Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
32A-175 (5)
46 BRIDGE ST BP-2017-0588 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A- 175 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGLLcc.1144/2�A) Category: INSULATION BUILDING PERMIT Permit# BP-2017-0588 Project# JS-2017-000953 Est.Cost:$7700.00 Fee:$100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KRIS THOMSON 084152 Lot Size(sq. ft.): 23261.04 Owner: NORTHAMPTON HISTORICAL SOCIETY DAMON HOUSE Zoning:CB(100)/ Applicant: KRIS THOMSON AT: 46 BRIDGE ST Applicant Address: Phone: Insurance: 362 KENNEDY RD (413) 549-1027 O LEEDSMA01053 ISSUED ON:10/27/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:I NSU LATE BASEMENT WALLS 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 10/27/2016 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0588 APPLICANT/CONTACT PERSON KRIS THOMSON ADDRESS/PHONE 362 KENNEDY RD LEEDS (413)549-1027() PROPERTY LOCATION 46 BRIDGE ST MAP 32A PARCEL 175 001 ZONE CB(1001/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT 1 Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: INSULATE BASEMENT WA S New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 084152 3 sets of Plans/Plot Plan THE FOLLO ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION 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 D w , :doer Signature of Building 0 icial 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. Version) 7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit OCT2 6 212 Main Street Sewer/Septic Availability 1 Room 100 WaterNVell Availability I c Northampton, MA 01060 Two Sets of Structural Plans —_phone 443-587-1240 Fax 413-587-1272 PlauSite 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 Property1 �Adddress: 1 This section to be completed by office t4l6 Gyvi&+4 C sketw Map Lot Unit 6--)j0A B?S FDUCJATi o,.) CEf+1T—t-Cz> Zone Overlay District -- -- - - --- Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ' .. , 1 STAT%(G NthE- 'H1AM" lr.�a/� ,... _ . Name(Print) ti e, $r tot S e,n Cunent Mailing Address Signatur-.e K,. _ :e'.. - 62-4 tft_4'y✓ Telephone l I3 — _ I I.. 2,2 Authorized Agent: ?Lr .r's -Itlotm . 6L L\L2Ct4 „Pc( heecQS-1 Name(Pant) Current Mang Address ) C)')5 11101. Signature Telephone` /3 b15( 64 7 _SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1, Building 7 7 (-4 (a) Building Permit Fee 2. Electrical : 1 (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 3 /�/�.2 T `/ 40 This Section For Official Use Only Building Permit Number Date Issued Signature Building Commissioner/Inspector of Buildings Date Version1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs 0 Demolition 0 Repairs 0 Additions ❑ Accessory Building 10 Exterior Alteration 0 Existing Ground Sign❑ New Signs 0 Roofing Change of Use❑ Other 0 Brief Description Enter a brief description here. I Of Proposed Work: ' yi 5Li\ cp'e hO.52hW� ,} W , .. CT IIS' SECTION 5 -USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) I CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 0 IA i 0 A-4 ❑ A-5 0 1B 0 B Business 0 2A D E Educational 0 2B I ❑ F Factory 0 F-1 ❑ F-2 0 2C 0 H High Hazard 0 3A 0 I Institutional 0 I-1 ❑ 1-2 0 1-3 ❑ 38 0 M Mercantile ❑ 4 0 R Residential 0 R-1 0 R-2 ❑ R-3 0 5A 0 s Storage 0 s-i 0 5-2 ❑ 5B 0 U Utility ❑ Specify: ' M Mixed Use ❑ Specify S Special Use ❑ Speedy' 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) 1s, \ 4Ih 4Lh F\ Total Area(st) 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 0 Private D Zone Outside Flood Zone I Municipal 0 On site disposal system❑ Version l.7 Commercial Building Permit May IS,2000 • 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This cokmn to be idled er by Budding Department lot& re 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 (mime&t..ocation) A, Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW { 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 ft B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES a IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ( , Date issued: C. Do any signs exist on the property? YES NO fl IF YES, describe size, type and location: 0. Are there any proposed changes to or additions of signs intended for the property? YES Q NOCO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or Is it pad ata common plan that Will disturb ever I acre? YES 0 NO •\�+ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. r Version!.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 0 Name(Registrant): _ -_.. Pegstrathm Number Address :. _... --- Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area cf Respoosibery .. .. Address Registration Number iSr atn2 T9t here En rah on gn sp p Date Name _.-. __- -_.- Area of Responsibility Address _... Reg stratron Number _. . . Signature ___________ Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area W ftenyranslbillty Address Registration Number Signature telephone Expration Dale - - 9,3 General Contractor 2-f //`� �� V'15 ©WS L_(A/p'QL2 lL/L _ --. Not Applicable Company Name 7 It St-slooLCOM Responsible In Charge of Construction 14zKeti c\ Pia �-enJ4 -J{ti dp 55dress 4rz 495 6erV Signature .. Telephone 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 O No 0 SECTION 11 .OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I 1 Li L — S, )�-- , S 1 N . ' in •Itt O ai it las Owner of the subject property tie authorize Mt1c z(twzS z Yl _ to act no a my o behalf,in all ma s relative authorized by this building permit application. Signature /0/2_y/ib _.. Date I, 4— V 1 iCt71il4S 'N.. 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 nd�d enalties of penury. IKrI c 1o6BA;o 10/ 2 4116 Signature ''e-' '9-' / Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed ConstructiononSupervisor: Not Applicable 0 N Name of License Holder _. IS J—,/1DLAVt,5( ._ CS ' (72$1 ) 5 2_— License —L c nse Number 3 L KC IA lA zc\ y C-C\. /---CCCIS AL • 0) OS 4 /7/ 17 Address Esse-silos to 4-i3 ‘ 695--.G ei8 Si a r Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ‘24--....% No 0 _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations aKans C00 Washington Street Boston, M.4 02111 www✓r:ass,gov/diu Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 1\Tan16(Business/Organization/Individual): y �,V,')$ vl ri�i5�1�,,,, Address:.3 z }C2U�b't.Q6Lt, t City/Skate/Zip: c. . 0 )b 5 3 Phone #: (17 S* V77 Are you an employer?Check the appropriate box: Type of project(required); I am a employer with ) 4. 0 I am a general contractor and 1 6. _ (((_ New ecostmction employees(full and/orpart-tire).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance temp. insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.L Plumbing repairs or additions myself. o workerscomp. right of exemption per MGL N ' g 12.0 Roof repairs insurance required.) c. 152employees_ )[No workers',and we have no employees_ 13. Other)Y%v Eck f t fTtSPu a,-' comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infix-snag on. t Homeowners to submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidevii indicating such. :Contractors that check this box must attached an additional sheet showing the namm of the sub-contractors and state whether or not hose enloes have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I an an employer that is providing workers'compensation insurance for trey employees. Below is the policy and job site information. insurance Company Name: Policy#or Self-ins. Lie. #: 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 tinder Section 15A 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 5250.00 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 cm ify ur er the airs and penalties ofperjuty that the information provided above is true and correct. Signature: I Late: ) 4 _....- Phone#: 1 7 • �__"'j Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitiLlcense# 1 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#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: f(a �i � Q The debris will be transported by: 4,1^ S I (71t,11, 61,-‘_ CGS 7het1 L-, The debris will be received by: Vps Lo ?,e c lc 1 v c\ \ Building permit number: Name of Permit Applicant Lr I D) 7-1/ I n ? ' k fes_ Date Signature of Permit Applicant DCIAIL --- 1J NOOSE I - I --4 Pk > P .'J cn r -c (..11t„li . R\ r I I- hrc ;. G -1 I. II' I 1 l' `; vis L. ,C-Ci.. C-(D rhCr 4%tc b nr%_ L` Ii S u‘j ;ii 3 fi cpr&jSoakvk Cbt�;s'(Rvct{OM ID -AIt� 131-0 C-IC 41--) D E ElIEl Ili 21C A? a ) ZI %' .IE&1 RocK-- -4 Lir I the._. st C--c;liti(L it5'QbwiC. vt"f