32C-131 (16) 82 CONZ ST REAR-WEBS BP-2016-1131
cls#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 131 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-2016-1131
Project# JS-2016-001938
Est. Cost: $9400.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARK CORMIER
Lot Size(sq. ft.): 137649.60 Owner: SERVICE PROPERTIES INC
Zoning: GB(91)/WP(25)/NB(10)/ Applicant: MARK CORMIER
AT. 82 CONZ ST REAR - WEBS
Applicant Address: Phone: Insurance:
149 CHARLEMONT RD (413) 625-2516
CHARLEMONTMA01339 ISSUED ON:3/25/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT WALL TO CREATE OFFICE SPACE
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 3/25/2016 0:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1131
APPLICANT/CONTACT PERSON MARK CORMIER
ADDRESS/PHONE 149 CHARLEMONT RD CHARLEMONT01339(413)625-2516
PROPERTY LOCATION 82 CONZ ST REAR-WEBS
MAP 32C PARCEL 131 001 ZONE GB(91)/WP(25)/NB(10)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT do am 00 C2 OX04 A
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT WALL TO CREATE OFFICE SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
proved 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
ition D y
3 - 7
ure of But din fficial 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.
VerSionLT Commcrcml Building Permit Mav 15,2006
i Department use only
nr�` City f Northampton Status of Permit:
2 BUildi g Department Curb Cut/Driveway Permit
ti 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
pE
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: t This section to be completed by office
fJ`+ jC�rV lcE C�d)kr {*p Map Lot Unit
til r'�+h h T✓✓t l�}v,� w—✓►1`155 G I Uri-G
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(P Current Mailing Address:
Signature Telephone
2.2 uthor¢ Agent
-1 13 Z 0
P �
Current Mailing Address: t!.�//G1t M Gt U f};' f
Signature Telephone 13 ZS ZS I b
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building /" (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=0+2+3+4+5) Check Number
This Section For Oficial Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Versionl.7 Commercial Building Permit May la,2000
8. NORTHAMPTON ZONLNG
Existing Proposed Required by Zoning
This colon to be filled in In-
Building
yBuilding Department
Lot Size
Frontage
Setbacks Front
Side 1.: R: L: R:
Rear
Building Ileight
Bldg.Square Footage %
Open Space Footage %
tLot area minus bldg&pa%W
parking)
#ofParking Spaces
Fill:
(volume&l"atmi
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW Q YES Q
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW O YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook,body of water or wetlands? NO Qy' DONT KNOW Q Yes O
F YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained 0 ,Date Issued:
C. Do any signs exist on the property? YES O 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 Q NO O
F YES,describe size, type and location:
E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over t acre or is it part of a common plan
that will disturb over 1 acre? YES O NO a
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7('ommercial 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.
Of Proposed Work: 5`7l�eJL`>7� iJ Of w AtC �
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 p 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A tl ❑
E Educational ❑ 2B 1 ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 Cl 3B ❑
M Mercantile In 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
Fasting Use Group: Proposed Use Group:
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)
Iv 1t
2
2nd
3rd 3rd
4"°
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❑ Municipal ❑ On site disposal system❑
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
92 Registered Professional Engineer(s):
David Vreeland Construction Control
Name Anja of Responsibility
116 River Road,Leyden,MA 01337 46317
Address Registration Number
(413)624-0126 06/30/2016
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
MIB Construction Not Applicable❑
Company Name:
Mark Cormer&CJ Plesnar
Responsible In Charge of Construction
149 Charlemont Rd,Charlemont,MA 01339
Address 1Z
vc ��0Z -C,-/
/
Signatu Telephone
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
SECTION 11-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize IM) 1'2 r ',1✓ L",, C.Y 12 l e-)iUGy to
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner pate
I. _�1 it✓I� C�r ���l as Owner/-Zthoriz
94&i+t 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_
N n k (L, �'Y'-. t/'
Print Narbe
Signature of Owner/Agent � � Date lI v
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor. / Not Applicable ❑
Name of License Holder: b ly 6
License Number
I ��� CU,�ti� a., ��� C� �(e✓�,�✓� f rM 0- (D133 7/ EI r ?
Address Expiration bate
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 0
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
r I Congress Street,Suite 100
x� Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information /I Please Print Uizibh'
Name(BusinessryDrganicttion'Individual): _ �� Ct7✓1J�f'CJ(,Jt60 Address-._14(t_ e� f wtg/IT K 1
City/State/Zip.--!r hct 1-I e m ,n 6 0 Phone#+13 > �`
Are you an employer'.'Cbeck the appropriate box: Type of project(required):
1. 1 am a employer with 3 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. F1 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. T ❑Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' y FJ Building addition
[No workers'comp.insurance comp. insurance.
required-] 5. ❑ We are a corporation and its 10-❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself' No workers'comp right ofexemption per MGL
12.❑Roo f repa irs
insurance required.]* c. 152,§1(4),and we have no
employees.[No workers' 13.❑Other _
comp. insurance required.]
'Any applicant that checks box 4t must also fill out the section below showing their workers'compensation policy information.
¢thuncowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a ffidavit indicating such.
'Contractors that check this box nmst attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Nate:_ ] +
Policy#or Self-ins. Lic.#: �-&o Fes. Expiration Dater
Job Site Address: 7 S S��✓t L E' (.C'v7{�/ �� City/State/Zip: / as
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirati n date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ofcriminal penalties ofa
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a tine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ofthe DIA for insurance coverage verification,
do hereby certify under thepains and penalties of perjury that the information provided above is true and correct.
Si ture: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.City/'Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
C'outact Person: Phone#:
City of Northampton 212 Main Street,Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 75 L2D
The debris will be transported by:
The debris will be received by:
Building permit number.-
Name
umber:Name of Permit Applicant M )c r'11;CC
Date Signature of Permit Applicant
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
for work per the 81h edition of the
S�e Massachusetts State Building Code, 780 CMR, Section 107.6.2
Project Title: Webs America's Yarn Store:Office Partition Date: 3/15/16
Property Address: 75 Service Center Rd,Northampton, MA
Project: Check(x)one or both as applicable: X New construction X Existing Construction
Project description:Construction of 21" long metal stud partition with 30"door, and 5/8"sheetrock and required
electrical both sides of wall, in an existing 59' long office space. The new office space will be 21'x 23'-8"and has an
existing 36'egress door. Sprinklers are installed above the existing"Melt Away"ceiling panels.
1, David Vreeland, MA Registration Number: 46317, Expiration date: 6/30/16,am a registered design professional, and
hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and
specifications concerning':
Entire Project Architectural Structural Mechanical
Fire Protection Electrical X Other:Construction Control
for the above named project and that such plans,computations and specifications meet the applicable provisions of the
Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I
understand and agree that I (or my designee)shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept,shop drawings"samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent
comments, in a form acceptable to the building official.
Upon completion of the work. I shall submit to the building official a 'Final Construction Control Document'.
Enter in the space to the right a"wet"or
o DAVID A.
electronic signature and sear VREEtAND
CIVIL. y
No.46317
Phone number:413-624-0126 Email: dvreeland@verizon.net s t
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Trial Version 10 09 2012
/✓ �s � a 3�a Yl�
r7
Existing Storage Space
Cxlsiln'I Metal stud w
wills with 5/8 sheutrock -
on ono side T1-11 r
talywood on other
separating Offico space r
and storage
Existing Exterior Door 6
o_
w
L7
IT
-J
r�i - - '-a r/a"-------------- Existing office space k
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:a C
t11
m
E.
U 7
Ceiling is Meft"panels,Sprinkles are
1 Proposed New Metal stud wall with above suspended ceiling N
5/8 sheetrock on both side of wall to
separate Conference Boom in half. M
Add necessary plugs,exit signs and r
switches.Add door in new wall
'L
G)
C J
§
V �
IP
am�s:lt
Doorway
u�
2 ,
i` Cement Block Wall
n. a� Hss,� �/aa/ante
1ti o� DAVIOA. sN
w Hallway to store a VREEII L"° H scnl°:
No.J6317 a ""I
4' LnET
A-�--
3/15/16
1 st Floor
THESE BLUE PRINT ARE THE PROPERTY OF M.I.B.CONSTRUCTION d SHALL NOT BE USED BYANY OTHER CONTRACTOR y
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