39-063 (10) 1/1312016 City of Northampton Mail-CSO buildout 8 Atwood Drive
City O
; � n Louis Hasbrouck <Iasbrouck @northamptonma.gov>
CSO buildout 8 Atwood Drive
1 message
Louis Hasbrouck < has brouck @northamptonma.gov> Wed, Jan 13, 2016 at 1:59 PM
To: Travis Ward <tward @devassociates.com>
Cc: Larry Therrien <Itherrien @northamptonma.gov>, Duane Nichols <dnichols @northamptonma.gov>, Charles Miller
<cmiller @northamptonma.gov>
Travis,
We received the permit application for the Clinical and Support Options buildout at 8 Atwood Drive.
I have reviewed the plans and I see no problems. We do need electronic copies of the plans before we issue the
permit. We also need a construction control document from the Fire Protection contractor along with a fire
protection narrative for the sprinkler and alarm system work in the renovated space.
The fire department must review the fire protection plans. Because the work is design build, I am reasonably
confident that they will accept as-built drawings for the sprinkler work before the final inspection but they will
need the construction control document and narrative along with a copy of the construction plans.
Let me know if you have any questions.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
https://mail.google.com/mai I/ca/u/01?ui=2&i k=ec5fl9a57e&view=pt&search=sent&th=1523c5b863feal3c&si m l=1523c5b863feal3c 1/1
1/1312016 City of Northampton Mail-CSO buildout 8 Atwood Drive
CUM Of F�
Louis Hasbrouck <Iasbrouck @northamptonma.gov>
CSO buildout 8 Atwood Drive
1 message
Louis Hasbrouck <Iasbrouck @northamptonma.gov> Wed, Jan 13, 2016 at 1:59 PM
To: Travis Ward <tward @devassociates.com>
Cc: Larry Therrien <Itherrien @northamptonma.gov>, Duane Nichols <dnichols @northamptonma.gov>, Charles Miller
<cmiller @northamptonma.gov>
Travis,
We received the permit application for the Clinical and Support Options buildout at 8 Atwood Drive.
I have reviewed the plans and I see no problems. We do need electronic copies of the plans before we issue the
permit. We also need a construction control document from the Fire Protection contractor along with a fire
protection narrative for the sprinkler and alarm system work in the renovated space.
The fire department must review the fire protection plans. Because the work is design build, I am reasonably
confident that they will accept as-built drawings for the sprinkler work before the final inspection but they will
need the construction control document and narrative along with a copy of the construction plans.
Let me know if you have any questions.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
https://mail.google.com/mai I/ca/u/0/?ui=2&ik=ec5fl9a57e&view=pt&search=sent&th=1523c5b863fea13c&si m l=1523c5b863fea13c 1/1
City of Northampton
•� ' .L Massachusetts
A w
DEPARTMENT OF BUILDING INSPECTIONS .
212 Main Street • Municipal Building
ry .r Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Fax: 413-587-1272 Chuck Miller
Building Commissioner Phone:413-587-1240 Assistant Commissioner
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for a on rtion of a controlled project)
Project Title:Clinical&Support Options- 1st Fir, Tenant Improvements Date: November 30, 2015
Project Location: 8 Atwood Drive, Northampton, MA Map: Parcel: Zone:
Scope of Project: Office Build-Out-Tenant Improvements to 2,688 SF at 1st Floor of 8 Atwood Drive
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
I, . ' { , . ,.. r ►! 1 r ,". Mass. Registration#
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] Fire Protection [x]Architectural [ ] Structural [ ] Mechanical [ ] Electrical
[ ]Other(specify)
for the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit.
Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
Completion of the above mentioned work.
Signature and Seal of Registered Professional ,l��RED ARC,/T
j, �e �0N W Fo
In
i
Q-
� ' 50231 -+
SHELBURNE FALLS y
y;".. . Day of 4 r 20 ( c• MA
'r"OF MPS
(seal)
The Commonwealth ofMassachusetts
Department of Industrial Accidents
i Office of Investigations
600 Washington,street
Boston,Mass. 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): Development Associates
Address: 200 Silver Street, Suite 201
City/State/Zip: Agawam, MA 01001 Phone#: (413) 789-3720
Are you an employer?Check the appropriate box: Type of project(required):
1.XX I am an employer with 5 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part time).* have hired the sub-contractors 7, ❑Remodeling
2. ❑ I am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp.insurance.r
required] 5.0 We are a corporation and its 10. ❑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 perm MGL
insurance required]t c. 152, § 1(4),and we have no 12. ❑Roof repairs
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.
(Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contactors that check this box must attach 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: The Travelers Insurance Companies
Policy#or Self-ins.Lic.#: IEUB-8771W83-7-15 Expiration Date: 4/13/16
Job Site Address:_ 8 Atwood-Drive, Suite 101 City/State/Zip: Northampton, MA 01060
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 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
$250.00 a day against violator. vised that a copy of this statement maybe forwarded to the Office of Investigations of the
DIA for coverage verificatio .
I do herby c to pai and penalties ofperjury that the information provided above is true and correct.
Signature: Z/1 Date: November 24, 2015
Print Name: Travis P. Ward as agent for owner Phone 4: (413) 789-3720 ;
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):
I.Board of Heath 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
el
6. Other
.ontact person: Phone#:
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 0
SECTION 11 OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Oxbow Professional Park, LLC as Owner of the subject property
hereby authorize Travis P. Ward to
act on my behalf,,'�all matters rel to k uthorize by this building permit application.
,-
11/24/15
Signature kO er Date
WOMMME10 , I
i, Travis P. Ward 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.
Vi S
Print Name
J 11/24/15
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Travis P. Ward CS-075752
License Number
200 Silver St., Suite 201 , Agawam, MA 01001 5/19/17
Address Expiration Date
(413) 789-3720
Signature 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 building permit.
Signed Affidavit Attached Yes 0 No 0
Version 13 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 Architect:
Jones Whitsett Architects-J. Kristian Whitsett,Architect Not Applicable ❑
Name(Registrant): - -
Registration Number d
308 Main Street, Greenfield, MA 01 101
Address "
.. (413)773-5551
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
rUMVA1==nt- Associates Not Applicable ❑
Company Name:
Travis P. Ward
Responsible In Charge of Construction
Silver Street lute 201 A warn MA 01001
Address -_...,_... f
(413)789-3720
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW Q YES
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 Nj DON'T KNOW Q YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , 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 Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Inter! Alterations El Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Ext for Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing[I Change of Use❑ Other ❑ I b t
Enter a brief description here.,
rief Description Work:
`Of Proposed Work: tt�Q�r �"\C �V
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 ❑
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:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: B Proposed Use Group: B
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFIC USE ONLY
Floor Area per Floor(sf)
i
St
1st 1
2nd
2nd
r
d
3rd 3
4 t
4tr
Total Areas Total Proposed New Construction (s
fl
n
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❑ Municipal ] On site disposal system❑
Versionl.7 Commercial Bui6ding Permit Ma 15,2000
i�iiw I I�I 6(il� r
RECEIVED City of Northampton ��'"�
S,+p I14,
Building Department
9 p � r
�AN 1 3 2016 212 Main Streetrs
rt
pw u
Room 100
orthampton, MA 01060
�-587-1240 Fax 413-587-1272
W '
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
p lot b)r office
1.1 Property Address: This sect(on t4 be com
Map Lot Unit
8 Atwood Drive, Suite 101
Northampton, MA 01060 Zortie Overlay District
Elm St.District CB:;District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Oxbow Professional Park, LLC Current Mailing Address: P. 0, Box 528
Agawam, MA 01001
Signature Telephone (413) 789-3720
2.2 Authorized Agent:
Name(Print) `Dravis P. Vi--Td, It Associates Current Mailing Address: P. 0. Box 528
Agawam, MA 01001
Signature Telephone (413) 789-3720
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
$140,000.00
2. Electrical (b) Estimated Total`Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 +2+3+4-+5) 140 000.00 Check Number
This Section For Official Use Only
Building Permit Number Date
Issued,
Signature:
Building Commissioner/Inspector of Buildings Date
File# BP-2016-0907
APPLICANT/CONTACT PERSON DEVELOPMENT ASSOCIATES
ADDRESS/PHONE P O BOX 528 AGAWAM01001 (413)789-3720
PROPERTY LOCATION 8 ATWOOD DR-SUITE 101
MAP 39 PARCEL 063 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid !J
Building Permit Filled out -ter
Fee Paid G .l-� F
Typeof Construction: INTERIOR BUILDOUT 1ST FLR OFFICE SPACE- SUITE 101 LANs /��
New Construction INaft G'Y io p
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 075752
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED: 7/ "J F)17,Ia1J1
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
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.
8 ATWOOD DR-SUITE 101 BP-2016-0907
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 39-063 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-2016-0907
Project 4 JS-2016-001538
Est. Cost: $140000.00
Fee: $400.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DEVELOPMENT ASSOCIATES 075752
Lot Size(sq. ft.): 64381.68 Owner: ATWOOD DRIVE LLC
Zoning: Applicant: DEVELOPMENT ASSOCIATES
AT. 8 ATWOOD DR - SUITE 101
Applicant Address: Phone: Insurance:
P O BOX 528 (413) 789-3720 WC
AGAWAMMA01001 ISSUED ON:21112016 0:00:00
TOPERFORM THE FOLLOWING WORK.INTERIOR BUILDOUT 1ST FLR OFFICE SPACE-
SUITE 101 - FP PLANS PRIOR TO FINAL INSPECTION
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 Siiinature:
FeeType: Date Paid: Amount:
Building 2/1/2016 0:00:00 $400.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner