32A-153 (3) 07/31/2008 18:47 14134365563 RYBAK RAGE 09
APPENDIX A—Scandihoovians Expansion
Retail space#3 is currently occupied by Scandihooviws. It is their intent to expand into Retail space#4
and create a single retail store.
Building Area-
Retail#3=840 sq ft
Retail#4=840 sq R
Total combined area of new Scandihoovians Retail store: 1,680 sq R
Page 3 of this narrative report.references the code requirement to update the sprinkler system for
compliance with NFPA 13 as listed below.
d) Future Work Considerations:780 CMR,ti's edition.Chapter 34—Repair,Alteration,Addition,and
Change of Use of Existing Buildings.
Assuming there is no increase in the hazard index of the current use group,fire protection systems are
governed by 3404.12.
Applied to this building,thetre sprinkler system raust be modified to accommodate building changes in
accordance with NF?A 13
Applied to this building,the tire alarm_sX,gem must be modified for a complete and full operating fire
protective signaling system, As may include additional horns and strobes as=c ssary to vro. vide
adectuate sound pressure.levels within tenant svaees as na a walls_c cgnsttucted.
I.have reviewed the site conditions and find that by opening the will with a new 7'0 opening does not alter
the faze sprinkler system performance. The fire sprinkler system installation continues to comply with
NFPA 13,2002 edition and there are no modifications necessary to the fire sprinkler system.
It should also be noted that Ryan Hcllwig,PE has designed the structural reinforcements necessary to
create an opening between.Retail 3 and Retail 4_
0 M
K SKt
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Na.31810
e
G s.T
�SSIONA\ ��
07/31/2008 18:47 14134365563 RYBAK PAGE 08
DEFINITIONS
Fire Yratection Systems Fire Pr onion Systems-Automatic sprinkler.systems,fire detection aystem,
fire alarm notification system,smoke control system,ldtcben hood suppression system,etc.
BuildingLifig jalety System juilding Lift Safety Syste -A combination of fire protection systems and
Other building fire protection features such as automatic door closers,e.nrtgeney generators,emergency
egress lighting,elevator systems,etc.,interconnected or integrated with multiple fre protection systems
functioning simultaneously when acta.vated.
Preparer of Narrativ_e_RevQrt-An individual who has taken charge of a project and has knowledge of
required and non-required fire protection systems and buildings life safety systems.The designer in charge
of a specific design for a fire protection system may prepare their portion of the Narrative Report to be
submitted to the individual who has"taken charge'.The individual who has"taken charge"shall compile
the data from the designer of each system and prepare a single,comprehensive and coordinated final
Narrative Report describing each system and when applicable a description of how each system interfaces
with the building life safety system's integration and sequence of operation.The take charge individual
may be the architect engineer of record,and the designer of any of the fire protection systems or an
independent qualified consultant.
07/31/200B 18:47 14134365563 RYBAK PAGE 07
SECTION 2-Approval Requirements
It is the intent of the owner to complete building construction for both the residential,and commercial
space at the earliest possible time. However,the individual residential units are unique and
individually occupied. The tenants of each residential space will be developing unique floor plans and
construction maybe performed by different contractors in each.unit. Individual construction permits
would be required for each residential unit.
The following construction and occupancy sequence is suggested.
Phase 1 —Base Building/Retail
Kt;v el9 a t—$'
Includes Entire building shell
Fully operational fire alarm system.for Retail,Basement,and Garage
Fully operational fire sprinkler system for Retail,Basement,and Garage
Retail tenant spaces will be either individually occupied and fit-out or vacant with,operational fire
safety systems.
Residential portion of building to remain under construction
Certificates of Occupancies Requested
12 Month Temporary CO for Base Building to allow for residential completion
CO for each retail tenant
Phase 2—Interim Residential Construction Completion
Key elenaetus:
- 12 montli period following temporary CO.
- Individual residential units may be completed.
Gartificates of Dcc ies Requested
- Within this 12 month period,Residential units may be occupied with operational firesafcty
systems,however,firesafety systems in adjacent units may not be complete.
Phase 3--Completed Building
Koy-elements;
- Must be completed within 12 months of temporary CO.
Residential portion of building will be either individually occupied and fit-out or vacant with
operational fire safety systems,
'Cates—of Occupancies Requested
Final CO for Base Building(required.within 12 months of temporary)
Residential units will request CO as completed.
Approval of local authorities is required.
If construction control and an engineer is required for any modification,the engineer shall forward it
certificate of completion and supervise the installation,
All test certificates,as required by NFPA 13 and 72,are required to be provided by every fire protection
contractor.
A central fire protection records storage area shall be established by the owner. Each contractor is required
to supply the owner with all pertinent information.This record system shall be comprised of a dedicate file
cabinet anal shall include the following.
Log of all data,drawings,and records.
Manufacturers data shoets
Maintenance records,System Modification Drawings.
07/31/2008 18:47 14134365563 RYBAK PAGE 06
903. 1.1 (1.c) TESTING CRITERIA
SECTION 1 -Testino Criteria
FIRE SPRINKLER SYSTEM
Wet Sprinkler/Stondpipe
Hydrostatically test at a pressure of 200 psi for two hours without a loss in pressure.
Conduct forward flow test ofbackfiow preventer at a rate of 600 GPM.
2"drain test shall be conducted. Static and Residual pressures must be recorded on test certificate.
Opening of the inspectors test connection shall initiate an alarm at the main fire alarm panel within.90
seconds.
Dry Sprinkler
Pnuematically test system at a pressure of 40 psi for 24 hr.Maximum pressure loss is 1 1/2 psi
Conduct system operational test from inspectors test connection. Local alarm must sound within 90
seconds.
Working test of dry valve.
Water delivery time to inspectors test:60 seconds
171"Service
Hydrostatically test at a pressure of 200 psi. Maximum leakage rate shall not exceed 1 quart per hour.
ThorougWy flush at a rate of 880 GPM
FIRE ALARM SYS'T'EM
A full test of the fire alarm system shall include working tests of:water flew switches,tamper switches,
pull stations,and indicating appliances.
All tests shall be performed in accordance with manufacturer's requirements and NFPA 72.
Fire department shall witness test of fine alarm communicator and receipt of fare alarm signal at station
shall be tested.
All audible devices shall provide the highest of each of the following(at 5'0 aff):
75 dBA at 10 ft
15 dBA above ambient sound level
5 dBA.above maximum 60 second sound level.
07/31/2008 18:47 141343bbbb3 HYSAK HAUL t75
903. 1.1 (1.b) SEQUENCE OF OPERATION
SECTION 1
STANDPIPE SYSTEM
System operates automatically upon the opening of a fire department valve.
Operational Sequence:
1. The flow fi;om a fire hose valve will close the contacts of a vane type or pressure type flow switch.
2. Closed contact on the flow switch will activate fire alarm system(upon 30 second delay)and initiate
the audio/visual devices.(see below)
DRY S,PI 24KLER SYSTEMS
The fire sprinkler system operates automatically upon the fusing of a single Ere sprinkler..
Operational Sequence:
1. The activation of a single sprinkler will allow the air to exhaust the system and discharge water.
2. The dry valve will activate the system pressure switch.
3. Closed contact will activate local alarm indication including strobes,horns and bells.
4. Closed contact will send signal through local alarm panel to central station,central station will then
notify fire deparhrunt.
FIRE ALARM SYSTEM
Water Elow,Manu,ai P,dl Station,or Xeres Corridor SMgke Deteetors
I. Activation of the fire alarm system into alarm mode can.be achieved by sprinkler water flow,manual
pull station,or smoke detector.
2. Upon alarm activation,the following will occur:
Business occupancy indicating appliance circuit will be activated
Residential occupancy indicating appliance circuit will be activated
Fire Department will be notified by the control panel conurmnicatot.
Multi 5tadon$make Detection
1_ Smoke detection in the Residential units will activate the local stroke alarms but will not activate the
building fire alarm system.
2. In the event of fire,if the fire sprinklers within the residential unit arc activated,the full building fire
alarm system will be activate.
U11311YU148 1ti:4t 141J4Jb55bJ Iiykw tAut b4
SECTION 4-Fire Protection Systems to be installed
a) Water supply,fire stains and hydrants-the existing city water supply has been tested with the
following results:
Static: 112 psi
Residual:95 psi,at 900 gpm
Residual:20 psi at 2,200 gprn
b) Automatic sprinkler systems-complete sprinkler protection.is provided. The entire facility is located
on a single dry pipe system.
The sprinkler system must be modified as required to maintain compliance with NFPA 13, 1996
edition when renovated for a tenant. The following must be evaluated for each new tenant:
Sprinklers must be added,relocated or removed as necessary to maintain sprinkler coverage. The pipe
size must be verified to insure proper water delivery rates. This can be achieved by hydraulic
calculations if the modification.is significant However,m the event that minor modifications are
made to accommodate a light hazard space where the existing system is designed for ordinary hazard
areas,no calculations are necessary. Major or unusual modifications to protect a light hazard space
may require additional hydraulic calculations.
c) Standpipe systems and components-one standpipe riser is provided in the public garage stair.
d) A full fire alarm system is to be provided.
e) Multiple station smoke detection is provided within the residential unit. Smoke detectors supplied by
AC power and battery back up will be installed in all rooms.
f) Seismic considerations-All life safety systems are required to incorporate seismic design.
g) Fire Fxtinguisbers-are required for must be installed in accordance with NFPA I.Q.
SECTION 5-Features Used in the Design Methodology
a) Building occupant notification and evacuation procedures
Any activation of the multiple station smoke detectors will provide and audible alarm for each detector
within the.residential space only.
Any activation of the fire alarm system will provide full building notification for evacuation.
b) Emergency response personnel,site and systems features
A Knox-Box is located outside the public garage side door,a strobe indicates this location.
A remote fire alarm annunciator panel is located inside the garage side door.
The fire department connection is located near the strobe at the public garage side door.
Standpipe system is provided in the stair of the public garage.
The main fire alarm panel is located near the main sprinkler riser in the utility basement.
SECTION 6-Special Consideration and Descrlptlon
07/31/2008 18:47 14134365563 RYBAK PAGE 03
SECTION 2-Applicable Laws,Regulations and Standards
a) 780 CMR code sections"Fire Protection System Requirements"
904.2.requires full sprinkler protection as the building exceeds 12,000 sq ft total
A standpipe system is only required in the public garage based on the following:
Business portion is less than three stories
No standpipe requirements for.P3
:Public garage is required to have a standpipe due to the presence of other uses above the
garage(914.2.11.5)
917.4 requires a fire alarm system for the Use Group B spaced due to the occupied floors that are
three floors above the level of exit discharge
919.3.2 requires multiple station smoke detection in the residence.
920.0—Fire Extinguishers are required within the Business and Garage areas.
b) NFPA Standards and Edition used for design of each specific fire protection,system
NFPA 10, 1994 edition"Portable Fire Extinguishers"
NFPA 72, 1993 edition"National Fire Alarm Code"
NFPA 13, 1996 edition,"Installation of Sprinkler Systems"
c) Future Work Considerations:780 CMR,6°i edition.Chapter 34—Repair,Alteration,Addition,and
Change of Use of Existing Buildings.
Assuming there is no increase in the hezaW index of the current use group,fire protection systems are
governed by 3404.12
Applied to this building,the fire sprinkler system must be modified to accommodate building changes in.
accordance with NFPA 13
Applied to this building,the alarm system must be modified for a complete and full operating fire
protective signaDing system. his may include additional b2 and strobes as necessar rLto provide
adequate sound press=levels within tenant spaces as more walls are conattucted
SECTION 3—Design Responsibility for Fin:Protection Systems
Fire Sprinkler System,Base Building Design:Rybak Engineering,Inc.
Fire Alarm Systan,Base Building Design.,performance specification,Rybak Engineering,Inc.
MEP,Basc Building Design,Robert W.Hall Consulting Engineers,Inc.
Architect:
Ford Gillen Architects
409 Main Street
Amherst,MA 01002
Fututo modifications may be performed in.a design build delivery mode and are the responsibility of the
tenant. Modifications must comply with 780 CMR and the base building design basis.
07/31/2008 18:47 14134365563 Kvtw r'HUC o�
FIRE PROTECTION SYSTEMS NARRATIVE REPORTS
Tlx intent of this narrative report is to provide a single document that describes the rcquircmmts of the fire
protection systems on site. The building will.contain 6 single-family dwellings,5 retail shops.and a public
garage.
The following summarizes the building use:
The 5 retail,slops bave individual entrances on the first floor with access to the basement. Each retail unit
is 1600 sq ft on two floors.
Tbere are 5 single-family residences located on the second and third floor,above each retail shop. These
units exit to grade on the second floor at the rear of the building_
An additional residential unit is located above the public garage.
The public garage has 5 doors with access from.grade level on the first floor. Beneath.this space is the
utility room where building utility services and meters are located
The building design criteria are based on non-separated use groups(313.1.1). The tenant spaces axe
separated by 1 hour separations as required by Table 602.
It is anticipated that several building modifications may occur as new tenants occupy this building, For this
reason,the fire sprinkler,system is designed for maximum flexibility for modification while minimizing the
need for system sbut-down,
BASIS (METHODOLOGY) OF DESIGN
SECTION 1 -Building Description
a) Building"Use"Crroups
R-3-single family dwellings
B—.Retail shops
S2-low hazard storage,public garage
b) Total.square footage of building 15,850 sq ft on four floors,building footprint: 5,755 sq ft
c) Building height-
36 A on the West Side(front)
26'6 on the West Side at the.loft
24 ft on the East Side
15 ft on the But Side at the loft
d) Number of floors above grade-3
e) Number of floors below grade-1
f) Type(s)of.occupancies(hazards)within the building;
buil residence and office tenant space and associated
ding mechanical services rooms including electrical,water service,bathrooms,ctc.
g) Type(&)of construction—5B,unprotected combustible framing.
h) High storage of commodities within a building usually over 12 ft.—none allowed
07/31/2008 18:47 14134365563 KYbAK rHUt ni
Fire Protection
Narrative Report for
Strong Avenue Block
10 Strong Avenue
Northampton,Massachusetts
i
Owner:
Michael Sideman
134 South Street
Nortbampton,Massachusetts 01060
Prepared by:
Rybak Engineering
132 Forest Avenue
Warren,Massachusetts 01083-0709 i4
Tel:(413)436-5500
L C. G
t1WSR1
FIFE
No.37010
July 31,2002 s►oNWL
Rev l—03/19/04,Approval Requirements limmended
Rev 2 07/31/08, Appcndix,Scandibnovians cxpanoion
• RYAN S. HELLWIG, PE • STRUCTURAL ENGINEER •
July 22, 2008
Ron Lamagdeleine ���� Of Mq,
General Contractor RYAN S KGs
112 Laurel Hill Road Z HEUaNfC3
Westhampton, MA 01023 �No��
Re: New Door Opening
Scandihoovians
26 Strong Ave
Northampton, MA
Beam Schedule
Design Criteria:
2nd& 3`d Floor Live Load=40 psf(Residential)
Flat Roof Snow Load= 35 psf(Mass. Snow Zone 3)
Tributary width= 29' - 1"
Live Load Reduction Factor= 0.75
Live + Snow Load Combination Factor= 0.75
Header Span:
T-3" clear
Use Three 13/4" x 11'/s" LVL
LVL (Laminated Veneer Lumber) Specification:
E = 1,900,000 psi (Modulus of Elasticity)
Fb=2600 psi (Allowable Bending Stress - Base/Unadjusted)
Notes:
1. Provide double jack and single king studs at each end of header for bearing down to existing
concrete foundation;
2. Provide equal amount of 1/2" Exterior Grade APA rated plywood w/ 8d @ 6" along panel edges and
12" o/c in panel field, to match original shear wall design.
• 28 ALDRICH STREET • NORTHAMPTON,MA 01060 •
• VOICE 413-584-HLWG(4594) • FAX 413-584-HLWFax(4593) •
The Commonwealth of Massachusetts
=` -- Department of Industrial Accidents
Office of Investigations
600 T1,ashington Street
-_- Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians;Plumbers
aDplicant Information Please Print Ledbly
Name (Business/Oraanization/Individual): FOP
Address:
City/State/Zip: ' Phone#: 3 7 A16 9
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
6. New construction
mplovees (full and/or part-time).* have hired the sub-contractors
2.T 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
[INTO workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions
3.❑ I am a homeowner doing all work
officers have exercised their 11.7 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
employees. [No workers' 13.7 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 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.
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 S 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DLk for insurance coverage verification.
I do hereby certify under the pains and penalties of perjure that the information provided above is true and correct.
Sianature: I? Date: G /,Y a0
Phone#: y/.3 1J�_2 7 J_/ 6 9
Of use only. Do not write in this area to be completed by city or town offtciaL
Citv or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S. PIumbing Inspector
6. Other
Contact Person: Phone#:
i
r
Version 1.7 Commercial Building Permit May 15.?000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize r�1`1 }yy�/��'►_ L'� �u c _ to
act o beha f, in:ll Wers relative to work authorized by this building permit application.
Signature of ner Date
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 perjury.
Print Name
Signature of er/Agent Or 4Date'
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:TQJ%J /� ►} Yt1/�'i P;l�ti. ...- _ � b /..
License Number
Address Expiration Date
f// Cr 7Z 7 J/G�
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 0 No 0
Version 1.7 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
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
r1 _ _
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 I Expiration Date
9.3 General Contractor
w....... .. .. . ..... __ Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl.7 Commercial Building Permit May 15, 2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg, Square Footage
Open Space Footage __. °ro -... -..
(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 DONT KNOW 0 YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO C( 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 0 Date Issued
C. Do any signs exist on the property? YES 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, excav on, 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.
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 Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description Enter a brief description here.
Of Proposed Work: / r-^*'
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 213 I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 1 3A ❑
I 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 ❑ 56 ❑
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: 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
151
2nd 2nd
3 rd 3rd
4th
4th
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 ❑ Zone Outside Flood Zone[ Municipal ❑ On site disposal system❑
2008
Version 1.7 Commercial Building Permjt441 lv 15,20 0
E Department use onl4
City of Northampton Statul of Pertap.r of INS ECTI0,rS
Building Department Ourb' ut/DriveW "Perm�.�:�� a -
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
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
1.1 Property Address:
This section to be completed by office
Map Lot Unit
"tefk ya•r Zone Overlay District
- -� Elm'St District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
1 Ir.ptAtA N �1= RZAP"bN .. � ./� �l�crTf��vt�?. ./Z� +w(dC-hrj"f
Name(Print) Current Mailing Address:
Signature Telephone
2.2 Authorized
r1 ,
l VAJ Z,�mpb. .!� CL,I."L /�� �'jLzo,., _J �J..,...�L1i.' '�ifiYw�l 0"'i.r /�'j,i{ �f al.
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building eo (a)Building Permit Fee
2. Electrical (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) G Check Number
This Section For Official Use Only
Building Permit Number =Date
ued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2009-0146
APPLICANT/CONTACT PERSON Ronald Lamagdeleine
ADDRESS/PHONE 111 Strong Road SOUTHAMPTON (413) 527-8169
PROPERTY LOCATION 26 STRONG AVE
MAP 32A PARCEL 153 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
i Iding Permit Filled out
L.-Kee Paid 10 1 -71? 1 S ( Q-
Typeof Construction: Construct doorway between spaces
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF( MATION 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
Demolition Delay
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Signature of Building bfficial 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.
26 STRONG AVE BP-2009-0146
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 153 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: < . Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
CateiZoML BUILDING PERMIT
Permit# BP-2009-0146
Project# JS-2009-000186
Est. Cost: $4800.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Ronald Lamagdeleine
Lot Size(sq. ft.): Owner: FERRARONE STEPHEN F
AI 26 STRONG AVE
Applicant Address: Phone: Insurance:
111 Strongti Road (Al-A) 527-8169
SOUTHAMPTONMA01072 ISSUED ON:811112008 0:00:00
TO PERFORM TU FOLLOWING WORK.-Construct doorway between spaces
Ta Q0M%AGC'r'r0
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: pjt (-0,,r 5
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 8/11/2008 0:00:00 $50.0010171219518
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo