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