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39A-76 (63) 492 PLEASANT ST BP-2006-0743 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:39A-076 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2006-0743 Project# JS-2006-1142 Est.Cost: $1000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DANIEL MACWILLIAMS 090477 Lot Size(sq. ft.): 66211.20 Owner: QUICKBEAM REALTY TRUST Zoning:GB Applicant: DANIEL MACWILLIAMS AT: 492 PLEASANT ST Applicant Address: Phone: Insurance: 62 NORTHWOOD ST (413) 433-1114 Q FEEDING HILLSMA01030 ISSUED ON:1/25/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 INTERIOR OPENINGS & PARTITION 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:M/ f4 House# Foundation: ,; 3/667 Driveway Final: Final: Final:, /2.il04 Rough Frame: OIC OP/03 06 LoOIS Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: D g•02`o?•DL -,14-.4 THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLA, ON OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc Signature: FeeTvpe: Date Paid: Amount: Building 1/25/2006 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File#BP-2006-0743 APPLICANT/CONTACT PERSON DANIEL MACWILLIAMS ADDRESS/PHONE 62 NORTHWOOD ST FEEDING HILLS (413)433-1114 0 PROPERTY LOCATION 492 PLEASANT ST 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 /�! /.f5) Fee Paid J t(�j Tvpeof Construction: CONSTRUCT 2 INTERIOR OPENINGS&PARTITION WALL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 090477 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Permimitt from Elm Street Co ion 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 Buildin_Permit Ma 15,2000 City of Northampton Building Department �� 212 Main Street - �� 2 F n,16 Room'100 - - Northampton, MA 01060 _ _.-phone 413-587-1240 Fax 413-587-1272 , - APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECyT{OB3._'SITE7NFDRMATION""._- --_— tiltiofracif .e; a -- -1:1—Property—Address: ,SECTION2 7ROP' OV thSH7PTA{3THORRED�IGEN `_ 2.1 Owner of Record: I UrCK ��M CfiTY Tktur Name(Print) / Current Mailing Address: Signature 'V / /) Telephone 22 Autho ed Anent: I j Name(Print) Current Mailing Address: I Signature Telephone SECA- ORS-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to beOIficial Use-Only cam leted by Pemirt appU nI r,.,, 1. Building /��+�' {a]Bulldng-PermRFee ' i �Q�C�— 3 1 2. Electrical (6)•Fstima[td Total.Cost#' I ."Ceih ructinnTmm(6)- i. . 3. Plumbing i 1 Building,PennitPee 4. Mechanical(HVAC) 1 i.. 5.Fire Protection I I 6. Total=(t +2+3+4+5) CheckNumber /0962- �6o , .<'Oiis-SecfionforiOfficiaVLJ e9rtTy. Issued• Signature: _ Building CammissioiM nespector of-Buildings - Date : Versionl.7 Commercial Building Permit May 15,2000 I ..-v}EES sO vittaE4S_ s-inHAN 350 11. Interior Alterations 0 Existing Wail Signs ❑ Demolition❑ Repairs 0 Additions ❑ AccessoryBuilding❑ Exterior Alteration 0 Existing Ground sign❑ .New signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description IEnter a brief description here. Of Proposed Wort a �€t,! INjc�rok' c'Ptcvt-t/G' - 2 n%£A/ Peat/77CW 4;4et. l SEC1ION5-.itsEGROUMNbtONSZRUC , USE GROUP(Chk as applicable) CONSTRUCTION TYPE (Claw* E A Assembly El ❑ A-2 ® A-3 0 IA i ❑ A-4 In A-5 0 18 ❑ B Business fa ZA 0 E Educational ❑ 2B I 0 F Factory 0 - F-1 ❑ F-2 ❑ 2C I : H High Hazard 0 3A ❑ 1 Institutional 0 1-1 ❑ 1-2 0 1-3 0 38 0 M Mercantile 0 4 0 R Residential 0 R-I 0 R-2 0 R-3 ❑ 5A ❑ S Storage 0 S-1 0 S-2 0 58 I ❑ U Utility ❑ specify. M !taxed Use d Specify ...' _.. —... $ Spedal Use 0 Sp ly —. = tE"FBtsECSN a_`F£- - ia`Getia33RREVRD 91OGR o1sATtONs,AUDmer`is uunriaR.'cNaMG1tNUSE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34):1 . I Proposed Hnzard Index 780 CMR 34): SECDS TSBEIEDIR BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION P -trp Floor Area per Floor(sf) 2F 8�i + 3i° I ! 4th 4th ! , � a Tota!Area(50I Total Proposed New Construction(sf) -zg ry : , I Ix .*,. �n `v Total Height{f() r----4,---',‘,-__:.: :;-- a- - Total Height ft € 3.,' `` �"v" 7.Water Supply(M.G.L C.40,§54) 7.1 Flpod Zone Information: 7.3 Sewage Disposal System: Public 0 Private Zone! I Outside Flood Zone❑ Municipal On site disposal system Versionl.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This coin to be filled in by Building Department Int Size 1 I I 1 , Frontage 1. I Setbacks Front 1 ul j Side Li—1 R:I—j L:7-1 p I Rear FI C_ Building Helga 1,___j Bldg.Square Footage 1 1 %% I I I I. I Open Space Footage (lx minus bldg/paved �� j �� Parting) #of Parking Spaces I 1 Fill: (volume/Location) ' i .e A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW 0 YES IF YES, date issued: 11 I IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES O IF YES: enter Book 1 I Page' I and/or Document#I B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW © YES O 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: 1 D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size. type and location: 1 1 E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is ft part of a common plan that will disturb over l acre? YES O ' NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Vermont Commercial Building Permit May 15,2000 SECTION 9•PROFFSSIONi#L DEg1GN AA}}i1pp.CO SITTUOrTIOSS tY1GuFS-FORBO1:OINGS,7I19 g#ROO'N,IRI li1B1 OiT(} CONSTRUCTION CONTROL..POR$11AN7'Tq no.CMR 115 CONTAJN(NG MORE _ S T1�35;909=CR.OF ENCEd9ERSPfiCE) 9A Registered Architect ...—�... i Not Applicable 0 1 I Name(Registrant): Registration Number Address f i Expiration Date Signature Telephone 92 Registered Professional Engineers): Name Area of Rest/omit/ICY Address Registration Number Signature Telephone Expiration Dale Name Area of Responsibility ' Address Registration Number Signature Telephone Expiration Date t Name Area of Responsibility ... Address Registration Number J L. SigrwNre Telephone Expiration Dae — Name Area of Responst Rrty Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor cot itt/TOcrclvG I Not Applicable 0 Company Name: Responsible In Charge of Construction LA,Q 4YC'?17/W✓WOc s/: rcaomit &cU, Address v3:1 - it/ row i Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTnON10 S1RUCTGRALPEER=REVIEW178QCMR11 1t)v- - Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION11;OWNER AUTHORIZATION-TO BECOMPLETED.INHEN: OWNERS AGENT OR CONTRACTOR APPLIES FOR RUROINGYERMIT I, I /, o 2 M (1 (s v4ly �,as Owner of the subject property hereby authorize -I)lh '.) 1"-1Th le'P inioTS I ‘i ski Ito act on my beha42 all matj rs relat)ve tow puthorted by this building permit application. Signature of• er Da. I. ,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 I Signature of Owner/Agent Date SECTION42-CONSTRUCAON SERVICES ,_ 10.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Hostler: 'y^1�'viF ,/'�A< <'J(L%A•^! S' O`(Ocf ) l License Number 6-d N O?TNUOOFC ..-Fr re -flwc NrCU, /17,, I I /a1/dCX7I Address Expiration Date (7L7' 9JJ ..l//4 Signature Telephone SECTION 13-WORKERS'COMPENSATION:INSURANCEAFEIDAVfi(M.G.L t152,§25CJ6)) 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 I .e.0 row -• a��y`� r"e (r,ri Of �.fartl7allt}t t•on 1 sig_g.V tme... j t glare.aryn..11• L_. T: . _ DEPARTMENT OP OUIrDfNG INSPECTIONS • —' 212 Main Street ' Municipal Building Norlhamplon, Mass. 01060 • W'ORKER'S COMTENSATION. INSURANCE AfTIJJAVI7'- ' 66 --_- __ QiCo.S.Tlp ,mlltx) .._.__ Sevh4. - .uesidence at: lei. A zeIl//,bcr/? T% _. FZF�/-.74:4 ,w CI -41. - O/G-a/. -(;honer.) eta- x(33—N/q . . (snca/dryhurcfap) do hereby certify, under thepains and penalties of perjury, that • ( ) 1 2m an employer providing the followine vi•orker's compensation coverage for my employees wor'.dng on ties job: (tcsurmc Coar_es•) (Policy Numbs() (Fxpint on Due) ' () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the coon-actors listed below who have the following workers come_saon policies: (Name of Coa•nctor) (Insurance Colnpanp/P obey Number) fleem,-d:,cn Datcp (Name of Convaaor) (Insurance Company/Policy Number) (Evotr,tion Date) _ Mame of Coouaaor) (Los-trance Company&Poticy Namb1) (Ex-01/2ben Date) . (Name of Contractor) (Insurance Company/Policy Number) - (Expiration [Pate) • (sous]/./isiiioaJ ecce ifocO=.n-u mcuh infum.d ce pc.aiuiu5 u.11 ma-v:a) ((X I am a sole proprietor and have no one woddog for me. () I ama home owner performing all the work myself NOTE:pi=be cwc ui..{Jc bcmm"om.do carp Ioy pcaaa w da,-.nn, CZC.1 JO c rt- 6 work m.chgnalin of oa roan,len L&cc of ao w woad Laic b m rvbn or w the crounna awe tbcea sur on c c--lly ac#•d cd to be mplo5=tuo!—irk.aitch"-ry—nm Aa(c LI IL=I(5)).=%I;,.rtoo by.bommos fa a Irma or pmol=y eaidas ibe lepl nava of an ea lone pylar to Working Coc.muSoc Aa I uohaeuod Wit a agar of Jan ono:end may S.I • to tb i c nmaal of ltrid Amax Omw of Innaracana far W. mucase wiGaioo'd nn L"J,ae toamuc bannnye uadu ami no 15 an of MOL 157 oo Inn to tin i= ion of ainnail peoilum wai<vg ofaGec al up toS I JW.00.Mt«nopri+aanoca orup LO 44DC yrr earl civil nankin i the fecal of a Sbp wankO,de.:d. r of;lnnm a day aping FCC -- u.cuily �/��r—� Permit Number moi" !—•2T O� Map: Lots: }• Si of Liwvscr/permiucc larz ) F 2 K4 Loop. 491 elc4.5elT S n , STGwKE OFFICE It I.* v in I ) nv&'- • e cote , cs RAISED O GER_ II•to, Ns F0.CEl Ea, /S-rap-g46 ELr _ ARRA, • ET I_ \__, _ CSI TLT TLT 3�t�AaeA . S TLT >T/o R- J � / c 5 • • EIE:Y AT EP • Hyl ELL-VATEO \ ) aczu. ICI1 MAIN ARE4 51 KIT4�EN . 11�� 9 AR �/' ���/�' HS`� G ca_ EvATo2 // v , I R-1J, ,e l An>IL -- o— L— SW Tu ;o L _n I Lietum dPR — . - d0�� --. __._..___. `^ '--E %ICI ST i r•40 IIALf WNII — .h $ �o o G I¶ Vo SAT Pa eN4-s Loyrye G 0 I] G G :o ;o s - s- L.ious�p Lourie ,v sv, IGD Seas .1 ( Nr: to HS\ C, -� 457 fe I Col z nln y c) ^i