Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
24D-077
Fwd: Propane Bollard Rollout-cmiller @northamptonma.gov-City... https:/,/mail.google.com/mati/Li/o/4inbox/14ce604lubabrub4 ch Mail Back Archive Spam Delete Move to Labels COMPOSE Fwd: Propane Bollard Rollout Inbox x Inbox(6) Philip Dixon <phil.dixon @dixon-inc.com> Starred to me Important See below hess/speedway authorization to do work Sent Mail Drafts Sent from my iPhone All Mail Begin forwarded message: Spam(4) Trash From: "Henry, Patrick(Speedway)" <patrickh nryc s_pee.d....wWco_m> Charles Miller-07022..• To: "Philip Dixon"<p_h...i.l._:dixon.a�3d_ixon-.i_nc._ca_m> Subject: RE: Propane Bollard Rollout Charles Miller-07022... Charles Miller_07022... Additional sites attached pis update me with install schedule ASAP More Key objective is to contact the town let them know these instal If additional work other than Bollards is required for any insta Only sites that show layouts next to building are approved. Sites that were previously sent to you that are in remote areas • List of sites in remote areas are as follows; • 32391, 32342, 32560, 32464, 21345, 21236, 3950{ From: Henry, Patrick(Speedway) Sent: Friday, April 10, 2015 2:43 PM To: 'dra.berne.petroleutech_ca '; 'NPT Tom Brennan (Tar nn?!_na inc.com' .................................... Subject: Propane Bollard Rollout Importance: High Tomorrow you will receive otrax calls for additional approved sites extinguishers have been supplied and delivered to site for you to it I Have re-attached Bollard spec(PRO-102-11-15) and Fire code spe Attached list Propane bollards install 4-10-15 has a column showing 1 of 1 4/23/2015 11:00 AM L! �-, . .. y�� ; �� 5 018276 West Mah Street ( o n,h o ro h, 015 3 2 !i �f U DQLL,.RS h INC. I 0 L8 2 76ii' 1: 2 1 18 7 20 2 ?,: 1 0000 L L 24 SO 018276 01.8276 I ne uC7FT mut liiV/utim 1 ui @V6CIZ0,D A IUMcLU), Department of Fire Services - Office of the State Fire Marshal PP ,.,,. 01) P.O. Sox 1025, State Road, Stow, MA 01775 PERMIT City or Town Northampton DIG SAFE NUMBER Date 11/20/2014 Start Date: Permit Number(if applicable) In accordance with the provisions of M.G.L.Chapter 148,as provided in 10A this permit is granted to, Hess#21202 Customer# 144097 (Full name of person,Firm or Corparadon) Ctnrage.of(71)20111 Qylinderc far rPCale ar exrhange inn lacked nape Restrictions NFPA 5R and 527 CMR 6 00 (Give location by street and no.,or describe in such manner as to provide adequate identification of location) 237 King St.:NoorthgWton.Ma.01060 Fee Paid $50.00 Ck# 12-A(.1"79 This Permit will expire on o7w 46 x Signature of Official Granting Permit Title /6-�, F-1 This permit must be conspicuously posted upon the premisesF� t , - Store T,,IIme/fi: Account 9: Date of Site Plan: Installation Address: -)3-7 llel�,7o CitY: _ -� - _ - ___ ___ -, STORAGE C � 0 l9oi$xd Down . LJ N8PA 58 | . ' c_ I�o. of(�eb�eto: / ' ' | Cabinet =^z" Total�v-'-lioderadel: ^�--- ' | -c� — ' . . . VE H8C&E PROTECTION . . ' | [] Crash Posts | . ^ 41nf�nnt | � ��. ^ --------' | ~. 6 in. Curb 35 1 ` . . . DOORS INTO BUILDING . �� {�n� r- [] More. Than One CobizctDixtoDme: �< fL —~~--' FIRM | � _----- � ______--' Tvna� | ' -'` ' \ Size: Tbo' | ' ------- C ��-~ Cabinet IJ�o��ncn� z ��__8- . . . . . Store ]�uu��' ' umaoy��z . ' ^ . . Store Phone: . \ \ ,~'/_` . | . . . and Ioetm}��y�az�r� | | Distributor_ . . �� (Z f\ / /� < ' ��/ | '~ / /l^Y | .-------------/-------------------------------------- | �--| tb�bo� nlamo�d�tmi cross streets,}�n�b doors,etc.) �--� . ` '-------------------------------------------------- ' c 0 yav,\ e A AREA YARD GUARDS FILL WITH CONCRETE & CONE TOP Update:Per Engineering The Speedway spec for the 6"bollards are to be Schedule 40 pipe which is 0.28"thick SEE PLOT PLAN FOR PIPE SIZE m GRADE POURED CONCRETE BASE EO I 00 NOT FORM a" BELOW GRADE "rg BOLLARD DETAIL y www 3. GENERAL NOTES: Y EXISTING LAYOUTS C@PLY WITH WPA 58 i SIDEWALK EXISTING (.PROPANE RENCNAIOISER DISPLAY TO BE 29'NIN FF44 i ALL N40 BUILDING SPECIFIED TIN TABLE OPENINGS BELOW.AWAY FROM HENS AS 6 iy F EXCERPT FROM 2012 INTERNATIONAL FIRE CODE Y PROPANE PROPANE 6109.12 Location of etoroe.WtsiW of bullotn S. tl Oj O Stora9.outslde of wildirga of LP-0ee=taiws ovoitin0 Q l �( yq• S.,r.AOi.T Port of.ql indsr.Yalala.P,.r-stal l be l—,.4 In aacmdawe vith Table 6109.11 )6YIY. wyl.. la'YI..R'YIN.\ � xM1xv.Y.rrox cxax[xvawY[sac ry-e.M1Y COxralxrxx nwenlxcux a[su[tw[acxaxe[sluYwnnlslo[oc Z uuwc. O H CONTRACTOR AID RPPLBRU 10 FROM A MINION OF 0A MV1 MINIMUM SEPARATION DISTANCE FROM STORED LP-GAS CYLINDERS TO leet: V EITEP�SIDEEY ASAEWIRO t0 CAGE. j I O u'lus at. R'Ylr C. Nearest mPOrtant W)e of ad oiuple bull DroDertY OCwpkd DoofwaY Deurwa y COITPACTOI MO$OVLIER TO ENSURE A MINION O Our by schools,paces of r opeNna o y /PELEAAANCE BETWEEN PROPANE CAGE NU BOLMDS. QUANTITY OF prouV Ol eF(pous worslJy, o tea roVeAIVIY Motor yA IEV GSTM OlLAlO PER BOLMD DETAIL LP-GAS Luir6n0s ar LP-pas t.a INSTALL 2 BOLLNIDS FOR ONE CAGE AND 2 STORED ve of dispatnsin buk6n BOLLMDS FOR TWO CAGES OI As 1FO11AEa (pounds) adjokJ.0 h pdals,allJelic a mo s•'x ul wo with one mpbusude ve-1 d IF EXIST 4-1101-LANDS ARE ACCEPTABLE. „ fields oin or opine C 0 more or O [drink d4p..se Points of pubic but mar 9athedn;bury means of �0.�«f The bWt tnorydewaOn:'or e0ress a PROTECTION USING 720 or less °a° 0 5 5 18 18 2D :�d BOLLARDS 721-2.500 0 10 10 5 10 30 20 [nla 1e 201-0,00 )0 3D 10 20 20 30 20 ey 6,001-10 000 20 20 2fl 20 20 10 20 g U..10 GOO 25 25 25 25 1 25 1 10 20 arla lu+ wn j(C f 5I:1 foot-304.6 mm,1 pound-0.454 k0. /.[NI• itl [xLL I.KSLMIM1IA nnvw Fg 2R' fj R t?as ac I L3 Cdr 1 1 3tl�ft� Gi i 1lr-'-Ig Rec,ula S t r J i s Co,,;tractiom Styc msur CS-097645 PHILU)J DDCON . 361 West Main Street. Northborough MA 01532 07!15/2015 Al°R°® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD 12/19/2014 014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CaT01@ Legg Uhler NAME: Eastern Insurance Group LLC PHONE 781-596-8919 A No: 155B Otis Street ADDRESS'Cuhler @easterninsurance.com INSURERS AFFORDING COVERAGE NAIC# Northborough MA 01532 INSURERAAcadia Insurance Company INSURED INSURER B.-Nautilus Insurance Company Dixon Incorporated INSURER C: 361 West Main Street INSURER D: INSURER E: Northboro MA 01532 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 Renewal REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000 i 000 DAMAGE TO RENTED 250,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE Fx_]OCCUR PA5123336-11 2/31/2014 12/31/2015 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY Ea accident SINGLE LIMIT 1,000,000 ALL CMBINED H ANY AUTO BODILY INJURY(Per person) $ NED X SCHEDULED 5121339-11 2/31/2014 2/31/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED PeOPERTntDAMAGE $ HIRED AUTOS AUTOS $ N UMBRELLA LIA13 N OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 ED RETENTION$ UA5121340-11 2/31/2014 2/31/2015 D5 $ A WORKERS COMPENSATION X WC STATU- O R AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N— E.L.EACH ACCIDENT $ 1 000,000 OFFICER/MEMBER EXCLUDED? N/A CA5121343-11 12/31/2014 2/31/2015 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Leased/Rented Equipment IMS080802-12 2/31/2014 2/31/2015 Limit $275,000 B Pollution Liability PL201050201 2/31/201412/31/2015 EachOcc/Aggregate $6M/$6 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Insurance Purposes Only AUTHORIZED REPRESENTATIVE John Koegel/CLUl - ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025l,)ninn51 n1 The Ar'.r1Rr)nmma mnri Innn mra raniefarari mmrirc of Arr1Rr) The Commonwealth of Massachusetts f Department of Industrial Accidents d I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lel:ibly Name (Business/Organization/Individual):Dixon Inc Address:361 West Main St City/State/Zip:Northborough, Ma 01532 Phone 4:508-393-4411 Are you an employer?Check the appropriate box: Type of project(required): I.Q I am a employer with 25+/ employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself. [No workers'comp.insurance required.]r 10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.❑✓ Other Bollard Install 6.F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors 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:Acadia Insurance Co Policy#or Self-ins. Lie.#:WCA5121343-11 Expiration Date:12/31/2015 Job Site Address: Z_? Y—I n�, � City/State/Zip:,A)0(4V 4V-\, Y`')61 Attach a copy of the workers' co pensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct Sianature: AALZ _ Date 1/4 )/I s Phone#:508-393-4411 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/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 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Philip Dixon- Dixon Inc. hereby authorize . -- to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Philip Dixon 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 perjury. ;Philip Dixon Print Naple UJI-P v h /I Signature of O er/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Philip Dixon 097645 License Number 361 West Main St Northborough Ma 07/15/2015 Addres Expiration Date (508) 393-4411 Signature I Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§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 building permit. Signed Affidavit Attached Yes E) No 0 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable 0 Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Dixon Inc Not Applicable ❑ Company Name: Philip Dixon Responsible In Charge of Construction 361 West Main St,Northborough Ma Address (508) 393-4411 Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW a YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW YES 0 IF YES: enter Book ! Page', and/or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES 0 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 l IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other Q Brief Description Installation of 2 bollards Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I 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 ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1 1 St St 2nd 2nd 3rd 3`d _ 4m 4tn Total Area(so Total Proposed New Construction(sf)_ Total Height(ft) Total Height It 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: [7.73Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ r `?' Versionl.7 Commercial Building Permit May 15,2000 Qepartrnent use oh� �? y of Northampton status of Persrlt. ilding Department Curb utlC t/eway,P rfriit �U 212 Main Street Ser+ r/peptic° altalfiy; Elecir t - a Room 100 Vlfafer�etF Ava�tai c1oso Rll� hampton, MA 01060 Two bets of Sret�iraE Ptari phone -587-1240 Fax 413-587-1272 Plot/Site Plam Ether,Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 237 King St Map Lot Unit Northampton, Ma Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Hess Corp 1 Hess Plaza, Woodbridge NJ Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Philip Dixon 361 West Main St Northborough Ma Name(Print) Current Mailing Address: (508) 393-4411 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit appl icant 1. Building $800.00 Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) v 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/inspector of Buildings Date File#BP-2015-1010 APPLICANT/CONTACT PERSON DIXON INC ADDRESS/PHONE 361 WEST MAIN ST NORTHBOROUGH01532 (508)393-441 1 PROPERTY LOCATION 237 KING ST-HESS MAP 24D PARCEL 077 001 ZONE HB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out if Fee Paid Typeof Construction: INSTALL 2 BOLLARDS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 097645 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9AMATION 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 of ' n clay Signa re 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. 1 237 KING ST- HESS BP-2015-1010 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D-077 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-2015-1010 Project# JS-2015-001933 Est. Cost: $800.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DIXON INC 097645 Lot Size(sq. ft.): 27747.72 Owner: HESS REALTY CORPORATION PROPERTY#21202 TAX DPT Zoning: HB(100)/ Applicant: DIXON INC AT. 237 KING ST - HESS Applicant Address: Phone: Insurance: 361 WEST MAIN ST (508) 393-4411 WC NORTH BOROUGHMA01532 ISSUED ON:412712015 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 2 BOLLARDS 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 4/27/2015 0:00:00 $55.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner