31B-200 (3) 21 RENSHAW AVE BP-2017-0471
GLS 4: COMMONWEALTH OF MASSACHUSETTS
Man:Block:31B-200 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
PertnB: Building DO NOT HAVE ACCESS TOTHE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING P RMI 1
Remit 4 BP-2017-0471
Project rt JS-2016-002375
Est. Cost:$365000.00
Fee:$2555.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sq, ft.): 13590,72 Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning: Eo(1OOVURCn003v Applicant: KEITER BUILDERS
AT: 21 HENSHAW AVE
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 0 WC
FLORENCEMA01062 ISSUED ON:70120/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:MISC INTERIOR & EXTERIOR RENOVATIONS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector f 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 10/2052016 0:00:00 52555.00
212 Main Street, Phone(413)5874240,Fax: (415)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0471
APPLICANT/CONTACT PERSON KEITER BUILDERS
ADDRESS/PHONE 35 MAIN ST FLORENCE (413)58641600 Q
PROPERTY LOCATION 21 HENSHAW AVE
MAPS IB PARCEL 200 001 ZONE EU(100VI.IRC(100V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid "} SSs ',—N " �l rJ a1
Building Permit Filicd,gut
Fee Paid
Typeof Construction: )14ISC INTERIOR&EXTERIOR RENOVATIONS ....
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 102457 n I7�
3 sets of Plans/Plot Plan if ' ec 1'�d/Yi C
THE PO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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 Nan
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
/fa /6 /''-j7
Signature of Build gO 'tial 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-
'N __ Version 1.7 Commercial Building Permit Ma) 15.2000
_.� Department use only
I
1" / City of Northampton Status of Permit:
4111 +3aiii Building Department i Curb Cut/Driveway Permit -
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, 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 Property Address. This section to be completed by office
-_ 1 II 6145h Map Lot Unit
' '`i� , ,_y-•�- ,. - '` (- Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print)177 /7`''f�`-5 c-� � �•n; )-gCur ailing Address ,ti/ jl .q„ T- 1 4/ CiCC
G
Signature ' AL 7 /, /`sr ; 1 111 I 1 1 : r Telephone LA/ 7 - ) e ) — Z--(/ 7 4%-
2.2 Authorized Agent
Keiter Builders, Inc. 35 Main St Florence, MA 01062
Name(Print) Current Mailing Address.
413-586-8600
Signature l'..e+ul vu. RBI _ Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 Building I 6l 5 ) (a)Building Permit Fee
2 Electrical ° D ( (b)Estimated Total Cost of
Construction from(6)
3 Plumbing /7/D ( Building Permit Fee
I
4 Mechanical(HVAC) Z
5Fire Protection 4t1 I I l5—J,,sA
-
—
6 Total=(1 +2 + 3 + 4 + 5) 365 v Check Number 54 0 ` ,j,/j7
Tt/vhis Section For Official Use Only
Building Permit Number Date
Issued
Signature
Building Commissionerllnspector of Buildings I Date
Version l A Commercial Building Permit Ma) IS,2000
SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations xisting Wall Signs ❑ Demolition Repairs Additions ❑Accessory Building
Exterior Alteration xisting Ground Sign El New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description IC 3( , IYv:TPlrin- y- yt ✓✓ rCM a -Bove
Of Proposed Work: ektave Sfy pi.aM-S d- peCS
SECTION S 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 ❑ IR ❑
B Business ❑ _ 2A ❑
E Educational 0 28 ❑
F Factory ❑ F-1 ❑ F-2 ❑ 20 ❑
H Hiqh Hazard ❑ 3A ❑
t Institutional ❑ I-1 ❑ S2 ❑ I-3 ❑ 3B ❑
M Mercantile 0 4 0
R Residential ❑ R-1 ❑ R-2 ❑ R-3 D 5A ❑
S Storage ❑ S-1 ❑ s.2 ❑ ._ 56 ❑
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 342 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)
I1 1:,
I ti
3,a
4 4m
1 Total Area(S) Total Proposed New Construction (sf)
jTotal Height(N)
Total Height tf
7.Water Supply(M.G.L.C,40! §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system❑
Version I Commercial Building Permit Mae IS,2000
B. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This COIumn la he num in h1
Building oepamnern
Lel Sb<
Frontage
Setbacks Front
Side I.1R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage (2.
dot area min oS bldg&pat ed
parking)
II of Parking Spaces
Fill:
unitive A Laemioin
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and Location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO
IF YES, describe size, type and Location:
E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre oris it pan of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required
Version1.7 Commercial Building PeriniI May Ii.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) ' IIII_
9A Regis Architect: tt
Name(Regi t A{�,)11-rt, NOAH rj Z.41 _..- ._
. ,� U O RRegiistrrauon Number
5 t -.--P_w..Al_SFI 5r b . m CJn3
nddress�2......2._______ �D ` —...Z�.1
Exptration Date
-.----., 413.434•1009 )
Senature Telephone
9.2 Registered Professional Engineer(s):
o- 1 • C-rano _E/eCfelCAt S iCJ
ric'
Name Lucy r , I',,�,‘4, { ee- '1 . . 5Area of R sponsibillly
—77
AIXlressR¢gtelralien Number
4 f-- y13.a5061g5ola015
Si nature Telephone Exi Date e
Name L)' . HtA.T .. LQ..{Ot' -- Yigeft“F$ Ar ea of Respons'bidy
. A-
Ar • ... _ V. is , .: ' f(1- DIOL �tna�l....
Addr8ss .. 1 f. Registration Number
. .. X - . , fr ,, _ _ y13-_(086 -7-5111 (13 Dia t i f3
Si „ re - t ` Telephone Ex.iration Date
i Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Si.nature Telephone Expiration Dare
9.3 General Contractor
Keiter Builders,Inc
^_ Nol Applicable 0
Company Name:
Scott Keiter
Responsible In Charge of Construction
35 Main St. Florence. MA(71662
xprcddrnt. Rut 413-586-86(J6
Signature Telephone _
Version I.7 Commercial Building Permit May 15,20170
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
independent Structural Engineering Structural Peer Review Required Yes O No Q
SECTION t1 .OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES.FOR BUILDING PERMIT
! I, _ A. AC Ct C& i as Owner of the subject property
Keifer Builders. Inc.
hereby authorize to
act on my behalf, nail matters relative work authorized by this building permit application_
Signature of Omer Date
Keiter Builders, Inc
I, _.- -._ as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing apptication are true and accurate,to the best of my knowledge
and belief
Signed under the pains and penalties of perjury.
Scott Keifer
i
IPr Name - _
vr.,idrnt.l:Hl 08.01.16
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10,1 Licensed Construction Sunervisoc Not Applicable ❑
Scott Keiter CS-102457
Name of License Holder_ _
License Number
51A Hatfield Street Northampton,MA 01062 06/20/2018
A esszfro Expiration Dale
Pra>itie„t-Kin413-586-8600
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 buildint)permit,
I Signed Affidavit Attached Yes 0 No 0
City ofNorthampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MOL 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: 9] Sh
The debris will be transported by: Keiter Builders, Inc.
The debris will be received by: Valley Recycling
Building permit number: —...
Name of Permit Applicant Keifer Builder Inc
0927.16 B
Yrcet,lm.KB;
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of 1ndu.siriatAccidents
11-S"-,11 .---- Office of I n vest gati�ns
I Congress Street,Suite 100
`ts:'— `
Boston,MA 02114-2017
www.ntass.gov/din
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Keiter Builders, Inc.
Name (Business/Organization/Individual):
Address:35 Main Street
City/State/Zip:Florence, MA 01062 Phone ry:413-586-8600
Are you an employer? Check the appropriate box:18 Type of project(required):
1.0 I am a employer with 4. 0 I am a general contractor and I
employees(full and/or part-tune)_'
have hired the sub-contractors 6. ® New construction
2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers' comp. insurance comp. insurance.,
required.] 5. 0 We are acorporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their I I.0 Plumbing repairs or additions
myself. (No workers comp. right of exemption per MOL 120 Roof repairs
insurance required.] " c. 152. §I(4). and we have no
employees. (No workers 13.0 Other
comp. insurance required.]
'Am appl ant
that dxcks box '.I mug aka till our section be!ow showing their workers compensation policy in nunnation,
t Homoowners who submit this affidarlt indicating they are doing all work and then hire outside contractors must submit a new afliduvit indicating such-
-Contracmrs that check this bas must attached an additional sheet showing the name or the soh- onmttlors and sate whether or nut hoc entities have
empknces. It the soh-contractors have employes.the,must provide their woitcts comp.policy number_
I am an employer that is providing workers'compensation insurance Jar mi empIoreec Below is the policy and job site
information,
Insurance ('owang Name:Arbella Protection _. _...9127440615
Expiration N or Self-ins, Lie. d: Date 6/1/17
lob Site Address: d / 00A ...._...._ City/State/Zip Northampton
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dale).
Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties ofa
line up to$1,500.00 and/or one-year imprisonment. as well as civil penalties in the form ofa STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby rti fy under the pains and penalties of perjury that the information provided above is true and correct.
09.27.16
Stilglure: Pre_aldent,RBI Date:
['limed: 413586-8600
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License N_, _. -_
Issuing Authority (circle one):
I.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other.
Contact Person: Phone ft:. _
ACORD
CERTIFICATE OF LIABILITY INSURANCE n6/16/2016Y
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS}, AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT t. nth A Manderson,
.k9BF_. Y i CZSR _.
Webber z Grinnell PRONEa�1). (413)586-0111 ,1.06 I t axes-em
B North King Street Aooness chenderson@webbera dgrinnel1,corn
INSURIS)AFFORDING COVERAGE tulip
Northampton NA 01060INSURERAArbglla Protection 41360
INURED INSURER@5._
Keiser Builders, Inc. INSURER
Attn: Scott salter INSURER D
35 Main Street
INSURER E
Florence MA 01062 1N$uRER F:
COVERAGES CERTIFICATENUMBER24aster Ezp 2017 REVISION NUMBER:
l'' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 01' ANY CONTRACT OR OTHER DOCUMENT WIT 11 RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
MSP AWL.SUUR POLICY ESE POLICY EMP
r: TYPE OEINSURANCC rasp n4Q POtCY NUMOER {MMNWYYYYI 1MM'to/YYtYL LIMITS
X DOMMEAGAL GENERAL LIABILITY EACHOCCURRENCE 5 1,090,000
CLNi$MGETOREITre 100,000
A j MS-MAGE _%'CH;GUR _yRRE $Es�jEA P4tiVRncey 5 ___
8500064396 6/1/2016 6/1/2017 MED EXP iAny one parson) S 5,000
- _ - -- PERSONALBADV WJLIBY 5 1,000,000
GENE AGGREGATE LIMIT.APP IES PER GENERAL AGGRVATE i 2,000,000
X paps- 7P2i L0. P)xXu S COMP/DR AUG S . 1,000,900
OTHER 5
^ _.-
UJMRINEO SINGLE L INR
AUTOM081LE LIABILITY y£aacouep9 5 1,000,000
A _ UTO BOLI m Lf person) 5
SLL OWNER 1.- SCHEDULED , 102003934101 612)2015 6IJ29ll ODDITY R piss tt:Iaen; 5 --
_ r_ sums
- s - AUTOS ED FRWPERTY PASSAU y
'T HIRED 311105 ;_y`_' AUTOS I, FAPa {
Medico'ca Paymenu S __... 5,000
K UMBRELLA LIAR OCCUR I _FACET OCCURRENCE 5 5,000,000
A EXCESSLIAB _ CtAIMS-MADE AGGRLGATE. 5 x000,300
()ED X PE'ENTONS 50,0 a 460O06335t9 pis/2014 6/1/2017 5WORKERS
SATIDN
ANDEMPLOYEN9 LABILITY R SERTpTE X, OFR,
Y
O RFTY R NEa ECUTIE N/A EL EACH ACCIDENT 5 1,900 000
CFandE Fn NE GUIDE N9127440615 6/1112016 6/11/201Y A OFF IC NTSTi DISEASE Yn LMPIINEES 1,000,000
byes aesTDe under
CHOW-EON Q'OPERni10 SOeO* FL DISEASE-POLICY uwT 5 1,000,900
UESCRIPPON OF OPERATIONS/LOCATIONS/VEHICLES/ACORD 101,AEdryionil Remarks Schedule,may be Mede al more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
IC Henderson, C1513/CIN Azle—
C4 1988-2014 ACORD CORPORATION, All rights reserved.
ACORD 25(201401) The ACORD name and logo are registered marks Of ACORD
I NSA'S swarm
PRIMARY CONSTRUCTION CONTROL DOCUMENT
�4 DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE
•
(submit with permit application)
780 CMR— Massachusetts State Building Code
Project Title: 21 4 . c ti-a4,-) Date: C_4sprT 32azz•16
Project Location: 21 t4€ r=1421.J WE Mca---14-iavvic ibr3 P44- 4460
Scope of Project: 2 ).�crytgao,4. — FFZIe- l ej/r y gTro.f
In accordance with 780 CMR,Section 107.0,most specifically 107.3.4"Design Professional in Responsible
Charge"and 107.6"Construction Control"of the 8th edition of the Massachusetts State Building Code:
I, cy„ a Jami nrlf Mass.Registration Number 2.C'21[ Expiration P.11f-
being a registered professional Engineer/Architect hereby certify that:
I am the Design Professional in Responsible Charge and that I am and shall be responsible for reviewing and
coordinating submittal documents prepared by others,including phased submittal items,for compatability
with the design of the building and for compliance with the requirements of 780 CMR(Massachusetts State
Building Code).
In addition, I certify that I have prepared or directly supervised the preparation of all design plans,computations
and specifications concerning the following:
[D4 Entire Project [ ] Architectural [ ] Structural [ ] Mechanical
Fire Protection [ ] Electrical [ ] Other(specify)
for the above named project and that such plans,computations and specifications meet the applicable provisions of
780 CMR(8ih edition)the Massachusetts State Building Code,all acceptable engineering practices,and all
applicable laws for the proposed project.
Furthermore,I understand and AGREE that I(or my designee)shall perform the necessary professional services
and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in
accordance with the documents approved by the building permit and shall be responsible for the following as
specified in 780 CMR Section 107.6.2.2(8t°edition)as applicable:
1.) Review, for conformance to this code and the design concept,shop drawings,samples and other submittals
by the contractor in accordance with the requirements of the construction documents.
2.) Perform the duties for registered design professionals in Chapter 17.
3.) Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine if the work is being performed in
a manner consistent with the construction documents and this code.
1 shall submit periodically field/progress reports together with pertinent comments,in a fonn acceptable to the
building official,as well as a"Phased Approval Document"when/as required by the Building Official. Upon
completion of the work,I shall submit to the building official a"Final Construction Approval Document"as to
the satisfactory completion and readiness of the project for occupancy.
Signature and Seal of registered professional: fJ
•
L4 Yom• /\,r!
Inn
S. / III
S Y/ F H�G:V�V•
,
a4
City of Northampton
r Massachusetts ,.
•
f - �4 DEPARTMENT OF BOSDING nisPECTZONS r
a1 212 Main Street • Municipal Building
.y.. r� Northampton, MA 01060 .B, }.+r�'
NSPECTOR
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 portion of a controlled project)
Project Title: Kahn Institute Date: September 27,2016
Project Location: 21 Henshaw,Northampton Map: Parcel: Zone:
Scope of Project: Renovation converting house to offices
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.61
I. Julia G.Weatherby Mass- Registration# 40031 ,
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 [ 1 Architectural [ ] Structural [x]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.
a-O f Of M4Ss'�
JULIA G. G'
o
RWEATHERBY
Signature and Seal of ReProfessional
V�/r,/V/r, o7Re //
MECHANICAL
No.40031 N
27th Day of September 2016 VfOtGT P, Evx
sioNA 00.
(seal)
City of Northampton
4r- i Massachusetts•
tDEPARTMENT OP BUILDING INSPECTIONS
212 Hain Street • Munlevpal Building
t Northampton, tin 01060 °r
i NJ PECTOR
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 portion ora contested project)
Project Tide: Kahn Institute Date: September 27,2916
Project Location: 21 Henshaw,Northampton _ Map: Parcel: Zone:
Scope of Project: Renovation convening house to offices
In accordance with the Eighth edition Massachusetts State Building Code,780 CMR Section 107.6.
1, _Joel Patruno Mass. Registration# 52329 _
being a registered professional Engineer/Architect hereby CERTIFY that!have prepared or directly supervised
the preparation of all design plans,computations and specifications concerning:
[ ]Fire Protection [ ]Architectural [ 1 Structural [ ]Mechanical [x] 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.
,ix or
cy
Sig - - /.e • Professional it AJOEL R
TRUN
I PATRt1N0
ELECTRICAL H
-- t
NO,52329
2 A Day of September 2016 \\' 4.4osis pkv
a a/
VNAl.
(seen
Archimetrics Design Studio
• 53 South Union Street, Plainfield, MA 01070
September 15, 2016
Louis Hasbrouck, Building Commissioner
City of Northampton
Northampton, MA 01060
RE: Enabling Neilson - 5 Building Renovations
CHAPTER 34 REVIEW
21 Henshaw Avenue 1st Floor 1380sf 2nd floor 1 380 sf
Existing Use R- Single Family Residence Proposed Use B
Construction Type 5B
Overview: 21 Henshaw Avenue is a two story wood framed dwelling constructed around
the turn of the last century(1900's). The proposed change of use will include a first floor
conference space with a warming kitchen for serving food prepared off premises and a
servery for buffet style lunches provided for programmed conferences. Support spaces
include support staff offices related to operation of the Kahn Institute, These are located
on the first and second floor. Public access is limited to the first floor only.
The change in occupancy classification requires compliance with IBC Chapter 9 as
follows:
903 through 906 require compliance with Section 912.
907: The existing floor framing (2x8 joists) is adequate for office loading (50 psf) as
defined in IBC Table 1607.1. Snow and wind loads are unchanged and no seismic
upgrades are required. Structural modifications include removal an existing chimney
and demising partition assumed to be load bearing. New structural members are
proposed to redistribute the loads due to this change and bear directly on existing
supports or exterior walls.
908: Electrical service upgrades, rewiring and new devices and LED lighting upgrades
are proposed throughout the building.
Peter Lapointe,Architect 4136340091
archimetricsdesign@verizon.n et
Archimetrics Design Studio
• 53 South Union Street, Plainfield, MA 01070
909: Heating, ventilating and A/C upgrades are proposed throughout the building.
910: Plumbing facilities for both sexes, drinking fountains and service sinks are being
provided consistent with plumbing code requirements for the new occupancy.
911 : No changes to existing light and ventilation is proposed and current windows meet
the requirements for new construction.
91 2.1 .1 : Compliance with Chapter 8 will be discussed by Section following the Chapter
9 review.
912.4: The Change in Occupancy does not change the Means of Egress Hazard Index of
4 requiring compliance with 912.4.2. The egress capacity meets requirements for new
construction with a front and rear stair providing egress to from the second floor.
912.5 & 6: The change of use the same hazard index deems the existing building height
and area and exterior wall construction to be acceptable.
912.7.2: Stairways: Changes to the existing open stairways are not required since there
is no change in Egress Hazard Index. IBC Section 1022.1 exception 1 allows unenclosed
stairways when the occupant load for the stair is less than 10. The existing stairways
meet this requirement.
912.8: Accessibility requirements are met by proposed improvements to entrances and
the addition of an accessible restroom. Proposed first floor changes include dimensional
compliance for all doors. Public access and programs are all located on the first floor.
Chapter 8: The scope of alterations including structural changes and proposed exit and
emergency lighting is consistent with the requirements of Chapter 8. The change of use
does not require a fire protection system or fire alarm system. IBC Section 904.11
requires automatic fire-extinguishing systems for commercial cooking systems. The
proposed residential quality kitchen is an accessory use. It will have electric heating
elements and no open flame. The kitchen will not be used for food preparation and
request a determination by the code official that the requirement for a commercial grade
hood,venting and fire-suppression system be deemed not applicable to this installation.
Peter Lapointe,Architect 413-634-0091
archimewicsdesign@verizon.net
Archimetrics Design Studio
• 53 South Union Street, Plainfield, MA 01070
Chapters 6 & 7: Existing construction and proposed construction without exception
meet or exceed the requirements of these chapters for Repairs and Alterations.
Respectfully submitted,
Peter Lapointe
Peter Lapointe, Architect 413-6340091
archimetricsdesign@verizon.net