32C-149 (35) r
m
� �'L �I' V � Lam►
wwo I
ISM • • '•' `�lyR - -
lot
♦i
I
Zo Ga3.c�Oy
R ti (rii� Of �'Tcrrtljalliptoll _ —
R
0E PAR T14EIrT OP BUILDfNG MSPECTIONS —
212 Main Street ' D!funieipal Dudding
Northampton, Mass. 010G0
`YORKER'S CONTENSA770N, MSURA-NCF Al, CT)r1N?T-j'
-Vk- -a-
-p�-��-Et_p. -f�l
�(t7 '4L-'Ia::L4 zyv"'�- (9
s�t/cit '/stn /zi
( 7 R)
do hereby cercify, under the.palns and penalties of pcgur�j., ha
( -m an employer providing the following ��-crkcr's comocns:don cove mge for Intl
tU )10vccs \vor�3ng on this job:
(tnstu-n Conn c�) (Polic:?Suter) (r:pircion zL)
O I atn a sole proprietor, general contractor or homeowDer (ci:cl e one) and have hired
the coi3uactors listed below wbo have the follo��inp, worker's GompeUsadon pokiest
('I tarnc of CG-:'.=c-'0T) (Iris-umnl^ Cotnt]an}f�cuc; ?�1Lr71L<r) �_?:)IiJIiQ D 1lC)
- (Name of Concramor) -- ClnsuranCC C0m1DanV/?0Ler NUMbCr) (Expiration Date)
(Name of Connaclo;) (Laauanc:. Com}zan)•/Pot;e)' Namur) (E-\D maoo Date)
I
(Name of Contractor) Resuranc-c Comcacry/Poliey Number) - (Expin6oa Daic) .
(saach:r'-i:oc31 c G if o to.L ooa7-s.ncs)
( ) I am a sole proprietor and have no one woridDg for me.
( ) I am-a home o-,vner perfornamc, all the work myself.
NOTE:pi=-%c be a ralt tt—ut to boon oc—cn.bo employ p,=i n to w c-iri—moc ccr,,zc'c,o:mpair work on•d%-11L--Z of
od mote the a tmfa W wbxb the botnoowae -,.d.or oa the prvjaoFL zppurtcoL. tbean r_z oct Cc�aatiy o'=16=4 w be
catPlcy—t, r the m Act(GL1 S2-sa i(S)�z-pvticaDon try a bomw%-D=far c uc=--,v or paten r2Y n rdcax LL-C
Icg�!clove
of C-cap.,J-;on AcL
f undo 'd than oopy of thin miy b.foCxnrcr.o-d b Lb-Departmeas of Indaisriel Aoodc..j OM—of 6..'-noo foe tb.
eovea.sc vciLcaica and a1 L-.ilta,o to scant:tov—Z,under ywLioa 23A of MOL 152 ern teal to the ucapcs ioa of criminal PrnA.W'3
000aiSmg of a tine or UP to S l_500 nndr m.>priyot oCup to ovc yvr r_nd aril pcanl',ia is Lk form of n Stop Word Ordc•and.
run of 5100.00 z y a�pinast
- For dr-0.rtrz.`—�1 u�c only
PCTrall)`1UMI>-r
( Map:; _ Lot n
Sim m of Li .
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-S>RUCtJRALPEER REV1E1tV;(780 CMR 110
Independent Structural Engineering Structural Peer Review Required Yes No
SECTION It- OWNERAUTHORi2ATION TO-BE COMPLETED:.WHEN
OWNERS AGENT.OR CONTRACTOR APPLIES FOR BUILDIN G PERMIT
I. as Owner of the subject property
hereby authorize' -;to
act on my behalf,in all matters relative to work authorize y this building permit application. s�
DL
Signature of Owner Date
as Owner/ o ' d-_:�,
c _�Agent#e�eby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
`ar5�d belief.
Signed under the pairie and penalties of peAurv.
Print Name
- —�_ _Uzo�
Signature of Ow e e '
,SECTTON;12'-CONSTRUCTION__ER.,',ICES.
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:` ��✓� ���� ! �� .mil c�
_ License Number
Address Expiration Da
Signature Telephone
SECTION 1'3-WORKERS'COMPENSATION 1NSURANCE;AFFtDAY1T(M,G:L 0:152r§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 bu'ding permit.
Signed Affidavit Attached Yes No 0
r
Version 1.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SER\[10ES-EOR'BUItDlNGS AND.STRUGT[1RES 133 -TO,
CONSTRUCTION CONITROL PURSUANT'TO 780 CN[IT11fi{EQiNFCA1NING MORE fHA1J.35,b0�^f..F.O�EI�CCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
I
Name(Registrant):
Registration Number
Address i
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
i
Address Registration Number
Signature Telephone Expiration Date
1 I
Name Area of Responsibility
r
Address Registration Number
i
j � y
Signature Telephone Expiration Date
Name Area of Responsibility
' I
S
Address Registration Number
� F
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
I J Not Applicable❑
Comp Na .
E
Responsible In Charge of Construction
Address
Si Telephone
Version 1.7 Commercial Building Permit May 15,2000
S�QR'1«[AA4ON
. �
Existing Proposed Required by Zoning
Ibis column to be filled in by
Building Department
Lot Size
Frontage
I !
Setbacks Front
Side L: R: i R:'—_!
i
s
Rear
wilding Heighit
Bldg.Square Footage
Open Space Footage _— —, %
(Lot area minus bldg&paved
azldn )
#of Parking Spaces
Fill: '
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW YES 0
IF YES, date issued: i
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW Q YES 0
IF YES: enter Book Page. i and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO k,6b DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q 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 Q 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
q—
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
r .
Versionl.7 Commercial Building Permit May 15,2000
l
SECTION.4-C07ISTR FQR:PRO IEGTS1kSSTHAN-35,000
CUBIC - SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ AdditioofAccessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description EEnter a brief scription here.G' I GP oz
Of Proposed Work::
SECTION 5-USE GROUP-AND CONSTRUCIat!< fPE
YQ
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly El A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
- A-4 ❑ A-5 ❑ 113 ❑
B Business ❑ 2A ❑
E Educational ❑ 26 ❑
F Factory ❑ F-1 ❑ 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
El
Specify:E
S Special Use El Specify:
COMPLETE THIS SECT_I,ON fF F?CISTIuG BUILD[NC UNDEf2GO1q G REN QU ADDiTtONS At171OR CHf4N'GE.IN USE
Existing Use Group: 1 Proposed Use Group:
Existing Hazard Index 780 CMR 34): i Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HMG HTANI A 'EA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION "
k M-+
Floor Area per Floor(sl)
x
1 at 1 St r
2nd
2nd
3rd .3 rd i i
4th 4t' I 1
i
Total Area(so I Total Proposed New Construction(sf) � k
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 E]
Version 1.7 Commercial Building Permit May 15,2000
J•-
City of Northampton a
Building Department
212 Main Streeti
n;,nr Room,100 i
Northampton, MA 01060
phone 413.587-1240 Fax 413-587-1272 Plots
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
�SEGZION�=S(TE'1NEORMATfONu__
Ttt►s sectrotto be compCetedi hYoce_IT
—- -"-Prove Addres
.._.• _. �.. . u
i`'�
� done �-OverCaDr�te�c� � `
..e" �"' n'=^'.,,'-. r _ "y.`.•e:,u x x,
w riG.$ir.Q15ti►G'<'; A CQ`t71i1C�.
ON.!Z PROPERTY 01NNERSH!P/AUTHORME-6.- N
2.1 Owner of Re ord:
Name(Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Age nt:
i
Name(Print) Current Mailing Addr ss
Signature Telephone L F
SECTION 3-ESTIMA; ONSTRU O -COSTS- -
Item Eltimated Cost(Dollars)to be T 0%cial Use-Only,
com leted by ermif a licant
1. Building , -:, j (a}Building Permit Fee i
2. Electrical Estimated Total Cost of
l Gonstruction from 6
3. Plumbing 6ui(dng PerinitFee
4. Mechanical(HVAC)
5. Fire Protection i
6. Total=0 +2+3+4+5) [-:Check Number
_. Thits�Section For'OWiicial Use Onl
Bulld�ng PecmlfNumber, Date'
,issued
Signature:
Building.Commissiomflnspector of Buildings Date
File#BP-2006-0841
APPLICANT/CONTACT PERSON RUSSELL JOPSON
ADDRESS/PHONE 15 BREWSTER CT NORTHAMPTON (413)582-9470
PROPERTY LOCATION 287 PLEASANT ST
MAP 32C PARCEL 149 001 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid c1Y7Lf APO"'
Typeof Construction: CONSTRUCT PARTITION WALLS TO CREATE OFFICE/STORAGE SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 083637
3 sets of Plans/Plot Plan
THE FOLLOWING 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 C ssion
2 t 2
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.
287 PLEASANT ST BP-2006-0841
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 149 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0841
Project# JS-2006-1297
Est. Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RUSSELL JOPSON 083637
Lot Size(sq. ft.): 10715.76 Owner: MCCARTHY PROPERTIES INC.
Zoning: GB Applicant: RUSSELL JOPSON
AT. 287 PLEASANT ST
Applicant Address: Phone: Insurance:
15 BREWSTER CT (413) 582-9470 WC
NORTHAMPTONMA01060 ISSUED ON:212712006 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT PARTITION WALLS TO CREATE
OFFICE/STORAGE SPACE
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 2/27/2006 0:00:00 $50.002494
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo