18D-053 (24) BP-2008-0841
GIS#: COMMONWEALTH F MASSACHUSETTS
CITY OF NO THAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A)
Category: BUILDI G PERMIT
Permit# BP-2008-0841
Project# JS-2008-001285
Est. Cost: $5000.00
Fee: $50.00 PERMISSION IS HEREBY G '4 'NTED TO:
Const. Class: Contractor: Licens•:
Use Group: ROBERT ARDIZZONI 05154r
Lot Size(sq. ft.): Owner: RIVER RUN CONDO ASSOC
Zoning:GI Applicant: ROBERT ARDIZZONI
AT: 80 DAMON RD - BLDG 8
Applicant Address: Phone: Insurance:
7 LAKESHORE DR 413 531-48' 1 WC
HOLLANDMA01521 ISSUED ON:4/3/2008 0:00:00
TO PERFORM THE FOLLOWING WORK:BLDG 8 REPAI DAMAGED SILLS,PLATES,
FLOORJOIST, 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 4/3/2008 0:00:00 $50.002444
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2008-0841
APPLICANT/CONTACT PERSON ROBERT ARDIZZONI
ADDRESS/PHONE 7 LAKESHORE DR HOLLAND (413)531-4841
PROPERTY LOCATION 80 DAMON RD-BLDG 8
MAP 18D PARCEL 053 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ���!/, 3)
Fee Paid 9
Typeof Construction: BLDG 8 REPAIR DAMAGED SILLS,PLATES,FLOORJOIST.STUDS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 051547
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO$�OfATION PRESENTED:
pproved 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 hoard of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
io/1
i'
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to compl with all zoning
requirements and obtain all required permits from Board of Health,Conservati n Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MG 40A.Contact Office of
Planning&Development for more information.
%-. Versionl.7 Commercial Building,Permit May IS 2000 •
� � `
�"� x Department use only
.--`` � c�' City of Northampton �� � stus o �eFn�t
�' Building Department Curti Cut/Dn ewa y Permtt
,� Y�� �` ` 212 Main Street S eptICAvailabrttty
k ; Room 100 �A3 3 a eer eA itabt6tyi•
�, -,,•'North mpton, MA 01060 Two Sets orStruccurat Plans
,.. ' '.' '': : - -
..�tbm,41 '' ''-,4.1-3'587-1240 Fax 413-587:1272 i�loUS)'te F tans
pE Other-Specifq
IAPPLICATIQN TO CONS ' h,T,'REP 1 R, RENOVATE,CHANGE THE USEOR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
THER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
I\
1.1 Prooert}�y Address: p Map This section to be completed by office
VO D Am1 o w� O Lot Unit
n \Q� k
Pt�polc Zone Overlay District
1 N . _ _ .L1 `..1....- ___ _ Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Nu. C00 ,nuM
DA MOI\J''' —Rc),....m."7".:::i",,,..,_
Name(Print) •(� C`� � ��ZZD`�• Current Mailing Address:
Wort lamp G
Signature Telephone
2.2 Authorized Agent:
L �Kc tines.(:
Rabc A �r� .____.__. _.._. . ___:
Name(Pant) r tZ"ZG T��
Current Mailin Address
SignatureOlt? C N s QS a. ....._.. ..... ........_.`.
Telephone 413 5 3 I` y?-(1
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com Ieted by permit applicant
1. Building (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 x77 -1 0(jU,'-
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 FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions 0 Accessory Building El
Exterior Alteration 0 Existing Ground Sign 0 New Signs❑ Roofing 0 Change of Use Other 0
Brief Description Enter a brief d ___._..... .... �., _ w___._ .,___.�__ _._.. .. .. __�
description here. U I t N
Of Proposed Work:
RTAkR D.P\M.M. .tn.Q.' _ 5I11_s __.Pia c>. _--lc .. c is ;._s Qs
SECTION 5-USE GROUP AND CONSTRUCTION TYPE /
USE GROUP(Check as applicable) CONSTRUCTION,TYPE
A Assembly ❑ A-1 0 A-2 0 A-3 0 1A 1 0
A-4 0 A-5 0 _1B 0
B Business 0 2A 0
E Educational 0 2B I 0
F Factory 0 F-1 ❑ F-2 0 2C ❑
H High Hazard 0 3A 0
I Institutional 0 1-1 ❑ 1-2 0 1-3 0 36 0
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 El R-3 ❑ 5A 0
S Storage 0 S-1 El S-2 0 5B X
U Utility ❑ Specify __.____.._,.._..._, _
M Mixed Use ❑ Specify:
S Special Use ❑ Specify: .._. 1
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: I_, _ w___ ______ .:• Proposed Use Group: #
..,, _.. _ . J
Existing Hazard Index 780 CMR 34): „__ .__,...___._.____, .___` Proposed Hazard Index 780 CMR 34): ,_;___._ ___.___s
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
.. .
1
15
'
....._...._ .._...._..._, ._._..,,.._.._._..._., nd .._....._. y
2"° 2 __...1
•
3ro _.. i 3rd
__ _ 4u, +
—
4tn _ _ __._w _ _ --_.......__._.
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft , __.__ _____ 3
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public El Private 0 Zone , Outside Flood Zone❑ Municipal 0 On site disposal system❑
,
V
Version1.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size .___ _ _._.__.._._..._.___
Frontage
Setbacks Front _
Side L: R:l '__ L:,. R: __ _ ;).c . ___,./ I _
}
R
I
Rear
t ,
•
Building fioight .... .
Bldg. Square Footage % 7---
Open Space Footage %
I r ! ,
(Lot area minus bldg&paved m I
parking)
-
#of Parking Spaces
Fill: �— _- ,.._- _..... _...._
(volume&Location) ___ I
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW 0 YES Q
IF YES: enter Book '. Pager i and/or Document#' __
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW a YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained l Obtained Q , Date Issued: __...
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and location: 3
D. Are there any proposed changes to or additions of signs intended for t - property? YES 0 NO 2
IF YES, describe size, type and location: i
I
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 Q NO cii
IF YES, then a Northampton Storm Water Management Permit from the DPW s required.
1
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 0
Name(Registrant): _., .... ..-.-:
Registration Number ____.__--._
Address _... _
---- ____...____
Expiration Date
_
Signature Telephone
9.2 Registered Professional Engineer(s):
Name • Area of Responsibility
Address Registration Number
i
Signature Telephone Expiration Date
Name Area of Responsibility
Address _ __Registration Number ,__
Signature Telephone Expiration Date
i
Name _ .__.. __. _ �_ - _ ___ Area of Responsibility
I !
Address Registration Number
e .
Signature Telephone Expiration Date •
i
Name Area of Responiibihty
__
AddressRegistration Number
Signature Telephone Expiration Date
- 9.3 GenerallCCo(ntractor ,`,.Q✓4� -- ���J► zQN \ Not Applicable 0
Company Name:
••
Responsible In Charge of Construction
. .. . . . ........_,..... _�.._,1' 1 i'1 Ol
Address 7
�� S Nuns. b C'\�Pi tit .__._ .
L13., 3 - 1
Signature r-js----"--"-s.s
Telephone
' Version l.7 Commercial Bub|dingPcnndMuy\5.2O00
'
SECTION 1n'STRUCTURAL PEER REVIEW<7uooMR11n.11>
Independent Structural Engineering Structural Peer Review Required Yes 0 No ��
SscnOm11 'Om/msRAVTHOgum.T|ON'TOosCDKxPLETsDVx*EN --
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
/AFtC.yl�� -_____- -_� _.aa Owner of the subject property
herebyauthohze ____� - --___-_ Az
act onmybehalf, in all matters relative to work authorized by this building permxappl
| �
Signature ov Owner Date
as Owner/Authorized
Agent declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed der the
' pains na u
Print Name
�� / - F- ---- -- —
6'V
Signature o/Owner/Agent ` Date
SECTION 12'CONSTRUCTION SERVICES
' 10.1 LirennedConstrucd ' Not Applicable []
Name v,License*n/uer:'-_- KODC _ J�r^n\[��[� �� ` � �-------------------' -----�
--^ ^ ~'-��---~--'v--------- ------- -- - --- - ' -- --
License------- -- r- [J=�-- ----
' ----'-------- -----------------------------------_.-� L__ -��«� �"�-/-�___-_---__--�
| AddressU ~\
-7 ) n �� {- �| � Expiration Date
! / �� �� `�
! ' ' -- '�� v- // /�l� / /-�C�
/ � y `�^� / \-��,
i 3soT��`- ON AFFIDAVIT m.. `^+muun�mu uo mo�n �rFuzAVIT(uo.G.Ln.152,W2aC(6))
Workers Compensation Insurance affidavit must bo completed and submitted with this application. Failure to provide this affidavit will result
� io the denial of the issuance cf the buildingperm�
h
� Signed Affidav4uached Yes 441' No 0
/
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
a, .'..,7J
600 Washington Street
Boston,2114 02111 .
www.mass gov/dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers
ADnlicant Information Please Print Legibly
Name (Business/Organization/Indivici»al): Kier- A ra 1 ZZc N \ ,
Address: 4f1E 0 Z,
City/State/Zip: H a1\i l' ►i:\ 0 15,11 Phone.#: Li 13 531 ` 4 vi I
Are you an employer?Check the appropriate box: Type of project(required):
1.Q I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).*
have hired the sub-contractors 6. Q New construction
2. I am a sole proprietor or partner- listed on the attached ah-et 7. El Remodeling
shin and have.no employees These sub-contractors have. g_ D D enoliuon
working for me in any capacity. employees and have workers'
[No workers' comp.insurance comp.insurance.: 9. Q Building addition
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their
3.❑ I am a homeowner doing all work1 I.❑Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no r i yy��
employees.[No workers' 13.0 Other 1r�A`1 KCp
A 1 r�S
comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must su'orrut a new affidavit indicating such.
'Contractors that check this box must attached an additional sheet showing the name of the sub-contractor and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their'workers'comp.policy number.
Jam 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 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 S250.00 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 penahiPs of perjury that the information provided abo e is true and correct.
Blom tuure: F � Date: / // /0?
Phone#:
4. 13 _ -5.31 -c/F',-11
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License T
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,
isfpf
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