Loading...
32C-345 (2) • I w� • i i -I i 1 I , , i I i I rj • � I , � � I 'I� ' I I I I I I I ! I � I I i I I. I I I ! Ii � I � i ' i • I I I ' � � I i 'i I � I I i I '! I I. .I...I. !.I•,I I �I� I • , I I I � I ii i i � � � � i l I I I II I j j l I j l i • III I I i I i I I I I i p i II I I Ilij 14i ; � � ; I i y I I II I I i I ! • I I I , i I i I I I ' !-•J->.i...i�i fl I ; I � fi I. I _�I...L.._�__I__.l ....1._.L._:...II. .L.��-.-_i--i r._�_.L I I i..w j i ' ! I i I i � llllil I ; j �. Ij II it jl .. ill III ! I i I I ' � I i � I I I I I , i l l i 1 I I I 4• i.,...I .I I i I I I I I t M C RACE 11167 � f x llvjfp a (rii� of Porf(larliptoll ; _- jt E �lcoaachnscltc' DEPAR MEIrr OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 `VOJUCC,R'S CONQ'ENSA'nON: bISUt NCE AFFMAY11' . 0i0cusx1permitt ,-8 l v If 4,a' z L - D/pa - (phone,=) ._ - !� `f�l� �.3 (srr�tla fyJstal-cf n p) do hereby certify, under the.pains and penalties of perjury, :hat (-rl am an employer providing the following, \i'orkcr's compcns-nuon cove age For my emplovees wor�Jng on dies job: f�Cocy G7°,y63 y o. 07 (Lnsur---D= Corer,-nY) (Pobc-,Numbcr) F,-ptr<tio, Dale) O I am a sole proprietor, general contractor or homeowner (ci cie one) and have hired the couractors listed below wbo have the following worker's coE.-3aen-,,a6on policies: ('NWDC Oi C0:I[ncto') (Insuranc-- Coinoanyff)obCi NluII1rC-) (Ek-pIiJUon Dltc) (Name of Cootracior) (UIS-W-,DC.^. ComDa N-/?ose,, `tunicr) (E»u tion Date) (Name of Connactor) (tnsiva.nc: CompaoyfPoUcy Number) (Eapirz6oa Date) (Name of Contractor) (Insurance Company/Policy Numb:-r) - (L-xpinuoo Dais). (aa�th �oc�J t'xd JDOO=z O•to c,c'u.C6 iafotw,Eoa pertaining to.L ooa7-_.tzn) i O I am a sole proprietor and have no one worL-ing for me. ( ) I am..a home owner performing all the-work myself. NOTE:plesc tx twat a5,w'IilO bemcowvcn%•bo employ pewm to cr rtpair work ao.d%,xb^a of ON tnoct than 4';rw winch tlx boinoowncr r'uxto a oo the p ovDo6 z99uttcu: tbe:-' t.-r aX gocally oecr;d.-od to be cavloyc3 unL'a the wa�comp-...im Act(GLI52,=t(5)�tpptici6an by a bomcowo=fv:lice_cc pamh r>_y cidcacc the Ieg�J eulu of to cxzployv node dao wortOe,Compomatioa Ad {uazcnt,nd dw-copy of thii maemcot mAy b. to tbo Dopartmtaa of Indur�iel Aaodrnv'Gffioo of trrsu.noo fOe tb- oovcr&,t vaif caioa and Ox-u L-A=to tcaart bovcryse under torxioa-25A of MOL 152 can led to the i tmr4im of aimiasl pcaa tt- coons or a rant of tap to S 1,500.00 and/or ixzrpaisooaacrn of up to ooc yor cad civil pmil'uo in�c form of a Stop work Ordc r and■ fi>b oC 6100.00 a day aP,iaa tree _ For dcp.rta+=-�u.c only AT �� Pcrtmit Numbar h to p;; Lot Siga111M of Li crrniucc e x Version 1.7 Commercial Building Permit May 15,2000 SECTION 1p�.Si`RUCTUNAL PEEN REVIEW(780 CMR 17b,11) W Independent Structural Engineering Structural Peer Review Required Yes No 0 "SECTION 11-'OWNER:AUTHOR " 'TION TO`BE COMPLETED WHEN OWNERS AGENT R:GONTRA 'DR-APPLIEST R B'UIL ,INGPERMIT as Owner of the subject property hereby authorize a t7�u�}Ld "r�o�,iVO Q,�tE�:aQ2 Teaenp eew C to act on my behalf,in all matters relative to work authorized by this building permit application. E -----_•--------- ! 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. Si ned under the pains and penalties of periqM. Print Name i Signature of Owner/Agent Date SECTION'f2 ".CONSTRUCTIOIV.'SERVIEES 10.1 Licensed Construction Supervisor: Not Applicable ❑ tt Name of License Holder: t Te&F1 N 0 G S 03 Y 7 License Number Ad Expirati Date( Signature Telephone SECTION 13-WORKERS'COMPENSATfON INSURANCE,' G L.c-1162, 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 0 r i • t Versionl.7 Commercial Building Permit May 15,2000 .SECTION 9 PROFESSIONAL I)��IGN AND CONSTRUC710N SERVICES FCR BUILDINGS ANb TRUC'wk6�$11BJECiTO;. CONSTRUCTION.CONT:ROL PURSUANT TQ 780,CMR 1 6{CONTAINING:MORE T"AN A!%000 C;F OF ENCLOSEb SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address --) Expiration Date Signature Telephone 1 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date i i Name Area of Responsibility Address Re iNumber Signature Telephone Expiration Date i Name Area of Responsibility Address Registration Number C � � Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable❑ Company Name: Responsible In Charge of Construction r i • Address Signature Telephone Version 1.7`/Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size {-- Frontage �— 1 Setbacks Front Side L: -= R:= L:= R:= �? Rear -BuTdg et -T --- Bldg.Square Footage % Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: ' r volume Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Reqistry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Pagel and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0--­DONT KNOW 0 YES 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 NO t-.*I-- IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exca Ion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® I NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION°44CONS?RUCTLON SERVICESFOkPPOJEC.T&LESS THAN 35,000 CUBIC FEET UF;ENCLOSEO 77-- - r, Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration 9 Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other[R"� Brief Description Enter a brief description here. Of Proposed Work: ((QSS R µ -�D A't SECTION:5 USE=GROUP AND CONSTRUC'f10N,'TYPE USE GROUP ..� P(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1AB El El A-5 C1 B Business ❑ 2A ❑ E Educational ❑ 213 ❑ 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 0 Specify:i S Special Use Specify: COMRLETETHIS SECTION 1F F-�CISTING BUDDING U�lt3ERGbING RENOVATIONS, _ ADDITIONS AND/OR CHANCE 1N USE. xisting Use Group: Proposed Use Group: r-- Existing Hazard Index 780 CMR 34):1 Proposed Hazard Index 780 CMR 34):1 SECTION`li?BUILDING J(EIGHT AND AREA; .' 1110 t` BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1St . St a 1 a y 3rd 3rd s ti ' 4th 0 Total Areas ��� Total Proposed New Constructions {) W 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[:] Version 1.7 Commercial Building Permit May 15,2000 City of Northampton a Building Department e- �' 212 Main Street y Room'100 y Northampton, MA 01060 a phone 413-587;-1 240 Fax 413-587-1272 x APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SEC�ION1 SITE INFORMATION ' to`be compCeted by office - -1:1-Property Address: No �-•�cd• . 'zo�a SECTION 2r PROPERTY OWNERSF(IP1ACITHORIZEDAGENT;;F ' 2.1 Owner of Record: Al MXR(A q �R� % LET//iJ7�f1?7osWV? I Name(Print) Current Mai ry Address: (JP AV01 ha 6 7 Signature Telephone 2.2 Authorized Aaent: i Dw LD PRtS l o C�O•tJfGuc`h`� c{� i .��.I� �V. /� Jfv �1f� �/� Name(Print) Current Mailing Address: Signature Telephone SECTION 3--.ESTIMATE ONSTRUCTION.COSTS Item Estimated Cost(Dollars)to be Official;Use Qnl�r completed by ermit applicant 1. Building R�¢, O 9 s(a)Building'Prtnit Fee -- 2. Electrical � (b)Estimated Total Cost of _ _ Coristniction from 6 3. Plumbing Butld[g Peftffi Fee 4. Mechanical(HVAC) ---� i — � 5. Fire Protection 6. Total (1 +2+3+4+5) �� Q 5'7. a Check Number s' .•ThisSection:ForOffictal'Use:Ori1 . .: B Ad, T ber`= Date . Issued= r Signature: Building Commissioner%Irispeclorof Buildings Date File#BP-2007-0613 APPLICANT/CONTACT PERSON Teagno Construction Inc ADDRESS/PHONE P 0 Box 2054 AMHERST (413)549-0803 PROPERTY LOCATION 85 HAMPTON AVE PARKING GARAGE MAP 32C PARCEL 345 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT ACCESS RAMP TO 6ARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 034716 3 sets of Plans/Plot Plan TH/FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFTION PRESENTED: ed 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: § w/L L ,/ f©'"'PC7 Finding Special Permit Variance* (.•7 5-2 / C•n Received&Recorded at Registry of Deeds Proof Enclosed /qR8 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 Commi n 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. 85 HAMPTON AVE PARKING GARAGE BP-2007-0613 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-345 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Categ rye: BUILDING PERMIT Permit# BP-2007-0613 Project# JS-2007-000910 Est. Cost: $10947.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Grote: Teagno Construction Inc 034716 Lot Size(sq. ft.): 92347.20 Owner: NORTHAMPTON CITY OF Zoning: CB Applicant: Teagno_Construction Inc �-. r`n« T. Sri �1:_..i�,�n►. .�7C n: tea• Applicant Address: Phone: Insitrance: P O Box 2054 (413) 549-0803 Workers Compensation AMHERSTMA01004-2054 ISSUED ON.121412006 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT ACCESS RAMP TO GARAGE (WILL COMPLY W/521 CMR) 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: oj< at r t 6(o-7 Loy( I'S C LOPE< 1 :2°1 THIS PERMIT MAY BE REVOKVBYTHF Y OF NORTH AMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUCertificate of Occu anc - si nature: FeeType• Date Paid: Amount: Building 12/4/2006 0:00:00 $0.000 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo