60 Elm Doors 2012-05-25File # BP-2012-1043
APPLICANT/CONTACT PERSON AQUADRO & CERRUTI INC
ADDRESSIPHONE POBox 656 NORTHAMPTON (413) 584-4022
PROPERTY LOCATION 60 ELM ST -JOHN M GREE'N-:E HALL
MAP 3IB PARCEL 252 001 ZONE EU(lOO)IURC(lOO)!
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
TypeofConstruction: REPLACE FRONT ENTRY DOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 062357
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPliCATION BASED ON
INFORMATION PJ.93SENTED:
__ Approved ~dditional pennits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ _________ _
Intennediate Ihn""'''i" ••• ____ -•• -___ ---'Special Pennit With Site Plan
Major Project __ _ Pennit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: u ________ _
Special . __ . ________ Variance* ___ _
___ .Received & Recorded at Registry of Deeds Proof Enclosed ____ _
__ Other Pennits Required:
___ Curb Cut from DPW Availability ___ S.ewer Availability
___ Septic Approval Board of Health Water Potability Board of Health
__ ---'Pennit from Conservation Commission ___ -
~ennit from Elm Street Commission
from CB Architecture Committee
____ Pennit DPW Stonn Water Management
__ -,Demolition Delay
Signature of Building Official Date' I
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 ofMGL 40A. Contact Office of
Planning & Development for more infonnation.
Version!.7 Commercial
of Northampton
~ 1)012 Department MAY 2)1 c. 212 Main Street
Room 100
L.::!~~2W~~~~~~~:U:~' MA 01060 phone 413-587-1240 Fax 413-587-1272
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 offi~e
Map Lot J.~ Unit !John M Greene Hall -Smith College . ! Elm Street fJ.D
• I Zone Overlay District
~L ========'<=<-=-=-=~===~=-=-=~=-=«=-'="-=-='='-=-=-=-=-==~2E~lm st. District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
SECTION 3 -ESIIMATED CONSTRUCTION COSTS
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5)
Building Permit Number
Signature:
BuUding Commissioner/Inspector of Buildings
Telephone
Official Use Only
(a) Building Permit Fee
(b) Estimated Total Cost of
Construction from 6
Building Permit Fee
Date
Issued
Date
V ersionl. 7 Commercial Building Pennit May 15, 2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs o Demolition 0 Repairs 0 Additions 0 Accessory Building 0
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Ruufiillt 0 Change of Use 0 Other 0
Brief Description IReplacement of front entrance door to John M. Greene Hall
Of Proposed Work:
SECTION 5 -USE GROUP AND CONSTRUCTION TYPE I
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 0 A-2 0 A-3 0 1A 0 0 A-4 0 A-5 0 1B 0
B Business 0 2A 0
E Educational 0 2B 0
F Factory 0 F-1 0 F-2 0 2C 0
I H High Hazard 0 3A 0
I I Institutional 0 1-1 0 1-2 0 1-3 0 3B i 0
• M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 S-1 0 S-2 0 5B 0
U Utility 0 Specify: I I
M Mixed Use 0 Specify: ! I
S Special Use 0 Specify: I J
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: A-I ! Proposed Use Group: e I
Existing Hazard Index 780 CMR 34): Ino change .----'
Proposed Hazard Index 780 CMR 34): I I I
SECTION 6 BUILDING HEIGHT AND AREA I
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1st 1 I 1st i
2nd ! I 2nd I
3m i I 3m I
4th I I 4th I
Total Area (sf) I I Total Proposed Nrw Construction (s~
L-I
Total Height (ft) I I
Total Height ft ! I
7. Water Supply (M.G.L. c. 40, § 54) 7.1 FI~ll~t,~nformation: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone L" . 1 Outside Flood Zone 0 Municipal 0 On site disposal system 0
VersionL7 Commercial Building Permit May 15,2000
r-I. 8-.-N-O-R-T-H-AM--P-T-O-N-ZO-NI-, -N-G---;I
Lot Size
Fronta e
Setbacks Front
Building Height
Bldg. Square Footage
• Open Space Footage
• (Lot area minus bldg & paved
rIcin )
volume & Location
Existing Proposed Required by Zoning
This column to be filled in by
i Building Department
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW ® YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW ® YES
IF YES: enter Book L ! r---~-'--' and/ or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW ® YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained o Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES ® NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0
IF YES, describe size, type and location:
NO ®
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 0 NO ®
I F YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version1.7 Commercial Building Permit May 15,2000
I SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO
I CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
INA I Not Applicable 0
-~-.......... -------.~--""" ! I
Name (Registrant): " ,.,..,. ,-,#/-1
INA --I Registration Number
! I ~ -------f I
Address --I
I I Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
INA I I"""'" ] ,
I
Name Area of Responsibility
I I I I -
Address Registration Number
I ! ! ~ ........... .
Signature Telephone Expiration Date
I i j i t -Name Area of Responsibility
! I -~
i ~ ! ~ I , , .... " .. , ... '
Address Ni.iillber
I I I I
Signature Telephone Expiration Date
I I I : : 1
Name Area of Responsibility [--..••. ~.--.--~~~-" """,,-"'''~'>' ••• '."",~~" ] I I
Address Registration Number
I 1 ,_._---_._-! L......--
Signature Telephone Expiration Date
L --, C ~ ., ----1
Name Area of Responsibility
I . ..., j ~ I I
Address Registration Number
I ! i ------.
, i
~. _"<tY,,,.¥,,~ _ ..
Signature Telephone Expiration Date
9.3 General Contractor
,,-----~ iAquadro & Cerruti, Inc :J Lw._,. , .... ". _. -Not Applicable 0
Company Name: r--IFrancis J. Aquadro!II --k __ ''',,_,-, .. " .' .. m.'.~.'~ ..... "'~.' i
Respo~ble In Charge of Construction
~o* 656/131 Texas Road., .. N0I!h~mJ~!on _____ i
"",,.-j
(ddres1 -r 7.AA1, rA' Yj~hi~ 1(413) 584-40221
Signature y /f 'l.. Telephone
~ U
Versionl.7 Connnercial Building Permit May 15,2000
SECTION 1 0-STRUCTURAL PEER REVIEW (780 CMR 110.11)
Inrl .. ", •• nrl .. nt Structurall"n,nin,,, .. r'inn No
11-OWNER
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, ~rustee~ of Smith C"_,,ollege I James LuceY,(agent) ·--------·"-~·-~~I ...!::::.==::::~===-==, _============================~l, as Owner of the subject property
hereby & Cerruti, Inc
o work authorized by this building permit applicatiorn.~ ______________ """"",!
~ t S-~~~ /;J...._":=J
Date
I, ~~tees of Smith College I James Lucey (agent) ,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.
ains and
AmE"S
10.1 Licensed Construction Supervisor:
Name of License Holder: ~is J. Aq~ad!~ III
License Number
I~~_._~---~
Expiration Date
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.
Affidavit Attached Yes