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24B-086 (11) 26 CARLON DR BP-2005-1274 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24B-086 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1274 Project# JS-2005-1702 Est. Cost: $4200.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WALL-PRO DRYWALL 038878 Lot Size(sq.ft.): Owner: CITY OF NORTHAMPTON Zoning: HB Applicant: WALL-PRO DRYWALL AT: 26 CARLON DR Applicant Address: Phone: Insurance: 115 CHESTERFIELD RD (413) 296-4352 WC WILLIAMSBURGMA01096 ISSUED ON:6/22/05 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT PARTITION WALL IN LOFT AREA (1 HR RATING) 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 6/22/05 0:00:00 $0.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File#BP-2005-1274 APPLICANT/CONTACT PERSON WALL-PRO DRYWALL ADDRESS/PHONE 115 CHESTERFIELD RD WILLIAMSBURG (413)296-4352 PROPERTY LOCATION 26 CARLON DR MAP 24B PARCEL 086 001 ZONE HB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out "1 Fee Paid a Typeof Construction: CONSTRUC PARTITION WALL IN LOFT AREA(1 HR RATING) New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 038878 3 sets of Plans/Plot Plan THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co n 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. Versionl.7 Commercial Buildin&Permit May 15,2000 Department use only City of Northampton Status of Permit: �n Building Department Curb Cut/Driveway Permit 1 E l5 V L�r 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability 'Northampton, MA 01060 Two Sets of Structural Plans JUN 2 0 2 one4-3-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify AP'LICATION`TC CONSAUCT, 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: S pee"j4771-(°1' Map Lot Unit N" � cb`z�� Zone Overlay District y f pc Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �- f7 71JQ72Z /2 7 7,a,(",�.� A A-1 Name(Print)/ Current Mailing Address: e Signature Telephone 2.2 Authorized Ayen '7r J4c.6 b? Name(Print) Current Mailing Address: Signature it/ / WI 1 �LGZ(_J Telephone SECTION 3-ESTIMATED ONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building ��� � (a)Building Permit Fee ,<-//1 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) $0.00 Check Number 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 Existing Wall Signs ❑ Demolition❑ Repairs 0 Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing El Change of Use❑ Other ❑ Brief Description Enter a brief description here. _- (✓v~e'/)n-e'd' '?' Of Proposed Work: e� l-d, L,�}-t k\ Sr i�LSL� I h� � SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 El A-2 ❑ A-3 El1A I ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B 0 M Mercantile ❑ 4 ❑ R Residential ❑ R-1 El R-2 ❑ R-3 0 5A ❑ S Storage ❑ S-1 El S-2 ❑ 5B I ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: -B 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) r, 1st 0' 1st _5 C2.Cr?.�" 0 2nd 2nd 0 rd 3rd 0 3 :'0' 4m " 4 n , th 0 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 ❑ Private El Zone 0 Outside Flood Zone❑ Municipal ❑ On site disposal system Version!.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: !V/1-• Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 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 ` — + Cu P r`'1 L( Not Applicable ❑ Company Name: J, c K G,e Responsible In Charge of Construction c)k ck C l e51-Pi (Nt 4 Address Signature Telephone 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 i Setbacks Front IIIII Side L: R: L: R:� . Rear Building Height Bldg. Square Footage °/o Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW O YES 0 IF YES: enter Book EMI Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES (7) 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 Q IF YES, describe size, type and location: Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i, �(p r Ix ( 2t, , as Owner of the subject property hereby authorize (,)L,f�� it �() — u/ . LIa!i;, 2_ to act on my behal 'n all matters relative to work authorizepf by this building permit application. Signature of a er Date I, //� as Owner/Authorized Agent hereby de are that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the //pain d penalties r�/of perjury. { / 7 Print Name 6. O —Oa' Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: / bl 7 Not Applicable D Name of License Holder: J K 006et1--1 ^ lti 1 y P" -��/►I'Yu tl/ 43 <J [g License Number 1(5 00 CL --4r GO? Q (A/ (( I1614S L'' ibt,q OM 9^3(— DO Address Expiration Date 41P3- c t&3 5`2 Signatu 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 0 No 0 r Co Q \tc WC-TOO 6. 2-750 0