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24D-185 (5) impede the use °tthe existing east-wail exit door situated there. - we are rerouting the exit path toward the south irdo dye existing corridor, it:, inuans of a new hall doorway as shown. SeCtiOn 605 ACCeSSibility: With redarri ito 521 CN1R. Pais 'tiiii,linz pros ides handicap access itii ■ 4, .:, , 4 :.:'''';: :7 - -n. :-,. * 1 • . Section 607 [herby Consentationi BaLIS': , , , t - th'4.'. Mi:::1 iintrusni e atiture of this renovation. 'the insulation and energt chartiptuad ins of th Pi taaniornar siiina iiii:1 remain iiintirdh. ils inch. Chapter '7 — Alterations Level 2 Note: Only those code provisions and 7C",„pirelr ;:nts Ilia: kaae not alreadis been addressed arta% are mentioned. hpio‘a, Sectiort 708 Electrical: This wiiirk at illi tic-quirt instacantion of all required light fixtures and related W ,. power it:rain. raj ..,:;::',,:-:- l'.' kit Inntahed at. a iidansea electrician, Section 709 Mechanical: Any and all &ham ork modifications or esoensions N.A. ill be performed by a licensed contractor. This work does not hutch c the plumbing trade. Conclusion: lam hopeful that this dodument pro sufficient information to zonstitate a suitable evaluation cd'both the existind building and the proposed addition and alterations. i am available to provide additional information, or address any questions : may ha N e. Thank you .. *er . „ much for :, our hind consideration. ,,,,; ;;; - IP Atic, •* _ ::.--- ,---- - most sincerel). -.sFll.r.l.-.. Pierre A. Beihumeur ALA"' Copy: Richard LaValley, Managine Agent Louis Hasbrouck, Northampton Building Commissioner: Potpourri Plaza Page 4. 28 January 2013 surnmarind in meeting or jobsne visit minuics„ copies which wnl, be circulated to the owner and the building inspector, I am a registered archltect in the Commorxrealth yzissabhuseibi. air Reg, No. is 3.468. Vb • ' Si CMR Chapter 5.00 - General 3uid Ic ights and Areas: Existing building height and irrenS r,uspain snisharup a - esvn P , isass.: repPreed abos c, 780 CMR Chapter 19 — Means of Egress Table 1004.1.1 Niaximurn Floor Area Allowaneds per ( cupant'. For Business areas (Type B Occiipanc:, ). this Table prescribes 100 sg, n per cigconant, which translates to the follow Mz. Existing Lane Construction office : 1 OCCUp4antS EXpanSiOn SUitt, 0-,0,r0aritS. Suite exit doors and contiguous wide discliarze corridors are amply sized to accommodate this building's occupant exit requirements. especially considering we are not adding occupants to the load ibr NN t originall) designed. The: paevious efflge tenant in this expansion suite required exactly the same exit eapacitr, IEBC Code Considerations: Chapter 3 - Prescriptive Compliance Method: [B] 30L2 Building Materials: \el materials used will match existing and both categories are compatible with requirements of this Section. 307 Change of Occupancy: There is no change in eiccupang3, this expansion space (1.265 s,f,) was previously used as an office suite. Chapter 4 — Classification of Work: 404.1: This work is classified as Level 2 Work. as o inxolves reconfiguration of space, as well as the reconfiguration or extension of certain systems as described above.. thus requiring compliance with provisions of Chapters 6 and 7, Chapter 6 — Alterations Led 1: Note: Only those code provisions and requirements that hare not already been addressed above are mentioned below. 603 Fire Protection: The existing building has a fire detection and alarm system that ill be maintained in this expansion suite and modified as required by a licensed Company. As noted earlier. this building, is equipped ‘vith a sprinkler tire suppression system which also will be adjusted if and as necessary to suit the reconfiguration, of partitions. by a Company licensed to perform that work. 604 Means of Egress: Just as is shown on Drawina this suite expansion iIL add MO more doors that discharge directly into a fire exit corridor to the existing iiane Construction Compam suite that already has three such doors. The exit corridor provides fire exit access to two separate and remote open exit stairs discharging directly to the building exterior, At the east end of the existina suite, adhere the internal development of three new offices will Louis Hasbrouck, Northampton Building Commissioner: Potpourri Plaza Page 3, 28 January 2013 Please mote that 1 provide these oi.iisersations and findings based so of on in:* view of the existing interior structure from n t S :'sine into which the Lane offices will expand, \ overall building interior square footage estimates are based on having tracked a measuring wheel around the building p ri nn te.. d 9 :n i l thiai h �i9 having =I` l ,3'L'�.?..,.. Mt ai.-iF }.. }'t „�e� -:,, .,,.tw- 9..,9;" k�„�, � .a3_iw from � CP. e all building g s,_ uar - la - a:nage ..`�.`s7:.,.�Atv., a.re quarPiore ., iann from stng inugrior walls. st„ia .areas :arc _ e iY ,... antra. '' U :tsea v a • , ;..., s., s,., d. nq isnerior tinet . . ..sgetri c:A at suite outer pernne:xr Code review — 780 WAR Eighth Edition: Actual building interior square footage fappra. imatr~l, Existinu budding: Two stories, Ground firior: Second use.. v.fi Expanded Lane suite area Existing Lane ..instruction suite: 43 s,f. Adjacent ld. }r-ie.wT7 41]22;: ta_y. Area of xpa rue suite: ir7.64fC , s.t ,:approx. i''ki percent of exist. buil inia area 780 CAR Chapter 3.00 - Use and Occupancy Classification: Section 301.1 1 he entire huildi =.' a qualifies as a B (Business) occupancy. 780 CIVIR Chapter 6.00 - Type of Construction: Section 602.3 Construction Type V Whether • actual construction :s Type law .h ii_ rote ted i or (unprotected) is undetermined. due to insufficient information aha...t the existina ildin , Construction drawings of the structure are unavailable. and existing conditions are concealed within finished spaces. Based on vii 1 observed in the suite planned for this expansion, rated one -hour corridor walls, and partitions between adjoininie suites. have their gypsum hoard cladding extending to the underside of overhead structure. \Vood- framed suite interior walls have their 2:4 top plate set tight against the underside of overhead ceiling tiles and arid. and the * -inch gypsum board . cladding extends to the ceiling as well, 'l he plan is to use those same types of 'materials installed in similar fashion for the intcrior partition changes and relocations in the expansion suite, it of the suite interior walls, vihether existing to remain or to he reaiosed or modified s this project, are non load- hearin'. 780 CM . Chapter 1 — Scope and Administration: Section 107.6.1: Construction Control — General: This building e:.ceeds 5.000 c.f. in size. and the project therefore requires the services of a r dcsiLn profession: 1, through completion of construction. registered Architect's Affidavit: All ins, of ed with this project hereby acknowledge that the Code mandates Controlled Construction, which means that 1 will perform construction oversiaht functions for the architectural portions of the riork. .i The results of that serr ice will be Louis Hasbrouck, Northampton Building Commissioner: P otpourri Plaza Pape 2 e 7 '8 January 01 ,a5 , h B E i it' r ' ,i r ,. b r P i -- a � sue. 1 k• ia.. �.. k *.w. � t � 1"°k # + ? z i a 28 'tanua; N 2 ouis Hasbrouck, Dui Liao t.l TI i' ` c Deo:Jr:mem or Building inspections 212 \Lin Street. !>'funi;.ii al Building Northampton. MA C? ;, +6+` i Re: Potpourri Plaza, 241-243 King Street, Northempton MA 01060 Second Floor Lane Construction Carpi office suite expansion and alterations. Dear Inspector I°Iasbrouc .: This document constitutes m , building e a lu2t ion and code rev iew far the [tid 1e pyo,j c't. as required in order for the 011, rter to obtain .r building permit. Overview: Potpourri Plaza at the allow address contains i combination of medical and professional office suites. As my accompanying Drawing \ 1 depicts. the intent of this project is to expand the existing second floor Lane Construction office southward into the net adjoining suite. Also. the plan drawing shows the internal alteration des eloping three rooms in an existing open spree at the east boundary of the existing suit;. The existing building where this project is located has concrete floors (second floor concrete is set atop steel centering on steel bar joists j. Existing interior partitions are framed with ? x u wood studs, with the c rri_,.iwur and suite perimeter walls extending to the underside of ON erfcad structure. Miscellaneous - ieous off rce interior half- inch gypsum board -clad partitions terminate at the underside of the overhead rhead la'w --i.n mineral tile ceiling grid, which grid carries over the tops of these walls in unbroken fashion. Per my Drawing A- I ,n (dated 25 January 2013), the project in oh. es removal of several interior walls to enlarge existing rooms_ and the addition of one wall and se' oral .a 1 iaflls at foriner door locations, This work will entail proportionate electrical t lighting, and power outlet locations >, mechanical and related sprinkler head location adjustments. The entire existing building is equipped ss ith an automatic fire alarm and sprinkler system. as well as being handicap accessible. Once work is completed. ted. the contractor will pro-, ide an affidavit from the sprinkler contractor indicating that the resulting modified sprinkler system meets currently applicable code and regulation requirements. In essence here, we bat e a number of very minor interior partition ehanges to a modesa-sized Suite. in a sizeable existing, office building. 4.43641/6.0.N 6 . . , Initial Construction Control Document t .!90.41i To be submitted ‘Toith the building permit application by a A \ r.. Registered Design Professional for work per the 8 edition of the Massachuselt. 'citate ih.Pog 07,6: Proieot Title: Lane Construction C,..),t-p. Salle iivansior, arid Aker:alien.; Date:28 januarg P013 Properki Address: Potpourri Plaza, 241-243 King Street, Northanipt MA 0 060 Project: Check one or both as applicable: New construction (X) EXiStiTILI. Coth_urecition Project description: Second noor interior suite ex,pansion into adjoining 1.264 s. ti office suite. and temporary partitioning iinithrec offices inothe4 existing. open space al boundary c.,7]ne oreisling Lane suPtn 1 Pierre A Bellinniquinn ReLrisrration Number: PispiraTion date: 31 At.q4IST am re de prolessioncil, and hereby certify that 1 have prepared or directi supervised the preparation of ali desi= pian, computations and specifications concerning': (X) Entire Project for the above named project and that such plans. computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. understand and agree that 1 (or m designee) shall perform the necessary professional services and be present nn the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept. shop drawings, samples and other subminals by the contractor in accordance with the requirements of the construction documents, 2. Perform the duties for registered design professionals in 780 CIVIR Chapter 17. as applicable. 3. Be present at intervals appropriate to the stage of Qonstruction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. When required by the building official, 1 shad submit field progress reports (see item 3.) together with pertinent comments, in a form acceptable to the building Upon completion of the work, 1 shall submit to the building official a 'Final Construction Control Document*. Enter in the space to the right a - we . or electronic signature and seal: gAt Phone number: 413-774-2248 Email: belhavenp@comeast.net ti Ng E Building Officiai Budding Official. Name: P.,..7mit Datu: Note 1_ IndiL:ate with an project design plans. trnpduti o and specificati4m. 11 s trJ or J si pen, *=.'uller' is ehosen. pr.:nide a description. A !`� ® DATE (MM /DD/YYYY) l. ` „ � CERTIFICATE OF LIABILITY INSURANCE 1/24/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan NAME: 1 Aquadro & Associates PH NNo.FAk (413) 586 -7373 I (A/C. No), (413)584 -0859 355 Bridge St., P. 0. Box 357 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Northampton MA 01061 INSURERA:Main Street America Insurance 29939 INSURED INSURER 8 : COOLIDGE NORTHAMPTON LLC INSURER C : PO BOX 310 INSURER D : INSURER E : WHITE PLAINS NY 10605 -0310 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1312404410 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVn POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 500 000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE X OCCUR BPF3111Y 12/21/201212/21 /2013 MED EXP (Any one person) $ 10,000 PERSONAL &ADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4 , 000, 0 0 0 POLICY n P R I I LOC AUTOMOBILE COMBINED SINGLE LIMIT UTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 CUF3111Y 12/21/2012 12/21/2013 $ A WORKERS COMPENSATION I TORY 1 AM I X I� R AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT $ 500,000 OFFICER /MEMBER EXCLUDED? NIA W CF3111Y 12/21/2012 12/21/2013 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is requlred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF NORTHAMPTON BUILDING DEPARTMENT AUTHORIZED REPRESENTATIVE NORTHAMPTON, MA 01060 r / F/ ( ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD 01/28/2013 23:56 413 - 533 - 0377 BAY SPRINKLER CO INC PAGE 03 Northampton Fire Department . 28 Carton Drive, Northampton, Massachusetts 01000-2373 Telephone: (413) 587 -1032 Fax: (413) 587 -1034 Fire PmventonlOperstlone Mar: Duane A. Monde Deputy Chiefs: Dana Chevereus, David Gagne, William Hurley and Timothy McQueston Treink*g Officer. Andrew Pella Brian P. Duggan fill s �- . % yiil hti:#1o1 t Pa iii ., Fire Chief FIRE SUPPRESSION WORK PERMIT Facility Name & Addnsst:: - Nc Cc�vsr, ��7% �v Owner's Name & Address: ArZei "2 w i . '� f /t A v jc- 7 Contact Parson n 4(v �L Phone # /_ 9 . JJ 2J Company / Techniclan performing work: u %9 # SC. 06 y2q.5 Dates of work Is to be done: From: ,,, ZNA - t o: 'f / / ,,� Description of suppression work to be performed: "s r •- ' z y! 2 5 b the bullding fully eprinkrvrod ?: XYasNo Alarm Connection: P g 1710 eg. W. listed Central Station Nano I Location: Direct connection via digital dialer Account and when performing work must notify Central Dfspe tch (413.u7- 1030) at the alert of each work session. !imam the Electrical l ei ar when work le finished for the day. An electrical work permit must be obtained Inspector (4134117 -17M) Firs Suppression Warts Permit Fee Iplidto Paid: Receipt Number: Approved By , , Date "p'rofssslonalism through Courage and Dedkation" 01/28/2013 23:56 413 - 533 -0377 BAY SPRINKLER CO INC PAGE 02 BAY STATE SPRINKLER CO., INC. 27 Labrie Lane -- Holyoke, MA. 01040 — 413 -536 -6261 — fax 413 -533 -0377 January 28, 2012 Northampton Fire Dept. Attn: Fire Prevention Bureau 26 Carlon Dr. Northampton, MA. 01060 RE: Lane Construction ( Automatic Sprinkler Permit ) Office Renovations Estimating Area Potpouri Plaza 241 -243 King Street, Unit # 239 Dear Sir; We are enclosing a check # 19593 for $80.00 for automatic sprinkler permit for the above captioned location. The project consist of reworking existing automatic sprinklers and adding approximately six new heads to provide proper protection for new wall and ceiling layout. If you require any further information or have any questions please don't hesitate to call. Yours Truly, Bay State Sprinkler Co., Inc. Jan . C3`�vozdzik JJG /dmg Fire Protection Contractor since 1977 ' '. The Commonwealth of Massachusetts ✓ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www. mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /PIumbers Applicant Information Please Print Legibly Name ( B usiness /Organization/Individuai): Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner q ] doing all work their 1 1. ❑ Plumbing officers have exercised th repairs or additions g P. myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 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 nane 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 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 pains and penalties of perjury that the information provided above is true and correct. Signature: 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, _ _ ..._._ _ .. .._w �... �', as Owner of the subject property hereby authorize _�.._.. _._..... �,... ...._._....... ....__. _ _._ ,. to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date .__. .__.._._.. � .,,...._...,. ____._. Y...� ..._.r U 1: , 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. Signe a pains a enal s of per p, _ _ . .�,,„ ®_.. <. ., Print Na I _.___ _ , _ _ ._ Signat of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder .. .. . ._ .t . 1 t _ 1 / ...: . 7 _ .. e � ....... ... . ...._ ...' License Number w. ,; _7 .x_ 0 .�.___ _. . ) P , /;),....,.,7,5,.___7., 1 Address Expiration Date Signature ' /] Telephone V44-/(- P SECTION 13 - WORKERS' COMPENSATIO SURANCE 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 a building permit. t Signed Affidavit Attached Yes No • 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 ENSLOSED SPACE) 9.1 Registered Architect: _...._. __..__. ___________ Not Applicable ❑ Name (Registrant): Registration Number Address ..__.._w. 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 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 This column tote 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) �. i M' # of Parking Spaces Fill: .... � __. _..... . (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW N e YES 0 IF YES, date issued: IF YES: Was the permit recorded at t e Registry of Deeds? NO 0 DONT KNOW YES 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 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES NO 0 IF YES, describe size, type and location: V c r o u is k 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, gradin excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 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 CUBIC FEET OF ENCLOSED SPACE =` Interior Alterations L�-} Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑r 'N ‘ - Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ __ Brief Description Enter a brief description here. 4j/.. 4 /, ecl Of Proposed Work: ; 1 -,— J / 4 c� �t �c� GL n 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 0 E Educational ❑ 2B F ❑ F Factory ❑ F -1 ❑ F -2 , ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1-2 ❑ 1-3 ❑ i 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 S Special Use ❑ Specify: -...... .. _____. .___,.,�...._._.__ ___ - ...._____ _,m_.__, COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING: RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group .._/ ? , _./,�._,. : �7. L _. _ _ N � Proposed Use Group:._."__ ._.__"______ _ _____."__._. _..__ __....__._._ Existing Hazard Index 780 CMR 34): ______ _.____„__ .__ __ Proposed Hazard Index 780 CMR 34): _._..__.M_ _...__.______ „.._ SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 St ...... __ -- �,,_.... 2nd _ __ _____ - 2 4th_._,_, .._. _.. _ _... 4 m Total Area (sf) Total Proposed New Construction f) _ „ Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sew a Disposal System: Public Private ❑ Zone _ Outside Flood Zone❑ Municipal On site disposal system 1 . D D Version1.7 Commercial Building Permit May 15, 2000 4, Depallggi use only �� 'a J City of Northampton Sta I�P , 1t . C a ;� A 15 Building Department C1.trlxCut Driveway l?emitt i N Azv 212 Main Street SewerlSeptlEAvallabi)tty 2 2013 1 Room 100 V ti t e r ell A vellabllity Northampton, MA 01060 T w a ite et s Plans. o tracttrra E Pla s x0�' n DEPT. OF BUILDiDJG INSPECTiO�S 13- 587 -1240 Fax 413 -587 -1272 PlottS NORTHAMPTON MA 010 ' 1 Other Speetfy 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 Q- 3 V- 1 N y,, r i" • S i r- a 3 ° J . • M ap Unit � ` v \r1 J u.'.4 / Lot f 1� o +f 41..... Y`n o >v , c\ 5 - Zone Overlay District 1-, P C 6.o ' i, i ) �+_. a �- Elm St. District CB D SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record .� , c� c mo r' l� c . m �z v Name (Print) Current Mailing Address _ t _ _ -._ . _ A ,, i ,"5 1\ U ..._ (o Signature Telephone `1 1 4 - cit../ , — ) 3 ) b 2.2 Authorized Agent 1` 1( - 1rl C?.Ye ! CAA I k v 1�1OY U Name (Pent) Curren Mailing Address _ _ _ __ 7 , C _.- Y Stye, n J C `� l. !-'!._.. " 0 6 ' _._m a J'3 3 1 Signature 0-A--,--A 1 Telephone L-I ) 3 (9 - ) R ✓ 1) (Q. - 1 1 SECTION 3 - ESTIMATED CONSTRUCTION COSTS • Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building _� L � (a) Building Permit Fee . 2. Electrical (b) Estimated Total Cost of j ' ° Construction from (6) _ .,_.._.._.... _.. .. 3. Plumbing ) _ .. o 0__w_. . _. Building Permit'Fee 4. Mechanical (HVAC) w 5. Fire Protection .). 6. Total = (1 + 2 +3+4 + 5) 0 f fi t0 0 Check Number J / AS 0 This, Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0729 APPLICANT /CONTACT PERSON RICHARD LAVALLEY ADDRESS /PHONE 27 NORWOOD ST GREENFIELD (413) 326 -1950 Q PROPERTY LOCATION 243 KING ST - POTPOURRI -SUITE 239 MAP 24D PARCEL 185 001 ZONE HB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 4 /07 t ) Fee Paid Typeof Construction: INTERIOR PARTITIONS - SUITE 239 fl(K - (AA gq vAA -1 4 Fi ckit1 115 g F eigN,A CS New Construction (� c? t.1 l ((t (1 P rr4 C R. cA F r'' P' i/o3ffrUM Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 054203 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 1- 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 1 1 < 3 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. 243 KING ST - POTPOURRI -SUITE 239 BP- 2013 -0729 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 185 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0729 Project # JS- 2013- 001238 Est. Cost: $20000.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICHARD LAVALLEY 054203 Lot Size(sq. ft.): 86248.80 Owner: COOLIDGE NORTHAMPTON LLC Zoning: HB Applicant: RICHARD LAVALLEY AT: 243 KING ST - POTPOURRI -SUITE 239 Applicant Address: Phone: Insurance: 27 NORWOOD ST (413) 326 -1950 0 GREENFIELDMA01301 ISSUED ON:2/6/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INTERIOR PARTITIONS - SUITE 239 - FIRE DEPT PERMITS /APPROVALS REQUIRED BEFORE FINAL 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 2/6/2013 0:00:00 $120.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner