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32C-015 (3) 98 MAIN ST BP- 2010 -1062 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 015 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- 2010 -1062 Project # JS- 2010 - 001492 Est. Cost: $58000.00 Fee: $348.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MARK WISOTZKY Lot Size(sci. ft.): 1568.16 Owner: ANIELLO MAURO & CLAIRE Zoning: CB(100)/ Applicant: MARK WISOTZKY AT: 98 MAIN ST Applicant Address: Phone: Insurance: 25 MAIN ST #445 (413) 586 -5340 NORTHAMPTONMA01060 ISSUED ON: 6/2/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE 2ND & 3RD FLR FOR YOGA STUDIO POST THIS CARD SO IT IS VISIBLE FROM THE STREET . Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: n� ■ Footings: Rough:4, - it) '/17 ri Rough: ri 4'V 71 f//Q House # Foundation: if Q , Driveway Final: • Final: - 0 ,,.d� i f, Final: ' 7/f ' 0- / J D ` 5 ¢, - Rough Frame: Q� Cl 1 E Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 7-13 -` 0 O f< C THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REG AT S. i Certificate of Occupancy Si gnature: FeeType: Date Paid: Amount: Building 6/2/2010 0:00:00 $348.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo '`''1 — 1 2010 May 28, 2010 — Mr. Louis Hasbrouck, Building Commissioner City of Northampton Puchalski Municipal Building 212 Main Street. Northampton, MA 01060 Project: Valley Ayurveda 96 -98 Main Street, Northampton, MA, 01060 RE: Tenant Use Affidavit Project No.: 01025 Dear Mr. Hasbrouck, This affidavit is to confirm the following: My wife and I have owned the buildings at 96 -98 Main Street since 1999. The first floor has always been a retail tenant - currently Bruegger's Bagel. During the entire eleven years that we have owned the building the tenant space on the second (1,500SF) and third floors (1,350SF) has been leased as office space and open to the public. That space is currently vacant and we are planning to do minor renovations to that space in order to lease the premises to another business tenant. There is no change of use necessary and the renovations are primarily cosmetic. Sincerely, Mauro & Claire Aniello 12 Ladyslipper Drive Hadley, MA d-44 On this o2 3 day of JA-ail , 2010, before me, the undersigned notary public, personally appeared FLOW- A0 .i .-A ti U , proved to me through satisfactory evidence of identification, which were iiz-.Au.A.cit 0.....c r.CcA v. lru t,LCx. -, to be the person whose name is signed on the preceding or attached document in my presence. V w L Cc C1Ll� z KATHERINE M. KLEPACKI NOTARY PUBLIC , COMMONWEALTH OF MASSACHUSETTS My Commission Expires Nov. 17, 2011 KUHN • RIDDLE ARCHITECTS • 3404.7 Exit signs and lights: New exit signs will he installed in accordance with 780 CMR 1011.0 and are shown in plans. • 3404.8 Means of egress lighting: Means of egress illumination will be installed in accordance with 780 CMR 1006.0. Emergency lights are showy_ in plans. • 3404.9 Height and Area limitations: The building does not need to comply with the requirements of 780 CMR 5.00 since it is an existing building that is not being modified by addition or change of use. However, the building does, in fact, comply with Table 503. • 3404.10 Existing Fire Walls /Partitions: Existing fire walls to be maintained; no further compliance is required with 780 C11R 7.00. • 3404.11 & 12 Fire Protection Systems: The building and proposed construction is not required to be sprinklered per 780 CMR 3404.3 and 3404.12. • 3404.13 Enclosure of stairways: Existing stair to remain. • 3404.14 Assembly Use Group: N/A • 3404.15 Institutional Use Group: N/A • 3404.16 Residential Use Group: N/A • 3404.17 Fire hazard to adjacent buildings: The proposed work does not increase the fire hazard to adjacent buildings, however, the existing, party walls do comply with 780 CMR Table 705.2. • 3404.18 Accessibility for Person with Disabilities -- Only the work being performed will comply with 521 Cl`✓IR, as per CMR 3.3 Existing Buildings: the work being performed amounts to less than 30% o of the full and fair cash value of the building and the work costs Less than 8100,000. • 3404.19 Energy Compliance — There are no changes to the exterior walls or roof. • 3403.20 Carbon Monoxide Alarms — Carbon monoxide alarms will be installed in accordance with 527 CMR and /or 248 CMR and 780 CMR 9.00. Please call if you have any concerns or would like to discuss any aspect of this review. d ip Sinc LW Jo :, W. Kuhn cc: Mauro Aniello — Owner Ann Podlozny — Tenant 3 KUHN • RIDDLE ARCHITECTS Height of building: 3 story plus basement Height & Area Calculations (Table 5G3): Area: Most restrictive height Sc. area tabulations — M. Allowable area per Table 503!M/3B = 12,500 SF Allowable area: 12,500 SF Actual area: 1,500 SF Height: Allowable height per Table 503/1vi %3B = 4 story Allowable height 4 story Actual height: 3 story Occupancy Load based on Table 1004.1.2 & 3` Floors: Business: 100 gross SF (0:2,850 SF): 29 Total Occupancy 29 Egress capacity: per Table 1005.1 40" Stair ta: .3" per occupant 133 36" door ;a 2" per occupant 180 Chapter . Based on Section 907.2.2 of 780 CMR, a manual fire alarm system is not required for a B use with an occupancy less than 500 persons. Therefore. none will be provided or installed. The space will be equipped with illuminated exit signs and emergency lighting per 3404.7 and 3404.8 below. A portable fire extinguisher will be installed per Section 906. Chapter 34 The proposed work is an alteration to an existing building with a continuation of the same use group and, therefore, falls under the jurisdiction of Chapter 34 — Section 3404.00 3404.0 — Continuation of same use group and /or change to a use group resulting in a change in hazard index of one or less. • 3404.1 General: The proposed work is repairs to an existing building. • 3404.2 Requirement exceeding those required for new construction: The existing building did not exceed the requirements of 780 CMR. • 3404.3 New building systems: All newly installed building systems will meet or exceed the requirements of 780 CMR. • 3404.4 Alterations and repairs: Any alterations or repairs to the existing building will maintain or improve the performance required by 780 CMR and alterations or repairs which replace whole building systems will comply with 780 CMR 3404.3. Alternations include several new offices, upgraded plumbing, some new wiring and lighting, and minimal upgrades to interior finishes. • 3404.5 Number of Means of Egress: The existing space will maintain one existing means of egress plus existing fire escape. Per Section 1018.2 only one means of egress is required for occupancy less than 50. • 3404.6 Capacity of exits: The capacity of the exits meets the requirements of 780 CMR 10.00 and Table 1005.1. See egress capacity above. 2 KUHN •RIDDLE ARCHITECTS 28 AMITY ST. • SUITE 2B A M H E R S T MASSACHUSETTS 01002 4 1 3 2 5 9• 1 6 3 0 May 24, 2010 1 - Louis Hasbrouck, Building Commissioner City of Northampton fva AY 2. 5 2010 tr Puchalski Municipal Building 212 Main Street. Northampton MA 0106C Project: Valley Ayurveda 98 Main Street Northampton MA 01060 11E: Buiidin, Code and Chapter 34 Review Project No.: 010025 Dear Mr. Hasbrouck, The permit application for the referenced project is ;',Y; the renovation of the existing second and third door of the three story brick building into Valiev Ayurveda — a center for Ayurveda workshops. yoga & personal consultations (B use). The former use was commercial offices (also B use). The building is owned by Mauro Aniello and will be leased to the tenant (Ann Podlczny). Basic Data: Use Groups: The building is a mixed use building with M /Mercantile ( Brueggers Bagels) on the 1St Floor and B, /Business (Valley Ayurveda) on the 2n & 3rd Floors. The uses are nonseparated uses per 780 CMR 302.3.1. Existing: M — Mercantile (1 floor) Brueggers Bagels Hazard Index = 3 B — Business (2 floor) Former Offices Hazard Index = 2 Proposed: M — Mercantile (1s floor) Brueggers Bagels Hazard Index = 3 B — Business (2 floor) Valley Ayurveda Hazard Index = 2 Type of Construction: 3B Area of building: Building Footprint —1,500 SF Basement — 750 SF l" Floor — 1,500 SF 2 Floor —1,500 SF 3 Floor —1,350 SF Total Area — 5,100 SF JOHN WOOD KUHN, AIA • CHRISTOPHER E. RIDDLE, AIA • FAX: 413-259-1621 • www.kuhnriddle.com The Commonwealth of Massachusetts m Department of Industrial Accidents _ _. ._ ( Office of Investigations i "" � 600 Washington Street ° • l' 4/ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): , , /14 t) i / G L C' Z K Address: u- / /- y,L9a t s J ' et 4 / City /State /Zip: 'HA Y F A 41 " E M- Phone #: '1 > 7 - 13 6' 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. El New construction employees (full and/or part- time).* have hired the sub - contractors 2. (B' I am a sole proprietor or partner- listed on the attached sheet. 7. S Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ 1 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.] *My 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 ce under the p • s and penal of perjury that the information provided above is true and correct Signature: ? , t^"-V Date: 0 C I Phone #: I Cl C . - 1 `) C C) 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 © No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ( 4 L ( /2 L) /1,/ i£ - L , as Owner of the subject property hereby authorize ,r ?// l ,lt 1, t.' e > i' / 2 , k ` ` to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner �,� r tu Li 176 4- Date 1, L t /it( F2 l)• t ' L 4 ' , 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: Not Applicable El Name of License Holder :J11 , A C ) ( 01 . F� fir_ y' C 5 a t t ® T License Number 1 _ Adtlfe Expiration D 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 uilding permit. Signed Affidavit Attached Yes No Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by A/49 Building Department Lot Size 7 G- t: c . w, 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 ?3 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 C) DONT KNOW 0 YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Or DONT KNOW O YES V 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 el NO IF YES, describe size, type and location: G''4 �, +` w 1) 5ici L. ; 5tc, c �t■- Ttlf 12 f , wi'� r1 wC� D. Are there any proposed changes to or additions of signs intended for the property ? YES © NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excav tion, 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. • • 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. Of Proposed Work: 7 N o i, E ..� ,v: -,, 5,-;1....1- e Fr < ar.A t...1 i/ 5 ._, ' 7.... . b f. A: /d' )? 011 $1 tt4-e_ rrx. L.e.- ( ,u«i /5 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 Er 2A 1 ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 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): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 1 g� 2nd 2nd 3rd 3rd 4th 4m 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 ❑ Zone Outside Flood Zone Ei Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Perrrdt: Building Department Cud) Cut/Driveway Permit 12 Main Street Sewer/Septic Avaliability D\ \ Room 100 Water/Wen Availability N -Northampton, MA 01060 Two Sets of Structural Plans Phone 41 Fax 413-587-1272 PtottSite Piens Other Spedfy 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 This section to be completed by office 1.1 Property Address: Ci8 /1)d , 37 - Lei / Map Lot Unit A) tfri...4 ,44 L , Zone Overlay District Elm St. District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) i FA( c (-7)./ -i'rt. F LL G , Current Mailing Address: A,Z 24 _54 / T elephone 9 c (,)_/`) Signature elephone — 2 c't 1.212 , s 2.2 Authorized Aoent: Name (Print) Li /2 0 ,41ivii Current Mailing Address: Signature Telephone SECTION - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building c0 411 (a) Building Permit Fee 2. Electrical 00 C.) (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= 11+3+4+5) 4;',00 Check Number 3 '3 This Section For Official Use Only Building Permit Ninber Date Issued Signature: Building Commissioner/Inspector of Buildings Date • File # BP- 2010 -1062 8 0 APPLICANT /CONTACT PERSON MARK WISOTZKY J ADDRESS/PHONE 25 MAIN ST #445 NORTHAMPTON (413) 586 -5340 Neel® if tt) iV 1 1 N 0 PROPERTY LOCATION 98 MAIN ST C H A)J 0 MAP 32C PARCEL 015 001 ZONE CB(100)/ cLi Cm E. Cfl scc34 THIS SECTION FOR OFFICIAL USE ONLY: Res* i G ut -��� ..-�� ( � tM N/tlSaCm PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE (S to t' s) ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 377 0 3 `C /� Typeof Construction: RENOVATE 2ND & 3RD FLR FOR YOGA STUDIO rime. New Construction Su JE C To 2t: V a F vs] ) `J M)P W tAke ITO N Non Structural interior renovations De. f'/39—"1 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 INFORMATION 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 Commission _ Permit DPW Storm Water Management Demolition Delay 6/17/0 Signature of Building Of r cial 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.