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Pioneer •
Pi Con, Inc.
TrarEm*w
P.O Box 1145
Northampton, MA. 01061
Voice 413-586-5491 I
Fax 413-527-5099
E-Mail p ion eercontracQyahoo com
Cell 413.626.7267
To: Louis Hasbrouck/Bldg. Comm. From: David Claxton
Fax: Pages: 1
Phone: 413.587.1240 Date: 1 April., 2014
Re: 106 Industrial Dr.--Dipwell 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
interior partition alterations project @ 106 Industrial Dr., Northampton 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
�T TtA,tf P1.
e e �x� >Yf �rrxf I�aiit�halt _
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DEPARTMENT OF BUILDING INSPECTIONs
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COM ENSATION INSURANCE AYFMAVTT
1, Pioneer Contractors
(Iicenscc/permi tree}
with a principal place of business/residence at:
P.O. Box 1141; Nnrt lamp tnrL, MAC i —(Pbone4)
do hereby certify, under the pains and penalties of perjury, t li.-
I am an employer providing the folloWig worker's compensanoD coverage for my
employees worming on this job:
WCC 50059570120012
As-Roniai-4na VMn1nVrPY'c� Tnsuraxwa Cn —___ _ C.1-*I �. I
(Insurance; Compiny) (PoLicy Numiser) (Expimdon Dat.t:)
( ) 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) (Expimbon Datc)
(Name of Contractor) (Insurance Compaay/Pobcy Number) (E\piradoa Date)
(Naive of Contractor) (Insurance Company/Policy Number) (F_xpiradon Date)
(Name of Contractor) (Insurance Compauy/PoLicy Number) (E.Viration Date)
(rliaeh additima!clsec2 ifn�uy to iacrude inforsnatl oo pctaining to.11 000iraeton)
( ) I am a sole proprietor and have no one w,orlting for me.
( ) I am a home owner performing all the work myself.
NOTE:plesse be awue thu wErile homcownen who employ persons to do�icefm,m= ooramuzioa or rcpair work oo a dwtlling of
not tiro th:n Uroo tails is Wtmch the homoowocr rrsides oe oa tbo grown apptsrtenwA thereto art ao(&.a=11y wandered to be
employc"tlt)der the worka�.c ca9c a 4oa Act(GL152,ss 1(5))�application by n bomcosv r for a Uccmc a permit may aidenoc the
legal ctaasa of an araployar under(ha Workcet Compamatyoa Ace..
I under%u d that a oopy of this enfemari may ba forwarded to the Deperw=ax of Indumial A cidc &Offioo of Inauww for tha
covcat vcr&CMEion and alit failure to eoatrt:coxerago tinder seciioa 25A of MGL 152 can land to the imposition of QIMU ar Pca 16cs
ooasistisg of a fbe of trap to 51,500.00 aallor iaprisonmcrd of up to one year and civil pcm tics io the form of a Stop work Ordc and a
fim o£s100,00 a day against t>x
For dcputainaw UPC only
f Pcrmit Number
mt gyp# Lot#
Si tore of Li 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 O No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Todd Marchefka, HyTech Park Properties LLC as Owner of the subject property
hereby authorize Pioneer Contractors to
act on my behalf, in all tters lative to work authorized by this building permit application.
04/01/2014
Signature of Owner Date
David Claxton/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
04/01/2014
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
(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 O No O
Version 1.7 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:
Thomas Douglas Architects Not Applicable ❑
Name(Registrant):
Thomas Douglas Architects Registration Number
Address
(413) 585-0641 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
(413) 586-5491
Signature Telephone
8. NORTHAMPTON ZONING Version1.7 Commercial Building Permit May 15,2000
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side 1,: 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 O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O 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 O DON'T KNOW O YES O
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 O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
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 O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 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. Remove selected non-load bearing interior partitions in office.
Of Proposed Work: See attached plan. z..5zlc t -
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 ❑ 1 B ❑
B Business 0 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I 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): A
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
ist 1St
2nd 2nd
3 rd 3rd
4 t
4m
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 ❑ Zone Outside Flood Zone E] Municipal [Z] On site disposal system❑
D LE (�
` ( Versionl.7 Commercial Building Permit May 15,2000
j I Department use only
APR ! 9 2014 lJ City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit -
Ele ric, Plumbing&i; s In peciions 212 Main Street Sewer/Septic Availability
Ncrthumptcr:,%1A 01060 Room 100 Water/Well Availability
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
106 Industrial Drive (Dipwell) Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
HyTech Park Properties LLC 106 Industrial Drive, Northampton,MA 01060
Name(Print) Current Mailing Address:
(413) 587-4673
Signature Telephone
2.2 Authorized A ent:
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 $3,500.00 (a)Building Permit Fee
2. Electrical $500.00 (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection 44E: k
6. Total=0 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2014-1033
APPLICANT/CONTACT PERSON PIONEER CONTRACTORS
ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413)586-5491
PROPERTY LOCATION 106 INDUSTRIAL DR
MAP 24B PARCEL 088 001 ZONE GI(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT WALLS
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
INFO AMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
I
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
De of ' lay
Sign a re 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.
106 INDUSTRIAL DR BP-2014-1033
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 24B-088 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-2014-1033
Project# JS-2014-001784
Est.Cost: $4000.00
Fee:$55.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sq. ft.): 87250.68 Owner: HYTECH PARK PROPERTIES LLC
Zoning: GI(100)/ Applicant: PIONEER CONTRACTORS
AT. 106 INDUSTRIAL DR
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586-5491 Workers Compensation
NORTHAMPTONMA01061 ISSUED ON:41912014 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT WALLS
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 4/9/2014 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner