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32C-165 (53)
BP-2023-1374 125 PLEASANT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-165-001 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-2023-1374 PERMISSION IS HEREBY GRANTED TO: Project# FIRE SUPPRESSION 2023 Contractor: License: Est. Cost: 4200 KARL MENARD 6066 Const.Class: Exp.Date: 03/29/2025 Use Group: Owner: HARMONIC ROCK REALTY LLC Lot Size (sq.ft.) Zoning: CB Applicant: FIRE CONTROL SYSTEMS INC Applicant Address Phone: Insurance: 96A MAINLINE DR WCC50050251732022 WESTFIELD, MA 01085 ISSUED ON: 10/04/2023 TO PERFORM THE FOLLOWING WORK: FIRE SUPPERSSION SYSTEM 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: �y kav,, • • Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED The Commonwealth of Mas .ch setts 4 2023 Office of Public Safety and Insp: .0 0 CT Massachusetts State Building Code :i CM Building Permit Application for any Building other than a •ne- utPT.OF GUILDIn ,1 (This Section For Official Use Onl ) NORTHAMPTON.MA O�UbU Building Permit Number: a3' 137 V1 Date Applied: Building Official: wir SECTION 1:LOCATION No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering P er eview required? Yes ❑ No Pi Brief Description of Proposed W rk f? LJ H.t l CAS A ,,'t S'v �GSSapt Jri+t i rt Gtl;c° Ttr 4aic SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 D A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ❑ E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 11-2❑ H-3 0 11-4❑ H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-1❑ R-2 Cl R-3 0 R-4 0 S: Storage S-1 0 S-2❑ U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IBD IIA ❑ IIB0 IIlA0 IlIB0 1V 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information Sewage Disposal: Trench Permit: Debris Removal: Public CICheck if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system❑ required 0 or trench or specify: pennit is enclosed❑ Railroad right-of-way: Hazards to Mr Navigation: MA Historic Commission Review Process: 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❑ No 0 SECTION 8: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 �� Zer�utctk 0.l Ck /2!/- f feAlaos "sT /l4r-ViltUVAPT 17/Dll0 Ll Name(Print) No.and Street City/Town Zi p Property Owner Contact Information f�/3 3y/ _ Joe( 03 -'f '/- [v7t 2 . crow ak 0vttlf-r.&Syrdy,-c.a•+4 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property ownefs behalf,in all matters relative to work authorized by this building permit 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 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor ,7/? acvi 4st, A c- Company Name Alt ri /Ylemard 6701m69 Name of Person Responsible for Construction License No. and Type if Applicable 964 Mitishe Pc- It/es /o/ /10 D/orse- Street Address Ci/Town State Zip 5//.1 „7 Z /003 o/3 !lam- 4/025" pA//rire Co.ih f na J 441.Eds1 Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§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 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building • $ Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)=$ . 3.Plumbing $ IAA 03 4.Mechanical (HVAC) $ Note:Minimum fee=$!WI (contact municipality) 5.Mechanical (Other) $ (add, Enclose check payable to 6.Total Cost $ (contact municipality)and write check number here 1)33 SECTION 13: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 application is true and accur to best f my knowledge and understanding. //�i�i v �d jewel A9,- VC —ea._wiz_ A603 9 Please print and 5tgn name Title Telephone No. Date fpF 4.6. t it ", ,7n G./ 4'..e/e/ itl lc 6108i-- ph/�'irrcartoi jpa.,' cam, Street Address City/Town State Zip Email Address 1 Municipal Inspector to fill out this section upon application approval: ,fe 'Pr I r I I I� 7 Name The Commonwealth of Massachusetts t' _ At, Department of Industrial Accidents 7.1;4"\1/4., I Congress Street,Suite 100 Boston. MA 02114-2017 w►sti+.mnss.gnv/dice Workers't'ompensatioa kianrance Affidavit: !builder iJ('ontrrctur*/LEeetricians/Plurnbers. TO Rl!FILED WITH I HI.PI.RVt1 rl°UNG Atrra()RI t'. Antillean*Information / f Please Print Lr2ibh Name fans anca,-()r anii4 u on Ini!iyi luaall. ,c�e Celt 7Y°'I �S./K3 , /AG.,... w ,. Address:_ Yk..4 j1c /. .. l�-tt L_.__.2) . _ _....._._...� ... - CityiStatelZip: 44/esi •L�/e i A4 avv Phone#: Vil),,,7'2- &O.3 Maros ss a sptayert Cheri Ow s.rointpriat,No.: l ti pe or project(required): 14541 am a..•nq,kw1x w,th ,,tangiia er tM1111 aad-ua pars time t• ,,taw 7. D tire.run.trueKiun 2 )I arts a wte l r iiywxewt et pa 1idahiptall hat na taapiuyeti u ut ing for mrt a S. Re:MI s:l in i..Jany captro (Nu w.rh 'crosp.111.IYOt aspitsd.1 301 am a Itostamwnet&nag all wttateryself.Pktnoelm `s comp itawrancr r t.�tsrrra ' 9• Demolition I ant a tt,titaaaw na and will he b thl*txmtr mlimt to o.*trltut all*ark ern taw pia attt^tty I w ill i°p Building addition eltsttn;that ail chit 'ten`,either haw wntkrrs'ocienpe nation atsiaratue Of WV.,de 11.0 Electrical repairs or additions prvpnewits with al aartpiuyees I2.0 Plumbing repairs or additions ate` i I ant a yet� aral tillata at ar and I he bard Owtub-imateaa:turt.listacd Oft the*nailed 4a:ei t_J Thaw wt+•+ tit hatc e'tnpkryCc+NIAhow warker;'corral ticsuratwe I d IRt*f repairs a. Wd ant a etlt#ttn hen and to taer ha k . y a et t-xnl their right of cxarnpizun pet lt e(;I. . 1 4 aa..®..aa 152,.1(4aer Ise hoot so fap4ncrz.l,'nowvrkers'o:oittp aastavrrereyuurd 'An!,appluaat that chacka Not r"I most attu till oat ttb*action his kaw Ow*ins their Atifliewi•.e.ntpensaouar policy ilgOf»1M. ' tiismw,.nen.Atli)suhmit the:ant.la\it nwheattalyt eyatedaxng ail work anti diet',hate iuttuJe.amino:ttaaelao sabot*S Watllilviriaiiaillik$such (.nttraetun riot cheek this hvx must anailicif an etdifitr:ea sheet sham me the Haute et the suw,tivitia.t,Ya madame*Ulm ant those wait*ha.c et uvera_ it tlit sub-ewatrastor,txt:r rritpk.)cea.they aura rite.ask thou w,tket-. r.=anp tv.ltct number. I tat an employe deft ii providing worltrs°compensation insurance for my employees. Below is the polies and job site information. Insurance Company Name: . ; G l�,, �__SAd.P i _belie paltry x or Stilt-ins.Lie.# Gdee.5_iyr/p /7326 4 Expiration Date: (AAg12.9e Job Site Address; I2S /7.e-I 5%_�� w� City/StaIeiZip 0,4646infibet4j414. 0f0/.00 Attach a copy of the workers'carom-station policy declaration page(showing the polies number and eipiration date). Failure to secure coverage as required under VIGL c. 152. *25A is a criminal violation punishable by a line up to S1.500.00 and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the+iulator.A copy Of this.statement may be forwarded to the Ot)iee• l lin estii.tationaofthle DIA for insutanae coverage veritication I do hereby reef' , niter pains d penalties of perjury that the information provided oho •e is true and correct. 2� 1 Signature. � - �� Date._ 9 Phone#: yr3) .c22- /44 Official ore Only. Do not write in this area.to be completed by city or town official City or Town: Permit:License Issuing:Authuril%(circle one): I. Board or Health 2.Building Department 3.City/Town(lerk 4. Electrical Inspector 5.Plumbing Inspector R 6.Other y ('outset Person: Phone> : City of Northampton PY H�-M S+o- elE oy,7,` .5�^. � .SI i j,�'.> ,zn. Massachusetts �4; 1 -A tc DEPARTMENT OF BUILDING INSPECTIONS ;� ,�Y 212 Main Street • Municipal Building ,)/ �b .,4 Northampton, MA 01060 JS''yY ','\,�, CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: �/4 // ip/,1_, a (,405,��c" mA The debris will be transported by: Name of Hauler: amino nt,,D4 sYs,4(44�' Signature of Applicant: - s�„,.--r� Date: / 3A� 10' Exhaust Hood 10"x30" Exhaust Duct 0 0 ^� ® O O O A TANK AND CONTROL HEAD O 0 ® O 0- GRIDDLE Fryer Fryer Fryer Fryer HANDPULL OD DETECTOR/FUSIBLE LINK ©GRW SYSTEM NOZZLE - P/N 87-120013-001 ®ADP SYSTEM NOZZLE - P/N 87-120011-001 ® RANGE SYSTEM NOZZLE - P/N 87-120014-001 FRYER SYSTEM NOZZLE - P/N 87-120012-001 NOTES:ALL FUEL GAS OR ELECTRIC WILL SHUT DOWN WITH SYSTEM DISCHARGE. IF ANY FIELD CONDITIONS NECESSITATE A SUBSTANTIAL CHANGE FROM THE APPROVED PLAN, AS INSTALLED PLANS A MANUAL PULL STATION IS TO BE LOCATED NEAR AN EXIT IN THE PATH OF SHALL BE SUBMITTED TO THE AUTHORITY HAVING JURISDICTION. EGRESS FROM THE HAZARD NO MORE THAN 48"ABOVE THE FLOOR.ALL GREASE PRODUCING APPLIANCES WILL HAVE NOZZLE COVERAGE. Union Station THE SYSTEM WILL BE INSTALLED TO MEET UL 300,NFPA 17A AND 125 PleaseInt St, Northampton MA DATE: DRAWN BY THE KIDDE INSTALLATION MANUAL ULEX3559 PART NUMBER 87-122000-001. 9/20/23 Kidde WHDR-400 PD THE THE FIE ALARM SYSTEM, IF PROVIDED,IIN ACCORDANCE WITH BTHE REQUIREMENTS OFNFPA 2,SO T AT THE FIRE CONTROL SYSTEMS, INC. ACTUATION OF THE EXTINGUISHING SYSTEM WILL SOUND THE FIRE ALARM AS WELL 96A MAINLINE DRIVE, WESTFIELD. MA 01085 AS PROVIDE THE FUNCTION OF THE EXTINGUISHING SYSTEM. MACR 232 CT F3-40431