32A-255 (2) Pioneer Contractors
Transmitted
Pi Con, Inc.
P.O Box 1145
Northampton, MA. 01061
Voice 413 - 586 -5491
Fax 413 - 527 -5099
E -Mail pioneercontracCa)vahoo.com
Cell 413.626.7267
To: Louis Hasbrook- From: David Claxton
Northampton Building Commissioner
Fax: 413 587 1272 Pages: 1
Phone: 413 587 1240 Date: 10/22/12
Re: 36 King St Repairs CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
Louis,
As per our conversation, we are asking for waiver of the requirement for Controlled Construction for the
above roof repairs /replacement.
The roofs in question are the flat roof /deck areas on the west side & rear which we will remove &
replace. There parapets are existing wood framed.
Please call with any questions
•
Thanks,
David Claxton
Pioneer Contractors
H � : 1 lc
i
i f ,
r
` i J
r o i l
d 'Y k. P t I ‘,..4,-,.° Igl.,...:.0"_.y."' . „. 4 . 4e ,,,, '' : .4
i
a
� .; , _'
y � ,-
'
i.
i
w
,,
NSW
� .,
*« r " 'om* �;w
ply
0
'
''''',... ' i'l ' '
m
4 a' ' > �o2dW "a:
v -1tt"ai pp
-�� ' � e C i f N.az #l th�ii ) :
iIfi : el$ .'i-ilik 1i
.�Z DEPARTMENT OF BUILDING INSPECTIONS • �_rr_``
=! -ems
212 Main Street • Municipal Building
Northampton, Mass. 01060 r" �
WORKER'S COMPENSATION INSURANCE A1: B'U)AVTT
I, Pioneer Contractors
(licenscr/permittec)
with a principal place of business/residence at:
•
•
P.O. Box 1145 _No ±h,ampton MA 01061 — (phone;r) 586 5491
(stir..,t/ci ty /s tare/ zip)
do hereby certify, under the pains and penalties of perjury, that:
(VII am an employer providing the following worker's compensation coverage for my
employees working on this job:
Wcc 50059570120012 6/30/!*
Ascoriata9 Employers Ins - - -- -
(Insurance Company) (Policy Number) (Expiration Dare)
( ) 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) (Expirntion Date)
, r .
(Name of Contractor) ('insurance Company/Policy Number) (Expiration Dale)
•
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(mach additional sheet if necessary to include information pertaining to all wmractore)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself
NOTE: please be aware that while homoowncta who employ persaau to do mmir wY, communion or repair work on a dwelling of
not morn than throe unite in which the homeowner reside* or on the ground appurtenant thereto are not grncrally considered to her
employers under the worker's compel:maim Act (GL152,s4 1(5)), application by a. homeowner for a liaasc or permit may evidence the
Ieget ctatua of an employer under the Woricela Compomation Act_
I un&r Land that a copy of this atatemom may be forwarded to the Department of lodun ial Accident? OfEoo of lnau now for the
coverage vcrificaiion and that failure to eeu.uc coverago trader section 25A of MOL 152 can Icad to the iruposition of criminal penalties
consisting of a fine atria to S1,300.00 and/or imprison of up to one year and civil penalties in tee fame of a Stop Work Order' and a
fine of 5100.00 a day against roc-
^ For dcpuitnoxal Luc only
� Permit Ntunber
414-411/ / U Z Lot #
�� � �20/7�-- M
Sig. tare of Ltccsi_sce[Pcrmi • e
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 Q
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l Hotel Northampton , 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.
10/22/2012
Signature of Owner ' Date
l Pioneer Contractors 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 perjury.
David Claxton
Print Name /
10/22/2012
Signature of 0 e Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : David A. Claxton CS- 0179890
License Number
P.O. Box 1145 Northampton, MA. 01061 01/19/2014
Address Expiration Date
(413) 626 -7267
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
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:
Not Applicable ❑
Name (Registrant):
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 Not Applicable ❑
Company Name:
David Claxton
Responsible In Charge of Construction
P.O. Box 1145 No mpton, MA. 01061
Address
/' a , � L (413) 626 -7267
Signature / Telephone
Versionl.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 DONT KNOW C) YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW ® 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 0 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 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 ® NO O
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 ❑ Repairs ❑ Additions ❑ Accessory Building El
Exterior Alteration El Existing Ground Sign El New Signs El Roofing CI Change of Use El Other ❑
Brief Description Enter a brief description here. Replace existing roof & decking on second floor side & rear.
Of Proposed Work:
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 El A-3 1:1 1A I ❑
A-4 El A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F -1 El F -2 El 2C ❑
H High Hazard ❑ 3A
I Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 El 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 El R -3 ❑ 5A ❑
S Storage ❑ S -1 El S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use 0 Specify: A -2/R -1
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: A -2/R -1 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)
1St 1 st
2nd 2 nd
3 rd
3 rd
4
4
4
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 p Municipal 151 On site disposal system
Versionl.7 Commercial Building Permit May 15, 2000
Department use only
. ..City of Northampton Status of Permit:
RECEIVED Building Department Curb Cut/Driveway Permit
1 212 Main Street Sewer /Septic Availability
2 3 2012 Room 100 Waternnrell Availability
�� `Y1 Nc rthampton, MA 01060 Two Sets of Structural Plans
'hone 413 - 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans
DEPT. OF BUILDING INSPECTIONS
NORTHAMPTON, MA 01060 Other Specify
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
1.1 Property Address: This section to be completed by office
36 King St. (Hotel Northampton) Map Lot Unit
Zone Overlay District
a lt ���.
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Hotel Northampton 36 King St., Northampton, Ma. 01060
Name (Print) Current Mailing Address:
(413) 584 -3100
Signature 1 Telephone
2.2 Authorized Agent:
Pioneer Contractors P.O. Box 1145 Northampton, MA. 01061
Name (Print) Current Mailing Address:
(413) 626 -7267
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTI N COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $29,000.00 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 29, orb • — Check Number IS-7 / I I
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
tc
File # BP- 2013 -0494 CN t)A,( S
APPLICANT /CONTACT PERSON PIONEER CONTRACTORS �� Lit" �4 t'
ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413) 586 -5491 �® � �EQ
PROPERTY LOCATION 36 KING ST v��� P " p � f . "1
ep4.A v
MAP 32A PARCEL 255 001 ZONE CB(100)/ i \�
THIS SECTION FOR OFFICIAL USE ONLY: P , CO t 3S
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 06 Csiti9
Typeof Construction: REPLACE ROOF & DECKING 2 FLR SIDE & REAR
New Construction
Non Structural interior renovations
Addition to Existing,
Accessory Structure
Building Plans Included:
Owner/ Statement or License 017890
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION 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
Signature of Building Official Date /
g g
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.
,36 KING ST BP- 2013 -0494
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A - 255 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit # BP- 2013 -0494
Project # JS- 2013 - 000781
Est. Cost: $29000.00
Fee: $174.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): 72745.20 Owner: Mananto Holdings LLP
Zoning: CB(100)/ Applicant: PIONEER CONTRACTORS
AT: 36 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586 -5491 Workers Compensation
NORTHAMPTONMA01061 ISSUED ON:10/25/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE ROOF & DECKING 2ND FLR SIDE &
REAR
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 10/25/2012 0:00:00 $174.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner