24B-030 (9) r" I
A',' 7 n 3 2001
DEPT G INSPECTIONS
T OF YB��
N VA 01060
'0-AUG-2001 12:40:26 Hampshire County Registry of Deeds Receipt No: 152812
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
Name: ADAMS & RUXTON Addr: 600 UNION STREET
WEST SPRINGFIELD, MA 01089
ANDY TOUCHETTE
Receipt Type: OR
Payment
Total Pages: 0003 Fees Taxes
Fee: $ 10.00 Cash: $ 30.00 $ 0.00
Tax: $ 0.00 Check: $ 0.00 $ 0.00
Misc: $ 20.00 Charge: $ 0.00
Charge Code:
Comment: FINDING RECORDING-305 KING STREET NORTHAMPTON
Receipted By: DIANE Status: PAID
DOCUMENTS: 992121225 to 992121225
•-----------------------------------------------------------------------------------------------------------------------------------
ype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
--- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------
1IS3 003 0001 0000 0.00 10.00 0.00 20.00 20-AUG-2001 12:40 992121225 OR /6330/0281 INIT
Page 0001 of 0001
Ma-r 28 01 09: 10a RDRMSaRUXTON (413) 734-8138 p. 4
y p. 1
C�ii of
- L EPRRTMENT OF BUIIf)rNG INSPECTIONS (�
212 Main Street ' Municil�a2 Building -
f/ Northampton, Mass. 01060
WORKER'S -COA P.ENPA'nON
s NCF �-rm 4 1 MAR 2 8 2001
(IicxnscxJlx�io ) - - - - DEPT O"UIIDING INSPECTIONS
with a pliltcipai place of bursincsshesideuce at: NORTRAMPTON,MA 01060
Ot 0 8 honest
-- -r--__ �P )_r3 4- T
(GtTeUcity/statr/rip)
do hereby certify, under the pains and pen..lties of perjury, than
( } 1 am'-M employer providing the£s)ilo\king worker's com) risanon coverage for my
eiuployees working on this job.
r!
° Y? (Policy Number) (Ex radon Dxe)
( } t arrr_a sole Prof) ctor,general contractor or homeowner(cirye one) and have hired
the contractors listed below WW have the followmgworket's compensation policies:
(Name of"Contractor) (iuszlrallcx Compdtty/PoGcy I1uut}xl} (Expirobon Date)
(Namt:of Ctnttrdctor) (IuS-ilrance Cvmpany/Po NunNumber) (Expiraton Dait)
(Name of Contractor) amananac CompanyiPnGcy Nwn.'.) (E pim6on Daie)
(Natue of Contractor) QOe company/policy Number) (imitation Date)
(euacte adfitiooal u'od irnar_uary to mc;udc inCo�m,so�pa�w;����,���)
( ) I am a sole proprietor aad base nQ one working for me.
( ) r am a home owner peifornwtg aU she work.my .
o�QVM lean thr-w2do in Wwchtbc hom0awwr=60*con&..V..d' r, .,R 00 C-Oft'uY -b
`aVcXmu"dtttha compentatioe Act(GI A52=1(S)):atglicftwbyahomoogWfm• license apefmameYVn&Oethe
leg]i Trams of OA 4MWIOY r meder the Wotkdt Campmulm Act ..
»aot Cosy be fore U"W to,Lu ov...U aflod,amid Aaz> u!Oaiuv orL uw for'be
W-Yge vnihleatioa am that faih¢x to sfatrs coretaV=WW tern'2M-Cr GL 13Z wo kid i9 tBe Cogs wool s;iaiasl tvelti�t
°per of t fine otup to SUo0.0o s�or of up to Q«I'M sD"Q pcmltin in dr fqc of u$top Wak Ofdc and a
5m of S1Up t19-a day X&OW me
Fo'd W use add --
Map# Lot
ti4 CCY 1 Of NalhMillpton
DEPARTMENT OF BUILDIXG INSPECTIONS
i
INSPECTOR 212 Maid Street & Municipal Building
Northampttnt,MA 01060 y
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(for Professional Engineers/Architects responsible for only portion of a controlled project)
Project Title:_ l=e tz,;z l J ZTF Date: 3 I z a/A i
Project Location:3<, 5,- Map: Parccl: Zone:
Scope of Project:
rLt L c�_ra;t R-T t~ Cv A7k�1
In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0:
1, A LFOn1 S0 f- "ArQ D l Mass.Registration Number:4ZAA 7,`
Being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly
supervised the preparation of all design plans,computations and specifications concerning:
(]Fire protection XArchitectural []Structural []Mechanical [)Electrical
[)Other(specify)
for the above named project and that to the best of my knowledge,such plans,computations and
specifications meet the applicablc provisions of the Massachusetts State Building Code,all acceptable
engineering practices and all applicable laws for the proposed project.
Furthermore,I understand and AGREE that I shall perform the necessary professional services to
determine that the above mentioned portions of the work proceed in accordance with the documents
approved for the building permit.
Upon completion of the work,I shall submit a final report as to the satisfactory completion of the above-
mentioned portion of the work. �� f v,y
Signaturc and al of registered pro inal: r
56W�� y `
No.4943
Lv BOSTON
MASS.
fOt OF
Fax 413-587-1272 -phone 413-587-1240
i,
.q 9
Version 1.7 Commercial Building Permit May 15,2000
CTION,'10•STRUCTURAL PEER REVIEW{780 CMR 110.11)
independent Structural Engineering Structural Peer Review Required Yes......❑ No......
SECTION,li .tRWNER AUTH�JFt1ZATION .TQ AE:CQMPLE'CED WHEN
4WNEItS AGEN`C CR CpNTRACTORAPPLIES FbR BUILbiNG PERMIT
I as Owner of the subject property
hereby authorize Ab AJ'AS 41 (0)' to act on
my behalf, in all matters relative to work author is ding permit application.
Si a of Owner 4FIRT Date
as Owner/Authorized Agent
hereby declare that the statements and i formation on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
'...J �o�c,b!c'T Q b�l�-taS � �kTp'� �trt$�•• Cky_
PWf4ame
'gn re of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
101 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : xnaQr�,y '�a�clttd�(l� — -71 IS �
License Number
T 5,b iL.f & It f o t
Address Expiration Date
X138
sig'nature Telephone
SECTIpN 13 WORKEI S�COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.162,�2MC(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....... No...... ❑
• Version 1.7 Commercial Building Permit May 15,2000
S.ECTi+e?N: 9 PROFESSIONAL OtSIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURE� SUBJECT TO
CONSTRUGT�iN N`fktOL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,O0 ,ACE)
1 Registered Architect:
* ' Not Applicable ❑
Name(Registrant):
Registration Number
(�7ye Cr�2 �� t.-�l�S7 �lZl►�t 6-l�1�C,n �,
Address
Expiration Date
�tb /`iFF'bay1T 7�.4. -Z13CJ
Signature Telephone
92 Registered Professional Engineer(s):
ti (A
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date "
Name Area of Responsibility
Address Registration Number
gnature 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
AbALk-A 4, fwISIC31 A Cow. (-C�. Not Applicable ❑
C pany Name:
A 1.4 t,Not s<s --To t✓Tf 4F,
Responsible In Charge of Construction
So° G <-14L,S7i S1'%1,14 Er;,-tt-kb, MA D1 a,7m
jdress
Signa re Telephone
Par 28 01 09: 10a RDRMS&RUXTON (4131734-8138
Mari 2Q 01 Q2:33p p. 3
p.2
Version 1.7 Commercial(Building Pennit May 15,2000
Water Supply(M.G.L.c.4D,g 54) 7.1 Flood Zone Information: 7.3 Sewa losal tsystAm 2 8 2001
iblic 0 Private ❑ 'Lone:_ _ Outside Flood Zone Q Murncipal 0 On�itE disposal system ID
S. NlJR rHAMPTON 7.ON1NG
.Existing Proposed Required b ZoaingDEPT BUILDING INSPECTIONS
T� ► this colum .
n nc cited in 40R HAMPTON,MA 01060
YBwtdir�gyD,ep
Lot Size 0.t3 Al, _f y 03os)1 p_A3 Av /J7
Frontage 'A 5 c-r 9S V r ST
Setbacks Front 151 1-'� i
Side L:_i S` _R:_N!A L:15` _R: titta_ /b
Rcar 41 A,
d
Building Height T 9r ',
Bldg.Square Footage q9 V b
_ zgv, 5-Z4 �-c 2.7
(open Space Fwtage-
(l.ot atea minus bldg&paved 694::s v- $ Z9 ap S9
,parkin&)
#of Parking Spaces
volume&t ocation t o u t A
A_ Has a Special..Permit/Variance/Finding ever been issued for/on the site?
RQ_ DON'T KNOW_�__ YES
IF YM 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 siteGontain a brook, body of water or wetlands? NO DON'T KNOW
YES
fir YES, has a permit been or need tote obtained from the ConservatwA Commission?
Needs to be obtained______Obtained� Date Issued:_
C. Do any signs exist on the property? YES NO
IF YES, describe size,typ andaacation:—_b-1
D. Are there any proposed changes to or additions of signs intended for 1he,propcwty?YES
No
IF YES, describe size, type and location:_
ter' Versionl.7 Commercial Building Permit May 15,2000
SEC"�ION 4 CONSTRUCEION SERVICES FOR PROJECTSaLESS t HN35;000
Ut EET flF ENCLflSfD 5 'ACE
z . ..„ .,
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
❑ ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ J Other [ ]
❑ Accessory Building[ ] Repairs [ ]
;SiCTION$ 115E GROUP Ar+ p CflNSTRUCI"Ipt TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 113
❑
B Business X. 2A ❑
E Educational ❑ 213 ( ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1.1 ❑ 1.2 ❑ 1-3 ❑ 313 ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
Ct MPL ETE THIS SECTION IF EXISTING BUIL-D1NG UNDERGOING RENOVATIONS,ADDITI,bN5 AND/aR CHANGE IN_•USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
5ECTIQN 6„ 111LDINC HEIGIIT3AIVt3'AREA' -
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
Floor Area per Floor(sf) s° !
1st r.� .I
1st C,Z 5 f<. 2nd t
3rd ;
3
2nd
3rd 4th ti
4th
Total Area (sf) Total Proposed New Construction (sf)
--------------
Total Height(ft) l'Z
Total Height ft ---&A --- {
ow
r
W Versionl.7 Commercial Building Permit May 15,2000
City of Northampton
Building Department
212 Main Street
Room 100
Q ��] or Ipton, MA 01060
D h r 240 Fax 413.587.1272
A L TIWAROr�VgJCT R, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
DEFT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
SECTION'I-SITE INFORMATION
k
c
1.1 Property Address:
SECTION 2- PROPER Y OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: _ �� i� 9 CJ/ � � �61r05
ame(Print) Current Mailing Address:
Si Telep one
2.2 Authorized Agent:
/Scraw� .� R•��c-r�� Co�.ss-t • �' A.Q. L3�v 3?O , i�-lE•sr' SP A�r�c lEIgs i mr,
Name(Print) Current Mailing Address:
` ('4L3 j Zi 3
nature Telephone
5,' C'=0P 34 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only,
completed by ermit applicant
11� 1. Building (a)Building Permit Fee
2. Electrical 3d 3 O
(b) Etimeted Total Cost of
Construction from.,, :
3. Plumbing Building Permit Foe
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 +2 + 3 +4+ 5) Check Plumber
This Section Fdr,Official Use'Only
wild,Jng'Permit Number: �/-- � 5 Date Issued:
Signature;
POIlding Commissioner/inspector of Buildings Date
File#BP-2001-0756
APPLICANT/CONTACT PERSON ADAMS&RUXTON CONSTRUCTION CO.,INC.
ADDRESS/PHONE 600 UNION ST (413)734-2138
PROPERTY LOCATION 308 KING ST
MAP 24B PARCEL 030 001 ZONE HB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Typeof Construction: MOVE FIRST MASS BANK BLDG FROM 327 KING ST ACROSS TO 308 KING ST(FL
ROBERTS)-SPEC PERMIT CONDITIONS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 071951
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
_tZleceived&Recorded at Registry of Deeds Proof Enclosed V
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
Signatur&Buildi 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-2001-0756
GIS#: COMMONWEALTH OF MASSACHUSETTS
M ..,sl c_k:24B-030 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:ADDITION BUILDING PERMIT
Permit# BP-2001-0756
Project# JS-2001-1421
Est.Cost: $13000.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin ADAMS & RUXTON CONSTRUCTION CO., INC. 071951
Lot Size(sa.ft.): 19514.88 Owner: F L ROBERTS&COMPANY INC
ZoningHB Applicant: ADAMS & RUXTON CONSTRUCTION CO., INC.
AT. 308 KING ST
Applicant Address: Phone: Insurance:
600 UNION ST (413) 734-2138 Workers
Compensation
WEST SPRINGFIELDMA01089 ISSUED ON.
TO PERFORM THE FOLLOWING WORK:MOVE FIRST MASS BANK BLDG FROM 327
KING ST ACROSS TO 308 KING ST (FL ROBERTS) - SPEC PERMIT CONDITIONS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building �51Ibt 6469 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo