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123 COMBS RD BP-2017-1097 GIS w: COMMONWEALTH OF MASSACHUSETTS Map:Block:45 -010 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPAIR BUILDING PERMIT Permit a BP-2017-1097 Project n JS-2017-001873 Est Cost: 514260.00 Fee: $105.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WRIGHT BUILDERS 106505 Lot Size(sq.ft.): 14226696.00 Owner: MASSACHUSETTS AUDUBON SOCIETY zoning: Applicant: WRIGHT BUILDERS AT: 123 COMBS RD Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 (116) Liability NORTHAM PTON MA01060 ISSUED ON:4/3/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR EXISTING CEILINGS, INSTALL NEW LIGHT FIXTURES, REPLACE DOORS, REPAIR DECK & RAILING 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 4/3/2017 0:00:00 $105.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck--Building Commissioner File#BP-2017-1097 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116) PRO ER LOCATION 123 COMBS RD MAP PARCEL 010 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out p tk Fee Paid Typeof Construction: REPAIR EXISTING CEILINGS, NSTALL NEW LIGHT FIXTURES, REPLACE DOORS, REPAIR DECK&RAILING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106505 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFON pproved proved 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 Variances 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 Aar 1372 Se 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 Buildin Permit May 15,2000 �... -r.-.r{x DoParmmant use.only. City of Northampton Fb Miv4. J I lot l Building Department *EAki, 212 Main Street Vagablli(y° Room 100 aIISro9fi ?' fir* �- . Northampton, MA 01060 phone-413-587-1240 Fax 413-587-1272 '' h OS itd 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 be completed by office 23 COLAQS 20 Map 95 Lot 0/0 Unit N012TH11,1,)1QZDN, 1kAfl , bkO(cO Zone Overlay District Elm St District CB Disbict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: MPS sa 4-tk j�r. IZ� [cM s RD, >�.EtHP WlON, MA . 9100 Name(Pont) BR M C rbff 2 , Pow- ,ss 6Ihcsw,/ Current Mailing Address /� 'f^/ 3DCc1 x811 X Signature f 62- V"` 3/[677 Telephone 2.2 Authonzed Agent:�/ ILI11..LEDL >ZLHY._BU\LbtCS, 9 P?flW S fit, Nogc AuFVD14_, MFS pl0(o0 Name(Pont) , Current Mailing-Address -S T2sR- signature S1 1 /\ Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS 15 h x 7 4 o u u ` S k OS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building - ar 1 1 ,L(Co (a)Building Permit Fee 2. Electrical _. (b)Estimated Total Cost of __._. . __..._ Construction from(6) c _ _______...__.__: 3. Plumbing Building Permit Fee -. ' 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) S 14, 2l C7Check Number 6.33St This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date , Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs 0 Demolition❑ RepairsM Additions 0 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing❑ Change of Use❑ Other 0 Brief Description !Enter abrief description here. Qe pair ext shy CLil i A-55, I r\s fail VLW \<Ol.k Of Proposed Work:[ h)31.1SS, Krim➢ d-sm.'S, 1"e.ip a,r ay ck + rail i v.� SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A AssemblyElA-1 0 A-2 ❑ 'A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1130 ❑ B Business �El,.t 2A ❑ V E Educational 2B 0 F Factory ❑ F-1 ❑ F-2 0 2C 0 H High Hazard 0 3A 0 I Institutional ❑ I-1 ❑ 1-2 0 1-3 ❑ 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 0 S Storage ❑ S1 0 3-2 0 5B A 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): ____________2 Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA 11,1 1UL,12K TO gF DONE WIT1+\N OCI sT1 NCo FCT)T&VlT BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1st I —I 18I 2' _ 2ro - _ 3r a - 4 _—___ I • Total Area(sf) 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 0 Private 0 Zone,I I Outside Flood Zone' Municipal 0 On site disposal systems Versionl.7 Commercial Building Permit May 15,2000 I g. NORTHAMPTON ZONING DiDn. -N KE 170At COTT(M./ EXI S U N 0 Fool PP IMT Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L R __ L: __ R Rear _... .... Building Height .. .._....__ __...__ Bldg. Square Footage Open Space Footage Qat area minus bldg&paved ._ pahing) it ofParking Spaces - -' - - Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ' Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained © , Date Issued: C. Do any signs exist on the property? YES O 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 O NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT 10 180 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not AppliCable Name(Registrant): • Registration Number Address ----___ Expiration Date Signature Telephone 9.2 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 Slick bUZ5. Not Applicable 0 Company Name: A M _b_tbkma\.. Responsible hi Charge of Construction P-Pitts KoK kEnt.43 4 MA b0..0 0 Add s (41;)Silo-6'2E1-; S Rif Telephone t Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) �7( Independent Structural Engineering Structural Peer Review Required Yes O No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. JON AA...._ -EA 4 ._..._ ... _.... .. .__ _. . _. -_.. as Owner of the subject property hereby authorize .A i'N LEMOE(l / tAl R)(7NT Buu_DEas, INC . to act y be alt,in a ergF�lative to work authorized by this building permit application. Signature of er Au 4. } j-nrn//0 x Date I AN ' LEDI>JaL 7_(vf21c.,H17 BI,I\LDCTIZS \1.1C. 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 d penalties of perjury. 'an t 1( Print me , Signature of Owner/Agent ( date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: • rr�� 11 NotlApplicable ❑ Name of License Holder ANON _IL�J�C�S.__.- ___... �C)(05OC- License Number G_�RTF _ 1N' 11)W>k 1 WI- Oto 11_/ 1 / IT_ Ad / Expiration Date Lci a 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 will result in the denial of the issuance of the pbuilding permit. Signed Affidavit Attached Yes )Q No 0 ON ALL 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 150A. Address of the work: \z-7, o A >S tD NCRTH R UPTON MA 0k up The debris will be transported by: U\21 bNt Ru\L RS The debris will be received by: UR�.S -/ IKFCYCUNIU CSF WVEIC Building permit number. Name of Permit Applicant AM 1 ctfl\ tL 3 \ jurat( Date Signature of Permit Applicant ;�' Massachusetts Department of Public Safety rBoard of Building Regulations and Standards License: CS-106505 Construction Supervisor ANN SURMACEVR r. 106 EAST BUCKLAND ROAD ' SHELBURNE FALLS MA 01370 - - Expiration: Commissioner 11/01/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massact. -efts 02116 Home Improvement e:: tor Registration Regiatratlon: 101536 9 Type: Private Cpmoretlon E� ExpIratlorr. 8/28/2018 Tr# 419291 WRIGHT BUILDERS, INC. _` -1 Jonathan Wright tee€ g 48 BATES STREET " , Northampton, MA 01060 C -ilie - 4i _ Update Address and return card.Mark reason for change scn: 0 MM-001 El Address 0 Renewal 0 Employment 0 Lost Card 46' License Mite deovosser Affairs&Bminess Regntetioa or registration valid for Individual um only • N., HOME IMPRO MEET CONTRACTOR before the expiration date. If found return to: _�: p Registration +,1535 Type: Office of Consumer Affairs and Business Regulation // Expire-go :e PORN*Corporation 10 Park P1 -quite 5175 �.1 Boston, ••116 WRIGHT BUILDER$ .as all Jonathan Wdght f 2 ;: / i� 45 BATES STREET +sl �r -`gist/ >. -�.,+._._ AMA Northampton,MA 01060 -- vedersecretarr f of Ya,,P.'AV, tura I I WRIGHT BUILDERS April 4, 2017 • Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 RE: Building Permit for: Massachusetts Audubon Society 123 Combs Road Northampton, MA 01060 Dear Louis, We respectfully request that you grant a modification to waive the requirement for control construction for the repair of existing ceilings, installation of new light fixtures, door replacement and deck& railing repairs at 123 Combs Road in Northampton because the work is of a minor nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. Thank you for your consideration. Please let us know if you have any questions or need additional information. Sincerely, LindaQaudreau Operations Manager NEW HOMES+WORKPLACES+DESIGN*RENOVATIONS+ENERGY RETROFITS+CO,NSTRUCTION MANAGEMENT 48 Bates Street, Northampton,MA 01060/413.586.8287/Fax 413.587.9276/www.wright-builders.com