24D-136 Pioneer Contractors
F rarritt
Pi Con, Inc.
P.O Box 1145
Northampton, MA. 01061
Voice 413 - 586 -5491
Fax 413 - 527 -5099
E -Mail pioneercontrac a(�yahoo.com
Cell 413.626.7267
To: Loius Hasbrouck/Bldg. Commissioner From: David Claxton
Fax: Pages: 1
Phone: 413.587.1240 Date: 28 Feb., 2013
Re: 178 King St. Windows CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
Scope of Work: replace four (4 ea.) existing casement window units on first floor King St. gable wall
per photo supplied w /new in existing openings. Replacement is necessary due to the failure of the
insulated glass seal. The new windows meet the requirements to the current building code.
I request that you grant a modification to waive the requirement for construction control for the window
replacement @ the above address in Northampton. The work is of a minor nature, not effecting
health, accessibility, life or fire safety, or structural requirements. The cost of construction control is
impractical compared to the cost of the proposed work.
Thank You.
David Claxton
Print Page 1 of 1
Subject: King & Cushman Windows
From: pioneercontrac @yahoo.com (pioneercontrac @yahoo.com)
To: pioneercontrac @yahoo.com;
Date: Friday, March 1, 2013 9:14 AM
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DEPARTMENT OF BUILDING INSPECTIONS - _1—
212 Main Street Municipal Building
Northampton, Mass. 01060 r"'
WORKER'S COMPENSATION 1NSURANLE AleieLDAVTr
Pioneer Contractors
(licensce1permittee)
with a principal place of business/residence at:
•
P.O.. Box 1145 NprthamptQyL, MA._ 01-061
^ (phone) 586 5'191
(strcet/ci ty / staler p )
do hereby certify, under the pains and penalties of perjury, that:
(V I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Wcc 50059570120W, ,6 ��
Assnr�iateri Employers Insurance Co - --
(Insurana.t Company) (Policy Number) (Expiration Date)
( ) I atn 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)
•
(Na.me of Contractor) (Insurance Company/Poticy Number) (Evpiraaon Date)
•
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifneannary to include in£ocmitiou pertaining to all oucrtr.Gora)
( ) I am a sole proprietor and have no one working for me.
( ) z am a home owner performing all the work myself.
•
NOTE: pleaac be aware that while bomeosvncra who employ persons to do mai.ot,-0,,,,, corgstrUCLice or rtpau wocic on a dwelling of
ant mat tilt/1 three units in which the homeowner mcidca oc oa the grt uo .b apptatenant thereto arc not gcncrany comidacd to be
employes under the worker's pompon:cation Act (GL152fs (5)), application by a bomcoavcr fora License cc permit may mill the
1 eg.r ctatua of an employer under the • Wociceet Compoaaation AAA
-
I understand that o. copy of this statement may bo forwarded to the Depnrmacot of Industrial Arcade Oftioo of Gxwraoco for the
coverage verification and that failure to aauc covcrago under sxtioa 23A of MOL 152 can lead to the imposition of tsimmal pcnaltia
consisting of a fox. of up to S 1,500.00 and/or iinprisocrocat of up to one year nod civil penalties in the form of a Stop Work Otda and a
find of 5100.00 a day against tnc_
/ / Fa dcps:ranatii u.c Daly
�j +/ t Permit Number
L 4 , F °A-V-7 Mapo Lot #
tame Si.a re of Liccnscc/Pcnni . .
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
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
King & Cushman Insurance as Owner of the subject property
Pioneer Contractors
hereby authorize
act on my behalf, in all matters relative to work authorized by this building permit application.
1 -7 7 7" �' 02/28/2013
Signature of Owner Date
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 t„ ,. ains nnalt . %f . r'ury., ,
Print Name
D. A-- 61.1A,74t,v, 02/28/2013
Signature of Owner /Agent Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Hoiaer :
David A Claxton CS- 017890
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 Northampton, MA. 01061
Address Xvitip, (413) 586-5491
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.w...
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 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T 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 DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 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 0 NO Q
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 Q NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
r
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 p Additions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing El Change of Use ❑ Other ❑
Brief Description Enter a brief description here. Install four (4) new windows in existing openings.
Of Proposed Work:
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business GI 2A ❑
E Educational ❑ 2B 1 ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A SI
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: Business _ Proposed Use Group: Business„
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)
w 1 st
1
2 nd
2 nd
.. _, _ n 3 rd i
d
r e..,
3 •..
, _ 4` h
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 p Municipal 121 On site disposal system El
} Versionl.7 Commercial Building Permit May 15, 2000
v a t
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City of Northampton t tas of P4tmi , �� f
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ort ampton, MA 01060w ��i�trlFiari a0
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� t1 -1240 Fax 413 - 587- 1272i`o Plan a; i;� , ��, rye a;
AP LICA 0 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
178 King Street - -End Gable Wall Map j V Lot Unit
Zone Overlay District
- - " Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
-King & Cushman 1178 King Street Northampton, Ma. 01060
Name (Print) Current Mailing Address:
l `(413) 584 -5610
Signature O Telephone
2.2 Authorized Agent:
Pioneer Contractors r P.O. Box 1145 Northampton, MA. 01061
Name (Print) Current Mailing Address:
(413) 586 -5491
Signature 1 Jail(
iN� '\ Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $2,600.00' (a) Building Permit Fee
2. Electrical — ' ' (b) Estimated Total Cost of
Construction from (6) _ - - „
3. Plumbing ; Building Permit Fee
. _ate .� ...-. .,..., _ .._<.._.
4. Mechanical (HVAC) I
5. Fire Protection s
6. Total = (1 + 2 + 3 + 4 + 5) Check Number isg'7( 9i5
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0791
APPLICANT /CONTACT PERSON PIONEER CONTRACTORS
ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413) 586 -5491
PROPERTY LOCATION 178 KING ST
MAP 24D PARCEL 136 000 ZONE HB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ?yj I �`�5
Fee Paid 67' �
Typeof Construction:_INSTALL 4 REPLACEMENT WINDOWS - END GABLE WALL
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
IlY FQ.W. 1 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
7 /
Signature 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.
178 KING ST BP- 2013 -0791
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D - 136 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: window replaced BUILDING PERMIT
Permit # BP- 2013 -0791
Project # JS- 2013 - 001354
Est. Cost: $2600.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): Owner: KING ENTERPRISES LLC
Zoning: HB(100)/ Applicant: PIONEER CONTRACTORS
AT: 178 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586 -5491 Workers Compensation
NORTHAMPTONMA01061 ISSUED ON:3/4/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 4 REPLACEMENT WINDOWS - END
GABLE WALL
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 3/4/2013 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner