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10 Hawley St Units 2A, 2B, 2C, 2D Building Permit Application - Building BCity of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR COMMERCIAL & MULTI-FAMILY NEW CONSTRUCTION/ADDITIONS/ALTERATIONS 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specification of proposed work (digital and hard copy). 3. Site Plan with location of proposed structure(s) and setbacks. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker’s Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy CSL and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (if applicable). 8. Note any Conservation and/or Special Permit requirements (if applicable). 9. Driveway Permit (if applicable). 10. Proof of Water and Sewer entry fees paid (if applicable). 11. Trench Permit (if applicable). 12. Initial Construction Control Documents filled out and signed by the Registered Design Professional in responsible charge. H AW L E Y S T R E E T PHILLIPS PLACE PHILLIPS STREET LOT IS CONCEPTUAL AND WILL BE PERMITTED AS A FUTURE PHASE 2 PORTION OF THE PROJECT of Project Number Sheet Drawing Number Drawing Title Issued for Checked byDesigned by Appvd.DateRevisionNo.vhb.comDate One Federal Street Building 103-3N Springfield, MA 01105 413.747.7113 Hawley Street Residential Development 10 Hawley Street Northampton, Massachusetts Construction April 27, 2020 13 42540.00 Layout and Materials Plan C-3 3 Feet6030015 R1-1 30"30" Sign Summary M.U.T.C.D. Number Specification Desc.Width Height EG-1 12"18"* * NOT A STANDARD MUTCD DESIGNATION 12"36"R6-1R R5-1 30"30" 12"36"R6-1L ONE WAY ONE WAY NP-1 24"8"* The Commonwealth of Massachusetts Office of Public Safety and Inspections Massachusetts State Building Code (780 CMR) Building Permit Application for any Building other than a One- or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: ____________ Date Applied: ______________ Building Official: _______________________ SECTION 1: LOCATION _________________________________________________________________ _________________________________________ No. and Street City /Town Zip Code Name of Building (if applicable) ________________ __________________ Assessors Map # Block # and/or Lot # SECTION 2: PROPOSED WORK Edition of MA State Code used _____ If New Construction check here  or check all that apply in the two rows below Existing Building  Repair  Alteration  Addition  Demolition  (Please fill out and submit Appendix 2) Change of Use  Change of Occupancy  Other  Specify:___________________________________________ Are building plans and/or construction documents being supplied as part of this permit application? Yes  No  Is an Independent Structural Engineering Peer Review required? Yes  No  Brief Description of Proposed Work:__________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ SECTION 3: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION, ADDITION, OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 CMR 34)  Existing Use Group(s): __________________________________________ Proposed Use Group(s):__________________________ SECTION 4: BUILDING HEIGHT AND AREA Existing Proposed No. of Floors/Stories (include basement levels) & Area Per Floor (sq. ft.) Total Area (sq. ft.) and Total Height (ft.) SECTION 5: USE GROUP (Check as applicable) A: Assembly A-1  A-2  Nightclub  A-3  A-4  A-5  B: Business  E: Educational  F: Factory F-1  F2  H: High Hazard H-1  H-2  H-3  H-4  H-5  I: Institutional I-1  I-2  I-3  I-4  M: Mercantile  R: Residential R-1 R-2  R-3  R-4  S: Storage S-1  S-2  U: Utility  Special Use  and please describe below: Special Use Description: SECTION 6: CONSTRUCTION TYPE (Check as applicable) IA  IB  IIA  IIB  IIIA  IIIB  IV  VA  VB  SECTION 7: SITE INFORMATION (refer to 780 CMR 105.3 for details on each item) Water Supply: Public  Private  Flood Zone Information: Check if outside Flood Zone  or indentify Zone:__________ Sewage Disposal: Indicate municipal  or on site system  Trench Permit: A trench will not be required  or trench permit is enclosed  Debris Removal: Licensed Disposal Site  or specify:_____________ ______________________ Railroad right-of-way: Not Applicable  or Consent to Build enclosed  Hazards to Air Navigation: Is Structure within airport approach area? Yes  or No  MA Historic Commission Review Process: Is their review completed? Yes  No  SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: __________ Use Group(s): __________ Type of Construction: ________ Does the building contain an Sprinkler System?: _________ Special Stipulations: ___________________________________________ Design Occupant Load per Floor and Assembly space: _________________________________________________________________ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 LOUIS HASBROUCK BUILDING COMMISSIONER Effective July 1, 2015 Phone: (413) 587-1240 Fax: (413) 587-1272 Commercial Building Permit Fees (Commercial is any Project other than one or two family residential) http://www.northamptonma.gov/702/Building-Department Fees for work not listed will be determined by the Building Department Any work beginning before a permit has been issued is subject to double fees and a stop work order removal fee Hours of operation are typically Monday thru Friday 8:30 to 4:30, Walk-In hours are closed at 12:00 pm Wednesday Permit Fees are paid to the CITY OF NORTHAMPTON CHECKS OR MONEY ORDERS ONLY: NO Cash or Credit Cards Checks or Money Orders Must Be Submitted with the Application or it will not be acted upon To Be Processed, Applications Must Be Complete and Include ALL Required Attachments All Applications Are Subject To Zoning Review. The Weekly Filing Deadline is 12:00 pm (noon) on Wednesday. Building applications - Require a plot plan, floor plans, elevations, structural and energy information as appropriate Sign applications - Require a photo of the existing elevation and a photo shopped placement of the proposed sign One hard copy and one electronic copy are required for all specifications and plans Applications may be subject to Central Business, and or Historic and Demolition Delay reviews It is the applicant’s responsibility to verify property bounds and conservation issues COMPLETE DEMOLITION Accessory Structure $50.00 Principal Structure $300.00 NEW CONSTRUCTION or Additions Greater than 30% of the floor area of the existing building Multi Family All Occupied Floors, per sf $.60 ½ Floors, Walk-In Attics, Basements, Garages, per sf $.20 Decks, Porches, Canopies, Porticos, per sf $.20 Other Commercial All Occupied Floors, per sf $.60 ½ Floors, Walk-In Attics, Basements, Garages, per sf $.20 Decks, Porches, Canopies, Porticos, per sf $.20 Agricultural All buildings, per sf $.20 NEW ACCESSORY STRUCTURE Up to 120 sf (zoning review) $30.00 Over 120 sf $.20 per sf, Minimum $35.00 Tent over 120 sf $30.00 Swimming Pool $7.00 per $1000 of estimated cost (rounded up) Minimum $200.00 REPAIRS, RENOVATION, ALTERATION, RELOCATION and ADDITIONS Less than 30% of the floor area of the existing building Includes roofing, siding, windows, doors, etc. $7.00 per $1000 of estimated cost (rounded up) Minimum $100.00 SIGNS Wall Sign up to 10 sf $60.00 Wall Sign over 10 sf $60.00 Awning Sign $60.00 Ground Sign $100.00 SOLAR All projects use the commercial rate calculator available on our web site as an Excel file http://www.northamptonma.gov/702/Building-Department OTHER SERVICES Request For Zoning Determination $30.00 Replacement Permit $30.00 Contractor or Owner Change $30.00 Temporary Certificate of Occupancy with inspection $75.00 Additional or Requested Inspections $75.00 All Other Services including stop work and condemnation orders $75.00 Sheet Metal $50.00 with building permit or $7 per $1000 Minimum $100.00 Building "B" 2A $/SF SF Total Ground Floor $0.60 347 $208.20 1st Floor $0.60 733 $439.80 2nd Floor $0.60 733 $439.80 Garage $0.20 372 $74.40 Rear Deck/Porch $0.20 72 $14.40 $1,176.60 2D $/SF SF Total Ground Floor $0.60 347 $208.20 1st Floor $0.60 733 $439.80 2nd Floor $0.60 733 $439.80 Garage $0.20 372 $74.40 Rear Deck/Porch $0.20 72 $14.40 $1,176.60 2B $/SF SF Ground Floor $0.60 415 $249.00 1st Floor $0.60 672 $403.20 2nd Floor $0.60 672 $403.20 Garage $0.20 235 $47.00 Rear Deck/Porch $0.20 72 $14.40 $1,116.80 2C $/SF SF Ground Floor $0.60 415 $249.00 1st Floor $0.60 672 $403.20 2nd Floor $0.60 672 $403.20 Garage $0.20 235 $47.00 Rear Deck/Porch $0.20 72 $14.40 $1,116.80 Total $4,586.80 Building Permit Fee Schedule Exterior Units Interior Units CITY OF NORTHAMPTON SETBACK PLAN MAP:_______ LOT:________ LOT SIZE:____________ REAR LOT DIMENSION:_____________________________ FRONTAGE_____________________ REAR YARD _____________ SIDE YARD______________ SIDE YARD______________ FRONT SETBACK_______________ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number ________________ is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY $ $ 65 La Salle Road The Watts Group, LLC. Cert ID 964 Charter Oak Fire Insurance Co.25615 Travelers Prop Cas Co of America 25674 Starr Indemnity & Liability Co.38318 Travelers Indemnity Co. of CT.25682 05/20/2020 73 Pleasant Street 04/01/2020 04/01/20211000585032201 B Suite 209 N mmorse@thewattsgrp.com 06/01/2020 06/01/2021810-0N700762 A C D X X X X Melissa J Morse West Hartford CT 06107 Granby MA 01033 (860) 231-7250 x4 (860) 231-7240 X X X X X 1,000,000 300,000 1,000,000 1,000,000 1,000,000 3,000,000 3,000,000 10,000 XCU Included 06/01/2020 06/01/2021CO-7F914719 06/01/2020 06/01/2021UB-6K239300 1,000,000 10,000 1,000,000 2,000,000 2,000,000 File Copy Evidence of Insurance Western Builders, Inc. Page 1 of 1 Center for EcoTechnology  320 Riverside Drive, 1A  Northampton, MA 01062 Please call 888-452-8805 or email highperformance@cetonline.org with any questions or for additional assistance. ENERGY EFFICIENCY PLAN Project: Hawley Street Townhouses, Northampton MA Conditioned Floor Area End Units: 1,998 ft2 Middle Units: 1,951 ft2 Volume End Units: 19,379 ft3 Middle Units: 18,814 ft3 Building Type Attached townhouses Bedrooms 2 per townhouse Assumptions for Preliminary Home Energy Rating CET has completed a Preliminary Home Energy Rating based on the construction plans you have provided. Any energy features not listed below are assumed to meet the prescriptive requirements of the IECC 2015. Building Envelope Specifications Used in Analysis Slab on Grade 2” XPS under slab (R-10) 2” XPS as thermal break between slab and exterior (R-10) – extends 2’ down foundation wall 1.5” XPS as thermal break between slab and garage (R-7.5) Exterior Walls 5.5” cellulose in 2x6 walls (R-19) + 1” polyiso exterior sheathing (R-6) all cavities fully enclosed by air barrier on top & both sides Band Joists 3” closed cell spray foam (R-18) + 1” polyiso exterior sheathing (R-6) Walls to Garage 5.5” cellulose in 2x6 walls (R-19) + 1” polyiso exterior sheathing (R-6) all cavities fully enclosed by air barrier on top & both sides Band Joists to Garage 3” closed cell spray foam (R-18) Walls Between Townhouses Double shaft wall taped at all seams, caulked at perimeter Floor Over Garage 14” cellulose (R-49) Windows U-value = 0.20, SHGC = 0.27 Glass Doors U-value = 0.28, SHGC = 0.29 Exterior Doors R-5 / U-0.20 Flat Ceilings 2” flash coat closed cell spray foam (R-12) + 18” loose-blown cellulose (R-67), sealed eave wind baffles Full insulation contact with sheetrock ceiling Sloped Ceilings 10” closed cell spray foam (R-60) sprayed against underside of solid vent baffles Attic Hatches 4” XPS foam board (R-20), fully gasketed, framed edge dam to height of surrounding insulation Blower Door Test 2.0 ACH50 or better Thermal Enclosure Checklist Meet all Checklist Requirements as verified by a HERS rater at pre- drywall and final inspection ENERGY EFFICIENCY PLAN Center for EcoTechnology  320 Riverside Drive, 1A  Northampton, MA 01062 Please call 888-452-8805 or email highperformance@cetonline.org with any questions or for additional assistance. Plumbing & Mechanical Systems Specifications Used in Analysis Heating / Cooling Equipment Mitsubishi CITY-MULTI PUHY-P144 with ductless indoor units 3.88 COP at 47 degrees, 14.0 EER at 95 degrees Supplemental Heat 1-2 500 watt electric wall heaters per townhouse Thermostats Programmable Water Heating Equipment 0.91 EF electric storage tank water heater 50 gallons Domestic Hot Water Circulation Loop Circulation loop 100 ft long, insulated to R-3 Circulation pump controlled by smart demand pump, 44w pump Domestic Hot Water Pipes For ½” lines, maximum of 10 feet of pipe from loop to fixture For 1” lines, maximum of 4 feet of pipe from loop to fixture All hot water lines insulated to R-3 Whole House Ventilation Zehnder Q350 Energy Recovery Ventilator (ERV) 130 CFM continuous ventilation 86% Sensible Recovery Efficiency, 73% Total Recovery Efficiency 49 watts Lighting & Appliances Specifications Used in Analysis Lighting 100% LED, CFL, or pin-based fluorescent Refrigerator 550 kWh/year or less Dishwasher ENERGY STAR certified Clothes Washer ENERGY STAR certified Clothes Dryer ENERGY STAR certified Preliminary Home Energy Rating Results Based on the assumptions described above, we have calculated the following Preliminary Home Energy Rating results. Unit HERS Index A-1 45 A-2 45 A-3 45 A-4 45 B-1 45 B-2 45 B-3 45 B-4 45 Note that Confirmed Home Energy Rating results may vary from the Preliminary Home Energy Rating results due to changes in building plans, energy features installed in the home, RESNET standards, software changes, and other factors. ENERGY EFFICIENCY PLAN Center for EcoTechnology  320 Riverside Drive, 1A  Northampton, MA 01062 Please call 888-452-8805 or email highperformance@cetonline.org with any questions or for additional assistance. Preliminary Rater: Mark Newey Date: 11/9/2020 Job #: 20-05680 Version 01_01_2018 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Hawley Street Residential Development Date:11.9.20 Property Address: 10 Hawley Street Northampton MA Project: Check (x) one or both as applicable: X New construction Existing Construction Project description: New four unit townhouse development (building A & B) I Charles Roberts, AIA MA Registration Number: 10107 Expiration date: 8/31/21 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: 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 in accordance with the Professional Standard of Care, 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. Such review shall not diminsish or relieve the Contractor of its submittal and other responsibilities. 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. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the 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 the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: 413.259.1630 Email: croberts@kuhnriddle.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. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Hawley Street Residential Development Date: November 9, 2020 Property Address: 10 Hawley Street , Northampton, MA Project: Check (x) one or both as applicable: _ X_ New Construction _ Existing Construction Project description: Plumbing and HVAC for new residential housing development I, James P Stroke PE , MA Registration Number: 20068 Expiration date: June 31, 2021, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: Architectural Structural X 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, I will 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 will submit to the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: 413-626-8752 Email: ddangelo@tjconway.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. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Hawley Street Residential Development Date: November 9, 2020 Property Address: 10 Hawley Street , Northampton, MA Project: Check (x) one or both as applicable: _ X_ New construction _ Existing Construction Project description: Fire Protection for new residential housing development I, James P Stroke PE , MA Registration Number: 20068 Expiration date: June 31, 2021, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: 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, I will 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 will submit to the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: 413-626-8752 Email: ddangelo@tjconway.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. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Hawley Street Residential Development Date: November 9, 2020 Property Address: 10 Hawley Street , Northampton, MA Project: Check (x) one or both as applicable: _ X_ New Construction _ Existing Construction Project description: Electrical for New Residential Development I, James P Stroke PE , MA Registration Number: 20068 Expiration date: June 31, 2021, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning1: Architectural Structural Mechanical Fire Protection X 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, I will 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 will submit to the building official a ‘Final Construction Control Document’. Enter in the space to the right a “wet” or electronic signature and seal: Phone number: 413-626-8752 Email: ddangelo@tjconway.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. Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark “x” where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm (may require repeaters) 6 HVAC 7 Electrical 8 Plumbing (include local connections) 9 Gas (Natural, Propane, Medical or other) 10 Surveyed Site Plan (Utilities, Wetland, etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests & Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review (521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other (Specify) 21 Other (Specify) 22 Other (Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein. Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Please follow this link for construction control forms to be used by Registered Design Professionals. ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date ______________________________ ____-_____-___________ _________________________ Name (Registrant) Telephone No. e-mail address ______________________________ ______________________________ ______ _________ Street Address City/Town State Zip _____________________ Registration Number ___________ _______________ Discipline Expiration Date