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City of Northampton
p Massachusetts s. s,
c. lie / t i c
* ( ? DEPARTMENT OF BUILDING INSPECTIONS t ;d
i- 212 Main Street • Municipal Building 0% " 1 1;" , r
* � -: Northampton, MA 01060 bs 6 '
INSPECTOR
Louis Hasbrouck Fax: 413- 587 -1272 Chuck Miller
Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional EngineerslArchitects responsible for Entire Project)
A ,
Project Title: f �n/1 ON ,I f fiA � r D'e' Date: 11311 j 3
Project Location: SNi[Tl-1' Cb sfi'
I V D ���� 1 w ' � Map: Parcel: Zone:
Scope of Project: +- �. @�}� t 1 tsi-44 6— M o N;Ar - l M*
In accordance with the Eighth edition Massachusetts Massachusetts State Building Code, 780 CMR Section 107.6:
I, ['O VG'T1 I . L� G I Mass. Registration # 3s I (0- ,
Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised
the preparations of all design plans, computations and specifications concerning:
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 10.7.6.2.2:
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, 1 shall submit to the buildin icial,a final report as to the satisfactory
completion and readiness of the project for occupancy. o � �,�:H uf d 4ss �
ct ROBERT T. '�".,
41 LEET r
Signature and Seal o Registered Professional STRUCTURAL
r p89420
4 o r A tSTE� �'
. ssioMAI EMp�,F
3/ Day of <..J - 20
(seal)
Versionl .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
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, II U S 1 3. V b JM i 1 t ✓"ii1i C_hOP I I ► r1 , as Owner of the subject property
,
hereby authorize IN
P 4K1 ' e V (tit›W to
act on my behalf, in all t rs relative authorized by this building permit application.
Signature`of Owner Date
I V) 1 kt UbtS1 , as OwnerrAuthorized)
Agent ereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
. ..elief.
Signed under the pains and penalties of perjury.
5• 4 / f
Print Name A M/
"/� re /26//z_
Sign..ture o •wner /Agent Date
T
SEC a 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: AA / 1 Not Applicable ❑
Name of License Holder " r 1. ' ( ��i( p4A �( f - -I f
der : J f b 3 9 4t) License Number
1g e.9 CT / o P , fAA- 0 in %?
Address ' /' Expiration Date
g
Signatur- 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 wit result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0:4 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 El
Name (Registrant):
Registration Number
Address –" - - -- - -- -- --- -- -- —
Expiration Date
Signature T Telephone
9.2 Registered Professional Engineer(s):
St r vc.,v j
Name Area of Responsibility
39 vz.J . (A) , fit h al-3? 3
Address / / Registration Number
27q g °°° ca 6/301 / `�
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signatuie Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Nurnber
Signature Telephone Expiration Date
9.3 General Contractor
P-1 614-r evoi ( Not Applicable ❑
Company Name: I r 1 D 101
Responsible In Charge of Construction tA I (d / I t
.r, s-r o eib PIA"
Address At )
Signs s _ Telephone �_ T
4 EMI — e i
Version1.7 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 0 DON'T KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 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 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES 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 —
IF YES, describe size, type and location: 1 �'�
E. Will the construction activity disturb (clearing, grading, ex•;vation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO al I
IF 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 ❑ 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. •
Of Proposed Work: R o0 .1 0 Col_ e X - 1<1 . 10'
S — { t l i' , ok- VY�Yt� o f"1 l� .-17A- I/ V
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A ❑
A4 a A-5 ❑ 1B ❑
B Business ❑ 2A } I ❑
E Educational ❑ 2B I 4
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
i
H High Hazard ❑ ' 3A ❑
1 Institutional ❑ ,1 -1 0 1 -2 ❑ 1 -3 [] 3B ❑
M Mercantile ❑ 4 []
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage 0 S -1 ❑ S -2 ❑ 5B ❑
U Utility Specify
s Crc .yv',a. A ('o ca'o
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) 1
$t
2 rd
2'
3 rtl
3 55
4
4
u)
Total Area (sf) '`l1c---- Total Proposed New Construction (sf)
0
Total Height (k) 3 /9 t 9"
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: N
Public ❑ Private ❑ N I ar Zone Outside Flood Zone Municipal ❑ On site disposal system❑
.a '
P ^ .'a Versionl.7 Commercial Building Pennit May 15, 2000
i I Department use only
j City of Northampton Status of Permit:
JAN 3 1 2013 Building Department Curb Cut/Driveway Permit -
i 212 Main Street Sewer /Septic Availability
DL- << f uNS Room 100 Water /Well Availability
TON MA 01060 e- 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 Property Address: .,,,11/1 ( I n lOC� This section to be completed by office
Cwt Tbe.PI1L' Map Lot Unit
iato WAS I S t Zone Overlay District
(0 A. 1 rt, Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED ,, IZ AGENT �Aw �/��
2.1 Owner of Record: � U S ��CE sM t� CO u 9t tin - r . t/ f J
Cr r - R- CU -!' ' 1-f s �►1' lad Vier cr, N 6 P-T*4Afrop , MA —
Name (Print) Current Mailing Address:
3 — /- V
Signature ,.. . , . /► -:,c/ Telephone
2.2 Authorized Agent:
ipko 1J l' (4 t)+9 Mkg P. u,ci`f tit 1 c NoP- ' roan a oti
Name (Print) Current Mailing Address:
Signature ��� Telephone y
SECTIO - • TIMATED CONSTRUCTION COSTS X A (/i !opt). - 0-0.
Item Estimated Cost (Dollars) to be - Official Use Only
completed by permit applicant
1. Building t 6 O O
(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) 4 00 6 • r Check Number r 21/9 / ( 0 /0Z
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0737
APPLICANT /CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116)
PROPERTY LOCATION 126 WEST ST - CENTRAL POWER PLANT
MAP 38B PARCEL 006 001 ZONE SI(100) /WP(6)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ! /� 01 6
Fee Paid
Typeof Construction: CONSTRUCT ROOF OVER AMMONIA TANK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 16370
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
p pproved 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
2/
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.
126 WEST ST - CENTRAL POWER PLANT BP- 2013 -0737
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B - 006 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- 2013 -0737
Project # JS- 2013- 001252
Est. Cost: $20000.00
Fee: $120.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 16370
Lot Size(sq. ft.): 9365.40 Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning: SI(100) /WP(6)/ Applicant: WRIGHT BUILDERS
AT: 126 WEST ST - CENTRAL POWER PLANT
Applicant Address: Phone: Insurance:
48 Bates St (413) 586 -8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:2/7/2013 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT ROOF OVER AMMONIA TANK
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 2/7/2013 0:00:00 $120.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner