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22B-043 (10)
+ ` , • Page 2 Required Fire Separation between floors: 1 Hour Fire separation provided: A compliance alternative is proposed in accordance with 3406.0 and F- 203.0. Infill all openings. holes and voids in the existing concrete floor. Stairwell is to be separated from the space with a 1 hr. (minimum) rated wall and rated doors. 5/8" fire rated drywall shall be installed over all voids. New handrails are to be installed in the stairwell. Exit signs and emergency lights shall be provided in accordance with 780 CMR 1023.0 The current building is equipped throughout with an automatic fire protection system. The building is equipped with a fire alarm monitoring system. See attached narrative. The proposed tenant space will be accessible for persons with disabilities 780 CMR 3404.18. The proposed construction includes making accessible bathrooms and includes a wheelchair lift for the lower level entrance area, permitted for changes in floor elevation of less than a full story per 521 CMR 28.12.1.e. Energy Conservation 780 CMR 3407.0 Energy Provisions for Existing Buildings shall comply with the International Energy Code (IEEC) 2006 with the 2007/2007 supplement and with Massachusetts amendments to IEEC as provided in 780 CMR 13.00 See attached Envelope Compliance Certificate. 780 CMR 3408.0 Structural Requirements for Existing Buildings. See Structural engineers review of the building (Attached) If you have any questions please give me a call. Very Truly Yours, sa3940,4 RG + y { O yt� • Bernard M. Schenkelberg, AIA E e } "+ y a" Architect A R C H I T E C T U R E COMMERCIAL • INDUSTRIAL • HEALTHCARE • MUNICIPAL AND EDUCATIONAL FACILITIES WISCONSIN • MASSACHUSETTS • MINNESOTA • CONNECTICUT • BERNARD M. SCHENKELBERG A R C H I T E C T ri SUITE 2540, ONE MONARCH PLACE 3309 SPUR LANE ❑ SPRINGFIELD, MASSACHUSETTS 01144 GREEN BAY, WI 54313 OFFICE: 1- 413- 739 -0162 OFFICE: 1- 920 - 434 -3277 FAX: 1- 413- 739 -0163 FAX: 1- 920 - 434 -3301 September 1, 2009 City Of Northampton Building Department 212 Main Street Room 100 Northampton MA, 01060 Re: Chapter 34 review as it pertains to the Building permit application for the 1st floor of the Nonotuck Mill, 296 Nonotuck Street, Florence MA, 01062 Chapter 34 of The 7"' Edition of the Commonwealth of Massachusetts State Building Code is applicable to the renovation project at Nonotuck Mills. This project is an alteration requires a change in use which results in a change of hazard index of one or less 780 CMR 3400.3 #1. The previous hazard index was a 3 factory - industrial and the proposed use is S -1 Storage hazard index 3. No Change in Hazard index. This Building has been legally occupied and /or used within the last five years. 780 CMR 3400.3.1 The general plan is to separate the "Dax Space" (where proposed work is to take place) from the remainder of the complex with a 1 Hr fire separation including installing fire rated doors at common walls. Building is construction type 3B (Combustible /unprotected) Use Group B Allowable Area (per floor): 17,500 (35,000 with 100% increase for sprinklers) Actual Area (per floor); 15,868 Allowable Height: 4 stories, 60 ft (3 stories and 40' plus 1 story and 20' for sprinklers) Actual Height: 35', one and two stories Proposed Occupant Load: 10 people Maximum Exit Travel Distance Allowed: 250 feet Actual Maximum Travel Distance: 174 feet Minimum Number of Exits Required: two Number of Exits Provided: two Exit Width Provided: 36" doors A R C H I T E C T U R E COMMERCIAL • INDUSTRIAL • HEALTHCARE • MUNICIPAL AND EDUCATIONAL FACILITIES WISCONSIN • MASSACHUSETTS • MINNESOTA • CONNECTICUT • 01 Sep 2009 8:190M CROCKER BUILDING Co 14137376861 p.6 Industrial Residential Security Co. 396 Main Street Easthampton, MA 01027 Fire Alarm Narrative: 07-01 -2009 Location: 1st floor main warehouse ( DAX ) 296 Nonotuck Street Florence MA 01062 Building: Usage Group B, S-1 Low hazard storage area Installing Company: Industrial Residential Security Co. 396 maIn street Easthampton MA 01027 Fire Alarm System: This area with be part of the main building fire alarm system. The Fire Alarm System is a Silent Knight 5820 XL addressable control. The SLC loop Is a class A. The Notification Loop is class A or class B. The procedure to reset and or silence the alarm is to push ACKNOWLAGE then SILENCE then RESET when alarm is cleared. Fire Alarm Monitoring: The Fire Alarm System will be monitored at C.O.P.S. Monitoring in NJ. Irsco shall program all alarms, troubles and supervisory. It shall dial thru a Silent Knight digital dialer to the central station. Proper notifications to the Fire Dept. and responsible parties shall be made upon receiving the signals. Equipment List: 1 Silent knight Addressable control 5820 XL 1 Silent knight LCD enunciator 1 Outdoor red beacon 1 Outdoor knox box 4 Sprinkler tamper with modules 2 Sprinkler water flow switch modules 4 Silent Knight dual action Pull Stations 15 Silent Knight Smokes 10 System Sensor horn strobes 2 System Sensor Strobes 0- 1 2009 8:18PM - CROCKER BUILDING Co 14137376861 p•5 0 3. Component R- vaiuee & U- factors labeled as certified. ❑ 4. Insulation installed according to manufacturers instnxttons, in substantial contact with the surface being insulated. and in a manner that achieves the rated R -value without compressing the Insulation. ❑ 5. Vapor retarder installed. Section 4: Compliance Statement Compliance Statement The proposed envelope design represented in this document is consistent with the building plans specifications and other calculations submitted with this permit application. The proposed e , :.. e system has been designed to meet the Massachusetts Commercial Code requirements in «• , ... ck Versio .. -- . • y with the mandatory requirements In the Requirements Checklist. I � j ot 60iniktite,L Principal Envelope �" dor pe Designer -Name /� Signsty - Data DAX Corporation Page 2 of 2 y 01- Sip 2009 8:18AM .CROCKER BUILDING Co 14137376861 p - Permit # Permit Date CO Mc heck Software Version 3.2.0 A( I Enve Comp Certificate Massachusetts Commercial Code Report Date: 08/31/09 Data filename: C:\Progrem FitesiChecinCOMchecMDAX- Nonotuckdc Section 1: Project Information Project Title: DAX Corporation Construction Site: Owner /Agent: Designer/Contractor: 296 Nonotuck St. Matthew McDonough Bernard Schenkeiberg Northampton, MA 01060 Nonotuck Mill, LLC One Monarch Place, Suite 2540 do McDonough Realty Springfield, MA 01144 Chicopee, MA 01013 (413) 739-0162 (413) 746 -5500 Section 2: General information Building Location (for weather data): Northampton, Massachusetts Climate Zone: 14a Heating Degree Days (base 65 degrees F): 6894 Cooling Degree Days (base 66 degrees Fj: 507 Project Type: New Construction Vertical Glazing / Wall Area Pct.: 1% Buitdine Ty Moan' Warehouse 15668 Section 3: Requirements Checklist En,,rdi pe PASSFS I o,:z,ia I" eU ?'iin s J Climate - Specific Requirements: Component Name/Description Gross Area Cavity Cont. Proposed Budget or R -Value R -Value U- Factor U- Factor Perimeter Roof 1: Non Wood Jalat/RafEerRruss 15868 0.0 22.0 0.044 0.054 Exterior WaII 1: CMU c=8' with Integral Insulation. Furring: None 5516 — 5.0 0.127 0.079 Window 1: Vinyl Frame:Double Pane with Low-E, Clear, SHGC 108 -- --- 0.310 0.547 0.30 Exterior Wall 2: Metal Wall without Thermal Blocks 4932 0.0 13.D 0.072 0.079 Door 1: Overhead 153 — — 0.085 0.127 Door 3: Solid 21 --- — 0.091 0.127 Interior Wall 1: Metal Frame, 16" o.c. 4940 13.0 1.5 0.107 0.127 Interior Wan 2: CMU =8" with Integral Insulation, Fusing: None 508 — 5.0 0.123 0.127 (a) Budget U- factors are used for software baseline caiculetions ONLY, and are not code requirements. Air Leakage, Component Certification, and Vapor Retarder Requirements: ❑ 1. All joints and penetrations are caulked, gasketed, weather- stripped, or otherwise sealed. Cl 2. Windows, doors, and skylights certified as meeting leakage requirements. DAX Corporation Page 1 of 2 ' 4.44 1 Stlti i i 1: 0 t}')Clik. k., %AK i _..„,... wrri. .., . ..... .. . . . . .. . . .. , . ,., 0 • . , . .. . , a . , BERNARD M. SCHENKELBERG A R C H I T E C T ❑ SUITE 2540, ONE MONARCH PLACE 3309 SPUR LANE ❑ SPRINGFIELD, MASSACHUSETTS 01144 GREEN BAY, WI 54313 OFFICE: 1- 413 -739 -0162 OFFICE: 1- 920 -434 -3277 FAX: 1-413- 739 -0163 FAX: 1- 920 - 434-3301 CONSTRUCTION CONTROL CERTIFICATION PROJECT NUMBER: DATE: 9 1... 6 9 PROJECT TITLE: VAC Cca p PROJECT LOCATION: , • • • • a , L dr ,t MA NAME OF BUILDING: SCOPE OF PROJECT: i U7 hftri2 E J WATIC - • / nave,(../ AD A L ( FT I � , , • Gorda e with the Massachusetts state buildin ode, 780 CMR, Chapter 1 , Section 1 16, I /e,, 4 , , ;A . <• , .• Mass. Reg. No 2-1 being a registered professional Architect /Engineer Here.y certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectur. Structural Fire Protection Electrical Mechanical Other (Specify) For the above named project and to the best of my knowledge such plans, computations and specifications meet the applicable provisions of Massachusetts State Building Code, and meet or accede all applicable codes by the architectural access board 521 CMR, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the document approved for the building permit and shall be responsible for the following. 1. Review of the shop drawings, samples and other submittals of the contactor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code required controlled materials. 3. Special architectural or engineering professional inspections of critical construction components requiring controlled materials or construction specified in the accepted engineering practices standards listed in appendix b. I shall submit periodically, a progress report together with pertinent comments to the building inspector. Upon completion of the work, I shall submit a final report and a certificate of completion as to the satisfactory completion and readiness of the project for occupancy. ii.�j < 4 Subscribed and swo o bef•re me ,,>1,,, c„ � �, . this s+ da of c4 . 0 a° ,��- n /. ., � i y . 00,1: Signature/ Notary Public /110 My c -..: : . �;f�'elber ; ab, / _ r Li\ I . V ■ ■ w COMMERCIAL • INDUSTRIAL • HEALTHCARE • MUNICIPAL AND EDUCATIONAL FACILITIES WISCONSIN • MASSACHUSETTS • MINNESOTA • CONNECTICUT • Board of Building Regulations and Standards Construction Supervisor License License: CS 67805 Expiration: 4/19/2010 Tr# 23688 Restriction: 00 WILLIAM D CROCKER JR 36 SPRINGFIELD ST " WILBRAHAM, MA 01095 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.rnass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information (� �^ Please Print Legibly Name ( Business /Organization/Individual): Address: ( e'G City/State/Zip: c \; ctc. Phone #: +-(13 - 3 7�3CT 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 a0, 4 . ❑ employees (full and/or part-time).* have hired the sub - contractors 6. n New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [N Remodeling ship and have no employees These sub - contractors have 8. n Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.t ❑ required.] 5. ❑ We are a corporation and its 10.[] Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.n Plumbing repairs or additions myself. [No workers' com right of exemption Y � ' P• 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. 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: 1 >M (\A,z,T.IA\ ��vci��.►.F�e — Policy # or Self -ins. Lic. #: ‘,\./ M? e S' <CC ; ;Zed; t Expiration Date: 3 l MCP 10 Job Site Address: Cl (Ve .tt`Zv \ City /State /Zip: F\C ¢..r y-. MA 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 pains and penalties of perjury that the information provided above is true and correct. ,, /�, Signature: �t/ �- 4 ,77 Da te: 91/0 7 Phone #: 1r' 3 7 . 7- 76/6 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 #: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations .� r 600 Washington Street Boston, MA 02111 www.rnass aov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Nanle (Business/Organization/Individual): Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. n I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part - time).* have hired the sub - contractors 6. [1] New construction listed on the attached sheet. 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub contractors have g_ ❑ Demolition working for me in any capacity. employees and have workers' 9. [j] Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions i h officers have exercised their 11. Plumbing or additions re a 3. ❑ I am a homeowner doing all work � P. 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 #1 must also fill out the section below showing their workers' compensation policy information. r 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 hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone #: 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 #: an 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, f t' `A~C V\ Q.....1 wN\.0 \ ACAS . \.__ 6c, 1 K.3 c 'Zvr,_.kt, ,,N,„„3,\....,, L.I.C. as Owner of the subject property hereby a horize _ _ , \\. Ar,. .._ ciac\uLx `-.i i t . i act on b , in .�l m tte s relative to work authorized by this building permit application. 4 �i r �eft to Signa ure of Own- Date I, —) , A,.f... 4:. Sc'\x- t.:'t.. �1Z-,_........ r , 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 penaltiesof perjury_ Print Name Signature Owner/Agent lam, 9/109 _ .. _ ._., __. . _ .. . , „ .. _ _ ... ��L/ g ner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder L - '`\\ e>'` C'C6c "Z,, (o , C'' License Number 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 ® No 0 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: ge k.14,1 . Se he - \ ; - Not Applicable ❑ Name (Registrant): ` MJ� Registration Number Address �� ' 31J oe1 413 '731 C; Expiration Date ignature Telephone 9.2 Registered Professional Engineer. / 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 C'�LAY _ 4�� 1. �.` _- "�,?►�1.+,►C _R. Not Applicable ❑ Company Name: Responsible In Charge of Construction / PG S 9f J s._. , 1A.INkorAVAiti AAA ►_1O.`I_._. _ Address ,//"C/r 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 . _ .... __... 3 S i Frontage Ux Setbacks Front Side L... ,. _. -.' R........._.. L.. - R: Rear Building Height Bldg. Square Footage r ' a % [S .C( Open Space Footage % _. --_ (Lot area minus bldg & paved N TA parking) # of Parking Spaces _ „,- Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 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 ft B. Does the site contain a brook, body of water or wetlands? NO g DONT KNOW 0 YES 0 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 NO IF YES, describe size, type and location: D. Are there arty 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 NO 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 2 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. aco.4vAve S ‘le-►-N•` - A p ORTura Uc W ` s. 7 Of Proposed Work: ,_ rue k-f4"4 71`04--r- c3cTW:1 c�c' ,auJ . S�Or''ps�2. (aAe.Q SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 0 1A 1 ❑ A -4 0 A -5 ❑ 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 igEL M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage Agl. S -1 181. 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: FAeZ Pro osed Use Grou`.!''�` �?... 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) 1st 1st , _ _ .,._ ._. _.._ 2 nd 2nd 3 rd 4 4 r. 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 sg,, Private ❑ Zone , Outside Flood ZoneD Municipal XI On site disposal system ..t f . 1 Versionl.7 Commercial Building Permit May 15, 2000 Department. use only: ; ,. _ . City of Northampton S t u s bf rmt: u� Pe �` Building Department C urb at Cu �Drtuewa i Perm {t _ 9 y 212 Main Street sewer /SeticAvarlabr p y 7 ,� _ �Uk•-)y Room 100 Water/Well Availability °; `' Northampton, MA 01060 Two Sets' of Structural Plans ` 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 Q e 6 kJC.:A.IC uLLC. St , Map Lot Unit F k CJ``� -..It . ; r\A A Zone Overlay District ,�. n_.. �.. , _., .. Elm St. District` CB District SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Ii 9 kc... N\ , \ \*a,, LC. ... �_.._ .. .. _ c. 1c� c� 11 L4 _ .... C S S� VIA Name (Print) Current Mailing Address J,, ii) Signature rf Telephone 2.2 Authorized Agent: Name (Print) Current Mailing Address z\ %.._7:5P _7.E3 Signature V' !°/ � Tel SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee o , ooc 2. Electrical 3 ...." (b) Estimated Total Cost of 3O. my Construction from (6) 3. Plumbing . 000 Building Permit Fee 4. Mechanical (HVAC) It 5. Fire Protection 2d. Otto: 6. otal - + 2 + 4 ) q S', my Check Numb 6 �y J' '�7 �> /� This Section For Official Use Only 1 Building Permit mber Date issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0250 APPLICANT /CONTACT PERSON CROCKER BUILDING CO INC ADDRESS /PHONE 186 STAFFORD ST SPRINGFIELD (413) 737 -7803 PROPERTY LOCATION 296 NONOTUCK ST MAP 22B PARCEL 043 001 ZONE GI(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 3 7 ( ) iE5 , Typeof Construction: RENOVATE PORTION OF 1ST FLR FOR DAX TRANSPORTION OFFICE /STORAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 067805 3 sets of Plans / Plot Plan THE FO LOWING 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 _ LO© 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. e i errrok of —mot 3 / BERNARD M. SCHENKELBERG A R C H I T E C T ❑ SUITE 2540, ONE MONARCH PLACE 3309 SPUR LANE ❑ SPRINGFIELD, MASSACHUSETTS 01144 GREEN BAY, WI 54313 OFFICE: 1-413 -739 -0162 OFFICE: 1- 920 - 434-3277 FAX: 1-413- 739 -0163 FAX: 1- 920 -434 -3301 CONSTRUCTION CONTROL CERTIFICATE �4 � � I certify that the building at L 4 i lOkIDIV( <.11 r"it,e, , 414I Building Permit # j P- 2.0 1, D - o a s a has been t /altered under my supervision and in Accordance with the approved plans, and that such plans do confirm to all provision of the Massachys4tt ,,State Code. SP: _ ii rt .S) 1...;.t i y t�' C , 4 ° 4 q , v ,i Architect Seal Subscribed and sworn to before • e this .. of J C)U - y 1 / ,20(8 ...olio/ 44, • otary My Commission Expires ♦ AN . Notary Public COMMONWEALTH OF My Commission Expires July 2. 2015 a pal © 1 _ L j © r-gl (1 jj EA COMMERCIAL • INDUSTRIAL • HEALTHCARE • MUNICIPAL AND EDUCATIONAL FACILITIES WISCONSIN • MASSACHUSETTS • MINNESOTA • CONNECTICUT •