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l0/10iZ009 19:58 141373107bb
n y 11
OCT 20M
,4 4'...-1. SC'HRMATICAMgIGN DV".j QEMlr'NT
Review various MeohanicaMectneal systeans to serve the new facility. Propose calcu.12 ion far Heating ,
Cooling,HUMid&ca;6M and Electrical.
ii_ CnNRTRiT!'"r'TnN Twin a -ti'11 s
Based on the approved final cnztlinc specifications, final construction docurnents will be prepared suitable for
pncwg and construction of the following systelw:
A. Reatisrg and ventdabng systern for the new art storage facility,
B Air conditioning of the new art storage facility.
C. Temperature control systan.
D. Plumbing System Renovations.
E. Electrical lighting throughout the new facility.
F. Electrical power and distribution systems.
G. Fire alarm systems,
H. Huwidity control system.
TIT, RlnniNr_PHASE
Our involvement in the Bidding Pl iase is litttitcd to answerv)8 questions and providing infomtation in written form
for any addendum, as may be necessary, We will provide assistance for a pre-bid cattfarenoe and a bid opening,
if required.
IV_ ['OXSTRiTCTION Ar1Mi STRATMN
Our services under this phase will be limited to the following:
A. Review of Shop Drawings and submittals for mechanical and electrical equipment.
B. Clarification and interpretation of mechanical and electrical Contract Documents.
C. Review of paym o t requests and change order proposals.
D. Periodic site visits to review the installation of mechanical and electrical work. For mechanical
and electrical visits,we assurne once a week to be sufficient.
E. Punch lit review and v<zitten report for mechawcal and electrical work.
IILINDGREN&SHARPLES, P.C.
Springfield,MA, 01104-3241
PAGE 02
2000 10'.,58 14137310796
� t
VINDGREN&.SHARPLES, P.C. Consulting Engineers_
Q �� Inista v Ave, te. 5, Springfield, MA 01104-3241 Phone (413)732-4336 Fax (413)731-0786
Event O.Lindgren,Jr.
October 4.,4000 Charles P.Sharp.es
Dino J.D'Angelo
Lisa Ur4;cr Ba*ka Marvin D.Blakley
395 Audubon Road
Leeds,N.[A 01053
Re: Art Storage FacilM,
395 Audubarz Road
Leeds,Massachusetts
r
Dear Lisa:
It was a pleasure meeting with you on Septetnber 25, 2000 and having the opportunity to review the above
referenced project. As discussed, Lindgren & Sbatples, PC, would be pleased to provide the professional
eoginvering services required to produce detailed conshu Zon docummIts for Plumbin& RVAC, and Electrical
engineemg for the above referenced project. As we uoderstand it our world would consist of the£ollowuV;
PRQ.TFCT DEREMPTTt1N
The project consists construction of a 400 square ;Foot Art Storage Facility adjac,ezzt to the existing dwelling at
395 Audubon Road m Leeds. Nfassachuse ts. The building will be concrete block construction with a wood
frame roof and will store paper artwork.
PR13H.CT ARMIA04
Schematic design and des4 xi developma t shall consist of several xneetitngs with ft Design team to pull together
ideas and concepts. The work of this phase is outlined under I.Sr_howafirl Derign De=10MAnt_
The second phase will be the pxoducdon of Contract Documents,generally known as Plans and Specificabow.
These documents call be based on decisions made under Phase I, above. The work of this phase is outlined
under TT ( anginirtion DnrylMob-
The third phase will be to oft assistance during the bidding process as outlined under TIT Bidding-Make-
The final.phase of this project will be to provide a**eriug services during construction as outlined under M
C.nmtrnrfinn Adminartrating_
�capr()E wORIK
Our scope of services will include all nwchanicaVelectrical services to serve the new 400 square kot Art Storage
Facility. Our services Aill include all rev'sews, consults s,meeaags,calculations, designs,and prd ducuon of
Contract Documents (Plans and Specifications). These services will be divided ow four separate pba s as
described below.
4-�IiAMP�.
ego 0'e Crz#L,1 of Northampf gall
i � �lassarhttsitta � =
e ,
DEPARTMENT OP BLULDITNC INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFMAVIT
!(Iiccu.�Exr.uittcc)
with a principal place of business/residence at:
j/3 _(phone#) ,fO G �1- 212_,3
(strretJci ty/s7�trJ-rip)
do hereby certify, under the pains and penalties ,lf perjury, that.
:� ( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Pot::y Number) - (Expiration Date)
(V) I am a sole proprietor, general contractor o" homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
f{'�S
(Name of Contract ) (Insurance Compai,y/Policy Number) (Expiration Date)
(NCm of Contractor) ` Number) (Expiration Date)
07a�iiie of ntra
Coctor) (Insurance Compat,y/l'olicy NuullKr) (Expiration Date)
(Name of Contractor) (Insurance Compal:y/Policy Niunber) (Expiration Date)
(attach additional sheet if nooeasary to include iaforrrruioo pertaining to,11 watractorn)
M111"am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the wor'._ myself.
NOTE:Pleaao be aware that while,homeowncta who empiay pasom to&main++__=__ten o==ucuoa or repair work on a dwelling of
not more than dutio units in which the bomoowncr rcudcs or on tse srou i.ds appurtenant thereto are not generally ooasidcrcd to be
caiMoyas under tho%yo ka's oompaisation Act(GL152,n t(5)),aWdr rtioo by a homoow=for a Gore or permit may evidcnoc the
legal suntan of an employer under 016 Work-ces Compoasation Aa-
I understand that a copy of this statement may be,foewarJod to tho Dcpuitmcat of lndu is!Accidoctri Offioo of Insurmoe for the
oovaage vaificadoo and that failure to noauc coverage,under section 25A of MGL 152 can lad to tho itf�oa of aimmal penalties
ooasisimg of a fmo of trp to S 11500.00 andlor mrprisoanxrd of UP to orx year and Civil Pcaariia in the form of a Slop Work Order and a
film of 5100.00 a day apiasl me.
For dcpatn cat"we,only if
Permit Number
y Map{ _Lot#
Signature of LiC=5edPe i
iS'TE24q1 NsERVICES
8.1 Licensed Construction Supervisor:_visor: Not Applicable ❑
Name of License Holder : o t" /U' .___C X c41.f/C, o,5-3 43(�
1 —..__..
/ � License Number
Address Expiration Date
CU 1-Y)
Signature Telephone
1. Not Applicable ❑
Company Name _ Registration Number
Address _ Expiration Date
Telephone
1"t+DNQ�°Wt?t2tE:RS'COIVIpENSATION 1N5UItANGE AFFIDAVIT(M.G:L.c.152,g 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....... ❑ No...... ❑
s
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as sunervisor.CMR 780 Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached�tructures accessory to such use and/or farm
structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be r:quired from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensati(n) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of'Massachusetts General Laws Annotated.
Homeowner Signature �___ ___
P
New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑ 1.
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks
tt [ ] Siding( ] Other[ ]
Brief Description of Proposed Work: "m Ga "YDI 7l�t'AI _ CjpYy2Q
Alteration of existing bedroom Yes No Adding new bedroom_, Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll Ct- Sheet❑
i.
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms___
c. Is there a garage attached?
d, Proposed Square footage of new construction. .�U Dimensions 20- >C `-L
e. Number of stories? /
f. Method of heating? if QL4716.' Fireplaces or Woodstoves t4D Number of each
g. Energy Conservation Compliance. Mascheck Energy i;.ompliance form attached?
r
h. Type of construction t--e* 04-X3`hbiL-' /�.
i. Is construction within 100 ft. of wetlands? Yes V/ No. Is construction within 100 yr. floodplain Yes Y�No
t'
j. Depth of basement or cellar floor below finished grade I rocgr Vv a L�
k. Will building confnf m to the Building/aa Zoning regulations? '. Yes No .
I. Septic Tank V City Sewer✓ Private well-- City water Supply
=SE4TI IN Yai:'OWNER"AUTHORIZATION•TO BE,,COMPLETED WHEN
'OVYIVERS AGENT"ORs`CONTRAACT.OR APPLIES FOR G BUILDIN PERMIT
1 '� '� 1 L as Owner of the subject property
hereby authorize �� Uij to act on
my behalf, in utters ative to work authorized y building permit application.
07C -0
Signature of Own 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.
t- (5A, --L)A-SK.IKN
P
Signatyle of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
'rhis column to be filled in by
Q Building Department
Lot Size
Frontage a7'q fc_�— 175
Setbacks Front
Side L/L R: � � l,: 17y�- R:- � O`
Rear V
Building Height / / C35-
Bldg. Square Footage f>da % 46(;, ! )�
Open Space Footage %
(Lot area minus bldg&paved
+ 2� �
parking)
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO y DON'T KNOW _ YES
IF YES, date issued:_____ __
IF YES: Was the permit recorded at the Registry of Deeds,
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does ;ke site contain a brook, body of water or wetlands? NO V _ 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 NO V
IF YES, describe size, type and location:__ _
D. Arere any proposed changes to or additions cf signs intended for the property ?YES
No �
IF YES, describe size, type and location:
I`,
4'y of Northampten
R r F
° 5 ilding Department
{� 7 $12 Main Street
Room 100
tl Northompton, MA 01060
. �pharae �7 1240 Fax 413.587.1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
PTlONA«SITE INFORMATION "
1.1 Property Address:
� U1)PjD7� f2dAP
Lees-4cs Atac 5 o i o�s-j
SgOTI.ON 2:r PROPERTY;,QW.,iERSi.1IPLAUTHORIZED AGENT
2.1 Owner of Record:
Name(P n ) Current Mailing Address:
cne —�(�f�—�
Signature " 656
2_2 Authorized Agent.
Name(Print) l Current Mailing Address: ;
Signature Telephone
Ir'CI9 3 �S�'IMATE�;°° QN 12U�C'tION�C65TS
Item Estimated Cost(Dollars)to be Official Use Only,
completed by ermit applicant
1. Building 12 (a) Building PermiCFee
2. Electricalr� (b) Estimated Total Cost of
1 Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) 0
5. Fire Protection D ��
6. Total =(1 + 2 + 3 +4 + 5) 2, v 00. Check Number
'.�
This Section For Official Use Only
uit iRg.Permit'Numbest. k"� "" Date issued:
+ltur ' r, Ief to1�aE iHtAlldi' Date
File#BP-2001-0413
APPLICANT/CONTACT PERSON ROBERT QUIGLEY
ADDRESS/PHONE 95 BERKSHIRE TRAIL (413)634-2123
PROPERTY LOCATION 395 AUDUBON RD
MAP 05 PARCEL 020 ZONE RR
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 ATT 20 X 20 COLD STORAGE ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 053436
3 sets of Plans/Plot Plan
THE�Q SOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
'Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §_
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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
'1D
Signature of Building Off al 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.
fz
g � s
reC
W f V
E
v
395 AUDUBON RD BP-2001-0413
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:05-020 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:ADDITION BUILDING PERMIT
Permit# BP-2001-0413
Project# JS-2001-0698
Est.Cost:$29000.00
Fee:$60.00 PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Group: ROBERT QUIGLEY 053436
Lot Size(sq.ft.): 386377.20 Owner: BASKIN LEONARD&LISA
Zoning:RR Applicant. ROBERT QUIGLEY .._
AT: 395 AUDUBON RD
Applicant Address: Phone: Insurance:
95 BERKSHIRE TRAIL (413) 634-2123
CUMMINGTONMA01026 ISSUED ON.10 119100 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT ATT 20 X 20 COLD STORAGE
ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: ug N House# Foundation:
Final: Final:SWN WA0400
jwm Rough Framei.'�Pk<
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 0 K
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc — si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 10/19/00 0:00:00 MO $60.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo