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24B-066 (2) we etwisteigaieda 06 nziddeitaderes ,L''., ,, - De' a toPams ` M j One "harem Rue, Roane 1301 ig ► = O .:;_- - -= _ _ '1 Soatoa, 11414414Cltiidete1 0210-1611 . 'ai(canc (61 7) 727-3200 Deval Patrick Governor �Y 7as (617) 727 -5732 T homas G. Gatzunis, P.E. Commissioner CONSTRUCTION CONTROL DOCUMENT Project Title: i4 i- 0G-4 Date: 4 L G. 7, 2 ca t Z Project Location: 2. 4 3 K , NI 6., S r '• fJo a= A M P-ro ral, /'t 4 Scope of Project: E Z c . T NO r l — LOA b BE' IIZ , rJl-,. v✓A L-C_ In accordance with SECTION 116.0- 116.4.2 of the 6 edition of the Massachusetts State Building Code: I, 'rti ∎ , .. r S �'E, 1 e (L. Mass. Registration Number: L 4 ) being a registered professional Engineer /Architect, hereby CERTIFY that I have prepared or directly supervise the preparation of all design plans, computations and specifications concerning: Entire Project ['Architectural ❑ Structural ['Mechanical ['Fire Protection ❑ Electrical ['Other (specify): for the above named 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 all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following as specified in section 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code - required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. - , "ISOi Signature and Seal of registered professional: / MUM A s R. Id \ l Al. i / tlt CSP DESK DETAILS VIVO CSP DESK LAYOUT <,[xnp! ` ✓t <;; uto +' C_�,t V '- ", . nit a r �N Y TI „_, rrr,al P 'icrhor� ”' Pr' 'ter I cicc)1orc a�b Dr,r,ve:r y r _ Per _ �tnra�e C,abirnt 7A r 44_11 VIVO CSP DESK ELECTRICAL p•r��eR (; itr. -t • mil* ^" �„—� –� i I 1 C?aa (I i �'c cd (1 3 L -rr.a { ! , .'uic.c, IJWiCZ F'.9rk C?. ,- ar. X -'lc. C? tht Duplex t ?! tier: RIGHT OF ENTRANCE TAX PRO DESK DETAILS OFFICE ID #: 20086 H &RBLOCK TAX PRO DESK LAYOUT OFFICE TYPE: BRAND UPGRADE Cone ne,r 'v1c ic•x ` ; LOCATION ADDRESS: li 243 King Street F'elica 1 Umvcr �- -4 •• � — " Northampton, MA 01060 CYO LEASE SQ. FT. 1260 S.F. ISSUES/ REVISIONS NO. DATE DESCRIPTION s- 3- 4- *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DRAWN BY: Macy SHEET DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314 - 817 -2187 FOR ADDITIONAL NOTES* DATE: 5/15/2012 *IF SELECTED THIS LOCATION WILL RECEIVE AN KEYED NOTES: IT— RECABLE AS SHOWN ON THIS PAGE.* H &R BLOCK LOW VOLTAGE PROVIDER TO INSTALL NEW 4'X4' PHONE BOARD PER PLAN. O ALL DATA/VOICE CONNECTIONS TO BE CONSOLIDATED TO NEW PHONE BOARD LOCATION PER PLAN. 1 +�+ D'V' OPEN O •© \ ED D' V', 1 � a l 1 . D 'Ad ' N I � BD' V' D' V'S - _ ` H D V I � 1 :. + V' TAX A EA 1 ` - °'v' *H &R BLOCK LOW VOLTAGE mow PROVIDER TO INSTALL ALL DATA/VOICE. RECEP D PLAN LEGEND: 4'x4' PLYWOOD PHONE BOARD, PH D' V' PAINTED (LABEL VISIBLE) VOICE /DATA - D V ASSUME SINGLE GANG BOX TO BE INSTALLED AT WARING EACH LOCATION WITH A MUDRING AND PULLSTRING Ira A EXISTING JUNCTION BOX TO BE RE-USED- NEW CAT5E CABLING TO BE INSTALLED PER PLAN. I NEW CAT5E CABLING TO BE INSTALLED - E REPLICATE EXACT NUMBER OF D/V JACKS. A EXISTING VOICE /DATA- R INSTALL BLANK FACE PLATE. PLAN NORTH LOW VOLTAGE PLAN alb OFFICE ID #: 3/32" = 1' -0" H &R BLOCK 20086 SITE SPECIFIC NOTES: OFFICE TYPE: BRAND UPGRADE 1. ALL NEW CAT 5E CABLING TO BE INSTALLED PER PLAN. LOCATION ADDRESS: 2. ALL EXISTING UN -USED D/V TO BE REMOVED; INSTALL BLANK 243 King Street FACE PLATES. Northampton, MA 01060 LEASE SQ. FT. 1260 S.F. ISSUES/ REVISIONS NO. DATE DESCRIPTION 1- 2- 3- 4- *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DRAWN BY: Macy SHEET DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314 -817 -2187 FOR ADDITIONAL NOTES* DATE: 5/15/2012 FINISH SPECIFICATIONS: PAINT P1 — GI IDDFNLK:I DFSFRT CASTLE PRIMER - 1 COAT OF GLIDDEN HIGH HIDE PRIMER 1000 -1200 FINISH - 2 COATS OF FINISH PAINT IN GLIDDEN ULTRAHIDE 250, 1402N SERIES EGGSHELL FINISH P2 - GUDDEN /ICI - A0574 OAKLEY BROWN PRIMER - 1 COAT OF GUDDEN HIGH HIDE PRIMER 1000 -1200 (TINTED) FINISH - 2 COATS OF FINISH PAINT IN GLIDDEN ULTRAHIDE 250, 1402N SERIES EGGSHELL FINISH P3 - GLIDDEN /ICI - A0637 PEACH CLAY arm ' © © ©� k PRIMER - 1 COAT OF GUDDEN HIGH • � HIDE PRIMER 1000 -1200 (TINTED) ;F, I © c� FINISH - 2 COATS OF FINISH PAINT IN 0 GLIDDEN ULTRAHIDE 250, 1402N SERIES EGGSHELL FINISH 1 © 0 ` P4 - GUDDEN /ICI - A1964 SHADOW PLAY PRIMER - 1 COAT OF GUDDEN HIGH I I HIDE PRIMER 1000 -1200 FINISH - 2 COATS OF FINISH PAINT IN GLIDDEN ULTRAHIDE 250, 1402N SERIES EGGSHELL FINISH 1 ; *CALL GLIDDEN CUSTOMER SERVICE AT 1- 888 - 615 -8169 x2 WITH QUESTIONS* 1 \ * *REST?C TAT B E FAINTED P1 EXCEPT FOR ACCENT WALL NOTED ** 1 \ CARPET Q C1- INTERFACE FLOR 1465202500 TO SCALE COLOR -7769 FOUNDATION *CCARPEEM' TILES TO BE INSTALLED AT I \ C4- INTERFACE ENTRY TILE 129017191 1 ` COLOR -7191 OUVE 4" VINYL COVE BASE B1- JOHNSONITE 4' RUBBER BASE 63 BURNT UMBER OWNER PROVIDED CARPET VINYL 3ASE AND ADHESIVE. INSTALLATION ONLL 0 \ VCT T1 - JOHNSONITE: VCTAZ -V603 BUFF Description: CORTINA COLORS - AZROCK SUPPLIED BY H&R BLOCK; (WHERE SHEET 1 ` VINYL REQUIRED BY CODE, GC /FLOORING CONTRACTOR TO USE Johnsonite Melodic- 620 Beachfront) *IF CIFFICE ALREADY HAS NEW PAINT LAPPET l !SE LINEAR FEET DE THE OFFICE FOP PAT' H/REPAID ESTIMATE TOTAL WALL LINEAR FEET- 238 LF OFFICE ID #: PLAN H&R BLOCK LAN 20086 NORTH OFFICE TYPE: FINISH PLAN BRAND UPGRADE 3/32" = 1' -0" LOCATION ADDRESS: 243 King Street FLOORING ORDER Northampton, MA 01060 C1— 260 SF LEASE SQ.FT. 1260 S.F. 4" VINYL BASE— 98 LF ISSUES/ REVISIONS ADHESIVE— 260 SF NO. DATE DESCRIPTION VCT— 25 SF 1- 2- 3- 4- *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. DRAWN BY: Macy SHEET IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314- 817 -2187 f 7 FOR ADDITIONAL NOTES* DATE: 5/15/2012 5 01 *GRAPHICS ARE EXISTING IN THE SPACE. NEW PERMANENT WALL ART RELOCATE PER THE PLAN BELOW.* GRAPHICS: ENGLISH , ( F -G -4A ) QTY: 0 =1 OPEN I`- !! ,� p ) - - - - - -- - -, _ lk QTY: 0 'F.t „ ! ( F -G -4C ) i .. t` t l QTY: 0 1 t, . 1 ( -G -4D ) M TA) 1 AREA- M , ::. ,,,i, t . ”, a QTY: 0 1 _ I ii 71 7'. L LI t..: ti ilk ' n leD ' '4.-4 C\ H --,,,,-4 ) 1— \ r QTY: 0 rr... ' "!.. 1 e' ti. t REP .► n h i` }� r "/ a (F -G -4F ) k 71 :.: '4 " QTY: 0 w -49 � O M ( ,, NM Mod( .n 1 J. o ■ WAITING --- i• _ ` _ ( PSB ) w -aa 1 1111i =DO U - - QTY: o =MI 1•271 LETTERING FOR CSP DESK (WELCOME) O N SIDE OF CSP FACING F RONT DOOR OF OFFICE (H &R BLOCK) ON SIDE SP FACING WAITING AREA OF C OF OFFICE PLAN OFFICE ID #: NORTH 20086 H &R Back FURNITURE /EQUIP. PLAN 3/32" = 1' -0" OFFICE TYPE: BRAND UPGRADE NEW BRAND VIVO FURNITURE LOCATION ADDRESS: (NOT A CLASSROOM) 243 King Street Northampton, MA 01060 OFFICE TO KEEP THE FOLLOWING EXISTING ITEMS: LEASE SQ.FT. 1260 S.F. 1. Coffee Cart ISSUES/ REVISIONS 2. Back Office Items NO. DATE DESCRIPTION 3. Professional Services Board 1- 4. Back Wall Logo 2- 5. Window Block Light Box 3- 4- *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DRAWN BY: Macy SHEET DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314 817 - 2187 FOR ADDITIONAL NOTES* /� DATE: 5/15/201: -T" 0 PLAN LEGEND: ■ STRIP LIGHT O CAN LIGHT o PENDANT LIGHT r - -�_�_� - 1 - � _ I CONTINUOUS TRACK LIGHT ,_ ® r ® ® ® ® ® <> CEILING MOUNTED LIGHT FIXTURE ® EXIT SIGN W/ EMERGENCY LIGHT 0 CEIUNG DUPLEX OUTLET (SLBO = SIGN LIGHT BAND ® ® OUTLET) CEIUNG DUPLEX OUTLET PP"- ® ,�, © (SLBO = SIGN LIGHT BAND ® i — �� �—` ` CAMERA ® Q ® SPEAKER MIIIIMME111 Mali= c FIRE ALARM AND STROBE Wali--` ® EXHAUST FAN `.� ® - ® SPRINKLER 1 I ®�= A -■■` ® SMOKE DETECTOR EMERGENCY LIGHT 1M M © 1111 ® EXIT SIGN ® IN TRANSFORMER- SUSPENDED � FROM CEIUNG RETURN AIR VENT II 0 = X SUPPLY AIR VENT IMMI r' H ACCESS HATCH NOTE: SYMBOLS SHOWN IN PLAN PLACED AT CENTER LINE OF ACTUAL ELEMENT UNLESS NOTED OTHERWISE. PLAN NORTH EXISTING REFLECTED LIGHTING PLAN N OFFICE ID #: 3/32" = 1' -0 20086 Hare BLOCK OFFICE TYPE: BRAND UPGRADE LOCATION ADDRESS: 243 King Street 1. THIS PLAN IS A DESIGN INTENT DRAWING ONLY. ALL ELECTRICAL LOAD CALCULATIONS ARE TO BE COMPLETED BY A LICENSED Northampton, MA 01060 ENGINEER. 2. SWITCHING IS NOT SHOWN. TO BE COMPLETED BY A LICENSED ENGINEER, LEASE SQ. FT. 1260 S.F. 3. RELOCATE REAR SPEAKER IN FRONT OF Z —WALL. ISSUES/ REVISIONS NO. DATE DESCRIPTION 1- 2- 3- 4 — *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. DRAWN BY: Macy SHEET IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314- 817 -2187 FOR ADDITIONAL NOTES* DATE: 5/15/2012 3 0 f 7 KEYED NOTES: OCONTRACTOR TO INSTALL (2) JUNCTION BOXES SIDE -BY -SIDE (6" FROM FINISHED FLOOR TO BOTTOM OF EACH J -BOX) AT WALL: - "r I ' oor o omgorr -1 JUNCTION BOX TO HAVE allwa ELECTRICAL WHIP TO Tol r _ i - ��� 1 F:;.. ACCOMMODATE N 1 104 E D'V'' OP ' . ■ (6) DUPLEX OUTLETS. ' 1 I '°' ' -1 JUNCTION BOX TO HAVE (3) - I� —14' -8' DATA AND (2) VOICE CABLES E _ \�- RETURN TRIP AFTER FURNITURE all D' V - ` ARRIVES TO MAKE POWER CONNECTION AT THE WALL AND TO IT `. • ` RUN CABLING FOR DATA AND VOICE �'- . IN PANEL SYSTEM AND TERMINATE 1 D'Ad' � ., AT KNOCK OUTS IN PANEL BASE. .i , O E = O REMOVE TRACK LIGHTS. PATCH /REPAIR CEILING GRID AS NEEDED. REPLACE DAMAGED TILES ! -- 11- AS NEEDED. _ ▪ ■ • M E i = TAX ' R AREA '�S' ., n 1 D'V N. J! O - , 1I i RECEP _ 1 , , , V , rao D arE \YE4D . 1 I _ O I I b O ` H � W ®G g ` / AN OF o 4MI // • PLAN NORTH '- PARTITION /ELEC. PLAN OFFICE ID #: 3/32" = 1' -0" 20086 x818 BLOCK SITE SPECIFIC NOTES: OFFICE TYPE: BRAND UPGRADE 1. ALL ELECTRICAL TO BE FIELD VERIFIED BY GENERAL CONTRACTOR. 2. DEMO (3) TRACK LIGHTS. PATCH /REPAIR CEILING AS NEEDED. LOCATION ADDRESS: 3. PAINT CONDUIT TO MATCH WALL COLOR. 243 King Street 4. PAINT /CARPET BACK ROOM 103. 5. REMOVE VCT IN RESTROOM & ADD NEW. Northampton, MA 01060 6. SAFE TO BE LEFT UNLOCKED TO BE MOVED FOR CARPET INSTALL. P 7. STAINED RESTROOM DOOR TO REMAIN AS -IS. 8. INSTALL NEW EXIT SIGNS AS REQUIRED PER LOCAL CODE. LEASE SQ. FT. 1260 S.F. 9. DEMO PARTITIONS AS SHOWN ON PLAN. 10. ADD NEW PARTITIONS AS SHOWN ON PLAN. ISSUES/ REVISIONS NO. DATE DESCRIPTION 1- 2- 3- - 4- *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DRAWN BY: Macy SHEET DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314 - 817 -2187 FOR ADDITIONAL NOTES* DATE: 5/15/2012 2 o f H(ScR BLOCK GENERAL NOTES: 1. Contractor to field verify all existing conditions; if there are any changes, revisions, or discrepancies please call: 314 -817 -2187 * *Existing and new partition dimension tolerance is 2" to 6" unless noted as HOLD. ** IT RECABLE PROJECT TYPE H P _AN LEGEND: DEMO PARTITION ® EXIST. DEMISING PARTITION ® NEW DEMISING PARTTTION EXISTING PARTITION NEW INSULATED PARTITION NEW PARnTiON NEW DOOR EXISTING DOOR ELECTRIC ,..,.;1 PANEL = 4'x4' PLYWOOD PHONE BOARD, PH PAINTED (LABEL VISIBLE) VOICE/DATA — D v ASSUME SINGLE GANG BOX AT EACH LOCATION. INSTALL 3/4' CONDUIT STUBBED AT CEILING WITH MUDRING AND PULLSTRING AT AU. NEW PARTIONS: MUDRING AND PULLSTRING ONLY AT EXISTING PARTITIONS H &R BLOCK DEDICATED, GROUNDED 20 —AMP D QUAD, MARKED w /ORANGE DEVICE di DUPLEX RECEPTACLE µ QUADRAPLEX RECEPTACLE QPEEXISTING DUPLEX RECEPTACLE OFFICE ID #: 20086 E EXISTING QUADRAPLEX RECEPTACLE OFFICE TYPE: dip REMOVE EXISTING DUPLEX RECEPTACLE BRAND UPGRADE I EXISTING VOICE /DATA LOCATION ADDRESS: A EXISTING VOICE /DATA TO BE REMOVED (INSTALL BLANK FACE PLATE) 243 King Street EXISTING JUNCTION BOX TO BE RE —USED Northampton, MA 01060 SWITCH $ 3 —WAY SWITCH LEASE SQ. FT. 1260 S.F. OT THERMOSTAT ISSUES/ REVISIONS NO. DATE DESCRIPTION D JBOX 1— :: ELECTRICAL (FLAT WIRE) 2- 11 DATA (FLAT WIRE) 4— *CONTRACTOR MUST HAVE 7 PAGES OF THESE DESIGN INTENT DRAWINGS. IF YOU ARE MISSING ANY OF THE 7 PAGES, PLEASE CONTACT THE DRAWN BY: Macy SHEET DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 7 314-B17-2187 , f —7 Version1.7 Commercial Building Permit May 15, 2000 , SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) .a- Independent Structural Engineering Structural Peer Review Required • Yes 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I ) 1 ` U&.. �J Ok if e' v as Owner of the subject property hereby authorize �' to act ehalf, in all matters relative to work authorized by this building permit application. 0 Signature of Owner ! Sate iCi I , ,,>!/ w __._,.... .._...._.... , 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 p and penalties of perjury Print _..____ ,.. ...,.,.._____ . Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION. SERVICES 10.1 Licensed Construction Supervisor: y�, Not A ❑ Name of License Holder: _. .., ._ ✓ '� N ' eO"' _ 0 8 6 License Number __,. 0,0 9 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 0 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street • Boston, MA 02111 ,'MTV www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information --r �� ^ 41.1 Please Print Legibly 6'e- / Nance ( Business /Organization/Individual): O 7A Address: /29 < 4 £✓I /z— - Cit /State /Zip /1 i2 /MM, M4 4 / t093 Phone #: �� �3 Q Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. I am a general contractor and I 6. 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. 11 Remodeling ship and have no employees These sub contractors have 8. Lj Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5 . ►9 We are a corporation and its 10.[] Electrical repairs or additions officers have exercised their 11. 3. C] I am a homeowner doing all work f n Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ( Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un ' • epains and penalties of perjury that the information provided above is true and correct. Signature: der ,tip`-- . Date: 6 Phone #: (3 ° 3 8 4 � 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 II Contact Person: Phone #: II Version1.7 Commercial Building Permit May 15, 2000 .o 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: ._.... _ ....__.._ .__....__ ......_w_..__.,_.. . ,..._. .__ _..__.____...._ _____.______. .__ __._ ._._ -- 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 7 e- .tl_. F,7,1 4- d Not Applicable ❑ Company Name: L.SGo 7I F -J ... ._.... Responsible In Charge of Construction e, ' gootA) /'1, t,t l' 2 -, W / t a 7441 -1-:� r� (4. /J ,a ■ 045 Addres- ) 93 Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON. ZONING Existing Proposed Required by Zoning This column ti filled in by Building Department Lot Size Frontage Setbacks Front Side Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved narking) �m ...._ .�.._.�.._. �.....�.,, r .- # of Parking Spaces Fill: _....,._ -_.. _ (volume & Location) _. . A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW c YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW. YES IF YES: enter Book '__ Page and /or Document # '. B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW (3 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , 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 NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15, 2000 J SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE e Interior Alterations ❑ Existing Wall Signs g. Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs 0 Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. alt Of Proposed Work: 62E �` �� J /Jew "br► N dn / —G.0A 3Fb E Wst 2 iatid g_ (N/ .... A -L SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 0 A -2 0 A -3 0 1A I ❑ A -4 0 A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B _ r ❑ F Factory ❑ F -1 0 F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 0 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 0 5A ❑ s Storage ❑ S -1 ❑ 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: ,._,,,_ __.,.___.._._ __,._..ww.__w.. ,..,. Mw.: Proposed Use Group: Existing Hazard Index 780 CMR 34): ..._ _w e 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) w..... s 1 1st /d 6 0 2nd .. 2 nd 3 d 3r d 4 m . 4 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 ❑ Private 1:1 Zone _ ___, __ Outside Flood ZoneD Municipal ❑ On site disposal system Version1.7 Commercial Building Permit May 15, 2000 Department use,only �., = City of Northampton Status o P erm i t ` . - t fAi ': � v v , z'z is ` curb CutiDrtveway Building Department x ,,� ' " 1 2012 212 Main Street SewertSepticAvairabiltt}r � '� Room 100 Wter/Well Avallabttity o o' Northampton, MA 01060 Two Sets of Structurar,Flans , v N ''' 413- 587 -1240 Fax 413 - 587 -1272 PiotiSite Plans - Other Specify. APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office a 4/3 k /Ai S 7— Map Lot Unit Zone Overlay District _._ ._:_ .. . _ ...�_._. w. . ..r ._ .. .w. Elm St. District CB District - SECTION 2- PROPERTY OWNERSHIP /AUTHORIZED AGENT .1 Owner of Record: N 1,- N ame (Print) L c/ 1 b o cti Current Mailing Address '1 S �- ) 2j2, 6 ! V G ' ( \dialLY Signature Telephone L/ , - / 2.2 Authorized Agent: ,.Se T T ,I- 64 6. 1 .. - (1.1 - ' .,/_., Lad Pe-k- /.. �S ►t ,w., ... _ , 1.ti.: /C - , - - - - if A r Name (Print) Current Mailing Address C7 /iv 7 , ' I '.e._S"__.7..:.._ 92_x.......... _ .__ Signature ' Tele SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee ------ - ---- SL • 2. Electrical ___._.. ----- ' —#;--- (b) Estimated Total Cost of r� ©0 < Construction from (6) 3. Plumbing �` ' Building Perm Fee 4. Mechanical (HVAC) ...... ..._ ._. ___ —e 5 5. Fire Protection 6. Total =(1 +2 +3 +4 +5) , S 0 . Check Number This Section For Official Use Only Building Permit Number Date Issued Signa. - � � / _ _ /� \ 7 / A- Bin • • ommissione nspector of Buildings Date 243 KING ST - H & R BLOCK BP- 2013 -0144 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24B - 066 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- 2013 -0144 Project # JS- 2013- 000236 Est. Cost: $5500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT FEARN 82624 Lot Size(sq. ft.): 182342.16 Owner: COOLIDGE NORTHAMPTON LLC C/O HOULIHAN - PARNES/ ICAP REALTY Zoning: HB(98) /GI(2)/ Applicant: SCOTT FEARN AT: 243 KING ST - H & R BLOCK Applicant Address: Phone: Insurance: 18 SAWMILL RD (413) 537 -9380 WILBRAHAMMA01095 ISSUED ON :8/7/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE & REPLACE 2 NON - BEARING WALLS 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 8/7/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner