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18D-001 (2) 162 NORTH KING ST BP-2021-1462 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-001 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:NEW COMMERCIAL BUILDING BUILDING PERMIT Permit# BP-2021-1462 Project# JS-2021-001384 Est.Cost: $279000.00 Fee: $1953.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: C E FLOYD 111715 Lot Size(sq. ft.): 532738.80 Owner: D'AMOUR PAUL H ET AL C/O BIG Y TRUST Zoning: HB(100)/WP(16)/ Applicant: C E FLOYD AT: 162 NORTH KING ST Applicant Address: Phone: Insurance: 19 TUTTLE PLACE (508) 934-9425 WC MIDDLETOWNCT06457 ISSUED ON:6/29/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT NEW RETAIL MOTOR VEHICLE FUELING DEPOT 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/Chinhney: 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. I i o e, • ri yQ TAD4.75, Certificate of Occupancy signature: I FeeType: Date Paid: Amount: Building 6/29/2021 0:00:00 $1953.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner " i';,°,�,� ,'`he Commonwealth of Massachusetts C � � t0h> �A�CT Office of Public Safety and Inspections ,ii,/c °r°6,0oys /+ Massachusetts State Building Code(780 CMR) Bui ° Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only). Building Permit Numbettgp•.21•140Z. Date Applied: Building Official: SECTION 1:LOCATION 138 North King St Northampton 01060 No.and Street City/Town Zip Code Name of Building(if applicable) 18D-1 B 4301 P 88,89 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 9 , If New Construction check here l?J or check all that apply in the two rows below Existing Building❑ Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering Peer Review required? Yes ❑ No 0 Brief Description of Proposed Work: install underground fuel storage tanks and construct new fueling station. 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) 0 Existing Use Group(s): Proposed Use Group(s): M SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 1 312 H Total Area(sq.ft.)and Total Height(ft.) 312 12' SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 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 0 I-3 0 I-4 0 M: Mercantile ��__R_�: Residential R-ID R-2 0 R-3 0 R-4❑ I S: Storage S-1 0 S-2 0 U: Utility 0 Special Use' nd please describe below: Special Use Description Gasoline Filling Station SECTION 6:CONSTRUCTION TYPE(Check asap licable) IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 1.1Ir IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: Public Check if outside Flood Zone Indicate municipal A trench will not be Licensed Disposal Site 0 required❑or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: 11.4 Historic Cpmnljsk •Hc4,)06. t'roLcss: Not Applicable Is Structure within airport`ap roach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or NoT Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 9 Use Group(s): M Type of Construction: 1118 Does the building contain an Sprinkler System?: N Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Roosevelt Av. _D'Amour, Paul H et al PO BOX 7840 Springfield..... 01102 Name(Print) No.and Street City/Town • Zip Property Owner Contact Information: Tony Coppola -._ 413- 504-4737 Coppola@bigy.com Title Telephone No.(business) Telephone No. (cell) e-mail address 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 D. 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) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor C.E, Floyd._.......__...._........ Company Name Jim MacFeat CS-111715 5(I(4 12I Name of Person Responsible for Construction License No. and Type if Applicable 19 Tuttle Place, Suite 2 Middletown CT 06457 Street Address City/Town State Zip -__.._..._. ---........_..____._......................_ Roo-(ft q _1Q -3 71 afournier@cefioyd.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11: WORKURS'COMI't:NSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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? Yeslar No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from[tem 6)_$ 279,000 1.Building $236,000 Building Permit Fee=Total Construction Cost x .007(Insert here 2.Electrical $ 31,000 appropriate municipal factoC$1953.e.----.) 3.Plumbing $ 12,000 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to Cityof Northam ton � 6.Total Cost $ .A._____ 279,000 (contact municipality)and write check number here 14.`l I3!'7 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 and accurat the bes of my know edge and understanding. Director of Design Tony Coppola &Construction 413- 504- 4701 06/03/21 Please print and sign name Title Telephone No. Date 2145 Roosevelt Avenue — Springfield - MA 01102 Coppola a�,7big ..com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ,e � , y `V p a . . Name 0 - e