32C-067 2 CONZ ST-UNIT 46& 50 BP-2007-0209
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-067 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0209
Project# JS-2007-000312
Est. Cost: $500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: M DONALD B MINER 064898
Lot Size(sq. ft.): 30666.24 Owner: MAPLEWOOD SHOPS INC
CD .4nnlica,at: DONALD B MINER
AT: 2 CONZ ST - UNIT 46 & 50
Applicant Address: Phone: Insurance:
384 TOKENEKE RD (413) 364-2919
HOLYOKEMA01040 ISSUED ON:8/23/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE NON BEARING WALL SEPARATING
UNITS 46 & 50
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:
Rou
Rough - 0 -� g h; //d/ i ""i House# Foundation:
re i Driveway Final:
Final: i`a„04, 4)LA?1-eFinal:
Pf` db .,/ Rough Frame:
Gas: Fire Department Fireplace/Chimney:
. ...
1lOUgll: `. ••
atiow
Final: Smoke: Final: o 1,K at 11 - O 6 --k2i,
THIS PERMIT MAY BE REVOKED BY THE Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULAT N
Certificate of Occu anc Si nature:
FeeType: Date Paid: Amount:
Building 8/23/2006 0:00:00 $50.001370
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2007-0209
APPLICANT/CONTACT PERSON DONALD B MINER
ADDRESS/PHONE 384 TOKENEKE RD HOLYOKE (413)364-2919
PROPERTY LOCATION 2 CONZ ST-UNIT 46&50
MAP 32C PARCEL 067 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 1370 15-6 —
Typeof Construction: REMOVE NON BEARING WALL SEPARATING UNITS 46&50
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 064898
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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 fro Elm Street Co ion
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
000#00:4ii*only
City of Northampton
Building Department Pi*b'CWIN*4"4Y.Tqrfnit
212 Main Street _ •••'••••••••
Room 100 woorwettAttoilabitity_
Northampton, MA 01060 T*tets of Structural Pions
phone 413-587-1240 Fax 413-587-1272 iPiiit4itite Pions
• •
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 -BRE INFORMATK)N "r
1.1 Prooertv Address: This section to be completed by office
2 Conz Street Suite 50 , ("; Map Lot Unit
Northampton, MA. 01060
Zone Overlay District . .
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 ner of :
Name *rit) Current Mair dress:
VYN(ttaClit6 „
Signature Telephone qt
2.2 Authorized Aaen
Name(Print) Current Mailing Address:
M1..6 5R.q...R.1.1.w
Signature \MIAIA,A—Q?elf-1 Telephone
.
SECTION 3-ESTIMATEDOONSTRUCTIO COSTS:::'••
Item Estimated Cost(Dollars)to be ;;••• Official Use Only
completed by permit applicant H
1. Building $500.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
ConstructiOnfrom(6)
3. Plumbing -'13111.1ding Permit Fee
4. Mechanical(HVAC)
.... .....................
5. Fire Protection
6. Total=(1 +2+3+4+5) 1 Cheok Number ): 17 if,
This Section For Official Use Only
Building Permit Number Date
Signature:
Building.Commissioner/Inspector-of Buildings Date
•
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 0 Existing Wall Signs 0 Demolition 0 Repairs❑ Additions 0 Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs 0 Roofing 0 Change of Use❑ Other 0
Brief Description Remove non bearing partition wall separating units 46&50.
Of Proposed Work:
SECTION b-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 0 A-2 ElA-3 El1 A I 0
A-4 0 A-5 0 1 B 0
B Business 0 2A 0
E Educational ❑ 2B I 0
F Factory 0 F-1 0 F-2 0 2C 0
H High Hazard 0 3A 0
I Institutional 0 1-1 0 1-2 ❑ 1-3 0 3B ❑
M Mercantile 0 4 0
R Residential 0 R-1 ❑ R-2 0 R-3 0 5A 0
S Storage 0 s-i 0 S-2 0 5B 0
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: :Group M Proposed Use Group: Group M
Existing Hazard Index 780 CMR 34): IProposed 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)
1 N.,.:...-. 1
2"° 2nd
3rd
3b;
m ' 4th
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
:
Total Height ft 1
i
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑✓ Private ❑ Zone Outside Flood ZoneD Municipal ❑✓ On site disposal system
Versionl.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
{ s
Frontage 3 •
Setbacks Front •
Side L'1 E R` L' R: x..,,,," w""..,....
Rear .,.,....,....,.:
Building Height
Bldg. Square Footage % """'" •
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 Q DONT KNOW e YES
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 Page: and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location: 18"x 4'over front entrance of unit 46
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0
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 Q NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
•
Versionl.7 Commercial Building Permit May 15,2000 •
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES FOR BUILDINGS.AND STRUCTURES SUBJECT TO
_CONSTRUCTION CONTROL PURSIJANTTO TSOCMR 1'18 (CONTAINING MORE THAN 35,000 CcF (OF ENCLOSED:SPACE)
9.1 Registered Architect:
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
Not Applicable D
Company Name:
Responsible In Charge of Construction
Address
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
I. as Owner of the subject property
--- „
hereby authorize ito
act on my behalf, in all matters relative to work authorized by this building permit application.
.„,
Signature of Owner Date
,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 under the pains and penalties of pet-pry. •
. ................ .......
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder: Donald B. Miner CS 064898
license Number
384 Tokeneke Road Holyoke,MA 01040 a 107/08/2008
Expiration Date
Addre7016
(413)364-2919
Signature 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
Donald B, Miner
384 Tokeneke Road
Holyoke, Ma. 01040
MA Construction Supervisor CS 064898
August 20, 2006
City of Northampton, MA.
Building Department
212 Main Street
Room 100
Northampton, MA 01060
To Whom It May Concern:
As required in your Commercial Building Permit I am issuing you this Workers'
Compensation Insurance Affidavit as required under M.G.L c. 152.§25C(6). I attest that I
currently have no employees and that I do not currently hold workers compensation
insurance on myself for this reason.
Sincerely
00/06
Donald B. Miner
MA. Construction Supervisor CS 064898