38B-008 (9) Iib WEST ST-PHYSICAL PLANT BP-2002-0301
GIS#: COMMOI WEALTH OF MASSACHUSETTS
Mor,B sit:3$B-008 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildinq
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0301
Project# JS-2002-0451
Est.Cost: $45000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Wright Builders 068185
Lot Size(sg. ft.): 14461 .92 Owner: Smith College
Zoning: SI Applicant. Wright BT
AT: 126 WEST ST F PHYSICAL PLANT
Applicant Address: Phone: Insurance:
48 Bates St (413)1586-8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON.•9/24/01 :00:00
TO PERFORM THE FOLLOWING WORK:QO NSTRU CT NEW RAMP
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.Wa 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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 9/24/010:00,400 11055 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0301
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY LOCATION 126 WEST ST-PHYSICAL PLANT
MAP 38B PARCEL 008 001 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENICLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny,Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT NEW RAMP
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 06
3 sets of Plans/Plot Plante
THE FOL OWING ACTION HAS BEEN TAKEN ON TRIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 Commiss'
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.
Version 1.7 Commercial Building Permit May 15,2000
City of Northampton
Building Department
212 Main Street
Room 100
pton, MA 01060
phon 3 1240 Fax 413-557.1,272
APPLICATION TO CON RU AIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR'TWO FAMILY DWELLING
ry'AEClJpNS
Jia'0
SECTION 1—SITE INFORMATION
1.1 Property Address: This sectroto be completed�by office„.,
SI•��(� C6L(�( �'� W�-" Srt• Map ` tot t1nt
N b 94 (W-110�� M Zone: Overlay District
00
3
j Elm St District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZEDAGENT
2.1 Owner of Record: SM�'(� C6 C,'r� PN`viS ICAL PL-+l-
CH A A(,f'C: C,0 A-Pr-r QV:�C M la-10 We•91- 9-L ., N'tbIN, MA- iD 63
Name(Pr Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
tCftvlre . W V'' 19-yIL-t-E i 8 �A _ sl", N0rt4 M PSN, M�
Name(Print Current Mailing Address:
LgKalrure Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be, Official Use Only
completed by permit applicant
1. Building LIS , �. (a) Building Permit Fee
t
2. Electrical (b) Estimated Total Cost of
Construction from' 6
3. Plumbing Building'Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) Check Number
This Section For' fficial Use Only
Building Permit Number (date issued:
Signature:
Building Commissioner/inspector of Buildings Date
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESStrHAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
❑ d
Exterior Alterations Demolition❑ New Signs 'I ] Change of Use [ ] Other [ ]
`g( Accessory building[ ] Repairs [ ]
IV
SECTION`5 - USE GROUP AND=CONSTRUCTION'TYPE
USE GROUP(Check as applicable CONSTRUCTION TYPE
A Assembly 10 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
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 UNDER OING 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 f QFFIC USEONL`
{k m, y 'K kp yga r 8
Floor Area per Floor(sf) ist 9 a
Ist
2nd R
..
2nd 3rd
t d � x s cis
4th
3rd E
4th
sN
Total Area (sf) Total Proposed New Construction (sf)
_ die-sk...'�♦� � .F/l• �'j/G tp� 1
Total Height(ft) -fip Tb.
Total Height ft ......... ........ I b ITN`(^•
Version 1.7 Commerci4l Building Permit May 15,2000
7. Water pply(M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage D' posal System:
Public Private ❑ Zone: Outside Flood Zone Municipal On site disposal system ❑
8. NORTHAMPTON ZONING
Exist* Proposed Required by Zoning
n�f w D `1'0 W gp/1� PJ'! ,SM rr q- This column to be filled in by
t 1�" �L� 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 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry,of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO /` DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES _ NO
IF YES, describe size, type and location: (1'GA-L SM ITN Cb Lt&—PG- S--7'6-N&f1EF-
D.
T
ere any proposed changes to or additions of signs intended for the property ?YES_
No
IF YES, describe size, type and location:
Versionl.7 Commercial!Building Permit May 15,2000
SECTION 9—PROFESSIONAL DESIGN AND CONSTRUCTION»SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROLPURSUANT TO 780 CMR'116(CONT` 1NING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) "
9.1 Registered Architect:
lb MAS 1�t U 6-LA-S ^ ��/ Not Applicable ❑
Name(Registrant): �C•� T�`f' N qY
3 b p� �T Z N 1" Pf/u en)Nj �/t 0 1 b b Registration N(um er
Address J C121/0,
/—� 6 1� / Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Xe
Name rea of Responsibility
Address Registration Number
Signature Te hone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expi tion Date
Name Area of Responsibi
Address Registration Number
gnature Tel phone Expiration Date
9.3 General Contractor.
I C/w Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Tb 6A-7-(-.T Mfg
Address
"8
Sign re TelOphone
Version 1.7 Commercial$uilding Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)°
Independent Structural Engineering Structural Peer Review Requirod Yes......❑ No......
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED W EN.
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PE MIT
i
MA-EW e 0066- Z SA f! t4 NL *-EF —, as Owner of the subject property,
hereby authorize W?-4 6W-r to act on
my beh , i 11 matters relative to ark authorized by this building permit application.
'Sign of Owner Date
1, 441 (4e"odc-. fl + as Owner uthorized Agent
hereby declare that the statements and infortnatlon on the foregol,ng application are true and accurate, to the es o my
knowledge and belief.
Signed under the pains
�and
,�peenalties of perjury.
O%1 1 �-
Print N m_e
� l o
Sign e of Owner/Agent Date
SECTION 12--CONSTRUCTIONSERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: y b 0 11K
License Number
YI
�4�� S1'•, —,/V o -7A-/h P7�o N: t!1�Itt" 14��b�``
Address Expiration Date
11--�/ •C.1 '� � �s��
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...... 0
!
WRIGHT �UU ���� ����
-- --- BUILDERS, ''--
48 Bates Street
NORTHAMPTON, KAA0lO8O
(4 586'8287
FAX (413) 587'9276 i
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VVEARE3ENDUVGY0U YO Undo, oeparato via k�o�|n� oemn�
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OS�pd���� ��Ph�s [� Rans El Samples OS�c�o��ons
O Copy ofletter O Change order O|
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COPIES DATE NO. DESCRIPTION
JU
THESE ARE TRANSMITTED aschecked below:
!
O For approval O Approved as submitted O Resubmit _-___-_copies for approval
oryouruse O Approved oynmed O Subm�_-_____-cop�sfor d�thbut�n
^' !
O As requested O Returned for coirections O Return-corrected prints
�
O For review and comment O
O FORBIDS DUE O PRINTS RETURNED AFTER LOAN TO US
REMARKS
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