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22B-041 (15) 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.16.2 Height: Sinks shall be mounted with the rim no higher than 30 inches (30" = 762mm) above the finish floor. A clearance of at least 25 inches(25"=635mm)above the finish floor to the bottom of the apron shall be provided. Knee and toe clearance shall be at least 30 inches(30"=762mm)wide and 19 (19" =483mm)deep. 30.16.3 Piping: Sink traps and drains shall be located as close to rear walls as possible. Hot water and drain pipes exposed under sinks shall be recessed, insulated, or guarded. There shall be no sharp or abrasive surfaces under sinks. 30.16.4 Faucets: Faucets shall be operable with one hand and shall not require tight grasping,pinching,or twisting of the wrist. Lever-operated push-type,touch-type,or electronically controlled mechanisms are acceptable designs. If self closing valves are used,the faucet shall remain open for at least ten seconds. 30.17 CHILDREN'S URINALS Where one or more urinal is provided, at least one urinal shall be accessible. 30.17.1 Height: The accessible urinal shall be stall-type or wall-hung with an elongated rim at a maximum of 15 inches(15" = 381mm) above the finish floor. 30.17.2 Flush Controls: Flush controls shall be hand operated or automatic,and shall be mounted no more than 44 inches (44" = 1120mm) above the finish floor. 30.18 CHILDREN'S MIRROR The top of any shelf and or bottom of any mirror which is provided above a sink shall be set with the bottom edge of the reflecting surface no higher than 31 inches(31"=787mm)above the finish floor. 30.19 CHILDREN'S DISPENSERS Towel dispensers,drying devices,or other types of devices and dispensers shall have at least one of each device mounted within the zone of reach,and at least one of each device shall be located within reach of a person using the accessible sink. 30.20 CHILDREN'S CONTROLS AND RECEPTACLES If controls,receptacles,or other equipment are provided,then at least one of each shall be mounted no higher than 36 inches(36":=914mm)above the floor to the centerline of the operable portion of the control. 1/27/06 521 CMR- 148 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.14.3 Height: Water closets shall be set at a height measured from the floor to the top of the seat as follows: Pre-kindergarten: 11'/2" to 12'/2" (292mm to 318mm) Kindergarten to third grade: 12" to 15" (305mm to 381mm) Fourth grade to sixth grade: 15" to 17" (381mm to 432mm) 30.14.4 Flush Controls: Controls for flush valves on water closets used by children shall be mounted on the wide side of water closet within 20 to 30 inches (20" to 30" = 508mm to 762mm) above the floor. 30.14.5 Toilet paper dispensers: Toilet paper dispensers used by children shall be centered above finished floor, as follows: Pre-kindergarten: 14" (356mm) Kindergarten to third grade: 14" to 17" (356mm to 432mm) Fourth grade to sixth grade: 17" to 19" (432mm to 483mm) 30.15 CHILDREN'S GRAB BARS The water closet shall have two grab bars,42 inches(42"= 1067mm)long,one mounted on the wall in back of the water closet and one on the side wall closest to the water closet and located no more than six inches (6" =152mm) from the interior corner. Where a tank prevents location of the rear grab bar, a bar may be installed three inches (3" = 76mm) above the tank. Where a flushometer prevents the location of a 42 inch (42" = 1067mm) rear grab bar, one grab bar, 36 inches (36" = 914mm)shall be installed to the side of the flushometer,located three inches(3"=76mm)from the closest edge of the flushometer. 30.15.1 Height: Grab bars shall be mounted from the floor to the top of the grab bar as follows: Pre-kindergarten: 18" to 20" (457mm to 508mm) Kindergarten to third grade: 20" to 25" (508mm to 635mm) Fourth grade to sixth grade: 25" to 27" (635mm to 686mm) 30.15.2 Thickness: The outside diameter of grab bars shall be as follows: Pre-kindergarten: 1" (25mm) Kindergarten to sixth grade: 1'/4" to 1'/2" (32mm to 38mm) 30.16 CHILDREN'S SINK Sinks including vanities shall comply with the following: 30.16.1 Clear floor space: A clear floor space complying with 521 CMR 30.5,Clear Floor Space shall be provided in front of a sink to allow a forward approach. The clear floor space shall be on an accessible route and shall extend no more than a maximum of 19 inches(19"=483mm)underneath the sink. 1/27/06 521 CMR- 147 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS Folded Roll Paper Paper Electric Mirror Towel Towel Dryer Urinal lo :.. ... Flush Control 1 / r m *. T T C4 V- 0 Dispenser Elevations Figure 301 30.11 MIRROR The top of any shelf and or bottom of any mirror that is provided above a sink shall be set with the bottom edge of the reflecting surface no higher than 40 inches (40" = 1016mm) above the finish floor. See Fig. 30i. 30.12 DISPENSERS Towel dispensers,drying devices,or other types of devices and dispensers shall have at least one of each device mounted within the zone of reach. At least one of each device shall be located within reach of a person using the accessible sink and shall comply with 521 CMR 39.5,Operation. See Fig. 30i. 30.13 CONTROLS AND RECEPTACLES If controls, receptacles, or other equipment is provided, then at least one of each shall be on an accessible route and shall comply with 521 CMR 39.00: CONTROLS. 30.14 CHILDREN'S WATER CLOSETS Where provided, shall comply with the following: 30.14.1 Clear floor space: Clear floor space for water closets shall comply with 521 CMR 30.5, Clear Floor Space. Clear floor space may be arranged to allow either a left-handed or right-handed approach. 30.14.2 Location: The centerline of the water closet shall be located 11 inches (I1" = 279mm) from the nearest side wall for pre-kindergarten; 11 to 15(11"to 15"=279mm to 381mm)for kindergarten to third grade and 15 to 18 inches(15"to 18"=381 mm to 457mm)for fourth grade to sixth grade. The water closet shall also be located 42 inches(42"= 1067mm)from the centerline of the water closet to the opposite wall or closest edge of next fixture. 1/27/06 521 CMR - 146 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.9.3 Knee Clearance: Knee clearance shall be provided underneath the sink which is 27 inches(27" =685mm)minimum from the floor to the underside of the sink and extends eight inches (8" = 205mm)minimum measured from the front edge underneath the sink back towards the wall;if a minimum of nine inches (9" =230mm) of toe clearance is provided, a maximum of six inches (6" = 150mm) of the 48 inches(48"= 1220mm)of clear floor space required at the fixture may extend into the toe space. See Fig. 30h. 30.9.4 Depth: Sink depth shall not exceed six inches 6'/2 inches (6'/z" = 165mm). 30.9.5 Piping: Sink traps and drains shall be located as close to rear walls as possible. Hot water and drain pipes exposed under sinks shall be recessed,insulated,or guarded. There shall be no sharp or abrasive surfaces under sinks. 30.9.6 Faucets: Faucets shall be operable with one hand and shall not require tight grasping,pinching, of twisting of the wrist. Lever-operated, push-type, touch-type, or electronically controlled mechanisms are acceptable designs. If self-closing valves are used the faucet shall remain open for at least ten seconds. 30.10 URINALS Where one or more urinals is provided, at least one urinal shall be accessible. See Fig. 30i. 30.10.1 Height: Accessible urinals shall be stall-type or wall-hung with an elongated rim at a maximum of 17 inches (17" =432mm) above the finish floor. 30.10.2 Clear floor space: A clear floor space shall be provided in front of an accessible urinal to allow forward approach. This clear space shall adjoin or overlap an accessible route and shall comply with 521 CMR 6.3,Wheelchair Turning Space. Urinal shields that do not extend beyond the front edge of the urinal rim may be provided with 29 inches (29" =737mm) clearance between them. 30.10.3 Flush Controls: Flush controls shall be hand operated or automatic, and shall comply with 521 CMR 39.5,Operation and shall be mounted no more than 44 inches(44"= 1118mm)above the finish floor. See Fig. 30i. 1/27/06 521 CMR- 145 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.9.1 Clear floor space: A clear floor space complying with 521 CMR 6.3,Wheelchair Turning Space shall be provided in front of a sink to allow forward approach. The clear floor space shall be on an accessible route and shall extend no more than a maximum of 19 inches (19" _ 483mm)underneath the sink. See Fig. 30g. 171 48" _ 1219 17„ it _...432,n '. 4 3 _ Clear Floor Space Figure 30g 30.9.2 Height: Sinks shall be mounted with the rim no higher than 34 inches(34"=864mm)above the finish floor. See Fig.30h. Sinks shall also extend a minimum of 17 inches(17"=432mm)from the wall to the front of the sink or counter. k mirror co i C \I \'.... = n 'cn Cs I t•::' N 8" 203 152 Sink Elevations Figure 30h 1/27/06 521 CMR- 144 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.8.1 Location: The side grab bar shall be located a maximum of 12 inches (12"=305mm)from the interior corner. The rear grab bar shall be located a maximum of six inches(6"= 152mm)from the interior corner. 30.8.2 Height: Grab bars shall be set at a height of 33 to 36 inches (33" to 36" = 838mm to 914mm) above and parallel to the floor. Where a tank prevents location of the rear grab bar,a bar may be installed three inches(3"=76mm)above the tank. Where a flushometer prevents the location of a 42 inch (42" = 1067mm) rear grab bar, one grab bar, 36 inches (36" = 914mm) shall be installed to the side of the flushometer, located three inches(3"=76mm)from the closest edge of the flushometer. 30.8.3 Thickness: Grab bars shall be between 1'/4 inches and 1'/2 inches (1'/4" to 1'/2" = 32mm to 38mm) in outside diameter, have a 1'/2 inch(1'/2" = 38mm) clearance between the bar and the wall. See Fig. 30f. 1-1/4" to 38 LRoughened or Rust Resistive Acid etched Grab Bars Figure 30f 30.8.4 Material: Grab bars shall also be non-rusting and acid-etched or roughened. Grab bars shall comply with the structural strength defined in 521 CMR 5.00,DEFINITIONS. 30.8.5 Dispensers or other devices shall not be mounted above the grab bars. 30.9 SINK Sinks, including vanities, shall comply with the following: 1/27/06 521 CMR - 143 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS Line of wall 1�-- -►(. ..:::.:....;:•:•:•:••:• ii:ri:::;r 611 'Z: ........... or Fixture :::. ;......:•.:•::::::! j:;ri{::i:: 1 I::::.::::::::::........ .............. . 1 1 I I Cl) ao I: 42' L 42" L18" 1, 1067 1067 457 ... ..................... .� .............. 6" .::...:.:.. .... ......j :: ::A2:"::::: : 152 3: ::::•:•: I ...... iF:..:::::.:. :.:.::..:.:: io r i:i m w ao M rn co ET 1 1 ............. Cl) CD to 4 42" 18" 1067 1067 457 Accessible Toilet Stall Elevations Figure 30e 30.7.4 Seats: Water closet seats shall not be spring mounted to return to a lifted position. 30.7.5 Flush Controls: Flush controls shall be hand operated or automatic and shall comply with 521 CMR 39.5, Operation. Controls for flush valves shall be mounted on the wide side of water closet no more than 44 inches (44" = I I20mm) above the floor. 30.7.6 Toilet Paper Dispensers: Toilet paper dispensers shall be located on the side wall closest to the water closet. The centerline of the roll shall be set at a minimum height of 24 inches (24" = 610mm)above the floor. Dispensers that control delivery or that do not permit continuous paper flow are not allowed. 30.8 GRAB BARS For the standard accessible toilet stall the water closet shall have two grab bars 42 inches(42"_ 1067mm)long,one on the wall in back of the water closet and one on the side wall closest to the water closet. For the alternate accessible toilet stall the water closet shall have two parallel grab bars, 42 inches long(42"= 1067m)installed on the side walls and located a minimum of six inches(6"_ 76mm) from the interior corner. 1/27/06 521 CMR - 142 + a 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS b. The stall door shall have an automatic self-closing hinge device,a pull device on both sides of the door to assist in closing and opening the door, and a lock located approximately 36 inches (36" = 914mm) above the floor that does not require tight grasping, pinching, or twisting of the wrist to operate. c. A coat hook shall be provided at a maximum height of 54 inches(54"= 1372mm)above the floor. 30.7 WATER CLOSETS That are required to be accessible shall comply with the following: 30.7.1 Clear floor space: Clear floor space for water closets not in stalls shall comply with Fig.30d. Clear floor space may be arranged to allow either a left-handed or right-handed approach to the water closet. 42" 18" 1067 457 "I x eo Ln r c°h Go 'n: Clear T Floor c :::::1. �+ Space E cw i ...... ......::::::1 3r-0 x 48 rN. 762 x 1219 I ::::::::'::: E co ::a Er_.___ _r3 N p C7 I. 90" 2286 Accessible Unisex Toilet Room Figure 34d 30.7.2 Location: The centerline of the water closet shall be located 18 inches(18"=457mm)from the nearest side wall and at least 42 inches(42"= 1067mm)from the farthest side wall or the closest edge of an adjacent fixture. There shall be at least 42 inches(42"= 1067mm)clearance between the front edge of the water closet and the nearest wall or fixture. 30.7.3 Height: Water closets shall be 17 inches to 19 inches (17" to 19" = 432mm to 483mm) high, measured to the top of the water closet seat. See Fig. 30e. 1/27/06 521 CMR- 141 r 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 6" max 152 grab bar dimensions 1067 S r. 1067 1 457 -- C1J CD lE a 4 CV :.rl:: ............. N Accessible Toilet Stall (Right Approach) Figure 30b 36" min 914 18" 457 N U7 (� ID r O r 32" 813 °f r N Alternate Accessible Stall (In addition to accessible stall) Figure 30c 30.6.2 Alternate Accessible Stall: Alternate accessible toilet stalls shall be 36 inches (36" = 914mm) wide with an outward swinging, self-closing door and parallel grab bars. See Fig.30c. a. The alternate toilet stall shall have a door that swings out or slides and has a 32 inch(32"_ 813mm) clear opening. 1/27/06 521 CMR- 140 A 521 CMR: ARCHITECTURAL ACCESS BOARD 30.00: PUBLIC TOILET ROOMS 30.6 TOILET STALLS If toilet stalls are provided,then at least one shall be a standard accessible toilet stall. Where six or more stalls are provided in a toilet room,at least one alternate accessible toilet stall(See Fig. 30c) shall be provided in addition to the standard accessible toilet stall. Accessible toilet stalls shall be on an accessible route. 30.6.1 Standard Accessible Toilet Stall: Standard accessible toilet stalls shall beat least 60 inches(60" = 1524mm) wide and 72 inches(72" = 1829mm) deep. See Fig. 30a and 30b. Arrangements shown for standard accessible toilet stalls may be reversed to allow either a left- or right-hand approach. Water closets in accessible stalls shall be located on the 60 inch(60"= 1524mm)wall and shall comply with 521 CMR 30.7,Water closets. a. Accessible toilet stalls shall have a door that swings out or slides and has a 32 inch (32" _ 813mm) clear opening. b. The stall door shall have an automatic self-closing hinge device,a pull device on both sides of the door to assist in closing and opening the door, and a lock located approximately 36 inches (36" = 914mm) above the floor that does not require tight grasping, pinching, or twisting of the wrist to operate. c. There shall be 18 inches (18" =457mm) of clear space on the latch pull side of the door. d. A coat hook shall be provided at a maximum height of 54 inches(54"= 1372mm)above the floor. 18" 42" 457-1 1067® r JE,`&. 18" 32" h. 457 813 Accessible Toilet Stall (Left Approach) Figure 30a 1/27/06 521 CMR- 139 r � 521 CMR: ARCHITECTURAL ACCESS BOARD 521 CMR 30.00: PUBLIC TOILET ROOMS 30.1 GENERAL Each public toilet room provided on a site or in a building shall comply with 521 CMR. a. In each adult public toilet room,at least one water closet and one sink in each location shall be accessible to persons in wheelchairs,or a separate accessible unisex toilet room shall be provided at each location. Adult water closets shall comply with the provisions of 521 CMR 30.1 through 30.13. b. Where children's toilet rooms are provided, at least one water closet and one sink in each location shall be accessible to children in wheelchairs,or a separate accessible unisex toilet room shall be provided at each location. Children's toilet rooms shall comply with the provisions of 521 CMR 30.14 through 30.20. For purposes of 521 CMR,pre-kindergarten school is defined as a school which serves children from infancy up until but not including kindergarten. Elementary school is defined as a school which serves grades kindergarten through six. 30.1.1 The installation of unisex toilet room in lieu of fully accessible men's and women's room is permitted by 521 CMR. See also 521 CMR 30.2,Location. 30.1.2 Portable Toilets:For single user portable toilets clustered at a single location,at least 5%but not less than one accessible toilet unit shall be installed at each cluster. Accessible units shall be identified by the International Symbol of Accessibility.Portable units at construction sites used exclusively by construction personnel are not required to be accessible. 30.2 LOCATION Accessible toilet rooms shall be on an accessible route. Where unisex toilet room(s) are provided,they shall be located in the same area as other toilet rooms. 30.3 VESTIBULES Where vestibules are provided, they shall comply with 521 CMR 25.3, Vestibules. 30.4 DOORS TO SINGLE USER TOILET ROOMS Doors to single user toilet rooms may swing into the room if the door has a self-closing device and maneuvering space is provided in accordance with 521 CMR 26.6. The door may swing into the room if there is a clear floor space of 30 inches by 48 inches (30" = 762mm by 48" _ 1219mm) beyond the swing of the door. 30.5 CLEAR FLOOR SPACE An unobstructed turning space complying with 521 CMR 6.3,Wheelchair Turning Space shall be provided within an accessible toilet room. The clear floor space at fixtures and controls,the accessible route, and the turning space may overlap. 1/27/06 521 CMR- 138 k1� � % H Z ° Np'1N o N A C G1 �Zm 7 C 5 2 s z Ike e ,tir z r di- jillild � p �g3o- x -169 " x Jr im eARb bl, Waal 07/21/2007 17:54 4135323239 DAD PAGE 01 ........................ .. EDWARD CREASE BUILDING A REMODELING CONTRACTOR P.O.BOX 496 CHICOPEE,MA 01021 TEL:(413)5328354 CELL:(413)250.3335 1 request that you grant a modification to waive the requirement for control construction for the project at 176 Pine Street in Florence,Ma because the work is of a minor nature,will not affect health, accessibility,life and fire safety,or structural requirements and is Impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. Thank you for your consideration. Respectfully, ���✓AI't0 �R��s awAr, ja - I Oyy�vla 71d ©, 80y, ill�'I ' I i , 0 .1; ! M D Z �nzm 7 N H �O p D�y C r Z A v y2r l°`t a� 9 MQ o� 9 v, 0 Z Z . c► al.�! 7/ � �' � u i Nj9-,65 9/)/Z f b Sr 14 To - 4 '5-s 3 DEWWWW': To s ---------- THIS ESTIMAK t,,BOVF. IT Mj (XI 01,j;j 'EVAL, ,W AND WK CLUDe MATER' L PRIDE Iii 02ENE S I.-U' Mi'�7FFIIALS VVHICH MAY BE HEW= CC! U00- ' (`,C2U7-Nt.3 OR ADKPSE WENMER QNPM001 AM. APO .I.':t 10/09/2014 13: 32 14135871272 NTDN BLD DEPT PAGE Ak/.IF. Tire. Commonwealth ofMassachusetts �r Department afIndustrial Accidents �p� Office o f Investigations 600 Washington.Street Boston, MA 02111 www.macsgovfdia Workers' Compensation Insurance Affidavit: Build ers/Con.tractors/Electricians/Plu>< hers ,,kpplicant Information Please Print Legibly Name(eusitiess/Organization/IndividuaT): L D-W 14 Address: P��,Q o�C �& tc� �`�� �}�S> /°`�"f Phctne l3-s 32� 5�J ' q13 2.)�--333J' Are you an employer? Check the appropriate box: Type of project(required): I.0 I am a employer with _ 4. (3 I am a general contractor and T G employees(full and/or part-time).* have hired the sub-contractors ❑New construction 0 T am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition I working for me in any capacity. employees and have workers' ❑Building addition 9.[No workers' comp. insurance comp.mmrarce.$ required.] 5. ❑ We are a corporation and its tU•❑ Electrical repairs or additions officers have exercised their 1 I. Plumbing rc airs or additions 3.❑ I am a homeowner doing all work ❑ g T!. myself. [No workers' comp. right of exemption per MGL 1217 Roof repairs insurance required.] c. I52, $1(4),and we have no employees. [No workers' 13.❑ Other comp,insurance required.] 'Any applicant that checks box P 1, most also fill out the section hclaw showing their workers'cornp"t ttion policy inforrnati on. t Homeowners who submit this aff davit indicating they are doing all work and then hire outside contractors must submit or new affidavit,iTidicatmg such. -Contriclors that check this box must attached an additional sheet showing the ndtne Of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have cmployccs,they must provide their workers'cotT.policy number. ram an employer that is providing workers'compensation insurance for city employees Below is the policy and job sine information. Insurance Company Name: /}i N O Al C If i&uAItNa4 Policy#or Self-ins.Lic. /l? /P_F 2 2 0, -7 �4 Expiration.Date: ..._. .-- lob Site Address: r 7� r, 4--' s l` City/State/Zip:FL/V0crYe._° MI, 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 e. 152 can Iead 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 rip 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 1;ereky certf&under fie pai'.n d penal.ties of perjure rhat the information provided above is true and correct. Si natttrc; ✓� >��?/` _. Date.. ✓�"' /p" ��1�� Phone#: �l3 s"3 2^,S' S CIA Z's 1/1-3 -- 2 7 D 333 Of tese only. Do not write in this area,to be completed bj,ciry or town of .cia! Citv or Town: Permit/License 0 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Vectrical Inspector 5. Plumbing Inspector ti.Other Contact Person: Phone#: 10/09/2814 13: 32 14135871272 NTON BLD DEPT PAGE 0 `F7 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 I, as Owner of the subject property I i hereby authorize .. ... . . ......... ...... .. to ac on my behalf,in all matters relative to work authorized by this building permit application, Signature of Owner pate 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 OwnerlAgant Date SECTION 12-CONSTRUCTION SERVICES 10.iLiicensed-C�onstruction_S.upervisor: Not Applicable p Name of Llcense Nolde : .L yt1//91p,.�.. . .. License Number Address Expiration Date Signature r/ T®laprione SECTION 17 -WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C. 152,§25C(6)) T. Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result 1 In the denial of the issuance of the building permit. Signed Affidavit Attached Yes (D No 0 1F1/09,1 '2014 13: 32 14135871272 NTON BLD DEPT PAGE Version1.7 Commercial Building Pcrmit May 15,2000 8. NORTHAMPTON ZONING Existing proposed Requircd by,Zoning This column to be filled in by Building Dcpamnent Lot Size Frontage Setbacks Front Side L R 1, ; R:'... ....... Rear f Building Height Bldg. Square Footage Open Space Footage (Lot area minug hid&&paved firkin # or Parki ng 5 aces Fill; volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 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 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Dane 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 4 acre or is it part of a common plan that will disturb over 1 acre? YE$ O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 10/09;'2014 13:32 14135871272 NTON BLD DEPT PAGE Vcrsionl,7 Commercial Building Pcrmit 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 55,000 C.F.OF ENCLOSED SPACE) E 9.1 Registered Architect: Not Applicable Name(Registrant) Registration Number i i Address Expiration Date .... Signature .. _. Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone ... ., ", -- Expiration Date iName Area of Responsibility Address RegiStration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Data I Namc Area of Responsibility i Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable❑ Company Name: Responsible In Cha a of Construction Address Signature Telephone 10/091"2014 13: 32 14135871272 NTON BLD DEPT PA_iE �12',''_i-:, Vcrsionl.7 Commercial Building Pcrmit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR.PROJECTS LESS THAN 36,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ other❑ j Brief Description 'Enter a brief description here. _ Of Proposed Work" N 5 `L / 2, \ 6 fJ/ W /Q ®M g SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A- ❑ 1A Cl A-4 ❑ A-5 ❑ 113 Ca B Business ❑ 2A ❑ E Educational ❑ 213 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi 2h Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 C] 1-3 ❑ 35 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ 8-1 ❑ S-2 ❑ 513 [] 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 -F BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY i I Floor Area per Floor(sf) i I 1A I 2nd 2"d 3d __. 3M i 4'h 4 1h t Total Area(sf) Total Proposed New Construction(sf) i 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❑ Zone Outside Flood Zone❑ Munlcipal ❑ On site disposal systemE 10/09/2014 13. 32 14135371272 NTON BLD DEPT PAGE —--- Versiont.7 Commercial Building Permit May 15 2000 ! I ep ltl4Ndlltiiif*ofily ® --. ._� },ty of Northampton Status l7 ��rlrtit ; OCT 1 2014 ` 4► ilding Departrnnt Cursuir�Fyi�nr� i'J 12 Main Street St�le�II1b74vIlsk�IlltS! Room 100 W�ttrlvUli;4ttd#I�bilit}y.,,',• Electric,Plumbing&Gas In e ampton, MA 01060 vWb `tSbFi trtli Ural lasts Northamptcn, 1 to 010£0 87-1240 Fax 413-587-1272 PIOfISite�1�rt's: . 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 Prom!rty Address: This section to be corn plated by office - ------------ .� p / 7G Ma „(0? Lot Unit c I S S _ Zone Overlay District 1 Elm St.District CB DiStdot SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: dame(Print) Pa Current Mailing Address; 'P � L/J Signature Telephone 2.2 Autharlxed Aaj nr 7 Name(Print) Current Mailing Address: I Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS -T Item Estimated Cost(Dollars)to be Official Use Only j caMpleted bX permit applicant 1. Building _� (a)Building Permit Fee n Electrical vo (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee j O !p 4. Mechanical(HVAC) 5. Fire Protection E. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date i Issued Signature: — Building Commissloner/Inspector of Buildings Date _ i File#BP-2015-0417 APPLICANT/CONTACT PERSON EDWARD CREASE ADDRESS/PHONE P O BOX 496 CHICOPEE (413)532-5354 PROPERTY LOCATION 176 PINE ST MAP 22B PARCEL 041 001 ZONE NB 100 / 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: CONSTRUCT 2 BATHROOMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 030406 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR"ATION 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 SignaDOngOfficial Delay ureof 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. 176 PINE ST BP-2015-0417 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22B-041 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catego , :rY_ ovation BUILDING PERMIT Permit# BP-2015-0417 Project# JS-2015-000746 Est. Cost: $6290.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: EDWARD CREASE 030406 Lot Size(sq. ft.): 64904.40 Owner: PUN FAMILY LLC Zoning:NB(100)/ Applicant: EDWARD CREASE AT. 176 PINE ST Applicant Address: Phone: Insurance: P O BOX 496 (413) 532-5354 WC CHICOPEEMA01021 ISSUED ON.1012412014 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2 BATHROOMS 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 10/24/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner