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30A-032 (90) TAPESTRY-320 RIVERSIDE DR BP-2004-0327 GIs#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 30A JT32 * CITY OF NORTHAMPTON Lot: -001 Permit: Building Cate,gorv: BUILDING PERMIT Permit# BP72004-0327 Project# 35-2004-0474 Est. Cost: $20000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Harvey Messeck 006919 Lot Size(sa. ft.): 0.00 Owner: CFP PROPERTIES LLC Zoning: GI Applicant: Harvey Messeck AT. TAPESTRY - 320 RIVERSIDE DR �x Applicant Address: Phone: Insurance: 271 Prospect Street (413) 584-4460 NORTHAMPTON MAO 1060 ISSUED ON.9/23/03 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE & ADD NON BEARING WALLS FOR KITCHENETTE - TAPESTRY IST FLR 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: Feer e: Receipt No: Date Paid: Check No: Amount: Building 9/23/03 0:00:00 3041 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2004-0327 APPLICANT/CONTACT PERSON Harvey Messeck ADDRESS&HONE 271 Prospect Street (413)5844460 PROPERTY LOCATION TAPESTRY-320 RIVERSIDE DR MAP 30A PARCEL 032 001 ZONE GI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid &Sd T_ypeof Construction:_REMOVE&ADD NON BEARING WALLS FOR KITCHENETTE-TAPESTRY I ST FLR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 006919 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 Street Co '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. f . Versionl.7 Commercial Building Permit May 15,2000 Department use only. r City of Northampton status of Permit* Building Department Curb Cut/Driveway Permit - 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets�of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other'Specifys- APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPAN . ILDING OTHER THAN A ONE OR TWO FAMILY DWEL SEP 1 2 �r,0� SECTION 1-SITE INFORMATION 1.1 Property Address: _f This section to be completed by office = )n E, �'C7N iCT� i ;v C� Map Lot Unit Zone Overlay District --' y — �� Elm St.District CB District SECTION 2- PROPERTY OW HIP/AUTHORIZED AGENT 2.1 Owner of R rd: 5O ��"171nI J6- jt:') c "Rt ✓ep S1a�V l U Name(Print) Current Mailing Address: Signa re - Telephone 2. thorized Agent: Name(Print) Current Mailing Address: xz A© pe IS0 Signature Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com feted by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HvAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number / This Section For Officials Use Only Building Permit Number: 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 Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] �� ►-�� BRIEF DESCRIPTION: *e W /A h� GcL�? ��., — UPrhd ! �✓� �—C�,r+S� 1 New SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly 10 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 ❑ I Institutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ 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 OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) in k 1St 2nd 2nd 3 rd 3rd — 4th 4"' Total Area (sf) Total Proposed New Construction (sf) _----------------------------------- Total Height(ft) Total Height ft-------------------- Versionl.7 Commercial Building Permit May 15,2000 7. Water Supply(M.G.L.c.40, § 54) 17.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This coluirm to be filled in by_ Building Department Lot Size Frontage Setbacks Front Side L R: 1 : R: Rear Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded the Registry of Deeds? NO DONT/kNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs inten ed for the property ?YES No IF YES, describe size, type and location: r Version 1.7 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 Applica e Name(Registrant): Registration um er Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Company Name: Not Applicabl O Responsible In Charge of Construction Address 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 COMPLETEDWHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �� lJLL9�Iy'1� �/✓t`?'-' as Owner of the subject property hereby authoriz to act on my behalf, i II a is-re ti work authorized by this building permit application. Signat e f 0 er Date t I, as Owner/Authorized Agent hereby declare that h s tements and information on the egoing application are true and accurate, to the best of my knowledge and belie . Signed under the pains and penaltie/ o perjury. �& P J" / eJ-,:," — Print Name Signature of Owner/ Date SECTION 32 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: ,�-c � Not Applicable/❑0 Name of License Holder : L�JV�V006 2 / T License Number OZ1490 < Address Expir on e Signat Telephone 5ECT10IN 33 WORKERS°COMPENSATION INSI7RAN.CEAFFIDAVIT(M G.L:;c. 152;§25Ci;6)j �.� 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...... 0 A ~ E $�asaachrtcctin' - kTr.rfIjUlIIP foil w.. — c� DEPARTMENT OP ➢UILD0\10 INSPPC770NS —t 212 Alain Street ' ?Yfunicipal Duileg Northampton, Mass. 01060 �VORJCEIZ'S CONCPENSATION LNSURA.NCE AFFMAV11' (IlccnsccJpermi ttcc) �k"Lb a principaJ place of business/resideA,ncc/e at: 0-�5p_ec:t .>f /YOF. tic�iM� c341 (phone') 6�� do hereby certify, under the pains and penalties Of perjury, That O I am an employer providing die following %vorkcr's comocnsadon coverage Cor Ind employees wor�zling on Oils job: (Iasur�c Cour m.) (Pone: I\u_nabc-r) --- C:-piratior, D2i) ( L=soleropriccgeneral coca-aeior or homeowner (c cie one) and have hired the coosacnors listed 'below wbo have the f %v olloing workers Cambensdon policies: Ngmc of Contmcwr) (Inn±ranc; Colnoan)•/Pouc-, ? UM'_cr) fr?:Jlid QP. Datc) (Name of Contractor) (Uls'afamcc Company/Polim, Numc.cr) (Latir uon Dale) (Name of Conuaeto,) (Ia uanec Compan)•/Poliq• Nambu) (Expiration Date) (Name of Contractor) (Insurance Commmy/Policy Numbs) (Expir bon Date) . (&Mach l6 i;;ocal rSoC ilnccx-s..1•co crcuc&iarornJi7oa perta.iaia6 to all 00a7ac'-ncs) I am a sole proprietor and bave no one worLing for me. ( ) I am.a home owner performing all the work myself. NOTE:plcse be---Aft 0-1 Mt"Ie born oKmcn`J>o etaplery perzOm to(30 e-.;.-„-,.,..., ecs-.:c�oo r rcpzz wane aa a d..el_^Z of aot most Lb-o ` o_Irl to u_tncEl the bor�rmdo or oo the p�z7�tbce•.o� oa C-caaBy occ.dcacd to be cmploy--uadc the---kch Oc:�ca Aa(GLI 5Z=IM).apptirstioo by a bomcoa=fer c liar__or permit r=y c,draoc Lbc leI;J cl l of an c=:Ployor under dib Workcl.Cocmpoma.Lioa Act_ f undc:taad thet a Dopy oCthi.mi®sy m.y b<for-xarded to tbo pegar,m� of lnmct,;el Aende»'OfLoa of trza,r.000 for th. covcrT rvircnioe and atet Lihue to seatrt rode uadcr'Ochoa 25 A of AiQL 152 mo lmd to the ia;?ositioe of airmail pen-alder o0aU= 8 oC a G>x OCUP to 51-500.00 andlw� of up to ooc year end aNil pmaP,ia in 6-form of a Slop Work Order and a f=of s 100.00,d_y apl=me For dcp,rta>`rsl u. only - � Permit Numb= 4� ic6nascc/PCM-Liticc ' e J