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WRIGHTBUILDERS
I N C O R P O R A T E D
48 BATES STREET
NORTHAMPTON, MASSACHUSETTS 01060
December 7, 2011
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
RE: Building Permit for:
Smith College
Talbot House
25 Prospect Street
Northampton, MA 01063
Dear Louis,
We respectfully request that you grant a modification to waive the requirement for
control construction for the project at 25 Prospect Street in Northampton because the work is of
a minor nature, will not affect health, accessibility, life and fire safety, or structural
requirements and is impractical in that the cost of control construction is considerable when
compared to the cost of the proposed work. Thank you for your consideration.
Please let us know if you have any questions or need additional information.
Sincerely,
Linda Gaudreau
Operations Manager
Cc: Tom Lucia, Project Manager
Gary Hartwell, Smith Coliege
IEL[ 41 i-386-8287 ■ FAX 41 f- 587 -9276 ■ II ECFRONIC MAIL: inlwov∎ri0ht- bulldurs.com
"'' Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No P
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
r
I, 1 T O'S� 3/ T* u " " " p ���'T'C"1 V"L , as Owner of the subject property
( M 6R^
hereby authorize W 1 2-7' k ubeo to
act on my behalf, in . atters relative to work authorized by this building permit application.
ignature of Owner Date
I, V" 1 1461- )W Ai ( ubC,T s , as Owner Authorized
(Agenjhereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
end belief.
Signed under the pains and penalties of perjury.
.1 M o r' GV c-i A-
Print Name /
/ 2 --/ 7 Si Owner /A Date
SEC ' • N 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction SSupervisor ,1e �, 19 / Not Applicable 0
Name of License Holder : V" ►`' ` , _ L / / ' � Lv"p r
It ! 1 V / 0
License Number
( ft QA ST ., /v o P -11I-4-1 e 7v N t / i3
Address i
vi Expiration Date
Signa ur 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 of the issuance of the b ilding permit.
Signed Affidavit Attached Yes *. No
I'
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 ,�
W 1`�" v m r I ✓Y
I ese-s Not Applicable ❑
Company Name:
- NI) the f 1 - 0 6(.c. 101 53(6.
Responsible In Charge of Construction /-
Q f Sr, (v o nA Pi N , MA
Address
/IMP" 5eb eg
Signa - Telephone
, ` i v - syV 'W 11 P'F- '1' 11.o/" W I (F1 r n r r /� -rtrotrieltir
Versionl.7 Commercial Building Permit May 15, 2000 , Q 6,,
8. NORTHAMPTON ZONING 1°
Existing Proposed Required by Zoning
This column to be f i in by
Building Depa. ent
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & pay-
parking)
# of Parkin • :paces
Fi .
, olume & Location)
A. Has a Special Permit /Variance /Findin• ever been issued for /on the site?
NO 0 DON'T KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T 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 :�� DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO :
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO e
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version!.7 Commercial Building Permit May 15, 2000
;ECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
:UBIC FEET OF ENCLOSED SPACE
nterior 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. p.. /!6) i, - , J St; N 6- POR-A4
Of Proposed Work:` 1"r' � N 1 11 (1 . Nii &dt'<
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I El
A -4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ _ 2B I ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 R -3 ❑ 5A ❑
S Storage ❑ S -i ❑ S -2 ❑ i 5B
U Utility ❑ Specify: 1
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: % t �5 t ,� t`' - a" Proposed Use Group: j Z 1 PV 'k A. -
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf) pi 0 C4 A/i 6
1St 1 st
2nd 2 nd
3rd 3 rd
4'
4th
Total Area (sf) Total Proposed New Construction (sf)
Total Height (ft)
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewa s e ' isposal System:
Public K Private ❑ Zone Outside Flood Zone' Municipal :4 On site disposal system
Version1.7 Commercial Building Permit May 15, 2000
Department use only
R>�CE,IVEO City of Northampton �� of Permit:
Building Department CutlDr�iveway permit
��� Z 2011 212 Main Street e1 ,
Room 100 Wa�eltA i
of gu�w�Ne ,rs orthampton, MA 01060 Two Sets of Structural Plans
t � nMro" . e 13 -587 -1240 Fax 413- 587 -1272 Plot/Site Plans
Other specify '
I.PPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
:CTION 1 - SITE INFORMATION
A . CO �� = - 6 "6. This section to be completed by office
I Property Address: + �' 1 G
•
� Map Lot Unit
1 �� �� - • -
2►- e AbsP r -� -- � � Zone Overlay District
5
N D J 1 K"it / [ 3N M k ` C DOP-AAt) Elm St. District CB District
iECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
!.1 Owner of Record: U. - , 1Mt` } - C , O ( A . Pirii g i ' C fi a . i t t i -
6 7 / ( . - ( ' add - M . ! e > 49 LA St 7 N 6 A If MJ MA-
Name (Print) Current Mailing Address:
Slrr -. o l
Signature 1 m Telephone
2.2 Authorized Atient:
w� 6v; 1 P. Gue,,' ig/t 5i., N o 1 - piz,N
Name (Print) Current Mailing Address:
/ / (ft3r cll.- i 9
Signature / r Y ,f� Telephone /
SECTION 3 - ' S MATED CONSTRUCTION COSTS /6.).- ) C' 4, 6/ / g /O D 6 , - i 4/e)-. —
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building ' / l ' a O O , --.. (a) Building Permit Fee
2. Electrical 4 0 0"0� r (b) Estimated Total Cost of
O Construction from (6)
3. Plumbing 41 l • �- Building Permit Fee
4. Mechanical (HVAC) I
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) i/ > 6 Check Number ? 9) 0 t, / ?--
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /inspector of Buildings Date