Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
38B-139 (5)
170 SOUTH ST BP-2017-0439 cls m COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B- 139 CITY OF NORTHAMPTON Lor-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateoorx:,Stair BUILDING PERMIT Permit 31 BP-2017-0439 Project K JS-2017-000737 Est.Cost:S140.00 Fee:St 61..00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use „roup: GERALD ARCHAMBAULT 010788 Lot Size(so.ft.): 6272.64 Owner: KIRKPATRICK THOMAS C& ROBBIN K 2oninz URB)„j00y: Applicant: GERALD ARCHAMBAULT AT: 170 SOUTH ST Applicant Address: Phone: Insurance: 68 AMF)ERST ST (413) 552-7410 O Workers Compensation GRANBYMAO1033 ISSUED ON:In/5/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE EXISTING EXTERIOR STAIRS AND REBUILD 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 PI 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 10/5/20160:00:00 $161.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File d BP-2017-0439 APPLICANT/CONTACT PERSON GERALD ARCHAMBAULT ADDRESS/PHONE 68 AMHERST ST GRANBY (413)552-7410() PROPERTY LOCATION 170 SOUTH ST MAP 38B PARCEL 139 001 ZONE URB(102)2, THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Bee Paidi �L j Building Permit Filled out Foe Paid T eo Copstruction: REMOVE EXISTING EXTERIOR STAIRS AND REBUILD New Constfuction Non StrttcturaLinterior renovations Addition to Existing ,.Accessory Structure Buildine Plans Included: Owner/Statement or License 010788 3 sets of Plans I Plot Plan THELLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION 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 Delay SignatureBuilding Official%/-! Dateeifi�� 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. Vcrsionl.7 Commercial Suildin= Permit May 15,2000 Department use only - _ ?\FE:. City of Northampton Status of Permit: Building Department Curb Cut'Ddveway Permit +' MM�y ?Pi�6 \.„ 212 Main Street Sewer/Septic Availability Lµrt� r Room 100 Watermell Availability . - - Northampton, MA 01060 Two Sets of Structural Plans 1 -iguana 413-587-1240 Fax 413-587-1272 PlottSite 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 he completed by office 7 L9`�5 Unit Sit Map Lot �O€l/l tfty.5/ m Zone Overlay District 01°Ga Elm St District Ce District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: .rte "1 1��. )N7 AIvL7AA-vn?tad?tadcT t0 Name(Print) Ct Kite(r A`fir.tG � Current Mailing Address. Svi #C 13 Ek -31-m- i" , �r e Cps eL.C(C- 1214- 6s"tree rid 44 - at61,0,7 Signature 4 -.�"'�� — _ telephone 1-( J ; 2.2 Authorized Aoent G-ye�,�mp � �1� `7,�;.,,,h.,,,fr 68 fmh et cst 3t 6-t by fila 0/0 73 Name(Print) i � Gummi Mailing g Address' �x� � W �� • ei 1113.553- --Hio Signature - Telephone Uf� ‘43 SECTION 3•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only -ego by permit applicant 1. Building '/go 00 0 r b O (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection Ole /7� 6. Total=(1 +2+3+4+5) ,y'�l^,, coG , 00 Check Number a�LV ,Sf{d' This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date VersionL7 Commercial Building Permit May IS,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES.FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 118(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: 5/ .y2Z O PO7f Not Applicable 0 Name(Registrant): ,,e� /Dec , �j//p--KJ7-' -t/ i i / g1"7idt Registration Number ndttrksac ,73//17 ! A _yrf - Expiration Date Signature...rrr"��'��/��`/// 6t Telephone 9.2 Regist. -d Professional EngineeNs): Name Area of Responstiltty Address Registration Number Signature Telephone Expiration Date Name Area of Responsbility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Stature Telephone - Expiration Date Name Area of Responsibility Address Registration Number i_. Signature Telephone Expiration Date 9.3 General Contractorgr G`e\-01)- { Leek),, Not Applicable 0 Company Name: (eh ResponsibleInCharge of Construction 65 ftvn r 4- ha 0103 7 Add�ss ., t . A _ Ss )-may/° mature Telephone Version l.7 Commercial Building Permit May IS,2000 8. NORTHAMPTON ZONING Required to bZonieng filledin by Building Depapanareni 10.11111111.1111.111.1.11111111111111111111 Setbacks Front Side R: Rear Bldg.Square Open Space Footage Ina= (Lox area minus bids&paved •akin� A, Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? 140 0 DONT KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO 0- IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over t acre or is it part of a common plan that will disturb over t acre? YES O NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versions.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 ❑ Demolition Repairs 0 Additions 0 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing Change of Use❑ Other az Brief Description Enter a brief description here. OO Of Proposed Work: q {ac rye moo 2 t114c, air-feWtr 6.1rn,i-5 W4iiu SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ Al 0 A-2 0 A-3 0 1A 0 A-4 0 A-5 0 1B ❑ B Business ❑ 2A ❑ E Educational 0 2B 0 F Factory 0 F-1 0 F-2 0 2C 0 H High Hazard ❑ 3A 0 I Institutional ❑ I-1 0 1-2 0 1.3 0 3B ❑ M Mercantile 0 4 0 R Residential 0 R-1 0 R-2 0 R-3 0 5A ❑ S Storage ❑ S-1 0 S-2 0 58 I ❑ 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) Is 2d 2 3rd 3 4th 4th Total Area(sr) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private 0 Zone , Outside Flood Zone❑ Municipal 0 On site disposal system❑ The Commonwealth of Massachusetts Department ofIndustrial Accidents :� 1, Office of Investigations r, 1 Congress Street, Suite 100 = ' Boston,MA 02114-2017 • www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organiisationtlndividuaf: 61e 14&c 1,L„ it-- Address: 44 AnArrrt City/State/Zip:4.tz��{�,r /tf0_ OPhone #: �, '�-. ?r/O Are you an employer? Chec the appropriate box: Type of project(required): 1. ` I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-time).' have hired the sub-contractors 6. 0 New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ®Demolition R'e biu(r . working for me in any capacity, employees and haveaworkers' 9. Building addition [No workers' comp.insurance comp. insurance. required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other, comp. insurance required.] "Any applicant that checks box$4 must also fill out the section below showing their workers'compensation policy inibrmation. I.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. —(^ n� Insurance Company Name: If TPolicy#or Self-ins. Lic. #: V 1,4./ 160—AAO 1;126 9,o/CA- _ Expiration Date: 5/-0^,17 Joh Site Address: 17f &Yrt City/Statel2ip:10c?K14 0 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 form 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. I do hereby cernfy an' 'r the pain and penalties of perjury that the information provided above is true and correct signature- /+_ Date: Jb" `—)to .._. I?6one#: 5fl 7'/ /O 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): 1.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: 170 50/4-4 st The debris will be transported by: ( � The debris will be received by: 1/Q11,-/ Rec/cE,y Building permit number: / J Name of Permit Applicant nae 76i-A7-/40. Date Signature of Permit Applicant Versien1.7 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 kt SECTION 11-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, (c ii-V pA'J zw e ,as Owner of the subject property hereby authorize Ge i m[J 4 2'r/erni,t-v t-/- to act on my behalf,in II m rs relative to work authorized by this building permit application. il 44 Signature of Owner Date I, ( ,e vT.YJ/}( 4 F-7„-k Nva✓/(„u J Il ,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 p-i and penalties of penury. ••i .� . , If_ GPrint am�e ,CA},, n T �(} Eur ri' - di/ i 0- 4 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction n'SupersMcl: Not Applicable 0 UA Name of License Holdet: ip e) - ,� it ht ""^'n l'r license Number �j 6OA-mher5� J" �'SrtenbyAcn 0 )033 CS o/° 288 Address Expiration Date / b �� Y/3 -3 3 U Signaturere / Telephone ) 1— 1,5--->1?-9/ / SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(S)) 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 • Initial Construction Control Document {t 1 g To be submitted with the building permit application by a Registered Design Professional for work per the 81°edition of the Ibi.„..,6th Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Exterior Stair Renovation Date: 09-21-2016 Property Address: 170 South Street Northampton, MA 01060 Project: Check one or both as applicable: New construction x Existing Construction Project description: Replacement of existing exterior stairs with new stairs. • 1 1 r. i" ,✓ ,4"77., MA Registration Number: 6634 Expiration dote: 08-31-2017 , am a registered design profe+ssiona(, and I have prepared or directly supervised the preparation of all design plans. computations and specifications concerning: [x] Architectural [ ] Structural [ I Mechanical [ ] Fire Protection [ j Electrical [ ] Other for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR).and accepted engineering practices for the proposed project. I understand and agree that 1(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to'. 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3, Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this'code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall subni oris(see item 3.) together with pertinent cammenls, in a form acceptable to the building o a ,� FptED pHr�F` Q� v ie,‘ C.A Upon completion of the work, I shall submit to . b d?ditt o)icialia Fi .1Construction Control Document'. tJvd . . Enter in the space to the right a"wet'or io MPtO,, y„, electronic signature and seal: ?; � `,y i lay Phone number (413) 529-9434 Email: sporth@portharchitect.com Building Official Use Only Building Official Name: Permit Na- Date: Version 06_11_2013 --- - 4 ei ARCHAMBAULT BUILDERS Page No. _._of pages Excavating and Building Contractor 56 Amherst St.,Granby, MA 01033 Proposal cell:413-552-7410 home:413-467-1655 triNeE 8 >70/c r3 mini* Boa yfo�rma rr nn.47-cy Lat. -.--.- -- _ _ - -- --- 17c, xvth tU�r-k:o-., ,fam • 444", R 54 r - t e '.. m r ) army,t`F x"3„s cn^;- +^'MID : .'.,_!`w' , a. .� .s".r •. ra.,r .�„„r, I v 1 ? Z „Mv; r w' va' ;v"64 AAA:4rye, dr )40' 4" "--,4")-H-41-4 AAP' `""111' 'ft. e4 1;` 4. M k Vxii 1 ., . , . ..r. a. . .'-a:;: : ,..Vd.....>•.._...... ...M1. . .n^•w<e *rc,.,;'s. ym,x ., ..r:s,..^?a4,,.edaa2i3Rx .a .r.-= Y....- ,as j N MOM'S a gas inteed ro be as amkfed-FA wont m be competed in We Propose hereby to furnish material and labor-complete a woMiaion mane aamitlkg m standard Pre:Mits.are Onto or in aceadman°with above specifications,for the sum or: derasa,anon above apend%d be en'.ane erne coke wa be above ted oky upaAwrlldn Was,ardwa became maw drama oar and abovetlaI estlnWe/aagreemets nmw eaa4 coaMM kee,=Wa erdebeyond j"Cv; t•,4• s .. . vpis...fx✓. ,- .,..,v our kxaaremcorOwner rowaenrcony�xMws calmemamm Insuratornado end alas necessary nce. it-a. !r r r•A,4a-is dollarstS a/ 1 7 t_1 ,`'()! Payment to be made as follows: —_ 00o ud r k JUh you.the buyer,may emkoeb this transaction at any time -1?qq��l ll� K /� ,>a j..l r.�i.,.1._.._.—_.._ _ odor to midnight of the that business day agar the dem _Alp" Sick %4irn.L7/Ct� now not mown N this transaction.Cancellation must be done in writing. Nd zed signature maybe wrthOrawn OY a n not uuegnt wimp _cam cceptarr:e of Proposals The atone pow, madealsou nadaboundeoisaeakiefacbrYaMueha'aMaccantsd.YOU ere ewwilmdmdo the wakes specified. Payment wlN be nestle as outlined above. 1c ) _w 1