32A-238 (2) Noho Commercial Bldg Permit App.pdf http://www.northamptonma.gov/buildingluploads/listWidget/11074/No...
ers:02]i. (ommerc:a_ _citi:2 Pein: r Zia`. 25. ,. . .
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110,11)
~cepe^ce^t E^g^ee- g St-..ct..ra Pee-Rev Rec.. rec Yes No
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
',die i( d/8/141 as Ow-e"oft^e s b ect p ope ty
-
^e'eby a t^o-ze to
act o' m y be ^ a matters 'e at•.e to ,^woik a:at^orzec by t^s b c ^g pelm t app cat o^.
&gnat of„:.ne: =ate
7f1 / ,,, _____________ . as O,^r^e-:A..t^o-zec
Age^t ^ereby cec a-e t-at t^e stater-e^ts a-c ^fe-mat o^ o^ t~e fo-ego"g app cat o^ a-e t•.e a-c acc..-ate.to t-e best of my k^ow ecge
a^c be ef.
S g^ec t^e pa-s ;"c pe' a t es of pe-J.-y.
I
trot%ame
ignat..i!e o ,.:.ner:=;gent sate
SECTION 12-CONSTRUCTION SERVICES
10,1 Licensed Construction Supervisor: Not App cab e
Name of License Holder 71•4-1 ffirJ
rase`.umber
Z�S"C7 y� k _ , 1 0 0 Z
Address pirat:•on sate
Sian ature '! �3Teie •one 0.0://y
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§25C(6))
^ao-kers Compe^sat o^ ^s a^ce aff cav,t m..st be comp etec a^c s..bm ttec wt- tr s app cato^. Fa , e top-ov ce t^s affcav t w esa t
t^e ce^a of t^e ss,a^ce of t e b.• c^g peim t.
S grec Aft cap.t Attac^ec Yes No
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Noho Commercial Bldg Permit App.pdf http://www.northamptonma.gov/building/uploads/listWidget/11074/No...
1 erslor 1. Con n:eic:a B1::_eta:o ?en::t May
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) II
9,1 Registered Architect:
Not App cab e
'.ame r<eaistrantt
Ieatstr ation '_umber
Address
•pirat:on Date
Signature Telephone
9.2 Registered Professional Engineer(s):
ame Area of=,esponsbiutr
A ddress ceaistrat on `,umber
Signature Teiepnone = pration Date
`:ame Area• of=cesponsiblit,
Address Registration '.umber
Signature Telephone E.piration Date
`.ame Area of='<esponsibiiit,
Address ;.eaistrati,on '.umber
SIgnat'ure Telephone E.prratlol Date
'.ame Area of:iesponsibil t:
Address =registration `number
Signature Telephone =,piration Date
9,3 General Contractor
%Is? /� /,71J Not App cab e =
C.ompan., .acne
=esponsrble In �Dharge of Co tn_ictior
Address ��r�
A kif y p x--' /6
Signat_i-e " / Telephone
4 of 5 3/21/13 12:05 PM
Noho Commercial Bldg Permit App.pdf http://www.northamptonma.govibuilding/uploads/listWidget/11074/No...
Versloill."Comnierc.3131.1:::(1i12 Peny:_t May 15.20,Y,
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
i(41i4 •7
i "es e‘401
Of Proposed Work: ig,
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assemb'y _ 3 A-1 -,
— A-2 Z A- —
_
A-4 = A-S Z 1P —
_
fi,A.
B B-s ^ess -,A. _
E Ec...eator'a: = 23 -
_
F2 1.-
F Factory — -1 = F- -
H iHgr. Hazarc = 3A _
_
I 'r'stt..t:or.a — -1 —
— -...-
_
— -3 _
— 3B
M Mercart ie — 4 _
R-1 Z R-2 Z —
R Re“erta, R-3 - 5A
_ S-1 - Z 53 _
S Sto 5-2-age — — _
. _
U Ut .ty — Spec fy:
M LI xec Use — Spec fy:
S Spec:a Use — Spec ty:
CO!',1PLE7E 7HS SEC ON F EXIS7NG ELLLONG UNDERGO NG RENOVA7ONS.ADO7ONS.ANO/OR CHANGE N USE
1
Exist-g Use Gro,..p: 1 Proposec Use Gro...p:
Existi-g Hazarc ir.cex 780 CMR 34): i Proposec Hazarc ^cex 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
II
EU LD NG AREA EX,ST-iNROPOSED NEV NE CONS-RUC-ON OFFICE USE ONLY
Fioor Area per FIoor sfi)
r) I.-
MOd 11 11/41/feb 121-1/.7
..,,,:: ,.2 i rij
3•' /(1104 3; 1
I
4' /tf/4 4' I
I
-,-ota Area :sf) ,I. 19 0 -ota Propose° New Ccrste,ct o- :sf)
7ota: He'g^.t:ft) 2 f— /
-ota' He c-t ft
7.Water appply(M,G.L.c.40. §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
F-7...bic IR' Pr,vate = Zo-e 0,.ts cc F ooc Zor.e ML.r.:c pa -_-_ Or' ste c Esposa system
2 of 5 3/21/13 12:05 PM
,„:
Noho Commercial Bldg Permit App.pdf http://www.northamptonma.gov/buildingfuploads/listWidget/11074/No...
erot l.'Con.ta.erc: Br: '_d:ta ?ei7r..•:t May ?5,:20.::)0
8. NORTHAMPTON ZONING
Exi. titg Proposed Req::red b. Zot_:t_a
This:olutnn to be filled in b'.
�uildiu<Department
Lot S:ze
rot tag e
Setbacks Trott
Side L: R: L: R:
Rear
Bn:_dat.g �e:ar_t
Bldg. Square footage 0 0
Open_ Space=ootaae 'a
of area minus bid_E paved
parkin
=o ?arkata Spaces
clutne& oration
A. Has a Special PermitVariance//Finding ever been issued =or on the site?
NO l DON7 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and.`or Document
B. Does the site contain a brook. body oc water or wetlands? NC DONT KNGN YES
IF YES, has a permit been or need to be obtained `rom 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 o= signs intended `or the property ? YES N^
IF YES describe size. type and location:
E. W t^e co^str„ct o^ act 'ty c st.,eb ;c eae^g. g' excavat o^. o f : ^gj oye- 1 acre ors ,part of a commo^ p a^
t^at w c st.rb over' ace? YES 1 NO
F YES. t^e^ a No^^ampto^ Sto•m Ma^ageme^t Fermi f'om t^e i✓PVi s rec, ec,
3 of 3/21/13 12:05 PM
Noho Commercial Bldg Permit App.pdf http://www.northamptonma.gov/building/uploads/listWidget/11074/No...
V ers:on1.-Commercla:31.-_-.1c1.:.t.a ?ein::t May 15
Department use oriy
RECEIVED City of Northampton Status of Permt
Building Department Curb CL.tiDrieway Permit -
APR ---7 i 212 Main Street Sewer:Septc Avaoabrilty
irn I 6 2013 , Room 100 ,,..,vrater:We!i AvauabMy
_ _i orthampton. MA 01060 Two Sets of Structural IP:ars
DLPT.OF BUILDING INTPE
tovri"—e 413-587-1240 Fax 413-587-1272 PlotSite P!ar s
NORTHAMPTON MA 01
i
Other Specfy
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
This section to be completed by office
1.1 Property Address: 6_1 iliamerv,
Map Lot L.1-t
,---7
,itfiti-ti e C Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT i
i
2.1 Owner of Record:
'.am e nt i 44 t „„e-
/?()Ite il IA- i "-,_41-rent':allind Add ess
/Ai A er.-/-/,,` Afry 0/
Signature - Telephone t./.1-,..?...rZ -1'. 725'
21 Authorized Agent: 7 S-C) 34. 4 L 3tit-i
tame i'irit 1
7m '
, /1 Vittj Cull ent'.'alinia Address h.
kif qe.r%f-1491— al 67&2____
Signature ei\-\
Teiepn one ---
SECTION 3-ESTIMATED CONSTRUCTION COSTS i
1
-I-
tem Est matec Cost:Do as I to be Off c a Use 0-y
comp etec by berm t app cat
1. B., c-c r - :a, B.- 0-g Perm t Fee
Z. E ect-ca :t Est matec -ota Cost of
Co-str.ct o-from :6
3. P...tr 0-g Building Permit Fee
4. Mec-a-ca ,HVACi
5. F re Protect o-
6. -ota =:1 +2 +3 +4+51 \Pik C-eck N.Arber
This Section For Official Use Only
B.. 'c-g Perm t N,.mbe" Date
ss.ee
- -
ti...-- 1Y— /
///". „
- .- -
ldlna,.._.pmmIsstonel Inspector of 51..ifid nag -2 ate
1 of 5 3/21/13 12:05 PM
6 POMEROY TER BP-2013-0970
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-238 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:window replaced BUILDING PERMIT
Permit# BP-2013-0970
Project# JS-2013-001617
Est. Cost: $15000.00
Fee: $90.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THOMAS HARRIS 10257
Lot Size(sq. ft.): 14287.68 Owner: ROSENBACH ARNIE
Zoning:URC(97)/SC(3)/ Applicant: THOMAS HARRIS
AT: 6 POMEROY TER
Applicant Address: Phone: Insurance:
280 STANLEY ST (413) 575-8040
AM H E RSTMA01002 ISSUED ON:4/22/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
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 4/22/2013 0:00:00 $90.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner