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31A-250 (3) B. Activation of any tamper switch shall send the appropriate signal via the Simplex System to the supervisory station. Security Department personnel will relay alarm information to appropriate responders as required. C. The activation of any apartment bedroom single or multiple station smoke detector will immediately and simultaneously activate all multiple station smoke detectors in the unit. These devices are local the unit and will not transmit a signal to the Fire Department. D. The activation of any device on the carbon monoxide detector "zone" shall ring local alarm integral to the detector, and send the appropriate supervisory signal via the Simplex System to the Supervisory Station. Security Department personnel will relay alarm information to appropriate responders as required. 3.0 Test Criteria: All features, devices, components, and modes of operation shall be tested for acceptance in accordance with the code and NFPA 72. Smoke detectors shall be activated using a magnet per the manufacturer's recommendations and all pull stations shall be activated by opening and upon activation of each device the proper operation of the Fire Alarm System shall be checked for proper operation including annunciation at the Fire Alarm Control Panel and transmission of an alarm signal to the Supervisory Station. Proper operation in the emergency power mode shall be demonstrated as well as a check of supervision circuits for opens and shorts. * ** End of Basis of Design Narrative * ** L &S 2025 Page 7 AC power as well as feature a 9VDC battery back -up. Integral alarm on multi - station system is audible only. E. This project does not include any special design considerations or anticipated deviations from the code requirements. F. Carbon monoxide detection shall be accomplished with addressable zone modules as a separate "zone" on the fire alarm system. Carbon monoxide detectors shall be placed in such a manner to comply with the alternative compliance option outlined in CMR 31.05(1)(a). Relay of the carbon monoxide detection signaling shall be at the discretion of the authority having jurisdiction, and shall be connected to a separate supervisory zone reporting to public safety. 2.0. Sequence of Operation: A. The activation of a fire alarm initiating device will send a signal via the Simplex FACP to the Supervised Station and then to the appropriate responders including the City of Northampton Fire Department. The newly installed system will be instantly and continuously monitored as part of the campus network system. All areas of the building are protected by the fire alarm system in accordance with Code. This fire alarm system is designed to detect fires normally associated with this type of facility. The system can be activated manually through the use of manual pull stations. The system shall be activated automatically via heat detector, some detector or flow switch. Upon receiving an alarm signal, the system shall initiate the fire alarm sequence of events. Initiation of the fire alarm sequence of events will immediately and simultaneously activate all horns and visual units in the building to notify occupants, and perform all activities as programmed, including annunciator interaction. The exterior strobe shall be engaged. The Fire Alarm control panel shall transmit an alarm signal to the Supervised Station; security department personnel will in turn relay alarm information to appropriate responders including the City of Northampton Fire Department. In the event of initiation by duct smoke detector, in addition to the above, the corresponding air handling unit shall immediately shut down. The Fire Alarm System reset button returns the system to its normal state. Display messages shall provide operator assurance of the sequential steps as they occur. The Fire Alarm Control Panel is equipped with a 24 -hour battery back up. The Fire Alarm Control Panel is equipped with visible and audible signals to indicate alarm and trouble conditions. L &S 2025 Page 6 2. Emergency power supply for the fire alarm panel shall be supplied by battery packs located at the FACP. 3. 2 -line autodialer for 24 -hour campus security station monitoring. C. System connected fire detection & initiation devices in this building will include the following features: 1. Manual pull station within 5 feet of each exit door, and at all entry points leading to an egress stairway. All pull stations shall be dual action. 2. System connected smoke detectors will be installed in common egressways, including corridors and stairwells where required by code, A system connected smoke detection device shall be located above the Fire Alarm Control Panel. 3. Tamper and Flow switches will be provided where required to properly monitor the sprinkler system status. Activation of Flow switch will initiate the fire alarm system sequence of events. Activation of a Tamper switch shall initiate a trouble signal at the fire alarm control panel. C. System connected fire notification appliances in this building will include the following features: 1. Audio notification devices as shown on plans. It is the intent of this design that audible notification devices achieve sound pressure levels of 15 dba above ambient sound levels. The minimum sound level shall be as follows: a. Residential Occupancy common areas — 70 dba b. One Audio/Visual notification device shall be installed in each apartment room to meet these sound pressure requirements. 2. Visual alarm devices shall be provided in common stairways & egress ways and as specified in accordance with the Massachusetts State Building Code, ADA regulations, NFPA 72, and NFD requirements. System visual notification device shall also be installed in the basement common area. 3. Red exterior strobe and key box in accordance with local requirements shall be located outside the main entryway of the building. D. AC/DC signaling and detection devices. Each separate apartment will be equipped with multiple station smoke detectors as required. Interconnected photoelectric multi - station smoke detection devices shall be located inside and in the immediate vicinity of bedrooms. Detectors will be powered from both 120V L &S 2025 Page 5 A. Pipe is to be schedule 40 steel pipe for 1" through 2 ". Pipe is to be schedule 10 thin wall steel pipe for 2 1 /2" through 6 ". 4.0 Design Criteria A. The upper floors are designed for light hazard occupancy. The density is .1/1950 square feet with a100 gpm hose allowance. B. The areas throughout the building that are ordinary hazard, such as storage and mechanical space, the system will be designed to ordinary hazard group, density with 250 gpm added for hose stream. 5.0 Special Design Criteria A. All sprinklers in mechanical equipment spaces shall be fitted with wire cages. 6.0 Test Criteria A. All sprinklers and standpipe systems shall be tested in accordance with NFPA 13r. Complete system flow test will be conducted and test and flow certificates issued. SECTION 5- FIRE ALARM SYSTEMS 1.0 Basis of Design A. A new Addressable Fire Alarm Control Panel is to be installed at the Multi- family dwelling, System connected smoke & heat detectors will be installed in common rooms, corridors, stairwells, and equipment rooms where required. The system will also monitor the sprinkler system status, manual pull stations, as well as carbon monoxide levels. Activation of any system smoke or heat detector, flow switch, or manual pull will initiate the fire alarm system sequence of events, including notification thoughout. A fire protective signaling system will be installed in accordance with 780 CMR, NFPA 72, and 2009 IBC sec. 907. AC/DC multi- station devices are to be installed in each dwelling unit. B. The Fire Alarm System is to be an addressable type, as follows: 1. The fire alarm system shall be an addressable system; Simplex 4005 FACP, or equal. The Fire Alarm Control Panel shall be located in the basement electric room. A remote annunciator shall be installed in the main entry vestibule of the building. L &S 2025 Page 4 SECTION 2 - APPLICABLE LAWS, REGULATIONS & STANDARDS Systems were designed in compliance with the following: 1. 780 CMR: Massachusetts State building Code — 8th Edition, Chapter 9: Fire Protection Systems. 2. NFPA 13r — 2007 Edition: Installation of Sprinkler Systems. 3. NFPA 72 — 2007 Edition: National Fire Alarm Code. 4. 521 CMR: Massachusetts Architectural Access Board Regulations. 5. 527 CMR: Massachusetts Fire Prevention Regulations 6. 527 CMR 12.00: Massachusetts Electrical Code 7. 527 CMR 24 8. 2009 IBC — Section 907 — Fire Alarm and Detection Systems. 9. NFPA 54, chapter 10 10. NFPA 720 — 2009 edition SECTION 3 - DESIGN RESPONSIBILITY The modifications to the existing fire protection sprinkler system and fire detection and alarm systems were prepared by: Lindgren & Sharples, P.C. 435 Cottage Street Springfield, MA 01104 -4005 413- 732 -4336 SECTION 4 - FIRE PROTECTION 1.0 Basis of Design The planned renovation shall include the installation of a complete residential type wet pipe fire protection system consisting of sprinklers located in all spaces, on each level. The sprinkler system shall be fed from a new 6 inch sprinkler service with a double check backflow preventor and wet pipe alarm valves located on the street side of the buidling. Under this contract the a new sprinkler service entry is to be installed in the sprinkler service room on the basement level. The new sprinkler heads will quick response type. 2.0 Installation A. The fire sprinkler system is designed in accordance with NFPA 13r, 2007. B. All spaces are provided with quick response sprinklers heads in all areas. 3.0 Equipment L &S 2025 Page 3 SMITH COLLEGE PRIVATE RESIDENCIES 72 DRYADS GREEN & 58 KENSINGTON AVENUE FIRE PROTECTION AND ALARM SYSTEM BASIS OF DESIGN NARRATIVE February 2, 2012 Information required pursuant to the Massachusetts State Building Code 780 CMR, 903.0. Owner: Trustee of Smith College Northampton, Massachusetts Designers of Record: Lindgren & Sharples, P.C. Consulting Engineers Date of Submittal: February 2, 2012 SECTION 1 — BUILDING DESCRIPTION PROJECT SCOPE: This project consists of a full renovation to all floors of the existing Private Residencies located nearby Smith College, Northampton, Massachusetts. The property addresses for the project is 72 Dryads Green. This project converts the existing single family dwelling unit into a new Three family dwelling unit This project will also include the installation of a residential type sprinkler system, and a new addressable fire alarm system to serve the existing building. The building is Use Group Type R -2 (Residential) and is a Construction Type 5B, Combustible/Un- Protected as defined by the Massachusetts State Building Code. The 72 Dryads Green residential building consists of approximately 1,100 square feet in the basement level and each of two floors; additionally the third floor is approximately 650 square feet in area. The area affected by this project is the complete interior space of about 4,000 square feet. Fire Department personnel and rescue vehicles can access the north -west side of the building from Dryads Green. The fire department main entry point is nearest Dryads Green. L &S 2025 Page 2 NARRATIVE REPORT FOR FIRE PROTECTION & ALARM SYSTEMS AT 72 DRYADS GREEN & SMITH COLLEGE NORTHAMPTON, MASSACHUSETTS PREPARED BY: LINDGREN & SHARPLES, P.C. CONSULTING ENGINEERS 435 COTTAGE STREET SPRINGFIELD, MA 01104 -4005 TEL. 1- 413 - 732 -4336 February 2, 2012 ARCHIMETRICS DESIGN STUDIO EN 28 NORTH MAPLE UNIT B �• FLORENCE, MA 01062 912.6 Exterior Walls: There is no change in hazard category and the existing exterior walls are acceptable. (912.6.2) The building is greater than three feet from the lot line and therefore opening protectives are not required. (912.6.3) • 912.7 Enclosure of vertical shafts: Each unit has direct access to each stair. Upgrades to existing enclosure are noted on the drawings. New doors are being provided to meet the requirements for the stairway and a layer of fire rated gypsum board is being added to the existing stair enclosure walls. Chapter 8 - Level 3 Alterations The applicable provisions of Chapter 6, 7 and 8 are being met within the scope of this work. In addition, horizontal separation of each dwelling unit is being provided since the existing ceiling is being removed to facilitate the mechanical and electrical improvements. Other provisions: IBC 1021 - Number of Exits: 1021.1 Exception 4. R -3 Occupancies: One means of egress is allowed within and from dwelling units equipped with an automatic sprinkler system. This method of compliance is being provided in lieu of the construction and maintenance of an exterior stair. In addition, sleeping rooms that exist on the third floor have small sliding windows that do not meet emergency egress requirements. While the scope of work does not require compliance, replacement windows will be provided within the existing openings that are compliant with requirements IEBC 912.4.1 Exception 7. Respectfully submitted, ///' Peter E. Lapointe PETER LAPOINTE, ARCHITECT PH 413 582 -9100 FAX 413 582 -9101 www.archimetrics.net ARCHIMETRICS DESIGN STUDIO EN 28 NORTH MAPLE UNIT B • FLORENCE, MA 01062 February 10, 2012 Louis Hasbrouck, Building Commissioner City of Northampton 212 Main Street Northampton, MA 01260 Project: Residence Conversion - 72 Kensington Ave - Chapter 34 Summary Scope: Interior renovations and MEP improvements for conversion of 2 Y2 story wood framed single family dwelling into 2 separated dwelling units. The work area includes the entire building. The scope of work represents a Level 3 - Alteration and a Change in Occupancy. Chapter 9 Requirements: The building systems are being replaced and will be fully compliant with the current code. The change of occupancy does not change the structural loading requirements for the structure. Section 912 - Change of Occupancy 912.2 Fire Protection Systems: The height and area requirements for 5B construction for R -3 occupancies require a fire protection system to allow an increase in height from two to three stories in new construction. A new fire protection system is proposed for the entire building. 912.4 Means of Egress: The change of occupancy does not increase the Hazard Category of 4. The existing stair will be incorporated into the second floor dwelling unit. 912.5 Height and areas: The change of occupancy does not increase the Hazard Category of 4. PETER LAPOINTE, ARCHITECT PH 413 582 -9100 FAX 413 582 -9101 www.archimetrics.net City of Northampton Massachusetts t y . r. DEPARTMENT OF BUILDING INSPECTIONS w oe` 212 Main Street • Municipal Building bJ •`y.1tia Northampton, MA 01060 L Ila i ick Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for Entire Project) Project Title: Residence Conversion 72 Dryads Green Date: February 2, 2012 Project Location: Northampton, Massachusetts Map: Parcel: Zone: Scope of Project: Renovations Bre In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 4466:43:161+G. I, Mark W. Felgate Mass. Registration # 47531 Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ X ] ENTIRE PRO For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 14672-.-2:)64-4, 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code- required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. ; y Signature and Seal of Registered Professional �� r ` / : "; ELECTr :CAL ,,}}%% No. 47531 Z Day of I'P�t'u -kr 20 / Z O 45sWST C () 4 FSS /ARIA a q 4i Mp City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ''bty 1:01 � Northampton, MA 01060 1 -14414AA4AMIck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional EngineerslArchitects responsible for Entire Project) Project Title: Residence Conversion 72 Dryads Green Date: February 2, 2012 Project Location: Northampton, Massachusetts Map: Parcel: Zone: Scope of Project: Renovations esrH In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 1464:101...4.- I, Charles P. Sharpies Mass. Registration # 28940 Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X ] EN TI E PRO IEGT M Ec.+40I41 c - 4,t_, For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section I.4C - 2..2: 104. 4.2..2_ 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code- required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Si• t,f, and Seal of ' - •ist= -, 'rofessional I t CHARLES .1‹13940 i - Day of L. JJ4Q fi 2iLe_,. arm s% Qa 4 - -r at CIitj of Yo rtlittmitiIIn 4 iIRaxssttrllusrtts ` .et x ' '. DEPARTMENT OF BUILDING INSPECTIONS 6 � ` _ 212 Main Street • Municipal Building � s s fr ° Northampton, MA 01060 Lpl q lr a i f uck Fax: 413- 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for Entire Project) Project Title: 12.ES1 olte4C—E__ e-c" .tv®R -•S to 4 Date: I 0 • /• • 'mil I Project Location: "-Z b 12—ADS Map ;3) P Parcel: 25o Zone: L) . _ Scope of Project: i H1' e4.4ort-- 1•k.0-14.0 * c:1 c U 5E, erne io -4 In accordance with the -ei i edition Massachusetts State Building Code, 780 CMR Section 44&0: I , f t r r e — € • L t 't t4.'f6.. Mass. Registration # x- 529. [ , Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: J4 ENTIRE PROJECT For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 1•61 1 (R.. �. 2.. 2.. 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building,..officiAl a final report as to the satisfactory completion and readiness of the project for occupancy. , i �, i; ,r T ,`, \ !( i (,,- No >ql `c, Signature • "et tered Professional 1 " I E 1 °° (, ,, \ i,.�� lr %.,.it: ;r¢ a � Day of E'�f3 2011- Y : °" � )1.. V. (seal) The Commonwealth of Massachusetts Department of Industrial Accidents • Office of Investigations _ 600 Washington Street — — Boston, MA 02111 • ' ''• 4 . 1 • r " www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): ( 1 (.1 i J Q. r s S3 s t L 1M T s 1- N C. Address: 1 3 5 S c7 u-k \ t c)' 5 t. St City /State/Zip: A 0\0 v S V' 0 1 5O I Phone #: 5 0 g 7 g" g fl i 1 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4• 23j I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6• ❑ New construction listed on the. attached sheet. 7. ® Remodeling -.. 2. ❑ I atn -a• sole - proprietoror- partner - - -_ _ - ship and have no employees These subcontractors have 8. [] Demolition working for me in capacity. employees and have workers' g any ty _._ 9. ❑ Building addition [No workers' comp. insurance comp msurance --- - 5. We are a co oration and its . 10.D Electrical repairs or additions required.] _. .. 3. ❑ I am a.homeowner doing all work o$cers have eXerctsed 11.❑ Plumbing repairs or additions _ myself. [No workers' -comp. : _ tigbt a metnpkiontper_M .. _ 12.1g Roof repairs insurance required.] t c. 152, §1(4), and we have no . employees.. [No workers' 13. ❑ Other comp: insurance required] `Any applicant that checks box #1 must also fill out the section below showing their woikeia compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 3 Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. lam an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information.--- — - -- - -- — Insurance Company Name: - Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: .City /State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOIL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well.as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the_violator... Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. . I do hereby certi under the pains d penalties ofperjury that the information provided above is true and correct - Si .. tore: 0.0 I.i r rf '► . - Date: - 2 1 Phone #: S — 7 ci K— 8 9 ? .._.._. -- Official use only. Do not write in this area to be completed by city or town official City or town: Permit/License # =-Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: BUILSYS -01 CACI ACORO° CERTIFICATE OF LIABILITY INSURANCE D `•--� 6/2912011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (508) 852 - 8500 CONTACT Protector Group Ins. Agency, Inc. P NE FAX 100 Front Street, Suite 800 ( NO' ►' WC Not: E -MAIL Worcester, MA 01608 -1435 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Acadia Insurance INsuRED Builders Systems, Inc INSURER B :St Paul Fire and Marine Insurance Company 135 Southbridge St, PO Box 635 INSURER C :Atlantic Charter Auburn, MA 01501 INSURER D: INSURER E : INSURER F : - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER (Mdl/ (MM/DDI1fYY11 UMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPA0042039 7/1/2011 7/1/2012 DAMAGE TO RENTED PREMISES (Ea occurrence) $ , 2 50 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE _ $ 2,000,000 GEN'L AGGREGATE UMIT APPUES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 PRO— POLICY 7C JECT TOC— _ _ AUTOMOBILELIABIUTY CO BIND $ 1,000,00D COMBINED SINGLE LIMIT A ANY AUTO MAA130059417 7/1/2011 7/1/2012 BODILY INJURY (Per person) $ — ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS x AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAMS -MADE QK06900656 7/1/2011 7/1/2012 AGGREGATE $ 10,000,000 DED I X I RETENTION S $10,000 $ WORKERS COMPENSATION X TORY T,AMRS OE AND EMPLOYERS UABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N WCA00514003 7/1/2011 7/1/2012 E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N 1 A (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POUCY LIMIT $ 1,000,000 A Installation Floater CPA0042039 7/1/2011 7/1/2012 Per Site $200,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public Safet■ Board of Building Regulations and Standards Construction Supervisor License License: CS 62854 DAVID W PUTNAM PO BOX 462 ° f 4 ■ LEICESTER, MA 01524 . � - G - ' -- - r'�5 „ . Expiration: 7/1/2012 i C'on Tr#: 29960 - __ BSI Builders Systems Inc. General Contractors . Dave Putnam - Project Manager CELL (508) 864 -0512 • 135 Southbridge Street TEL (508) 798 -8797 P.O. Box 635 FAX (508) 752 -9017 Auburn, MA 01501 E -MAIL: dputnam @builderssystemsinc.com • Version 1.7 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 01" SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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 I, Pte- 44a4r,'t:*-1- , 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 r p.•.' . d p alties of perjury. Print Name Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder tiQ■ t p W pv GS �i Q License Number 1e3cSo \ccclge St 4 jL tu , 0(6O( 20 t 2. Address Expiration Date - 341 es 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 ®� No 0 Versionl.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 ❑ 'l ea-- £ (. -,cePa tztt. Name (Registrant): _H Registration Number A Expiration Date -- 4 ►3.592 d li00 Signature Telephone INAMAV .7_01 Z-- 9.2 Registered Professional Engineer(s): Charles P. Sharples, P.E. Mechanical Name Area of Responsibility ...... 435 Cottage Street, Springfield, MA 0110 28940 Address matiwp Registration Number / (413) 732 -4336 06/30/2012 Signature / Telephone Expiration Date Mark W. Felgate, P.E. Electrical Name Area of Responsibility 435 Cottage Street, Springfield, MA 01104 47531 Address Registration Number (413) 732 -4336 06/30/2012 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 Signature I eiepnone I r=xpuduon vane 9.3 General Contractor R, ALn13Qh /e 1 S 1 14e. Not Applicable ❑ Company Name: Responsible In Charge of Construction Add Gam/ :24 Signature Telephone Version 1.7 Commercial Building Permit May 15, 2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 41-4- 7, 4:74 Frontage fp S Setbacks Front Side L: L$ R: 0 L: ra R: S Rear Building Height 3 3.0 Bldg. Square Footage 1410 % 14( Open Space Footage (Lot area minus bldg & paved 5 5 parking) # of Parking Spaces 2 o n f e ' C 9 * SS ILEAS1M6 rJ Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO x„41 DON'T KNOW 0 YES 0 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 Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO >IV® DON'T KNOW 0 YES 0 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 NO r,1 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO + � 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 YES, then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations Z1, Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use Ej Other ❑ Brief Description Enter a brief description here. Of Proposed Work: i? R.iE -T... vg jarJS 4 wi`P 1 7 Pt- IiaG.E]rer SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 E:1 A-2 1:1 A -3 1:1 1A I I=1 A -4 1:1 A -5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 j2t 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B NI 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: R. - 3 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) st 1st 114 1L' 2 nd 2nd 1) 4 3 rd 3 4 4 th 4 Total Area (sf) p $p Total Proposed New Construction (sf) Total Height (ft) .3 o Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system Version 1.7 Commercial Building Permit May 15, 2000 Dep� m use only RECEIVED . City of Northampton Status of Permit E uilding Department Curb Cut/Driveway Permit WR 2 1 2012 212 Main Street Sewer /Septic Avail Room 100 V1laterlUtte#1 A+rilaNbilit, It r oF SUanwG INSPECTIONS No ihampton, MA 01060 Two Sets of Structural Ply , NORTHAMPTON, rpherte 413 587 -1240 Fax 413 - 587 -127 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office qZ pA-Yt4, 5 ag:2 Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: C ie> FaGIU'R 65 m4sta r IrT "ll - T - 12u cf- '13ie- _ , fr'W H Gc�I.LSGE 1 2( � E ST _ tJ t Name (Print) to r% a 10( 3 Curre Mailing Address: Signature Telephone 2.2 Authorized Agent: Name (Print) Current Mailing Address: eaS - ?moo Signature ��—" Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building .11, 31 2 '+53 (a) Building Permit Fee Estimatd Total 2. Electrical 4 4 G1 , 6 3- „ (b) Co st u from (6) f 3. Plumbing 3 t' GI— Building Permit Fee ) 4. Mechanical (HVAC) il ls , ' k$S pow 5. Fire Protection t 6. Total = (1 + 2 + 3 + 4 + _ 41 i 9 ) 9- Check Number r) ( 6' . 9 9 #�, ?�?. Vo . This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date 4, / /efy 1 .ir/.� % F4 ) . ;c File # BP- 2012 -0818 CO" `}�©1� : AA. R APPLICANT /CONTACT PERSON BUILDERS SYSTEMS NC g0 Pt � J ADDRESS /PHONE P 0 BOX 635 AUBURN (508) 798 -8797 PROPERTY LOCATION 72 DRYADS GREEN ST MAP 31A PARCEL 250 001 ZONE EU(100)/URB(97) /URC(3)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out (0-5.7V 9,1 ! ` Fee Paid d �f�J Typeof Construction: CONVERT SINGLE TO TWO FAMILY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 62850 3 sets of Plans / Plot Plan THE FOL OWING 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 from Elm Street Commission Permit DPW Storm Water Management Demolition Delay /✓ A ^ ' 7 .Z ■ Signature o t uildi g 0 fficia 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. 72 DRYADS GREEN ST BP- 2012 -0818 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31A - 250 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0818 Project # JS- 2012 - 001294 Est. Cost: $497917.00 Fee: $2987.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BUILDERS SYSTEMS INC 62850 Lot Size(sq. ft.): 7448.76 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: EU(100)/URB(97)/URC(3)/ Applicant: BUILDERS SYSTEMS INC AT: 72 DRYADS GREEN ST Applicant Address: Phone: Insurance: P 0 BOX 635 (508) 798 -8797 WC AUBURNMA01501 ISSUED ON:4/2/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT SINGLE TO TWO FAMILY 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 4/2/2012 0:00:00 $2987.40 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner