24B-066 (11) Notes: Building is constructed of steel, wood and concrete.No changes to occupancy hazard have been made.No
modifications to the original sprinkler protection is needed and all exiting protection to remain. All work will be
performed by licensed fire sprinkler fitters following the guide lines and requirements of NFPA 13 and 25 to
assure proper coverage and protection is maintained without effecting the original system design. All materials
used are to be listed for fire protection.
FIN2 15(2rNUICQ (5r%OUFZ
PO Box 1244,Belchertown,MA 01007 • Phone:413-668-9100 • Fax: 413-213-6567 0 www.fireservicegroup.com
F1re serulCa Group
Fire Protection Testing& Maintenance Provider
P.O. BOX 1244 MA License#SC 145974
Belchertown, MA 01007 CT License#FRP 0041132-F1
January 8,2016
Building Inspector
Northampton Fire Department
212 Main Street
Northampton,MA 01060
Re: Euphoria Float Spa,241 King Street,Northampton,MA
Subject: Fire Sprinkler Service: NARRATIVE
To Whom It May Concern,
Fire Service Group is submitting a permit for the following scope of fire sprinkler work to be conducted at Euphoria Float
Spa at 241 King Street. The following required fire sprinkler alterations are result of adding a storage and bathroom area
to the existing tenant space.
1) Relocating(2)sprinkler heads on the existing fire sprinkler system.
2) Adding(2)sprinkler heads to the fire sprinkler system to give the proper coverage in the tenant space.
Notes:
Building is constructed of steel and concrete. The fire sprinkler protection is feed with a 4"riser using standard
response pendent heads. The above proposed work is to stay within the perimeters of the original system design.
All work will be performed by licensed fire sprinkler fitters following the guide lines of NFPA 13 and 25 to
assure proper coverage is maintained without effecting the original system design. All materials used are to be
listed for fire protection.
No engineering or drawings required for this scope of work.
It is the building owner's responsibility to maintain the fire sprinkler system under the guidelines of NFPA 25.
Required routine inspection services are not part of the scope of this project.
If you have any questions or concerns,please feel free to contact me at: 413-544-8859 or by email at:
dan @fireservicegroup.com
Sincerely,
r ..
Daniel Belanger
dan @fireservicegroup.com
AL 1-888-279-8590 •Tel: 413-668-9100 • Fax: 413-213-6567
,Aw, www.FihQS @hUICQGr%OUP.com
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Application for Permit
City or Town: Northampton DIG SAFE NUMBER
Date: 1/8/2016 Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is
hereby made by: Fire Service Group
(Full name of person, Firm or Corporation)
Address: PO Box 1244 Belchertown MA 01007
(Street or P.O. Box) (City or Town)
For permission to (state clearly purpose for which permit is requested): Relocate 2) sprinkler heads and add (2)
sprinkler heads on the existing fire sprinkler system to accommodate the new tenant fit out.
Name of competent operator(If Applicable) Daniel P. Belange. 4 Ce,WN Q',SC 145974
Date Issued-rejected By `,�`'----
(Sigriature of Applicant)
Date of expiration: Fee: $100.00 $ Paid: $100.00 Due:
L�
1025, eSXaCe R..Z, e5", 'Xd 01775
PERMIT
City or Town: Northampton DIG SAFE NUMBER
Date: _1/8/2016
Permit Number(if applicable): Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in this permit
is granted to Fire Service Group
(Full name of person, Firm or Corporation)
for Relocate (2) sprinkler heads and add (2) sprinkler heads on the existing fire sprinkler system to
accommodate the new tenant fit out
Restrictions:
at_Euphoria Float Spa, 241 King Street,Northampton, MA 01060
(Give location by street and no., or describe in such manner as to provide adequate identification of location)
Fee Paid $100.00 This Permit will expire on
Signature of Official Granting Permit Title:
=* This Permit must be conspicuously posted upon the premises
The Commonwealth of Massachusetts
Department of IndustrialAecidents
' Office of Investigations
1 Congress Street,Suite 104
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/OrganizatioriAndividual): Fire Service Group, LLC
Address: 1240 Park Street
City/State/Zip:Palmer, MA 01069 Phone#:413-668-9100
Are you an employer?Check the appropriate box: Type of project(required):
1. 07 1 am a employer with 17 4. ❑ I am'a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in an capacity. employees and have workers'
b Y P 9. ❑ Building addition
[No workers' comp.insurance comp.insurance.:
required.] 5. 7 We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their 1 1. Plumbing repairs or additions
�.❑ 1 am a homeowner doing all work ❑
myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
] 13.❑E Other Fire Sprinkler Tenant Ft Out
employees, [No workers'
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 a new 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'camp.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:Travelers
Policy#or Self-ins.Lic.#:XHUB-4134T56-5-15 Expiration Date:9/1/2016
Job Site Address: 241 King Street City/State/Zip:Northampton, MA
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.
1 do hereby certify under the pains and penalties of perju that t/te information provided above is true and correct
Si ature: Date:
1/8/2016
Phone#: 4136689100
Official use only. Do not write in this area,to be completed by city or town official
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#:
° c_monvvemhgMassachusetts . ^
ƒ
Department of PubPc Safety
] +wukk Onitraunr
;
License: C-145974
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_ «« 0710412016
Version 1.7 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
as Owner of the subject property
hereby authorizeL--------- -
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
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.
Signedunder the pains an�enalties ofrperlury_�__,,,�, _
Print Name
Signature of Owner/Agent Date
SECTION.12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder ;Darnel PBelanger Il� .___._.. _! __..._._._..._ SC 145974
_ _
License Number
93 Goodell Street,Belchertown,MA 01007 07/04/2016
Address Expiration Date
(413)668-9100 �_._ ..._
Signature Telephone _
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG.L.c.152,§25C(16)j
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 0
Versionl.7 Commercial Building Permit May 15,2000
S TION 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 Reg tared Architect:
__-
��� Not Applicable ❑
_
Name(Registrant t
Registration Number
Address
r Expiration Date
y i
Signature Telephone
9.2 Registered Professional ftgineer(s):
F
Name
__.,..,.._.._.,_.,.�...._.,.,,...,._;�..__._..._._.__........__.._.,_. Area Responsibility
Address Aegistration Number
i
-_----,---_-�...
Signature Telephone Expiration Date
Name Area of Responsibility
Address Re�rstrataon Number
E
Signature Telephone Expiration Date
Name Area of Responsibility
.............
Address Registration Number
.__..........
.._
Signature Telephone Expiration Date
i
_. ___._ .. __.. _. __. `— ..._..__..._ _.._ ......
_..._...
Name Area of Responsibility
Address R tration Number
Signature Telephone Explratio Date
9.3 General Contractor
i
Not Applicable
Company Name:
Responsible to Charge of truction
Address
3v.. +......i \
Signature Telephone
!f
Version 1.7 Commercial Building Permit May 15,2000
8. ,NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be fill in by
Building Aeparun
Lot Size .._
Frontage
Setbacks Front
Side L _ R _ L
Rear
Building Height
Bldg.Square Footage E %
Open Space Foota ___ %
{Lot area minus bid paved
-kin
#0 arking Spaces - i --
Fill:
volume&Location)
A. --,klas a Special Permit/Variance/Finding;ever been issued for/on the site?
NO DONT KNOW 0 YES 0
IF YES, date issu
IF YES: Was the pe it recorded at the Registry of Deeds?
NO ONT KNOW 0 YES C)
IF YES: enter Book Pagef and/or cument#'
B. Does the site contain a brook, body of er or wetlands? NO 0 ONT KNOW C) YES 0
IF YES, has a permit been or need to be'obt 'led from the Co rvation Commission?
Needs to be obtained 0 Obtained , Date Issued:_
C. Do any signs exist on the property? YES
IF YES, describe size, type and location
D. Are there any proposed changes to o ddltions of signs intended for the prep`erty? YES 0 NO 0
IF YES, describe size, type location
E. Wilt the construction a ' ,ty disturb(clearing,grading,excavation,or filling)over 1 acre or is it part o Common plan
that will disturb ov acre? YES Q NO 0 \�
IF YES, n 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 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 EZI
Brief Description Relocate(2) sprinkler heads and add(2)sprinkler heads on the existing fire sprinkler system to
Of Proposed Work:#accommodate the new tenant fit out.
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 El 2A ❑
E Educational ❑ 2B ( ❑
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 ❑ 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: __.w_.:...___----- _.______..____,_,. ._' Proposed Use Group:
Existing Hazard Index 784 CMR 34) •_ __...,._..___... _.... Proposed Hazard Index 780 CMR 34)
SECTION 6 BUILDING HEIGHT AND REA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCT ON
OFFICE USE ONLY ;
Floor Area per Floor(sf)
1st __... ....... ... ... ».m ...,._,_ 1 St
.�
2 ,_;..._..w_ .. _ ,.......m.,,_........_.._._; 2nd "nd
_.. _ 3rd
3rd
4t"
4th w..
Total Area Is Total Proposed ew Construction
Total Hei t(ft)
Total H ght ft
7.Water Supply(M.G.L,c.40,§54) 71 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ ne Outside Flood Zone❑ Municipal ❑ On site disposal system[]
Version 1.7 Commercial Buildin Permit May 15,2000
.AMN City of Northampton
( Building Department -%j
Fp, 212 Main Street
•� x � a
Room 100 �j
Northampton, MA 01060 ofd p
phone 413-587-1240 Fax 413-587-1272
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 sectkin eto be completed by office
Euphoria Float Spa `Map `Lot_ Unit
;241 King Street ? Zone Overlay District.
;Northampton,MA
MITI St"P1s#Pict "CS DiMdct
SECTION 2-PROPERTY OWNERSHIPIAUTHOR1ZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
.Richard LavaIley .
Name(Print) Current Mailin Address:
;(4ID 326-1950
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermifa licant
1. Building w__....�.._.__..._...._,_.. ____...:.::..:,
9 ' (a)Building Permit Fee
e . .
2. Electrical (b)Estimated Total Cost of
Construction tom 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) 3
5. Fire Protection $1,500.00, $100.00
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 4 BP-2016-0890
APPLICANT/CONTACT PERSON FIRE INSURANCE GROUP
ADDRESS/PHONE P O BOX 1244 BELCHERTOWN(413)668-9100
PROPERTY LOCATION 241 KING ST-UNITS 117& 118
MAP 24B PARCEL 066 001 ZONE HB(98)/GI(2)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE n n
ZONING FORM FILLED OUT /
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONVERT ONE UNIT INTO 2 SPACES(SPA)
New Construction _
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 145974
3 sets of Plans/Plot Plan
THE FOL. ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFgAMATION 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
o ' ' elay
f — 11-16,1
Signa ure 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.
241 KING ST-UNITS 117& 118 BP-2016-0890
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24B-066 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate�,Torv: renovation BUILDING PERMIT
Permit# BP-2016-0890
Project# JS-2016-000956
Est. Cost: $1500.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: FIRE INSURANCE GROUP 145974
Lot Size(sa. ft.): 182342.16 Owner: COOLIDGE NORTHAMPTON LLC C/O HOULIHAN-PARNES/ICAP
REALTY
Zoning: HB(98)/GI(2)/ Applicant: FIRE INSURANCE GROUP
AT. 241 KING ST - UNITS 117 & 118
Applicant Address: Phone: Insurance:
P O BOX 1244 (413) 668-9100 WC
BELCHERTOWNMA ISSUED ON:1/11/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.-RELOCATE 2 SPRINKLERS &ADD 2
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 1/11/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner