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32C-041 Nla..achusetts - Department of Public s it'et∎ Board of Budding. Re2ulatiun. and itand:it Construction Supervisor License License: CS 60700 Restricted to 00 ROBERT A BARLETTA 11 WEST ST FOXBORO, MA 02 ,35 Expiration: 3/4/2011 c unmi�.i n�cr Tr=: 11532 BARLASS -01 MEMA ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 2/18/2010 PRODUCER (508) 852-8500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Protector Group Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 100 Front Street, Suite 800 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01608 -1435 INSURERS AFFORDING COVERAGE NAIC # INSURED Barletta Associates, Inc. INSURER A. Travelers Insurance Company 11 West Street INSURER B: Foxboro, MA 02035- INSURER C INSURER D. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSYR ADO'L POLICY EFFECTIVE POLICY EXPIRATION — -- -- LTR I NERD TYPE OF INSURANCE POUCY NUMBER DATE IMMDD/YYI DATE IMMIDD/YM LETS GENERAL UABIUTY LEACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY C00964M956 2128/2010 2128/2011 l DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 �..._ 1 CLAIMS MADE I X _I OCCUR MED EXP (Any one person) $ _.. 5,000 PERSONAL 8 ADV INJURY 1 $ 1,000 +000 I GENERAL AGGREGATE { $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER % PRODUCTS - COMP/OP AGG I $ 2,000,000 PRO- f POLICY I X1 JFCT [ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A j ANY AUTO 8100964M956 2/28/2010 2/28/2011 (Ea accident) ALL OWNED AUTOS I .'! BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ i -_. - -- -- (Per accident) I GARAGE UABIUTY AUTO ONLY - EA ACCIDENT t $ ANY AUTO OTHER THAN EA ACC ' $ AUTO ONLY: AGG $ I i EXCESSIUMBRELLA UABILJTY EACH OCCURRENCE $ 5 A X I OCCUR I I CLAIMS MADE CUP0964M956 2/28/2010 2/28/2011 AGGREGATE 5,000,000 DEDUCTIBLE I $ X 1 RETENTION $ 10,000 l $ WORKERS COMPENSATION AND X TORY LIMITS I j u4_ EMPLOYERS LIABILITY -- —00 A ' UB0964M956 2/28/2010 2128/2011 E L EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE - -- OFFICER/MEMBER EXCLUDED? 1,000,000 N es, describe under E 1. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below ; E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SAMPLE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 Ajc 7 a),/t/t A i 4),f_r?-/..i.44 ___ a A/ 6/2 3 0 AfrAt. ,e s- , r PLEASANT ST • :. :i. 4, 1 , ;•,::: '6 •i s ;-.. 3 ,r,' , =CARPET TILE =SLATWALL I../ =NEW FLOOR - '''t%Zir , ' • *=' y Lj-- !!..7°_•.°7- - _. _ .. LZZI 1.....1—,-,--, jr1 =STAIR GATE ' ' ■-'.. t '," '..; t+ g A 1 1 =SECURITY GATE a -=, a ffg' a' rerzax =REPLACE LOCKS - - - -- _ 1:3 GATE IS FOR STAIRS GOING DOWN ....' 1 I I f .!.."- 14' -0' ..'• I . - i 2 . • - '''''--- e--- -- gt4TERQ —I L.i=m • . •r— - 1 I • ,-17?-■ I 8 P i 3 - g‘ 1 i i 1 ----- I A CS. 4LL J:mum. 1 ! - Trident 3116" = 10" - IN) --- 04 2010 .16. I " 1 - 44 Pleasant St, Northhampton, MA . • . . : Realty Corporation I 1 ce,Nnv ; 1 JRL : DRAFT Tr!! --- --- 1ST FLOOR PLAN IWO., In. San IWO MAN NS I „ ,, tworown,Ast NA most /ViWYr-"Gi le C044 fel— i 0 PLEASANT ST --, •••• ,::: s' d i, FS 4 6 , ; 7.• et I • ; . : 6 C r • . i' '-;.• = ,=7,7,:;•,,,•:_;:g • 111 = DEMO . , ,i r • ••;-, 7 ., ;',. ..; ,,,,, g : L '... COMNIONIMilli."— P., MEM.= ... 1 , ■i:.. I 1 1 1 . I 1 r‘" I ' I 1 I I 1 i : 4 I I I I 1 ■ I ' i I ,'...• 14 .1 1 i i r , A .2 .: . IT1'4"' j ■ : '2 . 4 ' ■ T. I I - - . 9, r rk 1,- ■ , I , 1 i i 1 I i 1 1 1 1 I 1 . I. . -7 , 14 1:1 Jc' 11 0 t.1 TO BE LOVi I i A A 1 i i r- c, ' .-,4 ■ ..., ,-. 1 1 1 . 1 : • li i i . , •,0'; 6 I ■ .:.. 1-- i I 57' VICO f- t 3116" 1'0" : _ . . : Trident r...) r„...) o, 04.16.2010 1 4 Pleasant St, Northhampton, MA t : , - sealtycolvomwm I . i..) 1 PelE5C 1,5 474 -7 'lc I 5 5. 5 5,--4 - 15- ell' UP Mr hen. 85111.0350 POP.. NB all= liPTYPCPCIR leAC IPIOSI ! I I JRL DRAFT 1ST FLOOR PLAN 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 Q No ©/.°'. SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT G , as Owner of the subject property hereby authorize /7o �3 r' ,4 ' to act on my behalf, in all matters rela • e to work authorized by this building permit application. St ire of Owner Date I, k.tr r� L .7ti , 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. `D' 3k47,/ 42 , r3",122 Print Name z7 ure of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : /?o' Es?/" License Number A.. -ss Expiration Date S0 - yl: -e9' 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 build' g permit. Signed Affidavit Attached Yes No 0 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 i3 +.�, ► N - $ Not Applicable ❑ Company Name: "Zdgi. /1 - / Responsible In Charge of Construction Address Mk , OAF fir, Signat ‘5111... Telephone Version l .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 GY YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW (3 YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO e( DON'T KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES el NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES S NO Q IF YES, describe size, type and location: %3 i3rr19 54i- +Ti (-£ AL y, a °tom: t / _ �7G =� L 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 Q NO G—^ 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 ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. / 2.2,...,..:,-,, , c._ ... .-3 ., .1-- e ). I BS Of Proposed Work: 2—J4-,f rL'17'u.- ii, 74 v, eider / %� s 4 1/Fc'l72 iC. SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ ,,_,/ A-4 ❑ A -5 ❑ 1B ❑ B Business lfd 2A 2 E Educational ❑ 2B ' ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B 1 ❑ 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: 19,�s' ��s r Proposed Use Group: /9" s • .�f t S' 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) 1St - 3 Lc 3 s " 1 st J' 2.:._, S i r fw+3 - ci,cS 2nd C.> 2 .>i .....s' .....s' 2nd �gA),:)}C6u) » e F rn�( / (AAA/F.3,r /5it:,i,.. s f Ct`.'I.7 3rd 3 rd 4 th 4 th Total Area (sf) Z'2CC s Total Proposed New Construction (sf) A, ? 2 t'F' Total Height (ft) Total Height ft 7. Wate Sg pply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public �j/ Private ❑ Zone Outside Flood ZoneEr Municipal Er On site disposal system Versionl.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 WaterNVell Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 - 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 38 ',4s"..,r Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 7j ; -r / c 211 /7 -jj /-) „, 42,7 Name (Print) / - -- - Current Mailing Address: ! x . 6 Signature Telephone r' 7 - 2.2 Authorized Agent: "512' L Sv /4i'4- ; ?: ;'30--:7 Name (Print) Current Mailing Address: L`" r SignatureCt l! ^ Telephone 5' - 5 - Y9 SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 0 4. Mechanical (HVAC) 0 5. Fire Protection /0a0 6. Total= (1 +2 +3 +4 +5) 97b Check Number /6 // 0 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2011 -0068 APPLICANT /CONTACT PERSON BARLETTA ASSOCIATES INC ADDRESS /PHONE 11 WEST ST FOXBORO (508) 549 -0900 PROPERTY LOCATION 38 -44 PLEASANT ST MAP 32C PARCEL 041 000 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /6/ Ogg lQ Typeof Construction: NEWBURY COMICS - REMOVE NON BEARING WALL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 60700 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: i'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 j - T'`'c..b /94 -111"L / 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. 38 -44 PLEASANT ST BP- 2011 -0068 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 041 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Non structural interior renovations BUILDING PERMIT Permit # BP- 2011 -0068 Project # JS- 2011- 000060 Est. Cost: $41000.00 Fee: $246.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BARLETTA ASSOCIATES INC 60700 Lot Size(sq. ft.): Owner: TRIDENT REALTY CORP C/O HAMPSHIRE PROPERTY MGT Zoning: Applicant: BARLETTA ASSOCIATES INC 47'.! 38-44 PL ASANa;T ST Applicant Address: Phone: Insurance: 11 WEST ST (508) 549 -0900 WC FOXBOROMA02035 ISSUED ON: 7/30/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: NEWBURY COMICS - REMOVE NON BEARING WALL 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: ea' / b d Driveway Final: Final: Final: S® 3 4 ' Rough Frame: Gas: Fire Department Fireplace/Chimney: A .,=» _ Oil: Insulation: Final: S a#e: 4 c 1 7 ,JS , o i - pi, .,4,,, Final: ( k T - 2S- I0 cv04-\ Co . s 1.S-1ci a,". I NORTHAMPTON UP VIOLATION OF THIS PERMIT MAY BE REVOKED BY THE CITY OF ANY OF ITS RULES AND ' ' 1 �, S ` . /4. Certificate of Occupant Signature: FeeType: Date Paid: Amount: Building 7/30/2010 0:00:00 $246.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck— Building Commissioner