31B-311 (18) NORTHAMPTON PUBLIC SCHOOLS
212 Main Street Room 200 Northampton,MA 01060-3112
Telephone(413)587-1331
FAX(413)587-1318 TDD (413)587-1373
SCHOOL COMMITTEE ISABELINA RODRIGUEZ-BABCOCK Ed.D.
Honorable Mary Clare Higgins,Mayor SUPERINTENDENT
Michael Flynn
Katherine Foote Newman
Lise Glading-DiLorenzo,M.D. SUSAN WRIGHT
Lucy Hartry BUSINESS MANAGER
Edward Zuchowski
Davina Miller
Margaret(Teddy)Milne
Lisa L. Minnick
Stephanie Pick
NORTHAMPTON PUBLIC SCHOOLS
212 Main Street Room 200 Northampton,MA 01060-3112
Telephone(413) 587-1331
FAX(413)587-1318 TDD (413) 587-1373
SCHOOL COMMITTEE ISABELINA RODRIGUEZ-BABCOCK Ed.D.
Honorable Mary Clare Higgins,Mayor SUPERINTENDENT
Michael Flynn
Katherine Foote Newman
Lise Glading-DiLorenzo,M D SUSAN WRIGHT
Lucy Harry BUSINESS MANAGER
Edward Zuchowski
Davina Miller
Margaret(Teddy)Milne
Lisa L. Minnick
Stephanie Pick
October 15, 2008
Tony Patillo
Building Commissioner
City of Northampton
212 Main St.
Northampton, MA 01060
Dear Tony:
I am writing to confirm that the James House Literacy Center infant toddler playspace/family literacy program will
be supervised and operated by Northampton Public Schools staff. Parents will be in adult education classes in the
building while the children are in the playspace. Therefore, the program will be exempt from licensing by the MA
Department of Early Education and Care.
Please let me know if you need additional information.
Sincerely,
Barbara Black
Early Childhood Coordinator
Cc:
Isabelina Rodriguez, Superintendent
Craig Jurgensen, Director of Pupil Services
Susan Wright, Business Manager
Terry Anderson, Economic Development Director
Jim Ayres, Center for New Americans
10/10/2008 02:07 4135850908 CENTER FOR NEW AMER PAGE 01/01
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• ::tetvfiig'*PiigrejOic,•, . October 10,2008
•::wttk 00it?d n,U in .
A»ili r5ityot 0;and Dear Mr. Patillo,
• • •. '• • . • 1 am writing this letter at the request of Teri Anderson of the Mayor's Office
• • for Economic Development to provide clarification about childcare services to
•Btiirra!6J'Pirectoi* be offered at the James House.
••.:Stc4eii Bildti:.
•Patti Pitinhut r '. • This letter serves to confirm that childcare services to be provided at the James
S14.64Sgdlr t7'%'On . House,under funding through the Community Foundation of Western•'''••Tra"11k$V Massachusetts,will be available only to children whose
Ron:Weavet• y parents are on site for
Weiloti ri classes or other educational activities. In the event that parents will be off site
• for any reason or for any length of time,(field trips,etc.)they will have to
tzebwity ;Dieeror arrange for other care for their children.
•Ja»res•-fAyPPs,' . •
' SO!j Pr∎ivra I •':
If you have other questions or concerns, you may feel free to contact me.
.
,Coo ditatrtor,are retaclrer
likple•.+Giaycs: Sincerely,
Caoro'theator ;• :
Scar1•N�srton, •.
`.. es Ayres,
5r4I'pitrt'5r1es i�
a'., Executive Director ADD ,6ordt»drtir:
• Maureen: Mahn
.
;i7144Vit'Sntitfti'.str'ct '. : '
St lliviiii Square: ' .
Suite 3.11 •
Nort mpton,.I tA,'t11 oho•
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' >(413)'387 40M . .•
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414011 City of Northampton, Massachusetts
r41-7 Central Services
Memorial Hall, 240 Main Street
Northampton, MA 01060
David Pomerantz (413)587-1238 Fax: (413)587-1248
Director of Central Services
To: Louis Hasbrouck
From: David Pomerantz Q%(
NO8
%
Date: October 6, 2008
Re: James House Renovations
Attached is a building and demo permit for Phase I work at James House. I'll provide
construction supervision for the demo work and we'll install the new handrail and Plexiglas
on the stairs, and build the soundproof wall.
Let me know if you have any questions.
P , The Commonwealth of Massachusetts Department of Industrial Accidents
Office of Investigations
600 Washing ton Street
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):
4. I am a general contractor and I
1.El I am a employer with 6. D New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner-
on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub contractors have 8. Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers' comp. insurance comp. insurance.t
required.]
5. 0 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
13. Other
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box nl 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)6
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, `1r T7(I -1, - )l )1"')(1 ) Cr ► L, StnacE. . -- as Owner of the subject property
here, authorize to
act o be .1 in al • a t-rs relative to work authorized by this building permit application.
I ilk\ ■ k I 0,0cOY
Signat I •\' l Date
q� ,fin rye __. ..... ._._.. „
I, ,A ∎♦ _ ..vC.,.4`r't.1L, )�leilci1a'4*-)-..0 s JJ)c15_s.. ... , 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.
Pi sk ,
Sig .tut 7 er/ATnt Date
SEC! ION 12-CON',-UCTION SERVICES
10.1 L ,en.ed Const . tion Supervisor: Not Applicable ❑
Name of License Holder: ...w C,/ .OS 4- 1(). .. .... .� � . . w . .., .. . _ „ _..
License Number
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 per '
Signed Affidavit Attached Yes 0 No
�' W 115,6 'VR,MO1 t-ici mcsi rc A b 00,,,b1 N r!Nec? k--
)Nkf) lawpra
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
Frontage
Setbacks Front
Side
Rear
Building Height
Bldg. Square Footage
Open Space Footage ° ~•~
(Lot area minus bldg&paved
_
,._
parking) � .,�._ _,e..,. ��.
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document#`
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW (-) 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:
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:
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 Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
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:
Not Applicable ❑
Name(Registrant):
Registration Number
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 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
Address
Signature Telephone
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 Demolition❑ Repairs❑ Additions)67Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description Enter a brief description here.`7-$tej b JL C L1. W1(..S 1..-1 f1�ASTl ii-tc 1*4S'aQLL
Of Proposed Work: Q.A\(...../V A-, S"tu o why__ 'FAQ. '5400.10 -pittc,r1►,t9 of 1 - 5- Ls x1e_
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE _
A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business 2A ❑
E Educational ((((❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ I 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-i ❑ S-2 0 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
15
2nd 2nd
rd
4th
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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system
f
•
Version1.7 Commercial Building Permit May 15. 2000
Department use only
City of Northampton Status of Permit:
Building Department . .
Curb'Cut/Driveway Permit
- - '---- -. 212 Main Street .
Sewer/Septic Availability
Room 100 WaterNVell Availability
- 6 'DOB Northampton, MA 01060
Two Sets of Structural Plans
—1 phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify - „
APPLICATION TO CONSTRU&T--,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 Lot Unit
t\-1. 4e.11-VIC- r.(rVg<- Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
C)6‘4 (C 1-1 brt:ffIsktl`A C1-5 2* IlAit-kfl' .
Name(Print) t.1 TC‘Vcrti2Attr -)1 r,-te16(1") Current Mailing Address:
CA:-XCCA(.., .1141-01(15S 1-t0,.., 11. 0. AWK1I—t)W.. lik 010(P°
Signature IL A./r A Telephone 4-i .S1 r2"17)e)
2.2 Author! ' *
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 14 L.,, (a)Building Permit Fee
41V 60-,-- A;r6c,IA
2. Electrical -- ' (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
. , ... ....... , ,
4. Mechanical(HVAC)
5. Fire Protection , ...-
6. Total=(1 +2+3+4+5) -14 .C)1, Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/InsPector of Buildings Date
File#BP-2009-0380
APPLICANT/CONTACT PERSON CITY OF NORTHAMPTON CENTRAL SERVICES
ADDRESS/PHONE Memorial Hall NORTHAMPTON
PROPERTY LOCATION 42 GOTHIC ST
MAP 31B PARCEL 311 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildint Permit Filled out vi
Fee Paid ' d
Typeof Construction: DEMO BLOCK WALLS IN BASEMENT,INSTALL HANDRAIL&STUD WALL FOR
SOUNDPROOFING ON 1ST FLR
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
INFOVIATION 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
0 laoo
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.
BP-2009-0380
GIS#: COMMONWEALTH OF MASSACHUSETTS
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-2009-0380
Project# JS-2009-000436
Est. Cost: $500.00
Fee: $0.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CITY OF NORTHAMPTON CENTRAL SERVICES
Lot Size(sq. ft.): 16814.16 Owner: NORTHAMPTON CITY OF
Zoning: CB(100)/ Applicant: CITY OF NORTHAMPTON CENTRAL SERVICES
AT: 42 GOTHIC ST
Applicant Address: Phone: Insurance:
Memorial Hall
NORT HAM PTONMA01060 ISSUED ON:10/17/2008 0:00:00
TO PERFORM THE FOLLOWING WORK:DEMO BLOCK WALLS IN BASEMENT, INSTALL
HANDRAIL & STUD WALL FOR SOUNDPROOFING ON 1ST FLR
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 10/17/2008 0:00:00 $0.000
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo