08-009 (2) 844 NORTH KING ST
BP-2016-1033
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 08-009 ";CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate-ory: Non structural interior renovations BUILDING PERMIT
Permit# BP-2016-1033
Project# JS-2016-001746
Est. Cost:
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 87120.00 Owner: PATEL KIRIT&SHEELA
Zoning: RI(100)/HB(59)/RR(41) Applicant: PATEL KUNAL
AT. 844 NORTH KING ST
Applicant Address: Phone: Insurance:
844 NORTH KING ST (413) 320-2021-0
NORTHAMPTONMA01060 ISSUED ON:2/19/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.-CHANGE OF USE R2 TO B USE
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 2/19/2016 0:00:00 $100.00
212 Main Street, Phone(413)5$7-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File# BP-2016-1033
APPLICANT/CONTACT PERSON PATEL KUNAL
ADDRESS/PHONE 844 NORTH KING ST NORTHAMPTON01060(413)320-2021 ()
PROPERTY LOCATION 844 NORTH KING ST
MAP 08 PARCEL 009 001 ZONE RI(100)/HB(59)/RR(41
THIS SECTION FOR OFFIjCIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out rr
Fee Paid
Typeof Construction: CHANGE OF USE R2 TO B USE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THLLOWING ACTION HAS BEEN TAKEN ON T141S APPLICATION BASED ON
INE MATION 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
Demolition Delay
a--l z 19 16
Signature cf 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.
i
"-" Versioni.7 Commercial B ilding Permit May 15,2000
Department use only
C y of Northampton Status of Permit:
f (�16 Bu ding Department Curb Cut/Driveway Permit
2 Main Street Sewer/Septic Availability
�p�cr0Ns ROOM 100 lWaterNVell Availability
DE NOAp10N MAo�W ampton, MA 01060 Two Sets of Structural Plans
p one 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 Property Address: This section to be completed by office
SLm lver41 Ki(1Map Lot Unit
NoyMfotl, MA Cil00
Zone
f Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address: FY
iwt_j ,3,c� -qP,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
com feted by permit applicant
1. Building (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) Check Number
This Section For Officia Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Versionl.7 Conunercial 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 ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of UseX Other❑
Brief Description Enter a brief description here.
Of Proposed Work.
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 0 2A ❑
E Educational ❑ 213 I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H Hi h Hazard ❑ 3A ❑
I 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 UseElSpecify:
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
OFFICE USE ONLY
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
Floor Area per Floor(sf)
__.. St
1 St
2nd
2nd
_._._ .. ...._..._ .... .._....__ `.
3rd
3 rd
4th ..
4th ...
_..._......_..._._............._........................................................................
.......__..;
Total Area (sf) Total Proposed New.Construction(sf).
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 ❑ Private ❑ Zone Outside Flood Zone[] Municipal E] On site disposal system❑
I
i
Versionl.7 Commercia113uilding 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:
Rear
Building Height
Bldg. Square Footage _ / ..... °°
Open Space Footage 7._......,._., %
(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 a DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Wasr.the permit recorded at the Registry of Deeds?
NO O',, 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? �" ON7 KNOW 0 YES Q
IF YES, has a permit been orr''hoed to be obtained from tommission?
Needs to be obtained �`�Obtained , Date Issued:
l
C. Do any signs exist on the property? YES j! NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or a0ditions of signs intended,for the property? YES 0 NO
IF YES, describe size, type and logation:
E. Will the construction activity distupb(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 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version1.7 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 Architect:
_ Not Applicable.❑
t
Name(Registrant):
Registration Number
dres
Ad
Expiration Date
Signature I Telephone
9.2 Registered Professional Engineer(s):
NameArea 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
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
it
I
I
Version].7 Commercial wilding Permit May 15, 2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes No Q
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize
act on my behalf, in all matters relative to work aut by this building p it application.
Signature of Owner - Date
a Owne/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.
Ku,iCr G0 .:� ►I�'_lc�cul
Print Name
G G CI
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
_...._.
Name of License Holder
License Number
Address Expiration Date
Signature Tete(horne
i
SECTION 13 -WORKERS'COMPENSATION INSURANCE AFfIDAVIT(M.G.L.c. 152,"C(6))
Workers Compensation Insurance affidavit must be-cbmpleted 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 Q
t
The Commonwealth of Massachusetts
Ilepar•tinent of Industrial Accidents
Office of Investia ations
600 ffashington Street
Boston, MA 02111
www.niass.a ov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): _
Address:
City/State/Zip: Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
i.❑ I am a employer with 4. [] I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, F� Demolition
working for me in any capacity. employees and have workers' g F-1 Building addition
[No workers' comp.insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.[] Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t C. 152, §1(4), and we have no
employees. [No workers' 0.F-1 Other
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 die sub-contractors have employees,they must provide their workers'comp.policy number.
lain an employer that is pi-ovidirrg workers'compensation irrsur•arrce for rrry employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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.
Sia nature: Date:
Phone#:
Of use only. Do not write in this area,to be completed by city or town official
Cite 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#:
RUSSELL AND DAWSON
2/15/2016 RDAEPCOM
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main St.
Northampton, Mass 01060
Re: 844 North King Street,Northampton, Mass
Dear Mr. Hasbrouck:
The property located at 844 North King Street has been in use as a two family dwelling. The
owner has recently used one of the dwelling units as a back office for his development and
property management business. It is his intent to remove the tenants of the other dwelling unit
and use the entire building for back office use.
Per examination of the 2009 IEBC with amendments per Mass CMR, conversion of a R4 use
group to B constitutes a change of use to a Bower classification. Per 912.1, compliance with 912
2-4 is required. 912.2 requires only existing smoke detectors,912.3 limits furniture and finish
flame spread, and 912.4 state that the application of 5-7 depends on if the hazard classification
is the same or less. 912.4.2.3,4&5 allows existing stairs to remain as long as the guards and
handrails meet the minimum standards and existing exits meet minimum exit size requirements.
912.5,6,7 apply only to buildings converted to a higher hazard.
912.8 accessability alterations. Per 521 CMR 11.1, accessability is not required providing the
public is not served and the building is strictly used by employees. This is the intent of the
owner.
In conclusion, it is our professional opinion that the conversion of this building to B business
use is permitted by the CMR regulations without any required physical alterations.
Very truly yours
SE LAND N
J T. Wilc rcect
Duly Authorized
Encl.
c: 16027
R:\A-YR-2016\16117 844 North King St.,Northampton,MA(Shield OfTice)\RND Code Compliance\Building Notices1016.2.15BO Letter
Change Of Use.Docx
Rev.:15.00 An Affirmative Action/Equal Opportunity Employer
CONNFCTICtJ7 •FLORIDA•INDIA
Russell and Dawson LLC T 860 289 1100 Chirag H. Thaker
1111 Main Street F 860 289 3272 Dan Lynian Russell
East Hartford CT 06108 E Info si rdaep.con) Robert M Dawson, III