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32C-118 (14) V Panel" and/or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. • 5 lb ABC Fire extinguishers are needed located at exits. This shall be in compliance with NFPA relative to maximum travel distance. Appropriate signage in compliance with ADA should be located above. • Pull stations shall be double action to be located by exits. • Alarm verification must be active on all smoke detection zones. • A smoke detector is required above the FACP. • Recommend additional smoke detection in storage and loading areas and main work space. • Horn strobes/pull stations are not needed in bathroom • Pull station shall be located by loading dock door. •Page 2 r a v , Northampton 2 ; Fire Department Memorandum To: Tony Patilb From: Duane Nichols Date: January 14, 2008 CC: Brian Duggan Re: Paradise Copies, Conz St Secondary to a review of the plans and narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • Fire alarm work permit shall be obtained for the project. The C/O inspection fee needs to be paid prior approval of any fire alarm. • A Fire Department Emergency Access Key Box is required on the exterior of the structure near the entrance to control equipment; a red 120-candela strobe light that actuates upon an alarm condition is required above the Emergency Access Key Box, • Engraved key tags are required for the keys in Emergency Access Key Box. • A graphic representation of the structure must be installed at the Fire Alarm Control Panel (FACP)and/or Fire Alarm Annunciator and/or Communicator. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one-inch white lettering "Fire Alarm Control •Page 1 Or xsE"fEOF' 48 HJ/TJ/TF/TM 008-014, 50 HJ/TJ/TF/TM 000-014 Id` 04/23/03 11/29/2001 REV S SODK501178 SOM./0008,012, 50TJ0008-012, 50TF0008-012 ROOF CURB r ■ S` 0 W z Y u o w g - SWy _ 101 5= Z < � 0 U v a N II. v - Q m O -- . p p a u mL= m �� "4 o ¢ _ s o o g9 °�°N m$'i ° W ° 'D�- zr S8 //2-E, . f- O am ;9a w o r_ .1.0 0, .- F as N o t o -to �° • I I•�• [t 1 _ Q ,,I, a26, m_ m� i •W _ `�� • O -J z� e,&= o ov ° co W U W-O Z 1) 1 � °w� ' o O z ~ . - m. 0 C 0 o tt ,'I , zwa E 0.093,,,,, 0 S L',1 \ ■ ' CL a w (n 0 iroaraiaii u N 1t UJ Z ° ¢ • r ,0 m q m c 2 z z p.��� E' (\ CI O< °n -z k O O Z N t- Q ° \ �' 40 Z cV,", L4 O¢ CO'= p0 ¢ p%Z ... 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I ❑ EconoMi$er IV or EconoMi$er2 575-V Transformer ❑ Programmable Setback Thermostat Z I for 208/230-V Single-Phase Power Exhaust J 1 ❑ Electrical/Mechanical Thermostat and Subbase ❑ Manual Outdoor-Air Damper(25% ❑ Thermidistatr'"^Device IL• t ❑ Manual Outdoor-Air Damper(50%Open) ❑ Humidistat r i ❑ 25%Two-Position Damper ❑ Indoor Fan/Filter Status Indicator 0 t ❑ 100%Two-Position Damper ❑ 62AQ Energy$RecyclerTM Unit O t ❑ Return-Air Enthalpy Sensor ❑ 62AQ Energy$Recycler Mounting Kit Z• t ❑ Return-Air Temperature Sensor ❑ 62AQ Energy$Recycler Supply Air Blower ❑ Outdoor-Air Enthalpy Sensor ❑ 62AQ Energy$Recycler 460-V Transformer Q I ❑ Outdoor and Return Air Humidity Sensors ❑ 62AQ Energy$Recycler 575-V Transformer ❑ CO2 Sensors(Space or Duct Mount) ❑ UV-C Lamps CJ• I ❑ Aspirator Box(Duct Mount CO2 Room Sensor) ❑ Flue Discharge Deflector ❑ Roof Curb(14 or 24-in.Height) ❑ Flue Shield ❑ Thru-the-Bottom Electrical and Gas Connection Kit ❑ LP kit BLANKET QUOTE CONTROLS ❑ 115-V Field Powered GFI Convenience Outlet(line side) ❑ Low Ambient Controller(Motormaster®I) ❑ 115-V GFI Convenience Outlet(field powered) ❑ Smoke Detector—Return Air ❑ E-Coated Aluminum/Copper Condenser and Evaporator ❑ Smoke Detector—Return and Supply Air Coils ❑ Split Power(transfer switch NOT included) I ❑ Fused Disconnect ❑ Stainless Steel Heat Exchanger ❑ Hinged Access Panels ❑ UV-C Lamps(installed and powered with door interlock ❑ Lockout of High Fire Stage for Heating switch and disconnect switch) w I Z J cn w w I O I o I 0 z 0 1 a I 0 U I 3 1 - A , 48TM004-014 Date: Supersedes: GAS HEATING/ELECTRIC COOLING 48TM Rev.: UNITS -4S8 JOB NAME: LOCATION: BUYER: BUYER P.O.# CARRIER# UNIT NUMBER: MODEL NUMBER: UNIT DESIGNATION: PERFORMANCE DATA CERTIFIED BY: DATE: DESCRIPTION kIL Units are single piece,gas heating/electric cooling units with a low profile,pre-wired,tested and charged at the factory.The units C U us have the capability for convertible supply and return openings and are intended for installation on an accessory curb(ordered sepa- rately),or for slab mounting(for horizontal duct connections).Units are designed to accept a field-installed economizer,enthalpy control,manual or two-position outside air damper,roof curb,and 3 choices of gas heat.Refer to accessory chart for full listing. FEATURES • ASHRAE standard 90.1-1999 compliant. • Direct-drive propeller condenser fan totally enclosed with permanently lubri- • Standard one-year full product warranty. cated bearings. • Five-year protection plan for the motor-compressor. • Pre-painted,insulated cabinet with primer inner panels,certified 500-hr salt • Five-year protection plan on heat exchangers. spray test and non-corrosive screws. • Outdoor ambient cooling operation from 25 F(-4 C) to 115 F(46 C) for • Dedicated L,M,N 3 to 5 ton "Low NOx" units meet California air quality 004-008 and 012 units and 125 F(52 C)for 009 and 014 units. refrigerant of 40 nanograms/joule or less. • Units are tested and certified by ARI and certified by UL and CSA.Factory- • Large,easily removable panels provide ready access to unit components for run test printout included in each rooftop. rapid removal or maintenance. • 24-volt control circuit,with resettable breaker • Filter access door for filter access and maintenance that requires no tools. • Two-inch disposable-type return air filters in dedicated rack. • Induced draft(negative pressure)combustion system with Hall Effect sensor • Hermetic compressor on independent circuit with internal line break and to detect proper operation of induced draft motor. overload protection,self-lubricating with internal discharge muffler. • All units have single stage cooling and single stage heating capability.High • Scroll compressor with internal overload protection(48TM007,009,012,014). heat models have 2-stage heating capability. • Refrigerant circuit contains a filter drier to trap dirt and particles. • Heavy Alumagardlu coated heat exchangers,with aluminized steel burners. • Single compressor on 3 to 6 ton units. • Heating controls with direct spark ignition and redundant gas valve. Fan • Dual compressors on 7t/2 to 121/2 ton units. switch,high temperature limit switch and flame rollout switch standard. • Two-speed direct drive evaporator fan is standard on sizes 004-006.Adjust- • Fixed orifice metering device precisely controls refrigerant flow to each cir- able belt drive fans are standard on sizes 007-014.Adjustable belt drive fans cuit individually. are optional on all sizes. • Reliable accurate control circuit with color coded wires and easy accessible • Non-corrosive condensate pan with self-draining sloping design with both terminal board. bottom and side drain connections. • Integrated gas control board with built-in diagnostics to determine error • Thru-the-bottom power control and gas entry capability. codes and control indoor fan on/off delays. • Indoor and outdoor coils constructed of aluminum fins mechanically bonded • Integrated gas control board provides anti-cycle protection for gas heat to seamless copper tubes. operation. • Single point electrical and gas connections. • Loss of charge,freeze protection,and high pressure switches standard. • Refrigerant filter drier for each circuit. PERFORMANCE DATA COOLING HEATING Net Total Cap. Btuh Input: Stage I Total Btuh Net Sensible Cap. Btuh Output: Stage I Total Btuh Compressor Power Input kW AFUE kW % F Outdoor Air Temperature Steady State % Indoor Entering Air db F wb F OPERATING WEIGHT lb(unit) lb(curb) CFM Ext.Static Pressure in.wg Fan RPM II11p SEER/EER ELECTRICAL DATA R/�E Power Supply to Unit Minimum Circuit Amps Volts _Phase Hz vs I Maximum Overcurrent Protection(Fuse Only) CUMp�,inta I 2 S (Ca rrLe 48TM-4SB 48TM004-014 GAS HEATING/ELECTRIC COOLING UNITS PERFORMANCE DATA CERTIFIED DIMENSION PRINTS CERTIFIED ROOF CURB DIMENSION PRINTS COMPLIANT ©Copyright 2005 Carrier Corporation•Syracuse,New York 13221 Form 48TH-4SB Replaces 48TM-3SB Printed in U.S A. 11-05 Catalog No.04-51480003-01 employees at 16 people maximum. The customer area will be more like Mercantile at 30 r = 14 more fora more actual 30 people. gross or 400sf * Common path limitation: none 75' allowed„ * Means of egress lighting and exit signs: Electrical and emergency wiring plans are shown on plan A-3 * Fire-rating of structural elements: Exterior Walls: 2 Hr Required 2+Hr Actual * Fire Walls: are 3 hours between the 1 story we are renovating and the unoccupied 2.5 story. We will maintain building to building smoke and fire separation by having the existing very heavy fire door to the adjacent building sealed up and permanently locked. * Fire Separation Assemblies: Enclosure Of Exit Stairs: are not applicable, as it is a grade level exit building. Other Separation Assemblies: Not Applicable Fire Partitions: Not Applicable Exit Access Corridors: All space is open to the two exits with only two rooms using an open corridor exit way to grade exit. Smoke Barriers: Not Applicable Other Non-Bearing Partitions: 0 Hr Required Interior Bearing Walls, Columns : 0 Hr Required Structural Members Supporting Wall: 0 Hr Required Floor Construction Including Beams: 0 Hr Required Roof Construction Of Any Height: 0 Hr Required * Interior surface burning characteristics to conform to the following: {Note: Class I, II + III=Class A, B+C} Walls: Class I At Stair Enclosures And Corridors Class I At Exit Access Class I Or II At Other Interior Spaces Ceilings: Class I At Stairways Class I Or II At Other Interior Spaces * Draft stopping: no remaining attic areas and would not exceed 3000sf is there was. * Fire alarm is to be upgraded with Fire Alarm Control Panel is at the front main door. Smoke detectors, all alarms, fire extinguishers, emergency lighting exit signs and a fire emergency enunciator panel are shown on the reflected ceiling plan A-3. * Fire extinguishers are required in accordance with NFPA 10. Locations are indicated on the floor plan as paired with the fire pull stations and are subject to final approval of fire marshal. No sprinkler system exists. * The single occupancy of the 1 story copies Business use building is before any renovation of the empty unoccupied brick 3 story and change of use of fire hazard index. Sincerely, Tris Metcalfe, Ma Reg Archt#5393 Metcalfe Associates architecture & interior design Is 142 Main St Northampton,Ma 01060 Tristram W.Metcalfe III,AIA Phone number>413 586 5775 Facsimile>413 586 2577 = v 43 Email >twm3narcn core ncarb, nys, ma, ct 7 registrations ■ ___ - °_____ January 6, 2008 Anthony Patillo,Building Commissioner City of Northampton,MA, Puchalski Municipal Building, 212 Main Street,Northampton,MA 01060 RE: Renovations to;Paradise copies at Conz st.,Northampton,Ma 01060 Dear Tony, This is a Code Review and Fire Narrative with the project drawings A-1, A-2,A-3 &A-4 dated 1/6/08; * This is a Chapter 34 narrative of the above project that I will be doing the 780CMR Section 116 services for. We have Ryan Hellwig doing structural design review for the windows we want to cut into a block bearing wall and new HVAC roof loads. This includes the Chapter 9 narrative attached and is part of the construction documents as shown above. * Project Description: The building is two connected structures a one story block and steel roof frame which we are renovating all mechanicals and finishes, adding 5 windows in the rear and adding a few interior partitions after removing others. A raised 2.5 story brick bearing wall and wood floor and roof frame building with one 2 story flat roof and 1 story adjacent but is not a part of this phase of work permit. It is separated by a 16 inch thick brick wall and one sealed off fire door. * Applicable codes 780 CMR: Massachusetts State Building Code, 6th Edition 521 CMR: Massachusetts State Building Code Architectural Access NFPA 101 Life Safety Code All with amendments, as promulgated by the state board of building regulations and standards * Use group classification: is B Business,which is the existing use. * Type of construction: The building is a type 2C non combustible unprotected existing structure of 5400 sq ft. It is now separated from the raised and unoccupied brick building soonrto be redesigned and renovated unprotected&type 4 heavy timber into business and residential most likely but it is not in this construction phase. * Fire suppression system: No sprinkler system exists. * Height And Area Limitations: It is an existing building 15 ft tall at the 54 ft x 100 ft wing= 5400 sq ft. The areas of the adjacent 2.5 story are not at issue but are approximately 8500sf+ a 2000sf 1 story addition to it. * Occupancy load: by table 1008.1.2 in Business use is 100 per sq ft, and for the maximum controlling number is 54 people,but only the customer area will become dense as service area is limited to Version I.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 Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1. as Owner of the s hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date i' ,as Owner/Author IAgent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my kno and belief. Signed under the pains and penalties of perjury. Print Name 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 0 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 www.rnass gov/dia - ' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers iformation Please Print Legibly 4s/Organization/Individual): 1:411--A S ft-C..14-00.4/ ft.'6 Sa W --0.4 . Zip: Styr- tt4,�.Ciosv-a-S)I Phone#: "A l'lv '' 6(a'S' ' l �41, '-.- mployer?Check the appropriate box: Type of project(required): / foyer with Cr7 4. ❑ I am a general contractor and I mp have hired the sub contractors 6• ❑New construction 'ees(full and/or part-time).* sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ad have no enmloyees These sub-contractors have 8. ❑Demolition nQ for me in any capacity. employees and have workers' P it°Y. + 9. ❑Building addition vorkes' comp.insurance comp.insurance. red.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions a homeowner doing all work officers have exercised their 1 1. j Plumbing repairs or additions elf. [No workers'comp. right of exemption per MGL 12.0 Roof repairs ranee required)t c. 152,.§1(4), and we have no employees.[No workers' 13.0 Other comp.insurance required) ant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. s that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have If the sub-contractors have employers,they must provide their`workers'comp.policy number. employer that is providing workers'compensation insurance for my employees. Below is the policy and job site lion. ce Company Name: F\ LT. — 4 or Self-ins.Lic.#: (l.)W* - 4 S-- Expiration Date: 1 Z O 6 to Address: 2-k C-614$1. &t City/State/Zip:' ,t . ' ` s h a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). re to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of c inal penalties of a ap to S 1,500.00 and/or one-year ir:prison vent,as well as civil penalties in the form of a STOP WORK ORDER and a 5.ne to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of stigations of th, DIA.fo •.ce coverage verification. hereby certi ', ,ai • -• ,enatt�es of perjury that the information provided ahoy is tie and correct. nature: a Date: 6 Loner: 413-6Cac - 49 Tr-- 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 4: t __ __-_______ ._-,� -�-____��_ F 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 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,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 ,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 pains and penalties of perjury. Print Name 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 0 - `� \ The Commonwealth of Massachusetts t Department of Industrial Accidents ", ' Office of Investigations • 600 Washington Street 7 Boston,M-I 02111 - °�L �� www.mass.gov/dia -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ADolicant Information Please Print Legibly Name(Business/Organization/Individual): - o\ --k v R-C -C£-� Address: 3 S., W`-0\--�J S---c' . J City/State/Zip: c�u'►-�Fli 1�t-(.�-�i �O4r Phone:4: ''k i3 6(0•C • ' T`i. � , Are you an employer?Check the appropriate box: Type of project(required): i, 1. I am a employer with Cn 4. U I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hued the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodelincr shin and have.no employees These sub contractors have. 8. ❑Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition [-No workers' comp.insurance comp. ins nce.* - required.] 5. I-1 We are a corporation and its 10.Q Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself [N o workers'coma. right of exemption per MGL 12_Q Roof repairs insurance required.]t c. 152,.§1(4), and we have no 13.❑ Other employees. [No workers' comp.insurance required.] *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 an work and then hire outside contactors 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 cn,ployees. 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: I'= -\ — Policy#or Self-inc.Lic. #: LOWAtAtr44 S-• Expiration Date:- 1 1 2- [ 0 6 Job Site Address: 2-l C41141:6 City/State/Zip:. �'��' 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 fire up to 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and ane of up to 8250.00 a day ag,inct the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th L4 fo .4..•ce coverage verification. I do hereby certi u •• ,ain • -• •enaltps of perjury that the information provided abov is ue and correct. Si�natsre: • Date: 1 15 6 - Phone#: `tl3-6‘c - c1 L `�l f--" Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License 7 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 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to b=filled in by Building Depa ent Lot Siz- Frontage Setbacks Fro . Side L:-- R:. L: R: Rear Building IT igit Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking.) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever b:en issued for/on the site? NO (3 DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at th- Registry of Deed NO (3 DONT KNO 0 YE 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, ,,ody of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been .r need to be obtained from the Conserv. ion Commission? Needs to be obtained 0 Obtained , Date slued: C. Do any signs exist on he property? YES 0 NO 0 IF YES, describe ize, type and location: D. Are there any . oposed changes to or additions of signs intended for the property? 'ES 0 NO IF YES, d- tribe size, type and location: E. Will the c6nstruction 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 IF YES. then a Northampton Storm Water Management Permit from the DPW is required. • a 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 ❑ Na e(Registrant): ` i- / , ' A Registration Number 4,9/3e;/ ‘;'Y> Addr- Of iii: S 721 1 Expiration Date ■AilljrglliP -- - e 9 Si natu e/ Telephone 9.2 gistered ' •fessional Engineer(s): •F (A.p.) Name of Responsibility Z.-'42e7 A-1,-,c) e2--G- 3'13 - Wit" Address / Registration Number ._. 60 '30 ok> ,1 L.f ../ L.4111 Si / ► Telephone Expiration Date Signatu r i/ 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 C PsC��G IC's✓1 . c�,.- Not Applicable ❑ Company Name: 0 Responsible In Char e of Construction b S v&-pr--4--k i -t. it-v----1 Addres Signatu Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING o 0A-pos-t-4. U 'Co ircit-1" P i2JL-Rir 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 (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES Q IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW a YES Q 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 beobtained 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 of signs intended for the property? YES 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 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 dExisting Wall Signs El Demolition Cl Repairs Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing CI Change of Use❑ Other ❑ Brief Description(,Enter a brief description here. t-,1 w¢Ci , � -1.4tc.or 5 C 4 w Sim Of Proposed Work: 20 ah r`iQw 2eArtt4.1.C/'11' w14-i,��g a (f lily S (lfzTPrt t. ( U I c.0 ®�t SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly CI A-1 ❑ A-2 CI A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business V 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ' H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 El R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B C 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) 1st 1st �/ /r � nd 2nd _.. 3 d 3rd 4th 4th Total Area(sf) .4-(0 Total Proposed New Construction (sf) Total Height(ft) /S fr 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 I=1 1 Versionl.7 Commercial Building Permit May 15,2000 Department use°r1-1Y. City of Northampton Status of Permit ' Building Department Curb Cut/Driyeway Permit 20N 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 21 Conz St Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: PowerTenInTwo, LLC 17 Charles St, Northampton Name(Print) _ Current Mailing Address: c; (413) 585-0414 Signature Tele hone 2.2 Authorized Agent: 1 r S ^�' �'� ..t1.. • l�'rC ' . . c�. V 44t .. S . Name(Print) Current Mailing Address: r X375 `{13 - b 91 Signature Telephone SECTION 3- EST ATED CONTT UCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $58,000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of $8,000.00 Construction from (6) 3. Plumbing $2,000.00, Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $24,000.00 6. To al = 1 + + 3 +4 + 5) ?p{) Check Number 6.9 3 6 1-1D. �J O --- /.j 1//1, 411, , ,/ This Section For Official Use Only ry ,r', ip,' r e.uilding Permit r umber Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0623 APPLICANT/CONTACT PERSON Sackrey Construction ADDRESS/PHONE 83 SOUTH MAN ST SUNDERLAND (413)665-9995 Q PROPERTY LOCATION 21 CONZ ST MAP 32C PARCEL 118 001 ZONE NB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out6Ild- �. Fee Paid Typeof Construction: CONSTRUCT RETAIL BUILDOUT 5,40 S FT(MECHANICALS,FRAMING,WINDOWS,FINISHES) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 040714 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Demolition Delay Az_______ _lecjieLf9___ 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. BP-2008-0623 COMMONWEALTH OF MASSACHUSETTS { 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-2008-0623 Project# JS-2008-000403 Est. Cost: $92000.00 Fee: $460.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 2C Contractor: License: Use Group: B Sackrey Construction 040714 Lot Size(sq. ft.): 14679.72 Owner: POWERTENINTWO LLC Zoning: NB Applicant: Sackrey Construction AT: 21 CONZ ST Applicant Address: Phone: Insurance: 83 SOUTH MAIN ST (413) 665-9995 () Workers Compensation SUNDERLANDMA01375 ISSUED ON:1/17/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT RETAIL BUILDOUT 5,400 SQ FT(MECHANICALS,FRAMING,WINDOWS,FINISHES) 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 1/17/2008 0:00:00 $460.0023642 212 Main Street,Phone(413) 587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo File ti MP-2008-0023 APPLICANT/CONTACT PERSON PARADISE COPIES ADDRESS/PHONE (413) 585-0414 0 PROPERTY LOCATION 21 CONZ ST MAP 32C PARCEL 118 001 ZONE NB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST -- °� ID`s ENCLOSED REQUIRED DATE ZONING FORM LLED OUT Building Permit Filled out Fee Paid Typeof Construction: ZPA-PARADISE COPIES 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 INFO IATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER : § ' '. 5 0 "_- .2_;:r-- ST/^'1E., ;riaK Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan ./14g9r✓9 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 CE Architecture Committee Permit from Elm Street Comn . .ion 0,'' _e..;,,... -- t 2/ X bey, Signature of Building fficial 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. 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 O No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ,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 i, ,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 pains and penalties of perjury. Print Name 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 Q The Commonwealth of Massachusetts !� Department of Industrial Accidents C -' ",_l 1 "'"r7 Office of Investigations ; _;- , �.� 7,..., 600 Washington Street kU`i`� E.,_= Boston,MA 02111 4-11 1'4 www.mass gov/dia �I e.-t dc7 ©1 Mir -Workers' Compensation Insurance Affidavit: Bui-Iders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required):4. I am a general contractor and I 1.� I am a employer with ❑ 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no e.Y levees These sub-contractors have S. XDzmouuon working for me in any capacity. employees and have workers• Y P tY 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required] 5• ❑ W e are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required)t C. 152,e§1(4),and we have no employees.[No workers' 13.0 Other Icomp.insurance requited.] I I *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information_ I.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=nines have employees. If the sub-contractors have employees,they must provide their'workers'cutup.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: (AD L- c--Lt-el'5 ...1-r'1`b,.›cc-,„e_sz__ _ Policy#or Self-ins.Lic.#: A l& (/1/4.3C .::"1 v`1"1 1-`` Expiration Date:- 1 2-4 Job Site Address:"1 °� z-- (..\° e+t---NCOMQ+ City/State/Zip:' 01 a 4- 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 perm hies 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 Investisations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct /J Sicnatore: C env'c-A-,/' 45 L.L. Date: ll1 j ` �`1 _ Phone#: q.l`J S8 ,,,.t(4 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#: Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer New Required Yes 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, _m_ ,as �&er 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 I, .... a as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of hrgowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Sackrey Construction, John Sackrey Contractor# CS079384 License Number dlcsl e:n A Exp 10/14/08 Address Expiration Date 4 � ` 9 5 Signature V 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 affiviiiir result in the denial of the issuance of the building permit. Signed Affidarit 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: Trist6m Metcalfe Not Applicable❑ .._. ... . ._. 5393 Name(Registrant): Main St,Northampton Registration Number �.. �... 08/30/08 Add 586-5775 Expiration Date Si Tele phone 9 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Tele phone Expiration Date Name Area of Responsibility Address Registration Number Signature Tel ephone Expiration Date Name Area of Responsibility Address Registration Number Signature Tel ephone Expiration Date Name Area of Responsibility Address Registration Number Signature Tel ephone Expiration Date 9.3 General Contractor Sackrey Construction Not Applicable❑ Company Name: John Sackrey Responsible In Charge of Construction 83 Main St, Sunderland Address 413-665-9995 Signature Tel ephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by N U CAA"qv CsE Building Department Lot Size Frontage ._. .. ..5 __._ Setbacks Front Side L: R: L:.._,... R: .._.. a.._. _...# Rear Building Height = � 5< , Bldg. Square Footage J� Open Space Footage (Lot area minus bldg&paved 0 parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES 0 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 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 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 0 NO 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 IGJ Existing Wall Signs ❑ Demolition Repairs IJ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign Er New Signs❑ Roofing❑ Change of Use❑ Other ❑ ±u I-e-)..,.•J` C. Jt-.e�..1•- r,,....-4c... C-e-t c„' -t,(Q, Brief Description Enter a brief description here. I c..,..., ts1 l )•�1 a'h o ., ,/1 t n` -e—rs o °j[i0.4_4L i c.n 4 -4-v C ltLt'.� -4- .c.,t--% Of Proposed Work: c..c t+• -(-O`- r\# - SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 CI A-2 ❑ A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business 10 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ 5-1 ❑ 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 USI 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) is' 54 x 100' 1G" None 2nd ... .. 2nd 31d 3`d th 4m Total Area(sf) 5400 sf Total Proposed New Construction(sf) Total Height(ft) >5 •(k 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 ZoneIj Municipalia On site disposal system❑ k Versionl.7 Commercial Building Permit May 15,2000 .. d„ Departntent,use:ortl 'c City of Northampton Status of Pwr .t Building Department Cur :CutlDnvewa ,Pernut "" 212 Main Street Sewer/Septic Availaltty ,% Room 100 Water/Well Availability Nortli\ampton, MA 01060 Two Sets of Structural Plans phone 413-587\71240 Fax 413-587-1272 Plot/Site Plans " .. Other Specify . - .,,r 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 21 Conz St Map Lot Unit Northampton Zone Overlay District �� �® � Elm StDistrict CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: PowerTenlnTwo, LLC ; 17 Charles Street, Northampton Name(Print) Current Mailing Address: 585-0414 Signature C.C. Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building Demolition $15,000 (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 /36 T f .5-6 This Section For Official Use Only Building PermiNumber Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0581 APPLICANT/CONTACT PERSON Sackrey Construction ADDRESS/PHONE 83 SOUTH MAIN ST SUNDERLAND (413)665-9995 0 PROPERTY LOCATION 21 CONZ ST MAP 32C PARCEL 118 001 ZONE NB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /3p Lif 5 a Typeof Construction: INTERIOR DEMOLITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 040714 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 Demolition Delay / ".—Aj. Z I 54/0 Signature of Building 0 ficial Date l 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. 21 CONZ ST BP-2008-0581 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 118 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit# BP-2008-0581 Project# JS-2008-000403 Est.Cost: $15000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Sackrey Construction 040714 Lot Size(sq. ft.): 14679.72 Owner: CONZ STREET REALTY INC Zoning:NB Applicant: Sackrey Construction AT: 21 CONZ ST Applicant Address: Phone: Insurance: 83 SOUTH MAIN ST (413) 665-9995 () Workers Compensation SUNDERLANDMA01375 ISSUED ON:12/14/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:INTERIOR DEMOLITION 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:,2, House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: De 6��4 GaILZ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: P Y FeeType: Date Paid: Amount: Building 12/14/2007 0:00:00 $50.001364 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo