32C-043 (6) . 58 PLEASANT ST x' BP-2004-0422
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block 32C-043 ' CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2004-0422
Project If JS-2004-0609
Est. Cost: $50.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groun: RICHARD SHEA 013676
Lot Size(sq. ft.): 6229.08 Owner: SHEA RICHARD J&JOAN L
Zoning:CB Applicant: RICHARD SHEA
AT: 58 PLEASANT ST
Applicant Address: Phone: Insurance:
137 ELM ST (413) 584-5008
NORTHAMPTONMA01060 ISSUED ON:10/15/03 0:00:00
TO PERFORM THE FOLLOWING WORX:INSTALL DOOR IN NON-BEARING WALL
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: Receipt No: Date Paid: Check No: Amount:
Building 10/15/03 0:00:00 21030 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2004-0422
APPLICANT/CONTACT PERSON RICHARD SHEA
ADDRESS/PHONE 137 ELM ST (413)584-5008
PROPERTY LOCATION 58 PLEASANT ST
MAP 32C PARCEL 043 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid (7/O,Q0 30, 5V —
Typeof Construction: INSTALL DOOR IN NON-BEARING WALL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 013676
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION PRESENTED:
V 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 -ssion
/CSX C! /0 j0_3
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 Building Permit May 15,2000
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060 -
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE 08E ORPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN 4 TINEORTWO EAt4 Lt DWELLING
,
,srthddN3 *LI:EANEDRMATIUN � ,.
1.1 Property Addrew
•64 Pte c of Sf red.{- f #
(ShameIeon5 & or7 J ` ua �'
SEC-1TON2=PROF.EFtCV.;SINtNERSNIFj7AUSl1f)RItEIS`Y�CEtff •�°"_
2J Owner of Record:
re; chc.rd NI- Joon Sher& ., f . War ■tCketag•t _Nlpi
N (Pant �2( t7 ng Atldres GILl((jO
.ar
Signature .1t) `/}7 U'.r Yl � )Ttlepd la 1
2,2 Authorized Agent:
ehard P) cAct 13-7 Ellin tlor-fhctmr-i-on MR
Name((Print) 7 / Current Mailing Address: D f(Jto()
G9nafure elephone
sEC730N 3-ESTIMATED ODNSTRUCRON COSrs '
Item Estimated Cost(Dollars)to be I+ . . Offidalise Only
ft
completed by permapplicant
1. Building r - (a)BUUding,PemiltFee
2. Electrical E naked rotaltnstof
`��Cwnstitaion%irti"(6'), ,
3. Plumbing .NSteR51(ng +attii'.„t;�xe- ..
4. Mechanical(HVAC)
5. Fire Protection
6. Total (1+2+3+4+5) $ docr chedcNumber: ,210 30. 5-0
hIs CCecGua ForOHidai4fse
Building PermTYiumber :. bale-Issued:-
Signature: -..
BuildingCommissioner/Inspector or Buildings Date
P -
Versionl.7 Commercial Building Permit May 15,2000
jaCLe.-/e.”.'" 1 R. tl 4
i . . 3Re �] q'E rower `+ asH'-nxem5 d,q�x
-.- - -, 3 .�Ra" a.
interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑
Se 0 0
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building[ ] Repairs [ ]
BRIEF DESCRIPTIONe
PUf`( dcca(' .Cel n 0. nbn-ba,nn5 W0.Il r
SECTIONS-USEnOUnNDC0TY5{RUCEO,Sin 1E -
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly I❑ A-1 0 A-2 0 A-3 0 IA f ❑
A-4 0 A-S 0 1B 0
B Business 0 2A ❑
E Educational 0 28 0
F Factory 0 F-1 0 F-2 0 2C ❑
H Fiigh Hazard 0 3A 0
I Institutional 0 1-1 0 1.2 ❑ I-3 03B 0
M Mercantile 0 4 0
It Residential 0 R-1 0 R-2 0 R-3 ❑ SA 0
S Storage 0 S-i 0 5-2 0 58 1 0
U Utility ❑ Specify:
M Mixed Use 0 Specify:
S Special Use 0 Specify:
-CAN -I -
iket.yru• 'iaecb G INGREN0VAIION AD1UMON$'AND(QRCWiNGEIN'USE
Existing Use Group: PI upused Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECT ON/68WI 13NGH t€HTAND ;'REA '
'
BUILDING AREA EXISTING PROPOSED NEW C0NSTRUCI1ON r -dr: . `i c�,/-""; -`, 'd ...„5�
`r'4'.'a z` '.
Floor Area per Floor(sl) In • k,u r°
,r ti y3,
^2M AL :Vic:,
s ; '
'::;:t xa ,.R,
M
2 art [. 3a-c It- ".^m- r .**"5' .1-44
B 4th % 'xT ,� ,j- 3 s`a
Total Area(sr) Total Proposed New Construction (sr) t"�
T t s -'S---
.
+a Sa5es,p' -t
Total Height(ft) - r -€
' �
Total Height ft
1 Versioul.7 Commercial Building Permit May 15, 2000
7.Wateg Supply(M.G.L,c.d0,§54) 17.1 Flood Zone Information: 73 SewagedDisposal System:
Public Qr Private 0 Zone; Outside Rood Zone 0 Municipal WOn OM disposal system 0
it. NORTHAMPTON ZONING
Fisting Proposed Required by Zoning
This atom CO be filled in by
Building Dep&annt
Lot Size
Frontage
Setbacks Front
L: R: L: R:
REN
Building Height
Bldg. Square Footage %
Open Space Footage
(lot aro minus bldg&paved
Ping)
#of Parking Spaces
Fill:
(volume&lucasm)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO V DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page Vaned/or Document it
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES V NO
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:
Version I.7 Commercial Building Permit May 15,2000
SECTION i9 ,PROFE551.ON, L DESIGNjAND:;CONSTRUCT4ON SERVICES -FOR BUILDINGS;j}NDSTRUCTURES SUBJECT
COTO:
NSTNUCTIhN QNTROL PURSUANT T0780 CMR 116(CONTAINING MORE THANS5,O9O1F.OFENCLOSED SPACE)
9.3.Registered Architect:
Not Applicable 0
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
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
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version I.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEWig80.aR 110.11)
Independent Structural Engineering Structural Peer Review Requwed Yes 0 No ❑
SECTION,11.OWNER AUTH0NIZAT10N0.TD'RE;COMPLETED WHEN
OW NERSIAGENT OR CONTRACTOR APPLIES FORIBUILDING PERMIT
, as Owner of the subject property
hereby authorize to act on
my behalf, in tall matters relative to work authorized by this budding permit application.
Signature of Owner Date
, 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 perjury.
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTIO7ISERVICES
10.1 Licen ed on.trution Su,ervjsor, Not Applicable ❑
Name of License Holder• RiChClft1 a. ,sh.e.G .._., c,j oi34./t
License Number
/3l F(m Street Nor-that - • _ 1l 9 (3frooS
Addresf r �`�\ Expiration Date
11►. 1. .._;`/t._ . eori:. 3Z,1-eStry -96,19
gnature dephnu+E€
sc../.19N 18 w,O. . . C ,{IttysZTI0N N5IN?A' OEAFFIDAV171M:G 1 ,ps"152i, 2 (9) z
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 ❑
oRZiWr P .
a� �a Qr.E 01402 ci Northampton 1 m=@_
x,
AeN y`lf 91.,.afllnsrtle_' 1 '.
?f . _
DEPARTMENT OP O(/I I�D,G INSPECTIONS
212 Main Street . Municipal Dodding =_
Northampton, Mass. 01060 r
W6t(NUC;Ii'�SS-II__COMTENSATION LNNSURANCE AlA
t 1•WVIT
I
(1icnscdlannittec)
With a prruncipaplace of business/residence at:
)37 GIM OI . ibrni)Glgpfoq r fn blVDO (phone-) SW-1 -9(.419-9(219
(Suri/city/swcrzip)
dohereby certify, under the pains and penalties of perjury, Mal
(1,( I :n an employer providing the following «'orker's comocnsauon cove.^.ge for my
employees working on this job.
Prof-. Ltcrb+Irk/ -Ens Co oFRnreficw, LJCa000S(o($ II( 1'-( I 3
(lasurnc Concznv) - (Policy Nu_.abcr) (Titspimtion Date)
() 1 am a sole proorictor, general conrractor or homeowner (circle one) and have hired
the coon-actors Listed below who have the following worker's ramoenssa6on policies.
(Name of Contmc:o:) (Insurance. Compaayr?ciic; NuSntc) ('r_rn;uton Dam)
-- (Name of Coonaor) (lnsuznc Campaay?o'cv Num[er) (einir..ion Date)
(Name of Coonanor) (lnsuranc Compass/Policy Number) (EXpiroea Dare)
(Name of Coonclor) (lnsuranc Company/Policy Nirnbr) (Ex-pa-shoo Dale)
(tacos 1+r.'oa pop ifouo,.ryu ve!ak nfot.. .asalving to.11 maaeon) ,
() I am a sole proprietor and have no one working for me. ,
( ) I am.a home owner performing all the work myself.
NOTE:pleat.m tb_,.hJo bcem+xa..bo®Dloy"am=u1,-.i-'r,.,.. cr a.q+;<work n.e,. 'e of
sat=cr.thw ' ac,R,is,mac IGc bomar.m rmm cc ea the 6_._ . h.ppnro that,' oat l,"..ally mcn&'ai to e.
=pioyc,un2c 1.5c uayyy n p. .ca Aa(GLl51a l(S)),yglintioo by.homvonc fro:Gc-_,:a permit zY n-xleacc Nc
I.pl new of m=loy.c unM d Wakar.r'.,-, ,t:p A¢
I undo-mood mea copy of this o+mm m.y bo farW.a to W.Dcp.wan of 1ánn.1 Amda¢Y Oho.of Loma r.uv for Oro
wavey ,aincaioa M this Li1L-e to amus tovcray mdcr vain]5A of MOL 152 an lad b the-^p^^m ofeimioil pco.lik
rottorrag of a Gec*Cup to 51)0000 crisp.ivgvi,con m or up to ooc year end evil p ultie'e pc fan of.Stop Wart Oda.oa t
fina of 310000.my.pitta oti
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Fir hyvua=.I u•=otos
-`'`' S�� Permit Nttmb
Ei T fo/io�o3 Maptt Lal:
StgnaWit of Lim, rnuuw -- - Ih e
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