32A-142 (6) WAREHOUSE MECHANICAL CONTRACTORS, INC. 1
A certified Service Disabled Veteran Owned Small Business
Sprinkler Contractors and Designers
Established 1980
April 13,2013
Northampton Building Department
Attention: Louis Hasbrouck
Re: The Hinge Restaurant-48 Main St.,Northampton,MA.
Gentlemen,
Warehouse Mechanical Contractor's,Inc.has been contracted to furnish and install the fire
sprinkler system at the above referenced project. Plans and calculations for the system will be
submitted, along with the permit fee and application,to the Northampton Fire Department on
Tuesday,April 16,2013. The backflow permit application,fee and backflow plan will also be
submitted on the 16th
Please call me at 413-536-9222 if you have any questions or need anything else.
Very truly yours,
Sir►n Lawrence
James Lawrence
Warehouse Mechanical Contractors, Inc.
•
342 Britton Street - Chicopee, MA. 01020
Tel. (413) 536-9222 FAX (413) 535-2486
MA. Lic. 2254 & RI. 329
Version1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 l L.' S t-t 4 `1)` , as Owner of the subject property
hereby authorize__tLae_1Lu11St_--- !`e Ck.L_q_L CAL- inaC -1(--3 5-- to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner a._ X ` Date L " , -I
I,--T a h ,as Own r/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.
Sig.-d der the pains a • p- alties of perjury.
Print Name _
T;I^ t'a� �>SG PL.�
_ )—( , .3
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: --'— -- --- — — — — --
License Number
SSE Spit >,r►Kcf4 Co NT (? ccd�e�
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
Version l.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
.
J/A-M( S Chad-- "A - - L,,,,,1,, gixeif o Gr/GN at/relcr
Name Area of Responsibility
- '` a-- 4- in—Sir_e f- C ill' cc E, HA 01 OAD
Address Registration Number
` /3-7361.1
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
�. ave1DUk `1A
LC vS L L . v . V) Not Applicable ❑
Company Name:
---.)
Ism e-5. L rtacue
Responsible In Charge of Construction
r , tQ�_ r_ � - h is code-JV1 1 a
Address
`f'Y531 a_a --
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW 3 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NOS DON'T KNOW Q YES
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 NO 0
IF YES, describe size, type and location: 3` y 7 ` Me,k-cti "ei'VtirqrliCe,
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
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.
04/22/2013 15:27 FAX 4135352486 WAREHOUSE —a 002/002 —
Client-4k 19094 WARMS
ACORD,. CERTIFICATE OF LIABILITY INSURANCE 7/23/2012
THIS 6ERTIFICATE 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 6Y 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 le an ADDITIONAL INSURED,the pollcy(lasi-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 done not confer rights to the
certificate holder In HIM of such endoreement(e),
PRODUCER '----CORTACY Dorothy Dykes _
Wh)te.Jubinvllle Ins.Agency nP 413 538.8293
tA�ge a,am (NC,N 7413 538-5970
39 Lamb Street E-MAIL doro om
th d ubinvllle,c
0.0.130X 789 ADDgeS; y -
South Hadley,MA 01075 INSURER(S)AFFORDING COVERAGE NAIC
INSURER A;Greenwich Insurance Company 22322
INMMRMO INSURER e:MA Employers insurance 12865
Warehouse Mechanical Contractors Inc- 1NeuR6R c I Navigators Insurance Company 42307
342 Britton Street INSURER o;Safety Property&Casualty Ins 39454
Chicopee,MA 01020-4312 -. -∎
Neiman E; —
INSURER F: --� ■
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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,
IN R AWL SUER POLLIE��FFp0�T�:P LIMITS
I L , TYPE OF INSURANCE_ _INaR YWO I— POLICY NUMBER (MM)ODPY4YY) IMM(DOIYYYY]
A GENERAL UABILJTY RMG640010405 07/22/2012 07(2212013 EACH OCCURRENCE s1,000,000
-
OAMA(EjO�iENTEO
X COMMERCIAL GENERAL LIABILITY PPRREEMM1$$EEnn((ccee accuRanca] $100000
_ ]CLAIMS-MADE U OCCUR MED ESP(Any one Eynon) $5,000
X PERSONAL 6ADV INJURY 51,000,000
GENERAL AGGREGATE 52)000,000
GEM.AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO ,s 2,000,000
—I POLICY X JEGT 7 LOC ----- �L�,.-'----.�,,, .. ,._.-1—--^ 8 _
D AUTOMOBILE LIABILITY 5070102 07/22/2012 07/23/2013 i BeeI!EED$IRGLELIMIT Y's1,000,000
---,
ANY AUTO
—
BODILY INJURY(Per ocean) S
.�f ALL OWNED x SCHEDULED BODILY INJURY(Per eeSidenII S
AUTOS AUTOS
X MIRED AUTOS X AUTOS
(Pereadds uA
8
C UMBRELLA LIAR 1_ OCCUR NY12EXC1564771V 07122/2012 07/22/2013 EACH OCCURRENCE 55,000.000 -
X EXCESS UA6 X CLAIMS-MADE AGGREGATE _.$5,000.000
__ BED 1 RETENTION$ I S
B WORKERS COMPENSATION MCC2000316012012 07(2212012 07/2212013 X_TO YJ,AI IN-1.
AND EMPLOYERS'LIABILITY RV I_IM179 R
ANY PROPRIETOR/PARTNER/EXECUTIVE WEJ(ECUTIVL�Y'�N E.L.EACH ACCIDENT s500,000
OFFICER/MEMBER EXCLUDED? N N I A
(Melld.Iory In NH) EL DISEASE•EA EMPLOYEES 5500,000
If yyae deeaibe antler
DESaRIF''TIO,N OF OPERATION$below _�_ � .E,L.DISEASE-POLICY LIMIT 6500,000 —_1
A Professional RM0640010405 07/22/2012 07/22(2013 $2,500 Deductible
Design&Install $1,000,000
_ Errors&OmmIsslons Each Occurrence
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(AMA AGORD i01,Addition/I Remarks Schedule,II more epece I,required)
Project:Renovatlons(Rehabllitation of Riverbank Lofts 200 Riverside Ave.New Beford,MA Into 128 Apts
Acorn Management Co.,Inc,is included as an additional insured on the general Ilabilty via endts#CO 20
33(07104),GC 20 37(07/04)as required by written contract,and on the commercial auto via endts#SCA
002(12/07)copies attached
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
01908-2010 ACORD CORPORATION.All rights reserved,
ACORD 26(2010/05) 1 of 1 Thu ACORD name and logo are registered marks of ACORD
#S126401M12559 DFD
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS TI-IAN 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 El Change of Use❑ Other ]
Brief Description Enter a brief description here.
Of Proposed Work: I/I
D t'1‘b\14 # r_ IA CA I a 1- o L,
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly El A-1 ❑ A-2 CI El A-3 ❑ 1A I
A-4 ❑ A-5 ❑ 1 B ❑
B Business Et 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 0
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 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: 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 FId`bi-(sf)
.,`�. 1st
2nd
3rd ca„�
3 `rd
4th ,"'�
th
4
Total Area(sf) Total Proposed New Construction(s
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 rit Private ❑ Zone Outside Flood Zone Municipal gi On site disposal system
t ,
•
• vED Version1.7 Commercial Buildin?Permit Ma 15,2,00.0
Department use only
,to,3 City of Northampton Status of Permit:'
P22 Building Department CurbCut/DrivewayPermit____.T.._,__
212 Main Street Sewer/Septic Availability_ '
or Bu LOiNO,NSF'ECT10NS Room 100 11Uater/Well Availabtlity -- �
DEpT or EUMpTON,MA 01060
Northampton, MA 01060 Two Sets of Structural Plans__-�-
phone 413-587-1240 Fax 413-587-1272 Plot/Site 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 .
This section to be completed by office
1.1 Property Address:
Map
O /11166 Y S 'e ems` Lot Unit p A 0 l U (O C Zone Overlay District(it WI Vl Ni
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
1 u 5 H i ti f Y 1 - >`� t, 7
Name(Print) Current Mailing Address:
---.. .._ 6' L 01) t_L Cif:-yl 1
- ,7:,
Telephone hone Z
Signatures ._ �--- '' p ci 17 7._) i 7 l
2.2 Authorized Agent: p
lr, ar / u �s. ' f b iiop1.Q. ]tri^u-@. des o((� ..
Name(Print Current Mailing Address:
�jv� � 9!17 - ai�17 • ayyy
Signature 4 ` F ° �.f Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
`_ Electrical (b)Estimated Total Cost of
.... I 2LJ/ V 'l C
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number ..5-9 7 4-0 0
This Section For Official Use Only
Building Permit Number Date
Issued
I
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2013-0982 F I(LE
APPLICANT/CONTACT PERSON WAREHOUSE MECHANICAL CONTRACTORS INC
ADDRESS/PHONE 342 BRITTON ST CHICOPEE (413)536-9222
PROPERTY LOCATION 48 MAIN ST
MAP 32A PARCEL 142 001 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
Fee Paid l5g017 S I oL
Typeof Construction: INSTALL SPRINKLER SYSTEM F A F QT P6 R'tm Q
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED:
V Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
Demolition Delay
(-2-9
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.
48 MAIN ST BP-2013-0982
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32A- 142 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-2013-0982
Project# JS-2013-000168
Est.Cost: $20000.00
Fee: $120.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WAREHOUSE MECHANICAL CONTRACTORS INC
Lot Size(sq.ft.): 2003.76 Owner: AUSSANT BRIAN
Zoning: CB(100)/ Applicant: WAREHOUSE MECHANICAL CONTRACTORS INC
AT: 48 MAIN ST
Applicant Address: Phone: Insurance:
342 BRITTON ST (413) 536-9222 WC
CHI COPEEMA01020 ISSUED ON:4/25/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SPRINKLER SYSTEM
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 4/25/2013 0:00:00 $120.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner