Loading...
10D-006 (4) 89 WATER ST BP-2020-0455 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: l OD-006 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Deck BUILDING PERMIT Permit# BP-2020-0455 Project# JS-2020-000772 Est. Cost: $8800.00 Fee:$100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MRJW ENTERPRISES INC 013471 Lot Size(sa.ft.): 12196.80 Owner: BOULEY LAWRENCE F Zoning: URB(100)/ Applicant. MRJW ENTERPRISES INC AT: 89 WATER ST Applicant Address: Phone: Insurance: PO BOX 951 (413) 268-2028 0 WILLIAMSBURGMA01096 ISSUED ON.10/11/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD DECK 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: FeeTyue: Date Paid: Amount: Building 10/11/2019 0:00:00 $100.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File##BP-2020-0455 o� P� APPLICANT/CONTACT PERSON MRJW ENTERPRISES INC ADDRESS/PHONE PO BOX 951 . WILLIAMSBURG (413)268-2028 Q PROPERTY LOCATION 89 WATER ST MAP IOD PARCEL 006 001 ZONE URB(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ADD DECK New Construction Q 1 Non Structural interior renovations Addition to Existing Accesso Structure Building Plans Included: Owner/Statement or License 013471 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF MATION 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 oard of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay whhl +Sigture'of-LBuiiding 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. Versionl.7 Commercial Building Permit May 15, 2000 Department use only RECEIVE Deity f Northampton Status of Permit: ulid ng Department Curb Cut/Driveway Permit - 21 Main Street Sewer/Septic Availability OCT _ 8 2019 Room 100 Water/Well Availability N rth pton, MA 01060 Two Sets of Structural Plans SEPT.OF BUILDIN �M;t; i 4 58 -1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON,MA 01060 Other Specify 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 Property Address: This section to be completed by office 0 I Map C b Lot 00(� Unit IS i S / O l0 Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: ) ) o �^/ ©/D (n Al LTA w i C..r C- •~ 03 o✓ L.y ! �rr d5 c' ✓ ek ( ./p e.yL c- Name(Print) Current Mailing Address: rJ Ci 13 OL Y ti 7 S ,S- i Signature Telephone 2.2 Autho zed Agent: Name(Print) or V/ S /,t/f 7- Current Mailing Address: y/ sz z — f n Signature Telephone SECTION 3-091SITIMATD CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building y (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of d Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection �J 6. Total=0 +2+3+4+5) �C?D- Check Number This Section For Official Use Only Building Permit Number Date Issued Signat ,re: Buildi Com#iissiotnerflnspector of Build s cc Date ����c�j�► `ortie�S >` Nit >�J ����!'�lS ®�Jd��`��`1�. ' `x--i Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other Ga— Brief Description ;.Enter a brief description here. eo,,, � *��t_ F,� �r c Oec- h--ee- Of Proposed Work: 106o r F ^ ��c , P SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ESr R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ 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 BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1St 1 St 2nd --._ 2nd 3 rd 3m ._ _ 4 , 4th th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L. c. 40,§54) 7.1 Flood Zone Information: [�7.73Se,wage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municpal ❑ On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front L= Side L:' R:" L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of ParkingS aces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 9 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 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 O , Date Issued: C. Do any signs exist on the property? YES 0 NO %cz ' IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES NO VX— IF YES, describe size, type and location: 1:7 E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 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 O No O 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 a on m behalf, in all matter tive t k authorized by this building permit application. Sign r of Owner Date 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 and ins,and penalties of pe j_� i Print Name Signature of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: G `` ' s T T Gd �. -�� �3 y'7 / License Number Address Expiration Date do Signature Telephone SECT N 13- RKERS' 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 0 No City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 1� 7 t",4 The debris will be transported by: �,,�.•; r.vl �, �l e . The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents s I Congress Street,Suite 100 e Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anulicant Information Please Print Leeibly aMe (Business/Organization/Individual): Address: City/State/Zip: Phone #: f3.2.Are you an employer?Check the appropriate box: Type of project(required): F1 I am a employer with employees(full and/or part-time).' 7. New construction I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition I am a homeowner doing all work myself.[No workers'comp.insurance required.]t � 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs Or additions 5.n I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractor,have employees and have workers'comp.insurance.t 6.®We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pains and penalties of perjury that the information provided above is true and correct. Si ature: `' Date: Phone#: V/ 3 - Z Z - v G c' Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -_I r J p K �" m i �{p N + +85-87•' �U .t 1 , 93.9� • 3: FLORENCE SAVINGS BANK & FIRST. AMERICAN TITLE INSURANCE COMPANY HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING NONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, -XCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY 1S NOT LOCATED WITHIN 4 FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR :OMMUNIT Y # NOTE— n i SURVEYOR: � �' -�- '� THIS PLAT FOR MORTGAGEE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY �ta of -MORTGAGE LOAN INSPECTION PLAT- r RANDALI NORTHAMPTON, MASSACHUSETTS PREPARED FOR IZER #35032 LAWRENCE F. & LORI J. BOULEY fn GALE: 1 "=30 ' FEBRUARY 25, 1994 HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS �- J" 235 RUSSELL STREET - HADLEY - MASSACHUSETTS 3 Ito I iv C-Y 113 p r G Lj) ,4 Pr roi u 6, IV 4. 0 4 .tom To Oe k ol Gods.. . ..... -lie q g.I I ti I L . I I I I 9j1/OS I ► � I i � ,I /�-4 Yl 44 JL `S I 1 I I I I I zzz ���a�N S� • ; ��� I i I I ; I I I I I I i I I i V I 4 J s l F 1 i ie I CPOns: i j i TJ ( I f I i i iI I 1 M , -A-)auj I I i j 1 I I f i t I I I I I I I 1 I I I i I i f I i I f I I I f i i i ; I j , i I I i fli I I I j I I I I I I I 1 i