32A-138 (110) 31 MAIN ST-LAVERACRUZANA BP-2007-0714
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 138 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:_ BUILDING PERMIT
Permit# BP-2007-0714
Project# JS-2007-001081
Est.Cost: 52000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Robert Reckman 009498
Lot Size(sq. ft.): 0.00 Owner: CARRERA MARTIN G&MICHELLE A
Zoning: CB Applicant: Robert Reckman
A • 31 MAIN ST - t.AVFRACRJ7ANA
Applicant Address: Phone: Insurance:
36 Service Center- Unit 2 (413) 584-1224 Workers
Compensation
NORTHAMPTONMA01060 ISSUED ON:1/16/2007 0:00:00
TO PERFORM THE FOLLOWING WORK:PROPERLY SUPPORTIOMSAGGING
CEILING IN MIDDLE AREA OF RESTAURANT
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: Q/C 1-17_9 7�
THIS PERMIT MAY BE REVOKED BY TH CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIO .
Certificate of Occu enc
Signature:
FeeTvpe: Date Paid: Amount:
Building 1/16/2007 0:00:00 550.0012056
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
IMO
•
File#BP-2007-0714
APPLICANT/CONTACT PERSON Robert Reckman
ADDRESS/PHONE 36 Service Center-Unit 2 NORTHAMPTON (413) 584-1224
PROPERTY LOCATION 31 MAIN ST-LAVERACRUZANA
MAP 32A PARCEL 138 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /dQ� //.7��
Fee Paid �d
Typeof Construction: PROPERLY SUPPORT SUPPORT SAGGING CEILING IN MIDDLE AREA OF
RESTAURANT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 009498
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved 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 Co-!run
-�� / /1 1
Signature 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.
•
Version!.7 Commercial Building Permit May 15.2000
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
JAN! 1 7 2C07 212 Main Street Sewer/Septic Availability
Room 100 W ater/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site 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 Property Address: This section to be completed by office
mala 3-6r,e Map Lot Unit
A)00-17(147401-12/1 / 444 0/0100 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Marti n (tLrrcra— 3/ main St. AlarfhampJtn, -k/a
Name(Print) Current Mailing Address:
Ali 3 5-84 - 118/
Signature Telephone
2.2 Authorized Anent:
Bob Ree.ivnacrl S der v,c- &nfer1NO,eTharnplw
Name(Print) Current Mailing Address.
i3 -584-41,24
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 07 600 • (a)Building Permit Fee
2. Electrical (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) 'ooO - Check Number /d G LIe t0
This Section For Official Use Only v
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version!.7 Commercial Ruilding 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 0
Exterior Alteration 0 Existing Ground Sign❑ New Signs Roofing Change of Use Other 0
Brief Description Enter a brief description here. 14Oferlcy Sopport $(�4c7/' q a'6.5 /0 //1I
Of Proposed Work: a''Qk 'f reg-/-rzvrai7kV•t/ J
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 ❑ A-2 0 A-3 ❑ 1A � ❑
A-4 0 A-5 0 1B ❑
B Business ❑ 2A 0
E Educational 0 2B 0
F Factory 0 F-1 ❑ R2 0 2C 0
H High Hazard 0 3A ❑
I Institutional ❑ 1-1 0 I-2 0 b 0 3B ❑
M Mercantile ❑ 4 0
R Residential ❑ R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 S-1 0 S-2 ❑ 5B 0
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)
1s
2"
3,e 3rd
4th 4th
Total Area(sf) 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 0 Zone Outside Flood Zone Municipal 0 On site disposal system
Version).7 Commercial Building Permit May 15.2000
8, NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This col mon to be filled in by
Building Department
Lot Size ND C H c1e n Poore ou f Q,° 036
Frontage
Setbacks Front
Side I.: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage °o
(tot 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 Q DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO SAI DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES ® NO Q /
IF YES, describe size, type and location: -�es}r ora / name on /j7
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO f9
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version1.7 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):
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
Foberf Ree Kmart Not Applicable 0
Company Name.
Bob Reek man ,Omega Con/rack r
Responsible In Charge of Construction
3� Ser 1 MA 0/0(40
Address
Signature Telephone
Version)7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(7B0 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
matha CGIyiejv��'„,,��r«<f7 as Owner of the subject property
hereby authorize `JO f€C.Nto
act on my behalf.in all matters relative Id work authorized by this building permit application.
Signature of Owner Date
I, `Bob Rc Krttuy 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 penury.
\snob Reekruzi?
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: ,� L-_ Not Applicabblle�/0
Name of License Holder: &ber l"leekna�'[... oo %'j'
License Number
36 c'krv,tz ete- Alot2tlmrx cix-,m oloeo l/
Address Expiration Dal
40 564-MAL/
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§25CI6))
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 0 No 0 A a- ...' a - /1 `Lt-bila. on > L