31B-144 (6) WRIGHTBUILDERS
1 N C O R P O R A T E D
48 BATES STREET
NORTHAMPTON, MASSACHUSETTS 01060
November 23, 2011
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
RE: Building Permit for:
120 -122 King Street
Northampton, MA 01060
Dear Louis,
We respectfully request that you grant a modification to waive the requirement for
control construction for the project at 120 -122 King Street in Northampton because the work is
of a minor nature, will not affect health, accessibility, life and fire safety, or structural
requirements and is impractical in that the cost of control construction is considerable when
compared to the cost of the proposed work Thank you for your consideration.
Please let us know if you have any questions or need additional information.
Sincerely,
Linda Gaudrea
Operations Manager
Cc: Torn Lucia, Project Manager
l
EPHONE 411-566 -8287 A, FAX 41 587 -92i t, ■ ELECTRONIC MAIL: int,“ ht- buii(I(rs com
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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 1 N
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, V ` > l t► i ti 0 4 , (S 44 1 4.4 4 t , as Owner of the sub
hereby - thorize IA i 4 7 '(-4 3 i " / +N/ G ,
a • ■ • •ehalf, in aim= r =l- i - to ■•rk authorized by this building permit application.
ignature of : ne Da -
I, V' P P li'I Ut v , IN c-- , as Owne Authorize.
Agent ereby declare that the statements and information on the foregoing application are true and accurate, to the best of my know',
• •elief.
Signed under the pains and penalties of perjury.
M 0 1,4aPt
Print Name
�� .rr i
Signa ue of Owner /Agent Date
S. ION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction L, ( Not Applicable ❑ 9 f,
Name of License Holder : (h 1 , ` 1 1 i '�) 9 M ` O ' lV� / b 2 / V
License Number
(Et? a Cr., ikftsfrotil-me MA (114/11
Address �� /L �i� Q' (� Expiration Date
uQ1b'44
Signatu : 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 rest
in the denial of the issuance of the ilding permit.
Signed Affidavit Attached Yes No 0
____ ........i.NINIIIMMNIEN.m.milmiNINsi mmiliMaimmilaiwormwimi... mwr . 1■1•m ... mnsow.r
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
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
(A I Pi) 1 L4St f Not Applicable ❑
Company Name: ifyc...0 ff upc- 1°t sib
Responsible In Charge of Construction (0 / §-Q, I0--
Address
5a,-w9
Sign2V` Telephone
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A
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Version1.7 Commercial Building Permit May 15, 2000 pp 4' O
8. NORTHAMPTON ZONING 1�� t
./
Existing Proposed Required by Zoning
This column to be Oil n by
Building Depart • nt
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 S p . es
Fill
• ume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW X YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained O Date Issued:
C. Do any signs exist on the property? YES X NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO v
IF YES, describe size, type and location: 4 �
E. Will the construction activity disturb (clearing, grading, exca tion, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
1
Versionl.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 ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration I, Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑
Brief Description Enter a brief description here. h f -oc4'' Dve4- 9i St'P G-
Of Proposed Work: ('O("" T� F p s'. w lQ
'
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ i 1A I ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business X- 2A ❑
E Educational ❑ 28 I ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 38 ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ _ S -1 ❑ S-2 ❑ 5
NtC
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: p Proposed Use Group: ,F'
.}�!
Existing Hazard Index 780 CMR 34): -R� Proposed Hazard Index 780 CMR 34): AP
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf) /
1st 1st
2nd 2 nd
3rd 3rd
4 th
4
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 Sew- •e ► isposaI System:
Public X Private ❑ Zone Outside Flood Zone Municipal ,Z4 On site disposal system❑
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Versionl.7 Commercial Buildineermit May 15, 2000
REC EIVED Department use only
NOV I V ity of Northampton Status of Permit:
wilding Department Curb Cut/Driveway Permit
8 �0!! 212 Main Street Sewer /Septic Availability
Room 100 Water /Well Availability
- DEPT. OF BUILDING INSPECTIONS N rthampton, MA 01060 Two Sets of Structural Plans
SON Rolle 41 587 -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
1 G ) ' 19 -- la-a- k--; tic, gmQzEr Map Lot Unit
N o P pro 0 i MA 01'64 b Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
"NZ-. 4 , U011,3 M I iNr 1 hl V") Y F Sr ,, Nv �7�r N
Name (Print) Current Mailing Address:
Signatur-_ `..� _A, ■ Telephone
2.2 Authorized Agent:
Vii e' 1 (4 - hit / vie-1).1.1/61'k ctB f A- s No fi -- /k0igiJ
Name (Print) Current Mailing Address:
I r 6 —1 )
Signature 7 *SIC Telephone /�►
SECTION 3 - ESTIMATED CONSTRUCTION COSTS X *.40/600.. � = $30s-'- 4 J, ^ M/ti 4
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $ 5 00 (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) It 5106 Check Number
J . / to l_ /5
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
Allimummilmomm
C. 0.
File # BP- 2012 -0505 F f ( 4311f ' J' -
r�A\* r+.=
(4 , 0 3-1,1- 4 c(
P- fl
APPLICANT /CONTACT PERSON WRIGHT BUILDERS et
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116) F.ri N krt/f:
PROPERTY LOCATION 122 KING ST
MAP 31B PARCEL 144 001 ZONE GB(100)/
V �
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out � /649 s$6(1 Fee Paid
Typeof Construction: ADD ROOF OVER EXTERIOR STAIR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 16370
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFC32MATION 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
Demolition Delay
ZZ. i r
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,
;2 KING ST BP- 2012 -0505
Is #: COMMONWEALTH OF MASSACHUSETTS
Iap:Block: 31B - 144 CITY OF NORTHAMPTON
,ot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
'ermit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
7,ategory: renovation BUILDING PERMIT
Permit # BP- 2012 -0505
Project # JS- 2012 - 000843
Est. Cost: $5000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 16370
Lot Size(sq. ft.): 8363.52 Owner: 120 KING STREET LLC
Zoning: GB(100)/ Applicant: WRIGHT BUILDERS
AT: 122 KING ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586 - 8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON :11/28/2011 0:00:00
TO PERFORM THE FOLLOWING WORK :ADD ROOF OVER EXTERIOR STAIR
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 11/28/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner