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32A-153 (25) 08/08,-'-'OP2 14; W 5$27"31 TRBL RM PAGE ©2 Massachusetts Electric A National Grit Company Atwnvu o_ 10112 :k'iiliarr, TuroniAc. leads, MA 01053 `lmi&r71iS� Y.rYnl'flCiL 7,11 is -n that Massachusens Eiecrric t✓ompany removed the electric service and meter at 1�1 crrrr. Ave~ ue•, Wwwt W 057882461 'n Northampton,Massachusetts ettact-ive August 3, 2002 for buddintt denwil,'%::m. V rtn��rv�.�ar Nl tfox:i07 vunrarnpton, MA 01061-0507 411667 .7200 AUG- 7-02 WED 121:00' Ray State Gas (Srfld) FAX N0. 413 739 5272 P. 01 -- — - .,.--- - -Say State Gas Compal1v Qat:�t 07, 20212 Dear Wiiiia^+, TY,. +odtreae ii®' ed beior nos nad the gas eervicecs) disconnected and nor, ready for demolition. Aumu i0 strong Ave ;U-JN Northauptcin tlTATF Mamauchusetts 1v Y y � Jeffrey D. nannheim S°nt�%r Di-itribution Clerk 2-.jcoseveil tiwnu: -2-25 4 3.781.3200 Fax 413-761W2:' CITY OF NORTHAMPTON, MASSACUSETTS DEPARTMENT OF PUBLIC WORKS 125 LOCUST STREET NORTHAMPTON, MA 01060 413-587-1570 FAX 413-587-1576 George Andrikidis, P.E. Director;City Engineer August 9,2002 Anthony Patillo,Building Inspector Municipal Office Annex 212 Main Street Northampton,Ma 01060 Dear Mr.Patillo: The water service at 10 Strong Ave.has been cut off at the main and the water meta removed from the premises as of July 31,2002. Please contact me if you have any questions. SParles y, C Borowski Superintendent of Water CB/dws Cc:George Andrikidis,Director of Public Works Ned Huntely,Assistant City Engineer Receipt No: 172794 Hampshire County Registry of Deeds Marianne L. Donohue, Register of Deeds JUN-2002 10:00:21 33 King Street Northampton, MA 01060-3298 Addr: 134 SOUTH ST NORTHAMPTON MA me: MICHAEL SISSM" Payment Taxes ceipt Type: OR Fees $ 0.00 0008 Cash: $ 0.00 $ 0,00 atal Pages: 51.00 Fee: $ 21 00 Check: $ Tax: $ 0.00 Charge: $ 0.00 Misc. $ 40.06 Charge Code: Status: PAID Comment: DECISION ceipted By: JILL --- __ _ ------------------" Status DOCUMENTS: 992218326 to 992218327---- --- ------- ------ -"---Record Date Document# B0000----- ----- ---------- ------------------Record Fee Excise Tax Stat Misc Fee -- - ------ _---_ _---- -- 668210289 INIT OR e Page DOC Mref Consider$ ---- - ----------- ---- ------ 658210292 INIT -- ----------- ----- - 0.00 20.00 21-3UN-2002 09:59 992218327 OR 1 -- --- -- 0.00 10.00 2o.a � 3 003 0001 0001 0 0D 11.00 0.00 Page 0001 of 0001 3 005 0001 0001 ^i OQ.t�tAMp2,0 �� 4g Crzt� of wart 11aillp foil � d �air;xrhasrtts' s, m DEPARTMENT OF BUILDD\TG INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Mass. 01060 y WORKER'S COMTENSATION INSURANCE A + + AVTT I, �rlil/i,nP, T ueOMSba (icelIsteiper[muze) with a principal place of business/residence at: 58 FRow�t STPEr W 01053 (phone#) 586 '/oc)6 (sizret/ci ty/slat elzip) do hereby certify, under the pains and penalties of per}ury, tliat. ( ) I am an employer providing the following «vorker's compensation coverage for my employees working on tliis job: (Insurance Company) (Policy Number) (Expiration Date) O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: +� i ntioa Datc (Name of Contractor) (Insurance Company/Policy Number) (�p� ) (Name of Contractor) (Insurance Compam-/Pohcy Number) (Expiration Date) (Name of Contractor) (Insuranc: Company/Policy Ntunber) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioasl chcei ifMOCT Ty to i.xlude infonuaiioa pertain lg to all coofr m) ( I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ personr to do¢xuAc sn S o= icuon ar Rpau work on a dwelling of not moon than three unit+in wtaich the hon»owncr reside or on the vcK, +s app�thatto+uc not Caxr�Y ooasrdard to be anploytm under the worl:r's cmipcmaiion Act(GL152,a i(5)),application by a homcow=for a liccase or permd may evidence the legal status of an employer under tic Workcet Compaclaatiou Act I understand that a oopy of this rtatcmcai may be forwarded to the Dcpactma of Indiut d Aocidm&Offico of Imvcwoe for the covaage vtnf moo and that L:ilure to sec=covctngo under section 25A of MGL 152 can lead to the imposition of aiminal palaWcs ooasLaiag of a free of up to S 1,500.00 andlor finprisoam of up to ore year and civil pcaaltia is the form of a stop W orb Onia and a fine of S 100.00 a day against r>ac- For dq-rW3-&al—only Permit Number l6 T 2004 Map#___-----Lot# Signature f LicenseclPermitlee I — e--te Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110111) Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ SECTION 11-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT'- 1, 15, J1 ss"('I A k as Owner of the subject property hereby authorize 1411111" T -EW-4 9ShA to act on my b half, in all matters relative to work authorized by this building permit application. 'gnature of Owner Date I, _"hImA2 97 TilamyhA 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. lt/lAXAm T I U,2amsNxr Print Name ///. a ��,, Signature of Ow�ent Date SECTION 12 -CONSTRUCTION SERVICES> 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: W1111Ah2 1 0,96 s hR _ Ono $/S License Number 58 rA ur s772FCT 4E, 5,w hfg 61o�a /5 6u) zmy Address Expiration Date -a. zi �� 6V-3 �6g1«=s Signature Telephone SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit ;rust 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...... ❑ q • 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 Address Expiration Date Signature Telephone 92 Registered Professional 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 1A1i4 T `FOAOMSHA I3F5161V & coms-rxixtiom Not Applicable ❑ Company Name: Wifilm T TviumsNA Responsible In Charge of Construction 68 ARaur srrzF�r L6-60S Ma OzQ 63 Address &;, L2' 586-yoos' Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 7. Water Supply(M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 640 A10 C Frontage 201. 7/ Zo/. 7 Setbacks Front p Side L:62 R: // F L: R: Rear q'-o•, Building Height Bldg. Square Footage S oL SF % 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 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES X IF YES: enter Book `6$2 Page 281 and/or Document # Z42 B Does the site contain a brook, body of water or wetlands? NO X KNOW 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 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: 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 Existing Ground Signs Additions ❑ Roofing ❑ Exterior Alterations DemolitionKI New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building[ ] Repairs [ ] &vw C'� -7r rJ; � µotisH p��n �lucue RoM s' cwl N SECTION S - USE GROUP AND CONSTRUCTION TYPE z=- x 23=o 'X v.* MI&H USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F•2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1.3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ 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) 15t 1 2nd -- 2nd 3rd 3rd 4th 4th Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft ---•--------------- ; „ r Version 1.7 Commercial Building Permit May 15,2000 City of Northampton -- Al uilding Department 212 Main Street =— Room 100 thampton, MA 01060 ' `{lion 587.1240 Fax 413-587.1272 f. `WMTRYSX REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ,SECTION';1-SITE INFORMATION This section to be completed by office 1.1 Property Address: Want, ap ��z 10 S-rko l , AUEKLUE Zone0� OverlayyDistri[ct Nwtmw a-mg MA. z CB'El District 0 m st,-6i" Act— D1 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: lN/C,H4LL G SISSMAN l 3 N SaL.TN 5 XE07' A10 VA9A7p7aJ O/Or c Name(Print) Current Mailing Address: 1113-Se6, gg, nature Telephone 2.2 Authorized Agent: W////qM .T 7-oftMSNA A0 taX /'// ZEDS H—A 0/0!5r Name(Print) Current Mailing Address: Q. � ��� N/3- �R4• 6602s-- Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS to n Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction'from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2003-0158 APPLICANT/CONTACT PERSON William Turomsha ADDRESS/PHONE P O Box 141 (413) 586-4005 PROPERTY LOCATION 10 STRONG AVE MAP 32A PARCEL 153 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid < Typeof Construction: DEMOLISH SINGLE STORY MASONRY BUILDING 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 FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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* _aZfeceived&Recorded at Registry of Deeds Proof EnclosedLI- / 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 Co ssion 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. BP-2003.0158 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Building Category_ BUILDING PERMIT Permit# BP-2003-0158 Project# JS-2003-0296 Est.Cost: Fee:$35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: William Turomsha 000515 Lot Size(sg.ft.): 6054.84 Owner: SISSMAN MICHAEL zoning: CB Applicant: William Turomsha AT: 10 STRONG AVE Applicant Address: Phone: Insurance: P O Box 141 (413) 586-4005 LEEDSMA01053 ISSUED ON:8116102 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMOLISH SINGLE STORY MASONRY BUILDING 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/16/02 0:00:00 1926 $35.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo