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31A-067 (2) • A Fire Department Emergency Access Key Box is required on the exterior of the structure near the entrance to control equipment; a red 120 - candela strobe Tight that actuates upon an alarm condition is required above the Emergency Access Key Box. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one -inch white lettering "Fire Alarm Control Panel" and /or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. • Page 2 g ____ 67 � Northampton Fire Syr Department ..„) + r S. X .& Memorandum J t, 1 2 D 2010 . To: Tony Patillo From: Duane Nichols Date: January 26, 2010 CC: Brian Duggan Re: ComstockNVilder Kitchen Remodel Smith College Secondary to a review of the plans and narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • Fire alarm and fire suppression work permits shall be obtained for the project. The CIO inspection fee needs to be paid prior to approval of any fire alarm plan. • Any work on Kitchen fire suppression systems will need a fire suppression work permit obtained for the project. • Pull stations for Fire suppression systems shall be clearly marked with signage " Pull Station for Kitchen Fire Suppression System" • K fire extinguisher is required in kitchen. • Pull stations for fire alarm system shall be double action type. • Engraved key tags are required for the keys in Emergency Access Key Box • Page 1 CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1806 DATE: December 10, 2009 PROJECT TITLE: Comstock Wilder Kitchen Upgrades PROJECT LOCATION: Smith College, Paradise Road, Northampton Massachusetts NAME OF BUILDING: Comstock House & Wilder House Kitchen SCOPE OF PROJECT: Upgrades to Kitchen surfaces. Removal and Reinstallation of existing kitchen equipment. IN ACCORDANCE WITH SECTION 127.2.3 OF THE MASSACHUSETTS STATE BUILDING CODE, 6 111 EDITION, I, Evert O. Lindgren, P.E. MASS. REGISTRATION NO. 22425, BEING A REGISTERED PROFESSIONAL ARCHITECT /ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X ELECTRICAL OTHER (specify) 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. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT A MONTHLY PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE INSPECTION SERVICES DEPARTMENT. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT Et �, o4f,-. OCCUPANCY.` "� s,4, EVERT A DARLENE LYNN MEACHAM o O. LINCGREN, }}� ■ yt Notary Public cv-tfAaj..-Avi J . , P.E. "' Comm onwealth of Massa N o. 2 E Q M Y Commission Expires Signatur M �' ? 9. 2011 -PoNG� `��� ONA SU: SCR i lBED ' ND SWORN Ts BEFORE ME THIS / J DAY OF je1,001 iay,i0-0 9 1/' 94 4fC, c - MY COMMISSION EXPIRES / i /` ,,,,W) .. 'N• • . IC /� // • CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1806 DATE: December 10, 2009 PROJECT TITLE: Comstock Wilder Kitchen Upgrades PROJECT LOCATION: Smith College, Paradise Road, Northampton Massachusetts NAME OF BUILDING: Comstock House & Wilder House Kitchen SCOPE OF PROJECT: Upgrades to Kitchen surfaces. Removal and Reinstallation of existing kitchen equipment. IN ACCORDANCE WITH SECTION 127.2.3 OF THE MASSACHUSETTS STATE BUILDING CODE, 6 EDITION, I, Evert O. Lindgren, P.E. MASS. REGISTRATION NO. 22425, BEING A REGISTERED PROFESSIONAL ARCHITECT /ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X ELECTRICAL OTHER (specify) 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. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT A MONTHLY PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE INSPECTION SERVICES DEPARTMENT. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT F* of OCCUPANCY. a�P` 4ss\ A DARLENE LYNN MEACHAM EVERT �ti� No Pu �' D O. LIN[GREN, I � Commonwealth tary of Massachusetts blic ° 1 ^., P.E. ti My Commission Expires ' Ma,v t g, 2011 Signature � • No 2 24 25 O ‘,- / s SU• C AND S, OR , TO BEFORE ME THIS /( DAY OF/ 41/42 .�� c> *6/ y1LEAL — , / ,/ MY COMMISSION EXPIRES ,r /7 ,-,1C1/'/ f 7RYULIC CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1806 DATE: December 10, 2009 PROJECT TITLE: Comstock Wilder Kitchen Upgrades PROJECT LOCATION: Smith College, Paradise Road, Northampton Massachusetts NAME OF BUILDING: Comstock House & Wilder House Kitchen SCOPE OF PROJECT: Upgrades to Kitchen surfaces. Removal and Reinstallation of existing kitchen equipment. IN ACCORDANCE WITH SECTION 127.2.3 OF THE MASSACHUSETTS STATE BUILDING CODE, 6 EDITION, I, Charles P. Sharpies, P.E. MASS. REGISTRATION NO. 28940, BEING A REGISTERED PROFESSIONAL ARCHITECT /ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (specify) 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. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT A MONTHLY PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE INSPECTION SERVICES DEPARTMENT. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT ' OF e /, /O / P. fr ;) ( I ! c CHARLES „0'r\ SHARPLES z • Signa ure 'e,gg .(`‘OAF-T9 28940 Gt b �AL i SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF MY COMMISSION EXPIRES NOTARY PUBLIC Air CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1806 DATE: December 10, 2009 PROJECT TITLE: Comstock Wilder Kitchen Upgrades PROJECT LOCATION: Smith College, Paradise Road, Northampton Massachusetts NAME OF BUILDING: Comstock House & Wilder House Kitchen SCOPE OF PROJECT: Upgrades to Kitchen surfaces. Removal and Reinstallation of existing kitchen equipment. IN ACCORDANCE WITH SECTION 127.2.3 OF THE MASSACHUSETTS STATE BUILDING CODE, 6 EDITION, I, Charles P. Sharpies, P.E. MASS. REGISTRATION NO. 28940, BEING A REGISTERED PROFESSIONAL ARCHITECT /ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (specify) 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. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT A MONTHLY PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE INSPECTION SERVICES DEPARTMENT. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJEC OCCUPANCY. OF ;;' / c CHARLES C'w / ( P.� _ _ o SHARPIES , ... • nature / 'q, ,p 4 9 4 SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF efi° MY COMMISSION EXPIRES NOTARY PUBLIC 1/ LINDGREN Si. SHARPLES, P.C. � EE (3 nRANL 1 I 435 Cottage Street, Springfield, MA 01104-4005 DATE: 12/10/09 !JOB NO'! 1806 RE: TO: Smith College - Physical Plant Comstock Wilder Kitchen Renovation 126 West Street Paradise Road, Northampton Northampton, MA 01063 Attn: Charlie Conant WE ARE SENDING YOU X Attached I 'Under separate cover via the following items: (Shop Drawings I X'Prints I Mans Samples I 'Specifications 1 'Copy of letter I 'Change Order I 'Other COPIES DATE I NO. DESCRIPTION - — 1 Electrical Controlled Construction Affadavits — - 2 12/10/2009 1 1 Mechanical Controlled Construction Affadavits 3 1 12/10/2009 1 'Full Set of Construction Documents, Stamped & Signed i r , 1 THESE ARE TRANSMITTED as checked below: X 11. For Your Use I 14. Approved I 17. Not Approved 1 X 12. As Requested 1 5. Approved as Corrected I Resubmit for Record I 13. For Review and Comment 1 Ib. Revise and Resubmit I 19: Remarks: J•el ? -tuno -'jj- trical En ru COPY TO: SIGNED: / �\ If enclosures are not as noted, kindly notify us a .nce. Copyright ©2005 Lindgrer/Sharples, P.C. v DEC-22-2009 14 : 52 • ' ri;tRO I S CONSTRUCTION 1 413 533 4736 P. 01/01 ' • . veN .The Continomoealsh ofigasscreicstretts Dcgoartineat ell Indastriel Aecidenir . Office off:markt:lions , ,, ..,:.... .:. 600 Washington Street -= " MA OEM ' • . ---•-.. --- .,.•.- 4. • vowftuness„govicria . . . -Workers' Compensation Insurance Alfidityit Beilders/ContractorMectriciansakiumbers A t la ngknnattott _ILe PrittUggth . Name 03nsincoWarsaciindoo/Indiontn4: in 4. (t; t N COP45 I r0 r . 4: LoyNL___ . 0,0_221 '. • . — . . • Address: .. , 9. .. .._ .. _...._ • aty/statezip:ts_SleAtyk_k_. AA_ Phms:#7:1 -3. . Are yOU as etoployer? 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L Cotet • i' L • ' Comics rarccm: ?hone ___:..............,_ . TOTAL P . 01 Version 1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) 1 independent Structural Engineering Structural Peer Review Required Yes Q No 0 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, eti. /f tx-.- co `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 pains and penalties oyp rjury. Print Nam -- „A r Oct Signat o Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : ;Joseph Marois '16757 License Number 262 Old Lyman Road 06/08/2010 Address Expiration Date 013) 533 -1320 Signature Telephone �!J 13 ORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 162, § 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 Version 1.7 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 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 Stgnature Telephone Expiration Date 9.3 General Contractor Marois Construction Company, Inc. Not Applicable ❑ Company Name: Joseph Marois Responsible In Charge of Construction 262 Old Lyman Road Address ;(413) 533 - 1320 i,,,,: Telephone • 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 750 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architec €: Not 0 Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Englneer(s): C.A4rae,i Name Area of Responsibility -maw. .1 t. i iw- Tl. -�l / / / cam' • �Ypia .. Registration Number .. . / 73 - 9 �3` Jv.� �� 20 / b Signature / Telephone Expiration Date Name Area of ResponsrbHity ¢ 35 CoAI/tic 74 f /4d� /d 47,9 4 5 3 l Addnsa Registration Number 4 ✓ c , .e 3D, 2c/ v Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Narne Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Marois Construction Company, Inc. Not Applicable Company Name. Joseph Mara Responsible In Charge of Construction 262 Old Lyman Road Address (413) 533 -1320 gl Me Telephone • Versioni.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 Frontage Setbacks Front Side L: R: L: R: 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 ® DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT 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 0 DONT KNOW 0 YES v IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained t0 Obtained ® , Date Issued: C. Do any signs exist on the property? YES Q NO 0 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 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 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version!.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 ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑ Brief Description , Enter a brief description here. r- ,Z,i,+.to haw Of Proposed Work: �� / /_ � `oer. � fit( wQ� 4�r��Gc.S � P r'' v'�r y 7�G2. SECTION 6 - USE GROUP AND CONSTRUCTION TYPE / USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A ❑ A -4 ❑ A -5 ❑ 16 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 institutional ❑ 1 -1 0 1-2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 �] R Residential ❑ R -1 ❑ R -2 NI R-3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S-2 ❑ 5B Q 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: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA f BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 l st 2nd 2nd 3`d t 3 4th 4th Total Area (sf) Total Proposed New Construction (si) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 64) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public p Private ❑ Zone , Outside Flood Zone❑ Municipal p On site disposal system • Version l .7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /SepticAvailability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans 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 1.1 pror'ertv Address: / r� This section to be completed by office Map / c(// Lot Ft 4 �jpy� r „/1 Unit / /i? u k-/ d'... /1 a t�tch s /' r , e � fL"`t c - S' Zone Overlay District Eim St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT .1 Owner of Record: Trustees of Smith College 126 West Street , Northampton, MA Name (Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agents Charles Conant 126 West Street, Northamton, MA Name (Print) Current Mailing Address: � (413) 585 -2424 Signature 2 Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS l Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ? Gr',,, j ." (a) Building Permit Fee 2. Electrical /GI f►� .V (b) Estimated Total Cost of J. w� Construction from (6) 3. Plumbing 4 •�' Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection f _ 549 6. Total = (1 + 2 + 3 + 4 + 5) f�7 ( 3 ' Check Number / ,� . ✓ / �f J j� This Section For Official Use Only A it "�'rmit� @�nfe k Date issued Signature: Building Commissioner/inspector of Buildings Date File # BP- 2010 -0622 APPLICANT /CONTACT PERSON MAROIS CONSTRUCTION CO INC ADDRESS /PHONE 262 OLD LYMAN RD SOUTH HADLEY (413) 533 -1320 PROPERTY LOCATION COMSTOCK/WILDER - 1 MANDELLE RD MAP 31A PARCEL 067 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out � Fee Paid 0 .1 Typeof Construction: RENOVATE KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 016757 3 sets of Plans / Plot Plan THE FO . WING 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 Demolitio Delay Z 2 Z� 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. :‘ DER - 1 MANDELLE R BP- 2010 -0622 GIS #: COMMONWEALTH OF MASSACHUSETTS Map :Block: 31A - 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- 2010 -0622 Project # JS- 2010 - 000904 Est. Cost: $117000.00 Fee: 3702.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MAROIS CONSTRUCTION CO INC 016757 Lot Size(sq. ft.): Owner: Smith College Zoning: Applicant: MAROIS CONSTRUCTION CO INC AT: COMSTOCK/WILDER - 1 MANDELLE RD Applicant Address: Phone: Insurance: 262 OLD LYMAN RD (413) 533 -1320 Workers Compensation SOUTH HADLEYMA01075 - 2653 ISSUED ON :1/12/2010 0 :00 :00 TO PERFORM THE FOLLOWING WORK: RENOVATE KITCHEN 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 1/12/2010 0:00:00 $702.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo