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32C-044 (2) BP-2007-0783 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category.: BUILDING PERMIT Permit# BP-2007-0783 Project# JS-2007-001257 Est. Cost: Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Grouo: KEITH HAMILTON 074129 Lot Size(sg. ft.): 7492.32 Owner: BUTTERFIELD PATRICIA Zoning: CB Applicant: Keith Hamilton AT: 76 PLEASANT ST Applicant Address: Phone: Insurance: 17 ORCHARD ST (413) 587-0763 O WC EASTHAM PTON MA01027 ISSUED ON:2/9/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:INTERIOR DEMOLITION 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 2/9/2007 0:00:00 $50.006708 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2007-0783 APPLICANT/CONTACT PERSON Keith Hamilton ADDRESS/PHONE 17 ORCHARD ST EASTHAMPTON (413)587-0763 Q PROPERTY LOCATION 76 PLEASANT ST MAP 32C PARCEL 044 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 'J Fee Paid e0/QO Tvpeof Construction: INTERIOR DEMOLITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 074129 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORIATION 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 / o 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. . Version1.7 Commercial Buitdint Permit Ma 15,2000 . City of Northampton Building Department cy :5l:_c. ' 212 Main Street `+a=` < - :.a ?Room 100 S00 -t.s-00:00.�� Northampton, MA 01080 .- s °Y�' - ` phone 413-587-1240 Fax 413-587-1272ett e.. t- - .s....._.- .s- % APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ,.SECT19N.3,r_Snt1NFO_RMAAON±.- _ - - 'Y.t-PronertY-Address--..'. . Y .� ��... ectrou'to,;-bacwn •: I 1 & P(P �S/�� 5+- �, J . . ` 't i ./feb- I {anf ��, 'nom _i « _ axi , r¢ w =ti_ }u� SECTION`Z-'PROPERTY VNERSHIPTAUTHORIZEDAGENi 220. 2.1 Ow rof Record: - _ - - - F1:77/Ji i54n. _ i Name(Print) Current Mailing Address: s as Signature .... Telephone 2.2 Auth el d A ent: Ia;+G a/14 I bl 17 Ckci,a c\ ct Name(Print) f Conan M21in,Address: Signature T [F��,/� _ j Telephone C 9/ ��)--6 (6, o537,9326 SECNONS-..ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be ' ... O(fitiatUse-Only completed by permit appgwnt 1. Building r c./>c 6 u I _fa)Building PennitFee '. 2 Electrical j I (6)Estimated Total-oat of 1 - _ -Corairuction from(6) { 3. Plumbing I Build-fng'Pem'neFee b(/2.4a Oe/vy J : 4. Mechanical(HVAC) I 1 . '(I$O.cte.). 5.Fire Protection ii " 6. Total-40+2+3+4+5) -Check Number i't�'7a afiSd.ad .-sTtiLt Section ffaO ieial Use:Only BulfdingsPeftn kNumbe[ 21040.0-- . ils`sned in Signature: Soiling Commissionzinnspe., roisuldi gs ...Date Version1.7 Commercial Building Permit May 13,2000 SEOTION'4-.C(' Vyrikia ON SERQtCE$.FQPCPROJECT1'.± SSTHAN 35,000 Of"E CUBICEEETNC[USERSP'ACE� - Interior Alterations ❑ Existing Walt Signs Q DemolitionIA Repairs Additions 0 Accessory Building Extrados Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other❑ Brief Description Il Enter a brief description here. ^'. Of Proposed work: IPJTEtton- ''EttAo fo& R£MoocL -- !SI Float SECTION S-US E GROUWA NDCONSIRU.C {OlPEB USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A.40 A-2 ❑ A-3 0 IA i ❑ A-4 ❑ A-5 ❑ 18 0 B Business — 2A 0 E Educational 0 28 ❑ F Factory 0 - F-1 ❑ F-2 ❑ 2C 0 H Hioh Hazard ❑ 3A 0 I Institutional ❑ 1-1 0 1-2 ❑ 1-3 0 3B ❑ M Mercantile ❑ 4 0 R Residential 0 R-1 0 R-2 ❑ R-3 0 5A 0 S Storage 0 St ❑ S-2 ❑ 58 ( 0 U Utility %❑ Specify. 1 _ M Mixed Use 0 Specify- S Special Use ❑ Specify.1 1 COMPLETE msSECTIofttogSilt. PUILDINGUN4IERGOi�](rnNovA7toN5ADDff1OY1SAZlD1oRCHANOE IN USE i Existing Use Group: - I Proposed Use Group; :. i Existing Hazard Index 780 CMR 34):' I Proposed Hazard Index 780 CMR 34):1 1 SECTION SBUIk,DlNG89G ANDAR A.. tftetsif BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION • 'y,- �.+ t o Floor Area per Floor(sf) 6-- --13• 1-17;1;?; m 4th ! i 4th f I c _ Total Area(sf) Total proposed New Construction(sf) 1 F$ " »=&u 3e" �'p 6a •J'- Total Height(0} � Total Height ft ."s" - 7.Water Supply(M.G.L.c.40.§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system❑ , - Versionl.7 Commercial Building Permit May 15,2000 . . ; ca. Existing Proposed Required by Zoning This column to be filled in by Building Depvnumt Lot Size I i_______— Frontage Setbacks Front i`J, r_ Side LC= R.� L:'___: R I_ Rear i___I - Mu fie{gYt�-- �® Bldg.Square Footage 1-1 % I—^, nn r: Open Space Footage � % _, (Lot area minus bldg&paved I ITh LJ ' nn #ofParkine S•aces _� —J Fill: — (volume&Location) 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: 1 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book i�, Page.: and/or Document it '.. B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW © YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: j C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: j , D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type and location: 1 E. Will the construction activity disturb(cleadrg,grading,excavation,or filling)over 1 acre oris it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Vetsionl.7 Commercial Building Permit May 15,2000 • SECTION 9-PROFESSIONAL OESiOWANO CONSTRUCTION SERVICES-FORBUILDINGS.ANQSTRUC'SflR*SUBJECTTO CONSTRUCTION CONTROL PURSUANT'TO TSO CM[t3I3(CONTAINING MORE THAW 3S,993C.F.OFENCLO$EO.SPACE) Al Registered Architect I i Not Applicable ❑ Name(Registrant): — '''. I Registration Number _t Address 1 Expiration Dale Signature Telephone 9.2 Registered Professional Engineer(s): �.... __.... 1 t ._ __...__ r_� Name Area at Respmwbkity— -- Address Registration Number Signature Telephone EMeation Date �.. _. .� Name Area of Responsibility 1 Address Registaoon Number Ir I Signature Telephone Expiation Date Name Area of Responsibility 1 — Address Registration Number Signature Telephone Expiration Date r I • • Name Nee of Responsibility Address Registration Number 1 Signature Telephone Expiration Date 9.3 General Contactor I Not Applicable 0 Company Name: ' t i t Responsible In Charge of Construction Address • . — Signature Telephone \'erslon1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(78D CMR 11041) Independent Structural Engineering Sin-:Murat Peer Review Required Yes 0 No O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING'PERMIT 1 (CrfT as Owner of the suhi'ect pacer)- hereby authorize eir-ci b, tri.f.EroC - ,. - ..... .__- .-_-.to act on my beha:L ma ='s relative to eu ho Zed by This buiMing permit application. Sign re.i — - Date qFeeei �� I. b+F 1l-J J ;; .� S..Th .as Owner/Authoried Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of ray knowledge and belief. Sicned ander Ne pains and oeneltiee of perjury. Pnnt mnrne _. _. ...._. - 017 Signature of Ownadngent Date ry SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of license Holder _ rr .__- te,,. _ license Number Address expiration Date 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 wit result ;o the denial of the issuance of the building permit. Signed Mf davit Attached Yes 0 No 0 1 • 05112 of 'Iarfllumpfotl I *I A �f 'f ' f 3r'.'.rh.ccu.- -=-- =• • a - 5EP/J<TMENT OP oUlr.nrNC INSPECT/ONS • — 212 Mar. Street Muviupnl Budding 2 Northampton, Macs. 01060 VvacuCIt'S COMPENSATION INSURANCE AITIDA,VIT I (11 nsedv_i mince) “W.ba-pl ci»2=1-pl'ast_eC4a-siass1; ieeaEs-"-.— _. Nva--. t-1tc3/c) 1 k7 0rchard 663-6hork7p+or, (Phones') kid 3- 'k-$3F510 (sr Ucity/sl>Lrap) mak Olog 7 do hereby certify, under the pains and penalties of perjury. ihai Ss'Q I am an employer providing the fol!otvinn worker's compensation coveage for my employees worong on this job. �ZCr c )C Oc j7 5cY z /a cP7-07 fms��c Concacy) (Pada-if Nm:vr) (%pirtuor.Dan) ( ) I am a sole oropneror, general COuu ecor or homeowner(ci:e e one) and have hired the cooeac1ots ural below wbo h2ve the follow ne workers cnDoensaoon polcies: (Nally) of Coaeacar) Deanaman Colnpanyr?ouc, 'dumia) (Fzlmmne Dna) (Name of Coou:oor) (lpsurzncc Company/Policy Numtcr) (Enpc:don Date) • (Name of Coanano)) (t>Lsuranc Compxny/Poncy Numb_) (Expir_don Dalt) • (Name of Contractor) (tnsulaCoo ny/Policy Nurn):r) (Enpiauon Dale) + ,^ _ nc w �l e,m Je¢e..-'}to acrut tw(w9.uoa pat to.11 r. —cora) O I am a sole propne[or and have no due wording for me. ( ) I am a home owner performing all the -Nor): myself NOTE;pleat de teve ena W[1a Emav&rncry pea to.a- ^^ -- e..yv.car.n.eche. .of than Ls,=)-r a at)h the bin - oa rcdvumtscpv.`o_'-'i-'pn tt Keen a=aar N..allywv-6�a+f to be cgloycauY-L4 t.atda tim Ac(GLI52,E (5)?�ylia:iw trybasm..fe:tic,:a lcmn Iegl rta a of La glovx untie dart wait.—,c) r ant Iw4-ew46na mpy of ts�m:_ y b.f ttbo 0.pnmm:or izauiJ Act O6w cr(] cfor da. wvme vvi(am M Qt Liim<u amarc tnvcncv m1:v C on]SA of I.IOL 157 ao lvd to 1.,LL v' xverm of cmual Pmilue on..- 8 of Goc of up to 21.100.0.0,c1for engivaav-n or up to to year-- c u paJuo':c ad form of.Sm Wodc 0,4-.od' f of:100.00 a Ly apIoa¢ For.y.rvny uc oar" D rpt Mamba map= Loh : r Signatui' (tip.JPtmlue, L` ne Mkt �e v�a.,...w-.,+,.en!!/e�� /,aJ«a.w,tle °+; . " BOARD OF BUILDING REGULATIONS Ki1, License: CONSTRUCTION SUPERVISOR Ke1 • . +! Number: CS 074129 Birthdate: 11/28/1962 3.41 ,e Expires: 11/28/2008 Te no: 4314.0 Restricted: 00 KEITH HAMILTON3 LORD AVE p L� EASTHAMPTON MA 01027 (1.32-3 Commissioner /