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30A-032 (3) /\// .2A v --A MATERIAL SAFETY DATA SHEET Page 3 Waste water and odor compositon Basic ingredients in NovAcryl photopolymer layer are as follows: Main raw material: Polyamide polymer and photopolymerable monomers containing acryloyl group. Additive: Low molecular saturated compound containing amino group and Hydrocyderivitive. Safety of this photopolymer layer was confirmed by using LD -50 feeding test. Items Density pH 6 -7 Chemical Oxygen Demand 6000 ppm Biological Oxygen Demand 1400 ppm Iodide Consumed Under 10 Suspended Solid Under 10 Note: the above density readings are based on a 1% waste water concentration of NovAcryl photopolymer layer. If the area in a negative film to be washed out is around 50 %, one percent concentration would equal 8 sheets of 19" x 25" plates. Toxicology tests were performed and the photosensitive layer was proven "not harmful." Below are the test methods and subsequent results: Test Method /Result Acute Oral (mouse) LD -50 / 3.5 G /KG Eye irritation (Rabbit) Minus Ames Assay Minus Human Patch Test Minus The odor caused by the effluent photopolymer layer is caused by its cross - linking agent. The cross - linking agent is activated by Ultra Violet light. It is an oxidized material and is registered by CAS. MATERIAL SAFETY DATA SHEET Page 2 HEALTH HAZARD DATA Primary routes of entry: Inhalation: YesDermal: Yes Ingestion: Yes Health Hazards (acute and chronic): Direct eye or skin contact with raw product may cause irritation. Nausea by solvent vapor inhalation. Carcinogenicity: NTP: n/a 1ARC Monographs: n/a OSHA Regulated: n/a Signs and Symptoms of exposure: Dizziness. Headache. Irritation Medical conditions generally aggravated by exposure: Dermatitis Emergency and First Aid Procedures: EYE CONTACT: Immediately flush with water for 15 minutes. Get medical attention. SKIN CONTACT: Wash area with soap and water. INHALATION: Remove to fresh air. INGESTION: Get medical help immediately. PRECAUTIONS FOR SAFE HANDLING AND USE Procedure when material is spilled: Material is solid, cannot be spilled. In case of transport damage to packaging, material or container, material to be salvaged must not have been exposed to ultraviolet light. Waste Disposal method: Processed plates may be treated as scrap. Follow local regulations. Precautions to be taken in handling and storing: Store below 100 degrees Fahrenheit in a dry area. Do not store near heat sources. Material is light sensitive. Do not open package until ready to use. Handle in UN protected light only. Must be stored flat. Avoid skin contact with sheet material during processing. When handling plates during processing, gloves are necessary to avoid contact with the wash solution. Other precautions: Empty containers contain hazardous product residues, both liquid and vapor. Avoid skin contact and breathing vapor. CONTROL MEASURES Ventilation: Yes, generally required to reduce exposure to below allowable levels. Only at the point of use. Mechanical (general): Fan Protective items: Use rubber or vinyl gloves. Eye protection is recommended. Work/hygienic practices: Wash hands and face after processing plates. Use skin care lotion. ADDITIONAL REMARKS None MATERIAL SAFETY DATA SHEET Information current as of January 1, 1999 Supplier: NOVA POLYMERS, INC. PO Box 1305, West Caldwell, NJ 07007 888 - 484 -6682 For PRINTING, SIGNAGE PLATES and RELATED MATERIALS Manufacturer's name: TOYOBO Co., Ltd. (polymer layer only) Emergency Telephone Number: 06- 348 -3059 Information phone number: 06- 348 -3059 Trade Name and Synonyms: NovAcryl, Printight Product Class: PETG, Aluminum, Laminates, EcoResin HAZARDOUS COMPONENTS OSHA PEL ACGIH TLV (units) Recommended % (optional) Methacrylic acid (Cas No 79 -41 -4) 20 ppm 3 Methanol (Cas No 67 -56 -1) 200 ppm 200 ppm NIOSH 200 ppm CHEMICAL FAMILY: Polyamide Based Photopolymer, solid type PHYSICAL DATA Boiling Point (C): N/A Specific Gravity (H20 =1): 1.2 (68F) Vapor Pressure (mmHg): Solid at room temperature Evaporation Rate (Butyl Acetate = 1) N/A Vapor Density (air =1): N/A Melting Point (C): 110 Celsius Solubility in Water: 10% Appearance and Odor: Light brown solid resin. Slightly sweet odor. FIRE AND EXPLOSION HAZARD DATA Flash Point No data Flammable limit (vol. %) N/A Extinguishing Media: Water, 002, Foam, Dry Chemical Unusual fire and explosion hazards: Not considered a flammable material under normal use Special fire fighting procedures: Wear MSHA/NIOSHA approved self- contained breathing apparatus and full cover impervious clothing. REACTIVITY DATA Stability: Stable Conditions to avoid: Material becomes unusable for intended function if exposed to ultraviolet light. Preserve in cool and dark place and handle only under safe, yellow lamps. Keep away from heat, spark, flame and any other sources of ignition. This material is stable under normal storage and handling. Incompatibility (materials to avoid): Water and light (photo) and other oxidizing agents. Hazardous decomposition or by- products: May form toxic substances: carbon monoxide, nitrogen oxide chlorine compounds, etc. Hazardous polymerization: Will not occur zea mays 221 Pine Street 1' ` = Florence. MA 01062 413.584.1783 www.zeamaysprintmaking.com Louis Hasbrouck City of Northampton Building Inspector Northampton, MA 01060 October 26, 2011 Dear Mr. Hasbrouk, Per your request via Tristram Metclafe, here is a description of the business conducted by Zea Mays Printmaking, which will be the occupant of the building at 320 Riverside Dr. Zea Mays Printmaking is a professional artists' studio dedicated to sustainable and non -toxic printmaking practices. We have a membership of artists who use the studio and offer workshops for artists to learn the safest and healthiest ways to make hand - pulled, fine art prints (i.e. etchings, silkscreens, woodcuts) The first floor of the studio at 320 Riverside Dr. will house our classroom, studios, exhibition area and archives. Our classes are limited to 10 people maximum. With one instructor and one assistant, the total number of people max. would be 12 at a time. The first floor will be the pubic access floor where our students, members and visitors can come to take workshops, make prits and see the work we have in our archives. The second floor of the studio will be for staff and storage only. I, as director, will have my office and studio space upstairs. We will also use it to store our supplies. In regards to the chemicals that are stored on site. We etch our copper plates in enclosed vertical etching tanks that contain 4 gals. each of ferric chloride (42 degree baume). We store an extra gallon of ferric chloride in a metal safety cabinet. The other chemicals we use are basic household cleaning materials and will be stored in a supply closet. They include: sodium carbonate (Arm and Hammer washing soda from the laundry aisle), soy sauce, white vinegar, salt, Simple Green, dish soap, vegetable oil. We use water -based inks (approx 25 — 1 lb cans), which clean up with soap and water and solvent free oil based inks (approx 25 — 1 lb cans) which clean up with vegetable oil and soap and water. I would be happy to provide with any more information you need. Regards, Liz Chalfin, Director Zea Mays Printmaking Cleaning bath made of Sodium Carbonate (Arm and Hammer Washing Soda) and water — stored in Rubbermaid plastic bin with lid Deoxidizing bath made of white vinegar and table salt — stored in Rubbermaid plastic bin with lid Printmaking inks — oil and waterbased — stored in metal cabinet Burnt plate oil (linseed oil) — stored in metal container Vegetable oil — stored in plastic dispenser. Rags that have been used to clean up with vegetable oil are stored in metal safety storage receptacles and are picked up by a rag service weekly. For Photopolymer Toyobo Printight Photopolymer plates — a laminated sheet of thin steel coated with a photosensitive polymer (msds attached). These are developed in tap water. The plates are stored in black plastic, then in cardboard box in dark, cool room. Zea Mays Printmaking has been using this chemistry since its inception in 2000 in the Arts and Industry building. They have had an emphasis on non - toxic, environmentally safe, healthy exposure use levels and hazardous storage considerations with close concern. The studio has been inspected by the fire department annually and has passed every year without a single citation. Please let me know if there is any other information you seek. Thank you. Sincerely, Tris Metcalfe 2 1 F- I, M,S -1 The existing fire protection sprinkler system is a full 6" diameter standpipe supply, which indicates to me it's a full NFPA 13 code capacity supply as long as the heads are currently certified and recent inspections may indicate such. TABLE 307.1(1) MAXIMUM ALLOWABLE QUANTITY PER CONTROL AREA OF HAZARDOUS MATERIALS POSING A PHYSICAL HAZARD "''' "`' "' P [F] 414.5 Inside storage, dispensing and use. The inside storage, dispensing and use of hazardous materials in excess of the maximum allowable quantities per control area of Tables 307.1(1) and 307.1(2) shall be in accordance with Sections 414.5.1 through 414.5.5 of this code and the International Fire Code. [F] SECTION 307 HIGH - HAZARD GROUP H 307.1 High - hazard Group H. High- hazard Group H occupancy includes, among others, the use of a building or structure, or a portion thereof, that involves the manufacturing, processing, generation or storage of materials that constitute a physical or health hazard in quantities in excess of those allowed in control areas complying with Section 414, based on the maximum allowable quantity limits for control areas set forth in Tables 307.1(1) and 307.1(2). Hazardous occupancies are classified in Groups H -1, H -2, H -3, H -4 and H -5 and shall be in accordance with this section, the requirements of Section 415 and the International Fire Code. Hazardous materials stored, or used on top of roofs or canopies shall be classified as outdoor storage or use and shall comply with the International Fire Code. [F] Exceptions: The following shall not be classified as Group H, but shall be classified as the occupancy that they most nearly resemble. The closet exception is; 10. Corrosives shall not include personal or household products in their original packaging used in retail display or commonly used building materials. I am making an observation based on my searching through the above two 307.1 tables for the chemicals below which I find only as oxidizers. I state that the amounts of stored materials are so low and I find reference to house hold chemicals and low quantities of them are exempt which would apply in my judgment to the bulk of what chemicals they have indicated for Zea mays printing. Chemistry used at Zea Mays Printmaking For etching Ferric Chloride Solution Chemical name: Iron Chloride Solution (Inorganic Salt FeC13) 10 gals. Mixed with water and stored in closed tank - Howard's Pro - Vertical Etching Tank, a freestanding, leak -free vertical tank with lid. It's made of polyethylene, rotation molded for great structural strength. The codes used are CMR780 - MA Amendments to the IBC, IEBC - International Existing Building Code, Code521 CMR - MA accessibility regulations which is also in IEBC 310. Under IEBC we correct existing situations as follows; Section 101.5 OPTION 1: Work for alteration, repair, change of occupancy, addition or relocation of all existing buildings shall be done in accordance with the Prescriptive Compliance Method given in Chapter 3. [The similar method is provided in Chapter 34 of the International Building Code]. 303.6 Means of egress capacity factors. We have a narrow stair width but it is allowed to remain since they are from second floor and the stairs widen over required width half way down. An old access on the second floor needs to be fire rated as it is only a secured metal door with light shining through its unstopped head frame. We have a secondary means or egress form 2' floor through Building #1 It will be made into a 2 hr double 5/8" separation. If no access is allowed to brigde connector owners space then we will do a compliance alternative to fire -calk the door to frame and then min 1" air space metal strap and cover our side only since we can call the door equivalent to double 5/8" which it exceeds. 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 building is made to comply with the requirements of the International Building Code for such division or group of occupancy. Original existing use was a print ink handling facility, but it was down graded to S -1 storage, which we will change back to the original from. 311.2 Moderate - hazard storage, Group S -1. IBC 306.2 Factory Industrial F -1 Moderate - hazard Occupancy. 912.2.1 Fire sprinkler system. Where a change in occupancy classification occurs that requires an automatic fire sprinkler system to be provided based on the new occupancy in accordance with Chapter 9 of the International Building Code, such system shall be provided throughout the area where the change of occupancy occurs. 912.2.2 Fire alarm and detection system. Where a change in occupancy classification occurs that requires a fire alarm and detection system to be provided based on the new occupancy in accordance with Chapter 9 of the International Building Code We will add fire detection sensors to the spaces with alarms and fire pulls as shown on plans. TABLE 912.6 EXPOSURE OF EXTERIOR WALLS HAZARD CATEGORIES 1 RELATIVE HAZARD 1 OCCUPANCY CLASSIFICATION Metcalfe Associates architecture & interior design 142 Main St. Northampton, MA, 01060 Tristram W. Metcalfe III, Ma. Reg. 5393 Phone number > 413 586 5775 Cell number > 413 695 8200 Email > twm3q NCARB, NYS, MA, CT registrations WMAIA AIA October 27, 2011 Louis Hasbrouk, [413 587 1239] Building Inspector City of Northampton Puchalski Municipal Building, 212 Main Street, Northampton, MA 01060 RE; Renovations building permit FOR; zea mays printmaking Loc; The Cutlery Building, #2, Riverside Drive, Bay State, Northampton, Ma Dear Louis, Thank you for our meeting yesterday on the above. I have attached all the issues you addressed in the pdf collection document. They were; 1. clear description of business model on public uses; A letter from ZMP dated 10/26/11 is included. 2. categorize chemicals as to hazard; noted below etching [oxidizer ?] at their quantity on site are well below charted 3. statement of quantities; is in Zea mays 10/26 letter 4. statement of storage details for all hazardous materials; is in Zea mays 10/26 letter 5. occupant load by space; is on revised drawing 6. comment on shower use; In an email ZMP stated no shower uses nor chemical emergency eye wash issues exist. Note; [I have italicized the code copy - pastes so you can read past them where desired] Our client Zea Mays Printing after purchasing the above location, wants to get a permit to change the use from Business Storage [S -1] selling garments in the mail with minor public access, into a studio Printing business [F -1] that uses photo printing chemicals with minimal storage of same. We list the chemicals at bottom and attach a material safety data sheet pdf. It is a fact that this space was used recently prior to the S -1 stora e use as a printing facility and would therefore not be a use change from that prior occupancy. ) 7 The 521CMR accessibility requires two up grades for access to the main floor as it is only storage or redundant identical uses on the second floor available also at first floor. An accessible unisex bathroom will be re- created as shown with two doors because of program use requirements. The total maximum occupancy is 12 people and with bath room on main floor it is well below occupancy load. 2 more bath rooms exist on the 2n floor for staff. The second up grade is for wheelchair access into the space. We propose a 12:1 slope ramp with 48" between railings @ 18" & 36" hts. It will be on the front leading to the main entrance as shown approximately 17 feet long. C sk ot,AA.e.r s I ik wk. L.; In is7 itik‘5-v..t c,c, iz-c41 , 51(,) vo..,A • (-Abv.'-ktit. 0 (reo5“) ot/vN (k. v\ s kill - di LA)L.. tk„ ,,Q1A,G os :+ , yb• 5 o c\L k.L.L (ivi r vLcLy- Q_ - cv(0-e. = `-;\-o-QA-(4\1. \i■ \\. \-\*. m A''f il-42.,%C COM. E._ b t ■ -Q. v ; cd(S p (cmps vi 006 - z_ x ) c Li3;,kL. r z_ Stiv.U.t(OGL \' 3 C4 tr,L.. AD i covi&? iCi(vv bCkt\N„ V oo-r vta_v6) Qi ADA (o,,T 1 6/k. - 1 . (A) Gk.9.).J tA.cuu kr \NrcAAA p Ca_vi ) Nut' 5 • ) ( (A Ik.0cf • 6,ACK cvN I IA 5 - b. bk,A.‘ C sc\.60 r ne 6 r• e c-c c\ocyr o c_ok dykk,'I ey, A D ) oLkL. bV \ J The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations • 600 Washington Street Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): V' I S Ca V 7.- 5 7 _AA L t_k 0 )6 c4 Cit /State /Zip: Phone #: l / 0 2– I Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. El New construction n a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub contractors have 8. ❑ Demolition for me in any capacity. employees and have workers' working Y P h'. 9. ❑ Building addition [No workers' comp. insurance comp. msurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions f oficers have exercised 11. 3. ❑ I am a homeowner doing all work h id their ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 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 affidavit 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 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 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 c • tify under the = - ; and penalties of perjury that the information provided above is true and correct. Si• nature: Date: )0 Z 4 11 Phone #: (19 —( S 1 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 #: ( 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 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, S . ( ,,,:0 I,W.FSy-v 0 (1 _._a ._ .._ .._ _ .� __..._ e___._u44 _ _ .. as Owner of the subject property hereby authorize L�� I t S.0 1 . 1 .A. - .-5 � — act on my beh- f, i . I • atters relative to work authorized by this building permit application. _ __ _..__ __ ** Signature o Owner Date I, .. _.. v . ( _ �__. . r 1 1 - 4 - 1 1-- - ")" �� e - - _ _____.. _ _.... _.__._ ...___.._:_.,__ _...._.._ 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 uncle le p ns an Ities of perjury „ , ___ Print Name Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION: SERVICES 10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder . �V ! "`Gin� d C S - � . Z License Number dress Expiration ate 1 Si a ure Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M'G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 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 1;16 (CONTAINING MORE THAN 35,000 C.F. OF Et LOSED SPACE) 9.1 Registered Architect: S k row"... <<i _ Not Applicable ❑ Name (Registrant): Registration Number Address 53 77 digit/—� 4- S$ - , Expiration Date /ice �• UV � Signature Telephone (0 I 9.2 R • itered Professional Engineer(s): _ __ Name _. Area of Responsibility i Address . � w � Registration Number Signature Telephone Expiration Date Name Area of Responsibility A Address Number Registration Numbe Signature Telephone Expiration Date Name Area of Responsibility Address , "_.___.......___.__._ ......_._..._......_._._..._.. ___....___.. __._..____.�. _ Registration Number - _..___........_.___.___.__.._. I __ _ _ ........_.__, . __ ._..__.._. Signature Telephone Expiration Date i Name Area of Responsibility Address _ _ _ _ ___ Registration Number i Signature Telephone Expiration Date 9.3 General Contractor - - _ Not Applicable ❑ Company Name: Responsible In Charge of Construction _ _ _w __ __. 2 -.51, ._.1t Lam.__ 51.. v -: ____ I _.L..,, e..c.tw. '. ,AA.: .0_ 9. 4- Address_ {. 0 ..- - 6 , .¢5.. Sigh. •- Telephone • Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING , • Existing Proposed ` Required by Zoning S c e. D l & vl N' f This i n g column tm filed in by 5 . Building Department Lot Size _.. Frontage Setbacks Front w ..... . Side L ---- R : ---- - L _. .. R:,__ ...... .. _ . Rear _ . -.._ Building Height Bldg. Square Footage ' — % _._. Open Space Footage (Lot area minus bldg & paved , i».....,. parking) # of Parking Spaces Fill: _�_... ...._._ _.__.... �_ �_._�_ �_. �_. ��_ (volume & Location) ..w_.,__. ..___. .._ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW kit/ YES 0 • IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO k, DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conserv.tion Commission? Needs to be obtained 0 Obtained , Date Issued C. Do any signs exist on the property? YES 0 NO 4) IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO f c ) IF YES, describe size, type and location: 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 k IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 4. r. Version l.7 Commercial Building Permit May 15, 2000 r - SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE `4,•,t, Al t' Interior Alterations 0 Existing Wall Signs ❑ Demolition El, Repairs Ea Additions ❑ Aw±cessbry Buil Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use M'° Other ❑ Brief Description Enter a brief description here. b o i 1di, h D A ra-+ p - hct tt - IAA o vve, Sec -c,,,,. av i Of Proposed Work ; vt '�'.e r ; 0✓ 1...,) ri ( A . S .. 1 1n s u, la,k v,,,„ ((wk-, r i o 1 v - r � D . IG(C r Cir 1 _.._ SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B - r ❑ F Factory Q( F -1 I F -2 ❑ 2C ❑ H High Hazard ❑ - - 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ I -3 ❑ , 3B - ❑ M Mercantile ❑ 4 R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B 1 ❑ __ "' U Utility 1=1 Specify: . ____ M Mixed Use ❑ Specify: ."°° -.. ....,� __e ___ __. S Special Use ❑ Specify: _ I COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE E xisting Use Group: _ "__ .I ____,, __. _ . Proposed Use Group: _� _.._..____.._...__ _._ _,,, Existing Hazard Index 780 CMR 34): 1 ,7_ _ Proposed Hazard Index 780 CMR 34): ! _______1- r rn _ _, SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 4 A .._ 2nd �±� 0 .'�_...._.. ....._ ..... 2nd ' .. ,. _!j�_A_____. _._._ _ _. _�___ _._ 3 3 „„ Total Area (sf) C / 6 Total Proposed New Construction (sf) _ Total Height (ft) 2_7 .-e Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone,information: 7.3 Sewage Disposal System: Public 74 Private ❑ Zone ___ _ Outside Flood Zone❑ Municipal ❑ On site disposal system Version1.7 Commercial Building Permit May 15, 2000 "� D e p artme h t use V o nly i . tzi , 3 S'.. v c r. �. / � \ CI of Northampton ,S r i � � � �� :tail g Department �ct utfDrlrr e way M e rt l { ' � ,i � f' • 21 . ain Street Se r/SepreAvatlabtit R �a m 100 Water efl Avallabili s • ''' # ' 1 i • MA 01060 - pto Twa' � 0 r ctt ra fans 4 , .F ,� ;, ,, (•,;, Pl ° , - 587 -1240 Fax 413- 587 -1272 ot15 to Plan t '� • Other Spect�e < r APPLIC = ' TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Property Address This section to be completed by office ; Z- 0 Z i \ V" S t G D y' • ; Map Lot Unit 1 LNG k ,` C y,'(. O 10 6 2- , Zone Overlay District —__ Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current Mailing Address: _\ Signature C/./' - —------- Telephone ~ v^NMry 'H 2.2 Authorized Agent: K r 5 l6�,15 5t 2.5 -1 -Ai a i.. tc,,,,_ 12-cA r-e e- -, ` Name (Print) , Current Marlin Address © 1 O 5 4 4-1 -cociS -( ... Signature �� Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS''' Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building . ' ( a ) Building Permit Fee " 7 a o0 2. Electrical (b) Estimated Total Cost of t 1 G 0 U Construction from (6) 3. Plumbing CD -- Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection . „ .._ ., 6. Total = (1 + 2 + 3 + 4 + 5) `�i 0 CO Check Number / 7 i This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissionerllnspector of Buildings Date File # BP- 2012 -0443 APPLICANT /CONTACT PERSON KRIS THOMSON ADDRESS/PHONE 257 MONTAGUE RD LEVERETT (413) 549 -1027 0 PROPERTY LOCATION 320 RIVERSIDE DR - BLDG 2 MAP 30A PARCEL 032 000 ZONE SI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / J 7/9 a ?� Fee Paid c� Tvpeof Construction: CONSTRUCT HANDICAP RAMP & BATH,MOVE SECONDARY WALLS,INSULATE • ROOF,REPLACE PO_ ST Lteivrra CODE I Vk P%) aeQe I(ET Piston. To ftNkt, It�cPc efP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 084152 3 sets of Plans / Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION 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 —�.4 -- / i ' 1 6 [ I 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. 320 RIVERSIDE DR - BLDG 2 BP- 2012 -0443 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A - 032 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0443 Project # JS- 2012- 000654 Est. Cost: $54000.00 Fee: $324.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KRIS THOMSON 084152 Lot Size(sq. ft.): Owner: CHALFIN ELIZABETH R & SHELDON R CARROLL Zoning: SI Applicant: KRIS THOMSON AT: 320 RIVERSIDE DR - BLDG 2 Applicant Address: Phone: Insurance: 257 MONTAGUE RD (413) 549 -1027 0 LEVERETTMA01054 ISSUED ON:11/17/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT HANDICAP RAMP & BATH,MOVE SECONDARY WALLS,INSULATE ROOF,REPLACE POST - UPDATED CODE REVIEW REQUIRED PRIOR TO FINAL 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 11/17/2011 0:00:00 $324.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner