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23A-079 (28) 41 MAIN ST-1ST PLR-DR LEVINSON BP-2003.0213 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-0213 Project# JS-2003-0388 Est. Cost: $33200.00 Fee: $296.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WILLIAM SYMANSKI 028505 Lot Size(sq. ft.): 7318.08 Owner: FALK SYLVIA Zoning: GB Applicant: WILLIAM SYMANSKI AT: 41 MAIN ST - 1ST FLR - DR LEVINSON Applicant Address: Phone: Insurance: P 0 BOX 129 (413) 247-9939 () NORTH HATFIELDMA01066 ISSUED ON:2/6/03 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATE 1ST FLR INTERIOR - DR LEVINSON 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 2/6/03 0:00:00 2022 $296.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File#BP-2003-0213 APPLICANT/CONTACT PERSON WILLIAM SYMANSKI ADDRESS/PHONE P 0 BOX 129 (413)247-9939() PROPERTY LOCATION 41 MAIN ST- 1ST FLR-DR LEVINSON MAP 23A PARCEL 079 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out A Fee Paid d0o201- #9g> Typeof Construction: RENOVATE 1ST FLR INTERIOR-DR LEVINSON New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 028505 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 o Signature of Building Official Da 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. a� e.,0A,A }-l�NG l l 4- 402 c y/A/3T /S 7a /`9"a3 y 7/Cz 7-zo Cp,6-7,ic'i 0s'ft4 • Northampton Fire Department Memorandum �, u To: Tony Patillo , From: D Nichols FEB - 5 2003 Date: February5, 2003 "! i VISFFC111A. GCr1 C �t,�C,i�G . 4 �., CC: B Duggan Re: 41 Main St. Florence MA. Dr. Levinson Office Secondary to a review of the plans submitted to the Fire Department on February 3, 2003, I concur with the issuance of a building permit for this property subject to the following conditions: • All pull stations are to be the double action type and must be covered by the Stopper II protection • Alarm verification must be active on all smoke detection zones • The fire Alarm Control panel must be marked with a red engraved sign with one inch white lettering "Fire Alarm Control Panel". • A graphic representation of the structure must be installed over the Fire Alarm Control Panel as outlined in attached document. • 5 lb ABC extinguishers are required under all pull stations • The Fire Alarm system must be supervised by either a direct connection to the Northampton Public Safety Dispatch or by a UL listed, Fm approved Central Station located within Massachusetts. • Page 1 f • Horn strobes must be located in all common areas of the building to alert occupants if the fire alarm activates. • The exterior beacon needs to be a 120-candela power red strobe light actuated when the fire alarm system sounds. • Permits must be pulled for all fire alarm work. • A permit is required for any flammable substance utilized in the dental office. • Page 2 Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: 0---�--'� g Department Curb Cut/Driveway Permit a E C‘ V Main Street Sewer/Septic Availability oom 100 Water/Well Availability Nor ton, MA 01060 Two Sets of Structural Plans AUG pl-IangQ 3 240 Fax 413 587 1272 Plot/Site Plans ___ Other Specify AP LICA N�11 __ f1 �SREPAI , RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING NpR1HD�D1 THER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: Thiss section to be completed by office Map Ga'3 Lot 99 Unit Zone 013 Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �4 5' L V/l fii- L k W RA1;0 ct. TZW4derN (Print) Current Mailing Address: AL/e/ Signature Telephone 4y - cf6 -0 3 7.--os 2.2 Authorized Agen • NC`,'© -eN , v1scr.: • ,,,a,it, �F-7--47-7<.PF�, ,c'T . ame . t) Current Mailing Address: O I: Z. ig ature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use Only completed by permit applicant 1. Building 'i (a) Building Permit Fee 2. Electrical ! (b) Estimated Total Cost of .5-f`a Construction from (6) 3. Plumbing ,.� �, Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection -) i, 6. Total = (1 + 2 + 3 + 4 + 5) '"Y � �3 1 - Check Number dogx lig- This Section For Official Use Only Building Permit Number: �p 03 od 13 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 Existing Wall Signs Existing Ground Signs Additions ❑ Roofing 0 ❑ 0 Exterior Alterations Demolition❑, New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly I ❑ A-1 ❑ A-2 0 A-3 ❑ lA ❑ A-4 0 A-5 0 1 B ❑ B Business H 2A ❑ E Educational ❑ 2B I ❑ F Factory 0 F-1 El F-2 0 2C ❑ H High Hazard ❑ 3A ❑ I Institutional 0 I.1 ❑ 1.2 0 1-3 ❑ 3B El M Mercantile ❑ 4 ❑ R Residential 0 R-1 ❑ R-2 0 R-3 ❑ 5A 0 S Storage ❑ S-1 ❑ S-2 ❑ 5B I El U Utility 0 Specify: M Mixed Use El Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Z Proposed Use Group: 33 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) /500 1st 1st / SO° 2nd 3rd 2nd 4th 3rd 4th Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft Versionl.7 Commercial Building Permit May 15,2000 7. Water Supply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone 0 Municipal 0 On site disposal system 0 8. 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 DON'T 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: Versionl.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 92 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 �tLbl►03P1 - S Kei,urjl�� Not Applicable 0 Company Name: G�/��f��► Skl-cruS x, Responsible In Charge of Construction a33 3TE417-s ►1471 jFG/vq c),064 Address 10.E .fiff,,*01 i 939 Signature Tel phone • 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 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereb authorize 'u i/x, 4►W lam^. S'{►K to d S,'r to act on my b , in II rr tte s relative t o authorized by this building permit a plica 'on. Signs ure o wner Date rr'.', ' /1, I� c� ���'^'� '� , as Owner/Authorized Agent hereby declare that the tatements 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. Cpi►—tiiK ... 7. SHwtiA./ ( . Print�N�ame / t02, Signature of Owner/ gent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: t ki.i Y1 rti. SN M Id 4,3AI c 5• o L$5-0 License Number '33 y12,47 b hi4TiG/t"2:.,6 0oa. o7/0//2ccf Address Expiration bate ti4/44,-* -g.rnis-•-- 4- 211/19.37 Signature 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 in' No 0 QTHAMPi 4, at ,. a (rz#�r lafcrz#I#ttmntt 0 _*=1t 9 �_ ��t B �lassaclinsctte' _`�`!�' �i_='f. '"�W DEPARTMENT OP BUILDING INSPECTIONS =_`il ' • 212 Main Street •a Municipal Building 4., .` Northampton, Mass. 01060 ' t�'' � WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, (x iLL114w --D. Soo4 4..05x (Itoense /pernvttee) • with a principal place of business/residence at: 933 J ig,A/5.- pool" l-14-rc/6-A o iv d,6 . (phone#) .24 Von s 9 (ati tzt/city/sta1elap) do hereby certify, under the pains and penalties of perjury, that: (-) I am an employer providing the following worker's compensation coverage for my employees working on this job: • A hE-121 c4 41 — •i r6e A/1j!toau A( Co+'t�, a i1 to 5-713 p 4/o 3 (Insurance 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: r: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) r. a, F' (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) t'r ,?� (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) .. ' • (Name of Contractor) (Expiration Date) (Insurance Company/Policy Number) (attach additional sheet if necessary to include information pertaining to all ooatradnrs) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. -t NOTE:please be aware that while homeowners who employ persons to do maierr-o•„-,construction or repair work on a dwelling of not more than throe units in which the homeowner midi or on the grounds appurtenant thereto arc oot generally oomiderod to be employ ra under the work-eel oompassation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of en employer under the Worker's,Compensation Ad. I understand that a copy of this ataemeat may be forwarded to the Department of Industrial Accidents'Office of Insurance for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties .. comisting of a fine of up to S 1,500.00 and/cc imprisonment of up to one year and civil penalties in the form of a Stop Work Ordc and a fine of S 100.00 a day against me. For dal use only -(14/44:•^:q ‘` Permit Number o/ 414t? Map# Lot# Signature of Li .�. +. 'ermittee te �p0 KAMp?, ,, Q.tit of Northampton a * � _ s��;.�� ��,�3� 1�85f ACI11f6ltt8 �'�� T 'i 4 .. 'ir= DEPARTMENT OF BUILDING INSPECTIONS _,1 f_ INSPECTOR 212 Main Street • Municipal Building '`�,4 5,. / Northampton, MA 01060 January 24, 2003 1 William Symanski 233 Straits Rd. Hatfield, MA 01066 RE: Stop work issued for 41Main Street, Florence Dear Mr. Symanski, I made a site visit to 41 Main Street, Dr. Levinson, and found that you have already started renovation(walls already framed out)without a building permit. Your application came into this office on August 29, 2002 and on September 4, 2002 I called and left a message on your phone that permit was not approved because you did not provide a fire protection narrative as required by 780CMR. The information has not been provided as of today's date and application still has not been approved. You are in violation of 780CMR state building code section 110.1 for failure to obtain a building permit before beginning construction and renovation. The fee for your application is doubled for starting work without permit and there is a $50 fee to remove stop work order. There is to be no more work at that location until a building is obtained ,you will face court action which could result in fines up to $1000 per day for each day violation continues as per 780 CMR section 118.4 and face the loss of your CSL. This letter shall serve as your notice of violation of your actions. Please contact me at 587-1240 upon receipt of this letter if you have any questions. Sincerely, ,,,. .... —,7.. .ZeLg________ , Anthony Patillo Building Commissioner City of Northampton CC: Captain D. Nichols Northampton Fire Department I. . •os a ervuce CERTIFIED MAIL RECEIPT ', (Domestic Mail Only; No Insurance Coverage Provided) 1111111.11.1111111.111111.1.11., n Building Inspector's 23A - 79 n I Postage $ 37 n ? Certified Fee D n _ I� J~ .. n Retum Receipt Feeel. os 3 (Endorsement Required) f _ 3 Restricted Delivery Fee 6.? ("i f > 3 (Endorsement Required) q J 3 Total Postage&Fees , ! �/ r 4 Sent To a William Symanski 9 street,Apt.No.; 233 Straits Rd 3 or PO Box No. 3 City,state,ZIP+4N Hatfield. MA 01066 Certified Mail Provides: ■A mailing receipt •A unique identifier for your mailpiece ■A signature upon delivery •A record of delivery kept by the Postal Service for two years Important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. •Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to provide proof c delivery.To obtain Return Receipt service,please complete and attach a Retun Receipt(PS Form 3811)to the article and add applicable postage to cover thi fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fa a duplicate return receipt,a USPS postmark on your Certified Malt receipt is required. •For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thi endorsement"Restricted Delivery". •If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Ma receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Fnrm 310111_January 2001 IReuernnt 102595-M-01-2A25 .ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X -it Az) ?1 -� /'c ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mail iece - • or on the front if space permits. 094--� .11Z/kNit/(� `��..frV / S D. Is delivery address different from item 1? 0 Yes I. Article Addressed to: If YES,enter delivery address below: ❑ No William Symanski 7 f3C 233 Straits Rd ' �` �"� f. Hatfield MA 01066 3. Service Type O Certified Mail 0 Express Mail O Registered 0 Return Receipt for Merchandise O Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes ?. Article Number 7001 1940 0005 1333 3330 (Transfer from service I 'S Form 3811,August 2001 Domestic Return Receipt 102595-01-M-25C UNITED STATES POSTAL SERVIG17 Pp first Clas os age Fees Pai P ltii USPS Permit No.G-10 • Sender: Please print uEne, address, and ZIP+4 in this box • Building Inspector's 212 Main ST Northampton MA 01060 o LEGAL 3 4 --7 sk. t,_,,,..,_,.,t,„ 4 to.,,„ U cry`,,.__,._ .:-.E4.. z;t =� Date NOTJ9E Article / 1 , Section of th Zoning Ordinance WHEREAS, violations of Article , Section of the Building Code have been found on Article , Section of the Code these premises, IT IS HEREBY ORDERED in accordance with the above Code that all persons cease, desist from, and STOP WORK at once pertaini to construction, alterations or repairs n these premises known as 7'/ /'„ 5/ —Z.4A LA- All persons acting contrary to this order or removing or mutilating this noti are liable to arrest unless such action is authorized by the Department. _ 1.‘--..-7///t-7 e.--4 /( ter. o, r<j r` ` BUILDING OFFICIAL