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38B-002 (5) ta, Ysl BP-2007-0266 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma '` hcl :38B=002 CITY OF NORTHAMPTON Lot: -001 Permit: Buil b Category: BUILDING PERMIT Permit# BP-2007-0266 Project# JS-2007-000401 Est. Cost: $1350.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHESTER J MATYS 048597 Lot Size(sq. ft.): 106722.00 Owner: WALLACE GERARD R&JEAN M Zoning: URB Applicant: CHESTER J MATYS AT. 16 PAQUETTE AVE Applicant Address: Phone: Insurance: 179 LOWER RD (413) 625-8634 WC BUCKLANDMA01338 ISSUED ON.9/12/2026 0.00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 4 ENTRY DOORS 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 9/12/2006 0:00:00 $25.00509 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo Version 1.7 Commercial Building Permit May 15,2000 City of Northampton Building.Depaitment 212 Main Street � Room'100 Northampton, MA 01060 phone.413-587-1240 Fax 413-587-1272PAIN F=Nv lift_ O NE OR TWO FAMILY :)WELLING)J i ota�tc —11901 7"—P m_ _ •,w.r✓"kms ,? a ? JW- SEGTIOfi1'2�-PRO!?ER't,�f �1wm 1:'!1�A' T�f{J>` i7Ir ���' 2.1 Owner of Record: (22Name(Print) Current Mailinc Address: Signature Telephone ( ' CY 9) 2.2 Authorized Aa nt: ; s Name(Print) Curre( M ABaiiinsc Address: i i Signature Telephone _,SECOIF.3;:-ES�IIGIA�ED�CtJ�dS�'Ri���l'01�GE?�"'GS Item Estimated.Cost Collars to be completed,by permit 60plicant 1. Building?~ i (a;Buildi ig'P matt Eee' _ 2. Electricalbj Estimated Total Cost 6F _ r =< instruc661f, 3. Plumbing Building Permlf Fee l l 1 4. Mechanical(HVAC) t 5.Fire Protection # 6 Total'=0 +2+3+4+5) Check.N ember -- i _.. , PIIS S eGOIY FOG k ll O J Se tY7y Signature; a Build` CortlRais��onei7tiis ?9 . pecor crE>3u�lings .:Date j Versionl.7 Commercial Building Permit A4ay 15,2000 J.. interior,Alterations ❑ Existing Wall Signs ❑ :Demolmon❑ .Repairs o Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground'Sign❑ New Signs 0 Roofing❑ Change of Use 0 Other { Brief Description Enter d trief description herele (._ (3 J Ary Of Proposed Woric t21—?1" y :Q d an w�-t ! n.�s (, cD S N USE%RQUP(Check as appllcable) CONSTRUCTION TYPE A AssemblyA 1 . ❑ A:2 ❑ A-3 ❑ 1A ( . _ ❑ A-4 A-5 ❑ 18 CI B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C H High Hazard ❑ 3A El 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B 0 M Mercantile ❑ 4o. ❑ 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: _� _e -. '+n-S.Ek 'WS Existing Use Group: Proposed Use Group: t Existing Hazard Index 780 CMR 34Y s i Proposed Hazard Index 780 CMR 34) L. � BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1s= Ise t 2nd i b 2m 1 3rd 3ro -' 4"' t `lam _I. Total Area(sl) ; Total Proposed New Construction s Total Height(ft) r Total Height ft 7.Water Supply(M.G.L c.40,§54) 7.1 Flood Zoneinformation: 7,3 Sewage Disposal,Systeml Public 0 Private 0 Zone; ----J Outside Flood ZoneMunicipal ❑ On site disposal system El M Versionl.7 Commercial Building Per nit May 15,2000 Existing Proposed Required by Zoning This columa to be filled in by Building Department Lot Size i s Frontage t i Setbacks Front Side L:= R= L:L---J R' Rear ut zng et � . _ '__' j ! Bldg.Square Footage r- i % Open Space Footage �� % -- —� (Lot area minus bldg&paved 1 r j #of Parking Spaces I--7 l ' Fill: ' f i i t i volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book 3 Page, and/or Document# B. Does the site contain a brook, body of water or wetlands? MOQ DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: i C. Do any signs exist on the property? YES Q VO IF YES, describe size, type and location: �C D. .Are there arty proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex vation,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 Management Permit froni the DPW is required. Versiaitl.7 Commercial Building Permit May 15,2000 Sit lt9it 9.1 Registered Arewdec Not Applicable ❑ = I Name(Registrant): Registration Number l r Address Expiration Date Signature Telephone _ 9.2 Registered Professional Engineer(s): l Name Area of Responsibility Address � � Registration Number Signature Telephone. Expiration Date Name Area of Responsibility 1 ' Address Signature Telephone Expiration Date f. Name _ Area of Responsibility Address Registration Number Signature Telephone Expiration Date z J NameArea of Responsibility '1 i J Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor "r A-t3 a Not Applicable❑ Company Name: s l Pr N ra }t1r_ -R.+t4c g VIA cz Responsible in Charge of Construction }int 4''1-y S r Addres r -� =413 tet s b3 Signatime Telephone Versionl.7 Commercial Building Pennit May 15,2000 l Independent Structural Engineering Structural Peer Review Required Yes 0 No SEC L01 '1 OWNERS AGE1 6k, Y as Owner of the subject property hereby authorize i to act on my behalf,in all matters relative to work authorized by this building permit application. t S Signature of Owner 1 Bate as Owner/Authorized e 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 penury.--- Print Name t Signature of OwnerfAgent Date I 10.1 Licensed Construction Supervisor. Not Applicable © ; Name of License Holder: License Number l`ta Louxmrt- 5't Address Expiration Date Signature Telephone Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will resuit i in the denial of the issuance of the building permit.. t Signed Affidavit Attached Yes No Q d r i .. R �,T0 #I,&1)t}jfOil • 3 R" f Rlcstacilntclts' _ Q Opl,.ATMENT OP BUILDN-C INSPECTIONS 212 Main Strcct ' Municipal Building c Northampton, Ivfass. O LOGO WGRICI;1t'S COi\IM NSA'n0N, DYSURA.NCE A • = ANM. I, C.f/� T Yf2_.. 1VtiA►'f�i� (� Qv c lP NiY _wItA yr L(f&7 ��ccvsxl�xrmr ctcc> l?or Ucltl,�,ti.�, 1M� 3; (p�one ) -#:1:3EQSl Isti't^a/aty/stauYap) da hereby certify, Ander tlie.pains and penalties oI petlury, has NI am as employer providing the folloNving xi-orkcr;s comocrisaion cove.---c for my ployces ivorton on ties ob` e2 ate � otd ca�S (jA=�) g -, -4 10110` __ (Lasur-_-Mc COMz=v) a (Polis: Nusnixr) (a-pinion D2=) O L:a.m.a sole proprietor, geaeraLcontractor or homeow-ijer(cicie one) and have hrea the coup a(nors Clsted below wbo have the fo(loWmi g workinjs coopensation paf+cies: Oi contmctOr) (In-ur3ncn_ C0117oan)vl'obc—,. N tIl;C) -- (YXvmj cn Datc)"� - (Name of Coctraaor) Rasiwan= ComDaav/P01Cv NuMcrr) (EiDr,_rion Dare) (Name of Connacto:) (Laa ancr Compao)'/Pol:cy N;istu) (Exairaoo Dasc) (Name of Conoraaor) (InSuraa=Comrzuy/Policy Number) - (Expim oa Daft)'. (sas.ch,.t�:zoc=1 a3cct.ifaoocaityw gtdtrd:iaforma-'ioo prrti;..;9 tc.11 O I am a sole proprietor and bave no one worldng for me. ' ( ) I am,a home owner performing all the work myself. NOTE:plea be-wars tlx +bs1e 6cmr�ovvcrs wbo mplay pesom w do -,•ce =_-4=,,o c rcp2it-oris as a d"Tu=o of tux mace tb a taw tmrs is u'sirh tlx bamoovwc raiciei or oa the Qou0d3 spputtea clocc nea6=. O1u be airployc�une c the..a*f�a� r—:,;on Flu(GLS k_=1(5)).rpplinaon by n Goma..xr rcr a tics_oc pamit try evidaxx tb: legal ctavc of as-=;"y.r uod<r dao W*t+c a Comopom4tioa Ad t uodcr4-ad tb.4 a copy of chi,c=--cd m„y be for-.ded to the pegahmce¢or Intusriel A.60=W Ofs.of ir=e+�wo�ror tb. oovaagc v%nLczti0o aid that Lilts-to s0curc ,o-rx9c under=Cdoa 25 A of MOL 152 c.1cd =ili to the ioo of cri=; -t ^ peaaL o oo=irjM8 of a rme of up to S 1.100.00 and/or mzprisoamx=or up to ooc year and aNi1 paaltia is the rorm ors asap Wort;O.^da mod a rico 0(5100.00 a day xpl=me u.e only Pcrmlt Numberbtlo { Lot -- SiEnatturotLicrnscrlP