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32C-014
100- 102 MAIN ST BP-2021-1562 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-014 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2021-1562 Project# JS-2021-002592 Est. Cost: $53000.00 Fee: $371.00 •PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: FORREST DEVINE 95779 Lot Size(sq.ft.): Owner: SPERO PHILLIPS Zoning: CB(100)/ Applicant: FORREST DEVINE AT: 100 - 102 MAIN ST Applicant Address: Phone: Ins uranc•e: 129 LOVERS LANE (413) 478-9691 () WC GRANVI LLEMA01034 ISSUED ON:6/30/20210:00:00 TO PERFORM THE FOLLOWING WORK:RENO STORE FRONT 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. (' CPI g • 1 . �i Certificate of Occupancy signature:' i 0 FeeType: Date Paid: Amount: Building 6/30/2021 0:00:00 $371.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner i /...'..'I''''''''''''''''•.kb t..,:,......,,,,.„,, ,1 The C ,..„.„... ,,,, s, . ommonwealth of sach�1se s Office of Public Safety and Ili 'ors c?Q2 j \�i,lt`i ? Massachusetts State Building Building Permit Application for any Building other than •n'��n o-Farnil Dwe 'ng �® (This Section For Official Use.Only) h it/ "'Po ly Building Permit Number!'2" / Date Applied: Building Official: �Of'O�tiS SECTION 1:LOCATION i 1001102 Main Street,Northampton,MA 01060 { No.and Street City/Town �/ Zip Code Name of Building(if applicable) 32C- of! Assessors M # BIock#and/or Lot # SECTION 2 PROPOSED WORK Edition of State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Buil 0 Repair 0 Alteration r Addition 0 Demolition ❑ (Please fill out and submit Appendix 2) Change of U 0 Change of Occupancy 0 Other ❑ Specify: Are building'tans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Inde ent Structural.Engineering Peer Review required? Yes CI No ( ' Brief Descri on of Proposed Work Renovation( to an existing storefront on Main Street in Northampton.An existing,abandoned stair connecting Main Street to a lower level Lobby; nd municipal parking lot will be removed.The space occupied by the stair will be incorporated into the retail tenant space. I he entry ci or will move torward to align with an existing display pox at the street. 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 Useyroup(s): Proposed Use Group(s): 1 SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors Stories(include basement levels)&Area Per Floor(sq.ft.) .', Total Area( .ft.)and Total Height(ft.) /7 g;0 «. x x iii SECTION 5:USE GROUP(Check as applicable) A: Assembl A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business E: Educational 0 F: Factory 1 F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-d❑ _ I: Institutional .l 1❑ I-2❑ I-3❑ 1-4❑ M: Mercantile 0 R Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage -1❑ S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use escription: SECTION fx CONSTRUCTION TYPE(Check as applicable) IA CI IB ❑ HA IIB ❑ FHA IIIBp IV VA 0 VB 0 SECTION 7 SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Soppily: Flood Zone Information: Sewage Disposak Trench Permiti Debris Removal: 1 Public RICheck if outside Flood Zone pat Indicate municipal jig A trench will not be Licensed Disposal Site)2Y required gror trench i or specify: Private CIor indentify Zone: or on site system CI permit is enclosed 0 t ` Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: No:Applicable Y Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes CI or No t$d Yes❑ No 0 SEC i ION&CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Ci de: Use Group(s): Type of Construction: Does the b f ding contain an Sprinkler System?: yt, Special Stipulations: 1 Design Oc j.ant Load per Floor and Assembly space: I. SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Addre •of Property Owner 0 Lt. S Isr►rn14oX1 6 r oui-i+.wccfe 91.4.A. c.t s 3y Name(Print) 1 No.and Street City/Town Zip Property Owner ' tact Information: t(t; -3'fs 663C — - 5?ero7lAt 'Klrvc. 'mot Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the operty owner hereby authorizes: -c>rl + • tAl. CZ" Ivvec5 la.reo ‘ftAvlit(t )(44 Pie 3 Name 1 Street Address City/Town State Zip to apply for and as 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 35,0a0 cu.ft.of enclosed space and/or not under Construction Control then check here❑ Otherwise provide constriction control forms(see sect-ion 107 in the code)as required. 10.1 Registered ,essional Responsible for Construction Control(the professional coordinating document submittals) Jody Barker,AIA 617-216-5988 jodybarkeraia@gmail.com 50885 Name(Registrant Telephone No. e-mail address Registration Number 32 Willow Street Florence MA 01062 Architect 08/2021 Street Address 1 City/Town State Zip Discipline Expiration Date 10.2 General Co ,;.ctor Company Name t' 5i 104c�1.n.Q 6 t579 Name of Person ':sponsible for Construction License No. and Type if Applicable t21 Lo,) f S (a.r rct t 0.Ire 1‘111. Ct O.3 4 Street Address Efi City/Town State Zip C 1( - - 'Sro eritrct5 4,- ytM i41¢-wt,eij f/ . osvt Telephone No.(b` iness) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers ompensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with. ' application Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No 0 SECLION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated.Costs:(Labor Iterrl and Materials) Total Construction Cost(from Item 6)=$ 1.Building II $ r Ul + C' Building Permit Fee=Total .r o Cost x—(Insert here 2.Electrical I $ I;o CreP appropriate •nicipal factor) . 3.Plumbing $ , Y ov CP 3'7,ad4.Mechanical (HNAC) $ Note Minimum f:•=$ ( (conta municipality) 3.Mechanical (Other) $ Enclose check payable to ' 6.Total Cost $ /OM �— (contact municipality)and write check number here i. -( 6 f SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my e below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is and accurate to the best of my knowledge and understanding. Please print andign name /" Title Telephone No. Bate t29 [overt 4� L+retAvlfie J it" 0103 it. 0�t,("1. d+ 11 Street Address„ City/Town State Zip Email Address IIIB Municipal Insp for to fill out this section upon application approval: i i' -1 Ti► = • 30 al I Name 1 /Dat City of Northampton r Massachusetts e. } • € DEPARTMENT OF BUILDING INSPECTIONS ;% 212 Main Street a Municipal Building ,,,W` Northampton, MA 01060 t* 1' 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 lice•led waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: 1 I I Location of Facility: l/ 1 ter' P-ec r - r .- The debris ``ill be transported by: Name of Hauler: 4/f 4/4-S$ Signature o Applicant: ` Date: f!0/Z r t • The Commonwealth of Alassachusens iffiViz40. Departinent of Industrial Accidents I Congress Street,Suite 100 . —vitizir jrio Boston, MA 02114-2017 '4...1 -a,''';'' www.ntats.govirtio _ , 11 N-Vriticers"t'iimpenstitiort Insurance Alfidas it:BaildersiCoutractorsiElectriciansfPlumbers. ., TO RE PILED WITH THE PERMUTING ALTUORIt'i Applicant inloriitation Meow Print Legthls Name iBustriess,Organizationhatiyidtiair • „,//,‘tfoE, 607/51,/ii c4,,,4„Q,t,-.) _ ,_ Atidre$ 3,72.- ,,14r. ..4,14 — -- tie M 0,14:? if Are yata att ettaryttol("hada the appropriate ham Tail*of project tired): ,- ty,31 on a+£•eyer atrith_,,2,,,,,_ornedtayeeta that artetier pravtierc 1,''' 7. 0 New c e.bon 2,0 I liM a Auvarter to prioncrAid add have he epee a avert:eats for ma IR any c ,Ity Ne 4ertera'arnalp,.ilkdkaallelt Mitikitt11 i 9. . Demob SO/ant a aver dereg a wok areoelf fNe warkera'army_travonere raveretli' 100&ED I am a Avner and wet he liftes mentreftomme eftedeift A h eft on my prvaraty,Paid 1 , , CnSillT Al caftritooth either have tvekera`imeteftmemixt reftranat or ere idle i 11.13 Eke or additions ploprie Aie eh no employaft. 20 Plurnivaig irs or additions .50 1 ova',',.•• 'earthractat sod 1 Iva-edited dre atevetadatoes have um the adaalted Are, '-1 11: i Roof reparrs1 Mese',.; enotareten toot envieverratrathearr'molten'comp.reatatosaret' — i 4,0 Other_ o.C]Wa are;corperatrion avi A etrwers ham ftemised deft ragha..r1 creattpoira per ML e. 1.and we haw 11V.ta1,614014,[Me won coop.ihatattaca-requeed4 'Arty apidivel ••.• tirade..hoe el/Masa Abitl till eta the Avian Weer shotateg thee warders'cempatareten onity infervatiote 1 'Etartuovera:he starve lee afficketrit atthearita/they Andean;ad work and data hire etataitk emir-actor-a env 3411111it 4 new artid±it tnerreattg atare :•Ceraracrera,,.:' check data bac tetra Attached>WI additionte Ova ahntairay the vete er the&akb-oraftrAtiov.)-ow,arate weaver Dr MA IVA ellUtiti- L?'. artylcaeca If ri• eeb-corAreatem leme erftioyme.deft mum pide Mew worker'?.4.Z.-11p,pahvi number • I ant an entith)yer Mat is protidine workers*Catttpextiation ittSilteNCY for my employee& Below is the porky and job site (nformatio ! Insurance C y Nvirne:____rig-riv,‘„,_77eii".(tx , _ Policy#or 4eitin .Lie.#1 Expiration Date: li Job Site A ! 0 0 7. Adk-ii-t IV 'S4-ree-4- City:SratoZir Attach A e y()Ube w 'compensation policy declaration page(showing the policy number and espiratiun date). Fax to. Cure coverage a required under MOE,c. 152.§25A is a criminal violation puraShable by a fine up to S.1,5011.00 aralior one- ear imprisonment as well as civil penalties in the&Into(a STOP WORK ORDER and a line of tip to$250310 a day Against vudator.A copy of this statement may be forwarded to the Orrice of investigations of the Il IA for insurance coverage v ' canon. I do hereby ,under t ` 'and penalties of perjury that the information provided above is true and correct Signature- 4 . ant, 151l0/47-( Pbore:-r.: ' If i 5 7 ?6 f 1 13rficiat:Ise only. Do not write in this area,to be completed by city or town official, I. Li (Ity or I nktl: Permitfileense Issuing' iithority(circle otte1; 0 I.Boarjoflleath 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5,Plumbing lasp ector 6.Othe kir. I (*ChtiattHr-ers4n: Phone 4:„ • . , x File No. ZONING PERMIT APPLICATION(gi o.2) Please type or print all information and return this form to the Building Inspector's Office with the$30 filing fee(check or money order)payable to the City of Northampton 1. Name of Applicant: to(tf Address: ¢ (Z 1' L©ve(5 / /Z( Cr ttb1c', �C /114 Telephone: 7!3 q%g r6 2. Owner of roperty: 5 Pe.ro E?k 4(r 5 / Address: / eYr t/ Cf Ste.,,-✓cck Telephone: 403 3 q C6-36 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)GQ?tfr -ort 4. Job Locaton: 100/102 Main Street,Northampton,MA 01060 f4 Parcel Id: Zoning Map# Parcel# District(s):. In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Uke of Structure/Property: Existing retail space at street and lower level. 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Renovations to an existing storefront on Main Street in Northampton.An existing,abandoned stair connecting Main Street to a lower level lobb and municipal parking lot will be removed.The space occupied by the stair will be incorporated into the retail tenant space. The entry,doorwill move forward to align with an existing airplay box at the street. E;. 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Sp4cial Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: {Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) W:'.Documents\FOl MS\originatlBuilding-tnspector\Zoning-Permit-Application-passive.doc 8/42004 C jl 10. Do any signs exist on the property? YES X NO IF YES,describe size, type and location: There is ail existing sign on the building for the previous tenant.It is approximately 2'x6'.The new/future tenant would be responsible for their new sion and its review. X Are there 4ny proposed changes to or additions of signs intended for the property? YES NO The retail tenant will provide their own sign which wilt need to be reviewed. IF YES, d+ribe size,type and location: 11. Will the cdnstruction activity disturb (clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X IF YES, t ien a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size'''. FrontageI Setbacks: Front Side L: R: L: R: L: R: Rear Building t1eight Building Square Footage %Open Space: (tot area minus budding Et paved parking `! #of Parting Spaces #of Loading Docks Fill: (volume ft location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: t f : /21 Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Histori and Architectural Boards,Department of Public Works and other applicable permit granting authorities. WA\Documents\FOF MS\original\Building-InspecteZoning-Permit-Application-passive.doc 8/4;2004 ;, I