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32A-151 15 STRONG AVE BP-2019-0189 GIS 4: COMMONWEALTH OF MASSACHUSETTS MaRBlock: 32A- 151 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 4 BP-2019-0189 Pro ject4 JS-2019-000313 Est Cost:$38000.00 Fee: $266.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN ALBERTSON 81426 Lot Size(sp.ft.): 3484.80 Owner: KHALSA AMANDA ZommCB(100)/ Applicant: STEPHEN ALBERTSON AT. 15 STRONG AVE Applicant Address: Phone: Insurance: P O BOX 971 (413) 522-3158 GREEN FIELDMA01 302 ISSUED ON.812412018 0:00.00 TO PERFORM THE FOLLOWING WORK.•BATHROOM, NEW FLOORS, WALLS**ENGINEERING BEFORE ROUGH FRAMING** 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 p 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 Occuoancv Shmature: FeeTvpe: Date Paid: Amount: - Building 8/24/2018 0:00:00 $266.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0189 APPLICANT/CONTACT PERSON STEPHEN ALBERTSON ✓ L ADDRESS/PHONE P O BOX 971 GREENFIELD (413)522-3158 PROPERTY LOCATION 15 STRONG AVE MAP 32A PARCEL 151 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLUIST ENCL ED QUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstruction, BATHROOM NEW FLOORS WALL Q2r�QZ �pY� New Construction 7r Non Structural interior renovations 7 Addition to Existinga..�hf Accessom Structure Building Plans Included- Owner/Statement or License 81426 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: 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 I_L�molition Delay tgnatmeofBui4 gO�C. D� 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. Versionl.7 Commercial Building Permit May 15,2000 tm6 M1 City of Northampton Building Department rn 212 Main Street Room 100 ew o Northampton, MA 01060 US 413-587-1240 Fax 413-587-1272 plati AqPLICATION TO CONSIPUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION I-SITE INFORMATION 1.1 Property Address: This section to be completed by office 5-,-"Al Cl MIF Map � Lot unit Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: -- --—----- ----- /,fla/ 114 AA Igo /wlSca Rd,IAS 4A e/d Name(Print) Current Mailing Address 303 —,$/I — 'z Signature Telephone 2.2 Authorized Anent: X.,p 2:20 ,6,x6i/ "/W Name(Print) Curter Mailing Address If/? Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost(Dollars)to be Official Use Only completed by Remit amliciant 1. Building ZS tlYlD (a)Building Permit Fee 2. Electrical --------- (b)Estimated Towl Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 -2+3+4 5) W-3Qpp Check Number 103 This Section For Official Use Only Building Pend Number Date Issued Sign yvila-I C-0 v+-x Versionl.7 Commercial Building Permit May l5,2000 SECTION M CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolitions 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: I,POt}��1 NF.e/ fr70R-5 r Wil.« S SECTION 5-USE GROUP AND CONSTRUCTION TYPE - USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly13A-1 1:1A-2 ElA-3 El 1A El A-4 ❑ A-5 ❑ 1B ❑ B Business 2A ❑ E Educational ❑ 2B I ❑ F Facto ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ I-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 58 ❑ U U0111y ❑ Specify: M Mixed Use ❑ Specify'. S Special Use ❑ Speafy 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) ist 3� 3m 4- _. . ... .._.. 4m ..... ._. Total Area(sf) Total Proposed New Construction (so Total Height(ft) _.. __. __... Total Height ft .. . 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private 0 Zane.'. Outside Flood Zone❑ Municipal ❑ in site disposal system❑ 10 Veaiont.7 Commercial Building Permit May 15,2000 S..NORTHAMPTON ZONING Existing Proposed Required by Zoning This cvlumv robe filled m by Buildin,Department Lot Size Frontage — — -- _-_-- ---.-- Setbacks Front --- ' Side L. R - L:_ R' _ Rear Building Height Bldg. Square Footage - ' -- % -" Open Space Footage .- , % (Lot area minus bids&paved puri p of Parking Spaces volume&Lvcalivv ------ -- - -- A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW © YES O __-_.._ _...... IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO © DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. Will the construction activity disturb(Gearing,grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Its Version L7 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 118(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: (�sn,11 jet Not Applicable ❑ ,.... - 9s/alb Name(Registrant). _. .._ / r Registration Number Ol O—L&-b Andress q( 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 Data Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telept Expiration Data 9.3 General Cont r ac tor 5. 13. Not APPlicable ❑ Company Name: 57-E o yE.✓.. A2$E.Q.TsDa/ Responsible In Charge of Construction Address L/ Y � SLR 5t2-3/t8 Signature Telephone Version L7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(760 CMR 110.11) Independent Structural Engineering Structural Pae,Review Required Yes O No O SECTION 11-OWNER ALfTHOR17ATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ------------ -- _.., as Owner of the subject property hereby authorizePR < t -.- ---to act on my b m a afters relative to work authorized by this building permit application Signatur r Date __ � �1•I �,H �J' Q .. __.: as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed,under the painsand nalti sof peof un . Print Name -- - S'1'EVH6✓ f�8�2rS"e.✓ S�a/ig Signature of Owner/Agent Dale d SECTION 12-CONSTRUCTION SERWCES 101 Licensed Construction Superviss�o//r�: Not Applicable ❑ Name of Llnnse HolderCLSl'' � <X *- CS_tl� 1Q�4 -- ! License Number a 97/ + i6cf o1 �pL VIZI zo v Atltlress Expiration Dale 413-r2 iso Sign9bure Telephone SECTION 19-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§2SC(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 0 No City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: /S 57PZo&e' /? The debris will be transported by: 5, ,3. Ac$£y�iser✓ The debris will be received by: Building permit number: Name of Permit Applicant 5MP11EA/ A L gE2 ?Sores Date 01/D(ig Signature of Permit Applicant i The Commonwealth of Massachusetts Department of Industrial Accidents I CongressSuite 100 Boston,MAA 02 02114-20177 svww.mass.gov/dia Workers'Compensation Insurance Affidavit;General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoolicaat Information Please Print Legibly Business/Organization Name: 5 Address: 00 0 . 6�i x 91 ,71 City/State/Zip: 6 _ 1r0� AI#f 013t2- Phone#: Are you an employer?Check the appropriate box: Business Type(required): 1.❑ 1 am a employer with employees(full and/ 5. ❑Retail or part-time).- 6. ❑Restaurant/Bar/Eating Establishment 2.9 I am a sole proprietor or partnership and have no T ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] g. E]Non-profit 3.❑ Weare a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,¢l(4),and we have 10.❑ Manufacturing no employees. [No workers'comp.insurance required]' 11.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers'comp.insurance req.] 12.❑Other "Any applicont that checks box#1 must also fill out the union below showwg am woders'compensation policy information. "If the coi orate ofcers have exempted themselves,but the c,onytion hss other employees,awohcrs'con cosation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees Below is the policy information. Insurance Company Name: A11K Insurer's Address: City/State/Zip: Policy#or Self-ins.Lic.# AWL-4dv- 9030130 -L0/74 Expiration Date: 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. 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 certify,under he sins ondpenalties of rlury that the information provided above is true and correct C tu ¢¢ Ia Date' 8�Z3�R Ph #' 4i/ S z Z 3 SS Oficial use only. Do not write in this area,to be completed by city or town official City or Town: PermiMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfFown Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Coal&"Person: Phone#: www.mass.govrtha Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ofthe foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shal I not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25CO states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you we required to obtain a workers'compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit license number which will be used as reference number.In addition,an applicant that must submit multiple perm ulicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit most be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 www.mass.gov/dia From RevisedtO 21 15 Cade Review Thomas Douglas Architects,Inc. Renovations for Northampton,MA 01060 15 Strong Ave 413-585-0641 Northampton,MA 01060 Ananda Khalsa Jewelry Studio Ananda Khalsa 15 Strong Ave Northampton, MA Applicable Building Code: MA 78o CMR Ninth Edition IEBC International Existing Building Code, 2015 IBC International Building Code, 2015 Parcel ID:32A-151-001 Assessed value: $536,280 Zoning District: CB Building Footprint: 3,551 sgft Main floor area:3,551 sqft Building Gross:8,375 sgfr Building Height: - 25 It. Proposed Renovations: Project Description: • Renovate mercantile space for tenant use. • No changes to the building footprint, facade, basement or the upper levels. Use Groups • Currently Mercantile use, there will be no changes to the use group. • The current level of safety or sanitation will NOT be reduced and the portions altered shall conform to the requirements of the IBC &IEBC. Construction Type • 3B, Brick exterior walls, combustible framing. Areas The proposed renovated work area is: 1,54o square feet on the i'floor According to the IEBC 2015 Chapter 5 Classification of work: Section 503 -Alteration Level r New Elements and Finishes Section 504 -Alterations Level 2- Reconfiguring of space 1 of 4 Code Review Thomas Douglas Architects,Inc. Renovations for Northampton,MA 01060 15 Strong Ave 413-585-0641 Northampton,MA 01060 Work Area Method Calculations The work area is 18% of the aggregate area of the building. The work area comprises less than 50% of aggregate area of the building;therefore this is not a level 3-alteration project. IEBC section 505 The work area includes reconfiguration of the 1" floor mercantile space. Most of this project will be classified as a level z project.The alterations will follow level z guidelines. Level r work requirements: The removal and replacement or the covering of existing materials, elements, equipment orfixtures using new materials, elements, equipment or fixtures that serves the same purpose This Project will have new interior walls, doors, finishes and lighting. 603 Fire Protection: Alterations shall be done in a manner that maintains the level offire protection provided. This Project will not affect the level of fire protection that is currently provided. The ceilings which separate the use groups (M on ground floor and Rz on z"d floor) will be improved and repaired. 6o4 Means of Egress Repairs shall be made in a manner that maintains the level of protection provided for the means of egress. 6o6 Structural: There will be 1 enlarged opening in a masonry load bearing wall. We will have a Structural Engineer size the new structural lintel. 607 Energy Conservation: See 7o8 below 701.3 Compliance New,electrical equipment must comply with section 708 2 of Code Review Thomas Douglas Architects,Inc. Renovations for Northampton,MA 01060 15 Strong Ave 413-585-0641 Northampton,MA 01060 OCCUPANCY Occupant Load Calculation Max sqft per Max occupancy Area (1004.4.1) occupant based on area Retail space M - 1 per 60sgft 10.4 625 Back of house M Employee only 4 930 Toilets:MA 248CMR Plumbing&Gas Code Required fixtures: Section 10:10 Table 1 Total Occupancy:14.4 1/20 women @ 7.2 women = 0.3 toilets 1/20 men @ 7.2 men = 0.3 toilet One unisex, toilet will be provided 704 Fire Protection:The building is not sprinklered- there will be no change. The renovation is less that 30% of the aggregate square footage of the building and is considered minor in nature. 704.4 Fire alarm and detection: • The building has a fire alarm system in all areas. It will be maintained. New devices will be added in the work area to conform to the code. 705 Means of Egress There will not be a reduction of means of egress in any part of the building. 705.4.4 Panic Hardware This project will not have panic hardware, occupancy is under 50 705.7 Means of Egress lighting All means of egress will have compliant exit signs. 705.7 Exit Signs The renovated space will have compliant egress lighting. Fire Alarm devices The renovated space will have compliant smoke detectors, strobes and horn strobe units. 3 of Code Review Thomas Douglas Architects,Inc. Renovations for Northampton,MA 01060 15 Strong Ave 413-585-0641 Northampton,MA 01060 708 Energy Conservation: No changes to the building envelope are proposed other than minor repairs. 8o6 Accessibility CMR 521 3.3.1 b. If the work costs S1oo,000 or more, then the work being performed is required to comply with 521 CMR. In addition, an accessible public entrance and an accessible toilet room shall be provided. This project's construction costs are estimated to be below sloo,000 3.3.2 If the work performed, including the exempted work, amounts to 30%or more of the full and fair cash value of the building, the entire building is required to comply with 521 CMR. Building Assessed value: $536,280 Renovated Area:1,540 sqft 24%of the building Renovated Area Value: $128,707 Estimated Renovation Value $38,000 which is less than 30%of value One new accessible unisex toilet room will be provided. With the exception of the existing entry steps&change of level steps, the first Floor public area is now and will be fully accessible. End of Document 4 of 4 lit r I MUD APLAN A-loo