32A-148-010 BP-2022-0704
30 PLEASANT ST UNIT 5 COM M ONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-I48-010 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-2022-0704 PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATIONS Contractor: License:
Est. Cost: 77000 RONALD GROGAN CSL090818
Const.Class: Exp.Date:03/30/2024
Use Group: • Owner: CAITLIN JEMISON,
Lot Size (sq.ft.)
Zoning: CB Applicant: RONALD GROGAN
Applicant Address Phone: Insurance:
PO BOX 282 413-259-51 1 1 20026862
WHATELY, MA 01093
ISSUED ON:06/14/2022
TO PERFORM THE FOLLOWING WORK:
RENOVATION
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:
CPNIT
Fees Paid: $539.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEIVE ..) RpLLE0 IPLAnsS
JUN 1 3 2( e Commonwealth of Massachusetts
r"' c` ` Office of Public Safety and Inspections
[�(PT of BUILDING lNSPECTIO assachusetts State Building Code(780 CMR)
BARtihOrrtimitAAppbkcation for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number:a a'76/ Date Applied: Building Official:
SECTION 1:LOCATION
No.and Street City/Town Zip Code Name of Building(if applicable)
30 PLEASANT ST#5 NORTHAMPTON 01060 HAMP CONDOS
Assessors Map# 32A- 148 Block#and/or Lot # -001
SECTION 2:PROPOSED WORK
Edition of MA State Code used #9 If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 181 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use ❑ Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes RI No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No 12
Brief Description of Proposed Work:RENOVATE BATHROOMS&KITCHEN AREA,ADD BEDROOM ROOF ESCAPE HATCHWAYS
ADD WALL TO SEPARATE LAUNDRY ROOM FROM BEDROOM. MODIFY BALCONY REDUCE IN SIZE.SCOPE OF WORK TO SE
DONE PER DRAWINGS FROM HAI ARCHITECTURE PROJECT PLAN#22-030
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) Cl
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)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2❑ Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 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❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2® 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)
IAD IBD HA IIBD IIIAD IIIBD IV VA VBIF1
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:
El
Public IC Check if outside Flood Zone RIIndicate municipal® A trench will not be Licensed Disposal Site
Private laor indentify Zone: or on site system 0 required®or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable al Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No Ctil Yes 13 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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
CAITLIN JEMISON 30 PLEASANT ST UNIT#5 NORTHAMPTON 01060
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
OWNER 718-687- 3608 - FORTANACHPROPERTIESAGMAIL.COM
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
RONALD C GROGAN JR P.O. BOX 282 WHATELY MA 01093
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 eiJ.
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
RON GROGAN BUILDING & RENOVATIONS
Company Name
RONALD GROGAN CS-090818
Name of Person Responsible for Construction License No. and Type if Applicable
P.O. BOX 282 WHATELY MA 01093
Street Address City/Town State Zip
413-259- 5111 - - RONGROGAN44@YAHOO.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 04 No a
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ $56,000 Building Permit Fee=Total Constructio ost x (I -rt here
2.Electrical $ $7,000 appropriate municipal facto =i1 -
2.if
3.Plumbing $ $12,000
4.Mechanical (HVAC) $ $2,000 Note:Minimum fee=$ ontact • ••- ity)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ $77,000 (contact municipality)and write check number here /4/^Z
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.
RONALD C GROGAN JR GC 413- 259 -5111 6/10/2022
Please print and sign name Title Telephone No. Date
P.O. BOX 282 WHATELY MA 01093 RONGROGAN44(dlYAHOO.COM
Street Address City/Town State Zip Email Address
f 1 1
Municipal Inspector to fill out this section upon application approval: �°'i��( , I Li V
Name D e
CITY OF NORTHAMPTON
SETBACK PLAN
MAP:32A-148 LOT: -001
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
�,�3 ,„
City of Northampton
�v �� Massachusetts �,}gs �~ 'er
f '7;. , .
1 *1\ ;1� Ar DEPARTMENT OF BUILDING INSPECTIONS �°
iV '�` l 212 Main Street • Municipal Building 1,
~*--mod Northampton, MA 01060 �i ,.J, ��4o
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: 77 WEST ST. WEST HATFIELD MA, 01088
The debris will be transported by:
Name of Hauler: USA RECYCLING
Signature of Applicant: • - /�/ Date: 06/20�-
The Commonwealth of Massachusetts
z Department of Industrial Accidents
=rail= 1 Congress Street,Suite 100
L'L 1_ Boston,MA 02114-2017
, www.mass.gor/dia
11 urkers' Compensation Insurance Af1idas it:Builders/Contractors/Electrician' I'lun►bcr't.
TO BE FILED N'CI'H 7`Hk:PERMITTING Al hIIORI 11.
.tiplicant Information Please Print Let..ibl.
Name(Busm s,Organtzanon ndevidual): RON GROGAN BUILDING & RENOVATIONS
Address: P.O. BOX 282
City/StatelZip: WHATELY MA, 01093 phorie 0: 1-413-259-5111
Are too tin employer'('hrr6 tht apprt.pn:d.•bus: Type of project(required):
1.0 1 am a cmpk.yer Nnh cmptutees(full anti in part4ime).• 7. D New construction
2.13ZI I ant a sole peoproctta ur purtnersh.r and haw nu etnployms stinking for me in I;, Q Remodeling
any capacity.[No u urkcrs':.yips utsuranti nap irul.j ••
30 I am a hotnec wnet dtnnt all work myself.[No worker;comp.insurance mowed"'
9. El Demolition
4.0 I am a Itunwvw ncr and ss ill IN:Innng cuniractors to ctndud all ottak on my property. 1 s,ill
10 0 Building addition
.-more that all carntractt.r>calm lase w nia...s'eawnpenNaloont utsuran-e or are x.le I l.3 Electrical repair or additions
pro rnetur.with no etttplaces..
12.0 Plumbing repairs or additions
50 I ant a ventral c.ntractur and I has.:hired the sub-contractors listed on the attached sheet
ilex sub-contrac insurance.;hasc elnplu+cts and bate isu kern'comp. I3.❑Roo f repairs
14.❑Other
6.0 We are a corporation and its utliieen has.:er,crcised their nght of exemption per N1( c. --
132.t 14 4).and ss c has c nu cnsplos xs.I\t.w ur►crs'damp.tnsutancc reguued.I
•Any applteani that dlt xks buss=1 roust akw till out the..heat tw:luw show mg their ucrcls, s .umipensauotn ptdi y ntliKiiuti.rn.
'iltntxtswners wilts suiting this atlttltsit indicating they are doing all work and then hire twtude contractors:must submit a rt:s.altidas It 3rslica1rtg such.
:C•ontraetun that cheek this bait must attaeheal an additional,heet sltuwmg the nitre of the sub cuntractors and state is lather ot not 1110,e entities has..
crnpluyccs. 11 tilt subcontractors}Use sinplu)cc+.th.y must pros Mc then ssurken•tunic, policy number.
I urn on employer that is providing n•arlters'compensation insurance for my employees. Below is the policy and job site
information.
Insurance(oitipany Name: CONCORD GROUP
Policy#or Self-ins.Lie.#: 20026862 Expiration Date: 10/31/2022
Job Site Address: 30 PLEASANT ST ( tt. state Zip: NORLHAMPTON MA 01060
Attach a copy of the workers'compensation policy declaration page(shoring the policy number and et,pirat• date).
Failure to secure coverage as required under MGL c. 152,*25A is a criminal violation punishable by a line up to SI.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 S250.00 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.
I do hereby certiify under the pains and penalties of perjury that the information provided above is true and correct.
Sts nature: Date: 6/10/2022
Phone At: 1-413-259-5111
Official use only. Do nut write in this urea.to be completed by city or town official.
('it, or Totsn: I'ermitil.icensc
Issuing.authority (circle one):
I. Board of(Health 2. Building Department 3.t'its'Town(lcrk 4. Electrical Inspector 5. Plumbing Inspector
G.Other
('ontact Person: !'hone#:
Initial Construction Control Document
liote} gt To be submitted with the building permit application by a
Registered Design Professional
for work per the ninth edition of the
;m Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Renovations to Unit 5 Date: 06f 03`2022
Property Address: 30 Pleasant Street,Unit#5,Northampton,MA 01060
Project: Check(x) one or both as applicable: New construction X Existing Construction
Project description: Limited interior renovations and modification of 2nd floor egress via new roof hatches
I Richard E. Katsanos MA Registration Number: AR8355 Expiration date:08/31/2022 , am a registered design
professional, and I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerningl:
X Architectural X 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 Richard E. Digitally signed by
Richard E.Katsanos \tECT
electronic signature and seal: Katsanos Date:2022.06.0311:31: PQG�
04'00' �o .cJPNOs s
Phone number:413-210-2086 Email:Richard.Katsanos �� -kP isd`
@HAIArchitecture.com W w
5 ct
dyap, •
Building Official Use Only ‘ PA
Building Official Name: Permit No.: Date: li►
Note 1.Indicate with an prujec.t design plans,winputatiuns and spec.ific.atiuns that you pieparei
chosen,provide a description.
Version O1 O1 2018
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 X
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
RICHARD E. KATSANOS 413 -210 - 2086 HAIARCHITECTURE.COM AR8355
Name(Registrant) Telephone No. e-mail address Registration Number
64 GOTHIC ST#1 NORTHAMPTON MA 01060 ARCH 8/31/2022
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.