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31B-063 FCM Smart Build Inc. Construction Management Services 103 Ryan Road Florence, MA 01062 T. 413.588.8975 Ferrari.Steve @gmail.com F. 413.586.1832 August 17, 2009 City of Northampton Building Department 212 Main Street, RM 100, MA 01002 Northampton, MA RE: 36 Round Hill Road Renovations and Deep Energy Retrofit Project To Whom It May Concern: Please find attached the following information that is being submitted as part of a building permit application for proposed renovations to the old McAlluster Infirmary building located at 36 Round Hill Road. 1. Two copies of plans for the proposed renovations signed and stamped by Siegfried Porth, Architect, 9 pages each dated 7/31/09 2. Site Plan for this property prepared by Berkshire Design Group 3. Completed Building Permit Application Form 4. Construction Control Affidavit signed and stamped by Siegfried Porth, Architect 5. Chapter 34 Investigation and Evaluation report for this project, 9 pages 6. Copies of the decision letters issued by the Planning Board covering the proposed work 7. Copy of a receipt from Charles S. Baldwin for work done in 2007 to construct a new paved driveway for this building. 8. A check to the City of Northampton in the amount of $1,166.00 submitted as payment for the permit fee Work on this project will be executed in two phases. The first phase, which is covered in this permit application, will include the creation of a three- bedroom apartment on the main floor with minor renovations to the main common entry. New electric service entrances for five separately metered electric services will be installed along with a complete automatic fire suppression system for the new apartment, common front hall and for the entire garage /storage area located in the basement under the new residential unit. A backflow preventer and distribution manifold to support expansion of the fire suppression system to cover the remainder of the building will be installed under this first scope of work as well as a monitored alarm system connected to the fire suppression system. HFP has been retained to provide design/build services for the fire suppression system and Joseph Cebula Inc. of Chicopee has been retained to provide design /build services for the monitored alarm system. Both of these vendors will make application for all permits required for their respective trades and each will provide a narrative and complete plans for these life safety systems. The receipt from Charles Baldwin is submitted to demonstrate that work on this project was commenced within the time period prescribed in the Planning Board Special Permit that allowed for the creation of a separate lot for this building and for the conversion of this structure for use as four residential units. Please contact me at 413 -588 -8975 if you need any further information or have any questions on this application. Sinc rely, ,,,, t Ferrari /r- Charles S. Baldwin - \\ / E.XCAVATING • PAVING • TRUCKING . RUBBISH REMOVAL SNOWPLOWING • SANDING HYDE HILL ROAD WILLIAMSBURG, MA 01096 (413) 537 -3579 (413) 268 -7794 2 ' ^ (. il i C Date Description Amount Balance I/ /�rj j ! 1 ( J ,.l P. ir!'. 1-7-, ,-1, ) ,..,,,,f y,( I J f. i ; Pay Last Amount in This Column 4 ., Letter of Decision fi 1e:///C:/DOCUME -1 /STEPHE- 1 /LOCALS- 1 /Temp /Letter %20of... to residential uses will result in reduction of access for Clarke School property from Round Hill Road in this vicinity. Common driveways will only serve residential uses compared to the previous condition where the driveway served Clarke School and single family residences. There will be a reduction in paved area on site. The incremental increase in traffic mitigation will be addressed through a payment -in -lieu of mitigation meeting the criteria in section 11.6. C. The requested use will have a positive effect on the relationship of structures and open spaces to the natural landscape, existing buildings and other community assets in the area. The infirmary will only be modified on the interior. Additional open space will be created as part of the zero lot line requirements in section 10.14. All existing driveways will be used and reconfigured to serve the existing buildings. D. The requested use will not overload the City's resources including the effect on the City's water supply and distribution system, sanitary and storm sewage collection and treatment systems, fire protection, streets and schools. The applicant has offered to pay $4,000 into the city's traffic mitigation fund in lieu of contructing mitigation. E. The requested use meets all the special regulations set forth in the Zoning Ordinance as listed in Sections 5.2, 6.2 for multi- family, common driveways and access to a lot over a side lot line. A waiver was granted for a sight impervious fence as allowed in section 10.14 for lot 3. All other criteria in 10.14 for creation ofa zero lot GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. First Previous Next Last 2 of 2 8/14/2009 2:43 PM Letter of Decision . file:/ / /C: /DOCUME- 1 /STEPHE- 1 /LOCALS-1 /Temp /Letter %20of... Planning - Decision City of Northampton Hearing No.: PLN- 2007 -0019 Date: August 13, 2009 APPLICATION TYPE: SUBMISSION DATE: PB Intermediate Site Plan 10/12/2006 Applicant's Name: Owner's Name: NAME NAME: C. Douglas Hinckley CLARKE SCHOOL FOR THE DEAF ADDRESS: ADDRESS: 26 Fort Hill Terrace 47 ROUND HILL ROAD TOWN: STATE: ZIP CODE: TOWN: STATE ZIP CODE: NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: (413) 582 -1111 0 EMAIL ADDRESS: EMAIL ADDRESS. Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 32 ROUND HILL RD TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Approved With Conditions MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 31 B 063 001 Chpt. 350- 5.2/Attach. 1: Table of Use TOWN' STATE ZIP CODE: Regulations Book: Page: 1132 029 PHONE NO.: FAXNO.: EMAIL ADDRESS: NATURE OF PROPOSED WORK: Convert Clarke infirmary to a 4 -unit residential building. Create common driveway to serve two lots (one zero lot line lot) and convert existing access to serve "Leonard" House. HARDSHIP: CONDITION OF APPROVAL: FINDINGS: The Board approved the conversion of the Clarke School infirmary to four residential units with common driveway and side lot access for Leonard House. The site plan will result in the creation of three new parcels that will be carved out of the main Clarke School property. Lot 3 will be a zero lot line single family home without a sight impervious fence. The Board based its decision on the following plans and information submitted with the application. "Clarke Infirmary Site Plan" Prepared by The Berkshire Design Group, Inc. Sheet 1. Dated October 12, 2006, Revised 10/19/06. 2. Graphics of the front and rear elevations showing only egress options as building changes. 3. "Photometric Study", Clarke Infirmary Conversion, dated 10/16/06 prepred by The Berkshire Design Group, Inc. The Board found: A. The requested use protects adjoining premises against seriously detrimental uses. Conversion of the infirmary to residential uses is compatible with the residential uses along Round Hill and in the rear on Langworthy Road. The Board determined that a fence waiver from section 10.14 was appropriate for lot 3 due to the location of the open space and the structure on lot 2. B. The requested use will have no effect on the convenience and safety of vehicular and pedestrian movement on adjacent streets. The conversion of the infirmary 1 of 2 8/14/2009 2:43 PM Letter of Decision file:/ / /C:/DOCUME-1 /STEPHE-1 /LOCALS-1 /Temp /Letter %20o£.. Planning - Decision City of Northampton Hearing No.: PLN- 2007 -0019 Date: August 13, 2009 line lot have been met or will be met through conditions. F.The Planning Board found that the application complied with the following technical performance standards: 1. The curb cuts are minimized as a common driveway will serve one single family house lot and one 4 -unit lot from an exisitng 20' wide curb cut. The other existing 20' wide curb cut will serve Leonard House with no changes. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE. HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE: 10/19/2006 11/2/2006 11/23/2006 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 10/26/2006 12/16/2006 11/9/2006 11/23/2006 12/5/2006 FIRST ADVERTIS ING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 10/26/2006 11/9/2006 11/9/2006 11/15/2006 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 11/2/2006 7:00 PM 2/7/2007 2/7/2007 MEMBERS PRESENT: VOTE: George Russell votes to Grant Frances Volkmann votes to Grant Jennifer Dieringer votes to Grant Mark Sullivan votes to Deny Francis Johnson votes to Grant George Kohout votes to Grant Keith Wilson votes to Grant Kenneth Jodrie votes to Grant MOTION MADE BY SECONDED BY VOTE COUNT: DECISION: Keith Wilson George Russell 1 -7 Approved with Conditions MINUTES OF MEETING: Available in the Office of Planning & Development. 1, Carolyn Misch, as agent to the Planning Board, certify that this is a true and accurate decision made by the Planning Board and certify that a copy of this and all plans have been filed with the Board and the City Clerk on November 15, 2006. I certify that a copy of this decision has been mailed to the Owner and Applicant. Notice of Appeal An appeal from the decision of the Planning Board may be made by any person aggrieved pursuant to MGL Chapt. 40A, Section 17 as amended within twenty (20) days after the date of the filing of the notice of the decision with the City Clerk. The date is listed above. Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of the City of Northampton. GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. First Previous Next Last 1 of 1 8/14/2009 2:45 PM • CHAPTER 10 MEANS OF EGRESS ABLE 1014.1 SPACES WITH ONE MEANS OF EGRESS OCCUPANCY MAXIMUM OCCUPANT LOAD A,B,E,F,M,U 50 H -1, H -2, H -3 3 H -4, H -5, I-1,1-3, I -4, R 10 S 30 1018.2 Buildings with One Exit. Only one exit shall be required in buildings as described in 780 CMR 1018.2, Items 1. through 3.: 1. Buildings described in Table 1018.2, provided that the building has not more than one level below the first story above grade plane. 2. Buildings of Group R -3 occupancy. 3. Single -level buildings with the occupied space at the level of exit discharge provided that the story or space complies with 780 CMR 1014.1 as a space with one means of egress TABLE 1018.2 BUILDINGS WITH ONE EXIT R -2 - 2 STORIES - 4 DWELLING UNITS OR LESS and 50 FEET MAX TRAVEL DISTANCE c. Buildings classified as Group R -2 equipped throughout with an automatic sprinkler system in accordance with 780 CMR 903.3.1.1 or 903.3.1.2 and provided with emergency escape and rescue openings in accordance with 780 CMR 1025 shall have a maximum height of three stories above grade. SECTION — 3 — DESIGN RESPONSIBILITY FOR FIRE PROTECTION SYSTEMS 1. DESIGN - BUILD, THE INSTALLING CONTRACTOR COMPLETELY DESIGNS AND SPECIFIES AND INSTALLS THE SYSTEM AND CERTIFIES SYSTEM INSTALLATION FOR CODE COMPLIANCE AT COMPLETION. 9 3408.9.2.3 Strength of Materials. The strength of existing materials shall be determined by tests or from generally accepted historical records. 3408.9.2.4 Archaic Materials. Strength of existing systems, members, and connections made from materials no longer produced (archaic materials) may be evaluated from the archaic material codes and engineering practices at, or later than, the time said existing systems and elements were constructed. Existing systems and elements made from archaic materials shall not be used to resist seismic load. SECTION — 2 APPLICABLE LAWS, REGULATIONS, AND STANDARDS 780 CMR CODE SECTIONS " FIRE PROTECTION SYSTEM REQUIREMENTS" SECTION 903 AUTOMATIC SPRINKLER SYSTEMS. SECTION 903.2 WHERE REQUIRED AS PER SECTIONS 903.2 .8 SECTION 903.2 .8 IN BUILDINGS OF USE GROUP R -2 OF AGGREGATE FLOOR AREA OF 12,000 S.FT. OR GREATER NFPA 13 IS TO BE USED WE HAVE 7,864 SQ. FT. THEREFORE WE WILL USE AN NFPA 13r SYSTEM. SECTION 906.1 FIRE EXTINGUISHERS ARE NOT REQUIRED FOR R -2 SECTION 907 FIRE ALARM AND DETECTION SYSTEMS PULL STATIONS - ARE NOT REQUIRED 907.2.9 GROUP R -2 EXCEPTION. A MANUAL FIRE ALARM SYSTEM IS NOT REQUIRED IN BUILDINGS WITH 12 OR LESS DWELLING UNITS. 907.2.10 SINGLE AND MULTIPLE STATION SMOKE ALARMS SHALL BE INSTALLED AS PER SECTION 907.2.10.1.2 GROUPS R -2 SECTION 915 CARBON MONOXIDE DETECTORS ARE REQUIRED SECTION 920.0 FIRE EXTINGUISHERS SHALL BE INSTALLED IN USE GROUPS B IN ACCORDANCE WITH NFIPA -10 AND AS PER THE LOCAL FIRE DEPARTMENT 8 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 500.96 780 CMR - Seventh Edition 8/22/08 (Effective 9/1/08) 780 CMR 1607.0 that is greater than the original live load capacity, the floors may be posted for the original live load capacity, provided that the use is controlled in a way acceptable to the building official, and so that the public safety is not endangered thereby. 3408.8.2 Snow Load. Snow load shall be in accordance with 780 CMR 1608.0, with the following exceptions. 3408.8.2.1 Ground Snow Load. For determining snow loads on existing buildings, ground snow load may be reduced to 85% of that required by 780 CMR 1608.0. There shall be no reduction of ground snow load for additions, or for drift loads on existing buildings created by higher additions. requirements for Levels 1, 2, and 3 Work. 3408.8.5 Dead Loads. Dead loads shall be in accordance with 780 CMR 1606.0. 3408.9 Structural Design and Construction. 3408.9.1. Stiffness and Deflection Control. For Levels 2, 3, 4, and 5 Work, except for Level 2 Work where there are no changes to the existing lateral load resisting system, the building design shall comply with the following deflection criteria. 3. For seismic loads on buildings without URM bearing or enclosure walls, the maximum inelastic story drift shall be calculated in accordance with ASCE 7, Section 9.5.5.7 or 9.5.6.6. 3408.9.2 Existing Structural Members and Systems. • 3408.9.2.1 Strength of Existing Structural Members and Systems. Strength of existing systems, members, and connections shall be determined in accordance with the Code requirements for new construction and currently accepted engineering practice, using the actual strength and other physical properties of the existing materials, except as provided in 780 CMR 3408.9.2.2. and 3408.9.2.4. 3408.9.2.2 Compliance with Previous Codes. For evaluating capacity of existing structural systems, members, or connections for compliance with the basic code, structural design codes and standards in effect at the time of the basic code may be used. 7 • 3408.6.2.2 Foundation and Geotechnical Explorations. 3408.6.2.2.1 Level 2 Work. If the work does not involve an addition or does not include an increase in gravity loads, and does not involve new shear walls or vertical frames or reinforcement of existing shear walls or vertical frames to resist the lateral loads required in 780 CMR 3408.7.3, and if there is no indication of settlement or lateral movement of basement walls or foundations, no foundation or geotechnical exploration is required. Existing Building. 3408.6.2.3.1 Existing Structural Materials. The SER shall determine the strengths of existing structural materials in accordance with 780 CMR 3408.9.2.3 and 408.9.2.4. 3408.6.2.3.2 Repairs. The SER shall evaluate structurally hazardous conditions and determine which existing structural elements or systems are in need of repair or other remedial action, and determine the character and extent of the repairs or remedial action. 3408.6.2.3.3 Gravity Load Capacity - 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 500.94 780 CMR - Seventh Edition 8/22/08 (Effective 9/1/08) Level 2 Work. Where there are structural changes to floors or roofs, the SER shall determine the total service load capacity, and the net unreduced service live load capacity or the net service snow load capacity, as applicable, in the affected areas. 3408.6.3 Report on Structural Investigation. The SER shall submit a report on his structural investigation to the building official with the application for the building permit. 3408.6.4 Condition of Permit. The submission of the SER's report on his structural investigation and review thereof by the building official shall be a condition for the issuance of the building permit. The building official shall maintain this report for future renovations of the building. 3408.8 Gravity and Other Loads for Existing Buildings and Structurally Attached Additions. 3408.8.1 Live Load. Live load shall be in accordance with 780 CMR 1607.0, with the following exceptions: 3408.8.1.1 Reduced Live Load. Except for Use Groups, F, I, and S, wherever there is a new use in an existing building, and the new use requires a live load in accordance with 6 3404.19 ENERGY CONSERVATION: ENERGY CONSERVATION REQUIREMENTS SHALL BE IN ACCORDANCE WITH 780 CMR 3407.0 3404.20 CARBON MONOXIDE DETECTORS WILL BE INSTALLED AS PER THE CODE FOR NEW CONSTRUCTION. 3407.0 ENERGY PROVISIONS FOR EXISTING BUILDINGS NEW WALL INSULATION MIN. OF R -13 NEW ROOF INSULATION MIN. OF R -19 NEW WINDOWS MUST HAVE A MAX. U VALUE OF .44 WE WILL COMPLY WITH NEW CONSTRUCTION 3408.0 STRUCTURAL REQUIREMENTS FOR EXISTING BUILDINGS: 3408.4.2 Level 1 Work. Work that is not specified for Levels 2, 3, 4 or 5. 3408.4.3 Level 2 Work. Work or change of use involving any of the following. 1. Change of use of an area which is more than 35% of the existing floor area of the building. 2. For Pre -1975 buildings, when rehabilitation or remodeling is accumulated over a floor area of 20,000 sf or 50% of the total floor area of the building, whichever is less, starting from January 1, 2007. The terms rehabilitation and remodeling for the purposes of this clause shall mean any of the following work. removal or repair of ceilings, partitions, or interior facing of exterior walls; new ceilings, partitions, or interior facing of exterior walls; reconstruction or repair of floors; new mechanical or electrical distribution systems within an area; or new elevators, escalators, or stairs within an area or serving an area. 3408.6 Structural Investigation of Existing Buildings. 3408.6.1 Level 1 Work. 3408.6.2 Levels 2, 3, 4, and 5 Work. 3408.6.2.1 Initial Survey of Existing Building. The SER shall make an initial survey of the existing building consisting of the following tasks. Alternatively, a registered architect, who will be the architect of record for the project, may substitute for the SER for the parts of the investigative work that do not require a structural evaluation. 1. Gather and catalog relevant available information on the existing building, such as drawings, specifications, shop drawings, geotechnical engineering reports, previous condition appraisal reports, and building department records. 2. Perform a field survey to either verify the available drawings or to establish dimensions of the existing building, including layout and sizes, of relevant structural components. 3. Perform a field survey to visually assess the condition of the structural components of the existing building. 4. Identify load paths (or lack thereof) to the foundation for gravity load and lateral load, based on information gathered in the above tasks. 5 3404.9 HEIGHT AND AREA LIMITATIONS: THE HEIGHT AND AREA REQUIREMENTS OF 780 CMR 5.0 SHALL APPLY TO EXISTING BUILDINGS WHEN SUCH EXISTING BUILDINGS ARE MODIFIED BY ADDITION AND /OR CHANGE IN USE. WE MEET ALL OF THE AREA AND HEIGHT REQUIREMENTS OF 780 CMR 5.0] HEIGHT AND AREA OF BUILDING 1. BUILDING USE GROUP: R2 MULTI FAMILY [ALLOWABLE (2 STORIES, 40', 7,000 S.F.) 2. TOTAL SQUARE FOOTAGE OF BUILDING = 4.510 SQ. FT. 3. BUILDING HEIGHT: 14' -0" PARAPET HEIGHT 4. NUMBER OF FLOORS ABOVE GRADE: ONE 5. NUMBER OF FLOORS BELOW GRADE: ONE 6. SQUARE FOOTAGE PER FLOOR: FIRST FLOOR = 4,510 S.F. LOWER LEVEL = 4.510 S.F. TOTAL AGGREGATE FLOOR AREA = 9,020 S.F. 7. TYPE OF OCCUPANCY WITHIN THE BUILDING: R2 8. TYPE OF CONSTRUCTION: VB UNPROTECTED 9. HAZARDOUS MATERIALS: NONE 10. HIGH STORAGE: N/A 11. SITE ACCESS: A 30' WIDE DRIVEWAY DIRECTLY OF OFF ROUND HILL RD. W/ FIRE HYDRANTS LOCATED NEAR BY. 3404.10 EXISTING FIRE AND PARTY WALLS: NO FURTHER COMPLIANCE IS REQUIRED. 3404.11 FIRE PROTECTION SYSTEMS: FIRE PROTECTION SYSTEMS: DESIGN, INSTALLATION AND MAINTENANCE OF FIRE PROTECTION SYSTEMS SHALL BE PROVIDED IN ACCORDANCE WITH 3404.3 AND 3404.12 3404.12 FIRE PROTECTION SYSTEMS ARE REQUIRED. FIRE PROTECTION SYSTEMS WILL BE INSTALLED FOR THE PROPOSED SPACES. 3404.13 ENCLOSURE OF STAIRWAYS. NOT APPLICABLE 3404.14 ,15, ARE NOT APPLICABLE 3404.16 RESIDENTIAL USE GROUPS. NOTWITHSTANDING THE PROVISIONS OF 780 CMR 3404.0, RESIDENTIAL USE GROUPS SHALL COMPLY WITH THE PROVISIONS OF 780 CMR 3400.3, ITEM 8. 3404.17 IS NOT APPLICABLE 3404.18 ACCESSIBILITY FOR PERSONS WITH DISABILITIES: WE ARE IN COMPLIANCE WITH 521 CMR. 4 8. RESIDENTIAL USE GROUPS. A CHANGE FROM ANY OTHER USE GROUP TO A RESIDENTIAL USE GROUP SHALL COMPLY WITH THE REQUIREMENTS OF THE CODE FOR NEW CONSTRUCTION, EXCEPT THAT STRUCTURAL REQUIREMENTS NEED ONLY CONFORM TO 780 CMR 3408.0 AND ENERGY CONSERVATION REQUIREMENTS NEED ONLY TO COMPLY WITH 780 CMR 3407.0. GO TO 780 CMR 3404.00 REQUIREMENTS FOR CONTINUATION OF THE SAME USE GROUP OR CHANGE TO A USE GROUP RESULTING IN A CHANGE IN HAZARD INDEX OF ONE OR LESS. 3404.1 GENERAL. THE REQUIREMENTS OF 780 CMR 3404.0 AND APPLICABLE PROVISIONS OF 780 CMR 3408 SHALL APPLY TO ALL REPAIRS AND ALTERATIONS TO EXISTING BUILDINGS HAVING A CONTINUATION OF THE SAME USE GROUP OR TO EXISTING BUILDINGS CHANGED IN USE GROUP OF ONE OR LESS HAZARD INDEX [ TABLE 3403] 3404.2 REQUIREMENTS EXCEEDING THOSE REQUIRED FOR NEW CONSTRUCTION 3404.3 NEW BUILDING SYSTEMS: ANY NEW BUILDING SYSTEM OR PORTION THEREOF SHALL CONFORM TO 780 CMR FOR NEW CONSTRUCTION TO THE FULLEST EXTENT PRACTICAL. HOWEVER, INDIVIDUAL COMPONANTS OF AN EXISTING BUILDING SYSTEM MAY BE REPAIRED OR REPLACED WITHOUT REQUIRING THAT SYSTEM TO COMPLY FULLY WITH THE CODE FOR NEW CONSTRUCTION UNLESS SPECIFICALLY REQUIRED BY 780CMR 3408 3404.4 ALTERATIONS AND REPAIRS: ALTERATIONS OR REPAIRS TO EXISTING BUILDINGS WHICH MAINTAIN OR IMPROVE THE PERFORMANCE OF THE BUILDING MAY BE MADE WITH THE SAME OR LIKE MATERIALS, UNLESS REQUIRED OTHERWISE BY 780 CMR 3408 3404.5 NUMBER OF MEANS OF EGRESS: A MINIMUM OF TWO EXITS REQUIRED. WE HAVE TWO [2] EXITS PER SPACE. 3404.6 CAPACITY OF EXITS: SEE ATTACHED CHAPTER 10 MEANS OF EGRESSS 3404.7 EXIT SIGNS AND LIGHTS: SHALL BE PROVIDED IN ACCORDANCE WITH 780 CMR 1023.0 3404.8: MEANS OF EGRESS LIGHTING: SHALL BE PROVIDED IN ACCORDANCE WITH 780 CMR 1024.0] 3 CHAPTER 1, SECTION 102 SEC. 102 APPLICABILITY SEC. 102.5 EXISTING BUILDINGS: EXISTING BUILDINGS AND STRUCTURES SHALL COMPLY WITH THE PROVISIONS OF 780 CMR 1 -2.5 AND ALL OTHER APPLICABLE PROVISIONS OF 780 CMR. 102.5.1 UNLESS SPECIFICALLY PROVIDED OTHERWISE IN 780 CMR, ANY EXISTING BUILDING OR STRUCTURE SHALL MEET AND SHALL BE PRESUMED TO MEET THE PROVISIONS OF THE APPLICABLE LAWS, CODES, RULES OR REGULATIONS, BYLAWS OR ORDINANCES IN EFFECT AT THE TIME SUCH BUILDING OR STRUCTURE WAS CONSTRUCTED OR ALTERED AND SHALL BE ALLOWED TO CONTINUE TO BE OCCUPIED PURSUANT TO ITS USE AND OCCUPANCY, PROVIDED THAT THE BUILDING OR STRUCTURE SHALL BE MAINTAINED IN ACCORDANCE WITH 780 CMR 103.00 780 CMR: CHAPTER 34 SECTION 1 - BUILDING DESCRIPTION THE EXISTING FACILITY IS A SINGLE STORY, STEEL FRAMED, INSULATED PANEL AND GLASS CURTAIN WALL BUILDING CONSTRUCTED IN 1959. 3400.2 COMPLIANCE: REPAIRS, ALTERATIONS, ADDITIONS, AND CHANGES IN USE SHALL CONFORM TO THE REQUIREMENTS OF 780CMR 34. 3400.3 APPLICABILITY: THE PROVISIONS OF 780 CMR CH. 34 APPLY TO REPAIRS, ALTERATIONS, ADDITIONS OR CHANGE IN USE TO EXISTING BUILDINGS WHICH QUALIFY TO USE 780 CMR 34 BASED ON THE PROPOSED CONTINUATION OF, OR CHANGE IN USE GROUP, AS FOLLOWS: 1. CONTINUATION OF THE SAME USE GROUP OR A CHANGE IN USE GROUP WHICH RESULTS IN A CHANGE IN HAZARD INDEX OF ONE OR LESS AS DETERMINED BY TABLE 3403 SHALL COMPLY WITH 780 CMR 3404.0 TABLE 3403 HAZARD INDEX EXISTING USE GROUP I = HAZARD INDEX OF 4 NEW USE GROUP R -2 = HAZARD INDEX OF 4 2 CHAPTER 34 - INVESTIGATION AND EVALUATION 780 CMR 34.00 7 EDITION FOR MR. & MRS. HINCKLEY ROUND HILL ROAD NORTHAMPTON, MASSACHUSETTS 08/05/09 BY SIEGFRIED PORTH ARCHITECT 116 PLEASANT STREET SUITE 331 EASTHAMPTON, MA 01027 413- 529 -9434 °' (I" • R \hD p � T�� < . '1' <Tt ,it I , 2 / N. , _40 r .4 f4i'v'r� �:+� .,-(1L0/:, { < < I /y O F h � . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the . dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." ) 6 , Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for . the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit completely, by checking the boxes that tapply to -your situation and, if necessary, supply sub - contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. Um LLC or LIP have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' - compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self- insurance license number on the appropriate line: City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year Where a home owner or citizen is obtaining license or permit not related to any business or- commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit..:.. .. _ The Office of Investigations would Like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,, telephone and fax number: The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617- 727 -4900 ext 406 or 1- 877 - MASSAFE Fax # 617-727-7749 Revised 11 -22 -06 www.ma cs_gov /dia ' The Commonwealth of Massachusetts Department of Industrial Accidents __1._ '� Office of Investigations °��= 600 Washington Street ' r = ° Boston, MA 02111 :. ,4 www.mass.gov /dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/PIumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): FQ - A - 4 $ t v - 1 13' I/ l 1 To C , Address: /O 7 Yq ya iq d City/State/Zip: ✓ e C' g � 7 ty p: �Q � �. / dl o la � Phone SS � - S Are you an employer? Check the appropriate box: Type of project (required): J`, 1. ❑ I am a employer with 4.. 0 I am a general contractor and I have hired the sub - contractors employees (full and/or part- time). * 6. ❑New constrnctian 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. & Remodeling ship and have. no employees These sub - contractors have g. 0 Demolition working for me in any capacity. employees and have workers 9. 0 Building addition [No workers' comp. insurance comp. insurance.* required:] 5. El We are a corporation and its 10.0 Electrical repairs or additions officers have'exercised their 1 - Plumbing-repairs or additions 3. ❑ I am a homeowner doing all work -1. 0 myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t • c. 152, § 1(4), and we have no 13.0 Other employees. [No workers' 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. IContractors 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. l 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. lie advised that a copy of this statement may be forwarded to the Office of Investizations of the DIA for insurance coverage verification. I do hereby fy under the pains and penalties of perjury that the information provided_ above • ITMe and_correct_ Si• ..tore: _Ah. /i �7 .�t-0111L ! .i j � il ate: b l. 4 P h o n e #: 1 ` 5 - J S 'D- g 7 7 , 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 #: The C of Massachusetts �! :r Department of Public Safety One Ashburton Place, Room 1301 Boston, Massachusetts 02108 -1618 Phone (617) 727 -3200 Fax (617) 727 -5732 SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers /Architects responsible for only a portion of a controlled project) Project Title: V 'NI26 // //(/�f�� 6 ix- Date: / /J�/ Qq Project Location: , QCs�IC/�1 ,� �G E j_ Scope of Project: A, �' . f • / 7-6 ,a 12L77 ; ' / ►U /7/4L- In accordance with the-sat!)redition Massachusetts State Building Code,780 CMR SECTION 116.0: I, j l , e/'6 / Mass. Registration Number being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: W Entire Project [ j Architectural [ j Structural [ ] Mechanical [ 1 Fire Protection [ 3 Electrical [ ] Other (specify) 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. Upon completion of the work, I shall submit a fin as to the satisfactory completion of the above mentioned portion of the work. c 0 AR - w rrr,' 9 Signature ' i Seal of registered profess Al tdo 663 i'_ ` � t�, MP7 O, L 1 Ti ii ON, c) MP 7 , � Version 1.7 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 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT u 1 o ,... 9 t h C e y as Owner of the subject property hereby authorize (� �' ! e v 4 4�j r G,� C dr ! e► - a te'_ .............. act on my behalf, in all matters relative to work authorized by this building permit application. 3 ,.7 Signature of Owner ate ��-� , as Owner /Authorized I, Vill 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 th- ..ins and •enalties wry. 5C pl �,, V /� r y iir t�z�. Print Name / vL -- i Signature of Owner /Agent / Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : < .T` (� 1 'i 2�t � ✓Y �/ ` ( ,, 7 _. / License Number 103 6 Y� a. 1 c 0reI IC€ k 4 6/0 c - r-- 7 - 0 tc Addre Expiration Date i Signa re r 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 0 No f. 1 1 • 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: Q I'll Not Applicable El Name (Registrant) /16 e l e, sa II 4 c/ a 4 p 1 Al Registration Number Address v 1o,7 C A- fia e f-Lt Expiration Date 41,E - S ` 13 `f 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 Contractor 4( ' • I!! Not Applicable El ��� 1 ...... 5 � f `� -LAC Company Name: 5'Y e ei( 4:�c1 rte." k , Responsible In Charge of Construction f I \y c - -- f I � /G`' > . ,} Addres p „:;e14.._, Signature Telephone • 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 7 � © 7 � 2 0 7i,,R Sa, v.r✓' Frontage .. _._... ,. .- . Setbacks Front •'),9.6 1 , ' 1S. Side L: R: `17 L �$ R: � Rear 47 /' to ' Building Height q } /4 .2.` Bldg. Square Footage ys /C '4S /D' Open Space Footage (Lot area minus bldg & paved 3 7 LK 7gQ C 3 7 N4 7 8.- �y 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 0 YES ,i4 IF YES, date issued: I 1 /5 ,?-0o IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 41 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES 0 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 0 NO �` 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 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 ir►j IF YES, then a Northampton Storm Water Management Permit from the DPW is required. i t Version 1.7 Commercial Building Permit May 15, 2000 ` SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE tLJ VoJQ-Lie -. 8 Q3$ co PT Interior Alterations VI Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration (A Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑ Brief Description Enter! brief description her. /�q - v ✓'�` ° 1/ ftcr- - 1" �' F 14 a d' c'x i n3 Of Proposed Work: , Di j vi. f d _ 1_. YeS ,/ 4 1 U Li r 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 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 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B la 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: �►S7 'J U, N K e a ( Proposed Use Group: — Existing Hazard Index 780 CMR 34): 1 Proposed Hazard Index 780 CMR 34): L f SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1st .. _ . `1 5- 7 C) 5 1st . S/ 1------ Lou i L/ 57 d _.5 h . 2nd 4 - / o s I Levi 3rd 3r 4 th ; 4 Total Area (sf) q Oa. j Si= Total Proposed New Construction (sf) Total Height (ft) Total Height ft f R 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public a Private ❑ Zone Outside Flood Zone' Municipal On site disposal system • a , ' - Versionl.7 Commercial Buildin &Permit May 15, 2000 Dep�ment'use on City of Northampton S tatus of Permit j .k Buiidin Department i 9 p Cu i? Cuill nveway l er , ; ' 0 -: ti ' 212 Ma St $ewer/ i 1 Aye1li �( \ p VVaterlulfell Aval1 dS � % � Northaripton, MA 01060 T wo S i f Strwcti s o Ptans 4 ,,.4.4"',I,--, , hone 413 587 -'1 Fax 413- 587 -1272 PtottS Plarli? i; ,r �\ � Other Specify i,- �� � APPLICATION To CdNSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TW FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office b A �1 J /- / / / !� Q' Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: --- ,c -7 7 a � ,./ t „ 1 fe-li ,/ ca y6 Name (Print) Current Mailing ddress: — yoq —yl Signature �........._ Telephone 2.2 Authorized Agent: Seloci Fey-iv - Floreilo' /4 r? /C? Name (Print) Current Mailing Address: Signature i , /� 1 — / `� -.7f -7 :""Y1 Telephone / SECTION 3 - ES IMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ; (a) Building Permit Fee /1(S 5-00 2. Electrical (b) Estimated Total Cost of ? - .S ----0 C - Construction from (6) ,.M......_..,.., 3. Plumbing /Cr 700 • Building Permit Fee 4. Mechanical (HVAC) 7, 8o0 ._ 5. Fire Protection •? ?-7 eoc ,7 i 17 6. Total - I 1 + + 3 + + 5) 1 / g c, SOD .. 6 Check Number 0 2 �'% / J f l / 1 This Section For Official Use Only /33 • ii•ing Permit Nu ber Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0190 APPLICANT /CONTACT PERSON STEPHEN FERRARI ADDRESS/PHONE 103 RYAN RD FLORENCE (413) 588 -8975 Q PROPERTY LOCATION 36 ROUND HILL RD MAP 31B PARCEL 063 001 ZONE U p,2 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �} Fee Paid x,33 O /� - W h 110L Typeof Construction:_CONVERT TO 4 RESIDENTIAL UNITS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 98877 3 sets of Plans / Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 n Delay 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. 1 Off (-'1' BP- 2010 -0190 GIs #: COMMONWEALTH OF MASSACHUSETTS E m 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- 2010 -0190 Project # JS- 2010 - 000232 Est. Cost: $185500.00 Fee: $1166.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN FERRARI 98877 Lot Size(sq. ft.): Owner: HINCKLEY C DOUGLAS Zoning: Applicant: STEPHEN FERRARI AT: 36 ROUND HILL RD Applicant Address: Phone: Insurance: 103 RYAN RD (413) 588 -8975 0 FLORENCEMA01062 ISSUED ON:8/27/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT TO 4 RESIDENTIAL UNITS 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 8/27/2009 0:00:00 $1166.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo