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32A-100 (7) E61N�M 1lM[i I? r r ti A, 1, Pln fiys�Mtl» fsto"", ! —".�.Yfti ! hiw irticcNeaE 1pdr►M��s i t d�aq +.W............ ,... ,................—.>..............----d..,............o.......— --t ie ..,."r ,"P€'r 5.i,i+k:?'F 1,�P, raw.F`r v OCONTRACTOR TO REMOVING ERISM TRACK LWING IN 0'-10' M OFFICE ONLY, or'.o 0 CEILING PLAN SYMBOLS D� ° ® 2'X4' FLUORESCENT 0 LA a • O ° o EXISTING RECESSED CAN • NEW RECESSED CAN • o o SPOTLIGHT FOR • N 0 INTERIOR SIGN • I C� NEW AIR RETURN GRILLE ;�, • o a Q EXISTING AIR RETURN GRILLE z • o o []s EXISTING AIR RETURN GRILLE O� CL Y Q m _ ©• • � 4 Nco Z ° ° REFLECTED CEILING PLAN m Ln C 8'-6' O O N ISSUES/REVISIONS �mm' o C6 W. DATE DUKA71M � = N *CONiRAC=MUST WWE ALL 6 PAGES OF THTSE V L(7 OEM MW DRAWAM F YOU ARE MISSING ANY OF THESE 6 PAGES, KM CONTACT � p� m W OFSKZIER AT PHONE MM WO M is TmM.oac, SEE PAGE T OF 6 FM AMMON& EXHIBIT A NoI * ..Do WT SCU�► .. 1 Aof 6 Version 1.7 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 .J I, &Jn T t?z ri,l 1C., as Owner of the subject property hereby authorize � �(IV I(�V- L� 1 t to ac on my behalf, in all matters relative to work authorized by this building permit application. "cc ZZ ignature of bwner Date 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. Print Name Signature of Owner/Agent Q Date r SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: / Not Applicable 7 Name of License Holder:1A)a e/z v i t P e l a in I� ex5 ® �� License Number 476 A 1R '✓e w�-z Address Expiration Date Signat re 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 Version 1.7 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 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/� STO U O l (� � f ( i���' Not Applicable ❑ Company Name: 'R IC,t-� AV?-v9 H . S-VANTy�) Responsible In Charge of Construction Address i Cl signature Telephone Versionl.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear 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 DON'T KNOW ✓ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW t/ YES IF YES: enter Book Page and/or Document# 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 v1 NO IF YES, describe size, type and location: A 04 t/q k-et - t WM I�ZCj, e tjj tq 6f CA D. Are there any proposed changes to or additions of signs intended for the property? YES ✓ NO IF YES, describe size, type and location: � ((Juve c t`mil Jud E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO vo' IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 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 V Existing Wall Signs DemolitionV Repairs✓ Additions8/ Accessory Building Exterior Alteration Existing Ground Sign New Signs/ Roofing Change of Use Other Brief Description C&LO/I .&Uutt Ci'n/ZG�'`h—t Gl-�LAI) Of Proposed Work: b C�G�.10umA d V C�.� 0 - t4 �!f ., I �A A , ,�1 ).e C 0 yj I-e-c'u a(, uxg-j 1 9 C1 kv SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business 91 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 ❑ 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) 15 /,--7 U C 2"d 2nd 3rd 3rd 4th 4t' Total Area(sf) U O Total Proposed New Construction(sf) -100 Total Height(ft) Total Height It 7.Water Supply(M.G-L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewag�isposal System: Public Ef Private ❑ Zone Outside Flood Zone/ Municipal On site disposal system Versionl.7 Commercial Building Permit Ma 15,2000 City of Northampton x uilding Department 212 Main Street j - Z 3 2Q15 Room 100 ( - orthampton, MA 01060 phong�41 -587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION i -SITE INFORMATION 1.1 Property Address: This section to be completed by office (P 1 `CA V V e. 1 ,D' t- Map Lot /e-Z9 Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Saw) e-t- k 2- (-c M UV k efi fit-, N (sir +0 &(&60 f0V1 Name(Print) Current Mailing Address: -1)1 3 -�5 231 Signature/, �' Telephone 2.2 Authorized Agent: 'P,1CtAwV.10 N S-tY1/JTO1J 1A7 TaviInery �Gl , stf(e( d MA Name(Print) Current Mailing Address: A p�l 0&9 Signature Telephone c� 1 C1 -7 -T SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 0 ( t3 (a)Building Permit Fee � �i 0 � . 2. Electrical r�f� CID (b)Estimated Total Cost of V V Construction from 6 3. Plumbing 060 Building Permit Fee 4. Mechanical(HVAC) -5 10 0 d u 5. Fire Protection 6. Total=(1 +2+3+4+5) Z Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/inspector of Buildings Date File#BP-2016-0091 APPLICANT/CONTACT PERSON RICHARD STANTON III ADDRESS/PHONE 147 TANNERY RD WESTFIELD01085(413)579-7489() PROPERTY LOCATION^ARKET ST MAP 32A PARCEL 100 001 ZONE CB(99)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tyaeof Construction: RENOVATE INTERIOR New Construction ©� Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 082078 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORWTION PRESENTED: t-Kp`proved 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 D i ' Signha ure 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. 6 MARKET ST BP-2016-0091 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A- 100 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categ_orv: renovation BUILDING PERMIT Permit# BP-2016-0091 Project# JS-2016-000164 Est. Cost: $22300.00 Fee: $156.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICHARD STANTON III 082078 Lot Size(sq. ft.): 3484.80 Owner: GEZORK JANET Zoning: CB(99)/ Applicant: RICHARD STANTON III AT. 6 MARKET ST Applicant Address: Phone: Insurance: 147 TANNERY RD (413) 579-7489 (� WESTFIELDMA01085 ISSUED ON.712712015 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE INTERIOR - NO WALL CHANGES 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 7/27/2015 0:00:00 $156.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner