31B-201 79-91 ELM ST BP-2021-1573
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B-201 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CON"I RAC 1016
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ALTERATION BUILDING PERMIT
Permit# BP-2021-1573
Project# JS-2021-002608
Est.Cost: $32379.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WRIGHT BUILDERS 065521
Lot Size(sq.ft.): Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning: EU(100)/URC(100)/ Applicant: WRIGHT BUILDERS
AT: 79 - 91 ELM ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:7/1/20210:00:00
TO PERFORM THE FOLLOWING WORK:FOOTING AND CONCRETE BASE FOR
SCULPTURE
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 Signatur r I
FeeType: Date Paid: Amount:
Building 7/1/2021 0:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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N t, ,,�� The Commonwealth, o usettsoc,/
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Office of Public Safety and �>�� /
Massachusetts State Building Code(780 ,,,,,SpFci.
Building Permit Application for any Building other than a One-o Piiikily 1kwelling
(This Section For Official Use Only)
Building Permit Number: e4)'-Z.- )67a Applied: Building Official:
SECTION 1:LOCATION
No.and Street City/Town Zip Code Name o Bu4 ding(if applicab )
99.
Assessors Map# Block#and/or Lot # LI L1 A e-I) eerwEETJPI SP, ,"'t l> I c I -
�y�, SECTION 2:PROPOSED WORK . , SM c e.o Lit ;
Edition of MA State Code used ""' 1 If New Construction check here 0 or'check all rhat apply in the two rows below
Existing Building 0 Repair❑ Alteration ❑ Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other A Specify: L.A P'l$ A S7 U -P "
Are building plans and/or construction documents being supplied as part of this permit application? Yes No
Is an Independent Structural Engineering Peer Review requi ? Yes 0 NO:.
Brief Description of Proposed Work: ft up. ti4£`9 . 11 4 ,.1)(1..! C4I-1 1 S
1 r t $ l c ITV "g-I 't I4°- +!✓ " l #~+Igt 1«
41 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): Pj/1L.
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 14>/A
Total Area(sq.ft.)and Total Height(ft.) Pi
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1❑ A-2 0 Nightclub ❑ A-3 0 A-4❑ A-5❑ B: Business 0 E: Educational X
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1❑ I-2.0 I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1 0 S-2❑ U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB 0 HA 0 LIB ILIA IIIB ❑ IV CI VA GI 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 0 Check if outside Flood Zone'` Indicate municipal❑ A trench will not be Licensed Disposal Site
Private I'f or indentify Zone: or on site stym 7 required 0 or trench or specify:
( I sion�rp�ermit" enc osi d6 I: �
Railroad right-of-way: Hazards to Air Navigation: I''7t'Sj A.Iistornc'�Commis Review Process:
Not Applicable*'" Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes 0 or No'6eT✓, Yes 0 No ❑ WA"
"
SECTION S:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: 1414 Use Group(s): Type of Construction: ' " '1 "1 'jart a ri
Does the building contain an Sprinkler System?: IFl /4' Special Stipulations:
Design Occupant Load per Floor and Assembly space: N/P
$:ACTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property O ner
Name,r (Print) No.and Street City/Town Zip
P/ erly Ow1
n ontact Information: .j
//1at h 4, .0„4,„ T' — " — G' ' "' r 1 C? 1 CA v�l�s 0 Ms't r r d
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
INS►"t'" '(tc-f-s (fg tf 1 l'Aj -+ 0 Aftk ato
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft,of enclosed space and/or not under Construction Control then check here D.
Otherwise provide construction control forms see section 107 in the code as re uired.
1��1""0., Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
MA-0 LEI ' 1117-'' ` - T.1414 rSl %Vc 44116 Cm 37300 ST
parr l( istant) Telephone o, e-mail address Re istra.tion Number
A Aiiir- Sad, loca c 6/30/22
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name t'"
5-reY .:- - t)4, - -- I ( vf &
Name of Person Responsible for Construction License No. and Type if Applicable
t 51-- iv t P.N.-AP-ell,_pi 0i 6f06
Street Address City/Town State Zip
13 9 "t" -59a "` arrd Wright- b flier.
Telephone No.(business) Telephone No.(cell) eil address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes Cl No
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE W/ O. s
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ ! "1.. '''. Building Permit Fee=Total Construction Cost x -(Insert here
2.Electrical $ tra 0. --+ appropriate municipal factor)_$ .
3.Plumbing $
4.MechanicaI (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 3 -i S 9 1. - (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 and accurate to the best of my knowledge and understanding.
(o-.1. 0.ei.... 0 ev-A-Tiva i. '-f f 3 -di.- gAi.) G I r- `›-s
Please�Tt_ or t and sign name Title Telephone No. Date
� gfrvitsS >17' ( D(L7'►Y 'ID Pi M 010k/° & Wye k,-f--
Street Address City/Town State Zip Email Address tat,; leVev
Municipal Inspector to fill out this section upon application approval: 1" ' P • ` it Name Date