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32c-149 (47) 285 PLEASANT ST-REAR BP-2017-0475 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao-Block: 32C- 149 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MOL c.142A) Category: renovation BUILDING PERMIT 1 ■ 'aRMIT Permit# BP-2017-0475 Project xi JS-2017-000788 Est. Cost: 56000.00 Fee: S100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KATHRYN CHIAVAROLI 109989 Lot Size(sq. ft.): 10715.76 Owner: KATHRYN CHIAVAROLI zoning: CB(100)/ Applicant: KATHRYN CHIAVAROLI AT: 285 PLEASANT ST- REAR Applicant Address: Phone: Insurance: 25 NORTH AMHERST ST (4131 253-7879 WC AM H E RSTMA01002 ISSUED ON:10/25/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR WALLS, SHEETROCK, REPLACE WINDOWS, ADD SINK, WASHER & DRYER 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 Si,nature: FeeTvpe: Date Paid: Amount: Building 10/2572016 0:00:00 $100.00 212 Main Street. Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0475 APPLICANT/CONTACT PERSON KATHRYN CHIAVAROLI ADDRESS/PHONE 25 NORTH AMHERST ST AMHERST (413)253-7879 PROPERTY LOCATION 285 PLEASANT ST-REAR MAP 32C PARCEL 149 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid CL p1, ,./ Building Permit Filled out Fee Paid Tyneof Construction: REPAIR WALLS, SHEETROCK,REPLACE WINDOWS,ADD SINK, WASHER& DRYER New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 109989 3 sets of Plans/Plot Plan iTH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I ORMATION 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 Permit DPW Storm Water Management Demolition D lay /, _ god Signature of Buildi g icial �� 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 I.7 Commercial Building Permit May 15,2000 Department use only \Citk of Northampton Status of Permit' . a uilang Department Curb Cut/Driveway Permit Y . m 212 Main Street Sewer/Septic Availability Room 1001\ WeteNWell Availability r Northampton, MA 01011^70 Two Sets of Structural Plans_ vt`/'fJfl/one 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 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 Per ,) $'S PI c.Sai r 5r Map Lot Unit As f rAr.1' Tor n Ati-- C/co C Zone Overlay District -- -- - Elm St.District Cs District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ,3.L3— ),SS f/.r,sevnr Sr LLc' ,;) > AA J7ltec,Snnr sr ,AmAw'57 ---4.44f Name(Print) Current Mailing Address: «he0< Jd.,r4rya c1.”,rt,fe I //13 X 53 7 fr Sir nature 6- / .I Telephone 2.2 Authorized Agent: h'1747 yea I }i h, �r. (nil r „027 .4,' 7/,17r,5 rat 57- AA*Ain -44.1 Name iPant) Cucent Mailing Address es/CC2 Signature / Telephone SECTION 3- .• MAT • CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $ 3 (a) Building Permit Fee / i' CC' eeC 2. Electrical {b)Estimated Total Cost of ' Construction from{6) 3. Plumbingk <// - Building Permit Fee 4 Mechanical(HVAC) - - -- 5 Fine Protection 6 ' otal=(1 +2+3+4+5) $ 6, cc0 mo Chock Number fVU This Section For Official Use Only Building Permit Number t Date . I 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 0 Existing Wall Signs 0 Demolition Repairs Additions D Accessory Building 0 Exterior Alteration D Existing Ground Sign 0 New Signs 0 Roofing❑ Change of Use Other 0 Brief Description Enter a brief description here.liege^f i..c'J5, 5heYr"Cc rlrr dypi are c.dtefew$ Of Proposed Work: . aeti eve 6-09)-4/ 'r.+rx -17 SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 0 A-3 0 1A ❑ A-4 ❑ A-5 0 1B ❑ B Business 0 2A ❑ E Educational 023 l ❑ F Factory ❑ F-1 ❑ F-2 ❑ ...... 2C ❑ H High Hazard ❑ 3A ❑ I inssmnonal fl 1-1 0 12 ❑ i-3 ❑ 38 {] M Mercantile 0 r�, R Residential IPIa R-1 ❑ R-2 R-3 0 5A ❑ S...Storage ❑ S-1 0 S-2 ❑ . 58 . LJ U Utility ❑ Specify __... _. . . . _.. M Mixed Use Specify. S Special Use ❑ Specify L . __ ... ... . .... CDMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: 2 Proposed Use Group ft. - E xisting Hazard Index 780 CMR 34)-1 .-2r Proposed Hazard Index 780 CMR 34) jl - 2._ SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 7/67 2222" & ? 3a 7) _.._ _. 4th4, Total Area(sf) in--)) SGQ Total Proposed New Construction ten Total Height(ft) ' jtr. _ .. Total Height 11 _. .... 7,Water upply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage isposal System: Public C Private 0 Zone Outside Flood Zone❑ Municipal On site disposal system❑ VersionI 7 Commercial Building Permit May 15,2000 8, NORTHAMPTON ZONING • ....._._...7 Existing Proposed Req uGedboo hZoning lbiswred byZonin is r- Building Department Lot Size _... _ Frontage ' Setbacks Front Side L: R_:. L.L. R. ... .._ . Rear Building height _.-..... Bldg. Square Footage -- NI -- - - - Open Space Footage (Lot areaMMUS bldg pavedla Wang) ng) of Parking Spaces Fitt _. _.. —_ (volume Se I oration) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DON'T KNOW ci} YES fl IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES Q IF YES: enter Book Page ,c''�,' and/or Document tt B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES NO 0 IF YES. describe size, type and location: /(i0 c ky,,. e D. Are there any proposed changes to or additions of signs intended r the property ? YES Q NO k- IF YES, describe size, type and Location: E. Will the constructien activity disturb(clearing,grading,excavation,or filling)over'I acre or is it part of a common plan that wi8 disturb over I acre? YES Q NO IF YES,then a Northampton Storm Wale(Management Permit from the DPW is required. Version 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(Regtstrani),_. __ ... . _.. . ... _. . __. _ ... _... Registration Number —_ Address Expiration Late Sgnature l elephone 9.2 Registered Professional Engineer(s): Nome Area of Ruscrorta bdity Actlress Registration NUR ber Signature Telephone Expiration Date Name Area of Re,pons Hay Address _.... RegistrationNun be, Signature telephone Expirationllate Name __. _ .. .-..J Area of Respond blty Address Regstrafon Number m. ._.. Signature Telephone Expiration Date Name Area of Responslbillty Address Registration Number Siyneture Tefephone Expiration Date 9.3 General Contractor )761/4/ 17. Gird ✓Mldh.. Not Applicable Company Name ( t3- 2 &-c PISsc,pr_ 57 Ge Responsible In Charge of Construction > .✓. PLeric,nr Ni Amh-ii5r *1i m'p°Z.;i Address '113 953 7fs'79 Signature Aire ' elephone 4 • 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 0 No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I.74 all/. Io trey to 1, 1j3—,2 fit pleri5^'Ur ST as Owner of the subject property hereby authorize _ )4C11 )/ rt _l. 4/lnL 0 /'/Ph to act on my behalf,in all mailers relative ,.rk authorized by this building permit application r-- - ii/i6/ t / Sig ture of Own / Date 119 U7 h L q r2 ch/i O V N Fd J - as Owner/Authorized Agent hereby declare thaththe 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 — )/ df'r A/i . . A/t4l v-at re � _.. Print ante _... /.///e' of store of`e . Magegtffi Date SECT 411.1.2-CONSTRUCTION SERVICES t01 Licensed Construction Supervisor; Not Applicable ❑ Name of License Holder 14 et 7/1/74 L. Ll fro PFC1/'ca'/ed ` License Number 7 d J7/s <Sa/ar _ 7 44,7dieFr X1.1 c/cc2 Ci - it 99e`I Address Expiration Date zt��~ 11r3 -25") Telephone S 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 thebuilding permit.� Signed Affidavit Attached Yes W No C) The Commonwealth of Massachusetts • ,Department of Industrial Accidents .,h Office of Envesttgat ons --} ! 600 Washington Street Boston, MA 02111 www.nrass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual), 3�3— .2e' S /�/"k/jG,Ir c „ Address: i7 .A/, FAtoSetn7- 5 /- City/State/Zip: -"AWN/3 City/State/Zip: r3 a`�.3 �l tf IN{5 F.. it d/CC4 PS-one»: 4 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. `I am a general contractor and I employees(full and/or part-time).* have Lured the sub-contractors 6, ❑New c01$rueYton 2,❑ I am a sole proprietor or partner- listed on the attached sheet I. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity employees and have workers' 9.. ❑ Building addition [No workers' comp.insurancecomp. required.] 5. we,are a corporation and its 10.❑ Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself,[No workers' comp. right of exemption.per MOL 1.2.7 Rcofrepais insurance required.] i' c. 152, §I(4),and we have no employees. [No workers' 13,U Otner comp_insurance required.] _ *Any applicant that checks box#1 must also fill nut the section below,showing their workers'compensation policy information_ T Homeowners who submit this affidavit indicating they are doing ail work and then hire outside contactors must submit a new affidavit ndiccating such. 1Cbntactors that check this box must attached an additional sheet showing the natreof Mt sub-mannas and slate whether or not those enth a have employees. If the sub+.ontnctors have employees,they must provide their workers'comp.policy number, lain an employer that is providing workers'compensation insurOlce for my employees. Below is the policy and job site information. Insurance Company Name: „Al --fit% -/41*f?lc/Mf gwze$Y/1 ee Policy dor Self-ins.Tic.tiff vC - o' (97G 19/ S 3 s '711 .2o/% Expiation Dace: ?'': -//:25161/Y Job Site Address: 2-2F 5 �Apu Scv 51', ,T,� City/State/Zip: /"LO61 7/14/ jell .�f/7�' a mei/ Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fotun of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Signature: Date: penalties ,than the informationprovided above /� Ido here " // 7 f is true and correct Phone 4: Dahl: /O - /Q G//3 6 \ 7t` ‘7 I • Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License _ Issuing Authority (circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: 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 150k Address of the work: o25,--- 7/L'e15g7/r ST ti ir/rawi�d The debris will be transported by: ..740‘,,P37— 77-6- c The debris will be received by: Building permit number: Name of Permit Applicant L2 3 26 H{c,50nr 5,t. «c /hord,yn tb/cd -'avid. Date :ignature of Permit Applicant ACa g CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDEATOO ifw—i 10/12016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Anna Seymour ' -- ROGERS & GRAY INSURANCE AGENCY INC PHONE -IA/C No EMT (761)936-450908 EMAIL Fra"ar. ADDRESS eseymour@mgersgraycorn _ 434 ROUTE 134 ( /AFFORDING COVERAGE • INS RERs rvAlcr SOUTH DENNIS MA 02660 INSURERA. AIM MUTUAL INS CO 33758 INSURED INSURER B• _ 263 287 PLEASANT STREET LLC INSURERC: • INSURER D. 25 N PLEASANT STREETER6 -_ -- ---- - - -- -- _ AMHERST MA 01002 INSURER F. COVERAGES CERTIFICATE NUMBER: 92281 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE• ADDL'6UBR' POLICY EFF POLICY EXP - LIMITS INPOLICY NUMBER wvn 'IMM/DDIY DNYYYI IMM/DYWI COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S ___ DUIIms.uwDE _ OCCUR IDAMAGE TO RENTED I IPRE occurrence: '.. 1 • MED EXP I Xsv one person) 5 - N/A I P=R O LD S INJURY S �. I GE ' AGGREGATE IMITAPFLIES PER'. I E .-A AGGRET_ S POLICY Ir `fl LOCI PRODUCTS COMP,OP ASO s n OTHER 5 AUTOMOBILELIABILITY I 'COMBINED SINGLE LIMIT e e ANYNE oDL aD �nJ = L OWNED i SCHEDULED _ e ALTOS OTs N/A PRO (Per acc,denS'S HIRED AUTOS LA°ros G I CAMAGE =ea.naenr I I UMBRELLA LAB I OCCUR EACH OCCJIRXENCE i S ITABRETENTIONS AGGR G T 5 s MAD- WA MPENSATION .FEF AND EMPLOYERS LIABILITY v/NI X STATUTE I E A OF caw EMBBERPEXCLUDED'ECUrV INAj NixN/A AWC4007034854201 GA 09/30/2016 09/30/2017 ELE ACCIDENT R $ 1000(700 .(Mandatory iionNHII i I 'EL.DISEASE-EA EMPLOYEE S 1,000,000 I DESCRIPTION OF OERATIONS Neon I I I E L DISEASE-POLICY Neer IS 1,000.000 N/A • DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES GCORD 101.Aer„eenaIRemar xs seneeuo mayeea1neemere spaceis required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires.or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Search s ue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Stool at www.massgov/Avtl/workers-eompensafionlmvastigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton - Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Room 100 AUTHORIZED REPRESENTATIVE Northampton MA 01060 Daniel lm CroWley,CPC)),Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Lincoln Real Estate From: Lincoln Realty [info@amherstlincolnrealty.corn] Sent: Tuesday, October 11, 2016 12:50 PM Cc: 'Lincoln Real Estate Maintenance Subject: 263-287 Pleasant st. Parcel ID Card Routing No Location Zoning State Ctass Acres 320149-001 1 253 PLEASANT Si 01 n/a 0,206 Living Units 12 Owner Information Property Picture Mccarthy Properties Inc_C/O Hampshire Property Mgmt I No Picture Available I Deed Information :. Book/Pane: 339 /295 / C "J s Deed Date; n,s Building Information "' 2. Building Na: 1 Year Built: :500 0 No or Units: v Structure Type: Downtown Rov, Grade: Identical unItx: 1 Valuation tend: s2213A40 Building: 51,091,130 Total: $1,3:6,100 Net Assessment: $0 DaaoriS A.3sBPi/f .0f.......� y767s, 5 :E °75 5 -Ci 441 Bat rBR 5........... 150* C0REF % 62 rod D_BrSHEI 188 Sc] 52 3sBR/B E:OF/OF 660:q1 (71618 84� ll 2 f',assscf_seta pan-mast of d e es and rdfc Safe*., _ ng 5 License CS-109989 ^c KATHRYN CHIAVAROLI f 25 NORTH PLEASANT ST \. J� AMHERST MA 01002 �=-- -- 07/17/2020 Construction Supervisor Restricted to'. Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: W W W.MASS.GOV/DPs to eil5 ami Cato n . fi b 1/ r ? - al i4) in task/ Gtt-uv 22,_6„ fr y -- q t la 4 n � L6, yvi� .y- 20 $4ir d DP m E b saw I Shelling over dryers and n.tl to mem ar if 71/77 r,-r City of Northampton Building Department Plan Review 212 Main Street Northampton, MA 01i 0