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13-073 (19) 12/21/2015 City of Northampton Mail-Rockridge Project Chy Of Louis Hasbrouck<Iasbrouck @northamptonma.gov> No>Ott Rockridge Project 1 message Duane Nichols <dnichols @northamptonma.gov> Mon, Dec 21, 2015 at 3:03 PM To: Louis Hasbrouck <Iasbrouck @northamptonma.gov> Lou, After our initial plan review and meeting with the project coordinators, I would like to summarize our discussions in regards to the items of concern and the outcome. •The sprinkler system will be installed/extended into the existing house as part of this project. •The fire alarm for the new building will integrate with the fire alarm of the existing buildings. remote annunciators to be approved by Fire Department. * Signage will be required on the premises and building indicating the use of dual fuels (propane and natural gas)wording to be determined by Fire Department. * Propane tanks will be located on the Coles Meadow Rd side of the building. If there is any questions please let me know. Duane Nichols https://m ail.google.com/m ail/ea/u/Ot?ui=2&ik=ec5fl9a57e&view=pt&search=inbox&th=151 c6239bee55lf2&siml=151 c6239bee55l f2 1I1 Initial Construction Control Document M To be submitted with the building permit application by a Z y d Registered Design Professional for work per the 8t' edition of the Massachusetts State Building Code, 780 CMF, Section 107.6.2 Proj ect Title: Proposed Expansion to Rockridge Retirement Community Date: October 8,2015 Property Address: 25 Coles Meadow Rd.,Northampton MA Project: Check one or both as applicable: N New construction 0 Existing Construction Project description: Three story wood framed building with partial basement storage. I Jeffrey S.Nawrocki MA Registration Number: 34168 Expiration date: 6/30/16 ,am a registered design professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: [ ] Entire Project [ ] Architectural [x] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other 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. 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 prosent at intervals appropriate to the stage of eonstmetion to beeeme generally familiar-with the pregT-ess 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, I 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 the building official a `Final Construction Control D c e t'. a cf� Enter in the space to the right a"wet"or %` EFF y S. electronic signature and seal: N OCKI w r RU TU % No.34168 /STEa�`� �@ Phone number: 603-433-8639 Email: eff @jsneng.com Building Official Use Only Building Official Name: Permit No.: Date: Trial Version 10 09 2012 Initial Construction Control Document b f be Submitted with the building permit application by a 7 Registered Design Professional for work per the 8"'edition ol'thc Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Rockridge. tirement Community Date: 11123/15 Property Address: 25 Coles Meadow Roa0__Northampton,_MA Project: Check one or both as applicable: F-1 New construction X Existing Construction Project description: Renovations and addition to Retirement Community complex, approximately 37.W7 sf. I Jahn C. Pi,eraa MA Registration Nutliber: 48291 Expiratioji date: 6/30116 am a and I have prepared or directly supervised the preparation of'all design plans, computations and specifications concerning: Architectural [ ] Structural Mechanical Fire Protection [X] Electrical [)q Other Fire Alarm lot-the above named project and that to the best of-my knmvledge, inForination.and belief such plans,computations and specifications nice( the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices 1i)r the proposed project, I understand and agree that I (ot-my designee)shall perform the necessary profies,,ional services and be present on tile construction site oil a regular and periodic basis to: 1. Review. f-or conformance to this code and the design concept. shop dravvings,samples and other submittals by the contractor in accordance with the reLlUireincrits of the construction documents. 2. Perform the duties for registered design prol'essionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to tile stage Ot'construction to become generally familiar with the progress and quality of the work and to determine il'thc 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, I 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 flficial a'Final Construction Control Document'. Enter in the space to the right a"wet"or JOHN electronic signature and seal: PIER ELECTRICAL 4F2^ Phone number: (978) 486-4301 4 ineers-com Email info@bliverig' Iwilding Official use Only Building Official Name: Permit No.: Date: Version 06 11 2013 ` - Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional } u for work per the 8"'edition ol'the x Massachusetts State 11.1ilding Code, 780 CMR, Section 107 Project Title: Rockridge Retirement Communit Date: 11/23/15 Property Address: 25 Coles Meadow Road, Northampton, MA _ Project: Check one or both as applicable: i-!New construction X Existing Construction Project description: Additions and renovation to Retirement Community complex, approximately 34,007 sf. . .-....._-- . I William J. Scanlon MA Registration Number: 45449 Expiration date: 6/30/16 am a registered design prgfessional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ) Architectural [ ] Structural [X] Mechanical [ � Fire Protection [ ] Electrical (XJ Other Plumbing 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. 1 understand and agree that 1 (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, I 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 t official a`Final Construction Control Document'. �1Nof frg5 Q.. Enter in the space to the right a"wet"or �;~ 4c s: WILLIAM J_ "r electronic signature and seal: _ SCANLON ° MECHANICAL f; Ho 4544 Ilk Phone number: (978) 486-4301 `. ;�� Email: infoft1wengineers.com Buil ing.Oflicial Use Only Building Official Name: _ Permit No.: Date: Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by tt Registered Design Professional for work per the 8`I'edition of the �,. Massachusetts State Building Code, 780 CMR, Section 107 Project 'title: Rockridge Retirement Community Date: 11/23/15 Property Address: 25 Coles Meadow Road,.Northampton, MA Project: Check one or both as applicable: I I New construction K Existing Construction Project description: Additions and renovation to Retirement Community complex, approximately 11. 34,007 sf. I William J. Scanlon MA Registration Number. 45449 Expiration date: 6/30/16 am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural [ ] Mechanical [X] 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, 1 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 fticial a`Final Construction Control Document'. Enter in the space to the right a"wet"or a*, WILLIAM J. electronic signature and seal: 2- SCANLON MECHANICAL No.4� ?" r Phone number: (978) 486-4301 >`' �`Email: info @blwen ineers.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 1 1 2013 25 COLES MEADOW RD BP-2016-0524 GIS#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 13-073 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2016-0524 Project# JS-2015-001482 Est. Cost: $5050000.00 Fee: $2000.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NUTTER CONSTRUCTION CORPORATION 070674 Lot Size(sq.ft.): 501462.72 Owner: NEW ENGLAND DEACONESS ASSOC zoning: Applicant: NUTTER CONSTRUCTION CORPORATION AT. 25 COLES MEADOW RD Applicant Address: Phone: Insurance: P O BOX 257 (603) 878-2300 WC NEW IPSWICHNHO1742 ISSUED ON.1011912015 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT FOUNDATION FOR 3 STORY ADDITION 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 $2000.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth ofMussachusetts Department of Industrial Accittents Office of fnnestigutions I Conl;ress Street, Suite 100 Boston, MA 02114-2017 www.muss.nov/(tiu Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly NanlC Mkl rocs,01.a!anir.ationrindividual): IlUttel'ConstrUCtion C'oi-poratloll Addre�s: 810 Turnpike Road 11.0. Box 257 Ncw 1�tiw ich. N11 03071 phone //: 603-878-2>00 ( ilv!Statci/ip: I kr c you an cmplo.yer? Check the appropriate box: Type of project(required): j I am a employer with t. [S] I am a general contractor and I employees (full and:or part-timc)2' have hired the sub-contractors 6. ❑ New construction ?.�_7 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. E] Demolition worl:inr� tier me in any cartcit employees and have workers' r y I y• ). ® Building addition jAo workers' comp, insurance comp. insurance. 5. We are a corporation and its 10.❑ Electrical repairs or additions ?. I am a homernvncr doing all worl. officers have exercised their 1 1.❑ Plumbing repairs or additions nnsclf. INo workers' comp. right of exemption per MGI. 12.❑ Roofrepairs nsurance re aired. c. 15:1, §I(4),and we have no employees. [No workers' 13.F-1 Other comp. insurance required.] c applicm�t that nc�eks hi,v 01 must also hill out the;ection below showing their workers'compensation policy inlormation_ 110111CO ICr1 who,uhmu this al'idavit indicating they are doing all work and then hire outside contractors must submit a new altidavit indicating such �nir.ictnrs that nc�ch this hog must attached an additional sheet showing the name of the sub contractors and state whether or not those entities have rn1111"\re� II the_;uh they must provide their workers comp.Polky numhur I am an emploYer thru is providing workers'compensation insurance fur n?r emploYees. Below is the polio•and.job site inlormatiou. ln',UranCC (.'itntpanv Name: Acadia 111SUrance Co. -- Police !; or Self-ins. I.ic. N: WCA0282876-16 I`xpiration Date: March I, 2016 .lob site :Addtess:_25 Coles Meadow Road City/State/Zip: Northampton, MA 0I 060 attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coveraLte as required under Section 25A ofMGI, c. 152 can lead to the imposition of criminal penalties of a line up to$1.500.00 all&or one-year imprisonment. as well as civil penalties in the form of a STOP WORK ORDI?R and a tins of up to S'S0.00 a day agt linst the violator. Be advised that a copy of this statement may be forwarded to the Office of Ins-cstiations of the DIA for insurance coverage verification. I do herebt,cerNfj,under the pains cmd penalties of'perjuq that the information provided above is true and correct. . --- ---- ---- Date__. Phone af: 603-878-2300 01 ficial use orrll'. Do not write in this area,to be completed br citr or town official. City or To%%n: Permit/License # Issuin!o Authoritx (circle one): i. Board of health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 0.Other Contact Person: Phone#: ` Version|J[ommrrcia] 13ui|dinLyPermit May 1 5. 2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) indcpcndcnt Structural I nginccring Structural Poor Review Required Yes 0 No 0 fff 1-6 OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT er of the subject property oereby authorize to i act o rk authorved by this building permit application. 1)atc 4P as Owner/Authorized Agent heteby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and loclief. Signcd Lindcr the pains and penalties of perjury. Aulm,,07t e0,wn,,/iL\q6,nt4) I)ate SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable Fj 6 SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 162,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. I ailure to provide this affidavit w0l result in the denial of the issuanco of the building permit. Vel'sion 1 7 Conll lierc Id Building Permit N4,1N 15, 2000 SECTION q 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 F Dajilel \1 Skolski 20038 I Name. (Registrant) i Registration Number 1 100 Ctil IIII'l SUlte -20 1 5('� Beverly, MA 01915 P" 0b/3)1,2016 Acid,r t 5 S 0 Expiration Date (9733) 965-347 d ......................... Telephone 9.2 Registered Professional Engineer(s): Electrical i .1,,111f lllcia 1 Name Area of Responsibility 31 1 Great koA, P.O. Box 1551, Littleton, MA 01400 48291 Address Registration Number (978) 486-4301 06/30/2016 U Telephone Expiration Date I W111laill .1, Scanlon M echan Ica 1-1-1VAC Name Area of Responsibility I O'cat Road, P.( ttleton, M A 0 1400 45449 Rox 155 1, Addif-s.=. Registration Number (978) 486-4301 06/30,'2016 Telephone Expiration Date Mich"Iel IXnolnlllee Fire Protection, Plumbin,,�, --------------.—------- Area of Responsibility tetii Roal, P.O. Box I 5S 1 , Littleton, NIA O1460 49888 Address Registration Number 1" (978) 486-4301 06/30/2016 Telephone Expiration Date N�wtocki Structural --- ---------- I Name Area of Responsibility I Awtinin Street, Portsmouth, N11 0380 1 I 'V-jd(i s Registration Number (603) 433-8639 Telephone Expiration Date 9.3 General Contractor ---------- h1utter COH-Stl 1101011 Not Applicable 0 coiripany Name 1,11C Fklm;IIIWS In Chafge of Construction [iox --"57, \cw Ipswich, NH 03071 (603) b78-2300 L7 Telephone Version 1.7 Commercial Building Permit May 15, 2000 8. NO[ZT11 A:VIPTON ZONING I"Xisting Proposed Required by 'boning I his column to he tilled in h� Building Department I I rn Sizc 501,993 SF }= 501,993 SF 1 t ront,u,,c 755' Coles Meadow 755' Coles Meadow _._._.__.._....__.._._...._..._.___.._...__._._....._......_._.._._........._T...... __.________�__ SCtbacks t rout 21' 37' Sicic I,: 52' R: 458' I,;458' R: 886' Rear 52' 458' �13uildin� Hci�ht 1 34'-� + 34'-6" I31d,t. !"quarc 83,771 16.7 '° 1 15,304 23.0 ( ()pen Sparc lootage `% (l oi air"minus tilde pug cd 372.103 74.1 352,097 70.1 +� of Parkin:;Spaces 84 115 �I=ill: N 12 © } 160 CY A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW Q YES IF YES, date issued: 03/16/201 5 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES Q IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: 05/14/2015 C. Do any signs exist on the property? YES Q NO Q It YES, describe size, type and location: 6'-3" high (I 10.6SF) "ROCKRIDGF SI"RVIC1 " D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO Q IF YFS, describe size, type and location: 1 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? Yl.S (�) NO O 11 YES.. then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit Max, 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 3-story vn�ith partial basernent, 33,500 SF addition. concrete foundation, wood-framed floors, Of Proposed Work: walls and rool', combination asphalt shingle and membrane roof. � 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 I3usincss� ❑ 2A ❑ �— E I ducational ❑ 2B I ❑ F 1 actory ❑ f 1 ❑ F-2 ❑ 2C ❑ H High Hazard._......... ❑ 3A ❑ Institutional ❑ 11 ❑ 12 ❑ 1-3 ❑ 3B �❑ — M Mercantile 4 ❑ ❑ R Residential ❑ R 1 El R 2 ❑ i— R-3 ❑ 5A ❑ j S Storage _-------�— - -- --� -- ' S 1 S-2 ❑ 5B ❑ U Utility r❑ Specify l M Mixed Use ❑ Specify: i S Soccial Use ❑ Specify. COMPI FTF THIS SECTION IF EXISTING BUILDING UNDFRGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE f xisting Use Group —R Proposed Use Group: R2 I xisting Hazard Index 780 CMR 34): Nan Proposed Hazard Index 780 CMR 34): NSA SECTION 6 BUILDING HEIGHT AND AREA RU11 DING ARE A I XIS TING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per F loor(sf) i 1s` 10,520 1" 43.498 1 7,478 211d 10,190 <; 17.475 3{d 1 0,190 3 i .h 4" 5.317 4 i Total Area (sf) 8' .77 1 Total Proposed New Construction (sf) 30,900 Total Height(ft) 'Total Height ft + 34'-611 i 7.Water Supply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 17.3 Sewage Disposal System: Public Private /one Outside Flood Zone❑✓ Municipal ❑ On site disposal system L] u, VCI-Sion 1.7('0111111CI-Cial Building Permit May 15,2000 Department use only ?-J­!-­ Clit of Northampton Status of Permit: Bui ing Department Curb Cut/Driveway Permit 2 2 Main Street Sewer/Septic Availability Room 100 Water/Well Availability svE ha pton, MA 01060 Two Sets of Structural Plans--------------- C)F tJlt 060 -587-1240 Fax 413-587-1272 Plot/Site Plans Other 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 CA:." Mcado\\ 1Z()ad Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 221 Owner of Record: Dcnconcss Aht-111CIL1111. 1Jl'C ('01111111.1111ties 80 Deaconess Road. Concord, MA 01742 Name(P,inh Christoplicr SHitros. Pre,,icictit and (I Current Mailing Address. (978) 402-8201 Signature Telephone 2.2 Authorizeq_8_qent., I I LIttCr('011S1I-LIC1, )11 COI-POI'aJOFI P.O. Box 257. Ncx,\' Ipswich, N11 03071 Name (Mint) S h> &� Current Mailing Address. (60) 878-2300 S ig 0 rqltLif Telephone - SECTION 3 EESTIM D CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant I BUilding (a)Building Permit Fee $3,264,000.00 2 `:icctflcal (b) Estimated'Total Cost of $550,000.00 Construction from (6) 3 P10mbing $,1 .()o Building Permit Fee 50,000 /1, Mechanical J-1VAC, $650,000.00 I ire Protection $136.000.00 6 total 2 f 3 4 13) $5.050.000.00 Check Nu This Section For Official Use Only I Buildinq t1crinit Number Date Issued SIgIitUrC, Building Commissioner/Inspector of Buildings Date ....... .......... Of e^ 70 �j D J File#BP-2016-0818 APPLICANT/CONTACT PERSON HUTTER CONSTRUCTION CORPORATION ADDRESS/PHONE P O BOX 257 NEW IPSWICH01742(603)878-2300 PROPERTY LOCATION 25 COLES MEADOW RD MAP 13 PARCEL 073 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUI D DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 3 STORY RES BLDG W/PARTIAL BASEMENT(33,500 SF)� New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 070674 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I 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 Demolition Delay Si-natureo'f 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. 25 COLES MEADOW RD BP-2016-0818 GIS#: COMMONWEALTH OF MASSACHUSETTS MapBlock: 13 -073 CITY OF NORTHAMPTON Lot:-001 Permit: Buildinq Category:NEW COMMERCIAL BUILDING BUILDING PERMIT Permit# BP-2016-0818 Project# JS-2015-001482 Est.Cost: $5050000.00 Fee: $18096.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NUTTER CONSTRUCTION CORPORATION 070674 Lot Size(sq.ft.): 501462.72 Owner: NEW ENGLAND DEACONESS ASSOC Zoning: Applicant. NUTTER CONSTRUCTION CORPORATION AT. 25 COLES MEADOW RD Applicant Address: Phone: Insurance: P O BOX 257 (603) 878-2300 WC NEW IPSWICHNHO1742 ISSUED ON.1212312015 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 STORY RES BLDG W/PARTIAL BASEMENT (33,500 SF) 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: FeeTIpe: Date Paid: Amount: Building 12/23/2015 0:00:00 $18096.40 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner