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32C-119 (2) H f CUNT 1 _ u) ill ( : O 00 -_ w J n Z l--Q i" z W M w ) "'O .- 2 -zo (7, BEAM , A CL BEAM B CL ce 0:1 0 8 NEW POSTS 2 STORIE D N TO SLAB F A THESE AR TEMPORARY SHORING z �? TO CARRY 2 EXISTING CLEAR SPAN FLO TRUSED BEAMS WITH FAILING a_ � REACTION POINTS AT BRICK WALLS CL REMOVE s NOTE; THE CENTER 4 POSTS A RE FOR I 0 z � � � = o PLA FIXTUR —J _ Z � � , ��, � n �., ; '`"a� � ,�,� � �� . � PHASE TWO JACKING TO LEVEL THE � � � ROTTED WOOD 2 FLOORS ABOVE. THEY ARE TO BE 1. I \ t— x � � SET UNDER EXISTING TRUSS POSTS TH � °� � � �� & TRIM N Lii z s z � a r a» A ORY T co cx �. ARE ABOVE t u.. m � �� _ ALL F LOORS + BOTH WINGS. 3 ST = � � � � `� � fi � ; ' � � ._ ...! ' . .. � .�- +B ASEMEN g.. m W O D D FLOORS WIT II 0 � d G O FLAT 8 � � � . AR 2 SLOPED BUILDING B — Z L ROOFS CL STORY WING J �d� � � • t " a PARS ©: ISM � t� P i�S ' � . '� a. � � TO REMA ;. " m S GRADE WITH O Z L. NO 1 ROOF ON IN,. 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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 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. 1 Signature of Owner Date v-- l ,..... , 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 ains and penalties of perjury e i Cam �l Print Name - 6 (2-0 (--- ( A L,.. C, ,_,.., 11.1,i4 Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder . i,, . "`- !?t ' Acv License Number , 3 S -` ' - _ v c -: rte. S � 38 Addr.� / Expiration Date ?-.III t, - (eb s• 9 9 101141 C D Signat 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 J No 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 Signature Telephone Expiration Date 9.3 General Contractor S psL Ti ��, . Ca Not Applicable ❑ Company Name: Responsible In Charge of Construction fs3 S . i A liND - Address ) -----.-1V-17.---A `f.13- Sb3 • G 1 39 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 0 / (Lot area minus bldg & paved parking) # of Parking Spaces Fill: 1 (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO Q DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q 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 0 , Date Issued: C. Do any signs exist on the property? YES 0 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 Q NO O 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 EZ(Dem o I i t i o n ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. / Lg AJR tZ x15 kr % °1 -1 Of Proposed Work: : Rt t -A0 Vt1 C.oL(- APSi � Roo 1.�f xS6) ti. X.Tt a/t `4314 vc.s (0 N 4. 5 ra 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 ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C 0 H High Hazard ❑ 3A ❑ I Institutional ❑ I -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 I ❑ 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: Proposed Use Group: _!.. 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 st _ . 1 st 2nd 2 nd , 3rd 3 rd _. _ 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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ 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 Water/Well 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 r Map Lot Unit 11 � "' ' -<r4--.1 t tk ,t „rte Zone Overlay District ._ - �.... V`/ ... ... Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current Mailing Address: `} t 3 5 5 o`t q'!-1 Signature Telephone 2.2 Authorized Agent: Current Mailin Address: Name (Print) y (3- Sb3 (e(031 Signature Telephone SECTION 3 - ESTI ATED CONSTRUCTI N 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 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number gym S This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP -2010 -0616 APPLICANT CONTACT PERSON SACKREY CONSTRUCTION ADDRESS /PHONE 83 SOUTH MAIN ST SUNDERLAND (413) 665 -9995 0 PROPERTY LOCATION 15 CONZ ST MAP 32C PARCEL 119 001 ZONE NB(96) /URC(4)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid tV40 Typeof Construction: REMOVE COLLAPSING ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: S'Cp$!l.y�AT10 Owner/ Statement or License 040714 Al wf b En, Plo A R.Ctll'IGCT PoR W L.L. A 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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. 16 +NZ ST BP-2010-0616 GIS #: COMMONWEALTH OF MASSACHUSETTS ap:p1ock: 32C 119 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2010 -0616 Project # JS- 2010 - 000898 Est. Cost: $5000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SACKREY CONSTRUCTION 040714 Lot Size(sq. ft.): 1 1848.32 Owner: POWERTENINTWO LLC Zoning: NB(96) /URC(4)/ Applicant: SACKREY CONSTRUCTION AT: 15 CONZ ST Applicant Address: Phone: Insurance: 83 SOUTH MAIN ST (413) 665 -9995 0 Workers Compensation SUNDERLANDMA01375 ISSUED ON:12/23/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE COLLAPSING ROOF; Letter from Architect detailing wall support must be submitted prior to final signoff 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 12/23/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo