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32C-047 (24)�J D —DI z m —i E 0(nO o - _ � D 0 z o a D 3�09�I Fig" �Mas WHIM., iU19-1 cu cu 0 m 0 0 Mn �0) 0� C� 0 R:_0 DCD oCO O - Description of Existing Signs - Tx 18' aluminum painted sign on building wall facing Pleasant St. - Tx 10' vinyl sign on building wall facing Pearl St. Description of Proposed Signs -- Tx 18' aluminum painted sign on building wall facing Pleasant St. to replace existing. -- 3'x8' aluminum painted sign on building wall facing Pearl St. to replace existing. conform to the requirements of 521 CMR. In accordance with M.G.L. c. 143, § 3, 521 CMR shall be enforced by the building official or the state inspector, as applicable. Note: Chapter 11 of the IBC is replaced by 521 CMR. Applies/Complies 1209.4 Air Sealing. Doors, trap doors, scuttles, and other openings separating conditioned form unconditioned space shall be fitted with gaskets, weather strips, etc. and such openings shall close tight to minimize air transfer between conditioned and unconditioned space. Not Applicable 780 CMR: Massachusetts Amendments to the International Energy Conservation Code 2009 502.4.3.1 Air Barrier Penetrations. All penetrations of the air barrier and paths of air infiltration/exfiltration shall be made air tight. Not Applicable 248 CMR Table 1: The total occupant load of 15 requires at least one toilet and one lavatory for each gender. Currently there are no accessible toilet rooms in the building. One accessible toilet is provided. One mop sink is also provided. 521 CMR 3,3,1 For work other than handicap access work and excepting roofing according to 3.3.1.b.c the budget is likely to be on the order of $135,000. Therefore, not only is all that work required to comply with 521 CMR, but accessible entrance and accessible toilet room are required. There are no drinking fountains. Bottled water bubblers with paper cups will substitute. - End of Review - r g N.. 4293 C3iV,� Page 7 of 7 New Occupancy (all floors) Type of Construction Egress Width Per Occupant: (IBC 1005.1) Fire Resistance Rating of Building Elements: (IBC Table 601) Dead -End Corridor: (IBC 1018.4) Length of Exit Access Travel: (IBC Table 1016.1) Occupant Load: (IBC Table 1004.1.1) Minimum Number of Exits: (IBC Table 1021.1) Business "B" — IBC 304 3B (IBC Table 601) Required: other egress components: 0.20" Provided: (2 doors at 36" wide) = 72"/0.20" per occupant = 360 occupants Required: stairways: 0.30" Provided: (2 stairways)=90"/0.30" per occupant = 300 occupants Primary structural frame: Exterior bearing walls: Interior bearing walls: Exterior non -bearing Interior non -bearing Walls and partitions: Walls and partitions: Floor construction: Roof construction: Interior Finish Requirements (IBC Table 803.9) Maximum: 20' Actual: No corridors 0 hr 2 hr 0 hr 1 hr ( 602.4.6) 0 hr 0 hr 0 hr Maximum: 200' (without sprinkler system) Actual: 57' Business: Tabular: 100 sf (gross) per occupant = 24 occupants Actual: 15 occupants Required: (2) Provided: (3) Rooms and Enclosed Spaces: Class C International Building Code (2009) with Massachusetts 780 CMR 8th Edition Supplemental Information and Amendments A code compliance review of the requirements of the International Building Code (2009) with Massachusetts 780 CMR 8th Edition Supplemental Information and Amendments is provided on the drawing. Other items are listed below. 780 CMR: Massachusetts Amendments to the International Building Code 2009 1101.1 Scope. In accordance with M.G.L. c. 22, § 13A all public buildings shall be designed to be accessible to, and functional and safe for the use by, physically disabled persons, and Page 6 of 7 1. At least one accessible building entrance. Applies / Complies 2. At least one accessible route from an accessible building entrance to primary function areas. Applies / Complies 3. Signage complying with Section 1110 of the IBC. Applies / Complies 4. Accessible parking, where parking is being provided. Applies / Complies 5. At least one accessible passenger loading zone, when loading zones are provided. Applies / Complies 6. At least one accessible route connecting accessible parking and accessible loading zones to an accessible entrance. Applies/Complies Where it is technically infeasible to comply with new construction standards for any of these requirements for a change of group occupancy, the above items shall conform to the requirements to the maximum extent technically feasible. 310.5 Additions. Provisions for new construction shall apply to additions. An addition that affects the accessibility to, or contains an area of, a primary function shall comply with the requirements of Section 310.7. Not Applicable 310.6 Alterations. A building, facility or element that is altered shall comply with the applicable provisions of in Chapter 11 of the IBC and ICC A117.1, unless technically infeasible. Where compliance with this section is technically infeasible, the alteration shall provide access to the maximum extent technically feasible. Not Applicable Mass Amendments indicate that 521: CMR supersedes this chapter. 310.7 Alterations affecting an area containing a primary function. Where an alteration affects the accessibility to, or contains and area of, a primary function, the route to the primary function area shall be accessible. The accessible route to the primary function area shall include toilet facilities or drinking fountains serving the area of primary function. Not Applicable 521: CMR supersedes this paragraph. 310.8 Scoping for alterations. The provisions of Sections 310.8.1 through 310.8.14 shall apply to alterations to existing buildings and facilities. Not Applicable 521. CMR supersedes this paragraph. 310.9 Historic buildings. These provisions shall apply to buildings and facilities designated as historic structures that undergo alterations or a change of occupancy, unless technically infeasible. Where compliance with the requirements for accessible routes, entrances or toilet facilities would threaten or destroy the historic significance of the building or facility, as determined by the applicable governing authority, the alternative requirements of Sections 310.9.1 through 310.9.4 for that element shall be permitted. Not Applicable International Building Code (2009) Existing Occupancy (all floors): Educational "E" — IBC 305 Page 5 of 7 307.5 Energy. Buildings undergoing a change of occupancy that would result in an increase in demand for either fossil fuel or electrical energy shall comply with the IECC. Not Applicable 307.6 Section omitted by MA Amendments 780 CMR. 307.7 Section omitted by MA Amendments 780 CMR. 307.8 Mechanical. It shall be unlawful to make a change in the occupancy of a structure that will subject the structure to the special provisions of the IMC applicable to the new occupancy without approval. The code official shall certify that the structure meets the intent of the provisions of law governing building construction for the proposed new occupancy and that such change of occupancy does not result in any hazard to the public health, safety or welfare. Applies/Complies 307.9 Section omitted by MA Amendments 780 CMR. Section 308 Historic Buildings Not Applicable Section 309 Moved Buildings Not Applicable Section 310 Accessibility for Existing Buildings 310.1 Scope. The provisions of Sections 310.1 through 310.9 apply to maintenance, change of occupancy, additions and alterations to existing buildings, including those identified as historic buildings. This building will have 2 handicap entrances and a toilet room. Applies/Complies In addition the provisions of 521:CMR Architectural Access Board will govern 310.2 Maintenance of facilities. A building, facility or element that is constructed or altered to be accessible shall be maintained accessible during occupancy. Applicable 310.3 Extent of application. An alteration of an existing element, space or area of building or facility 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 a building, portion of a building or facility. Applicable 310.4 Change of occupancy. Existing buildings that undergo a change of group or occupancy shall comply with this section. Applicable 310.4.1 Partial change in occupancy. Where a portion of the building is changed to anew occupancy classification, any alterations shall comply with Sections 310.6, 310.7 and 310.8. Not Applicable 310.4.2 Complete change of occupancy. Where an entire building undergoes a change of occupancy, it shall comply with Section 310.4.1 and shall have all of the following accessible features: Page 4 of 7 304.1.1The code official has final jurisdiction regarding the repair of dangerous conditions. 304.2 A building with substantial damage to the vertical elements of its lateral - force resisting elements is required to be evaluated by a design professional. Not Applicable 304.2.2 Substantial damage to gravity load carrying components: Not Applicable 304.5 Flood hazard areas. Not Applicable Section 305 Fire Escapes Not Applicable Section 306 Glass Replacement Not Applicable Section 307 Change of Occupancy 307.1 Conformance. No change shall be made in the use or occupancy of any building that would place the building in a different division of the same group of occupancy or in a different group of occupancies, unless such a building is made to comply with the requirements of this code for such division or group of occupancy. Subject to the approval of the building official, the use or occupancy of existing buildings shall be permitted to be changed and the building is allowed to be occupied for purposes in other groups without conforming to all of the requirements of this code for those groups, provided the new or proposed use is less hazardous, based on life and fire risk, than the existing use. Applies Complies 307.2 Certificate of occupancy. A certificate of occupancy shall be issued where it has been determined that the requirements for the new occupancy classification have been met. Applies 307.3 Stairways. Existing stairways in an existing structure shall not be required to comply with the requirements of a new stairway as outlined in Section 1009 of the IBC where the existing space and construction will not allow a reduction in pitch or slope. In this case one run of stairs needs an additional riser and tread. There is sufficient space to accommodate these. So the work should be done. Not Applicable 307.4 Seismic. When a change of occupancy results in a structure being reclassified to a higher occupancy category, the structure shall conform to the seismic requirements for a new structure of the higher occupancy category. Where the existing seismic force - resisting system is a type that can be designated ordinary, values of R, 00, and Cd for the existing seismic force -resisting system shall be those specified by the IBC for an ordinary system unless its demonstrated that the existing system will provide performance equivalent to that of a detailed, intermediate or special system. Not Applicable Page 3of7 301.1 Scope. The provisions of this chapter shall control the alteration, repair, addition, and change of occupancy of existing structures, including historic and moved structures as referenced in Section 101.5.1. Applies 301.1.1 Compliance with other methods. Alterations, repairs, additions, and changes of occupancy to existing structures shall comply with the provisions of this chapter or with one of the methods provided in Section 101.5. Applies 301.2 Building materials. Building materials shall comply with the requirements of this section. Applies 301.2.1 Existing materials. Materials already in use in a building in compliance with requirements or approvals in effect at the time of their erection or installation shall be permitted to remain in use unless determined by the code official to be dangerous to life, health or safety. Where such conditions are determined to be dangerous to life, health or safety, they shall be mitigated or made safe. Applies 301.2.2 New and replacement materials. Except as otherwise required or permitted by this code, materials permitted by the applicable code for new construction shall be used. Like materials shall be permitted for repairs and alterations, provided no hazard to life, health or property is created. Hazardous materials shall not be used where the code for new construction would not permit their use in buildings of similar occupancy, purpose and location. Not Applicable Section 302 Additions Not Applicable Section 303 Alterations 303.1 Alterations must comply with the requirements of the IBC for new Construction or at least no less conforming than was the existing building prior to the alteration. Applicable 303.2 Flood Hazard areas Not Applicable 303.3 Existing Structural Elements carrying gravity load need to be strengthened if the design gravity load is increased more than 5% Not Applicable 303.3.1 If the design live load is not increased by the alteration, the existing structure may be evaluated for conformance to IBC 1607. If found to be nonconforming, the nonconforming area is permitted to be posted with placards showing the approved load. Not Applicable 303.3.4 Structural lateral loads: The demand -capacity ratio with the alteration is less than 10% greater than before the alteration. So no further evaluation is required. IEBC 707.5 Not Applicable 313.3.6 Means of Egress Width Capacity Factors Already complies with IBC Section 304 Repairs Not Applicable Page 2 of 7 Roy S. Brown Architects 85 Chilson Road - Wilbraham, Massachusetts 01095 Phone 413.596.2360 - Fax 413.596.2360 Email: rsba85@yahoo.com Code Compliance Review Tattoo afterlife 110 Pleasant Street Northampton, Massachusetts 01060 May 12, 2014 Overview: Tattoo Afterlife has a use group category of B for an business use. The prior use was a used car dealership, business B, preceded by an auto repair shop, preceded by a gasoline service station. The owner intends to continue the most recent business B use group category for the Tattoo business and spend on the order of $155,000 in construction renovations, including items for handicap access. The current assessed valuation of the building alone is $520,000. The gross area is 2442 S.F. and the tabular occupant load is 21 from 2009 IBC, Table 1004.1.1. The building consists of a single level on grade. Applicable Codes: IBC - International Building Code (2009) IEBC - International Existing Building Code (2009) IECC - International Energy Conservation Code (2009) Massachusetts State Building Code 780 CMR 8th Edition Supplemental Information and Amendments (2010) Architectural Access Board 521 CMR (2006) NFPA 101 Life Safety Code (2006) Massachusetts Plumbing Code 248 CMR (2006) Massachusetts Fire Prevention Regulations 527 CMR (2007) NFPA 13 Fire Sprinklers (2007) NFPA 72 National Fire Alarm Code (2007) OSHA (current) NFPA 10 Fire Extinguishers (2002) International Existing Building Code (2009) Chapter 1 Scope and Administration 101.5.1 Under the prescriptive compliance method, we will need to comply with the International Fire Code as regards fire notification systems. Applies But the code does not require any fire alarm notification system for this use group and for so few people. IBC 2009, Section 907. Chapter 3 Prescriptive Compliance Method Section 301 General Page 1 of 7 Roy S. Brown Architects 85 Chilson Road — Wilbraham, Massachusetts 01095 ph 413.596.2360 — fax 413.596.2360 email rsba85@yahoo.com CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 14-05-02 DATE: 5/21 /2014 PROJECT TITLE: Renovations PROJECT LOCATION: 110 Pleasant Street, Northampton, MA 01060 NAME OF BUILDING: Tattoo Afterlife SCOPE OF PROJECT: Fitout of partitions, doors, floors, ceilings, lighting. IN ACCORDANCE WITH THE 8th Edition MASSACHUSETTS STATE BUILDING CODE, 780 CMR, CHAPTER 1, SECTION 107.6.1, I Roy S. Brown MASSACHUSETTS REGISTRATION NO. 4293 BEING A REGISTERED PROFESSIONAL ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING X ARCHITECTURAL ❑ STRUCTURAL ❑ ❑ ELECTRICAL ❑ FIRE PROTECTION ❑ MECHANICAL OTHER 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. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documants as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. I SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AND AN AFFIDAVIT OF COMPLETION AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. (Signature) Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statue, 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 defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the forgoing engaged in a joint 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, However the owner of a dwelling house having not more that 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 be an employer". MGL chapter 152 section §25(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 evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152 section §25(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificates(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the Members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen -nit or license is being requested, not the Department of industrial Accidents. Should you have any questions regarding the "law" or if you 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 Towns Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office 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 any given year, need only submit one affidavit indicating current policy information (if necessary) 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 proof that a valid affidavit is on file for future pen -nits or licenses. A new affidavit must be filled out each year. Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 phone #: (617) 727-4900 ext. 406 or 1-877-MASSAFE fax#: (617) 727-7749 Revised 11-22-06 www.mass.gov/dia R The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual) : L. N. Berneche , Inc. Address: 665 Prospect Street City/State/Zip: Chicopee, MA 01020 Phone#: 4 3- 36- 060 Are you an employer? Check the appropriate box: 1. X I am an employer with 13 4. '._: I am a general contractor and I employees (full and/or part time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. .*l. required] 5_1 We are a corporation and its 3. _ I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4), and we have no employees. [no workers' comp. insurance required.] Type of project (required): 6...- New construction 7. iXRemodeling 8. a Demolition 9. _, Building addition 10. Electrical repairs or additions 11. Plumbing repairs or additions 12. Roof repairs 13. Other -11Y APPncAui Milt CUCCKS UUx Ri musT also Till out rile section helow showing their workers' compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: EMC Insurance Companies Policy # or Selfins. Lic. #: 6S60UB-5B85533-2-13 Expiration Date:_ 3/19/15 Job Site Address: 110 Pleasant Street City/State/Zip: Northampton, MA 01060 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration (date). Failure to secure coverage as required under Section 25a of MGL 152 can 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pain penalties of I�grjury that the information provided above is true and correct. Print :name: Leon Dr. Berneche Date: 5/22/14 Phone #: 413-536-2060 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): (.Board of Heath 2. Building Department 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact person: Phone #: Vemiorrt.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 C44R 110.11) t Structural Peer SECTION 'i 1-'QWNER AUTHORIZATION - TO SE COMPL15TED WHEN O.WNERS,A6ENTOR CONTRACTOR. APPLIES FOR BUILDING PERMIT No as owner of the subject property N Berneche .._ . --- ____ ...._.__ . �. ___...._.�.. .._�... .--__...... __... .__ . heresy authorizeLeon — - to act on "Palf, in all 1ve•.to_Work authorized by this building permit appliestion. Sig t cYmer Date _ T --- — as owner/Authorized Agent hereb-, declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed unde the Leon N krneche ftnt Name Signature of Q,zner/Agent Date SECTION 12 . CONSTRUCTION SERVIC58 10.1 License;! Constru ttion Supervisor: Nat Applicable ❑ _ Name of l.lce.-i Moldar ; L Sn N B=gche _ .( .. -... -...-_ .... W.9 ,1 7 N. WaAhington St. Belch -_ MA License Number Address _ i(i 413)•323-5909 Expiration Date _�j Si re Telephone SECTION 13• JIIORKSW COMPENSATION INSURANCE AFFIDAVIT (M.G.L c.152, § 25C04 )) Workers Comi.ensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial 0 the issuance of the building permit. Signed Affidavit Attached Yes O No 0 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: y l i�- �kOy S �� \ \\\ _ ��s Not Applicable ❑ Name (Regist ant): v\ w `b h� q�\ \�SQ� �, 1.`\ \ �\ �\ t Registration Number 4z' ` Address (413) 596-2360 Signaturt Telephone Expiration Date 9.2 Re i ered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date 9.3 General Contractor L.N.Berneche, Inc. Not Applicable ❑ Company Name: Leon N Berneche Responsible In Charge of Construction 665 Prospect St. Chicopee, MA A dress (413) 536-2060 Si of re Telephone Version 1.7 Commercial Building Permit Mav 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 Rear L: R: L: R: Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg & paved parking) % # of Parking Spaces Fill: volume &Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW (F) YES Q IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO (�) DON'T KNOW () YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES (�) NO IF YES, describe size, type and location: See Attachment D. Are there any proposed changes to or additions of signs intended for the property ? YES (i) NO 0 IF YES, describe size, type and location: See Attachment E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 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 ✓❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs P Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. New interior fit -out for a tattoo parlor including new light gauge Of Proposed Work: stud and gypsum walls, new ceilings, flooring, and restroom 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 ❑ 1B ❑ B Business ✓❑ 2A 2B 2C I ❑ ❑ ❑ E Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ✓❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility ❑ Specify: Specify: M Mixed Use ❑ 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 --t10 c�.anae Fcor�n Ex�sti� Floor Area per Floor (sf) 15` 2,264 1 st 2,264 2nd 2nd 3rd 3rd 4m 4"' 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 [Z] On site disposal system[] 4 =MM AAYT (23201 S Inspe Ctric uMbing & Ga ct ";�!hp.ninter',ior NIA 01Afj9,tja, City of Northampton Building Department 212 Main Street Room 100 'orthampton, MA 01060 3.587-1240 Fax 413-587-1272 APPLICAYIOM TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE OTHER THAN A ONE OR TWO Permit May 15, 2000 'Moi 7 v ffi bi 144M 7 -Qth.ar Sipm OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING ILY DWELLING SECTION I - $1 IM INFORMAIION 1.1 propa Address: iplljW -.by offic 110 Pleasant St. PMP Lot Unit Northamptoi., Ma Zone overlay 01sulict i cs ........... Elm glstrlat SECT -ION 2 - PROPSIM OWNERSHIP/AUTHORIZED MORIZED AGENT 2.1 Owner of Fqcord; Name (Print) 21-Authori Aq_ont. * feonN 3eracche Name (Print) Item 1. Building 2. Electrical 3. Plumbing 4, Mechanical (HVAC) 5. Fire Pirated )n ;- Total=[i 1 2+3+4+ Building Perms: Number Signature: Ruildina Commiasloner/Inawdor of Cunnt wall" Lfj6 5 Prospect St.Chicopee, MA Current Mailing [(413)536-2060 Estimated Cost (Dollars) to be $85,692 $20,1 $26,097.00 otfloal Use Only (a) Building Permit Fee (b) Estimated Total Cast Of Building Permit Fee Date Issued File # BP-2014-1236 APPLICANT/CONTACT PERSON LEON N BERNECHE ADDRESS/PHONE 665 PROSPECT ST CHICOPEE (413) 536-2060 Q PROPERTY LOCATION 110 PLEASANT ST MAP 32C PARCEL 047 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny, Permit Filled out Fee Paid Typeof Construction: INTERIOR FIT -OUT FOR TATTOO PARLOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 015446 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: �Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND/OR. Major Project: Site Plan AND/OR ZONING BOARD PERMIT REQUIRED UNDER: Finding Special Permit Special Permit With Site Plan Special Permit With Site Plan Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Septic Approval Board of Health Water Availability Sewer Availability Permit from Conservation Commission Well Water Potability Board of Health Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay S Signature o uilding 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. 110 PLEASANT ST BP-2014-1236 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 047 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP-2014-1236 Project # JS-2014-002010 Est. Cost: $157889.00 Fee: $947.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LEON N BERNECHE 015446 Lot Size(sq. ft.): 9713.88 Owner: OLIVIERI MATTHEW Zoning: CB(100) Applicant: LEON N BERNECHE AT: 110 PLEASANT ST Applicant Address: Phone: Insurance: 665 PROSPECT ST (413) 536-2060 O WC CHICOPEEMA01020 ISSUED ON. 61212014 0:00:00 TO PERFORM THE FOLLOWING WORK. -INTERIOR FIT -OUT FOR TATTOO PARLOR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Underground: Service: Rough: Rough: Final: Final: Gas: Fire Department Rough: Oil: Final: Smoke: Meter: House # Driveway Final: Building Inspector Footings: Foundation: Rough Frame: Fireplace/Chimney: Insulation: 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 6/2/2014 0:00:00 $947.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Louis Hasbrouck — Building Commissioner