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25A-185 (7) -Brent Brent R. Sutter, PE Project Manager/Vice President Woodard & Curran, Inc. 980 Washington Street, Suite 325 Dedham, MA 02026 Phone: 781-251-0200 ext. 2430 Fax: 781-251-0847 bsutter(a�woodardcurran.com www.woodardcurran.com WOODAR &CURRAN (City of Northampton E-mail is a public record except when it falls under one of the specific statutory exemptions. ) 2 Prentiss, Mallory From: Louis Hasbrouck <lhasbrouck @northamptonma.gov> Sent: Wednesday, May 15, 2013 4:55 PM To: Brent Sutter Subject: Re: Building Permit for Coca-Cola Northampton Brent, That sounds fine to me; fees based on foundation only and your sign off for the foundation portion of the project.. I didn't read far enough to realize that the permit was just for the foundation. Also, Doug McDonald (storm water) told me that he is set and I can issue the permit. Let me know if you have any other questions. Louis Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax On Wed, May 15, 2013 at 4:40 PM, Brent Sutter<bsutter@woodardcurran.com>wrote: Mr. Hasbrouck, I received the building permit back that contained your comments and wanted to talk to you about Section 9. We don't have a registered architect on this project, this is a pre-engineered building that is being supplied and the building drawings will be stamped by the building manufacturer and the PE stamped foundation drawings (prepared by Woodard & Curran) were submitted to you with the permit. As such, instead of signing under Section 9.1 I would like to sign under Section 9.2 as the Registered Professional Engineer responsible for the overall project. Is that acceptable? Also, the building permit is intended to be specific to the concrete foundations only, and our intent is to have the building erector pull a separate permit for the building erection at a later date. As such, I would like to provide the cost for the building foundation under Item 1 as the only cost under this permit. Under the next permit I will add the building cost and Items 2 through 5 and pay the permit fee associated with those costs at that time. Is that acceptable? Thank you, 1 City of Northampton '`� ,*' Massachusetts h"' :1. t`'<<:. `7 y1 t� `� DEPARTMENT OF BUILDING INSPECTIONS ` .�.+ W; ' 212 Main Street • Municipal Building 5�� ` {'66- �r ,� ' ms' Northampton, MA 01060 mss,hi ;fit,- INS PECTOR Louis Hasbrouck Fax:413-587-1272 Chuck Miller Building Commissioner Phone:413-587-1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers/Architects responsible for Entire Project) Project Title: Wastewater Treatment System Modifications Date: May 8,2013 Project Location:45 Industrial Drive,Northampton,MA Map: 25A Parcel: 185 Zone: GI Scope of Project: Construction of Building and Tank Foundations In accordance with the Eighth edition Massachusetts State Building Code,780 CMR Section 107.6: I, Brent Sutter Mass. Registration# 41587 , Being a registered professional Engineer/Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: N ENTIRE PROJECT 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 and shall be responsible for the following as specified in Section 10.7.6.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction 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 matter 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. N OF AM,gs, I BRENT R. ti Signature and Seal of Registered Professional * S(J1T'ER r 0 CIVIL ----p...../ No.41587 ibo 9�GI3'f 8th Day of May 2013 �FSSlpNAt. (seal t ., The Commonwealth of Massachusetts Print Form Department of Industrial Accidents — 1 Office of Investigations r_ 1 Congress Street, Suite 100 € 7-11 0_ Boston,MA 02114-2017 �r�.,;;, a / www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: i,', j-!. L0//;T� 6-%0f-DT20c r icy` - , - 1 c_ Address: // ,J-i eAt . City/State/Zip: /)J,5 * , 704 c,'3o1 Phone #: -:5-e .-,P 3 - :.:3;-: ,3- Are you an employer?Check the appropriate box: Business Type(required): 1.14 I am a employer with C j -J- employees(full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate, auto, etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4), and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]** 11.0 Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.[ ] Other (L -_'_.:i a2C.1 c Tic,p.; 6='(— *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: "7/1q i)E76fL`„) 1 )Fa141d i i>/ (r) . Insurer's Address: / --6« AI/42F- City/State/Zip: /-/ipl<'il-OOD,. (e (76/Y3 Policy#or Self-ins. Lic.# 0-la' L16 , d(-' 6A I23 / 'J Expiration Date: 9I'-/-/3 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder th pains and penalties of perjury that the information provided above is true and correct. Signature. / Date: I-D/ i -.1 Phone#: �Z�Fk, _ p&p,- 1 '/F� Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone#: www.mass.gov/dia Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r ,as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date I, ��c Cain (<c r c ANN—v.1$ / 0 t,n t‘,,, O I 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. Sign _ )nder the pains andkenalties of perjury. L� .� '- Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: rte Not Applicable ❑ Name of License Holder: CNta ` lG v i GA- r S - C7 1 1 License Number 2 "Tat.cfr,, "`" et ne.. toes-4., "--k 1 cuss 0 io g s 4 Z 3 - t S Address Expiration Date .)(7aw Litz -&sag - S 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 (P/' No 0 Version 1.7 Commercial Building Permit May 15,2000 ---1 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) 7 9.1 Registered Architect: j Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name �� Area of Responsibility AAA 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 i Address Registration Number Signature Telephone Expiration Date .3 General Contractor ? `-,vS F'+€O A C.\.+ 9.4,..tJ \1.1t._,. . i Not Applicable❑ Company Name: Responsible In Charge of Construction ham ■ , �4� W if 4Z r-s "5 7-, -k) ! !\1 /`r� ' Address -`' --°'° `Ai —4-4 t- ,}..03 lure Telephone Version).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 1 1 Frontage 1 I I I 1. Setbacks Front 1 I 1 1` i R:I I f Side L:1 _ ( R:, 1 L:.. Rear 1 I I i I Building Height I 1 I i Bldg.Square Footage t , [ t % 1 i I I Open Space Footage % i I (Lot area minus bldg&paved I__ I I 1 parking) #of Parking Spaces I 1 ( 1 Fill: f i 1 (volume&Location) I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 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 j Page, 1 and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 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 l 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 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 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 0 Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ xisting Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description nter a brief description here. C'' TM'S .VC ap./ (5:- to NC-Zit k'-0''43 r.,tu5 Of Proposed Wor I crizA,Nt ,).1 no Sc. W r-65' wfl1"6f'--. - "r►'` t1–=i- ?).JtLA),i...tc tcoV_qurktc}izr5 SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 0 1A ( ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 0 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):1 I 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" 1s` ( 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 0 Private 0 Zone! Outside Flood Zone❑ Municipal ❑ On site disposal system 0 '` Version1.7 Commercial Building Permit May 15,2000 EC __! Department use only City of Northampton Status of Permit: MAY 2 Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability ,.,y Room 100 Water/Well Availability pEPT o MAOj0 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 1.1 Property Address: This section to be completed by office r / / 4- ' I Map Lot Unit j Of I Zone Overlay District ' Elm St.District CB District { SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: (ccr., (sz■°i Weti.o.)„,.J1 ►D„„,t Li I,r,,) I it j-„,‘,04,-,, 1 Dri,le1'VI AL,._J,.. /'l !) nfut; Name(Print) Current Mailing Address: L413 . 5e2. - C543 Signature 0 1,i— " — Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: () Signature -(.--- .r'1-r' Telephone ECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only \ completed by permit applicant 1. Building ` Zo` (a)Building Permit Fee , 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing f Building Permit Fee 4. Mechanical(HVAC) . i I 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number q5c)10 0 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2013-1131 APPLICANT/CONTACT PERSON WOODARD&CURRAN ADDRESS/PHONE 980 WASHINGTON ST DEDHAM (781)251-0200 PROPERTY LOCATION 45 INDUSTRIAL DR MAP 25A PARCEL 185 001 ZONE GI(101)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out '-,4''v Fee Paid /� Typeof Construction: CONSTRUCT 2,300 SF ADDITION WASTEWATER TREATMENT BLDG&TANK FOUNDATIONS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: c/Le3.4L Owner/Statement or License 74779 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INIRMATION 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 S °/ 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. 45 INDUSTRIAL DR BP-2013-1131 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A- 185 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: ADDITION BUILDING PERMIT Permit# BP-2013-1131 Project# JS-2013-001315 Est.Cost: $120000.00 Fee: $460.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WOODARD & CURRAN 41587 Lot Size(sq.ft.): 948344.76 Owner: COCA COLA COMPANY THE ATTN: KYLE CARUTHERS Zoning: GI(101)/ Applicant: WOODARD & CURRAN AT: 45 INDUSTRIAL DR Applicant Address: Phone: Insurance: 980 WASHINGTON ST (781) 251-0200 WC DEDHAMMA02026 ISSUED ON:5/30/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:2,300 SF ADDITION BLDG & TANK FOUNDATIONS 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 5/30/2013 0:00:00 $460.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner