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gite amvnwnwealth o/ ✓ffavaachmselta
* _.= Board of Building Regulations and Standards
It t
s
a i HOME IMPROVEMENT CONTRACTOR
-�_ Registration: 124338
Expiration: 6/11/2007
Type: DBA
Paramount Construction
Todd Marsh
353 BALL HILL RD
—..,„
PRINCETON, MA 01541
; Administrator
girdin tral�REGULATIONS
' License: CONSTRUCTION SUPERVISOR
Number: 69091 131/196
Birth date: CS 08
Expires: 08/3112008 Tr. no 258.0
Restricted; 00
TODD M MARSH
353 BALL HILL RD
PRINCETON, MA 01541 Commissioner
•
•
•
9 5IWfP). I ..
O , y �� �--_
��
Ti/i112 of Northampton
irPee: E =_- . • _.
DEPARTMENT OP BUILDING INSPECTIONS —'
212 Main Street Municipal Building
Northampton, Mass. 01060 r'
WOR1ER'S COMPENSATION, MSURANCF
I, � DL • .- 1 v\ arse\ bdo- ►Parz�M n t i-, e,�
( p ittc) 353 13 j )4, ii r Z
. ii.h_a_p_s -pIace of burin l- r- r.sidea€.€ -at:
P tA..CF t', 0!) ill Unonc =)
VS 933
(so Jcity /sta1_cfap)
do hereby certify, under the pains and penalties of perjury, that
I am an employer providing the following ‘�'orker's corrinensanon coverage for 1ny
employees working on this job:
•
: NCSO LTA5u/VAGC_ p.32 0'7A 02
(Lnsuraam Cone) (Policy Nurbcr) (Expinion
( ) I am a sole proprietor, general contractor or homeowner (ciscie one) and have hired
the contractors listed below who have the following worker's compelasanon policies:
(Name of Connector) (I nsurancc Company /Pciic -, Nun ccT) (t_? :JIr'ruon Dalc)
(Name of Contractor) ansurancc CompanyPo!ic Number) (x—pirztion Date)
(Name of Connaeto :) (Insutatne: Company/Policy N:t>rbar) (Expirtioo Date) I
•
(Name of Contractor) (Insurance Comozny/PoUicy Number) • (Expiration Date)
(anxch : &it oc,i .t if noo w • to incu& infort2116 oo persaiain6 to .L oosr-_cors)
•
( ) I am a sole proprietor and have no one worltng for me.
( ) I am..a home owner performing all the work myself.
NOTE: pica Ix nw d1.1 hcmcouvcrs mho to pc-zoos to do r- .:•-t.- c=s.:e.ao c rrtair work on c dwc.(L;6 of
not mote tb. n t rcc tmrs in which the bocnoouver ren 4e3 oc oo the 6rou `� zppirtcaar3 theeo c-e cot canc.-211y oar dpi w be
craploycs t, r the wu-kcem oacc.., Aa i
GL152n! 5
t � )� a.pplit=lcioa by a homoow-inc for c lie:ar_ a permit toy e.'rdenrx the
1ega.I nz'uc of ea cgloyoc uodcrrho Wo-kcet CocapocoAlka Ad
I undo-mu:4 the a copy of chic cater may be foca.ordad to tbo Dryartmcct of I.�•rrid Accdosti offioo of l+rz.rc000 for th.
govt - c v, fJc jco and thu L•ikac to so cure lovcin6r ur section 25A of MOL 152 csa lead to the i=position of oritninst peaalliez
coati-sing of c One of up to S1.300.00 and/or imprisovmeH of up to one year cod civil pcnal'.io in the focal of . Stop Wort; Order and
fin. of s100.00 a day a y;,in i me
t For dcq-al ET r i:iiii � •gc
Sigma turt of Lioca scc/Pctmiucc Hate
Versionl.7 Commercial Building Permit May 15, 2000
f ,.
SECTION 10 STRUCTURAL PEERREVIEW (780-CMR 110131
Independent Structural Engineering Structural Peer Review Required Yes 0 No
SECTION1- =OWNER AUTHORIZATION -TO =BE- COMPLETED :WHEN
OWNERS AGENT OR CONTRACTOR APPLIES- , FQR-BUILD1NG'!P_ERMIT
1, I as Owner of the subject property
TO(9c� A). r
hereby authorize' to
act on my behalf, in all matters relative to work authorized by this building permit application.
• I
Signature of Owner Date
7 )(' ("L" I, 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 a Iti s of petit'
Print Name (7;2
8- 4 6
Signature of Owner /Agent Date
SECTION 12; CONSTRUCTIONSERVICES
10.1 Licensed Construction Supervisor: Not Not Applicable ❑ /]
Name of License Holder : � ' r5 1 i 401114
License Number
! I
Address Expiration Date
3S CluA1 t l I Pc,0 Pt'\/kc flick 0 tc ti t I
Signature �,( � Telephone
��
'17 Fr Lrd. 3 3 30
SECTION 13 -WORKERS COMPENSATION INSURANCE AFFIDAVIT (M:G L, c: 152, §
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 No 0
r
Version1.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION'SERVICES EORIWILDINGS 1ND STRUCTURES SUBI
CONSTRUCTION CONTROL PURSUA'NT'T0 780 CMR 11$IGONTAINING MORE TltJ4N 35 oOac F. OF.ENGLOSEDSPACE)
9.1 Registered Architect
I Not Applicable ❑
i
Name (Registrant):
Registration Number
Address
} Expiration Date
r
Signature Telephone
9.2 Registered Professional Engineer(s):
— i 1
1 — ;
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
1
Address Registration Number
I
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
t !
Signature Telephone Expiration Date
I I
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
1
Responsible In Charge of Construction
Address
Signature Telephone
• Versionl.7 Commercial Building Permit May 15, 2000
° °� a ®ea i
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size i 1 t
Frontage i j1 I 1 •
Setbacks Front - 1 i ; 1
Side L: ; R: L: 1 R: j -?_
r- r--,
Rear 1 l i 3
- Building fletght 4 ,------5 i
Bldg. Square Footage f 1 1 % (-
Open Space Footage % {
(Lot area minus bldg & paved 1 I F 1 E I r ---- 1 t ,
parking)
# of Parking Spaces
Fill: ' l
(volume & Location) i'
A. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO fliP DONT KNOW 0 YES 0
I
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO t DONT KNOW 0 YES 0
IF YES: enter Book j I Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO , DON'T KNOW 0 YES 0
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
0 NO
IF YES, describe size, type and location: I
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO es do
IF YES, describe size, type and location: 1
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 ®' NO e
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
1
1
Version1.7 Commercial Building Permit May 15, 2000
t..
SECT C S RODE TStESS THAN 35;000
CUBICFEET01 =1 Nel S 'GE ° .. ;'
Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑
Brief Description , Enter a brief description here. /
Of Proposed Work: i keir@ t i l(l t ' 1 � �J�Q '7 > `� 11 e� S► 1l e
-....___,,.,
SECTIONS- USE- GROUP=A !�DcONSTRUGTTO11,
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
-- A-4 ❑ A ❑ 1 B I ❑
B Business ❑ — 2A ❑
E Educational ❑ 2B I 1:1
F Factory ❑ F-1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B El
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 El 5A ❑
S Storage ❑ S -1 ❑ S-2 ❑ 5B ❑
y
U Utility Specify: I I
M Mixed Use 0 Specify: 1
S Special Use 0 Specify: }
►
: . - - . - E 4 , - ; 0 1 6 , G , _ ADDf'RONS. 74D/ORR-CHANGEIN'USE
Existing Use Group: I Proposed Use Group:
Existing Hazard Index 780 CMR 34): 1 I Proposed Hazard Index 780 CMR 34): I
= SECTION 6131111.Di1 G NEIGRTa4T113,,,
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION „,,,,,,,:4_, '�,, ' ° c T
s t „ fib 4 Z
Floor Area per Floor (sf) e. r7 . 1 1
4 s
1st I � � ^ W, ,
15� ' i - .
i '' ■
2 ( 2nd ; 4 - - ' E*- --
3rd i 1 3 1 1
e ak ^c',.1 "ms a We y "-” .
4 di ? t 4' -.-..2,---I::1- i s F Z '"€"
F ma
5 ,L5 � R" 2 - as - k
Total Area (sf) I Total Proposed New Construction (sf) " � ,.. • Total Height (ft) ` - `" '. -; � . -
Total Height ft I .
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Is I Outside Flood Zone❑ Municipal ❑ On site disposal system❑
t
Versionl.7 Commercial Buildin• Permit Ma 15, 2000
7 -7 ..°.x F +t ®t -F� a
r „' s 5 ' ‘ -' �` may . ,
_ City of Northampton :-.---• � ,, , , 7
. � Building Department .
y ' -, I 212 Main Street - � ° . ` j �i
Room 100 l b, . %: %
1- -i i i s
-. r -3 1 1 2006 Northampton, MA 01060 "'° ` •- F� 3 z i r -- 7, � � k
phone 413- 587 -1240 Fax 413- 587 -1272 _ - „ a-
. te r: -
APPLICATION TO CONSTRUCT_, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
_ OTHER THAN A ONE OR TWO FAMILY DWELLING
''SECTION-V- S1TE`INEORMATION 't
� s se on to be com of cP o �
__ -_'ATI - Property - Address:
x
,„,,,,,,V.4:--4„,, ' - .a- w..zti/ ::tea` - re ,-`., 10 , „ .* ;' PP k e x-f: - . . +-`;, ,,,,,", -- : f
� " (� pQ� l i if t
E � � r lUAlX 1 �� "(J� I � � ",-'"I''''.54!: ni
( l a �- i 6 3 I` t . WIC. �w. ✓asw . w. w . '.,,y'"'-w�' -" w.8' .r .�.
I D E C
hl aAT +� ►MPTt ' � 2 � x • , y am , - - . �
i o a_:_ CB Ct _ .r::c
SECTION 2.. PROPERTY O{NINERSI IPIAUT A GEN r L
2.1 Owner of Record: , 6 6 �( ,Z
' lj Rf w (V\4Rs` -� ! XI R► x. oAaio
T o 1- 1 q
l
Name (Print) ' Current Mailing Address:
) J Qtot) L i �
X Signature Telephone
2.2 Authorized Agent:
.6 Q c I I 3 84 1( Ht(I 'Qc2 P Mre1H 06 k-0(5 4 1
Name (Print) Current Mailing Address:
. J/lik./4 1 9 7fr L a30 1
Signature . J Telephone
SECTION.3, ESTIMATED : CONSTRUCTION<COSTS
Item Estimated Cost (Dollars) to be OffictaLUse Only -
completed by permit applicant .' .. _ ._ _,- - ._.. ' - .. _
1. Building 1 (al.BuildingPerrnitFee
/ S00
2. Electrical I „y' (b I Estimated Total Cost of
- rte 4 ` ! Cons ri.ict on :from (6) 1
3. Plumbing ( i i Building.Permit'Fee
4. Mechanical (HVAC)
!
, l 1
5. Fire Protection I
6. Total= (1 +2 +3 +4 +5)
X5 --Check Number .5
:.., . ,.u: ... r . . ...... ,..._T,fai S or Official' use- only
BuiIdin Nurn' x r, Date
Issued;
P
Signature:
'vilding Commissioner /Inspector of Buildings Date
File # BP- 2007 -0268
APPLICANT /CONTACT PERSON TODD MARSH
ADDRESS /PHONE 353 BALL HILL RD PRINCETON (978) 423 -2330
PROPERTY LOCATION 127 - 163 ROUND HILL RD
MAP 24D PARCEL 317 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Q
Fee Paid L/ 0 30_
Typeof Construction: REPAIR SAGGING FLOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
Signature of ilding 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.
x
■ `ROUND HILLaRD :. *'
BP- 2007 -0268
GIS #: COMMONWEALTH OF MASSACHUSETTS
Iap lock: 24U 4 . 317 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2007 -0268
Project # JS- 2007 - 000404
Est. Cost: $7500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 34020.36 Owner: RHR ASSOCIATES LLC
Zoning: URC Applicant: TODD MARSH
AT: 127 - 163 ROUND HILL RD
Applicant Address: Phone: Insurance:
353 BALL HILL RD (978) 423 -2330
PRI NCETONMA01541 ISSUED ON :9/14/2006 0:00:00
TO PERFORM THE FOLLOWING WORK: REPAIR SAGGING FLOOR
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 9/14/2006 0:00:00 $50.00509
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo