18D-053 (22) X-t r L D r N r BP-2008-0949
GIS#: COMMONWEALTH OF MASSACHUSETTS
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-2008-0949
Project# JS-2008-001423
Est. Cost: $5000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ROBERT ARDIZZONI 051547
Lot Size(sq. ft.): Owner: RIVER RUN CONDO ASSOC
Zoning: GI Applicant: ROBERT ARDIZZONI
AT: 80 DAMON RD
Applicant Address: Phone: Insurance:
7 LAKESHORE DR (413) 531-4841 WC
HOLLANDMA01521 ISSUED ON:4/29/2008 0:00:00
TO PERFORM THE FOLLOWING WORK:BLDG 1 - REPAIR DAMAGED SILLS, PLATES,
FLR JOIST, STUDS
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 $50.002484
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2008-0949
APPLICANT/CONTACT PERSON ROBERT ARDIZZONI
ADDRESS/PHONE 7 LAKESHORE DR HOLLAND (413)531-4841
PROPERTY LOCATION 80 DAMON RD
MAP 18D PARCEL 053 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
f'
Building Permit Filled out v/"`�
Fee Paid difflif
Tvpeof Construction: BLDG 1 -REPAIR DAMAGED SILLS,PLATES,FLR JOIST, STUDS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 051547
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFJARMATION PRESENTED:
'r 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 Permit DPW Storm Water Management
Demolition Dela
Xe// -
,,/'
/-7/-c'. 4e: '
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.
• Version1.7 Commercial Building Permit May 15,2000 L
Departmentuse only F
City of Northampton Status of�Pe it x ',
Budding Department Curb Cuf/Dri eway:Perrntt 3 N
- � �- ftT ' 212 Main Street SewerlSepti•Availability
U l55
• �`9 Q -, Room 100 WaterlWefl • ailability
Northampton, MA 01060 Two Sets of'trueturar Pfans
APR 2 $ Zone 413-587-1240 Fax 413-587-1272 Plot/Site Plan
Other 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
This section to be completed by office
1.1 Property Address: B.)\\
)`� Map Lot 5-3 Unit
1 Zone Overlay District
l\)py t ,4 rnp`to►� inc
_ _NJ
----m. Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT , l 'V I ��}, 1
ci
2.1 Owner of Record:
Rue, flu _ a F ofr w Pn Dp o !R �__.. ._ . _ :
Name(Print) p Current Mailing Address:
Signature Telephone
2.2 Authorized Agent: •
{-7 A' —
Name Print kZ .C)t3i _� Current
RQIUC�-�'_ / 'r0 Maiim Address
�� I'1V 1_PNO 1�1aQ�/01152.t
Signature /r`—' ►' �� Telephone 4 13 53 )` 4 d '� 1
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building '-5--in-0-O-- ‘ (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 Grp( , "-
This Section For Official Use Only
Building Permit Number Date •
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
S. 4
a Version1.7 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 0 Demolition 0 Repairs 0 Additions 0 Accessory Building 0
Exterior Alteration ❑ Existing Ground Sign 0 New Signs 0 Roofing❑ Change of Use❑ Other 0
Brief Description Enter a brief description here.
_2> Of Proposed Work:
9rDfCsç _ .S.j_WS __.PiA-VCS F.l( .J ts4 S'hAs
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 0 1A I 0
A-4 0 A-5 0 _18 0
B Business ❑ 2A 0
E Educational 0 2B I ❑
F Factory ❑ F-1 0 F-2 ❑ 2C ❑
H High Hazard 0 3A ❑
I Institutional 0 I-1 0 1-2 ❑ 1-3 0 3B 0
M Mercantile 0 4 ❑
R Residential 0 R-1 ❑ R-2 ig R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B X
U Utility ❑ Specify
M Mixed Use ❑ Specify: 1
•
S Special Use ❑ Specify: I
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): ._.....__ ______. t Proposed Hazard Index 780 CMR 34): ___,_ _. _____________Ii
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1sI , 1
2nd F 6
.._..
3rd 3'd
4� -----�---- 7 4"' t.__
.
--.---_—_.J
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft -._. _________..____ ,
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private ❑ Zone , Outside Flood Zone❑ Municipal 0 On site disposal system❑
5.'
Version1.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front).c
Side L:_,^_... R:- L:_ R:'_ I
Rear I I I .
•
Building height
Bldg. Square Footage % ____
Open Space Footage
(Lot area minus bldg&paved I _„;
parkin_)
#of Parking Spaces -- - » _.........
Fill: ..__.__.__ __._.___.______ , . _.._._.___.__ �..._,
i
(volume&Location) :_ �
i
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued: _._-.
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book ' Pagei and/or Document# _
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW YES Q
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 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 0 NO
IF YES, describe size, type and location:
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 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW s required.
Version1.7 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
i
Name(Registrant): - _.____.....___
Registration Number
Address
Expiration Date
t _
Signature Telephone _.__.
9.2 Registered Professional Engineer(s):
i
Name Area of Responsibility.
Address Registration Number
Signature Telephone_._.___.. Expiration Date .m._..�.._.__.._______..__._._._~__
l _
,
Name Area of Responsibility
Address Registration Number
I
Signature Telephone Expiration Date
1
1
Name �~ �¢ _ Area of Responsibility
i3 r
Address Registration Number
1
Signature Telephone Expiration Date
Name Area of Responsibility
1
Address Registration Number
i` ..._-i l._._. . —_-._._..._._--.__.-_
Signature Telephone Expiration Date
- 9.3 General Contractor
RQkrt AttLtc ..`\ ____ Not Applicable ❑
Company Name:
• i
Responsible In Charge of Construction
Address W
o [ ti} P�1. _ 5 1
y1353t- 1
Signature Telephone
Versionl.7 Commercial Building Permit May15, 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
I. Sep Ail 1 AC('le_N (, "(\Ca_ __. .._.___ as Owner of the subject property
hereby authorize _... _....._...._.. __..... ._._._ to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, . 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 nger the pains and penalties of perjurDf. �_�_ t
Print Name
Signature of Owner/Agent Date
SECTION 12 -CONSTRUCTION SERVICES I
r10.1 Licensed Construction u rvisor: Not Applicable ❑
Name of License Holder. e-,r... A
i
�v.20 .."""._
License Number
Address
7 Lp,Kc Sit„ _ e_ ,DR, I of tR `nl A�'C Expiration Date
. IIt (L n t fV V ph /35 70?
Signature �141 Telephdne
SECTION 13 -WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
i 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.
L
Signed Affidavit Attached Yes {it No 0
- The Commonwealth of Massachusetts
Department of Industrial Accidents
0 Office of Investigations •
-
'71 600 Washington Street
Boston,tILI 02111 .
www.rnass gov/dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information - Please Print Legibly
Name (Bt:sines/Organiration/Individual): Rch r Arx
N \ -
Address: - dfl.E OR,
1 \ Ir r
City/State/Zip: N CA () ( Q i)c � Phone.#: �I 13 531 ` 42L I
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with '• 0 I am a general contractor and I
employees(full and/or part-time).*
have hired the sub-contractors 6. ❑New construction
2.�,I am a sole proprietor or partner- listed on the attached sheet 7. Q Remodelin
shin and have.no employees These sub-contractors have g• Q Demolition
worming for me in any capacity employees and have workers'
9- Q Building addition
comp.insurance.+
[No worlce�' cow-insurancerequired.] 5. Q We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or addi one
myself [No workers'coma- right of exemption per MGL 12.Q Roof repairs
insurance required.]t c- 152,§1(4), and we have no
employees.[No workers' •
13-0 Other ULAO Re A1r�S
comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy tnfaru>ation_
t Homeowners who submit this affidavit indicatinst they are doing all work and then hire outside contractors must submit a new affidavit indication surf+
Contractors 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-contactor have employers,they must provide their'workes'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 trader Section 25A of MGL c. 152 can lead to the imposition of c-iminal penalties of a
fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
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 der th pains penaith's of perjury that the information provided abo e is true and correct
/
Signature: , Date: / j� /0
Phone#. 4- 8 - -S•3 i e1 Fci ) -
Official use only. Do not write tit 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#:
River Run
Condominium
80 Damon Road • Northampton, MA
January 3,2008
City of Northampton
Building Commissioner
Inspections&Licenses
212 Main Street
Northampton, MA 01060
Dear Building Commissioner:
At the 2007 annual unit owners meeting of River Run Condominium Association the
residents approved funding an extensive capital improvement plan for the community. The
plan calls for common hallway work to be done in each of the eight buildings located at
80 Damon Road.
The hallway work encompasses new secure entry doors, painting and carpeting,
replacement of the existing intercom and the installation of an air filtering system.
Unexpectedly, during the recent renovations, a number of obstacles were uncovered. The
domestic drain system appears in need of some repair which consequently caused some
structural damage, such as sill plates,top plates and the occasional stud or rafter.
The Board of Trustees has hired an independent, licensed professional to repair the
plumbing and apply for any necessary plumbing permit(s).
Any necessary structural work is being done by a licensed contractor on River Run
Condominium's staff. On Monday, January 7, 2008 our licensed contractor will be
applying for two permits for work to be done in Buildings 2 and 3. In anticipation of your
approval,thank you.
Sincerely,
Mary Jane Gaumond
On behalf of the River Run Condominium Board of Trustees
Classic Management • 100 Maybrook Road • Holland,MA 01521-2025
Phone: 413-245-7100 • Fax:413-245-4266