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23C-037 I PROPOSED MAIN LEVEL PLAN AREA OF WORK AREA OF WORK � '.' iBL4D . I NEW WALL 1 j 3 AV y ' ', ' LER AND DOOR fi NEW KITCHENETTE HEAT — r-------- ` - DN �./ \� 1 37 „ MAINTAIN 42” CLEAR .. _ ___ _ -. _ - _ REMOVE WALL SO OFFICE NEW GRAB BAR ��' �I IJ � V II oSIN' ' �, E XPANDS INTO HALL , `- I _ F ACC SIBLE I PANTRY , WALL CABINETS I „ , d' - t I STAIR 1 .. r v IMP VEMENTS _ - ' 4.--- < I DOWN --.!../----/---- ' R EXISTING = 42` PASSAGE NOTE: ....../.., , I STORAGE TWO e 4, EXTENT OF Fl, OCCUPANCY F — BASIN NAND v SINK ^ sIN i xl N . N ; NEW OFFICE r , I j1 I E� I ■ ' r (1T -5 ") (23.6 ") BE (23 -6 l /2 ") 4 l/2" 141/2' UI n if P . , -7 , HEAT j 1 STORAGE = �! v �I OFFICE ' i i OFFICE 7' - l0 ") pT 4 ") FOYER ' HEAT FIRE PULL - `F'T • I' � � � , S TATIO N ['� OFFICE NOTE: , , EXTENT OF Fl OCCUPANCY -- Ep BE I HEAT LL I I -111=11 IMIMMIRM PROJECT NARRATIVE , ■ NEW POURE C 8NC. LANDING, \-: MAX. PITCH Iy5 t THE EXISTING BUILDING WAS CONSTRUCTED PRIOR TO 1960 AND HAS HAD MINOR MODIFICATIONS. THE BLILIDNG IS OCCUPANCY B WITH A TENANT , USE ROASTING COFFEE AND THEREFORE OCCUPANCY Fl; AND TYPE IV (HT) CONSTRUCTION WITH BEARING MASONRY EXTERIOR WALLS AND 8x8 • MAIN INTERIOR COLUMNS SUPPORTING 8x12 BEAMS AND RAFTERS (ONE COLUMN WAS LATER REPLACED WITH TWO STEEL PIPE COLUMNS ON THE LOWER LEVEL AND TWO COLUMNS WERE OMITTED ONTHE MAIN LEVEL). THE BUILDING IS TWO LEVELS WITH 2580 SQUARE FEET (GROSS) PER LEVEL, AND IS IN ENTRY EXCESS OF 30' TO NEIGHBORING BUILDINGS. THE BUILDING IS EQUIPPED WITH A FIRE /SMOKE ALARM SYSTEM AND WITH AN AUTOMATIC FIRE `- EGRESS SIGN KEY SUPPRESSION SYSTEM. THE FIRE SUPPRESSION SYSTEM IS UNDER REVIEW TO ENSURE RENOVATED SPACES ARE ADEQUATELY PROTECTED FOR THE EXIT NEW CONFIGURATION; A REPORT WILL BE SUBMITTED. ONE MAIN ENTRY /EGRESS EXISTS ON EACH LEVEL WITH ONE EXTRA SECONDARY EXIT ON EACH NEW POURED CONC. — EXISTING EXIT SIGN WITH BATTERY BACKUP EMERGENCY LIGHTING LEVEL (ON UPPER FLOOR, SECOND DOOR IS ADJACENT TO MAIN ENTRY. WITH 100 SF/PERSON IN OCCUPANCY B. THUS ONE EGRESS IS ADEQUATE FOR 2e SLOPED WALKWAY PER LE 1014.1). TH LDIN IS OWNER OCCUPIED FOR BUSINESS USE (LOWER LEVEL AND PART OF MAIN LEVEL) WITH ONE MAX. PITCH 1/20 EXI p_ W , N Ac R Y LIG G PEOPLE ER LEVEL (LAB THE BUILDING (L ) C — NEW EXIT SIG WI H BATTERY 8 KUP EME GENC HTIN BUSINESS (AND Fl) TENANT ON THE MAIN LEVEL. MINOR PLAN RECONFIGURATION WILL NOT EFFECT STRUCTURAL MEMBERS. BE CHAPTER 34 REVIEW '. NEW POURED CON Z. LANDING, , x MAX PITCH 1/50 M THE WORK IS LIMITED TO THE MAIN FLOOR LEVEL (AREA IDENTIFIED ON PLAN AND 360SF/2580SF = 14% OF FLOOR AREA). THE FRONT ENTRY WILL BE SCALE PROPERLY SLOPED. ONE NON - STRUCTURAL WALL IS PROPOSED TO BE REMOVED AND ONE SMALL NON - STRUCTURAL WALL ADDED. WITH NO DRIVEWAY EDGE 0 I' 5' 10' APPRECIABLE STRUCTURAL EFFECT (THE BEARING STRUCTURE IS HEAVY TIMBER AND EXTERIOR MASONRY BEARING WALLS). THERE IS NO CHANGE OF USE AND NO SUBSTANTIAL ADDITION OF NEW MATERIAL. THE BUILDING SEEMS IN GOOD CONDITION. IBC 2009 TABLE 3412.7 IS ALSO SUBMITTED AREA OF WORK SHOWING POSITIVE VALUES FOR Fl: FS =B, ME =19 AND GS -22. AND B: FS °I1. ME=20 AND GS =26 PROPOSED MODIFICATIONS RENOVATION MARNEY ELECTRIC THE REAR HALLWAY IS CURRENTLY OPEN STORAGE AND WILL BE CONVERTED TO A KITCHENETTE WITH 3'-6" WIDE PASSAGE TO THE LAVATORIES. THE i. 660 RIV DRIVE PLAN REAR SECTION OF THE FOYER HALLWAY WILL BE OPENED TO THE ADJACENT REAR OFFICE BY REMOVING THE NON - STRUCTURAL WALL BETWEEN FLORENCE, NORTHAMPTON, MA , CREATING ONE LARGE ROOM FOR OWNER'S USE. THE LARGER LAVATORY WILL BE MODIFIED TO INCREASE ACCESSIBILITY WITH THE ADDITION OF . SCALE. I'4 " - 1,0" THESE DocumENs ARE TBE PROPERTY or, GRAB BARS (TO THE EXTENT POSSIBLE) AND INSTALLATION OF BLADE TYPE FAUCET HANDLES. NEW HARDWARE WILL BE OF THE ADA/BLADE STYLE. OF JEFFREY SCOTT PENN,. ARCHITECT, THE FRONT ENTRY WILL BE MODIFIED WITH THE ADDITION OF A COMPLIANT ACCESSIBLE WALKWAY. DATE. 3 MAY 2011 TEL 01461 Sr-A AND MAY BE USED ONLY FOR THE DLTUTION AND SCOPE OF TFRS I PROJECT ! vo-62--t4 e e Gez-j L. ..j.--'21"-- 1.14").1,-4 TABLE 3412 " 7 ..(4, II - 4,e, 1 . 5 z..3 0 erz-i IQ a p 14 ' . i4eft.4- trIAMARY SHEET — BUILDING CODE Existing occupancy: 13 / f I _ Proposed occupancy: - g / F I Year building was .constructed: T R.-4,012... Tb____1, Co 0 Number of stories: 2. Height in feet: ,, , , • _ Type of construction: — 1 - Cn — tLT ____ Area per floor: 2■5 go:, 5 F Percentage of open perimeter increase: Completely suppressed: Yes _ ■." No Corridor wall rating: 0 Compartmentation: Yes No 1, ---- Required door closers: Yes No Fire-resistance rating of vertical opening enclosures: 0 Aer. 4-pcs fott-e-tro Pr rz- -eine PL)t-rtrl, 10 4/. Type of HVAC system: _Uf p____!_4,1,1frej_____771470,1L -.• L....kW—, serving number of floors: Automatic fire detection: Yes - "* No Type and location: Z.60.1___14n11.___j_zo,0 11.-e* ' AgAis Dzr. Fire alarm system: Yes _ te- No Type: _240_14 CZEI K 14.01 Smoke control: Yes No ..,/,,■'_ ____ Type: , Adequate exit routes: Yes L.— No Dead ends: Yes No &----- , Maximum exit access travel distance: 4 4:1F,1V. Elevator controls: Yes No s a,VA _ Means of egress emergency lighting: Yes c••! No ___ _ Mixed occupancies: Yes 0." No . Ft SAFETY PARAMETERS FIRE SAFETY (FS) MEANS OF EGRESS (ME) GENERAL SAFETY (GS) 3412.6.1 Building Height 3 . 3 3 3412.6.2 Building Area 1 0 1 S. 1 5 i 1 t 5 1 1 3412.6.3 Compartmentation _I 0 1 0 1 0 3412.6.4 Tenant and Dwelling Unit Separations ......• -3 3412.6.5 Corridor Walls ---* 3 — 2. - - 3412.6.6 Vertical Openings ..... 5 -5 _5 . . . 3412.6.7 HVAC Systems .-.. I. 0 —1 e, — . 0 3412.6.8 Automatic Fire Detection 3412.6.9 Fire Alarm Systems t 0 i e) C:■ 1 , 0 3412.6. 10 Smoke Control * * * * 2- 2. 3412.6.11 Means of Egress Capacity 1* * * 0 C) 3412.6.12 Dead Ends * * * * I.__ 2. 3412.6.13 Maximum Exit Access Travel Distance * * * * 1 4 1 c 14 1 5 3412.6_14 Elevator Control -2. - 3412.6.15 Means of Egress Emergency Lighting **** I-- I 3412.6.16 Mixed Occupancies I. * * 0 3412.6,17 Automatic Sprinklers (0 i z- 3 ÷ 2 = 3412.6.18 Standpipes 47 i 'Z Cra 1 'z_ & i 2, 3412.6.19 Incidental Accessory Occupancy 0 0 0 Building score — total value 2-b 35 41 Si * * * *No applicable value to be inserted. 586 2009 INTERNATIONAL BUILDING CODE TABLE 3412.9 F ( (3 EVALUATION FORMULAS' FORMULA T.3410.7 e1 -- T.3410:8 ( - I - ASO - PASS FAIL FS i--7---. --- -MFS ._ 0 2,f,113$ (FS) - # 2-4 0 (MFS) =z4 cly t i --- — ME-MME _>. 0 _ ___ I L* ( 1--1-5't (ME) - 3 C (MME) = 34 i .-- _____ _ GS MGS > 0 T . _ 5_744.0 _ (GS) - 3 0 (MGS) = 34 .2.2-___Vv. ..------4,---- a. FS = Fire Safety MFS = Mandatory Fire Safety ME = Means of Egress MME = Mandatory Means of Egress GS = General Safety MGS = Mandatory General Safety 2009 INTERNATIONAL BUILDING CODE" 585 PROPOSED MAIN LEVEL PLAN AREA OF WORK AREA OF WORK 1 , } I I NEW WALL ,----- V ! rB . 'NDOOOR N KITCHENETTE HEAT DN _ : I I g y am \ MAINTAIN 42" CLEAR . NEW GRAS BARS L REMOVE WALL SO OFFICE - 1 � D � EXPANDS INTO HALL (lAN II- 1 C' - ACCESSIBLE ✓ PANTRY - , - - i STAIR + a IMPROVEMENTS WALL CABINETS t d' -- ,' DOWN �� � --� •' -- *. 1 --- '..,I E XISTING 42° PASSAGE NOTE: , S TORAGE ' TWO w # EXTENT OF Fl OCCUPANCY ! � BASIN HAM I I 1 ' SINK ■ VSI SINx. 1 1 NEW OFFICE .'I (I5' - 5 ") (23' - 6 ") I. BE (23' 61/2 ") 1 4 1/z" . i 41/r ,� • HEAT � _ 1 ' I I STORAGE ' �i ' OFFICE 11 OFFICE 7' IE" 1 1[ . Ps'a> 1 ! 4 1/2" an ', FOYE r HEAT FIRE PULL !I �I STATION OFFICE — .I NOTE: Exs I I 1 � EXTENT OF Fl OCCUPANCY –� � BE � ' HEAT 1 I I PROJECT NARRATIVE H NEW POURE CONC. LANDING, ✓; MAX. PITCH 451 THE EXISTING BUILDING WAS CONSTRUCTED PRIOR TO 1960 AND HAS HAD MINOR MODIFICATIONS. THE BUILIDNG IS OCCUPANCY B WITH A TENANT — USE ROASTING COFFEE AND THEREFORE OCCUPANCY Fl; AND TYPE IV (HT) CONSTRUCTION WITH BEARING MASONRY EXTERIOR WALLS AND 8x8 MATT I INTERIOR COLUMNS SUPPORTING 8x12 BEAMS AND RAFTERS (ONE COLUMN WAS LATER REPLACED WITH TWO STEEL PIPE COLUMNS ON THE LOWER ENTRY LEVEL AND TWO COLUMNS WERE OMITTED ONTHE MAIN LEVEL). THE BUILDING IS TWO LEVELS WITH 2580 SQUARE FEET (GROSS) PER LEVEL, AND IS IN EXCESS OF 30' TO NEIGHBORING BUILDINGS. THE BUILDING IS EQUIPPED WITH A FIRE/SMOKE ALARM SYSTEM AND WITH AN AUTOMATIC FIRE EGRESS SIGN KEY SUPPRESSION SYSTEM. THE FIRE SUPPRESSION SYSTEM IS UNDER REVIEW TO ENSURE RENOVATED SPACES ARE ADEQUATELY PROTECTED FOR THE EXIT NEW CONFIGURATION: A REPORT WILL BE SUBMITTED. ONE MAIN ENTRY /EGRESS EXISTS ON EACH LEVEL WITH ONE EXTRA SECONDARY EXIT ON EACH NEW POURED CONC. ° EXISTING EXIT SIGN WITH BATTERY BACKUP EMERGENCY LIGHTING LEVEL (ON UPPER FLOOR. SECOND DOOR IS ADJACENT TO MAIN ENTRY. WITH 100 SF/PERSON IN OCCUPANCY B, THUS ONE EGRESS IS ADEQUATE FOR 26 I .. SLOPED WALKWAY PEOPLE PER LEVEL (TABLE 1014.1). THE BUILDING IS OWNER OCCUPIED FOR BUSINESS USE (LOWER LEVEL AND PART OF MAIN LEVEL) WITH ONE MAX. PITCH 1/20 - ECT p_ — NEW EXIT SIGN WITH BATTERY BACKUP EMERGENCY LIGHTING BUSINESS (AND Fl) TENANT ON THE MAIN LEVEL. MINOR PLAN RECONFIGURATION WILL NOT EFFECT STRUCTURAL MEMBERS. BBE CHrPTER 39 REVIEW s NEW POURED CON =. LANDING, DING, MAX. PITCH 1,50, THE WORK IS LIMITED TO THE MAIN FLOOR LEVEL (AREA IDENTIFIED ON PLAN AND 360SF/2580SF = 14% OF FLOOR AREA). THE FRONT ENTRY WILL BE = SCALE PROPERLY SLOPED. ONE NON - STRUCTURAL WALL IS PROPOSED TO BE REMOVED AND ONE SMALL NON- STRUCTURAL WALL ADDED, WITH NO DRIVEWAY EDGE 0 I' 5' 10' APPRECIABLE STRUCTURAL EFFECT (THE BEARING STRUCTURE IS HEAVY TIMBER AND EXTERIOR MASONRY BEARING WALLS). THERE IS NO CHANGE OF USE AND NO SUBSTANTIAL ADDITION OF NEW MATERIAL. THE BUILDING SEEMS IN GOOD CONDITION. IBC 2009 TABLE 3412.7 IS ALSO SUBMITTED AREA OF WORK SHOWING POSITIVE VALUES FOR Fl: FS -8. ME -19 AND GS =22. AND B: FS =1 I. ME =20 AND GS=26 I PROPOSED MODIFICATIONS RENOVATION MARNEY ELECTRIC PLAN THE REAR HALLWAY IS CURRENTLY OPEN STORAGE AND WILL BE CONVERTED TO A KITCHENETTE WITH 3•-6" WIDE PASSAGE TO THE LAVATORIES. THE I. 660 RIVERSIDE DRIVE REAR SECTION OF THE FOYER HALLWAY WILL BE OPENED TO THE ADJACENT REAR OFFICE BY REMOVING THE NON-STRUCTURAL WALL BETWEEN FLORENCE, NORTHAMPTON, MA CREATING ONE LARGE ROOM FOR OWNER'S USE. THE LARGER LAVATORY WILL BE MODIFIED TO INCREASE ACCESSIBILITY WITH THE ADDITION O SCALE : 1/4"—F-0" B^ THESE DOCUMENTS ARE THE PROPERLY 00 GRAB BARS (TO THE EXTENT POSSIBLE) AND INSTALLATION OF BLADE TYPE FAUCET HANDLES. NEW HARDWARE WILL BE OF THE ADA/BLADE STYLE. OF JEFFREY SCOTT PENN, ARCHITECT, THE FRONT ENTRY WILL BE MODIFIED WITH THE ADDITION OF A COMPLIANT ACCESSIBLE WALKWAY. DATE. 3 MAY 2011 TEL 4r -6sT s_n AND MA BE USED ONLY Al I PROJECT DL•NATION AND SCOPE O THIS PROJECT MA-9 -4 Eli E L G J f r 6.1 7C 5 TABLE 3412.7 413 -4,4,..7 • 5 7-3 o G tiC 4 L IQ 6 P R` SUMMARY SHEET — BUILDING CODE Existing occupancy: g f I _ Proposed occupancy: - g f F I Year building was constructed: T f? tOJR - L 1 % 0 Number of stories: 2.. Height in feet:, a-X Type of construction: — Ra 47 Area per floor: 2...5 O 0 5F Percentage of open perimeter increase: Completely suppressed: Yes ✓ No Corridor wall rating: 0 Compartmentation: Yes No ✓ Required door closers: Yes _ No j Fire - resistance rating of vertical opening enclosures: D Lo 0-Lea. ; r ► per. ep - Fa ( D -furl f1. a - f ineMAc -k? Du LTV IAl LT* 4/ c. Type of HVAC system: U fp _,6,.p 1____ fFn.0 - Wipl!u serving number of floors: Automatic fire detection: Yes '"-- No_ Type and location: 2 d....L€D 14 ITV fi .e i 'i -r" D =1; Fire alarm system: Yes ✓ No Type: ' i i ft e T G p g 1 r 14 p.€V l — Smoke control: Yes No // Type: Adequate exit routes: Yes No Dead ends: Yes _ No rT o Maximum exit access travel distance: (p�__�"� _ Elevator controls: Yes No _ IL. Means of egress emergency lighting: Yes .k/ No Mixed occupancies: Yes ✓ No FA— S F L - = - _c_ — B SAFETY PARAMETERS FIRE SAFETY (FS) MEANS OF EGRESS (ME) GENERAL SAFETY (GS) 3412.6.1 Building Height 7 3 -� 3412.6.2 Building Area 10 i 2. 1 S ' l 15 3412.6.3 Compartmentation f 0 1 V __ -- 1 C) 3412.6.4 Tenant and Dwelling Unit Separations -3 3412.6.5 Corridor Walls 3 _ Z ....-2? ....-2? - 2 -.3 - 2.. 3412.6.6 Vertical Openings ✓ -5 3412.6.7 HVAC Systems l 0 _...jd —t 0 3412.6.8 Automatic Fire Detection Co S (4 $ to 0 3412.6.9 Fire Alarm Systems 1 0 C7 1 d O 0 3412.6.10 Smoke Control * * * 2- 2 3412.6.11 Means of Egress Capacity .a * * * Q 0 3412.6.12 Dead Ends * * * * 2 2- - 3412.6.13 Maximum Exit Access Travel Distance * * * * 16 1 ^ 2, 1 s 3412.6.14 Elevator Control — 2.. _. Z. 3412.6.15 Means of Egress Emergency Lighting * * * 4 ` 3412.6.16 Mixed Occupancies 0 * * * * 0 - 3412.6.17 Automatic Sprinklers (o 1 Z 3 ± 2 = (o 69 G 2- 3412.6.18 Standpipes (p i 244 ( (2, & la. -- 3412.6.19 Incidental Accessory Occupancy 0 0 0 Building score — total value 227 35 ail _ . _ Si 7 2 -+ Co O * * * *No applicable value to be inserted. 586 2009 INTERNATIONAL BUILDING CODE F ( TABLE 3412.9 ( g EVALUATION FORMULAS' r . 2 f FORMULA T.3410.7 T l T34108 j Y ASC S PASS FAIL FS-MFS ? 0 — - -- 74 (J L� (FS) Z� (MFS) Z4 'L ( — ME -MME ? 0 (ME) 7 2V (M ME) = 3 T - - -- I Z� �‘..," GS -MGS ? 0 -- - S?' f 4 V _ (GS) 2 - - 7 d (MGS)_ = 34 1..Z _ ✓,-- - - - - - -- — -- - -- a. FS = Fire Safety MFS = Mandatory Fire Safety ME = Means of Egress MME = Mandatory Means of Egress GS = General Safety MGS = Mandatory General Safety 2009 INTERNATIONAL BUILDING CODE® I The Commonwealth of Massachusetts =MIN 1110111■11 Department of Industrial Accidents =.111 Office of Investigations ale ' 600 Washington Street -4= r�, "� = Boston, MA 02111 • www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): a ■ t✓ & 1i f Address: (Q ( � Vf?'( 1 t' Dr t V� City /State /Zip: , k-brein.cc, fna N c Z. Phone #: � ea-- `fi--- -0131 Are you an employer? Check the appropriate box: Type of project (required): 1. [g] I am a employer with 10 4. ❑ I am a general contractor and I 6. El 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. 2K] Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 1:1 Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ 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' 13.0 Other comp. insurance required.] *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. i 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: S f't'v '5.5 ,\)(15-,', -� Policy # or Self -ins. Lic. #: Vv C. O�O� Expiration Date: l \ i 2,0 \ Job Site Address: (!?4'i3 \ \f'.Y Q tV City /State /Zip: C V;:yey , Le key- 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 hereb certify")under the pains and penalties of perjury that the information provided above is true and correct Signature - /�` Date: ) 11 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 #: 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 , 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 Jeffrey Marney , 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. Jeffrey Marney Print Name Signature of Owner Date SECTION 1 ` ONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 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 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: Jeffrey Penn, 77 Worthington Road, Huntington, MA 01050 Not Applicable 0 Name (Registrant): AR9525 Jeffrey Penn, 77 Worthington Road, Huntington, MA 01050 Registration Number Address 08/31/2011 { .- �s� (413) 667 -5230 Expiration Date N Signature Telephone 9.2 Registered Professi nal 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 Not Applicable El Company Name: Responsible In Charge of Construction Address 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 DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW ® YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 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 ® 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 IF YES, describe size, type and location: E. Will the construction activity disturb (Gearing, 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. i , Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations F4 Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing 0 Change of Use ❑ Other ❑ Brief Description Relocating walls to enlarge office space, Re do Office Space Of Proposed Work: 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 0 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ _ 3A ❑ I Institutional ❑ I -1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -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): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 St 1 St 2nd 2nd 3rd 3rd O h 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❑ Municipal 151 On site disposal system❑ *''Y 4 IMO .V ED Version1.7 Commercial Building Permit May 15, 2000 Department use only 'u _ 11 City of Northampton Status of Permit: - R' Building Department Curb Cut/Driveway Permit 1 2 V" 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability _ _ \lorthampton, MA 01060 Two Sets of Structural Plans ' �'` �• • • 13- 587 -1240 Fax 413- 587 -1272 Piot/Site Plans .ill.- 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 660 Riverside Drive Map Lot Unit Florence, MA Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Jeffrey Marney P.O. Box 60453, Florence, MA 01062 Name (Print) Current Mailing Address: (413) 584 -0737 Signature Telephone 2.2 Auth • ; ed A • ent: 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 $4,000.00 (a) Building Permit Fee $55.00 2. Electrical $1,000.00 (b) Estimated Construction Total fro Cost m (6) of $7,500.00 3. Plumbing $1,000.00 Building Permit Fee 4. Mechanical (HVAC) $55.00 5. Fire Protection $1,500.00 6. Total = (1 +2 +3+4 + 5) Check Number 3752 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date J File # BP- 2011 -1004 APPLICANT /CONTACT PERSON MARNEY GEORGE E & JEFFREY G MARNEY ADDRESS/PHONE P 0 BOX 60453 FLORENCE PROPERTY LOCATION 660 RIVERSIDE DR MAP 23C PARCEL 037 001 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' c Typeof Construction: RELOCATE WALLS TO ENLARGE OFFICE SPACE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 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. 660 RIVERSIDE DR BP- 2011 -1004 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23C - 037 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- 2011 -1004 Project # JS- 2011- 001634 Est. Cost: $7500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 16465.68 Owner: MARNEY GEORGE E & JEFFREY G MARNEY Zoning: GIC100) //WP Applicant: MARNEY GEORGE E & JEFFREY G MARNEY AT: 660 RIVERSIDE DR Applicant Address: Phone: Insurance: P 0 BOX 60453 (413) 584 -0737 0 FLORENCEMA01062 0453 ISSUED ON: 6/6/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: RELOCATE WALLS TO ENLARGE OFFICE SPACE 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 6/6/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner