23B-008 (13) 267 LOCUST ST-SUITE F3 BP-2018-1133
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:23B-008 CITY OF NORTHAMPTON
Lot -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2018-1133
Project JS-2018-002037
Est.Cost: $40000.00
Fee:$280.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROY OMASTA 006763
Lot Size(sq.ft.): Owner: BREWER KIMBERLY
Zoning: SI(100)/ Applicant: ROY OMASTA
AT. 267 LOCUST ST - SUITE F3
Applicant Address: Phone: Insurance:
21 North St (413) 247-5666 Workers Compensation
HATFIELDMA01038 ISSUED ON.51312018 0:00.00
TO PERFORM THE FOLLOWING WORK:ADD NON-LOAD BEARING PARTITIONS
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 5/3/2018 0:00:00 $280.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2018-1133
APPLICANT/CONTACT PERSON ROY OMA, rA
ADDRESS/PHONE 21 North St HATFIELD 1413): C 5666
PROPERTY LOCATION 267 LOCUST ST-St iTE F3
MAP 23B PARCEL 008 000 ZONE Sil l001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
EN OSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildine Permit Filled out
Fee Paid
TvoeofConstruction: ADD NON-LOAD BEARINCT PARTITIONS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 006763
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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
Signature�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.
r Variances we granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
(Ix c(� Gds
The Commonwealth of Massachusetts
^ Department of Public Safety
Vd Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number Date Applied: Building Official:
SECTION 1:LOCATION
267 B.-u
No.and Street City/Town Zip Code Name of Building(if applicable)
Assessors Ma # oak Bl #an /or Leto#
SECTION 2.PROPOSED WORK
Edition of MA State Code used If New Construction check here O or check all that apply in the two rows below
Existing Building PC Repan,0 Alteration IA Addition❑ Demolition P (Please fdl out and submit Appendix 2)
Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construcfion documents being supplied as part of this permit application? Yes `K No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No 15
Brief Description of Proposed Work: tj�)/T h[A JCI` L/)A 0 1,3T A t-i 6z
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) dO
Existing Use Group(s): Proposed Use Group(s): gf
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories Include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(R) 777 49'
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business E: Educational ❑
F: Factory FT ❑ F2❑ 1 H: High Harard H-1 ❑ H-2❑ H-3 ❑ H4❑ H-5❑
E Institutional h-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ 1 R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage 5-1❑ S-2❑ U: Utility❑ 1 Special Use❑and please describe below:
Special Use Description'.
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IBD IIA ❑ HB ❑ IIIA 0 HIB k5, 1V D VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 10&3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: / Trench Permit Debris Removal:
Publico Check if outside Flood Zone W Indicate municipal 1� A Genche not be Licensed Disposal Site
Private❑ or indentify Zone: or on site system❑ required or trench or specify:
permit is enclosed❑
Railroad rightrof-wa Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable Is Structure within airport ap oach area? Is thea review com�'lefed'
or Consent to Build enclosed❑ Yes❑ or No Yes❑ No L�
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code 6t Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?:_ Special Stipulations:
Design Occupant Load per Fluor and Assembly space: oz-�o
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
IA3 Locos+ E i c6es lup _i Lo cs+
Name(Print) No.and Street City/Town to
Property Owner Contact Information:
Owne/ J�3 - --Title Telephone No.(business) Telephone No. (cell)H applicable,the propert owner hereby authorizesiq3 �aws-t srn
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,"ti.ft.of enclosed span and/m not under Construction Control then check here O.
Otherwise Ovide corutmcrion control forms see section 1p9Nthe code as aired.
10.1 Registered Professional Res onsible for Construction Control(the prefessional rr utfin fing docummrt subminals)
� T��.o/'C/Z -�Zq s-�r��o Pz�e�µ / 7
Name(Re istrant) Telephone No e-mail address Registration Number
/q ciFgahrvT �T �4�TN MPrcK/ fq4 /o 027 QQ
Street Address City/Town State Zip Discipline xpnatiom Date
102 General Contractor
i
� /al t)p ✓J✓ , rI
Company Name
2 , —19 4
Nameiof Person Responsible for Construetion LicenseNo. and Type if Applicable
Street Address City/Town State Zip
71? -&?- �-6t 6 11/B -w, -SEG(, ya n'0 X :/-o.�_ .✓cT
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKERS'COtAFEN5ADON INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
A Workers'Compensafion Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this applicafion. Failure to provide this affidavit will result in the denial of the issuance of the building permit
Is asigned Affidavit submitted with this application? Yes O No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated CosL,(Labor
and Materials) Total Constmcfimt Cost(from Item 6)_$
1.Building Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical appropriate mu
u pal factor)=$
3.Plumbing $niS r�y1'
4.Mechanical (HVAC) $ /ori Note:Minimum fee=$(contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ yO�o� (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the best of my knowledge and understanding.
124 ""i,v/9 P'uS __4r- SC6p
Pleaserint and sip �[ Title Telephone No. Date
q Nail cFname 4w--J /`0 0i—i , 0" - I V v— --W—
Street Address City/Town State Zip Email Address
X21 nr <Yl.
Municipal Inspector to fill out this section upon application approval:
Name Date
Initial Construction Control Document
t To be submitted with the building permit application by a
Registered Design Professional
( for work per the 8`n. edition of the
Massachusetts State Building Code,780 CMR, Section 107
Project Title NAP OFFICE CONDO Date: 04/23/18
Property Address:269 LOCUST ST. 3RD FLOOR NORTHAMPTON, MA 01060
Project: Check(x)one or both as applicable: XNew construction X Existing Construction
Project description ADD NON LOAD BEARING,NON RATED PARTITIONS
I SIEGFRIED PORTH MA Registration Number: 6634 Expiration date: 08/31/2018 ,am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning:
X Architectural X Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information,and belief such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted
engineering practices for the proposed project 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:
L 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 780 CMR Chapter 17,as applicable.
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 approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.
Upon completion of the work, I shall submit to the buildin offteial a`Final Construction Control Document'.
EpED ARC
Enter in the space to the right a"wet"or
electronic signature and seal:
66
oy M 0J
Phone number: 413- 529-9434 Email: S AIL.COM
OF
Building Official Use Only
Building Official Name: Permit No.: Data
Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If other is chosen.
provide a description.
Version 06 11 2013
INVESTIGATION AND EVALUATION REPORT
Pursuant to
Massachusetts State Building Code (780 CMR),
Ninth Edition, Base Volume
Chapter 34 — The Existing Building Code of Massachusetts
APRIL 21, 2018
267 LOCUST STREET
NORTHAMPTON, MA 01060
LEVEL, II RECONFIGURATION
SIEGFRIED PORTH,A.I.A.
P HITEC MICHAU3.I. DUVAL
�� oq 116 PLEASANT STREET
EASTHAN I'ON, NLA 01027
�pN (413)529-9434
pSA v spotthna,poxthaxchitect.com
Q
0o NOe` �`P r5 www.porthacckiltecccom
���Na'ENLTH�E�
1
SECTION I —HISTORY/ SCOPE OF WORK
The existing tenant space was originally constructed in 2009 as an office condominium unit. 'lbe
Unit was most recently being used for Professional Medical Offices, (Use Group B).
Work Area Unit F3
Level Il Reconfiguration is limited to the area within the Tenant space. Portions of several non-load-
bearing interior partitions shall be removed along with One closet door shall be removed. On
interior door shall be relocated to the opposite wall of an interior room to create a breakroom for
office workers. Multiple non-load-bearing interior partitions shall be constructed to create private
offices, examination rooms,a reception/waiting area with conference room. Repairs shall also be
made in office condominium unit including the removal and replacement of damaged interior
surface finishes, (painting, tiling, carpeting,cabinets,counter tops,and similar finish work.) The
HVAC, electrical and plumbing systems shall be reconfigured as necessary.
SECTION 11—BUILDING DESCRIPTION—EXISTING
Use Group: B
Type of Construction: 1116
Foundation: Stone, Brick
Exterior Walls: Brick Masonry
Ceilings & Floors: 1" floor—Slab on grade,
2", and 3`O floors, 3" tongue and groove wood planking with 'W'
subfloor and finish flooring.
Roofs: Wood frame, ridged Insulation,and membrane roof
Building height < 50ft
urea to outside walls
1" Floor 2,592 ft'
2"' Floor 2,592 ft'
3' Floor 2.592 ft'
"Total aggregate floor area: 7,776 ft'
SECTION III—LEVEL II ALTERATIONS
801 Scope.All new construction elements, components, systems, and spaces shall comply with the
requirements of the 2015 IBC with Massachusetts amendments.
Exceptions:
2. Newlv installed electrical equipment shall comply with the requirements of Section
808, (s'cc below).
802 SPECIAL USE AND OCCUPANCY: Not Applicable, (hereinafter"N/A")
803 BUILDING ELEMENTS AND MATERIALS
803.2 Vertical openings: N/A There are no vertical openings in the work area.
803.2.3 Supplemental stairway enclosure requirements. Stairways that are part of the
means of egress shall,at a minimum,be enclosed with smoke-tight construction on the third
floor and all floors below.
2
803.3 Smoke compartments: N/A
803.4 Interior finish: N/A'Ihere are no exits or corridors in the work area.
803.4.1 Supplemental Interior finish requirements: N/A
803.5 Guards: Every open portion of all stairs leading from the third floor to the exit discharge
shall be provided with guards designed and installed in accordance with the 2015 IBC with
Massachusetts Amendments.
803.6 Fire-resistance rating: N/A, the building contains an existing and approved automatic
fire sprinkler system.
804 FIRE PROTECTION
804.1.1 Corridor ratings: N/A
804.2 Automatic Sprinkler Systems. The building contains an existing and approved
automatic fire sprinkler system.
804.2.3 Windowless Stories. N/A
804.2.5 Supervision. N/A
804.3 Standpipes. N/A,all work areas in building are less than 50 feet above grade plane,
therefore no standpipes are required.
804.4 Fire alarm and detection. Where the automatic sprinkler protection is connected to
the building fire alarm system,automatic heat detection shall not be required. Lusting alarm-
notification appliances shall be automatically activated throughout the building.
805 MEANS OF EGRESS
805.3 Number of exits. There are a sufficient number of exits from the work areas.
805.4 Egress doorways. There are two egress doorways from the work area.
805.4.2 Door swing: The egress doors swing in the direction of travel.
805.4.3 Door closing: The egress doors shall be self-closing or automatic-closing by
listed closing devices.
805.4.4 Panic Hardware. N/A.
805.5 Openings in corridor walls N/A
805.6 Dead-end corridors. N/A
805.7 Means of Egress Lighting.
Means of egress from the work area to the point of exit discharge shall be provided with
artificial lighting within the exit enclosures in accordance with the requirements of the 2015 IBC
with Mass. Amendments.
805.8 Exit Signs. Exits and exit access doors shall be marked by an approved exit sign readily
visible from any direction of egress travel. The path of egress travel to exits and within exits shall
be marked by readily visible exit signs to clearly indicate the direction of egress travel in cases
where the exit or the path of egress travel is not immediately visible to the occupants. Means of
egress from the third floor to point of exit discharge shall be provided with exit signs in
accordance with the requirements of the 2015 IBC with Mass.Amendments. A sign stating
3
EXI'I'in visual characters,raised characters and braille and complying with ICC Al 17.1 shall be
provided adjacent to each door to an area of refuge,an exterior area for assisted rescue,an exit
stairway or ramp,an exit passageway and the exit discharge
805.9.1 Handrails: Every exit stairway that is part of the means of egress shall be provided with
handrails designed and installed,in accordance with the provisions of the 2015 IBC with
Massachusetts Amendments, for the full length of the run of steps on at least one side.
805.10 Refuge areas: N/A
805.11 Guards: Every open portion of a stairs leading from the attic to the exit discharge shall
be provided with guards designed and installed in accordance with the 2015 IRC with
Massachusetts amendments.
806 ACCESSIBILITY (See Section 705 below).
807 STRUCTURAL N/A. There are no alterations proposed in the work area.
808 ELECTRICAL
808.1 New installations. All newly installed electrical equipment and wiring relating to work
done in any work area shall comply with all applicable requirements of NhPA 70 with
Mas's'achusetts Amendments, (527 CMR).
809 MECHANICAL
809.1 Reconfigured or converted spaces:All reconfigured spaces shall be provided natural or
mechanical ventilation in accordance with the International Mechanical Code.
809.2 Altered existing systems. Existing mechanical ventilation systems that are altered,
reconfigured, or extended shall provide not less than 5 cubic feet per minute (cfin) (0.0024
m3/s) per person of outdoor air and not less than 15 chin (0.0071 m3/s) of ventilation
air per person; or not less than the amount of ventilation air determined by the Indoor Air
Quality Procedure of ASHRAF, 62.
709.3 Local exhaust. All newly introduced devices, equipment, or operations that produce
airborne particulate matter, odors, fumes, vapor, combustion products,gaseous contaminants,
pathogenic and allergenic organisms, and microbial contaminants in such quantities as to affect
adversely or impair health or cause discomfort to occupants shall be provided with local exhaust.
810 PLUMBING N/A., occupant load of the story is not increased by more than 20 percent.
811 ENERGY CONSERVATION:
The alterations shall be perre tted without requiring the entire building or structure to comply with
the energy requirements of the International Energy Conservation Code. The alterations shall
conform to the energy requirements of the International Energy Conservation as they relate to new
construction only.
4
SECTION IV- LEVEL—I ALTERATIONS
701 GENERAL
701.2 Conformance. Alterations shall not make the building less safe than its existing condition.
701.3 Flood hazard areas. N/A
702 BUILDING ELEMENTS AND MATERIALS:
702.1 Interior finishes. No additional requirements beyond those identified above.
702.2 Interior Boor finish. New interior floor finish,including new carpeting used as an interior
floor finish material, shall comply with Section 804 of the 2015 IBC with Massachusetts
Amendments
702.3 Interior trim. All newly installed interior trim materials shall comply with Section 806 of
the 2015 IBC with Massachusetts Amendments
702.4 Window opening control devices.N/A
703 FIRE PROTECTION No additional requirements beyond those identified above.
704 MEANS OF EGRESS No additional requirements beyond those identified above.
705 ACCESSIBILITY.Accessibility requirements shall be in accordance with 521 CMR.
Alterations by this tenant do not trigger the requirements of 521 CMR 3.3.1b and 3.3.2 for
other tenants.
705.1.12 Thresholds. The maximum height of thresholds at doorways shall be 3/4 inch
(19.1 mm). Such thresholds shall have beveled edges on each side.
705.1.13 Extent of application.Alterations shall not impose a requirement for greater
accessibility than that which would be required for new construction. Alterations shall not
reduce or have the effect of reducing accessibility of the budding or site.
706 REROOFING N/A
707 STRUCTURAL No additional requirements beyond those identified above.
708 ENERGY CONSERVATION No additional requirements beyond those identified above.
5
INVESTIGATION AND EVALUATION REPORT
Pursuant to
Massachusetts State Building Code (780 CMR),
Ninth Edition, Base Volume
Chapter 34 —The Existing Building Code of Massachusetts
APRIL 21, 2018
267 LOCUST STREET
NORTHAMPTON, MA 01060
LEVFJ,II RECONFIGURATION
R EDp0D�jm
9� n�
o, 34
SPc SIEGFRIED PORTH,A.I.A.
OF Mn
b4fCHAEL J. DUVAL
116 PLEASANT STREET
EASTI-AMPTON, MA 01027
(413)-529-9434
sporthrwportharchitect.com
�wnv porthaxchitca.com
I
SECTION I—HISTORY / SCOPE OF WORK
The existing tenant space was originally constructed in 2009 as an office condominium unit. The
Unit was most recently being used for Professional Medical Offices, (Use Group B).
Work Area Unit F3
Level II Reconfiguration is limited to the area within the Tenant space. Portions of several non-load-
bearing interior partitions shall be removed along with One closet door shall be removed. On
interior door shall be relocated to the opposite wall of an interior room to create a breakroom for
office workers. Multiple non-load-bearing interior partitions shall be constructed to create private
offices, examination rooms, a reception/waiting area with conference room. Repairs shall also be
made in office condominium unit including the removal and replacement of damaged interior
surface finishes, (painting, tiling, carpeting,cabinets,counter tops, and similar finish work.) The
HVAC, electrical and plumbing systems shall be reconfigured as necessary.
SECTION II—BUILDING DESCRIPTION—EXISTING
Use Group: B
'type of Construction: IIIB
Foundation: Stone, Brick
Exterior Walls: Brick Masonry
Ceilings & Floors: 1"floor—Slab on grade,
2nd, and 3`d floors, 3" tongue and groove wood planking with ''/a"
subfloor and finish flooring.
Roofs: Wood frame, ridged Insulation, and membrane roof
Budding height < 50ft
Area to outside walls
1" Floor 2,592 ft'
2"d Floor 2,592 ftp
3" Floor 2 592 ft2
'Total aggregate floor area: 7,776 fr
SECTION III —LEVEL II ALTERATIONS
801 Scope. All new construction elements, components, systems,and spaces shall comply with the
requirements of the 2015 IBC with Massachusetts amendments.
Exceptions:
2. Newly installed electrical equipment shall comply with the requirements of Section
808, (sce below).
802 SPECIAL USE AND OCCUPANCY: Not Applicable, (hereinafter"N/A")
803 BUILDING ELEMENTS AND MATERIALS
803.2 Vertical openings: N/A There are no vertical openings in the work area.
803.2.3 Supplemental stairway enclosure requirements. Staitways that are pan of the
means of egress shall, at a minimum,be enclosed with smoke-tight construction on the third
floor and all floors below.
2
803.3 Smoke compartments: N/A
803.4 Interior finish: N/A There are no exits or corridors in the work area.
803.4.1 Supplemental Interior finish requirements: N/A
803.5 Guards: Every open portion of all stairs leading from the third floor to the exit discharge
shall be provided with guards designed and installed in accordance with the 2015 IBC with
Massachusetts Amendments.
803.6 Fire-resistance rating: N/A,the building contains an existing and approved automatic
fire sprinkler system.
804 FIRE PROTECTION
804.1.1 Corridor ratings: N/A
804.2 Automatic Sprinkler Systems.Tbc building contains an existing and approved
automatic fire sprinkler system.
804.2.3 Windowless Stories. N/A
804.2.5 Supervision. N/A
804.3 Standpipes. N/A,all work areas in budding are less than 50 feet above grade plane,
therefore no standpipes are requited.
804.4 Fire alarm and detection.Where the automatic sprinkler protection is connected to
the building fire alarm system, automatic heat detection shall not be required. Existing alarm-
notification appliances shall be automatically activated throughout the building.
805 MEANS OF EGRESS
805.3 Number of exits. There are a sufficient number of exits from the work areas.
805.4 Egress doorways. 'There are two egress doorways from the work area.
805.4.2 Door swing: The egress doors swing in the direction of navel.
805.43 Door closing: The egress doors shall be self-closing or automatic-closing by
listed closing devices.
805.4.4 Panic Hardware. N/A.
805.5 Openings in corridor walls N/A
805.6 Dead-end corridors. N/A
805.7 Means of Egress Lighting.
Means of egress from the work area to the point of exit discharge shall be provided with
artificial lighting within the exit enclosures in accordance with the requirements of the 2015 IBC
with Mass. Amendments.
805.8 Exit Signs. p:xits and exit access doors shall be marked by an approved exit sign readily
visible from any direction of egress travek 'llhe path of egress travel to exits and within exits shall
be marked by readily visible exit signs to clearly indicate the direction of egress travel in cases
where the exit or the path of egress travel is not immediately visible to the occupants. Means of
egress from the third floor to point of exit discharge shall be provided with exit signs in
accordance with the requirements of the 2015 IBC with Mass. Amendments. A sign stating
3
EXIT m visual characters,raised characters and braille and complying with ICC Al 17.1 shall be
provided adjacent to each door to an area of refuge, an exterior area for assisted rescue, an exit
stairway or ramp, an exit passageway and the exit discharge
805.9.1 Handrails: Every exit stairway that is part of the means of egress shall be provided with
handrails designed and installed,in accordance with the provisions of the 2015 IBC with
Massachusetts Amendments, for the full length of the run of steps on at least one side.
805.10 Refuge areas: N/A
805.11 Guards: Every open portion of a stairs leading from the attic to the exit discharge shall
be provided with guards designed and installed in accordance with the 2015 IBC with
Massachusetts amendments.
806 ACCESSIBILITY (See Section 705 below).
807 STRUCTURAL N/A. There are no alterations proposed in the work area.
808 ELECTRICAL
808.1 New installations. All newly installed electrical equipment and wiring relating to work
done in any work area shall comply with all applicable requirements of NFPA 70 with
Massachusetts Amendments, (527 CMR).
809 MECHANICAL
809.1 Reconfigured or converted spaces: All reconfigured spaces shall be provided natural or
mechanical ventilation in accordance with the International Mechanical Code.
809.2 Altered existing systems. Existing mechanical ventilation systems that are altered,
reconfigured, or extended shall provide not less than 5 cubic feet per minute (efm) (0.0024
m3/s) per person of outdoor air and not less than 15 cfm (0.0071 m3/s) of ventilation
air per person;or not less than the amount of ventilation air determined by the Indoor Air
Quality Procedure of ASHRAE 62.
709.3 Local exhaust. All newly introduced devices, equipment, or operations that produce
airborne particulate matter, odors, fumes,vapor, combustion products, gaseous contaminants,
pathogenic and allergenic organisms,and microbial contaminants in such quantities as to affect
adversely or impair health or cause discomfort to occupants shall be provided with local exhaust.
810 PLUMBING N/A.,occupant load of the story is not increased by more than 20 percent.
811 ENERGY CONSERVATION:
The alterations shall be permitted without requiring the entire building or structure to comply with
the energy requirements of the International Energy Conservation Code. The alterations shall
conform to the energy requirements of the International Energy Conservation as they relate to new
construction only.
4
SECTION IV-LEVEL—I ALTERATIONS
701 GENERAL
701.2 Conformance.Alterations shall not make the building less safe than its existing condition.
701.3 Flood hazard areas. N/A
702 BUILDING ELEMENTS AND MATERIALS:
702.1 Interior finishes. No additional requirements beyond those identified above.
702.2 Interior floor finish. New interior floor finish,including new carpeting used as an interior
Floor finish material, shall comply with Section 804 of the 2015 IBC with Massachusetts
Amendments
702.3 Interior trim. All newly installed interior trim materials shall comply with Section 806 of
the 2015 IBC with Massachosetts.Amendments
702.4 Window opening control devices. N/A
703 FIRE PROTECTION No additional requirements beyond those identified above.
704 MEANS OF EGRESS No additional requirements beyond those identified above.
705 ACCESSIBILITY. Accessibility requirements shall be in accordance with 521 CMR.
Alterations by this tenant do not trigger the requirements of 521 CMR 3.3.1b and 3.3.2 for
other tenants.
705.1.12 Thresholds. 'Ibe maximum height of thresholds at doorways shall be 3/4 inch
(19.1 men). Such thresholds shall have beveled edges on each side.
705.1.13 Extent of application.Alterations shall not impose a requirement for greater
accessibility than that which would be required for new construction. Alterations shall not
reduce or have the effect of reducing accessibility of the building or site.
706 REROOFING N/A
707 STRUCTURAL No additional requirements beyond those identified above.
708 ENERGY CONSERVATION No additional requirements beyond those identified above.
5
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: —�67 2'�7- S�
The debris will be transported by:
The debris will be received by:
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
�]r Department of lndustrialAceidents
Is I Congress Street, Suite 100
Boston,MA 01114-2017
wwty mass.gov/dia
M urkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED ,ITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Fighter
Name(Business/organinationnndividaap: z �' 71/ 1
Address: a/ // 17,1 �T
City/State/Zip: 7/ 41rlq /l`-r °/`pr F Phone#: Gam' -i
Are you an em foyer?Check the appropriate box:
Type of project(required):
I. maemplo}vrwith�z rmpmyeea(fun mor-ournin )' 7. E]New construction
'_Olamasolepropriemror partnership and hm,e no emplo}'ecs xrorking
formula S. []Remodeling
any capacity.[No workers'comp.insurance required]
3-❑I am a homeowner doing all work myself,[No work.-.rsemp inmancerequired.]' 9' ❑DCmOlition
4.M1 our a lamove-ner and will be amngconvaclonto conduct all work..my properly twill 10 E]Building addition
ensure that all eoevermmehher have workers compensation inaurarcoraresole 11.Q Electoral repairs or additions
pmpveors with n.employees.
12. Plumbing repairs or additions
i0tam heagunememntors or hu-
Ihave hoedmeve workers crslisted..the avacned sneer_ 13. Roof repairs
These mbwntactors hese employees and have worked pomp_issuance:
b.❑We are a coryomtion and its officers have exorcised their right of exemption per MOL a 14.❑Other
152,pl of and we hme no employees_[N.workers comp_inoorr oe ayuhed]
-Any appliwm that checks has s I vast also fill on the suction below showing their a arken'compensation policy information.
'Homeowners who aabmir this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating swh.
:Connaeors that check this has must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. Ifthe subcontractors have employers.they must provide their wener, ramp,pole,number.
7 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. �7
Insurance Company Name:
Policy b or Self-ins.Lic. 4: Expiration Date:
Job Site Address:�C 7 Z— "'T -�r /"" 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 MGL c. 152,§25A is a criminal violation punishable by a file up to$1,500.00
anchor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S25T00 a
day against the violator 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 thepains and penalties ofperjury that the information provided above is true and correct
Sienature: ��//'�'w Date
Phoned:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License d
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 q:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as`...every person in the service of another under any contract of hire.
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
ofthe foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howeverthe
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidener oft ompliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public wDrk until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the con-raeting authority."
Applicants
Please fill out the workers'compensation affidavit cormletely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(e.)and phone numbers)along with their certificate(s)of
insurance. Limited Liability Companies(LI-Q or Limned Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to easy workers compensation insurance. If an LLC or LLP docs have
employees,a policy is required. Be advised that this at fidaodt may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Ako be sure to sign and date the affidavit The affidavit should
be rammed to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions r<garding the law or ifyou are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate Line.
City or Town Officials
Please be sure that the affidavit is complete and primed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Offer of Investigations has to contact you regarding the applicant,
Please be sure to fill in the permit license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit license applications in amgiven year,need only submit one affidavit indicating current
policy information byrarcessary)and under"Job Site Address"the applicant should write`all locations in_(city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proofd at a valid affidavit is on file for In ore permits or licenses. A new afdavit must be filled out each
year.Where a home owner or citizen is obtaining a Boone or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congrkss Street, Suite 100
Boston, MA 02114-2017
Tel. d 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax vt 617-727-7749
Revised 02-23-15 wxs+sfmass.gov/clia