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39A-078 (4) Pioneer Contractors Ftoposal Pi Con,Inc. P.O Box 1145 Northampton, MA. 01061 Voice 413-586-5491 Fax 413-527-5099 E-Mail pioneercontracevahoo.com Cell 413.626.7267 To: Louis Hasbrouck/Bldg. Comm. From: David Claxton Fax: Pages: 1 Phone: 413.587.1240 Date: 8 May, 2013 Re: 518 Pleasant-Window Repl. cc: ❑Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: I request that you grant a modification to waive the requirement for control construction for the window replacement project of 4 exisitng windows in existing opwenings at 518 Pleasant St., Northampton because the work is of a minor nature,will not affect health, accessibility, life and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work.Thank you for your consideration. Respectfully David Claxton Pioneer Contractors �� mss' T°fie �x 1 ft Narf1Ta1ITpfan 9 ( • •� F • ,` if _ DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building • Northampton, Mass. 01060 quo'V, WORKER'S COMPENSATION INSURANCE AFFIDAVIT Pioneer Contractors (licensee/perniiUee) with a principal place of business/residence at: P.O. Box 1145 Northaroptou-r MA 01061 —(phone;-) 586 5491 (stret/city/state Zip) do hereby certify, under the pains and penalties of perjury, that: (V I am an employer providing the following worker's compensation coverage for my employees working on this job: Wcc 50059570120012- • ' - -• tr • • - nSnranrc C— — - - (Insurana; Company) (Polic),Numher) (Expiration Date.) • ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (ExTiration Date) (Name of Contractor) (Insurance Company/Poticy Number) (Eypiralion Date) • (Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date.) (attach additional sheet ifaeaessuy to include information pertaining to all o at a ors) ( ) I am a sole proprietor and have no one worming for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ persons to do maintemmoc,construction or repair work as a dwelling of not morn than throe units in which the homeowner resides or on the grounds appurtenant tbercto arc not generally considered to be employers under the worker's onion Act(GL152.ss 1(5)),application by a bomcowvcr for a License oc permit may cvidcance the legal status of an omgsloyee under thei Worker's Campeenation AoL understand that a Dopy of thin an1tmeat may bo forwarded to the Department of loduain al Ancderrn'Offioo of LOSUROCO for the coverage vccificsiion and that failure to azure covctago under section.25A of MOL 152 can lead to the imposition of criminal pc-cal/kJ consisting of a the of up to S 1,500.00 and/or imprisooment of up to one year and civil pcaltics in the form of a Stop Work Orda"and a lino of 5100.00 a day against tae. For c until J°lY r Permit Number 1. �/' Maps Lot Sips tyre of Liccnsee/Pcrmi, L e • 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 518 Pleasant St. LLC--Ed Kamanski as Owner of the subject property hereby authorize Pioneer Contractors o act on my behalf, in all matters relative to work authorized by this building permit application. 05/08/2013 Signature of Owner Date Pioneer Contractors-David Claxton as-0waer/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 penalties of perjury., Print Name 4,7/ A LP,(1 05/08/2013 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ David Claxton CS017890 Name of License Holder: . License Number P.O. Box 1145 Northampton,MA. 01061 01/19/2014 Address Expiration Date � � cza,,,,e (413)626-7267 hone Signature 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 0 No r Versionl.7 Commercial Building Permit May 15,2000 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 ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor pioneer Contractors Not Applicable ❑ Company Name: David Claxton Responsible In Charge of Construction P.O. Box 1145 Northampton, MA. 01061 Address 44tei - f)(`' (413) 586-5491 Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side La R: L: R: ti Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES Q NO 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 IF YES, describe size, type and location: 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 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 51 Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other❑ Brief Description Enter a brief description here. Replace 4 existing windows in existing unchanged openings 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 I ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business IS 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-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. Business �e ; Proposed Use Group: Same Existing Hazard Index 780 CMR 34):• Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1St 1st 2nd 2nd 3rd 3rd 4th 4th 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 p Private ❑ Zone Outside Flood Zone p Municipal 1511 On site disposal system Versionl.7 Commercial Building Permit May 15,2000 a 4'ti ' Qm epa r trnOttuse tln1y l'// > � f i //' ,yx JLi� fi4 F r far s, City of Northampton S� .�s l ,t �nE r /j e, �hi 1 t RE EWE Building Department ``ty ltr'C tttp y'was,/ii '-� "-, As7� "�,,, "`, 212 Main Street eWerl bptlo aileb r Kira, , Room 100 W,q't Veil aite � �� ; ,, ,, O N A rthampton, MA 01060 Ta�p� is pf ";10,,,,,E,,,r gtui l t a s ° y �.it.;, � 1�l, •ho i- • 13 587-1240 Fax 413-587-1272 Plo tt� iOli, ' /� "7�1//// 0r �' ` '�y' DEPT.OF BUILDING INSPEC?IONB pth4 "P.-'.' S,eci /iii AV'7 ; 4 , 4/.ir 4,10,e'' ION 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: 518 Pleasant St. Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 518 Pleasant St. LLC 518 Pleasant St. Northampton,MA 01060 Name(Print) Current Mailing Address: (413) 586-3524 Signature '�� Telephone 2.2 Authorized Agent: Pioneer Contractors P.O. Box 1145 Northampton,MA. 01061 Name(Print) Current Mailing Address: (413) 586-5491 Signature Telephone ____,,aciji SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $2,500.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) `a. - _- 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection flea?6. Total=(1 +2+3+4+5) Check Number 056' This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2013-1083 APPLICANT/CONTACT PERSON PIONEER CONTRACTORS ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413)586-5491 PROPERTY LOCATION 518 PLEASANT ST MAP 39A PARCEL 078 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /60-o Fee Paid Typeof Construction: INSTALL 4 REPLACEMENT WINDOWS 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 INFO ION 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 Pelnrit 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 _jrnolit )ela Sign. ire of Building 0 icial 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. 518 PLEASANT ST BP-2013-1083 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A-078 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-2013-1083 Project# JS-2013-001785 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.): 48612.96 Owner: 518 PLEASANT STREET LLC Zoning: GB(100)/ Applicant: PIONEER CONTRACTORS AT: 518 PLEASANT ST Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTONMAO1061 ISSUED ON:5/16/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 4 REPLACEMENT WINDOWS 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 5/16/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner