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42-089 (19) PROJECT LIST OF WORK • NEW ACRYLIC PANEL Work that needs to be completed: OIL TANK H2O PIT DEMOLITION ACRYLIC PANEL NEW SHELVES - Disconnect furnace wiring, isolate electrical EXG FURNACE ROAM NEW OFFICE - Remove Old OII furnace NEW SHELVES INSULATED -Gut inside: remove all insulation and other unwanted items, knock down a" o 10'-0" 4 interior walls surrounding oil furnace NEW -Tear out South wall—remove(inoperable) roiling door ACRYLIC PANEL - Remove dammaged gypsum wall material at old furnace rm -cut opening into large existing shed area aligned with existing door Metcalfe NEw GLASS NEW DOOR EXISTING DOOR 36" F ROOTI _ - 4 I Associates NEW SHELVES EXISTING PURLIN WALLS BETWEEN FRAME POLES p NEW CONSTRUCTION A R C H I T E C T V R E TO BE REPAIRED BY DOUBLING UP 2X6,2%8 WOOD INORDER TO FORM A NAILABLE FLAT PLANE FOR t - Patch East wall (landfill side)with metal&rivets EXG&NEY TABLES AND COUNTER INTERIOR WALL MATERIALS OF RECYCLED DOORS Q - Frame in North (build new wall from pressure-treated footer) &South 1 4 2 MAIN S T R E E T WALL BASE TO BE CLOSED OFF BY NEW CONCRETE M walls (pressure-treated plywood or other weather-resistant treatment for CURB 6X6 WITH REBAR CONTINUITY exterior) NORTHAMPTON. MASSACHUSETTS Install plywood on North, East&South walls to 8'(match existing on 4 13 586 5 7 7 5 & 695 8 2 0 0 West wall) Install double doors(no center jamb) iwm3�melcoltQ wcNil®ciUre.com NEW - Install heat detector(works below freezing) ACRYLIC.PANEL - Install commercial light fixtures(used ones are likely available) Paint interior&exterior north ELECTRIC PANEL EX ,S�E�E'J NEW FRAMED WALL WITH NE WINDO DOOR c� � ru t�\ DRAWING NAME ', 26 NORTHAMPTON Future Site of Northampton's ReCenter DEPARTMENT Former SWS office section of shed.Glendale Road Transfer Station OF PUBLIC fry itt ,„I+,wal,5 ', — WORKS TRANSFER y. q > STATION ,7147111 RENOVATIONS lr lmh F1 FLOOR �� WITH CLE OVERHEAD DOOR ACRYLIC SKYLIGHT CORRUGATED PANELS WLTM CLEAR ACRYLIC PANELS AT DAMAGED EXISTING CORRUGATED METAL EXTERIOR aAND E%ISTiNG FLAT PANELS ,- -PANELS• ELEVATIONS CUT EXISTING PANELS AT SILL WALL HT.TBD. µ}sr(kit)Xc North walls ten a . ua11s ' ❑❑❑�� Q DA 14 E -- i 06-12-2014 ELEVATIONS SOUTH 1 EAST �� i Wv%wall 011icc" 'wt ern exr�iryr _ 0' 2' 4' 6' lot 14�' �.u' PROJECT LIST OF WORK + NEW v Work that needs to be completed: OIL TANK H2O PtT ACRYLJC PANEL ACRYLIC PANEL DEMOLITION I EW SHELVES -Disconnect furnace wiring, isolate electrical XG FURNACE OOM NEW OFFICE -Remove old oil furnace NEW SHELVES INSULATED - Gut inside: remove all insulation and other unwanted items, knock down ° 1°'0 interior walls surrounding oil furnace I E_ NEW Tear out South wall—remove(inoperable)rolling door ACRYLIC PANEL -Remove dammaged gypsum wall material at old furnace rm -cut opening into large existing shed area aligned with existing door Metcalfe GLASS NEW DOOR EXISTING i DOOR 36" `J^f ROOM r Associates NEW SHELVES EXISTING PURLIN WALLS BETWEEN FRAME POLES p NEW CONSTRUCTION A R C H I T E C T V R E TO BE REPAIRED BY DOUBLING UP 2X6,2X8 WOOD INORDER TO FORM A NAILABLE FLAT PLANE FOR .1 -Patch East wall (landfill side)with metal&rivets EXG&NEY TABLES AND COUNTER INTERIOR WALL MATERIALS Of RECYCLED DOORS Q - Frame In North (build new wall from pressure-treated footer)&South 1 4 2 MAIN S T R E E T WALL BASE TO BE CLOSED OFF BY NEW CONCRETE M wails (pressure-treated plywood or other weather-resistant treatment for CURB 6X6 WITH REBAR CONTINUITY exterior) NpRTHAMPttJN. MASSACHUSETTS - Install plywood on North, East&South walls to 8'(match existing on 4 13 586 5775 & 695 8200 West wail) Install double doors(no center jamb) twm3Vmetcdfe-orch0®ctvte.com NEW - Install heat detector(works below freezing) ACRYLIC PANEL Install commercial light fixtures(used ones are likely available) Paint interior&exterior north ELECTRIC PANEL EX NEW FRAM D WALL WITH NEV INDO &DOOR W• F N y - - �,•'� J! DRA ING NAME A, 267_01/ NORTHAMPTON Future Site of Northampton's ReCenter DEPARTMENT Former SWS office section of shed.Olendale Road Transfer Station '� OF 1'nmtt&wtb�ratlt w PUBLIC WORKS z. AN FE R TR S -q. STATI O N 1 -6 RENOVATIONS �0FIL ._. FLOOR aL_ 1aL�laL_.._l PLAN D�l i��❑ REPAIRED OVERHEAD DOOR ACRYLIC SKYLIGHT CORRUGATED PANELS ll..___.. 11 WITH CLEAR ACRYLIC PANELS AT DAMAGED EXISTING CORRUGATED METAL EXTERIOR ❑��- �� AND EXISTING FLAT PANELS , `PANELS. ELEVATIONS -CUT EXISTING PANELS AT SILL WALL HT.TBD. WcSt(wltl�N<rclh wntls I�tmh lr8 & , 1 walls n B DA -14 E _ 06-12-2014 ELEVATIONS SOUTH EAST t 1_#14ist wall °(111icc" tiout wntcrn mrnef A 0' 2' 4' 6' 10' 14' ' %j The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations . 600 Washington Street Boston, AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/C on tractors/E I ectrician s/Plumb ers 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): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full.and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- _ listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition i [No workers' comp. insurance comp. nsurance.$ required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.,insurance required.] *Any applicant that checks box#1 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 anew 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 leadto 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#: =Other only. Do not write in this area,to be completed by city or town offrciaL - — n: - - _ Permit/License# thority(circle one):Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: 1 Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-,STRUCTURAL PEER REVIEW.(780 CMR1106 11) Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION 11 -OWNER AUTHORIZATION-TO`BE COMPLETED..WHEN OWNERS AGENT OR CONTRACTOR AP PLIES`FOR BUILDING PERMIT as Owner of the subject property hereby authorize:`.... ..._ ..._. .,_...___._. _ ,._.. ... w. ...w ... .............. . 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 z Print Name _. .._ ___._,___ _..............._ _,_ . .. _ ....., i Signature of Owner/Agent Date SECTION 12-CONSTRUCTION:SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:'....,. ... . .. _....._..v_ _, __ ......_. ...... License Number Address Expiration Date Signature Telephone SECTION 13-WORKERS'COMP.ENSATLON INSURANCE AFFIDAVIT(IVI 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 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN'AND CONSTRUCTIONSERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 1;16(CONTAINING MORE THAN 35;000 C.F.OF E (;LOSE©SPACE) 9.1 Registered Architect: ,..,.. �_..__..._._...__,..�.._.y.,.�..� _,...._._.,..._,_.�..�,.� _. ._._ � Not Applicable ❑ Name Registrant) i 5 Registration Number Addres yJ t ' Expiration Date ignatur Telephone 9.2 Reglistered Professional Engineer(s): Nam.e Area of Responsibility ........ .__..r _: Address Registration Number i Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone _ Expiration Date . ..__._: Name . __._..._ ,_._.._, __. _ _ _ _ _ -_ _ Area of Responsibility Address Registration Number i 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 r Version 1.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON,.ZONING Existing Proposed Required by Zoning . This column to e filled in by Building Department Lot Size I Frontage Setbacks Front _._. Side L R:?— Rear _._..._, _ ... Building Height 1 Bldg. Square Footage l_ % Open Space Footage - (Lot area minus bldg&paved 1 #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 C DONT KNOW 0 YES C) IF YES: enter Book Page`, and/or Document#? B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 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 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 4 1 Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN'35,OOD CUBIC FEET OF ENCLOSED SPACE �t IJ 0 Interior Alterations ❑ E] El El Existing.Wall Signs Demolition Repairs❑ Additions Accessory Building *r Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing El Change of Use❑ Other❑ Brief Description Enter a brief description here. +" Of Proposed Work:. Jas ` r✓ SECTION 5-USE GROUP AND:CONSTRUCTION TYPE':: L , USE GROUP(Check as applicable) CONSTRUCTIO PE 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 ❑ 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:t 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(so q; St ...,.,_. .,. ist 2nd 2nd ;._.._..w......._. 3 rd f _._..__. .. 3rd th ,......_...._..�...,._......_. _,..M....__..._.....,..._........w....._., - 4th _._.. ._,..... _ __..,... 4 Total Area (sf) Total Proposed New Construction(sf) Total Height(ft) I - - Total Height ft. 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood,Zone.,Information: 7.3 Sewage Disposal System: Public E] Private E] Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building.Permit May 15,2000 o Dr partme t use,only City of Northampton status of Permit �s�c0 ilding Department CuM'G.-uVDnyeway Pem1�f 212 Main Street Sewer/Septic;Avajlabtlrty Room 100 Wate/VUell AvaUabihty Northampton, MA 01060 Twq,Sets of Structural ,ans e 413-587-1240 Fax 413-587-1272 Plot/Site Plans '�'� � Other.Specify: AP <�� ONSTRUCT,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 o -'� 3 Map Lot Unit Zone Overlay District i St:District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Pri nt) f Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signat Telephone SEC ION 3` TED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use.Only completed by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical (b).Estimated Total:Cost of 3 :Construction from 6 3. Plumbing i Building Permit Fee 4. Mechanical(HVAC) _ .,,,...__ .._..... _., 5. Fire Protection 6. Total=0 +2+3+4+5) 2 57&7-9 Check Number This_Section For Official Use Only Building Permit Number Date Issued Signature:_ Building Commissioner/Inspector.of Buildings Date File#BP-2015-0072 APPLICANT/CONTACT PERSON TRISTAM W METCALFE ADDRESSIPHONE 142 Main St NORTHAMPTON (413)586-5775 PROPERTY LOCATION 170 GLENDALE RD MAP 42 PARCEL 089 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REBUILD DAMAGED WALLS,ADD DOORS/WINDOWS&OFFICE-TRANSFER STATION New Construction Non Structural interior renovations Addition to Existin 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 INF911MATION 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 7/7 `Lf 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. 170 GLENDALE RD BP-2015-0072 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 42-089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INTERIOR DEMOLITION BUILDING PERMIT Permit# BP-2015-0072 Project# JS-2014-002234 Est.Cost: $2500.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sa. ft.): 2265120.00 Owner: NORTHAMPTON CITY OF LEACHATE TREATMENT FACILITY zonine: Applicant. TRISTAM W METCALFE AT. 170 GLENDALE RD Applicant Address: Phone: Insurance: 142 Main St (413) 586-5775 NORTHAM PTONMA01 060 ISSUED ON.712312014 0:00:00 TO PERFORM THE FOLLOWING WORK.REBUILD DAMAGED WALLS, ADD DOORS/WINDOWS & OFFICE - TRANSFER STATION 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 7/23/2014 0:00:00 $0.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner