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37-065 #29 - COMMON HOUSE (2)
#29-t TB AORENCE RD BP-2005-0680 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:37-065 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-0680 Project# 3S-2005-0923 Est.Cost: $432000.00 Fee: $1664.05 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: A3 s2 Kohl Construction 051622 Lot Size(sa.ft.): 371566.80 Owner: TOFINO ASSOCIATES INC Zoning: SR Applicant: Kohl Construction AT: #29 - 678 FLORENCE RD Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256-0321 Workers Compensation HADLEYMA01035 ISSUED ON:2/14/05 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT COMMON HOUSE 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 Sienature: FeeType: Date Paid: Amount: Building 2/14/05 0:00:00 $1664.05 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File#BP-2005-0680 APPLICANT/CONTACT PERSON Kohl Construction ADDRESS/PHONE 31 Campus Plaza Rd HADLEY (413)256-0321 PROPERTY LOCATION#29- 678 FLORENCE RD MAP 37 PARCEL 065 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FARM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 4,76o15 )651, G!Qo lygeofConstmction: CONSTRUCT COMMON HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement /Pot License 051622��/y�1��/ 3 sets of Plans/Taut Plan //'//��// THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INE IATION 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 Conmrinee Permit from Elm S Commission -• - '' 21/0,5"---- 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!.7 Commercial Building Permit May 15,2000 dxdr '!ibepadment use only* City cf Idorthlumpton 60tus of Pe€mtt: _� Building'Department Cur#, . .pgentdt u 212 Main Street S eatia,' veliabilrly r Room 100 r/Well Avanebipty" -^^ Northampton,NA 01060 Twoof Strud I Plans.0.-- phone 413-587-1240 pax 413-587-1272 Ut1PiarL ° r; ,i . .: Other Sadly �.��' � rx ,,,..04,,v APPLICATION TO CONSTRUCT,REPAIR R NOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Properly Address __ : This section to be completed by office ( 7$' Piz RE:Q C L 7,0) - .2'JA 1 Map 31 Lot r Unit pieA7/9A0-4 ' Y-G '' Zone Overlay District (79, M_ A.1_.0 /�/ 140 U-5_6:- .a Elm St.District Cs District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: TOr'wo AS.560. _..._ _.. 3f (14,-sr)/ c PCs /h Ab _. Name Tani) Current Mailing Address "/, ! t? 1trbCEY, kung_ o (cis-- Signat e �-Q-� ( fg; C'-��-�`- Telephone eV/3 — 674. S-6 - 073 :2- L 2.2Authori dA 111 ( 6_jTC1LJL. CC,JSi7uC'770 /V S7cpFEtc' 1-CfrgSAA r 3r CAMPurs 'L-A24, is i_ Name(Print) T - Current MailingAddress �XCoJ 01 Fd/fYw/�f t>a, p IN A7., 5 - J-�6 -o � C7 /C 5S Signature .c.24-7-1.2P_M_ F-n" "' S..___ Tele hone / SECTION 3-EST MATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 40_,C7 .5 �l n C,{t c o (a)Building Permit Fee 2. Electrical J /4 0 C) c c - (b)Estimated Total Cost of I / Construction from(6) 3. Plumbing I / y oc U ° a Building Permit Fee 4. Mechanical(HVAC) -- a 13 7 1/ !. i �f' > ooc i 1ae7 5.Fire Protection 6. Total=(1 +2+3+4+5) Haa 9.3?y.00c, . OC Check Number - osl ic2ij This Section For Official Use Only Building Permit Number D ��p issued Signature. . Building Commissioner/Inspector of Buildings Date Versionl.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 0 Demolition Repairs 0 Additions 0 Accessory Building Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing 0 Change of Use❑ Other 0 Brief Description Enter a brief description here. Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) /..(/- CI:, (ISC CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 0 A-3 1A I ❑ A-4 0 A-5 0 1B 0 B Business 0 2A ❑ E Educational ❑ 26 ❑ F Factory ❑ F-1 0 F-2 0 2C 0 H High Hazard 0 3A ❑ I Institutional 0 1-1 0 1-2 ❑ 1-3 0 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A ❑ S Storage ❑ S-1 D 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) 1st 1st ti 0 Irk 3111 4th 4" Total Area(sf Total Proposed New Construction(sf) Total Height(ft) t *- Total Height ft _...i' C 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public i"rm` Private ❑ Zone Outside Flood Zone141 Municipal FZI On site disposal system • Version!.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by ,�tt Building Dcpanment ?go ,4 Lot Size i. So 67 Q Frontage TG a' / _.. _. Setbacks Front " 1- Side L R._. L3/Sr R (460. ../ 4 of Rear - Building Height Bldg. Square Footage I % y 91 42% Open Space Footage _ (Int area minus bldg Sr paved Ate? 7070 parking) Mar#of Parking Spaces --- ' - - -- Fill 1. l: rvnme&tucanom A. Has a Special Permit/Variance/Finding ever been issued for/on the site? yor NO © DONT)KNOW O YES J IF YES, date issued: /D/.3// 6s / IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES IF YES: enter Book 7 9 7 6 Page f 5-3 and/or Document # }B o y l coo�7f 5 0 B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES QR IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained lnf' , Date Issued: J q c/0 /c) S c // J C. Do any signs exist on the property? YES O `�' NO 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(cl�ng,grading,eO vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version!.?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 Dale Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Ar _... 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 cc/4t, Ci ;vs TAS uc7-/0, Z A, (7 - ---- - - - Not Applicable ❑ Company Name: 1>A L / 7) VIA/A/ B Responsible In Charge of Construction CANI°0S i&$71-) A1451E%2 - Address • C,9S 060't Signature Telephone Version I 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 SGS SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT -IDo VU /Ca.SQ ' as Owner of the subject properly Te >�3&N Fe—AAM hereby authorize — _ _. . to act half,in all matters relative to work au horized by this building permit application. _'c.G}/ (i x L \ 7,l\ 1 p I `1 C-\_ Signa ure ofO Owner / - pale I• cTcr})tL Fe KR ASI ,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 penury -t-c-L°ZiP N L j {9 _ Print Name cr/Age r5-� 0-- / q - 09 Signature of Owner/Aga Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor:4 � 0 Not Applicable ❑'1 Name of License Holder ✓' rL'i 1) V( 14-6 IL/ 05 ( G )- a._ License Number 0]a/ /_0 G Addr gris Expiration Dale f ignature 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 MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 678 Florence Road Unit#29 Inquiry Made By: Kohl Construction -- Steve Ferrari 256-0321 ext. 103 Date of Inquiry: 9/29/04 Municipal Water Main in Yes: Existing service to No: site? Yes: -- Front of Location? X_ No: X Size of Water Main: 8" Material: Ductile iron Age: 2005 Number of Type of _Single Family Type of _X_Private Units: 1 Unit(s): _Accessory Apart. Ownership: Condo „„X_Multi-family _ Rental Approximate Static Street 60 Flow Test Conducted : Yes: No: X_ Pressure: If done attach results Size of Service Connection: 1"Service 1 "Meter Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plan, Inspection required at house curb stop during installation, • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum t working days nonficat. r. �""�-• A work shall eo''!of orthanJip/toonnn Water Department,specifications. 2 David W. Sparks, Superintendent of Water cc; Ned Huntley, City Engineer Anthony Patillo, Building Inspector , ; ,. q„ttthkpyHI , ! 1 ro o1c (Rrty of Aartlwmpton ! aernnTMeaT DP avratxc 1NSPmC71OxS e't #__ - - t 4':$PECTO2 212 Main Street ` klunitlpnl Duildng _ i NorLlmmpton, Mass. 01060 1 Square Footage Amount r ,ls. Floor Q $- , ,�St� 1 /2S-9. !;0 2nd Floor a s_so 1/7 Floors. Attic. Garage $J5 Deck. Porches $4.5 2--. tte os_ at. mj t rititakr: