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39A-76 (60)
492 PLEASANT ST(FORMER BREEDER'S CHOICE) BP-2006-0512 GIS#: COMMONWEALTH OF MASSACHUSETTS Map Block: 39A-076 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0512 Project# JS-2006-0760 Est.Cost: $4250.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ANDREW O'BRIEN 047357 Lot Size(sq. ft.): 66291.20 Owner: QUICKBEAM REALTY TRUST Zoning:Cr3 A/nlicant_ ANDREW O'BRIEN AT: 492 PLEASANT ST (FORMER BREEDER'S CHOICE) Applicant Address: Phone: Insurance: 75 Clayton Rd. (413) 536-2564 Workers Compensation HOLYOKEMA01040-1543 ISSUED ON:11/8/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR & REPLACE SECTIONS OF SHEETROCK & REPLACE DAMAGED CEILING TILES 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: DS00('Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: (TF,'- I Insulation: Final: Smoke: Final: OK 2 0 a/o 5 L.d V 1 THIS PERMIT MAY BE REVOKED BY TH CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIO Certificate of Occu•anc . si nature: 40, 0' FeeTvpe: Date Paid: Amount: Budding 11!8/2005 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo & Gy 316 (3'3Not-to 0\06i 0 492 PLEASANT ST(FORMER BREEDER'S CHOICE) BP-2006-0512 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:39A-076 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0512 Project# JS-2006-0760 Est. Cost: $4250.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: use Groun: ANDREW O'BRIEN 047357 Lot Size(sq.ft.): 66211.20 Owner: OUICKBEAM REALTY TRUST Zoning: GB Applicant: ANDREW O'BRIEN AT: 492 PLEASANT ST (FORMER BREEDER'S CHOICE) Applicant Address: Phone: Insurance: 75 Clayton Rd. (413) 536-2564 Workers Compensation H O LYOKEMA01040-1543 ISSUED ON:I1/8/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR & REPLACE SECTIONS OF SHEETROCK & REPLACE DAMAGED CEILING TILES 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 11/8/2005 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2006-0512 APPLICANT/CONTACT PERSON ANDREW O'BRIEN ADDRESS/PHONE 75 Clayton Rd. HOLYOKE (413)536-2564 PROPERTY LOCATION 492 PLEASANT ST(FORMER BREEDER'S CHOICE) MAP 39A PARCEL 076 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �i� Fee Paid V 50-- TypeofConstruction: REPAIR&REPLACE SECTIONS OF SHEETROCK&REPLACE DAMAGED CEILING TILES New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owned Statement or License 047357 3 sets of Plans/Plot Plan 1THEFOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 C 'scion ./1c:772 ----- /4006-- -------- 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. Version],?Co drool Boddie:Penni(Ma 15,2000 City of Northampton - „ -Building Department 212 Main Street 00 �� , N J ormpton,tMA 01060 , _ --phone4T3-587-1240 Pax 413-587-1272 a APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING • EGZ7S3 .tSRESNFORMAfiON .,_ _. . . ---yy�rr,ve(te Address= Y R,r;,-� _..,c', t�s?setScL` fnes`°r tcaH`"R.r,° -c-- Fed Pi$ASANr snkG C-r ; " 1,,,,, •..,--•Det a tm > , C60,tokeatty k As menves (Lite)I ,�`' < � Bo .hc SECTION2 RO- tlf ?}NNERSIOP14-071.9- ILbGENif -"•`- 2.1 Owner of Record: I Qkit kAEA1+t REAcrt 7*Sar` I /a.r4 PAE-4-SA-411' arta' Name(Print) M A- /t!;nevi-0A Current Mailing Address: _ IIy : !.t I . A 1 4 tritetm ro WdVj 44— 31460 Signature _ ` a. no,„,_ Teephone 813 , --nit 2.2 Authorized Mont: Name(Print) Current Malang Address: Signature Telephone SESONS•,ESTIMATED.CONSTRUCTIORCOSTS Item Estimated Cast(Odlars)to be (Edda!UseUnly completed by Permitapplignl 1. Building _ - ' I z{a}hilding:PertoRFee �. �. 2. EleUrical g�,, i {b ated TofaTtiost % j: aft ' Cwl.SStUCbwxTroID(S)' 3. Plumbing 300 Building Pemn'fFee 4. Mechanical(HVAC) c i 5.Fire Protedmn Jt 2 — c j .. 6. 1Lro-c)331=(1 a2+3+4a5) 'Ta — Check Number Ji1Pif Stir- - -l cialtiseOn1y idr PefhaF ' - m - ^,fekned Signature: Badge Commissioned(sped0rol Buildings Version1.7 Commercial Building Permit May 15,2000 A . + t =,1 Y,&Pf$,3i6 s +'[IiAN 35,GG8 CUGnnEr 11—t" IXY0.9a A5-1 - In nor Altered 21 Existing Wall Signs ❑ Demoihton❑ irs Additions ❑ Accessory Building❑ Exte ration ❑ Existing Ground Sign El New Signs❑ R Change of Use❑ Other 0 ' Rei cetl," tiles f+UstuyeJJceAlt Brief Description !Enter a brief description here. 2 ^1 61"1 ofproposedwork X11esit`t-/�tpldtzteAt dtget insa(S6ee?Xack *11: . bi alumCku/� 3EC11ON3.'USE-GROUP-'AtNDtON$*UCTJJ I1' E` ^' USE GROUP{Check as applicable) CONSTRUCTION TYPE A Assembly o Al 0 A-2 0 AS 0 IA 0 Al n A-5 0 ID 0 B Business 0 2A ❑ E Educational ❑ 2B t 0 F Factory ❑ F-1 0 F-2 0 2C i ❑ H High Hazard 0 3A 0 I Institutional ❑ I-1 ❑ 1-2 0 1-3 ❑ 38 ❑. M Mercantile 0 _ 4 0 R Residential 0 R-1 0 . R-2 0 R-3 0 5A ❑ s Storage 0 S-1 ❑ s-2 0 58 1 0 U Utility '❑ Specify. I M Mixed Use ❑ Spec t_.I S Special Use 0 Specify j_.. _ CoefPL _feu$-sE arm' a -� Ltaito?c�-i-4,137iii9k4d-lizEgdYg-TIONs..AanneawftwonGlANGEiNUSE Existing Use Group: I Proposed Use Group: I Existing Hazard Index 780 CMR 34):E• I Proposed Hazard Index 780 CMR 34):I -:3EGT1C7NSBUILDNi1'x11k�O , _„ _. -'d BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTI N �07 - Flooriueaper fbor{sn Cite g4A'1tDit OMLY� 161 • l 000 111 L 3?co 3.,S I c b,.», ' A SN 7— .-4: _f_..--,_g g 3'°' i - 4th4th 1 ......>J Total Area(sf) , 1u Mt , Total Proposed New Construction tot i . --} r ,---,:ea-- -,11 e e'C`"'2c:- `Mea"` Total Height(ft) % 2 0 past I [71,7r;,,,-....-- s a+ 3*' Total Height ft J ,p v .a . , 7.Water Supply(M.G.L.c.40.8 54) 7.1 Fig one Information: 7.3 Sewage Disposal System: Public Private 0 Zone, I Outside Flood Zone Municipal On site disposal system Version].7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be filled in by c Building Department Lot Size I SII I '.. Frontage I ' E ' 1 Setbacks Front I Side L:' 1 R L:l! R! %i 'i Rear ii I I -Scolding Amyx ! i ` _ Bldg.Square Footage Ji i % I , I Open Space Footage (tut amums paved I I rn I L m ____I Parking) #of Parking Spaces �F 17_= — Fill: ' (volamm d&lutionl E i 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: II IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 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 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 0 NO 0 IF YES, describe size, type and location: j G-QCI4UG S,a*) D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 IF YES, describe size, type and location: 1 E. Will the construction activity disturb(cleanrg,grading,excavation,or filling)over I acre or is it part of a common plan that will disturb over 1 acre? YES © NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SPOOR 9-PROFESS1b$AL.DESIGNAN -P{1kYtUlUDINliPANDS7Ri7:{iEl'ES$})IEyECt.YO. CONSfimucnon CO?U*oLPYftS`umir PCMR a9SICr NTAINING MORE THAN 3U0il:LF.OFE1W L PACE). 9.O Registered Architect Not Applicable C Name<Reg.iahaMC Reglatmtien Number Address I Expiation Date Sigrebxe —...—. Telephone 9.2 Registered Professional Engineer(s): 1 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date • NameArea of Responsibility ' Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility ..... I _ Address Registration Number _ —..,.. Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Dale 93 General Contractor c Not Applicable C Company Name: { Responsible N Charge of Construction Address �. i Signature ..' Telephone Version I.7 Commercial Building Permit May I S,2000 r. SECTION 10-STRUCTURALtEER-Rk`VIEW(tenOAR3]01]]% „ ,- Independent Structural Engineering Stnuturai Peer Review Required Yes 0 No a SECTION II-OWNER AOTNORZATION-TO BECOMPLETED:INNEN' OWNERS ,�AGENT _OR.CONTRACTOR APPLIES♦ OR I3UILD1NG''PERMITd 134th 1at0 .lam/t� PnbORtrat 07y tie(46�k!}Q47't( rittar ..--._ as Owner of the subject pmpe*h hereby authorize' r`�'•rt�4.1 or V'( 'to act on ybehalf.'. all matters odae to work a odzed by this building Permit aPpllcaticn. /1:.,'60 . . � ifrn n/S C_ Si.natu/re�at Own bate /r t eft• PI TSM3I 9 u14I '-^'n ,es 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 penalti-s of Perjury. • 1.1iiG*t ad - 14k Print Name << O / 41"1" /(-9-CC ignature of Owner/..T Date -SECTION 12.-CONSTRUCTIONSERVICES 10.1 Licensed Canal:n* ii�cn�Suu�p�e�rvvisor / /�, _ Not Applicable ❑ Name of License Holder.1 1�1"rO0-).-6"' L O' vi1Er`� License Number 9R0 90. w. dtoy� 6126 o7 . C..2‘ Exphafionb e - ar—� ® 536-z5-47 Signature Telephone SECTION 13-WORKERS')COMEENSAI'IONINSURANCE AFFIOAVFT M-Gt C,152,§25C(69 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 buil Ing permit. p 0 S p Signed Affidavit Attached Yes No - - ' , 1 azlw rq. _ - r° "a. °"_ Eli iiu of North amp ton — .*_-------1---- 17 y . l y o DEPARTMENT OF BUILDING 1NSPECr1ONS �45 ,ifimaripattla- _ . 212 Maio Street ' Municipal Bandag Northampton, Mass. 01060 �No wORlcIt'S COMTENSATION. CISURANCE A1713)A NZI-... (li2nsoI1s_ miuec) a 4th a p�—i-c ns �l plan- or 4sis€ss/r-t-sid-enen—z+— 75 Cl }e QN. f4Nyakf,t* Ai din (phonefl) 33b-2S6y s-6-1902_ (sect/dginatdnp) do hereby certify, under the pains aud;penaltieg of perjury, thai • (4I am an employer providing the following Y.orkcr's comoens^_uon coverage for my • employees wortdng on this job. cn►A- (Is-ks6 aau-�c Conr_:c1•) (Peer v-pru N�-a;rr) -_. ( l2O • O. I am a sole proorecor, general contractor or homeowner (circle one) and have hired the cone actors fisted below who have the following worker's compen-sznon policies: (Name of Coaa.cio:r) (Insuroncn CompanyiPoue; Numtc) m-:n)rauon Dale) (Name of Coumoor) (Lhsuranm Companv/PoUc NumEnr) (Eapir..uon Dale) (Name of Contractor) (Incur acz Company/Policy Number) (Expiration Date) (Name of Contractor) (Insuranc Company/Policy Number) . - (Expiration Dale) (.flea:rim,bac ifn..:c.:y to caoh infor,So pa-: a>.2.i e.aa-rnn) 0 () 1 am a sole proprietor and have no one working for me. () I am a home owner performing all the work myself. NOTE:pica(Ix carve that tJc bcmavmen%bo Flo)'p=row to do - c=a---ramm rtA'<••vrk m,d..Wllu:GI cot mat ramt_Sn.mvs in a.yd Ne bomno+oa rays or w Nc pow}tppurtrosc ama..� ,+--.Ily av:0.-da be tsgloyes tandaue het,.- p---'• n(GLt4Zn1(5))...vliaMoo by.homawc fa:Cam or POrm 2y axiom rbc legal ma of a maley.r mar ea Wohys Gommar»c as 1 unacnad Aa a tray ofWi,mamas m+y b.(o-..Wed mar Ow.•.rams of l aflU rm. .°mm of Lama for W. mvaa5e vpifeum Mact&lae W£o#t wvtrt5e trod=mien 25A 4 MOL 152 ca lad bth-.-aM oa ofaimiosl cambia maiceg of.Gnc of trp a 31J00O0 uno'iron of up to oa ycv cod aril pant re fm Mem of.Sas Wok Ordc`ad. (m of stomas G.y.ss,ine me For dm.^my tic a Iy / � 11� i to PmtNIDM Signature ofuio 1Pc t-miucc _ - J © p O Replue_ slwil Sed0ouua ao� Witt" She.' eock wall • Wo Ryleme cep I ray +��ea k3D s4sp v C€ Ii (POI '4° a G 0 tue LoCAMIN 6NaKBEAfi141I+y 149;Plea:to-Sr IaS1WhEktaat s r NoR na 5 c.M.E is I Cinch = aodesax Pirttitotpla141.3-03-.0J (FoRrraLy BReetius dzit.e �{i3-�B6•S3b'F