32A-138 (85) Al BP-2002-0081
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-006
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2002-0081
Project# JS-2002-0121
Est.Cost:$15000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: TOM FLETCHER 063990
Lot Size(sq.ft.): 0.00 Owner CHAMISA CORPORATION
Amine:CB Applicant: TOM FLETCHER
AT: 25 MAIN ST - 5TH FLR APT
Applicant Address: Phone: Insurance:
176 CONWAY RD (413)256-0321 Workers
Compensation
HAYDENVILLEMA01039 ISSUED ON:7/25/01 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE CEILING, INSTALL 6
SKYLIGHTS,ADD WINDOW,REPLACE DOOR,REMODEL KITCHEN & BATH & INSTALL 2ND
EGRESS
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: O1: 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:
/?-616 dog a-3 i6-v --
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0081
APPLICANT/CONTACT PERSON TOM FLETCHER
ADDRESS/PHONE 176 CONWAY RD (413)256-0321
PROPERTY LOCATION 25 MAIN ST-5TH FLR APT
MAP 32A PARCEL 138 006 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 02o 3 ` t�C)
Fee Paid O h
Tv eofConstruction: REPLACE CEILING,INSTALL 6 SKYLIGHTS,ADD WINDOW,REPLACE
DOORREMODEL KITCHEN&BATH&INSTALL 2ND EGRESS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 063990
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 Conunission Permit from CB Architecture Committee
Permit from Elm Street Co ••ission
dr V w
"010/40 I
Signature of Building a 'trial 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.
lE C Ea li l/ it-
JUL
Sy[ t a Oe lilt n- jr "
R
c'c+ 11 c orthampton f
B4il� Department
-ca"...1 /.D t �it i f:i:„,`;
JUL 2 0 2001 ain Street ep I,
R om 100 ems• ,
i "
OEf40E But``DInGINS �"tt•tST am ton, MA 01060 etso ...
NT OfWrAtDINGINt'T r't 87-1 40 Fax 413-587-1272 Pot SHY: . ' ,, '` k
Other S. . . „,,,,,,,,n7,,*
,
de Ya
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE INFORMATION
1.1 Property Address. 1 5-d
^^� This section to be complete offiiccee,�t`
�.,S )'-1q`A 'S� - lam” Map � � .,Lot---.F 11nEVvl�
Zone E__ ¢L Overlay District
Elm St. District✓ CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: (�
' t, 1 pc,q\GS k0l1 __ 2- MU
CGI � S LAZA
lil bl -11
Name(Print) J Current Mailing Address:
)z oi7f
Telephone
Signature
2.2 Authorized Agent: I pp \\
Tom -tEt'e,N Y� /76 Cults es r ilei - w . c.i,
Name(Print) Current Mailing Address:
A-4)-- `�7 '!< 66s-o317/
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by permit applicant
1. Building 61,-C°°• (a) Building Permit Fee
2. Electrical ,2I WO, (b) Estimated Total Cost of
Construction from (6) _
3. Plumbing 02,000. Building Permit Fee
4- Mechanical (HVAC) Q2,o00.
5. Fire Protection 500•
6. Total =(1 + 2 + 3 + 4 + 5) /5000 Check Number 7SS° -
This Section For Official Use Only
Building Permit Number: dt ti:2/ Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
•
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to he 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)
K of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW X YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document #
B. 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:
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:
5EC710r5"DESCRIPTI N OFPROPDSED'YW61fRschetlC2`ll applicable) . td-
New House 0 Addition 0 Replacement Windows Alteration(s)% Roofing 0
Or Doors 0
AccessoryssBldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
% Description of Proposed Work: z r , . i c // • 0 B V Pfillggia •
S
C Se Ce" eget-SS.
Alteration of existing bedroom Yes No Adding-new bedroom Yes / No
Attached Narrative Er. Renovating unfinished basement Yes x No
Plans Attached Roll D- Sheet Br
prI NeWth ie andoradditterto:exlgtmghousihPe`comptete the tdi leen ng Ph/A
a. Use of building : One Family Two Family Other
b. Number of roams in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I- Septic Tank City Sewer Private well City water Supply
S.ECTIONs7a•-"OWNER AUTHORIZATION,-7913E COMPEETED WHEN
OWNERS:AGENT OR CONTRACTORaPPL1ES FOR BUILDING PERMIT
I, , as Owner of the subject proper
hereby authorize to ac:
my behalf, in all matters relative to work authorized by this building permit application
Signature of Owner Date
I, , 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 Nam '
i
Signa e of Owner/Agent Date
•
erra
580110 38 , ONSTRUCTION SERVICES, .
8.1 Licensed Construction upervisor: Not Applicable ❑q
Name of License Holder: G t ' _ G S �, C-9O
License Number
/76 larv,uc,. lie �?c. OSA?1/2-0c)
Addre 1 Expiration Date
7.�
913 " 6t<S093y
Signature Telephone
tthi pi edl •r.v-pie* C:n a" dr ";ia ;, j,,, T;', Not Applicable
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.I.. c. 152, §25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affid,
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No 0
.` D Iw Pn®n ' r Y311'6 B'I
lt
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)femili,
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner act
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official, on a form acceptable to the Building Official that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated, you may be liable for person!
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature _
I .' .
•
.c\
„comp.?.
ra„04.
a Cri.rtg of Notthampfoz --*_
gA F1fl _
ism
atlas' a .,..<ya.e,t.'
a '1DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street ' Municipal Building ,
Northampton, Mass. 01060
WORKER'S COMPENSATION INSIRLSNC1, ARP IDAVIT
I, d tiJ 45 . .._
� had .
(Il caranee/permittoc)
with a principal place of business/residence at:
/cacti CO't.
/ IYf, 77 �-/Q. - (phone,) 9/3 -7RSEi -03? /
3/ C4MfUsmea ti A ole diesf(streeurityfs,aithp,)
do hereby certify, under the pains and penalties of perjury, t her.
94 1 am an employer providing the following worker's compensation coverage for my
employees working on this job:
E-4.94--Vl 044ci4 /Iy uwC.47a660agj ?1/0/0x.
- (Insurance Comply) (Policy~numb=r) (Limpiration Dau.)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following workers compensation policies:
(Name of Contracwr) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyfPoticy Nmnbar) ( emanon Daze)
(Name of Contactor) (Insurance Comnany/Policy Number) (Expiration Date)
(taut aMitaaal ah u"n.N.1-71:y to inch&hof onE oo p to ni s w.4 c :reaora)
() I am a sole proprietor and have no one woddng for me.
( ) f. am a home owner performing all the work myself.
NOTE:Puts be ava.ic that.whelc harcmaun.vho anployp..w,..e to d,w'rz.n,m aim w C'TZTFLit work CRS dwtlliog of
not more Ilan throe will in which the hmnouwna raid.=or on the gated,:apartment thavfo erz ort bato illy evo,ided to be
e pioyoe ozcr the woti:ri a«npanuon Act(GLI52.a t(a)).appihrtioo by a homtowuc fare liana cc pelma tray ''''S-Ln.Ilw
legal state oft ample yea'uoder the Wulcn's Compensation Ae_
t vndaaund thbc a copy of this catenated may be fawnnled to the Dtpa:mot ofIM tial Mddac i Ofyoo of itcunn raw ttm
age YViftatioa end that failure to ware coverage mala section25A of MOL 152 an had to the impm¢im ofmmmal paz7ht5
coatingeta fine Drug to 11,500.00 mew�ito®mt oftp to one year nod civil peculate in tom(ole Stop Wolk Olde.oda . .
Eno of SI00.00 a thy optima ac
} her dry tmr*l se ody —
4 .•.� ! Permit Number �.....
Magi. Lot 0
Sia: of Liu:nset/Pecminn^ Date
KOHL D�1' ECE � � ED
(4'.3)
CONSTRUCTION,
CAMPUS PLAZA ROAD JUL 20 2001
(4 3)25,MA 01035 y
258 0321 Fax (413; 258 013
DEPT Df D[NLDINGINSPEEtigNS
NUKtIAMPfON.MA 016bd
2 January 199E
Deseri:41bn of Wgrk.5th Floor Ap,^rftment
25 Maja,Etreet
t. Remove old false ceiling in bedroom area, Replace with nigher ceiling. Remove existing
bedroom closet and create a larger closet.
2 Install a total of 6 skylights. Skylights to be framed in per attached engineers drawing.
3. Remove existing glass door on west side exterior wall. Enlarge masonry opening with header
per attached engineer's drawings. Create a second opening for an additional window in the
kitchen area with header per attached engineers drawings. install new doors and windows in
these openings.
4. Remove existing kitchen and bath vanities; replace cabinetry, counters and sinks.
5 Install a second egress fire escape onto the adjacent roof at 41 Main Street, and from there
connect to the existing fire escape or the rear of 41 Main Street.
•RYAN S. HELLWJQ, PE.STRUCTURAL ENGINEER•NOR THAMVION, MA•
AMA"� JUL 2 0 2001 -
J' - . u` -- -� DEPT OFBIADINGiNSPEC06ONS
�`$ NORTHAMPTON,MA 01060
,g 74.11'f E0.t 4�;.
vs/ONA, E GA a4lSTt t-IG ¶ 3c Cao L.4.41(14.-
E istyst TZOQgI
S4r:ro,\ei.
xit s
• I z i H
,1 ,_
..., 4 ,-
r'
/ i . A
1/ � - 6%4 411144v (241erEaS
r•-lS- t LI NI,_
oLcoM& 4.E�srY£.&ttcaL.) - MAx 1b.(y 14 di
Crt-c SPAN 05 ' q `- 2,. " ,
t.'rr. ; ' i2.. 14 et .a2'1 161 Cr *t A1ree.
¶k a 1S = 0"
,* .3 t- %4-,, ,&, 14 .
MASONIC BUILDING - 5111 FLOOR APARTMENT- 12119/95
1
KOHL [ � LSs 21
tz fry1- 1 CONSTRUCTION,, IN• ��
u� __.tax: 31 CAMPUS
MP 335,aonp JUL 20 2001
3 Ny ( t3)2550331 Fart (41312553141
- ri {Qf@!1A 1N.INSPECfIONS
rynntartri0N,MA r 1.1
TO. Northampton Building Inspector
FROM. Kohl Construction, Inc.
DATE: 15 February 1996
RE 5th Floor Apartment, 25 Main St.
Addendum- to Euiiding Permit
Due to the problems associated with obtaining an egress easement across the adjacent property,
the applicant agrees to compete the following items with respect to improving egress from the 5th
f!ocr apartment before any certificate of occupancy for said apartment is granted.
Install a fire door with a push bar between the current dance studio and the central
hallway
2 Install a fire door between the apartment and the dance studio
3 Provide emergency lighting and egress signage between the door from the
apartment to The dance studio and both of the fee doors that lead from doors that lead f om the dance
studio to the hallways
•RYAN S. HEL'LWIG, PB•STRUCI'UR^AI. ENGINEER•NORTHAMPTON, MA•
l—� � E fE WE I
i
L
'lc.31fi6D /
:, Fp SF ' Sit, DEPT OF 6Ul�YG INSPECTIONS
+,W. 01060
�� "At' � r�lT Ni, Sc2lK- Wl�l.tL
Ests-n NIA 2430F144
ii t
k rz ....___.=______„
Q1 r
Al. /0 i 1
( ›..... 11
4 .._,� i.._! , 6,c 9r1 Is ZW—reaS
tNSw1,.. rnt7-5-L . — SL14AS '7_X14
6
"0
"444 L.S r \earl G/cL.) -. i‘-(Ax 1 n.s U hdi
G:Lebria•- SPAN) Oc 11 = a " •
1: : 0' uSE ".1-0 2,<3kzx $4 .
Fort. MAx ' c.c,c_• .5?Ara vP 'rr.
lo - 2 " Use 3 - L.- 9 A3r2. ,. 4-
-MA90NIC BULDING-- 5TH FLOOR APARTMENT - 12/19/95
KOHL
CONSTRUCTION, INC.
31 CAMPUS PLAZA ROAD
HADLEY,MA 01035
(413}256 0321 Fax (013)256 0130
Addendum to Building Permit Application
25 Main Street, Northampton
7/20/2001
Scope of work to include the construction of a wood framed partition to separate the top of the
elevator shaft from the living space. Access for maintenance will be provided through a lockable
access door.
JL 202001
DEPT OFBUILDING 60NS
NOFiHAMPJPION.MA MA 010OID60
•RYAN $. HELLWIG, PE•STRUCTUI*Eg j NORHAI4PTON MA
UL 202001
I' DE F BUILDING INSPECTIONS
NO TNA PION.ma 060
2 , Gorr - L-rP.5
41 SSolsf M'rN6CTYP _
x
Wi1.t
U opts.) i6, -
ii I i ------ S u t,' ' -- �1-v
•
•
J ; , 1 s2.'v A Q . pe. ie*.
i . 4 ; t.
..+ / "'T
`
see(( re-17 p4-A
? * • ?
-. .
I4M.�
�
` yoNV _- -
•MASONIC BUILDING•5TH PI DOR APARTMENT• 12/22/95
«RYAN S• H$.LLWIG, PE•STRUCTURAL ENGINEER •NORTHAMPTON MA
G�-1 k'T LA-TS LAX TO i r tM!
V No.VaW
5-ret2. - v S{cTsrok G �
AL
jCLUVE
I�r� ( II II
u ul L 2 0 2C�1 L J Rocca
LupTOF BUILDING INSPECTIONS
NPgrom,n'1N 4A 01960 r//ssmeit ff3a
esx �. 7,-A -4
N4G 4 '2x8 5.2. x. G.Aa+okoEt<N)
o R- 6 6 =- s to
'wA LeNtG? - I2d t•-) Al -.S (0,Izo
r./µi- ,, yO�/t'tct-1.+y. /- �/�3'S wym/� . y,12.6n9e., k-�•4��Tro")
w'"4 n r_+t"_^" 0 tf ~ � T e_o thi.. SCA.
I-ca5 4 Z ADO is— a- F O6 ' ..
tis-i-Ee- zz e'Tt 74'i. e -M1
•MASONIC BUILDING•5T14 FLOOR APARTMENT. t2/22/95.