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32C-001 Louis Hasbrouck From: Louis Hasbrouck Sent: Tuesday, July 08, 2008 11:14 AM To: Doug Kohl (dkohl @kohlconstruction.com) Subject: Yoga and Pilates renovation Doug, The permit to renovate the 3rd floor space for use as a Yoga studio is on hold. The changes to the windows will need approval from the Central Business Architecture Committee. The window changes can be submitted on a separate permit once they are approved; we could issue a separate permit for the other parts of the renovation. To approve the renovation permit, we need additional information. We need a plan of the proposed fire protection systems for that space. We will submit that plan to the Fire Department for approval. We also need additional information specifying fire separation requirements for tenant areas, storage areas and means of egress areas. Call if you have more questions. Louis Hasbrouck Local Inspector and Zoning Enforcement City of Northampton Building Department 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 The Commonwealth of Massachusetts Department of Industrial Accidents �► Office of Investigations _; , _,; 600 Washington Street Boston, MA 02111 re www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): Kohl Construction, Inc. Address: 31 Campus Plaza Road, Suite 3 City /State /Zip: Hadley, MA 01035 Phone #: 256 -0321 Are you an employer? Check the appropriate box: Type of project (required): 1. El I am a employer with 21 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. + 7 . 12 Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. ❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *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 their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Mutual Insurance Company Policy # or Self -ins. Lic. #: WMZ 800287201 2008 Expiration Date: 02/10/09 Job Site Address: Thornes Marketplace, 150 Main Street City/State /Zip: Northampton, MA 01060 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pai ' - ' pe Ities f er'ury that the information provided abo e is t e and correct • _ �. ��, �_ Date: J 1 0 Phone #: 256 -0321 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Versionl .7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Douglas A. Kohl , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Douglas A. Kohl Print Name G — 2 ioz)P$ Signa of c - Agent Date SEC S ON 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Douglas A. Kohl # 078992 License Number 31 Campus Plaza Road, Hadley, MA, 01035 10/25/2008 Address Expiration Date 24-----.1 ■ (413) 256 -0321 Signat 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 building permit. Signed Affidavit Attached Yes 0 No Versionl.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 81 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 Kohl Construction Inc Not Applicable ❑ Company Name: Douglas A. Kohl Responsible In Charge of Construction 31 Campus Plaza Road, Hadley, MA, 01035 Address C—, )01\.....1( (413) 256 -0321 Signature Telephone Versionl.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 Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW O YES 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 CI 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 Q NO O IF YES, describe size, type and location: Several Mercantile signs on Building. D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO O 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 O NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version] .7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations SI Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Renovation of third floor interior partitions (non -load bearing) for Yoga Sanctuary and Pilates Of Proposed Work: Studio. 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 FI 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B [ ❑ U Utility ❑ Specify: M Mixed Use p Specify: Yoga Sanctuary and Pilates Studio. S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Mixed Proposed Use Group: Mixed Existing Hazard Index 780 CMR 34): 5 Proposed Hazard Index 780 CMR 34): 5 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 st 1" 2 nd 2 nd 3rd 3rd 4 th 4 th 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 Sewage Disposal System: Public p Private ❑ Zone Outside Flood Zone is Municipal is On site disposal system ❑ Versionl.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 - 587 -1240 Fax 413 - 587 -1272 Piot/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 Thornes Marketplace Map Lot Unit 150 Main Street Zone Overlay District Northampton, MA, 01060 Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Thornes Marketplace, LLC 150 Main Street, Northampton, MA, 01060 Name (Print) Current Mailing Address: C--1 (413)256 -0321 Signature / C_ I /VI 2.2 .1.9 T elephone 2.2 Authori Agent: Q Douglas A. Kohl 150 Main Street, Northampton, MA, 01060 Name (Print) Current Mailing Address: (413) 256 -0321 Signature / Telephone SECTION 3 - ES ATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $130,000.00 (a) Building Permit Fee 2. Electrical $15,000.00 (b) Et Cost of Construction stimated To from al (6) 3. Plumbing $10,000.00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $20,000.00 6. Total = (1 + 2 + 3 + 4 + 5) - " 1 5 ,ODO,0 Check Number c2O 9 (iStY75 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date - '-- a.M. --- )- File # BP- 2008 -1173 • APPLICANT /CONTACT PERSON Kohl Construction ADDRESS/PHONE 31 Campus Plaza Rd HADLEY (413) 256 -0321 PROPERTY LOCATION 150 MAIN ST MAP 32C PARCEL 001 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �J Fee Paid 07690 //�� /y V # / , Typeof Construction: RENOVATE 3RD FLR PARTITIONS FOR YOGA/MATERNAL WELLNESS CTR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: • Owner/ Statement / P or License 078992 � Pee t0 U; l� N I t �„ Ft RF PIZD � eC Ttc fu row s F' ? .CU 3 3 sets of Plans /Plot Plan � '�> THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOyMATION PRESENTED: pproved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND /OR Major Project: Site Plan AND /OR n � ZONING BOARD PERMIT REQUIRED UNDER: § / \"' Finding Special Permit O Received & Recorded at Reg is try of Deeds Proof E ' O Other Permits Required: Curb Cut from DPW Water Availability • Well /7.1.27h, Septic Approval Board of Health el l W Permit from Conservation Commission Perm ^ Permit from Elm Street Commission Pear 2 7 ) /// Demolition Delay 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. .ST ! BP- 2008 -1173 GIS #: COMMONWEALTH OF MASSACHUSETTS ,p� y CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2008 -1173 Project # JS- 2008 - 001734 Est. Cost: $195000.00 Fee: $975.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Kohl Construction 078992 Lot Size(sq. ft.): 13198.68 Owner: THORNE'S MARKETPLACE LLC Zoning: CB Applicant: Kohl Construction AT: 150 MAIN ST Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256 -0321 Workers Compensation HADLEYMA01035 ISSUED ON:7/14/2008 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE 3RD FLR PARTITIONS FOR YOGA/MATERNAL WELLNESS CTR(NO INSPECTIONS UNTIL FIRE PROTECTION PLANS APPROVED) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: #,975 0 9 ° 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo „ , ,,, -, , r ir' f ;•,.) 4 ; i i ',\',, ; ,,,-_',' • 1 r , 1., '' L Li, I , z g 2 , . I , ! JUL 1 4 2008 . / t -2/ 9814 N 35-V 1 14,5' f q' / 5 5' W-I}' ,, . D rj ! '117, 3 . 1 1 . L ' ' rilni:;1 ..■.... _____ ____-! 1 -- ‘,1 - ' rr II I . I 1 19-1i' 19-0' 1 --, 1 l'''. 1T-tIt .--- 11 , MAIN STUDIO SMALL STUDIO OFFICE #1 BILL'S KATUS EQUIP ROOM MAT ROOM 684.2 SQ. FT. 1 976.5 SQ. FT. S I -r -<:.- r , CD ro I I 1 >C) t ; 1 si T. 11 1 11 11 1 5 ---,1 ,,, SHELVING I 1 SH I 1 . 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