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32C-046 (2) PLEASANT STREET _N ' . 1 p \ r1 y r o Al m 1 N°T p �- a cri,, i - N 1 - - W \ Cl L.L. 0 II f E_=- '\ O \ K 11 9m rT - - K A 6 m v N 75 yy Z -- Z � 11 11 �.� L _ _ _ _ 1 11 �--- - J1 LC -.� ___ n J II . - - -'11 1> m ii — T- ^ m W I N y f 1Z W �� ' ,_ r II j'- -1-111-1r9"41- - . ......W - - J kcs 0 >r ._ I 71 m 1 1 _ 1 J a - : f p' a _ 1 GP 1111 a 1 a u • L - 6— , , a+oo 11 r r -H l \ \ /� _ ' o ,-- c I m R 1 o N y I i,,,,-, I' a � , — — V r1 =— , 'I o I ° D R R Q ®E V II 1 1 0 o ijj 4 n m , 0 ti 0 0 m7 "' -� f [9 #, m m Cn =1111111111 O r 7L I I - I r > RENOVATIONS TO 96 PLEASANT ST. SINGLE ROOM OCCUPANCY FOR _ . STUDIO ONE INC ° HAMPDEN HAMPSHIRE HOUSING COVIFIler 101. . N ARCHITECTS / PLANNERS pl Iv PARTNERSHIP, INC. °saa'al""" 979 MAIN STREET 0.1•14604. 91WIFIZATIMS1 40 fly7 6, 1.14 MC .. ,..__ ____ 96 PLEASANT ST. NORTHAMPTON, MA. 01060 "" °"°°° " ° "'° "°"`° SPFLD., MA 01103 MO k4 w N c-- Z O p n z D -0 .., -I �,, FJ2 *O p z < w-i " an d 1/ 73 O a DD 1 .i px • 0 — D0 O rnrnn e r r 1 z =/.W.'''''\'' °> Z M - I O D C 2 7, _ .n', ' .--,t r - _•I m O Io • }•, • ys' m . 0 > Zr OT 4 ., an z 73 m O> XI, ,L i� t, ' DO r m " - O c 90 r n , . ..%" ;'/� - t1 , 1 m O O O n o 1 0 co O z O v 0° -a 0 D g ga g m _9. 1 i".; „ ,' ry m 3 -1 m �� o m-i mo -1'.-Z- co m Z D o m m u F--- 0 n mm ro Tj m D mD O 1Z '* mm m -i o0 I 0 o m mm M cn 9 c - I m • N D O �� dZ T C -1 -IT ' m O D o 0 v acng b 1) co - m 0 c D ^' c's 7o O - D o m� z r o u)--. - _ m / w n O O o G DO ' c a' 0 m c c=> I = z m 0 co W O xm z r4i O -0 ° v n m� C cn 0� I N 0 P _ Z o N v cn ti) to N 4 V Co VI! aRJn - t - wirs Proposed Leasehold Proposed Plan , , DeaGNS1tco Improvements gar 1 1M°1- T 9 Pleasant Street, Mqo,� _Date 12 -26 -12 , Northampton, MA Dra by el 0 .,� Y P Al Project No. 121201 Scale 1/8” = 1' -0 ARCHIMETRICS DESIGN STUDIO aN 28 NORTH MAPLE UNIT B Q . FLORENCE, MA 01062 representative is coordinating this work with the contractor performing the alterations to the tenant space. Section 706 — Accessibility The proposed alterations comply with accessibility requirements for clearances, access to doors, door hardware and electrical device locations within the tenant space. Section 708 - Electrical The proposed alterations do not alter existing electrical systems. However, the scope of work includes the addition of lighting controls and power receptacles. Section 709 — Mechanical The proposed alterations do not alter the existing mechanical system. None of the proposed partition locations conflict with the existing layout of diffusers. The existing configuration allows for diffusers to supply each of the proposed enclosed spaces. To the best of my knowledge, the proposed scope of work will be in full code compliance according the requirements of the 2009 IEBC and applicable provisions of the 2009 IBC as adopted by the Commonwealth of Massachusetts. Sincerely yours, Peter Lapointe 1d 4 � riff ) ! 1 �Af�` . ,,. .. �, F ms` r r s� PETER LAPOINTE, ARCHITECT PH 413 582 -9100 FAX 413 582 -9101 www.archimetrics.net ARCHIMETRICS DESIGN STUDIO EN 28 NORTH MAPLE UNIT B �• December 24, 2012 FLORENCE, MA 01062 Louis Hasbrouck, Building Commissioner City of Northampton Northampton, MA 01060 RE: Tenant Fit -out — 96 Pleasant Street IEBC Code Review Summary The proposed work for the fit out of Commercial Space 1 (see attached Dwg A -2 prepared by Studio One, Inc for Hampden Hampshire Housing Partnership) involves removal of two existing partial height partitions arid subdivision of the space into two private offices, a meeting room and common area / reception. The scope of work qualifies as a Level 2 Alteration as defined by the 2009 IEBC. The following is a summary of the applicable code provisions. The existing 3 Story Type 3B (Masonry exterior / wood frame interior) structure encloses 3150 square feet per floor and is fitily protected with a sprinkler systems. The current mixed use occupancy includes 28 residential units and two commercial spaces. The first floor includes an accessible entrance and accessible toilet facilities in a common area shared by both commercial tenants and two efficiency apartments with a share bathroom. The scope of work is entirely within the tenant space and does not affect egress components, shaft enclosures, structural elements or the building envelppe. The applicable sections of Chapters 6 and 7 of the 2009 IEBC are as follows: Chapter 6 Section 602 — Building Elements and Materials All proposed finishes comply with Chapter $ of the IBC. Since the building if fully protected with a sprinkler system and none of the work affects corridors or common areas, Class C materials are allowed. Chapter 7 Section 701.3 Compliance The new partitions, doors and finishes fully comply with the 2009 IBC. Sections 704.2 Automatic Sprinkler Systems & 704.4 Fire Alarm & Detection The propose work includes modifications to the existing sprinkler and fire alarm systems to maintain the required coverage due to the proposed alterations. The building owner's PETER LAPOINTE, ARCHITECT PH 413 582 -9100 FAX 413 582 -9101 www.archimetrics.net t PRIMARY CONSTRUCTION CONTROL Jlit ( DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE � � _ V `'mo LA (submit with permit application) 780 CMR — Massachusetts State Building Code Project Title: _Leashold Improvements to 96 Pleasant Sttreet Date: _December 26, 2012 Project Location: 96 Pleasant Street, Northampton, MA 01060 Scope of Project: Addition of partitions to create two offices and conference room in first floor tenant space. In accordance with 780 CMR, Section 107.0, most specifically 107.3.4 "Design Professional in Responsible Charge" and 107.6 "Construction Control" of the 8th edition of the Massachusetts State Building Code: I, Peter E. Lapointe Mass. Registration Number AR 5291 Expiration 08/13 being a registered professional Engineer /Architect hereby certify that: I am the Design Professional in Responsible Charge and that I am and shall be responsible for reviewing and coordinating submittal documents prepared by others, including phased submittal items, for compatibility with the design of the building and for compliance with the requirements of 780 CMR (Massachusetts State Building Code). In addition, I certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the following: [ x] Entire Project [ ] Architectural [ 1 Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ 1 Other (specify) for the above named project and that 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, I understand and AGREE that I (or my designee) 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 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 the contractor in accordance with the requirements of the construction documents. 2.) Perform the duties for registered design 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 field /progress reports together with pertinent comments, in a form acceptable to the building official, as well as a "Phased Approval Document" when/as required by the Building Official. Upon completion of the work, I shall submit to the building official a "Final Construction Approval Documents' as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: ,c at�r y "'. 1 � �\` / , 6, : , iAR i I V Z . ‘- Massachusetts - Department of Public Safet■ Z* Board of Buildin2 Rea,ulations and Standards . Construction Supervisor e se License: CS 66709 it WENDY M BELTRAMINI ' PO BOX 305 MENDON, MA 01756 ! ,,_ , ��_ .�y Expiration: 4/23/2013 ('ummisiuner Tr#: 15777 A. PLEASANT STREET ONiamiummiemi I, . z f _ __,_L N �� _ _ R N N — K • 11 1^ m" - K m 1 / ; ° a • II/ A a I N ____ • II 11 _m . II �L___ - JI LC- «� ===- - 11 �I ,1 m j g 7 ^ i rn 43 I1 i // I' 4, N .4, / / r - / r I '' I p 1 I ' ( II -{ `= l 1 I I ' -I(1 I�f'y�� - - - ,,r_ ( - fir 111,,,,,,,,T, - 1 RTN t i. . �. >,, it II a. ��_ G j a II 1 �� R1 / -H l 1 �� * N I, i I s ma - — _� m I 1 11 11 S R 0 1 1 ri I I n rn - NOD 1 . ' 1 1 1 m - o c 2 i 1 ° pp I xX n of -I w O 1 N m 5 i 5, 2 m _ T - °°_ O f ikk 1 1 N) r0 ° o 111!!E1 r D _I � z RENOVATIONS TO 96 PLEASANT ST. SINGLE ROOM OCCUPANCY FOR STUDIO ONE INC e HAMPDEN HAMPSHIRE HOUSING r a „Q d ARCHITECTS / PLANNERS ',D N PARTNERSHIP, INC. ^"^ NV OOK... 979 MAIN STREET i — 96 PLEASANT ST- NORTHAMPTON, MA. 01060 "'�°� °°°`" ' ` K SPFLD., MA 01103 — M w w z c0 m0 r —10 m 57,2 *O 0 zO co-1 cn 0.- >0 0 m w — m —1 0 , D , al-D m mD m-i m �m Zr O� g 2 x� z m m d 20 > ....... 7 m� � O o mm 0 X z °D x- � z � es 111 -I . mco zxi n Oz z C CO C 0 O mZ CD �� Om) mZ a. O D m m 3 -1 C a z 0 0< mx 3 0 D- C �-< >O - -- - -_ m i z— to m �X mm 'fl N O 0 C_ m zr w--I - - - AZ -0 N �D ,_X y Gym 6-10g* m 3m mm m --'I 0 0� m z - T o r o fJ O n m mi M fn z C -dim n? D m Po C0 c r n mo • ° D < p x cn m -���� _10 ti z m m b -1 C -1 _1 -a n N Q, o 0*,......rn °00 _ rn z� 11 o D � c • , � rD- 3 1 71 � p w x� 0 r- o N�.:i O> O 0 0 �0 r 1 n z ( `� Po �o 0 . _ 0M -1 1 4 , m0 o X N N D Op m O G7 w� p T O m m> p z 3 z m O - i D . U7 p �' m z C cn y � _ a c m z C 3 -0 f� p C OD ; � O CI C cn z 1 N 00 0 0 N xz _ c cr _ > - F , .7' P 1, 0 r 0, ,,,, Adis Proposed Leasehold Proposed Plan k D 1SrUoio Improvements 28r s,r 96 Pleasant Street, Date 12 -26 -12 MfO7Oe Northampton, MA Drawn by pall Ft-M 1,41 100 - Al Project No. - _ 121201 Scale 1/8" = 1' -0 "I PRIMARY CONSTRUCTION CONTROL DOCUMENT !lil DESIGN PROFESSIONAL IN RESPONSIBLE CHARpE • 4 �, (submit with permit application) �.. 780 CMR — Massachusetts State Building Code Project Title: _Leashold Improvements to 96 Pleasant Sttreet Date: _December 26, 2012 Project Location: 96 Pleasant Street, Northampton, MA 01060 Scope of Project: Addition of partitions to create two offices and conference room in first floor tenant space. In accordance with 780 CMR, Section 107.0, most specifically 107.3.4 "Design Professional in Responsible Charge" and 107.6 "Construction Control" of the 8th edition of the Massachusetts State Buildiqg Code; I, Peter E. Lapointe Mass. Registration Number AR 5291 Expiration 08/13 being a registered professional Engineer /Architect hereby certify that: I am the Design Professional in Responsible Charge and that I am and shall be responsible for reviewing end coordinating submittal documents prepared by others, including phased submittal items, for compatebility with the design of the building and for compliance with the requirements of 780 CMR (Massathusetta State Building Code). In addition, I certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning the following: [ x] Entire Project [ ] Architectural [ 1 Structural [ ] Mechanical [ ] Fire Protection [ J Electrical I J Other (specify) for the above named project and that 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, I understand and AGREE that I (or my designee) 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 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 the contractor in accordance with the requirements of the construction documents. 2.) Perform the duties for registered design 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 field /progress reports together with pertinent comments, in a form acceptable to the building official, as well as a "Phased Approval Document" when/as required by the Building Official. Upon completion of the work, I shall submit to the building official a "Final Construction Approval Decumene as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: ' . The Commonwealth of Massachusetts Department of Industrial Accidents -- Office of Investigations 600 Washington Street — f Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): _ Address: City /State /Zip: Phone #: 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. El I am a sole proprietor or partner- listed on the attached sheet. 7. 74 Remodeling ship and have no employees These sub - contractors have 8. [1] 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. El I am a homeowner doing all work officers have exercised their 11. 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. ❑ 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 under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone #: 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 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4( \ I, ...... �.� �C , as Owner of the subject property hereby authorize. _. _..- :..... r act . m .ehalf ' all ma - : • - to work authorized by this budding permit application. ( **Tin of Owner Date , 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 ❑ fit? \-d E st r wtt �t cs CO Name of License Holder. `- -..-.- �.�._�.,.,�_.�.1 ..�..._�_. �. _ �_ _._ - ,......,..�..... _._.�._,.� _ a Am.., . Wn, ._ .. License Number Address Expiration Date Signature u Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (MG.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 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 CMR116 (CONTAINING MORE THAN 35,000 C.F. OF'EN ,LOSER SPACE) 9.1 Registered Architect: Not Applicable ❑ OIt __ _ _____.._. Name (Registrant): __ -- f �--n- ..J l 9IQI - Registration Number _ Address _. 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 ....___ __^ _ R 9istration Number I Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number 1 Signature Telephone Expiration Date 9.3 General Contractor _...,.. „At, 4.!�.,. .. __ ... ._m Not Applicable ❑ Company Name: IP o 3::cr-c,, ...._......._ o T .__ ___._ ____ Responsible In harge of Construction -- 111,,,,,,„e41,474 Address Signature Telephone tze tz 5e5 ( a ,1 4. f/ 4'L i., for . 5 - 0 3 , - 7 7 ...-) 6 a ?,..5----- Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON.ZONING Existing Proposed Required by Zoning , I re column to filled in by Building Department Lot Size ., _ .. ___ _ �_ _.: _ _ ..._.. Frontage Setbacks Front ' i A Side L : _ R: L:. : R: _ . Rear _____. s Building Height Bldg. Square Footage 1— — i % ? '-----7 Open Space Footage % (Lot area minus bldg & paved ......_.......i ......_..........._......_.......i j ,.,... t. _.a_ parking) .�. # of Parking Spaces Fill: (volume & Location) ______w.. .__.... x A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW fit YES 0 IFYES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ' I Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: _ C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: 4 - -2 - k I ST) INICfi— D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO PO 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 (.) NO Ol® 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 . ..",s- Interior Alterations lit Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building [ j' ic: J Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description ; Enter a brief description here. Of Proposed Work - 2 • 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 n 2A ❑ E Educational ❑ 2B " r ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ __ . 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential 121. R -1 ❑ R -2 Ii?] R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B I ❑ - U Utility ❑ Specify: i _ ° . M Mixed Use Et Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING ' UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE . _. _ ... _ emu_ . .._� Existing Use Group: Group . _ _ _ Proposed Use Group: 1 ' ___ 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 N o e r,i.i c../-€ .. Floor Area per Floor (sf) 1 51 .. I 5 ...... __..._ ._ , 1 st . .. . ._._ _ 2 nd { 2nd B i - ........ _. ._._ 3rd 3 i c' 3rd . .. 4 n ___ ... ._. _. 4th _____ _____ ___.. w Total Area (sf) 9 4 j , Total Proposed New Construction (sf_ _ Total Height (ft) B,, Siu 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 Municipal On site disposal system Version1.7 Commercial Building Permit May 15, 2000 ?`" 11210 ! ellt use ott[ R ECEIVED City of Northampton ., h m t Building Department ve a r; 62012 � � a � � a �ratf a�i t tt y !, � �� 212 Main Street Se - ,047,61.i, Room 100 r el Atfatla ®t ��4 � � Northampton, MA 01060 t p ct ba 4 : phone 4 13- 587 -1240 Fax 413- 587 -1272 tlot/S 1 Ftans * , � .u� N ...�,� .�.g. „.,......., 1t* . fie... 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 ' r o PL-E p 9 431- , Map Lot Unit N 0► - 11` A(1 A ( D) 0 ( Zone Overlay District / _._._...... —_.__.-- - _ . _ - ..._ ---- , .... ...'; St: District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: _ Name (Print) Curre t Mailing Address: Signature` / Telephone 2.2 Authorized Agent Aut : V!(e,nd 16 Q.lt�r - yn.t.._.. - n o orc 30 ” Name (Print) Current Mailing Address _ Signature 0 I 0 , /, 1 .0 ,* '' / 1 , . Telephone 5e as 4` o 4% SECTION 3 - ESTIMATED ONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building C710 o (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 1/ TOO Construction from (6) _ __..._. _ .__.._._.. 3. Plumbing = Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) ' p 00 Check Number 6`'' This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector: of Buildings Date File # BP- 2013 -0672 APPLICANT /CONTACT PERSON BELLE CONTRACTING INC ADDRESS/PHONE P 0 BOX 305 MENDON (508) 478 -8885 PROPERTY LOCATION 96 PLEASANT ST MAP 32C PARCEL 046 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / 2 a / 0 Fee Paid (f� V ` /) to _ t � 0 Typeof Construction: CREATE 3 ROOMS IN OPEN TENANT SPACE 5P R1� O_ IL- Pt 4 t New Construction F Q '. l . t o v C Q n,i () 'f (-Le, (L TO Non Structural interior renovations Addition to Existing F I N 1ti (M.1 `> G' C Accessory Structure Building Plans Included: Owner/ Statement or License 66709 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF f2MATION PRESENTED: i7 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 Signa re of Building Official Date rr 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. 96 PLEASANT ST BP- 2013 -0672 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 046 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: renovation BUILDING PERMIT Permit # BP- 2013 -0672 Project # JS- 2013- 001112 Est. Cost: $10000.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BELLE CONTRACTING INC 66709 Lot Size(sq. ft.): 7056.72 Owner: HAP INC Zoning: CB(100)/ Applicant: BELLE CONTRACTING INC AT: 96 PLEASANT ST Applicant Address: Phone: Insurance: P 0 BOX 305 (508) 478 -8885 MENDONMA01756 ISSUED ON:12/28/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CREATE 3 ROOMS IN OPEN TENANT SPACE: SPRINKLER PERMIT AND FIRE DEPARTMENT SIGNOFF REQUIRED PRIOR TO FINAL INSPECTION 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 12/28/2012 0:00:00 $60.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck - Building Commissioner