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18D-053 (26)
11.111111111111.11111111 BP-2008-0626 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:Non structural interior renovations BUILDING P E RM I T Permit# BP-2008-0626 Project# JS-2008-000865 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 - BLDG 2, 3, 4 Applicant Address: Phone: In 8 iiran cc: 7 LAKESHORE DR (413) 531-4841 _ ` '(' HOLLANDMA01521 ISSUED ON:1/11/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:BLDG #2 - REPAIR DAMAGED SILLS, PLATES, FLR JOISTS 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 NORTHA PTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu•anc Si_nature: FeeType: Date Paid: Amount: Building 1/11/2008 0:00:00 $50.002320 212 Main Street,Phone(413)587-1240,Fax: (413) '87-1272 Building Commissioner-Anthony Patillo File#BP-2008-0626 APPLICANT/CONTACT PERSON ROBERT ARDIZZONI ADDRESS/PHONE 7 LAKESHORE DR HOLLAND (413)531-4841 PROPERTY LOCATION 80 DAMON RD-BLDG 2,3,4 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 a✓�� D Fee Paid Typeof Construction: BLDG#2-REPAIR DAMAGED SILLS,PLATES,FLR JOISTS 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 F LLOWING 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 Permit DPW Storm Water Management Demolition Delay i fr /p4Xe re Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to com ly with all zoning requirements and obtain all required permits from Board of Health,Conservat on Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of M L 40A. Contact Offic of Planning&Development for more information. • Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans 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 , . ,..ci. . .. S100,A1 Map Unit A ` ' n - � � � i Ql Ci ©� 1�-1 a Zone v Ha ;strict p ._ ----,1 Elm St.District r CB l strict , SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ` ��QN — 9 20 _ a 2.1 Owner of Record: L-- h�l'trl IC�YS Kivu Ruth o ...._. of rf\- k)(‘) . .. _._ _AroW- R ___._..__..._ __ _ _v Name(Print) a a nQ.10 Current Mailing Address: cA J, A. Jor impc0 . A . . �J"�''� _ Signature / . V Telephone 2.2 Authorized Agent: Name(Print) R6De r0 tiZ2.G s3) Current Mailing Address i-\o'\ f;Nr 61-A (�o1s 2.1 Signature I Telephone 4 13 5� 1- 4 b`t ' SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com leted by permit applicant 1. Building i000 (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 ��a 1-60"-- This Section For Official,Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date H 1 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 ❑ Demolition 0 Repairs❑ Additions ❑ Accessory Building 0 Exterior Alteration ❑ Existing Ground Sign❑ New Signs 0 Roofing 0 Change of Use❑ Other 0 Brief Description Enter a brief description here. �> Of Proposed Work: R YR _ A . Q. S_,JIs -Pig' 7,, Flc g.JN,, stuc�s SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 0 A-3 0 1A 0 A-4 0 A-5 0 _1 B 0 B Business ❑ 2A 0 E Educational 0 2B I 0 F Factory 0 F-1 ❑ F-2 0 2C 0 H High Hazard 0 3A ❑ I Institutional ❑ I-1 ❑ I-2 0 1-3 ❑ 3B 0 M Mercantile ❑ 4 0 R Residential ❑ R-1 0 R-2 RI R-3 0 5A I 0 S Storage ❑ S-1 ❑ S-2 0 5B U Utility ❑ Specify .., M Mixed Use 0Specify: ______ S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: ___..m 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) 1s� 1 sr _._,_.._.......�...._....---_ 2^d _1 __...,....w.._.._.,._..-........�.... 3rd 3rd .__ .j 4th 4�' 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 El Zone Outside Flood Zone Municipal El On site disposal system Version1.7 Commercial Building Permit May 15,2000 3. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size ' I I Frontage Setbacks Front ).c Side L. R:' L: R: __ i Rear Building sleight Bldg. Square Footage € � `—"' % — Open Space Footage % (Lot area minus bldg&paved t parking) #of Parking Spaces w.. . Fill: _ _ _l (volume&Location) ____ ( • A. Has a Special Permit/Variance/Finding ever been issued for/on th. 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 YES 0 IF YES: enter Book Page and/or Document#' B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW a YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained0 Obtained , Date Issued: ' ; C. Do any signs exist on the property? YES 0 NO e IF YES, describe size, type and location: i _.,._. D. Are there any proposed changes to or additions of signs intended for th property? YES 0 NO 2 IF YES, describe size, type and location: 1 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 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 • Name(Registrant): • -- e9 R istration Number _.._.___,_ Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility. ..._.... w.».__-.a__._,.._._._... �.._.._._.. . i Address Registration Number i Signature Telephone Expiration Date _..i Name Area of Responsibility Address Re istration Number • Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number • i Signature Telephone Expiration Date • __.._.....a,_.._..._. Name Area of Responsibility .. ..._.. .. . ..,_ ____ - 2,.,...- —. .._. Address Registration Number Signature Telephone Expiration Date - 9.3 General Contractor , _, _ � Not Applicable 0 Company Name: Responsible In Charge of Construction • Address -7 qK,C J t.\0 s, -61L--. .110',11\1 .1 ' lJ` O:1 4.11: ' 1 Signature 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 1, Sef n fiGE N (, .-rl(a, 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, --„--- f ,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 nder the pains and penalties ofp.enyy. Lir , . . ........._ . . Print Name Signature — Signature of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES ( 10.1 Licensed Construction u rvisor: - Not Applicable El ....._. , Name of License Holder:L.__ Cr 112c) )1. ,_._ . .. ......._ License Number i. . ,„...._ . _ Address _7 Expiration Date LA\(c_ sltyte_ Dif 11014.6. „ m„Ass• , ..,„1, i (1r1 . fi (35 70?1 Signature / Teleph ne _ 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 it No 0 • The Commonwealth of Massachusetts y ' Department of Industrial Accidents = . ,E . Office of Investigationsc0;4' 600 Washington Street Boston,11LA 02111 1 r i www.massgov/dia -Workers' Compensation Insurance Affidavit: BuiIders/Contractors4Elect ' ts/PIumbers Applicant Information - 1-L---Please Print Legibly Name (Business/Organization/Individual): R(r rc ) c N) \ , Address: a .4(Z_C OR, City/State/Zip: 6\,IN1 mfk c�Q � 1 Phone.#: Li 13 531 ` L2-1 I Type of project(required): ' Are you an employer?Check the appropriate box: 1.❑ I am a employer with ?• ❑ 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. ❑Remodeling shin and have.no P loyees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp.insurance comp-insurance. required] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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 p y� employees. [No workers' 13.0 Other t�A`' KCr A ri S comp.insurance required_] r 'Any applicant that checks box#1 must also fiB out the secon below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicatias they are doing all work and then hire outside contractors must submit a new affidavit indicting such. `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 Noyes. If the sub-contractor have employees,they mast provide their'workers'camp.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 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 imnrsonment, 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 coveragt verification. I do hereby certify der th pains penalties of perjury that the information provided abo e is true and correct. ,Signature: Date: j 1I lO — Phone#: L )3 K-31 .-4-iFq ). ._ 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, f(pf 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