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25A-181 (36) UA III REMOVE EX15T OVERHEAD DOOR, III TRACK5 4 ALL AGCE55ORIE5 MA50NRY ANCHOR5, A5 REQUIRED <1 III AT PERIMETER OF OPENING � II NEW 4" MA50NRY TO MATCH III EX15TING COLOR 4 FIN15H III NEW 10" MA50NRY TO MATCH t I I EX15TING W1 RIGID IN5ULATION III 5TRUCTURAL 5TEEL ANGLE5 III A5 REQUIRED - BY OTHER5 CL Q) III PRE55URE TREATED CONTINUOU5 ® ® WOOD BLOCKING 11 I ALUMINUM PANNING 5Y5TEM _ III COLOR TO MATCH WINDOW5 x X III IN5ULATING GLA55 IN THERMALLY 1 —BROKEN ALUMINUM FRAME5 n — III 5LIDING WINDOW5 — U = 0.53 — III HEAVY DUTY STEEL REINFORCING — III AT EVERY COUR5E — ANCHOR TO EX15TING MA50NRY A5 REQUIRED i II III r 11 30" LONG — #4 REBAR 612" OC EMBED S" MIN. INTO EX15T GONG. FOUNDATION 13 Bl- > z `n N 0, c �ch�SFITS 1. 1 ra RENOVATIONS TO Zbigniew Lewantowiez Architect ENLARGED WRIGHT ARCHITECTURAL MILLWORK Registered A REG, # 07007 WALL SECTION 115 INDUSTRIAL DRIVE (43) 527-0078 NORTHAMPTON, MA Southampton,MAS01073 EXIT i •'� n i ---------------, 01 Oct., n , 20 40' `• n REMOVE E4I5T OVERHEAD DOOR 4 INSTALL i SCALE � II NEW ALLI MIWM WINDOWS WIINSULATING GLASS 4 FILL REM INING OPENINGS WITH NEW MASONRY CONSTRUCTION TO MATCH EXISTING X. i" PRODUCTIAd `••\ X ii i' Lu 4 f SEE PART FLOOR PLAN i i ��D R ——————————————————— _ ` PApCIN�s \ i' FIELD, v \ X. _ S. PAS FLOOR P . PART FLOOR PLAN \ / \ /" Y° GENERAL NOTE: I. CONTRACTOR TO CO TLY UpTN ALL CODES t RECaIILATIONS INDEX OF DRAWINGS t VERIFY ALL DM61ONS AND FIELD CONDITIONS PRIOR TO START OF M A-1 SITE, BUILDING 4 PART FLOOR PLANS A-2 ENLARGED WALL SECTION Zbigniew Lewantowicz NOTE: STRUCTURAL, ELECTRICAL, PLUMBING,MECHANICAL AND EIRE PTOTECTION BY OTWRS, Registered Architect MA REG. # 07007 RENOVATIONS TO SITE, BUILDING & PART (@Cr REG. # 7562 WRIGHT ARCHITECTURAL MILLWORK (413) 527-0078 115 INDUSTRIAL DRIVE FLOOR PLAN A- 1 102 East Street SITE & BUILDING PLAN SCALE: AS NOTED DATE: 10.21.2015 Southampton, MA 01073 NORTHAMPTON, MA SCALE: AS SNOM LIBERTY GLNEIV\L,CONTRACTING,INC October 7-8. 20 Commissioner Hasbrouck Subject: request for Waiver 1 request that you grant a modification to waive the requirement for control construction for the overhead door infill at 125 Industrial give in Northampton because the word 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.All work will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration. "Mass Amendments, sections 167.E allows for an exclusion'rom control construction for this project" Respectfully, l .r Ke ry U nnell-Skog Liberty General Contracting, Inc. PQ Box 166, Granby, MA 01033 ... 4f �._ . City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: as- The debris will be transported by: The debris will be received by: Building permit number: Name of Permit Applicant f Date Signatu of Permit Applicant The Commonwealth of Massachusetts ... .W......-_�.__..._........ ....... Department of Industrial Accidents �Q61 Office of Investigations Y J4r I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.go6,1dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):�� � � k C fic Address: Q'rt Q Itp 60 City/State/Zip: (?01 610 Phone 4: (4 22) Are you an employer? Check it e ppropriate box: Type of project(required): 1.ZI am a employer with_- 4. ❑ 1 am a general contractor and 1 6. [+ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I atn a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. gDemolition working for me in any capacity. employees and have workers' 9. ZBuilding addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all wort: officers have exercised their l l.❑ Plumbing repairs or additions myself. [No workers' camp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no s employees. [No workers' 13.9'6ther comp. insurance required.] *Any applicant that checks box#1 must also 1111 out the section below showing their workers'compensation policy information. homeowners who submit this aftdm it indicating they are doing,all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that chcck 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 emplovices_they iuust 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:_1Ubn_ _ m Policy#or Self-ins. Lic. #:_VJ(YJZP0 � d 0110 _ Expiration Date: 0 S (p Job Site Address: 11 SJV C4 b9 City/State/Zip: 61 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. Si«nature: _. Date: lb q l I :� Official use only. Do not write in this area,to be completed by city or town of k. 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#: Version 1.7 Commercial Building Permit MaN 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 mj . I, mt/, 'j/ � �' �y��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, I �,Q tlf V`-Q� lb✓lit 5 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. Sign d unde a pains and penaltie of perjury. - Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Constructio Sue 'sor: Not Applicable ❑ Name of License Holder: License Number Add s Expiration Date It6 to Signa ure 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 bui ing permit. Signed Affidavit Attached Yes No 0 Version 1.7 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 Architec't:,, --^ '\ ZI16i ,ew lst Via„n l�LC2 Not Applicable ❑ Name(Re Os ant): lJ U/�'A-7-3 Registration Number Address D lop 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 /1 tNot Applicable ❑ Company Name: Responsible In Charge of Construction Address 1A a4 yl -�1�7�3ZZ� n re Telephone Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING I?xisting Proposed Required by Zoning This column to he filled in by ('410 ct'av M'G Building Department Lot Size 1),' A S Frontage (o 7 B Setbacks Front -Sp Side L:- 1S R: -7-5, L: W Rear szs Building I leight �( Bldg. Square Footage i �T'�1 Open Space Footage `/"o (Lot area minus bldg&paved parking) #ol'Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T 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 (Y DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES /—,A NO /0 IF YES, describe size, type and location: ��ll C\tT9�V�C��/�+©� t0 , �D��CTBoaL- D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, exc vation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO g IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 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 ❑ Accessory Building❑ Exterior Alteration W„Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ O her ❑ p P = g LL Exis�� ove,c�� 00-0 ,4- oPein; Brief Description Enter a brief description here. �► i Of Proposed Work: �/t-T' Co\&oN- ' -e— Vv,-eu�\A Uv..%,W 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 [r F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-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: 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 15t 2nd 2nd 3rd 3rd 4cn 4th Total Area(sf) Ne t •`S 7�j Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water S pply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage isposat System: Public [ Private ❑ Zone Outside Flood Zone[, Municipal On site disposal system❑ Versionl.7 Commercial Building Permit Mav 15,2000 - Department use only j2nuii of orthampton Status of Permit: OCT 2 ing Depar tment Curb Cut/Driveway Permit 2 aln Street Sewer/Septic Availability �I'T OF BUILDING INSPECnp R m 100 WaterANell Availability NOg7}{q .... —MA `iam on, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site 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 Pror)ertv Address. l / This section to be completed by office 4T-t\ d, 6 Uwu f� Map Lot Unit Sv�CV5n6� Zone Overlay District - Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Vl aw,, L L l S 'L S Nu OW- Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 7 3®o (a) Building Permit Fee 2. Electrical / (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 +2+3+4+5) 3eq �' Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0595 APPLICANT/CONTACT PERSON LIBERTY GENERAL CONTRACTING INC ADDRESS/PHONE P O BOX 166 GRANBY01033 (413)467-3223 PROPERTY LOCATION 115 INDUSTRIAL DR MAP 25A PARCEL 181 001 ZONE GI(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 Tyneof Construction: INFILL OVERHEAD DOOR W/CONCRETE MASONRY UNITS New Construction Non Structural interior renovations Addition to Existing Accessoa Structure Building Plans Included: Owner/Statement or License 055839 3 sets of Plans/Plot Plan THE FOJLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN 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 sPermit DPW Storm Water Management De o " D '00, Sig ature 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. 115 INDUSTRIAL DR BP-2016-0595 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A- 181 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-2016-0595 Project# JS-2016-000993 Est.Cost: $17300.00 Fee: $121.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LIBERTY GENERAL CONTRACTING INC 055839 Lot Size(sq.ft.): 108900.00 Owner: WAM LLC Zoning:GI(100)/ Applicant. LIBERTY GENERAL CONTRACTING INC AT. 115 INDUSTRIAL DR Applicant Address: Phone: Insurance: P O BOX 166 (413) 467-3223 WC GRANBYMA01033 ISSUED ON.1012912015 0:00:00 TO PERFORM THE FOLLOWING WORK.INFILL OVERHEAD DOOR W/CONCRETE MASONRY UNITS 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 10/29/2015 0:00:00 $121.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner