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32C-067 10 & 12 CONZ ST 2 CONZ ST-#10& 12 BP-2005-1176 GIS#: COMMONWEALTH OF MASSACHUSETTS Aytap:Block:32C-067 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1176 Project# JS-2005-1586 Est.Cost: $6000.00 Fee: $50.00 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:NB Applicant: JOSEPH KENNEDY AT: 2 CONZ ST - #10 & 12 Applicant Address: Phone: Insurance: 38 HARKNESS AVE (413) 525-1735 () Workers Compensation EAST LONGMEADOWMA01028 ISSUED ON: TO PERFORM THE FOLLOWING WORK:REBUILD EXTERIOR DECK & STAIRS ON EXISTING FOOTPRINT 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 6/1/05 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2005-1176 APPLICANT/CONTACT PERSON JOSEPH KENNEDY ADDRESS/PHONE 38 HARKNESS AVE EAST LONGMEADOW (413)525-1735 Q PROPERTY LOCATION 2 CONZ ST-#10& 12 MAP 32C PARCEL 067 001 ZONE NB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �,I Fee Paid /5Y30 Vlt7 C' — Typeof Construction: REBUILD EXTERIOR DECK&STAIRS ON EXISTING FOOTPRINT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 055440 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9 MATION 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 Commission JI/r/citir— 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 Building,,Permit May 15,2000 I-\aepa—ffr ept use oeir t` �k " City of Northampton . . Status of Permit'�' Building Department .--�� -- Curtr ut/DnvewayPerm1 ,ry _ -�- 212 Main Street i) ^ 1C sew y. c Availability Room'100 Wat �, variability:` .- , -, Northampton, MA 01060 Two Sei: Structural Plans phone 41 7 1240 Fax 413-587-127/Y 2 P.P10 Sit P,laps' � ) rpeci� - �_, ..� _ ..__.__.,�,.r APPLICATION TO CONSTRUCT,REr IR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING r SECTION 1__-~SITE INFORMATION • Fr , :- This section to be'completed by offce.... -1 l Property Address: — C •L 1117 J. 447, Lot U l rnt w / u Zone Overlay District Elm St.District CB District �� ___._ SEC ON 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 O of Re ord. 62 Name(Print) Current Mailing Address: I i , Signature telephone . 2.2 Authorized Agent: 1 � i -- C.' e A-C?IA.iA.c 7\1 i 1� G r 1�C.z t S rt U.t +i_. Q t (!.31:' Name(Print) ,\. ) Current Mailing Address: gyp i-/l f - S -5"' - 17?S- i ,�-- Signature () � ` C Telephone SECTION 3 STIMATED CONSTRUCT! COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building ; 4 , ( C 0--0 , (a)Building Permit Fee 2. Electrical i (b)Estimated Total Cost of { E Constru'ction'from(6) L 3. Plumbing i i Building Permit Fee 1 4. Mechanical(HVAC) I I 5. Fire Protection ; I 6. Total=(1 +2+3+4+5) ii 6 0 0 0 Check Number /5? 7 fO - This Section For Official Use Only mow,.: ,,.. Building Permit Number Date Issued I- Signature: Building Commissioner/lnspector of Buildings Date i • Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES_FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE i Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building ElExterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing 0 Change of Use❑ Other 0 Brief Description Enter a brief description here. D'v-c `'t"r a. .k e"`4 s'k-K„ . B \ • 1 Of Proposed Work: 1 4,e� ,k_c. c.,,, - .., .1 c ti ..7 c-.,1k htM- r, i I .To l h L`'\ .e?f1 'V, SECTION 5-USE GROUP AND CONSTRUCTION TYPE .:_-<- USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 El A-2 ❑ A-3 El1A 1 0 A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 0 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ Si- ❑ S-2 ❑ 5B [ ❑ U Utility , ❑ Specify: P fY 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: ' 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) 1sti ?i6 1 , 1 1 ! 3rd 3rd i 4w 1 41" Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) r Total Height ft . 7. Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ECy Private ❑ Zone Outside Flood Zone❑ Municipal Ej On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 8.' ©u'1 b ZO z. ,.. Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size i H H ' ' I 1I I Frontage Setbacks Front 77 __ F— Side I.: 1 R:1 i L:!—I R:1 1---1 Rear 1 i 1_� I 1 —ui7dmg Height '— i J Bldg.Square Footage i r— % r Open Space Footage % (Lot area minus bldg&paved I I I l I 1 I 1 parking) #of Parking Spaces 1 7-1 1----1 Fill: ' (volume&Location) i A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book i i Page and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained ® Date Issued: C. Do any signs exist on the property? YES 0 cc NO 0 - IF YES, describe size, type and location: j i"."-\ c L;,,1j(\ - ? S\ ,, .1„,c•,, ,eSs7or D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO er IF YES, describe size, type and location: j 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 0 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 ❑ Name(Registrant): 1 f {Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility 1 Address Registration Number 1 i +. Signature 9 Telephone Expiration Date r i i ! f Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date I I 1 Name Area of Responsibility I Address Registration Number I I Signature Telephone Expiration Date j I Name Area of Responsibility Address Registration Number i Signature Telephone Expiration Date 9.3 General Contractor ' Not Applicable ❑ Company Name: Responsible In Charge of Construction r Address i Signature Telephone r Versionl.7 Commercial Building Permit May 15,2000 t,• SECTION 10-STRUCTURAL_PEER REVIEW"(780 CMR 110;1.1J Independent Structural Engineering Structural Peer Review Required Yes O No Q SECTION 11-OWNER AUTHORIZATION-TO BECOMPLET WHEN OWNE S AGENT OR CONTRACTOR APPLIES FOR BUILD `PERMIT ',as Owner of the subject property hereby authorize' -TeSF'`��� act on my behal " II ma -rs relative to work authorized by this building permit application. - • pS Signature of Owne Date • ` �1A4 I 5Cti CO °l" t\ �� ,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 perjury. Print Name C Signatu f Owner/Agent Date SECTION 12-CONSTRUCTION-SERVICE 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:+ License Number ` e c cziq AddressExpiration Date 12 I 1 1- [i Signature p Telephone 7 - �y ^�► - 0 SECTION;13-WORKERS'COMPENSATION INSU CEAFFIDAVIT(M.GL,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 !„J No 0 y. 1 4. tt.nl•rnp. t- - �° "oti Crii 2 cif ia�:tl al)t ton 1 = _ Ft ` . to 1 }l. A2 t eA E �).,..,1 �srtla ;,,., ; i ��r�. • DEPARTMENT OP BUILDING INSPECTIONS t — zc:=>- - 212 Main Street Municipal Building Northampton, Mass. 01060 r` WORKER'S COMTENSATION, GNSURAN Ch. AITU)A,r1`.U.- h — (liCCus permittcc) -2-mac_-i-pa -).ace of busiBgssJresidene.e—at, -(phoney.')_ (strc_tici ty/statrizi p) do hereby certify, under the pains and penalties of perjury, that (' I am an employer providing the following Worker's coinpcnsanon coverage for my , etupl'oyees working n this job: 4 t // f1Co ���6 _. (I.nsurin Comae)) (Policy Nurbcr) (E.:ptraon au..) ( ) I am a sole proprietor, general contraaor or homeowner(cu cie one) and have hired the coon-actors listed below who have the following worker's cotpensadon policies: (Banc of Contractor) (ln.uranor_ Company/1o6c; Nt141.-.Cr) (Expirauon Date) (Name of CooQaaor) (lnsiranco Comp-any/Policy Nunbcr) (Lxpiration Date) (Rune of Cottlraezor) (Losuranc Compan)-/PoLcy Numbu) (Expiration Date) (Name of Contractor) (Insurance Comazay/Policy Number) - (Expiration Date). - (an.,.th:dditrocal rased.fncc=iry to asc!u&iaformaaoo p-cruainiagto.L oca cr-sera) ;. r ( ) I am a sole proprietor and have no one wordng for me. ( ) I am.a home owner performing all the work myself NOTE:pt=se be eorarc Li:..•t )e bocnoa ocra wiao occcploy pesoai to do e^.;T"+r-,,y- c r-aca c-repair wort oa.dw Manz of as mat:th--o Lroe turf t is which the borrow-ocr rai¢o a oo the yrcood.3 zwpurtcocct the�.o arc Dot Coe-ally a3o;dacd to be eatployca t,rvta the wvci:rez o-t-pew-aioa Art(GLI ii t(5)),npplicto3on by a box fv a IicCx--a permit rs:y a ideocc t c - la a.!crab..or en employer under dam War-Icor'.Gooapoonat_ion AP- 1 uodoaaod thud a copy or data cat.cm.cnt may ba forMvd..d to tbo Dop.rtmoot of Iodaatri.J Accdmto'Otroe of 4rau`o'oe for tb. coveasc vcriCctioo aid tht Litt=to secure'covers toxic(section 25A of MOL li52 can led to the i- po itioa of aimiaal poi-attic: cocci-sing of a floc of up to S 1.300.00 and oc ixoprboacocat of up to roc yecr taxi civb pmaltia io Lk fora of n Stop Work Ordcr and a an of S 100.00 t dsy ag,inA mot ;. .1 For dcp.rtaar,t uac Doty j, A,(ap"__ lAt 1nam Curt of Li crmiucc Late . ....-- -) ; L909d — 6 ? • ( 1 . BOARD OF HEAL1.11 - • ,-) t• ii c ' r il V .1-c.' ) ,,_. j ( CITY HALL •_...._, )-i• ,e'- tr( . , COMPLAINT RECORD . , 1 M AY 1 9 2005 , •. t Date:I 57/7/ Time: / d: Map: Parcel:0c 3,69 , Name o Complainant: able__ ,....r,..60_11eizar ,4,-;Q-;:•• ' % --''' _---- Z.PID er6, Address: n--Tel:,SIS-S-M 01--frldrec, TURE OF COMPIAINT: ! , . Z4 ,,, ,..."(4.2tcei „c7.446_ 7/4......, • i ,4_ /47 I .4.t) iiiLY - 11A/"(114/1"titrnt 7s;re4-64, , ,j, ,Y.e& a..& Owner: )17 oeiei/ 1;2P) Address: Tel: 1 Taken by: Date of Inspection: Time: INSPECTOR'S REPORT: • •bujiliii Phoffiktg0.,Ch!ck/39x if YFS j Action Taken: Inspector Signature . , . . . • /7E19 -4g S c1� Itrrevi rf(14r°1-/ 1