18D-069 (17) 178 INDUSTRIAL DR B P-2007-0`i 04
GIS#: ()V Y` jr'' '`°''WEALTH OF MASSACHUSETTS
Map:Block: 18D-063 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category BUILDING PERMIT
Permit# BP-2007-0104
Project# JS-2007-000157
Est. Cost: $255500.00
Fee: $952.50 PERMISSION IS'HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: GERALD ARCHAMBAULT_010788
Lot Size(sq. ft,): 435600.00 Owner: PVC WEST INC
Zoning: GI Applicant: GERALD ARCHAMBAULT
AT: 178 INDUSTRIAL DR
Applicant Address: Phone: insurence:
263 PROSPECT ST _ (413j) 552,-7410 0 Y Workers
Coitiensatiot
PLAINFIELDMA01070 ISSUED ON:8/30/2006 0:O0:C0
TO PERFORM THE FOLLOWING WORK:FRAME ;NTERIOR PARTITIONS
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: =i - - 4 1,01'1 Rough: House# Foundation:
/ ( /W Driveway Final:
Final:/0'4-'047f, Final:/ _ /`
`7�'c 7fill �7��, l% 4 G O-MSC" S�4�Rough.Frame: 6 l\ cr- `� `0 4/
\,„..--
4,14
Gas: Fire Department A/3 4/0 Fireplace/Chimney:
Rough: Oil; Insulation:
Final: Smoke: final: '�12-T( (i1J0 G 30 m 7-G
-Dri ,t—p "6'4--,-) .,
c.outi�
THIS PERMIT MAY BE REVOK,P BY TH1, _ATY OF' NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RECU TIOV
Certificate t).(Uccl.kanC Signature:
--------- —_Feely e) __.,-.—______D4te_Paid: _ m A punt:
Buildinc 8/30/2006 0:00:00 $952.50748
212 Main Street, Phone(413) 587•1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo
V G.. e ck( :( ( l Co Y'1 Y'l eC. C` 3 `[{,C'�,.1 ( 'P s W c; r F'
Key 4-c“,
File#BP-2007-0104
APPLICANT/CONTACT PERSON GERALD ARCHAMBAULT
ADDRESS/PHONE 263 PROSPECT ST PLAINFIELD (413)552-7410()
PROPERTY LOCATION 178 INDUSTRIAL DR
MAP 18D PARCEL 063 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 716, 4960iorg7
Fee Paid
Typeof Construction: FRAME INTERIOR PARTITIONS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 010788
3 sets of Plans/Plot Plan
THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
IP
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 'ssion
Signature of 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.
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Version1.7 Commercial Buildin&.Permit May 15,2000
r Department use only
r-----r"n) E C .E - qn fly of Northampton Status of Permit:
VIing Department Curb Cut/Driveway Permit
2 Main Street Sewer/Septic Availability
JUL 2 7 2006 Room'100 WaterlWelfAvailability ` ' _
ampton, MA 01060 Two Sets of Structural Plans
°' L _phone 4113-587 1240 Fax 413-587-1272 Plot/Site Plans
DEPT OF f IhVi.LI IONS Other Specify
-APPLICATION TO-CONb 1 Kut.1,REPAIR,AIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
_-_ -Property Address: • — _
This section to be completed by office
1 KA
/ 7 7 t 11,f-f R(4"6_ fi 2) v e Map Lot Unit"
op- -Oke ,D nct
Via, - *-.
EI t�D c> $ C Dts ct. _—_
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
pvC , veSf , ZNL I + l&g• ,17_Ndv161/4—C -,2( Ve-
Name(Print) ' ./d Current Mailing Address:
-e r No.z4t, P ?Le�( Aft-LC D/06a
Signature (���� Telephone (/(3 ,r0 y- y Z SZ)
2.2 Authorized Agent:
G.e r0,V2, 14Vf<ilelown ins. Ff' i i P(-� 3 Fre313 ,-i- ,..5?---
Name(Print) Current Mailing Address:
. i a ‘v Ft44 �O, , 01 ,070
Signature ' • r 1- /I: �,.
Telephone 1/13 ( 3'f 50y 9
--SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building /� a Urn �, (a)Building Permit Fee
2. Electrical i (b)Estimated Total Cost of
. 3S/ 006 Construction from(6)
—
3. Plumbing I O/ 600 ,- Building Permit Fee
4. Mechanical(HVAC) I Z 8/ DOp - 11 i
5. Fire Protection ? 5-00 r t i '
6. Total=(1 +2+3+4+5) d.SI , S 00 — Check Number 2 4 _ rx,-,,6
This Section For Official Use Only
Building Permit Number Date
Issued
r
Signature:
Building Commissioner/Inspector of Buildings Date
•
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations Existing Wall Signs ❑ Demolition❑ Repairs El Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs E Roofing❑ Change of Use❑ Other❑
Brief Description Enter a briefde_sccriiption here. 1 ,
Of Proposed Work: I vi►L -1-N'}ehl D p' RA,r"rl, 1 l'a.N ,.7 Gt S )��->iU I v! `1 d�CJ
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑
❑ A-4 ❑ A-5 ❑ 1 B ❑
B Business ❑ 2A ❑
E Educational Tr 2B I 0
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile 0 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A Cl
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility • ❑ Specify: i
/ /
M Mixed Use Specify: D PF / / L(/ -/'Lp(f df'eOO '( (/ (f{ vc(D tt- !
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA -
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION "'OFFICE USE ONLY
Floor Area per Floor(sf)
sr -
1st 44® 1
2nd( 2"
3ro 1 3rd i
4m
4th
Total Area(sf) /2-000 f F Total Proposed New Construction(sf) -
Total Height(ft) 2 2 F f-
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public Private El Zone' Outside Flood Zone Municipal ' On site disposal system El
Version1.7 Commercial Building Permit May 15,2000
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size i y(o 1490 I i V G 000
Frontage
/CU i ': /5 ' `
Setbacks Front 77 1 I
Side L:7---1 R:' L: I R:1 i I I I . I
Rear I i ir-1 � � � 1-1®1/0 C oU 0 C�f
-Building Height— i
/V PO-----t1 -,#c. ,J 6
Bldg. Square Footage i I I % .
ctlf: t
Open Space Footage
(Lot area minus bldg&paved ! I 5 1 1 I s a4, t
parking)
#of Parking Spaces �- �/ 7
Fill: ' f { i i I
(volume'&Location)
A. Has a Specia Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 0 YES 0
IF YES, date issued: I
IF YES: Was the permit recorded at the Registry of Deeds? ,
NO el DON'T KNOW Q YES 0
IF YES: enter Book Page! ! and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Cr DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q Date Issued:
C. Do any signs exist on the property? YES Q NO er
i
IF YES, describe size, type and location: j 1
D. Are there any proposed changes to or additions of signs intended for the property? YES NO Q
IF YES, describe size, type and location: j ®e a Zp,V/Nt_ i
E. Will the construction activity disturb(clearing,grading,excav • n,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 , NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
r
Versionl.7 Commercial Building Permit May 15,2000
r..
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGSAND-STRUCTURES SUBJECTTO
CONSTRUCTION CONTROL PURSUANTTO 780=CMR 11&(CONTAINING MORE THAN35,000 C;F.OF ENCLOSED-SPACE)
9.1 Registered Architect
Not Applicable ❑
f
Name(Registrant):
i
Registration Number
Address ! !
, - Expiration Date
i
Signature Telephone "
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
I i
Signature Telephone
_ p Expiration Date
i
i
Name Area of Responsibility
i
Address Registration Number
1 I
Signature 9 Telephone Expiration Date
I
Name Area of Responsibility
i
7
Address Registration Number
1 1 l
i
Signature Telephone Expiration Date
I E1
Name Area of Responsibility
I
Address Registration Number
`
1
Signature Telephone Expiration Date
9.3 General Contractor
I 61P h0..\ Are. jt "' kraiif- I Not Applicable ❑
Company Name:
(,er Jd. 4 rya,.., &It ,"de s r
Responsible In Charge of C nstruction
Addr ss G y, <0`pG .- ��
1► /i4 FIG
V �- Y/3 414/S7319
Signature Telephone
Version1.7 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
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I ,/w 1 c+ F - —re t-C ,D lj PVC (e/Q) `F N C as Owner of the subject property
hereby authorize "'A r`"^' Y� '�'y " ` to
act on my behalf,in all m ers relative to work authorized by this building permit application.
Signature of Owner Date
�G &.. 7 k'
I,; , as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and enalties of perjury. �-
.1
6e, r .. �
Print Na20.40V A
, !� 4+ 7-9‘. , I
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable� ❑
Name of License Holder:1 "t r 1_g,� �G'� it 1 651 b ` S
License Number
°/ , Pro s2(.`i' 4.- instill; . , , 6 7i)
Address Expiration Date
17q3— c-51Y-s73 g I
Signature +�-t� Q
at.140.4t41,4"-
Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G:L.c.152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes Q No 0
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•
?, (rii12 of Northampton i _
i1 s � 7 E }2Lainclinsdfs- —
•
r,+C
Q- DEPARTMENT OP BUILDING INSPECTIONS • _
' 212 Main Street ' Municipal Building
Northampton, Mass. 01060 r'
WORKER'S COiYEPENSA l•LON G`fSUJANC)'- A1T DDAYIJ'
I, _c_;.___q_mi a...A i__.t L a.,„i I,d.a Je________ _ _.___
0iccus-Jpermitux) p fi
with___ _ ai e lac us-i-ag•ss/-ctsidencc at: PC3 Y haspot . .
FLVJRd S_ 9 ' 6__. Q f 007 D -(.pone:') if/3 'f 7 3
(sumcJcity/statcf p)
do hereby certify, under the pains and penalties of perjury, that
(X) I am an employer providing the following_ 0.'orker's compcnsadon cove age for my
employees worlting on this job:
•
li. V660s609o0 3' /Q-o
•
(insure Company) (Folic: Nusabor) (r:-piraor, Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the conuactors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Coinoany/1'oU NurIlL'cr) (ExpIrdt:on Date)
(Name of Coucrzaor) (Intranet. Company/Policy Nunbrr) (Excitation Date) ,
(Name of Cotnractor) Qnsuranc: Company/Policy Number) (Expirtioo Date)
(Name of Contractor) (Lnsurancc Comcany/Poticy Number) - (Expiration Date).
(on.th 36Vtiee3J co'.sct if noocs.zy to mclu.&infocta.�oo peoinin6 to.L ccm-_a-ors) .
i.
( ) I am a sole proprietor and have no one working for me.
( ) I am.a home owner performing all the work myself.
NOTE:pleu be aw-uc dial M't.^_le heascov-ocn M'bo caxplay pctoss to do t".rrt.---,irYv cc r-.:cs.o a rcpair wort on c ds.r-Clinz of
not mote th:.o tl.r-oc trait;is which the bomoouvcr nctictie or co the p of ocb appurtcar1 tbc-do c.--r oat focally cocs;dc-td to be
ccaploycs undo the vva1; -...ion Art(GLI 2,n l(5)),apptiarioo by s bomco4vc fct-ls�_cr pcmit=I cszdcocc chc
1cg,J ns.,.,of.3==ploys under iha Wock.oe.Cocapoocal_o¢A .
t uodQsund rt.:a copy of thi.carenmt may bo foa�+a.ded to tbo Dcoartmcet of].+b.rrial nccdmb'Office of ina.r.oco for e1.
coverasc vcrif caioa and that f_i t=to scare tovcrase under section 25 A of hIOL 152 on heal In the i Kitioo of c oiinst Peatliic,
coca/sing of a floc of up to S1,500.00 and/or ar ciwomc i orup to ooc year e.oc1 civil pm+Jtio is he form of a Stop Work Ordcr and.
lira of S 100.00.day tp.lnat to .
For dcpt.r - u,e only
/n�( I�e'1RIIJt l`111ID bcr
��� . :�' I �_ 7 V 6 )vfap __ Lot :
Si�ture of Lic�sce/Pcrmiucc L73te ..._-- .
Jul, 24. 2006 10: 59AM No. 4700 P. 1
Forish Construction TRANSMITTAL
PO Box 358 No. 00041
21 Mainline Dr. Phone: 413-568-8624
Westfield,MA 01086 Fax: 413-562-7136
PROJECT: PVC West Tnc. �--- DATE: 7/24/2006
TO: L'' '' "4 SUPPLY REF: Fire Department Permits
1UL 2 7 2006
L- . ,ixsP'r oFn S
ATTN: Sylvia
WE ARE SENDING; SUBMITTED FOR: ACTION TAKEN:
❑ Shop Drawings ❑ Approval ❑ Approved as Submitted
❑ der Your Use ❑ Approved as Noted
❑ Prints I7r As Requested ❑ Returned After Loan
Change Order Review and Comment ❑ Resubmit
❑ Plans El Submit
LI Samples SE?{T VIA: LI Returned _
❑ Specifications 17 Attached ❑ Returned for Corrections
❑ Other ❑ Separate Cover Via: Fax f] Due Date:
COPIES DATE DRAWING NUMBER REV.NO. DESCRIPTION
1 7/13/2006 Fire Suppression Work Permit
1 3/1/2006 Fire Department Memo(2 pages)
Remarks: Sylvia,
Jerry asked that I fax this to you and that he will pick it up.
Jerry,
I have attached the memo from the Fire Department that we received when we submitted the original permit application for
the building shell. 1 have also attached the Fire Suppression work permit that was issued for the sprinkler work based on
the latest plans for the tenant fit-out. Please feel free to call with any questions or if you need any additional information.
Thank you.
'
CC: Signed: !
t=acpv ition13)
Jul. 24. 2006.€11 : 00ANx 4135871272 No. 4700 P. 2 aooi
7T- Top,
Northampton Fire
- Department
Memorandum
To: Tony Patillo
From Duane Nichols
Dater March 1,2006
CC: Brian Duggan
Re: PVC Wes, 168-100 Industrial Drive
Secondary to a review of the fire protection narrative and plans that were submitted
to me for review, I concur with the issuance of a building permit subject to the
following conditions,
• A Fire Department Emergency Access Key Box is required on the exterior of
the structure near the main entrance; a red 120-candela strobe light that
actuates upon an alarm condition is required above the Key box.
• Engraved key tags and proper keys are placed in the Key Box.
• A Fire Alarm Annunciator panel and/or Fire Alarm Control panel needs to be
located at the front entrance. All panels need to be dearly marked with red
engraved signage with one-Witch white lettering clearly identifying panel.
• A graphic representation of the structure must be installed at the Fire Alarm
Control Panel (FACP)and/or Fire Alarm Annunciator.
• Pull stations are required at the exits. Must be double action type.
• Horn/Strobes are required throughout the building for occupant notification
•Page l
Received Time Mar. 1. 4:57PM
Jul. 24. 200651 1 :00AMx 4135871272 No. 4700 P. 3 ll002
• 5 lb.ABC fire extinguishers are required under each pull station.
• Fire alarm and Fire suppression work permits need to be obtained.
• The FD connection for sprinkler system is to be 4" Storz connection with an
attached chain, in addition a sign reading "Fire Department Connection" in 3"
white letters on a red background Is to be mounted above the connection.
Also an electric bell, which activates upon water flow, must be located above
this sign.
• Fire alarm/sprinkler system must be monitored by a UL listed central station or
go direct to Northampton Public Safety Dispatch though the city fire alarm
system.
• Fire alarm and sprinkler plans need to be submitted to Fire Department for
review as soon as possible
•Page 2
Received Time Mar. 1. 4:57PM
Jul. 24. _2006111.00AM HFP CORPORATION No. 4700 PP. 4
. _ Fire Prevention Featuro8 36 January 1,2005
&Installation Guide
Northampton Fire Department ca'coP
26 Carton Drive, Northampton, Massachusetts 01060-2373 P
Telephone: (413) 587-1032 Fax: (413)587-1034
Fire Prevention/Operatails Officer Duane A.Nichols
Deputy Chiefs:Dana Cheverette,DaVid Gagne,
William Hui1 y and Thnothy MaCiueston
TrainIng Officer,Andrew Pena
Brian P. Duggan Wilktlite74
Fire Chief
FIRE SUPPRESSION WORK PERMIT
Facility Name&Address: 11� " � �� 't)C
Owner's Name &Address:D.40 t 8 )('6 49.2Aost-e4 c S�a4(
Contact Person # t 3 'S'9a- 42u
Company/Technician performing work:e Ma, t_ie.# ,c(4,04,4
Dates of work are as follows:
Description of suppression work to be performed:
•
•
Contractors performing work must notify Central Dispatch(413-587.1030)at the start of
each work session, and when work is finished,or when work is finished for the day,An
electrical work permit must be obtained from the Elet'Scai inspector(413. 87.12A4)
Fire SuppressiCn gru k permit Fes S$ya Pa1d: Receipt Number:
Approved By i)/1•41-4-1jk&I.._-_--Date 7 /3-OS►
Received Time Jul. 13, 11 :36AM
t t-n_I.nc ^� Ufl..J kili►i RCTT.-/ ZF!;62 900z/c'TfLA
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