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18D-063 (9)
•168 INDUSTRIAL DR BP-2006-0455 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-063 CITY OF NORTHAMPTON Lot: -001 Permit: Building BUILDING PERMIT Category: Permit# BP-2006-0455 Project# JS-2006-0676 Est. Cost: $150500.00 Fee: $752.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GERALD ARCHAMBAULT 010788 Lot Zoning; q.ft.): 435600.00 �ppl'cant::er: ISSELL INC GERALD ARCHAMBAULT Zoning: GI AT: 168 INDUSTRIAL DR Phone: Insurance: Applicant Address:263 PROSPECT ST (413) 552-7410 O Workers Compensation PLAINFIELDMA01070 ISSUED ON:11/16/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO & INSTALL NON-BEARING PARTITION WALLS & NEW EGRESS IN FRONT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector Inspector of Plumbing Inspector of Wiring D.P.W. Underground: Service: Meter: Footings: Rough: Rough: OI'r(zi h' -L.: House# Foundation: g i2//9/o 44 e Driveway Final: s�/U,,, r 1 i/A. ).t / Final:3 'I 5"-6, 1 Final. /�" j1-,Q L 12/ s/as- Lou( f _ {�Q�€�v'} Rough Frame: O K (1 1 0 d/4^ c i...g0J-I0 Gas: Fire Department Fireplace/Chimney: Oil: ��,11- Insulation: OK I2114(n‘ ColtI•S Rough: YdwtP Final:/" ) / — Smoke:r PL e'',, Final:VJ Avp wia HokTE 0%/20'0L Lo+.tld e :a. ©k 3-/5-04 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIO . Certificate of Occupanc signature: FeeType: Date Paid: Amount: Building 11/16/2005 0:00:00 $752.50 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo I oo k/ li;f0 -0 / - s ?0//,1 U ,6( o/$lr- 4 /-n° yi/ng 4.11 7 / .1* 168 INDUSTRIAL DR BP-2006-0455 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-063 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0455 Project# JS-2006-0676 Est.Cost: $150500.00 Fee: $752.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: GERALD ARCHAMBAULT 010788 a 43560n 0n Owner: KISSELL INC LOtJ1ZC�5U• u.�. -rvvv.......,.. Zoning:Gi Applicant: GERALD ARCHAMBAULT AT: 168 INDUSTRIAL DR Applicant Address: Phone: Insurance: 263 PROSPECT ST (413) 552-7410 O Workers Compensation PLAINFIELDMA01070 ISSUED ON:11/16/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO & INSTALL NON-BEARING PARTITION WALLS & NEW EGRESS IN 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: O'/(ii /141 House# Foundation: /1-/• Driveway Final: Final' �yiK, _-- Final: 4/b 2S Rough Frame: OK 12 14105. Goat Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: O�� 1 yt l�{ o !!opt l S f o Final: f3 i< M/6 rN o F�tCE S o-1�91 Final:/-1 --�xjiC,'' Smoke: � U , `z i`�N . 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'....• ;: ' - - ,f' _....... •• •Z f...rVF.'r,..:-i.;.4•.1..'':'.,:;:-,:,.:1-..-':;-.'.,',,.'.4:1.1.-,7-.'F.,Z A;,,.,-....;'•"''•:•"'.':-'''• r --. 0 / It y; i'• r/,,,/ilp •- ,s• ' 1 _ 4cIP - 3 ii i Northampton Fire 2 ` Department Memorandum a To: Tony Patillo ,,.Lj Li NOV 1 5 2005 ',.� From: Duane Nichols' '° ; __ I rys Date: November 10, 2005 ncti - n4 A„ N 010E6 0 CC: Brian Duggan Re: Webb's 168 Industrial Drive Secondary to a review of the plans and fire protection plan submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • A graphic representation of the structure must be installed at the Fire Alarm Control Panel (FACP) and/or Fire Alarm Annunciator. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one-inch white lettering "Fire Alarm Control Panel" and/or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. • Pull stations are required at the exits. Must be double action type. • 5 lb. ABC fire extinguishers are required under each pull station. • Fire alarm and Fire suppression work permits need to be obtained. • Page 1 • The FD connection for sprinkler system is to be 4" Storz connection with an attached chain, in addition a sign reading "Fire Department Connection" in 3" white letters on a red background is to be mounted above the connection. Also an electric bell, which activates upon water flow, must be located above this sign. • Engraved labels (1"x1") numbering all smoke detectors for identification purposes installed on smoke detectors on main fire alarm system. Numbering sequence to be determined by Fire Department. • Alarm verification must be active on all smoke detection zones. • Page 2 .L ; ' • BP-2006-0455 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0455 Project# JS-2006-0676 Est.Cost: $150500.00 Fee: $752.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GERALD ARCHAMBAULT 010788 Lot Size(sq.ft.): 435600.00 Owner: KISSELL INC Zoning:GI Applicant: GERALD ARCHAMBAULT AT: 168 INDUSTRIAL DR Applicant Address: Phone: Insurance: 263 PROSPECT ST (413) 552-7410 () Workers Compensation PLAINFIELDMA01070 ISSUED ON:11/16/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO & INSTALL NON-BEARING PARTITION WALLS & NEW EGRESS IN 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. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 11/16/2005 0:00:00 $752.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • File#BP-2006-0455 APPLICANT/CONTACT PERSON GERALD ARCHAMBAULT ADDRESS/PHONE 263 PROSPECT ST PLAINFIELD (413)634-5739 Q PROPERTY LOCATION 168 INDUSTRIAL DR MAP 18DPARCEL 063 001 ZONE GI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �y Fee Paid 91 r f� 25-d. 50 Typeof Construction: DEMO&INSTALL NON-BEARING PARTITION WALLS&NEW EGRESS IN FRONT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 010788 3 sets of Plans/Plot Plan THE F:LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF'. ' ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from El eet Commission / — Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. Versionl.7 Commercial Building_Permit May 15. 2000 DepaiTinent use only-, •- City of Northampton Status of Permit: < , Building Department Curb Cut/Driveway Permit 212 Main Street Smiler/Septic Availability Room 100 Water/Well Availability_ Northampton, MA 01060 Two Sets of Structural Plans - phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other,Specify ? APPLICATION TO CONSTRUCT,REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING _SECTION�1 SITEINFORMATION ---- t'I-Property Address: • .'•� This section o fie completed..byoffice 168=ridiusfria I Lek by ve ".Man Lot Unit Nor4(aryl f o 4 41,1 Oi' O ti Z•on verlay District '^f.•: .,. Elm.St"DistriC CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: J self Inc. /68 T.Jus4,1a( 12vA, br.- - 1 Name(Print) Agvi f Teece, Rees jje,if Current Mailing Address: / oti /ovr)/11A ol04o Signature F._ `�-- Telephone if 3-5-n-L/at-a 2.2 Authorized Agent: Comer¢ld Arr4aot Leturt Qro;pe 64- Si-. Name(Print) Current Mailing Address: Mailing O/o70 Signature Telephone I/13-SSa- 77/O SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /0e)ew.-- (a)Building Permit Fee 'J Ce j (000 2. Electrical (b)Estimated Total Cost of 00' Construction from(6) • 15 0� Soo 3. Plumbing I /5-01p7 i Building Permit Fee 4. Mechanical(HVAC) i aoo.— 5. Fire Protection 6. Total=(1 +2+3 +4+5) Check Number ). 5 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date C5-(, 1-tal\►5 oN ) ( oI "7gg , S2_ - 7LIl 0 Hauu p6/ M4 \ Version1.7 Commercial Building Permit May 15,2000 l- SECTI'ON:4-:CONSTRUCTION'SERVICES FOR THAN 35,000 CUBICFEETOF ENCLOSED:S-PACE Interior Alterations TO Existing Wall Signs El Demolitiontg Repairs❑ Additions ❑ Accessory Building 0 Exterior Alteration ❑ Existing Ground Sign 0 New Si "bgns ElRoofing El Change of Use El Other El Brief Description !Enter a brief description her n wto 1s "`"el -"- i'. Pcsr*` HS l'''''" •r'e"' ibteAdj— 5+>,d' 'i*1I Of Proposed Work:'T.r►er1,�1 whet, C9re j 5 VA.Aro"'t wo.61. X..44,'vcr ";,..tsll S i `SECTION 5-USE GROUPAND_CONSTRUCTION,TYPE _ 72 USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1 AB I ❑0 _ _ A-4 0 A-5 ❑ B Business El 2A 0 E Educational El 2B � El F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard El 3A El 1 institutional El I-1 El 1-2 El 1-3 ❑ 3B ❑ M Mercantile 0 4 0 R Residential ❑ R-1 ❑ R-2 El R-3 0 5A ❑ S Storage ❑ S-1 ❑ S-2 El 5B l El U Utility ❑ Specify:1 M Mixed Use ❑ Specify.; , i S Special Use 0 Specify: I 1 COMPLETE THIS_SECTIQNI_F EXISTING BUILDING UNDERGOING=RENOVATIONS;ADDITIONSAND/OR CHANGE-IN USE Existing Use Group: ' di_ e I Proposed Use Group: + Mt i Existing Hazard Index 780 CMR 34):1 I Proposed Hazard Index 780 CMR 34): 1 I SECTION 6BUILDING"HEIGHT-AND AREA - A: 1, 2 (ZaAiS OIiL BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION `~ Tom c* V.- "'`, ` t ' .;,4,U ilea Floor Area per Floor(sf) �� '° ., 1st t /( G O O O 1 ia.',7,,,t ..7 �r,, `^^ t .,--t k..�-,6 "q' p :�,% M1 Ct €".�r-- i� f�- !G«"-.�t'`TM'fi•,av+..yts r 3.y,'*rwa�k az '' F" `, n0 r yi,. „ .:4*t �et t..1 cam- 2n0 7 Q D O 2 I ,.- ',, 3rd ; ' , Total Area(sf) 0 CO I Total Proposed New Construction(sf) _ • ,. •4- �- .- Total Height(ft) (l ` =� �� " i s Total Height ft 5 0'"� ,41 i _ ;z 7.Water ripply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage posal System: Public [C� Private 0 Zone i I Outside Flood Zone[E( Municipal On site disposal system r • • Versionl.7 Commercial Building Permit May 15,2000 10 ZU Existing Proposed Required by Zoning • This column to be filled in by Building Department Lot Size 1 "A$a ‘ 3 1 Frontage 512 , 70 i ! Setbacks Front I //p • 1 Side L: SDI R: L:--I R:1 ( i Rear i -Butldmg Height iLq i _ --- Bldg.Square Footage ' i r; % i 1En Open Space Footage % t (Lot area minus bldg&paved 600 I i 1 i I i i parking) #of Parking Spaces �1� I I 7-1 Fill: ' f i (volume&Location) I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 - IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page i and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type and location: 1 E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 ' NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PU RSUANT TO 780-CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED-SPACE) 9.1 Registered Architect Not Applicable ❑ Name(Registrant): Registration Number i Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): -- • Name Area of Responsibility Address Registration Number 1 Signature Telephone Expiration Date i Name Area of Responsibility I 1 Address Registration Number 1 Signature Telephone Expiration Date I Name Area of Responsibility 1 Address Registration Number I1 Signature Telephone Expiration Date I Name Area of Responsibility j I Address f Registration Number 1 Signature Telephone Expiration Date 9.3 General Contractor I G-c t-o3 I c,l-�an" IC A.v `t Not Applicable ❑ Company Name: E � Responsible In Charge of Construction I r Address Signature Telephone • Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) -'. Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT A 0.vI i r Tf�Ge as Owner of the subject property hereby authorize Gera f 61 4rchiavnb0.0 IT to act on my behalf, in all matters relative to work authorized by this building permit application. ld�7-//O Signature of Owner Date 0/ -t/ ,as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed the pains and,enalties of perjury. - -12 Print Name Dfi—t/ (01-14/or- Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Suoervisor: In Not Applicable ❑ Name of License Holder:' C ' rjj / 1r e w 6 I f ' O . 0 7 8 v License Number 3 et, p-cryt Address Expiration Date ti 6 A-/•0 (lAtiLirtkWn[� /l3- 6 3 4- 57 3? Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit 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. Signed Affidavit Attached Yes Q No 0 r • scot✓.Ff nT f.. R 4 0 •�o�`e .. (ritj of Northampton I _— A EI E �Z.zcncE)ncr(fa' —- _ - DEPARTMENT OP BUILDING INSPECTIONS 4 — 212 Main Street . Municipal Building Norlhamplon, Mass. 01060 rt. \\'ORICER'S COMPENSATION. MSTJRANCE AFrn)AYI"T' I G-tLe-ctikitler.„,[1 0441 b,,,,,j2/- . , ,L ....__.___ (li ccasxipcmi tux) . t.11_2 .N;- - bu lag-s-s/rsidencc 2t. `- (Q oia7° 2 Przect .3 � f)(0,t t�1 et-' (}:'hone:') 63`1� ; 2 (sci-,.. -i a c a ty/s- ap) do hereby certify, under the pains and penalties of perjury, that 1c1 I am an employer providing the following ‘t.orker's compensation cove age for my employees wori ng on this job: AA T. VLAl C _ 00ceo76l003- -/d --d C (Insur-:nc Conr.:ny) (Policy Nu r) (F 'pirtion Dam) - ( ) I am a sole proprietor, general contractor or homeowner (ccie one) and have hired the contractors listed below who hzve the following worker's co> perisadon policies: (Manic of Conn tciwr) (Insuranc: CoinpanyfPouc; Num ) (1_:pirai on Dntc)'- (Name of Contracror) -- (lnnrrancc. Company/Polies `umber) (Ex- imtion Date) (Name of Connaeio;) ([.asvrane Company/Potic-y Numnt r) (Expiration Dare) (Name of Contractor) (Insuranc Company/Policy Numb:r) (Expiration Date) (.ate tiocsl rSoct if non •-y to a,cOd_nafocm.aoo pertaiains to.13 coo=-tors) git ( ) I am a sole proprietor and have no one wori;3ng for me. ( ) I am.a home owner performing all the work myself. NOTE:plc;c Ix c -rc tbs:ttiJc boi...«.-ocn tvbo ccaplay pazooa to do r-.frsr-,tr>n ar.-.•.s.00 c-rc air wort on t dt•cll_z of apt moCt tbsn S71c L^3tu in ttajhcb tribe ho coowc< rr3]4p oC CO the p-ow 4]app.:rt.m 1 t.r) - c L-t DO( 'oIry occ=doruI LO be rsrployc-3,+rv'r the uui:cr4 O ,^. cLon Atz(GLI S'2r 1(5)).r-ppltnDon by n bomoowve far:lice.oc I�wa ray cvidcocc the lov-I run..of.o ax)Ioyec under tiro Worm}.Compomatios,Act. I uodc-a2aad rho>copy of(bi.mrcmoar at.y bo fco wo d.d to tbo Dotx.zmcur of Ioa+criJ AccicSom&C:Goo of 4s-.+1.00e for th. covrriLL-c vmrciron and th.tt Liltzt to comet`eovorese trade}soaioo 2 S A of MOL r 52 nn led to the i•-�+reioo of aimiazl pta.Aic comisiag of a Gab of up to S 1.100.00.ndfoc iaprisoamc:II of-up to ooc year cod aril prr.11io in the form or-Stop Wort Ordrs Wad. run of 5100.00 c thy cc.iau me `4, r For d.o.rta.=-�u.c poly Pc-aait Numbcs J ((-� Lot M Signature of Li crmiucc __ • •