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32C-043 (7) 58 PLEASANT ST BP-2004-0668 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-043 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0668 Project# JS-2004-0957 Est.Cost:$4000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALAN HOUGHTON 073925 Lot Size(sq. ft.): 6229.08 Owner: SHEA RICHARD J&JOAN L Zoning: Cf Applicant: ALAN i iv:r.7 1 J!r AT: 58 PLEASANT ST Applicant Address: Phone: Insurance: 103 SOUTH ST (413) 210-0329 () NORTHAMPTONMA01060 ISSUED ON:12/15/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR PARTITIONS - CHAMELON'S 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: 02. L.� Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: insulation: Final: Smoke: Fina1C/r THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. - >P./ ..4Sfee Certificate of Occupan /707Si'nature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 12/15/03 0:00:00 MO $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo O A/LZ/� A`ls /e PO 58 PLEASANT ST BP-2004-0668 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block: 32C-043 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit 4 BP-2004-0668 Project# JS-2004-0957 Est. Cost: 54000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALAN HOUGHTON 073925 Lot Size(sn. ft.): 6229.08 Owner: SHEA RICHARD J&JOAN L zoning: CB Applicant: ALAN HOUGHTON AT: 58 PLEASANT ST Applicant Address: Phone: Insurance: 103 SOUTH ST (413)210-0329 O NORTHAMPTONMA01060 ISSUED ON:12/15/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR PARTITIONS - CHAMELON'S 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 12/15/03 0:00:00 MO $50.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File tt BP-2004-0668 APPLICANT/CONTACT PERSON ALAN HOUGHTON ADDRESS/PHONE 103 SOUTH ST NORTHAMPTON (413)210-0329 0 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 foo `N�c' Typeof Construction: CONSTRUCT INTERIOR PARTITIONS-CHAMELON'S New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 073925 3 sets of Plans/Plot Plan THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 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. Versionl.7 Commercial Building Permit May 15,2000 City of Northampton Mantling Department - 'T• -212 Main Street Room 100 - Northampton, MA 01060 _ EEC _0o[1i3113-587-1240 Fax 413-5874272 — APPLICATION-7D CO1NSIRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECITON.I,, S JWATION , - 1.1Pro dress: +: �a T r u_ .-�.�' 1" ,SEGIION 'PBOPERTXrObYAERSH2 IAVIItORIZEED 4:: .1 0wIra, .�� Lig r 1ni .tfieiT- Nor4kr al Name(Rut* Current Mailing Address: Ric110,1-ft . I -4113 - GB rf - 91019 ignature Telephone X2 Authorized Anent Name(Print) Current Mailing Address: ane Telephone SECTIONS-ESfIMATFiD CONSTROCTION COSTS Sete Item _ Estimated Cost(Dollars)to be Official the Only completed by permit applicant ,.. _ 1. Building (a)13bflding PermtFeeCVO 2. ElectricalT!€2m terRTxrla1tostot 1 / C7Cl(-) dfl. , *fig 3. Numbing 'i' artt:,iee- IDOCI = 4. Mechanical(HVAC) 5. Fire Protection y,4],, 6. Total =(1 +2+3+4+5) 1/GCl(l Oed4NHurnber I!f(J ?fiisseedonEooffida`IUse`Only _. _. Building PermitNum6er +_ "patr3�ied:..., Signature: Building CammissIoner/Inspectorof:Buldings Date Versionl.7 Commercial Building Permit May 15,2000 ` RF LN 6(b -, a 'inat J- _ a ii "d E . Cat�•Tr - ,2tr,._W".ti t 2 >t- interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ 0 0 Exterior Alta ations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ...ry Building[ ] Repairs [ 7 BRIEF DESCRIPTION L,( �^ �`: a rt..r e -a A SECIION&-U5E7(iROltPi(NbCONSs�it��E lk�#©N3Y4 USE GROUP(Cheri(as applicable) CONSTRUCTION TYPE A Assembly j❑ A-1 0 A-2 ❑ A-3 ❑ 1A j ❑ A-4 ❑ A-5 0 18 0 B Business ❑ 2A ❑ E Educational 0 28 ❑ F Factory 0 1-1 0 F-2 ❑ 2C ❑ H High Hazard 0 3A 0 I IntitUonal 0 I-1 ❑ I-2 0 I.3 0 3B 0 M Mercantile 0 4 ❑ R Residential 0 R-1 0 R-2 ❑ R-3 0 SA ❑ $ Storage 0 5-i 0 S-2 ❑ 55 j 0 U Utility 0 Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: r : "` arr _P--.eal. 4VA'f<A{7NS,�- Ii'IQN$"(tND`I�RCf9A,NGE IN'USE Existing Use Group: — Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): Sa,"4,.a4UN 5rk .81iIId)iN(%31E;GHf1NU31RE1 , ua BUILDING AREA EXISTING PROPOSED NEW CONSTRUCRON '_ r'c �3�h: ^�. ,^2?- Floor Area per Floor(sf) a ty � , y`s�s, IA ram ,.. 2"' 3b g ac - 7 c Total Area(sf) Total Proposed New Constvcton(sf) s ;^t Total Height(ft) .,_ — '7-1::,--&` til : Total Height ft- - � . Versionl.7 Commercial Building Permit May 15,2000 7.Water Supply(M.G.L c.40, 5 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: • Public 0 Private 0 Zone: Outside Thad Zone ❑ Munidpal 0 On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Depanu ct Lot Size Frontage Setbacks Front Side L: R: L: Rr RRR�a Building Height Bldg. Square Footage Open Space Footage (Lot am minus bldg&paved I>allanel fi of Parking Spaces Fill: (volume&La- Eno) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 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 and/or Document it B. Does the site contain a brook, body of water or wetlands? NO DONT 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 NO (7 7 IF YES, describe size, type and location: .Z X 7 - cer:7(o D. Are there any proposed changes to or additions of signs intended for the property?YES_ No IF YES, describe size, type and location: Version1.7 Commercial Building Permit May 15,2000 SECTIONS PROFESSIONALDESIGN ANDtONSTW{UCT�ION SERVICES-FOR BUILDINGSINDSTRUCTURESSUBJECS TO'r CONSTRUCTIDNC,ONTROL PURSI)A'NTTOISO CMRl36XCONTAINING MORETHAN35i000?,C.F.OFENCLOSED SPACE) 9.1 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 0 Company Name: Responsible In Charge of Construction Address Signature Telephone Version1.7 Commercial Building Permit May 15,2000 1.�SECTIOA IU-STRUCTURAL:Y€ER REVIEYV'(7t$Dx cIrR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION AI-0WNERAUT$ORIZATION-70BECOMPLETED WHEN OWNERS AGENT YR CONTRACTOR APPLIES EOR>BUILDING PERMIT'.: }i as Owner of the subject property hereby authorize an to act on my behaU, in ma ers rel:S1 o, k au prized by this building permit application. i tie_ Signature f ner i Date as Owner/Authorized Agent hereby declare that the stab merits and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and pe alties of perjury. A Print Name Naame� Signature of Owner/Agent Date _ SECTION 12-CONSTRUCTTON'SERVICES.. 10. C,e se. C.nstru thin u.erv's.r: � Not Applicable ❑ Name of Lipense Holder -- License Number Add r - Expiration Date Signature Telephone ago SECTION 13-'WORKER$ MP CDEtaATIONe7NSfi7R;4N AFFIDAVIT(M G L c IT�2 2SC{6}} ' n . 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...._❑ 0.tlWlrl. ° a� �=A� — Crit2 of Northampton 1,_ 2 ,—v 44e7 E 9h, .cnn[rll.Y4�T. ' � t - DEPARTMENT OP BUILDING INSPECTIONS 4 212 Main Street ' Municipal Building Northampton, Mass. 01060 a'- WORKER'S COMPEN ,A ON INSURANCE AFFIDAVIT I. Ciffi A_ I A _ i flS «µaortae) with a principal place of business/residence at. n � 1L . O 0r Cki -I� i dyi–(phoac-'.') .L� (svcJcity/nam np) do hereby certify, under the pains and penalties of perjury. ha ( ) I aro an employer providing the following workers comoensa6on coverage for my • employees worl-ing on this job. �c Compasv) - (Policy Number) (xp radon Dun) I am a sole prooiecor, general coos-actor or homeowner (circle one) and have hired 7 the coouac1ors Listed below wbo have the following worker's compen_saSon policies (Name 0(Contractor) (Insumncc Company/P otici Num_::) (eipirm;or Date) (Name of Conmoot) (1neiranc Company/PoUcy Numt.q (Expirzoon Date) (Name of Connanor) (Insurance Company/Policy Numbul (Expiration Date) (Mame of Contractor) (Insurance Comp-airy/Policy Numb::) (ExpiW0000 flare). (.a,.n,ai,:oJ abaci truce...,a c-wa;nfo m.0m pa^^ici^d to y.tea:,) , a sole proprietor and have no one wor4dng for me. lam () I am a home owner performirg all the work myself. NOTE:plcsc h.m rbn..tile barc'Tart`•to bo cn loy PC-30331.0 m..%3.....r.. c= C.riyir..nn w.e.chLc of 1104 LOOM diZZL vta.y„e whim ea buiroaiwuu-nraiidin or m me cram apnrlent area£ opt ra—=vy ottotdtomd to be cwloyc,=Lc'Sc write,apca-_imAct(GLl52nl(5)).epplicuoo by.bommez Ica:Em:or lc+nn rtr^'N00c'h I evil.um,of en egley.r unM tln woadz r..�.p.....rwa i.a I uvlcn.zd Wu a copy o(wi,ma.en.An wily b.to wor6.J to rbc napnmv or LoAArAJ Aacdoaf Ono-or hewn for r6. oovc c.miGmim land Ju Lame to mut mueeeye=act mum 23A or MOL 152 can led to the.—",ottioa of criminal ptuiltia ma-it of.line*Cup 4:41,50000.n/or myritoomca au()to etc yrnr end aril p....tie u&Corm or.S'op wort ONa W. f a3100.00•dy t, ... ax. Fc ii Numb t WY Permit Number Nape Ling Signaou<oft.imssce/Permiu li- e i _.