18-013 BIG LOTS (8) SIMMONS CONSTRUCTION
PO Box 1770
NEW TAZEWELL, TN 37824
PH 423-626-4518 FAX 423-626-4535
September 30, 1999
Attn: Anthony Patillo 4 "
City of Northampton Building Inspectors
212 Main St '
Northampton,MA 01060
Q
Ph 413-587-1240
t;
RE: Big Lots o
Northampton Shopping Center
North King St. & I-91
Dear Mr. Patillo,
We are submitting three sets of prints for your review. The actual doing the actual work on this
store will be resposible for paying for the permit when it is picked up. We are just submitting
these for them.
If you have any questions please feel free to call us.
Thank You,
Marvin Simmons
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// �-y Zoning
Miscellaneous Additions,Repairs,Alterations,etc. /� / �y–Tel.No.61 ����W 3 / Alterations
NORTHAMPTON, MASS. �J "r, GGT/ 19-V Additions
' APPLICATION FOR PERMIT TO ALTER Gar _
t� Location "C-PL Do P k+-�-- A-/I Lot No.
vf2. Owner's name ,1 kddress3QQPk,' 11 P,, d, (10WM (3o5 a.N. �J=?
�. Builder's namelh DM 8-5 M L rrDA)( �ddress 1 r!= e S f; AAR i uc R L 3
`-/Mass.Construction Supervisor's License No. C S DJr 1! / V Expiration Date-2–
4. Addition Q `./�" n �— /� ,/� /
5. Alteration /.Z-u-! _ I uu.L�-'d M31tl ev1� o jr� . /.��(,l-c am
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13, Siding house
,,�4. Estimated cosL-
3y,noo
The undersigned certifies that the above statements are we to the best of his,
v Anowledg d belief.
�
Signature of responsible applicant
Remarks
Gxt� of Nart4a11 ptau
a 6 �lassackmsctfs
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building 'a
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, D 4�1. n`;10411
(licensee/permittee)
with a principal place of business/residpence at:
z21 �A� a ,1�- )�K ✓,41eA•tyo71 (Phone.#)S4�-679 257r
(strcet/city/stafr/np)
do hereby certify, under the pains and penalties of perjury, that:
(-T�l am an employer providing the following worker's compensation coverage for my
employees working on this job:
ausarance Company) (Policy Number) (Expiration Date)
( ) 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:
-411 4 44W AMV40adl-
(Name of Contractor) (Insurance Company/Policy Number)3y (Expiration Date)
(Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attadt additioml sheet ifneoasary to include information pertaining to all cowractors)
(-YTam 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 viWlo homeowners who employ persons to do mamtenance,cansuvction or repair work on a dwelling of
not mare than throe vaits in which the homeowner asides or on the grounds appurtenant thereto an not gW4Ml1y considered to be
employers under the worker's compensation Act(GL152,s 1(5)),application by a homeowntr for a Haase or permit may evidence the
legal status of an employer under the wo keet Compemation Act.
I understand that a copy of this statement may be forwarded to the Derpurt=01 of Industrial A=daa&Office of Imruanoe for the
coverage vetificWoo and that failure to secure oov=V under section 25A of MGL 152 can lead to the imposition of criminal peaeltiea
eomistfmg of a fine of up to$1,500.00 and/or i mpr6omnera of up to one ytar and civil pen&Wes is the form of a Stop Work Order and a
Sae of 5100.00 a day apitsst tae
For depattmratsl use onlY
�o Permit Number
Map# Lei#
ignahtre of Li ermittee
10. Do any signs ebst on the property? YES _ NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location: re 10 P, -'/' AA 1' ,V c 0
Co NTi-Nc-f'o,2
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This ccl== to be filled in
bF the Banding Departs nt
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# of -Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate. to the best of my knowl d e.
VDA'l E.
-60-� APPLICANT's SIGNATU C
NOTE: Issuance of a zoning permit does not raii e a ppiioanra burden to comply Wit474211
zoning requirements and obtain all required',pe7fm!_tw1rom the Board of Health. Conservation
Commission. Department of Public Works and er applicable permit granting authorities.
FILE if
1
g acr 18 . )
, r riFFCT4N5 File No. �� b
ZONING PERMIT APPLICATION (§10 . 2)
i PLEASE TYPE OR PRINTA—LL INFORMATION
Name of Applicant: �C�A).qoLl D4-�C C( .� / o[ke
3 � 01+ 0 p 6 Iq - X 2Z-Address: 00 Tele hone:
c/2. Owner of Property: ' rA M N e
f� - rr 1-oLON IV, ,
Address:DSO wK;Tr_ Y/,A;,V SCI. /O.S g/ Telephone:.
3. Status of Applicant: Owner Co Purchaser– ee
Other(explain):
1--4. Job Location: 1.81q N_LL�
Parcel Id: Zoning Map# Parcel# District(s): IWD_
(TO BE FILLED IN BY THE B ILDING DEPARTMENT)
✓6' Existing Use of Structure/Property_,M P.r L -
Des n of Proposed Us!i9 Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitA/adance/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
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW"—' YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-0418
APPLICANT/CONTACT PERSON THOMAS CITRONE -r-o"
ADDRESS/PHONE 19L LAFAYETTE ST 614-278-7137
PROPERTY LOCATION 180 NORTH KING ST
MAP 18 PARCEL 013 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid Dt
Typeof Construction: INTERIOR RENOVATION CONSTRUCT NEW INTERIOR WALLS PER PLANS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure -
Buildina Plans Included•
Owner/Statement or License 056171
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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
'l
Permit onserva' n Co issfon
�.
Signature o uilding 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.
186 NORTH KING ST BP-2000-0418
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18-013 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2000-0418
Proiect# JS-2000-0653
Est. Cost: $34000.00
Fee: $170.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS CITRONE 056171
Lot Sizes .ft. : 452588.40 Owner: GIBRALTAR MANAGEMENT CO
Zoning:HB Applicant• THOMAS CITRONE
AT: 180 NORTH KING ST
Applicant Address: Phone: Insurance:
19L LAFAYETTE ST
FALL RIVER 02723 ISSUED ON:1012211999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INTERIOR RENOVATION, CONSTRUCT NEW INTERIOR
WALLS PER PLANS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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 10/22/1999 0:00:00 $170.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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180 NORTH KING ST BP-2000-0418
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map Block: 18-013 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:renovation BUILDING PERMIT
Permit#_ESP-2000-0418
Project# JS-2000-0653
Est.Cost:$34000.00
Fee:$170.00 PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Group: THOMAS CITRONE 056171
Lot Size(ssg.ft.): 452588.40 Owner: GIBRALTAR MANAGEMENT CO
Zoning:HB Applicant: THOMAS CITRONS
AT: 180 NORTH KING ST
i ntAddress: Phne Insurance:
Appl ca o
19L LAFAYETTE ST
FALL RIVER 02723 ISSUED ON.,1012211999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INTERIOR RENOVATION, CONSTRUCT NEW INTERIOR
WALLS PER PLANS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Fk7/,vvv/0 Footings:
Rough Rougl} ��l9 "1/'w House# Foundation:
>� y�9 '1 � J!1 y
Final: Final: mkl/ff f,4 J/
t Rough Frame: D"K-
Gas Fire De artmen 141- OK Fireplace/Chimney:
tom--f Z'eV4
Rough: Oil• Insulation:
Final: Smoke; Final:
THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupanc i natu
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 10/22/1999 0:00:00 $170.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo