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31A-076 (6) Jablonski DeVriese A r c h i t e c t s 29 Elliot Street Springfield , MA 01 1 05 --------------------------------------- 41 3 747 5285 fax iine: 41 3 747 0297 .Jan 29, 2014 WWW.idarchitects.com To: City of Northampton, MA, Building Inspector Re: Code Review for alterations to Commercial Rental Property (Tennant Suite 5A) located at 264 Elm Street, Northampton, MA Building Use Group: B Business Building Construction Type: 2 A : Masonry Bearing Wall with wood framing Table 503: allows 5 floors of 37,500 sf each for Type 2A Construction Suite 5A is 1 ,740 sf, total bldg sf =1 1 ,240 Proposed Alterations: Level 2 Building Elements: All new walls, and finishes shall be Code Compliant. Fire Protection: existing fire protection system shall be maintained, a new strobe light fire alarm shall be installed in the renovated public bathroom on Level 1 . MGL c 148 s 26G: the proposed renovation amounts to 16 % of the total building area, therefore it is not considered a major renovation and therefore a Fire Sprinkler System is not required. Also the total cost of the project estimated to be $175,000 and the current assed value for the entire property is $1 ,458,100, since the cost of the project is less than 33% of the overall cost of the property, a fire sprinkler system is not required. Section 704.4.1 : Occupancy Requirements: "Where the building is not equipped with a fire alarm system, alarm notification appliances within the work area shall be provided and automatically activated. Means of Egress: no changes are planned to the existing Means of Egress Accessibility: The existing Public Restroom on Level 1 will be altered to create a fully accessible bathroom. All new doors into Tenant Suite 5A shall be equipped with lever handles. The new toilet in Suite 5A shall be fully accessible. Structural: no structural bearing walls will be effected by this renovation. Electrical: all new electrical work shall be Code Compliant Mechanical: all new electrical work shall be Code Compliant Plumbing: minimum fixtures are not required because the occupant load is not increased Energy Conservation: all new walls and HVAC units shall comply. Stephen Jablonski AIA Jablonski DeVriese A r c h i t e c t s 29 Elliot Street Springfield , MA 01 1 05 ------------------------------------ 41 3 747 5285 fax line: 41 3 747 0297 Jan 29, 2014 WWW.idarch itects.com A F F I D A V I T To: City of Northampton, MA, Building Inspector Re: Construction Control Affidavit for alterations to Commercial Rental Property (Tennant Suite 5A) located at 264 Elm Street, Northampton, MA In accordance with the Massachusetts State Building Code, 780 CMR, Chapter 1 , Section 1 16.1 , 1 Stephen Jablonski AIA, Massachusetts Architectural Registration Number: 6078 being a registered professional architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the 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. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular 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: 1 . Review shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for the 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. I shall submit periodically, a progress report together with pertinent comments to the Building Inspector. Upon completion of the work I shall submit a final report and an Affidavit of Completion as to the satisfactory completion and readiness of the project for occupancy. ---------------------- -- ,------— - Stephen Jablonski AIA Notary Public; _k The Commonwealth of Massachusetts _ Department of Industrial Accidents -- Office of Investig,ations p. , 600 Washington Street r Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): /'► ��' 1 f .:.�y�� Tj. �-- Address: 4,- U City/State/Zip: rl,-J �� OkS p/iPhone#: `f IS — `7 3 00 5 5 Are you an employer? heck the appropriate box: Type of project(required): 1�I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2._❑ I am a sole proprietor or partner- listed on the attached sheet. 7: Remodeling ship and h-ave--no employees These sub-contracto-rs have $_ ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.E]Electrical repairs or additions officers have exercised their 11. Plumbing re airs or additions �.❑ I am a homeowner doing all work ❑ P. myself. [No workers'comp. right of exemption per MGL 12.❑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 workers'compensation policy infomnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. I am 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.#: 4 -� Expiration Date: C/ zor, Job Site Address: �/ ��� ���zc L 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 MGL c. 352 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 nde the pains and penalties o erjury that the information provided above is true and correct. Signature: Date: 7 9^' Z CJ 1 _---------- - - Phone#: /_3 — , =G0<y `7 �� 1L 413 3 IL 3S_3 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#: t Version 1.7 Commercial Building Permit May 15,2000 J 4 SECTION 10-STRUCT:URAL,:PEER REVIEW(:780'CMR 110 11`) _. Independent Structural Engineering Structural Peer Review Required Yes No SECTION 11 -OWNER.AUTHORIZATION-.TO BE COMPLETES WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR>BUILDING PERMIT __.... ._. as Owner of the subject property hereby authorize -- act on my behalf, in all matters relative to work authorized by this building permit application. _ __ __.__,_ � F Signature of Owner Date 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. Print Name Signature of Owner/Agent Date SECTION 12—CONSTRUCTION:SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:1 ? w.._.__._ .. .. .. ... ,. M _ .-.__ .... ...... .._. License Number Address Expiration Date Signature Telephone SECTION 13=WORKERS'COMPENSATION INSURANCE AFF.IQAVIT(N!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 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGINAND CONSTRUCTIONSERVICES FOR BUILDINGSAND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR'116(CONTAINING:.MORE THAN 35,000 C.F.OF EN CLOSE©SPACE) 9.1 Registered Architect: Not Applicable ❑ Name ) n t (Regisrat. � � i 6,Ci 7 _t): �- Z: Registration Number f U 0// _ Address E 74 77���� Expiration Date Signature Telephone 9:2 Registered Professional Engineer(s): Name Area of Responsibility _._. �_ __..w.__ _._ . _ __ __._..__...__._ _._ .___..___.........._.__..___-_.-_....................__._ f Address Registration Number i Signature Telephone Expiration Date Name Area of Responsibility ............._.__.... 1 Address Registration Number i Signature Telephone Expiration Date _ Name Area of Responsibility Address Registration Number F :.,_..........._......_.........,�....._.�............ :__.... .._..........,.._........._..............__._............_._..._.:._-____-_........................_............ ;. Signature Telephone Expiration Date Name Area of Responsibility i Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor ... _._...__..._ _ _ ----- —— -- — ' Not Applicable ❑ Company Name:- _— Responsible In Charge of Construction 4t -2 210/ Signature Telephone Version1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning . This column to 5e filled in by A-! ^ Building Department Lot Size Frontage Setbacks Front Side L:L—•-•.---= R:.-----) . L:F- i R:= Rear Building Height ME] Bldg. Square Footage E ..__.. % ___._._, ,__.___.1 1 Open Space Footage % —- (Lot area minus bldg&paved parking) #of Parking Spaces Fill: r € (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 IF YES: enter Book ', Page;; and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued:_ .�. _.. C. Do any signs exist on the property? YES 0 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 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 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. r. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION.SERVICES FOR PROJECTS LESS THAN 35,000 a 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❑ Ra,� S we t ti✓ �N a- «2 Brief Description Enter a brief description here. . '/5� ,��� Jn' ,4 Of Proposed Work: / l S�1i✓�` cf i�S. (��a�s �,.g ��.`+. A ( CG c-Q c, �t/✓J..1 1✓tJ SECTION 5-USE GROUP AND.CONS:TRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business 2 E Educational ❑ 213 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi h Hazard El _.:-- -- _ _— 3A ❑ 1 Institutional ❑ 1-1 ❑. 1-2 ❑ 1-3 ❑ 36 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility El Specify: M Mixed Use Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDI.N G UNDERGOING RENOVATIONS;•ADDITIONSANDIOR:CHANGE IN USE Existing Use Group. _ L`s�!s' _.,,_...., �`"P I Proposed Use Group. __ ? Existing Hazard Index 780 CMR 34):' M. 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 St 151 c! nd _. 2 2nd ' • 2 J31_ ................ .............. . 3 3,d � 4m 4� Total Area(sf) (/ Z c'�(� Total Proposed New Construction(sf)� ..._..__._. _ Total Height(ft) Z - _ 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 ZoneRj Municipal On site disposal system❑ C7 ' VersionlJ Commercial Building,Permit May 15,2000 - -'�.+ ✓ r+' Deparfine t GSe,Ol 3�, xr JM orthampton stattsgc2€'Perrr) ' n ullding Department CurhCt/Dnueway Perms exa U Ail a s hr i — 212 Maintr t Sewer/Sept}cA6tt Electric, F `4 a No r'; Rooms Water/WelFAV-iiabihtyY Q _ Northampton,-MA 01060 TwoSets of5trectutaCPlan phone 413-587-1240 Fax 413-587-1272 Plaf/Site Frans 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 This section to be completed byoffice 1.1 Property Address: ......._._....__.__._......_...._...__ Z 4{ In -S v, 4� 4 3: Map Lot Unit Zone;: Overlay District EIm St"District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of ecord Yaro Name(Print) Current Mailing Address: Si na ure Telephone 2.2 Authorized Agent: Name(Print) / Current Mailing Addresses w__•___v __,_ .M.._._._. 73&c�ld c, Signature �' �'�� Telephone SECTION 3 ESTI TED.CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use.Only completed by ermit applicant 1. Building J S (a)'Bwlding''Permit,:Fee 2. Electrical J - (b) Estimated Total Cost of L U Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 10 5. Fir Protection tSSf�J _.'___.••_ _.w.. ...___. ....._._..._...:..._....... . ....._..._.,...._._.: 6. t 1=(1 +2+3+4+5) 7 S C7d CJ Check Number This.Section For Official;'Use Only. Building Permit Number Qate Issued Signature:,- Building Commissionerlinspector.of Buildings Date File#BP-2014-0840 APPLICANT/CONTACT PERSON ALL-TEK BUILDERS INC ADDRESS/PHONE 88G INDUSTRY AVE SPRINGFIELD (413)736-0099 Q PROPERTY LOCATION 264 ELM ST-SUITE 5A MAP 31A PARCEL 076 000 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction:_RENOVATE SPACE&ADD HANDICAP BATH V E NT T6 RAA 1 FT AT 1 0 New Construction CA rya Me►) AREA h tic-1 • Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO- ATION�P SENTED: *rC�^1N ATIo Approved �Additional permits required(see below) � ,JNA -T FO 8AT(A UENT' 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 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. 264 ELM ST-SUITE 5A BP-2014-0840 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 A-076 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2014-0840 Protect# JS-2014-001470 Est.Cost: $175000.00 Fee: $1050.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALL-TEK BUILDERS INC Lot Size(sc. ft.): Owner: DEMAIO AARON A Zoning:URB(100)/ Applicant: ALL-TEK BUILDERS INC AT: 264 ELM ST - SUITE 5A Applicant Address: Phone: Insurance: 88G INDUSTRY AVE (413) 736-0099 0 SPRINGFIELDMA01104 ISSUED ON:21612014 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE SPACE & ADD HANDICAP BATH - vent termination for common area bath not approved 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 2/6/2014 0:00:00 $1050.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner