32A-271 1 BRIDGE ST-SPOLETO BP-2021-1259
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-271 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ALTERATION BUILDING PERMIT
Permit# BP-2021-1259
Project# JS-2021-002088
Est.Cost: $23000.00
Fee: $161.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: GERRY SHATTUCK 058422
Lot Size(sa.ft.): 14113.44 Owner: GUERRA CLAUDIO C/O SPOLETO CORPORATE OFFICE
Zoning:NB(52)/CB(48)/ Applicant: GERRY SHATTUCK
AT: 1 BRIDGE ST - SPOLETO
Applicant Address: Phone: Insurance:
25 S MAIN ST (413)237-9820 0 SOLE PROPRIETOR
HAYDENVI LLEMA01039 ISSUED ON:4/29/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:TEMP EXTENSION OF DECK FOR TEMP BAR
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.
• f •• . TO1 •
2
Certificate of Occupancy Signatur
I
FeeType: Date Paid: Amount:
Building 4/29/2021 0:00:00 $161.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
/I RECEIVED
•
_ ci I
APR 202The!Commonwealth of Massachusetts
r I Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
Bui1ditg Permit Apfliciation for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number:90-.21` 0.61 Date Applied: Building Official:
SECTION 1:LOCATION
/ txi`d . -t i= L- 4 -r c ofoO L(A>i_ sre S`
No.and Streelt City/Town I Zip Code Name of Building(if applicable)
3aA 2.1l
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other Specify: 7 n'i °Lc-IZ.- 7 I`
Are building plans and/or construction documents being supplied as part of this permit application? Yes No 0
Is an Independent Structural Engineering Peer Revien requi ed? Y s 0 No I',\
Brief Pesc 'ptiono Proposed.Work: tQ- a /1Ql � Q �� . �r S- rL
r trottA4_710.gm-v4774
pa
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft)
Total Area(sq.ft.)and Total Height(ft)
/ SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2 Ei Nightclub ❑ A-3 0 A-4❑ A-5 0 B: Business 0 E: Educational ❑
F: Factory F-1 ❑ F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3 0 I-4 0 M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA CI IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB ❑ IV 0 VA 0 VB 0
SECTION 7: SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supp Flood Zone Information: z Sewage Disposal:
Trench Permit: Debris Removal:
Public Check if outside Flood Zone Indicate municipal
A trench w' not be Licensed Disposal Site II
Private 0 or indentify Zone: or on site system 0 required or trench or specify:
permit is enclosed 0
Railroad right-of-way).- Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable Is Structure within airport appr area? Is their review complete
or Consent to Build enclosed 0 Yes 0 or No Yes❑ No
SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Y Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Nand Address 0-Property Owner
U'( res
(0 CT ..' as—),Rya (- i 0 z-
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information: .1
(�'Zl��-car p � - �I®� Ciak90 5ptizi . Witadi _co•-Lc
Title Telephone No.(business) Telephone No. (cell) e-mail'address U
If applicable,the property owner hereby authorizes:
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 Cu.ft.of enclosed space and/or not under Construction Control then check here .
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional" Responsible for Construction Control(the professional coordinating document submittals)
r _ -
Name(Registrant) elephone No. e-mail address Registration Number
Street Address ' City/Town State Zip Discipline Expiration Date
10.2 General Contractor i _ C h
Comp
am ce-" C 5 0 5 Is'rt---2—
Name of Person espoZvsible for Construction License No. and Type if Applicable
25:r S- 1`r4- - 7 v CCU oc rt `-112 l
Street Address City/Town I Sta% , Zip
( t5f CriV .� 61,0t_1 _k cN�Svt r.csJ>x-t
Telephone No.(business) Telephone No.(cell) Ye-mail address
SECTION 11: WORKERS'COMPENSATION INSURANCE.AFFIDAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accide must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the ' suance of the building permit.
Is a signed Affidavit submitted with this application? Yes No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ ( t Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ 2(cre:s' appropriate municipal factor)=$
3.Plumbing $ 1 cSFts
4.Mechanical (HVAC) $ —L--- Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ �—
2 �� Enclose check payable to‘2.,6.Total Cost $ ' "l ZS (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true ac to fi the bes m knowled e a e standing. f _ -
1U 23-7- 1T-0) ../k#-
Please print and signname Titi Telepho N Date C
ZS" 5 :� 5-t a 3-1 sue- - ``
Street Address ty/Towni State Zip email Address
Municipal Inspector to fill out this section upon application approval: _ , `__ 1 a9
Name D to
City of Northampton
MassachusettsiGJ .
a _ 3r DEPARTMENT OF BUILDING INSPECTIONS s
b f 212 Main Street • Municipal Building I b
z P'' Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility:
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date:
......... The Commonwealth of Massachusetts
=Tr'=Ifla
Department of Industrial Accidents
I Congress Street,Suite 100
....--= P
Boston, MA 02114-2017
'''t• '
WWW.mass.gov/dia
1 pikers'Compensation Insurance Affidavit:Buliders/(:ontractors/Electricians/Plumbers.
TO RE FILED WITH'I HE PERMITTING AUTHORITY.
Applicant inforniation - Please.Print Legibly
Name Olususessitkganizationindividliall:
Address: - (1/(W`m".—
City/State/Zip: Phone#: ca 3 `z---;'7 -"Z
__
Mere MI employer?Check die appropriate box: Type of project(required):
la I am a erradoyer with employees(lull amdAtt parttime[4' 7., D New construction
i am s sole proprietor or partnership and have no employe**working cj Remodeling
Ihr me in
8
/ at, ,... ..,,..... .., workers'eorrip.insurance required.] .
9.30 rr %so I am a hoaeowner doing all k myself[No wo 0 Demolition
comp.imurainie required]'
10 0 Building addition
4,0 lam a homeowner and isistl be Wes contractors to cosidwt all work on rny property, I will
eataure that all contractors either have waiters*(moralisation insurance or are sole II fJ Electrical repairs or additions
propitttori with no employees..
12.E1 Plumbing repairs or additions
..rj I am a general contractor And I have hired the sub-ecinrractors hated on the attached sheet
1 3.0 Roof repairs
These sub-contractors have employees and have*takers'comp,in.surance}
l4.FlOther tes#AcirtIrt(
ri,E3 We area eoctioration and its offices,have exereiliedir the nes of exemption per hKil.c. J ' r 4
132.*1{4 and we have no employee's.(No winters'comp.insurance required]
'Any applicant that cinack.s box DI most also fill out the ire ctiim below show tar then workers'compensation pills.,information,
t tionaeowners who nnit this affidavit indicating they are doing all work and then hire outside contractors meat submit a new affidan'it indicatang such.
«Contractori that cheek this box trust attached an additional sheet show in the name of the sids-contractora and state whether or not thaw entities have
employers. if the suls-corsraciors be cuerloyers,they must pro,ide thee worker;wino p.iIi.t number.
I ant an employer that is providing workers'compensation insurance fur my emplulTes. Below is the policy and job site
information. ...-
insurance Company Name:
-- _
.
Policy#or Self-ins.Lic.#: ..-- Expiration Date:
,,.
.---"
..
Job Site Address: .- City,StateiZip:,
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to SI,500.00
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a
day against the violator.A copy of this statement may be fcfrwarded to the Office of Investigations of the DIA for insurance
coverage verification
I do her ebyce ,S-4tder the pains and penalties of perjury that the information provided a re is t tie and correct.
k ' "L-7, 1----(
Signature: 1)ate.
Phone#: (/ ( --1—
Official use only'. Do not write In this area,to be completed by city or town official
(its'or Town: Permit/License 4 I
Issuing Authority (circle one):
I. Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
THOMAS DOU
Architects,Inc
186 Pleaunt Street,5
Northampton,
MA 01060
413-585-0641
http:llwww.tdouglaaarch
REGISTERED ARCHITE(
ExistingRailroad MASSACWEALTHOF
COMONWEHUSETTS
Embankment
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Parking lot �, ;� 1r r �s7K1 2
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EXIS
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—-- J j Project North
11 --.-.-.---.-.--.-.- ._--.--�-.-.-.-.-.—.—.— .—.—. —. k : PROPOSED TEMPORARY _ 1
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Ij r = 1 i r ' �� g f GRAVEL �',,<1 \
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PLANTER BOX=_`
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1 W 0 —1 6 DECK I I Project Tee
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QJ ® I ®111 ABRIC COVER.n1ETA PPOIRTS �—''.IJ _,- `�®�' 1�a.=�I 1
Q1 YI if rt, PROPOSED TEMPORARY
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—1 AND DECK
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1.. 0 4'7" Ca)w
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11 w I RB 1 NEW WOOD FENCE ' CUt T, �'�
11 ac..) II ,I
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•
NEW WOOD PLANTERS—.
c ' BOUNDARY OF LICENSED 1\-
1 a ii PREMISES
i
1 EXIST - ' \ Protect 9627
li, PROPERTRY LINE
!ICP 24.-0" CURB'_., Drawn BY:
CUT'
cn.olrea By:m
1 '/ Scab: AS NOTED
1 ' ...--
Issue Dare:
1.110
EXIST ,
! CURB
1
CUT PROPOSED S
1
// ,,O SITE PLAN
Scale:,,8„= _o„ 4/28/2 1
1 _____.,--.J------. .
16,_0„ 18,_0„
THOMAS DO
C C Architects,It
i . '
C ' 196 Pleasant Street
Northampton,
MA 01060
413-585-0641
mtp:llwww.Wou9laaw
�. REGISTERED ARCHII
- COMMONWEALTH OF
\\ \ I MASSACHUSETTS
ri
UPS 1:12 RAMP o LL UP NEW 1:12 R�4MP m.a.Aoa.Mo.
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nar"w,r.,a aA.,..wm � i P to ff
§ EXISTING DECK 14it."..)64.)"
STING DECK
5'-1" `' 16'-0" IMIII�I s'"1 16r-0„
Il
• PROPOSED DECK
_-_ 13 I ' � 16'13 166 C JOISTS FO
A3 �.. 6/4 X 6
/d 6 PT DECKING
PROPOSED TEMPORARY
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e••=ank, AWNING-FABRIC COVER �
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METALS FABRIC a 2840
2840
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* IniliFi
In I.I in _ 12'-7".®. F * J J C Q 2�30 ` 1 BRIDGE BTREEI
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PF it r PROPOSED TEMPORARY ��CL
AWNING-FABRIC COVER C 01 E rtRAING.DTEMPORARY Rev Date EN
u O ' METAL SUPPORTS U C ,METAL SUPPORTS OVER
EXISTING GRADE • EXISTING GRADE
BROUGHT UP TO BROUGHT UP TO
DECK HEIGHT DECK HEIGHT
FOR ACCESSIBILITY FOR ACCESSIBILITY
/ 29,_8„ 5,_1" / 16,-0" /*/ 29,_8" / 5'-1" / 16,-0"
4" 4"
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PROPOSED TEMPORARY AWNING
Project ID: 9827
Drawn By:
j Checked By:TO
[STING BUILDING
scw: As NOT
- / _ PROPMED TEMPORARY BAR AND DECK
Issue Deb:
c a;, ,..2'-0^4, 3'-101? 4, 7-4' iiiiR
2 —_., n• ,
_KeOa— may" � m �110â0TINGGRA06
_ ",4/28/21 I
/ 6'-21n" / z1 1
/ 12'-10 1/2" f CD REARELEVATION PROPOSED
1�, Scale:1/4"=1'_0"
21'-6"