32A-148 (13) 34 PLEASANT ST BP-2020-1025
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32A- 148 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ALTERATION BUILDING PERMIT
Permit# BP-2020-1025
Proiect# JS-2020-001731
Est.Cost: $35000.00
Fee: $245.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RONALD GROGAN 090818
Lot Size(sa.ft.): 7840.80 Owner: YANKEEBIBBA REALTY TRUST
Zoning:CB(100)/ Applicant: RONALD GROGAN
AT: 34 PLEASANT ST
Applicant Address: Phone: Insurance:
PO BOX 282
WHATELYMA01093 ISSUED ON.512912020 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCTION OF NEW EXTERIOR SHAFT
FROM GARAGE LEVEL TO DECK LEVEL FOR PERSONAL LIFT
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 5/29/2020 0:00:00 $245.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-11272
Louis Hasbrouck—Building Commissioner
File#BP-2020-1025
APPLICANT/CONTACT PERSON RONALD GROGAN
ADDRESS/PHONE PO BOX 282 WHATELY
PROPERTY LOCATION 34 PLEASANT ST
MAP 32A PARCEL 148 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
SED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCTION OF NEA EXTE HAFT FROM GARAGE LEVEL TO DECK
LEVEL FOR PERSONAL LIFT
New Construction
Non Structural interior renovations
Addition to Existin
Accesso1y Structure
Building Plans Included:
Owner/Statement or License 090818
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ORMATION PRESENTED:
Approved 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
Demolition Delay
64L T
I aen�
--
a9 a�
Si nature of Building Official 10 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 Buildin Permit May 15,2000
[� Department use only
r�&CS/V —City of Northampton Status of Permit: -
DBuilding Department Curb Cut/Driveway Permit
42 Main Street Sewer/Septic Availability
MAR 132020 / Room 100 Water/Well Availability
ort ampton, MA 01060 Two Sets of Structural Plans
DEaT OF one 13- 87-1240 Fax 413-587-1272 Plot/Site Plans
N�R7'An.I DON INA pECn0fVg
Other Specify
APPLICATION TO CONSTRUGT; EPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
of
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
30 Pleasant Street Map -4 Lot 1 y� unit
Northampton, MA 01060
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
YankeeBibba Realty Trust (YBRT). P. O. Box 790, Cedar Key, FL 32625-0790
Name(Print) Current Mailing Address:
(352) 543-9307
Signature Telephone
2.2 Authorized Aqent:
Elizabeth O'Grady, Trustee P. O. Box 790, Cedar Key, FL 32625-0790
Name(Print) Current Mailing Address:
(352) 543-9307
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building $33,000.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
$2,000.00 Construction from 6 $35,000.00
3. Plumbing $0.00 Building Permit Fee
4. Mechanical (HVAC) $0.00 q
�
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signture:
Build g Commissioner/Inspector of Buildin Date
Version].?Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations El Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑
Brief Description Construction of new exterior shaft from garage level to deck level above for new personal lift for
Of Proposed Work: use by unit owner within their space.
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 El 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: R2 Proposed Use Group: R2
Existing Hazard Index 780 CMR 34): 1 Proposed Hazard Index 780 CMR 34): 1
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 St 1 St
2nd 2nd
3rd 3rd
4th
4m
Total Area(so 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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal [Z] 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
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW (F) YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO e DONT KNOW O 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 ® 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 ® NO O
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 ® NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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 El
E. Katsanos - HAI Architecture
._ �.�...�
Name(Registrant): AR 8355
Richard E. Katsanos - HAI Architecture Registration Number
w. -
Address 08/31/2020
(413) 585-1512 Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
I
Address Registration Number
t
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
Ron Grogan Building Renovations Not Applicable ❑
Company Name:
Ronald Grogan
Responsible In Charge of Construction
P.O. BOX 282 WHATELY MA 01093
Address
—� 1-413-259-5111
Signa Telephone
Commcrcri;il Hiiildint Permit 'c"f,,
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes - No •
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize to
l
act on my behalf, in all matters relative to work authcrrazecl oy this building permit aoolication.
Signature of Owner Date
F=lizahc lh O'Gradv.Trn-�tee of YI-InkeeRihha f oadtN-Trilco
3 as Ovmer/Authorized
{ Agent hereby declare that the statements and information on the foregoing appiicatton are true and accurate. to the best of lily knowledge
! and belief I
Signed under the pains and penalties of perjury.
Elizabeth O'Grad-,
I Print Name I
March 12,2020
E yn3f}PO OWn#*''At?e,^? Galt'
SECTION 12-CONSTRUCTION SERVICES l
10.1 Licensed ConstructionSuSupervlgor. Not Applicable ❑
Narne of Ucense Molder 12_o,,q-- G/go�6,1,F4 p
Lcense N.
(1)f/,�_,4 Y h-t °
Address I Expiration mare
2-51
atur Telephone
SECTION 13-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§25C(6))
Lin
orkers Compensation insurance affidavit must be completed and submitted with this appiioavon. Failure to prov!de tnrs affidavitw ' resuit the denial of the issuance of the building permit_
Signed Affidavit Attached Yes 0 No f
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: 3 o PT -57-
The
rThe debris will be transported by: _f,,yyc
The debris will be received by:
Building permit number:
Name of Permit Applicant 12�-�.,k-,D C'G2 c, cTj2
Date Signature of Permit Applicant
FEZ The Commonwealth of Massachusetts
= Department of Industrial Accidents
d 1 Congress Street,Suite 100
Boston,MA 02114-2017
www massgov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 'RO N 620 64 AJ QUA/L/>/�(!lr 211+ap,'4> -r-YT
Address: R'a. JdX 232 e-W- a/0S3
City/State/Zip: tLl4reeZ joy u/a 73 Phone#:
Are you an employer?Check the appropriate box:
Type of project(required):
1.❑I am a employer with employees(full and/or part-time).* 7. New construction
2.7/ I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10❑Building addition
4.
F-11 am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.[]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[]Roof repairs
These sub-contractors have employees and have workers'comp.insurance.
6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 14.❑Other
152,§1(4),and we have no employees.[No workers'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.
TContractors 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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:CONCORD GROUP INSURANCE
Policy#or Self-ins.Lic.#:20026862 Expiration Date:10/31/2020
Job Site Address:30 PLEASANT ST City/State/Zip:NORTHAMPTON MA 01
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si ature: Date: 3 /3 1 LZ e-Z
Phone#:1-413-259-5111
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#:
Initial Construction Control Document
N To be submitted with the building permit application by a
R d Registered Design Professional
for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Renovations for New Enclosed Vertical Personal Lift Date: 03/1212020
Property Address: 30 Pleasant Street, Unit#6, Northampton,MA 01060
Project: Check (x) one or both as applicable: New construction X Existing Construction
Project description: Construction of new exterior shaft from garage level to deck level above for new
personal lift for use by unit owner within their space.
I Richard E. Katsanos MA Registration Number: AR8355 Expiration date: 08/31/2020 , am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning':
X Architectural Structural Mechanical
Fire Protection X 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 C1,ritr4 Dorcument'.
Enter in the space to the right a"wet" or
y
electronic signature and seal: " 44i
Phone number:413-585-1512 Email: Richard.Katsanos@HAIArchitecturP:cot
Building Official Use Only
Building Official Name: Permit No.: Date:
chosen,provide a description.
Version 01 01 2018
H I Al Architecture
TRANSMITTAL
DATE: March 12, 2020
PROJECT: Renovations for New Enclosed Vertical Personal Lift
30 Pleasant Street, Unit#6, Northampton, MA 01060
TO: Jeff Dwyer/General Contractor
FROM: Rick Katsanos, Principal
HAI Architecture
64 Gothic Street, Suite 1
Northampton, Massachusetts 01060
ITEMS:
Copies Date Description
1 03/12/2020 CD with Permit Set Drawings and Construction
Control Document
1 03/12/20020 Construction Control Document
1 03/12/2020 Signed Permit Drawing Set
REMARKS: To be picked up
CC:
64 Gothic Street,Suite 1,Northampton,MA 01060 1 413.585.1512 1 fax 413.586.7945 I www.haiarchitecture.com