13-038 (10) 196 Pteas.mt St.
Northamptrmi MA 011160
Thomas Douglas Architects, Inc. Phone:413.M5,0641
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September 29, 2014
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main. Street
Northampton, NIA 01060
Dear Mr. Hasbrouck:
I request that you grant a Building Code modification.to waive the requirement for construction. control of
the project at the River Valley Market, 330 North King Street, Northampton, Massachusetts because the
work is of a minor nature, will not affect health, accessibility, life and fire safety or structural requirements
and is impractical in that the cost of control construction is considerable when compared to the cost of the
proposed work. Thank you for your consideration.
Respectfully, r
f
0
� g rast�at
Thomas Douglas
Thomas Douglas Architects, Inc.
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 No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
�� .�y�,�✓1 r"_.4 .� Q _!�k as O ner of the subject property
hereby authorize ` 1 �S - _.._'to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signatur of Owner Date q Z�
zz .)� . Lk)f � �a IG QrS
I, .. .. ...i.,.......k a.. , _. . __ ._... .. as Owner uthorized
Agent ereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
elief.
Signed under the pains and penalties of perjury_
Print N
_ . ._
ignature of Owner/Agent r Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor Not Applicable ❑
PC
LIC
Name of License Holder:'. r _ ,.,Z ze),I.......,
License Number
f
Ads Expiration Date
r
ignature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c. 152, §25C(t))
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
�1�� �. �►� �2 -0 r %
Existing Proposed Required by Zoning
7710— / This column to be filled in by (n�
Building Department loor
Lot Size —�
-Frontage
Setbacks Front
Side L:0 R:= L:= R:0 0
Rear 0 0
Building Height
Bldg. Square Footage O %
Open Space Footage % O
(Lot area minus bldg&pav
-parking)
#of Parkin aces O
Fil
olume&Location)
A. Has a Special Permit/Variance/Fi nd&qwor been issued for/on the site?
NO ® DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Regi try of Deeds?
NO O DONT KNOW YES
IF YES: enter Book Pagel 71 and/or Document#1
B. Does the site contain a brook, body of water or wetlands? NO ® DONT 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 000, 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: 1 71
E. Will the construction activity disturb(clearing,grading,rtion,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version l.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
lName(Registrant): --
�- T o Registration Number
Address
Expiration Date``
Signature Telephone i I
9.2 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
. . `_6krl :,, Not Applicable ❑
Company N e.
H IC
Respo lie In Charge of Construction
Ad Q1(
Sig4ture Telephone
Version 1.7 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❑ r
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ RoofingEll Change of Use❑ Other 21p 1.
Brief Description �' -e'1CJG.t Cs.� 4o I'11'2 i
Of Proposed Work: ' t•:.; +
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
I
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile 1011, 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B
U Utility El Specify
M Mixed Use ❑ Specify i
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 f
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE O1qLY
Floor Area per Floor(so
St
1
St
2nd 2nd
rd - .._.. 3rd _.
3
.. th
4tn _ 4
Total Area (so Total Proposed New Construction (sf)
Total Height(ft
Total Height ft
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 E]
Versionl.7 Commercial Building Permit May 15,2000
Departrhent use only
City of Northampton St 6i"',f Permit. . "
M Building Department Curb CutiDrtvevray Permit
v 212 Main Street SewerfSeptjc'Availability
Room 100 V1JaterlVlfell Availability
OCT .. I ' hampton, MA 01060 Two Sets of Stroctural Plans
phone 3 587-1240 Fax 413-587-1272 Plbt(Sit6 Plans`z'
n Other SPe,
Pj"mbi Ow
EPAIR, 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
�� !" �•`i 1�� "•��'r��� Map Lot Unit
l
Zone< Overlay District
Elm St.District CB District'
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZE D_AGENT
2.1 Owner of Record:
Name'F^ - c
r Current Mailing Address:
-gmU elle'PrjvN�y �tkc'x� � r t CCO
XSignature Zc ( Telephotet! 2�b
2.2 Authorized A
Aqo
Name(Print Current Mailing Address
} ..
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1, Building (a) Building Permit Fee
2. Electrical 1 (,� (� CC (b) Estimated Total Cost of
Construction from 6 _.
3. Plumbing Building Permit Fee
r b b3D-
4. Mechanical (HVAC)
5. Fire Protection
6. Total=0 +2+3 +4+ 5) 0 Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
i
File# BP-2015-0377
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116)
PROPERTY LOCATION 330 NORTH KING ST
MAP 13 PARCEL 038 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction: INTERIOR RENOVATIONS TO DELI LINE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 84280
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF09YKATION 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
emolition Delay
/4-�-
4:5 of uildmg 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.
330 NORTH KING ST BP-2015-0377
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 13 -038 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-0377
Project# JS-2015-000693
Est. Cost: $104126.00
Fee: $630.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin WRIGHT BUILDERS 84280
Lot Size(ssq. ft.): 130680.00 Owner: BILLMAR CORPORATION C/O RIVER VALLEY MARKET
Zoning: Applicant: WRIGHT BUILDERS
AT. 330 NORTH KING ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:101312014 0:00:00
TO PERFORM THE FOLLOWING WORK.INTERIOR RENOVATIONS TO DELI LINE
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 10/3/2014 0:00:00 $630.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner