32C-056 Pioneer Contractors
Pi Con, Inc.
Fitiitt P.O Box 1145
Northampton, MA. 01061
Voice 413 - 586 -5491
Fax 413 - 527 -5099
E -mail pioneercontrac(a)_vahoo.com
Cell 413.626.7267
To: Anthony Patillo, Commissioner From: David Claxton
Northampton Building Department
Fax: 413 - 587 -1272 Pages: 7 & Check
Phone: 413- 587 -1240 Date: 7/12/2009
Re: 111 Pleasant St.— Install Windows CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
Attached please find the following for the installation of three (3) windows in existing openings
- Building Permit Application w/Workman's Comp. Ins. Affidavit
- Photo of Building
- Check # 13487 for $55.00
Please call w /questions.
Thanks.
/(rk–
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Version 7.02 MARVIN WINDOW QUOTE 07/13/09
* ** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED * **
* ** TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD * **
* ** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE * **
* ** NET PRICE (in USD) * **
QTY: 3 MARK UNIT -
C INDH
IO 36 3/8" X 66"
IG - 1 LITE
LOW E II W /ARGON
7/8" RECT SDL - W /SPACER BAR - SPC CUT 2W1H
STONE WHITE CLAD EXT. - PR PINE INT.
EXISTING SILL ANGLE - 7 DEG.
UNIT WILL BE BUILT WITH FLAT FRAME BEVEL.
BZ SASH LOCK
SCREEN
STONE WHITE SURROUND
CHARCOAL FIBERGLASS MESH
3 1/4" JAMBS
PR PINE INTERIOR
STONE WHITE CLAD EXTERIOR
TOTAL NET PRICE
0
AS VIEWED FROM THE EXTERIOR
•
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lLitg cif Narti &111 fail
a ti41S' 4 iw t 15 Atasattciinactla '
DEPARTMENT OF BUILDf1.jG INSPECTIONS _ _
• 212 Main Street Municipal Building
Northampton, Mass. 01060 " —
WORKER'S COMPENSATION INSURANCE AFFIDAVTI
I, Pioneer Contractors
(licenseeJpermittec)
with a principal place of business/residence at:
•
•
P.O_ Box 1 145 Nnrfhampton, Mk 01061 (phone;) 586 5491
(street/city /state/zip)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Wcc 500595701200q 6/30/101
Assnci afPd F'•mplayers Insurance—Co______ -- -
(Inszuance Corapany) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anach additional shed ifnozaary to include information pertaining to all contractors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE: please bc aware that while homeowners who employ persons to do maintenance, oonanutioo or repair work on 1 dwelling of
not =co than three units iu which the homoowocr resides or ao the grounch appurtenant thereto arc not gar ally con idcrcd to bc
employers under tbo worker's .oempens Lion Act (GL152,ss 1(5)), application by a homeowner for a Haase or pant may aidcrx the
Iegal awns of an *motor's- under the Worker's. Compensation ation Act_
I understand that a copy of this satemont may be forwarded to the Dopartmoca of lodwtrial Acadrnra' Othoo of Insutaorn for the
coverage verifiostion and that failure to ecaue oovecago under section 25A of MOL 152 con Ind to the imposition of criminal pcoaltiet
oomisxing of a fine of up to S1.500.00 aadloe imprisoameeri of up to one year and civil pawl-ilia in the form of a Stop Work Ordc and a
Eno of 5100.00 a day against mc.
Fa dcputnrr al U+o only
Permit Number
� . d Map4 Lot 11 •
`rM Signature of Lib.* e •ermittee I= 7-
•
•
Versionl.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
Peter St. Martin
as Owner of the subject property
hereby authorize Pioneer Contractors to
act on my behalf, in all matters relative to work authorized by this building permit application.
p � �� s , , l 07/10/2009
Signature of Owner � Date
Pioneer Contractors David Claxton
_.. , as4;w+ier /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 perjury.
Print Name 7
07/10/2009
Signatu of Owner /Agent Date
SECTION 12- CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : . David Claxton CS 17890
..........
License Number
P.O. Box 1145 Northampton, MA. 01061 p 01/19/2010
Address Expiration Date / (413) 586-5491
Signature / 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
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:
N/A Not Applicable El
Name (Registrant):
N/A Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
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
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Pioneer Contractors David Claxton Not Applicable ❑
Company Name:
Responsible In Charge of Construction
P.O. Box 1145 on Northam t.
P __.. ,. MA. 0 .._.. Mi
Address
ilf
A (413) 586 -5491
Signatu e 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
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 DON'T KNOW C) YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES
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 NO
IF YES, describe size, type and location: `.
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
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
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition El Repairs ❑ Additions ❑ Accessory Building ❑
Exterior Alteration El Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other 0
Brief Description Enter a brief description here. Replace three (3) existing second floor windows w /new in same
Of Proposed Work: divided lite pattern.
SECTION 5'- USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B 1 El
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B iEr
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B
I. ❑
U Utility ❑ Specify: A -3 Restaurant 1 S,fi. Y)W('
M Mixed Use 0 Specify: B Professional Offices 2n.,A, 4 3 et
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: ,,Mixed "(See above) _ _ Proposed Use Group: Same
Existing Hazard Index 780 CMR 34): ____ Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1 st
1st
�__ ... ... 2
n
2 d
. 3 rd
3
4 th
4 th
Total Area (sf) 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 p Private ❑ Zone'___ ' Outside Flood Zone Bi Municipal p On site disposal system ❑
Versionl.7 Commercial Building Permit May 15, 2000
Departnient set only ,
City of Northampton Status f ermit
Building Department CurbCut/DrivevvayPrmit
,
212 Main Street Sei:4 r7SEpt�Avail '' it a �,
Room 100 Water/WO Avatltrili >
Northampton, MA 01060 Two S 'af BttUttural Plans
phone 413 - 587 -1240 Fax 413 - 587 -1272 Pio$tte Plan
`Otfiei' Specify ,
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE - THE - U5EE CB4OCCLPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR 1 ` FAMILYJP L 'IN '� `
SECTION 1 - SITE INFORMATION ,
1.1 Property Address: ' L t JULrhk ecti9li to be- completed by office
__ _ .. .. _� . ... __......_ ..... _
1 1 1 Pleasant St.-- Sylvester's Restaurant D E ," , L i t ,, y
s ) 1 Uni
ZoMe "- t`verlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Maureen Maginness & Peter St. Martin in 111 Pleasant St, Northampton, MA. 01060 Q
Name (Print) Current Mailing Address:
(413) 586-1418
Signature i 24/ii6?---e-�X. ,, Telephone
2.2 Authorized Agent:
Pioneer Contractors
ill
''P O. Box 1145 Northampton, MA. 01061 0'
Name (Print) Current Mailing Address:
(413)586 -5491
Signature o#,
Telephone
0/2
SECTION 3 ESTIMATED ONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $2,000.00 (a) Building Permit Fee E
2. Electrical (b) Estimated Total Cost of
Construction from (6) ......
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) I
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 2,,17/70 op Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
111 PLEASANT ST- SYLVESTER'S BP- 2010 -0055
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C - 056 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: windows replaced BUILDING PERMIT
Permit # BP- 2010 -0055
Project # JS- 2009 - 000330
Est. Cost: $2000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): 4922.28 Owner: ST MARTIN PETER A &
Zoning: CB(100)/ Applicant: ST MARTIN PETER A &
AT: 111 PLEASANT ST- SYLVESTER'S
Applicant Address: Phone: Insurance:
111 PLEASANT ST
NORTHAMPTONMAO1060 ISSUED ON:7/16/2009 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE THREE EXISTING SECOND FLOOR
REPLACEMENT WINDOWS
WITH SAME DESIGN DIDIDED LIGHT PATTERN
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 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
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