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32C-162 (2) r� 1 �� . . �y .�.�<� ��:. w 1 t' � � B �` 4, ��'° � � wK: ��u,.. a..�-. �.��T. `� « ��� �� �1 ., t x , ,1 �! ;;'44� �" � �°��.i .y X'i x,. �� �, y a `5 y-. ,,. w��, +i @ t n ,? �t �� T " � � _. e f, 4� Y. 1 t t d 1 r t � s 1 t 1 t { i tA ," i IV �I ll/J-f PT O O F� tiiE (rii-�) of lln� il�a�lt}�tort - _ 9 J E 2RcElnsclla' _ DEP/tRTMEITT OP BUILDD,.0 INSPPCTIOt.'s - 212 Alain Street ' Municipal Building Northampton, Mass. 01060 tier O RICCI Z'S CO NM EN S A TIO N CSI S URAN CF Al, ,J3)A TIT --gl I, � s � (]recvsxl(icrinl ttix> --- (phone=!) (sa-�a/ci t}/statz/a p) do hereby certify, under the paint znd penalties of perjury, ?hat O I am an employer providing the followine \e'orkcr's comocnsa on covemgc for Ins etuployccs wording on Olis job: (tnSLU--]T= COMP:ny) (Polio: N-Lmabcr) --- (r:-pinion DzL.) ( ) I am a sole proprietor, ge-oeral coou-ac for or homeowner (circle one) ano have hirea the coon actors listed below who have the folio%viug worker's come i-aOon policies: (i+aIDC o,. conimcior) (lnRu3nc-- CoInpaI)./lPouc ?�t11II1 C1) �_?:)I;daotl DaIC)'' (N:.me of Coni:racior) (Llsurancc Comoa N-/?o!ic \unccr) (-Exp ,iron Date) (Name of Conn-acto:) (Lastuaneo. Compan)•/p0biq- Numb,-J) (Expimcion Date) J I (Name of Contractor) (Lnsuranc—c Comrzny/Policy Numbcr) - (Expiration Daft). (aaith ::owl tua if ooc zi�to merue icrofm.E oe pestaiaia6 to eil 00a7-_e.o:s) I am a sole proprietor and have no one worling for me. ( ) I am.a home owner performing all the work myself. NOTE:pl=x tx tw:ut Its•• {;Jo 6,—mcn W bo cwplay pe-zoas to do rrpair work e,a d clL^g of not moot t�--M ` "-bj the maid=a oo tlu Qo trio r z�pszyrL r tlrc n s c ox 11y oar d�ci1 to be carployt s uac c the�=) c =-- op Act(GLt:52•a 1(5)�zpplicarian by a bomcoaD=far c Girt`—_or perrah rr_Y c id_'occ tl:c Iegt]rt=^,•of e.o—?Ioyx under dw Worrell Gompooxti.Act- I uodQnAnd tha a copy or c,4 cal.aacaa m...y be f�.avrded w tbo p.opn.lmcar of l,&,I i J Accdo l Offioo of trr,.+r�ooe for the oovctasc vcTi f CxIioa and taut L•iliac W taZU -IL dam trndcr sea�oa 2 S A of?,(GL 152 c=la.d to the i�-rooaQ•iw of eimiaA pca+)tio comirM38 of a fine or trp to S 1 300.00 and/or of up to ooc yrw tnd avit pavhia in tx form of a Stop Wort Order aad a ftm of s 1 00.001 d:y 1Eai=tDI-_ For dcp. -' J u�c only ---•----_ Permit Number Lot.' Si�zturrofLictnscrlPcrmiucc —� `__.._ -- � �� i Version 1.7 Commercial Building Permit May 15,2000 i,. SECTJON;10 STRUCTURAL PEER REVIEW 7'80 CMR t1D:11J _ , Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION11 OWNERAMORIZATION,-'TO BE-.COMPLETED WHEN' OWNERS AGENT 0''R.GQNTRACTORAPPLIES•1FOR Bt71LDiNfaPERII111T l ` 4 ✓� ` " ��� ',as Owner of the subject property hereby authorize` "� /°'S �f to act on my behalf ' all tt relative to work authorized by this building permit application. Signature oflawner Date Cc-kg/ �r . (11 !( t„�-1f 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 the pains and penalties of Dedury. Print Name 1 Signature nar/Agent Date SECT IOK 12; ""CONSTRUCTION SER1/IGES 10.1 Licensed Construction Supervisor: _ Not Applicable ❑ Name of License Holder: L7 i License Num er Address _ E; iratiW Date 'Signature Telephone : " ;,§25G£)SECTION 13 WORKERS=COMPENSATON"INSUR 4Cr,- 52 " 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 r i t Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL;DESIGN AND CONSTRIICTiQNSERYIGES EORBL ILDINGS ID,SMUCTURESBUBJECt7D CONSTRUCTIO%CONTROL,PURSIVOT T0:78D N1}211fi.(GONTAINING MORE TH34t+i_35O00 C.R,OF ENC105ED SPACE) 9.1 Registered Architect Not Applicable ❑ l Name(Registrant): Registration Number t Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): t Name Area of Responsibility � I I Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 1 Name Area of Responsibility I Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility i f Address Registration Number i 1 , Signature Telephone I Expiration Date 9.3 General Contractor Not Applicable❑ Company Name: E Responsible In Charge of Construction r i Address Signature Telephone f Versionl.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front 4 ! --- Side L:i I R:= L:I i R:= Rear r i -ButTdmg HeIgm { _ Bldg. Square Footage t j- °fin i � s Open Space Footage % (Lot area minus bldg&paved 3 ` parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Perm it/Variance/Findin ver 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 0 DONT KNOW ® YES 0 IF YES: enter Book ] i Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excpteation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ` NO AX IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 r.. SEE°TION 4 C:)NSTRUCC-TL0N,�SER%ACESiFO ,ROJEC S ESS Tt N 35;OQ0 G1�B���EET�3F'EI�ICLOS�.DuSF..�CGEr `' 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. fSc(� Of Proposed Work USE SECTION 3_ GRQUP A7�D CDNSTRUG ©l • Y#?E°. USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business V ❑ 2A ❑ E Educational ❑ 213 ( ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ I-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: i S Special Use Specify: i COMPLEfETHIS SECTION 1F EXISTING BUiL�lll>1G 11�[DEI�411�G R£fJO�ATfONS,ADDffi-IOIVS.AIVDIO.R GRANGE fiN USE x. :._ _ . t Existing Use Group: I Proposed Use Group: ' Existing Hazard Index 780 CMR 34):' Proposed Hazard Index 780 CMR 34): SEC171'041 'BIIILDIIING HEIGITT AND REA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION ` ip i k Floor Area per Floor(sf) 151 1St i _ 2 nd ! - fir" 2"° w 3m 3`tl i 4"' j ot Total Area(sf) i Total Proposed New Construction(sf) Total Height(ft) i 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 E] On site disposal system❑ Versionl.7 Commercial Building Pennit May 15,2000 _ t Ciof Northampton lid ng Department 212:Main:Street G! i i_ 2 c'� -Boom 100 w _ Northampton, MA 01060 nr� _413-t87-1 40 Fax 413-587-1272 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ,,SEC�lON�_,_,SlTE'INFORMATION" - - _- -Proverty— s dk;f1o6e aocl7 wed yro ice - E t1!> r :r I I N o �Un SECTION 2 PR0PERTY�OWNERSF11P7ALiTHOR1ZEDGENT W 2.1 Owner of Record: �r 1 t'1'1C�r'1 Name(Print) Current Mailing Address: F� p5 j Signature - Telephone 2.2 Authorized A ent: Name(Print) Cunent Mailing Address: Signature Telephone .SECTION--3=>ESTlllf� D CON$TRi1CT(ON C0$TS Item Estimated Cost(Dollars)to be 'Off ciat Use Only completed b rmit applicant - s 1. BuildingGU (a Bualdg Perii3it Fee I 2. Electrical (t3 Estimated Total Cost ofi t 3. Plumbing 4u Win q Peiini£Fee 4. Mechanical(HVAC) _ a I C,kc, I l 5. Fire Protection t 6. Total=(1 +2+3+4+5) r ( ' Check Numbe[ __ .,._..Ttiis°Sectron.'For.Affrcla!"!7"se Onl Builclmg d-0ber� mate .Issued r Signature: Building<Commissionedinspector.of-Buildings ,- Date File#BP-2006-0110 APPLICANT/CONTACT PERSON CHRIS LESIEUR ADDRESS/PHONE 198 BRAINERD ST SOUTH HADLEY (413)532-1335 PROPERTY LOCATION 223 PLEASANT ST MAP 32C PARCEL 162 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out j 4x Fee Paid Typeof Construction: FRAME OPENING FOR ROOF TOP FAN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 078200 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: _Aefved 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 Conuni n LAS 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. A , 223 PLEASANT ST BP-2006-0110 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 162 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0110 Project# JS-2006-0161 Est. Cost: $1800.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHRIS LESIEUR 078200 Lot Size(sq.ft.): 4268.88 Owner: ST MARTIN PETER A& Zoning: GB Applicant: CHRIS LESIEUR AT. 223 PLEASANT ST Applicant Address: Phone: Insurance: 198 BRAINERD ST (413) 532-1335 SOUTH HADLEYMA01075 ISSUED ON:814105 0:00:00 TO PERFORM THE FOLLOWING WORK.-FRAME OPENING FOR ROOF TOP FAN 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 Sisnature: FeeType• Date Paid: Amount: Building 8/4/05 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo > 4.'C1iAMp�, No........................ x s e Erection......................... ( ) Ym 9 Alteration......................( ) Plans must be filed with the Building Inspector, Repair..............................( ) Repainting...................( ) before a permit will be granted, Removal..........................( ) V(Zrz of Xort4amptott, Aria. Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE.! :.6.0 PAGE_�� .. PLOT. .� L Northampton, Mass.,....... .*1 14......... �.�.....................19. .�.... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME.... ?. ................................ . ..51.. l 1. LOCATION, STREET and No. ...-,?.. ...+.3.........t..... {'. 5._.! ! ?.. ............��`...J....................................................... 2. Owner's name... / (� ........................................................ ... .......... 3. Owner's address.... ... y... . ' f!� 5........... i.....: ..t.. :..�. ... . �..:.t......... ...:................... 4. Maker's name.......U.u m....0..a..,)........................ e:.V—r�.. -.� .... ... 22; ............. ............................ 5. Maker's address.. .FYI.J�...2..�.L................a..1(. �..?�..�,f .......................................�.�:�f:.f 6. Erector's name......LL&.&I-C...::q:z7 l......................... .......................................................................... 7. Erector's address.......ffi .F?..Lt: . e:...................................�`•U.. !':..f..�:�.rT�:!.p .......... . SIGN KIND OF SIGN S t ` L e 5 (Designate) 1. Sign will be (check one) illuminated..................non-illuminated.................. 2. Will sign obstruct a fire escape, window or door?.......dl. Marquee..................................... 3. Lower edge will be..................ft...................ins. above the public way. Prod ecting.................................. 4. Upper edge will be..................ft. ..........ins.above the public way. Roof............A........................... 5. Height......I.......ft........... ......ins. .width......... ......ft.............: Temporary................................. ..ins. 6. Face sq. ft. area...L( Wall................................................ .......... � 7. Inner edge will be..................ins from the building or pole. Ground.......................................... .............................................. 8. Outer edge will be..................ins.from the building or pole. Other,, ����b 9. Face of building or pole is..................ins.back from the street line. " 10. Sign will project...-.........ins.beyond the street line. _ ---- -----'""""' 11. Sign will extend..................ft...................ins.above the building oole. 12. Of what material will sign be constructed? Frame....... ... � .G,..d±.n........... Face................................................. 13. Estimate cost.....�J��....The undersigned certifies that the above statements are true to the best of his knowledge and belief. .. ... .. ...........................: .. �e_, Signaof Owner or Agent) NOTE: In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY. CITY OF NORTHAMPTON MASSACHUSETTS I NSPECTOR OF BUILDINGS 7 GA0.\Sfs T DATE April R, 19A1 U TI SIGN PERMIT PERMIT NO. i 4 g PERMIT FEE$ to-no BUSINESS Roberto'c Restaurant ADDRESS 793 St OWNER Mary Jane Sienkiewicz ADDRESS 1-65 Day Rd, Hadley, Ma. APPLICANT Came as above ADDRESS came &s above - PERMITTO: Erect roof sign ESTIMATED COST$ 150,00 BUILDING DEPT. BY