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32C-017 (18) 78 MAN ST-LOWER LEVEL BP-2017-1442 GIs#: COMMONWEALTH OF MASSACHUSETTS Map flk ck: 32C-017 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit a BP-2017-1442 Project a JS-2017-002406 Est.Cost:$53500.00 Fee:$378.0 PERMISSION IS HEREBY GRANTED TO: Const.C ss: Contractor: License: Use Groyp;- PIONEER CONTRACTORS 017890 Lot Size(@g.ft.): 4094,64 Owner: TRIDENT REALTY CORP C/O HAMPSHIRE MANAGEMENT GROUP Zoning:CB00o4t Applicant: PIONEER CONTRACTORS AT: 78 MAIN ST - LOWER LEVEL Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTON MA01061 ISSUED ON:6/21/2017 0:00:00 TO PERFORM THE FOLLOWING WORK NEW WINDOWS AND DOOR IN EXISTING OPENINGS, TOILET ROOMS, HVAC, ELECTRIC 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 o 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 6/21/2017 0:00:00 $378.00 212 Main Street,Phone(413)587-1240, Fax:(41'3)587-1272 Louis Hasbrouck-Building Commissioner File#BP-2017-1442 APPLICANT/CONTACT PERSON PIONEER CONTRACTORS ADDRESS/PHONE PO Box t 145 NORTHAMPTON (413)536-5491 PROPERTY LOCATION 78 MAIN ST-LOWER LEVEL MAP 32C PARCEL 017 001 ZONE CB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Feed Building Permit Filled out [;/f Fee Paid TypedConstruction: NEW WINDOWS AND DOOR IN EXISTING OPENINGS,TOILET ROOMS, HVAC �04/0 I tP'[) ELECTRIC New Construction Non Structural interior renovations Addition to Existing Accessory Stntctnre 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 INF RMATION PRESENTED: Approved—Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: She 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: Curti Cut from DPW _ Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit Porn CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay p/ �G ..,� 6 zr 7 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. s Variances are granted only to those applicants who meet the strict standards of MGL.40A.Contact Office of Planning&Development for more information, , Version! 7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: 3 Building Department Curb Cut/Dnveway Permit / // \� " 212 Main Street Sewer/Septic Availability K ``1�� i �/ Room 100 Water/Well Aveilability \ /' Northampton, MA 01060 Two Sets of Structural Plans_,,.,, "' phone 413-5874240 Fax 413-587-1272 Plot/Stte Plans tiw Other Spec APPL 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 1.1 Property Address. � This section to be completed by office -1� Mme- St ( LQt O ,. Lww4h0 Map 3.2 e, Lot O/7 Unit Zone Overlay District --- -- - - ' Elm St.District as District SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ p.�- ,1- ,, i rt�.YM� '�r�n.h , . _: Cita rw�p�G.uRi Q'rPry9� ) t Name(Print) l Current Mailngkddress 1 SD f••tidwwC + 1\CYf rey, M�t• OWLS Signature }� Telephone 1 - 41 ` • 1, 1t 2.2 Authorized Agent: '2 / y tty 44.4- (p &cn% c eU • B Box ti4 N r.wl} , j+AR : oe.t.1/4 Name(Print) Current Maing Address 413- 5%-gtq,1 Signature ' .#2 telephone SECTION 3-EST MATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee ttgef 2. Electrical . (b)Estimated Total Cost of �fOppt Construction from(6) . ... . . . .... ........... .. .. ... .. ...... 3. Plumbing n Building Permit Fee 4. Mechanical(HVAC) _.._. .t olaiTh'htl _ 5, Fire Protection ... .. .. hi. Total=(1 +2+3+4+5) J�(�t512v,ry Check Number ii 09/ - *371 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Version 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 0 Demolition Repairs Additions ❑ Accessory Building 0 Exterior Alteration 2/Existing Ground Sign 0 New Signs 0 Roofing❑ Change of Use El Other❑ Brief Description 'Enter a bri11`aL. tef description' ption here. k a.j \ 5 ;� -yt,,. �X 151`N9 Orr"'�C Of Proposed Work: IOL1 ^ S t.... hC r ic7lecllrtG SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 0 1A I 0 A-4 0 A-5 0 113 0 B Business I� 2A 0 E Educational 0 20 ❑ F Factory 0 F-1 ❑ F-2 0 2C ❑ H High Hazard 0 3A d I Institutional ❑ I-1 0 1-2 0h 0 3B ❑ M Mercantile 0 4 0 R Residential 0 R-1 0 R-2 0 R-3 0 5A ❑ S Storage 0 S-1 0 S-2 0 58 0 U Utility ❑ Speafy. 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: ra da^e55 __. Proposed Use Group: -_J.fxr}IFQ. 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) - 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft _ 7.Water Stipply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage ' posal System: Public IDPrivate 0 Zone Outside Flood Zone❑ Municipal LW On site disposal system Version).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 L R ... L: R Rear Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved j parking) #of Parking Spaces .- -. Fill: (volume&Location) ....._. ..._.. .. _. A. Has a Special Permit/Variance/Findin ver been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO V 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 I NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exca tion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version! 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 RegisteredRegi� Architect: (� i N.(rin+(iS r.+.n.'AS -ft .ej_ Not Applicable 0 Name(Registrant) "' '"� _ (t1 NCI L ¢.r #t _ 1 Reg•stmt on Number Address �p ••i J4 N^��^ -. -.. .Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsrbility 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 PIQytC.0 .,_Cpv,4lwuyMS _.__ .._.. Not Applicable Company Name ' Responsible In Charge of Construction P. 1145 iv t , Amp b mmlvf Address /) 7 Signature / Telephone Version l.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) y^.// Independent Structural Engineering Structural Peer Review Required Yes 0 No GJ SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FORBUILDING PERMIT /� 1, eftc ..,1 Rc,I £c1�' �. . C` O, AtatiA)�1 7, - YWC•-n 1T ,as Owner of the subject property hereby authorize C.I.6yp2(L1f . Y.�Lk6c5 _ . _.. to act on basalt, in all tters rel i e to work authorized by this building permit application. 1k . 671ln Signature of wner Date I, 1'r-Rv ro.r 6.1-et)-LT01-S .- ''w.1-4 l./Wv Pa's.._ ,as B.rner/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 //// �,, Signeddd under the pains and(penalties of penury. bat t.Y� • d" Print t D 4 ; 'u (A 01l, Na Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder l _.MGA)au.2 6-i3) A— _.. _.. . CS—©11 So _.. �-5. � �/ ,� L cenge Number P. b , B twS o[ eyi..15.a1dk31+r �✓ �? • drbb( . ' Hits Address /) r Expiration Date y 1)13 . 626 -72h7 Srgnatur 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 theebuuding permit. Signed Affidavit Attached Yes pQ No 0 The Co,nmozwea1th of Massachusetts ,-� Department of Industrial Accidents Office of Investigations - U ,f 600 Washington Street Boston, MA 02111 www.nzass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatim✓Individualy Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors ]fisted on the attached sheet. 7. ❑Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp. insurance? required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 nano of the sub-contractors and state whether or not those entities have employees. If the sub-contactors have employees,they must provide their workers'camp.policy number. I ain 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-ins.Lig.#: 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 oue-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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 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): 1.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, S54, 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: -7E St The debris will be transported by: Prow co, 640-ap✓s The debris will be received by: VnUgN ec ciiy� Building permit number: Name of Permit Applicant P1 weer. 619)0 45 Date Signature of Permit Applicant ("5' a (Iitg of Northampton = Y DEPARTMENT OF EUIIDDXC INSPECTIONS 47441= . 212 Main Street • Municipal Building lila Northampton, Mass. 01060 �m W'ORI R'S COMPENSATION INSURANCE AFI'IUAVTT i Pioneer Contractors (Iiceauxlpermittrr) with a principal place of business/residence at: P o _Box _1145 Nnrthamptnn MA 01.061--(phoned) 586 5491 (srrrEcity/s /ap) do hereby certify, under the pains and penalties of perjury, that: (t/j I am an employer providing the following worker's compensation coverage for my employers worlving on this job: Wcc 500595701200 Assnri stall Pmpliwimra Tnsnranne Co (Tasunnce Company) (Polley N miner) (&.Pe=aoo Due) () I am a sole proprietor, general contractor or homeowner (circle one) and have hued the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (insurance Compauy/Policy Number) (Ehputuou Dalt) (Name of Contractor) (Insurance Company/Policy Number) papa-anon Date) (Name of Connaemr) (Insurance Company/Policy Runic) (Epiraden Date) (Name of Contractor) (Insurance Company/Policy Num -r) (Expiration Date) (.uacb=mitio°d cl..a Jnecniaa.y to menu&information portninbag in all amaeara) ) I am a sole proprietor and have no one working for me. () I am a home owner performing all the work myself. NOTE:picot be aware that while bcconatoncm Mao®ploy pc,om m do m•i,a..,...-. coccoruc+ at ray'. work On.CMtWug of an mat 0.-a Lthoo w5o is which the boson:vs:or rinddco«m We poaau roam tkam tit cot gmin ly mmuvef to M aa>ploym undo the wcckcx egeigeesaioa Act(GLl52nt(5)),awls/an=by a homcowm fon Dome cc pormn ser obbocc We Icgafancon olio ,ployer undo-the Wohela Compa:mttion Aa ( undo-road that a copy of this tmumtm may be fotwW.d to tha Dcratwos°r .jAnnie-nate woe of dmuna far dm w+ge verification and that failweIo start cotenng°undcr zmion 23A of MGI.151 on 1a4 in Mc IMPOSiiioaactin-Ea-IL pmildo cocain:Tago(s foe of up to Si.M0,00 aaVa illliaiw®,yt°Cup to Gm ycr eatdvii paaltia a din Coma of a EMP Wok Ot coda . . fiene(St00.00 nay apt*me j For dmatmr l unc only •J P unit Numbee Lie ✓A fg �.7 Mafia Lot Sil;n hue of Licmcx/Permi.• 11 I I f , 1....C4 ' 1 � r -It ;f T_. ; 1 rt -I -.. 1 � � � ( I. tE,," ' y ' rr ,t' , 1 ' i. iT . , r - t 1 • ^y . '1 4 - aa- *at Niiiiix Q'j i_ 1 v. .....„ F F it -L�_ E.,, ` • 7' ' S x s`fPt3:' ••,dp ri > „ `u .,arxk ^S3 e. M r • y 4 _ - .-+ni.r.,�t.. ^.,N,d.w+^;• -vw'r wwM�"�rF4v"R. r i. *�}w°` 4 ' 'w"_ '•*.` -''''.. vn�i =+.y^ 4 as?+baa µsite q' }Y4 Fj xt iV - fi4' y 0 A" .. / '' =''.,:V',2xiy.A Y, r :40t ; „.„41.4 N 4 r „.t • ? rr N^ i 40, s*`+` t�` .1 . . 'r it-k� yaw'- r • .1."'”'\4F4'SI.i. Ak. s 2 .fir ',V.6 id 6 $ ` 9 r , bra".° l , f y' 0 Pioneer Contractors RBegieSt P1 Con, Inc. P.O Box 1145 Northampton, MA. 01061 Voice 413-586-5491 Fax 413-527-5099 E-Mail pioneercontraccyahoo com Cell 413.626.7267 To: Louis Hasbrouck/Bldg. Comm. From: David Claxton Fax: Pages: 1 Phone 413.587.1240 Date: 8 May,2017 Re: 78 Main St-Lower Level cc: ❑ Urgent X For Review 0 Please Comment 0 Please Reply 0 Please Recycle •Comments: I request that you grant a modification to waive the requirement for control construction for the installation of windows&entry door, handicapped accessible toilet rooms, hvac&electric at the above building in existing space, 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. Please see attached plans to permit application. Thank you for your consideration. Respectfully David Claxton Pioneer Contractors