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31A-324 (3) 6/30/2014 City of Northampton Mail-Authorization for work at President's House,Smith College Authorization for work at President's House, Smith College John Climie <jclimie @smith.edu> Mon, Jun 30, 2014 at 9:23 AM To: Ihasbrouck @northamptonma.gov Hi Louis, T.J. Conway does have authorization for the heating system renovation at the President's House per our contract with Conway. If you need a our letter head for your files, just let me know and I'll get it to you. Thanks, John Climie Mgr., Mechanical Trades Smith College https://maiI.goog le.corrJmaiI/ca/u/0/?ui=2&ik=ec5fl9a57e&\Ae\&=pt&search=inbox&th=146ecflae32a5f89&sird=146ecflae32a5f89 1/1 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 I, 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, 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 ❑ Name of License Holder �hanAs C'r,�`4 f tA- 0I V S 5 0 License Number 2(e �rogr�S3 /emu-e,� S 'r%,r5�, l-1 IWA 1( / 1$/ 'Zo 1 5 Address Expiration Date 732 Signature Telephone SECTI N 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 O No 0 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): fiNi CA c- Name Area of Responsibility Address Registration Number 6130116 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 I 4,U 10 PA C G N v1n Not Applicable ❑ Company Name: Responsible In Charge of Construction -rO co��y Address 9A rAE Signature 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 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 ® DON'T KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES Q 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 © NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O 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 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 ❑ 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. Heating system renovations Of Proposed Work: 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 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 213 I ✓❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 313 ❑ M Mercantile ❑ 4 ❑ R Residential R-1 0 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) 151 3,752 St 2nd 3,752 2"d 3rd 1,740 3rd 4th 4th Total Area(sf) 9,208 Total Proposed New Construction(sf) Total Height(ft) 26 Total Height It 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 E] Municipal ❑ On site disposal system[] Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: JUN 2 4 Building Department Curb Cut/Driveway Permit - I 212 Main Street Sewer/Septic Availability tectr;c,Ptu Room 100 Water/Well Availability R'p"' ortham ton, MA 01060 Two Sets of Structural Plans Ncrth�:mptrt `vr=f�eCtiOr18 p 13-587-1240 Fax 413-587-1272 PloVSite 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 Smith College-Presidents House Map 3M Lot 0� / unit 8 College Lane Northampton Ma. zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Trustees of Smith College 126 West street, Northampton, Ma Name(Print) Current Mailing Address: 585-2400 Signature Telephone 2.2 Authorized Agent: TJ Conway Co. / ��,i o �/�„s�G 26 Progress Ave., Springfgield, Ma Name(Print) Current Mailing Address: 732-5131 Signature A Telephone SECTION 3-ES ATED CO STRUC ION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $12,500.00 (a) Building Permit Fee $2,327.44 2. Electrical $13,800.00 (b) Estimated Total Cost of $387,900.00 Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection $361,600.00 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-1403 APPLICANT/CONTACT PERSON T J CONWAY CO ADDRESS/PHONE 26 PROGRESS AVE SPRINGFIELD (413)732-5131 PROPERTY LOCATION PRESIDENT'S HOUSE-8 PARADISE RD MAP 31A PARCEL 324 001 ZONE EU(106)/URC(85)/RR(21)/WP(21)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction:_HEATING SYSTEM RENOVATIONS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan F4 t"G j rZ,,r THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9R.MATION 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 /44 1 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. PRESIDENT'S HOUSE-8 PARADISE RD BP-2014-1403 GIs#: COMMONWEALTH OF MASSACHUSETTS MU:Block: 31A-324 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-2014-1403 Project# JS-2014-002373 Est. Cost: $387900.00 Fee: $2327.44 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: T J CONWAY CO Lot Size(sq. ft.): Owner: Smith College Zoning: EU(106)/URC(85)/RR(21)/WP(21)/ Applicant. T J CONWAY CO AT. PRESIDENT'S HOUSE - 8 PARADISE RD Applicant Address: Phone: Insurance: 26 PROGRESS AVE (413) 732-5131 SPRINGFIELDMA01104 ISSUED ON.613012014 0:00:00 TO PERFORM THE FOLLOWING WORK.HEATING SYSTEM RENOVATIONS 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 6/30/2014 0:00:00 $2327.44 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner