25A-182 (6) FROST WALL REPAIR DETAIL
DEMO:
AT BUILDING #1 UNIT 24
REMOVE DEGRADED PORTION OF SLAB IF ANY, REMOVE
DEGRADED THRESHOLD, REMOVE DEGRADED CMU FROST
WALL DOWN TO FOOTING. IF NO FOOTING IS PRESENT, POUR
NEW 16 "x8" CONTINUOUS FOOTING WITH 2 - #5 REBARS NEAR
CENTER ACCROSS OPENING AND ROD OR KE 1 TO ALL.
ALERT ARCHITECT IF DEGREDATION EXCEE S OP NNG
NOT
EXTE T OF FROST WALL DE 3REDATION
SHALL BE ASSESSED AND MASON SHALL
REPLACE ALL QUESTIONABLE MATERIAL.
NEW SLAB IS 4" THK AND CAST WITH
6x6 WWF MESH ON 6 MIL POLY VAPOR IF DEGREDATION EXTENDS UNDER OPENIN
BARRIER ON 6" WASHED STONE ON JAMBS, ALERT ARCHITECT IMMEDIATELY
GRAVEL COMPACTED N MAX. 6" LI (MINQR C CKS AT HEADER MAY BE
FTS; ALSO BEND #5 REBARS FROM MINOR SE TLING)
FROST WALL CONTINUOUS INTO
SLAB; DRILL AND EPDXY THIS REBAR
. INTO REMAINING SLAB MN. 4" __ REPAIR PAVING ■
NOTE:
COVER EXCAVATED z
MATERIAL WITH TARP th,
8" THK CONC. FROST WALL WITH 2 - #5 ,
REBARS 8" FROM TOP AND BOTTOM
AND VERTICAL #5 BARS NEAR
CENTER INTO SLAB N AB 18 AND CONTINUOUS
INTO MOISTURE PROOF
@ -4
EXTERIOR AND TOP (BITUMEN OR
OTHERS) - ASSUME EXISTING CMU
BLOCKS WILL KEY WITH NEW AT
EXISTING EDGE.
16 "x8" FTG WITH 2 - #5 REBARS NEAR - • • I ` I
CENTER AND RODDED OR KEYED TO , ,
,
FND WALL, MOISTURE SEAL TOP OF
FOOTING WITH DRYLOCK OR EQUAL
6 ►I SPACED FOR RENT, FROST WALL
- SCALE 94 INDUSTIRAL PARK I DETAIL i
NORTHAMPTON, MA
0 1 1 ► 2 ' 3 ► SCALE : AS SHOWN r THESE DOCUMENTS ARE THE PROPERTY I OF 1 1
-- -- EFFREY SCOTT PENN, ARCHITECT,
DRAFT: 24 OCTOB 2012 TEL. 413- 667 -5230, AND MAY BE USED ONLY Al /� • FOR THE DURATION AND SCOPE OF THIS 11 1,
PROJECT j
i
ARCHITECT
J E F F R E Y S C O T T P E N N
77 Worthington Road, Huntington, MA 01050
tel. 413- 667 -5230 fax. 413- 667 -3082
ispsed@verizon.net
Client:
Robert Foote
Project:
Frost Wall Repair and New Roof
Spaces for Rent, Building #1
94 Industrial Park, Northampton, MA
24 October 2012
Building Commissioners
Northampton City Hall, Puchalski bldg.
212 Main Street
Northampton, MA 01060
Robert Foote recently reacted to a serious roof leak by proceeding with a new roof
over the front 1/3 of Building #1. He was unaware of the requirement to request a
Building Permit and has asked me to review the work and request the permit for
the new roof and another repair needed. The second repair is to a degraded non-
structural threshold at unit 24 in the same building. I have produced a sketch of the
proposed repair of the frost wall and threshold. The small amount of excavated
material shall be covered with a Tarp to ensure no runoff; buildings and paving
separate the work area from the retention basins.
For the roof work, the roofer used 4 nails per shingle on the approx. 4/12 pitched
roof. An existing single layer has been left in place and covered. The leak and the
subsequent repair have revealed a need to review all of the roofs in the Spaces For
Rent complex, but this request is only for the work on building #1.
Furthermore, due to the non - structural and simple nature of the work, we request a
waiver of Construction Control, normally required on work to this 12,000 square
foot building. I perceive no dangerous conditions (IEBC 2009 304.1.1) and that
the leak and cracked threshold constitute less than substantial damage (IEBC 2009
304.4).
respectfully submitted, n 41 `
g -
rON
t r°
Jeffrey Scott Penn, Architect
TRAVELERS WORKERS COMPENSATION
AND
ONE TOWi SQUARE EMPLOYERS LIABILITY POLICY
HARTFORD, CT 06183
•
ENDORSEMENT WC 00 00 01 (A )
POLICY NUMBER: ( I EUB- 3B89269 -4 -1 2 )
LISTING OF ENDORSEMENTS
EXTENSION OF INFO PAGE
We agree that the following listed endorsements form a part of this policy on its effective date.
WC 00 00 01 A - 001 INFORMATION PAGE
WC 00 00 01 A - 001 INFORMATION PAGE 2
WC 00 00 01 A - 001 EXTENSION OF INFORMATION PAGE - SCHEDULE
WC 00 00 01 A - 001 ENDORSEMENT LISTING
WC 00 04 14 00 - 001 NOTIFICATION OF CHANGE IN OWNERSHIP ENDT
WC 00 04 22 A - 001 TERRORISM- REAUTHORIZATION ACT DISCLOSURE
WC 20 03 01 00 - 001 MA LIMITS OF LIABILITY ENDORSEMENT
WC 20 03 02 A - 001 MASSACHUSETTS - ASSESMENT CHARGE
WC 20 03 03 D - 001 MA NOTICE TO POLICYHOLDER ENDORSEMENT
WC 20 04 01 00 - 001 MASS PENDING PREM CHANGE ENDT
WC 20 04 05 00 - 001 MASSACHUSETTS PREMIUM DUE DATE ENDT
WC 20 06 01 A - 001 MA CANCELLATION ENDORSEMENT
EFEE
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0
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OMMMM
O=
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m WIZWOZ
MMMM
DATE OF ISSUE: 03 -20 -12 ST ASSIGN: Page 1 of LAST
000009
TRAVELERS WORKERS COMPENSATION
AND
ONE TODR SQUARE
HARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY
EXTENSION OF INFO PAGE - SCHEDULE WC 00 00 01 ( A)
POLICY NUMBER: (IEUB - 3889269 -4 -1 2 )
INSURER: THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
12637 -MA
INSURED'S NAME: 94 INDUSTRIAL DRIVE, LLC
PREMIUM BASIS
ESTIMATED RATES ESTIMATED
TOTAL ANNUAL PER $100 OF ANNUAL
CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM
LOCATION 001 01
FEIN 263861748 ENTITY CD 001
94 INDUSTRIAL DRIVE, LLC
94 INDUSTRIAL DRIVW
NORTHAMPTON, MA 01060
CLERICAL OFFICE EMPLOYEES NOC 8810 27000 .09 24
BUILDINGS NOC- OPERATION BY
OWNER OR LESSEE & DRIVERS 9015 34000 2.72 925
EEEE
0
0
0
o ��
0
MA MANUAL PREMIUM $ 949
O
1.00% EMPL. LIAB. INCREASED LIMITS(9807) $ 9
ADD FOR INCREASED LIMITS MINIMUM (9848) 41
.950 MERIT RATING MODIFICATION (9885) 949
TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 949
EXPENSE CONSTANT(0900) 250
TERRORISM (9740) 18
MA WC SPECIAL FUND AND TRUST FUND 53
TOTAL ESTIMATED PREMIUM 1270
DEPOSIT AMOUNT DUE 1270
DATE OF ISSUE: 03 -20 - 12 LE SCHEDULE NO: 1 OF LAST
000008
TRAVELERS J WORKERS COMPENSATION
ONE TOWER SQUARE AND
HARTFORD, CT 06183
EMPLOYERS LIABILITY POLICY
TYPE V INFORMATION PAGE WC 00 00 01 ( A)
POLICY NUMBER: ( IEUB- 3B89269 -4 -1 2 )
NEW -12
INSURER: THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
1 NCCI CO CODE: 12637
INSURED: PRODUCER:
94 INDUSTRIAL DRIVE, LLC LEBEL- LAVIGNE & DEADY
PO BOX 177 P 0 BOX 59
NORTHAMPTON MA 01060 CHICOPEE MA 01021
Insured is A LIMITED LIABILITY COMPANY
Other work places and identification numbers are shown in the schedule(s) attached.
2. The policy period is from 04 -07 -12 to 04-07-13 12:01 A.M. at the insured's mailing address.
3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers
Compensation Law of the state(s) listed here:
MA
EEEE
B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in
item 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident: 500000 Each Accident
Bodily Injury by Disease: $ 500000 Policy Limit
Bodily Injury by Disease: $ 500000 Each Employee
C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here:
°
AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN
MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI
° WV
°
D. This policy includes these endorsements and schedules:
SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating
Plans. All required information is subject to Verification and change by audit to be made ANNUALLY .
A
0
-
DATE OF ISSUE: 03 -20 -12 LE
OFFICE: SPRINGFIELD MA 354 DIRECT BILL
PRODUCER: LEBEL - LAVIGNE & DEADY CJQ96
000007
The Commonwealth of Massachusetts
Department of Industrial Accidents .,
.1- -t,-;: - ,;— Office of Investigations t ,.. _ �-
_ = -ii ' 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /PIumbers
Applicant Information Please.Print Legibly
Name ( Business / Organization /Individual): , /fs .42 ,f,kj7 V q 2-N4115 4 L D ,e, v i L 6
Address: 1 t/ :2 7, s1Ae,,,/ hf v L L
City /State /Zip: A/o /ZIA /4 -,1, I.,.–, mid v ,o 6,0 Phone #: 1 --/l 3 -- 5 g L-/ - 3 37 l
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. [I] New construction
employees (full and/or part- time).* have hired the sub contractors
listed on the attached sheet. 7. ❑ Remodeling
2. ❑ I am a sole proprietor or partner-
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 10.7 Electrical repairs or additions
officers have their Plumbing repairs or additions
3. ❑ I am a homeowner doing all work ave exerc r 11. ❑
myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no C1 /N4,.1T "j
employees. [No workers' 13.0 Other ,am,� 4-,,,d ,3/ ,
comp. insurance required.] r I t s�rr�
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
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. ! C ,1l-rrvT
Insurance Company Name: -i V'f L. Y/c'S t1./ /irk fri/n/' L i8E L - LAY / 16-Ai E F Pi,96y ,y
a Ni
Policy # or Self -ins. Lic. #: L u e - 3 S Y 9 Cr % - %' /A� Expiration Date: t/ " 7 / 3
Job Site Address: / `j 1 ti /6k7.s i2, ft L., be, ,✓ _ City/State /Zip: /vein i l , r,,.-vn 4,J . i MA
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 certi under the pains and penalties of perjury that the information provided above is true and correct.
Signature: - 11.-'1 ) Date: id3 6. // —
Phone #: t "/ / 3 S-S L / 3 3 7 /
Of ficial 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 #: �I
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 41
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
.... �._ as Owner of the subject property
hereby authorize J . ET- - . _ See. ........ " ., _. _ L 1 t 1 to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner / 1 Da e S
I, �.. �C._- �e-�l....._....,..._.„. _.. _._ ____ ..__ .... __._ ...__ as Owner uthorized
Agen reby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
an belief.
Signed under the pains arld penalties of perjuly w _ _________ _ , _
ie.. i . cam -
Print ame
(c---2r-p,,4_
24 - II
Sig :tur- .f O ner /Agent Date
SECTION 12 - CONSTRUCTION. SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ciii
License Number
Address Expiration Date
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 bui ing 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): t _ - -. 15
Registration Number
Addres 6 2013_
.___. '`n _ ._.. ____, Expiration Date
_� 3
ture /.13(1— 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
__... Not Applicable
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column tore filled in by
tu. C c441 Building Department
Lot Size
Frontage
Setbacks Front ---
Side L. ._,_ . R.`.._.__ .. L...._.__:._., R :._ ._._„_
Rear _..._ -__._.. —
Building Height t + "j
Bldg. Square Footage e
Open Space Footage
(Lot area minus bldg & paved ' . ?,4 Y
parking)
# of Parking Spaces
Fill: c
(volume & Location)
A. Has S eclat Permit Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 4
IF YES, date issued: pee.- 13 2olt
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book 0 Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES ®�
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained �� , Date Issued /
C. Do any signs exist on the property? YES (® NO 0
IF YES, describe size, type and location: LE TE-p_c a ,.& but &..n„.L6, 4
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO g
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 4®
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 Y
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs 0 Demolition ❑ Repairs' Additions ❑ Accessory Building ❑ -
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑ t `
Brief Description 1 ,Enier a brief description here. t A STAU— ( 4.14 12-44P G /It1 5T(L T 6141° 5F
Of Proposed Work: 6 1301 LAP I44., -1 £Tiirm- 1 Z ` 060 5F), /I-r10 Rdliti A-t (— am 4-410Ere
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 0
E Educational ❑ 2B - I ❑
F Factory ❑ F -1 ❑ F -2 ❑ • 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B X
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage tr. S -1 F[ S -2 ❑ 5B I ❑
U Utility ❑ Specify:
_
M Mixed Use ❑ Specify: _m . ,�._____ _ ,.w..� , .
r
S Special Use ❑ Specify: �._ __m� -. _ x_____A. _ m_ __�_. - _., _. _. _ ,ro „. .___....a�
COMPLETE THIS SECTION.IF EXISTING BUILDING UNDERGOING.RENOVATIONS ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: _,l „S �..._;,. ._. t 0_.,c � .,..a Proposed Use Group: _. ____... ._ ..._... ._._m.__ ___.._.___ _.
Existing Hazard Index 780 CMR 34): ,,,__. _,_ „_.,.,_ __.._.__:_ µ 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 ;
i Z ODD
2nd ... ._,...__.,. ,_,_..,. ......._.__._..__.. 2nd ..._, ._
3rd 3'
4
Total Area (sf) [2 t 060 Total Proposed New Constructionist)
O
Total Height (ft) ± 2_ ri-
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood_Zone Information: 7.3 Sewage Disposal System:
Public cgl Private ❑ Zone • ,C'.,__,_.; Outside Flood Zone 0 _ Municipal 'g On site disposal system
Version1.7 Commercial Building Permit May 15, 2000
Department use�orily
RECEIV`p Cit of Northampton StatCts'afP,rrt't.t. w gv
- - Bu Department Curts Pet ntt. 3
((f+ 212 Main Street 5ewerlSeptieAvallabrit#�r' '
i0Cl 25 2012 Room 100 WateFllNell fivallabl)Ity a a s a d a
Northampton, MA 01060 Tw�Sets atnofirral Plans
DEPT. OF BUILDING NsP: " .' 413- 587 -1240 Fax 413- 587 -1272 plot S fe Plans
NORTHAMPTON, MA 01060 • t ,
OtheF �pectfy
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
17,0k-c- e: S f P- EM." Map Lot Unit
c 1 14.0 Us"rj2 --tA t- Zone Overlay District
gOMik"f r 01-i; c 166,0
Eim St. D CS D
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED-AGENT
2.1 Owner of Record:
Name (Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
Name (Print) Current Mailing Address
Signatur- 0 Telephone
SECTION 3- ESTIMATED ONSTRUCtION COSTS •
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building O fj 0° D'D (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 + 10( bO • _.. _..._. r
= ( 5) •' Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0499
APPLICANT /CONTACT PERSON 94 INDUSTRIAL DRIVE LLC ' �..�Z
ADDRESS/PHONE P 0 BOX 177 NORTHAMPTON / 4)5441-4 / I�
PROPERTY LOCATION 94 INDUSTRIAL DR 7 �-
MAP 25A PARCEL 182 001 ZONE GI(100)/ ' ) l ig t>"/ a>""
THIS SECTION FOR OFFICIAL USE ONL : 6 7 - 301° 2 -
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �"f 463
Fee Paid Q� P
Typeof Construction:_ INSTALL NEW ROOF OVER STREET END BLDG & REPAIR CONCRETE
FROSTWALL /THRESHOLD
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 FOLLOWING 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 _ Permit DPW Storm Water Management
D wws s li Delay
dir
Signature of Bui . ing 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.
94 INDUSTRIAL DR BP- 2013 -0499
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A - 182 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit # BP- 2013 -0499
Project # JS- 2013- 000791
Est. Cost: $10500.00
Fee: $63.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JEFFREY PENN
Lot Size(sa. ft.): 170319.60 Owner: 94 INDUSTRIAL DRIVE LLC
Zoning: GI(100)/ Applicant: 94 INDUSTRIAL DRIVE LLC
AT: 94 INDUSTRIAL DR
Applicant Address: Phone: Insurance:
77 WORTHINGTON RD 413 - 667 -3082
HUNTINGTON MA 01050 ISSUED ON:10/31/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: INSTALL NEW ROOF OVER STREET END BLDG
& REPAIR CONCRETE FROSTWALL/THRESHOLD
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 10/31/2012 0:00:00 $63.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner