Loading...
31D-020 (3) AQUADRO & CERRUTI INC. GENERAL CONTRACTORS • ENGINEERS • CONSTRUCTION MANAGERS Mr. Louis Hasbrouck 31 January 2012 Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 RE: Waive Controlled Construction Document Submission /Fascia Repair — Ainsworth Gymnasium Dear Lou; I respectfully request that you grant a modification to waive the requirement for controlled construction at the Ainsworth Gymnasium on the Smith College campus. The scope of the referenced work in minor in nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of the controlled construction is considerable when compared to the cost of the proposed work. The scope of the proposed work is to replace a segment of storm damaged metal fascia, 36 feet in length, with an average height of just over 33' -0 above the ground grade. The erection of staging to reach the working elevation(s) encompasses the largest segment of the proposed repair. Should you have any questions please feel free to contact me. Very truly yours; AQUADRO & CERRUTI, Inc. • t c1 Francis J. Aquadro III Cc: James Lucey AQUADRO & CERRUTI INC. IS AN EQUAL OPPORTUNITY EMPLOYER P.O. BOX 656 • TEXAS ROAD • NORTHAMPTON, MA 01061 • TEL: 413 -584 -4022 • FAX: 413 -584 -0011 ACQ - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) �� 1/27/2012 • PRODUCER (413) 586 -7373 FAX: (413) 584 -0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aquadro & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 355 Bridge St. , P. 0. Box 357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton MA 01061 INSURERS AFFORDING COVERAGE ; NAIC # INSURED ; INSURER A: Travelers _Insurance Company i 0015 Aquadro & Cerruti, Inc. i INSURER B: Commerce and Industry 0005 Texas Road INSURER c Insura Company P.O Box 656 • INSURER D: Northampton MA 01061 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AMYL POLICY EFFECTIVE POLICY EXPIRATION LTR INRRO TYPE OF INSURANCE POLICY NUMBER • DATE IMMIDO/YYYYI DATE (MM/DDIYYYYI LIMITS GENERAL UABIUTY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PR EM PRE aEN ISES(Eaoccurranpe) $ 300 A CLAIMS MADE X OCCUR DT- CO- 8336L914- coF -12 ! 01/01/2012 , 01/01/2013 I MED EXP (Any one person) S 5,000 ' PERSONAL & ADV INJURY S 1,000,000 ___ __ _ GENERAL AGGREGATE $ 2,000,000 _ GEN'L AGGREG_ OMIT APPLIES PER I PRODUCTS - COMP/OP AGG $ 2,000,000 I POLICY I 1 PRO- T LOC • ... _ ... F( AUTOMOBILE LIABILITY , ' COMBINED SINGLE LIMIT ANY AUTO $ 1,000,000 • (Ea accident) A X ALL OWNED AUTOS DTAO- 810- 978K7592- COF -12 01/01/2012 j 01/01/2013 BODILY INJURY $ X SCHEDULED AUTOS i (Per person) HIRED AUTOS _ ! ' BODILY INJURY $ i X NON -OWNED AUTOS ' (Per accident) - - - . > ._. - - -.. - - .'....: IPl OPERTY DAMAGE $ "1, UOJ, OOO .. • • - • - - - - -- - (Per accident) . j GARAGE UABILITY - AUTO ONLY - EA ACCIDENT ' $ • — ANY AUTO I OTHER THAN EA ACC $ AUTO ONLY: AGG . $ • EXCESS! UMBRELLA LIABILITY EACH OCCURRENCE S 10,.000,000 7 OCCUR CLAIMS MADE I AGGREGATE $ II — S - .._... _. A DEDUCTIBLE DTS2.1- CUP- B336L914- TIL -12 01/01/2012 ' 01/01/2013 $ X RETENTION $ 10,000 B WORKERS COMPENSATION WC STATU- , X '0TH—} AND EMPLOYERS' LIABILITY V / N ' TORY LIMITS ER. �. ANY PROPRIETOR/PARTNER /EXECUTIVE E.L EACH ACCIDEN I $ 500, 000 1 OFFICER/MEMBER EXCLUDED? N - . ° -- - -- --' (Mandatory In NH) W0006944471 12/31/2011 12/31/2012 E.LDISEASE - EAEMPLOYEE $ 500,000 If yes, describe under -- --- -- - . SPECIAL PROVISIONS below 1 EL DISEASE - POLICY LIMIT $ 500, 000 OTHER • DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ C Aquadro /CTA ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD t 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 O SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, a Ly c e as Owner of the subject property hereby authorize Aquadro & Cerruti Inc / Francis J. Aquadro III to act on my behalf, in all m -tters relative to wo .-uthorized by this building permit application. / - 3/ — /Z Signature of Owner ilk Date I TAM ES LU Ct y , 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 under the pains and penalties of perjury. . .. MES Luc y Print Name i 1- 3i— 1z Signature of Own :l6 - nt Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Francis J. A quadro III CS 62357 License Number P - B x 656 / N: • hampto / MA 01061 07/04/2013 Address/ Expiration Date _ (413) 584 -4022 Signature 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 C) No 0 Versionl.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: Not Applicable Not Applicable Name (Registrant): Not Applicable Registration Number _d.. Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Not Applicable 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 Contractor Aquadro & Cerruti, Inc Not Applicable ❑ Company Name: Francis J. Aquadro III Responsible In Charge of Construction PO Box 56 / Morthampton / MA 01061 ress '' (413) 584 -4022 Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front r' 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) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: Facility Identifier D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q 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 O NO Q IF YES, then a Northampton Storm Water Management Permit from the DPW is required. . Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other GI Brief Description Replacement of metal rake flashing on the northeast face of the bldg. Of Proposed Work: SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 12 1A I ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ 5-1 ❑ S -2 El 5B 1. ❑ 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: Proposed Use Group: No change Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): No Change SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 St 1S t 2 nd 2 3 rd 3 rd 4 th 4 th 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 p Private ❑ Zone Outside Flood ZoneD Municipal p On site disposal system } r 1 Versionl.7 Commercial Building Permit May 15, 2000 Department use only ``''G City of Northampton Status of Permit: �V ` Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /SepticAvailability Z Room 100 Water/Well Availability ` No hampton, MA 01060 Two Sets of Structural Plans ::7 -1240 F 413 587 - 1272 Plot/Site Plans t oNoi*.1 Other Specify A PL • N 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 Ainsworth Gymnasium Map 3j p Lot d Unit Smith College Zone Overlay District ;Northampton, MA Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Trustees of Smith College 122West Street, Northampton, MA U5 / &5 5 of 77 4 5-1441711 °°41 -" °°41-"---6--Current Name (Print) T/ Current Mailing Address: (413) 585-2400 Signature Telephone 2.2 Authorized Agent: A M S LU G t: 126 West Street, Northampton, MA Name (Print) Current Mailing Address: (413) 585 -2400 Signature Telephone SECTION 3 - ESTI ED CONSTRUCTION COSTS , Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) B P erm i t F $15 b ta- 2. Electrical (b) Estimated Total Cost of $0.00 Construction from (6) l J -1 3. Plumbing $0.00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $15,200.00 6. Total= (1 +2 +3 +4 +5) Check Number 97o 9 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -0687 APPLICANT /CONTACT PERSON AQUADRO & CERRUTI INC ADDRESS/PHONE P 0 Box 656 NORTHAMPTON (413) 584 -4022 PROPERTY LOCATION AINSWORTH GYM - 102 LOWER COLLEGE LN MAP 31D PARCEL 020 001 ZONE RR(15)/URC(85)/IEU /FFR/WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / g o d // & Fee Paid � V Typeof Construction: REPLACE METAL RAKE FLASHINGON NORTHEAST BLDG New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 062357 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO,W.VIATION 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 litio De , z Detti ctz /c7 Signature of Bui I ing 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. AINSWORTH GYM - 102 LOWER COLLEGE LN BP- 2012 -0687 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31D - 020 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 -0687 Project # JS- 2012 - 001050 Est. Cost: $15200.00 Fee: $91.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUADRO & CERRUTI INC 062357 Lot Size(sq. ft.): 479160.00 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: RR(15)/URC(85) / /EU/FFR/WP Applicant: AQUADRO & CERRUTI INC AT: AINSWORTH GYM - 102 LOWER COLLEGE LN Applicant Address: Phone: Insurance: P 0 Box 656 (413) 584 -4022 Workers Compensation NORTHAMPTONMA01061 ISSUED ON:2/3/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE METAL RAKE FLASHINGON NORTHEAST BLDG 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 2/3/2012 0:00:00 $91.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner