Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
23B-089 (2)
BP-2024-1407 187 LOCUST ST COMMONWEALTH OF MASSACHUSETTS M ap:Block:Lot: 23B-089-001 CITY OF NORTHAM PTON Permit: Acc Structure PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-1407 PERMISSION IS HEREBY GRANTED TO: Project# 10X12 HUT Contractor: License: Est.Cost: 10000 MCM SOLUTIONS LLC 045054 Const.Class: Exp.Date: 12/20/2024 Use Group: Owner: G GEORGE, MICHAEL Lot Size (sq.ft.) Zoning: 01 Applicant: MCM SOLUTIONS LLC Applicant Address Phone: Insurance: 101 BORDEN AVE (607)373-3605 11DBL8220800 NORWICH,NY 13815 ISSUED ON: 10/24/2024 TO PERFORM THE FOLLOWING WORK: 10X12 COMMUNICATION HUT 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 !Ms Final: 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. Signatu re: ie72_ Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED ()CI 2 3 2024 w The Commonwealth of Mas ac usetts Office of Public Safety and Inspection Massachusetts State Building Code(780 CMR),T OF GUII DING INSPECTIONS Building Permit Application for any Building other than • • - .1 .1;s'' •'•' M:01 s - (This Section For Official Use Only) Building Permit Number L' /4107 Date Applied: Building Official: SECTION 1:LOCATION 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 If New Construction check here Wror check all that apply in the two rows below Existing Building 0 Repair 0 Alteration l9" Addition 0 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 0 No I31' Is an Independent Structural Engineerin Peer Review required? Yes 0 No D� Brief Description of Proposed Work Cc CV.- a to X la y r c s 1 k_ f c.Cd CA...Lc( c� tU 1 a q CCSYVIW ,ArtaCi .c,.--. #iJ� -to f ooc _ -44 Ler t--, nAN L.;;vi; 4,4i0N S 9L'r,A„A17.A# 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) 0 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) j ldv Total Area(sq.ft.)and Total Height(ft) 1)0 9 SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ® E Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 11-2❑ H-3 0 H-4 0 H-5 0 I: Institutional I-1❑ I-2❑ 1-3❑ 1-4❑ 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&CONSTRUCTION TYPE(Check as applicable) IA 0 IBO IIA 0 IIB ❑ IBA IIIB ❑ IV 0 VA 0 VB 0 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 0 Check if outside Flood Zone as Indicate municipal 0 A e trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: • or on site system 0 rg 0 l trench or specify: s permmitit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicablettl- Is Structure within airport_approach area? , Is their review completed? or Consent to Build enclosed 0 Yes 0 or Neg. Yes 0 No 0 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: j .2nn . moo kit Cal 5, So(,a10/ 5.00 1 SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Addr9ss of Property Owner I C o'r . l ir-l� i $• -�rn , — ©i-O& Name(Print) No.and Street City/Town Zip Property Owner Contact Information: ,(4'-III eioA8' r, IC��Sc,�c . il i 3-a68g3ty• • 91_3 4 qqq N Georoy yoroymeeA-me_.c,e3-4Title Telephone No.(business) Telephone No. (cell) e-m ar If a plicable,the property owner hereby authorizes: crek c' 92) ame Street Address City own tate Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here - Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor IrV1L,1M <SC-A •.cm5 LLG. Comnany Name /.aPre,ft Ce/ 1F Cs —0`��c 6 -I Name of Person ooncihPei- or Cons , (ion License No. and Type if A licable 311 - O'iot) Vit 'atAl-V$A _PD 426 Street Addrncc City/Town State Zip (4 31(2-g(oo & 7 -'alb_, UGC' CSto L p'len9 i'v*1C1SILe. ten., 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—' ante of the building permit. Is a signed Affidavit submitted with this application? Yes E No 0 SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor I� Item and Materials) Total Construction Cost(from Item 6)_$ ��c 1.Building $ S-C'00 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ .c CO(2 appropriate municipal factor)_$ . 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee= O (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ /'&a CC L) (contact municipality)and write check number here C J a ,,„, 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 t of my wledge d understanding. Pleaseprint and sign name Title Telephone No. to lg0 fad A..+G�f v oID33 icw;1 . @ - ,: Street Adclres City/To n State Zip Email A ess C Municipal Inspector to fill out this section upon application approval: i/ 1 s .24i-ZOZy Name Date Initial Construction Control Document !e' To be submitted with the building permit application by a ( t ' l Registered Design Professional for work per the ninth edition of the • Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Date: i a(CS(J b Property Address: .)e.,,,4 . toA ' _ 4 Project: Check(x)one or both as applicable: New construction `Existing Construction Project description: �\„ce.._ W (0 x I <cNyNcdt�4c \fpCc . c,V.c( cz jU }C ('l X 1 ( (c:+�ll'1V,1 kJ-r a .,nmL)%1.6 c.s-i:c� Lc/v� I MA Registration Number: Expiration date: ,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerningl_ 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" vet" or electronic signature and seal: Phone number: Email: Building Official Use Only Building Official Name: Permit No.: Date: Note L 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 20IS Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required.The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information - - Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. City of Northampton O O� OI t Massachusetts it� A_ ' `� 4. r' DEPARTMENT OF BUILDING INSPECTIONS 1,7 '� - - '. 212 Main Straat • Municipal Building eti. y •�'t�_ Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: I O ( BDt ATN � --, (`-, '( m , 3b/S The debris will be transported by: Name of Hauler: C vKim c i tdeY\S LLL Signature of Applicant: Date: 5_ 1.-/ The Commonwealth of Alassachusetts eDepartment of Industrial Accidents 5 - el 1 Congress Street,Suite 100 '�a= Boston, 31A 02114-2017 'N:,�-t\�` www.mass.govidia 11'ut kers'Compensation Insurance Aflidas it:Builderv('ontractomiElectriciam1Plumht r . TO BE.HIED N t"Ttl THE PERMIT!INC At IHORI 11. Applicant Information � Please Print Legibly Name(Business Organizationindtv-iduall: A/�I lL YV tVL.c—s _L LC.---- --- Address: /b f Ao''CLQ.(n City/State/Zip: jJ�f i/t.�l.i �'1 1 ) /30/C Phone#: 607 r S73 g‘00.5' .arc ton an employer'(bttl.the apprupriatr but: Type of project(required): I 1 am a crrrlot unh cmpkgec.(full and or part-tint!.' 7. D Nett construction :0 I am a ilk pruptetur or puflnt ship and hate no emplaces wanting fur me in K_ El Remodeling a71\17112L11..{Nu V.orlers'some.nL>Uranti :AMU/Ma 9. ❑ Demolition D lama horneow new doing all uvrl tll..a It {So%utl rs'comp.ut.uran a required.)' ..D I am a h.lnsays.net and v.ill bc hiring.untrs tors to conduct all toil on my prop rt . I stJl 10 CI Building addition cruure that all contras tors either hate toilet'comp:at:1non lnaur.ine or an auk: I i Electrical repairs or additions prupncton..7.h nu cnrpluyc.s. 12.0 Plumbing repairs or additions S.0I ant a general son:fa.for and I cars c hued the subs.ontraetots lasted on the atta.bcd sheer �—+Tllesc sub-c.mtractun hate omit.) and kr.e sealers'comp.MAW-JINX, {;nRoof repairs I4.5gOthei Qecc,( h.D WC art::I.1/Tporatson and lb Utfieera hat c etiacia.d then right of iis.cs Lpiion pet,itr1... 151 1,1t4l.and sec hate no onpluse.s.{No orlcn song* in.uranse rcqutn-d I aylt,{ W.:�ltLl � .4.eize• 11.1Jel.0 ed.CV. •Arty applicant that chsils lwx.1 must also till out the section Must abutt ing their wurl.rs•conventallun pal icy information. ` � Ilenttuwrwn oho ubtn rit this atliJas it in.scattng otl they are doing all t. and then hire outside contractorstest.must submit a atfndat it rrklnslnbo G sh c(-�,�'r ontru.tan that stied this but mu>t at an additional shed.how ine the name o.'die suMeurttraenvs mid>tate w hether or not those cntnl-s has. entplu ect 1l the sub-contractors tas.:cmploseea.Chet,mutt plot ilk their \.orl.rs'comp-robe?number. I on.an employer that is providing worbe•rs'compensation insurance for raw employees. Below is the policy and job site information. Insurance Company Name: Policy h or Self-ins. Lie.a: ( I p RL..e l�-S UU 0 Expiration Date: l'>,/c i/t GlS- Job Site Address: I D7 Z-cGLi SA Si- City.'State;Zip:± C''\ `t� b 1L�). Attach a copy of the storker's'compensation policy declaration page(shorting the policy number an expir tion date). Failure to secure coverage as required under MGL c. 152. 25A is a criminal violation punishable by a line up to S1.500.00 anttor one-year imprisonment,as well as cis it 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 be fortsarded to the Office of Investigations of the DIA for insurance cot crave y.ntiratiun. I do hereby certi 'under the pains and penalties of perjury that the information provided above is true and correct. Sienature: Date: /0 C Phone»: Official use only. Do not write in this area.to he completed by city or town official City or Toni): Permitll.icense la - Issuing Authority(circle one): I.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone fs: 1