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39A-078 (5) Pioneer • • Pi Con,Inc. Traisn*W P.O Box 1145 Northampton, MA. 01061 Voice 413-586-5491 Fax 413-527-5099 E-Mail pioneercontraceyahoo.com Cell 413.626.7267 To: Louis Hasbrouck/Bldg. Comm. From: David Claxton Fax: Pages: 1 Phone: 413.587.1240 Date: 18 June,2014 Re: 518 Pleasant St-Suite 4 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&replacement windows(3 each)project @ 518 Pleasant St. 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 ONNOOMMMOMW 9 CtLZ T of Naz#EJamptall - B Axsaxchnsctta' DEPARTMENT OF BUILDING INSPEC'T'IONS 212 Main Street ' Municipal Building Y Northampton, IN1ass. 01060 =! wozICER'S COMYENSATTON INSURANCE A.FMAVIT I, Pioneer f`nnt rac�i-orG (licenscrJperinitl.ee) With a principal place of business/residence aV _._Box._-1145 Northam z tin >vIA n� nti� _(phone r) 586-5491- (66t W6ty/staidzip) do hereby certify, under the pains and penalties of perJury, d1,31. (V6 am an employer providing the following worker's colitpensauon coverage for irly employees worL-irlg on this job: Wcc 5005957012001:?: A s a c J a ted Fmn1 nvcra 1nsur-am0 a—Cn —•-- — (Insufanci Corap?ny) (PoLicy NumLier) C�Piraaon Date) ( ) I am a sole proprietor, general contractor orIhomeovmer (circie one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Numbcr) (E>Tim6on Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiranon Date) (Name of Contractor) (Insurance CompauyfFobcy Nurub,-o (Ekpi.ration Date) (Name of Contractor)) (Insurance Company/Policy Numbes) (E4iration Dale) (attach%d&tjooal shed ifnooc Vay to imchidc inforMn boa pertaining to all ooCarncwM) ( ) I am a sole proprietor and have no one w,orldng for me. ( ) I am a home owner performing all the work myself, NOTE:plcasc be awwc that whilo homcowncn who ezzplay persom to do�;rd,,.,,.c ooasmus.ioo or mpuir work oa a d%nWag of not most than throe units is width the homoow u r roidco oc oa the grouocb zppuAcaatd tbercto am not 6 y ooa dacd to be cmployrra undo tho workax c=gcas uoa Act application try a bomoowva for a Uo=c oc Pm-01h mzY nTdrax the legal status of an employec under iho wockoea C000pemition AcL I understand that a copy of this ru f­d may bo forwardxl to tho D parmicnt of 1"L tri a1 Accidcati Orfioo of I nx ooe for tba oova zgc vrzificition and that fu ilure to ccc=covctnp uz dcs so xion 25A of MGL 152 can lead to the imp�on of aimm-'d Pcmlocs oomittiag of a fmc'of up to S 1,500.00 xnNor mzprisoonxc3 of up to one year and civil pcnattics is the form of a Sing Work Order and a find o(:s 100.00 a day agaima Me. Fot-dcp�ux Pcrmit Number Lot# Si tore of Liccisce-fPcrMittee 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 Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Ed Kamanski I, ,as Owner of the subject property hereby authorize Pioneer Contractors to act on my behalf, in all ma ers relative to work authorized by this building permit application. Signature of Owner Date I David Claxton-Pioneer Contractors as-Ownet/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 Z64 B� I(r`1 �, 06/18/2014 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) 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 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: 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 ai- Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONIRG7 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 © DONT KNOW O YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW o YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O 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 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 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 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 El Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ED Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here.Construct 20 tin.ft.of steel stud gypsum partitions to produce conference room. Install fire Of Proposed Work: separation from top of existing demising partitions to underside of roof deck. Replace 3 existing windows w/new matching. 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 ❑✓ 2A ❑ E Educational ❑ 213 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑� 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 313 ❑ 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) 1St 1 St 2nd 2nd 3rd 3rd 4th 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 ❑ Private ❑ Zone Outside Flood Zone O Municipal [D On site disposal system E] Version 1.7 Commercial Building Permit May 15,2000 Department use only J � g ��(� of Northampton Status.of Permit: . .. UN bili ding Department Curb Cut/Driveway Permit - 2 2 Main Street Sewer/Septic Availability Electric,Plumb n, } ac>tions Room 100 Water/Well Availability ampton, 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 518 Pleasant Street .- Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ed Kamanski 518 Pleasant St LLC 518 Pleasant St.,Northampton,MA 01060 Name(Print) Current Mailing Address: (413) 548-9619 Signature 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 per it applicant 1. Building $5,200.00 (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) Check Number 19 61 0q Jr This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File# BP-2014-1355 APPLICANT/CONTACT PERSON PIONEER CONTRACTORS ADDRESS/PHONE PO Box 1145 NORTHAMPTON (413) 586-5491 PROPERTY LOCATION 518 PLEASANT ST-SUITE 4 MAP 39A PARCEL 078 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid (elf a Typeof Construction: CONSTRUCT PARTITIONS FOR CONFERENCE ROOM,FIRE SEPARATION&3 REPLACEMENT WINDOWS New Construction Non Structural interior renovations Addition to Existine Accessory Structure Building Plans Included: Owner/Statement or License 017890 3 sets of Plans/Plot Plan THE FOLL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION PRESENTED: pproved 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 D ol't' D lay Sig o ui ing6ffrcial 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. 518 PLEASANT ST-SUITE 4 BP-2014-1355 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A-078 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-2014-1355 Project# JS-2014-002284 Est. Cost: $5200.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group. PIONEER CONTRACTORS 017890 Lot Size(sq. ft.): 48612.96 Owner: 518 PLEASANT STREET LLC zoning: GBO00) Applicant: PIONEER CONTRACTORS AT. 518 PLEASANT ST - SUITE 4 Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAM PTONMA01 061 ISSUED ON:612312014 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT PARTITIONS FOR CONFERENCE ROOM, FIRE SEPARATION & 3 REPLACEMENT WINDOWS 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 6/23/2014 0:00:00 $55.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner