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17C-223 (2)
qb/r7t9PL£ gT BP-2023-0445 76 MAPLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-223-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-0445 PERMISSION IS HEREBY GRANTED TO: Project# 2023 90 MAPLE ST RENO Contractor: License: Est. Cost: 6500 JAMES O'SULLIVAN CS-066335 Const.Class: Exp.Date: 08/21/2023 Use Group: Owner: LLC BLUE MOUNTAIN PROPERTIES, Lot Size (sq.ft.) Zoning: GB Applicant: MADISON CONSTRUCTION Applicant Address Phone: Insurance: 264 BUCK POND RD (413)532-1312 WESTFIELD, MA 01085 ISSUED ON: 04/13/2023 TO PERFORM THE FOLLOWING WORK: ADD DISPLAY CASE AND BAR COUNTER 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: v1/4_, ••• Ner Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner . The Commonwealth of MassachuseM 1 3 ?OM Office of Public Safety and Inspections Massachusetts State Building Code(780 CMR)...:, _:..nA Building Permit Application for any Building other than a,One-or Ti6vN1 91 `g (This Section For Official Use Only) _-_-- Building Permit Number. 2-3.1Y5 Date Applied: Building Official: SECTION 1:LOCATION 9,0 trlR fL rc_c)leeiva._ rni4- G/660 Z ?frgiaseivs No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: 7"/ //t UN/ Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineerin,$Peer Review required? Yes 0 No 0 Brief Description of Proposed Work: ,U(L C d iJNTE2/b i sp c4/ CA-- E . a U l(:!� /0 ` 31i'Iz Coulvr G` N. Ltf 171 uiiiAJSL(u1�T 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 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 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 0 I-2❑ I-3 0 I-4 0 M: Mercantile❑ R: Residential R-10 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 0 IB ❑ HA IIB 0 IIIA ❑ IIIB ❑ IV CI VA VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site 0 Public(. Check if outside Flood Zone 1F� Indicate municipa A trench will not be P Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicabl\ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes 0 or No Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: 41.7:- A-Does-the building contain an Sprinkler System?: Special Stipulations: DgS'Ign Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION v Name and Address of Property Owner mR-2.C, h 0201 3 L\OU,►14ArikJ R2vP LLc Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Z1-08 Co ) (UNS PrV_ So TL SP24+,,S‘.►6 AftA (l►a 1 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 O. Otherwise provide_ _:_(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 M 7i tSOt) QOMS2UC2(o N Ciompany Name Name of Person Respo able for Construction License No. and Type if Applicable 7roA ?,Oa-- o�� CZ-- W ES C� ..c' rn l A- o t O Street Address City/Town State Zip m A D,s0N._.CL►JSi eoc lc)n.) 413 S3 L 3 t .Z i{13 _2 }5 D �-� 2.-8 (_13 mc_A-S i_N ET- Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:kA.O ka KS`r r;'+..IPE\`'+.i iO\.1\C1,_R ONCE.Ai EIID.ANTI (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 W No CI SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ Lei 00 oo Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ . appropriate municipal factor)=$ . 3.Plumbing $ --. IAA oe 4.Mechanical (HVAC) $ Note:Minimum fee=$I k-kh• (contact municipality) 5.Mechanical (Other) $ - _ Enclose check payable to 6.Total Cost $ LQ 5 00 (contact municipality)and write check number here 1044. l SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby ttest under the pains and penalties of perjury that all of the information contained in this plication is true and accurate to the st of my knowledge and understanding. - USUILAN 1 t13 5350 l Y V/043 Please print and sign ame Title Telephone No. Date Ziky vct-- )t ti > 4 (),) S-r.4. .0 N-NA,-- 0 io krA4-1)iciN-Cet.fsrQUv-LaN c COKci Street Address City/Town State Zip Email Address . N E r Municipal Inspector to fill out this section upon application approval: „ 3'II ba- __9/ 3/ 3 iWaiN\l:Me Date CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD � P R u s ch 4 j rr- uSS S . KILL rn * - ILA �L1 „ E_ , cam mei SIDE YARD SIDE YARD rAr-r Co I 1 I r ,fn�t FRONT SETBACK FRONTAGE City of Northampton it.--,-... N, Massachusetts ratr su i 's' 4 rt DEPARTMENT OF BUILDING INSPECTIONS i t,M:, ,, 212 Main Street • Municipal Building •,)� .sb \ ,.' Northampton, MA 01060 �s1,, ar?`` 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: \) \A `E ae-L�( w IU � S The debris wtifi-be-tr-au orted by: Name of Hauler: Signature of Applicant: Date: (6 73 MI°' The Cilnimrrnwenhh of:liasciwhusetts ti Deportment of lndustritiL4ccidents ka t I 1 Congress Street.Suite 100 `;? . Boston. MA tl2114�-J2tt!' y w;_:;'S.' www.mrr%S.Rt Wdi1I - l %1 in kt-t-. ('autpcnartiita itn arrow?ttl1dnt;it:lluildervt'ontractnra-Ekctririnns/Plumher.. 10 tit.IlllID Willi I Ilk I'kki1!II INC;at.I'ItOKl 11. `, Applicant laformatiun Please Print i_es sbt► `anii !tlimipets,t.rryararn ion-in.tilaafuillF_ 1'Y\61)IS61'v CC NSItet.iC 1 (0/v Asldrras. Z CQ Li 70 cs C_(C- PCNb l2� t ay Stale-Zip' (!.-�c 1E -1-> \-• G10 Phone#__ i-ll3 `53Z t3t_L irr•aa an rmpltncr'4 lank ibl appr.lprlati bun: T.pc of project(required). 1.0 I Ant J 611411tkCt lt/ttl sragtiuiYcr i lall antiui past•liirltt.• ' j New CtMtAttiutii i) I Jtti J!title tttFrtl't,U .1!t1 pa 1itVltillLl.tali!tuCh i I Ulf � M T1., Mt uurt.ting formein l/ ( Kertaxltlmw . .apacrt4 rso wittitzt'.anlp iTWnranr6 rr4ttirtii u 9 0 Demolition l0 I aln a nanr-+rwvc1 Jiang all 4ltiri mysrll jti.+.1 t«rkttl war umutaiar 1,1411Jrat I' I I)5 1( Building addition e. ♦or. i 7 I.Jai J IwtIYxlwilci trail•utll ix.tunny ct+uts JLikrt:u tc)IILnt all work.on 11h rriU 1*'.. I%III .rttire Gnat all tunttracr+tn caber h Nirk l'l .cts tlrnprh9.i1i411 uiaurvnec Or Aft 111k aI I Elctiltlral repair,or additions it ',t ttt_IriiGtcm Y11411 tn'Cir1PIIIWe i I2.} 1 PlutZlbimi•Tt'lStitti S r:td41t11Uw. I TM I t+••T,cl. iatrxtln nal I have SI t I tilt ea omtzx!.•r.Iu1_d an lie:tltnrh.ai ciicitt:• a••r 1`h6a6..k.ont/tactatn hawtatrpluytew and:hay?+t'tiikrr. cumin,a aistams 13.[JIRuot'quits 1 ..1dttn . '-(-CL AN.A. , r.1 Ell I&t ant a kwa riatta 9 ma its ti'ti r s love t Incised:leL'right-t,Lfa ilium iWr Aktt_ 7+_,i 1111.and.t:liana nu amItr ael rtiu writ?: $ nap mvnatuc rcynited j •An,appllatlt Ian t'hak>IAA-i utast Also ttll dui Item et•itarn I4 Iui<ntill4Vniy Ilttiir Ir.niuxt t'imt••rit at1,,tt plat:-int.citiiitiitn. 'iktliwuunscr.*ha.11ahnul high:/ilia:1.1.51 unlikrants4 lin-t ar.Jiang all 5.itrk and than lure utalxnllr.t IncLw t mutt•Istvnt u neit nrlal;i•,It i1LJt3 .le au:k. ;t uttuxrut.dial t#ic l eta,txts awl WtaLltai an alrhuutial.htcr c,tnn.nts;,tltc maw t1 the ial+-..0 ut't.:rt an.)thate vLtt ea us hit Lliux.Utnulc'kal t cnpkit... It ttx t.I,. itstr-4'tirr.hat.a-srgtluycc•.Met niw4 nth ld."ltects it itrktn':NI ITV putt..i*Wtlbci I eta an etnplover that is providing war.s i%•ra mpensatian insurance for my employees. Below it,the milky and lab site information. Insuftru:C(:iimpauh. Name- _ Pulley»in Self-ma.Ltt,. _._— Litpiratum Date. lcrh Site Athhe s. CIO:.State'Lip: Attach a Cup of the authors*rontpenaatiuu policy declaration page lshowing the polka ntuubcr and capitation date). Facture In togure co1'crntti a, required intiter SILL c. L4.!. §25A h,a enrninal.4Ilatitm picot%hable by a tine up to 1l.3t1t1 OU .m*I.-ur one-grit impi-mt•nnrent.au.1.ell as civic pcnatli>_-, in the form rofa STOP 4'b'ORK ORDER and a line situp to S25(1.IN14 da► ninatust the s.tolatur. .A up} of this sitatnnrtcnt rtwti be Inmarded to the Officf a of Investigations of the DIA for inswnif#C coverage verification l du herein Bert 'under thrllaln.m and penalties o/perjar i that the information provided above is trite i nil inrre'it. '+---_Sien:ttstrt .c. _ ..__... j l.'.!,. 14 c (() Z, 5 ithtms= L\OD5 3 ) 13 "J Official use only Do not write in this arra.in he completed d by cur or raw n'official (-its rrr Tnwn: Prrmitli.icense I.suinp Authority icirele one): I.Board of Ilealth 1 Building[kparlment 3.t'ayriliMn('Irrk 4.Her Id lncpectur 5.Plumbing lu,lit•rliir O.Other --•- a.Unntact Prr.nn Plume ts_ fir Aw. ,_ �_volt _ _<,. 'Cl \ e, [-------\---. l L— __�_ . - 7,.. 09 ril 2 171 ri] C] I _Ill 0 R-..0- E 18' aq c — 1I i i 90' * Bathroom 1 ® II�� 13' 15 �1 I Th, t6 =customer seating 0-Trash bin 9=Regular and decal coffee carafes I I� =coffee service area I=Ground Control coition machine(sea specs) 10=Pastry glass holder with IId I 2=(2)Rocky Rana*coffee grinders)110u) ll MI=staff break seating 3=Astra STA1800 steamer(see specs) 12=Dos goods storage undercounter 4=install commercial fridge(see specs) III=tube lighting 5=3 hay sink for rush washing(see specs) 14 -,ra(OE specscl ) =faaid.,isi I:gbtin;l 6=Nand wash sink Isee specs) 15=Returned goods and recycling In basement 7=limod nitro machine(11 ho) 16=Chloroo storage in basement) ■=storage cabinet 8=linden.minter ice-o-rnatic icemaker(see specs) •Dumpster is out behind the building y \ ,_-- __ • ,z - - r • ( _ - -_ . - D 0 © © El ® s0 ■ ,Si ■ 0 8 24" Sr 4 Ell 0 II III MI 14114„.. iimmimiiiimmomi ■0■ ■ 90" In En Bathroom 1-- 1__f ■ \ 13 15 • • 1 16 15 I „, In Il ■=customer seating 0=Trash bin 9=Regular and decaf coffee carafes III IIservice area 1 =Ground Control coffiee machine(see specs) 10=Pastry glass holder with lid = 2=(2)Rocky Rancilio coffee grinders(110v) 11 =Square PCGS ■=staff break seating 3=Astra STA1800 steamer(see specs) 12=Dry goods storage undercounter 4=Small commercial fridge(see specs) 13=Water heater in basement ■=tube lighting 5=3 bay sink for dish washing(see specs) 14=Mop/dump sink in basement(see specs) II=pendant lighting 6=Hand wash sink(see specs) 15=Returned goods and recyding in basement 7=Brood nitro machine(115v) 16=Chlorox storage in basement ■=storage cabinet 8=Undercounter Ice-o-matic icemaker(see specs) •Dumpster is out behind the building FRONT I I 22" 3 feet 36" I 7 feet I Plexi glass faced opening for baked good holders BACK I I 36" 22" 18"or greater 3 feet i 1 / \ 18 feet Pull out shelf shelves under counteFO