32C-140 (47) 351 PLEASANT ST-APT I BP-2017-0181
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 32C- 140 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv' windows replaced BUILDING PERMIT
Permit# BP-2017-0181
Project# JS-2017-000294
Est. Cost: $6500.00
Fee:$100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RHODES GENERAL CONTRACTING LLC 109300
Lot Size(sa.ft.): Owner: RADOCCKIA ANTONIO&JANE GRISWOLD RADOCCHIA
Zoning: 013(93)/URC(7)/WP(1)/ Applicant: RHODES GENERAL CONTRACTING LLC
AT: 351 PLEASANT ST - APT 1
Applicant Address: Phone: Insurance:
P O BOX 402 (413) 658-8276
SHUTESBURYMA01054 ISSUED ON:8/11/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 4 REPLACEMENT WINDOWS -APT 1
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 8/11/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File 4 BP-2017-0181
APPLICANT/CONTACT PERSON RHODES GENERAL CONTRACTING LLC
ADDRESS/PHONE P O BOX 402 SHUTESBURY01054(413)658-8276
PROPERTY LOCATION 351 PLEASANT ST-APT 1
MAP 32C PARCEL 140 000 ZONE GB(93)/URC(7)/WP(1)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Ji7 `�{/oro
Building Permit Filled out
Fee Paid
Typeof Construction:_INSTALL 4 REPLACEMENT WINDOWS-APT 1
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildino Plans Included:
Owner/Statement or License 109300
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
iroved 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
iti.•
Signatu - 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.
Versionl.7 Commercial Building Permit May I5,2000
Department use only
ity of Northampton Status of Permit:
RECEIVED uilding Department Curb CuUDriveway Permit -
212 Main Street Sewer/Septic Availability
AUGI Q 20i6 Ro0m 100 Water/Well Availability
IRN No hampton, MA 01060 Two Sets of Structural Plans
13 87-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
ra
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 P Tarty Address: This section to be completed by office
351 3.Pleasant St Apt.1,Northampton,Ma 01060 Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Pnm)JQnc Rack or-cAl a:— n Current Mailing Address: U" 0' acv 4, a
go if mp,A...,,r' ,4ya€„, /./�4,,... r._t+.— nir,...-� ,...�, noir- c ,�. /
skirt re nee-v--c',---2 Telephone C y/ -D) 6 5z7 -4 al
2.2 Authorzed Agent:
n(Print) n, e my” �.-
Name :.
17( �Rv s�.- (g( y7 -Y' Current Mailing Agomss: J C- Jr),,,r C/'a
/Lz r 1 <Y.—r fr-. M/— Ci<bi
Signature ,-moo 2C-C1>t.,._I 177 7N Telephone (V/ -),) 61G -E cifSECTION
/{SECTION 3-ESTIMATED CONSTR N COSTS
Item stimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building <es (a)Building Permit Fee
2. Electrical s$E500 (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) G.S� Check Number WY lTl irb
This Section For Official Use Only T/
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs 0 Demolition❑ Repairs Additions 0 Accessory Building❑
Exterior Alteration 0 Existing Ground Sign New Signs❑ Rooflng❑ Change of Use❑ Other
Remove four windows and install new constmction double casement windows with a U-value of
Brief Description
028 'FT
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A AssemblyElA-1 0 A-2 ❑ A-3 0 1A ❑
A-4 ❑ A-5 0 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C n
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 0 1-2 ❑ 1-3 0 3B (1
M Mercantile 0 4 n
R Residential 1Z R-1 0 R-2 ® R-3 ❑ 5A ❑
S Storage ❑ S-1 0 S-2 0 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: 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)
17
2nd 2nd
3m 3
4th
4tl1
Total Area(si) 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 n Private n Zone Outside Flood Zonen Municipal n On site disposal system l
Versionl.7 Commercial Building Permit May 15,2000
B. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks cont
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
if of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document tt
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and Location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and Location:
E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre oris it part of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
V ersionl.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 118(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable 0
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 Expiation 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
Rhodes General Contracting LLC
Not Applicable❑
Company Name:
Thomas P Rhodes
Responsible In Charge of Construction
GY-Montague Rd,Shutesbury,Ma 01072
Address
fahsr
Signature Telephone
Version!.7 Commercial Building Puma May 15,2000
SECTION t0-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No 0
SECTION 11-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT nn
//�� ,4 e. 7
I, t-h tit < , a. /9/ ,as BBrrooh1er of the subject property
Rhodes General Contracting LLC
hereby authorize to
act on my behalf,in all matters relative o work authorized by this building permit application.
L�ec.2 7 9
Signature a Owner ,'� P/Oate1/
,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 penalties of perjury.
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
101 Licensed Construction Supervisor: Not Applicable
Thomas P Rhodes
Name of License Holder: OAK, C — t673co
�t License Number
14§Montague Rd,Shutesbury,Ma 01072
OS 73//2o/7
Address Expiration Date
413-658-8276
SgnaNre Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8))
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 O No 0
The Commonwealth of Massachusetts
[ pot
Department of Industrial Accidents
_9 Office of Investigations
=MOSl Congress Street,Suite 100
t0:, Boston,MA 02114-2017
y_, www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Rhodes General Contracting LLC
Name (Business/Organization/Individual): _
Address: 152 Shutesbury Rd PO Box 402
City/State/Zip:Leverett, Ma 01054 Phone#:413-658-8276
Are you an employer? Check the appropriate box: Typeof project(required):
4. I am ageneral contractor and I p J
1.[9 I am a employer with6. a New construction
employees(full and/or part-time).' have hired the sub-contractors
listed on the attached sheet. 7. 0 Remodeling
2.111 I am a sole proprietor or partner-
ship and have no employees These sub-contractors have g, 0 Demolition
workingfor me in anycapacity. employees and have workers'
t 9. ®Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. a We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' right of exemption per MGL
Y comp. 12.0 Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
•Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-S. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
1 do hereby certify under the ns andpens s of perjury that the information provided above is true and correct.
Signature: t Date: `1(9(L,;(6
Phone#: 111 5 6b u - 12 7C
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, 854, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 351 N Pleasant St Apt 1
The debris will be transported by: Rhodes General Contracting L
The debris will be received by: Valley Recycling
Building permit number:
Name of Permit Applicant �M s IZw od
819Ro16
Date Signature of Permit Applicant
Rhodes General Contracting LLC
PO Box 402
Leverett, Ma 01054
Commissioner Hasbrouck 8/4/2016
Subject: Request for Waiver
I request that you grant a modification to waive the requirement for control construction for the
instillation of four new construction casement windows at 351 N. Pleasant St Apt 1 in 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.All work will be completed within the prescriptive
requirements of 780 CMR.Thank you for your consideration.
"Mass Amendments,sections 107.1 allows for an exclusion from control construction for this project"
Respectfully,
Thomas P Rhodes
Rhodes General Contracting LLC
PO Box 402
Leverett, Ma 01054