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32C-067 (9) c : : M d 4r; `S#r BP-2006-0050 GIS#: COMMONWEALTH OF MASSACHUSETTS 11111111111111111111. CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2006-0050 Project# JS-2004-0050 Est. Cost: $6000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOODTECH INC 069654 Lot Size(sq. ft.): 30666.24 Owner: MAPLEWOOD SHOPS INC Zoning: CB Applicant: HOODTECH INC AT: 64 MAPLEWOOD SHOPS - COOKING SCHOOL - 2 CONZ ST Applicant Address: Phone: Insurance: 20 CONNECTICUT AVE (413) 783-9664 Workers Compensation WEST SPRINGFIELDMA01089-1106 ISSUED ON:7/19/05 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE HOOD SYSTEM FOR COOKING SCHOOL 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 7/19/05 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2006-0050 APPLICANT/CONTACT PERSON HOODTECH INC ADDRESS/PHONE 20 CONNECTICUT AVE WEST SPRINGFIELD (413)783-9664 PROPERTY LOCATION 64 MAPLEWOOD SHOPS-COOKING SCHOOL -2 CONZ ST MAP 32C PARCEL 067 001 ZONE 41/11.6 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out A --a Fee Paid V U Typeof Construction: REPLACE HOOD SYSTEM FOR COOKING SCHOOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 069654 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 Co ssion 21Y ZCtr"--- 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. COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON ADDRESS ISSUED TO: PREMISE NAME: OWNER OF RECORD: CERTIFICATE ISSUED TO: TYPE OF BUSINESS: USE GROUP: A -3 FEE: g/p0 Comments: Applicant's Signature: Title: Date: Return this application with your check to: 212 Main Street :Make checks payable to CITY OF NORTHAMPTON, MA 01060 NORTHAMPTON) 212 Main Street-Rm 100,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®2005 Des Lauriers Municipal Solutions,Inc. File#BP-2006-I Fix APPLICANT/C( �/ _ 2 `> —ZS/ ' 8 /3 /06 /ADDRESS/PHO ' '','C/7O,t/ - PROPERTY LO h//9Z-41Q yr3 MAP 3 2C PARC f�j�-Zyy—,3 0' / 3' ZONING FORM 3� v /3 FOR COOKING SCHOOL eiV/17 ? t 707 6o0(16 irIca f•� ,'EN ON THIS APPLICATION BASED ON see below) LED UNDER:§ mtermeulat {D/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 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 ( ""' - Department use only - ,t:. •, `c., �_ �l __t�Ci of Northampton .dtatus.of,Permit:. Building Department Garb. nveway,PermiM•72-, -.,,. 1 A 20i� 212 Main Street Sewer/Septic Ava'tra ,;. . " )UL -r i-"Room 100 WaterlWeli Availability Northampton, MA 01060 Two Selsof Structural Play phone 413-587-1240 Fax 413-587-1272 Plot site Plans -nr _ OthSpecify` 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 ----1-i-PiropertV Address: to This section to be completed by office 2 ` ,T Con= S1- - — i ,- 3a`_" LotTeo7k y;e a . ®r nci ,. 4-("" o["' _._• -Wilefit B DiS i �: 1:. SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record:\ L 4'V.iti� C A e� e1 1 1a'45 ' 1 G/1.'� - - 1 Name(Prin i - 1, Current Mailing Address: 4 l, r-k7,----(--i„ ./,,,,„ _ . - Signature Ll l � _l,t l )\ ,�2 /�i� Telephone tt 17j- `as--I 3 2.2 Authorized Agent: i ----1 Ji t)W.dcc`r \ 2 6i1.1 444,,,F,j si` sar,.s,4 114f4 Name(Print) Current Mailing Address: vt©rr 283 5'4,6 4/ E. Signature .r j ' . Telephone SECTION 3--ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building i 6, dG a (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 /170-t-,7 ._._.rD_ This Section For Official Use OnlY � Building Permlfli rnber Date Issued Signature: Building Commissioner/inspector of Buildings Date .. w Version 1.7 Commercial Building Permit May 15,2000 r.. SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign 0 New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description ;Enter a brief description here. -;', e -;., • ' 7 /�,>d. Of Proposed Work: i SECTION 5-USE GROUP-AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 ❑ 1A I CI A-4 ❑ A-5 ❑ 1 B CI B Business Q 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B 0 M Mercantile 0 4 0 R Residential ❑ R-1 El R-2 ❑ R-3 El S Storage ❑ S-1 ❑ S-2 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: r 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 CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) = 1st • 1st 2ntl 2nd j t i 3`d 1 3`d I 4"' 1 4th 1 Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Wes,, �: , Total Height ft 7.Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 111 Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system fp • Versionl.7 Commercial Building Permit May 15,2000 { Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage 11 1 ! ` Setbacks Front ) I ___ E Side L:'I R:L f L:1 1 R:1 1 i t Rear ' I ' 7-1 . r Building Height �� — Bldg.Square Footage j ; I % j I 1 i Open Space Footage % ; (Lot area minus bldg&paved 1 I ! I 1 parking) 7-1#of Parking Spaces j j Fill: ' ' (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW 0 YES 0 IF YES, date issued: i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book ' Pagel 1 and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES 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 IF YES, describe size, type and`location: j �-sa,, r '2 ?,, (6' 1 D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO ® ! IF YES, describe size, type and location: 1 I 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 is 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 0 Name(Registrant): • Registration Number t Address i Expiration Date I Signature Telephone 9.2 Registered Professional Engineer(s): i1 Name Area of Responsibility Address Registration Number I I I Signature Telephone Expiration Date Name Area of Responsibility 1 Address Registration Number Signature Telephone Expiration Date . • Name Area of Responsibility i3 i Address Registration Number • I I I Signature Telephone Expiration Date I I i Name Area of Responsibility j Address Registration Number ! I I Signature Telephone Expiration Date 9.3 General Contractor I r/l 1 Gk -Fir c Not Applicable ❑ Company Name: I ; i O(..., ( - CS )'1 6,6-Y e?P 12166 Responsible In Charge of Construction 1 20 4004eJTC4J- Avg- f Cp3-1M3te IL ffilAt ')/0sr5 Address ` 1-61010/1,-4-, 7(3 1966 4f Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CUR 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 ! i\C\t :•�/nt ,� ' as Owner of the subject property '`� vl � • hereby authorize "��� to ct on my behalf,in all-matters relative to work authorized by this building permit application. Signature of Owner ate ,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 per L• Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ (� / CS D (�rf 6-Ce Name of License Holder:' "�`r' 1�'� License Number U C00/secd 1.4,/e_ (A)eri- Spr;%11 Aei I 0 f D AD Address Expiration Date Signature Telephone SECTION 13-WORKERS''COMPENSATION INSURANCE"AFFIDAVIT(McG L:c 152,§25C(6)) 4 } 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 • • • �o�ttwr ploy R+ `„ '��eyE of �orflliiinpton C42E „ala3aarhncctla' _ o— DEPARTMENT OP BUILDING INSPECTIONS212 Main Street Municipal Building Northampton, Mass. 01060 WORKER'S COITPENSATION. UNSURANCh. AVVWA�'1'J' ()AVG', /( e/d4CC-- -Tye' • (li ccusx/perini ttcc) ..ar_-]'-t-6 p Gi l_p 1.ce of buukB-t-ssi-r-Z.'s id C I)cc at: -(phonci=) (slTr-l/city/ala drip) do hereby certify, under the pains and penalties of perjury, hat • I am an employer providing the following %*orker's compensation coverage for lny employees wor nng on this job` -76 70.) 342 sl-p qw& (insur-nc Company) lPoLc:Nt mbcr) (E pillion Dan) ( ) I-am a sole proprietor, general contractor or homeowner (circle one) and have hired the coon-actors listed below who hive the following worker's cocpensadon policies: (Name of Contraclo-) (Inslranc Colnpanyioti �_):?1r mon Dater • (Name.of Contractor) (Lnsurancc Companv/PoUc- Nuo er) (E»imtion Date) (Name of Connector) Msura.ne Company/PoU Nambcr) (Expiration Date) • (Name of Contractor) (Insurance Comracy/Poticy Numbyr) (Expiration Date) (aa�ch_duivocal,& ,ry in a�c'ud=inform.aoo pctainins to JJ ooacr-.r-.o:-s) . ( ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:plea be twarc thtz whBe bomcowocr two comp Icry pezom to d.) rcpair work on.dwJi of oat mom th_a t t-trails to which the borno.awncr rLZ]C;p or oo the Qottn,h 2pptirt.ct ibc-ro LT 0.X lty cocr:d.7td to be ca3ployca tarn—tS scci;cf': c._1im Act(GLtY2.a 1(5)).application by a botacoa-ocr for c lice_or pczrnil rr_y c idm=c the Ier,^t1 ctsau of en e-r)loyer under tho Worke?.Compcoa.uioa Act_ 1 undcscand that a Dopy of thi.coaccocat may ba forwarcied to tbo Doponmmd of Accm&a&Olri oo of lraur.00e for the oovcragc vcrtf atroo and that L_tlta-e to aceurc bovrrasc tmda-sonioa 25 A of MOL 152 can Ind to the i^. . iw of eicniasl peadtirn corm 1 of a floc of up to S 1.500.00 and/Or imprisooraxtat of-up to Doc ycsr and coil p-..11io io the fora,of a Stop Wort Ord'tad fan of S1o0.00 t city tpina we For dry.rtn._...�1u..conly PCTEltI I`1 t1IDt)crCr Lot K Siipnatur,of LianscjPcrm.iucc 133te