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30B-073 (18) • 227 SOUTH ST BP-2007-0244 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-073 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2007-0244 Project# JS-2007-000370 Est. Cost: $5067.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RICHARD DOIRON 088847 Lot Size(sg. ft.): 23217.48 Owner: Northampton Veterinary Clinic Zoning: URB Applicant: RICHARD DOIRON AT. 227 501 ITN ST Applicant Address: Phone: Insurance: 63 COUNTRY CLUB DR (413) 568-7311 WESTFIELDMA01085 ISSUED ON:9/6/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR WALLS & INSTALL CABINET & COUNTERTOPS POST THIS CARD SO IT IS VISIBLE FROM THE STREET inspector of Plumbing Inspector of Wiring O.P.W. Building Inspector Underground: Service: Meter: ff Footings: RoughJo_j 7)6 . Rough:/ J�106 P House# Foundation: —� Dric��a��Final: Filial:1 4-6-� , Final: /���3�aG . ''�"�i/ Rough Frame: Q 1C /C-17-OG - Gas: Fire Dep?rtrnent Fireplace/Chimney: Roct,h: O!!: Insulation: • Final: Smoke: Final: d f< 121 is(o ( _°' c THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. �r .arm Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/6/2006 0:00:00 550.001056 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • File#BP-2007-0244 APPLICANT/CONTACT PERSON RICHARD DOIRON ADDRESS/PHONE 63 COUNTRY CLUB DR WESTFIELD (413)568-7311 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 iota �`.�� Pee Paid /N'^ Yf'�+" Typeof Construction: REPAIR WALLS&INSTALL CABINET&COUNTERTOPS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 088847 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: If 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•ssion 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 L7 Commercial Bathe;Permit Ma 15,2000 (, ity of Northampton ' ''''CTI' ' SUiiding Department , s2 - i \ 212 Main Street - Room 100 2.° c,r,7 Northampton, MA 01080 phone 4t -587- 240 Fax 413-587-1271 s A • APPLIGATITO CONSTRUCT,REPAIR RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ON _SurihN 3 StTE'IjIDRMATION . ::. ..._ ._.. ,Thiu -- -TA-ProDertv Addrefi5: :s_ e�...sSe4'dS-Otf �.T'� s.v_ " -3 s = ,,'t2'7 Sett $T, 'U 1. - �Ts'Q/ /1�t/{ dtOC!> I � .r - ,....'7�a ,,. -rrb. . rf/orl a vrn rte.- i w ..r-;..,,.Nps ,a ., aMISztz ,SECTION 2�`PROPERTY QWNER$HIPMUmot4i2EDaG _i- 2.1 Owner of Record: \ gible' Sri7P/hbOretf I i a?.'7 S o fl S'/ Name(Print) Current Meinng Address: Signature�a_'�!�C/'' — �-- Telephone '-/I:3 `SF'rl - � 22vthdoraoAvert: , / A E� v N t�o r 0 t� ' i C3 CG U N by r34./A- Jr. �U<aT�K Name(Pont) //// -. Current Mating Address: J'4 !7/GS } � �` Telephone l `'��.3 ' JCC i- e��I Signature I / j -SECTIUPL3-ESTIMASED:CONSTRUCTION COSTS Item - Estimated Cost(Dollars)to be a3tkciatUse{3nky completed by penal applicant '' " �. Budding S, OC>, co i .{a$BuddnfOrt n 'Fee ."�. - 2 Electrical )`�... _ I ib)•EsOmatedTotai Cast of %' . l �CanstruchoF _i-r (&) 1' 4. Mechanical(HVAC) l . S.Fire Protection. _ . j ' r- { B. Tvtaf=p +2+3+q+5) Check Number km/ O — iais uecSonFiu73tGciaUSeDrity /:istred r Signature: Puna/1g Commlasionernnspectw'olSun(fegs Date ° 4 ° Versionl.7 Ckmmereiai Building Peanut May t5,2000 BECTCONa°C , STRUC SER111LES.'d`tQRPROJJECFST,.ESETHAN 95,030. :: CUBIC=MEFO ENCLY3S_paSME i _: Interior Alterations r3 Existing Walt Signs ❑ Demofton❑ Repairs 0 Additions ❑ Accessory Building 0 Exterior Alteration ❑ Existing Ground Sign 0 New Signs❑ Roofing Change of Use 0._Other 0 Brief Description Enter a brief description here. eparr IA,e1//Su.v,4 i,.-r'roU cubAil eT u.-<l Of Proposed Wort:k Nf e Li At rtr reps SECTIO -OSEGROUPA53 [, NB.GONI / J J.YP.E' _ USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembry 0 AO 0 A-2 0 A-3 0 IA I 0 _. _......._ _..._ A-4 0 A-5 0 1B 1 0 B Business NI 2A 0 E Educational ❑ 2B I ❑ F Factory 0 F-1 0 F-2 0 2C I GI H High Hazard 0 3A ❑ 1 Institutional ❑ I-1 0 1-2 0 I-3 0 3B ri _ M Mercantile ❑ 4 0 R Residential 0 R-1 0 R-2 0 R-3 ❑ 5A 0 S Storage 0 S-1 0 S-2 0 5B ( ❑ U Utility =❑ Specify. M Axed Use 0 Specify 1 .. S Spedal Use 0 Specify COMPLETE TH SEi fi11 F ETIN$UNDAUGI ,IOERGGNfENOVATCNS,3.D01T10N5`:ANBiORCHAiJGE IN USE Existing Use Group: i Proposed Use Group: i 1 v Existing Hazard Index 780 CMR 34):! I Proposed Hazard Index 780 CMR 34): -SECTibNU titzt HEIG IC?1TtEln 1.."h : gt BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION , rixa� Floor Area per Floor(sf) S a Ill : _- j. ". z4s 1$171: 2 .,� _ saw .. 3tl , 3b 1 - 1 ,a€ ▪a bei I r Total Area(sf) ' , Total Proposed New Construction(sry _ + - -v, acil T iC �.G$ s- `.'iFr r Toad Height(H) { Total Height ft , z-z '> �''x'+' -'$, v :7„_�. 7.Water Supply(M.G.L c.40,§54) TI flood Zone information: Ti Sewage Disposal System: Public Private 0 Zone r r Outside Flood Zone Municipal X On site disposal system❑ Version1.7 Commercial Building Permit May SS,2090 az^ ®_® Required byZoning T ucolwm m be filled i n by SiMriLg Dcyaflnemt Setbacks Front RC: L:1 .—J xY2[ J=' Bldg.Square Footage ® ®®® Open Space (tat area minus bldg&paved Fill. ' ill.lu &Lurz6on) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW ® YES 0 IF YES, date Issued: IF YES: Was the permit recorded at the Registry of Deeds? NO o DONT KNOW © YES a IF YES: enter Book Page and/or Document 8 '.., B. Does the site contain a brook, body of water or wetlands? NO a DONT KNOW 0 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 a NO © IF YES, describe size, type and location: I)¢S:NC Y 5 5,`a.,/ / v#v' y(;r�// .. . D. Are there any proposed changes to or additions of signs intended for_ the property? YES O NO • IF YES, describe size. type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over I acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Carme,c1cial Building Pennit May 15,2000 SECTION 9-PROFESSIONAL DESIGN IO CONSTRUCTIONSERVICES-FON BUILDINGS-AND TNUCTURESSUBJECTto CONSTRUCTION CONTROL-PURSUANT TO tag CMR 119(CONTAINING MORE THAN,,35,000 C.F.OE ENCLOSED.SPACE). 9.1 Registered Architect Not Applicable 0 Name(Registrant): ._ Registration Number Address I Expiration Date Signature Telephone J 9.2 Registered Professional Engineer(s): Name - Area of Responsibility 1 H Address ... Rememmoo Number .... _li Signature Telephone Expiration Date Name Area of Respensibh3ty • Address _)) Registration Number i f i I Signature Telephone Expiration Date ' i Name Area of Responsibility 1 i _ Address Registration Number Signature Telephone Eviration Date Name Area of Resporeibtiay .. Address Registration Number 1 II Signature _. — _ Telephone Expiration Dare, . 9.3 General Contractor,f� .n I (*WI" i 013 ) Not APPOcable❑ Company Name: 4.7,1' rc+' DO ,%"ON I Responsible In Charge of Construction 43 ro (A evtpy E/L .h_n ' / 'la:_ Address f, {/jJ gb Telephone SECTION:11-uvvntt%Atanurttenuur. rr..-.Etc ua.mt--ti...., OWNERS AGENT OR CONTRACTOR APPLIES:FOR GUlLOINGr`.a J 1,=`xke StAck\o ucr'.. ._,as Owner of the subject pnpertv hereby authohze'I Ca h 2.I Cif- krCk - to be ,i ail mattes relative to work authorized by this building permit application. . 5. . tore LF er on __ . .. Date I. G"t),�,t Sthi-lt>uf.. _ J as Omer/Authadzed Anent hereby declare that the statements and infor-matron on the foregoing application are true and accurate,to the best of my knowledge and belief, Sem der the •iii a d penalties of penury. " Ike I Erin .- 0. _—_ Signature of OwnerlAgent Date SECTION T2-CONSTRUCTION_SERUICES-.- Iti Licensed Construction Suneenvieor Not Applicable 0 yry/ Name of License Holder:' MY An Yr/ /i0 f f6✓T. i 04g4c7 • y License Number I , 3 (oc„v7;- chi...4 AIL/e 57- rbc' ftif o/d RS ifa 1.47x4007 Address ,p / Ezpaation Date �.8- est//7� I V/3 'S4'r -71171 Si turn Telephone SECTION 13-WORKERS”COMPENSAT1ONINSURANCEAFFIDAVIT.dNk.GL C.152,$2SC(6)) Workers Compensation Insurance affidavit must be completed and submitted with thplication,Fadure to provide this affidavit wiii result in the denial of the issuance of the building permit Signed Affidavit Attached Yes elNo 0 - ZING DING rNSPECT1OH5 • Municipal Building Northampton, Mass. 01060 WORTCI('S COMTENSATION. INSURANCE AFFIDAVIT Jat n-ra 6OLCALllL_ DB/4-- e uz. QicctS /v lwittcc) __.-- --- I,p� ` psi opal plasPer-4u3i> u/r&s+der)Ec—z>- (3 (ou-i icz Club 07 air`, t ic(N410Mgrk:hone )t//3-5-a-)3/l (s r icily/sarcPap) do hereby certify, under the pains and penalties of perjury, ha ( ) I an an employer providing the iol!owine P^.•orkcr's compcosnaon coverage for my employees working on this job-. (Insur_n Comcety) - (Pctic:Nmnb_r) - (E pin or.Daze) () I am a sole proprietor, general coorrdaor or homeowner(tete one) and have hired the coouacors Listed below who have the following worker's ccmpen_sadon pehcies (Name of Contnctor) (loser-an= Company/Pete Numrc.) (1'-,non::on Dam).. (N:ime of Coonclor) (Insuznc Company/Policy Number) (L..puntion Due) (Name of Cow:molar) (Insuranc Company/Policy Numbor) (Espintion Dale) (name of Contractor) (Insuranc Company/Policy NUmb^,r) (Expinuon Dale) (..mad+LUCaal 2.v J oecuy to e)cJuS lo!-oa pm-Waist LD.L namDr.o,,) (x) I am a sole proprietor and have no one working for me. ( ) I am,a home owner performing all We work myself Hem plcss h et'nrc 1Jc bcmvuvm via°m,7loy .b r,:..-i''--. c- - -rgae...o&m.d..<1LE of od a,cnt&o tSvc t.titi tbc bav---w rase cc m L4 gra..DEL(4 LL,PULtDILILDCe.ate.w[Lu.a1IY 6Ordu be .flay-,its.,. :.s^-•�--- m nc(GC-Lt-- 1(5)),wpw 'oo M a bocoa lo:6=_": ,.n C_y cd=ECC thc i-pl wu of an c=ploy.o under du W cha.Coupmi oc An I..day.a4 con a copy e(hi.=veto m.y b..1• .. • d to th Dw.nma,er 1cS J ncdm1O6o.or 4a•—fxth. coveabewi6eoioc ad flusL'Juc to ton y,<n6c undo(=alai 15A of MOL 151 coo Ink a We'^r co orcrosvl pvdtio co-mining of a Lof up to S l}OO.0O.tdor uzeiac®ao(up to oco cv yt.M o.J p....F,ia io[c ro--a of.Sap Wort O co-miningoc r end. fm o(3I00.Oo.day apioa me Fs daWu^-IDb'l u.c on), JPo m l NaU S/3d/f Top- tot: gnaturc of Li /Pcrmiurs