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39A-76 (64) 492 PLEASANT ST(FORMER PIONEER DEV SPACE) BP-2006-0983 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A-076 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0983 Project# JS-2006-1461 Est. Cost:$3200.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ANDREW O'BRIEN 047357 Lot Size(sq. ft.): 66211.20 Owner: QUICKBEAM REALTY TRUST Zoning:GB Applicant: ANDREW O'BRIEN .d?'• 42 r7• ! FAQt.r. T c.T frnr1!kACC) r o•'!i=ER i%r-'i c•n._ter; Applicant Address: Phone: Insurance: 75 Clayton Rd. (413) 563-1902 O Workers Compensation HOLYOKEMA01040-1543 ISSUED ON:3/28/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE 1 OFFICE, RELOCATE GLASS WALL & DOOR ENTRY & CONSTRUCT 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: 944 Ai House# Foundation: Driveway Final: Final: Final: Y4 04 / Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: i,;ulation: Final: Smoke: Final:O/C i_ `i • QG -c THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS Certificate of Occu anc Si?nature: FeeTvpe: Date Paid: Amount: Building 3/28/2006 0:00:00 $50.002193 212 Main Street,Phone(4'')587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo PG 6,0-K3-7 G File#BP-2006-0983 APPLICANT/CONTACT PERSON ANDREW O'BRIEN ADDRESS/PHONE 75 Clayton Rd. HOLYOKE (413)536-2564 PROPERTY LOCATION 492 PLEASANT ST(FORMER PIONEER DEV SPACE) 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 ��` � Fee Paid /9 JQ Typeof Construction: REMOVE 1 OFFICE,RELOCATE GLASS WALL&DOOR ENTRY&CONSTRUCT WALL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 047357 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INy9RMATION 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 St et Commission _/ 6- PT 6-------- ,/ Zy zee, 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. i. i. r Pp F i• f • E F Y r Ir._ I.. r� +' Version1.7 Commercial Building Permit Ma 15.2000 City of Northampton a ,ft c :Y��:= =X , Building Department -,v,.-,„.:.------...--..„- ,. ..-„:..,_,1„,,- .. .r rti �-,-- - - 212 Main Street -`�° `GF; - " Room 100 , �,� F .w �� MARL- Northampton, MA 01060 1 -, - • < t.. 7 ' = :phone 413-587-1240 Fax 413-587-1272 � ,�- ,r ' w . '' Z - � :. aC .. K , -2--- $a APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION i_-_SiTE iNFORMATION ----t1-Property-Addres . M=4'" . ".:�` .•_ -_D` ed_ v $i` -- -- :,--- 1 -9a pAFAc4AM SC�EET. , I �. __ .m . gig, . moi. I NaR,7- Pamu„ 414- oto(oo E = i `-- - � �-it--- K' 'yam" r=s '� SECTION2-P60PERTYoWNERSHPlAC3THOR]ZftiAdaty. r f , ', - , i 2.1 Owner of Record: 4 uJc,K8 CAM £E14-& (4.5)-- , �1 14/140.40Name(Print)//14 jam/n.P% VI Current Mailing Address: 1 S4 AE1 'KJ r ST,� I///i Signature _.. 4,-.4i_ t►""""1 Telephone W,3 .- ST4-..13‘V, 0 22 Authorized Aaaennt: �j J, 444-1-40241) /il A . r l',2-3A) ,�qr"' 't I _ Yale /� /,Yal Name(Print) Current Ma,Trn•Address: /. - 4 1 .i. S/• N fir �y r j Signature _ -� Telephone C/1- S p 4 `J 3(.Y -SECTION.3-ESTIMATED CONSTRUCTION COSTS , Item Estimated Cost(Dollars)to be - Official Use'Only comoieted by permit aoolicant .- - _. - 1. Building 3 D�t5 i (a)"Building-Permit Fee i ' 2 Electrical ry cJ (b)-Estima.ted Total Cost of I I Construction from(6) I 3. Plumbing i BuildingPeimit'Fee i 4. Mechanical(HVAC) • I i 5.Fire Protection ! i ' t 6. Total=(1 +2+3+4+5) 32400, Check Number �/Q J3 � • . . _- _. • This-Section For:Official`Use Only BuildingPercnit$tUint 'Date -issued r Signature: Date Building Commissioner/Inspector of Buildings • Versionl.7 Commercial Building Permit May 15,2000 SECTION4-.CONSTRUCTION SERVICES_fOR PROJECTSIESS THAN 35,000 CUBICFEETOF ENCLOS ':SPACE _ Interior Alterations Existing Wall Signs 0 Demolition I: Repairs 0 Additions 0 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing 0 Change of Use❑ Other 0 Brief Description Enter a brief description here. h C M- c.Ua C:)f't- /ioc i kLG1,4-s5 IA-1M(4-�2- t Of Proposed Work: - £„ 4.4,...E I Bot io /o z L wAlk , 'SECTION 5 USE-GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A AssemblyE3A-1 0 A-2 0 A-3 CI1A + 0 ___-- A4 ❑ A-5 0 1B 0 B Business 1 - 2A 0 E Educational ❑ 2B I ❑ F Factory 0 F-1 0 F-2 0 2C ❑ H High Hazard ❑ 3A It 0 I Institutional 0 1-1 0 (-2 Cl 1-3 0 3B ❑ r M Mercantile 0 4 ❑ R Residential Cl R-1 0 R-2 Cl R-3 0 5A ❑ S Storage ❑ S-1 0 S-2 ❑ 5B l 0 U Utility ' ❑ Specify: , M Mixed Use ❑ Specify 1 ' S Special Use ❑ Specify I • COMPLETE:IBISEXISTING BUILDING<UNDERGOING:RENOVATfONS,AribmONS AND !OR CHANGE1N USE Existing Use Group: Proposed Use Group: i i Existing Hazard Index 780 CMR 34):' I Proposed Hazard Index 780 CMR 34):L 1 SECTION 83UILDING BEIGHT-AND-AREA - BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION S>�° . ` F- �~ '� -,,,,--x,-.,-- .--- 7.-.-----,-;-...2-.... Floor Area per Floor(sf) ' 4 *...Ya'- Ly~�� ,_-- �- ,x - ..., ter\ .`--- v -�"'k-�'a' W y e- 2nd I 10 2M! x 3 .' ,:- aro; . ;,- t , 4th 4 -r# � y ` t � .Total Areas Total Proposed New Constrctions '`` ` p. �#7� _- Total Height(ft) ; 01D ' rfY Total Height ft ' -ice - '� _ 1 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public I Private 0 Zone Outside Flood Zone Municipal 1:51. On site disposal system❑ r Versionl.7 Commercial Building Permit May 15,2000 :.:s&O: re -.,a-!-,�--il-.�. .1 E_. 1.. Existing Proposed Required by Zoning iT 0 This column to be filled in by Building Department r Lot Size i '"&S 000 0 i Frontage -1.' 300 • Setbacks Front 1211 1 . SideL:' I R:�� L:1 R:' 1 j___ Rear I , 1 -- - _Butldmg Height a?C) l______I ,--- - Bldg. Square Footage R4wi4 % i 1---1 Open Space Footage % ; (Lot area minus bldg&paved i 1 --1 l l i p�'ing) #of Parking Spaces Fill: ' i� i s r; (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO t'�� DONT KNOW 0 YES 0 . IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? . NO ® DONT KNOW 0 YES IF YES: enter Book : Page and/or Document# I • B. Does the site contain a brook, body of water or wetlands? NO elk DONT KNOW Q 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 09 NO IF YES, describe size, type and location: j Pc)le s;fw f-,04„EFfeek i— SI 6 {.E. I 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 I E. Will the construction activity disturb(clearing,grading,ex•-vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © . NO f IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version).7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT.TO CONSTRUCTION CONTROL PURSUANT TO 780 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): }...._ --------- i Name Area of Responsibility r s Address Registration Number Signature Telephone Expiration Date i t Name Area of Responsibility . Address Registration Number Signature Telephone Expiration Date • Name Area of Responsibility Address (Registration Number f Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number I • i Signature Telephone I Expiration Date 9.3 General Contractor L to cw 6(321 �i S In ►)c*0a Not Applicable 0 Company Name: Responsible In Charge of Construction -75 e(141 k IZQ [ 1 c,I,1oKtt u viA.7 6)646 u.r sz c(23,1,2_ SI ,1..- 16(i 5431102 Signature Telephone ?533-c Versionl.7 Commercial Building Permit May 15,2000 r• SECTION 10-STRUCTURAL PEER REVIEW"(780 CMR 110.11)-.-_`- Independent Structural Engineering Structural Peer Review Required Yes Q No SECTION 11-'OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR 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,1 Q lM C tU Reed2 7 ST Y- F4trila O Ifs[•P,74,t AZ&, ,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 p ins a.- --nalties of p: - / 1 -j�1". Print Name �Y144-401 P,°reu[44( 3/R. Oto Signature of Owner/Agent ate --SECTION 12-CONSTRUCTION-SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder r1iNO2W L -t�R3rl.l' C ! J7 35-7 l _ License Number 17C-0k-4'1103 � lt ,� , eak-`t, Mr4 O10/0 to/21ab7 • Ad'ess Expiration D to ,•,,�- 47_0(30.---... i if/3--56 Signature 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 wiii resuit in the denial of the issuance of the budding permit. Signed Affidavit Attached Yes No 0 4�ttnlr • P • i.. fi ti 5ii f o Northampton • 1_ R e „D F ric3aRr1ncrtls' • _ • t ' _ �ayV _ �t - DEP/R,MEt4T OP BUILDING INSPECTIONS Vtir212 Main Strcct Municipal Building Northampton, Mass. 01060 WORKER'S COMTDNsATIoN LNsURikhCE AI=FD)/0 .. oesucd • oi as Jpermittcc) 1~�th 2 principal place of businfr-ss'rsidence at: 75-CI ,) 2 tlebl i o I �� :010-16 (phone) S-4.3j96 Z (sa cJc-tylsuic.'ap) do hereby certify, under the pains and penalties of perjury, Lila! ( lam an employer providing the following worker's comoens::don coverage for lily employees wor 3ng on this job: (1nsu n Conte:) (Poli-:Number) (`_ Iruon Dae) • • ( ) I am a sole proprietor, general contractor or homeowner(c;cie one) and have hired the coonactors listed below wbo have the following worker's compensation policies: (Narnc of Contr cio-) {in u:anc Compa.nw?oLicr Num c ) (xp1r.uon D:ItC) (Name of Contractor) (l_rs ttancc Company/Policy Ntstcrr) (Expiraion Date) • (?Mame of Contractor) Onsurancc Company/Policy N:lrrb:i (Exairmioa Date) 1 (r'amc of Contactor) (osurance ComoariyfPoLicy Numb:r) . (Expiation Dale) • 6,•• ifnoac.uy to matin perulaimp to di ooar_e..o:") ( ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner perfor;niig all the work myself. NOTE:plcse be evrasc h,..`tiIc ho-mcou.,- - u ho c :c1 pewtu:to do r•,r vvr r_sao a rcoaa' c' a dwdlizz of not more then tSv:tits is uMth the bomoou.-ser raid=a oo tnc c ouacis tbeeo caM.d.-d to be csploycs track the w = --'c,i Aa(G LI1(5)),applim.don try a bomooa-aa(er a L•e:m,-a panni:ay e-vidmec 1-t-c Icp.l n"^..of m=Moyer uoda dao VIorko(a Coeapomwioa Ad I un6cst.04 ea-4 a copy of chi.=tomcat osAy be fo-, -d,.4 tc tiro Dapanmaos of[.4..-hJ A.oa;40,ed Ofrioe of 4..,...-Loco for the =NC-47C'.uiarymico and the<._iyt m to rectus kmvcrry'c tett,-soai°c 23A of I.fOL S 52 can lad to the imposdaoo of eimic3l pauilli= ooesirdog of floc of up to S I.soo.00 ald'or caps-iloa i°Cup to one yr.=rid aril,wain in elc fogs of Stop Work Ord.=and a fits o(S I OO.00 a day tp,in9 For dcp.--ta u+c only ----- Pc-rmitlqumhor 1`t3P: _ Lot^ Sipnatun of I-iccnscriPcrmiucc I le . ...... .J . , t t .te.« u- f ti Lt • . . t It , , , . . .. . i , • t ' 1 i t „ , I •- ' \11t. i_. • i i� \r70...1,1„,...-.t. j:;.-- i t. t y �`�� , yl / __\ . 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