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24B-077 -.1 -'\\••.' ' . 74 - , ' 1"6 - , H...eme.444v4 02109-1619 (,617) 772:7-3700 f (617)72)-2 PRIMARY CONSTRU('TION CONTROL DOCUMENT FOR IiESIGN. PROFESSIONAL IN RESPONSIBLE CHARGE b , L,...._ '0 1.2-- Project Tit1: ; -CXtPtt-i- 52 : ...-- 1., Date.: 1 ' 1 ......- Project Location: 300 NI 1 .41-... / No 16-10104.- 644 p... , ' - sco of ?reject: ' In accordance with 780 CMR. Section 107.0, most specifically 107.3.4 "Design Professional in Rc.ponsible Charge" and 107.6 "Construction Control" of the 8th edition of Ow Massachusetts State Building Code: 1, JO it lo Mass. RPrristration 'Number -ii 41 1 Expira.tion C e3 / 5/ /1.5 --, .. being a registered professional Engineer /Architect hereby certify that: 1 am the Deign Professional in Responsible Charge and that 1 am and shall be responsible for reviewing and coordinating submittal documents prepared by others, including phased submittal items, for compatability with the design of the building and for compliance with the requirements of 780 CMR (Massachusetts State Building Code). in addition. 1 certify that 1 have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the following: [ I Entire Project 'X. Architectural 1 ] Structural [ ] Mechanical [ ] Fire. Protection [ J Electrical [ J 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 780 CMR (8 edition) the Massachusetts State Building Code, all acceptable engineering practices, and all applicable laws for the proposed project. . Furthermore, 1 understand and AGREE that 1 (or my designee) shall perform the necessary profession 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 780 CMR Section 107.6.2.2 (8' edition) as applicable: 1.) Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by thc contracr_or in accordance with the requirements of the construction documents. 2.) Perform the duties for registered desip professionals in Chapter 17.. 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 if the work is being performed in a manner consistent with the construction documents and this code_ I shall submit periodically, in a form acceptable to the building official, a progress report together with peniinem 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 proiect for occupancy_ Signature and Seal of registered profe mai: : . - • 4111/ . . . ' — ' . , - , - • I 4 Oaf NartiTanirstan - a L:: _ - a:sa4iz ett� t *air.- .— • DEPARTMENT OF BUILDING INSPECTIONS • ,INS PECTOR 212 Main Street ®- Mtmicipal Building Northampton, MA 01060 5 ` LOCATION 3oo tops • • • SQUARE FOOTAGE AMOUNT BASEMENT @ . 20 • _ 356q _ ^ 1 @ .60 d� • 2 n1 D PLR: @:30 - 4 • %2 FLOORS, F1NISH ATTIC, GARAGE @ 20 • DECK/PORCHES @ :20 ' 3 2c/ / Z7 7 ' ZO TOTAL. O �� • • • • • • • • • • • • • City of Northampton y yt% HArt, qv. ` f 5 S ! i Massachusetts te a, ? - . ._ c 'c � . ' p'' - ,.Jt ' 4 i a * . 4 ( D EPARTMENT OF BUILDING INSPECTIONS �'• j; ; ; r. .'?• +r ; °r 212 Main Street • Municipal Building y 0. C Northampton, MA 01060 ss 1�� INSPECTOR Louis Hasbrouck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner SECONDARY CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for a portion of a controlled project) Project Title: Peoples Bank North Hampton Branch Date: Project Location: 300 King Street, North Hampton, MA Map: Parcel: Zone: Scope of Project: Construction New Peoples Bank Branch In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: Carlo Schneller, P.E. Mass. Registration # 39745 being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Fire Protection [ ] Architectural [X] Structural [ ] Mechanical [ 1 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 to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory Completion of the above mentioned work. Sign - + ar..e p, ssion- x OF, q //j��� CAfiiLC7t (e STRUCTURAL al Day of 11,,,..►i 1 20 . No 397'45 (sea ISD AF 3 MECHANICAL/PLUMBING/ELECTRICAL DESIGN AFFIDAVIT Permit No. To the Commissioner, Inspectional Services Department. Re: Q,o c �.,c Ward I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at: Ward are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. John Kitsalis PE -Mech PE #42781 /Elec PE #40646 ENGINEER — MASS. REG. NO. New England Engineering Corporation_ COMPANY 100 Concord Str, 3 Floor, Framingham, MA ADDRESS (508) 626 - 9222 Extension 54 PHONE ,20_ Then personally appeared the above named < . and made oath that the above statement by him is true. Before me, My Commission Expires: sS1, NAILZE LIMA No 15CuMMOMWtAIUII.WAJA My Commission Expires May 13, 2016 City of Northampton Massachusetts t DEPARTMENT OF BUILDING INSPECTIONS `rte t � �.., 3^. . 212 Main Street • Municipal Building Northampton, MB 01060 PA ,4 -30 ;� INSPECTOR Louis Hasbrouck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner SECONDARY CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for a portion of a controlled project) Project Title: P 0 ri.W 4N ND J'(}1041M IOf4 '4A Cth e: ', • 12' Project Location: 7o KEN 6 Map: Parcel: Zone: Scope of Project: In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: J0141 It. I / e10/4 Mass. Registration # J 1 (01 being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Fire Protection [Architectural [ ] Structural [ ] Mechanical [ ] 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 to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory Completion of the above mentioned work. Signat d egistered Professional 6 o. 31161 , 1 Day of A'&91'' 20 )42.- (seal) A C ORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM /ODIYYYY) re 12/30/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Martin J. Clayton Insurance Agency, Inc. HO NK , E><t): (413)536 -0804 I -7874 1649 Northampton Street E-MAIL ADDRESS: P. 0. Box 989 INSURER(S) AFFORDING COVERAGE NAIC a Holyoke, MA 01041 -0989 INSURER A: Hanover Insurance Company INSURED MAROIS CONSTRUCTION CO., INC. INSURER B: AIM Mutual Insurance Company 262 OLD LYMAN ROAD INSURERC: Evanston Insurance Company SOUTH HADLEY, MA 01075 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1/12 - 1/13 POL TERM REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 'NSF( — A UUL U BH — POLICYEt -F POLILYEXP - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) IMMIDDIYYYY) LIMITS GENERAL LIABILITY ZDN62 51989 01/01/2012 01/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PR (Ea $ 100,000 CLAIMS -MADE 1 X) OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL 8 ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 — 1 POLICY n JE n LOC $ AUTOMOBILE LIABILITY AMN663227301/01/2012 01/01/2013 C UrdBINEITuINULELIMir (Ea accident) $ 1 , 000 , OOO ANY AUTO BODILY INJURY (Per person) $ A - ALL OWNED X SCHEDULED AUTOS BODILY INJURY (Per accident) $ _ A UTOS X HIRED AUTOS X NON -OWNED PROPER IY DAMAGE $ AUTOS (Per accident) $ UMBRELLALIAB X OCCUR UHN625199001/01/2012 01/01/2013 EACH OCCURRENCE 5 5,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED I 1 RETENTION $ $ WORKERS COMPENSATION WMZ80022930101 /01/2012 01/01/2013 X I TORY LIMIT vac LIMI S T IoTH ER AND EMPLOYERS' LIABILITY Y N ANY B OFFICER/MEMBER EXCLUD D? ECUTIVFj N / A E. L EACH ACCIDENT 5 500,000 (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ 500,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 500 , 000 POLLUTION LIABILITY 11CPL0074309/29/2011 09/29/2012 $1,000,000 PER OCCURRENCE C $3,000,000 GENERAL AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A 8 Daniel Sullivan ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010 /05) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Print gpi t. Department of Industrial Accidents : , Office of Investigations G '; 1 Congress Street, Suite 100 '`I = I Boston, MA 02114 -2017 ►,:�' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): /7ff�pj,5— �i � vliTlO� Address: 0 ,2, e �L 2 L z , / ,/e. • City /Stat- /Zip: / /c/ 2 /may Phone #: O 53 '3 2 O Are ys an employer? Check the appropriate box: Type of pet (required): 1. /: I am a employer with 4. ❑ I am a general contractor and I employees (full and /or part- time).* have hired the sub - contractors 6. New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working ca employees and have workers' g for me in any capacity. 9. ❑ 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. 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. #: l,/r/ /7 (3Op 2 Z93O ( Expiration Date: // /,p /3 Job Site Address: "3OD i.t,/ ? ' $ City /State /Zip: �, y�� "0" 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 certihr e and • • alties o • er'ur that the in ormation provided above is true and correct. Signature: % • �_ DateIf�PLt.% Phone #: /(3 33 ? 73 Z 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 #: V ersionl. f Lorrimercial omitting rermit May a, .ELiub SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT 10 780 CMR 116 (CONTAINING MORE THAN 36,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: jbl-ifs) / ii4Je5oisi Not AppEcable - Nerne (Rogislient): i1 P r 49 1. 1 44"tiN 5T./ uNisquv1 CT 0(0065 Resist/alien Number 0 6/,1/1 2 - Address KM " &fro z fa , 2 , Expiration Date Telephone 9.2 Registered Professional E MituctutzA L- Nome Area of ResponatINY tpwl riT15F olzoi Re Number /7 41'• z,4f lure Telephone ExpirairCDec John Kitsalis, PE HVAC, Electrical & Plumbing Name Area of Responsfollity NEE, 100 Concord St, Suite #3C, Framingham, MA 01702 40646 and 42781 Aims% Registration Number Signature (508 ) 626 - 9222 6/30/2014 Telephone Expiration Date Name Area of Responlity Address Registration Number — Signature Telephone ExplratiOn Dere Name - Area of Responlibliiy Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Ai.41219/ At-c/rA,247 Not Applicable Comparipire iVM / ReepOnalble In Charlie of Conatructlor y//71V Address4/ („ev&-(/ • -C..?3 /5'c' Signal Tel Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIE 1 (780 CMR 110.11) Independent Structural Engineering Structural ,_eer Re le Re'. _uired es ® No 0 SECTION 11 - On NER AUTHORI'7ATION - TO BE COMPLETED HEN O ; NERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 ( ? \ W, V- — Cg � a k iJ a �_, as . ner of the sub ect property hereby authoril :e Marois Construction to act on m ehalf'' :in all ma s relati e dor or 'i.authori'_ed by this building permit application : Si ature o c " "ner Date Carl Mercieri / Marois Construction 1 as 'ner',Authori'ed Agent hereby declare that the statements and information on the foregoing application are true and accurate to the best of my , no ledge and belief Signed under the pains and penalties of per ury ' :. Carl Mercieri 1 p rint N e / Signature of : :'' ine Agent ��Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Constr ction S _; _er' isor: Not Applicable ❑ Na: e of License Holder : Carl Mercieri CS 60872 icense Number 262 old L an Road 12/29/2012 Address Expiration Date (/(/(./(/( (413) 533 -1320 Sign r e Telephone SECTION 13 -._10R _ERS ZOMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, [125C(6)) or: :ers Compensation Insurance affida it must be completed and submitted 'ith this application ''' ailure to pro ide this affida it 'ill result in the denial of the issuance of the building permit Signed Affida':it Attached es 0 No • 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 35641 Frontage 165 Setbacks Front 80 Side L:. R: L: R : 100 Rear 50 Building Height 23 Bldg. Square Footage % 3180 Open Space Footage (Lot area minus bldg & paved 1366 parking) # of Parking Spaces 15 Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? 41' i4 j NO 0 DON'T KNOW 0 YES Q IF YES, date issued: 07/05/2012 IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW 0 YES Q IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 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 0 , Date Issued: C. Do any signs exist on the property? YES Q 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 0 NO 0 IF YES, describe size, type and location: See drawings 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 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 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 ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description New construction of a slab on grade 4,000 s.f. branch bank with drive -thru. 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 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business p 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ( ❑ H High Hazard ❑ 3A ❑ I 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) 1St 1st 4,000 2 nd 2 nd 3rd 3rd 4 4 Total Area (sf) Total Proposed New Construction (sf) 4,000 Total Height (ft) Total Height ft 23 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 p On site disposal system El Versionl.7 Commercial Building May 15, 2000 entusetiotp City of Northampton Stases' ill L.: _. �ry'�yi i �___. Building Department Curb ��� �1 1 ": s t s �. L AUG g 212 Main Street ewerl ept i bh ; 4 t Room 100 Wa�teRr/J i a t � ; L _ - � 'TECT�oNS , t f !tea 'e e N �� �'�` '-,‘ � A �4 - 587 -1240 orthampton Fax413- 587 -1272 MA 01060 P if�i�Plans ; � � fir + , 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 300 King Street Map Lot Unit Northampton Ma Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: PBHQ Whitney Inc. 330 Whitney Avenue. Holyoke Ma p Name (Print) i Current Mailing Address: (413) 493 -7561 9 Si nat e ) �A, 1 1 o. oir e c 2.2 Authorized Agent: Marois Construction 262 Old Lyman Road South Hadley Ma 01075 Name (Print) ' Current Mailing Address: (413) 533 -1320 Signature W ALL Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $625,000.00 (a) Building Permit Fee 2. Electrical $120,000.00 (b) Estimate T otal Cost of Constructio from (6) 3. Plumbing $48,000.00 Building Permit Fee 4. Mechanical (HVAC) (, s (S F i Y, O'O sF - Z ( co 5. Fire Protection p $140 ( fj 6. Total= (1 +2 +3 +4 +5) o2S00D, Check Number Q� �/ �Jo�+�/2 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date Q1Ltsl 0 1344111 531. 1417 Chu' c 56-0 File # BP- 2013 -0230 n A n� Qn APPLICANT /CONTACT PERSON MAROIS CONSTRUCTION CO INC WL� t rij ADDRESS/PHONE 262 OLD LYMAN RD SOUTH HADLEY (413) 533 -1320 n ® P 6tj CPA PROPERTY LOCATION 300 KING ST MAP 24B PARCEL 077 001 ZONE HB(100)/ (L P + THIS SECTION FOR OFFICIAL USE ONLY: t AC, $\ PERMIT APPLICATION CHECKLIST 11 ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT CPU' /� ?j Fee Paid (�� Buildin_ Permit Filled out • i St Fee Paid • '/ A • dip �� /l,1 9\\ Tvpeof Construction:_CONSTRUCT PEOPLES' SAVINGS BANK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 060872 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION PRESENTED: Approved Additional permits required (see below) pCo ,gyp AT) Q rJ 01,h>1 9 01122 L4-' f PLANNING BOARD PERMIT REQUIRED UNDER:§ ��� 9 (S 1 1 Z— C�rvl 5 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 re 4h/P.A Ito 0 Y 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. 300 KING ST BP- 2013 -0230 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24B - 077 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: NEW COMMERCIAL BUILDING BUILDING PERMIT Permit # BP- 2013 -0230 Project # JS- 2012- 001663 Est. Cost: $825000.00 Fee: $2060.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MAROIS CONSTRUCTION CO INC 060872 Lot Size(sq. ft.): 38681 .28 Owner: PEOPLES BANK Zoning: HB(100)/ Applicant: MAROIS CONSTRUCTION CO INC AT: 300 KING ST Applicant Address: Phone: Insurance: 262 OLD LYMAN RD (413) 533 -1320 Workers Compensation SOUTH HADLEYMA01075 -2653 ISSUED ON:9/11/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT PEOPLES' SAVINGS BANK *FOUNDATION ONLY* 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 9/11/2012 0:00:00 $2060.80 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner File # BP- 2013 -0230 APPLICANT /CONTACT PERSON MAROIS CONSTRUCTION CO INC ADDRESS/PHONE 262 OLD LYMAN RD SOUTH HADLEY (413) 533 -1320 PROPERTY LOCATION 300 KING ST MAP 24B PARCEL 077 001 ZONE HB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Paid ,J /D/ #016'6 a Typeof Construction: CONSTRUCT PEOPLES' SAVINGS BANK F UOL ft,P,AA New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 060872 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORIATION 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 eq/ 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. 300 KING ST BP- 2013 -0230 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24B - 077 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: NEW COMMERCIAL BUILDING BUILDING PERMIT Permit # BP- 2013 -0230 Project # JS- 2012- 001663 Est. Cost: $825000.00 Fee: $2060.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MAROIS CONSTRUCTION CO INC 060872 Lot Size(sq. ft.): 38681.28 Owner: PEOPLES BANK Zoning: HB(100)/ Applicant: MAROIS CONSTRUCTION CO INC AT: 300 KING ST Applicant Address: Phone: Insurance: 262 OLD LYMAN RD (413) 533 -1320 Workers Compensation SOUTH HADLEYMA01075 - 2653 ISSUED ON:9/18/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT PEOPLES' SAVINGS BANK 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 9/18/2012 0:00:00 $2060.80 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner