23A-146 (21) BP-2023-1290
130 PINE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-146-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1290 PERMISSION IS HEREBY GRANTED TO:
Project# FIRE SYSTEM 2023 Contractor: License:
SECURITY &FIRE INTEGRATIONS
Est. Cost: 35000 LLC
Const.Class: Exp.Date:
Use Group: Owner: FLORENCE CONGREGATIONAL CHURCH
Lot Size (sq.ft.)
Zoning: URB Applicant: SECURITY &FIRE INTEGRATIONS LLC
Applicant Address Phone: Insurance:
73 GUNN ROAD (413)203-2008 5103768
SOUTHAMPTON, MA 01073
ISSUED ON: 09/28/2023
TO PERFORM THE FOLLOWING WORK:
FIRE SYSTEM UPGRADE AND ADD ON
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
&Au,
Fees Paid: $245.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts
=1j': Office of Public Safety and Inspections
s Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
ci
LU (This Section For Official Use Only)
cn
Building Permit Number. 3. !)/O Date Applied: Building Official:
SECTION 1:LOCATION
13o Pau SI-. Rota- xi r'Xa . oiur88 •'o R)yx
No.and Street City/Town Zip Code Name of Building(if applicable)
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building SA Repair 0 Alteration 13 Addition C Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes lallo 0
Is an Independent Structural EngineeTip4,Pee Review fired? i Yes 0 No Er
Brief Description of Proposed Work / r t l( S I vfikpu GV/utQ alb), •
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) 0
Existing Use Group(s): Proposed Use Group(s):
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(ft.)
SECTION 5 E GROUP(Check as applicable)
A: Assembly A-1 1 A-2 0 Nightclub 0 A-3 le A-4 0 A-5 0 B: Business fd' E: Educational 0
F: Factory F-1 0 F2❑ H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ 1-4❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA CI IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB ❑ IV ❑ VA 0 VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supp y: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal
Public e Check if outside Flood Zone tar Indicate municipal 0 A trench will not be Licensed Disposal Site 0
required 0 or trench or specify:
Private 0 or indentify Zone: or on site system 0
permit is enclosed 0
Railroad right-of-w y: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable eil Is Structure within airport avtoach area? Is their review completed] it
or Consent to Build enclosed 0 Yes 0 or No Yes 0 No CIh1//
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
VDS�)
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
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 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here CI.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(die professional coordinating document submittals)
L f-iae,kuzai (1 13 _203 -aoar 6ha, t,or-4Qs K
Name Registra t) Telephone No e-mail a dress t reds Registration Number
pakil-Ed- Saco -nt /�lQ D 0-3
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor I Q
SeCOa-E,L) f it_ Cz. fati.S lac—
ompany Name
JJ J
f lti h 4�fi LI.JQ Q-t\ a -
Name of Person Responsible for Construction License No. and Type if Applicable
Ski (Act( A Si-- E RP 0(0Q-7
Street Address City/ wn State Zip
(-1 13_903 -ate& �l /3 _Q�3_ 806� G K.Q.acid s , cat
Telephone No.(business) Telephone No.(cell) e-mail address/
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the suance of the building permit.
Is a signed Affidavit submitted with this application? Yes No ❑
SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$ 3S(c.1DV
1.Building $ Building Permit Fee=Total Construction Cost x I Insert here
2.Electrical $ OW . appropriate municipal factor)_$ � .
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to CA- SC tv �utn� �L1
6.Total Cost $ aj�dtx� `2 (contact municipality)and write check number here .3►a t
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.
wn --u c-k�oQ44'1__. �-, l- i�,�� ow— `{l3 - - -�°� 9N23
Please print and sip name Title ^rr Telephone o. Date
311 rv�(t,4 r �frs;� rlm r NV�- 6i c1P-7 dkl(ozP&ul^ -e e.n-}f-V)Cak_ 1.. <<n•.
Street Address City/Thwn State Zip Email Address
___3/4;167)/2
Municipal Inspector to fill out this section upon application approval: '
Name Date
Appendix 1
Construction Documents are required for structures that must comply with 780 CMR 107.The
checklist below is a compilation of the documents that may be required.The applicant shall fill out
the checklist and provide the contact information of the registered professionals responsible for the
documents. This appendix is to be submitted with the building permit application.
Checklist for Construction Documents*
Mark"x"where applicable
No. Item Submitted Incomplete Not Required
1 Architectural
2 Foundation
3 Structural
4 Fire Suppression
5 Fire Alarm(may require repeaters)
6 HVAC
7 Electrical
8 Plumbing(include local connections)
9 Gas(Natural,Propane,Medical or other)
10 Surveyed Site Plan(Utilities,Wetland,etc.)
11 Specifications
12 Structural Peer Review
13 Structural Tests&Inspections Program
14 Fire Protection Narrative Report
15 Existing Building Survey/Investigation
16 Energy Conservation Report
17 Architectural Access Review(521 CMR)
18 Workers Compensation Insurance
19 Hazardous Material Mitigation Documentation
20 Other(Specify)
21 Other(Specify)
22 Other(Specify)
*Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified
must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the
authority having jurisdiction.
Registered Professional Contact Information
Gr«,. -cLc o 2r tk`{13 '-aao87 _ `` c
Name(Registrant) Telephone No. e-mail ad Registration Number
311 ctin iSj t 1\-- �Art . Mk otozi
Street Address City/T State Zip Discipline Expiration Date
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
Please follow this link for construction cu,it,ol forms to be used by Registered Design Professionals.
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
kt,c21);
for work per the ninth edition of the
Massachusetts State Building Code, 7S0 CMR, Section 107
Project Title: Mk-X Date: _ 12.
Property Address: \-.190 , �e_ Sr- k!lo,t-e-v ce \kA
Project: Check tx> one or both as applicable- New construction Existing Construction
Project description:
I MA Registration Number: Expiration date. am a registered design professional. and I have
prepared or directly supervised the preparation of all design plans.computations and specifications concerning::
Architectural tural Mechanical
ue Protection ) Electric 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 tor my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to_
1 Review, for conformance to this code and the design concept. shop drawings. samples and other
subnuttals by the contractor in accordance with the requirements of the construction documents.
2 Perform the duties for registered design professionals in 7S0 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 responsibilit:- regarding the provisions of 760 CMR 107.
When required by the building official.I shall submit field/progress reports (see item 3.1 together with pertinent
comments. in a form acceptable to the building official.
Upon completion of the work.I shall submit to the building official a 'Final Construction Control Document'
Enter in the space to the right a 'wet- or \ `�-
electronic signature and seal:
Phone number:y\ -,)-cox Email: OCT-,,L.c c v qt sA r' c5A s
BTU i id ing Official Use Only
Building Official Name: Permit No.: Date:
Noe 1.1ta8WI%frith an puled 4440.411Mmuntnitattwatilmoictircations that you prepared or directly super ise4 irpOW#
chosen prtskideitairripton
•
The Commonnreahh of:ilassachu ens
Department of Industrial Accidents
-_» I Congress Street,Suite 100
:Wiz" Boston. it 102114 01
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%tuiLyn'( umpensatiun Insurance.%tftdasit: Builders"( ontractors Electricians Plumbers,.
1(1 RE tII t_D%%1111 I III.PERMS Al 111(►(1t1
%i►tllicant Information Please Print I t••_ihl,
1Valllt: {ddu.art;>.t ra .<<,:at.,n la7t;-.adua. , etorr rah t
Address: T3 (yWV O.
( itv StateIZip:JOG[_-JX{ 0/073 {'Mine: =: LI /3 W03--a906e
tr.,,am Y thatetketrilt.iltdl/!a appnrprut.bet.
Type of project(required):
l ant a rmpkna%tilt (a ...my:4. dull And or part ling t• 7. a Nc i construeturn
20 I am a cob:pepisct .�, .r and t�•c no rr�.k►i.�.»atlas:); for ma in8- Re m►ticling
..l any.opacity.(Van%miu.-ss'temp rn-wr:nwi nzyuual.J
10 1 an a h trac heat kin all*eta ra%.cit y\a w a..nkas a..ntF• turaaat Hyland 1 9. El Iklrxrlttton
1.0O Building addition
4{3 1 am a b ertha...ri^r and%III!c haring,uncraciars w i 5 i sii*Mk an In pnrper”. I%ell
arson that all.a•nir actors cotton Ital..:%or►a-h"avagassainv aruaar naa.x art s.k 11.a 1'k:etrt:al repairs or additions
pnrpn.tors%fah n.an7plarcca,
12_0 Plumbing repairs or addition+
tC:j I ant a i na.-al contractor and I has t htrcd Utc mod+-aamUatur+itecd tin the anal hckl.hc.4
lhccesub-cttractuhlustampirryanandha..:%unlash-.am>F• ansta-aaaa 13❑RWfrepairs
or ,
6 0 V.c ate a cotp.ratun and as ot'liaas ha%c chacthed than nett ot ctcniptt.aa pa wit 14.❑Other
di'ti.aril%c hasrt no ainpl.ncch.['co hhorkerh.a.xnp almanac rcynoril I
•.1tth applicant that ahnk.h.%tI must also tilt cool Oar scaLur halo%any%INFtiara%match c<.mperN.awrn pada)trfarra6nrr
'Hemet•%mats%tio whttui Um.Aida,.a an.lraattng they arc.tang all work anal dim hare which:s amara-t x-o want subnui a etc%al2td4s t andt...0*w.cash
.rntrac4.r►that atrck Ili.has mu,*attached an aaldetaamlsheet hnev.int thr=MC dirtbc sut•-aortrai.rs and.talc%helm or not thew ohntres has,
card...ecc 11 She.ul•-.o.ntra.t.xs h:r.t crarknces.dry IBWW pros uk tsac ...Acre asap p laser.:mart cr
I am an employer that is providing ss arAen'compensation insurance for mac employe".. Below is the policy and job site
information.
nsurance Co tpmy Name: ( ^lAti a}/ l It J e Co.
polt:, .or Salt-ins.Lis:.s: 5 I D3 RP f j Expiration Date, I—I-02 Uot
Job Site Address: 13 0 P S-I- cat, Static Zip. ri bitAt ' i 'Oi za�—
Attach a copy of the workers'compensation policy declaration page!showing the policy number and expiration date).
Failure to secure cos crags is required under \k,L:. 152.;25A is a cnminal ►tolatloti punishable by a lire up to S1.5(10-00
and or one-sear imprisonment.an V.ell as,is d penalties in the form of a STOP WORK()RDI.R and a tine of up to S250.00 a
day against the s ioiator A copy of this statement inav be fixmarded to the Office of Ins esligatwtn of the DIA for insurance
cos crai e s entication
I do ih•under the pa- soul penalties of perjuri that the inlnrnta►ion lam-it/eel above kger and oarret t
st t�t Q-/a -a 0,9 3
(JJTtial use wilt. Do Wert write in this area.to he nmpleted hi-till-or hiss n official
( its or I ossn: Permit I.ittnsc
Issuing.%uthurity (circle tint:
I. Board tit Health 2. Building Department 3.City'Iussn Cirri. 4. Electrical Inspector 5. Plumbing Inspector
h. Other
( intact Person: Phone 4:
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AREA LEGEND Project# 21006
11 Cm14 LOWER LEVEL: 2,378 NET SF Drawn by LCChecked by MS
I FIRST FLOOR: 7,439 NET SF Date 1-11-2022 g
SECOND FLOOR: 3,342 NET SF a
EXISTING LOWER ,o
TOTAL: 13,159 NET SF LEVEL PLAN a
so
EXISTING LOWER LEVEL o
1 1N8"=1.-0" A.E-101
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Drawn by LC
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Date 1-11-2022 2
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Project# 21006
Drawn by LC
Checked by MS
Date 1-11-2022 2
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EXISTING SECOND in"
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