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" __,_ ii i 11 ,- , Ili I f . 1 i 0 , 1 , , ,J_., , i"l'I'...__ -,. 0 -.I i I•0 LO I I b i r It - 4 — dr c i 1 r I, p ' • ro rO D I ,� 7,-- ' ..... 1lfR iC110M * I t I I I �.a n.a�N.a 1 D v ," , l 1 F f OW i .rte • _ INTERIOR ELEVATIONS AN17 DETAILS BARRIER FREE ACCESS IMPROVEMENTS, CAll N SAINT ELIZABETH ANN SETON PARISH ow 60 D10 9e °4400101 A ARCHITECTS NC. SACRED HEART CHURCH ca" um 64 GOTHIC STREET, SUITE 1 N q 0 1 0 1 KING STREET °"'E 04106/2OII NORTHAMPTON, MASSACHUSETTS 01060 NORTHAMPTON, MASSACHUSETTS 01060 A10-01 PHONE: (413) 584 -7224 FAX: (413) 586 -7945 9 ,... . reil-...N ' _ ; ■ . U 11 .21 11 i =IC o • p i y 0 .1 2 I L • I1 III• � . 1 ., _r � y i 'rai g Li ,1 � I Di 1 ill'illi . - • x I i 1 i1 • Ie o -3 lit i : 1--"—''''\ 1- K I 1 11 n ��� �� i i qi II w , s F 171 rt -- 4F II 1 ? : ---'4R1 ' deli N i " - - I - i 0 willitgliiii low pi A 11 .111111 1 1 1 1 1 t 1 1 ' R li tt i I „ N, l i :1 i i ilii did 1, i 1 I t, ii Fil mil 0 .. I i I Ill 1 : j cri. :-:_ 4 If TE II ; i - 1- --rtiii-1 r ja 1 gi p a di a 7 la- vglif LI i 1 0 iir ip 1 :Bil 1, II ii 1 9 i _ . _ --t 1-- .:- 4 1 il 2 i i 1 Pil 11 1 7 i l� I 1 4 FLOOR PLAN • 'SAINT � ELIZABETH ANN SETON F'ARIISH em T o+ x�l .1. 16 SAGREn HEART CHURCH u" ARCHITECTS NC. - ____, 64 GOTHIC STREET, SUITE 1 um i`V a '11 KING STREET DATE 04/06/2011 -- NORTHAMPTON, MASSACHUSt I IS 01060 NORTHAMPTON, MASSACHUSETTS 01060 PROXOT N0. ^10`01 PHONE: (413) 584 -7224 FAX: (413) 586 -7945 ! LM" r s b 1 ' ' i . - ,, z ilioximilisimalo STEP UP TO FIRST LEVEL OF ALTAR COLUMN INTERFERENCE AT RAMP j LI; � 1 - -.'.: . .-__.- . .. 0 ''.7.',... -- — '*p. i T a t . COLUMN AND EXTERIOR WALL VIEW FROM PEW TO ALTAR STEPS • r • ARCHITECTURAL ACCESS BOARD VARIANCE APPLICATION ______w� SERVICE NOTICE I , Challenger J. Whitham, AIA , as Architect for the Petitioner The Roman Catholic Bishop of Springfield submit a variance application filed with the Massachusetts Architectural Access Board on May 4 20 11 . HEREBY CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS VARIANCE APPLICATION ON THE FOLLOWING PERSON(S) IN THE FOLLOWING MANNER: NAME AND ADDRESS OF PERSON OR AGENCY METHOD OF SERVICE DATE OF SERVED Req. Mail- Return SERVICE Receipt Mr. Louis Hasbrouck, Building Commissioner U.S. Mail 1 Pulchalski Municipal Building 212 Main Street, Northampton, MA 01060 Ms. Patricia Shaughnessy, ADA Coordinator U.S. Mail 2 Committee on Disabilities 67 Conz Street, Northampton, MA 01060 Mr. Andrew Bristol, Access Specialist U.S. Mail 3 STAVROS Center for Independent Living 262 Cottage Street, Springfield, MA 01104 -4002 AND CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT THE ABOVE STATEME S T THE BEST OFMY NO /LEDGE ARE TRUE AND ACCURATE. W041'44//, Signature: Appel) t or etitioner On the L Jk Day of D■ 20 l PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED r QV, OGvv\ (Type or Print thb Name of the Appellant) (� � , � ' � RLY A. p , J ���� .'p -t:s. 2 NOTARY PUBLIC ' �t N M COMMISSION EXPIRES 2 -i PVO„ 0 Rev, 01/10 • 17. State the name and address of the architectural or engineering firm, including the name of the individual architect or engineer responsible for preparing drawings of the facility: Architects Inc., 64 Gothic Street, Suite 1, Northampton, Massachusetts 01060 Challenger J. Whitham, A.I.A. E - mail: cwhitham_aihai @verizon.net Telephone: 413.584.7224 18. State the name and address of the building inspector responsible for overseeing this project: Mr. Louis Hasbrouck, Puchalski Municipal Building 212 Main Street, Northampton, Massachusetts 01060 E - mail: lhasbrouck@northamptonma.gov Telephone: 413.587.1240 op a, Date: May 4, 2011 � � � Signature of owner or authorized agent For the Roman Catholic Bishop of Springfield PLEASE PRINT: Reverend John E. Connors, Pastor Name Saint Elizabeth Ann Seton Parish 3 Elm Street Address Northampton, Massachusetts 01060 City/Town State Zip Code jecnaaol.com E - mail 413.584.7310 Telephone Page 4 of 5 Rev, 01/10 ITEM NO. 9 Section 24.3 The proposed new ramp at the south side of the altar is the only path for parishioners to reach the renovated toilet room. The clear width between the wall and structural column in the path of this ramp is 43- 1/2" wide. The column supports the roof above and cannot be moved. The cost of altering the load bearing masonry wall would be excessive without substantial benefit to the disabled or the parish. It is requested that a variance be given for the width of the ramp which will have a clear width inside the rails of 37 -1/2 ". Section 24.5.8 To maintain the width of the ramp mentioned above at 37-1/2" it is necessary for the railings on the north side to abut the 16" diameter column eliminating the minimum hand clearance of 1 -1/2" for a length of about 16 ". This is preferable to decreasing the ramp below 37 -1/2 ". 9: For each variance requested, state in detail the reasons why compliance with the Board's regulations is impracticable (use additional sheets if necessary), including but not limited to: the necessary cost of the work required to achieve compliance with the regulations (i.e. written cost estimates); and plans justifying the cost of compliance. See attached sheet for Item No. 9. 10. Has a building permit been applied for? No Has a building permit been issued? No 10a. If a building permit has been issued, what date was it issued? 10b. If work has been completed, state the date the building permit was issued for said work: 11. State the estimated cost of construction as stated on the above building permit: 11a. If a building permit has not been issued, state the anticipated construction cost: Renovated toilet room and two ramps are budgeted at $24,000.00 12. Have any other building permits been issued within the past 36 months? Yes 12a. If yes, state the dates that permits were issued and the estimated cost of construction for each permit: 1. Heating System, 2010 = $8,100.00 2. Fire Alarm System, 2010 = $19, 973.00 3. Air Conditioning System, 2011 = $13,800.00 13. Has a certificate of occupancy been issued for the facility? Continuation of existing occupancy. If yes, state the date: 14. To the best of your knowledge, has a complaint ever been filed on this building relative to accessibility? yes _X no 15. State the actual assessed valuation of the BUILDING ONLY, as recorded in the Assessor's Office of the municipality in which the building is located: $ 666,970.00 Is the assessment at 100 %? Yes If not, what is the town's current assessment ratio? 16. State the phase of design or construction of the facility as of the date of this application: Design is complete Page 3 of 5 Rev, 01/10 2. State the name and address of the building /facility: Sacred Heart Church, 101 King Street, Northampton, Massachusetts 01060 3. Describe the facility (i.e. number of floors, type of functions, use, etc.): One story church used exclusively for religious services; Mezzanine level choir loft. 4. Total square footage of the building: 8657 Per floor: 8180 a. total square footage of tenant space (if applicable): N.A. 5. Check the work performed or to be performed: New Construction Addition X Reconstruction /Remodeling /Alteration Change of Use 6. Briefly describe the extent and nature of the work performed or to be performed (use additional sheets if necessary): Renovate existing single use toilet to comply with 521 CMR. Construct two ramps from the Sanctuary to the toilet room at the southeast rear corner of the church. (See attached drawings). 7. State each section of the Architectural Access Board's Regulations for which a variance is being requested: 7a. Check appropriate regulations: 1996 Regulations 2002 Regulations X 2006 Regulations SECTION NUMBER LOCATION OR DESCRIPTION — (See Attachment No. 2) 24.3 1. New ramp at altar does not meet 48" clearance. 24.5.8 2. The new handrail adjacent to a column at the altar ramp does not meet clear space requirements of 1 -1/2" for a distance of approximately 16" in order to gain width for 24.3 (See attached photo sheet). 8. Is the building historically significant? yes X no. If no, go to number 9. 8a. If yes, check one of the following and indicate date of listing: National Historic Landmark Listed individually on the National Register of Historic Places Located in registered historic district Listed in the State Register of Historic Places Eligible for listing 8b. If you checked any of the above and your variance request is based upon the historical significance of the building, you must provide a letter of determination from the Massachusetts Historical Commission, 220 Morrissey Boulevard, Boston, MA 02125. Page 2 of 5 Rev, 01/10 The Commonwealth of Massachusetts Department of Public Safety Docket Number * hat Architectural Access Board One Ashburton Place, Room 1310 (Office Use Only) °< Boston Massachusetts 02108 -1618 Phone: 617 -727 -0660 Fax: 617- 727 -0665 www.mass.gov/dps APPLICATION FOR VARIANCE In accordance with M.G.L., c.22, § 13A, I hereby apply for modification of or substitution for the rules and regulations of the Architectural Access Board as they apply to the building /facility described below on the grounds that literal compliance with the Board's regulations is impracticable in my case. PLEASE ENCLOSE: 1) A filing fee of $50.00 (Check/Money Order) made payable to the "Commonwealth of Massachusetts" and all supporting documentation (e.g. plans in 11" x 17" format, photographs, etc.). In addition, the complete package (including plans and photographs) must be submitted via one compact disc. 2) If you are a tenant seeking variance(s), a letter from the owner of the building authorizing you to apply on his or her behalf is required. 3) The completed "Service Notice" form provided at the end of this application certifying that a copy of your complete application has been received by the Local Building Inspector, Local Disability Commission (if applicable), and Local Independent Living Center for the city /town that the property in question resides in. A list of the local entities can be found by calling the Architectural Access Board Office or the Local City /Town Clerk. For a list of the Local Independent Living Centers you can either call the Architectural Access Board Office or visit the Massachusetts Statewide Independent Living Council website at http: / /www.masilc.orq /membership /cils. 1. State the name and address of the owner of the building /facility: Roman Catholic Bishop of Springfield, 65 Elliot Street, Springfield, Massachusetts 01105. Contact Challenger J. Whitham, A/A E -mail: cwhitham_aihai @verizon.net Telephone: 1.413.584 -7224 Page 1 of 5 Rev, 01/10 • 0 Page2 May5,2011 Regards, ARCHITECTTS INC Challenger J. Whitham, AIA CJW /al Enclosures Cc: Louis Hasbrouck, Building Commissioner Town Hall, Northampton Andrew Bristol, Stavros Independent Living Center Amherst Patricia Shaughnessy, ADA Coordinator Northampton Rev. John E. Connors, Pastor ______ __._ . -- F .-- 4 . RECEIVED . 318 - l� L NAY -6 2011 OF BUILDING INSPECTIONS NORTX MIPDON. MA 01000 ARCHITECTS INC. May 5, 2011 PRINCIPALS Don Hafner, AIA Ricnard E. Katsanos, AIA C.1. Whitham, AIA Architectural Access Board SENIOR ARCHITECT/ One Ashburton Place, Room 1310 PLANNER Edward L Jendry, AIA Boston, Massachusetts 02108 -1618 Attention: Mr. Thomas Hopkins, Executive Director Re: Application for Variance Sacred Heart Church Northampton, Massachusetts Dear Mr. Hopkins: I have enclosed on behalf of the Roman Catholic Bishop of Springfield and Saint Elizabeth Ann Seton Parish the Application for Variance pursuant to M.G.L. c. 22, § 13A with respect to renovations for a barrier free toilet at Sacred Heart Church, Northampton, Massachusetts. Enclosed with the Application is a check in the amount of $50.00 made payable to the Commonwealth of Massachusetts, together with a compact disc containing the complete Application. The Roman Catholic parishes of Northampton have just recently consolidated five parishes into one which is now called the Saint Elizabeth Ann Seton Parish. In doing so, they have identified the Sacred Heart Church at 101 King Street as the church structure to be retained and renovated. Mechanical and electrical upgrades are already underway. It is important to Father John Connors, Pastor that improvements continue to be made to their new home in an expeditious manner in order to unify the five parishes into one. The next improvement is to provide barrier free access to an existing toilet room. In an effort to complete this project during the summer we have requested that the local building commissioner issue a permit for construction anticipating a favorable response from the Architectural Access Board. The church has a contractor who is ready to proceed with the work. We are requesting at this time, that the Board and the local Building Commissioner allow us to proceed with construction. Please contact me if additional information regarding this application is required. Thank you for your assistance in this matter. ARCHITECTS INC. 64 GOTHIC STREET NORTHAMPTON, MASSACHUSETTS 01060 1.413.584.7224 - ; , CIit4 of Nnrtiramptnn attssartTusells DA PAR7M/;'NT 0/' 111/ILDING INSPI CTIONS 212 Main Street • Municipal Building North ampl.on, MA 01060 Lppiq tfiNispck Fax: 413 - 587 -1272 Chuck Miller Building Commissioner Phone: 413 - 587 -1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers /Architects responsible for Entire Project) Project Title: Barrier Free Access Improvements Date: June 7, 2011 Project Location: 99 King Street Map: Parcel: Zone: Scope of Project: Renovations for new handicapped toilet room and ramps In accordance with the A '. edition Massachusetts State Building Code, 780 CMR Section 116.0: I, Challenger J. Whitham Mass. Registration # 8673 , Being a registered professional aogineetArchitect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [) ENTIRE 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 all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I 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 116.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required 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 documents. 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 completion and readiness of the project for occupancy. ■ Signature and Seal of Registered 'rof-.sional Pik / ' of \ . . ,. / Day of �,. 20 /1 ` > MASS. /y< t_i i , ; , __ Board o Building egu latns ane tans are s ,- _= One Ashburton Place - Room 1301 _r �� — Boston, Massachusetts 02108 Construction Supervisor License License Type Construction Supervisor License if 36505 Restriction 00 Name Eugene I Kurtz City, State, Zip Westfield, MA, 01085 - Expira6on Date 12/8/2011 Status Current No complaints found for this Licensee. Back To Search Update Address and return card. Mark reason for change Address Renewal Lost Card DPS -CA1 0 50M- 07/07- PC8490 • 'Massachusetts - Department of Public Safet■ Board of Buddha Re, ul ttions and Stan(lards ; ; Construction Supervisor License License: CS 36505 Restricted to: 00 '# te ' t 4 ftf ,= EUGENE J KURTZ 4 396 PROSPECT ST c , ,f WESTFIELD, MA 01085 --.— - ---- ! Expiration: 12/8/2011 ( ununissi,mer Tr#: 11293 . • , Client#: 134452 KURTZINC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 7 M/DD/ YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dawn Pare NAME: HUB International New England PHONE 5 08 - 235 -2283 FAX 866 - 841 -4930 222 Milliken Blvd E -AI °' E:tJ: (ac, No): ADDRESS: Fall River, MA 02722 PRODUCER 508 235 -2200 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED INSURER A: Arbella Insurance Group Kurtz, Inc. INSURER B : P.O. Box 1597 INSURER C : Westfield, MA 01085 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR s INVD POLICY NUMBER POLICY MMIDD POLICY E /YYYY) (MMIDD/YYYY) LIMITS A GENERAL LIABILITY 8500049917 01/28/2011 01/28/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occu ence) $300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X F T LOC $ A AUTOMOBILE LABILITY 53562400004 01/28/2011 01/28/2012 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO - BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) X NON -OWNED AUTOS A X UMBRELLA LIAB X OCCUR 4600049918 01/28/2011 01/28/2012 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 $ A WORKERS COMPENSATION 005432 01/28/2011 01/28/2012 X WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Inland Marine 8500049917 01/28/2011 01/28/2012 Leased /Rented $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) " Workers Comp Information " Proprietors /Partners /Executive Officers /Members Excluded: Lori Kurtz, Treasurer and Eugene Kurtz, President CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9 )( CI- ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S492164/M492064 DP003 The Commonwealth o f Massach usetts Department of Industrial Accidents Office of Investigations ?al= 600 Washington Street Boston, M4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers ormation Please Print Leib=;' Name (Business /Organization/Individual): l l� 2.T L IN G. Address: V 4 O S 0 0 T+/ M P TO E 0 At - City /State /Zip: % F{ l: 1.A { 0 R6 Phone #: I-113 - 6S i e you an employer? Check the appropriate box: Type of project (required): 1. l' 4 lama employer with I L'\ 4. ❑ I am a general contractor and I 6 ❑ New construction employees (full and/or part-time).* have hired the sub- contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attanhed sheet. * 7. (gitenodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself No workers' comp. c. 152, § 1(4), and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other *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. 1- Contractors that check this box must attached an additional sheet showing filename of the sub - contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. n Insurance Company Name: A 2 . 8 1 �1 611 ! L G 6 P Policy # or Self -ins. Lic. #: O 6N3(9. Expiraton Dat 1 8 / Z — , 11 `, Job Site Address: I� b i� i 10 T 4I City /State /Zap. Attach a copy of the workers' compensation policy declaration page (showing _ :,, a policy number and expiration date u. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ofcririnai penalties of 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. 1 do hereby certify under the pains anOenaltiekof perjury that the information provided above ' true and correct. Si !, ature: Date: 6 6 /< Phone #: 1 4 1 3 — 6 663 k 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 #: Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I re : \ & AJ C_C)A.) Uk) n-S , as Owner of the subject property hereby authorize ' ° ( V T 2 ` o G • to a n my be , i i fil l a1 -rs relative to work authorized by this building permit application. 7 Signature of Owner Date I, Q LP% 3 esu-cis) Z roc.) , as Arne* /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 t r( pains and penalties of perjury. 3- -rte Print Nam- 014 Signature of - :,/'gent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Cs G A3c k u le-T Z. 3 G 6 License Number gt© Sear AAMPTD EPA K1 WfsrF /E1A, po I 7.15/1 I Address Expiration Date o U 4 13 -A.8"- b4,34 Signature Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance a avit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the ilding permit. Signed Affidavit Attached Yes No e 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: Challenger J. Whitham Not Applicable ❑ Name (Registrant): Registration Number Architects Inc., 64 Gothic Street, Northampton, MA 01060 MA #8673 Address a fia / b7 � <�l�' -"�'d 413.584.7224 Expiration Date Signature Telephone 9.2 Registers Prof ssional 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 Contractor R—T Z N C , Not Applicable ❑ Company Name: &gas 11021 z- Responsible In Charge of Construction et s oCo HA* 3..T.a RI S N ; L LO MA 0 5 Address X13 '68- Signature Telephone r Version I.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 0 Demolition ❑ Repairs' Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs 0 Roofing Change of Use ❑ Other 0 Brief Description Filler a brief description here. Of Proposed Work: 0 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 14 1A 1 ❑ Egi A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ 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 ❑ SA ❑ 5 Storage ❑ S -1 ❑ S-2 ❑ 5B [ J 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: A3 Proposed Use Group: Existing Hazard Index 780 CMR 34): NA Proposed Hazard Index 780 CMR 34): NA SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) t 1_t 8,140' I 2 ,a Z ed 3rd 3 rd 4 tr, 4 rn Total Area (sf) 8,180 Total Proposed New Construction (sf) Total Height (ft) 50 Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal + +72 On site disposal system❑ Version 1.7 Commercial Building Permit Nlay 15, 2000 8. NORTHANIPTON ZONINC Existing Proposed Required by Zoning 'Phis column to be tilled in bye Building 1)cl,>arrment Lol Size 2.9 ACRES Frontage Setbacks Front 50 Side L: 36 R: 45 L: R:' Rear 45 [wilding l leight SO R3kIg. Square Footage 157b — j57 ,[ Open Space Footage (l. area minus bldg & laved 68 ° gyp Talking) # of Parking Spaces 4 Fill: (volume & Location( N A A. Has a Special Per nit /Variance /Finding ever been issued for /an the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T 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 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ,Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: GROUND SIGN AT FRONT LAWN D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO t ) 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 lF YES, then a Northampton Storm Water Management Permit from the DPW is required. .,_,_. p [ .... „.„,,,,y.,,4,,...._ 4 :- • , �. r <�,. . 0 ,. 1' Department use only City of Northa •to 1 — ` Sta s • Permit: Building Depart en - 9 n ni Cur Cu Driveway Permit 212 Main Str •t Se r /$: Availability Room 100 : Availability Northampton, MA 1 0. ' 1• - Structural Plans phone 413 - 587 -1240 Fax - "' Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 9 9 K t T R G E T- Map Lot Unit e.-r-14 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Own of Record: , � f?3 J c (ls 3 Et., ' a f o4o Na (Print) Current M ling Add 7 2 ' ' 13 - Y J f Telephone Signature 2.2 Authorized Agent: pp � C RAe Les S C�.E ,� (k Vz_To' . �/b J CAIN 4M pro , Mtn © 1 086 Name (Print) Current Mailing Address: 413 -51,8'- o63 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 411 I q1 b 2 4. O 0 (a) Building Permit Fee 2. Electrical r 3 37. ©C. (b) Estimated Total al Cost st of Z3 ✓ Q q 9 . O O 3. Plumbing 5� t 9 S8. O O Building Permit Fee 4. Mechanical (HVAC) 5. Fire Pro( coon ) A36 1 6. Total = 1 +2 +3 +4 +5 � oZ3 r 94R. 6 0 Check Number s � � This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date • File # BP- 2011 -1033 APPLICANT /CONTACT PERSON KURTZ INCORPORATED ADDRESS/PHONE P 0 BOX 1597 WESTFIELD (413) 568 -0636 PROPERTY LOCATION 99 KING ST MAP 31B PARCEL 159 001 ZONE URC(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ,l� r Fee Paid 3`i J a 9ft /07 . Typeof Construction: CONSTRUCT ACCESSIBLE RAMP & BATHROOM New Construction CO Nil W.if-w 1 Q1J / j P B A f rP .m t - O € VC Fog game Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 036505 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQ PRESENTED: V 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 (DLA 61(7/(/ 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. 99 KING ST 0. BP- 2011 -1033 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: Bloc: 31B -159 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 -2011 -1033 Project # JS- 2011- 001668 Est. Cost: $23849.00 Fee: $142.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KURTZ INCORPORATED 036505 Lot Size(sq. ft.): 146797.20 Owner: ROMAN CATHOLIC BISHOP OF SPRINGFELD -REV ANTHONY MENARD Zoning: URC(100)/ Applicant: KURTZ INCORPORATED AT: 99 KING ST Applicant Address: Rhone: Insurance: P O BOX 1597 (413) 568 -0636 Workers Compensation WESTFIELDMA01086 ISSUED ON:6/17/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ACCESSIBLE RAMP & BATHROOM - CONTINGENT ON MB APPROVAL OF VARIANCE FOR RAMP POST THIS CARI) SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: lets Footings: Rough: t' °j p Rough: j / /0 House # Foundation: E Driveway Final: /1 ‘ Final• � Final: G� » -7 j ' • � � i �r,�f Rough Frame: 0 V ' ( "� /'t (CAl Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 9V— '29 lt 0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 3 4414 ii Certificate of Occupancy _ Signature: FeeType: Date Paid: Amount: Building 6/17/2011 0:00:00 $142.80 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner