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32C-340 (2) rrf ? �xr ttm un �1RttssttrY�usrtts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street Municipal Building -, Northampton, MA 01060 I\API=;CTOP Donald R. Dion 74 Russell Street Hadley, MA 01035 October 15, 2008 122 Hawley Street, 32C-340 Dear Donald, The Massachusetts State Building Code requires that certain building systems be updated when the work reaches a certain threshold. Repairing the damage caused by the fire at 122 Hawley Street will trigger those requirements. The Massachusetts State Building Code (780 CMR, sixth edition, Chapter 34) Section 3400.4.1 requires that all dwelling units have 2 separate means of egress. Section 3404.12 requires that any dwelling unit undergoing substantial renovations have fire protection systems installed. Section 3407.2 establishes minimum standards for insulation. The Massachusetts Electrical Code (527 CMR section 12) requires that all work done comply with the current referenced standards; the 2008 National Electrical Code with Massachusetts modifications. Feel free to call if you have any questions. Our telephone number is 587-1240 and our office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting that we close at 12:00 noon on Wednesdays. My email address is: I has brouck(a)-city northampton.ma.us. Thank you for your cooperation in this matter. Louis Hasbrouck Ile, City of Northampton Local Inspector and Zoning Enforcement lhasbrouck(a)-city northampton.ma.us ,. 1 j .�` �,�. v a, ;. _. __ ___ __. � / R I ^" d r'� ! '1�+^ k p 1 f �_..1 � _� __._._ �� �',� �r�. r ' �' 11 F�1 �-R 51 r� �t t "�..... � t ,� _�J �Y.. r� -. �'°y..., � X .�[. `''—"'"" u� \... ! �. i�, �t', � �, _. ;N 3 � �i �, ��' �� � �_ �.1 _ ���°. �— . r �-__.---_ _ J-71 cl !.99-989-6 T t am wars : 11 Bood k 400 - i ��,,w � e CA) -p- I(JM WLJGm' - TT 800i3 TO '4011 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govAUa -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Leeibly Name(mousiness/Orgmizatiowhdividual): �V it � .���Cp�t`���t�����OK\ 7t.'sNQ Address: q0 City/State/Zip: Phone-#: '-\\TZ>- Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with�_ 4. [] I am a general contractor and 1 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 employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp,insurance comp.insurance.$ required.] 5. We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers lu 'e exercised their 11.El Plumbing repairs or additions myself. [No workers'comp. right of exemption'per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Horneowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraam that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. 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: Policy#or Self-ins.Lic.M W cJ tliz),l Expiration Date: _J'S Job Site Address: \_; QOk> ��i c 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties 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 Investigations of the DIA for insurance coverage verification. I do hereby cefrtify,-urnder the'paaimssaandd penalties of perjury that the information pro t vided above is true and correct. Si e: "`gin! ,�� Date: Q1N-a.N_Utl Phone#: Sa`l- \� Official use only. Do not write in this area,to be completed by city or town officiaC City or Town: P,ermit/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 r.. sECTaoN�o- RUCui -P€Eli in> cao Independent Structural Engineering Structural Peer Review Required Yes No NEt2AUt30 Wt{EN RiZATtOh T B=00MP_ DSECTION-11=OW OWNERS AGENT;OR CO��i'If2AC�ORAPP,GIES•FOFt:Bf1iLDTNG�ERIV[IT -- --------- (, as Owner of the subject property hereby authorize 'tp 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 penury. Print Name Signature of Owner/Agent Date SEG'I7Q[�LtZ -GOI�ISTRCIGCQN SRiCES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number \G- i Address Expiration Date Signature Telephone SECTION 13 WORMERS'CONIPNS1kTIL3N;1N519tCE'7 �DA .(A[G L.ac. 5�2z§ 5Cf6}} `• 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 r i Version 1.7 Commercial Building Permit May 15,2000 SEtr13ON 9-PR .ESSIONAL DESIGN ANDt6NS3tt1J Ett1fICF_S EOFi BDt C��O ONSTRUCTIONONJRDkl1R511A,NT T©"Z8D CMR 1fi6�COtHA1N[N _,MOFE THA[�f 300 C OFENCLOSEDSPCE). 9.1 Registered Architect: Not Applicable ------------------------------------------------------------------ Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address _ Registration Number - 1- Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date } Name Area of Responsibility f Address Registration Number Signature Telephone Expiration Date Name Area of Responsibrdty Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable❑ Company Name: Responsible In Charge of Construction r Address Signatbre Telephone 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 1 I + + Setbacks Front L Side L:= R:= L:= R-= I Rear -Btu tng et Bldg.Square Footage i j % Open Space Footage % (Lot area minus bldg&paved mrlda ) #of Parking Spaces 1 I Fill: r f (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO I bONT KNOW ® YES 0 IF YES, date issued: { IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES Q IF YES: enter Book j ; Page and/or Document#! B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ® , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: 4 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 ® ' NO IF YES,then a Northampton Stomp Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 r.. S GTION -�C WbT�.ttiGIiCKS- —MCES L R PkZOJECT:LESS TkIAN 35,OQ0 Interior,Alterations ❑ Existing Wall Signs [ Demolition® Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use 0 Other❑ Brief Description !Enter a brief description Znb 4`'=-v Nsx'��-► � 'V, Of Proposed Work: '�t1k�r. `c».-�e�cg�` Q3 N\ 1ew .�.a- �fiery a�� .ova eta SECTION---USE-GROUT i}xONStICGZtKT�rPE _.....__ USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A 71 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ 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. 4 M Mixed Use Specify:I S Special Use Specify. j COtvIPLETETHIS,SECTIOJV F XISTIt+1G Bll 1LDtNG`k17TIDEk�GOING:REN{)1/ATfOI�IS;ADbifl, S ANDIOR£NAMGE 1N USE Existing Use Group Proposed Use Group: ° Existing Hazard Index 780 CMR 34):1 Proposed Hazard Index 780 CMR 34): 1 SEGT701+161E3Y7lt lI�1G i 1Gp AN AT2F�1 _ C BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1st ( 1st { . 2nd 2nd i s 3`d 1 3rd I s' 4�' Total Area(sf) ± Total Proposed New Construction(sf) _ r Total Height(ft) a u s Total Height ft 7.Water Supply(M.G.L c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:. Public ❑ Private E] Zone i G Outside Flood Zone[] Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 ,City of Northampton Building Department 212 Main Street g - 2 2008 Room'100 ' e 4Nq ha ipton, MA 01060 w r 587240 Fax 413-587-1272 PLJCAT1ON TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SEC1ll�N =S1(T7E`thiFORM010b P., _. x -"-Prop 191 "A �° ussect l�on fo be couipteted b Lot; Unit M -F ME SECT10N2 PROPERTY OWNERSHIPIACiT'IiORIZEQ-APE FT ' 2.1 Owner of Record: �0ZQ Name(Print) Current Mailing Address: cX,6Sz A f Signature C '� � i Telephone 2.2 Authorized Agent: Name(Print) Current Mailing,Address: Signature Telephone SEc--n0N.3 ESTIMATED;G'ONSTRUCTIOfY COSTS Item Estimated Cost(Dollars)to be oe CfW1001 r completed by rmit applicant 1. Building (aBmldmg'Psmait Fee `� ,0©0 2. Electrical (b)-Estimated Total=C-ost of 1 E t Onstri,ctron firom4 6) F y 3. Plumbing �, �� I Buil rng P0ffilfFee 4. Mechanical(HVAC) 5.Fire Protection I - 6. Total-=(1+2+3+4+5) fi(!D [-"Check Number. This°Section For_Afficial Ilse 4nt'_ 8u�lduag Perrnfumbr_. Date Issued Signatures Building Commissionedtn specfocnf-Buddings Date Vol 1 File#BP-2009-0365 APPLICANT/CONTACT PERSON KEVIN NETTO CONSTRUCTION INC ADDRESS/PHONE 90 Southampton Rd. WESTHAMPTON (413)527-3168 PROPERTY LOCATION 122 HAWLEY ST MAP 32C PARCEL 340 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid T peof Construction: REFRAM 2ND FLR INSULATE SHEETROCK,KITCH CABINETS/COUNTERS WINDOWS ENTRY DOOR&ADD 2ND EGRESS 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 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 10/a/76 Y 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. lip ME t 47'AWOM r. rc ov NP WOW li a PAT now MIS WIN , S*5 NE* { � P ax a a � � F r fi 'F n d y $€ 122 HAWLEY ST GIS#: COMMONWEALTH OF MASSAL CUS&]( May.Block: 32C-340 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-2000-0365 Proiect# JS-200, -000343 Est.Cost:$60000.00 Fee:$3c-0.0 o PERMISSION IS HEREBY GRANTED TO Const.Class: Contractor; License: Use Gaup: KEVIN.NETTQ CONSTRUCTION INC Lot Su(sa.ft.): 618552 Owner, .DION'DONALD R zoning,yxCtlot ' Applicant: KEVIN.NETTO CONSTRUCTION INC Agicant Address: Phone; insura ' 90 Soi:phart tc�n Rd. (40)'527-3168 W ESTHANIPTONMA01027 ISSUED ON;10/I512008 A 00:00 TO PERFORM THE FOLLOWING WORK REFRAME 2ND FLR, INSULATE,SHEET" KITCH CABINETS/COUNTERS,WINDOWS, ENTRY DOOR & ADD 2ND EGRESS POST THIS EM SO IT IS:VISIBLE FROM THE STREET Inspector of Plumbing g Inspector of:''Wiring., D.?,^ Building Inspector Under tBid Service: _o Meter: � Footings: House#. . Foundation: Driveway Final: Final: ;t •/7-D`j Rough Frame:jc)k f,6 b''e RP-YVI i Gas: Fire Department Fireplace/Chimney: arc i:V.ca'tt �`� 68 TjisLlat'an:_ t --' -_ Final,—J/-0 I ��Q /� /� Final: O 21 t cy THIS PERMIT MAY BE REVOKED BY TI3E CITY OF NORTHAMPTON UPON VIOLAT Of ANY OF ITS RULES AND REGULATIONS. Cedificate of OCGU anc' Fethg Date Paid: Amount: Building ' " ,.. 10115/2008 0:00:00 $360.002641 212 Main Street,Phone(4 13)587-1240, Fax:(413)587-1272 Building Conlniissioner-Anthony Patillo