32C-045 (7) 86 PLEASANT ST-2ND RIGHT BP-2005-0268
GIs#: COMMONWEALTH OF MASSACHUSETTS
Man:alock: 32C-045 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildlna DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Cateaorv: BUILDING PERMIT
Permit# BP-2005-0268
Pro ject# JS-2005-0341
Est.Cost:$5000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Grow: THOMAS KORYTOSKI 070047
Lot Sizelsa. fo: 7013.16 Owner: SUHER F,RIC
Zoning:CB Applicant: THOMAS KORYTOSKI
AT. 86 PLEASANT ST - 2ND RIGHT
Applicant Address: Phone: Insurance:
39 LAUREL MOUNTAIN RD (413) 665-2106 0
HAYDENVILLEMA01039 ISSUED ON.•9114104 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 2ND FLR RIGHT BATHROOM
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: House p
Foundation:
Driveway Final:
Final:
CjA%/et
Rough Frame:
Gas: Fire Department Fireplace/Chimuey:
Rough: Oil: Insulation;
Final: Srtwke: Final: CK -a0'0
THIS PERMIT MAYBE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIOF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy
FeeTvpe: Receipt No: Date Paid: Check No: Amount:
Building 91141040:00:00 1978 $50.00
212 Main Speer,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
96 PLEASANT ST-2ND RIGHT BP-2005-0268
GIS u: COMMONWEALTH OF MASSACHUSETTS
32G-045 CITY OF NORTHAMPTON
L_nt: -00I PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
ren r Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate or BUILDING PERMIT
Permit# BP-2005-Q268
Pmiea# 75-2005-0341
Est Cust $500(00
Fee:S50 00 PERMISSION IS HEREBY GRANTED TO:
c nst. lass: Contractor: License:
Use Groin THOMAS KORYTOSKI 07 U4747
Lot Su e(so.fr.): 7013.16 Owner: SUHER ERIC
zoning_cB Applicant: THOMAS KORYTOSKI
AT: 86 PLEASANT ST - 2ND RIGHT
Applicant Address: Phone: Insurance:
39 LAUREL MOUNTAIN RD41( 31665-2106 (l
HAYDENVILLEMA01039 ISSUED ON:9114104 0:00:00
TO PERFORM THE FOLLOWING WORK REMODEL 2ND FLR RIGHT BATHROOM
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 Dooartment FireplacelChinmey:
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 OccupanU Signature:
FeeTvpe: Receipt No: Date Paid: Check No: Amount:
Building 9/141040:00:00 1978 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2005-0268
APPLICANT/CONTACT PERSON THOMAS KORYTOSKI
ADDRESS/PHONE 39 LAUREL MOUNTAIN RD HAYDENVILLE (413)665-2106 Q
PROPERTY LOCATION 86 PLEASANT ST -2ND RIGHT
MAP 32C PARCEL 045 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Perout Filled out
Fee Paid
Tyreof Constracti n' REMO L 2ND FLR RIGHT BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License 070047
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFEQTWIAUON 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 ofDeeds 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
Pernut from Elm Sheet Commission
Signatureof Build' Offici 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
Building Department
212 Main Street
Room 100
Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANG�, P DEMOLISH ANY BUILDING
OTHER THAN A ONE OR .FAMILY D
i
SECUOM3 SITE'_.su � /1TIOf'f':_ - I
z
1.1 Pmmrty Address;
76
SEC110142 PROPERTYOWNERSHIP,JAUI}IORIIFD,AGENI„e^
2.1 Owner of Record:
yr
Name(Riot) Cument Mailing Ad
Signature Tele e
2.2 Authorized Agent:
N�a'me(Print) / Z_ S CLrtHlt Mailing Atltlress:
Telephone
SECUON 3-ESTIMATED CONSTRUCRON COSTS
Item Estimated Cost(Dollars)to be Offidal Use Only -
com leted tyy pernilt applimnt
1. Building 3OdG) (a)Building Permit Fee
2. Electriml �'O>l %Estimated Total Cost or
s. Constructiori from:.
3. Plumbing SOO Balding'Perlild°fee -
4. Mechaniml (HVAC)
5. Fre Protection -
6. Total = (1+ 2+ 3 +4 + 5) I ODd ,,Che"umber-
S.- .. 7disSectidofar••,Offida7-Use'On
Building PenndNrnn6er:.: ----
Signature: .. . -
Building Comniisidr:er/Inspecm—of:Buildings Date
Versionl.7 Commercial Building Permit May 15,2000
SECRON4£ONSIJUICIIOp CFSzFQR�l 0EEQ5m 07;Ooo
�`� �'�,•�
Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑
❑ ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building[ ] /Repairs 1
11
1
1
BRIEF DESCRIPTION:
SECTION 5. USEGROUP ANDCONSTRUCTION
USE GROUP(Check as applimble) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Burnes ❑ 2A ❑
E Educational ❑ 213 I ❑
F Factory ❑ F-1 ❑ F-2 02 ❑
H High Hazard ❑ A 3A ❑
1 ImUtuUonal ❑ I-1 ❑ I-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential 10 R-1 ❑ R-2 ❑ R-3 ❑ SA ❑
S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑
U Utility ❑ Specify:
M Mired Use '01 Specify:
S Special Use ❑ Specify:
{pF1P,1ETET)iLSSEC[1pN'EF E)o571NG BUILDINCr-IINDERGOINGRENOVATiON51DDIfiONSA??D,�OR"CHANGE IN USE
Exisbng Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6'BUILDINGNEiGNEANDAREA'
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION _
�6 s-
Roor Area per Floor(so
2m
m
3'a
41° ;l
4' q "'
Total Area(so Total Proposed New Construction(sf) "x
Total Height(ft)
Total Height It
Versionl.7 Commercial Building Permit May 15,2000
7.Water Supply(M.G.L c 40,§54) 17.1 Flood Zone Information: 17.3 Sewage Disposal System:
Public ❑ Pmate ❑ Zone: Outside Flood Zone ❑ Munidpal ❑On site disposal system ❑
g. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This colo m to be filled in by
Building Deparennt
Lot Size
Frontage
Setbacks Front
Side L: R: L: R.
Rem
Building Height
Bldg.Square Footage
Open Space Footage %
(Lot area nunua bldg&paved
#of Puking Spaces
Fill:
(volume&ImaHon
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 'X 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#
B. Does the site contain a brook, body of water or wetlands? NO X. 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
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 1 Commercial Building Permit May T5,2000 '
SECTION 9-PRgdSSIOIjAL DESIGN j2ND CONSTRUCT{ON SERVICES -FOR BUILDINGS.4.ND SSRUdTURES SUBJECTTO
CONSTRUCTFOI{CONTROL PUR517ANT TO780`CMR 116(CONTAINING MORE THAN':35,00�O Of'."OF,ENCL°OSEDSP�tCE)
9.1 Registered Architect:
Not Applicable [�
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
�� ON Si -,7l'"' LC Not Applicable ❑
Com�pajny Name:
�tO�tS ��0/'YtOS�Ir
Responsible In Charge/of Construction
'3 coir Ind
Addre U(o 3`J
$I nature � Telephone
Version 1.7 Commercial Building Permit May 15,2000
SECTfONrL'q STRUCTURACPEER:REVIfW p i7R 110.1,1)__
Independent Structural Engineering Structural Peer Review Required Yes......❑ No__..❑
SECTIDN 11-OWNER AUTHORIZATION-TO SECOMPLETED.WHEN
OWNERS AGENT,'ORCONTRACTOR APPLIESfOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, d//2A`r� % r)✓�ii✓ , as Owne[[-/Authorized Agent 1
hereby declare that the s ate ents and information on the foregoing application are true and accurate, tNfi;ZagV my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print Na
Signature of Orifer/AgSdi, ate
SECTION 12-C0NSTRUCTIQN1SERVI6ES,
101 Licensed gonstruction 5upervisor: Not Applicable ❑
m
Nae of License Holder YJf GC i G '
S r� 7�yy?
/ L,6,n,e Nllniber
tfaXle'l 411_
Addressp 103 9 Expiration Date
61. 4
00,/ 411, (v 6 57 Gam'
Si; e Telephone
SECTION 13 -WORKERS COM,¢ENSA}TIONYINS URANCE{4FFIDAVIT
k .. _
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
r� of Qrit� of rz-tlq�nt}i ton
A E - � .—
,o OEPNITMEI i OP DVIGDrNC INSPeC DONS
212 Mnia Strcct ' D3uaicipa[ IIai?dog
tdorthamptoo, M.", 01060
R'ORI<1:R'S C01,TENSATION MSURANCE ^.PTMAVI-T
(i-;ccvscl}xnxuttce;
with a principal place of business/residencc al.
'a9 �a na✓� 2 v X ✓ /Y /H/ (phone)
.—
do hereby certify', under Lhc Pura and penalties of perjury, Ju!
( ) I ;.m ,.n employer providing the following .vori;cr-5 comocnsaoa covc:ac for Im
etuployecs wor`dng on L:ws job.
{(osurac Conc;sy)Conc;sy) . (Pelle:Nu.�ur) - .. (G"pir_uor, Dv:;)
O(f I.zm a sole prooneror, general Coorrzc[or or homeowner (circit one) and bzve hired
the coon anors listed below who have the follor worker's=Dt sz-oon policies:
Lf 757
(Name a(Caa�-ic.o-) (In2rancc CnlnoanSlPcGc; Nucntul �3.prucoc Dnld
- ("t:.mc ai Conmaor} (tunuznc G=ocmaaylPetie; NuLittr? (tceviuon Dvc)
(Name or Ceeeamo ) (Lns,traa¢ Compwo/Po4c)- N'.urty) (EvDiruoo Dalc)
{Name of Con¢aaor) (Insuraac Comc:oytPati:y Numtr:;} E�pir'tion Dat,)
(.�,a,atrau.kc;rux�..�-w��er«n.3m rMw�ab.0 mcra�:.)
Yx I am a sole proprieror and have no one woridog for me
S ) I am a home oivoer performing all the work myself.
NOTES
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