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THOMAS DOUGLAS
Architects Inc 136 West Street Northampton, MA 01060
phone: 413.585.0641 fax: 582.9882
To: Tony Patillo Delivery: Fax:
Phone:
From Tom Douglas Date: 4/24/09
Re: Toasted Owl Pages: 1 floor plan
Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ As Requested
Toasted Owl Review
21 Main Street
Northampton, MA 1
Proposed use:
No Changes to A2r use
Proposed occupancy
First floor change from 49 to 128 (not including 5 employees)
Calculation for occupancy:
Standing room: 147 square feet divided by 5 net square feet per occupant (standing room,
Assembly) = 29 people
Seats: 36 bar stools+ 21 bar stools + 8 booth seats + 34 chairs = 99
Total: 128
Fitzwillies occupancy: No change ;
2 009 i,.
pa
First floor Egress width required:
.15" for 124 people = 18.6"
Minimum egress width for A2r use: 36"
Existing toilets:
Existing sprinklers: A full sprinkler system is installed.
Proposed changes:
Install new exit door and exterior stair
Tom Douglas
Thomas Douglas Architects
136 West St.
Northampton, MA 01060
douglas @tdouglasarchitects.com
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��- DEPARTMENT OF BUILDING INSPECTIONS =1-`=
• 212 Main Street Municipal Building t l
Northampton, Mass. 01060 r'
WORKER'S COMPENSATION INSURANCE AFFIDAVTT
Pioneer Contractors
Oicenseelpermittee)
with a principal place of business/residence at:
•
P.O. Box 1145 Nnrthai ptor2, MA 01061 (phone;f) 91
(st rect/city /state/np)
do hereby certify, under the pains and penalties of perjury, that:
(V I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Wcc 5005957012001D
ARsor.iai Ernp.l.o.y rs Ins 6 /30 /iZ
(Insurance Company) (Policy Number) (Expiration Date) .
( ) I am a sole proprietor, general contractor or homeowner (cireie one) and have hired
the contractors listed below wbo have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Nave of Conn actor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(enact additional sheet if nn —•ry to mc]ude information pexaaining to all contractors)
( ) I am a sole proprietor and have no one working for me.
( ) lam a home owner performing all the work myself
NOTE: please be aware that wbilc homeowners who employ persons to do maintenance, construction or repair work on a dwouing of
not mote than three units in which the homeowner reside or on the grounds appurtenant thereto arc not generally ooaridard to be
employers under the worker's compensation Act (GL152ts 1(5)), application by a bomeowo r fora license or permit may amlen - the
legal status of an employer under the Worker's Cot pomation Art_
I understand that a Dopy of this ctatcmrut may bo forwarded to tho Deportnaccit of Industrial Accident Of5oo of Insurance for the
coverage veri&wtion and that failure to assure covcrngn under section 25A of MOL 152 can lead to the imposition of penalties
oomi3ting of a fine of up to S1,500.00 and/or imprisommart of up to one year and civil penalties in the form of a Stop Work Ord nod a
Eno of a day s.gaiast me
r
For ckpa tronkal use onl
/r' Permit Number
�` Z �' Ma Lot
AL II
Si+s tore of Licclisee/permi - • e
•
Version1.7 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
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Fembsted, Inc. as Owner of the subject property
Pioneer Contractors
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
02/23/2011
, ( - 11A/ "7 , 3 —
Signature of Owner Date
David Claxton/Pioneer Contractors
, 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.
Print Name
02/23/2011
Signature of Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : David A. Claxton 17890
License Number
P.O. Box 1145 Northampton, MA. 01061 01/19/2012
Address Expiration Date
��1 >1 (413) 586 -5491
Signatur 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
Version] .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
Pioneer Contractor Not Applicable ❑
Company Name:
David Claxton
Responsible In Charge of Construction
P.O. Box 1145 Northampton, MA. 01061
Address J O
(413) 586 - 5491
Signature Telephone
•
Versionl.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 DON'T KNOW Q YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES
IF YES: enter Book Page, and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 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 0 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 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
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 ❑ Existing Ground Sign ❑ New Signs ❑ Roofing El Change of Use ❑ Other 151
Brief Description Enter a brief description here. In existing Men's Toilet Room -- remove existing plumbing
Of Proposed Work: fixtures & interior finishes & replace w /new in same locations within existing footprint.
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 12 I A -3 ❑ 1A i ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F -1 0 F -2 ❑ 2C
H High Hazard ❑ 3A i
1 Institutional ❑ 1-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
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:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: A , Proposed Use Group: A -2
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)
1 5t
1
2 nd
2nd
3 rd
3
4 th
4 th
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 p Private ❑ Zone Outside Flood Zone p Municipal p On site disposal system El
.
.
. `
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• Q Version1.7 Commercial Building Permit May 15, 2000
Department use only
ity of Northampton Status ofPerlts
Z ( , ) ilding Department Curb Cutlirivevay Permit
212 Main Street Sewer/Septic Ava l b lity
Room 100 'Water/WeltAvoliabitity
dt Northampton, MA 01060 'fwro Sets of` Structural 'Plans .
phone 413 -587 -1240 Fax 413 -587 -1272 PlotIitePlans.
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
23 Main Street (Fitzwillys) Map Lo t Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
.Fembsted Inc. 23 Main street Northampton, MA. 01060
Name (Print) Current Mailing Address:
(413) 584 -8666
Signature >J L� Telephone
2.2 Authorized Anent:
Pioneer Contractors P.O. Box 1145 Northampton, MA 01061
Name (Print) Current Mailing Address:
(413) 586 -5491
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $8,300.00 (a) Building Permit Fee
2. Electrical $70Q.00 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing $3,500.00' Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) /o? / S— 11 Check Number /47' 191--
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -0695
APPLICANT /CONTACT PERSON PIONEER CONTRACTORS
ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413) 586 -5491
PROPERTY LOCATION 23 MAIN ST
MAP 32A PARCEL 138 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /i424/ /�W
Fee Paid �GJ
Typeof Construction: RENOVATE MEN'S BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 017890
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN] 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
2 -4 I V 1 )
Signature of Building 0 ficial 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.
23 MAIN ST BP- 2011 -0695
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A -138 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: PLUMBING REPLACEMENT BUILDING PERMIT
Permit # BP- 2011 -0695
Project # JS -2011- 001140
Est. Cost: $12500.00
Fee: $78.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): Owner: CHAMISA CORPORATION TO: HAMPSHIRE PROPERTY GROUP
Zoning: Applicant: PIONEER CONTRACTORS
AT: 23 MAIN ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586 -5491 Workers
Compensation
NORTHAMPTONMAO1061 ISSUED ON :2 /28/2011 0 :00 :00
TO PERFORM THE FOLLOWING WORK: RENOVATE MEN'S BATHROOM
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 2/28/2011 0:00:00 $78.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner