38B-008 (7) WEST ST BP-2006-0590
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block: 38B-008 (CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category_ BUILDING PERMIT
MO
Permit# BP-2006-0590
Project# JS-2006-0869
Est.Cost: $60000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MORRIS ROOFING, & SHEET METAL 076497
Lot Size(sq. ft.): 14461.92 Owner: Smith College
Zoning:SI Applicant: MORRIS 4ROOFING & SHEET METAL
AT. WEST ST
Applicant Address: IPhone: Insurance:
P O BOX 90178 (413) 734-2318 Workers
Compensation
SPRINGFIELDMA01139 ISSUED ON.11/28/2e05 0:00:00
TO PERFORM THE FOLLOWING WORK:MReplace Roofing: Physical Plant bldg
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 11/28/2005 0:00:00 $50.00
212 Main Street,Phone(413)$87-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-0590
APPLICANT/CONTACT PERSON MORRIS ROOFING&S EET METAL
ADDRESS/PHONE P O BOX 90178 SPRINGFIELD (413 734-2318
PROPERTY LOCATION WEST ST
MAP 38B PARCEL 008 001 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 0SG od (D
Ty-1 Construction• Replace Roofing:Physical Plant bldg'
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 076497
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON TRIS APPLICATION BASED ON
INFORMATION 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
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 f Health,Conservation Commission,Department
of public works and other applicable permit granting auth rities.
i
*Variances are granted only to those applicants who meet the;strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
Version 1.7 Commercial Building Permit May 15,2000
f-•
City of Northampton
Building Department
212 Main Street
Room'100 d
Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1212
,
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE7HE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECIII�N��SITEtNFORM�XT10[�°
--_
-"-property-Address;
C P1
SECTION 2-P�tOPERTYFOINNERSHIPCAUTHORIZEtTAGENT
2.1 Owner of Record:
l c� I b o w
Name(Print) Current Mailing Address:
4- 13 �5
Signature Telephone
2.2 Authorized Agent:
i
Name(Print) Current Mailing Address:
i
Signature Telephone
SECTIOK3i-ESTIMaTED:GONSTRUCTtOI4 COSTS'!
Item Estimated Cost(Dollars)to be ' •' Official Use,flrJly
completed b permit applicant
< =
1. Building Building;Perm'rr'Fee
2. Electrical v ( (ta)Estimated TotaC:Cost of l
ConstrncUon.#rom�
3. Plumbing ( Biildtng.Perriiitee
4. Mechanical(HVAC)
5. Fire Protection L d
6. Total: 0 +2+3+4+5) _,,Check Number 1 6 3 0
uM
.Sewnfor` fftctal`"Use Orrl
Buifcl ng Pii ,urn_e
_ 6tis ued��
Signature:
Building.Commissioner/Inspector of Bdildings Date
e �
Versionl.7 Commercial Building Permit May 15,2000 '
SECT -LtCCS?RUCTCQER�I fCESI fiOPROJET•` ES.'x TkfN 35,OOti :
PUBICEET E F74+tC>=QSED
Interior Alterations ❑ Existing Wall Signs E] Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofin�A Change of Use❑ Other❑
Brief Description =Enter a brief description here.
Of Proposed Work: $4 1
:SECTION 5-.USE GROUP AN _POI S7'RCfPMOKQ Yf?E
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A,1 ❑ A-2 ❑ A-3 ❑ 1A ❑
_� m�_.__.__ A-4 ❑
A-5 ❑ 1B ❑
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 0 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.€ j
S Special Use Specify:
4
COM7?LEF TidtS SECTION tF EXISTING BUILDI1�fG tJ IDE12Gr 1t�7C R l�fO'rFA"l' N$3 ADL ITIONS'ANDIOR`CE W.� AN 'JSE
Existing Use Group: Proposed Use Group: l
Existing Hazard index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SEPTt(2N`G8tI1t�1NG EiGfsT`;A1�IDk�t2E!'� � :, '
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION r Mfr
Floor Area per Floor(sf)
st ?st
2nd i 2nd
3rd 3`d ' I
4t' 4th -
l
Total Area(so I Total Proposed NewCod_nstruction s 1 y
Total Height(ft) i r
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[]
Versionl.7 Commercial Building Permit May 15,2000
8 ® Q1T
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size i r
Frontage ( '
Setbacks Front
Side L: i R:= L:=R:=
Rear f i
-Hut?dmg et
Bldg.Square Footage ( /°
f
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
Fill:
volume&Location) f
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW Q YES 0
IF YES, date issued: I
IF YES: Was the permit recorded at the Registry'';of Deeds?
NO 0 DONT KNOW 0 YES Q
IF YES: enter Book I Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtaimd from the Conservation Commission?
Needs to be obtainedQ Obtaine4 , Date Issued:
C. Do any signs exist on the property? YES 0111 NO 0
IF YES, describe size, type and location: 1
D. .Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q
IF YES, describe size, type and location: ! ;
E. Will the construction activity disturb(clearing,grading,a cavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 ` NO
IF YES,then a Northampton Storm Water Manageme t Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15,2000
SEGTtON 9=PRdFESSIGNAR DEStGO-ANI3�C{I[�[S"trRt3C TQ SEE; IDES E{QR Bgft- lNGS A� SfRUCT�T ES IBJEGT O
w. _
COASSTt2ucno1+t COt±I Li2OL PIIRStt/NT TO ZBQ GMR'17�tCQt+FT/xIN1NG WAE THM 35,000 C F.OF ECLfJSE ACE)
9.1 Registered Architect
Not Applicable ❑
Name(Registrant): I
Registration Number
Address
I Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address 3 Registration Number 3
1
Signature Telephone Expiration Date
Name Area of Responsibility
I � �
Address Regis_ation Number
Signature Telephone Expiration Date
� I
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
1 � b
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
c ver
1.5 J uv 'ice vac- Not Applicable❑
Company Name:
Responsible In Charge of Construction
A ss
�
gnature Telephone
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10 S RUCTURAL PEERIRENIEW(780 CMR 11011]
Independent Structural Engineering Structural Peer Review Required Yes No Q
SECTION 11-OWNER AUTHORIZATION, TO-BE EOMPL°ETEP:-WIrIEN,
OWNERS AGENT.OR CONTRACTORAPPLIES FOR B EftMIT
i
as Owner of the subject property
i
hereby authorize! jto
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
j
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.
Print Name
i
Signature of OwnerlAgent Date
SECTiON.1.2-CONSTRUCTiOTV;SERVICES ,
10.1 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder ' j�` }� T^ ! l.. S C) -7
License Number
i 1 -til f . Id
Ad s /7 Expiration Date
oT
Signatur Telephone
SECTION 13-WORKERS'COMPENSATION-INSURANCEi4FFIDA:/T(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 0 No 0
r
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a�ttnJ•r n2- ,t..
A E Crim IIfirr� #1ji111t}lfon -
A J E '61a3aechnrcIIs _
w d DEPARTMENT" OP DUILDP,�C INSPEC7101,S
212 Alain Street ' Municipal Dti ding
Northampton, Mass. 01060
«rOR KITS COWIPENSA770N. MSURA-NCF Al'I�I1�Ai rT`j. .
- I, �li 1�ar��__1 '\ ( �lfiV�(.�•�. �1 Y \Gr�l�(� 1��'l.+c��_`_ � �" �'" " ��"1.` `� i'v�p
=7� (1)txnsexJperm)ttcc)
� �-rRi�
( ci tyln2 ttta P)
do hereby cert under die-pains and penalties of pcgury, hat
I man employer providing the followine ,A,orher's coinocns-nuon coverage for inti
elupYovecs wolfing on 11115 job:
(Iamr'aoConn sy) (Polis:Nu_-nbcr) (r;pirlior,Due)
O I am a sole proprietor, general contractor or homeow-ner(ci:cie oee) aad hzve hired
the cone actors listed below who hzve the folio%viog worker's comp--nsa6on policies:
(Namc Oi Co" 1Cior) (IRR r'nc^c Cotnoan}•/Pobc— Date)
(N.ane of CouaaCior) __ (In-araI1cz COmDazy/Pol1Ci Numccr) (Exvir don Date)
(Name of Contractor) (Insurancc Compan}'/Pobq• N;Lmbu) (ExpU- 3600 Date)
---------------
(Mame of Contractor) (Insuranc-c Comcwy/Pobcy Number) - 'Exirttio❑ Da1c}
(ensu:dditiocil/'Jest if acxxa.�O•w a�cud_informs.aaon pcta.i =Lg to aL
O I am a sole proprietor and bave no one wor-hing for me. '
( ) I am.a home owner performing all the work myself.
NOTE:pic=x be twat Iij,wj,:jo bemcowvcn a.•bo splay pezoms Lo dm -•;•-a,-,, ars• ,n r rt�air work oa a d"mo o or
W mote tlLn 't Yw_Laits in usjiic�the bomoow-ocr rale z cc oa the aoun�zppasttensl theca ec ox ally o v d7ni to be
estployc�uric a the'=k&z Aa(GLI =pplj=6om by a bomeow-ea far a Lex or permit rr=y ciders/the
IcIPd"—'xu of as-=Ployer coder dao Wliro 'Coo�u A,,
I uadcstaad that a copy of this aatc may be fo11,d.ad to tbo Doparimcrst of loA+arricl At dr t7'OIL—or 6z--- a for th.
ia<mg
oovcra�e rmrm'°°`'.�t!u f_.iltat w���O"eT°d�uadr_-t saxion 2 S A of AtOL f Sl m Iwai to the impnsIIioa of eiminsl pcnellia
000sof a fine ofup to S1500.00 and/or orup to occ yr=rad a%il pcw..Ua in L5 form ora Stop Work Ordcr Lod a
rico o(S 100.00 a d_y L P.i=Mn_
\ For dcpartrn�l u,c only
Pc=1 Numi)cr
I �' `t l`(ap:;_ bot n ;: