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24D-070 (5) City of Northampton of'. TO: i Massachusetts �?`- :!1 •om•; *ii t !t *' j �: !�• DEPARTIWNT OF BUILDING INSPECTIONS ; At °w : `' 212 Main Street • Municipal Building tiv`� ai '� �" Northampton, MA 01060 'rs �•N°c INSPECTOR Louis Hasbrouck Fax: 413-587-1272 Chuck Miller Building Commissioner Phone:413-587-1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional EngineerslArchitects responsible for Entire Project) Project Title: Great Clips - Shell Fitout Date: 6/7/2013 Project Location: 238 King Street, Northampton MA Map: Parcel: Zone: Scope of Project: Interior modifications for"warm shell" space. Minor modifications to exterior. In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: i, Jeffrey J. Wyszynski, AIA, RA, NCARB Mass. Registration# 10681 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: The Architectural Portion 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. , or members of my staff under my direct supervision Furthermore, I understand and AGREE that l 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. , �� Apo '1 y, 4` Sigri: ure . meal = Registered Professional ys����No.10681 ;r4g �' Clii �[f �� oy� i41A:y/��l to,.f �1�..a 20 <,' 4 o �� n'OF\ / eal} Initial Construction Control 1r= Document To be submitted with the building permit application by a Registered • Design Professional for work per the 8th r *�1,V edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Great Clips Date: June 6, 2013 Property Address: 238 King Street, Northampton, Massachusetts Project: Check(x)one or both as applicable: New construction Existing Construction X Project description: Renovations to existing building for tenant fit-out I, Charles P.Sharpies, MA Registration Number: 28640,Expiration date: June 30,2014 , am a registered design professional, and hereby certify to the best of my knowledge,information and belief,that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Entire Project Architectural Structural (X)Mechanical Fire Protection Electrical Other: for the above named project and that such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services in accordance with the Professional Standard of Care,and be present on the construction site on a regular and periodic basis to: 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.Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 approved construction documents and this code.The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures,and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or _ .�� electronic signature and seal: f ' CHARLES P. c SHARPLES Phone number: (413) 732-4336 Email: csharples@lindgrensharples.com z a 9 o 4 4/ -4 ,(7/',Tt la 1 I A�, 40 1J'Jf II Trial Version 10_09_2012 Initial Construction Control )_ Ir gy, Document To be submitted with the building permit application by a Registered "., • 4 Design Professional * for work per the 8`h edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Great Clips Date: June 6, 2013 Property Address: 238 King Street, Northampton, Massachusetts Project: Check(x) one or both as applicable: New construction Existing Construction X Project description: Renovations to existing building for tenant fit-out I,Mark W.Felgate,MA Registration Number: 47531,Expiration date: June 30,2014, am a registered design Iprofessional, and hereby certify to the best of my knowledge,information and belief,that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Entire Project Architectural Structural (X)Mechanical Fire Protection Electrical Other: for the above named project and that such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services in accordance with the Professional Standard of Care,and be present on the construction site on a regular and periodic basis to: 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.Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 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 approved construction documents and this code.The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means,methods,sequences and procedures,and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or OF ' 1. electronic signature and seal: , <q MAR<W. �''. FEl 'r.;-E Phone number: (413) 732-4336 Email: mfelgate @lindgrensharples.com .1 ELECT::CAL co . No.47531 I Trial Version 10_09_2012 CPBid: Bid Leveling: 787 North Hampton, Redemise Existing Retail, 2013 Page 3 of 3 0.00 23 State Tax 1.00 LS 0.00 0.00, 24 Overhead&Profit 1.00 LS 12,722.50 12,722.50 Input additional cost items here- Description is required Description Quantity Unit Unit Cost amaral revite Total AC 1 1 LS 0 0 + :Append additional cost items. (Optional) OVERHEAD COSTS TOTAL $25,222.50 COST_TOTALS PROJECT COSTS COST 169,375.00 OVERHEAD COSTS COST 25,222.50 — — TOTAL PROPOSED COST—$1E- 194,597.50 PROPOSED CALENDAR DAYS TO COMPLETE PROJECT 30 PROPOSED CHANGE ORDER FEE% 10 Rock to top https://www.cpbid.com/contract/contractor/bid-leveling.php?WPFGZJQHA9CFBUDH8HSW 5/13/2013 CPBid: Bid Leveling: 787 North Hampton, Redemise Existing Retail, 2013 Page 2 of 3 2 Concrete&Reinforcing 1.00 LS 12,500.00 12,500.00 3 Masonry 1.00 LS 1,550.00 1,550.00 4 Miscellaneous Steel 1.00 LS 8,100.00 8,100.00' 5 Rough Carpentry/Blocking 1.00 LS 1,500.00 1,500.00 6 Finish Carpentry 1.00 LS 0.00 0.00 7 Caulking 1.00 LS 0.00 0.00 Roofing 1.00 LS 3,350.00 3,350.00 9 Doors&Hardware 1.00 LS 1,500.00 1,500.00 10 Drywall&Framing 1.00 LS 24,000.00 24,000.00 11 Flooring 1.00 LS 850.00 850.00 of carpet has not been included 12 Painting 1.00 LS 1,650.00 1,650.00 13 Ceiling 1.00 LS 8,500.00 8,500.00 14 Specialties 1.00 LS 0.00 0.00 15 Fire Protection 1.00 LS 5,000.00 5,000.00 16 Plumbing 1.00 LS 23,350.00 23,350.00 HVA(.% 1.00 LS 15,500.00 15,500.00 ALLOWANCE as no proposed ductwork was shown on bid docuements 18 Electrical 1.00 LS 36,725.00 36,725.00 19 Fire Alarm 1.00 LS 2,500.00 2,500.00 Miscellaneous Work Items 1.00 LS 0.00 0.00 21 Storefront 1.00 LS 6,800.00 6,800.00, 22 Demolition 1.00 LS 12,500.00 12,500.00 Input additional cost items here- Description is required Description Quantity Unit Unit Cost amaral revite Total AC 2..1 OILS 0 0 + .Append additional cost items. (Optional) PROJECT COSTS TOTAL $169,375.00 OVERHEAD COSTS Construction Task Quantity Unit Unit Cost amaral revite Total 21 General Conditions& Supervision 1.00 LS 12,500.00 12,500.00 General Liability 1.00 LS 0.00 https://www.cpbid.com/contract/contractor/bid-leveling.php?WPFGZJQHA9CFBUDH8HSW 5/1 3/2013 CPBid: Bid Leveling: 787 North Hampton, Redemise Existing Retail, 2013 Page 1 of 3 Totalald Enter Keyword Go Bid Leveling Ahold USA Stop and Shop Cost Breakdown Sheet Bid Leveling Notes from owner: Please update the costs in this section. thank you. Plese re-evaluate existing bids and update to reflect Addendum re HVAC. Existing vacancy to receive BOTH RTUs. Existing ductwork to be properly capped. Provide NEW RTU to Great Clips, including distribution, tstat, curbs, supplemental steel, etc. per docs uploaded in Addendum notes. Re-Review Construction Exhibit to verify all of Landlord's requirements comply and are included in bids. Please inquire with A.Paulino for any clarifications. Signed: Jeff benevides on 05/13/13 at 12:31 pm Supporting Documents: (20MB limit) Project Name: 787 North Hampton, edentise Project ID: 787-2013-RE RD Existing Retail, 201 ;1 . Bidder: amaral revite Phone: 401-454-6867 Instructions to the Bidders • Click on any "Construction Task" to enter notes or comments for that line item. "Construction Tasks" in red indicate saved note or comment. • Quantities and Unit Costs highlighted in yellow indicate a deviation from the original bid. You can use the comparison report and compare the bidder vs. their leveled bid to view this deviation. 1. Only include Overhead and Profit on line item specified for that cost. Alternates No. Enter the percentage of your 1 proposed subs that qualify for minority status, i.e. 12%. PROJECT COSTS Construction Task Quantity Unit Unit Cost amaral revite Total 1 Building Permit 1.00 LS 3,500.00 3,500.00 https://www.cpbid.com/contract/contractor/bid-leveling.php?WPFGZJQHA9CFBUDH8HSW 5/13/2013 lYJAhold USA April 12, 2013 Mr. Chuck Miller P(Q,,v5 212 Main Street G Northampton, MA 01060 e e C�A a IV RE: 238 -306 King Street Northampton, MA Renovation of Existing 5880 sf retail Building permit application Dear Mr. Miller, Pursuant to our conversation on Tuesday, April 8, 2013, whereby we reviewed the information required to apply for a commercial building permit, enclosed please find a copy of the application and the permitted plans signed and sealed by the registered Architect. These plans are currently out for bidding. Once the project is awarded the General Contractor will be in contact with their license information, etc. Please feel free to contact me with any questions. Sincerely, `� Ana P. Paulino Asset Management Specialist Ahold USA 1385 Hancock St.,10th Floor Quincy,MA 02169-5103 United States .----1 ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) L I- 10/10/2012 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 HODLER. 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 James M Dolan CONTACT NAME: James M.Dolan 560 Mendon Road PHONE 401-333-4400 I FAx 401-333-5467(A/C.No,Extp. (A/C.No) Cumberland RI 028646215 ADDRESS. dolanj@nationwide.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED Amaral Revite Corp INSURER A. The Beacon Mutual Insurance Company 148 West River Street INSURER B INSURER C. INSURER D. Providence RI 029042615 INSURER E COVERAGES CERTIFICATE NUMBER: 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 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY �' EACH OCCURENCE 5 DAMAGE TO RENTED COMMERICAL GENERAL LIABILITY 5 PREMISES(Ea occurrence) CLAIMS-MADE ❑OCCUR MED EXP(Any one person) 5 PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGG(R�EGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY I JE LOC S I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S '(Ea accident) BODILY INJURY(Per person) S _ — ANY AUTO —SCHEDULED ALL OWNED _AUTOS BODILY INJURY(Per accident) 5 — AUTOS NON-OWNED I PROPERTY DAMAGE S AUTOS (Per accident) _ HIRED AUTOS — S UMBRELLA LIAB OCCUR EACH OCCURANCE EXCESS LIAB ^• CLAIMS-MADE AGGREGATE 5 — DED RETENTION S 5 WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORY/PARTNER/EXECUTIVE N/A 0000012412 10/1/2012 10/1/2013 E.L.EACH ACCIDENT $1,000,000 A OFFICE/MEMBER EXCLUDED? (Mandatory In NH) E .DISEASE- EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Construction Operation-VENDOR#01915 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 \,2_______...._ ©1988—2010 ACCORD CORPORATION. All rights reserved. ACORD 25(2010105) ©The ACORD name and logo are registered marks of ACCORD. Or.41 � a � kl i m § Et : E / \ \ o 0 n 2 I1IIJJP - ¢ ƒ = o K \ IN : -b_ n ° / \ 7§ \ k k \ \ 7 A. /_ G 7 § a 7V1 \ 0 \ w o- 0 R . i -0--z3 d} E c. L. o- � { / . w: w. Versionl.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: Jeffrey J. Wyszynski, AIA Not Applicable ❑ Name(Registrant): Tecton Architects, pc One Hartford Square West, Hartford, CT 06106 Registration Number Address 10681 860.548.0802 Expiration Date �l lr✓J 8/31/2013 Sign: Telephone 9.2 ' , tereT rofessional Engineer(s): 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction E Et/F�err- Xviookof 4-/ ,7"-4•0r-Vi= ��i✓E(/rQ,E 1 Address /G/Q Gt 4 s � - ST• �'S rlE -� PA,c,44�/!Os=Nc .E 0 2 g b y Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIE❑ (780 CMR 110.11) Independent Structural Engineering Structural Peer Re'-le❑ Re[uired lies 0 No 0 SECTION 11 -O❑NER AUTHORI❑ATION-TO BE COMPLETED ❑HEN O❑NERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I P Has [Hiller of the subect property hereby authori-e to act on my behalf[_Sn all matters relati[e to [orrauthori[ed by this building permit application[ Signature of[][]ner Date /' 411 4- I i C ❑as ❑❑n�r[Authori[ed Cpg ereby declare that the statements and information on the foregoing application are true and accurateuto the best of my I nor!ledge and belief] S Signed u rthe :-ins . • •-nalti-. ofperury[1 trint Name Signature of i I I Iner[Agent Date ' SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Constriction S❑Ler_isor: Not Applicable ❑ Na[]a of License Holder: • // ' 44 '1 L /M4 L /LG`V � /Y? w '7 /elE A. �T.J c S-'license Number icko role tics, 4.� 02-F ° y o Y7 7 yo Address Expiration Date � yon — Gy(-SY77 (..J Signature Telephone SECTION 13-❑OR❑ERS❑COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152, 11125C(6)) H or-Ors Compensation Insurance affidaLit must be completed and submitted Pith this application❑❑ailure to proLide this affidavit Hill result in the denial of the issuance of the building permit] Signed Affidavit Attached Lies 0 No 0 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 Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 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 ® YES 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 0 NO Q IF YES, describe size, type and location: Retail Storefront signage 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: Additional retail signs by future tenants 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 O NO O 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 MI Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other❑ Brief Description Redemise existing approximate 5960 sf premises and separate utilities for potential new retail. Of Proposed Work: Modify exterior building to provide proper egress. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ID A-2 ❑ A-3 El 1A I ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B F Factory ❑ F-1 El 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 5,880 1St 5,880 2nd 0 2�a 0 3rd 0 3rd 0 4th 0 4th Total Area(sf) 5,880 Total Proposed New Construction(sf) 5,880 Total Height(ft) 22 Total Height ft 22 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 El Municipal ❑ On site disposal system ID Versionl.7 Commercial B`ui1ddin:Pe, it,Ma 15,2000 RECEIVED ity of Northa ptonRECE'v El : us f Permit: Department use only uildin 9 De t me C rb C t/Drivewa a P � — Y Permit - APR 12 2013 212 Main St eet t MAY 1 2013 Se erl'eptic Availability Room 10 W•ter `ell Availability N hampton, M 01 Feu J,, , iNspEc ibNtt•Set of Structural Plans `' phorde-.443-587-1240 Fa 418- �d N MA°1''' ,'�+' � •■ i e 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 238 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: The Stop & Shop Supermarket Company LLC 1385 Hancock Street, Quincy, MA 02169 Name(Print) Current Mailing Address: (617) 770-8878 Signature Telephone 2.2 Authorized Agent: Jeff Morgn 1385 Hancock Street, Quincy, MA 02169 Name(Print) Current Mailing Address: , (617) 770-8878 Signature l / ti- Telephone SECTI(1 ES IM'TED C!,'4RUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building I +1 L 1 q j (a)Building Permit Fee 2. Electrical . ( (b)Estimated Total Cost of ��l"- Construction from(6) 3. Plumbing 2...93c0 Building Permit Fee t 4. Mechanical(HVAC) w o 5. Fire Protection / 6. Total=(1 +2+3+4+5) I `/c/G'C/ 0 Check Number J619°4 .� / 7 v This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date • -;a zs t1 if,C°° ) c p"! File#BP-2013-1101 APPLICANT/CONTACT PERSON AMARAL REVITE CORP ADDRESS/PHONE 161 ORMS ST PROVIDENCE (401)454-6867 1;1(7113 PROPERTY LOCATION 238 KING ST NEEDS E V(6W MAP 24D PARCEL 070 001 ZONE HB(100)/URA(0)/ THIS SECTION FOR OFFICIAL USE ONLY: (,Qld a GO IttI"" V114-1 ETC PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE -01 � ZONING FORM FILLED OUT 1 Fee Paid ^.. Building Permit Filled out /� `q ° AM Fee Paid ' ��113 Typeof Construction: DIVIDE FORMER VIDEO SPACE INTO TWO New Construction Cp 4�' Non Structural interior renovations 1 80 P6 Addition to Existing 5 I Accessory Structure Building Plans Included: 04 ) Owner/Statement or License 047740 J V NOD �D 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON f0 0"c Flt. INFOzRMATION PRESENTED: 0)3" 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 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. 238 KING ST BP-2013-1101 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D-070 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-2013-1101 Project# JS-2013-001824 Est. Cost: $195000.00 Fee: $1170.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AMARAL REVITE CORP 047740 Lot Size(sq. ft.): 330184.80 Owner: TARLIN LLOYD D&JACOB RABINOV ARTHUR L SHERIN&SIDNEY R RAB C/O STOP&SHOP SUPERMARK Zoning:HB(100)/URA(0)/ Applicant: AMARAL REVITE CORP AT: 238 KING ST Applicant Address: Phone: Insurance: 161 ORMS ST (401) 454-6867 Workers Compensation PROVIDENCE R102908 ISSUED ON:5/31/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: DIVIDE FORMER VIDEO SPACE INTO TWO SPACES 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 5/31/2013 0:00:00 $1170.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner