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WAREHOUSE 1560sgf
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3605 sqf
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DEPARTMENT OP BUILDING INSPECTIONS •
212 Main Street ' Municipal Building
Northampton, Mass. 01060 rt'
W •RICEIZ'S CO TENSATION •C\ISURA11/4ICE AFTTOetVII'
•
(li ccnsec/pc-mi tt )
\vitt) a principal place of business/residence at:
e c i oLt'1 1/4; -fit u1- y cam_{ IN AP' C(t(-11 (phone') i
(s»t/cd ty/stalc(zi p)
do hereby certify, under the pains and penalties or perjury, that
•
( ) I am an employer providing the following worker's compensation coverage for my
empiovices worinng on ties job:
(1-Dsur-c Comr av) (Policy Number) Ct';•piratioc Daft)
( ) I.am a sole proprietor, general contractor or homeowner (dole one) and have hired
the cone actors listed below who have the folio\vino worker's cor ne,nsataon pe!icies:
(Name ofConc:-.tctor) (In uran Cornoan}'("t'ciie; Numcc:) Date)
•
(Name of Cootrcior) (Insar�ce CompanvPotic,' Number) fE.a-oirauon Date)
(Name of Conuaeto,) ausurancc Compan}•/Polic}• Nnmbe.r) (Expiration Date)
•
(Name of Contractor) (Insurance Comcauy/PoLicy Number) (Expiration Da.Ie) .
(atlteh chc. aoccur-to Cocludo iaforr oa pct iu to all o -_c-ors)
(kI am a sole proprietor and have no one woridng for me.
( ) I am..a home owner performing all the work myself.
NOTE:pta:sc be twat the }Jc b000cotLacn t+bo crrploy priors to rrair work oo L d.`c1Le of
not more them LS oe=its in which the botnoosroe raid=or ca the croua6 rwart.ec. t.o 5c t.-e ox L-oeLiiv oer_ridesoi to be
cloy-�undo the..et r�,•=-:•uc A (GLt 57.E 1(5)),apparition by it boo far:lire or permn rn y ctidcocc Etc
lopl runic of to camloyx undo¢so Worker'.Coco oco..tga A.t
•
•
I uodcrt.od tha x copy of thi,msemcca m,.y be fog wordod to M..Dcponmcot of la.asuict Aacdoom'office of 1 o oa+for th.
oova-Lst ve ircaleo and tart ail=to sccurt boveree=dm's.cctioa 25A of MOL 152 0c ltd to the imposition of eimw-d peoailir
000siting of a rmc or hp to S1.300..00 and(«isliprisoacocait of up to ooc resr Lod civil peulio n dc form of n Stop Wort Ordcr Lod
o(S100.00 L Ca),Lp.in.A mC
' I For dco.rtaL sl u,c only u—---�
411''
b lee 1 b l Permit Number( Map: Lot K
Signature:of LicaiscrfPct•m..iucc Date I -
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
I E\ UT I \ 1 2 ' 'l; .. it. ,i 1 C. - ,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.
Signature of Owner Date
WILY-- 0 Pc\ V aCC> 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 •a _ ji•se'-Ities of.er'u
Print Name
k\/\ 1cC-1Z 1-,1 Pr i ra>G>. -:- I
Signature of Owner/Agent Date
SECTION 12--CONSTRUCTION SERVICES ,
10.1 Licensed Construction Supervisor: �i r Not Applicable//�❑
Name of License Holder:`: 1M c�1! "� ' r' `t _a (t '
License Number
I,c, y,30--F (°Li-7 c -i—i(51 yr(e Ml-. 6( I
4 r •
Address Expiration B-te
cl\L_ 5-3 i,.,— ----1-'i,---t--- ,
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 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
I
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 _ µ
i
a
Signature Telephone Expiration Date
1 i
Name Area of Responsibility
Address Registration Number _ _
i
Signature Telephone Expiration Date
9.3 General Contractor
r SreklakS Not Applicable ❑
Company N>3me:
_ OAr' Zis 1,-\P S)0-V.
Responsible In Charge of Construction
I \Pra IC 1-1 Pc-: a r iG /C ■ . L C its I
Address
Signature \ Telephone
Version1.7 Commercial Building Permit May 15,2000 -
SECTION 4-CONSTRUCTION:SERVICES FOR PROJECTS
THAN 35,000
CUBIC OF ENCLOSED°SPADE
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.
Of Proposed Work: CSi ! �AczT\S ti1j ��� � �i
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑
A-4 ❑ A 5 ❑
1B
❑
B Business ' 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
Er
H High Hazard ❑ 3A ❑
I Institutional I-1 ❑ I2 ❑ 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: , L� t, �� r4._ ��
S Special Use ❑ Specify:
i
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): i Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT-AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION '- y QFFICE'USEONLY
Floor Area per Floor(sf)
1st
1St ' �� ��aC>Ca
2nd
2nd .
�_____ rd i xa- a - '
3rd ! 3wa ' <
th I {i S yr "_ �" z
4th - 1 � � ,` �:-sM' c vt. > x:;.
I
Total Area(sf) (;ns Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft .
7.Water pply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage posal System:
Public Private ❑ Zone` Outside Flood Zone MunicipalOn site disposal system
. 1
Version1.7 Commercial Building Permit May 15,2000
8...NO1tTHAMPPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size I i !
Frontage —
Setbacks Front
Side L:' R:' L:_r R:'
Rear
Building Height
Bldg. Square Footage % ;
I 3
Open Space Footage ,
(Lot area minus bldg&paved j i t i 1
parking)
#of Parking Spaces
Fill: 1 t I 1
(volume&Location)
A. Has a Spec- I Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 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 , Date Issued:
C. Do any signs exist on the property? YES NO 0 ze(
IF YES, describe size, type and location: Is?,,i,'c,\ Aj e.;1 _ ;>T 5 1 S —
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
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 p/I--
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
. , I.
. s
Version1.7 Commercial Buildin Permit May 15,2000 ,. -, ,_ ,,,„,,,,„,._,•,.,,,...._
City of Northampton ,§TaLlti-',.;',:°:- --;-73W"*.[ISTikixi.,z4,:„11...1,-?V:WEFg.'-;
, , ..., ,.- 44:::'::: .4ei;:&7?-7,40.4. gaVe4
Building Department if4'4,„,:',.."",!,:::*0 '''L'.'-'-'4,-*.- ..;.,-.7:-':r.i2.it.73,47.,;:,4.-:4 ,ii-7i::;:iWig.il
212 Main Street se. -„-,,w,,.:.c,.P-',.--
vei.# -
Room100 ,,,,,i.-7`Ave'.1ii*,'..,7.wtiluL)W•=-'•-•',.jv '',•'-' - -...•*-1,'"*.r," ''''' ,L;,,,.i.;-"c•,„,•;-.7-,:.-.2,
Northampton, MA 01060 .,,,z .., ,,,,_:::..:,..!.. ,.. A:•:i'
" ; " ;1'..P47.7”;.;;.,:f.4.0i.:.:,,:uti-,, -"-,...1.::!414
phone 413-587-1240 Fax 413-587-1272
-x,-4.1.,,,...7 .--4,-..iii- -- 7,4.....:rf .:.,4ALu.,*0-41*„...„.._'*.4-Weilw.,:,..,4'--,.;:4•Pi
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'/Segtitituto:_be!...:cornpleteg'sby:gtflO,-.,..-
1.1 Property Address: -;,.-,,,-,,',".:-: ,:-!.- -- '-;-!
304 .- Pcksizi-NO— 3r k* c_ Lot u..-t-,,it,''''.
c--,-- ;:;:4*414Ars:ft).#
SECTION.Z.,PROPERTY-OVVNEFOFflp/AMTHORIZED-AGENT
. .. . - _ ... . ,.
2.1 Owner of Record:
0 lks2,(--c 1 Veek 11-V\ )-V\ C- , i fi)r))4_ i611.7 c--- -1---/ocov< Cibel i
Name(Print) Current Mailing Address:
),A AVZ— 14 IN••‘, c.)- _,P- V r'‘'-s c7i______
Signature Telephone
2.2 Authorized Agent:
,
Ai\ -(2-1e_ ,DO-c-z, F- 1 I 6r, , totAlc 1-toc-tcv_k cioq- I
Name(Print) 1 (• 1 rDcAz V-- Current Mailing Address:
Signature • *II Telephone
% .
SECTION 3-ESTIMATEDCONSTRUC ION COSTS -
Item Estimated Cost(Dollars)to be , Official Use Only
completed by permit applicant
j
1. Building 1 -:(a).Building:Permit Fee 4"0 v A A,... .. sus j'''0,c0 it 0.141eve
1 - '
, SiOe
- I
2. Electrical 1 (b)Estimated Total cost of I r ,,,,,)
'• aert-F
1 Construction from(6) L21 vvv
3. Plumbing 1 --Building•Permit Fee
4. Mechanical(HVAC) I 1; 9t1.5-0.01)
, 1
5. Fire Protection : — i --
6. Total (1 +2+3+4+5) Check Number Il.C-7-3(1 F/so, 04
This-Section ForOfficial Use Only
.
-
Building Permit Number Date
issued
Signature:
Building Commissioner/Inspector of Buildings Date
76,0
Rfe)
st-i-- ?hope
',Jab PCiTIL PLANS
File#BP-2007-0432
APPLICANT/CONTACT PERSON MARK NAIDORF
ADDRESS/PHONE P 0 BOX 10475 HOLYOKE (413)536-8888
PROPERTY LOCATION 304 PLEASANT ST
MAP 32C PARCEL 177 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �y 0 _
Fee Paid lD /3V S�/JT
Typeof Construction: CONSTRUCT INTERIOR WALLS FOR OFFICES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 001083
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INCY.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 Peanuts 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
/0/7/°
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.
304 PLEASANT ST BP-2007-0432
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 177 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2007-0432
Project# JS-2007-000643
Est.Cost: $5000.00
Fee: $150.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARK NAIDORF 001083
Lot Size(sq. ft.): 18338.76 Owner: CHERRY REALTY INC
Zoning: GB Applicant: MARK NAIDORF
AT: 304 PLEASANT ST
Applicant Address: Phone: Insurance:
P 0 BOX 10475 (413) 536-8888
HOLYOKEMA01041 ISSUED ON:10/17/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR WALLS FOR OFFICES
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 10/17/2006 0:00:00 $150.006734
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo