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23B-043 < d , • •L ' 4 ' 4 f lew :71 e-5 .1- I= 1 1 I 1 2nd Fl Ha liway 4 , r 1 ' 4" 1 3 1 1 - . 7 '• 11 Ceiling He;ght —UP—. Utility ,------Th 4' 3," = i Elevator 51 Locust St UP Renovate foyer and hallways u 3 install New 1st Hoof Insulated Glass '. Hallway $ Ceilings 0 12' 8" _ Lightina 0 Ceding Height Railings Oaf pet ---- Painting .1--- 9' + o) Handi-Cap — (N Bathroom Foyer !:_ ,' n .'!.._„,,„('-':'-. 8' 5" 335 Colesmeadow .7 ', , 7. (.0 No:thampton, MassachuseLO:; .7.::.,::,..:.. _ .. 413— 31Lf —5-34, Gia•;:,..> ;1 30" ., 1 OT D, s ;z:c 37 5' x 02' 7 -- -- ------- :---- rr= _.-- --_-] CITY OF NORTHAMPTON BUILDING DEPARTMENT ' T - --. - 4,- These plans have been reviewed - 7.. r _ / And approved. c . r ytif 1 /17 :- -. • :: •-, , ;: : -_ • _ : • :. : , : : c.......- 7.,...___ Date , . .. . . . ,.." . . Signature _,AtorIf-- RECEVED MAY 18 2012 Louis Hasbrouck Building Commissioner City of Northampton 212 Main St. Northampton, Ma. 01060 I request that you grant a modification to waive the requirement for control construction for the Project located at 51 Locust Street in Northampton because the work is of minor nature, will not effect health, Accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. (I have provided a copy of the proposed work including painting, carpet, replacement glass, suspended ceiling, replace existing railings, electrical and wood trim in support of this request.)) Thank you for your consideration Respectfully, Scott Harlow Harlow Builders 336 Coles Meadow Rd. Northampton, Ma. 01060 Flooring: (Foyer area, two sets of stairs, Basement and second floor hallways, rear stairway and landings) Remove Old carpet and pad and dispose o£ Install new felt pad and Shaw high priority commercial grade carpet. (Selections by customer.) No Pad where fire doors are located. Glue down carpet in front lower hall and rear hall, 2 landings, bound steps (Pad custom steps only). Install a 5" Bound carpet base. (Carpets to match) Install a gold or silver door edge where needed. Interior Finish: We will trim around new insulated glass Panels with select pine wood. Fix rotted window sill with select pine wood. We will cut the bottom of the interior doors needed to clear the new carpet and pad. i/? Install #8630 pine chair rail around front foyer, basement and 2 floor hallways. / e/'e ,/ /..,pp Install #8013 pine crown molding to 12' -8" +- high ceiling in front foyer ($675 allowance). Install #8013 pine crown molding to 8' +- high ceilings in foyer, basement and 2 floor hallways ($1,000 allowance). We propose to furnish the material and labor necessary for the completion of the above stated work for the sum of: Twenty Sit Thousand & Ninety four Dollars. $26,094.00 Payment as follows: $12,000 upon start of proposal. $10,000 upon completion of the Carpet. $4,094 upon completion of the proposal. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra cost will be executed only upon written orders in the form of a change order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire tornado and other necessary insurance. Our workers are covered with workman's compensation insurance. Certificate of liability insurance will be sent to the above address upon signing. Note: This proposal may be withdrawn by Harlow Build if of accepted by within 60 days. Respectfully Submitted by . � % /of Harlow Builders. ACCEPTANCE OF PROPOSAL I accept the above stated prices, specifications and conditions. You are hereby authorized to do the work as specified. Payment will be made outline . Date - , "/L Signature . /,-- PROPOSAL Harlow Builders 336 Coles Meadow Rd. Northampton, Ma 01060 (413) 586 -0465 Submitted to: Job Location: Alan Branch 51 Locust St. PO Box 304 Northampton, Ma. Leeds, Ma. 01052, (318) 537 -9162 Page 1 of 2 February 29 2012 The scope of this project is to renovate the existing Foyer area and 2 floor hallway.. We hereby submit specifications and estimates for the work to be performed. All materials and labor to complete. All permits obtained by Harlow Builders. All debris caused by construction removed by Harlow Builders. See attached drawings for details and placement of fixtures. Drawings by Harlow Builders Dated February 2012 Demolition: Remove partial sheetrock and framing to lower two cold air return vents. (For new suspended ceiling) Remove existing vinyl cove baseboard. (For new Carpet installation) Remove interior Trim around glass panels and rotted sill,. (For new window installation) Framing: Frame as needed to lower two vents and to blend 1 ". floor suspended ceiling to r floor sheetrock ceiling. Windows: Remove and dispose of existing glass and install new tempered insulating glass as follows. (5) Pcs. Approximately 30" 198 %" thickness approx 1" Please Note: A lead time of approximately two weeks would be required to allow for ordering of glass. Electrical: Remove and replace (7) Existing surface mounted 4' Fluorescent light fixtures with new Metalux WS series light fixtures. Deactivate existing recessed lighting and install 7 Metalux drop in GR8 drop in troffer style. Remove and replace 4 Exit emergency lights with combination Sure-Lite exit emergency lights. Remove and replace Existing wall switches and receptacles with new (white or ivory color tbd) devices. Remove and replace 1 wall timer. Heating and ventilation: Move two cold air return ducts and vents down 6" to clear for new suspended ceiling. Sheetrock: 1/2 "gypsum board applied over the 2 °d floor ceiling and areas that need to be patched, Fastened with 2" screws, taped, coated (3) applications and sanded to a paint ready surface. Interior Painting: (By Others.) See Scott Carter Painting, Quotes. Suspended Ceiling: (Foyer area only) Install Chicago Metallic 211 series 15 /16 grid and Armstrong Dune 2x2 reveal edge sand finish tile. (Type 2) R4ilings: (Allowance of 5800.00) Remove and replace existing wood stair railings and mounts with new Stainless Steel tube railings and mounts. The Commonwealth of Massachusetts : Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information —� (� Please Print Legibly Name ( Business /Organization/Individual): e \\04 `aJ Acks 1 \t Address: "S'S l<, C o‘ C`�y�•�> lU� _ City /State /Zip: it-A 1 iih 44i6 Phone #: (41'J SN ' (.0S „Are you an employer? Check the appropriate box: Type of project (required): 1. Cj I am a employer with Q 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 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. ❑ 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. El 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. ❑ 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. ;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. � l Insurance Company Name: aL 0. e Er. Q S S Policy # or Self -ins. Lic. #: •�- S 3 1 ` 6> Expiration Date: a 4 (D( r Job Site Address: S L� (_,� S \V'ac� a�\ City /State /Zip: N-k `v 10� 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 certify under the pai and • enalti ' of per' ry th s the information provided above is true and correct. Si • nature: %�,e ■ Date: ( Phone #: 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 0 SECTION 11 - OWNER AUTHORIZATION - TO, BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �..._.... as Owner of the subject property act on my behalf, in all matters relative to work authorized by this building permit application. _ . Signature of Owner Date ,._ S 'r 0 �� ° as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of pe ur r _„ _ m Print Name , a Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder .. L\n'tr .w m .e.._ ._.,.N .... T b0 License Number Address / r _ Expiration Date Si 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 bui ing 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 EILOSED SPACE) 9.1 Registered Architect: _.___.______. __ .. _____ __ i Not Applicable ❑ Name (Registrant) � _ a.�. ,�_.�� _ .w,. __ _ _� .� -_ _ _..__ Registration Number Address __- ._.M....._`__..._._ Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date { Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility I Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor ` ..\a .. . , . _ ...__..._rm _,___.___ Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signafure — Telephone • Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning / This column tore filled in by Building Department Lot Size Frontage Setbacks Front Side L : —. R. _...__ ? L.. R: Rear Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) _ ..,...__.._ _._ . _ ._ ...___ ._.. .. _..... A. Has a Special Permit /Variance /Finding ever .e n issued for /on the site? NO 0 DONT KNOW 0 \, YES 0 IF YES, date issued mm IF YES: Was the permit recorded at the registry of Dee. ? NO 0 DONT KNOW 0 Y• 0 IF YES: enter Book ` Page and /or Document # B. Does the site contain a brook, b.dy of water or wetlands? NO (3 DONT KNOW 0 YES 0 IF YES, has a permit been ,r need to be obtained from the Cons-rvation Commission? Needs to be obtained 0 Obtained 0 , Late Issued C. Do any signs exist on e property? YES 0 NO IF YES, describe s' e, type and location: D. Are there any pro•osed changes to or additions of signs intended for the p perty ? YES NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre oit is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 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 I . CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs ❑ Additions ❑ Accessory Building h' oil Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. eE i GAM ToYel Of Proposed Work: , - I` . _ �• • P �• t1. I I. v r ; __.._ _ _ . .._.. _._._ . 1 . . _....., _ SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ IA 1 ❑ A-4 ❑ A -5 ❑ 16 ❑ B Business CI 2A ❑ E Educational ❑ 2B j ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 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 I ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: 'w'__ -... S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: ___ ___ __._ _ _. ___ _ _ _ Proposed Use Group: ' _. ..__. ._______..__.. .. ____ _. .. _ 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) 1st _.m _..._.._ �.. 1s _ _ .w . 2nd _. __. _.__...,__ __.._._ 2 nd 3rd 3 __,. __.________ ________ 4 th 4 th Total Area (sf) Total Proposed New Construction ,(g),,, __._ „_ Total Height (ft) Total Height ft _....._. 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood_ZoneInformation: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone _ _ Outside Flood Zone❑ Municipal ❑ On site disposal system • • Version1.7 Commercial Building Permit May 15, 2000 : i y & 4 Department use REC ` . City of Northampton Sta tas o om it ' _ ' ' Building Department Ci r Cu tfDnr�eway Per t } 4 -.! L ----- 2012 212 Main Street Sewer /Iepfac 2u K Room 100 aterNtiell�.f Vailability� 1 N rthampton, MA 01060 Tnra s fstrI4ctlxra[Plaris ,,` _ ' .- , r ` DEPT. OF BUI C ".G pis 41 -587 -1240 Fax 413 -587 -1272 Plat[Srt Plans NORTHAMPTON, M Other Specify 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 This section to be completed by office 1.1 Property Address J Map a Lot Unit Zone Overlay District __.:.s ------------------ ,._W........._w _.. ---- .—_.. --.— ..: : Elm 5t: District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent Name (Print) Current Mailing Address i� . Signature t �__ (0 .,S -- . --. `/ c' i ��f" ,- s Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building a--) �9 ; (a) Building Permit Fee 2. Electrical / .U� (b) Estimated Total Cost of Construction from (6) _....._-. _..__..__.. 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 2 ( o , 9 Check Number \ 1 0 � z p y This Section For Official Use Only Building Permit Number Date . Issued Signature: Building Commissioner /Inspector of Buildings Date h Fci corISTI s)1/4OttoF Corfiar:t U 4 V - File # BP- 2012 -0994 APPLICANT /CONTACT PERSON HARLOW BUILDERS ADDRESS/PHONE 336 COLES MEADOW RD NORTHAMPTON (413) 586 -0465 PROPERTY LOCATION 51 LOCUST ST MAP 23B PARCEL 043 000 ZONE NB(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 / �j Typeof Construction: RENOVATE FOYER New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 052460 3 sets of Plans / Plot Plan THE FOLLOWING 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 o ' lay 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. 51 LOCUST ST BP-2012-0994 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B - 043 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0994 Project # JS- 2012- 001718 Est. Cost: $26094.00 Fee: $156.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HARLOW BUILDERS 052460 Lot Size(sq. ft.): Owner: BRANCH ALAN P Zoning: N13(100)/ Applicant: HARLOW BUILDERS AT: 51 LOCUST ST Applicant Address: Phone: Insurance: 336 COLES MEADOW RD (413) 586 -0465 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:5/22/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE FOYER 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 5/22/2012 0:00:00 $156.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner