30A-032 (8) I I 1 I I I-- I I I I'-- -I I I1 11 1I ----I I I I I i I
Electrical e r Electrical
3'
E New Bathroom i
Kitchen / Emplyee Lounge Area wit shower
J I Suspended ceiling height - approx. 96"
= Ceiling height - approx. 150" to 165"
Proposed
Existing to remain
Cutlery Building
�� (level 2)
(2) Story w/ 1/2 basement and 1/2
crawl space
I7 - 9' Enlarged Conference Space
Suspended ceiling height - approx. 96"
Existing to remain Existing Office
Suspended ceiling height - approx. 96"
Existing to remain
Ceiling height - approx. 150" to 165"
Existing Office Existing Office
Suspended ceiling height - approx. 96" Suspended ceiling height - approx. 96"
_ Bob Cummings
Existing to remain American Benefits Group
320 Riverside Drive RECE /V
Northampton, MA. 01062 -2762 E�
II 11 - 11 I i1- --1I iI II I1 IF- -�I Date - 4/11/11 Scale - 1/8 = 1' -0" AP R / 4 1 Ull
DEpT OF BUI
NCRTHAA P °ON Mq 010 "NS
M.R. Damon Construction 5 Main St. Northfield, MA. 01360 Cell - (413) 834 -1017
11-11 11 11 1 I 11 11--11 1 I 11 11 11 11
Electrical Electrical
Suspended ceiling height - approx. 96"
r Existing
C Building (2nd floor)
(2) Story w/ 1/2 basement and 1/2 crawl
space
Ceiling height - approx. 150" to 165"
Suspended ceiling height - approx. 96"
(#./ \\*)
LJ
Bob Cummings
American Benefits Group
320 Riverside Drive RECE
Northampton, MA. 01062 -2762
- 71 II II II II 11 it II it 11 {I Scale - 1/8 = 1' -0" APR 1 1Ull
Date - 4/11/11 DEP T. OF
NORTH M fON M � o O NS
M.R. Damon Construction 5 Main St. Northfield, MA. 01360 Cell - (413) 834 -1017
- 3 2--
MHO - 6 20H MA State Building Code 8th ed.
CONSTRUCTION CONTROL AFFIDAVIT
OEPL OF BUILDING iNSPECfIONo
NORT MWTCtr. MA O100G
PROJECT NUMBER: DATE:
PROJECT TITLE: American Benefits Group
PROJECT LOCATION: 320 Riverside Drive, Northampton, MA 01061
NAME OF BUILDING: The Cutlery Building
NATURE OF PROJECT: interior renovation to enlarge Conf. Rm and add a bathroom
IN ACCORDANCE WITH SECTION 107.00F THE MASSACHUSETTS STATE BUILDING CODE, I,
Chris Farley 16 Call Road, Colrain, MA 01340 413 624 9669
NAME ADDRESS PHONE NUMBER
BEING A REGISTERED PROFESSIONAL ENGINEE ARCHITECT EREBY CERTIFY THAT I HAVE
PREPARED OR DIRECTLY SUPERVISED THE PREPAR "[ RJN F ALL DESIGN PLANS, COMPUTATION
AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL
FIRE PROTECTION ELECTRICAL OTHER (Specify)
FOR THE ABOVE PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS,
COMPUTATIONS, AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE
MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND
APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
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 DOCUMENTS APPROVED FOR THE BUILDING PERMIT
AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 107.0:
1. Review of shop drawings, samples and other submittals of the contractor 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 Inspection of critical construction components requiring
controlled materials or construction specified in the accepted engineering practice standards.
PURSUANT OT SECTION 107.0, I SHALL SUBMIT REGULARLY, A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE TOWN BUILDING COMMISSIONER /
INSPECTOR OF BUILDINGS
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY
COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY:
ii�
(sig .ture) (stamp)
Project:
Approx. areas of renovation
shown shaded American Benefits Group
T -5 7 -6
► Area shown Bob Cummings
at left No wor
II- li 1 1 I> 11 I� 11 11 11 Imo- 1{ 1] /1 320 Riverside Drive
Northampton, MA.
ffau j
( 1 Kev Floor Plan - 2nd Floor 01062 -2762
1 E .frical Electrical
Storage
I Kih hen fntplyee
New Bath \\,/,
- Contractor:
Lounge Area & show'
1 M.R. Damon Construction
Ceilin g height - approx. w Mitch Damon
�I
I 1 150" 10 I65" L--
5 Main Street
DA Northfield, MA. 01360
Suspended ceiling height Cell - (413) 834 -1017
in - approx. 96"
I I I IS1111L .
to remain ��
Architect:
c9 Enlarged Conference
_ in Space In
Design lnc.
' Ixisting '— Existing Office
In remain Chris Farley
1 —7-Ns 16 Call Road
I Colrain, MA 01340
Exisnug -1 v2° 413 624 9669 p
to rema a '
1 Ceiling height - approx. Title: Proposed Part. Plan
150" to 165" Li Existing Office Existing Office Scale: 118 " = t
I
Existing .-.L
I totem tin Date 29 April 2011
7-
II—II li— II —1 II —I 1 II II --- II Note:
� See Sheet 1 for existing conditions.
See written Code Review for more
/
information. 2
sheet
Project:
American Benefits Group
Area shown No work Bob Cummings
ilom=lmi =imi=limi =iii = at left' 320 Riverside Drive
Ball Northampton, MA.
01062 -2762
1_, ; I
I 1 Key Floor Plan - 2nd Floor
Electrical Electrical •
-- Contractor:
Kitchen r yee
Lounge Storage
e Area
M.R. Damon Construction
Mitch Damon
5 Main Street
Northfield, MA. 01360
Suspended ceiling heigin -
approx. �,� Cell - (413) 834 -1017
I I I / -_ -- --
Cubicle
Ceilin height - approx.
150" to Icy^ \ Architect:
J Conference
Space Austin Design Inc.
Existing Existing Office
Cubicle l Chris Farley
i 16 Call Road
® Colrain, MA 01340
413 624 9669 p
Existing
Cubicle _
Title: Existing Part. Plan
_! Existing Mee Existing Office Scale. 1/8 1" -0°
Cu
I1 bi
t unf f ' Date: 29 April 2011
cle ( Egress \,,,_
1 11 11 —i—r—r— i r l iv[7-1 I I I II
1 sheet
•
10 New and na Like materials 301.2.2 Like materials shall be
Replacement to be used in permitted for repairs and
Materials Alterations alterations.
11 Alterations na 303.1 Alterations shall comply with
the requirements of the IBC for
new construction.
12 Structural na No change 303.3, 303.4, and
Elements 303.5
13 Fire Escapes Two existing. No change 305.1.2 Fire escapes shall be accepted
as a means of egress in
existing buildings only.
14 Accessibility for No change 310.6 Proposed alterations will
Existing Buildings - maintain accessibility to all
Alterations altered spaces including new,
fully accessible bathroom.
15 Automatic Yes Modified as All sprinkler work to be
Sprinkler System necessary for designed and installed by
new space licensed fire protection
configuration. Engineer /Sub- Contractor.
16 Fire Alarm System Yes Modified as All Fire Alarm work to be
necessary for designed and installed by
new space licensed Electrician /Engineer.
configuration.
17 Electrical na See notes. All electrical work to be
specified and installed by
licensed electrical Sub -
Contractor.
18 Mechanical na Existing All mechanical work to be
ductwork to be designed and installed by
modified for licensed mechanical Sub -
new space Contractor.
configuration.
19 Plumbing na See notes. Plumibng work to be specified
and installed by licensed Sub-
contractor.
20 Energy na New lighting IECC 505.0
Conservation fixtures.
American Benefits Group, Northampton, MA
IEBC Code Review
29 April 2011
2
•
IEBC & 780 CMR - Eighth Edition
IEBC & MA State Building Code Review - Existing Building Review
29 April 2011
American Benefits Group (ABG)
320 Riverside Drive, PO Box 1209
Northampton, MA 01061 -1209
prepared for - Bob Cummings, Owner & Mitch Damon. Contractor
prepared by - Austin Design Inc., Chris Farley, RA, MA lic. #11043
no. item existing proposed IEBC / Code ref. notes
1 Description of work Interior partitions (non load -
bearing) and suspended ceiling
work and related electrical,
HVAC, and sprinklers
modifications, See sheets 1 &
2, attached.
2 Design Over 35,000 No change, MA am'd 107.1.1 & Construction Control Required.
Professional cu. ft., approx. interior work MGL 112 60L
343,200 SF. only.
3 Use Group "B" use No change IBC Chap. 3 1st and 2nd floor uses are "B ".
4 Change of na No Change IEBC Chap. 3
Occupancy
5 Construction Type Type IV, No change IBC Chap. 6 Masonry exterior walls with
Heavy Timber heavy timber and steel roof
framing.
6 Height 2 stories No change
7 Area 7,650 SF for No change 1st floor area same as 2nd
ABG, entire floor.
2nd floor area.
8 Occupant Load 154 occupants No change IBC table 1004.1.1 Both floors, 77 occupancy for
@ 100 gross 2nd floor alone.
for "B" use.
9 Compliance na Prescriptive 101.5 & BBRS Existing building demostrates
Methods Compliance Emerg. Ammend't "equivilency" to 6th ed. MA
Method. of 4 -12 -11 Code with NFPA 13 sprinklers,
addressable fire alarm system,
adequate egress as req'd by
Emergency Ammendment.
American Benefits Group, Northampton, MA
IEBC Code Review
29 April 2011
1
•
All Around Tile (413) 625 -8460
Mohawk Trail
Shelburne, MA. 01370
WC (Use sole proprietors installers)
GL Phoenix Ins. # 6804757W692
•
Frank Marchand (413) 665 -7177
54A Whately Rd.
S.Deerfield, MA. 01373
WC Preferred Ins. #XACRUB8726W75007
GL Travelers Indemnity #680199C7627
Insulation: Builders Insulation Co. (802) 251 -0250
62 King St.
Auburn, NH. 03032
WC Liberty Ins. #WA7 64 D 005193 015
GL Zurich American #GL)913952700
James Harahan (413) 498 -2649
437 Millersfalls Rd.
Northfield, MA. 01360
WC Phoenix Ins. # WC687 -47 -39
GL General Casualty Ins. # CCI0439257
Masonry: Staelens Masonry (413) 863 -2175
246 Mountain Rd.
Gill, MA. 01354
Steel & Crane: Deerfield Valley Re -fab (413) 665 -7059
8 North St.
South Deerfield, MA. 01373
WC - ACE USA ?TPA #C46328395
CGL — Selective #S1968356
Painter Jim Sayer (413) 512 -0632
39 West St.
Greenfield, Ma. 01301
WC Granite State # 4396704
GL General Casualty # CCX0396577
Drywall: Rich Fay (413) 537 -5103
60 Chapel Rd.
Amherst, MA. 01002
WC Liberty Mutual # WC2- 318- 352781 -026
GL Peerless Ins. # CCP8302223
Flooring Booska Flooring (413) 863 -3690
Ave.A
Tumersfalls, MA. 01376
WC Liberty Mutual # WC2318355194017
GL National Grange Mutual # MPO89023
RECEIVED
M. R. Damon Construction
APR 4 1011 189 Eden Trail
Leyden, MA. 01337
(413) 774 -4187
DEPT. OF BUILDING i M° .,- TONS 9 1707
NORTHAMPTON, MA 01060
Typical Sub - contractor List
Excavation: Robert Deane (413) 648 -9089
58 Deane St..
Bernardston, MA. 01337
WC General Casualty # CWCO393732
GL General Casualty # CCX0393732
Renaissance Excavating (413) 863 -4462
Main Rd.
Gill, MA. 01354
WC AIM Mutual Ins. #WMZ8003941012006
GL Peerless #CBP9606177
Concrete: Dave Bernard (413) 863 -2144
10 Randell Wood Dr.
Montague, MA. 01351
WC AIM Mutual # 7010891012007
Carpentry: Andrew Cole Builders
469 Main Rd.
Gill, MA. 01354
WC — Travelers #UB- 4307P490 -10
CGL — MSA #MPB49351
Brandon Grover
300 Brattleboro Rd.
Bernardston, MA. 01337
WC — AIM Mutual #6002984012005
Electrical Keyes Electric
5 State Rd.
Whately, MA.
Plumbing: Boulanger's Plumbing & Heat
373 Main St.
Easthampton, MA. 01027
RECEIVED
M. R. Damon Construction APR 1 4 2011 Proposal -
5 Main ST -I
Date Estimate # 1
Northfield, MA 01360 APT O F BUILDING INSPECTIONS
N ORTHAMPTON, MA 01 -- -- -___.__- - .__.- _ -._.
HICR # 136340 4/7/2011 157 i
CS # 056721
i Name / Address
American Benefits Group
t ...41,A111
% Bob Cummings 1 1 1 1 1
320 Riverside Drive
Northampton, MA. 01062 -2762 MEMIONIMMIll
Phone # Fax #
1 413 - 225 -3149 1 413 - 225 -3149
— — — — -
Description Total
This is a proposal to remodel specific spaces within the office at the above address. They are as follows: i 59,756.00
- Conference room - Enlarge room by encompassing adjacent unused space as per attached plan. New walls to have RI 1 sound
insulation. Existing carpet/carpet base to be remove and similar to now encompassed entire new room. New walls to be taped,
coated, and painted to match existing. (Ceiling paint is not included) Power and Fire protection to be added as per code. One
additional data outlet to be added in new section. Lighting allowance of $1500 included in this quote.
- Bath room - One new ADA standard bath to be added with a non - ADA shower. Existing VCT floor to stay with new walls to be
installed on top. Ceilings to remain at current height. New wall layout does not impact sprinkler system. Horn/strobes to be installed
as per code. Bath exhaust exists, but switch will be relocated. Walls and trim to be painted (Ceiling paint is not included)
I '
- Kitchen/lounge - Carpet to be removed along with Inane plywood below and floors sanded/refinished (4 hrs allotted for wood
1repairs) Carpet base to be enclosed with wood base and painted to match. Existing kitchen cabinets to be demo'ed and other owner
provided cabinet/counters/ventilation to be assembled, as is possible.(allowance of 30 m/hrs for install) Body of walls to be painted
and miscellaneous trim. Ceiling and window trim painting is not included. (Interior closet space is not part of the work space)
I - Back office space - Partitions to be removed to allow for enlarged conference space. Carpet to be in -filled as necessary where walls
were moved. Portion of wall at kitchen to be moved 6" to allow for 36" hall to back office space. Opening to back office space to be
framed and trimmed with no door. New walls to be outfitted with power and horn strobe as per code. Sprinklers to be re- configured
■ to allow for new wall. New walls and new trim to be painted. Windows, window trim, and ceiling paint is not included in this quote.
1
I Option to move Transformer form kitchen to first floor - Add $4886
------- - - - --
Thank you for the opportunity to provide this bid to.you. Total I — — $59,756.00
20% required at signing of this contract, An additional 40% at completion of rough in, The balance will be invioced upon substantial completion.
All material is guaranteed to be as specified. All work is to be completed in a workman like manner according to standard practices. Any
alteration or deviation from the above specification involving extra cost such as requests for additional services or unforseen repairs and/or code
issues will be charged to the owner at time & materials plus overhead. All agreements contingent upon strikes, accidents, or any other delay
beyond our control. Owner to carry builders risk insurance.
Authorized signature /f1 This proposal is good for 30 days.
Acceptance , .. o - I have reviewed and unders d the above proposal for work and hereby accept the conditions. With my signature I
authorize . i � i� 1 - / , specified. t� /
Sign:., a , Date ° / /
- - --
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers
Applicant Information Please Print Legibly
N a m e (Business/Organization/Individual): (4 9) O.v o' CS) �' cam k i o v
Address: 5" Uf G i .\
City /State/Zip: n(c.) c- ea (L A 01-L63 Phone # l 0 1 7
Are you an employer? Check the appropriate Type of project (required):
1. — I am an employer with 4. V I am a general contractor and I 6. — New Construction
Employees (fail and/or part-time)* have hired the sub- contractors
2. — I am a sole proprietor or partner- listed on the attached sheet. I "" Remodeling
Ship and have no employees These sub- contractors have S. — Demolition
Working for me in any capacity. workers' comp. insurance. 9. — Building Addition
[No workers' comp. insurance 5. — We are a corporation and its 10. — Electrical repairs or additions
required.] officers have exercised their
3. — I am a homeowner doing all work right of exemption per MGL 11. — Plumbing repairs or additions
myself [No workers' comp. C. 152, ' 1(4), and we have no 12. — Roof repairs
insurance reguired.]H employees. [No workers' 13. — Other
comp. insurance required.]
* Any applicant that checks boa #1 moist also fill out the section below showing their workers' compensation policy information.
H Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
I Contractors that check this boa most attach an additional sheet showing the mme of the sub- contractors and their woks'
I am an employer that is prmitung workers' compensation ice for my employee . Below is the policy and job site itformation.
Insurance Company Name: ! I 'r oJ.J e r s
� O— `\o
Policy # or Self -ins. Lic. #: '7 "1 � . t� , J - 8' z-1 'Expiration Date: g — [ I
Job Site Address: 321p 5 t"tv AAA cit /State/zip: Rock-Voo-firt VvV1 tO 6 c�
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 vender pains and penalties ofperjury that the information provided above is true and correct
Signature: l Date: 4 1/ l l t 1
Phone #: 4 3 rg q /0 1 7
Official use only. Do not write in this area, to be completed by city of 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 #:
•
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 Q No O
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Robert Cummings , as Owner of the subject property
hereby authorize Mitchell R Damon (MRDamon Construction) to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
Mitchell R. Damon , 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.
Mitchell R. Damon
Print Name
1 7
Signature o Owner /Age t Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Mitchell R. Damon 56721
License Number
5 Main St. Northfield, MA. 10/15/2012
Address Expiration Date
(413) 834-1017
Signature Telephone
SECTION 13 - IORKE 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 0
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:
Not Applicable ❑
Name (Registrant):
Registration Number
Address
Expiration Date
Signature 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
M.R. Damon Construction Not Applicable ❑
Company Name:
Mitchell R Damon
Responsible In Charge of Construction
5 Main St. Northfield, MA. 01360
Address
a tur / a; ,�,u_____ (413) 834 -1017
Sign Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING c= Vts,.,ty_
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 Q YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES Q
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , 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 Q NO Qi
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 Q NO Q
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 Alte ons 12 Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑
Brief Description Within 2nd floor enlarge conference room/decrease office space, add one bathroom, upgrade
Of Proposed Work: employee lounge/kitchen, Fresh fmishes on those areas
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A-4 ❑ A -5 ❑ 1B ❑
B Business 0 2A ❑
E Educational ❑ 2B 1 ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 0 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A 0 't3 r` d<
S Storage ❑ S -1 ❑ S -2 ❑ 5B
[ F cxci 1/4
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 3,300 1 3,300
2n 6,600 2nd 6,600
3rd 6,600 3r 6,600
4 th
4
Total Area (sf) 16,500 Total Proposed New Construction (sf)
16,500
Total Height (ft) 38
Total Height ft 38
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 p Municipal p On site disposal system ❑
410IV ON
.1* t
Version1.7 Commercial Building Permit May 15, 2000
Department use only
lv .i ;4 - of Northampton Status of Permit:
B ilding Department Curb Cut/Driveway Permit
fitt 12 Main Street Sewer /Septic Availability
4 aN Room 100 Water/Well Availability
o ampton, MA 01060 Two Sets of Structural Plans
= 3- -1240 Fax 413 - 587 -1272 Plot/Site Plans
• t1 � 1• MA 010e0
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
American Benefits Group Map � p Lot 3 Unit
320 Riverside drive Zone Overlay District
Northampton, MA. 01062
Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Robert Cu ings 320 Riverside Dr. Northampton, MA 01062
Name (Print) / Current Mailing Address:
f / (413) 584 -9923
_. Signature � Telephone
2.2 Aut A$'1�[ '' ent:
O ell damon 5 Main St. Northfield, MA. 01360
Name (Print) Current Mailing Address:
(413) 834 -1017
Signature Qc Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $43,000.00 (a) Building Permit Fee
2. Electrical $4,300.00 (b) Estimated
Construction Total from Cost (6) of
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) FA°0.1 " t 5g-
5. Fire Protection
$3,500.00 '��
6. Total = (1 + 2 + 3+ 4 + 5) 5 a"UU Check Number 3o (4 7
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -0841
APPLICANT /CONTACT PERSON MITCHELL R DAMON
ADDRESS /PHONE 5 MAIN ST NORTHFIELD (413) 834 -1017 0
PROPERTY LOCATION 320 RIVERSIDE DR - AMERICAN BENEFITS GROUP
MAP 30A PARCEL 032 000 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 3 S � ode Fe)
Fee Paid y d
Typeof Construction: ENLARGE CONF RM/DECREASE OFFICE, ADD BATHROOM,UPGRADE
LOUNGE/KITCHEN
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/iRMATION PRESENTED:
V 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 Commission Permit DPW Storm Water Management
Demolition Delay
c/Z-I 1
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.
,/pri 1 y //,
320 RIVERSIDE DR - AMERICAN BENEFITS GROUP BP- 2011 -0841
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30A - 032 CITY OF NORTHAMPTON
Lot: -000 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 -0841
Project # JS- 2011- 001390
Est. Cost: $59800.00 •
Fee: $358.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MITCHELL R DAMON
Lot Size(sq. ft.): Owner: CUMMINGS ROBERT
Eor,ii. : Si Applicant: MITCHELL R DAMON
AT: 320 RIVERSIDE DR AMERICAN BENEFITS GROUP
Applicant Address: Phone: Insurance:
5 MAIN ST (413) 834 -1017 0
NORTHFI ELDMA01360 ISSUED ON: 5/2/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: ENLARGE CONF RM /DECREASE OFFICE, ADD
BATHROOM,UPGRADE LOUNGE /KITCHEN
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:, f Rough: /I ^ f-' House # Foundation:
j Driveway Final:
Final: �' // , 1 1 Final: ,,-- } -' I
Rough Frame: OK L 7 - €� ( i``` i `'
44Z . (-
Gas: Fire Department Fireplace /Chimney:
Oil: Insulation:
Final: Smoke: Final: 1 f 1
THIS PERMIT MAY BE REVO . I BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND ' L TIONS. tt ,,
' , J ml►
Certificate of Occupan y Signature:
FeeType: Date Paid: Amount:
Building 5/2/2011 0:00:00 $358.80
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner