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Al DR IVIODESTOW DDS CONDO UNIT CONNECTION 1/8” = l'-0" FLOOR PLAN Associates :::, , ,$-. 4 $.1' ,, 2 4. 1 t ■ , A R C fl I 1 E C 1 V R E 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