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32C-221 (7) City of Northampton In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, �. ,v tuLiJ' - 1` L k being a Professional Engineer /Architect, certify that the plans for e (Ot,C,aB, 11.1 have been prepared under my supervision and to 17 NAu1 wy the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. - I 7 S ignature Subscribed and sworn to before me this / t day of h . `� I 20 c ±- Notary 'f.lic My Commission expires t I/ cg/O 4/// c h Date • An electric bell, which activates upon water flow, must be located above this sign. • Horn strobes need to be installed through out the building for occupant notification. • Fire suppression work permit needs to be obtained • Installation shall follow the Northampton Fire Department Fire Prevention Checklist and Installation Guide. • Page 2 Northampton Fire Department Memorandum To: Tony Patillo From: Duane Nichols vtl Date: April 12, 2005 CC: Brian Duggan Re: 97 Hawley St, Educational Collaborative Secondary to a review of the plans that was submitted to me for review, I concur with the issuance of a building permit for this property subject to the following conditions: • A Fire Department Emergency Access Key Box is required on the exterior of the each structure near the main entrance; a red 120 - candela strobe light that actuates upon an alarm condition is required above the Fire Department Emergency Access Key Box. • Keys with engraved key tags to be placed in Fire Department Emergency Access Key Box • The Sprinkler system and fire protective signaling system must be supervised be either a direct connection to the Northampton Public Safety Dispatch or by a UL listed Central station. • The FD connection for sprinkler system is to be 4" Storz connection with an attached chain, in addition a sign reading "Fire Department Connection" in 3" white letters on a red background is to be mounted above the connection. • Page 1 N,1 Apr 05 05 . 10:0 0a , ttMr p r f.. \_ 16 I1/4, (rri� ofNnrfl�anl}Itnl1 A �e t 3ta,..chn,a(ln• _ � 4 ��rr� ' ` G'! = - DEPARTMEWT OP BUILDING INSPECTION'S _ , ' 212 Main Street - Municipal Building Northampton, Trfoss. 0100 r ' . V'GRICER'S CO 'LI'I;NSATION C\1 SU A1711) ( tic ms. ipertni! .uoU1 z-p ci-j -plc 0i hi less /rs1d o.e -a -I-- AR 0 tiol nil ,STAFF00 JT'ItE__ 1" Jp V G (Phone- `03 - 7315'a, ( sc llcityls'alclzip) do hereby certify, under dm pains and penalties of perjury, , ha I am an employer providing (lie following workcr's ccmocns ion covcmgc for Icy �wpioyccs vor ang on uus job N o►4 We. 115 .. el /0/01/05 rao m (Inruc Coo v) (Polio; Nu ber; FL:p .nor, ) ( ) I am a sole prooficror, general cone amor or homeowner (c cie orie) and have ;fired the com: acors listed below svbo have We olio■vio giver :;e ?s c- moensa�on pol!cles: ( iamc of Co, , ctorl (Ittsannc;. Cotnoanyl?cuc :\'t:.icc :) (F_ >irat_e. Oate) (Name of Corm Cuas cc Como nviPoLle \u:;z (t»tr.:tion Dale) . . , (Name of Conuaczor) ansurancc Compan y/Pobc; ti:t..mc.:l (Expir - _-000 Do1c) (Name of Coco c (Lnsuranco Company/Policy Utz -rh. r) . (EN Dale) (.n>L+t :d��i:ocal r_Scct if ooa_ -inn- to od.xi iafonzoo pv••.=n.s a .il coon-t.�n1 • ( ) I am a sole proprietor and have no one worlang for me ( ) I a i a home owner performing all We work myself. NOTE: plcsc Dc c o- a n au: mfr..): c bancn avcn .,t., c,03p1ny power to a, c^- 1 * ^ — ,,, •_ cc�.r., c rcztc , .orx w a d.•c11=i; of not toot. 1.h:.3 L... v: arts to aa`aicb the boenoowoc rondo or co the ouo. ., z, purtro--^_. the -o O ox ...y a dr' to be cttploycs uodc the lam ccspc- ... -.yiao Ain (G L1 Sl7.p 1(5)1 o.opliaiicra by • boos. , for - 1 cc jumit roz 1 c. - rT Lb< 1 cg.:l ...o.. of m cccoloyec undo' dt. WOAC -Ce. Coo pomoj o.o A4• i uo•on.aod dLg a copy of Cal. muamerII may b. fo - , -.,d.d to Lb. Dop.rtoocoi of i ++,, rn al Aco do tf O L0.01" of 4ay.oco foe tb. comet railcsitxi ... tlLS Lil_re to Locum fou.i - o o „c,Afc L<o oo 25 A of Ma_ I5 ctn tact to trx iou of crimintl pcaaltio ooaaaitg of . Goo (dui:. to S1...300 .00 and/or ccavrizco of up L3 ooe year cod ct.',1 xra: d 3 in 6: feed of . Stop Wort Ono o sod . 1 0 q . 0 0 rim a city . p o no [cc_ ror d o..noN: —il u.r only Gaid4plitjuk0_ O y�Ot'ID5ac,m,t Nara >cr \L�n� __ Lot j . Si .al JPcrmiu cc ate • . . . . , • • 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 0 ECTION 11- OWNER AUTHORIZATION - TO BE COMPLETED WHEN i NERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 0 tAt t H-TRE ED 101 L CO LLADORATX UE , as Owner of the subject property hereby authorize PAM' S to act on my behalf, in all matters relative to work authorized by this building permit application. C -- -S=e- - L.---- 0 y- 04-05 Signature of Owner Date 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. Print Name Signature of Owner/Agent Date e l SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Sutxtnrisor: Not Applicable 0 Name of License Holder : ' A Ai 6 Re A. 6-/CrAig -- License Number i la "f s r SPAXAM-Frato MA 0 a 0 I 049763 • Address - xj - )Tration Date 6.0,141 Q. 47A_ 1/13 -73 4- et s'oo op sh.007 Signature Telephone SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.I— c. 152, § 25C(6)) TO 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: TILT 04Rair recTivx I' ix6i s Not Applicable ❑ Name R istra e9 Re r tuber 3 coo u,EASe nWer _ Pi4U iIQ, t o 0/4/ t Ad • trilltaaal Expirati• Date re 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 (1) 9.3 General Contractor of T .a►' REmoVATr0NS . -`i. Not Applicable ❑ Company Name: Amo A. G 4 6-NE Responsible In Charge of Construction 141 sTAFF,oRD Jr J'PRaNG 4l / NA mei ::: 413?3frfro0 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 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW O YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O 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 O 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. ' 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 ❑ Repairs% Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. V ouV (Y Of Proposed Work: S/1 riRecaom 0 WALLPA 0 . T cie A°0 P k SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational .v 2B I ❑ 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 ❑ 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): di, • ECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 st 1 2nd 2nd 3rd 3`` 4 m 4 th (ArasO I G - TotalProposed 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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ * — Version1.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status Of Permit. ' c Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/ / /Septic Availability Lr,GS Room 100 Water/Well Availability g Northampton, MA 01060 Two Sets of Structural Plans phone 413- 5871240 Fax 413 - 587 -1272 Plot/Site Plans Other Speafy APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ( 7► / SECTION 1- SITE INFORMATION �/ 1.1 Property Address: This section to be completed by office Property / AAw ( Map Lot Unit fr . 7 ' Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT (p2.1 Owner of Record: HAMPsjts e t1A4. T2o&I4L C. ot,(Ai5 OMrzPe Name (Print) Current M ailing Address: 97 /mid LE STREET Signature _ Telephone 413 (o� Lig 0 0 2.2 Authorized Agent: `` PAUL ST was -u }� Name (Print) Current Mailing Address: / 0 NORTH- ELM .f O& / NORT/4- 4wtp7o )A o i o 6 0 4 $ 'II Signature __ R__!i- — Telephone �J $ �O g � © SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building tag) (a) Building Permit Fee 7 / - 2. Electrical (b) Estimated Total Cost of 9 `Q ' Construction from (6) 3. Plumbing A Building Permit Fee 4. Mechanical (HVAC) 6 0 5. Fire Protection 6. Total = (1 +2 + 3+4 + 5) 'Q, $ Check Number pi 1b (tea This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2005 -0948 APPLICANT /CONTACT PERSON OFFICE RENOVATIONS, INC ADDRESS/PHONE P 0 BOX 1123 SPRINGFIELD (413) 736 -9500 PROPERTY LOCATION 97 HAWLEY ST MAP 32C PARCEL 221 001 ZONE SI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out , f Fee Paid / d5V Tvpeof Construction: CONSTRUCT PARTITIONS TO CREATE VIEWING ROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 069763 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 Co . ssion ■A• 44111-- - 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. 97 HAWLEY ST € /� BP- 2005 -0948 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block 32C - 221 CITY OF NORTHAMPTON �7 2 Lot: -001 �, d Permit: Buildin g 0,41:6 t ricQ Category: BUILDING PERMIT Permit # BP- 2005 -0948 Project # JS- 2005 -1320 Est. Cost: $10850.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: OFFICE RENOVATIONS, INC 069763 Lot Size(sq. ft.): 49658.40 Owner: HAMPSHIRE EDUCATIONAL 7 ,±,1n(T• . \T Applicant: OFFICE RENOVATIONS, INC AT: 97 HAWLEY ST Applicant Address: Phone: Insurance: P 0 BOX 1123 (413) 736 -9500 Workers Cainpensation SPKINGFIELDMA01101 -1123 ISSUED ON:4/14/05 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT PARTITIONS TO CREATE VIEWING ROOM 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: Ror ;b: Rough: c fhl / : '/ House # Foundation: Driveway Final: Final: Final: //g �G� Rough Frame: O `7 - �1� 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 4/14/05 0:00:00 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 3de-aai ht June 8, 2007 HAMPSHIRE Mr. Louis Hasbrouck EDUCATIONAL City of Northampton z VC, -11 COLLABORATIVE Department of Building Inspections 212 Main Street JUN t 3 y'- Linking Educators, Northampton, MA 01060 Schools, Families, and ; ,iS Communities to --- — Opportunities and Dear Louis, Resources That Advance Learning I am writing in response to your letter to me dated June 1 Since I will be on vacation on June 15 when you asked to hear our plans, I am sending you an early update. First, let me start out by saying that it is the intent of the Hampshire Educational Collaborative to return its property, located at 97 Hawley Street, to compliance with the approved site plan you sent me that was dated April, 1999. As we have agreed, in order to do so, we must install a fence that is substantially the same as the one that was removed. Therefore, it is our intent to install a six -foot tall wooden stockade fence along the border of our property and that of our neighbor located at 85 Hawley Street. I have pictures available should you need to verify that this is the type of fence that was removed. Since our phone call and your letter, I have been in touch with five different fencing contractors in order to obtain a few price quotes from which to make a hiring decision. In the past two days, two of the companies have been on site to get the necessary measurements. Both have assured me that Joan E. Schuman, Ed.D. their quotes would be on my desk when I return to work on June 20 As Executive Director soon as practicable after the 20 I w select and award the contract to one of 97 Hawley Street the vendors. At that time, I will send you another update including the Northampton, MA 01060 projected installation date. 413 -586 -4900 800 - 278 -4244 413 -586 -0180 fax Sincerely, info@collaborative.org www.collaborative.org /1(4//e Michael R. Ciesla Chief Financial Officer City of Northampton '94 401=104? Massachusetts g, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 • j4 INSPECTOR Louis Hasbrouck Phone: (413) 587 -1239 Chuck Miller . • Building Commissioner Fax: (413) 587 -1272 Assistant Commissioner FAX THIS TO: 413 -587 -1272 REQUEST FOR PERMISSION TO- VIEW- RECORDS OR HAVE COPIES OF DOCUMENTS MADE *PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER* DATE: L . ` � - 12 MAP: BLOCK: Z Z FILE ADDRESS: 7 /(ci 1-9 NAME: Akk. Cr ADDRESS: ! ( rc; ( fc(A) 0 PHONE #: * * 31 UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE _ __ _ ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE. • • • Engraved labels (1"x1") numbering all smoke detectors for identification purposes installed on smoke detectors on main fire alarm system. Numbering sequence to be determined by Fire Department. • Key with engraved tags is required for the fire department emergency access key box. • Page 2 Northampton Fire GI Department Memorandum ,r, To: Tony Patilb From: Duane Nichols" _ „ 37 Date: July 31, 2007 __. - CC: Brian Duggan _? _ _ _ a Re: Education Collaborative, Short St. (67 Hawley St.) Secondary to a review of the plan that was submitted to me for review, I concur with the issuance of a building permit for this property subject to the following conditions: • A red 120 - candela strobe light that actuates upon an alarm condition is required above the Emergency Access Key Box. • Fire alarm and fire suppression work permits shall be obtained for the project. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one -inch white lettering "Fire Alarm Control Panel" and /or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. • A graphic representation of the structure needs to be installed at the Fire Alarm Control Panel and/or Fire Alarm Annunciator Panel. The structural members should be outlined in black and each fire alarm device should be outlined in red. Points of egress should be indicated with blue shading, if the building is multi- storied floors should be shown one above another. The building name and address should be posted at the top of map. • Page 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company Burlington, Massachusetts (800) 876 -2765 NCCI NO 26158 POLICY NO. ( WMZ 8005353012006 PRIOR NO. I WMZ 8005353012005 ITEM 1. The Insured Office Renovations, Inc. Mailing Address: 167 Stafford Street Springfield MA 01101 (No. Street Town or City County State Zip Code ❑ Individual ❑ Partnership ® Corporation ❑ Other FEIN 04- 3205206 Other workplaces not shown above: 2. The policy period is from 10/01/2006 to 10/01/2007 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 5 0 0 , 0 0 0 each accident Bodily Injury by Disease $ 5 0 0 , 0 0 0 policy limit Bodily Injury by Disease $ 5 0 0 , 0 0 0 each employee C. Other States Insurance: Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per $100 Estimated Total Annual of Annual No. Remuneration Remuneration Premium INTRA 377818 SEE EXTENSION OF INFORMATION PAGE Minimum premium $ 500.00 Total Estimated Annual Premium $ 25,896.00 As indicated, interim adjustments of premium shall be made: Deposit Premium $ 6,785.00 ❑ Annually ❑ Semi Annually ❑ Quarterly ® Monthly MA Assessment Chg. $29,687.82 x 4.1920% $1,245.00 This policy, including all endorsements, is hereby countersigned by "' 09/07/2006 P Y, 9 � Y 9 Authorized Signature Date GOV GOV KIND PLACING CLAIM NAME SAFETY STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP James J Dowd & Sons Insurance MA 5445 8 807 Agency P O Box 10300 WC 00 00 01 A (11 -88) Holyoke, MA 01041 Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. • elk -�� ��� Board of Building Regula ions and Standards If - e One Ashburton Place - Room 1301 :4 Boston. Massachusetts 02108 Construction Supervisor License License CS: 69763 Restriction: 00 Birthdate: 3/2511960 Expiration: 3/25/2009 Tr# 11550 ANDREA GAGNE - - - -- -- -- - -. - -- � - - - -- PO BOX 1221 - SPRINGFIELD, MA 01101 Update Address and return card. Mark reason for change. — Address i Renewal Lost Card 7..A1 0 50M- 05108- PC8490 - • 'Board of Building Regulations and Standards ; Construction Supervisor License • - License: CS 69763 Birthdate _ 5/1960 i' 4 9f1j Tr# 11550 ANDRE A GAGNE PO BOX 1221 SPRINGFIELD, MA 01101 Commissioner • City of Northampton Building Department - In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, L A t.,o(L0 1 1v 1 L being a Professional Engineer /Architect, certify that the plans for�i0 t� Lamb r-buci C have been prepared under my supervision and to the best of my wledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. et. i siS L 1 " " 104 s 5 N O.7141 ,7 W z. ' MASS. x ( '.t Signa e Subscribed and sworn to before me this n day of 20 0" i ' \\)-11 Notary Public ir l My Commission expires \ , \-a -DP1 Ac ' b Date Apr 05 05 10:00a • 1 + 0 . Y ttMr p 7 . t.. - ` A �° �� ) >`t Gii� of '.�nrfl toil . .,ef -•:• . 1 — --:j' ' =--- :___.7. 't fortr4, ' a DEPnit; ME1J7 OP 13(.111.1)1C INSPPCT101d5 • 212 Main Strcct - Municipal Duilding c_ Northampton, 'Vass. OIOGO r' WORKER'S COMTI✓NSATION MST RA± OE AJTIJ)r1VIT eFF1c Rgo ovATso Ns s)- ( l, 1per alit ) v z+rulc.i-pa7__p4ice of i-nt..;slresi4- Floe- -at- - - MA 0/101 4l 4110_�R D Sr rfArJV6.s, o (;hone =) Y13- 736 - 95loo (s icityi /ap) clo hereby certify, under the pains aad penalties of per -try, that ..*A I am an employer providln� the follcwlnt` wi•cr' {G'S coilncr :Jon covcr c f or m e:'JUloycCS .for on tJu job . A,X. M. Mkc'ruAL w�- ,to033$3o/soo4 0 0 0? . ( L^n r- c Comp: ay) 'Pciicr - .-. :r_ Nur) ( :p .t:orr ) I am a sole proprietor, general coon cor or horeov ter (c cle one) and have :-.Li the coat acorn listed below who have the fellcw;n2 wer:kers cocaensa6on poi cles: - (lraruc of Corv.mcio'1 (In�iranc:- Cott:0i ::1:.` t t ,,Drd:c'n D n;c) • (Name of Cot) I`CI CJLUranCC CJm panvi?o'uc N't:.71c -r) (Ev u'Uon Cale) (Name of Corluacto) (Lasaranc. Compan ti:1..i2c�:) 1�x7i7..uoc Dine) ' (Name of Coo tracor) (Lesuranc Comczny/FoLicy Vu.': b:.r) tc.\ Dam) (.and •k',iiorzi txoG if occ.3.n• to a.c inio2s..aoo po- .aria; to .:1 accc--r-an 1 ) I am a sole proprietor and have no one wor' g for me ) I al a home owner perforrniag all the work myself. NOTE; ptcac be .9 thi ...t ii. bomew,,r, ' 0,1 ay pezar3 to .0 •-+- -, e•,--�.:e, h e • ;air ..ori cO • ds',11=. of ' '''; r /.'aid' the borocownc rczidp or CO the CrOU.06 z,?p.s'tra -L the-. �i ooc Ce,ea.ly ccc:cia to Cc ='..,____,1°).'-' ua: the ..a{;er`i p.-,t+aa Ac (C1 I SZ_o 1(S)/ appticsLi.n mm try • be. - cr lc, x. b� cc pa'm L n r7 c.�5ox t.LX leg l «i5.0 of ..o csaloy.c odor dso Wort-di Co' a...tiou Act i uoocno.kod Curt a Copy of thi• =t ®.= oz.y b. (or-a...d.d t I.L. Dop.nmcot of ■ rn.1 Aoadoat ' 010. of 4t..r.000 roc th. .‘,.. wmCc=tioa ...-Id th:l r_il.,t to .anus tnvcrkcc oockr soaiou 25 A of MOL I it no tnd to the tt � ositioo o(a c.ia>! pcot i ooci: m o( floc of up to S 1 >Q0.00 and/or szprixrtto.=i of up to oa yw Lod a•--: ;■m�:,to io d: ram, o(. Stop Wort Orda nad . 0(3100 ,00 . city . ©.inA MC_ F or d.D+r =.�! , ...c ally r , , -c/4„Q.........Q1 ;2.t tun: t� 7707 \ (.1 2:: _ ________ Lot : ________ J, �,^..1 A yL ,� ttxn SCC/pct tl cc - -' s. • Version!.7 Commercial Building Permit May 15, 2000 V SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11- OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, __ I AMP I £ lA 1'�OPM{r_ G UfA13__ 4 , as Owner of the subject property hereby authorize__ - - PA L( S TR/We�: _ to act on my behalf. in.a • . _ rel- ' • _ •rk authorized by this building permit application. v1 - 1 ? Signature of Own Date 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 and penalties of perjury. - ----- ---- ---- ---- --- - -- -- --- -- ---- -- -- - - -- -- -- Print Name -- -- - - — — -- - - --- - -- — Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: GG Not Applicable ❑ Name of License Holder : -- w�(.IAG 11.____6344-"Al—g----- --- -------- ---_ —_ License Number —_14_ S___r Afr O_A_D, 5T Sf G >p 0 o - - - -- v_�1_2 _43 - - -- Address Expiration Date 335- )'` °3 - x 03 p..512- o� Signatur: / Telephone SECTION 13 - WORKERS' COMPENSATION INS NCE 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 . • 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: wiz/ T. trte-Aggisrecrwin. Not Applicable 0 Name (Registrant _ COOVERSE 4 TROET ome - Registration Number ----------- ---- ---r------ 7/Y1 ".r.s E at oDe 9712353.2553 0 S/07 _ ..natu - 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 ofraa ReplovArsoas ..rwe. Not Applicable 0 Company Name: A-NpRe A. 460A Responsible In Charge of Construction 1 1.1 :TA F.FoRosragr )4A _ Signature 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: 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 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 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 O Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO Q 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 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 ❑ Repains% Additions ❑ Accessory Building ❑ Exterior Alteration 0 Existing Ground Sign ❑ New Signs 0 Roofing El Change of Use ❑ Other ❑ Brief Description Enter a brief description here. Joy : ow5 10, t o'r M Z„ S `e II ■'e e Of Proposed Work: rev,* V , c r er. I A1 `' 1CArriA.0 I SECTION 5 - USE GROUP AND CONSTRUCTION TYPE 1 USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 0 1A I ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational 2B I ❑ F Factory ❑ F -1 0 F -2 0 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 ❑ 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: 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 USE ONLY Floor Area per Floor (sf) 1st 1st 2nd 2 nd 3 3'd rd 4 th 4 Total Area (sf) ‘ 9 4 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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system Version!.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit �, � (J (/] llding Department Curb Cut/Driveway Permit "? u �! 12 Main Street Sewer/SepticAvailability Room 100 Water/Weil AvaifabiNfy JUL 1 8 Ng �]ampton, MA 01060 Two Sets of Structural Plans pnone 41 x&87 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify APPi..16A ION TQ tt t.4CT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING — - _ .w J OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Prooerty Address: This section to be completed by office 9? NA s TREET Map Lot Unit Zone Overla y District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: g MPsikra EZ • ucluN Q Name (Print) GJ1.t►O A Current Mailing Address: 1'7 )l Au)L.G Y ' .. �- a o RT/}/4NA ONj M 010 Signature _ _ Telephone 1.113-..e4, 7" 2.2 Authorized Agent: u ,. � Name (Print) fiqu` ST ME Current Mailing Address: / fie N'GR 77/ £ J/ • NORTH/4 PierD FJ /wt /4 610 to Signature �, Telephone y� 3 Su.— 9A 27 SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building S El ( 5. (a) Building Permit Fee 2. Electrical 3 ' b 1? (b) C nstruction Total om (6) of 3. Plumbing '!R Building Permit Fee i ��qq t 4. Mechanical (HVAC) 2 ` 02. l 2 3 5. Fire Protection ) '11 y 0 6. Total= (1 +2 +3 +4 +5) 1 .5 Cis 19 Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2008 -0064 APPLICANT /CONTACT PERSON OFFICE RENOVATIONS, INC ADDRESS /PHONE P 0 BOX 1123 SPRINGFIELD (413) 736 -9500 PROPERTY LOCATION 97 HAWLEY ST MAP 32C PARCEL 221 001 ZONE SI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid / � t i6 " .9 2 &/" Typeof Construction:_VARIOUS INTERIOR MISCELLANEOUS RENOVATIONS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 069763 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Gam% d 6 f e 3 l o 7 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. Ammonew BP- 2008 -0064 GIS #: COMMONWEALTH OF MASSACHUSETTS ;1 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- 2008 -0064 Project # JS- 2008 - 000093 Est. Cost: $15980.00 Fee: $61.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: OFFICE RENOVATIONS, INC 069763 Lot Size(sq. ft.): 49658.40 Owner: HAMPSHIRE EDUCATIONAL COLLABORATIVE Zoning: SI Applicant: OFFICE RENOVATIONS, INC AT: 97 HAW LEY ST Applicant Address: Phone: Insurance: P O BOX 1123 (413) 736 -9500 Workers Compensation SPRINGFIELDMA01101 ISSUED ON:8/3/2 00 7 0:00:00 TO PERFORM THE FOLLOWING WORK:VARIOUS INTERIOR MISCELLANEOUS RENOVATIONS 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 8/3/2007 0:00:00 $61.5012452 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo o� , 1 ti City of b ti Northampton Building Department I certify that the building located at L C oLU LA LVte- S1+01a Building Permit #15F' -20o 6 has been built/altered under my supervision Slid in accordance with the approved plans, and that such plans do conform to all provisions of the Massachusetts State Building Code. yr r ✓ a f "i'it `.° Ph 7141 1 &":1 Subscribed and sworn to before me this 14-11 , day of J u 03 +, . 67. (Notary Public) My Commission Expires / / /,z' ?Jog ov pqo /35 Eft C-c to1,11° c� nNE 1)3(4 � � it r 0 9 1 1 City of L -titi N orthampton Building Department I certify that the building located at , bUGra(1.o g A L. ‘.-C- /I-A ti I 16 ' S 5 4-41X14 Building Permit #f P-20D b--Oo&.j1 as been built/altered under my supervision d in accordance with the approved plans, and that such plans do conform to all provisions of the Massachusetts State Building Code. z d CA s , 5 No 7141 - �► p' � dritafr ‘...;.41111 Subscribed and sworn to before me this --1+h day of J u i,s -F .� b 67• / i / (Notary Public) My Commission Expires ii /..7 S/0 S o v ptiv, o fig 9 G "v 3 b ' � tit V%" C 100 3- `4