23A-063 (2) 69 MAPLE ST-FLORENCE FIRE STATION BP-2019-0072
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23A-063 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:ALTERATION BUILDING PERMIT
Permit ft BP-2019-0072
Project# JS-2019-000113
Est.Cost: $1250.00
Fee:$0.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CITY OF NORTHAMPTON CENTRAL SERVICES
Lot Size(sp.It.): 26484.48 Owner: NORTHAMPTON CITY OF FLORENCE FIRE STATION
zoning: GB(100)/ Applicant: CITY OF NORTHAMPTON CENTRAL SERVICES
AT. 69 MAPLE ST- FLORENCE FIRE STATION
ApplicantAddress: Phone., Insurance:
Memorial Hall (413) 587-1260 0
NORTHAMPTONMA01060 ISSUED ON.7123/1018 0:00:00
TO PERFORM THE FOLLOWING WORK BUILD GEAR STORAGE ROOM AT FLORENCE
FIRE STATION
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 7/232018 0:00:00 $0.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File p BP-2019-0072
APPLICANT/CONTACT PERSON CITY OF NORTHAMPTON CENTRAL SERVICES
ADDRESS/PHONE Memorial Hall NORTHAMPTON (413)587-1260 O
PROPERTY LOCATION 69 MAPLE ST-FLORENCE FIRE STATION
MAP 23A PARCEL 063 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
LOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: BUILD GEAR STORAGUOQW FLORENCE FIRE STATION
New Construction
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
INFORMATION PRESENTED:
V 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
/ 4.L� -7/Z-1 15
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.
VersSo_!.l Comnert al --d.:2 Pec^ br _9Vp
Depart-nort Use only
City of NorthaTp .,D Status of Parrrt
Building Depa Hent Kuru CctrDnveway Parrrt
212 Main StCet Sewer Sepnc AvailaNfty.
Room 100 Wit rMlell Ava11251lty
Norhampton, NIA S'C50 TVJo saa o struau-=_I Planr
phone413-587=1240 Pax413 871272 _tP vi sn Pans
r SF 'city
APPJCATION TO CONSTRUCT, REPAIR,RE OV F,CHANGE THE USE OFfOCCPPANCY OF, OR DEMOLISH ANY BUILDING
OTH2F THA A GNE OR TWO FAMILY DWE LING D
SEC ON t -SITE INFORMATION r I ��
i I
1.1 P,.DdrtV Address: DEPT OF BUILDNG I NSPFCTION his ection to be completed by office
NONTHAW1 ON.( MA01050 C��9 r�p`1�1�ClsS-',�• 3_4 Unit
Zone a? Lot
Overlay D'stnct
Elm SC District CBDistrict
SECTION 2 -PROPERTY OWNERSHIPiAUTHORIZED AGENT
2.1 Owner of Record
boa Aut�w 1A rb Nva-140.
N ma
rPrC,W ba ry P..er°ss
22 anam� Telsphera
Authori tl A nT
Name(2.nq G .M1a oc P:Er=s'.
3"btuz O,hore
SECTION 3-ESTIMATED CONSTRUCTIONCOSTS
Item Estimated Cost(Dollars)to be OTICIaI Use Only
completed by permit ao,theam
1. Building (��_ (a);Euilding Petit Fee
2. Electrical ('b) Estimated Total Cast of
7 r+ Cons!r,ction From
3. P.umbinc I Building Permit Fee
T C. Mechanical (H'JAC)
5. Fre Pro. Ction
7C.'tck Number
This Section For Official Use Onl
Badding Permit Number Date T
LIssued '
o er/Ins
R ,
VarsionlJLo-L-reu-al Buildios eer-ntB{aitS_ODI
S'cCTIC 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 32,G00
CU91C FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demoll:ion❑ Pspairs❑ Additions A¢e_sory Building❑
Exterior Alteration ❑ Ex sting Ground Sign❑ New Slgr•s❑ Roofn_e❑ Chance or Jsa❑ Other ,❑
_.
Brier Description Ea'er zbrief description here '�,XAU.t) (�gptis't{�LAe(fs
Oi Proposed Work: f. ane�� FZ
SECTION 5 -USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3
❑ A ❑
A-4 ❑ A-5 ❑ - ❑
B easiness ❑ I I 2A I ❑
E Educational ❑ - 2B
F Factory ❑ F-1 ❑ F-2 ❑ 22 I ❑
H Hi2[, Hazard ❑ 3A li ❑
I Instituticral ❑ -1 ❑ I-2 ❑ 1-3 ❑ II�3EM MercantileR Residential ❑ R-1 ❑ R-2 ❑ ❑
S Smrage ❑ S-1 ❑ S-2 ❑ .... . oo _
U Uellty ❑ Spec ty
M Mixed Use ❑ Specry
5 Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING L'NDEP.G_OING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Gmup. _ _. _ Pmpos_d Usn S o T
Existing Hazard Index 7K CMR 3")' _ PmooseC Hazard Index 733 CIVIR 3"r
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXIST,NG PROPOSED NEW CONSTRUCTION OFFICE LSU ONLY
Floor Area per Floor(sf)
3m 3 _ ....
—_.
4.
Total A-a (s) Total Proposed New ConsL-9ctlon GN
Tota Haaht(R) _
Total Heicht N -
7. WaL=r Supply IM G L. c 4g, § 511 T1 Flood Z,,rre f,rra-i,_ I t 3 _
5 oDlsps:os I o _r,
L7 �
Puellc r 3e ❑ c_ne O -c ^eR rl C
' - mac' r __ _�
V e-sioc1; Vitae li__BOr
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR 3UILDINGS AND STRUCTURES SUSJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAIN I NO MORE THAN 35.000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
_. .. _._
Nit Appllcacle ❑ ._. _. . i
Name IF ,start
for v tuber
Adrr=s;
. _. , -tion Date
Scnatur- one I(
9.2 RegisteredProfessional EnSineer(s):
Neer _ Ara of'esoorsblt,
Address - R s,,st, N_moer
Signature T.epr _
on= E p aioo oat=
No, A Resporshlty
Adtl Is Fccarat.n Nunbxr
S'gnffiure Ephpne EX]la[I0, Gate
A aof Responsbli1
Adders �.._ —._._ —. I Rr,srr2t on. Number
5g ztf, Telepbonx p orCate
Nanx
fFon.fasponebltty
Atldress Ra,stratan Nunoor
S'gnaure Tae-hon, E,rr.on Da:e
9.3 General Contractor ��<<
(109 ' , Not APPIIcable ❑
C moanv Name
spprsible In Cn ge ofCon t .te o
A5
`/a onl 7 a!Bci.dl c?==Ntavti_2^.00
8. NORTFLAMPTON ZONLNG -
j
EXlsitna Proposed Rf,rtrrtj r, Zen,g
Serhecks Front _- '-- -
Side L R:_.-_.. r . R
I
Boildme Heieht
Bldg. Squaa Foote_'
Orev STace Foot age
t ,nus b'dg&pap
yea d o
el
of Pa-idn�Sozces � — � --
/volur�<s Loruloa) _
A Has a Special Permio/Variance/r;nd'ng ever Deern ' soee `:r/on th=_ site,
NO DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Regissry of Deeds'
NO 0 DONT KNOW (5 YS 0
IF YES: enter Book Pace and/or Document
e. Does the site contain a brook, body of water or we Rands? NO 0 DON7 KNOW O YcS O
IF YES, has a permit been or need to be obtained frcm the Cooser,adim, Commission?
Needs to be obtained 0 Obtained 'J Date Issued:
C Do any signs exist on the property? YES 0 NO 0
IF YS, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended or the p-coer`? YS 0 NO O
IF YES, describe size, type and loc=_tion:
E. Willa= nstmction aotiii/ s,rr (dea y. ra.:in, e orftlln to _c- :r 5- C..rawv c - -
thatwilldisurboverlaca7 YFS O X90 O
IFYES,Nen a Nonharrmoo Story_We M r- 5a,en -"om t,= c. r qJr C.
Pte CotnmonweaLtle Of Vassachusees
Depar..rr.9rt ofZna s m!deciderxas _
Qjice of 7r.t.�stiga:ons
- 500 irasMngton Street
Boston, AL4 02111
xoww.mass.gor/dia
iForkers' Compensation Insurance Affidavit: Builders,sConrractors T itctrieiansr?Iumbers
Applicant Information Please Print Lesib!v
-'prams Buateess/Oresnizz:io nadridual :
Ac?r255'
Cil/State/Zip: Phony
Are you an employer? Check the appropriate bps: Type of project (required):
I.❑ am a orraloyor or--h 4. ❑ I atn a central cont tar an..I
nuloae s (firll and'ot Parr-time)." have Prone to sup o�¢aa oa 7. ❑R a omni .on
i,
?.❑ Iam asole proem romorparecen Is d ache acocle } her ❑ '� o
Th-'e so,h-cot a 0 'ti..
snn and have no mn�overs I x. LI D mo on
o.!L=.a for one in any mpacrry. p-o '_es and ba-- wo-k-.-
9. ❑ u gad'tor
[No vort,=' comp_insurance comp. insurance?
J ELc¢tcal tenons or addijons
.squired.] 5. ❑ We ec a corm,or �0.on and its - --
3❑ L am a homzown . doing all work off cera have e s a .Sri 1 L.❑ Plarnbroo rmznzor add,,c-n
myself. o wo Lza'comp. arzht of onempnon a 6-GL
y �" 13.❑Roo_r_pams
imrrrance requird]T c 1"2' I(^), and we have no
emplovices_ Ffd. oo--e,3 IJ 0uher
cow. i^sutaace regiirad.j
__ 'f;Pesubwnea:ors hap-.-,r r �,[bEy nu5i JNVIaP CKI[ wOi,�-$'mplp.pC ' enDca
I am on empla}ger that is providing workers'compensation insurance for m}:employees Selaw is rhe policy arzdjob site
informadorc
Insurance Compane Name:
Policy d or Self-ins.Lic Expinric,Date:_
Sob Site Address: City.'Staoc,Zip:
Attach a cop} of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Semen 25A ofMOE c lit can Lead to the imposition of caminal penalties of a
five up to 51,500 00 and/or ane year hnprisonment, as well as civil penalces in Inc form of a STOP WOIZR ORDER and a fine
o`up to 52+0.00 a day aze n n no.violator Be advised that a copy of tins sm:zment may be fornardzd'_o c¢e Of9ce of
In,estigarlons of the DLa.for insurance coverage verification.
I do hereby cerrif}'under the pains and penalties ofperjup dvat the informatiors provided above is ri a and cot,act.
Signature: D-t
Phone
i Offrc,ol use only. Do ,or n the to dais area, ro be completed by cig or tavo ojrclaL
City or Town: Permit'Li cense= _
l5sirrig Authorit'p(circle one):
I. Bo-rd ofHealth 1.€t:.Mia,Department 3. C n Clerk .. ct- —I irooec or
6. 0th r
�� Contact Person t4 ue-
• _. �'erioel.%Co.,ne.cia!B_Sit,Penn-Mat 1,.'_000
SECTION 10-STRUCTURAL PEER REVIEW(780 CM—R-110.11)
Independent St--mural Engineering SVuctura_I Peer Revie,m Reouir-c =
SECTION 11 -OWNER AUTHORIZATION -TO.B'c COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
= I
^e rebyajthcrze
a 1 on Ty behalf in all mzRers rzla[:be Ec v�nrk auihchz=_c 'o c^Is _cllcinc p5nmi'apciioa5or.
8lgnawre of Owner Da,
At�ebef.
ent tereby de^_laretpatthe sta!amenlsperd lnfornaton cn'he fo�=_gol a apoli2bo re,ue and ac....rzle to the best of my'tnoWledge
thz Zino and eral-ne la_ ntC NS UC T ION SERVICESCon bon Suoervlsor Nct Acpl cable ❑
Name of L' a Holde
_. 'c>_nse NiTGer
Address Exoir:ion Dat=_
Slsnature Telephoce
SECTION 13 -WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G L o. 152 § 250(6))
Workers
of[he Compensaissuance of thebuiidmintion lnauranceuictmus:be comple'e�a'd wbmitedwim this iiatlan. Falun to orov deNsa7TCavh
m [he dental g permit.
I Signed A6ica+itAffi ch�L yes � No 0
City of Northampton, Massachusetts
` Central Services
Memorial Hall, 240 Main Street
Northampton, MA 01060
David Pomerantz (413)587-1238 Fax: (413)587-1248
Dirsmv ofCrntnl Services
July 16, 2018
GEAR STORAGE ROOM
FLORENCE FIRE STATION
• Storage room for gear- 14'x 16'x10'.
• 2"x6" PT plates.
• 2"x6" KD framing.
• Yz"plywood finished one side for walls both sides.
• Ceiling to be 2"x12" KD framing with %'plywood finished one side for room side.
• ''/a" CDX plywood for top of ceiling- to be used for storage.
• Lighting- fluorescent lighting.
• Door- 3068 solid core, flush with lever lockset.
City of Northampton, Massachusetts
Central Services
Memorial Hall, 240 Main Street
Northampton, MA 01060
David Pomerantz (413)587-1238 Fax: (413)587-1248
DLrenor or(,m.I Scrvims
To: Louis Hasbrouck, Building Commissioner
From: David Pomerantz
Date: July 16,2018
Re: Waiver- Florence Fire Station
Central Services will be building a 14'x I6'x 10' room in the apparatus bay area to be
used for gear storage. I request that you grant a modification to waive the requirement for
control construction for the project because the work is of a minor nature and will not affect
health, accessibility, life and fire safety, or structural requirements. Construction control is
impractical in that the cost of control construction is considerable when compared to the cost
of the proposed work. Thank you for your consideration.
,n J 2' 2
x 11'-2'
TnCK BAYS
GONGRETE PLR
GTp. 0D.GEiL.
m l4'-O' AFF.
IS'-Tq'
x la'.o' ❑ F.D. '`�.Q�N"`
F.D.
-41 4 3, 4�,
�' a
M.O. MVN Q
.O.
afl
EXISTING FIRST -4.
_ ry5
- FLOOR PL,4N
55 744 SQ . FT . _ _.