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60 Elm Doors 2012-05-25 File # BP-2012-1043 APPLICANT/CONTACT PERSON AQUADRO & CERRUTI INC ADDRESSIPHONE POBox 656 NORTHAMPTON (413) 584-4022 PROPERTY LOCATION 60 ELM ST -JOHN M GREE'N-:E HALL MAP 3IB PARCEL 252 001 ZONE EU(lOO)IURC(lOO)! THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid TypeofConstruction: REPLACE FRONT ENTRY DOOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 062357 3 sets of Plans /Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPliCATION BASED ON INFORMATION PJ.93SENTED: __ Approved ~dditional pennits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ _________ _ Intennediate Ihn""'''i"••• ____-••-___---'Special Pennit With Site Plan Major Project _ _ Pennit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: u ________ _ Special . __ . ________ Variance* __ _ ___ .Received & Recorded at Registry of Deeds Proof Enclosed ____ _ __ Other Pennits Required: ___ Curb Cut from DPW Availability ___ S.ewer Availability ___ Septic Approval Board of Health Water Potability Board of Health __ ---'Pennit from Conservation Commission ___ -~ennit from Elm Street Commission from CB Architecture Committee ____ Pennit DPW Stonn Water Management __ -,Demolition Delay Signature of Building Official Date' I 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 ofMGL 40A. Contact Office of Planning & Development for more infonnation. Version!.7 Commercial of Northampton ~ 1)012 Department MAY 2)1 c. 212 Main Street Room 100 L.::!~~2W~~~~~~~:U:~' MA 01060 phone 413-587-1240 Fax 413-587-1272 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 offi~e !John MG reene Hall -Smith College Map Lot J.~ Unit . ! Elm Street fJ.D • I Zone Overlay District ~L ========'<=<-=-=-=~===~=-=-=~=-=«=-'="-=-='='-=-=-=-=-==~2E~lm st. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: SECTION 3 -ESIIMATED CONSTRUCTION COSTS 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Building Permit Number Signature: BuUding Commissioner/Inspector of Buildings Telephone Official Use Only (a) Building Permit Fee (b) Estimated Total Cost of Construction from 6 Building Permit Fee Date Issued Date V ersionl. 7 Commercial Building Pennit May 15, 2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs o Demolition 0 Repairs 0 Additions 0 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Ruufiillt 0 Change of Use 0 Other 0 Brief Description IReplacement of front entrance door to John M. Greene Hall Of Proposed Work: SECTION 5 -USE GROUP AND CONSTRUCTION TYPE I USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A-1 0 A-2 0 A-3 0 0 1A 0 A-4 0 A-5 0 1B 0 B Business 0 2A 0 E Educational 0 2B 0 F Factory 0 F-1 0 F-2 0 2C 0 I H High Hazard 0 3A 0 I I Institutional 0 1-1 0 1-2 0 1-3 0 3B i 0 • M Mercantile 0 4 0 R Residential 0 R-1 0 R-2 0 R-3 0 5A 0 S Storage 0 S-1 0 S-2 0 5B 0 U Utility 0 Specify: I I M Mixed Use 0 Specify: ! I S Special Use 0 Specify: I J COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: A-I ! Proposed Use Group: e I Existing Hazard Index 780 CMR 34): Ino change .----' I Proposed Hazard Index 780 CMR 34): I I SECTION 6 BUILDING HEIGHT AND AREA I BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1st 1 I 1st i 2nd ! I 2nd I 3m i I 3m I 4th I I 4th I Total Area (sf) I I Total Proposed Nrw Construction (s~ L-I Total Height (ft) I I Total Height ft ! I 7. Water Supply (M.G.L. c. 40, § 54) 7.1 FI~ll~t,~nformation: 7.3 Sewage Disposal System: Public 0 Private 0 Zone L" . 1 Outside Flood Zone 0 Municipal 0 On site disposal system 0 VersionL7 Commercial Building Permit May 15,2000 r-I. 8-.-N-O-R-T-H-AM--P-T-O-N-ZO-NI-, -N-G---;I Lot Size Fronta e Setbacks Front Building Height Bldg. Square Footage • Open Space Footage • (Lot area minus bldg & paved rIcin ) volume & Location Existing Proposed Required by Zoning This column to be filled in by i Building Department A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW ® YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ® YES IF YES: enter Book L ! r---~-'--' and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW ® YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained o Obtained 0 , Date Issued: C. Do any signs exist on the property? YES ® NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 IF YES, describe size, type and location: NO ® 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 ® I F YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 I SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO I CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: INA I Not Applicable 0 -~-.......... -------.~--""" ! I Name (Registrant): " ,.,..,. ,-,#/-1 INA --I Registration Number ! I ~ -------f I Address --I I I Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): INA I ,I" ""'" ] I Name Area of Responsibility I I I -I Address Registration Number I ! ! ~ ........... . Signature Telephone Expiration Date I i j i -t Name Area of Responsibility ! I -~ i ~ ,~ I ! , .... " .. , ... ' Address Ni.iillber I I I I Signature Telephone Expiration Date I I I : : 1 [N-a-me Area of Responsibility ..••. ~.--.--~~~-" """,,-"'''~'>' ••• '."",~~" ] I I Address Registration Number I 1 ,_._---_._-! L......--Signature Telephone Expiration Date L --, C ~ ., ----1 Name Area of Responsibility I I ... ., I~ j I Address Registration Number I ! i ------. , i ~. _"<tY,,,.¥,,~ _.. Signature Telephone Expiration Date 9.3 General Contractor ,,-----~ iAquadro & Cerruti, Inc :J Lw._,. , .... ". _. -Not Applicable 0 Company Name: r--IFrancis J. Aquadro!II --k __ ''',,_,-, .. " .' .. m.'.~.'~ ..... "'~.' i Respo~ble In Charge of Construction ~o* 656/131 Texas Road., .. N0I!h~mJ~!on _____ i "",,.-j (ddres1 -r 7.AA1, rA' Yj~hi~ 1(413) 584-40221 Signature y /f 'l.. Telephone ~ U Versionl.7 Connnercial Building Permit May 15,2000 SECTION 1 0-STRUCTURAL PEER REVIEW (780 CMR 110.11) Inrl .. ", •• nrl .. nt Structurall"n,nin,,, .. r'inn No 11-OWNER OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ~rustee~ of Smith C"_,,ollege I James LuceY,(agent) ·--------·"-~·-~~I ...!::::.==::::~===-==,_ ============================~l, as Owner of the subject property hereby & Cerruti, Inc o work authorized by this building permit applicatiorn.~ _____________ """"",! ~ t S-~~~ /;J...._":=J Date I, ~~tees of Smith College I James Lucey (agent) ,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. ains and AmE"S 10.1 Licensed Construction Supervisor: Name of License Holder: ~is J. Aq~ad!~ III License Number I~~_._~---~ Expiration Date 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. Affidavit Attached Yes