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30A-032 (104)
320 RIVERSIDE DR BP-2007-0924 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A-032 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-0924 Project# JS-2007-001509 Est. Cost: $41000.00 Fee: $205.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Harvey Messeck 006919 Lot Size(sy. ft.): Owner: CFP PROPERTIES LLC Zoning: Applicant: Harvey Messeck T- 320 RIVEac1nr-: DR Applicant Address: Phone: Insurance: 271 Prospect Street (413) 584-4460 NORTHAM PTONMA01 060 ISSUED ON:6/15/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT & REMOVE NON-BEARING WALLS 2ND FLR AMERICAN BENEFITS CORP POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: { �tF1 House# Foundation: Dor Driveway Final: Final: -p / -�\Fi �2nal: /4-11,0 �7 k / Rough Frame: 61( O$ Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: (7P(+"+jo7 LPV('5 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION w.� Certificate 9f Occu anc Signature: FeeType: Date Paid: Amount: Building 6/15/2007 0:00:00 $205.003974 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo l� r 320 RIVERSIDE DR BP-2007-0924 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block:30A-032 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate og ry: BUILDING PERMIT Permit# BP-2007-0924 Project# JS-2007-001509 Est. Cost: $41000.00 Fee: $205.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Harvey Messeck 006919 Lot Size(sq. ft.): Owner: CFP PROPERTIES LLC Zoning: Applicant: Harvey Messeck AT. 320 RIVERSIDE DR Applicant Address: Phone: Insurance: 271 Prospect Street (413) 584-4460 NORTHAMPTONMA01060 ISSUED ON.6/15/2007 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT & REMOVE NON-BEARING WALLS 2ND FLR AMERICAN BENEFITS CORP 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: FeeType: Date Paid: Amount: Building 6/15/2007 0:00:00 $205.003974 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2007-0924 APPLICANT/CONTACT PERSON Harvey Messeck ADDRESS/PHONE 271 Prospect Street NORTHAMPTON (413)5844460 PRO 320 RIVERSIDE DR 30A PARCEL 032 01 ZONE SI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction: CONSTRUCT&REMOVE NON-BEARING WALLS 2ND FLR AMERICAN BENEFITS CORP 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION 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 Str t Commission 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. Versionl.7 Commercial Building Permit May 15,2000 Deparfinent'use only City of Northampton Status of f trrni. (� V Building Department curb cu D,_;vevay Permit 212 Main Street Sewer/Septic Aran hilitY APR _ 4 2001 Room 1'00 VlatedWell AvailaLi itv _ -- Northampton, MA 01060 Two Sets of Structural phone 4,13-587-1240 Fax 413-587-1272 Plot/Site Plans OtherSpecify - 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 This section to be completed by office 1.1 Property-Address— 1✓�Z S /�� /V� Map t...Lot Unit �lonrMc�,/ /rah O/ogZx icxiT �rwde... x,.:5 ;rvew.Y.rG Zone Overlay District — — - Elm St District _ CB Distract � � . SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: -------------.—_-. _ -- Name(Print) Current Mailing Address: i Signature Telephone 2.2 Authorized A ent: Name(P nt) /V Current Mailin Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by Permit applicant 1. Building i i O Q (a)Building Permit Fee U oQ, 2. Electrical i (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) i 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 3y Y7 This Section For Official 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-F012PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations It Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change 9f Use❑ Other Brief Description Enter a brief description here. /��I'✓ 0n e a,w i I"(�j cl Wa' 4J2 Ce C ( � Of Proposed Work: `f �O OLoq�•/{�/ i�� l�s pt`s' SECTION 5-USE GROUP AND;;CONSTRUCTION-TYPE USE GROUP(Check as applicable) CONSTRI ICT16N TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business 2A ❑ E Educational ❑ 213 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 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:1 S Special Use ❑ Specify: COMPLETE THISSECTION IF EXISTING;BUILDING UNDERGOING RENOVATIONS,.ADDITIONS:AND/QR CHANGE IN USE Existing Use Group: -A Proposed Use Group L Existing Hazard Index 780 CMR 34):: + Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT=AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) � � * " OR St 15ttu 2nd 2 nd 6 0 3rd 3rd l y. j fin 4 m 4'" i Total Area(sf) 41 Total Proposed New Construction(sf) S-EW " ER Total Height(ft) 1 Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone i Outside Flood Zone[] Municipal ❑ On site disposal system❑ rr Version 1.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front ! Side L: R:= L:F R:I J Rear BuiTdmo Het&-f- - —� u Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved arlan ) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW Q YES Q IF YES: enter Book Page' i and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtainedQ Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO O IF YES, describe size, type and location: j 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 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURESSUBJECTTO CONSTRUCTION CONTROL PURSUANTT0 780,CMR 116(CONTAINING MORE THAN;35,000'C.F.OF ENCLOSED'-SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address i Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility I Address Registration Number I i � Signature Telephone Expiration Date f i Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date i Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date ; I i Name Area of Responsibility Address Registration Number f � � i f Signature Telephone I Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: r I Responsible In Charge of Construction Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEERREVIEW(780 CMR 11011) Independent Structural Engineering Structural Peer Review Required Yes O No SECTION 11=OWNER-AUTHORIZATION-TO-BE COMPLETED WHEN OWNERS AGENT,OR CONTRACTOR APPLIES:FOR BUILDING`PER11111T as Owner of the subject property i hereby authorize r C to act on my{S�ehalf,i all rs relative to work- thorize�bythis building�permittapplication. v� Q / Signature Owner Date o �SSeC- 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 under the Rains and penalties of 2edu a� �e ti �' 1 essec. i Print Name ox Signature of Owner t Date =SEG-ON 12.-00 UCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: �Gve eS�S C t Q© 69 /9 License Number y/ mos Peck o� l a, I �� 0 9 �0 y Address Expiration Date SignaturTelephone SECTION 13-WORK 'COMPENSATfOU.INSURATICE AFF DAVIT,(M G L..c.152-J.25CES)? 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 b! No 0 r 1 � The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 lVashington Street Boston,MA 02111 "'� .•�� www.mass.gov/dia -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): A/01N✓e C 's P_C Address: City/State/Zip: k �cG� O �0�O Phone.#: /� -"� �° ._ -1,6 0 !'!1 Gh Are you an employer?Check the appropriate bog: Type of project(required): 1. 4. I am a general contractor and I El I am a employer with 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.X I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.$ 9. Building addition required_] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] Any applicant that checks box#1 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. TContractors 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 file of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains ndpen hies of p jury that the information provided above is true and correct. G Si ature: / Date: Phone 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#: Northampton Fire Department Memorandum To: Tony Patillo � '� JUN 1 3 2607 i From: Duane Nichols =MpTON, , DEPTDpDate: June 12, 2007 Mnq� A 01060 CC: Brian Duggan Re: 320 Riverside Drive CFP Properties Secondary to a review of the plans and fire protection narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • The narrative is stating that no work will be needed on the suppression system for this renovation. If any work is needed, a fire suppression work permit will have to be obtained. Plans will be required for any work with the permit for review if alterations are needed. • The narrative does not address if any detection devices (smoke detectors) will be affected with renovations. If any work is needed a fire alarm work permit is required. • 5 Ib ABC Fire extinguishers are needed, located at exits. This shall be in compliance with NFPA relative to maximum travel distance. Appropriate signage in compliance with ADA should be located above • The Fire Department Emergency Access Key Box for the complex located by the entrance to control panel, will need to be up-graded to a commercial key box. Current key box is a residential key box and is inadequate for the number of keys in it. • Keys with engraved tags for this area is required to be placed in key box. • Page 1