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R-6 PARKING GARAGE-ARMORY ST-85 HAMPTON AVE BP-2017-0204 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:32C-024 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-2017-0204 Project# JS-2017-000344 Est.Cost: $162000.00 Fee:$0.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STRUCTURAL PRESERVATION SYSTEMS_ Lot Size(sq. ft.): 127195.20 Owner: NORTHAMPTON CITY OF PARKING GARAGE Zoning:CB(100)/ Applicant: STRUCTURAL PRESERVATION SYSTEMS AT: PARKING GARAGE -ARMORY ST - 85 HAMPTON AVE Applicant Address: Phone: Insurance: 1755 KHIGHLAND AVE WC CHESHI RECT06410 ISSUED ON:11/9/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE SEALANT & TEE TO TEE JOINTS 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 Occu s anc Si•nature: FeeType: Date Paid: Amount: Building 11/9/20160:00:00 $0.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2017-0204 APPLICANT/CONTACT PERSON STRUCTURAL PRESERVATION SYSTEMS ADDRESS/PHONE 1755 KHIGHLAND AVE CHESHIRE06410 PROPERTY LOCATION PARKING GARAGE-ARMORY ST-85 HAMPTON AVE MAP 32C PARCEL 024 001 ZONE CB(10011 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid /�'Wt _0 Building Permit Filled out Q Fee Paid Typeof Construction: REPLACE SEALANT&TEE TO TEE JOINTS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING 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 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 2b01 ei 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. 0k yrO SynRr dr—/Z—/C• Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability RECEIVED Room 100 Water/Wei Availability N rthampton, MA 01060 Two Sets of Swctufal Plans NE 1 .pnhinne 41 587-1240 Fax 413-587-1272 Plot/Site Plans s `V,V Other Specify APPLICATION TO CONSTR ICT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING war OF SCUD NG INSPE0TTns OTHER THAN A ONE OR TWO FAMILY DWELLING is hiCrt•i i ). i'�..�r SECTION 1 -SITE INFORMATION 1.1 Property Address � ATwhiisAs section to be completed by office es ua.. Ave.. Nora. t4.0.0.0" AN W sn . Map v Lot a Unit yllidA /ire - -- Zone Overlay District /�'L'OY�- ---- Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Ow r of Record: not as ricer H "�i'k" �` � Ptah5i- N rttk N fryMit Name(Pont) � Current Mailing Atldddtlress Signature I I 1 Telephone 2.2 Author' . •-nt Si' . ,� . Pxvakclr._S1 5. . J 7s5 N tilwal ay., G sWrc i Cr_ Name(Print) Current Mailing Adckdss. 213- 269 - 7,552 �,_yr`p Signature Telephone l➢ SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building -._- 1621 Otl0 (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 - --'— — fi. Total=(1(1 + 52+3+4+ ) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs 0 Demolition Repairs 0 Additions 111 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs Roofing 0 Change of Use Other 0 Brief Description Enter a brief description here. Pe44ovi r.g q4'd rip!aedr y 52 a/ f avid Of Proposed Work: I" �n "La_ jSM4 sf SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 0 A-2 0 A-3 0 1A 1 ❑ A-4 0 A-5 0 1B 0 B Business 0 2A 0 E Educational 0 2B 1 0 F Factory 0 F-1 0 F-2 0 2C 0 H High Hazard 0 3A 0 I Institutional 0 I-1 0 1-2 0 I-3 0 3B 0 M Mercantile 0 4 0 R Residential 0 RA 0 R-2 0 R-3 0 5A 0 s Storage 0 s-i 0 5-2 0 58 I 0 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) 1n 1" 2nd 3rd 3'a 4 4m Total Area (s0 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 0 Private 0 Zone Outside Flood ZoneD Municipal 0 On site disposal system Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size Frontage Setbacks Front Side L. R:_. lt_ R. Rear Building Height Bldg.Square Footage _ - - Open Space Footage %(Lot area minus bldg&paved parking) k of Parking Spaces - - Fill: (volume B Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW ® YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ® YES Q IF YES: enter Book Page and/or Document N. B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 ® NO O IF YES, describe size, type and Location: Park. D. Are there any proposed changes to or additions of signs intended for the property? YES O NO ('a IF YES, describe size, type and location: E. Wil 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 O NO .49 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version!.1 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 Name(Registrant): _ — NE* slain No..) ?i,gistration Number _ q . Address 412-kkPto' on Da Signature Telephone Dig/30/00 e 9.2 Registered Professional Engineer(s): • _ . Lo Poigt- Pavike-COJA.t2.. ! Name Area of ResponsIblity 0 r4.03 v• 54. No.(-41" lzkysFA-ok,1.MA. Address Registration Number 110-65-81-1,26(2.: Sgnature Telephone Expiration Date Name Area of Responsbalty_ - ----___ Address Registration Number Signature Telephone Expiration Date • Name Area of Responsibility Address Registration Number Signature Teiephone &pinata=Date Name Area of Ftesponsibility ,_ I Address Registration Number • Signature Telephone Explragon Date 9.3 General Contractor • Not Applicable El Company Name: ----- Responsible In Charge of Construciion LOSS—tki5V‘IONXI—Ati, _Ckeiskutc_i_Ctn____• Address ._ZP346/225.5.2i Signature Telephone • • • Versionl.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: Dtsna✓r DistMatayt,tew)' Name(Registrant): J Not Applicable 0 Lig UICbl•- 3'dt'r e, , ^,C� Ute`- tl� Registration Number V� 1v / GpIV _... Address JBQ. Expiration Date 11246- Signature Telephone 9.2 Registered Professional Engineer(s): DP"- 2crrxt.Caytt2- Name Area of Responsibility 19D Ir'taivt 5+ OCA1n k404ntFovt,. Misr. Address Registration Number 413-587-1150. 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 S4 tx4UctlT„sen_ c 1 an J y$4-eA SNot Applicable 0 Company Name: _..Il Responsible In Charge of Construction ItS I4rckjvrd AVC._ Chesktre. , Gr. Address 203-2611352: Signature Telephone 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 O No 59, SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR��1( [' APPLIES FOR BUILDING PERMIT I, 1y 1t� (Mtn t+h]`�t/p/� (�s��rr .,.(y.�. /� __��,r.1.[. . Owne of the subject property he •by authorize p\1N\�v JN`-R.f4 1t)kti.1 U ZY"111. _ __ _._. _ .. to act beh� in - matters relative to work authorized by this building permit application n l 1\ Si - . Owner' Date a ipD 'hM 5 grO1 Al __. .. 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. ‘.1 ,A S 5 -! 1 Print Nam/-r ere 11111 8-16-4 Signature./twner/A.e i Date SECTI• 12-CON'TRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 ��J �1 ..,��II �J,c.�-^�/,�,fL-�,. moi,�,� Name of License Holder 571tckVlnl pr -"o_ su elfs s... _ . . . _ _.... _... License Number 1755®,0 kta4S Ave. a.esl✓rc1 cc _ Aliso", Expiration Date Zai Z69-7553 Sign./ re 1 Telephone SE' TION 1 -WORKERS'COMPENSATION INSURANCE AFFIDAVIT(WWI.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 2 No The Commonwealth of Massachusetts I tea= t Department of Industrial Accidents Office of investigations I 1 Congress Street, Suite 100 ,.o,v?, Boston, MA 02114-2017 "QOM www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 3 h'ic*ortl.l Pri-544n`x Sy6}C44.5 Address: 1755 1-k�..‘o„� /tuc. City/State/Zip:_ Norte 140M?6y1 M&, Phone #: 45- 2104- 7553 Are you an employer? Check the appropriate box: Type of project(required): 1.7g I am a employer with 36 4. ❑ I am a general contractor and I employees (fill and/or part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7.These 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition re aired. 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 9 ] 3.❑ I am a homeowner doing all work officers have exercised their ILD Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL y + c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] employees. [No workers' 13.111 Other comp. insurance required.] *Any applicant that checks box ti I 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 a fit davit 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'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: Awe t4iskroc40.4 P.(Eik Colo h'nrt5 LLC Policy#or Self-ins. Lic. #: Qy67H3GSO Expiration Date: 7b11I 2.017 ,I Job Site Address: 86 j-4w.P1m-. Aut. City/State/Zip: Nor&tt 414B414B#1.444-]t tDMk 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 ii .aid e pains an 'penalties of perjury that the information provided above is true and correct a Si nature: �� ` a Date: $- - , Phone#: 2.03 - 2Ce1 — 75S 2- Official 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#: 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: 5t tab l-kaat rki. Aut. WoC Iicav+^pltni MA-, The debris will be transported by: Cawpkk-c Dispesa The debris will be received by: Cfi pttA-e O7Sp,svd Building permit number: Name of Permit Applicant / Date S natur of Permit Applicant struc'tur'al Commissioner Hasbrouck 8-16-2016 Subject: Request for Waiver request that you grant a modification to waive the requirement for control construction for the (Repairs and Renovations to the E.J. Gare Parking Garage)at(85 Hampden Street)in Northampton because the work 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 107.1 allows for an exclusion from control construction for this project' Respect ully, Anthony Grope llo Structural Preservation Systems, LLC. 1755 Highland Avenue, Building B Cheshire, CT 06410 Confidential:Any unautharized use or distribution is prohibited. C'.\Desktop\letterhead Northampton.doc 6/16/2016 Structural Preservation Systems,LLC 1755 Highland Avenue,Building B•Cheshire,CT 06410•Phone:203-269-7552•Fax:203-284-1436 www.structural.net