32A-142 (3) ,
, , ...,,,,. \
zi \ - .
,, _ \ ' \
^
'
,
NOTES
I. ALL DIMENSIONS AFE i
24'-14' 1 -41(' 11' -I0i' II' -9•
11R•S' 2' -9'
IbT • VARY
\ ' I ' 1 ' _ 1
�_. fT� 11 I r 1 I
STAIRS ® -} = l - BEAM TIE TT DIA. STL.
ON in I P.
12'-11J' 1 AS SHOWN 26'-Ilk
in E SILL
Am I
. in 6'4'W x I0' DP. —1-. 6•14 111 x 10 DR -1.
_ WOOD 0E411 WOOD BEAM
6 x10' DP. --4--• 2 x 6'
' DEAM • • WOOD BEAM WOOD JOISTS
` 11' -1}' I i 1-1�y' AFF, b'-6 4PR L5 . OEAM • -���
v
k 3' -24' APR • 24' Oa
d1 E f.....-4 X 1
WOOD FLOOR WOOD BEAM
HATGN SUPPORT I � x �.�� 0 . 2x6' 2x 2x6' BOTH SIDES
WOOD BEAM JOISTS WOOD JOISTS WOOD JOISTS UNDER BEAM
U.S. OEAM • r —ate- f—u.- fi ►
uP
iti
� 9' -I0' AFF. • 24' O,C. • 24' O.G. • 24' oz. CRAWL
,._ . --- - -
v Q P. 6R • 13q SPACE
M L 5T•S'
I 12' -Iii' TO ROOF
I
WOOD FLOOR MAIN — — /1
. GYP. BD. =L. * Ia. JOIST — — 2 x 4'
• 9' -8' APP. • 12' -3' AFF. ROOM .. ■ WOOD JOISTS
v I ----...t215' -tea► 4 x 114' E END OF o' WOOD BEAM
in GYP. O. CEIL U.S. JOIST ( U.S. JOIST SUPPORT
• 12' -6W AF \II' -T►4• APR BOTH SIDES
1 1 . 1 1.--"' V I I I
- 15'..4 .
LEGEND
a• • ENTRY / EXIT
* • SPOT ELEVATION
APP. • ABOVE FINISHED FLOOR = s [ t
1
GYP. BD. CEIL. • GYPSUM BOARD CEILING _ .. ._.._a _ ' w _.. _.. _.
0.O. • ON CENTER
SCALE: 3/8" = 1' - 0"
U.S. BEAM • UNDERSIDE OF BEAM
U.S.JO15T8 • UNDERSIDE Of JOISTS 1,893 SQ.. FT. / 7111, £ 4� � ty; T -N AMERICAN °^.' \
4 NA ' +, aRic
---, 6 A 1 N MEASURING A-
�s� E t a I SERVICE,INC. a c a
e kk iG T .. woo D
.. .watia
;+ ° €1' : E P.O. 807 B001t R 4 r
FLOOR Pita ,¢. Y 01138 — 9 ono
U. 34E . MAO'
FLO PLAN
J f•hPem. 418 988-0418 1 0! -32D w.•.
. .,
— , •
NOTES
L ALL DIMENSIONS ARE ±
, 42A4.8.tit 0~14 1
-
28'-8i'
.
'-i'
. 223
X i •• S v ' ARy ISR • 8'4'
18T a ii
—
•
:f '
, , .3.
r
, -- STAIRS ' ' ''':'" 1 ' I'
/
___
'
I i 1 i,,, ' , 1 :
_ _ OPEN
1 . '
\ TO BELOW
I : N'\\ •.:„ ....s......... : - ---.— 3 n.,..
I
. # I ---„..\\ --. SILL I T 7 1 . q
in E -‘• ,' ' AFF. - , in E
,, UP , n. 1 0 MEZZANINE
z•-..
6 4 -61 DECK
-- STAIR HALL - i 18'-bi' in 7 HALL N.I.C. 1R • SLY
..../
•
r". ST • 1'4 ;is
1 7 UJOOD FLOOR
.
1 h 4 :IF • • • 4.
. -7*--
I ,
„, 1 ; 0,
io
l `1" ci I MEZZANINE
r
i,.. E TO BELOW FLOOR LINE GUARD
' - SECCND r - DN 3'4'4'
,
' RAIL —••--
"L .
, : TO UPPER DE
t
1 .4 FLOOR DN
a WOOD J016T8 7 -- - _EL, c77-77-1:3a _
in
4, ' 5 , ■ t.
— • ro•
st. I
s ,
• IS' 0.C. r
11.' ,
' '
2 , Az
Ui 7 c i L16. JOIST I VA'
83 i E • 10-2' APR is . I --,. ELEV. \.----TH 1. \ 6 in r
FLOOR— 1 ,
,
t- MEZZ LINE wool" FLOOR 1— --. - 'ia : —
- ' r ' 6T fa l'-1 RAN-
--- il .Thi ,
_._._ --. —
c0 x:r
--..-- FLOOR GUARD --• .
4'-5'
Z LINE RAIL a ii
— •
0 7
— • ;r ) . ,
UPPER
4 in MEN _. :=
E "I Q WOOD FLOOR • • .E.= DN DECK .
, q
X ' 7,, E
in r 8R • 1'
GYF'. P. CEIL 1- SEE SIT. A-2
• 113•-gi• APP. — — 1T • 1-046' — ,
10Cal.0 4'-II
-
Oa
1 10.-Iii.
5'-11i
—0
........''.....
15'-3/'
. .
LEGEND
st• • ENTRY / EXIT
AFF. • ABOVE FINIE44ED FLOOR , I al a,=r"( --- ', = F A, !
AFG. • ABOVE FINI61-IED GRADE ,__,,-.. ; •..,0 h NAss.,s• •-• AL, I. ,i„,,,, ',„" ,,,,,, / ''',, , i,...., #`" i
_ -------__ _____--------------
GYP. S. CEIL. • GYPSUM BOARD CEILING
PLAST. CEIL. • PLASTER CEILING SCALE: 3/8" = I ' - GD"
0.C. • ON CENTER
U.S. JOISTS • UNDERSIDE OF JOISTS 1,651 SQ.. FT. e l'ITLt A
.
AMERICAN r N
A) NI,A, 1 1 5T ER I CA
MEASURING A_
NORTH AllPION, MA
SERVICE,INC.
• A I II-16-.65 pAlemns
S .V masa
HARMON= NV • I41 ammo
F I (e, p 1 AN INARCHIIVET1 OM I NG 3 ....,
j Tolapham 418 780-0413 %- 073-39C
. .
- ,
NOTES ..... -- •---
L ALL DIMENSIONS ARE i
I "' ---
--
....... ,
leR • 9
I8T • 111/4' BLOCKED BLOCKED
I
,
1
1 1 . .
214
UP ,
3'
I : , STAIRS
a : TO 2ND FLR
• , 0 ti u,''' ;, q
1 .
1 rb • ..,.., BACK ego 0 K A 1 %:-
11--- 12'-5"
._ ROOM
_, , __...
1
12'-ll 32
i'
Si' W000 FILOOR . • -..-- UP
Zio
'-5'
or% t t --er P-10'
I _I
ZSI*.,........ ii)
t ..,- ' kv-bi•
i
3'-0' 3c114. e
UPPER DECK
FLOOR LINE r
' LOW
UP AF.G.
-wog
tt 1.11° , ON UP
r
I ig ; o 1
FRCNT :t ki to- - 1 ---- --- - in
__
\ ./ 1 ....- .., „
cp E r. 7,,,
,
I ' I
Art . ROOM ' IX , I
Z 7 UP Dce* " An "s 8 ' I i
4 4 - t , 1 g Z 4) Ar— , _ _ I ! /.--0
' —0.. i .1.10 UP
SLOP
— c
'1 •
LEV — 61. i, .. , li i
1.--- ' ER * - 1 . GUARIO
r _
S .. r
1T e P-21/4' RAIL I COI
WOOD FLOOR -':ot , . • '
eID ...---------'
I 1 - - ■ r - - - -- , - % ii I-- I
40'-iet in
T 7 - 4 ------ " " :I i 1 ----- 4 ' 1R *1' UPPER
' IT g 1.-ike DECK
UP "...#
i.,
FLOOR LINE 71. on •-• !
SILL UP t f3R e • 4 g
r
12' AFF. i- PLUMBING -
B t __
ELOW ! r [ 1 1T 6 I -0%. WOOD FLOOR
CI-IASE
j 1-.-
n n n ___
- 4'-lli''
. i
ri
, .
•
CsUARD
SPOLETO RAIL
'....'''''' 1 4 ....,........
RESTAURANT.
A
LEGEND
no- • ENTRY /EXIT
AFF. • ABOVE FINISHED FLOOR
AFL. • ABOVE FINISHED GRADE ExisTING FIRST 1 (7) FLAN
GYP. BD. MIL. • GYPSUM BOARD CEILING - --- - _
FLAW. CEIL. • PLASTER CEILM SCALE: 3/8" = l' - co"
o.c. • ON CENTER
RICAN
U.S. JOISTS • UNDERSIDE OF JOISTS 1 , 789 SQ.. FT. , NI
AME !F M, MIMS
4s MA 5T. Exic
MEASURING u ("■) u A-2
NORTHAIFION, M.4.
SERVICE,INC. 1 c .-
XISTIP FIRST A I 0.111-1:70 i mm.,
Mal=
FLOOR, PL4N muciruserni OMB , % ,..■
WM 111•
So 1110phses US 106-01.01 , 109-9SIS awn.
. . . •
NOTES
— --
L ALL DIMENSIONS ARE t
- .../... mow
...., ..
13'-3' ..... ....:
I
2 ... et 2T-44'
,e 1 e
' 1 1 _ _
21' 4'
0 ELECT. F'ANEL
• •
BASEMENT
•1 .,
CONCRETE PLR 43
7-
W. Q. CEO-
BASEMENT
ia • 6'0 APF.
.2 .
CONCRETE PLR 3' 2V
GYP. BO. CEIL
1 CONC. SILL 3v, E)14. UP—..--
• 6' APP. BRICK . 1 V u „,,, S TL. COL. BRICK • BLOCKED
5'
Ty C0 f, .... 1 ill- -1 N in 1 r 4 PLC'S COL. . 0
7, t E
I t I•
;----
7111 El 0 0 0 , . ___,
RI TANK Li r -- - - —_ ________
-
, S
■
_
c••
r DN g II-, 0 CONCRETE PLR
I"
6'-3i' 6c3
1 1 6 7., U.S. JOIST
1 ILL
ROOM
01 n X . 61.1314. AFF. , zri
1- :
- 4 )
T LR . 1
I ill SR • 1V.2'
51 . • i v _ .................,:,. ..1 'cr) 11) ' — UP 4'-5'
\--- TO 1S F
0 , i...
1
WALK-IN
1 ----- - . -
1 1 KITCHEN
11
FREEZER
I . 4.-1' 1
. ,
,._ : CCNCRETE PLR.
i.. CI 1 C ' 7..
1 V. CEIL
CONCRETE 1
1 1 1 - 1 ! .--,•-■__ • 1 APP. ..=
TANK
I 1 - s
-- SR • 1'
r 1T • l'-2
1 ,34s . SQ.
in I 3c3 UP 5 '
WD. COL. IT-11•
2 PLC'S
-.-1 ____.1
;t e i•
2'-11i' ISL2'
8 , 1
- . .
_
1, 1
25. 14'-et 3V-5k
'''''''... k /l -.............. „
I. .. '
LEGEND
to • ENTRY / EXIT
AFF. . ABOvE FINISHED FLOOR
ARG • IMO
ABOVE FINISHED GRADE
GYP. BD. CEIL. • GYPSUM BOARD CEILING
HUI. • HOT WATER TANK = \ „., i' a. -.--- ? i , A a,t,,,i,---, v .{-, ,-,,,,,,---,
I rt , „-- ,, ,, , r1 ,- , 7 FLAN
PLAST. CEIL. • PLASTER CEILING — __, — ,..., _
QC. • CN CENTER AMERICAN
SCALE: = l' -CI"
. ff,f ‘
3/8" MIA
U.S. IST UNDER OF
40 MA IN at. ..„.
1,722 SQ.. FT. NtoRTHANFTil-4, mA. MEASURING SERVICE,INC. ...
1, ( A.__
.. ,,,i ...,_._.. MONAMO
E
JOS • SIDE JOISTS
INTERIOR EXIST I Nri PASF.Mr--:Ni PO DOR 00044
IPIONOMO
FL OOR " PLAN MASSIGIOISTII OWN 1 NG S rox on
i ToMpboaa US 736-0413 , IPS-3SA •wem
.1
# 6/8/2009 10:59 1('NE Group Lorrie Bean-1. 2/3
, ,
ACORD DATE (MMroD/YYYY)
- I'M CERTIFICATE OF LIABILITY INSURANCE ' 06/08/2009
PRODUCER Pnone (413)781.24'0 Fax 413 - 731.8535 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
INSURANCE CENTER OF NEW ENGLAND ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P O BOX 1175 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
WEST SPRINGFIELD MA 01090.1175 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE 1 NAIC #
INSURED INSURER A: _ Trave_lers Ins Co-Assigned Work Comp _ I _
WILLIAM J TUROMSHA INSURER B:
DBA DESIGN & CONSTRUCTION , INSUR C:
P O BOX 141 -- - - --- — -- —
LEEDS MA 01053 INSURER 0: _______ _ _ — -
INSURER E:
COVERAGES
THE 2 CLICIES DP NSURAN _ISTED BELOW HAVE BEEN ISSUED T(` THE INSURED NAMED ABOVE FOR HE POLCY PERIOD INDCATED, J MTHSTANDING
ANY REGUIREVENT, TERM 02 CCNDITICN OF ANT/ CONTRACT OR OTHER DCCUMEVT P,1TH RESPECT TO WHICH THS CERTIFICA E MAY BE ISSUED OP
MAY PERTAIN THE NSURANCE AFFORDED E'i THE. POLICIES DESCRIBED HERE N !S SUBJECT TO ALL HE TERMS FYCLUSiCNS AND CONDITIONS OF S.Y_.H
POLICES AGGREGATE LIMITS SHOWN MA' H4.VE BEEN RED'_CED d" PAID CLAIMS
1
-7UDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTVE POLICY EXP:FATION . LIMITS
ATP I NSPOI I DATE IMYA /DO'YY) DATE (MMVDO'YY] I
GENERAL LIABILITY ! EACH DCCI_RRE'JCL I i
COMMERCIAL GENERAL :.AB LITT DAI. 14 ET G RENTED ID
- --
—__ __ _, I AHEM SEE (Ea.ccu
I I '71 - W15 V A DE I •,,_COF i MED. EXP (Any on= pe I
i g
REF EONAL A ADv INAJRV .. 19.
I I -- --� --- GENERAL AGGREGATE !'i
■ OEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- rp1..F10P nGC - --
I I ''' I JECT , J-
■
i AUTOMOBILE LIABLITY COMEKEG SINGLE L M1117 !
n .vVr AUTO j
I iEa am dent. IS
1 r Al. OWNED AUTOS ! BODILY IN.URY ' ---
• I (Per persor) S
S:UFEDUL ED AUTOS
_ I FIRED ALTOS
- J j BODILY !Pi.UPti'
NLY -ONNED ?AY ros (Per ac earl:) '
i I
F 1 -- PFOPERT" DAMAGE @
{ I (Par ac: canC
GARAGE LIABILITY
_ i �'i ALTOOILY - EAACCIDENT
r . A 'J1' AUTO - I HEP THA J EA ACC 1 AGU 5
EXCESS i UMSRaLALIABILITY j EACHXCURRE'OE _— 1,
! I OCCUP 7 CLAMS MADE i AGGREGATE 11 _ - -_
g
I
— OED! IC -IB_F 1 3
!WORKERS COMPENSATION AND I I we STATU I - HEA
7PJUB7429843109 06/09/03 06120!10 TOR LIV Ts
I EMPLOYERS' LABILITY 4--- --
E L EACH ACCIDENT 11 100,000
ANY PROPIOETORNAM'NER/IXECUmE
A I OFPICERMEMBEREXCUMEOT 1E DISEASE -EA EMPLOYEE I 100,000
iR yas, OaSeNb un•ar -- —'—
I SPECIAL PROVISIONS below 1 EL. DISEASE - POL CY UVP 1 1 500,000
'OTHER: I
I
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
To provide evidence of workers' compensation
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DES:PIBED x:LICIES CANCELLED BEFORE THE E >.PIF:ATI T
DATE T'AEPEOF, THE ISSUING nSILRER WILL E'CD_AM. P TO MAIL 20 DAYS FVRiTTEN NO r1CF_ TI?
T-E CERTIFICATE HOLDER NAMES TD THE LEFT. BUT FAILURE 15 DO SO S- ALL IA CSE Nr''
PROOF OF INSURANCE ONLY OBLIGATGY DR LLABL ITV OF ANY MD I./RCN THE INSURER. TS AGENTS OR REPRESENTATIVES
Please cal agent to verify coverage a ^I EC FE - RETENTATYE
413 - 781.2410 (j_
Attention: Dean M. Flonan,
ACORD 25 12001/08) Certificate # 42490 el ACORD CORPORATION 1988
rt
The Commonwealth of Massachusetts
D epartment of Industrial Accidents
4 x Office of Investigations
600 Washin Street
•
Boston, MA 02111
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): Vitt pig � , m4 P A
Address: _58 Faotr Starer P.o. $6k 141 LEtcos Olo.S3
City /State /Zip: Phone #: 58t,- 4 =S
Are you an employer? Check the appropriate box: Type of project (required):
1. ❑ I am a employer with
4. I am a general contractor and I 6. New construction
employees (full and/or part- time).* have hired the sub - contractors
listed on the attached sheet. 7. ❑ Remodeling
2. CI I am a sole proprietor or partner-
ship and have no employees These sub contractors have g_ Ni Demolition JH1 R4 R..
capacity. employees and have workers'
working for me in any P ty. 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3. ❑ I am a homeowner doing all work
officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' lJ.❑ Other
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: City /State /Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cert5 under the pains and penalties of perjury that the information provided above is true and correct.
Sianature: .9. a,, Date: /J. of /eM 0Z009
Phone #: 58 - yoas
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
T
Version1.7 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 O
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,1A1t- -AKT _ , as Owner of the subject property
hereby authorize 1ai ur, 4` 1,41.4415111. .__r , , < . ,. , . .,
act on my behalf, in al • atters relativ o work authorized by this building permit application
_4, , _ ._. � ... .... ..... . _ „ ...
Signature of Owner Date
I , Ai SON_ .!,1t_m Ath1:34"... __ ..._ , 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 under the pains and penalties of perjury.
WI l % Z". Mativrts,Isp,
Print Name II "
M Signature of Owner/ ent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : .1�flp „1...._.�.tL1�.Q#► �I ._ ..,... . _.m. .. _
License Number
S % \ _: r ,r _ _ -,rya -....' .a __ c:)_AG., 3._._
Address Expiration Date
15• FO.6aya.
.,,_.AL, �. x "3 1 . . ` ' 3(4 y Lolio
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 No 0
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name (Registrant):
Registration Number
,�2 M�fi► z f?.>Er.ET.._ N�RT� Aampto�.1 1`A14-
Addres _ „__,,,, lw:..!__� „�... „. . : .... ..
70 ;$b 5-72 Expiration Date
b/ 3 Signa . re Telephone I'
9.2 - egister- • - • - ssional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
W n - imxiity kio►__....,_ __ _ Not Applicable ❑
Company Name:
IM, .. 1.1).A,13.4 S.MA.. eats .:taM. • (4e Tot .... _,..,__
Responsible In Charge of Construction
Address
i • 1 t , • ..4 584 Qa
Signature Telephone
•
Versionl.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
;.
Side
Rear Q ... _.
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO e 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 and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES l
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued
C. Do any signs exist on the property? YES NO .
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES NO ,
IF YES, describe size, type and location:
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 NO 4100
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑
Brief Description Enter a brief description here. RE" " 6 Hv.* " 1061" l'` ' °"e rs kprr„.ri rQ" wvoaG
Of Proposed Work: Sr=Bir+s C i/ 5vprDa.TiArl)
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business El 2A ❑
E Educational ❑ 2B : a - ` " " b .
F Factory ❑ F -1 ❑ F -2 ❑ •2C, ' . < . ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile to 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑
U Utility 0+ Specify:
M Mixed Use ❑ Specify
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE ; .
Existing Use Group: Proposed Use Group. ......, ,
Existing Hazard Index 780 CMR 34): ... _. ,. , .._ ._ _.....____ Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
t.
��� 2nd
2nd I 5Q...FT. ...__.., ._., .. _.._._. .._. ._.._ ...
3rd 14.5!= ,S Cl. ..T
4 16 1893_ V% FY..... __ 4
Total Area (sf) 7 05s 5Q {4 Total Proposed New Construction (sf)
Total Height (ft) `1® Ft; g
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public al Private ❑ Zone Outside Flood Zone❑ Municipal ® On site disposal system
Versionl.7 Commercial Building Permit May 15, 2000
Department use only
City of Northampton status of Perm#
Building Department Curb Cut /Driveway Permit
212 Main Street Sewer /septicAvailabiiify
Room 100 1Nater/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 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
yg MAIN S R.SliT Map Lot Unit
hi, 0fLT11M►N1,p t M'p.. Zone Overlay District
Elm St. District CB District
SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
14414 b41.43SAIST....._. A.M. p4e. 7T. 7TE &R* tii _ WE'SR'3p*%sGFIRt.D MA
Name (Print) Current Mailing Address: O,.o P?
/� y� 113.. fit; • 4 ......._ - ....._. - _ . . . ....... . . . . . .� .- ...
Signature:.-_ - � 4/1/1 _ Telephone
2.2 Authorized Agent:
W ill 1 ru gLowtaAM. .. , _., .58 FR,40 ...sTatvT' LE. eica .1!Ma. ,or o 41 _ _
Name (Print) Current Mailing Address:
'1)3. -57.5_78 _ 4113 ..5$4 . Y «>!Sv -- .._
Signature . Tf y pYM S 14,4 Telephone
M AT
SECTION 3 E ST ED CONSTRUCTION COSTS
I
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
b $.l*scat Q.
2. Electrical (b) Estimated Total Cost of
Construction from (6) . ............ .... .... .
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) .... .., . ... .
5. Fire Protection w
6. Total -=(1 +2 +3 +4 +5) rj j, Check Number 4 t9o5 4 ,.00.
This Section For Offiicial Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
, g � IE-T PLa9Ns A E0
File # BP- 2010 -0596
APPLICANT /CONTACT PERSON WILLIAM TUROMSHA
ADDRESS /PHONE P 0 Box 141 LEEDS (413) 586 -4005
PROPERTY LOCATION 48 MAIN ST
MAP 32A PARCEL 142 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ��Q
Fee Paid 7 7 fu' '"
T Construction: DEMO INTERIOR FOR STRUCTURAL ASSESSMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 000515
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 Elm Street Commission _ Permit DPW Storm Water Management
Demolition Delay
1Z1111 09
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.
48 `_ .IP BP- 2010 -0596
GIS #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0596
Project # JS- 2010- 000868
Est. Cost: $5000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WILLIAM TUROMSHA 000515
Lot Size(sq. ft.): 2003.76 Owner: AUSSANT BRIAN
Zoning: CB(100)/ Applicant: WILLIAM TUROMSHA
AT: 48 MAIN ST
Applicant Address: Phone: Insurance:
P 0 Box 141 (413) 586 - 4005
LEEDSMA01053 ISSUED ON:12/11/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:DEMO INTERIOR FOR STRUCTURAL
ASSESSMENT
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 12/11/2009 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
80 DAMON RD 5109 0. BP- 2013 -0104
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18D - 053 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 BUILD ING PERMIT
Permit # BP- 2013 -0104
Project # JS -2013- 000163
Est. Cost: $12500.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DAVID GARSTKA 031153
Lot Size(sq. ft.): Owner: MISTERKA JOSEPH M
Zoning: GI(88) /SC(12)/WP(12)/ Applicant: DAVID GARSTKA
AT: N RD 5109
Applicant Address: Phone: insurance:
41 COLD SPRING RD (413) 695 -0898 ()
SOUTHAMPTONMA01073 ISSUED ON :7/27/2012 0 :00 :00
TO PERFORM THE FOLLOWING WORK: REPAIR WATER DAMAGE
(SHEETROCK,CABINETS)
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: .5 inaL•
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: Oki 9_ 54-
THIS PERMIT MAY BE ' O r � T 0' %I OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AN P REGU �! �
Aktot At4 440410
Certificate of Occupanc, Signature:
FeeType: Date Paid: Amount:
Building 7/27/2012 0:00:00 $75.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner