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31D-067 ��� ~~-+�~� f /+�� Amzsnrbtt8,Ua L, K.41 0&�BY����0 213 Maio Street. Muoioipa| Building ^� North et,00pLon. MA 01000 L4mtiq fii4ShiVPok Fax: 413-587-1272 Chuck Miller Building Commissioner Phone: 413-587-1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers/Architects mvpwnmm° for Entire Project) Project Title: 42 or f�����,��1 �W �>`(.,17) . V ' Date: 13 I Project Location: c2 „AFL. Map:" Parcel: 2-6�" Zone: Scope of Project: it'umA tn accordance with the eighth edition Massachusetts State Building Code, 7ODCK4R Section 107.O: �� I, ��t VW . - O(t1Kc - e\L) Mass. Registration # �k\ Being a registered professional Engineer/Architect hereby CERTIFIES that 1 have prepared or direcUy supervised the preparation of all design plans, computations and specifications concerning: aaki.~ [3 ENTRE PROJECT 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 alt appticable Laws for the proposed project. Furthermore, | understand and AGREE that 1 shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 107.6.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as requirod by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 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, in general, if the work is being performed In a matter consistent with the construction docurnents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory comptetion and readiness of the project for occupancy. Signature en�S |o1 R Professional , / � ����� - 4 5, BOSTON 4;17 (seal) WRIGHT BUILDERS 1 N C 0 R P O R A T E D 46 BATES STREET NORTHAMPTON, MASSACHUSETTS 01060 January 19, 2012 Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 RE: Building Permit for: Smith College Office Building 30 Belmont Ave. Northampton, MA 01063 Dear Louis, We respectfully request that you grant a modification to waive the requirement for control construction for the project at 30 Belmont Ave. in Northampton because the work is of a minor nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. Thank you for your consideration. Please let us know if you have any questions or need additional information. Sincerely, Z -11/441 ' 2 ' 6t1 Linda Gaudreau Operations Manager Cc: Tom Lucia, Project Manager LI 1I(J�c dl_S -3i1 -82£i' ■AV 411 -927( .► [1 [01RO'NIl ��1AIL: iI1I yvri ht- Builders core , Version!.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No \Q--. SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1 44V ;i G ' j -SIM I +'1 C L't " a-- 4 ' 11-g , as Owner of the subject property hereby authorize Will' r `' r kV i 1.4 to act on my be alf, in I matters relative to work authorized by this building permit application 4 lb ii2911/ S ignature of ner Date I, (A il-i`erh-r 6-11 i' t" , as Owne#Authorized 1 WI hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and relief. Signed under the pains and penalties of perjury. tvMt -s Q. 1-4e-171 Print Name 6m 45 v L� . 1 i /1 /7 /// Signature of Owner /Agent r Date SECTION 12 - CONSTRUCTION SER ES 10.1 Licensed Construction Supervisor: w Not Ap licable ❑ VV ►" Name of License Holder : i � is - ' I `/ ip r ,�p� /--p.rbiuks D . LV � e. �b T 9 0 Number License umbe yg g' Sr . ) NoP�rN-A -,n�P N M/�' 9[31/13 Address / Expiration Date Sign. Telephone ce (I iV y"33 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 Versionl.7 Commercial Building Pen May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General �Co U V F 1 � 1%'1 ct S t/-101 Not Applicable ❑ Company Name: 11413 e. L•u }t'.I•C• I019711 Responsibl In Charge of Construction ,P ,/�o / 1 a- L' t A • N o ' -AA f oN, MPc Address /' 9 . i Signature Telephone mac, N e D1 to 06 bon" U 1 ri hci S7NT 4troilWer Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zonin This column to be f in by Building Depa ent Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paves parking) # of Parkin! :paces F' . volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO Q DON'T KNOW /N; YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 9 DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exc- vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ' Version1.7 Commercial Building Permit May 15, 2000 r SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 S. I,- '14 r s CUBIC FEET OF ENCLOSED SPACE WO4 CS l■>1(1 Co L. Interior Alterations Xl Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ele Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief descri tidn her A f -1 4t j'C.4 is (. 12.01 1Y0 N S Of Proposed Work: NEW MIA' op- N61. ' s f- W Ai$$i 4 S i,i..�C , e 6 _,,,,,,,- -* G SECTION 5 - USE GROUP AND CONSTRUCTION TYPE M ft/ U (2- f'Vq f 'c USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business % Et 2 A ❑ E Educational 2B 1 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B 1 I X U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Yy $' g Proposed Use Group: Q ii - 6 Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) N b "' 1 k1J W 1- 1 st 2 nd 2 3 3 rd rd 4 4 Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) Total Height ft 7. Wate upply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal' On site disposal systemO �� ` E �,.i� � ., ,_ ., ., ��� Versionl.7 Commercial Building Permit Ma 15, 2000 trttnent use only Cit o f Northampton Status P 92 :uilh ing Department Curb tluc POT* 30 r yP . 21' Main Street �; tONN 9" . rthampt n MA 01060 S I�irts P phone 413- 587 -1240 Fax 413- 587 -1272 Piot/Stte Plans . Other APPLICATION 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: ( y(0 t1- r L(,. This section to be completed by office b k k b � Map Lot Unit N b � C � AA , Y' ' � " � I � y Zone Overlay District r1�►V Iv' �1 / A / Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record:' �,u9f /f! ,/✓�/J j +� G - P s; C (, P �,/ N" �'' J b F+� ' sly - �N , f � ' bG . VP ! IA, �T . ) No ,Q -rat ,y Mir Name , . tl nQ ` 1t - A- /► - m t� �- urrent Mailing Address: yo 0 Signature Y fi Telephone 2.2 Authorized Agent: (A 1(41€14<- : ,'� ' MI's P l t� �q BA s 5�', �bQ PTo /41 Name (Print) _ i i Current Mailing Addresi Signature _ / Telephone SECTION 3 STIMATED CONSTRUCTION COSTS '7 k, ` ���6 U 0. -- , Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building c 0) ` ^ ! ,., (a) Building Permit Fee 2. Electrical n n A (b) Estimated Total Cost of / 1 .— Construction from (6) 3. Plumbing t9 4),4,0 �^ Building Permit Fee 4. Mechanical (HVAC) t9 5. Fire Protection G� n Check Number 6 a . 5 9O 6. Total =(1 +2 + + + `1 t ��� / Q 3 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -0667 APPLICANT /CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116) PROPERTY LOCATION 30 BELMONT AVE MAP 31D PARCEL 067 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ! , a � ��� �L. Fee Paid � � p� y 7/� Typeof Construction: 1ST & 2ND FLR OFFICE BLDG RENO,NON- STRUCTURAL WALLS,FINISH UPGRADE MINOR HVAC & ELEC New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 16370 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO3MATION 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 / Z > // 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. 30 BELMONT AVE BP -2012 -0667 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31D - 067 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0667 Project # JS- 2012 - 001156 Est. Cost: $94772.00 Fee: $570.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WRIGHT BUILDERS 16370 Lot Size(so. ft.): 3746.16 Owner: SMITH COLLEGE Zoning: URC Applicant: WRIGHT BUILDERS AT: 30 BELMONT AVE Applicant Address: Phone: Insurance: 48 Bates St (413) 586 -8287 (116) Workers Compensation NORTHAMPTONMA01060 ISSUED ON:1/27/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:1 ST & 2ND FLR OFFICE BLDG RENO,NON- STRUCTURAL WALLS,FINISH UPGRADE MINOR HVAC & ELEC 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 1/27/2012 0:00:00 $570.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner