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32C-001 (13) a' S Iv 0 ',.. . 4 R ' x lAk W. u * , . e s R y 1 4 r , ., ,, I 1 fir.; p s p _ .H f . .. ., W y r _ T 1 k ;' "bn ? .t.� "'"s'' .a as '' ,a R 10. Do any signs exist on the property? YES X NO IF YES, descri¢ksiJ, t locati n: /N 'r Y C % 6- /t4>4 `" Are there any proposed changes to or additions of signs intended for the property? YES NO X IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED r. REQ DBY '; Y� M . Size _ Frontage Setbacks Front Side L: R: L: t , I- R: Rear `. r Building Height .� Building Square Footage % Open Space: (lot area . ..., minus building & paved Z sN...„..N. ,, II arkin ' r # of Parking Spaces , # of Loading Docks Fill: (volume location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: / -7 Applicant's Signature - NOTE: Issuance of a zoning permit does not relie an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. WADocuments\FORMSbriginal \Building- Inspector\Zoning- Permit - Application- passive.doc 8/4/2004 ECEIVED File No / 3- 95 - r 1m 6; L,1 °+ r t - ® e �" ar ` , . p , '� F q ✓ ` `� '„,.r� • `' W w w,,t ' •T .s 6 ' ;44.'; .�° ^"us y :' C � 7 '� c{ k �i -. ' cl Y ; t,' �...,a y�,, 6 n t a a ,~ :': i�u Please type or print all information and return th . �- • - v, � G INoP B. 1 in � N Inspector's Office with the $15 filing fee (check or m • - • • • le t ► the City ofNorthampton 1. Name of Applicant: Al (57770-0v Address: ! / 1 / Telephone: 2. • Owner of Property: �� t' /'..4e 17 4t',E i y " `�- //s''.4N /14irtJ1 Address: /4 5 C /1/0-7;61/4 Telephone: f ig� 3. Status of Applicant: Owner C Purchaser Lessee Other (explain) « • `9' Q Q- 4. Job Location: ©L SO U ji"r r! AZ •11/0i"/ ? .z, a*� 'm°T„�,,7Z7- , 7 w •cam a -pvv; 'i:-t �aY ° ` 3. # .., ' 7 ":' ` Zst i ` s 1 •.5., ��:+�' -mss , � � �,�-�� � ' �� � � a ' Im � fi ` �' � � ryax � sa*• •"1am.'f k �i� s iW 9 ' r �.s, +° d p i ""'• 'za. ` '!iF - ,` 'war�. =s.� c�u �`, 1 e �. >� Tl7LT3 ' L1SII� 15L1 r ; a 5. Existing sting Use of Structure /Property:e - 9 /ci_ Al J 6. Description of Proposed Use /Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan / Engineered /Surveyed Plans \ 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW )( YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW X YES IF YES: enter Book Page ,! and /or Document # ✓ 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) WADocuments\ FORMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc 8/4/2004 File # MP- 2013 -0095 APPLICANT /CONTACT PERSON SALMON STUDIOS LLC ADDRESS/PHONE PO BOX 1155 (413) 221 -9717 0 PROPERTY LOCATION 150 MAIN ST MAP 32C PARCEL 001 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ,? y �S Fee Paid k5 A.3 Building Permit Filled out Fee Paid Typeof Construction: ZPA - RAILING AT HERRELL'S ENTRANCE 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 C/" (f/k.kpT INF * 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 `/4f(3 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 the Office of Planning & Development for more information. Proposed Thornes Exterior Rail — Old South St. Entrance (Herrell's) Rail to be fabricated from stainless steel with Mahogany hand rail gripping surface - Decorative elements are free from sharp end or rough surfaces - Railing conforms to 521 CMR: Architectural Access Stds: 27.4.8 — Ends of gripping surface to be rounded and smoothly transition to vertical posts 27.4.3 (c)— Extensions would cause hazard as the lower end of rail is within 2" of face of wall. An extension would jut out past wall and interrupt sidewalk clearance. Back or rail extends beyond swing of door and is close to wall. 27.4.4 — Gripping surface will have circular cross section of 2" 27.4.5 — Gripping surface will be round in cross section The Commonwealth of Massachusetts Department of Industrial Accidents =—k-., — Office of Investigations w , f 600 W Street � °rte .`� a Boston, MA 02111 TM _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): % ITCi/Z Nt', S / 71 Address: / ` Z.a MV i' 1 City /State /Zip: A/v /'- 7 n/ , /WV Phone #: Are you an employer? Check the appropriate box: Type of project (required): 4. I am a general contractor and I I. [] I am a employer with 4 `Z- ❑ 6. ❑ New construction employes (full and/or . • rt-tim- ).* have hired the sub - contractors 2. ID I am a sole proprietor or pa . er- listed on the attached sheet. 7. [I] Remodeling ship and have no employees These sub - contractors have 8. ❑ 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 11.1 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs 152 insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other .2 4 ( comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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. Insurance Company Name: f <.4 V J L /t- °'- C Policy # or Self-ins. Lic. #: 2 M 7 u3 Expiration Date: Job Site Address: 441 //V Cr; City /State /Zip: /14 P ° 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 co py of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi u •r the pains and penalties of perjury that the information provided above is true and correct. •- /, L/, /3 St• nature: y ' Date: Phone #: '7/ 2 I -- '7 7 l 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 #: 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 0 SECTION 11 OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , as Owner of the subject property to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date r �1 , 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 t po .. .enalties of perruj� li Print Nam Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder 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 building permit. Signed Affidavit Attached Yes 0 No 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 „35,000C.F. OF EIJ LOSER 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 DateMH'N ^_. __ 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 _ _ m.., .w.,_ Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: __... .___..___._.,.w—... _._ ._ Responsible In Charge of Construction Address_ i Signature Telephone Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column tb re filled in by Building Department Lot Size Frontage _ „_..,... Setbacks Front Side Rear _{ _ — Building Height Bldg: Square Footage Open Space Footage (Lot area minus bldg & paved parking) _.w...,_...._ d,,.,�,„..�. .,�. �.., ....._ ,..... # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ( DONT KNOW YES 0 IF YES: enter Book ” Page: ? and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 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: n......, C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: Af,¢ , N �( , , ;; � ,? /� r D. Are there any proposed changes to or additions of signs intended for the property ? YES i NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exca ation, 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. Version1.7 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 (r Brief Description Enter a brief description here. Of Proposed Work: C-X r 4 /4- /Nei '1 0 c— _. - d ^ 7 7-1 s ; 6 r 41 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 GI 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F -1 4 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ - 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. _ ___ ____ __.__., __. _._,M _._.,,. ,_____ -,_,_ -_._._ __. 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 OFFIGE USE ONLY Floor Area per Floor (sf) 1st .._ _..__ 1st I -- , _,. _ 2nd 2 nd a 3rd ._.....__..._._.�._ .._.�,.. ........�,._ ......, 3 ro 4m 4 th : _.._._._-__.___:__ _.._. _ _._._ ___• Total Area (sf) Total Proposed New Construction jsf) ,_ __ 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 _,/f" Depart City of Northampton staf zf P� E a V s l i l � rrr" a`a £ � 7 � x � w„ t om ,: �� Y �r� n p� _ _j .1.0' L ; Building Department G �Cut/Dnueway�€?ermt� t . , ` 1 � ' � 212 Main Street 5ew4Sepcl iraztalirltty o B ,„ \ _0\t4-,„.00-- N " Room 100 gha tlClt` Ralla , Northampton, MA 01060 7wa Setsrof Structur # i . y� , phone 413 - 587 - 1240 Fax 413 -587 -1272 P lot/ S ite Pran 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 e S- ACef..,/ -a- r e. . Map Lot Unit 4 '' 5 o ,y-± -/� ! . 6,, ;; 74/fe : ` Zone Overlay District Elm St: District` CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 2 r z l .......... M_A.Qo t.i 2— / A - //\/ `�� Name (Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Name (Print) S'j Jr7 e ,77 t. . Current Mailing Address 9 A /2 ° �rj Signature Telephone SECTION TIMATED CONSTRUCTION COSTS Pj 7 Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building �, i (a) Building Permit Fee --- ' _._�...�..._._..�._._...�.. 2. Electrical _ < (b) Estimated Total Cost of Construction from (6) a .._...n. ___.___... 3. Plumbing ` Building Permit Fee 4. Mechanical (HVAC) ....___. _._.._....___...._ __..._.a. M.._.,__.... 5. Fire Protection _.... : .6 3g '5 6. Total-=(1+2 +3 +4+5) Check Number This Section For Official Use Only Building Permit Number Date . Issued Signature: .• /i i______4 ‘.___ V - 4/ 1 //i.S Building Commissioner/Inspector of Buildings Date 150 MAIN ST BP- 2013 -0900 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 001 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- 2013 -0900 Project # JS- 2013- 001526 Est. Cost: $2200.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SALMON STUDIOS LLC Lot Size(sq. ft.): 16683.48 Owner: THORNES MARKETPLACE LLC CIO HPMG Zoning: CB(100)/ Applicant: SALMON STUDIOS LLC AT: 150 MAIN ST Applicant Address: Phone: Insurance: PO BOX 1155 (413) 221 -9717 () NORTHAMPTONMA01061 ISSUED ON:4/4/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT RAILING AT HERRELL'S ENTRANCE 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 4/4/2013 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner