30B-073 (14) doh
227 SOUTH ST BP-2003-0536
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-073 CITY OF NORTHAMPTON
Lot: -001
Permit: Building .
Category: BUILDING PERMIT
Permit# BP-2003-0536
Project# JS-2003-0890
Est.Cost: S28000.00
Fee: $140.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: CORNERSTONE CONSTRUCTION LLC 059076
Lot Size(sq. ft.): 23217.48 Owner: NORTHAMPTON VETERINARY CLINIC
Zoning:URB Applicant: CORNERSTONE CONSTRUCTION LLC
AT: 227 SOUTH ST
Applicant Address: Phone: Insurance: •
91 JEFFREY LANE (413) 734-1080 WC
WEST SPRINGFIELDMA01089 ISSUED ON:12/5/02 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE WAITING ROOM & RECEPTIION
ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footia;s:
Rough: Rough:As.2.1.2 3/ House# Foundation:
heDriveway Final:
Final: Final:
Rough Frame:On /g-p3`enZ-e
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: /
Final: Smoke: Final:A(4/z 41113 ��'—i
THIS PERMIT MAY1111
VOKED BY THE CITY OF NORTHAMPTON UPON VIOL N OF
ANY OF ITS RULES A REGULATIONS. /__----0;;>=>
• 1 -cs--1 (ii
Certificate of Occupancy # Signature:
Fee Type: • Receipt No: Date Paid: Check No: Amount:
Building 12/5/02 0:00:00 474 $140.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
•
File#BP-2003-0536
APPLICANT/CONTACT PERSON CORNERSTONE CONSTRUCTION LLC
ADDRESS/PHONE 91 JEFFREY LANE (413)734-1080
PROPERTY LOCATION 227 SOUTH ST
MAP 38B PARCEL 073 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 1-,7‘74 £'4 —
T}yeof Construction: RENOVATE WAITING ROOM&RECEPTIION ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 059076
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 She- Commission
Signature of Building Official Daae"
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! 7 Commercial Building Permit May 15,2000
-' a ° ik
of Northampton
Building Department
Nov 2 t _,2 .212 Main Street -P ',
Room 100
L , , ,Northampton, MA 01060 t.s'
t.r'r k..pFldnB 41aS87,.1240 Fax 413-5871272
,,. �.,
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 Propert.YAddress. This sect ' two be ted compleb oft ge
3
-Z2 7 3 iz SV ut 3 � L'rO
Map tL
s, ^M1 � �n rn L, ickro Zone geseed tricf, `
,E,ffn St.District __ ¢2t-� ,SC
SECTION 2• PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1Owner of Record: IV400'rt_Y'n eon \ c1C � TIk
I &vt C Is'r
naS t �oas_11 QQ JJ 77 „.5c,07 - tote
Name(Print) Current Mailing Address'
.meq., .. _ 4413
Signature Telephone
2.2 Authorized AEent: W tS t SQ.-, i a
Name Tint Current Mailing Address.
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by permit applicant
1. Building 5Ck7 (a)Building Permit Fee Ric
2. Electrical (b) Estimated Total.Cost of
'y, o >tJ Construction from(6)
3. Plumbing Building Permit.Fee
Ca
4. Mechanical(HVAC)
5. Fire Protection —5-0 c7
6. Total =(1 +2+3+4+ 5) 7,g? ht?<7. Check Number t•7 ye _
This Section For Official Use Only
Building Permit Number: 103 - 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
rior Alteration Existing Wall Signs Existing Ground Signs I Additions 0 Roofing 0
Exterior Alterations Demolition❑ New Signs [ I Change of Use [ 3 Other [ 3
❑ W �� y� Accessory Building[ 3 Repairs [ I
tV1 lb is 7e,sc.J1-YL A
IR1bi-, toast; Raa.h t,nct ge,evion
01, : V 'TP—frewl: A0.n k. (fc Leca EL .__,s fl. . F.' -•
SECTION 5 -USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) I CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA I ❑
A4 ❑ A-5 0 1B 0
B Business pi 2A 0
E Educational 0 2B 0
F Factory ❑ F-1 ❑ F-2 ❑ 2C 0
H High Hazard 0 3A ❑
Institutional 0 1.1 0 I.2 0 I-3 0 38 ❑
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 S.1 0 S.2 0 58 ❑
U Utility .._ 0 Specify:
M Mixed Use 0 Specify:
S Special Use 0 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): _ Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
yy r
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION , °SEO '' kk':� k`, ,v
Floor Area per Floor(sf) 15, 5#r*"
.
151 Ibt7G 2na gtg
, r.te 1,. :,
i
2 7.8'1.) 3rd
3rd 4m i','Az-
4
Total Area (sf) 7 t5 5+ Total Proposed New Construction(sf) TWirTtom" zl *
.0F '
A;3 7I Y.. . i
Total Height(ft) — ---- ''' T.'
yx
Total Height ft g&,
Versionl.7 Commercial Building Permit May 15,2000
7. Water Supply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ¢ Private ❑ Zone:_ Outside Flood Zone t Municipal g] On site disposal system ID
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be fillcd in by
Building Department
Lot Size
Frontage
Setbacks Front
Side t.: R: L'. R:
Rear
•
Building Height
Bldg. Square Footage %
Open Space Footage
Bea area minus bldg&paved
smki
#of Parking Spaces
Fill:
(volume&lucatioril)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T 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
A r
IF YES, describe size, type and location:f—rva n� F4' __ 3 ty 2-
D. Are there any proposed changes to or additions of signs intended for the property?YES
No y'
IF YES, describe size, type and location:
•
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 0
Name(Registrant)..
Registration Number
Address txP+
on Date
Signature Telephone
92 R-7 istered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Tele: one Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expi . ion Date
Name Area of Respon'•ility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
e..na-f)Q 0- o AB' L..„, on LLL Not Applicable 0
Company Name:
fn ; act r bai
Responsible In Charge of Construction
S - Lh . Fb to -
Address� I '
/ f C 131-F-120
Signature Telephone
• Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No
SECTION 11-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
L_ 11._ 4 0�'?b&P7�U� t /j , as Owner of the subject property
/
hereby authorize Ali l 1 LV i LAT - TfbQ) to act on
my behalf, in all matters relative to work authorized by this building permit application.
W/C-1 C C-- I) 2,c I�Z
Signature of Owner . Date
I, 1 1re _t'� (y 11 i ( 1 1 , 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.
\ T Ahs
Print Name
125)6?
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES.
10.1 Licensed Construction Supervisor: Not Applicable"FT Pi 0
(� �-
Name of License Holder: �\ �. Pd I ,C° •
License Number / /
�1 �Q�S55 eit ry . Wmsj J 5 (Ct
Address Expiration Date
`�3 80
c�
Signatureature �t� 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 building permit.
Signed Affidavit Attached Yes y No 0
9SI�tPy
.o •..'ti (cif of arfl azin fan *=
a Octsarta �T F 1
e _Wig" a p .a.nrrya.me
mist
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 mt '`.
WORKER'S COMPENSATION INSURANCh, AF'FIBAVIT
L rns L1[w,1 ---Alp L_
(liccnsecJ rn>ttcc)
[with a principal
,place of business/residence at:
_l)Ct S c L-s S(JXlt rlfa. .(phone#) 7 Ho2u
(stmeJoty/shhtrizip
do hereby certify, under the pains and-penalties of perjury, that:
(VYI am an employer providing the following worker's compensation coverage for my
employees wonting on this job:
---
hxxleftsa-„dewm9 ) D`t"ILig 2— b
(Insurance Company) �l (Policy Number) -_- . .¢on Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Issuance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Issuance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Numbr) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(mach additioml duct if 11",,,I.1 ry to include information pertaining to all contractors:
( ) I am a sole proprietor and have no one working for me.
O I am a home owner performing all the work myself.
NOTE:please be aware that while hcmcowwm who®play pas=to do n.mm,mm CO6Inie.100&repair work on a dwelling of
not more then throe wits in which the homeowner hinds or m he grounds appurtenant threw are not g..e..ahy anihred b be
employes undo the worker's o- nim Mt(GL152.v1(5)),application by a homeowoa for a Heinz or permit may .;.k.,...the
legal emu of au employer under Ao Woknh Compmuion Am_
1 undo-and thin a copy of hi.int®m oily be forwarded to aro Depo.mmt of l..hieid Acrid Ohoo of Irstnnoe for W.
coverage ve:ifiaaioa and that failure to mum coverage undue saxion25A of MOL 152 an lad to the icosmm of criminal pundlia
comisitg ors floe of up to S1,500.00 ardor tmptnomoent of up to one year and Civil penliia in the form ofa Slop Wok Ord&1105
fine of S100.00 a day against ma '
FordWnotrclal tun onty
--711-“Aa----
' Lf�Lf' OIL) Permit Number
JI/-173/42 Maps Lot q
Signature of Li<zosceJpermittee ��
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435 Cottage Street
Springfield,MA 01104
(413)732-9550 Fax{413)7399995
Joh No: 02_29 Drawing No:
Date: 7.1.02
Drawn By: Gt0.
Appd MW By: 1-3
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EXAM TABLE
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NORTHAMPTON �' ��� ROO #4 0
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435 Cottage Sheet
Springfield,MA 01104
(413)732.9553 Fax(413)739,9995
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Date: 1.1.07
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N CONSTRUCTION/DEMOLITION KEY
_ CONSTRLiCT ON
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New Partial Height Partition Ftan North
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435 Cottage Street
Sprsiggeid,MA 61144
(413)732-9550 Fax(413)739-9995
Job No: 02-29 Drawing Na:
Date: 7.1.02
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New Partial Height Partition >_,_ Nan North
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435 Cottage Street
Springfield,MA 01104
(413)732-9550 Fax(413)79995
Job No: 02-29 Drawing No:
Date: 7.1.02
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