32C-166 .. ....
Version1.7 Commercial Building Permit May 15, 2000
4
SECTION 10- STRUCTURAL PEER REVIEW (780 CNIR 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 PERNIIT
I, _ ).A . _ ..1„.L4.„4.,,,____ ........ ......,______. ..... , as Owner of the subject property
hereby authorize . .. _ _ 1 . ___._ ____S__ _ --
act on my behalf, in all ers relative to work authorized by this building permit application.
i'V'. 1 404 l /2
rtt
Signature of Owner
Date
C,A, Srs 2
9_Nt ------ -
. .. ___________ , 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 oder the pains and
Print Name / 4
7.6 5( )0 - - - ------ ----------- ----
,
Signature of Owner/Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder
'---- D - CNA' ' 15— Cia'
: _ „...____ ...... ....._ --_,....
-,>:Ci....
.,. _ ....
License Number
. .. ____ .......
' aic 4 / _,./' A • , L
Address Expiration Date
Signature ,,ol 0), 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 buil ing permit.
Signed Affidavit Attached Yes No
--- _ _ — - - -- --- --
Version1.7 Commercial Building Permit May 15, 2000
J
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 EISLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
p
i
Name (Registrant): ' - - --- --- -- --
Registration Number _.^
Address i - __......_._.....„. — _......w.w...,..,,
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
__w i
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
i s
i
Name Area of Responsibility
r
Address __.:.__ _ _ __.
. _ Registration Number mm P M
Signature Telephone Expiration Date
F I
Name Area of Responsibility
i I
s
Address Registration Number
Signature Telephone Expiration Date
i
Name Area of Responsibility
i
_
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
._,. _. .- Not Applicable ❑
Company Name:
w : A`_ _..__ —
__. _.__
Responsible In Charge of Construction
Address
-, y _ 5y
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON. ZONING
Existing Proposed Required by Zoning
This column tole filled in by
Building Department
Lot Size L. 1 ; • ,, , —_
Frontage 1 ,..... _____ __ _
Setbacks Front •
Side L: R: L:; .._. R:' _ f
Rear
Building Height __ -, _"_" I ,
Bldg. Square Footage % r "M."_.i I 1 _ ,
Open Space Footage
a 3 _ i_.__ i - .
(Lot area minus bldg &paved € j
parking)
# of Parking Spaces
Fill: �_ _ .��_..wvM
(volume & Location) -• _. ._ _. __
A. Has a Special Permit /Variance /Finding ver been issued for /on the site?
NO DONT KNOW YES 0
1
IF YES date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book ' I Page, and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 421 DONT KNOW 0 YES 0
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 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 NO (S1
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excav ion, 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.
Version1.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVIC FOR PROJECTS LESS THAN 35,000 iii,i4 1
CUBIC FEET OF ENCLOSED SPACE ■ z
Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Access7lrry ng ❑'LL
Exterior Alteration ❑ Existing Ground Sign 0 New Signs ❑ Roofing 0 Change of Use ❑ Other "`-
Brief Description ' Enter a brief description here. e� f \) i yv_,y„6 v - 651 S ic
Of Proposed Work:
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
,�,/ A-4 ❑ A -5 ❑ 1B ❑
B Business 2A ❑
E Educational ❑ 2B ' r ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ -- 3A ❑
Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑
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: .. . nc 5 35. — Proposed Use Group: ' ^^'fir
Existing Hazard Index 780 CMR 34): ` _„^ ,_.., Proposed Hazard Index 780 CMR 34): „ , ._._ _. mm___?
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1st " v ___......__.._ _.__, 1 sr i ,
2nd 2 n d
3`d .m.__..._.___ _______ ,_ 3`d
4th , __ e g
Total Area (sf) 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: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone';__ ,_,,___ __ Outside Flood Zone❑ Municipal ❑ On site disposal system
G V Version1.7 Commercial Buildin• Permit Ma 15,_2000
• Qepart �t�ttse'�ail ��� �� � � �.
�' a of Northampton qo
vitti uil. ing Department .1 ofit '444'
t aptiOn fla 2 ' Main Street;
cep
Room 100 . 4
Northampton, MA 01060 . a ct Q t�,
phone 413 - 587 -1240 Fax 413 - 587 -1272 R.
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 Propertv Address: This section to be completed by office
�'ti`ac3 �^ Map Lot Unit
1
Zone Overlay District
EImSt`District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
� LC. c. I M et a % ... _... _ . 4' 4
Name (Print) Current Mailing Address:
Signature I V - Telephone
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - 'ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6) _ _
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =,(1 + 2 + 3 + 4 + 5) V // Check Number /57.0 / tg SS
This. Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2012 -0437
APPLICANT /CONTACT PERSON PIONEER CONTRACTORS
ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413) 586-5491 "r
PROPERTY LOCATION 196 PLEASANT ST PA52.-cur, ft
MAP 32C PARCEL 166 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out --
!
Fee Paid /,�', 1
Typeof Construction: INSTALL 6 REPLACEMENT WINDOWS ON EAST SIDE
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included:
Owner/ Statement or License 017890
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN 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:
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
// t
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.
NOW
196 PLEASANT ST BP- 2012 -0437
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C - 166 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: window replaced BUILDING PERMIT
Permit # BP- 2012 -0437
Project # JS- 2012- 000707
Est. Cost: $2500.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): 5401.44 Owner: MANHAN NARROW LLC
Zoning: CB(100)/ Applicant: PIONEER CONTRACTORS
AT: 196 PLEASANT ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586 -5491 Workers Compensation
NORTHAMPTONMA01061 ISSUED ON:11/3/2011 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 6 REPLACEMENT WINDOWS ON EAST
SIDE
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 11/3/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner