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17C-211 (2) 9' tf ' 1Otf 1+0' 7" 2' 10" 5' 21f i LEO _ t 1 t 1 �y e MONICA H V Pioneer Contractors Pi Can,Inc. P.O Box 1145 Northampton, MA. 01061 Voice 413-586-5491 Fax 413-527-5099 E-Mall Pig nee rcontrace-yahoo.com Cell 413.626.7267 To: Louis Hasbrouck/Bldg. Comm. From: David Claxton Fax: Pages: 1 Phone: 413.587.1240 Date: 8 Jan.,2014 Re: 85 Main St., Florence CC: ❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: I request that you grant a modification to waive the requirement for control construction for the construction of a non-loadbearing partition to divide an existing 2nd floor office at 85 Main Street St., Florence(Florence Savings Bank) because the work is of a minor nature,will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work.Thank you for your consideration. Respectfully David Claxton Pioneer Contractors 9 Gxt� of Wart 11&IITp fall _ DEPARTMENT OF BUILDrj\'G INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORICER'S COMPENSATION INSURANCE AF=1 AVIT I, Pioneer ContractorG (liCe:US=Jpenni ties) "with a principal place of business/residence at: --P-O. Box -1141; Northampton mm, (11O61 __pboner) c3�_- -- (strevtici ty/s�arela p) do hereby certify, under the,paim and penalties of perjury, thlt: ( I am an employer providing the following worker's compensation coverage for my employees worldag on this job: Wcc 500595701 20012 6130/ t4 Agsc)ni ateri Fmp1 v2x'S Ins1ircange r-n ---- - (Insumnce Company) (Policy Number) (EA-pimdon Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers compensation policies: (Name of Contractor) (lnsuranct- Cornpa.ny/Polic7 Number) (ExTiration Data) (Name of Contractor) (Insurance Company/PoLicy Number) (E\-pir boa Date) (Name of Connector) (LaaLralce CompacyRoLcy Numb,-j) (ExpL-aeon Daie) (Name of Contractor) (Insurance Company/Policy Number) (ExTiration Date) (Poach-.6Jtioa2t sheet ifnaacszsry to izcJude iafocmalioa pccUumag to all oa�acton) ( ) I am a sole proprietor and have no one w,or-ldng for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that Axile homeowners who cmp lay person:to do 'M •D= moo oT rtpair Mork ou a dwelling of not more than throe traits is which the homnownar resides oc oa tb.o woods appurtenant thereto arc not 6rnanity ooaaidamd to be employers uodcr the worktt's.ocmp¢ssatioa Act(GLI52.=1(5)),apptiration by a bomcowvcr for a Heroic or Pcrma may n'idcax the legaraatuc of an employ«uoderthe workcea Compcmalion Act I understand chid z copy of this c>st�may bo f04-v+arded to the Dcperimrxit of lndubi al As ids OfSoo of Iraucwce for the covrrtge vaificstioa and thst"- utc to secure covernge undo'scetioa 25A of MOL 152 can Iced to the imPosidOa of ava nil pemltia ooasisemg of a fine of up to 51,500.00 and/or itupri:;�of up W oar year and civil p.LtGc3 in the form of a Stop WOrk otdc and a 5uo of 5100.00 a day agaiaA me. For dcputtntoW use aaly Permit Number p Lot A9 Si hire of LiansceJPermi -- 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 O No 4 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Mark Cavanaugh, Facilities/Florence Savings Bank as Owner of the subject property hereby authorize Pioneer Contractors to act on,My behalf, in all matters relative to w rk authorized by this building permit application. AA + 12/26/2013 Signature of Owner / Date Mark Cavanaugh,V. Pres. as Gvvmer/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 p s ot� iury. Print Name ` - 12/26/201.3_ Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: David A. Claxton CS-017890 License Number P.O. Box 1145 Northampton, MA. 01061 01/19/2016 Address Expiration Date A14W a,A& (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 No 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: _ 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 A. Claxton Responsible In Charge of Construction P.O. Box 1145 Northampton, MA. 01061 Address �V)i (413) 586-5491 Signature I 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 DON'T KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW © YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © 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 © NO Q 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❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. Construct non-load bearing partition in existing 2nd floor space. Of Proposed Work: Existing fire protection& fire detection to be unchanged. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business El 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑✓ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ 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) 1 St 1St 2nd 2nd 3rd 3rd 4th 4th 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 ❑✓ Private E] Zone Outside Flood ZoneE] Municipal E] On site disposal system E] y` - Versionl.7 Commercial Building Permit M2X 15,2000 c j Department use only City of Northampton Status of Permit- 10 2014 Building Department Curb Cut/Driveway Permit 212 Main Street Sever/Septic Availability s Room 100 Water/well Availability EI ctric, F'i c. .�ct'ions No,0h_n,t t,.. oho Northampton, MA 01060 Two Sets of Structural;PlanS phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans 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 85 Main St., Florence Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Florence Savins Bank 85 Main St. Florence,MA. 01062 Name(Print) Current Mailing Address: J (413) 587-1753 Signature �` ��� `b'Z ''r �2�" �� Telephone 2.2 Authorized Agent: Pioneer Contractors P.O. Box 1145 Northampton, MA. 01061 Name(Print) Current Mailing Address: (413) 586-5491 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $15,150.00 (a)Building Permit Fee 2. Electrical $950.00 (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) Check Number d This Section For Official Use Only Building Permit Number Date Issued Signatu B ' Commissioner/Inspector of Buildings"- Date 85 MAIN ST-FLORENCE SAVINGS BANK BP-2014-0789 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma:Block: 17C-211 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 Perrnit# BP-2014-0789 Project# JS-2014-001346 Est. Cost: $16000.00 Fee: $102.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PIONEER CONTRACTORS 017890 Lot Size(sq. ft.): 25482.60 Owner: FLORENCE SAVINGS BANK Zoning: GB(100)/ Applicant: PIONEER CONTRACTORS AT. 85 MAIN ST - FLORENCE SAVINGS BANK Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTON MAO 1061 ISSUED ON:111012014 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2ND FLR PARTITION 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 1/10/2014 0:00:00 $102.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner