18D-060 (15) 155 INDUSTRIAL DR BP-2006-0387
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18D-060 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0387
Project# JS-2006-0562
Est. Cost: $440000.00
Fee: $7194.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 3B Contractor: License:
Use Group: Fl CROCKER BUILDING CO INC_ 003398
Lot Size(sq. ft.): 104108.40 Owner: SHAFII REZA&JENNIFER
Zoning: GI Applicant: CROCKER BUILDING CO INC
AT: 1ti5 INDUS T RLAI DR
Applicant Address: Phone: Insurance:
186 STAFFORD ST (413) 737-7803 Workers
Compensation
SPRINGFIELDMA01104 ISSUED ON:11/4/2005 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT SINGLE STORY ADDITION
W/MEZZANINE *(FOUNDATION ONLY)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
cgj Footings:
Rough: Rough: '�/�>/6 �A�House# Foundation: O1< SoLfrit SEctIaN AN,
/4�d.12 Driveway Final: lierAINt# wALi$
ANA 1< 'tt t ct(lv�o-Loois
Final: Final: /*Mg /'1r5 Pg4-z77roi 7I.2- O‘ :9�///'
/rir/4 LiUrr<<e: ARC--Y3- e-/ ilo&i&AT� Rough Frame: ''Q T ' D ��--
F:4-2/ -ca kph,.
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
xerr Y
Final: Smoke:+ ,OD Final: C'Y . 9-3^ e
/4
THIS PERMIT MAY BE REVOKED BY TH CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU TIO
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 11/4/2005 0:00:00 $7194.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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NDU,ST,Dlx BP-2004-0855
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:M k: 1 -0.58 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Category: BUILDING PERMIT
Permit# BP-2004-0855
Project# 3S-2004-1270
Est. Cost: $2975.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 060378
Lot Size(sq. ft.): 160300.80 Owner: OLDON LIMITED PARTNERSHIP
Zoning: GI Applicant: Wright Builders
AT: 175 INDUSTRIAL DR
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287
NORTHAMPTONMA01060 ISSUED ON:3/10/04 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR WALLS FOR OFFICE
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: Receipt No: Date Paid: Check No: Amount:
Building 3/10/04 0:00:00 18023 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
•
File#BP-2004-0855
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287
PROPERTY LOCATION 175 INDUSTRIAL DR
MAP 18D PARCEL 058 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �,� s
Fee Paid /./Z.Typeof Construction: CONSTRUCT INTERIOR WALLS FOR OFFICE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060378
3 sets of Plans/Plot Plan
TH�LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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 Street Commission
_ sc- ‘e/ ild'./--- 3A
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.
y
' Versionl.7 Commercial Building Permit May 15,2000
x.,r• 4� is a r+�i� �T
�� , Department pse,z« �l
FE �fl�<f0'lCity, f Northampton Status of Pe m t ,1 ''!'i � ;"tk
t� l! U �ui'll5ing Department ' �_
Curb Cut/Drive !Pe�rn 4�'k ',
21 Main Street Sewer/Bello ligibl l- -2 & �;'
MAR - g ,nw r4 � ', -I
2004 Room 100 Water/WeJ� Va la il' " � ,�S` x
Nort;iampton, MA 01060 Twn S is of ra.• an �s�t alWa�": r
l phone 413.587.1,240 Fax 413-587.1272 P o�%Site PI'ans: •a "''I' "- sf"�`
1 Q her Spe1f�y _ ," •. ", ' ii1 ,:;
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: 4p
St n_ p liN This section to be completed by office n d ks-K a l "Dri V t �4IP ry6
nitMap � •U
q0Y-rfr\arvvettAn , M� •
Zone �� '` Overlay District
Elm St. District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
C 5 ,1—
h► 1- cc i l t15 Itnifiv.ci-,0Q -bog- ,
Name(Print) --� / Current Mailing Address: M Ps O I O io D
✓t om. L b .��/11 61"t - tc,"'6 I(p-
Signature Telephone
2.2 Authorized Agent:
MCk-irk- l, dU3'd iwn svlt 16w I dtvc 4t +es S1. `N0-(-li/kcm pi n. , MA,
Name(Print) Current Mailing Address: •
d......."Ct____cel
ISign`ature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS •";. x, 1 S = 1 Oa M 10.
Item Estimated Cost(Dollars) to be Official Use Only
completed by permit applicant
1. Building 4 d I 1 5 (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) $s n5 --f ! . I Check Number -tYeV.3. r`
. s:. _ - This Section For Official Use Only
Building Permit Number
7 Date Issued:
_ y.
Signature L� - • _ •
- Building Commissioner/Inspector of Buildings Date - N 1
' t►
Version1.7 Commercial Building Permit May 15,2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior AI_ t�,rations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing 0
0 ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ 3 Other [ 3
0 Accessory Building[ 3 Repairs [ 3
iFirrEF 1 E SC R1`P-rrrv:1l e 110, 0 Y OM IS 'kb C.0 cM, Ylt?.i.J 0 C t, AN10 �1 r kik. M&
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE e 4- , Wcir-v--
USE GROUP (Check as applicable) Lj �1,V W -+• iiCONSTRUCTION TYPE _
A Assembly I❑ A-1 ❑ A-2 0 A-3 ❑ IA 0
A-4 ❑ A-5 ❑ 1 B I ❑ _
B Business 0 I 2A I ❑
E Educational Cl j 23 ' 0
F Factory 0 F-1 ❑ F-2 2C
H High Hazard 0 3A I 0
I Institutional I❑ 1.1 • ❑ 1.2 0 1.3 0 3B I 0
M Mercantile I 0 4 I 0
R Residential 0 R-1 0 R-2 ❑ R.3 0 I 5A I 0
S Storage 0 S-1 0 S-2 0 53 I'
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: ley" Proposed Use Group: ^�C0i \1
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION -/"r- ,CE S-QNLY fit:
`�i,-' +._ 5..-�.Si .'A?..,w ha.e:i.'fte'rr'r r�.a;.',Si4-w-a.wt .
Floor Area per Floor(sf) 1st .t" -1'�4+�'` �� K'�7 = :
2nd '" +1 :� ' �L
- � -
1st •y '
2nd 3rd .,,x.u. ,,,:, ` '*,x.� d ti i' �
3rd 4th y,��.1,-.a+ • .��r't& •.K L ,tf41 ;")r7'r-+�y, 5 ,
4 - , ;SIR
Total Area (sf) Total Proposed New Construction (sf) , ; a :
F. ' ..`o - . ''t 'a
t
Total Height(ft) ir..
. .:
Total Height ft r
Version1.7 Commercial Building Permit May 15, 2000
7. Water S pply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
; Public Private ❑ Zone: Outside Flood Zone X. Municical On site discosal system ❑
8. NORTHAMPTON ZONING Aw U3 & '7) Rt N VJO ►1 LO 4iSTIOtr oCTP . NT
Existing Proposed Required by Zoning
This column to be fille. .y
Building Departme.
Lot Size
Frontage
Setbacks Front
Side L: R: L:
Rear
Building Height r
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
of Parking ces
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
• NO DON'T KNOW )C 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. Dces the site contain a brook, body of water or wetlands? NO X 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
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
Versionl.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 ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Are. 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
Addres Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
11ittliDef-5 tI C Not Applicable ❑
Company Name: , ,r j n A SJ� -!
VJa, 6/1
L- 1. �1,�� ��
Responsible In Charge of Construction - i ` rj 3 l,p
btAddress I
ignature Telephone
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
I Independent Structural Engineering Structural Peer Review Peauired Yes ❑ No 2 .
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
i• 1 ��-t-- /f— , as Owner of the subject property
hereby authorize M a,(16- L-edw tAh I V v) 1i 1 1'1A i tdtr e to act on
my behalf, in ail matters relative work au oYized by this building permit application.
-7,1.4 _,„e't
/77( _...7(
Signature e of Owner /
g Date
I, I" IA Udw eAk 1 (1 uu (k'Nic , as Owner*uthorized Agenthereby declare that the statements and infV(0-
ation on the foregoing application are true and accurate, to he best of my 1
knowledge and belief.
Signed under the pains and penalties of perjury.
IV\a.4 Lett w tl I
Print Name
Orr
gnature of Owner/Agent Date .3/4647
SECTION 12 -CONSTRUCTION SERVICES .
10.1 Licensed Construction Supervisor: I Not Applicable ❑
n
Name of License Holder: Yv►(kV' V t. b' Cco(p-j-)
License Number
4eb 12,0,its c-1-, 14t5rtvvayvveizo I t\AN vi 05
Address Expiration Date
*01.
ature /0 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 No 0
qr.
•
it2 \y LIfU a •c7Zfliant irrn
3 d , • •.�i3f iCII5Ct1d
D EFARTMENT OF EUIIDO'G INSPECTIONS
• 212 Main Street • Municipal Building
Northampton, Mass. 01060
W0RIaR'S C 0 MID ENS ATIO N INSURANCE AF=A..7, T
I,
with a prncipai place of busin esslresidence a.t:
• (phone)
t cityisLIt p)
do hereby certify, under the p-ai a and penalises of pejury, the t:
( ) I am an e player provid:.nz the followin` worker's compensation coverage for my
employees working an this job:
•
(Lcsar-�. Corry) (Pc_ .•Number) �:.ar oa Dom)
I am a sole proprietor, general contractor or homeowner(circle. one) and have hired
the conuaczors listed below who have the follo w-;ca worker's comuersation policies:
(Name of Cont,accr) (Lasuranc Cote••any/?oiicy Number) (E pimtoa Date)
a.
(Name of Contra cror) (Insurance Cara-yiPolic Nuni er) (Expi,uaon Dare)
(Name of Contactor) (lnsu and Com i /Policy Number) (E ppir don Date)
(Name of Contraccr) (Insuranc Company/Policy Number) (Expiration Date)
(sands idditioml shod ifneovsry to mchade iafncmatioa pectairting a all ccanadors) .
( ) I am a sole proprietor and have no one worlang for me.
( ) I am a home owner performing all the work myself
NOTE:pieafe be ague tta while homeowners who employ pc-sons to do ae,:••••.••,••••g,coostrunion or tLpairwaic on dwelling of
not more than throe units is which the homeowner wades or on the grounds appuxtcaaatlbedo arc act generally ccasidcred to be
ea>players uada Inn worker's eon peasstion Act(GLI52ss 1(5)),application by a bomeowmcr far a ran=or permit may evidence the
legal ctmsa of ail a naloyer uodarths Worker's Coospensatioa Ad
I understand that a copy otthis sates t=ay be forvu,uded to tba Departmon of Ioluitrial Aorideane Coffie of Imureace for the
coverage vcrificstion add that failure to accuse coverage tender section 25A of MOL 152 can lad to the imposition of aimmil pasaLIIa
oonsis> g of a fine of up to 52,300.00 and/or of up to cad year Sad avtl pesn g ltiet in the focal of*Stay Wort t�der sad a `
five of 5100.00 adry against me.
•
Far dep:tmesal use only
Permit Numb
-- - MapS _Lat#
Sigahtre of Liemscr Permuted l�ta
Is
Wright Builders Inc. si��etc,cam
48 Bates Road Imenor,7. ?..o.a
Northampton Ma.
2/26/04 i� j
New Office
1
fQ'cdxplyvvod Ir-;; Metal Frame
j
l II I
o 'I i
I II '
Metal Door'MTh'.3 Gass
Existing Block Remains No Finish
2x 10 Carling Joists
3/4PlywccdDeck
. \-L- \ il
�' 33'a'
m .
N i• ry
41�� • ! i New Metal Door& Frame
3�9'.ogauge
'meat styes
N
I I °t 6-6' 1
. I k
H;. I ku
\ \ New Metal Framed Walls
r P`2x 10Le`gef` With Interior Sheetrock Exterior 1/2'Plywood
Se\'nsularon
.a 1..5..:.A 3 E :,I f.3:''i ?',i ti L
RETURN 'i `CIS COPY
Iti-A-)0c. Ti. r
3 vg
Wright Builders Inc. si,aetr;,`Nc
48 Bates Road imencr"''op""'"
Northampton Ma.
2/26/04 �j
New Office �
ra"cdx plywood I r-7' rAeral Frame
I :11, 1
` ' I. I I I
1 r ii i
i II
i jj'
Metal Door SYtn l.'s a"ass
Existing Block Remains No Finisn
• \ 2x tD Ceriing Joists
3!4'Plywood Deck
q
New Metal Door& Frame
N 1
3 LS'20 gauge
iI meat smcs
\1 1
/f
\ New Metal Framed Walls
�'
r
Pt2.z IOLcger\ With Interior Sheetrock Exterior 1/2'Plywood
scum Insulation
?LEr'1S; Si,G N AND
Y1tNHIS OP rR .J