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24B-038 (5)
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: William Crosskeyl Union Place Hartford, CT 06103 Not Applicable n Name (Registrant): 7111 William Crosskeyl Union Place Hartford, CT 06103 Registration Number Address (860) 724 -3000 Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): '1'EC Engineering LLC - Anthony Papa structural Name Area of Responsibility 146 WyllyA2 suite 117 Hartford, CT 06106 46231 Address Registration Number (860) 552 -3970 (0130'2012 Sign Telephone Expi tion 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 ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone C The AI LETTER OF TRANSMITTAL Oi l` 1J 1"011# firt ORIGINAL TO: Building Department DATE Sept. 23, 2011 PROJ. NO. Puchalski Municipal Building RE: Building permit application 212 Main Street 325 King Street Northampton, MA 01060 ATTENTION: Louis Hasbrouck, Building Commissioner Main Building shell WE ARE SENDING YOU: ❑ LETTER ✓ ATTACHED ✓ PLANS ❑ REPORTS ✓ APPLICATION ✓ CHECK OTHER COPIES DATE NO. DESCRIPTION 3 sets May 13, 2011 Facade Renovation plan prepared by Crosskey Architects 3 sets July 19,2011 Facade Renovation structural design & details prepared by TEC Engineering, LLC 1 8 -23 -10 Approved site plan prepared by the Berkshire Design Group 1 9 -22 -11 Building permit application 1 9 -21 -11 25579 $ 1,500.00 Building Permit fee 1 9 -1 -11 Insurance Affidavit & corresponding insurance certificates 1 8 -30 -11 Construction Control Document signed by the project structural engineer 1 CD with both the architectural & structural plans for the building shell THESE ARE TRANSMITTED AS CHECKED BELOW: ✓ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ FOR YOUR USE ❑ APPROVED AS NOTED ❑ AS REQUESTED ❑ RETURN FOR CORRECTIONS ❑ FOR REVIEW ❑ SIGN & RETURN ❑ BIDS DUE COMMENTS: This permit application is for changes to the building shell only. No HVAC, wall insulation, plumbing improvements, fire sprinkler system tenant improvements or tenant electrical service is proposed as part of this application. Should you need additional information please do not hesitate to call this office. COPIES TO: Peter La Pointe Vice President Real Estate & Construction 360 Bloomfield Avenue • Suite #208 • Windsor, CT 06095 • phone: 860 - 688 -3667 • fax: 860 - 688 -2343 • • ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID JO DATE(MMIDO/yYY) WINDS -2 08 /29/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Chase Clarke Stewart 8 Fontana HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 101 State Street, P.0 Box 9031 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Springfield MA 01102 Phone: 413 - 788 -4531 Fax: 413- 731 -9234 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Aw.rla.e Zurich rower.. co INSURER B: WindsorConstruction Management Services LLC INSURER C. 360 Bloomfield Ave, #208 INSURER D. Windsor CT 06095 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 ADM. POLICY EFFECTIVE 1 POUCY EXPIRATION LTR N5R0 TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YYI I DATE (NNWOD YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea vccwarlcel E — CLAIMS MADE OCCUR MED EXP(Any one Careen) 5 PERSONAL 5 ADV INJURY 5 GENERAL AGGREGATE 5 GERI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S PRO - POLICY JECT LOC AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT ANY AUTO (Ea so dent) ALL OWNED AUTOS BODILY INJURY WO SCHEDULED AUTOS (Pe W/ E HIRED AUTOS BODILY INJURY N (Per accident ON -0WNED AUTOS E PROPERTY DAMAGE (Per acWenll GARAGE LIABILITY AUTO ONLY- EA ACCIDENT S ANY AUTO EA ACC OTHER THAN E — AUTO ONLY: AGO E EXCESS/UMBRELLA LABILITY EACH OCCURRENCE E OCCUR CLAIMS MADE AGGREGATE E DEDUCTIBLE E H RETENTION E I E WORKERS COMPENSATION ARO 8 WC STA O TORY LIMITS WC ER ER EMPLOYERS LIABILITY A ANrPROPaETORPAArNEREXECxrIVE 6ZZVB- 7878475 -6 -10 09/05/10 09/05/11 E1. EACH ACCIDENT E 100000 OFFICEPAIEMBER EX0.0000? EL. D1EA8E • EA EMPLOYEE E 100000 If yea, deewm under e ' SPECIAL PROVISIONS below EL. DISEASE- POLICYLIMR E 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED 8Y ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EWIRATION DATE THEREOF, TIE 18W INO INSURER V81.L ENDEAVOR TO MAIL 10 DAYS %WITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL City Of Northampton IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Northampton MA REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Dan Fontana ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID JO DATEIMMIDOnYYY) WINDS -2 08/29/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Chase Clarke Stewart & Fontana HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 101 State Street, P.0 Box 9031 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Springfield MA 01102 Phone: 413- 788 -4531 Fax: 413- 731 -9234 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. AA.rtoa uric], tn..z.A.. co INSURER 0: WiadsorConstruction Management Services LLC INSURER C: 360 Bloomfield Ave, #208 INSURERD: Windsor CT 06095 NSURER 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 ANO CONDITIONS OF SUCH 'OLICIES. AGGREGATE LASTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NM ADDT. POLICY EFFECTIVE POLICY EXPIRATION LTR NBRD TYPE OF INSURANCE POLICY NUMBER DATE IMM/OD/YY) DATE (MM/DD/Y, LIMITS GENERAL LIABILITY EACH OCCURRENCE E ■ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES IE. cameoce) S CLAIMS MADE OCCUR MED EXP Any one perm.) S PERSONAL S AD/ INJURY E ■ GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG __ PRO I POLICY JECT 10C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO fEe accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (PM) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS IPM accident) PROPERTY DAMAGE IPM A.culen0 GARAGE LIABILITY AUTO ONLY -EA ACCIDENT I S ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY: qGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE 5 E DEDUCTIBLE S RETENTION 5 5 WORKERS COMPENSATION AND WC S OTH- TORY LIMITS X ER EMPLOYERS LIABILITY A 6ZZUB- 787X475 -6 -11 09/05/11 09/05/12 EL. EACH ACCIDENT s 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE EA EMPLOYEE 5 100000 11 WA Small» under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT s 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER YELL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 00 DO 80 SHALL City Of Northampton IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR Northampton MA REPREBENTAIIVES. AUTHORIZED REPRESENTATIVE Dan Fontana ACORD 25 (2001108) © ACORD CORPORATION 1988 - A The Commonwealth of Massachusetts Department of Industrial Accidents :I Office of Investigations 600 Washington Street Boston, MA 02111 "a " www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): o = — J J - - 4 Address: c 0 j 1,o,y e / cl,d,.,.. . _S'i.: te_ zo City /State /Zip: d( z d �r r -- Phone #: d _6 _ ' 7 Ex +13 Are you an employer? Check the appropriate box: I am a general contractor and I Type of project (required): 1. (�i am a employer with 'J 4 . ❑ employees (full and/or part-time).* have hired the sub - contractors 6. ❑ New construction listed on the attached sheet. 7. 0 Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in aci employees and have workers' g any capacity. 9. uilding addition [No workers' comp. insurance comp. insurance.: required.] ui 5. [1] We are a corporation and its 10.0 Electrical repairs or additions q ] 3.0 I am a homeowner doing all work officers have exercised their 11.0 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 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 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: p. n.] c e C4^, _ Policy # or Self -ins. Lie. #: C Z Z (.4 ,F,' - 7? 4.75"r - // Expiration Date: 7-f- // 0 -/o 9 -r Job Site Address: J'� 7 K, ,,.3 e7 5+�?E.G'f City /State /Zip: ,.J Attach a copy of the workers' compensation policy declaration page (showing the policy number and a piration 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 certcfy under the pains and penalties of perjury that the information provided above is true and correct. Signature: ' ._..-��„4' Date: e / - / / l Phone #: � "t/9 .F -3 6G. 7 E•r t- /s 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 #: A. (Ltit4 of NirtlIumptnn Stiassurtrusetts DEPARTMENT OF BUILDING INSPECTIONS <.v' 212 Main Street • Municipal Building ' Northampton, MA 01060 L 1A0silur9,uck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for Entire Project) Project Title: f �. QE �./ to Date: ` 7 [, 2-2 � 2- 1 1 Project Location: 'JV7 k 1MG1 c?-r. ) 012 6 4 ro/N( 14 Map: Parcel: Zone: Scope of Project: I —N G'/oriTtor4 OF E C 10 (L �)gC4 In accordance with the sixth edition Massachusetts State Building Code, 780 CMR Section 116.0: I, 4trrfto..q J 1 Mass. Registration # 4412-31 , Being a registered professional Engineer /Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and cifications concerning: [ NTIRE PROJECT For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the buildin ? f�iial a final report as to the satisfactory completio . • readiness of the project for occupancy. �' H ; ANTHONY J. N Zt S'•nature and '.eal of Registered Professional 4 8 PAFA ..c No. 4C2.11 I . /� ST M p R / P ay of `� ¶r a4 201 j_ a . N;�1 z d° (seal) 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 0 No 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 Peter la Pointe for Colvest/Northampton, LLC I, . ..� ...... �. a .. , 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. Peter La Pointe for Colvest/Northampton, LLC Print Name /j Signat e of Owner /Age t Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number 3 Address Expiration Date 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 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: William Crosskeyl Union Place Hartford, CT 06103 7111 Applicable 12 . Not Name (Registrant): _ ..._ _.._.. William Crosskeyl Union Place Hartford, CT 06103 Registration Number 08/31/2012 Address (860) 724-3000 ' Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): =TEC Engineering LLC Anthony Papa structural Name Area of Responsibility 146 Wyllys St. suite 117 Hartford, CT 06106 46231 Address Registration Number (860) 552 -3970 ,06/30/2012 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 ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone 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: William Crosskeyl Place Hartford CT 06103 Not Applicable o 7111 Name (Registrant): William Crosskeyl Union Place Hartford, CT 06103 Registration Number Address (860) 724-3000 ' Expiration Date Signature . Telephone 9.2 Registered Professional Engineer(s): TEC Engineering LLC_ Anthony a structural Name Area of Responsibility 146 Wylly . suite 117 Hartford, CT 06106 46231 Address Registration Number (860)552-3970 L 2 012. . . Sig Telephone Etpi 30. tion 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 Windsor Construction Management Services, Inc Not Applicable Company Name: Peter La Pointe Responsible In Charge of Construction 360 Bloomfield Ave., Suite 208 Windsor, CT 06095 / .401.1.111111b — 860-688-3667 _....._, SI re ' 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 6.77ac •,, 6.77ac ....__ .. Frontage 599.18 _... ..... 599...18 Setbacks Front 56 4$ 47 _•_, Side L: 0 ....... R: • 79.5 ' 1,: R:38 Rear 22.4i 22•(l Building Height = 35.6 Bldg. Square Footage 6910 _.._.._. 735 Open Space Footage % (Lot area minus bldg & paved 13 19, parking) 364 # of Parking Spaces = 245.. Fill: (volume & Location) :none 0 € none , ,, ••••• A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES IF YES, date issued: 10/01/2010 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book 10648 Page 213 -220 and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 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 0 NO IF YES, describe size, type and location: ; Wall & free standing signs D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: '' relocate pylon, new tenant wall signs 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. Version1.7 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 151 Repairs 12 Additions ❑ Accessory Building ❑ Exterior Alteration 151 Existing Ground Sign ❑ New Signs ❑ Roofing 1 Change of Use ❑ Other ❑ Brief Description !Demo & reconstruct front masonry wall, facade & canopy, replace metal bldg wall panels with masonry, Of Proposed Work: replace roof membrane and insulation, remove RTU's, gas pipe & extraneous exterior components per plan SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) 1 CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 D F Factory ❑ F -1 ❑ F -2 ❑ 2C 1 El H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile Igl 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B I ❑ 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: vacant former retail Proposed Use Group: none Existing Hazard Index 780 CMR 34): ..._. _..._.„, _.._, ., ..} Proposed Hazard Index 780 CMR 34): ' , , ... µ ......... ,.m . SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1st 59,680' st ....._ _... .._... .. _. 1 63,00Oµ, 2 nd 2 nd j 3 r d 3rd : 4 th 4 th Total Area (sf) 63,000= Total Proposed New Construction (sf) _._.., 59,680: Total Height (ft) 20 ...... Total Height ft 35 „ , 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public fg Private ❑ Zone : Outside Flood Zone p Municipal El On site disposal system ❑ s Versionl .7 Commercial Buildin: Permit May 15, 2000 ent ustidnly City of Northampton va : .� �h� Building Department • i x = c y r ertt1 k � �Cr� 212 Main Street Se ep to „: , keys Room 100t11Ava Northampton, MA 01061 2 e S= < utI Pl phone 413- 587 -1240 Fax 413-'17- 272 , P "'' = z� � t �' DEPT. OF BUILD! a 1 1 sr ,�> 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 325 King Street Map 24B Lot 038/039 Unit Zone HB Overlay District �.._ Elm St, District ' CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Colvest/Northampton, LLC 360 Bloomfield Ave., suite 208 Windsor, CT a Name (Print) Current Mailing Address: - -- c ' a Y_ f ,r (860) 688 3667 Signature C r -0 f W c- e- `"� `j�,j«v,r7Zs -elie "}v.J 1-1-C- Telephone 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $250,000.00 (a) Building Permit Fee 1 $1,500.00' 2. Electrical --_v _ (b) Estimated Total Cost of Construction from (6) . -- - -- --- ,Y -. - -' 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number 0 2 D J / I j 1_ 5 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -0296 APPLICANT /CONTACT PERSON COLVEST/NORTHAMPTON LLC ADDRESS/PHONE 360 BLOOMFIELD AVE SUITE 208 WINDSOR (860) 688 -3667 O PROPERTY LOCATION 327 KING ST MAP 24B PARCEL 038 001 ZONE HB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ , Fee Paid V ) C? �' �1 S Tvpeof Construction: DEMO & RECONSTRUCT FACADE & CANOPY,REPLACE ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License dA >J)- 11 d ai-ovv> 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: ,4pproved 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 / 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. 327 KING ST BP- 2012 -0296 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24B - 038 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: renovation BUILDING PERMIT Permit # BP- 2012 -0296 Project # JS- 2012- 000483 Est. Cost: $250000.00 Fee: $1500.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5A Contractor: License: Use Group: M,s1 Windsor Construction Management Services Lot Size(sq. ft.): Owner: COLVEST/NORTHAMPTON LLC Zoning: HB Applicant: COLVEST /NORTHAMPTON LLC AT: 327 KING ST Applicant Address: Phone: Insurance: 360 BLOOMFIELD AVE SUITE 208 (860) 688 -3667 () WINDSORCT06095 ISSUED ON:9/29/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMO & RECONSTRUCT FA9ADE & CANOPY,REPLACE ROOF 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: t/ '. � —' FeeType: Date Paid: Amount: Building 9/29/2011 0:00:00 $1500.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck - Building Commissioner