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39A-078 t i The Commonwealth of Massachusetts City of Northampton ' 4 . Certificate of Occupancy In accordance with 780 CMR, Section 5120.3 (The Seventh Edition of the Massachusetts State Building Code) this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified. Identify Name of Building of Space Within I Certificate No. Issued to 518 Pleasant Street LLC BP 2011 -0075 Identify property address including street number, name, city or town and county Located at 518 Pleasant Street (Suite 8) Northampton, Hampshire, Massachusetts Use Group Classification(s) (SI) Special Industrial This Certificate of Occupancy is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate, failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Use Office Space Name of Municipal Date of Map /Plot: Building Official c C arles ler _ Inspection 09/13/2010 Signature of Municipal Date of 39A-0 r� 8 Building Official Issuance 09/13/2010 1 518 PLEASANT STREET BUILDIN (ZFUEStosi S t oreroom f SUl 1 E 7 '�`' l_ SUI 6 �' SUTf m !�+ca _ - © �FACPJ 0 ( U l l r+ � 19� s U Hall105 0 ` E - 0 1:41.1® s C � ��;. �/ � � Ha lf7 F 0' 0 0 0 MEM nY ) ® ✓ SUI _ 4 .. 7 n tos U Q ° o C3� SUITE 5 1 3 a � O O r 0 F 1 F F SUI TE ^ '- • — / - ----T —'7- -- 0 F C� O 6 '— SUITE 4 --jai ©. �I FIRST FLOOR ' `— NE. vi {-OAK Dm EEL) RIT Std to vi/ 0 0 .0 0 F 04E12.6 E - ( t,EGti e`S SUITE SUITE. SUITE SUITE SUITE A N (3Ai t e.R--`T 2I 2H 2G 2 2 E P?Ar - - -VP O O �0 ® � 0 pa SUITE 3B SUITE 3A SUITE 0 Hag 201 O s . s Q F . O � / rran aor : F ' �C� ' ffi _ F s O Q o O ® THIRD FLOOR , i SUITE SUITE SUITE SUITE' - i trif i® 2A 2B ' 2C 2D �, a :E 5 (Ho v►^rr s b oV & t n nr. ARS- l (EC IS ('0'V SECOND FLOOR THOMAS DOUGLAS Architects Inc 136 West Street Northampton, MA 01060 phone: 413.585.0641 fax: 582.9882 To: Louis Hasbrouck Delivery: Fax: Building Commissioner Phone: (413) 587 -1240 Northampton, MA From: Tom Douglas Date: 6/29/10 Re: 518 Pleasant Street Pages: 2 with cover Ed Kamansky owner Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ As Requested Dear Louis, I am attaching a marked up floor plan showing a small addition to a tenant space at 518 Pleasant Street. The owner would like to alter a demising wall in an existing tenant space which will separate the space into 2- tenant space. The new use will be storage for a business. I would consider this use to be business with a hazard index of 2. There will be no change of use from the previous use. Since there is no increase in hazard index, 780 CMR Chapter 34 allows this alteration to be made with the same or like materials as existing. The wall will be constructed with 2x8 metal studs and 5/8" sheetrock on each side. This wall will be built from floor to underside of the floor deck above. The rating for this wall will be 1 hour. A new horn - strobe will be installed above the new 3' -0" wide solid core 1 hour wood door. I have walked through the building with the owner and discussed the installation of new exit sign/emergency light combo units which would be hardwired and have battery back- up power. The current exit signs are stickers. I am marking up my sketch to show the new locations. I think this change will upgrade the life- safety exit system. Thank you very much. Tom Douglas Tom Douglas Thomas Douglas Architects 136 West St. Northampton, MA 01060 douglas@tdouglasarchitects.com The Commonwealth ofMassachusetts -x� Department of Industrial Accidents Office of Investigations 5 600 Washington Street Boston, MA 02111 T4 " www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): C ° Address: 717. a (2,p, City /State /Zip: . ( i /C_ 0( Ott Phone #: Are you employer? Ch ck the appropriate box: Type of project (required): 1. am a employer with 1 4. 0 I am a general contractor and I employees (full and/or part - time).* have hired the sub- contractors 6 ❑New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5• ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 crust also fill out the section below showing their workers' compensation policy information. r 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: C (J /1J 7 I /lV c A/ l 1- C t'7S U f] j T f Policy # or Self-ins. Lic. #: v g ' 9 3 2 P t ` 0 I Expiration Date: ` t /1 Job Site Address: ...C/ 2 !L44 ,4 i STR CE r City /State /Zip:A /0RM 4,41PriLv /4, o%o & 0 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 ce - ' under the pains and penalties of perjury that the information provided above is true and correct. Signature: t r Date: 7 1 0 Phone #: t (3) 5- 17 0 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 C. SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN - OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT .5/ ‘.- — A 1, c, A S74/1J s' FRE 6- Li- e at. 4 -- 7 7 P2.1Ae v e ,...3" K,4”... 4 1../1.AA Y __ , as Owner of the subject property hereby authonze o I K ip - to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date miimimmmmimmmm , 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 andpenalties of perjury,. _ _ ____ _ .. ____ ‘0.41 UNP . , le.4 4 /10 XI XY..i Print Name ... ___ ____ _ ,,,,,_., Signature of Ownif/Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder _........, ' , ... .._ 1 0....a.- , 6c1 License Number _ .. _p1,4._... _,-,,LQ...„(1 __' Ad ss Expiration D te .. _ . .. . „... ignature Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the build' 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 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 y ~ 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 Vame Area of Responsibility address Registration Number Signature Telephone Expiration Date Jame Area of Responsibility \ ddress Registration Number Iignature Telephone Expiration Date 1.3 General Contractor Not Applicable ❑ : ompany Name: responsible In Charge of Construction 7 e5) 1 ; 6315123-6 .�Z� 5gp2(ure elephone • Version1.7 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 - 3 C` y Frontage 3 o ._m Setbacks Front 3 Side L: , S = R. L :.._.._____ R. Rear 3 ._._ . Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces s -- Fill: �� (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ! ■ DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT 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 0 DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained « Obtained 0 , Date Issued C. Do any signs exist on the property? YES NO 0 IF YES, describe size, type and location: 1,1,44.L. 3, e ® � D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO O IF YES, describe size, type and location: E. WiII 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. Version1.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 1E1 Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. Q; — C �z- - �°L` 3z 'A -' 1. Of Proposed Work c l ,,,,,, jp ,,,, SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly [3 A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ® 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R-1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: W _.....e.._ S Special Use ❑ Specify: -- COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Proposed Use Group: ..._M_._ 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) _ _ 1 ili 000 15c _... . _... _ _., _.. _ _�. 2nd _. ...... 2nd 7 Ls ( : c $' f' • 4m .......,.__ _ __.. _,_...._ M 4 Total Area (sf) : 0c? Total Proposed New Construction ksf) _ Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 511 Private ❑ Zone Outside Flood Zoned — Municipal ® On site disposal system❑ . , • Version1.7 Commercial Building Permit May 15, 2000 Department usebnleV"--:- City of Northampton Building Department .-4...mo4iNait 21, Main Street „,„eYi,e_.„..,kIcafti411:4:.6;',$-;;N;5",,?!q-: gIt.r-1FJ:L:r 1 ' Rom 100 iiiiailikat*:411# b 1,4pa NOrt pton, MA 01060 phone 413-587-1240 Fax 413-587-1272 t - ., Other Spectft 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: This section to be completed by office pi_ E 4s-.4 it, T 5 41 TNIF E77-.5-), : Map Lot Unit 4/ c R 1 ii.4 M 1 -4 1 , Zone Overlay District CB District — -------------- Elm St. District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ._ . --- —„ , ,- --, 4 " 0 --, 7 - - 70..,..., , f?g , / cr / P Pte4s74Air s'7:Rce T .,,,.,.L/7„.c. '' 1 .. (!------- icl#741F ... „. . ....., - - . Name (Print) Current Mailing Address: :" — ---- SIev - 3-C ) g - — ----------- ' - Signature 1(44464, ( Telephone I/ 2.2 Authorized Agent: AfP/VeS tile o .; 1 . fOfri ti.4' D J' KAIYIANS : & — y --- 11 ‘-----7 T i r cT 6 6 - - 5 - i'veka ....... MA 1 Name (Print) Current malting Ad<Ilress: 'e Signature C 4 x,sa4 Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS i Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ---------v — — '-- -- (a) Building Permit Fee --7 2. Electrical 1 ' (b) Estimated Total Cost of Construction from (6) I 3. Plumbing ---------------: Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1+ 2+3 +4 +5) DC/6; ci ' Check Number //39 i5LC-- I / This Section For Official Use Only Building Permit Number Date Issued 1 1 Signature: 1 i L 1 Building Commissioner/Inspector of Buildings Date File # BP- 2011 -0075 APPLICANT /CONTACT PERSON ANDREW O'BRIEN ADDRESS /PHONE 75 Clayton Rd. HOLYOKE (413) 563 -1902 0 PROPERTY LOCATION 518 PLEASANT ST - SUITE 8 MAP 39A PARCEL 078 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid //3 5 Tvpeof Construction: CONSTRUCT NEW DOOR & PARTITION WALLS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 047357 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 elay V ` 4L 7 /3-0 /it) 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. • 518 PLEASANT ST - SUITE 8 BP- 2011 -0075 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A - 078 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2011 -0075 Project # JS- 2011- 000127 Est. Cost: $3000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ANDREW O'BRIEN 047357 Lot Size(sq. ft.): 48612.96 Owner: 518 PLEASANT STREET LLC Zoning: GB(100)/ Applicant: ANDREW O'BRIEN AT: 518 PLEASANT ST - SUITE 8 Applicant Address: Phone: Insurance: 75 Clayton Rd. (413) 563 -1902 () Workers Compensation HOLYOKEMA01040 -1543 ISSUED ON: 7/30/2010 0 :00 :00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT NEW DOOR & PARTITION WALLS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: f Footings: Rough: Rough: S-` r -zek0_. F House # Foundation: Driveway Final: Final: Final: a � /fd !' '� Rough Frame: Qi(' 8'- ,©-- /0 Cwt Gas: Fire Department Fireplace /Chimncy: Rough: Oil: Insulation: Final: Smoke: Final: 9—f 3 46 C6( r7 L, /j'e,( im G(ed is r/ev THIS PERMIT MAY BE REVOKED BY THE CITY 01 UPON VIOLATION OF ANY OF ITS RULES AND REG �j� :644 dew 4 11,“04 Certificate of Occupan s • 1 �ture: FeeType: Date Paid: Amount: Building 7/30/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner