their workers'compensation policy infomtation_ 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. lithe sub-contractors have employees,they must provide their workers'camp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. p t� Insurance Company Name: �/1n. 1 t M. f VAl LUJ IloJ. r7 Policy#or Self-ins. Lic.#:_ I U I C(i L V 0 4-0000'1 $2 (j L. 4. _ Expiration Date: -( 1 t 1 2-(L t f Job Site Address: I 6 Y1 �6U n V'r. City/State/Zip: N2'r'kturp1v^ r4p3 0) (teo Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Simature: f,h� Q AC�9 w� Date: 41 I 0/) 9Phone#: (�413 - 5e 4 -03 I C Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone it: iafitiaivINaFd tie5(des City of Northampton Building Department Plan Review g h Q—12 / % / f' 212 Main Street Q' Northampton, MA01080 1 1 r' ,1iNSC anv �� S I �L:g{� 1�.. . 11 IL / f. Q9 I i. i/. /68 attcAeui sr f=/fzr7 F 2 4-7q-17 t'x" ! `_> //v-- P i 4X12 I'LL a/ ' 1`'�i 321+/. I1, [ I I i,:. .. I. •1 r- -$ 14......, , 0,, ... ,,,, i i„,, ' `, '� p _. III ` L ,N / VOP 5/t " 9 ./ vo ' ` ta ,,, c t d' I Ho ;6, t 'mil!ft/ C`i e U.' f_- W Ap9 ' riJ aJ j . (`� aF W V1 " I 1 g Y (oe 4`1iz'Nt,-,,T I(l•c ('L}.0. fld ( /;(. , , redia " ® \ \ \ � © 6/..„0/,/t_ >. , y Lir, lc . ~ \ . , i \ ^ — . . � \ \! 1 p?.., \ , ( a ( . » ) } \ . < f \\ i ` » , _m \ , II } £«e ee Buke . a. = yc4� v ic eiCil ! , * . * � av . y . ; w,. § WI, N y . 2 -:::\ 9\ ® © \ . f \ ti. . . / ` 2r «2 *®\K /r+ ~ ° Mm»c g ea ' . r .ec_r © `^ P x ,¶ , ei mm -w- 1 «r : « 1ICS 30'7 D.A.S ULLIVAN & SONS, INC. Ll0 ( a /gni o9of Llm.usa April 19, 2017 To Whom It May Concern, I request that you grant a modification to waive the requirement for control construction for the 108 Main Street project in Northampton,MA.The work is of minor nature,will not affect health, accessibility, life or fire safety. or structural requirements. It is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. Thank you for your consideration "Mass Amendments, sections 107.1 allows for an exc usion from control construction for this project" Respectfully, M Dennis Sullivan CEO/Treasurer D .Sullivan&Sons, Inc. 82-84 North St. Northampton,MA 01050 b' bib N,. ,, . ,,._. , ;Mk ;me {4l IT10i10 ; , ilydy. un- ,c,•,.