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17C-227 (32) BP-2021-2286 16 NORTH MAPLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-227-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-2286 PERMISSIONIS HEREBY GRANTED TO: Project# WALL Contractor: License: Est. Cost: 10000 SHUMWAY SERVICES 105743 Const.Class: Exp.Date:01/14/2022 Use Group: Owner: VALLEY NORTH MAPLE LLC Lot Size (sq.ft.) Zoning: GB Applicant: SHUMWAY SERVICES Applicant Address Phone: Insurance: PO BOX 522 (413)549-4658() WWC3509999 HADLEY, MA 01035 ISSUED ON:12/14/2021 TO PERFORM THE FOLLOWING WORK: INSTALL WALL TO CREATE OFFICE ROOM 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. Signature: Fees Paid: $100.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 , Office of the Building Commissioner Il'-CE'VEt DEC 1 p 2021 r' - �PF-t3Ur-DING�Nc i — The Commonw a1th-df'1Miws ae l atiNs Office of Public Safety and Inspections `: ',%`f1 Massachusetts State Building Code(780 OVIR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) .. Building Permit Numbee'01(^4h�(pr Date Applied: ( Building Official: SECTION 1:LOCATION f No.,and Street City/Town Zip Code 0E06 1 Nam of Building(if applicable) 1'1G:--A21-CO1 d- Assessors Map# Block#and/or Lot # SECTION 2 PROPOSED WORK Edition of MA State Code used If N Construction check here❑or check all that apply in the two rows belovy Existing Building 0 Repair 0 Alteration 1l J Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 1 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes i$ No 0 Is an independent Structural Engineering Peer Review required? Yes 0 No (L/-- Brief Description of Proposed Work: -f'► I ( W q / -1-41 r n 5 (I of ka `t-2_ r , _.-- )tic ('ti.w4NA)) SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE EN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(Sew 780 CviR 34) Existin Use s g Gmup( ) Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)Sr Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTIONS:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 D B: Business 0 E Educational D F: Factory F-I D F2 D H: High Hazard. H-1 D 1-1-2CIH-3 CIH=I O H 5❑ I: Institutional i--1 D 1-2 CI 1-3❑ 1-4 CI M: Mercantile❑ R: Residential R-1D R-2 D R.-3 D R-4 D 5: Storage S-1 0 S-2 D U: Utility 0 Special Use D and please describe below: i -- Special Use Description- , SECTION fi:CONSTRUCTION TYPE(Check as applicable) CIAO IBCI IIA CI IIB CI ILIAC IIIBCI IV CI VA Cl VB 0 SECTION 7:SITE I.NFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit Debris Removal:i — Water Supply: Flood Zone Information; Sewage Disposal: Licensed Dis osal Sit 0 Public 0 Check if outside Flood Zone CI indicate municipal CIA trench will not be p IPrivate Elor indentify Zone: or on site system CIrequired©or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: - MA 6toric coitm,ssion Revirk,Pracm: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes D No D SECTION&CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner OS 6 r9\eaS)W\-4r \Q;\\ , \Cc IA A- 0106 Name(Print and Street City/Town lip Property Owner Contact Information: g SC 5 '-S' X ylo _._' '`s, A Ve CkiC-C.7 v�''� Title ,--: 'T��� �f?.., Telephoto:;No.(business) Telephone No. (cell) e-mail addressNJ If applicable,the property owner hereby authorizes: ' t'(19,.'ct'() (41-e-S 106 C Q. . e .4- "I.OJt .V'1C'e- filq 0106 I_ Nam& Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this buildingpermit application SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑. Otherwise provide i.on,rnic:tiara r o erc'l farrow(see section 107 in the elide)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinaltut document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 5IW e_fLiiitt . 5 Corn ny Name ( IA es 5110/AA Cd'a y _ \. a 57 �I Narn f Per Res onsibl r Construction. License No. and Type if Applicable a 2,, 2. �1� � I� S 41a 3S Street Address City/Towfi t State Zip Tele nk o.ress Telephone No.(cell) e mail address qiu iA SECTION 11:WoRKff.PS LOUE€ISA1€ON l\L,iRA\C E ARlDA\i:t_(M.G.L.c.152 J 25C(6)) A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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 Is a signed Affidavit submitted with this application? Yes 0 No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ �l.Building $ t4 /'n`J Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ 3.Plumbing $4.Mechanical (HLTAC) $ Note:Minimum fee=$ l (contact municipality) 1 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 1 n_it C I I (contact municipality)and write check number here SECTION 1i SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this applicat' i.true and accurate to the best of my knowledge and under tanding. P1 se print and sign name �_ Title Telephone No. Date ; 9.1.1° ei fret..._._ Street Address City/Town State Zip Email Address ?Municipal Inspector to fill out this section upon application approval !Z.12-111-20ZI Name Date 24' 11".... 40'9"► • ♦ 50 J 1 i • • 11'2 m4 0' 8' $ 1 4 8'0„P. io b0 ► ♦ M 3 { N r \ 4 / 40 47"11.42'8" A 411'6"► • A10'9"► 1 v 24' 11" 1 ie: Drawing: Project: Drawn: Notes; Valley North Maple 801506 0000416 Name irle: cafe: Date: Rev: Office Remodel 3/16":1'0" 11/30/2021 A