31B-307 Ernie's Garage, LLC.
72 King St. Complete Auto repair.
Northampton, Ma 01060 State Inspections
413- 584 -0716 413- 584 -6000
June 1, 2011
Louis Hasbrouck
Building Commisioner
City of Northampton
212 Main Street
Northampton, MA 01060
Dear Louis,
I am requesting that you grant a modification to waive the requirement for control construction in the situation at 72 King Street
because the work is minor in 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.
Should you have any questions, please contact me at (413) 584 -0716.
I appreciate your time and consideration in this matter.
Sincerely,
Ert
Property Owner
06/08/11 1:50:28 PM PAGE 1
COMMERCIAL /INDUSTRIAL PROPERTY RECORD CARD NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 31B- 307 -001 72 KING ST PLOT: Living Units: 0 Class: C 334 Card # 1 of 1
CURRENT OWNER /ADDRESS Neighborhood 303.00 FINAL VALUE FLAG: INCOME
BOOTH ERNEST T TRUST LAND DATA
- ASSESSMENT INFORMATION -
72 KING ST TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 8550 MARKT INFL 100 471,000 PRIOR COST INCOME CURRENT
NORTHAMPTON MA 01060
LAND 471,000########## 471,000
BLDG 306,300####### ### 301,820 306,300
TOTAL 777,300########## 777,300 777,3011
SALES INFORMATION
DEED BOOK: 10059 TOTAL ACREAGE: 0.196 TOTAL LAND VALUE: 471,000
DEED PAGE: 288 DATE TYPE PRICE VALIDITY
DEED DATE: 20091223 R
19760101 LAND + BLD 40,000 0
LAST UPDATE: % 2D +07/
ATTACHED IMPROVEMENTS COST APPROACH DETAIL:
TYPE M1 M2 M3 #UNITS LEVELS USE E WALL HEATING A/C AREA SF RATE RCN % GD RCNLD
OD1 100 1 2 01 TO 01 71 CONC. BLOCK HOT AIR NONE 71.78 184,910 .75 138,690
TO NONE NONE
TO NONE NONE
TO NONE NONE
TO NONE NONE
TO NONE NONE
TO NONE NONE
BUILDING # 1
YEAR BUILT 1960 TOTAL UNADJ RCN 102,730
# UNITS TOTAL UNADJ.RCNLD 198 050
QUALITY GRADE C+ GRADE FACTOR i.08
# IDENT UNITS 1
32 # EFFICIENCIES FUNC /ECON FACTOR 1.35
q # 1- BEDROOMS RCNLD 267,370
# 2-BEDROOMS
16 # 3-BEDROOMS
OUTBUILDING /YARD ITEM DETAIL:
DESCRIPTION WIDTH LENGTH QUAN. YEAR PHYS. FUNC. % GD VALUE
OR SIZE BUILT COND. UTIL.
TN6 6000 1 1987 NORMAL NORMAL 4,140
TN6 3000 2 1987 NORMAL NORMAL 4,140
TN6 5000 1 1987 NORMAL NORMAL 3,450
MS1 1500 4 1987 NORMAL NORMAL 6,000
PA1 2600 1 1987 NORMAL NORMAL 3,870
CP8 720 1 1987 NORMAL NORMAL 12,850
55 OTHER IMPROV MS1 =PUMPS
51 TOTAL OBY /YARD VALUE: 34,450
INCOME APPROACH SUMMARY: 1
TOTAL RENTABLE SQUARE FEET: Q ✓}
��. INCOME ADJUSTMENT 75
{
�
INCOME INDICATED VALUE: '
— 2 7 ...1—... ,
iiie
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
µ= Boston, MA 02111
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers
Applicant Information Please Print Legibly
n
Name ( Business /Organization/Individual): �� � ` RAIN C ktiCi la _
Address: ' ZG fit idcil A DAM \ NIA rsz> O 1A
City /State /Zip: Phone #:
Are you an employer? Check the appropriate box: Type of project (required):
1. ❑ I am a employer with 4. ❑ I am a general contractor and I
6. ❑ New construction
employees (full and/or part- time).* have hired the sub - contractors
2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub - contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. .00f repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13. ❑ Other
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
I. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
l'Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: City /State /Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify der t e pat nd penalti s of perjury that the information provided above is ru and correct.
Simature: � � Date: (C7 /l r
Phone #: 5 -
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: 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
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
, 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. ,
ir
Print Name w
Signature of •wner /Agent 67/(97(
ate
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Constructi Supervisor Not Applicable ❑
Name of License Holder : I a 17 't
License Number
Address / Expiration Date
° W 33' ?
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 No 0
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 ❑
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
i
h
Signature Telephone � _..�_._...._. �_.. _.
g pone Expiration Date
9.3 General Contractor
[ V1, "�* C'� ........... 14r' .1 Not Applicable ❑
Co any N me:
Responsible In Charge of Construction
Z , - �U.� __m...
Address 7
.....
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
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 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and /or Document #'
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO I
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES l NO 0
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 0 NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version1.7 Commercial Building Permit May 15, 2000 ,
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 W
CUBIC FEET OF ENCLOSED SPACE )
Interior Alterations ❑ Existing Wall Signs ❑ DemolitionD Repairs Additions ❑ Accessory uilc4inga 0
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofingf a Change of Use ❑ Othe ❑ i._
Brief Description Enter a brief description here. A«`" "
Of Proposed Work: ,--To ...._ �> �..�j�......____��'f.��___.�
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business 1 2A ❑
E Educational ❑ 2B r ❑
F Factory ❑ F -1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 1 4 El R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B
[ ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify: .s. ____. __ __ _ _ ____. _
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): ., ._ __..w 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)
15 1st
2nd _....... _ _ __ ._ ... .... ...... 2 nd
... . , .._..,,.,.— ..._ _ ,,. ,. _, rd ._...
3
°,
4 m 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 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system
'`'`.
' Version1.7 Commercial Building Permit May 15, 2000
1�� �'s De}artmju
er ant'
RE NED City of Northampton "t e '� �
Building Department C urCu �rnieuvaj Pet A it j
��
2 212 Main Street "4,,, er�f e idA y
Room 100 i a � l U O ft. a rla bi tjti
orthampton, MA 01060 T yci,$pts of Structural J s ,
of ' 3- 587 -1240 Fax 413- 587 -1272 Plott/ plans (.'
Ofhr 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
7e f C \1. aQ_Q-d Map Lot Unit
'1. V 1 r� A . Zone Overlay District
1
Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Name (Print) Current Mailing Address:
Signature d / Telephone
2.2 Author ed Agent
.. CA.' 1 r3 0 ( 1 'N . ' i.S G tiJa11.114,._17.6., awice_
Name (Print) / Current Mailing Address
d _
Signature / ,, L, Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
F
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) y7) Check Number Oy/
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -1094
APPLICANT /CONTACT PERSON PAUL MCCUTCHEON
ADDRESS/PHONE 1526 WESTHAMPTON RD FLORENCE (413) 584 -3352 0
PROPERTY LOCATION 72 KING ST
MAP 31B PARCEL 307 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out � ��
Fee Paid p 7
Typeof Construction: REPLACE ROOF SYS OVER NORTHWEST GARAGE BAY
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 062544
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOy.MATION 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
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.
72 KING ST BP -2011 -1094
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B - 307 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2011 -1094
Project # JS- 2011- 001760
Est. Cost: $4750.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PAUL MCCUTCHEON 062544
Lot Size(sq. ft.): 8537.76 Owner: BOOTH ERNEST T & CAROLYN A
Zoning: CB(100)/ Applicant: PAUL MCCUTCHEON
AT: 72 KING ST
Applicant Address: Phone: Insurance:
1526 WESTHAMPTON RD (413) 584 -3352 0
FLORENCEMA01062 ISSUED ON: 6/30/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE ROOF SYS OVER NORTHWEST
GARAGE BAY
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 6/30/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner