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17D-012 (6)
...,,,, ..., 1 „, - -. , •.. - ',.: ^ 4 01.. . .. _ . ,..- ,,---- ......... . . . ----- e ' ■ ,,.'.........; 1 , L A7' <-(........„ S 1 / 7P_/2 -,--,,,,,, ,. , , , w ate „„„ October 14, 2009 Preservation of Affordable Housing, Inc. Amy S. Anthony, President Anthony Patillo Building Commissioner City of Northampton 212 Main Street, Room 100 Northampton, MA 01060 RE: Meadowbrook Apartment o �� Dear Mr. Pacillo: In connection with Section 350 -9.3 (7) of the Code of the City of Northampton, I am requesting on behalf of the owner of Meadowbrook Apartments, Meadowbrook Preservation Associates Limited Partnership, a finding be issued by the City of Northampton to allow for a change to the current foundation plan and associated building at Meadowbrook Apartments located at 491 Bridge Road. The residential building (Building #21), destroyed by fire, was a legal preexisting nonconforming structure housing 12 rental units. It is the owner's intent to rebuild the structure with the exact same number of units and square footage while updating design and construction to meet the current building code requirements, including Section 9.3 of CRM 521) requiring all residential units on the ground floor of a non - elevator building to be constructed as Group 1 Dwelling Units (adaptable). This update requires the change to the foundation plan requested above. The structure will also include one fully ADA compliant dwelling unit. I have attached the following items in connection with this request: 1) Current site plan detailing Building #21 2) Revised site plan detailing new foundation plan for Building #21 3) Revised Building #21 elevations We are eager to begin construction soon to avoid winter conditions and respectfully ask for your expedited review of the attached. Please feel free to contact me with any questions you may have. We look forward to working with the City of Northampton to begin the much anticipated rebuilding of these affordable residential units. Sinceret , ") t'` Julie Creamer 40 Court Street, Suite 650, Boston, MA 02108, 617 261 9898, Fax 611 261 6661, www.poah.org 1 0. Do any signs exist on the property? YE .S v 140 IF YES, describe size, type and location: /1 ` t i ccy ' Are there any proposed changes to or additions of sis;ns intended for the property? YES NO + IF YES, describe size, type anti location:. 11. Wilt the construction activity disturb (clearing, grading„ excavation, or filling) over 1 acre or is it part of a common plan of development that wilt disturb over 1 acre? YES _- NO ... IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION ihis coltiiiri reserved for use lilt the Building. Deportment EXISTING PROPOSED j RM;()I 1123 1) 13Y ZONING Lot Size (t% // (/) -1 2 - a. ( r' . t Frontage ? t l; Id (,` ' >: i c l i` 70.17-7,I•-7 1 ref . E l L-•. ti cf ( c1, -aw) ' i L ci `i I, ,.. , j Setbacks Front ( — — Side L: r (.‘• R: VD- (+_. L: tt, r R: (() f I L: R: Rear •l t : Building Height t ) C) -�- Building Square Footage 12 ) - C 1 C ( .)�:... -(:f Open Space: (lot area r minus building a paved `'� (1 L' /L) 1 c f parking 1 # of Parking Spaces # of Loading Docks Fill: (volume Et location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. �< f l Date: (4- /Z / {� Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from tale Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W'.DocumcntsiFORMS: original Bui !dine - Inspector'J..onmg- Permit - Application- passive.doc 814/2007 OCT 2 2 2009 )` J = l d D7-7 n 7“..;:15'*--; (.% I PECTIONS _, 01060 File lc No L- 1r J — Please type or print all u infot niatioit and return this form to the Rttilclltlg Inspector's Office leitlt the $1 ,5, /dirty fee (check or honey order) payable to 1 he City grNortltcrrnpton ' I . Name of Applicant: `. \t ti r r r e 1 ( / t ,! - Address:. —_ ('i t_{ 1 ......_ 1v . 1 _._.._... ..` _, '` j f ) ... T elephone: (pi `/ +! LI c c C 7. Owner of Property: ' fk( ( r (t 1 ( t / +r i f [ "I ? J) 1 4.O (r L j "'''' 1; r r >, C > O ( 1 Ii r l ? C •t') h 9 Address: _.._ : ......__... _.... ...._ _.... Telephone: s :._. 3. Status of Applicant: Owner __ _ Contract Purchase ......... _..__.._ Lessee . - ..... Other (explain), I. — 4. Job Location: ,1 - -( l :. ri'1c : t - \')LC ( (- (c < < r)( (Z i1\, 1 �. '� �. Parcel Id: Zoning Map# Parcet# District(s): __.__ In Elm Street District In Central Business District ___ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: 1--,:c:T1 c { - 1 . 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): / f << 11 k 7 N C: {as4i£t 'r• " (IC vc) /'F ° {`J \? 1 `1`V - - ._ }'ta;i I1C' 7. Attached Plans; Sketch Plan Site Plan _A_____ Engineered /Surveyed Plans _.�� 8. Has a Special Permit /Variance /Finding ever been issued for/on the site? NO DON'T KNOW YES _ ✓ IF YES, date issued: NO\/ ` ' `i+ ` r 2(x'4 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW 1/ YES IF YES: enter Book Page and /or Document # 9.uues the site t utlldlt) a ()WOK, DOW at water or Wettanosf NU (SUN 1 KNUVV YES v IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained i- , d ate issued: — Pe( . 1 r C "" (Form Continues On Other Side) W:1 Documents\FORiMFS\oriainal \Bui I ding -I nspectorl7_onine- Permit -A ppi icat ion - pass r vedoc &!4i 2004 File # MP- 2010 -0024 APPLICANT /CONTACT PERSON PRESERVATION OF AFFORDABLE HOUSING INC ADDRESS /PHONE 40 COURT ST SUITE 650 (617) 261 -9898 PROPERTY L$ ` 1 .„ ' °41tID 'E -R€ °`, A ; ,,; MAP ,'I_ ; ° ,,' °A 4 .... : -_;, ._Ai 'Y. ffWP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST �� ENCLOSED REQUIRED DATE DNING FORM ,PLED OUT — �� / v ee • ai. Building Permit Filled out Fee Paid Typeof Construction: ZPA - REBUILD BLDG 21 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 PRESpdTED: 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: § Peg- 1 5 X 1 C7,'- "Abel Finding Special Permit Variance* COOT` n ^ % s r .-* Received & Recorded at Registry of Deeds Proof Enclosed f rIAj0 ,16(Cr 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 Co .,'1sion Permit DPW Storm Water Management l..,&.. � 4/ • w Signature of Building • fficial 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 the Office of Planning & Development for more information. • V CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 1694 -01 PROJECT TITLE: Meadowbrook Apartment Building Rebuild -- PROJECT LOCATION: 491 Bridge Road Northampton, MA NAME OF BUILDING: Building #21 SCOPE OF PROJECT: New construction, wood frame,. 12-unit apartment building______ In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition (MSBC), I, Brian A. Walsh, P.E., Massachusetts Registration No. 46077 being a licensed professional structural engineer, hereby certify that I (myself and /or my representatives) will be present on the construction site on a regular and periodic basis and perform the necessary professional structural engineering services as outlined in MBC 116.2.2, to determine that the STRUCTURAL CONSTRUCTION WORK is, to the best of my knowledge and belief, in accordance with the documents approved for the building permit, for the following portions of construction: i. Structural components as spet.i..ed o, .. ,.1:.r, w ?!ZaIor Associates. Llc. structural di awirx ; l'or the refereiced project. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. I furthermore agree to submit periodically, an inspection report together with pertinent comments to the City of Northampton building department. Upon satisfactory completion of the work I shall submit a final report certifying to the best of my knowledge and belief that the building structure is completed in general conformance with the referenced construction documents and the structural provisions of the MSBC. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechrical inspection and testrig services (i.e soil bearing capacity) 2. Materials testing services (i.e. concrete sampling and testing, bolted connections, welds, etc.) -- -- - - - . ®F Mgss \ /4" BRIAN 4 A m� { ! ) S i natur % - - a WAL v STRUCTURAL 0 .' No.46077 ti \ s I e lip - c Ci IA Subscribed and sworn to before me this )--frvi day of 0 lam 20 01 . ii / ' _ Ntivai 6 -010* NOTARY PUBLI My Commission Expires On _ t. • , :; DAT "' “"'.4 s � I�� i'?� n a 4 r/” a ,B gi g. 3" r s � +LJ l n. T ,� r 'Rl r x 7,° : 4 �` °t `' 0 �a n E 0 1 /0 6 /22 PRODA Risk Services, Inc. of Massachusetts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY One Federal Street AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Boston MA 02110 USA CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 4 PHONE - (366) 283 -7122 FAX - (847) 953 -5390 INSURED INSURER A: The Travelers Indemnity co. 25658 s. "' Callahan, Inc. ' INSURERS: Everest National Insurance Co 10120 80 First Street a Bridgewater MA 02324-1054 USA INSURERC: Allied world Assurance Company (US) Inc 19489 R 1 INSURER D: The American Insurance Company 21857 INSURER E: Wausau Underwriters Ins Co 26042 ° THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' POLICY EFFECTIVE POLICY EXPIRATION LTR .INSR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MM \DDVY \DD \ Y Y) DATE(MMY) A G NERAL LIABILITY DTC09103L2741N008 02/01/08 02/01/09 EACH OCCURRENCE 51, 000, 000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 5300,000 PREMISES (Ea occurencel CLAIMS MADE ® OCCUR MED EXP (Any one person) S S , 000 tn PERSONAL 3c ADV INJURY - 51,000,000 W an GENERAL AGGREGATE 52,000,000 t0 �' GEN'L AGGREGATE LIMIT APPLIES PER: j 'v �p-7 PR PRODUCTS - COMP /OP AGG I 52,000,000 ("n LJ ❑ POLICY In l O JECT n AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - (Ea accident) ,c d ALL OWNED AUTOS BODILY INJURY u SCHEDULED AUTOS (Pcr person) ;� L HIRED AUTOS BODILY INJURY V NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 9 ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG 8 EXCESS /UMBRELLA LIABILITY 7108000105081 02/01/08 02/01/09 EACH OCCURRENCE 510,000,000 © OCCUR ❑ CLAIMS MADE AGGREGATE 510, 000, 000 E DEDUCTIBLE RETENTION E WCLZ91448113 01/01/09 01/01/10 x I � , •` /C STATU- I OTH- WORKERS COMPENSATION AND ITORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 51, 000, 000 ANY PROPRIETOR/ PARTNER/ EXECUTIVE MI OFFICER/MEMBER EXCLUDED? - E.L. DISEASE- EA EMPLOYEE $1,000,000 (Dye& describe under SPECIAL PROVISIONS E.L. DISEASE - POLICY LIMIT S1,000,000 as below WL"- OTHER WI DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ar L; _.a, a Evidence of Insurance -_ . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 24 MA - USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 2 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. y AUTHORIZED REPRESENTATIVE. !..•l 5Ji J �,/ a F3ttp. F 0/1 aI ; . -N :k° ate n:sac.,, * _ ` a , E 'I R ' The Commonwealth of Massachusetts l>s _1/41/4„.„ — Department of Industrial Accidents - . - Office of Investigations ' ,; 600 Washington Street `' Boston, MA 02111 • O „ts. www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): --4 L 4',4./ -Z _ Address: ?O /- o 7 ,S City /State /Zip: ,8r /d5 e J i �/t 02_31e-1 Phone #: 5 a Z - 19 - 0C / Z Are you an employer? Check the appropriate box: Type of project (required): I. 21 a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. [✓New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. [Demolition working for me in any capacity. employees and have workers' 9. [1] Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions 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' 13.0 Other comp. insurance required.] *Any applicant that checks box # t must also fill out the section below showing their workers' compensation policy information. 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: 4 c/%t. a5 �c..c (,}4d1.a, ,Ai 7- — S :24s_(o _ Policy # or Self -ins. Lic. #: 4JL ci 'y f g' t /3 Expiration Date: i //,/0 Job Site Address: 4 /9/ .& Jy.. jJ / %Te+ce "9 City/State /Zip: Q /0(.0 L 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 cert f under the pains and penalties of perjury that the information provided above is true and correct. Signature: .9-e 4'. / --& Date: ,c/z7 /o9 Phone #: _co a- - 279' -00/Z 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 #: Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUC URAL •PEER:REVIEW (780 CMR 1 Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 - OWNER AUTHORIZATION -TOBE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT • - OUt 1 i e r e..Cl ✓Nn e i :, as Owner of the subject property hereby authorize ijoseph A. Roche fo act on my behalf ' (4,111/ all hers lative to work authorized by this building permit application. .� i' l / z / / C"c3 Signature of 0 r Date i ;Joseph A. Roche 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 pains and penalties of..perj ury. _ . ;Joseph A. Roche Print Name 6 x/27/ y . . . Signature of r /Agen Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable Cl Name of License Holder: iJoseph A. Roche __. _......_............ _..........._......_._....... -.. S c75 • License Number '•.100 Maple St Bellingham, MA 02324 / Z //3 /69 Address Expiration Date ��� a (508) 4114 Signature,/ Telephone � phone 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 will result in the denial of the issuance•of the building permit. Signed Affidavit Attached Yes 0 No 0 • • Va lima .7 CesumeroW Building Pandit May 13, 2000 - Man*. . tesseminKommunakenants .PON-aanDINEIS AND ETREETWESSINMECT40 NEI tt. . NOM MR Raw n000-c.P. OF EN IA Iftita ratt AteiltaCt: , • —.. -.:1 , Nang (Relinin* [ 80 ST" -...._. 6 ,._ - • 4 r- ... ...... ' liegtstraden Number ;.,„ it ' MA,..Dald 7 - - ------ - -- .._. ...,. Iiirytivez 5.01.2,3311110 Welton Date - signature . _ Terepsore 15 51/ 1 0 . 1 1. 2 .. ftftind Professional Eiiet11 t 57P- 1_ Name Aran aiRoapenalhety ICO - . kl-g-c:'_c.4-. . ...i...... AZ •..›ciii H4 oiv4St .q60 . — —. ..,.....,....... igp ipr Naglatrailory • Are' 71#53M 64 C Telephone q. , 1 I: 57E Ph WEL-3PN FirZE P,1 . -.... . Mame .-5 4.4 te 7ft / MAI Of Respenalbilty $-.)."/ 2. g÷zed-4_, 'nevi N• 11. E. 6q_%e..6,swAr.. pi n 4923- 2 • PI - • .., ................... ........_....... .4" 01.7-:-................ _ ..._..' Ad. =. . . / ROPVICAortt4unlber / (6:2F11. cl /3P/1 . .. Telephone ,-.. .. 1 . Date r•••---.----.—..-,--.................. .. • ' . • " " " , $......■............■.....■.....................■. - ......—.........-.-....-......-,...............--.................- -,.........„,e) ---. — - -•-•-- ---,..• — . --- Parma Area or Responsudtay .. . ,. - . .. . . . ,.. , . . Awas=ffeemderewi. Address Reteuestion Number , Spain Telephone &Oration Oete .... _. - Natio Area of Responsibility _.._ . .. - Addreis RaglatnItIOn Number . : • - .......-.------,..-........—.—______=.....----_ 9.3 General Contractor . .. . -- C,allaba. Not Applicable Cl Comm Nam ................ .. ,.... . — • . ..,..AL Rade . . ---_-_,—. Responsible In Charge Of ConsInution . .. ... IF41 First St. Bridgewater,biA 02324 s Address 100 2794012 - -- --- , -,. Versionl.7 Commercial Building Permit May 15, 2000 IS, NiNt 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 DON'T KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW �'J 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 a YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES C.) NO 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 Q IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excav tion, 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. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CU1:3IC 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: ��MO ' Ry a /ace m 0nf a .t � e, 0��7 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) I CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 - ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential Er R -1 ❑ R -2 65 R -3 ❑ 5A B S Storage ❑ S -1 ❑ S -2 ❑ 5B L ❑ 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 BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USEONLY Floor Area per Floor (sf) 1 4,448. 1 st 2nd i 2nd 4,448 4 th rd i 4w , 4 f Total Area (sf) Total Proposed New Construction (sf) 13,244 Total Height (ft) Total Height ft 38 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood, Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system ❑ . • Versionl.7 Commercial Building Permit May 15, 2000 : -:".. 7 `1)eitr&fithrat:y;,i W.'"W.M:etY• City of Northampton t,t,Z):1,1 ■ '',,,- .01}..,,,,*• y 4 •1 Building Department AtiMvir 212 Main Street q okNOIF5tOtli;t:t.:1il:-itiii:511A2kiielatU430=r- .,-',_•-:.1 ., ;!4 . !. 0 Y , ;q*.-511YP.:PV.:4090tt•:;' , : . .::::' , .::::::::•; . ;'::: ., -S:X:f:';i. Room 100 **00:044000i:i ,._:.:......,:•:. E'j'i Northampton, MA 01060 *4110.0.0410.0**44 .00,ici phone 41 3-587-1 240 Fax 413-587-1272 1„0,40110.10.*04§:,5:47-•:f4gatigaglifkU,:; tOlgtietkailitN :•,•:;,:::.. ,a....,±. 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: This section to be completedi*Cffice !491 Bridge Rd Map Lot Unit Building #21 ' Zone Overlay:District Florence ,MA 01062 . Elm St. District CB .District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Meadowbrook Preservation Associates 40 Court Street Suite 650 Boston, MA 02108 Name (Print) Current Mailing Address: ... .. . . ....... Signature ".... U.P., IL- ) 617.449.0869 Telephone 2.2 Authorized Anent: iJoseph A. Roche 80 First St , Bridgewater, MA 02324 ..... . .......... .... ..... ..... . .. . Name (Print) Current Mailing Address: - • i(508) 279-0012 Signature __ ___________ a 74‹.4 Telephone " " . • SECTION:3 - ESITMATED:.C.ONS cOSTS item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant : . 1. Building $851,408.00! (a) Building Permit Fee • • 2. Electrical r i (b) Estimated Total Cost of $132,000.001 • f (6) _________ ____ j Construction f rom 3. Plumbing $120,000.00; Building Permit Fee i .. . . 4. Mechanical (HVAC) " - ' " • • : ' 5158,424.00 5. Fire Protection , 6. Tot (, ' +#4 + 5) 4 / 261 L'3 Z. Check Number d6f igAleo lakYW This Section For Official Use Only Building Permit umber Date Issued Signature: Bulkling Commissioner/Inspector of Buildings Date ,,- File # BP- 2010 -0479 APPLICANT /CONTACT PERSON CALLAHAN INC ADDRESS /PHONE 80 FIRST ST BRIDGEWATER (508) 279 -0012 PROPERTY LOCATION 491 BRIDGE RD MAP 17D PARCEL 012 001 ZONE URB(100) / /WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 02 D 35 vt ro. BP Fee Paid d l Typeof Construction: DEMO & REPLACE BLDG #21 FOUNDATION ONLY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 87859 .449&11/01-4-11--1:3 3 sets of Plans ns / / Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF CATION 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 Demolition Delay � ' t" 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. BP- 2010 -0479 #: COMMONWEALTH OF MASSACHUSETTS 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 -0479 Project # JS- 2010- 000661 Est. Cost: $1261832.00 Fee: $889.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5A Contractor: License: Use Group: R2 CALLAHAN INC 87859 Lot Size(sq. ft.): 1169150.40 Owner: MEADOWBROOK PRESERVATION ASSOCIATES LTD PARTNERSHIP Zoning: URB(100) / /WP Applicant: CALLAHAN INC AT: 491 BRIDGE RD Applicant Address: Phone: Insurance: 80 FIRST ST (508) 279 -0012 Workers Compensation BRIDGEWATERMA02324 ISSUED ON:11/5/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO & REPLACE BLDG #21 FOUNDATION ONLY 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 11/5/2009 0:00:00 $889.60 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA-2010-0017 Date: November 20, 2009 MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION: Elizabeth Silver 1 Approved MINUTES OF MEETING: Available in the Office of Planning & Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this` is a'trtie'and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. • i certify that a copy of this decision has been mailed to the Owner and Applicant: Y ► � Il ! 1� The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. All appeals are heard by the full Zoning Board of Appeals. 11 - NOV 2 0 2009 J CITY CLERKS OFFICE NORTHAMPTON, MA 01060 December 22, 2009 I, Wendy Mazza, City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Zoning Board of Appeals' authorized Zoning Administrator was filed in the Office of the City Clerk on November 20, 2009, that thirt days have elapsed since such filing and that no appeal has been filed in this matter. Attest: 7 City Clerk City of Northampton ATTEST. /.A . . A . MARIM= L. DONONIIH • GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. , i I I I li I i i • Zoning Board of Appeals - Decision City of Northampton [ I I' ,' ' � Ne aring No.: ZBA- 2010 -0017 Date: November 20, 2009 8k: 10072Pg: 98 Page: 1 of 2 Recorded: 01/11/2010 01:02 PM APPLICATION TYPE: SUBMISSION DATE: f Residential Finding 10/23/2009 Applicant's Name: Owner's Name: • NAME: NAME: - - Julie Creamer /POAH, Inc. MEADOWBROOK PRESERVATIONASSOCIA ADDRESS: ADDRESS: 40 Court St., Suite 650 40 COURT ST #650 . . • TOWN: STATE: ZIP CODE TOWN: STATE_: ZiP CODE BOSTON MA 02108 BOSTON MA 02108 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: EMAIL ADDRESS: EMAIL ADDRESS: - - Site Information: Surveyor's Name: STREET NO.: ' SITE ZONING: .- ,;..- N'<.,... -.. • . COMPANY NAME: 491 BRIDGE RD _ TOWN: ACTION TAKEN: ADDRESS NORTHAMPTON MA 01060 Grant MAP: BLOCK: I LOT: MAP DATE: SECTION OF BYLAW: 17D 012 001 . Chapt. 350 -9.3 (1) (D): Pre - existing TOWN: STATE ZIP CODE: Book: Page: Nonconforming Structures or Uses May be 1682 .174 Changed, Extended or Altered with 'a PHONE NO.: FAX NO.: Finding from the Zoning Board of Appeals. EMAIL ADDRESS: NATURE OF PROPOSED WORK: ZPA - REBUILD Multi - family structure (BLDG 21) HARDSHIP: CONDITION OF APPROVAL: 1) Prior to issuance of a certificate of occupancy, the applicant shall show compliance with the lighting standards as required in the zoning ordinance. FINDINGS: The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application and described during the hearing. The Findings of the Board Administrator under Section 9.3 for the reconstruction of the multi- family building that was destroyed by fire were as follows: - • 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming use on the lot The applicant proposed to rebuild the footprint, square footage and number of units as in the structure prior to the fire. 2. The Administrator found that the building would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre - existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE: ' - -. ' - F ILING DEADLINE MAILING DATE HEARING CONTINUED DATE: DECiSK)N DRAFT BY: APPEAL DATE: 10/13/2009 11/7/2009 - • - 11/26/2009 REFERRALS IN DATE: HEARING DEADUNE DATE: HEARING CLOSE DATE: FINAL SIGNING BY; APPEAL DEADLINE 10/31/2009 12/27/2009 11/12/2009 -: :- r. :. 11/26)2009 12/20/2009 FIRST ADVERTISING DATE: HEARING DATE VOTING DATE: DECISION DATE: - 10/29/2009 11/12/2009 11/12/2009 ..... - .. -• ... ..11/20/2009 • . . SECOND ADVERTISING DATE: HEARING TiME: VOTING DEADLINE: DECISION DEADLINE: R 11/5/2009 4 :40 PM 2/10/2010 - - - -- 2/10/2010 . • MEMBERS PRESENT: VOTE Elizabeth Silver votes to Grant • GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. ' Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0017 Date: November 19, 2009 MOTION MADE BY SECONDED BY VOTE COUNT. DPCISION Elizabeth Silver 1 Approved MINUTES OF MEETING Available in the Office of Planning 8 Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant. The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. All appeals are heard by the full Zoning Board of Appeals. GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. 5 Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0017 Date: November 19, 2009 nv r APPLICATION TYPE SUBMISSION DATE: f % L. ,j LvIU. Residential Finding 10/23/2009 Applicant's Name: Owner's Name: NAME: NAME: Julie Creamer /POAH, Inc. MEADOWBROOK PRESERVATION ASSOCIA ADDRESS. ADDRESS 40 Court St., Suite 650 40 COURT ST #650 iowN IF ZIP CODE IoWN. SIIar /IP CODE BOSTON MA 02108 BOSTON MA 02108 PHONE NO FAX NO PHONE NO FAX NO - EMAIL ADDRESS: EMAIL ADDRESS Site Information: Surveyor's Name: STREET NO SITE ZONING: COMPANY NAME: .. no' URB(100) / /WP - OWN. ACTION TAKEN ADDRESS: NORTHAMPTON MA 01060 Grant MAP BLOCK. VDT. MAP DATE SECTION OF BYLAW. 17D 012 : ' 001 Chapt. 350 -9.3 (1) (D): Pre - existing TOWN: STATE ZIP CODE t3o4 Page Nonconforming Structures or Uses May be 1682 174 Changed, Extended or Altered with a PHONE No : FAX NO Finding from the Zoning Board of Appeals. EMAIL ADDRESS. NATURE OF PROPOSED WORK: ZPA - REBUILD Multi - family structure (BLDG 21) HARDSHIP: CONDITION OF APPROVAL: 1) Prior to issuance of a certificate of occupancy, the applicant shall show compliance with the lighting standards as required in the zoning ordinance. FINDINGS The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application and described during the hearing. The Findings of the Board Administrator under Section 9.3 for the reconstruction of the multi- family building that was destroyed by fire were as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming use on the lot. The applicant proposed to rebuild the same footprint, square footage and number of units as in the structure prior to the fire. 2. The Administrator found that the building would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre- existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE FILING DEADLINE MAILING DATE HEARING CONTINUED DATE DECISION DRAFT BY APPEAI DAIE 10/13/2009 11/7/2009 11/26/2009 REFERRALS IN DATE: HEARING DEADLINE DATE HEARING CLOSE DATE FINAL SIGNING BY APPEAL DEADLINE. 10/31/2009 12/27/2009 11/12/2009 11/26/2009 12/20/2009 FIRST ADVERTISING DATE. HEARING DATE: VOTING DATE: DECISION DATE: 10/29/2009 11/12/2009 11/12/2009 11/20/2009 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 11/5/2009 4:40 PM 2/10/2010 2/10/2010 MEMBERS PRESENT: VOTE: Elizabeth Silver votes to Grant GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. Ps., L. _M._. i /N. NI CONSTRUCTION CONTROL ARCHITECTURAL DESIGN AFFIDAVIT PROJECT NAME: Meadowbrook Apartments Building #21 PROJECT ADDRESS: 491 Bridge Road Building #21 Florence, MA 01062 PROJECT DESCRIPTION: 13,244 Sq. foot 12 unit multi family apartment building To be rebuilt after being destroyed by fire. In accordance with Section 116.2.1 of the Massachusetts State Building Code, I, Mark Schryver being a registered professional architect hereby certify to the best of my knowledge, information and belief, the plans computations and specifications accompanying then attached application for building permit are in accordance with the applicable provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances. CALLAHAN CONSTRUCTION INC. �Ea o AR6yT Mark Schryver 31155 Architect — Massachusetts Registration Number ? No. 31155 LANCAMA STER, y G / q� p`?J 80 First Street Bridgewater, MA 02324 Address Registration Stamp & Signature Subscribed and sworn to me this 8 1 d(' G ,Dee ibec az / ap - 075 / „/„ //_‘ Notary P blic My Commission Expires JENNIFER M. PINA 1)"1/4j Notary Public COMMONWEALTH OF MASSACHUSETTS My Commission Expires June 25, 2015 WATER SUPPLY /DEMAND GRAPFT Meadowbrook Apartments.. Unused Attic Area 11/20/09 150.00 1 40.00 130.00 120.00 P 110.00 R 1 00.00 90.00 - ---- S 80.00 S 70. u sa.aa R 50.00 E 40.00 30.00 20.00 10.00 0.00 0 500 1000 1500 2000 Supply: 84.00 psi @ 505.00 gpm FLOW Demand: 61.25 psi Ca) 613.67 gpm prinkler -CALL 7.2 Win • Yankee Sprinkler Co., Inc. 612 Rear Plymouth Street, Suite #1 Meadowbrook Apartments, Unused Attic Area 11/20/09 PAGE 4 FITTING Equivalent Length per NFPA 13 1994, 6 -4.3 ' -' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1 =45 Elbow, 2 =90 Elbow, 3 ='T' /Cross, 4= Butterfly Valve, 5 =Gate Valve, 6 =Swing Check Valve FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 52 51 50.13 8.00 0 0.00 120 1 1.610 0.088 0.000 16.80 16.09 0.71 51 50 33.28 8.00 0 0.00 120 1 1.610 0.041 0.000 16.09 15.75 0.34 50 49 16.61 8.00 0 0.00 120 1 1.610 0.011 0.000 15.75 15.64 0.11 A MAX. VELOCITY OF 19.96 ft. /sec. OCCURS BETWEEN REF. PT. 9 AND 12 Sprinkler -CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. Yankee Sprinkler Co., Inc. 612 Rear Plymouth Street, Suite #1 Meadowbrook Apartments, Unused Attic Area 11/20/09 PAGE 3 FITTING Equivalent Length per NFPA 13 1994, 6 -4.3 ' -' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1 =45 Elbow, 2 =90 Elbow, 3 ='T' /Cross, 4= Butterfly Valve, 5 =Gate Valve, 6 =Swing Check Valve FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 2 513.67 75.00 352 51.34 140 111 4.300 0.041 0.433 61.25 55.59 5.22 2 3 513.67 2.00 2 6.80 120 1 4.026 0.076 0.867 55.59 48.06 6.67 3 4 513.67 2.00 4434 68.64 120 2 4.260 0.058 0.433 48.06 43.56 4.06 4 5 513.67 3.00 622 47.00 120 2 4.260 0.058 1.300 43.56 39.39 2.88 5 6 513.67 20.00 2 8.98 120 2 4.260 0.058 8.667 39.39 29.02 1.70 6 7 513.67 16.00 3 21.12 120 2 4.260 0.058 0.000 29.02 26.89 2.14 7 8 378.69 11.50 0 0.00 120 2 4.260 0.033 0.000 26.89 26.53 0.35 8 9 208.84 10.00 0 0.00 120 2 4.260 0.011 0.000 26.53 26.44 0.10 7 10 134.99 10.25 33T 20.00 120 1 2.067 0.164 4.442 26.89 17.49 4.96 8 11 169.85 5.50 33T 20.00 120 1 2.067 0.251 2.383 26.53 17.76 6.40 9 12 208.84 0.75 33T 20.00 120 1 2.067 0.368 0.325 26.44 18.48 7.63 12 26 103.27 3.50 0 0.00 120 1 1.610 0.337 0.000 18.48 17.31 1.18 26 25 85.80 8.00 0 0.00 120 1 1.610 0.239 0.000 17.31 15.34 1.96 25 24 69.35 8.00 0 0.00 120 1 1.610 0.161 0.000 15.34 14.02 1.32 24 23 53.62 7.00 0 0.00 120 1 1.610 0.100 0.000 14.02 13.31 0.71 23 22 38.29 11.00 222T 12.00 120 1 1.610 0.054 0.433 13.31 11.64 1.24 22 21 23.97 10.00 0 0.00 120 1 1.610 0.023 2.167 11.64 9.24 0.23 21 20 11.20 10.00 0 0.00 120 1 1.610 0.006 2.167 9.24 7.11 -0.04 12 33 105.57 4.50 0 0.00 120 1 1.610 0.351 0.000 18.48 16.88 1.60 33 32 88.31 8.00 0 0.00 120 1 1.610 0.252 0.000 16.88 14.85 2.03 32 31 72.12 8.00 0 0.00 120 1 1.610 0.173 0.000 14.85 13.45 1.40 31 30 56.72 8.00 0 0.00 120 1 1.610 0.111 0.000 13.45 12.54 0.91 30 29 41.85 8.00 22T 8.00 120 1 1.610 0.063 0.325 12.54 11.18 1.03 29 28 27.80 7.50 0 0.00 120 1 1.610 0.030 0.000 11.18 10.94 0.25 28 27 13.91 8.00 0 0.00 120 1 1.610 0.008 0.000 10.94 10.97 -0.03 11 37 68.23 3.50 0 0.00 120 1 1.610 0.156 0.000 17.76 17.21 0.55 37 36 50.81 10.00 0 0.00 150 1 1.610 0.060 0.000 17.21 16.57 0.64 36 35 33.71 10.00 0 0.00 120 1 1.610 0.042 0.000 16.57 16.15 0.42 35 34 16.83 7.00 0 0.00 120 1 1.610 0.012 0.000 16.15 16.06 0.10 11 44 101.62 4.50 0 0.00 120 1 1.610 0.327 0.000 17.76 16.28 1.48 44 43 84.67 10.00 0 0.00 120 1 1.610 0.233 0.000 16.28 13.94 2.34 43 42 68.99 10.00 0 0.00 120 1 1.610 0.160 0.000 13.94 12.35 1.59 42 41 54.23 10.00 0 0.00 120 1 1.610 0.102 0.000 12.35 11.30 1.04 41 40 40.11 8.50 22T 8.00 120 1 1.610 0.058 0.000 11.30 10.32 0.98 40 39 26.62 7.50 0 0.00 120 1 1.610 0.027 0.000 10.32 10.09 0.23 39 38 13.28 8.00 0 0.00 120 1 1.610 0.008 0.000 10.09 10.00 0.09 10 48 67.64 3.50 0 0.00 120 1 1.610 0.154 0.000 17.49 16.95 0.54 48 47 50.35 8.00 0 0.00 120 1 1.610 0.089 0.000 16.95 16.23 0.72 47 46 33.43 8.00 0 0.00 120 1 1.610 0.042 0.000 16.23 15.88 0.35 46 45 16.69 7.00 0 0.00 120 1 1.610 0.012 0.000 15.88 15.79 0.09 10 52 67.34 4.50 0 0.00 120 1 1.610 0.153 0.000 17.49 16.80 0.69 Yankee Sprinkler Co., Inc. 612 Rear Plymouth Street, Suite #1 Meadowbrook Apartments, Unused Attic Area 11/20/09 PAGE 2 THE TSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS 100.00 gpm [, THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.100 gpm /sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR - - -> AT REF. PT. 1 < - -- STATIC PRESSURE 89.00 psi RESIDUAL PRESSURE 84.00 psi AT 505.00 gpm TOTAL SYSTEM FLOW 613.67 gpm AVAILABLE PRESSURE 81.83 psi AT 613.67 gpm OPERATING PRESSURE 61.25 psi AT 613.67 gpm PRESSURE REMAINING 20.58 psi THE OVE RESULTS INCLUDE 6.00 psi FRICTION LOSS AT REF. PT. # 2 FOR A [ BACKFLOW PREVENTER [ ] METER [ ] DETECTOR CHECK VALVE [ ] OTHER DEVICE Yankee Sprinkler Co., Inc. 612 Rear Plymouth Street, Suite #1 Meadowbrook Apartments, Unused Attic Area 11/20/09 PAGE 1 HYDRAULIC CALCULATIONS AT SPECIFIED DENSITY THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 4/:EMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 20 4.20 38.75 11.20 7.11 21 4.20 33.75 12.77 9.24 22 4.20 28.75 14.33 11.64 23 4.20 27.75 15.32 13.31 24 4.20 27.75 15.73 14.02 25 4.20 27.75 16.45 15.34 26 4.20 27.75 17.47 17.31 27 4.20 28.50 13.91 10.97 28 4.20 28.50 13.89 10.94 29 4.20 28.50 14.05 11.18 30 4.20 27.75 14.87 12.54 31 4.20 27.75 15.40 13.45 32 4.20 27.75 16.19 14.85 33 4.20 27.75 17.26 16.88 34 4.20 32.50 16.83 16.06 35 4.20 32.50 16.88 16.15 36 4.20 32.50 17.10 16.57 37 4.20 32.50 17.42 17.21 38 4.20 32.50 13.28 10.00 39 4.20 32.50 13.34 10.09 40 4.20 32.50 13.49 10.32 41 4.20 32.50 14.12 11.30 42 4.20 32.50 14.76 12.35 43 4.20 32.50 15.68 13.94 44 4.20 32.50 16.95 16.28 45 4.20 37.25 16.69 15.79 46 4.20 37.25 16.74 15.88 47 4.20 37.25 16.92 16.23 48 4.20 37.25 17.29 16.95 49 4.20 37.25 16.61 15.64 50 4.20 37.25 16.67 15.75 51 4.20 37.25 16.85 16.09 52 4.20 37.25 17.22 16.80 THE SPRINKLER SYSTEM FLOW IS 513.67 gpm 0'0 0'0 0 0'8 OZT OT9'T T 6t7 O5 0'0 0'0 0 0'8 OZT OT9'T 1 OS TS 0'0 0'0 0 0'8 OZT OT9'T T TS ZS 0'0 0'0 0 5'T7 OZT OT9'T T ZS OT 0'0 0'0 0 0'L OZT OT9'T T ST7 917 0'0 0'0 0 0'8 OZT OT9'T T 917 LT7 0'0 0'0 0 0'8 OZT OT9'T T Lfi 8D' 0'0 0'0 0 5'E OZT OT9'T T 817 OT 0'0 0'0 0 0'8 OZT 019'1 T 8E 6E Meadowbrook Apartments, Unused Attic Area 11/20/09 (1) STATIC PRESSURE (psi) = 89 (2) RESIDUAL PRESSURE (psi) = 84 (3) RESIDUAL FLOW (gpm) = 505 (4) ELEVATION OF RESIDUAL PRESSURE GAGE (ft) = 0 (5) OUTSIDE HOSE FLOW ( AT SUPPLY ) (gpm) = 100 (6) C- FACTOR = 140 (7) DENSITY (gpm /sq. ft.) = .1 (8) MAX. SPACING BETWEEN SPKL'R. HEADS (ft) = 8 (9) MAX. SPACING BETWEEN SPKL'R. LINES (ft) = 14 (10) MIN. FLOW (PER SPKL'R.) (gpm) = 11.2 (11) NUMBER OF BOOSTER PUMPS = 0 ADDITIONAL FLOWS: REF. PT. gpm NONE DESIGN AREA No. 1 : K FACTOR (For Pressure Measured In psi) = 4.2 OPERATING SPRINKLERS: 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 FROM TO PIPE DIA. HW -C LENGTH FITS EQV. ELEV. TYPE in ft ft ft 1 2 111 4.300 140 75.0 352 51.3 1.0 2 3 1 4.026 120 2.0 2 6.8 2.0 3 4 2 4.260 120 2.0 4434 68.6 1.0 4 5 2 4.260 120 3.0 622 47.0 3.0 5 6 2 4.260 120 20.0 2 9.0 20.0 6 7 2 4.260 120 16.0 3 21.1 0.0 7 8 2 4.260 120 11.5 0 0.0 0.0 8 9 2 4.260 120 10.0 0 0.0 0.0 7 10 1 2.067 120 10.3 33T 20.0 10.3 8 11 1 2.067 120 5.5 33T 20.0 5.5 9 12 1 2.067 120 0.8 33T 20.0 0.8 12 26 1 1.610 120 3.5 0 0.0 0.0 26 25 1 1.610 120 8.0 0 0.0 0.0 25 24 1 1.610 120 8.0 0 0.0 0.0 24 23 1 1.610 120 7.0 0 0.0 0.0 23 22 1 1.610 120 11.0 222T 12.0 1.0 22 21 1 1.610 120 10.0 0 0.0 5.0 21 20 1 1.610 120 10.0 0 0.0 5.0 12 33 1 1.610 120 4.5 0 0.0 0.0 33 32 1 1.610 120 8.0 0 0.0 0.0 32 31 1 1.610 120 8.0 0 0.0 0.0 31 30 1 1.610 120 8.0 0 0.0 0.0 30 29 1 1.610 120 8.0 22T 8.0 0.8 29 28 1 1.610 120 7.5 0 0.0 0.0 28 27 1 1.610 120 8.0 0 0.0 0.0 11 37 1 1.610 120 3.5 0 0.0 0.0 37 36 1 1.610 150 10.0 0 0.0 0.0 36 35 1 1.610 120 10.0 0 0.0 0.0 35 34 1 1.610 120 7.0 0 0.0 0.0 11 44 1 1.610 120 4.5 0 0.0 0.0 44 43 1 1.610 120 10.0 0 0.0 0.0 43 42 1 1.610 120 10.0 0 0.0 0.0 42 41 1 1.610 120 10.0 0 0.0 0.0 41 40 1 1.610 120 8.5 22T 8.0 0.0 40 39 1 1.610 120 7.5 0 0.0 0.0 Yankee Sprinkler Co., Inc. 612 Rear Plymouth Street, Suite #1 East Bridgewater, Massachusetts 02333 -2008 H Y D R A U L I C C A L C U L A T I O N S C O V E R S H E E T Meadowbrook Apartments, Unused Attic Area 11/20/09 W A T E R S U P P L Y STATIC PRESSURE (psi) 89 RESIDUAL PRESSURE (psi) 84 RESIDUAL FLOW (gpm) 505 B O O S T E R P U M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MAXIMUM SPACING OF SPRINKLERS (ft) 8 MAXIMUM SPACING OF SPRINKLER LINES (ft) 14 SPECIFIED DISCHARGE DENSITY (gpm /sq. ft.) .1 THIS SPRINKLER SYSTEM WILL DELIVER A DENSITY OF .1 gpm /sq. ft. FOR A DESIGN AREA OF 2535 SQ. FT. OF FLOOR AREA THIS SYSTEM OPERATES AT A FLOW OF 513.67 gpm AT A PRESSURE OF 43.56 psi AT THE BASE OF THE RISER (REF. PT. 4) PIPES USED FOR THIS SYSTEM 111 DUCTILE IRON (350) 001 SCHEDULE 40 002 SCHEDULE 10 YA:NKEE I SPRINKLER COMPANy Hydraulic Calculations For Project Name: Meadowbrook Apartments Location: 491 Bridge Road, Florence, MA Drawing Number:2 of 2 Date: 11/20/09 Design Information: Remote Area number: 1 of 4 Remote Area Location: Unused Attic Occupancy Classification: Light hazard Density: 0.lgpm /ft Area of application: 2535ft Coverage per sprinkler: 112ft Type of sprinklers calculated: Quick response, standard spray Number of sprinklers calculated: 33 In Rack sprinkler demand: Ogallons Hose stream allowance: 100gpm Total Water Required (Including hose streams): 613.67gpm @ 61.25psi Type of System: Dry Volume of dry or pre- action system: 120gallons Water Supply Information: Date: 10/27/09 @ 11:00 P.M. Location: The flow test was conducted in front of the apartment building by Yankee Sprinkler Company and the Florence Water Depatment Source: Static = 89 psi, Residual = 84 psi, Flow = 505 gpm Name of Contractor: Yankee Sprinkler Co., Inc. Address: 612 Rear Plymouth Street, Suite #1, East Bridgewater, MA 02333 Phone Number: 508 - 378 -7212 Name of Designer: Stephen Nelson, PE Authority having jurisdiction: The Florence Fire Department Notes: (Including peaking information or gridded systems here) ‘. TN OF MgSS of STEPHEN '5" NELSON 8 FIRE PROTECTION No. 41842 j : '040 612 Rear Plymouth Street Suite #1 • East Bridgewater, Massachusetts 02333 R/23/01 Phone (508) 378 -7212 • Fax (508) 378 -7215 • ATC1 ri PRIN LER COMPANY j ILA 903. 1.1 (1.c) TESTING CRITERIA This portion of the narrative report should be broken down into the following three sections SECTION 1 — Testing criteria This section identifies the individual in charge who will coordinate the finial acceptance testing and witnessed by appropriate code officials [a] Underground Contractor to hydrostatically test all new underground fire service mains to 200 psi for a minimum 2 hours. [b] Underground Installation Contractor to flush all new underground mains at a flow rate of not less than required in NFPA -13, 2007 edition. [c] Underground Contractor to provide the building owner and the Florence Fire Department with fully completed Contractor's Material and Test Certificate for the underground fire service main installation. [d] Sprinkler Contractor to hydrostatically test all interior piping systems (new and existing) to 200 psi for a minimum 2 hours. [e] Sprinkler Contractor to flush the new 10" water service main at a flow rate of not less than required in NFPA -13, 2007 edition. [f] Sprinkler Contractor to provide the building owner and the Florence Fire Department with fully completed Contractor's Material and Test Certificates for each zone (five) upon completion of all installation work and testing. [g] The owner shall continue the contractual engagement of the licensed sprinkler contractor to perform regular system maintenance and testing as required by the 780 CMR and NFPA- 25. SECTION 2 — Equipment and tools This section will identify the necessary equipment available on site at time of witnessing the operational features of the fire protection system, integrated building life safety and systems that require validation from code officials to expedite the acceptance testing. — No special tools are required to test the systems. SECTION 3 — Approval Requirements This section identifies all the closeout documents for the code official's departmental records. [a] Underground water service main Contractor's Material and Test Certificate. [b] Above ground fire suppression system Contractor's Material and Test Certificates. [c] Maintenance manuals as required in the job specification. [d] As -built system plans and hydraulic calculations. [e] Complete testing and final adjustment of all sprinkler system alarm devices. 612 Rear Plymouth Street • Suite #1 • East Bridgewater, Massachusetts 02333 -2008 Phone (508) 378 -7212 • Fax (508) 378 -7215 • email: sn @ysc- fire.com • TT hl ; ; .PRINKI.,:, .COMPANY 1 Li atmospheric air in the drain piping. With this water flow, a mechanical (local only) water motor alarm is activated, notifying people within "ear shot" to the activation of the sprinkler system. Once sufficient water pressure has been relieved between the alarm check valve and the backflow preventer, typically under 10 psi for a Double Check Backflow Preventer, the two check valves of the backflow open allowing water from the city main to replenish the system. With sufficient flow, usually one head, all three checks remain open allowing the flow switch to close its contacts and send an alarm signal to the fire alarm panel. The amount of time the flow switch take to send its signal will be specified by the local fire department, but in no case take longer than 5 minutes to activate an audible alarm. The alarm shall remain audible until the water flow stops. The course of events that must occur after the fire alarm panel receives the signal will be specified by the fire department and outlined in the Fire Alarm Contractors section of the report. The dry pipe sprinkler system is designed to operate when sufficient heat has been generated, typically 155 °F, to fuse the sprinkler. The sprinkler system will also operate if extreme mechanical damage is inflicted upon the sprinklers or piping of the fire suppression system causing an opening in the sprinkler system. The opening in the sprinkler piping causes the higher pressured "System Air" to escape to the lower pressured atmosphere. Once sufficient air pressure has escaped from the system, typically 10 psi, a low air signal is sent to the alarm panel. This low air signal typically sends the Fire Alarm into trouble. If additional air pressure is lost the water pressure below the Viking F -1 Dry Valve will overcome the mechanical advantage of the dry valve, "tripping" the dry valve. With the valve open, the alarm port is exposed and water fills the system piping. Water flows to the areas of least resistance. These are the alarm port and the opening that caused the system to trip. The alarm port is piped to the exterior of the building through the Water Motor Alarm. The higher pressured water flows towards the lower pressure of the atmospheric air in the drain. With this water flow a mechanical (local only) alarm is activated, notifying people within "ear shot" to the activation of the sprinkler system. Along with the local alarm a pressure switch is installed in the alarm line. Once water enters the normally un- pressurized alarm line a signal is sent to the Fire Alarm Panel activating the fire alarm. At this point the system operates in the same manner as a wet system. b) The operational description shall include all interconnected (integrated) fire protection systems and devices required or non - required forming an entire building life safety system. In addition to the fire sprinkler alarm devices all control valves shall be supervised by the fire alarm system. The tamper switches shall be connected to the fire alarm panel and shall either send the fire alarm panel into "trouble" or "alarm" depending on the requirements of the local tire department. The tamper switch is provided to alert the building occupants / fire department to the fact that a sprinkler control valve is not in its normal operating position. See the Fire Alarm Contractors section of the report for additional information. c) All signage indicating equipment location, operational and design features and certified documents attesting to system installation integrity. A hydraulic design information sign shall be provided. Additional signs may be required by the job specification or the local fire department. The sprinkler plan and hydraulic calculation shall outline the design information and the extent of work that will be provided by this contractor. At the end of the project, a contractor's test certificate shall be provided attesting to the systems installation integrity. In addition a copy of NFPA 25 shall be provided to notify the owner of their testing / maintenance responsibilities. 612 Rear Plymouth Street • Suite #1 • East Bridgewater, Massachusetts 02333 -2008 Phone (508) 378 -7212 • Fax (508) 378 -7215 • email: snrc-t)ysc- fire .com • • TT ei x 's3 , J N K L FR COMPANY JIL jj An addition or expansion to existing system A modification/repair to existing system Level of protection to be provided, 100% or partial protection or exempt by Regulatory code Section 5- Features used in the design methodology This section identifies the designer intent in the overall design and criteria development Or either a required or non - required system A) Intent of Sprinkler System Design - Control /extinguish fire throughout the proposed building. B) Intent of Fire Alarm System - Notification of fire department and building occupants. C) Safeguards, fire prevention and emergency procedures during new construction And impairment plans associated with existing system modifications. — This project is new construction. The General Contractor and the local fire department shall set these plans. D) Method for future testing and maintenance of systems and documentation — Systems shall be maintained per the requirements of 780 CMR, NFPA — 25 and the requirements of the Florence Fire Department. Section 6- Special consideration and description This section identifies the designer's intent to deviate from prescriptive requirements of Regulatory codes and standards with alternative methods. A) Application of "performance -base design" in lieu of prescriptive code requirements B) Interpretation/clarification between designer and code officials C) Waiver or variance sought through the regulatory appeal process No special consideration, waiver or variance is sought by the Sprinkler Contractor for this project. 903. 1.1 (1.b) SEQUENCE OF OPERATION This portion of the narrative report is a difficult section to write as it entails the specific operation of system devices and equipment and their related integration. SECTION 1 a) An operational description of either a system or specific devices within a system and the "resulting action" associated with the operation of the system or specific devices. A Wet Sprinkler system is designed to operate when sufficient heat has been generated, typically 155° F for light hazard occupancies, to fuse the frangible glass bulb quick response sprinkler. The sprinkler system will also operate if extreme mechanical damage is inflicted upon the sprinklers or piping of the fire suppression system causing a water flow. This water flow causes the water pressure in the sprinkler piping to decrease. If an alarm check valve is installed, this water flow / decrease in water pressure cause the clapper on the Alarm Check Valve to open. This allows additional city water into the sprinkler system, in an attempt to equalize the pressure between the system and city water supplies. It also exposes the alarm port on the alarm check valve. The alarm port is typically piped to the exterior of the building through the water motor alarm. The higher pressure of the sprinkler water flows towards the lower pressure of the 612 Rear Plymouth Street • Suite #1 • East Bridgewater, Massachusetts 02333 -2008 Phone (508) 378 -7212 • Fax (508) 378 -7215 • email: sn usc- fire.com - 17 ei SPRINKLER COM" PA 1 IL Ly ILA Section 3- Design responsibility for fire protection systems This section identifies the accountability for a specific fire protection system design and the Accountability for the integration of the fire protection system constituting a building life Safety system. A) The professional engineer (PE) fully designs (complete layout and calculations) and Specifies the fire protection system or systems to be installed, reviews and approves the Installing contractors shop drawings. The (PE) is considered the engineer of record and certifies system installation for code compliance at completion. - Stephen Nelson, P.E. MA Registered Professional Engineer (registration #41842) of Yankee Sprinkler Co., Inc., 612 rear Plymouth Street, East Bridgewater, MA 02333 shall be the Engineer of Record. B) The professional engineer (PE) provides a partial design and specifies the design Criteria to be used by the installing contractor, who finalizes the system layout, Provides calculations to confirm the design criteria. The PE reviews and approves the installing contractor's final layout and calculations. The PE is considered the engineer of record and certifies system installation for code compliance at completion. C) Design- build, the installing contractor completely designs and specifies (develops a full system layout, design criteria and calculations) installs the system and certifies system installation for code compliance at completion. There may be a professional engineer involved but not necessarily. Whichever above method is selected, the project requires an engineer of record to assume responsibility for the coordination of each specific fire protection system requiring integration, forming an entire building life safety system. SECTION 4- Fire protection systems to be installed This section identifies key "performance design criteria" and features for each fire Protection system. A) Water supply, fire mains and hydrants — A new 4" water main connected to the municipal water system. B) Automatic sprinkler systems and components — (1) wet sprinkler system to protect the occupied areas and (1) dry system that protects the unoccupied attic. C) Standpipe systems and components — None required D) Fire alarm systems and components — This information has not been provided to me. The fire alarm system designer shall provide. E) Automatic fire extinguishing system — None provided F) Manual suppression systems — Unknown G) Smoke control /management and exhaust system — None provided H) Emergency power equipment — This information has not been provided to me. The electrical system designer shall provide. I) Seismic considerations — Install per 780 CMR & NFPA 13 The description (specific features) for the above fire protection systems shall also indicate if The system is: Required by Regulations, Law or "approved" By -Law or Ordinance Non- required, developer provides voluntarily A complete new system 612 Rear Plymouth Street • Suite #1 • East Bridgewater. Massachusetts 02333 -2008 Phone (508) 378 -7212 • Fax (508) 378 -7215 • email: snrdysc- tire.com ITO fl P RINKLER COMPANY Z j ‘,,A Meadowbrook Apartment 12/4/09 491 Bridge Road Florence, Massachusetts 01062 903. 1.1 (1.a) Basis 9 (Methodology) of Design — Fire Suppression System Only. This portion of the narrative report should be broken down into the following six sections SECTION 1- Building Description This portion identifies specific features of a building that contributes to the overall Understanding of the fire protection systems and features required to be identified in the Narrative Report A) Building "Use" Group — R -2, Apartments B) Total square footage of building — 13,344 sq. ft. C) Building height — 3 Story, 38 feet D) Number of floors above grade - 3 E) Number of floors below grade - 0 F) Square footage per floor — 4,448 sq. ft. per floor G) Type(s) of occupancies (hazards within the building) — Typical home furnishings and other household items. H) Type(s) of construction — 5B Combustible Unprotected I) Hazardous material usage and storage — None figured J) High storage of commodities within a building usually over 12 ft. — None figured K) Site access arrangement for emergency response vehicles — This project is a complete ground up rebuild of an apartment building that was destroyed by a fire. The emergency response site access was not changed during the renovation. SECTION 2- Applicable Laws, Regulations and Standards This section identifies regulatory codes and standards that may have an impact in the Design and plan approval of the required and the non - required fire protection systems As per the requirements of 780 CMR, requiring the preparer of the Narrative Report to have had conducted a comprehensive code research A) 780 CMR code sections "Fire Protection System Requirements" — 780 CMR Section 903.1.1 B) NFPA Standards and Edition used for design of each specific fire protection system - Design per NFPA -13 (2007 Edition) C) Applicability of Sections of M.G.L., Chapter 148, "Fire Protection" — M.G.L. Chapter 148, Section 26G applies. D) Applicability of Sections of 527 CMR "Fire Prevention Regulations " - Section 10 & 24 Applies E) Applicability of "approved" local by -laws, or ordinances - None Applicable F) Applicability of specialized codes (plumbing, elevator, electrical, arch, access, board) - None Applicable G) Applicability of Federal Laws (OSHA, ADA, etc.) — None Applicable 612 Rear Plymouth Street • Suite #I • East Bridgewater, Massachusetts 02333 -2008 Phone (508) 378 -7212 • Fax (508) 378 -7215 • email: sn crysc- fire.com • ELECTRICAL CONSTRUCTION CONTROL DESIGN AFFIDAVIT Project Title: Meadowbrook Apartment Building Rebuild Project Location: 491 Bridge Road, Florence, MA. Nature of Project: New Construction In accordance with Section 116.0 Registered Architectural and Professional Engineering Services - Construction Control of the Massachusetts State Building Code, 780 CMR. I, George W. Hale Registration No. 24090 -E being a Registered Professional Engineer, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Electrical XX FOR THE ABOVE -NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF 780 CMR MASSACHUSETTS STATE BUILDING CODE AND ALL OTHER PERTINENT LAWS AND ORDINANCES. I FURTHER CERTIFY THAT I OR MY AUTHORIZED REPRESENTATIVE SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DESIGN DOCUMENTS AS SPECIFIED IN SECTION 116.2.2 v -sH OF 49 4 .-- - x,_\ mem � y � i dr / Signature No. 24O4/. Electrical Arm or �FO/STERE �� Discipline — Area of Responsibility �F`'S /ONAL ENG\\ Professional Engineer (Original) Seal Date MECHANICAL AND PLUMBING CONSTRUCTION CONTROL DESIGN AFFIDAVIT Project Title: Meadowbrook Apartment Building Rebuild Project Location: 491 Bridge Road, Florence, MA. Nature of Project: New Construction In accordance with Section 116.0 Registered Architectural and Professional Engineering Services - Construction Control of the Massachusetts State Building Code, 780 CMR. I, Allan R. Morris Registration No. 13505 being a Registered Professional Engineer, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Mechanical and Plumbing XX FOR THE ABOVE -NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF 780 CMR MASSACHUSETTS STATE BUILDING CODE AND ALL OTHER PERTINENT LAWS AND ORDINANCES. I FURTHER CERTIFY THAT I OR MY AUTHORIZED REPRESENTATIVE SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DESIGN DOCUMENTS AS SPECIFIED IN SECTION 116.2.2 aatel X. .710e4n4 pe. `, Signature I i ; , > Mechanical and Plumbing � f / $ Discipl — Area of Responsibility r c r � ' Professional Engineer (Original) Seal /, / 7 Date CONSTRUCTION CONTROL, AFFIDAVIT PROJECT NUMBER: 1694 -01 PROJECT TITLE: Meadowbrook Apartment Building Rebuild PROJECT LOCATION: 491 Bridge Road, Northampton, MA _ — NAME OF BUILDING: Building #21 SCOPE OF PROJECT: New construction, wood frame, 12 -unit apaitnient building In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition (MSBC), I, Brian A. Walsh, P.E., Massachusetts Registration No. 46077 being a licensed professional structural engineer, hereby certify that I (myself and /or my representatives) will be present on the construction site on a regular and periodic basis and perform the necessary professional structural engineering services as outlined in MBC 116.2.2, to determine that the STRUCTURAL CONSTRUCTION WORK is, to the best of my knowledge and belief, in accordance with the documents approved for the building permit, for the following portions of construction: 1. Structural components as peL.i el & Major Associates. Pic. structurai titawirxQu for lie referenced project. 2. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for building permit, and approval for conformance to the design concept. I furthermore agree to submit periodically, an inspection report together with pertinent comments to the City of Northampton building department. Upon satisfactory completion of the work I shall submit a final report certifying to the best of my knowledge and belief that the building structure is completed in general conformance with the referenced construction documents and the structural provisions of the MSBC. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services (i.e. soil bearing capacity) 2. Materials testing services (i.e. concrete sampling and testing, bolted connections, welds, etc.) . •1/4.V°' ` , STRUCTURA. fn -' No. 43077 4 , r } /�� Subscribed and sworn to before me this 915 day of OG{v 0. 2 20 01 . � � (b'1air ch 6 2-0/ NOTARY PUBLI My Commission Expires On ` BP- 2010 -0614 GIs #: COMMONWEALTH OF MASSACHUSETTS Ark" i � X12 . . ;. CITY OF NORTHAMPTON Lots -001 Permit: _ Building Category: N.‘ Nlulti_Family Housing BUILDING PERMIT Permit # BP- 2010 -0614 Proiect # JS- 2010 - 000609 Est. Cost: S1261832.00 Fee: $3973 20 PERMISSION IS HEREBY GRANTED TO: Cunst. Class: 5A Contractor: License: Use Group; R2 CALLAHAN INC 87859 Lot Size(sq. ft.): 1 169150.40 Owner: MEADOWBROOK PRESERVATION ASSOCIATES LTD PARTNERSHIP Zoning: t RBL100) / /WP Applicant: CALLAHAN INC AT: 491 BRIDGE RD Applicant (address: Phone: Insurance: 80 FIRS 1 S T (508) 577 -4114 0 Workers Compensation BRIDGEWATERMA02324 ISSUED ON:2/2/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: REBUILD BLDG 21 - 12 UNITS 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: FeeTvpe: Date Paid: Amount: Building 2/2/2010 0:00:00 $3973.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo / ® OP ID co CERTIFICATE OF LIABILITY INSURANCE RICKJ 1 DATE (MM/DD/YYYY) 09/28/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Haberman Insurance Group Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 95F Ashley Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Springfield MA 01089 Phone: 413 - 781 -7000 Fax:413- 733 -9545 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Colony Insurance Company INSURER B: Rick Johnson dba Johnson INSURER C: General Contractors 285 Southampton Road INSURER D: Holyoke MA 01040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC TYPE OF INSURANCE DATE (MMIDD/YYYY) DATE (MM /DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GL3726295 07/06/09 07/06/10 PREMISES (Ea occurence) $ 100000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5000 PERSONAL BADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2000000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC S1 A 1 U- 01 H- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVF E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Drywall Installation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TPRE49H DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL The Preservation Housing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Management Trust REPRESENTATIVES. Meadowbrook Apts . AUTHORIZED REPRESENT TIVE 491 Bridge R01 1 a Florence M MA 0100 62 I� cn..,.... ACORD 25 (2009/01) ©198 -2009 RD ORPORATION. rig is reserved. The ACORD name and logo are registered marks of ACORD 2 ho m ij J2 2 Meadowbrook. kpar talent s 20)1,')01 At*e 4..tittki• 4,410,Ie6 ViA0 ;,A 4;; ■,144';41 44.1r, ' . *I; , . • ' Meadow Brook Precervation, LP pernber 5. 2009 c/o 'Michael Donovar, Prolect No. r.11-210357.0 I 4191 Bridge Road Florence, MA C1062 RE: Mold Inspection for Elul [ding 41. tio:.eirrent Dear Mr. Donovan: t:nvircninentai Contprance Services, Inc. (ECS) had completed thorough inspection of t'ric bacrrrent of Building 4L upon the completion of the removal of water (. building components Foi . thc presenc,e of visible motet growth within the apartment ttnits. ECS did not visible meld growth or we building component!: within the apartinei wit . (Iiir inspect:on. Pleue feel rice to contact me with any quetition ENVIR3NN1E,NT.el. COMPLIANCE SERVIC ES, 11:C. Michael klurdzia. C11-1, CSP Seniuf i'roect ktanagcr t • n r !If(' trAtitilMargartagatig4=d' '4;1 OS.Iff,Li ilakalUL e At? , y,. The Commonwealth of Massachusetts _ ,— - Department of Industrial Accidents Office of Investigations { 600 Washin Street Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business/ Organizati on /Individual): VD f{e - /SO el -i & � 6.)/072-)4 /4‹... Address: ) S c---D v7 r4 orn"TZJ-'v A - t U- L yDfee` PHI- d /0'ZJ City /State /Zip: Phone #: 4 -S 306 . Are you an employer? Check the appropriate box: Type of project (required): i 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.NZI am a sole proprietor or partner- These contractors have listed on the attached sheet. 7. ❑ Remodeling sub ship have no employees 8. ❑.l?emfllitisan . aci employees and have workers' working for me in any capacity. — 9_ ❑.:Buil- i • addition [No workers' comp. insurance comp. insurance required.] 5. El We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.1D Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other si({��1?s� �L comp. insurance required.] !'e to-- *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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. #: Expiration Date: Job Site Address: 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. 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 hereb '. under th d penalties of perjury that the information provided above is rue and correct. icrnature: . _ �L Date: `0 .,- t Phone #: Offieiul use only. Do nut 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 #: .1,-.. t 1 e Version1.7 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 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I , _... ._.. , _ _ ..�_._ ._._. ... i, 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 _._...._........._.� T Date _ �__ �__.. ........_.�.._._._...........v, ... I, _ , .. . I..._ )____ . _ 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 pains an enalties of perd'ury. s' w , _.. , Azy Signature of • er! •e y^^ mm µ SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ to a7d t v i a- /� Name of License Holder . .. / c J t5 License Number P - sav i 1'.721 a 22149?? ill,►, 4044/. _ / CPQ! ? .. f - ... .3 a7...L__ ..T _. _ Address Expiration Date 93 - 5._44 - 3--- . Signature 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 will result in the denial ofthe issuance of ie- btiTdng peniit. — — Signed Affidavit Attached Yes 7R5 No 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 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ 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 Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ esiNi7a 14-c_V rt.,,;. Company Name: Responsible In Charge of Construction fPCC . .3.5Z5.6 Si .. Telephone • 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: __.._J 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 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 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 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 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. /, 1 , Version1.7 Commercial Building Permit May 15, 2000 1 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 0 Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use 0 Other ❑ Brief Description Enter a brief description here. £t 4cE P4-� U� � /� ° N 64r71:424 °4:: 1/s 4443 / �ci'„' i_Aei= / A.. or, 1177d.v t 6 •.?tc3c6.U4 -7L Of Proposed Work: I. ffee5(- " O#S 4 , c ON / rfirne, ]ge. (.4 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 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 ❑ 5B J ❑ • 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): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1st 1 st 2nd . . ...... . ....„ _... , 2 nd 3 rd 3 4 m 4 Total Area (sf) Total Proposed New Construction (sf)_ __ Total Height (ft) _.. Tntol Hei ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone r ,,, __ Outside Flood Zone❑ Municipal ❑ On site disposal system Version1.7 Commercial Buildin Permit May 15, 2000 Department use only; City of Northampton statusofPerrnit �2 F Y Building Department Curb Cut/Driveway Perim 212 Main Street Sewer /SepticAy Room 100 ■llater/Well Availability " Northampton, MA 01060 Two 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: This section to be completed by office j� 1 ....... / / / �/G? /�fJ -Z� ) 5 //J " !) ap Lot Unit L ior2 c& Al / gets I i s 9 Zone Overlay District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ,S e 4 43')0 l /r- - 6;nt ze ?raf� 4{ / .c�,vG�>- lZa -/� Name (Print) J Current ) Mailing Address: "11 Signature Telephone 2.2 Authorized Agent: PLc*& i t \Joct Name (Print) t1iur$F.1 rtJk.it1E'CJre7-'QG7tl' !(..5 Current Mailing Address plc 1/14. vo s'v Signature �, ...r..�i1► i l . Telephone 1/)3 S'c 6 3a6 2 SECTION 3 - ESTIMATED CO TRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building (JN i S� OCD ° `) / (a) Building Permit Fee 0a.- Gam'. .. 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 9 6. Total-(1+2+3+4+5) - Check - ,Ni�t Uber 7 �� 6 d This Section. For Official Use Only Duilding Permit Number Dote Issued Signature: Building Commissioner /Inspector of Buildings Date • File # BP- 2010 -0366 APPLICANT /CONTACT PERSON JOHNSON GENERAL CONTRACTORS ADDRESS /PHONE 285 SOUTHAMPTON RD HOLYOKE (413) 536 -3062 PROPERTY LOCATION 491 BRIDGE RD MAP 17D PARCEL 012 001 ZONE URB(100) / /WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 61 ° 96' Typeof Construction: BLDG 4 411 -414L & 415 -418R - SHEETROCK & INSULATE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 57158 3 sets of Plans / Plot Plan THE FOLLOWING 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 Demolition Delay /6 3 20-0 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. i r BP- 2010 -0366 GIS #: COMMONWEALTH OF MASSACHUSETTS fmap:Bk,ck: 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 -0366 Project # JS- 2010 - 000488 Est. Cost: $16000.00 Fee: $96.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHNSON GENERAL CONTRACTORS 57158 Lot Size(sq. ft.): 11 691 50.40 Owner: MEADOWBROOK PRESERVATION ASSOCIATES LTD PARTNERSHIP Zoning: URB(100) / /WP Applicant: JOHNSON GENERAL CONTRACTORS AT: 491 BRIDGE RD Applicant Address: Phone: Insurance: 285 SOUTHAMPTON RD (413) 536 -3062 HOLYOKEMA01040 ISSUED ON:10/6/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:BLDG 4 411 -414L & 415 -418R - SHEETROCK & INSULATE 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 10/6/2009 0:00:00 $96.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 1,oning/Plaiming Application: 1.)o NOT leave his pie until 1 prinis!!! ReclucsIL'd Si le Phi" )pc: 211)1 1 have .\],11,.\1)1" postit(l l';(„)1311■ ) sign sit it is vittiltli. limn 3 1111111/( W.1 \ CITY CLEM!: (NE: Stilltward: 1 11MSI 111C111(1C ICC and (CNC(I)1 1r \1'1) >I() eileCk Ina& 1(1 11;11111r:11111' (; / tic" iNsTRI1LTIONS vow. appItc:111011 1Zi.siths • http://fs12.formsite.com/fs12 app/FormSite 10/19/2009 1,r> ring /Plant1ing Application: [)o r' (Yi leave this page. until if prints!!! I';11.r1 1 012 DPV1 CII`( CLERK _ -- — --- �.(iil \1) 1)>,) >1; t r> !'` 34, ,' ;(k! 1!!iii )i,, t .1>> • 1 (),,,,,,.• 1 1)i 1 � :\1rido\vl,rcc >I, I'rr c r\ s • • Address: 3 >)I lirid c tilted, Iilorenca , \la;,:c.n hll;cte, Ulrro' fir t - h Applu ant (ulu ()c oo l /I'O \I 3 In{- y, if A(Id VOSS: •11 ( 11 5111 t.1 tilt11 (i 511 13nStr \I 1`� +111 I, 1ri 011' 11;I w�a�+y ' > 617 1 -I`) (1 860, Icrc,un> 163 [)i)alt. 111 I represenl ttrldcr the pains and 3)1•ii:dtie::.,1 (stint\ 111:1): I. TIC 11111)rn):11ioti in Ihin a1)I)1ic,Ilan is 1111'1111 2. Two copies of the ss (( \t:1'.i) i' ti.11 ANR plans) have alrradt been do llwrr> d pi I )1' \ \'. 3.1 have . \L,111? ; \1)Y posted the required sign on the propel iy. "I'hc O1 \'- \1?,IZ has anlhorized the City to Ill 3 ect this 1 )roperi> ��' / / //// / / /��� /// 1 / ) f \pplicaul signature: .,.,.( ...._., ( Sign:nin : A_ ..1 /.. .��.. r • + r baste ce 01062 237, /offing: Rl Persnit(s) Requested: 'ZONING VINI)ING ($2110) Regulations; 350 -9.3 (7) Project: Project regquires a Finding to rebuild a legal preexisting nonconformirlp, structure, Project \\•ill be rebuilt with the ssune auolher of chvelling units and square footage. 1)F�R \11'1' CRI'1T;R1.A (3(;N0111: "pipe," it refers to permits you have tint applied tor.) binding criteria '11 existing property, use, or l)uildinn, is legally preexisting 11n11ennllrl)11n41„ The project does N( creak a nc•a zoning violation, The project is N(Yl• more detrimental to the ne•i1;hi>orltood than the old Ilse Setbacks and FAR will he die 5an1) :IS t preexisting; slrut:lute same nutolx•r of units will Ile ((trill Appeal of Building Connnissioncr [pipe: 252] [pipe: 118] Cotnprehensive 4013 Permit [pipe: 197] [pipe: 196] ^� `t' , � `n \Tatiance Application.: [pipe: 249] '1,t)9 [pipe: 251] QC1 2 Special permit and Site Plan Criteria: [pipe: 253], [pipe: 82] ' (Pipe: 2541: [pipe: 87] [pipe: 255): (pipe: 91) [pipe: 2571: [pipe: 96] [pipe: 256]: [pipe: 102] [pipe: 258]: [pipe: 105] [pipe: 259]: [pipe: 100] [pipe: 156] [pipe: 261] [pipe: 198] [pipe: 199] http : / /fs 12. formsitc. corn/fs 12_app /ForrSite 10/19/2009 ~ Y,miool.7 Commercial Building ronoitxxoyn.MOO SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yos No (;) SECTION 11 OWNER AUTHORIZATION - TO BE COMPLETED WHEN — OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT [�-- ------- ' --- ' - - |. | / ` �C������ - [at; Owner of the subject property ---'---'-------�--'- - -� - - i homuyauuhuUza ��--'���- m act on my behalf, e1.11 e to work authorized by this builthng permit apphcntion. -------- � L_ , !-_-__�_�__-_ a/»m`m*mOwner ^y ~ / Dale / '� ��_-�-__--__---'_' - ----_- -_'------ -� '' O5 A [z./)c~1-.43:-- . a^Owner/Authorized Agent hereby declare that the statements arid information on the foregoing application are truo and accurate, to the best of my knowledge and belief. Signed under the pains and_ penalties � grPeriu?Y. - ,', --'.--`-''�,-'��'' Print Name , Z/ �� � Signature m*xnenw.wm Date SECTION 1o' CONSTRUCTION SERVICES 10.1 Licensed Construction Supomiuor NmApplicable [] -'-----------�- '--'- --------� F -'---'-------�' ' ' Name ov License Holder : _- FOC --_'-'--� ; C e05 a) ------_ License ----------'------------------------ '-----�- ------'- L.1.00 NAM + — HA. _-ozoi [ _-_'_ mmnso evpmm^000m [----'---'-�-�—'-' ' -' /__ 1-11 1 7 ..... 1 /2//j / , u// Signature Telephone ' ' �� SECTION 4u/WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.m.Lv.1eo.02au(«)) Workers Com nuUo Insurance affidavit must be completed and submitted with this application. FaNunmoopmvidu\xis affidavit will result in the denial 0! the issuance of the building permit. �� �� Signed Affidavit Attached van vc� No ^~/ • - • ^ Vernbon17Coouo:ncid Building Permit May 15, 2000 CO.NSTRUCTION.:CONTROL.PUR.SUANT TO 780 CMR : 11S (CONTAINING MORE' 39,000. C.P OF ENCLOSED SPACE)• 9.1 Registered Architect: --- - ' -- 1 Not Applicable � 1 Regietratl on Number Expiration Date Signature Telephone - 9.2 Registered ProfeSSIOnal Engineer(s): ___ -~ ^~~-~~-..~^^'. �� ret --_'_ - ____'___---__ : Name Area . __-'___--_____-__-___ :........____......4mor_4_*_71!.W.17. qt _P171.,.0 I 4 I 47- 1 Add re s . 7z12 Registration Number ,si ure Telephone Expiration Date '-~~^'~~^^^^ ^--^--^ - [ ~---- ~~~-------- - | ---- mwmm _ Area of Responsibility _~~--__.-~�~______^.-�'�� 1. - _ _ - �� Signature Telephone __ Expiration __ _____ F -'--- -�� \ J Name Area ofRm�on�b�� ___ ------ i Number Address Registration S Telephone s� � _____ ___ i _ - ________- �_ - __ --_.. �___--_- �� Name --�� of Responsibility — Telephone Signature 9'3 General Contractor ... --- .� _-_-_. __-__--__-_���� - - " ___ Not Applicable 0 1 Responsible |n Ch*m�o* o�nomunmom __-- _---_-- ---''----__--_.--__I } Address r .., , �|'n��mw ------ `e� ° sp - , Version1.7 Commercial Building Permit May 15, 2000 SECTION 91 . FINDFESSIONAL, .;:DESIGN AND CONSTRUCTION SERViCES FOR DDILDINGS AND.STRUCTURESSUBJECT TO CO.NSTRUCTION:CONTROLPU1FISUANT TO Teo DMRciik(CONTAINING MORETNAN 35,000' C.F. OF ENCLOSED SPACE} 9.1 Registered Architect - . f • i Not Applicable 0 i Name (Registrant): I r 1 — ,A 1% .e ----- — 1 R istratlon Number - • , 60 Fitsr sr im-i tc ruf-er LP c 7-at i , Address l 1 e jl - - --- ----- - -- - • ----- -- ---- .- I 1 i Z ---a Z 71 , Op/ 2.1 Expiration Date Aq , A rkli.,4, 31 /0 Signe - Telephone 01 9.2 Registered Professional Engineer(s): L19-11•464/..—-- i • • ' Name Area of Responsibility rut_siziem_st,e _I3 _5..57,....._..:._ . - ...'...t._.......iii Address Registration Number At 714. Pe• _______.......____ , Int:322.086 17*Vi 11 e 201 el Signature Telephone Expiration Date L .___.... Name Area of Responsbility — Address . Registration Number riA ni { - 7. fel A oW i Signature Telephone Expiration Date _ ST1,„ A. t-On. ki, Name Area of Responsibility 11(;t9 eOirktfrt •Cflte._ ' 7: PA OiVO i 1 "-- Address ' * Adir Registration Number .40 01.r1 d .1 _....--Idlli -30 - E010 - g : u - Telephone Expiration Date — 1 ----- 1 1 Name Area of Responsibility I — 11 Address Registration Number r ___...., 1 1 Signature Telephone Expiration Date — 4. 9.3 General Contractor 1 6, fte, A do. :74 c., Not Applicable 0 • Company Name: [ 7 Responsible In Charge of Construction 1 ka firesr Yr ;2fe 4: /17 1 ,R ‘ 9,9 1 .- 1 / Address 5 , tore ST7-$075-01` 9: Telephone ,:. 1 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 J YES 4. IF YES, date issued: IF YES: Was the permit recorded at the Regis ry of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , 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 0 NO 0 IF YES, describe size, type and location: E. WiII the construction activity disturb (clearing, grading, excav tion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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. I 'Z lJ ►T m V LT I r AM 1 L `'i A f'AF Nan- Of Proposed Work: BU 1 10111 I-6 t uj L 0 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ —/ 4 0 R Residential R -1 ❑ R -2 LEI R -3 ❑ 5A Ib / S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑ 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 H ___ _ „_ "` OFFICE USE ONLY BUILDING AREA 'CTION ~ Floor Area per Floor (sf) - _ . 1 1 st 1 ,...., f 3445 2 nd X44 $ 3rd r 43 4 t- Ei 4 m 4 m Total Area (sf) Total Proposed New Construction (sf) 13,2 Total Height (ft) Total Height ft 3 6 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public l3 Private ❑ Zone Outside Flood Zone[- Municipal [' On site disposal system El • Vcrsion1.7 Conitccrcild Mity 15,2000 *4W4WgggYV; City of Northampton Building Department 212 Main Street 40 y•!lq.s0 SI: Room 100 • i Narthampton, MA 01060 jvvii:bOtsr,opptilictilropf4McitapiNuRylmiitaimo phone 413:587:1240 Fax 413-587-1272 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 by office 1.1 Property Address: 49 P--p. Map Lot Unit 5111f-91NC-4 4 21 • Zone Overlay District o o 62 EIrn St. District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: EAl20 1"Pf 10 'NI A5c,ockit 60u1 r SU ITC 6tJo YASTOW 111 P% ° 2-1 ° 6 Name (Print) -r Current Mailing Address: dULIE C- E. AMER • . 617 449 OB(09 Signature / Telephone 2.2 Authorized Aaent: Jo A. e-sK.,f...k • • 36) Fir P'` MA 0 2132- , - Name (Print) Current Mailing Address: • ° 0 1 Signature Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building SS) 498 -° d (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 32 0 a • Construction from (6) 1 3. Plumbing 1 14 1-2.. 0 000 Building Permit Fee -- 4. Mechanical (HVAC) 5. Fire Protection B 6. Total (1 + + 3 + 5) 41 I 2C, s 2.'" Check Number 002 9'6 3 9/5, /I', This Section For Official Use Only tir:, rmit • Date Issued Signature: Building Commissioner/Inspector of Buildings Date • / File # BP- 2010 -0614 APPLICANT /CONTACT PERSON CALLAHAN INC ADDRESS /PHONE 80 FIRST ST BRIDGEWATER (508) 577 -4114 O PROPERTY LOCATI R 491 ,IKID0E RD h M+' _ 7 0 46 y,l.- „ � . � "DO //WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out `t D # ? 2 73, 2 Fee Paid ']' Typeof Construction: REBUILD BLDG 21 - 12 UNITS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 87859 3 sets of Plans / Plot Plan THE FOLLOWING 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 Demolition Delay 61/0 ZA, 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. CONSTRUCTION CONTROL AFFIDAVIT )7b r '0 PROJECT NUMBER: 1694 -01 PROJECT TITLE: Meadowbrook Apartment Building Rebuild PROJECT LOCATION: 491 Bridge Road, Northampton, MA NAME OF BUILDING: Building #21 SCOPE OF PROJECT: New construction, wood frame, 12 -unit apartment building In accordance with Section 116.0 of the Massachusetts State Building Code, Seventh Edition (MBC), I, Brian A. Walsh, P.E., Massachusetts Registration No. 46077 being a licensed professional structural engineer hereby certify that the necessary professional services have been performed by myself or my representatives under my review and either myself or my representatives have been present on the construction site on a regular and periodic basis and have been responsible for the following STRUCTTTRAT CONSTRUCTION WOPK as specified i S 116.2.?: 1. Structural components as specified on Allen & Major Associates, Inc. structural drawings numbered S0.1 through S5.3 and dated December 1, 2009. 2. Review of shop drawings, samples and other submittals from the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. Work specifically not included in this Construction Control Affidavit to be provided by others shall include testing and inspection of materials in accordance with MBC Section 1703 for the following building components: 1. Geotechnical inspection and testing services (i.e. soil bearing capacity). See Geotechnical Report dated December 18, 2009 and supplemental testing data as prepared by UTS of Massachusetts. 2. Materials testing services (i.e. concrete) I certify at this time that the structural components of the work described herein have been satisfactorily completed in accordance with the structural requirements of the Commonwealth of Massachusetts State Building Code, Seventh Edition, to the best of my knowledge and belief, based on construction observation and review services performed and described herein and based upon my review of material and geotechnical testing and investigation reports (prepared by others). P OF144 S ,,,---7 if 71 SIAN t .,,, washo , ' G —1 0 Signature ' AI a OM `` -D3- Do/ c arc" ;k //' Subsc . bed and sworn to before me this day o Y L ri / 20 / c' . A _Q a atx A___., 8 )- 7 1 ;2.6)1 NOTARY PUBLIC My Commission pires On /l ✓l �>>� DANGER This Structure Is Declared Unsafe For Human Occupancy or Use. It Is Unlawful For Any Person To Use Or Occupy This Building After v-- / aao9 Any Unauthorized Person Removing This Sign WILL BE PRO, ,SCUT, D .,( LIR B r1 /qP i _,,,e,._ A.' 44, _ariAew . . AILL.L.1 Address of Building Biding Offi A Code 7P c/m/ Art. // � Sec. ""',� =re q � / � 9 Refer To Ordinance No svAust— 491 BRIDGE RD BP- 2010 -0366 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17D - 012 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 -0366 Project # JS- 2010 - 000488 Est. Cost: $16000.00 Fee: $96.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHNSON GENERAL CONTRACTORS 57158 Lot Size(sq. ft.): 1169150.40 Owner: MEADOWBROOK PRESERVATION ASSOCIATES LTD PARTNERSHIP 7nnm LI1B(1001//WP Annlicant: JOHNSON GENERAL CONTRACTORS AT: 491 BRIDGE RD Applicant Address: Phone: Insurance: 285 SOUTHAMPTON RD (413) 536 -3062 HOLYOKEMA01040 ISSUED ON :10/6/2009 0 :00 :00 TO PERFORM THE FOLLOWING WORK :BLDG 4 411 -414L & 415 -418R - SHEETROCK & INSULATE 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:// *i c9 House # Foundation: / Driveway Final: Urn �- Final: // 0/ (F' al: / ' I -o q' Rough Frame: ; ve2 Gas: Fire Department 6 Fireplace /Chimney: Rough: Oil: su! i n: Final: Smoke: Final: (OK{ )i j Z.3 4+; THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO�Y OF ANY OF ITS RULES AND REGULATIONS. / /�� Certificate of Occu P anc "-' S ignature: — FeeType: Date Paid: Amount: Building 10/6/2009 0:00:00 $96.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo