44-056 (11) BP-2023-0850
376 EASTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
44-056-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0850 PERMISSION IS HEREBY GRANTED TO:
Project# RENO 2023 Contractor: License:
Est. Cost: 138235 LEADING EDGE CONSTRUCTION 107031
Const.Class: Exp.Date: 08/08/2024
Use Group: Owner: TRUSTEE FOURNIER FRANK N 1II
Lot Size (sq.ft.)
Zoning: GI Applicant: LEADING EDGE CONSTRUCTION
Applicant Address Phone: Insurance:
9 MOODY RD (860)839-5668 1863741
ENFIELD, CT 06232
ISSUED ON: 06/29/2023
TO PERFORM THE FOLLOWING WORK:
INTERIOR RENO
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
1 1l
Fees Paid: $967.40
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED 1
The Commonwealth of Massac us ts,JUN 2 8 7023
Office of Public Safety and Inspectio s
Massachusetts State Building Code(780 C R)
Building Permit Application for any Building other than a 0 e-ofl ' Inch
(This Section For Official Use Only) oarNV1/44,70rd MA 01060 NS
Building Permit Number r g6-4 Date Applied: Building Official:
SECTION 1:LOCATION
376 Easthampton Rd. Northampton 01060
No.and Street City/Town Zip Code Name of Building(if applicable)
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used 2015-IBC If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration ® Addition❑ Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes El No 0
Is an Independent Structural Engineering Peer Review required? Yes ►+ No 0
Brief Description of Proposed Work: Interior remodgel consisting of non load bearing steel framing,
Sheet Rock, epoxy flooring, bathroom finishes, minor plumbing and minor electrical.
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 2 1569 2 1569
Total Area(sq.ft.)and Total Height(ft.) 16' 16'
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 ❑ A-4 0 A-5 0 B: Business El E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2 0 I-3 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA CI IB ❑ IIA ❑ IIB IIIA ❑ IIIB ❑ IV 0 VA El VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public i Check if outside Flood Zone 8 Indicate municipal Cal
A trench will not be Licensed Disposal Site v
Private 0 or indentify Zone: or on site system❑ required E or trench or specify:
permit is enclosed 0 Budget Dumpster
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable L) Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No Et Yes 0 No _+
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: _Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Frank Fournier All 376 Easthampton rd Nothampton 01060
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Owner _ - 1-413-535-7093
Title Telephone No. (business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Leading Edge Construction 9 Moody Rd. Enfield CT 06082
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Keith Benttencourt 508-583-5603 kbettencourt@bkaarchs.com
Name(Registrant) Telephone No. e-mail address Registration Number
142 CRESCENT ST. BROCKTON. MA 02302
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Leading edge Construction LLC
Company Name CS-107031
Erik Sanderson
Name of Person Responsible for Construction License No. and Type if Applicable
9 Moody Rd. Enfield CT 06232
Street Address City/Town State Zip
- -
860 839 5668 Erik(a�le-con.com
Telephone No.(business) Telephone No. (cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT (M.G.L.c.152.§ 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes El No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6) =$ 138,235.00
1.Building $ 91,250.00 Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ 23,860.00 appropriate municipal factor)=$
3.Plumbing $ 8,750.00
4.Mechanical (HVAC) $ 14,375.00 Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to Check was delivered 6/23/23
6.Total Cost $ 138,235.00 (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the best of my knowledge and understanding.
Erik Sanderson Project Manager 860 839.5668 6/15/22
Please print and sign name Title Telephone No. Date
9 Moody Rd Enfield CT 06082 Erik@le-con.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: 6/d1/P3
Name Date
The Commonwealth of Massachusetts
Department of Industrial.-lecideitts
1 Congress Street,Suite 100
"
Boston,MA 0114-2017
www.mass.govidia
' aiters f'ompensation Insurance Affidavit:Builders:ContractorsfEkctricianstPlumbers.
ft)HE FII..ED WITH IIIE PERAII fl'ING AUTHORITY.
Applicant Information Please Print Legibly
Name illustncswOrgana=ticmfinclivinlualy. Leading Edge Construction LLC.
Address: 9 Moody Rd.
City/State/Zip: Enfield CT 06082 Phone ff: 860-839-5668
Are yoi an eittPktYlEr?Clikx h !he,.11,11t,Trutt:box.: Type of project(required):
I.C3 I arn a ernplotykx r. errspiuyeet(full andlot part-tirrieL" 7. New construction
2C:Il am a 3ok-prop i-,.;ticratip and hasse nu employers working for me in 8. Remodeling
any capacity.No workers'cuing.insurance nmpareal
U Demolition
I am liormov.ner doing all se orL myself'No workurs.comp_UbtlialikX required,
0 fl Building addition
lam a itunsaAncr and*Mlle luring contractors to cocaina all work L1191113,proplYty. I All,
crtsun:that all emu-at:tun either hase worker.'coca:rm.-1411011 LITMACHFILN,or are!tole II.c3 Electrical repairs or addition,
prupnt`ttns*ids no cznplo'yettc.
12..E]Plumbing repairs or additions
lam a general contractor and I have hired the sub-contractors listed on the auskired sheL-t.
w Iin Roof repairs
These lob-taturiit:iars have thnpluyem and have orkers.'comp.tibliratlet
14.1:1 Other
(3.E3 We are a exxparahur•and its officers have eaereined their right of cti.tription per MGL L.
152,§II 41.and IA e havoc'no enspltryees.[No workers'camp_insur.incc regunvtil
'Any applicant]that cltecks bus 2 roust*tau 1111 out the section below,show ins their notHien.'compensation lad k-y information.
Magnet/Wrier%Who submit this affidavit indAcating they arc&nag all sa ork and then hue outside iontractorN nant submit a tura affidavit tralicalcts such.
leurntaelurs that check this butt must attached an additional sheet show mg the name of the sub-Ontrax:tors and,tate nit/abet tw not those tlreitiel,have
eiriployeo, If the:will.t.OraracEors Lase clra, ccr, utthl pro',tdc Thor Aorkers-4.-03np pulky nunircr
I am an einplot•er that L providing reurArn"compensation insurance for my employees. Below i_s the polity and job site
infOrmation.
Insurance Company Name: Accord
Policy#or Sell-ins, Lic, ',I; 1863741 xpiration Date:
Job Site Address: 376 Easthampton Rd. CitviState7Zip: Northam 060
Attach a copy of the.rw nrkets'compensation policy declaration page(shun ing expiration date).
Failure to secure coverage as required under NIGL c. 152,*25A as a criminal violation punishable by a tine up to S1,500.00
and or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S250.00 a
day against the violator A copy of this statement may he forwarded to the OlSoe of Investigations of the DIA for insurance
coverage verification.
1 do hereby Cerfifi'under the pains and penalties of perjury rho,the information provided above is true and correct
Signature: Date:
ph„,, 860-839-5668
Official use only. Do loot write in this area.to he completed hi city er town official
('ity or Town: Permit/License*
Issuing Authority (circle one):
I. Board of Health 2.Building,Department 3.C:by/Tunis Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.C.)1 her
Contact Person: Phone ii:
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
4.4
for work per the ninth edition of the
.. V Massachusetts State Building Code, 780 CMR, Section 107
Project Title: MMM Transport renovation Date:3-7-23 Project No. 222201
Property Address: 376 Easthampton Road,Northampton MA
Project: Check(x) one or both as applicable: New construction X Existing Construction
Project description:Renovation of an existing block building to increase the size of the product vault
I Keith Bettencourt MA Registration Number: 951180 Expiration date:8-31-23 ,am a registered design professional, and I
have prepared or directly supervised the preparation of all design plans,computations and specifications concerningl:
X Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,
in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final Construction Control Document'.
Enter in the space to the right a"wet" or �tiR£°Ark.,
electronic signature and seal: wog s, �1TEkep F0
No S51180
Ai 1 SACHt1S ♦= �t
IA 40,
Phone number: 508-728-3853 Email:
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other' is
chosen,provide a description.
Version 01 01 2018