32C-058 1
..
. Tit4 of '.artllttmptnn
ARassttr lusrtts RECEIVED
DEPARTMENT OF BUILDING INSPECTIONS ^ 8 qQ'
212 Main Street Municipal Building L
Northampton, MA 01060
Fax: 413 -587 -1272 DEPT. OF BUILDING INSPECTIONS
Phone 413-587-1240 NORTHAMPTON, MA 01060
CONSTRUCTION CONTROL DOCUMENT
PROJECT TITLE: Roof Overhang Stabilization DATE: August 4, 2011
PROJECT LOCATION: Northampton Lodging 129 Pleasant Street Northampton, Massachusetts
SCOPE OF PROJECT: Provide supplemental supports for the damaged section of the existing roof overhang
In accordance with 780 CMR Section 107.6.2 of the 8th Edition of the Massachusetts State Building Code,
I, Andrew J. Pavlica, Jr., Massachusetts Registration No. 32486 being a Registered Professional Engineer hereby
CERTIFY' that I have prepared or directly supervised the preparation of all design plans, computations, and
specifications concerning:
[ ] Entire Project [ ] Architectural [X] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other (Specify)
For the above named project and that, to the best of my knowledge, such plans, computations, and specifications meet
the applicable provisions of the Massachusetts State Building Code, acceptable engineering practices and the
applicable laws and ordinances for the proposed use and occupancy.
Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the
documents approved for the Building Permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract
documents as submitted for building permit, and approval for general conformance to the design concept.
2. Review and approval of the quality control procedures for all code required controlled materials.
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, in general, if the work is being performed in a manner consistent with the
construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
corn ents. Upon com•letion of the work, I shall submit to the building official a final report as to the satisfactory
comp -, io • readiness • the project for occupancy:
_:...vM __AIL_ _ ∎a►
illt _
ew J. Pav ' Jr., P.E., S B
Structural Engi -er of Record (SER)
SUBSCRIBED AND SWORN TO BEFORE THIS s• DAY OF rtiuyua-e 20 //
A MARK EBREO, JR.
MY COMMISSION EXPIRES ON 1 , erybI;c
i V ary P • •lic COMMONWEALTH OF Pu MASSACHUSETTS 1
1 My Commission Expires
June 11, 2015
1 certify: a statement of the Structural Engineer of Record's (SER's) opinion, based on his observation of conditions, to the best of the SER's
professional knowledge, information and belief. Such a statement of opinion does not constitute a warranty, either expressed or implied. It is
understood that the SER's certification shall not relieve the Client or the Client's contractors of any responsibility or obligation they may have by
industry custom or under any contract.
Gmail - FW: Northampton Lodging Page 1 of 1
I Alejandro Levins <amherstselfstorage @gmail.com>
FW: Northampton Lodging
1 message
David Visconti <dave@avidironworks.com> Tue, Jun 7, 2011 at 1:03 PM
To: manager @amherstselfstorage.com
From: Andy Pavlica [ mailto :apavlica
Sent: Tuesday, June 07, 2011 11:34 AM
To: dave avidironworks.com •
Subject: Northampton Lodging
Dave,
Here are the drawings. Call with comments and I know you'll have some. The sheet size is 11x17.
Sincerely,
Andrew J. Pavlica, Jr.
Engineering Design Associates, Inc.
11 Central Street
West Springfield, MA 01089
413.788.0182, Voice
413.788,0967 Fax
The information contained in this transmission is legally privileged and confidential information intended only for the use of the
individual or entity named above. It is the property of ENGINEERING DESIGN ASSOCIATES, INC. If the reader of this message is not
the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this transmission is strictly prohibited
and may be unlawful, If.vou have received this transmission in error, please notify the sender immediately by return e -mail, and
destroy this communication and all copies thereof. including all attachments.
Binder 060711.pdf
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
•
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers
Applicant Information Please Print Legibly
N �A�, n a me ( Business /Organization/Individual):`� C �+
Address: C •.
olb9b
City /State /Zip: U—) ,\N.A 1 .►,b Q'A) Phone #:\ i.3) 2� Y t 6
Are you an employer? Check the appropriate box: Type of project (required):
1.] I am a employer with J 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part- time).* have hired the sub - contractors
listed on the attached sheet. 7. - .Remodeling
2. ❑ 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
officers have exercised their 11.0 Plumbing repairs or additions
3. ❑ I am a homeowner doing all work
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' 13. ❑ Other
comp. insurance required.]
*■ny applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
I 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 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: f\-
Policy # or Self -ins. Lic. #: 'ZCo # � — Expiration Date: `. J Z-01 Job Site Address: `r 2 �l.¢A��?► -" S� , City /State /Zip: – d to qC
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 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 d. , e violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations o ii e DIA for ins ce coverage verification.
I do hereb - under t e g : 'ns - penalties o perjury that the information provided above is true and correct.
S'AE114 Date: v 2. .
Alm
Phone #: C I72 ..- tc-t6e
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 #:
Version1.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, _._ .. as Owner of the subject property
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
, as Owner /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.
Signed under the pains and penalties of pequry.
Print Name
Signature of Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : , '. ,..).. LC, ....... ..... ...
License Number
Ad. - Expiration Date
AIM
Signature \./1► 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 the building permit.
Signed Affidavit Attached Yes 0 No 0
Version1.7 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:
_.. __....._ ..._._.._,_ .__._.._.,�.�...._.....m.�.____ _ �..., �_. �,. ��.. __..__._._.�_._._._..__..._.__, Not Applicable ❑
Name (Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility F4" ".,.,.
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
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
--- _.�
Address " ,... -- -- ...__ . .. ...
Signature Telephone
Version1.7 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 ` "M
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 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page, and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained
, Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES NO 0
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 0 NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
^
,
.
V*rsiool7 Commercial Building Permit May l5,20O0 i �
^
SECTION 4- CONSTRUCTION SERVICES FOR ROJECTS LESS THAN 35,000
4i iniS
CUBIC FEET OF ENCLOSED SPACE i 0 viittili
Interior Alterations ET Existing Wall Signs 0 Demolition 0 Repairs 0 Additions 0 Accessory Bu • ing lk
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing 0 Change of Use 0 Other-Ir
Brief Description Enter a brief description here. °
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
I A Assembly A-1 [] A [] A [] � 1A / []
0 A' 0 A- [] 1B []
B Business [] 2A 0
`p
E Educational 0 . 2B / []
F Factory [] F'1 [] F-2 [] 2C []
. H High Hazard 0 3A []
I Institutional [] 1-1 [] 1'2 [] 1'3 0 . 3B []
M Mercantile [] ' 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 G'1 0 S-2 [] 5B | 0
U Utility 0 Specify:
- „ ���
M Mixed Use [] Specify:
--------' ----' --- ---------
S Special Use [] Specify:
-- -- — ------ - ---- ------
` ^ ,
COMPLETE THIS SECTION iF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
-------- [ -------------------------- 7
Existing Use Group: i'__ Proposed Use Group:
Existing Hazard Index 78OCMR34): __-_______ ____ ] Proposed Hazard Index 780 CMR 34): _
SECTION 6 BUILDING HEIGHT AND AREA
OFFICE OUSE NLY
BUILDING BU/LD|NGAREA B0G7lNG PROPOSED NEW CONGTRUCOON l ^��| ``����- ���� ,
Floor Area per Floor (sf)
;
St — ------- 1 , ' `
1'
, ������
----- z ~
�� ( L �
3
5 m .
__--
4th 4
4^
_-___-
Total Area (sf) ------ Total Proposed
Total Heigh (ft) ' �
Total Height ft
' .
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood 7.3 Sewage Disposal System:
Public 0 Private 0 Zone ' Ou�idoF|oodZo _0iunicipa|�� On site disposal syotom��
Version1.7 Commercial Building Permit May 15, 2000
a . J. .tv 0 ' i t g� D me US, ogT tF . a
L City of Northampton S tus of�e � . rr
i.
Building Department ZUff r ,uf/ tw ewaT, , er rt' � �
IS 2 9 212 Main Street =s O*Oseptl caita0llrt}r� ,, k N ,.
Room 100 W ater / tl Il Avarra . , n 1 .Z .
Northampton, MA 01060 T woi$it ofstreteturatPfan�
,.. "' ph one 413 - 587 -1240 Fax 413 - 587 -1272 l t s tte P tan
Other S pe c ify .
APPLICATION 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
This section to be com ted by office
1.1 Property Address: ■ (� ■
ote �,►.q -Ind �� Map : ) ' Lot Unit
Z-q ` S ��'e — Zone Overlay District
e ., w �.: Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
f .. _ G. ,z .t.1r� ._ S'Soc� _.... _. .._ .. v C .
Name (Print) Current Mailing Address:
Signature - _ � Telephone /" qI 3 „ ' _.._........_..
2.2 Authorized Agent:
^�� 3"} L � t' _......_ Yom. .. .. li!` tai v......_ .... . ..... . ...
I Name (Print) ,___.____.___ Current Mailing Address:
Signa re ter.- o , ,k Telephone (T 13) 3 i" tt -6'16 1s
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building e ! o � c (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction froml6) ?. ._ .. ,_. __ ......T_ . _ _.
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) ... . ... __ _....._, __.,..... .._..,_
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number /19/Ili
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2012 -0125
APPLICANT /CONTACT PERSON R DEAN ACHESON
ADDRESS /PHONE P 0 BOX 1052 WILLIAMSBURG (413) 268 -0246 61
PROPERTY LOCATION 129 PLEASANT ST '
MAP 32C PARCEL 058 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /if"? j 5-
Fee Paid l7
Typeof Construction: REPAIR FOUNDATION & SUPPORT FOR ROOF'S EVE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 83968
3 sets of Plans / Plot Plan
THE FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
Si, . e 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.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
129 PLEASANT ST BP- 2012 -0125
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C - 058 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 # BP- 2012 -0125
Project # JS- 2012 - 000182
Est. Cost: $5000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: R DEAN ACHESON 83968
Lot Size(sq. ft.): 50529.60 Owner: BOWDITCH LLC
Zoning: CB(100)/ Applicant: R DEAN ACHESON
AT: 129 PLEASANT ST
Applicant Address: Phone: Insurance:
6 NORTH MAIN ST (413) 268 - 0246
WILLIAMSBURGMA01096 ISSUED ON:8/8/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: REPAIR FOUNDATION & SUPPORT FOR
ROOF'S EVE
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:
4
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 8/8/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner