Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
32c-067 (30)
2 CONZ ST BP-2009-0706 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-067 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0706 Project# JS-2009-001034 Est. Cost: $1000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOSEPH KENNEDY 055440 Lot Size(sq. ft.): 30666.24 Owner: MAPLEWOOD SHOPS INC Zoning: CB(100)/ Applicant: JOSEPH KENNEDY AT: 2 CONZ ST Applicant Address: Phone: Insurance: 38 HARKNESS AVE (413) 525-1735 O Workers Compensation EAST LONGMEADOWMA01028 ISSUED ON:2/20/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP,PLY & SHINGLE PORCH ROOF (3 SQ) 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 2/20/2009 0:00:00 $55.0019122 212 Main Street,Phone(413) 587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo Versionl.7 Commercial Building_Permit May 15,2000 ,_ - ' ` Department use only_ , City of Northampton status of P�rmit: - Building Department Curb CutlDrive�vay Permit = - 212 Main Street Sower/Septic Availability Room 100 WaterfWell Availability _ 2009 Northampton, MA 01060 Two Sets of Structural Plans__ 1 I- 2 °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.— — I ` i �• C(1 tnZ "T'S Map Lot Unit Zone. Overlay District .;S.k Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1 OAckti a.¢ .. .1�r/pro t.1 '` (-1/4-o.rto tf s A wt Ft. O C O d-c- Name(Print) ' . Current Mailing Address: L /3 -sac- t7? Signature Telephone 2.2 Authorized Agent: j �G S .e eL\ 1,4,4n,.eNT 138 1,rict,rss A.we C l_ MA O c a d C!. Name(Print) Current Mailing Address: r Signature ,,,e7 Telephone 4ii 5 " SaS - l 7 ?5 SECTION 3--STIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 I d © a i (a)Building Permit Fee 2. Electrical ` \ U IA-2 (b)Estimated Total Cost of L� Construction from(6) - -- 3. Plumbing ' (l in-( Building Permit Fee 4. Mechanical (HVAC) h UV�-Q 5. Fire Protection II�J 6. Total=(1 +2+3 +4+ 5) Check Number /9/P a t This Section For Official Use Only Building Permit Number Date Issued r Signature: Building Commissionerllnspector of Buildings Date w 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 in Demolition❑ Repairs D Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign 0 New Signs❑ RoofingX Change of Use❑ Other ❑ Brief Description Enter a brief description here. j Of Proposed Work: 5� 1 1 r G t`P 4 a r -- , A P y c,��o�, cx u� r c�r� �a O r P o �L —� S • l i SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) I CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 0 1A I 0 A-4 A-5 ❑ 1 B 0 B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 0 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ i-i ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile 0 4 0 R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B I ❑ U Utility , ❑ Specify:I M Mixed Use ❑ Specify:j t S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: • ____ 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 CONSTRUCTIONi. OFFICE USE ONLY Floor Area per Floor(sf) k-4 � ,; ,�itilti* St - - -3v-t .s �-. , k .2` 1 5a i 3ro I 3rd , I 7 *. si=. ,. „' ".; -,, 3 4th i 4th ! -` k.�a. n. Total Area(sf) I Total Proposed New Construction(sf) Total Height(ft) A.. Total Height ft • 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone' Outside Flood Zone Municipal 0 On site disposal system El i 4 , Versionl.7 Commercial Building Permit May 15,2000 r Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size it ; 1 ! I Frontage Setbacks Front I I 1 1 j Side L:1 1 R:I LA______1 R:1 ; i Rear -Bnildmg Hight 1 �' _ Bldg.Square Footage 1 i ! % 1 11-1 Open Space Footage (Lot area minus bldg&paved E ` i 1 1 i ' parking) #of Parking Spaces 1 ! I I f Fill: ' 1 ,i (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 1 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book 1 I Page ' and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained © , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: ! Tre.1 o.- b u A"^f - lbw m ou5 S:t-e S 1 D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO iSe IF YES, describe size, type and location: I 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 2 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. i , 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 N d Not Applicable 0 Name(Registrant): L Registration Number Address Expiration Date I Signature Telephone 9.2 Registered Professional Engineer(s): i Name Area of Responsibility Address Registration Number j i I Signature Telephone Expiration Date i Name Area of Responsibility I Address Registration Number 1 f I Signature Telephone Expiration Date t ( i Name Area of Responsibility 1 Address Registration Number I i Signature Telephone Expiration Date I i Name • Area of Responsibility 1 Address Registration Number I i Signature Telephone Expiration Date 9.3 General Contractor CLc><V.-:.S , C ,k,S-k-,v c VI c,f". Not Applicable ❑ Company Name: Responsible In Charge of Construction ? t,..ci c - E . L . ( l:�, ot.oag dress S �re Telephone s i Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-SrRUCTURAL.PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No O SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 __ 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 1 O c PL ltilA^p 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 of erjury. PrintgJam — 6 ci\ Signatur�of Owner/Age Date l t SECTION 12-CONSTRUCTION SERVICES - 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:' o s e K.Q. 2-7 10 Ss cfe-1 0 -. License Number TS- sr t k . 1- . V c-\ 0 dad aa - act () Address Expiration Date sas 1 )?5 Si ture 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 bu.ding permit. Signed Affidavit Attached Yes No 0 s--- r . �SMr tIpT t.. • za "'oy 6ii of irl�:t[ ails toll i _— 9 Imo' E �lc�antFinc�lla' — Z��.��7 •• t DEPARTMENT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COI\4T ENS AflON. G`iSURACE AFFI3DA\r1T I, aS B S P pL SlQ to tn.• - 1 Oicc-ns4Jppermittcc) \i-']Ih a.pn i� Gi-}'lace of bus1B�-s-s ors—d-c i�c-1: 3 O 4e in.�S S C ct L h/f t.„.- w -(phone:) L / 3 -S.S- I 35 • - (str=tici ry/s12idzi p) do hereby certify, under the pains and penalties of perjury, :hat I a m an employer providing the following vi'orkcr's comocnsauon coverage for my employees working on this job: QrksA,tre 3-11ks . fie, W C 000O%."6D. 6 -- �4 (Insuran= Company) (Policy Number) ( xpin:L on Dare) ( ) I am a sole proprietor, general contractor or homeowner(ci:cie one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (insurance Company/Police NUJ71Lcr) - (1=..•': i tlon hale)' (Name of Cooracior) (Insurance Company/Polic-y Nw: c•cr) (imitation Date) , (Name of Conrraeto;) (Insurance Company/Policy Number) (Expiration Date) I (Name of Contractor) (Insurance Comcany1Poticy Number) - (Expiration Date) (.13...ch:d:/i;ioc3.J r'ccct ifocccur to c.cu&infoti,+•'+oo p.3u.iniag to.11 coccmcor3) i i ( ) I am a sole proprietor and have no one working for me. ( ) I atn.a home owner performing all the work myself. NOTE:pl=sc be eorzrc the.,trik t oo3cowocr3 who employ p. tom to 6o r-.;•^•-,,•,-, ec".=^.:e.1 c rciair work oa.dwell:^z of ttrx mote the t:roe t ,t is'. ch the bocnovnncr raidm oc oo the c oupe.3 zppurtcau=t tbe-do r.-c not Goc-JJy oral dacd to be anploycs undo tho wiz cr-r-pr-.•.:ion Act(GLI YZss 1(5)).npplir,rioo by.bomcoavc f©:lice-or panic rr_y aidct»c the IcgiJ clay or....=ploys under ilia Work Coozpomalioa Ark_ I undon.aod chid a copy of this szeu.o' may b.for•e riled to tbo Dcpnrtcoo.t of l.,A.ericJ Acodcail OfGoo of Ircur+oon for th• pova,tsc vaif cdoo and tlu t_.iltae to sxutc tovcrnbc uadcr soction 25 A of MOL 152 cad cavil to the i�,n.<irioa of ciminal poaawct coosicing of a floc of up to S 1)00.00 artdloc iarpridocmocrd of up to ooc year rod civil pr.,ltio is the form of.Stop Work Orda.od. fine,of StQ0.00.day tgtin:t me For dep.rtae u.c only `1 G 7�,PC11 Nt.lmt)CT V - ( -09 Map::-- rt Lot J ; gnaw=of Lau tS3te ioeciPc Itcc --- • -r. �Ia..ailut�rtt. - 1)CIt:trinu•nl rrl Pultlic ':tfct' 3.4. 13uartl of .t3uiltlin I e2ula1inn. and 'tantlartk -r-t Construction Supervisor License CS 55440 Restricted to.: 00 JOSEPH A KENNEDY PO BOX 1356/18 FOREST ST BONDSVILLE, MA 01009 Ezt lrahon. 7/22/2010 t „mnri .r r„r Try: 29994 Xe is 0=_= V E �D 5 Board of €,_.t iBuildingula offs = One Reg ions and Standards �, Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration 1 Registration 112607 CH/1RrSTA REAL Type Private Corporation E TATE INV. INC WAYNE BERGERON Expiration. 5/4/2009 r,-p 129686 PO BOX 706/ 38 HARKNESS AVE E LONGMEADOW, MA 01028 OPS-CAT ;, .,o,,,05:06 r,C19.90 Update Address and return canl. :Mark reason for change. Address Renewal f- / /'/ / Employment f.ost('aid �` \ •j7f 1"(LI/L!)ClSitll.�lflC/f . ('(IIJJlIfAUJP�Board of Building Regulations and Standards je �T i� HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only a before the expiration date. If found return to: Board of Building r ,� ' - ' t't' One Ashburton Place Regulations 1301 and Standards TnOI 129686 Type: Private Corporation Boston, Ma.02108 IARISTA REAL ESTATE INV.,INC- AYNE BERGERON PO BOX 706/38 HARKNESS AVE E LONGMEADOW. MA 01028 Administrator Not valid without signature 06/24/2008 12:00 , 413S675300 3EPkSHIPE INS PAGE 01/01 --/ ACORD,_ CERTIFICATE OF LIABILITY INSURANCE 1 623/200' PRODUCER (413) 935.1200 FAS: (413) 567-5300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Berkshire Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13 8 Lon HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Longmeadow St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Longmeadow MA 01106 1 INSURERS AFFORDING COVERAGE I NAIC z INSURED •NSURERA The Hartford Charista Property Servicrn, Tnc . 'IN3uREREsSafety Insurance Company 39454 138 Harkness Ilven'�c l INSURER C Renal aaance Insurance East Longmeadow, MA 01023 1INBuRERD IN;'vRER e COVERAGES THE POLICIES DF ;NSURANC=_LISTED 8ELOW HAVE BEEN ISSUED'O THE NSUREO NAMED ABOVE FOR THE POLICY aER100 NDICATED NOTW'THS'AN0ING ANY REOUIREMENI, TERM OR CQNDITIQN Q=ANY CON'RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S;JBJECT TO Ar,l THE "ERMS EXCLUSIONS AND CCND'TIONS OF SUCH POJCIES AGGREG�XE OMITS SHO T1 MAY H E.F.4LBFAJC.E.D BY PAID CLAIMS INER ADD'.I 1 1POUCY EPEE CTIVEIPOLICY EXP'RATIONT LTR TYPE OF IM3JRANCE POLICY NUMBER DA'E 1MWDOIYYI ' DATE(MMIDD/TYI I LIMITS GENERAL LIABILITY } 1,005,000 —1 ( EACH OCCURRENCE } I X COMMERCIALGENERALt1ABILIry RREMI ETCRF,NTEp } 300,000 r,VItIF tt33 iEe.NTLICM A CLMMSMADE x ;OC_JRi 0038AAX4 i28 5/6/2COB 5/6/2009 �ME0ExP(Mywasenon: ,S, 10,000 —1 PFRSONALB'ADY,c{JUFiY $ 1,000,000 ' H__ I ( IGENFRA,AG r,.A GRF, ct S 2,000,000 GEIYi AGGREc,A1 EPLIQCT MPL ES PER I 4 PRODUCTS• QMPPC•P AGO �} 2,000,000 . X t PO: 77E1CY C7 7 LOC f i AUTOMOBILE UAB'Llry COMBINED S NGLE.I.h' I ANY AUTO (6AAT' nI B I ALL OWNEDN.TOS 502156T 6/2/2008 I 6/2/2009 EO0'LrwJURV Is 50,000 I X SCHEDU..E)AlTOE IPe p',o ) X HIRED AUTOS I PODILY INJURY X NON-OWNED AUTOS (Pi(4ccCent1 {{S 100,D00 - I I ....... ppoPERTY DAMAGE I 1 I I (PerAcceePI, S 100,D00 GARAGE LIABILITY In ALTOON'•Y.FA A;,CIOFNT ANY ALTO I O.NER TMAN EAACG IS t I y r A IT(10NLY Aco S I EXCESSIUMBRELLA LIABILITY t r EPSH_O('CUBA;NCH ,S I OCCUR CLAIMS MADE AGGREGATE S I ,S I I DE0JCT,91.F, jE I (RETENLOty } C WORKERS COMPENSATE INANO I WC STATL• DTI.• EMPLOYERS'LIABILITY X TORY LIMITS ER 1 ANY PR0PRIETOF6PART�TiExEC�TNE E..EACHACCros.a Is 1,000,000 O WMEMLR F ICLD EXCLL LI' I . y AeMEM,Ite )M0000860 6/6/2008 6/8/20C9 E..o1SE9S,E•EA.AMPL,OYEE'S 1,000,000 ye'3PEI ALPROVISIONS4rw E_ 013EAse•POLICY LIMIT E 1,000,000 OTHER i I 1 I 1 DESCRIPTION OF OPERATIONSLOCATIONSNEHIC.ES,EXCLLSIONS ADDED BY END ORSEMENTISPECIAL PROVISIONS To show evidence of coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY CF T?IE ABOVE DESCRIBED POLICIES BA CANCELLEO BEFORE THE EYPIRATICN DATE THERE)! THE ISSUING 'NSURER WILL ENDEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO'NE CERTIFICATE ~OLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL'MPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR RESENT . ES. _ AUTHORIZED REPRESENTATt t� ACORD 25(2001108) :6 ACORD CORPORATION 1988 INS025(owe)et, Fpgy 1 a 7