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05-032 11/9/2015 City of Northampton Mail-120 River Rd Leeds City Of Louis Hasbrouck <Iasbrouck @northamptonma.gov> Bo�flvamptore 120 River Rd Leeds 1 message Louis Hasbrouck <Iasbrouck @northamptonma.gov> Fri, Nov 6, 2015 at 3:40 PM To: sarafin81 @charter.net Mark, You can demolish the outbuildings and do the interior demolition. I want to do a pre-construction inspection before you proceed with the new exterior door. I've got some time Monday at noon and after 3:30 or Tuesday after 3:30. Call the office and set up a time with one of the clerks. This email shall serve as authorization to begin work at 120 River Road, including interior demolition and removing the outbuildings. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax https://mai l.google.com/m ail/u/0/?ui=2&i k=ec5fi9a57e&view=pt&search=sent&th=150de871723682ac&sim l=150de871723682ac 1/1 Sararin Bui* lders 42 Pomeroy Meadow Road Southampton,Ma. 01073 Hic# 104765--MCS# 53434 413-527-7812 November 3, 2015 I request that you grant a modification to waive the requirement for control construction for the project at 118 River Road in Leeds because the work is of a minor nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. I have provided a stamped letter from a registered design professional in support of this request. Thank you for your consideration. Respectfully, Mark Sarafin Sarafin Builders 42 Pomeroy Meadow Road Southampton, Ma. 01073 Octobe22,2015 Louis Hasbrock Building Commissioner 21 Main Street Northampton, Massachusetts 01060 Re: Equinox Partners 118 River Road Leads, Massachusetts Subject: Addition of overhead 12'x24'door replacing an overhanging'x8'door and an adjacent 3'x7" door. Dear Mr. Hasbrock: For the above reference a new overhang door, 12'x24',will replace an existing 8'x8'overhead garage door and a3'x7'door. The overhang door will be installed between existing columns spaced at 25'. The 12'x14'opening is a non bearing wall.Since it is anon bearing wall the as-built structure wil not affected. Yours truly, Frederick J. Dzialo *�,N OF k FREDERICK J. N DZIALO ' No 17657 °9p 9fCISTER�9 FFSSrOice{,',.Kd,� �J . -.dI' V--f- L" A vv'V a'\As C-- w a r27 ZO.DOO$G.F- 96CC SC F7' 392 �4 391 . Sa rT� so rr j —1 A _ 100 I 10 04� V�Z��sip �L'�K•!�1 \`+"t`,,'� 2000 so Fr .7,000 50 f" 6,200 54 r i N ��Q FT >o FT M 4560 SO Pr - Ir � II x � 76 L_ i REY70JsJeo City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 1\ 2) q&e,LO LeixS}w\v-4 The debris will be transported by: The debris will be received by: Building permit number: Name of Permit Applicant Q-�Vz� ° ur. \ Q 17 tl ° Iwe4c le S Date Signature of Permit Applicant The Commonwealth of 1tlassachusetts Department of ItrdustrialAccidenis I Congress Street,Suite 100 Boston,MA 02114-2017 wwminass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED NYITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leelbly Name(Business/Organizatiottnndividual): r V Jan _ — Address: L', bX--\1eyt CXA City/State/Zip: J ,, 11 Ol(sa3 Phone M -4 1 1 a Are you an employer?Check the appropriate box: Type of project(required): t.M tam n employer with J employees)full and/or part-time).* 7. ❑New construction 2.[]1 am a sole proprietor or partnership and have no employees working for we in 8. ].Remodeling any capacity.(No workers'comp.insurance required.} 9.3.[]I am a homeowner doing all work myself.(No workers'comp.insurance required.}t 11 0 El Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I win E]Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.n Plumbing repairs or additions 5.[]I am a general contracthr and I have hired the sub•wntractots listed on the attached sheet. 13.[]Roof repairs These sub-contractors have employees and have workers'comp.insurance t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152.V(4),and we have tm employees.[No workers'comp.insurance required.) 'Any applicant that checks box#1 must also UM out the section below showing their workers'compensation policy information. t 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 a»a an employer that Its providing workers'compensation Insurance for ney employees. Below Is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins.Lic.# W CCr �b O�`-��-�3 61<11 r Expiration Date: U–k S; U Job Site Address: 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 MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as tvell as civil penalties in the form of a STOP WORK ORDER and a file 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 $der e p s penal' s of jrtty that the Information provide_d above Is trite and correct. Si ature• Date 3-1s. Phone#: q I.?N---j-01 Official use only. Do not write in this area,to be completed by city or town offlelat City or Town: Permit/Licease# 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 O No O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize y y `�" ` ��`Z �`''� to act on my behalf, in al l rs rela ' o work authorized by this building permit application. e e �� -3V�`S� 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. Signed and he ins nd p ties o� erju P '' 1WrZ� qL4F��� Print Name -. �1---/A.1// ( I S--iS-- Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 7 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: V�\/I."CL \L. C-S -053954 ^,� L License Number Address 0�\11 Expiration Date I tit 3- a --49� J Signature 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 No O Version 1.7 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 ❑ 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 Not Applicable ❑ Company Name: Responsible In Charge of Construction Address 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 O DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW W YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O 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 O 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 [:1 Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ ;,V\t JZ lAt Brief Description En a brief description he e .i. Zv `�\\ i_0`' 6`'? �`` �' q e d1°,)� Of Proposed Work: ©i-+it t' n t�t0V._)^ ���ao �C c� r� oP�t ` . � 5 , 0 .� ..�e�\\ �Nv�� \yet,,,,_ •� VOL�1 •+o `a Q- v'12 -t i� X;�LV\I (V%'S V% SECTION 5-USE GROUP AND CONSTRUCT N TYPE L\,\\c A T O` ego�A f (`'t`` t^C' a USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ 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(sf) 1 St 1 St 2"d 2nd 3rd 3rd 4th 4 m Total Area(sf) Total Proposed New Construction(sf) 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 Department use only City of Northampton Status of Permit: �-�-��-- u Iding Department Curb Cut/Driveway Permit - ='-` 12 Main Street Sewer/Septic Availability Room 100 Water/Well Availability NOV 3 X01 ortt ampton, MA 01060 Two Sets of Structural Plans phone 41 -5 1-1240 Fax 413-587-1272 Plot/Site Plans DEr r or r; c roNs Other Specify R r f �ni t AC�,Co 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 I 100 2,"1'-1 0",P Map Lot Unit o l o`) Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �eAJ1c ry Name(Print) �- J n Current Mai it ng Address: Signature Telephone 2.2 Authorized Agent. 901 1"cAMP7L`� ll•,` ra`C]tv�.— ,le� Name(Print) Current Mailing Address 99 C Signature G Telephone - d _ 1 SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com leted by ermit applicant 1. Building Q`000 (a) Building Permit Fee 2. Electrical (, (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total = 0 +2+3+4+5) L O 0, ' Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0623 APPLICANT/CONTACT PERSON MARK SARAFIN � � P ADDRESS/PHONE 42 Pomeroy Meadow Road SOUTHAMPTON01073 (413)527-7812 PROPERTY LOCATION 118 RIVER RD V MAP 05 PARCEL 032 001 ZONE WPO22)/GI(l 17)/SR(5)/URA(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvneof Construction: REMOVE 4 OUTBUILDINGS INSTALL 2 OVERHEAD DOORS REMOVE MEZZANINE OFFICE,OPENWALL BETWEEN MAIN BLDG/LEAN TO ROOF REMOVE FENCES New Construction Non Structural interior renovations Addition to Existing Accesso Structure Building Plans Included: Owner/Statement or License 053434 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: _ p Af Approved Additional permits required(see below) P�A` 'Q FOP— ��A�a . f� p!�'� jttN f N.ar(!lIdN PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan ILA, L 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 Et 18 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. 118 RIVER RD BP-2016-0623 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 05-032 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-2016-0623 Project# JS-2016-001039 Est. Cost: $8000.00 Fee: $300.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MARK SARAFIN 053434 Lot Size(sq. ft.): 134164.80 Owner: DUVAL CHRIS Zoning: Wp(122 /�117)/SR(5)/URA(0)/ Applicant. MARK SARAFIN AT. 118 RIVER RD Applicant Address: Phone: Insurance: 42 Pomeroy Meadow Road (413) 527-7812 Workers Compensation SOUTHAMPTONMA01073 ISSUED ON.1112312015 0:00:00 TO PERFORM THE FOLLOWING WORK.REMOVE 4 OUTBUILDINGS, INSTALL 2 OVERHEAD DOORS, REMOVE MEZZANINE OFFICE, OPENWALL BETWEEN MAIN BLDG/LEAN TO ROOF, REMOVE FENCES 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 Siiznature: FeeType: Date Paid: Amount: 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner