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Metcalfe Associates Architecture
142 Main St. Northampton, MA, 01060 Tristram W. Metcalfe III, Ma. Reg. 5393
Phone number > 413 586 5775
Cell number > 413 695 8200
Email > twm3@rcn.com
. NCARB, NYS, MA, CT - ,
registrations
WMAIA
AIA _
2
July 25, 2012
Louis Hasbrouck, 'o; U
Building Commissioner City of Northampton
Puchalski Municipal Building,
212 Main Street, Northampton, MA 01060
RE: Renovations to; Dr Modestow DDS office
190 Nonotuck St., Florence, Ma
Dear Louis,
This is a Code Review of the impacts of the project drawing Titled; Dr Modestow Condominium
Units Connection , sheet # A -1 with revision dated 7- 26-12.
•
Project Description:
The current project is to add a new single ADA accessible 36" wide lever handled doorway between
two existing commonly owned units #1 & #2. They will combine to create one unit. It will be on the
accessible main floor in this existing concrete bearing wall building, with slab on grade that is only
one story with flat roof frame.
This will be combing two more egress doors into the existing main one common access egress
corridor door of the building. It also adds one direct exterior doorway that will provide 4 means of
egress at the main floor from this new combined unit.
There are no other code issues I see compromised by the existing conditions since no fire separations
exist between these two existing units. They are on one side of a common corridor that subtotals
7151 sq ft on its northerly side. Across the corridor are another 2 units # 5 & #6 for 5,946 sq ft
subtotal, which creates 13,097 sq ft total in the building.
I have not explored nor found what if any fire separations were originally built. But there are several
block walls running straight I assume for bearing walls having seen no columns. There are 9 exit
doors to grade around the building providing excessive egress access. This added door in fact
increases fire safety by adding a second means of egress directly to grade to the only unit [#2j,
which did no have that exterior connection safety prior to adding the project door.
If there is any other information you seek to allow a permit to add this one door only please let me
know and I will try to provide it.
'O '
4; g y p ``''`
Tris Met.. f
�, ,,. ry v
t .. NORTMVINI
4111inFMAM.
`,, The Commonwealth of Massachusetts
' . -=� ...., Department of Industrial Accidents .
, • .-: ,. -�= Office of Investigations N
,. t- -t:.�;; ` 600 Washington Street •
7 `" Boston, MA 02111
'` www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual):
Address:
City /State /Zip: Phone #:
Are you an employer? Check the appropriate box: f Type of project (required):
1. [1] I am a employer with 4. U I am a general contractor and I
empIoyees (full and/or part-time).* have hired the sub - contractors 6 ❑New construction
2. I am a sole proprietor or partner- listed on the attached sheet. 7: ❑Remodeling
ship and have no employees These sub contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their 11. Plumbing repairs or additions
3. CI am a homeowner doing all work ❑
myself. [No workers' comp, right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13. ❑ Other
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 nacre of the sub - contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information:
Insurance Company Name:
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. Be advised that a co py of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cjrtify un lx pains a d penalties of perjury that the information provided above iis_ 1 true and correct.
_
Signature: i �',�- �.K.. Date: . i Itf Z-012i
, Phone #: `f (3 s Z 7 0 /4, V
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 0 No 0
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, ! w _ _ as Owner of the subject property
hereby autho e _.. " 1 )77
act on «• •-14 in all matters relative to work authorized by this building permit application
Signature of it I ner mm Date
I, .__ Ii ?`_`" "._�_.,.____.___..__._.__...... .______.___._._._.__ __ 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 unde I e pains andpenalfies of �ertury __ A• �4wi;' r ..__ �� .,r �....__._
Print Name /� /
[ //
Signature o i mer /Agent Date
SECTIO , 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder. _ . — a_. /-14"77_, - - -- .. 02'4? 49
License Number
Add Expiration Date
Signature Telephone
SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No
h
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL. PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35.000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name (Registrant): _ „___..
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
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
e
Signature Telephone Expiration Date ....... , . .
.__
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
•
Versionl.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
�LL 7 � This column to re filled in by
E�5
Building Department
Lot Size
Frontage
Setbacks Front " ,
Side L:_._. -.,_ R. ._._,._ L:, °
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 been issued for /on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0...... ".:
IF YES: enter Book ' Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT 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 NO 0
IF YES, describe size, type and location: x /5 N M f C,f t- /39) LJ1r.i
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 (3 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
. ..
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs Of Demolition 0 Repairs 0 Additions 0 Accessory Building 0
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing 0 Change of Use 0 Other 0
,....,_ ..... ...
Brief Description Enter a brief description here. 4
Of Proposed Work: ? --
/WE 011 - 4 1 /46- ft/ P cPivzo
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
•
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly 0 A-1 0 A-2 0 A-3 0 1A 0
A-4 0 A-5 0 1B 0
B Business 71) 2A 0
E Educational 0 213 0
F Factory 0 F-1 0 F-2 0 2C 0
H High Hazard 0 3A 0
i Institutional 0 1-1 0 1-2 0 1-3 El 3B 0
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 s-I 0 5-2 0 5B 0
U Utility
0 Specify:
M Mixed Use 0 • Specify: '
S Special Use
0 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
1144.—
Floor Area per Floor (sf)
Si
1
2 nd
2
rd
3 , d 3
_ ..
4 in in
4
Total Area (sf) Total Proposed New Construction (sf)
, .
Total Height (ft)
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public Private 0 Zone „._ _ _ Outside Flood Zonep Municipal 0 On site disposal systemp
Version 1.7 Commercial Building Permit May 15, 2000
e_vs City of Northampton
SANG Building Department Curb Cut/Dnveway Permit
- tag, 212 Main Street :Sewer/S00Pc.A5Milat0W$4,-;
\ Room 100 Water/Weft AVailabiIity
eG hampton, MA 01060 Two ets of Structurar Plans
0‘014` e 413-587-1240 Fax 413-587-1272 pio:Oit9T17lOpf,
0 •
o Other Specify
1 .. - PLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
, This section to be completed by office
1.1 Property Address: iqo Dljnvoi< FLatt"tri....E- •
Map Lot Unit
Zone Overlay District
El St. District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED. AGENT
2.1 Owner of Rec rd:
*TA-y•■ De
W ST 7._
Name (Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Aq t:
/7 /cc 6--Z_CAMILE
,„...
Name (Pont) Current Mailing, Address
gt /1/72. `..5 r/# 6 ')P2. 3
Signature - „- -
Telephone L I 3. 2-3Y 3
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
4 -00 0, 0 0
2. Electrical (b). Estimated Total Cost of
"fed, £O ; Construction from (6)
3. Plumbing - — Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total=(1 +2 +3 +4 + 5) 2V0P 'AO Check Number /6
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
af.f) 0 t4a s,iD
File # BP- 2013 -0304 ('� l� s � 1(� .105
2''
APPLICANT /CONTACT PERSON EDWARD P HAMEL Q '�`�
ADDRESS/PHONE 155 Glendale Rd SOUTHAMPTON (413) 527 -0164 0 2
ti,$ r
PROPERTY LOCATION 190 NONOTUCK ST trek/LCD
h
MAP 23A PARCEL 291 000 ZONE GI(100)! qV2g V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out r
Fee Paid
Typeof Construction: MAKE 6' OPENING BETWEEN 2 CONDO UNITS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 020695
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED:
fr'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
9/24
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.
190 NONOTUCK ST BP-2013-0304
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A - 291 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- 2013 -0304
Project # JS- 2013- 000500
Est. Cost: $2400.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: EDWARD P HAMEL 020695
Lot Size(sq. ft.): Owner: MODESTOW JOHN E
Zoning: GI(100)/ Applicant: EDWARD P HAMEL
AT: 190 NONOTUCK ST
Applicant Address: Phone: Insurance:
155 Glendale Rd (413) 527 -0164 0
SOUTHAMPTONMA01073 ISSUED ON:9/26/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: MAKE 6' OPENING BETWEEN 2 CONDO 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 9/26/2012 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner