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32C-001 (44)
THOMAS DOUGLAS Architects CONFIRM PROPOSED LOCATION OF SKYLIGHT 196PkauntSt MA 01060 41&585-0641 fm 582-988z REGISTERED ARCXRECT, 1 I P EXIT COMMONWEALTH OF O MASSACHUSETTS I Ly N..aim a.+W mra a_ .e°'�°iraaTn'...' D."d°'°w I , P2 P2 N�e6¢m r.er i�.mw��ae�°ir mpwtla S Pl D tD 0 Pl 162 SQ tD D alaclalmer Xe.r PMn meaMrcm.nb WDroBMate Ntl are Ax Y 3240 LUMENS, FLR 134 SQ a mea.no .NWaR.M D Z; I rwp'-flop nr bb E,e accMre<'/md• �, 2680 LUMENS, FLR 140 SQ _ pktenm of Me ROOr plan.You - I P2 P2 I Ma property b tlahrmM b your 6700 LUMENS, DESK 2800 LUMENS, FLR '"" ""°"aetl°° 1 7000 LUMENS, DESK rR" WRft DropeM1y M your sDaca rc°Wrcmend. OI MERGEN Y ql F__7 Pz Pz EXIT I 1 \� �/ 1 107 SQ M P2 P2 P2 X 2140 LUMENS, FLR s I REPLACE EXISTING MERGEN Y LIGHTS WITH NEW FIXTURES. 201 SQ I ' 4020 LUMENS, FLR I I I 104 SQ 10,050 LUMENS, DESK 2080 LUMENS, FLOOR 132 L J 5200 LUMENS, DESK 2640 LUMENS, FLR I 6600 LUMENS, DESK Ir — F--7 Pl Pl PI I I L - - - x I Li Project Ttk L __ SI O I Mtlpio s8fleoaio s,o 1 tD /t D\ I 'ri-ioRNFs MARKETPLACE _ 150 Mue 4t33))5 Non6ompme.MA 1'Imno( 5845582 i.(.@,harnmmmkmpina.wm LIFE SAFETY NOTES ELECTRICAL LEGEND ` °�° i° 1 DSNd15 DESIGN OEVELOPMEM d, RMR SET 1, EXISTING SPRINKLER SYSTEM TO BE RECONFIGURED AS NECESSARY TO COMPLY WITH CODES. SWITCH(ALL LIGHT SWITCHES TO tp POS/TELEPHONE/DATA JACK BE DIMMING) ALL EXITS DISCHARGES ARE REQUIRED TO HAVE FIRE PULL STATIONS.GENERAL CONTRACTOR 2' TO PROVIDE AND/OR RELOCATE,AS REQUIRED. SWITCH-THREE WAY OUTLET-DUPLEX 3 3. SMOKE DETECTORS ARE REQUIRED AS PER THE LOCAL FIRE DEPARTMENTS REQUIREMENTS.GENERAL CONTRACTOR TO COORDINATE. SWITCH-MOTION DETECTOR OUTLET-QUAD M LIFE SAFETY LEGEND Pm By: 1z EB GFI GROUND FAULT INTERRUPTER "'ALL SWITCHES&OUTLETS BY GC °`="n ey: Ee CtsyetlB TD S.W.:AS NO— EXIT CEILING MOUNTED,EDGE LIT LED GREEN EXIT SIGN WITH BATTERY BACK-UP. ELECTRICAL NOTES I:&moW.: vans s—T.: PARTIAL THIRD MERGEN Y WALL MTD.EMERGENCY LIGHTING WITH BATTERY PACK BACK-UP. GENERAL CONTRACTOR TO COORDINATE LOCATION OF THERMOSTATS FLOOR 1' WITH HVAC SUBCONTRACTOR. DIRECT QUESTIONS TO DESIGNER. REFLECTED MERGEN Y NEW EMERGENCY LIGHT/EXIT ^ CEILING PLAN SIGN COMBO ELECTRICAL REQUIREMENTS FOR ELECTRICAL!TELEPHONE/SERVER EXIT WITH BATTERY BACK UP SMOKE SMOKE DETECTOR 2. CLOSET TO BE CONFIRMED WITH TENANT. Dr.*iry NO. PAL THIRD FLOOR PLAN REFLECTED CEILING PLAN 0_3116q'-'�l -OttFIRE EXTINGUISHER � STROBE A-113 P PULL STATION HS HORN STROBE ***ALL LIFE SAFETY FIXTURES BY GC NEW KITCHENETTE UPPERAND LOWER CABINETS. NEW ' I THOMAS DOUGLAS Architects LAMINATE COUNTERTOP AND DROP-IN SINK. 196 PIeamt 6t AREA OF WORK 1857 SO FT INFILL EXISTING TRANSOM WINDOW MA 01060 PANE WHERE IT INTERSECTS NEW 413365-0641 PARTITION WALL WITH PLYWOOD. 7ueMfizsaez REGISTERED LTH OF R, DETAILS TBD IN FIELD WITH isi'-Hu-.1 °F T-10" 1'-0"MIN OWNER'S APPROVAL. w..w.�..m�M..a / uJ ILL I f° ❑ 14'-0" 14'-6 114" 11J l\ J' .ra_ P.w..rva. O (n Lo p w M d' / I ObcYlmv Rar Plan mwwremenb SUI 54 J w a- � SUITE 363 Yz 1 mum a P oow�N.Whlb we I amt a.uw tn.n p.lb 80 Q F Y � SUITE 364 °' 153 SQ FT I a `°d. d-� �°�° (d 5'-0" "o.�a•�nau°n m m m..�w—..d li ma.P.aelrc .M'san.Ia.M c°nduN a �' ti �\� �� 153 SQ FT m.p.P."yma.bmn.mwur I ..n.b.npn ss m IM wn,blEy a tn. propeM im W.r.P.m lequlrem<nb. U) 1'-0"MIN I O vJ �_�� 10'-0" _ INS I PATCH WOOD FLOOR AS o7 106 os I __ NEEDED AFTER ROUGH 1'-0"MIN F -A PLUMBING. TO MATCH I \\ // i EXSITING MAPLE. HALL °v CO I � X / \ NEW VANITY AND 9'-51/4" --� os COUNTERTOP WITH oz oa h INTEGRAL SINK. NEW SUITE 35r-.'l °/ DOUBLE CABINET ABOVE I I 149 SQ FT , 11'-3 1/4" 10'-11 5/8" 12'-0" 14'-4 3/4" SUITE 9 5 352 V N --� SUITE 358 SUITE 360 SUITE 361 SUITE 362 co F ,\ / , o 65 SQ FT _ _ , \ / , 156 SQ FT 123 SQ FT 155 SQ FT 228 SQ FT I L Proles Ttk I SUITE TE\ IL7t SU I E\357 I F- 60 AanN°n.aP.n°E 350 174 SQ FT ( THO MARKETPLACE SQ FT SUITE ISO Ma v13)5 N5nlumpO..MA p6o.e 1413)5.4-SSax � � � � � 353 84 SQ FT ALIGN NEW WALL TO EXISTING WINDOW D.I. D.sol 1 09Po 1 DESIGNDEVELOPMEM GENERAL NOTES: .1 PERM- 1 . PATCH AND REPAIR ALL GWB AS NEEDED AFTER PENETRATIONS BY OTHERS. 2. ALL CASEWORK AND BASEBOARDS TO MATCH EXISTING. 5/8 GWB Raps ID: 1/2'HOMOSOTE Dm Br: E. CE 2X4 WD STUDS,24"O.C. STAGGERED ON 2X6 PLATE cnea.a BY TO SWe:As NOTED lan Date: &a/15 PARTIAL THIRD FLOOR PLAN PARTIAL THIRD 1 3/16" = 1'-O" FLOOR PLAN r\ Nr\f\ n 1\ A\f\ Dlawly ND. 5/8 GWB FIBERGLASS SOUND BATT A-1 03 HOMOSOTE INSULATION (2 1 PARTITIONAL WALL DETAIL City of Northampton Building DeparhMnt THOMAS DOUGLAS Architects Plan Review 196 Pkaont St. 212 Main Street MA 01060 Northampton, MA 01060 413-58941 tsc 592-9992 FEOISTEHED-WELT, COMMONWEALTH OF MASSACHUSETTS M!e•YY Y nw M°W v°tI t Y r � ' WeePM••re1�IMeiVNYet NilleR�yFrY M niece ow V n REMOVE DESK AND COUNTERTOP. '^=�^w � SALVAGE BOTH FOR OWNER. REMOVE EXISTING WAINSCOTTING D—i—Floor PMn m°earcmenb REMOVE MISC WALL FIXTURES IN AND MOULDING FROM CORRIDOR. 'rc°°°� "°° h'. IN puryoset enh.WNM vrc ao nN aouM INe°oor pMin xourcry, RECEPTION. PATCH WALL AS PATCH AND SKIM AS NEEDED. :7P "pl- �rrc«tnranop apDYrnapv M,a w DYaeness of tlr Moor pla Yau NEEDED. nr yar as MDrc DhouM DDeaN T° urunl,Ma°wnatm Ywe.agenon a ne D•oDeNY m a°oe�ma,° aNaMlily mNy srtH I a b Me ay Ne � DrcDeaW y«your°pace rcgWrcmenh. w • -__ O O w 0 SUITE 356 ...:::::.:::.::..:..:....:.::...,p SUR 54 Y 71 SQ FT p '+" _____ __'� AREA OF CONSTRUCTION z 80 Q F [ - -----------" REMOVE EXISTING HELVING I �x� I I � � I L—_—11 Pqg rge SUITE 355 THORNES SUITE 148 SQ FT MARKETPLACE Y DEMO EXISTING PARTITION WALL OM eAxa,Nenh mpme,MA 352 SUITE 358 �ee."13'S�55A= - � info(:6e umuLeaPlaa.mm 65 SQ FT i �� �� i 154 SQ FT x SUITE I , SUIE`357 350 H� Dab Dami 174 SQ FT i 09NN15 DESIGN DEVELOPMENT St DEHIGNSET 60 SQ FT SUITE No. is 353 84SQFT Prnptl iD. izozl inn 11, CnerkeeD TO S[Ne:AS NOTED Iffiue D. 9la/15 �� SMet TNe'. PARTIAL THIRD FLOOR EXISTING AND DEMO PLAN Drawi g No P ARTIAL THIRD FL OR EXI TIN A EX- 16" = 1'-0" 103 New England Fire &Security, Inc. P.O. Box 728 West Springfield, MA 01090 Phone: (413) 734-6500 Fax: (413) 734-6700 EDWARDS SYSTEMS TECHNOLOGY System Contractor's License#1557C DATE: September 5, 2015 QUOTE# 100515-PN1! TO: Thorne's Marketplace FROM., Mike Hennessy SUBJECT. Fire Alarm Additions FIRE ALARM ADDITIONS FOR 3RD FLOOR OFFICE: ITEM QTY- DESCRIPTION A. 2 Smoke Detector with Base B. 1 Hom/Strobe C. LOT Chapter 9 and Fife Department Documentation D. LOT Programming and Test TOTAL QUOTE...$631.00 NOTE: Cable, box and device installation by Customers electrician. Please note that the price quote does not include sales tax or permit fees if applicable. "In the event the undersigned fails to make payment as hereinafter set forth,and is in default of said payment for a period of 30 days after said payment date,than the undersigned purchaser agrees to pay all costs of collection,including reasonable attorney fee's incurred in any action brought to collect said payment.. Thank you for your continued interest in New England Fire&Security products and services. Should you have any questions please feel free to contact me at(413) 734-6500. Thank you, ��°t Jonathan McGee Mike enn ssy System Sales Representative Accepted By On behalf of Thornes Marketplace LLC MA Systems Contractor License#1557C MA Systems Technician License#378D Connecticut License#0197638-L5 Vermont License#ES-05626 MA Dept.of Public Safety License#SSC0001296 NICET(National Institute in Fire Alarm Engineering Technologies)#77365 New England Fire&Security-a U.L. Listed Fire Alarm Company—UUJS [--k-BBB. i II CHAPTER 9 NARRATIVE THORNES MARKETPLACE 150 MAIN STREET, NORTHAMPTON, MA Provided by: New England Fire & Security Thornes Marketplace is an existing building and is listed as Use Groups B &A3 per 780 CMR 8th Edition and 2009 I.B.C. The building has 3 levels above grade, a basement and a sub-basement. The building is equipped with sprinklers and an existing automatic fire detection system. The third floor office space is undergoing minor renovation. Existing fire alarm horn/strobes and one pull station will be left in place. One (1) additional horn/strobe and two(2)smoke detectors will be added. Devices shall be U.L. Listed for their Intended use. I f I I S9B Fine seruice Group Fire Protection Testing&Maintenance Provider P.O. Box 1244 MA License#SC 145974 Belchertown, MA 01007 CT License#FPP 0041132-FI October 2,2015 Fire Prevention/Inspector Nichols Northampton Fire Department Re: Family Dollar 505 East Main Street Southbridge,MA Subject: Fire Sprinkler Service: NARRATIVE Inspector Nichols, Fire Service Group is submitting a permit for the following scope of fire sprinkler work to be conducted at Thornes Market 150 Main Street,Northampton. The following required fire sprinkler modifications to be done are result of 0' floor renovation:. 1)Relocate sprinkler branch line around the new skylight. 2)Relocate 7 sprinkler heads to maintain proper sprinkler coverage. Notes: Building is constructed of brick and wood.The fire sprinkler protection is feed with a 4"riser using standard response coverage heads.The above proposed work is to stay within the perimeters of the original system design. All work will be performed by licensed fire sprinkler fitters following the guide lines of NFPA 13 and 25 to assure proper coverage is maintained without effecting the original system design. All materials used are to be listed for fire protection. No engineering or drawings required for this scope of work. It is the building owner's responsibility to maintain the fire sprinkler system under the guidelines of NFPA 25. Required routine inspection services are not part of the scope of this project. If you have any questions or concerns,please feel free to contact me at: 413-575-6827 or by email at: tom@fireservicegroup.com Sincerely, Thomas Fournier tom @fireservicegroup.com 1-888-279-8590•Tel: 413-668-9100 • Fax: 413-213-6567 F www.Flrl25QI%UIC(2Gr OUP.com 141 AFRA NFPA`' BUILDING AREAS thornes Thornes Office Suites ground floor 10720 0 lower level 16582 0 1st fl 16440 0 2nd fl 16522 0 3rd fl 16522 1857 TOTAL 76786 1857 TENANT AREA 1857 PERCENTAGE TENANT AREA 2% ASSESSED VALUE $3,854,400 % OF assessed value of BLDG 2% value of tenant space $77,088 level 2 work area 58 level 1 work area 1799 % of building area level 2 work 0% % of building area level 1 work 2% % of tenant area level 2 work 3% % of tenant area level 1 work 97% occupancy code- area per person area # people 60 gross 1857 31 Code Review Thomas Douglas Architects Inc Thornes Marketplace 196 Pleasant St. Northampton, MA 413-585-0641 Level i and 2 alterations are permitted without requiring the entire building to comply with the International Energy Conservation Code. Alterations (new construction) shall comply with the International Energy Conservation Code. The new roof skylight will have a maximum U value of o.6 No changes are proposed to the building's existing front entry door. (All new front entrance doors have a maximum U value of o.8) No changes are proposed to the other building exterior doors. This project:None of the existing exterior walls are being altered, so no new insulation is required. The roof is being altered with the addition of a skylight. The roof insulation within the work area to meet R-38(Table 502.2-Building Envelope Requirements). 806 Accessibility CMR 521 3.3.1 b. If the work costs $ioo,000 or more, then the work being performed is required to comply with 521 CMR. In addition, an accessible public entrance and an accessible toilet room shall be provided. 3.3.2 If the work performed, including the exempted work, amounts to 30% or more of the full and fair cash value of the building, the entire building is required to comply with 521 CMR. On May 13, 2oi5 The Architectural Access Board of Massachusetts granted 150 Main Street accessibility variances of all non-complying areas (Docket Number: V14-347)• The tenant work area will be fully accessible. The existing tenant toilet is accessible. Schedule: Start construction fall 2015 Completion in 1 month End of Document 5of5 Code Review Thomas Douglas Architects Inc Thornes Marketplace 196 Pleasant St. Northampton, MA 413-585-0641 areas and exits. 705 Means of Egress 705.3.1.1 Single-exit buildings (and spaces) One means of egress is compliant in this tenant space. The occupancy will be less than 5o and travel distance does not exceed 75 feet. 705.3.1.2 Fire Escapes None are proposed. 705.4.4 Panic Hardware Panic hardware is only required for A uses with occupancies over loo. This project does not have those uses or occupancies. 705.5.1 Corridor Doors The corridor outside of the tenant area is not required to be fire resistant. 705.5.2 Transoms Existing fixed transoms are part of an unrated corridor. 705.5.3 Other Corridor openings Not applicable. 705.7 Means of Egress lighting All means of egress shall have compliant exit signs. This project will include a new exit sign placed at the tenant space exit. 705.7 Exit Signs All means of egress shall have compliant egress lighting. This project will include new emergency lighting placed as shown on the drawings. 705.9 Handrails No stairs or handrails are in this work area. 705.9 Guards No guards are in this work area. 709.2 Mechanical,Altered existing systems. The following requirements will be met: In mechanically ventilated spaces, existing mechanical ventilation systems that are altered, reconfigured, or extended shall provide no less than 5 cfm per person of outdoor air and not less than 15cfm of ventilation air per person. 711 and 607 Energy Conservation: 4of5 Code Review Thomas Douglas Architects Inc Thornes Marketplace 196 Pleasant St. Northampton, MA 413-585-0641 The work area comprises less than 50% of aggregate area of this floor. The work area includes reconfiguration of the space, the addition of new doors, and the reconfiguration of systems (HVAQ. Most of this project will be classified as a level 1 project. Part of the project will be classified as a level i project. The alterations will follow level a guidelines. See attached spreadsheet for area calculations. Windows may be added without the light and ventilation requirements of the IBC. This project will have one new skylight in the existing roof. New electrical equipment must comply with section 708. This project will have some new electrical work. Length of dead end corridors, comply with 705.6. None exist in this project. Minimum ceiling height of newly created habitable and occupied spaces shall be 7 feet. This project has compliant ceiling heights. 703.2.1 Existing Vertical openings: Other than existing windows, there are no vertical openings in this tenant space. 703.4 Interior finishes: Interior finishes:All newly installed wall and ceiling finishes will comply with the IBC. 704 Fire Protection: 704.a Automatic sprinkler systems • The building is fully sprinkled. Existing distribution will be modified with the new wall locations. 704.1.1, ioi8 Corridor Ratings There are no proposed corridor walls. 704.2.2.1 Mixed Uses Table 508.4, IBC Table 508.4 of the IBC does not require fire separations between B uses. The proposed work area does not include any mixed uses. There is no change of use groups for this space. The building is fully sprinkled. No new fire separations are required. 704.4 Fire alarm and detection: A fire alarm system is installed throughout the building. Devices will be repaired and replaced as required. The existing building-wide system reports to a central station. The existing building-wide system has horn strobes &pull stations in common 3of5 Code Review Thomas Douglas Architects Inc Thornes Marketplace 196 Pleasant St. Northampton, MA 413-585-0641 Fire Resistive Required Types of Building Element Type 313 Construction,Table 6oi Primary Structural o Frame Bearing walls, Exterior 2 Bearing walls, Interior o Nonbearing walls and i partitions, exterior Nonbearing walls and o partitions, interior Floor construction and o secondary members Roof construction and o secondary members Work Area Method Calculations See below for areas Level i-work requirements: 602.1 Interior finishes:All newly installed wall and ceiling finishes shall comply with the IBC 603 Fire Protection: Alterations shall be done in a manner that maintains the level of fire protection provided. 604 Means of Egress Repairs shall be made in a manner that maintains the level of protection provided for the means of egress. 606 Structural: There are no structural changes in this project. 607 Energy Conservation: See 711 below Level 2 work requirements: 701.3 Compliance 2of5 Code Review Thomas Douglas Architects Inc Thornes Marketplace 196 Pleasant St. Northampton, MA 413-585-0641 CODE REVIEW September u, 2015 Thornes Office Suites 3rd Floor Tenant, #354-364 Thornes Marketplace 150 Main Street, Northampton, MA Applicable Building Code: MA 78o CMR Eighth Addition IBC, IEBC International EXISTING Building Code, 2009 ZONING DISTRICT: CB PROPOSED RENOVATIONS: PROJECT DESCRIPTION: • Install new interior walls to create private offices. Each office will have a door accessing a common corridor. Use Groups • No Change of use groups • Existing uses • B, Business Construction Type • 3B Sprinkler System • The building is fully sprinkled. Existing distribution will be modified with the new wall locations. Fire and Smoke Alarm & Detection • A fire alarm system is installed throughout the entire building. It will be upgraded and modified as necessary during this renovation. According to the IEBC this renovation is being reviewed as: Work Area Method, Chapter 4 1 of 5 Initial Construction Control Document = To be submitted with the building permit application by a } a Registered Design Professional for work per the 8'h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Thornes Office Suites Date:October 5, 2015 Property Address: 150 Main Street, Suite 360,Northampton, MA 01060. Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Relocation of interior artition walls for new office lout. Sprinklers, lighting, and HVAC to be modified as needed for new layout. I, Thomas Douglas, MA Registration Number: 8944 Expiration date: 8/2016 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief 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. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on 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 submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction 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. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, l shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to th a Mg,°.,, a `Final Construction Control Document'. Enter in the space to the right a"wet" or - �, electronic signature and seal: X °w> Phone number: (413)585-0641 Email: do asarchitects.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other' is chosen, provide a description. Version 06 11 2013 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 16,o "\") SZ 57 5 The debris will be transported by: f<L-7e-"1(OS The debris will be received by: It Building permit number: Name of Permit Applicant L L-C- Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations J s d 1 Congress Street, Suite 100 w W� Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I Please Print Le ibl Name (Business/Organization/Individual): W C)QbSI\A�trvVs Address: City/State/Zip: - � (*)%one 4: 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 1 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. M 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.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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' 131-1 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 $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 ce ttk:�e n74,penalties of perjury that the information provided above is true and correct. _ Date: - Stmature• Phone# ' S - 77? 7�` 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 M Version 1.7 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, )� �OaVP<C� NAY CA-A\ as Owner of the subject property hereby authorize to a o y ehalf, i t�&ve to work authorized by this building permit application. Signature of Owfer 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 u er 'e pains and ie of perjury. C tom+ Print Name - r Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ _ Name of License Holder: ' - 1-Y-- J ( n License Number G' Address ' Expiration Dat 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 uilding permit. Signed Affidavit Attached Yes 6 No 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: n,c' �" ✓�AS -�'�T�,'` Not Applicable ❑ Name(Registrant): Registration Number Address `113 J7�t � Expiration Date Signature Telephone !�c>'i 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 0 c h':Sv�A 1 Not Applicable ❑ Co pa Name: r Responsible In Charge of Construction ANN A � � ��� �� C> Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONiNG7 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 % - (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 Q DON'T KNOW © YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES C IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES Q 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 Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0 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 Q NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version].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 Relocation of interior partition walls for new office layout. Sprinklers, lighting,plumbing and Of Proposed Work: HVAC to be modified as needed for new layout. ` �1 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 ❑ 113 ❑ B Business 2A ❑ E Educational ❑ 26 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 36 ❑✓ 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(so 1 1St St 2nd 2nd 3rd 3rd 4th 4th Total Area(so 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: F7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ nicipal ❑ On site disposal system E] @ � > � 5Ye_ „4 � � L'�;3� ".€ ,x Versionl.7 Commercial Building Permit May 15,2000 ` Department use only City of Northampton Status of Permit. Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/SepticAvailabiiity pC� Room 100 WaterMell Availability & Gas Ins rthampton, MA 01060 Two Sets of Structural Plans Erg'ptu amn o^ -587-1240 Fax 413-587-1272 Plot/Site Plans NO�n 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: ® Qn This section to be completed by office Thornes Marketplace Map Lot Unit 150 Main Street N Zone Overlay District Northampton, MA 01060 - - Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Richard Madowitz HPMG PO BOX 686 NORTHAMPTON MA Name(Print) f Current Mailing Address: (413) 584-9970 Signature Telephone 2.2 Authorized Agent: Jon McGee 150 Main Street Suite 6 Northampton MA 01060 Name(Print) Current Mailing Address: (413) 320-5070 Signature 1)9 Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $25,500.00 (a) Building Permit Fee 2. Electrical $8,500.00 (b) Estimated Total Cost of Construction from 6 3. Plumbing $6,000.00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection [) $18,500.00 6. Total=(1 +2+3+4+5) `fib S� Check Number j This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0467 APPLICANT/CONTACT PERSON MARK SMITH ADDRESS/PHONE 5 ANNA ST WARE01082(413)531-7342 PROPERTY LOCATION 150 MAIN ST MAP 32C PARCEL 001 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid AP s Building Permit Filled out Fee Paid Typeof Construction: RENOVATE 3RD FLR NEW OFFICE LAYOUT&SPRINKLERS New Construction Non Structural interior renovations Addition to Existing_ Accesso1y Structure Building Plans Included: Owner/Statement or License 104325 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN�F05MATION PRESENTED: pproved 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 Deproli ' Delay Si ature of Builrzg 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. 150 MAIN ST BP-2016-0467 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma:Block: 32C-001 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-2016-0467 Proiect# JS-2016-000775 Est. Cost: $58500.00 Fee: $413.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MARK SMITH 104325 Lot Size(sg.ft.): 16683.48 Owner: THORNES MARKETPLACE LLC C/O HPMG Zoning: CB(100)/ Applicant. MARK SMITH AT. 150 MAIN ST Applicant Address: Phone: Insurance: 5 ANNA ST (413) 531-7342 WAREMA01082 ISSUED ON.10119120-15 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE 3RD FLR NEW OFFICE LAYOUT & SPRINKLERS 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 10/19/2015 0:00:00 $413.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner