45-043 (4) OLD SPRINGFIELD RD BP-2002-0748
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:45-043 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0748
Project# JS-2002-1237
Est.Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 015792
Lot Size(sq. ft.): 27878.40 Owner: DUDA MATHIAS HENRY
Zoning: SC Applicant: Wright Builders
AT: OLD SPRINGFIELD RD
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:3/7/02 0:00:00
TO PERFORM THE FOLLOWING WORK:BOAT & EQUIP STORAGE - RENOVATE DOOR
LOCATIONS & REMOVE PLANTERS
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:Of /0, Ft-Oo2 '2
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT ON OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupanc Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
• Building 3/7/02 0:00:00 12416 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
•Building Commissioner-Anthony Patillo
OLD SPRINGFIELD RD BP-2002-0748
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:45-043 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0748
Project# JS-2002-1237
Est. Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 015792
Lot Size(sq. ft.): 27878.40 Owner: DUDA MATHIAS HENRY
Zoning: SC Applicant: Wright Builders
AT: OLD SPRINGFIELD RD
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAM PTON MA01060 ISSUED ON:3/7/02 0:00:00
TO PERFORM THE FOLLOWING WORK:BOAT & EQUIP STORAGE - RENOVATE DOOR
LOCATIONS & REMOVE PLANTERS
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 3/7/02 0:00:00 12416 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0748
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413) 586-8287
PROPERTY LOCATION OLD SPRINGFIELD RD
MAP 45 PARCEL 043 001 ZONE SC
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: BOAT&EQUIP STORAGE-RENOVATE DOOR LOCATIONS&REMOVE
PLANTERS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 015792
3 sets of Plans/Plot Plan
THE FOLLOWING 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 S t Commission
Signature of Building Official Date 39/a2--
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
ra `, -Department use only a4f : . , - x
Dc FE I] V1 1 ., of Northampton Status of Permit:
IJ Ling Department Curb Cut/Driveway Permit
e 2 Main Street Sewer/Septic Availability
Pu MAR - 6 2002 Room 100 water/well Availability
I N rth. mpton, MA 01060 Two Sets of Structural Plans ,
DPI p ell -58 '-1240 Fax 413-587-1272 Plot/Site Plans
MA 01060
jOther 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: rr ( -tt
This section to bee completed by office
4. z i h 1t I ci ci_ Map 7/5 /7 Lot 3 Unit
filliNi t 1V <9 1060 Zone C..— Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: T I-_
te R-f7\ / 1\ 174(Aftl'fo• AI&
Name4Pri tt) Current Mailing Address:
.14..r a - z---e- ,0-1 2 —7 7
Signature Telephone
2.2 Authorized Agent: 1 . IV
` 1
.• „ US 5e 5f— , i1L
Name�`�� / Current Mailing Address:
fi, .i',�7 -1-
Signs Ire Telephone
SEC ION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 1Z. 0 u (a) Building Permit Fee
2. Electrical 6-0 0 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing 0 Building Permit Fee
4. Mechanical (HVAC) L^
5. Fire Protection 0
6. Total =(1 + 2 + 3 +4 + 5) 2" 0 00' Check Number f, 9q/ ;--
T 1 is Section For Official Use Only
vG(
Building Permit Number: b a. - 7 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 0 Roofing 0
0 ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other ipc a CC.e<. 1 cfr-t,t
Accessory Building[ ] Repairs [ ]
JEE DecCRrThiprv: M14O4 /LANDV oNs 1u ix:.aQ- L OCA1)16NS. f , aV€
SECTION 5- USE GROUP AND CONSTRUCTION TYPE ING4// 3
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly I A-1 ❑ A-2 ❑ A-3 ❑ 1A 1 0
A-4 ❑ A-5 0 1 B ❑
B Business ❑ 2A 0
E Educational ❑ 2B I 0
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional 0 I-1 ❑ 1.2 0 1.3 ❑ 3B 0
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 0 R-2 0 R-3 0 5A 0
S Storage IV S-1 ❑ S-2 ❑ 5B I 0
U Utility ^ Specify:
tz?0_1:2JV s.A.1 im,ormi. s pen‘, .....i-
m Mixed Use 0 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)
j� 1st
1st 4'7 ) 0 2nd
2nd
3rd
4th
3rd 0 .+� i. t
it,
4tn �, .
r,
Total Area(sf) 4 '7 '°' Total Proposed New Construction (sf)
Total Height(ft) I )
Total Height ft �� ,
Version1.7 Commercial Building Permit May 15,2000
7.Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public Private ❑ Zone: Outside Flood Zone 0 Municipal 0 On site disposal system
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size -7 0) (f OD fu j C;
Frontage '1' 3 A.
Setbacks Front , I
Side L: �L� R: 71 L" L: qO R:7 /a
Rear 1
70 3 o 1•
Building Height 1 `5--1 I �.—
Bldg. Square Footage 11770 % (
•
Open Space Footage a% ��
(Lot area minus bldg&paved 0 19
parking)
#of Parking Spaces tt Q "4 U fi
Fill:
(volume&Location) v'�9
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW Ni< 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. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES U3
IF YES, has a permit bee or need to be obtained from the Conservation Commission?
Needs to be obtained (a Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any propos d change to or additions of signs intended for the property ?YES
No m tllvir �tr'eic Avt •
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 t<
Name(Registrant):
Registration Number
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
W r `1, A►I itAA Not Applicable 0
Company
�Name: t,
y1/447v4kites.
Responsible In Char:e of Construction v��
6e/149414 L
Addrei
Signat r Telephone
-
Version1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
11Nzk4 * '' �wc&J , as Owner of the subject property
hereby authorize (P - �h .L, to act on
my b alf, in all mat ers relative to work authorized by this building permit application.
G e-( t' i
Si ature of Owner Date
NAL4d1 L .iGA- , a-OP Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accura e, to the best of my
knowledge and belief.
Signed undef the pain�s_aand penalties of perjury.
Print Name
Signature of Owner/Agent Date
SECTION 12--CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: � (7 tf\O•41\01/4. koti T‘l c cr C •> J
License Number
LA , ,e4t.t.4," F(4).Jevt-ct o - co 4
Address'j jib , Expiration Date
� ;, '-Li 3 —�Srb'
'�'fff7R''' .',0.�r 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
230
45 43 90
so
•o
77o
5
44 610
61.2
2s 160
•
.30
65 445
us
6 433
52
63
40*
173
53
73o
7521• 6 4
Tao
loo
28
260.15 366.05
620
45-67
369.63
297.88
300.56
NIPPY
155.77 ! 2200
152.20 � ( L
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: yt34, R_w‘ L v
Address: CA,g ,h/) S, t$, I Telephone: 413
2. Owner of Property: th.a tw p`
Address: TS 1,« I� 4 elephone: J g-(4 77
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): CLe4
5pr) r fi_e U � , i� L
4. Jcb Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S 4JlL&jA t 4 ) 0A
6. Descrip�U'c�n of Proposed Use/Vl/ork/Project/Occupation: Use a�iditipna�hedts if ces�ry):
iYfN — uA, n�,� $J� - ski Q-qm, ,.-
thor Peo^ettr-Lit, JO C-6LettheTA RIAPeat leeh4hot-
c.
7. Attached Plans: (A Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW IX 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#
• 9. 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 NO Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE) •
10. Do any signs exist on the property? YES NO 17
IF YES,describe size,type and location:
•
Are there any proposed changes to or additions of signsintended for the roperty?YES NO
IF YES,describe size, and location: L t 6dqintm. •
type Mn
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This corn to be filled in
by :a Building- Department
Required
Existing Proposed B •Zoning
Lot size �,
"1 o �C s5 sevyyk .
Frontage Lt 3 s
Setbacks - frnnt /' l 45-
- side L: R:?I 00 L: qU R: /00°
- rear 1
Building height ' r
,Bldg Square footage 'd , /,1 7-70ti ,7 7U
�T
%Open Space: WI oO 0
(Lot area minus bldg tS-�-f. " 6 t ' Z u��
&paved parking) L74
? b1g:14•0od� .1 SD I C
# of -Parking Spaces
#` of Loading Docks o
Fill:
4 vol-rime--& location) O o
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge. •
DATE: - APPLICANT's SIGNATURE
}"•
NOTE: Issuanoe of a zoning permit does not relieve an applioanYs burden to comply witta .pl
zoning requirements and obtain all required permits from the Board of Health, Conservtstio
Commission, Department of Public Works and other applioable permit granting authorities.
FILE #