32A-144 (2) 32 MAIN ST BP-2016-1163
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 144 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
hermit# BP-2016-1163
Project# JS-2016-002007
Est. Cost: $25000.00
Fee: $175.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 1829.52 Owner: BANAS MICHAEL R&OIUHUI CHEN-BANAS
Zoning: CB(100)/ Applicant: BANAS MICHAEL R & QIUHUI CHEN-BANAS
AT. 32 MAIN ST
Applicant Address: Phone: Insurance:
63 MAIN ST (413) 527-2700 (�
EASTHAMPTONMA01027 ISSUED ON.•4/S/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.REMOVE 1ST FLOOR NON LOAD BEARING
MATERIAL
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 4/5/2016 0:00:00 $175.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1163
APPLICANT/CONTACT PERSON BANAS MICHAEL R&QIUHUI CHEN-BANAS
ADDRESS/PHONE 63 MAIN ST EASTHAMPTON01027(413)527-2700 Q
PROPERTY LOCATION 32 MAIN ST
MAP 32A PARCEL 144 001 ZONE CB(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: REMOVE 1 ST FLOOR NON LOAD BEARING MATERIAL
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:
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
4��
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.
E .._ 'r
Version 1.7 Commercial Building Permit May 15,2000
L!WR 3 1 City of Northampton p� I
Building Department
I)Eirr c r -' 212 Main Street `
NC1,1 F ,, Room 100 gr �
o F,
Northampton, MA 01060 # g '
phone 413-587-1240 Fax 413-587-1272
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,,
132 MAIN STREET MapLot 1 Unit
Zone Overlay,District
i
'Elm St.District CB District
SECTION 2-PlflTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of R
MICHAE N Q HUI CHEN BANAS; X63 MAIN STREET EAST HAMPTON MA
Nam Print) Current Mailing Address
413 527-
-2700
Signature Telephone
2.2 Authorized Agent:
..............,............ ......,.. ....,.,...
Name(Print) Current Mailing Address:
Signature Telephone ..
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
$25,000 00,j
2. Electrical ---- - (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
i
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number /C%/This Section`For:Official Use Only
Building Permit Number bate
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 36,000
CUBIC FEET OF ENCLOSED SPACE '
Interior Alterations ❑ Existing Wall Signs M Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description REMOVAL OF NON LOAD BEARING MATERIAL FROM 1 ST FLOOR.
Of Proposed Work:
SECTION 6-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 ❑ 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 UtilityElSpecify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERQOING RENOVATIONS,ADDITIONS AID/OR CHANGE IN USE
Existing Use Group: `COMMERCIAL _._______. Proposed Use Group: COMMERCIAL
111-11
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
"."....._..,_ i
15� i
2"d
2nd a .., ,.
3rd
3rd
4`"
r
4th
---------
Total Area(sf) _ Total Proposed New Construction(sem
Total Height(ft)
Total Height ft ;",,,
7.Water Supply(M.G.L.c.40,§64) 7.1 Flood Zone_Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone! ? Outside Flood Zone[:] Municipal ❑ On site disposal system❑
_ Versionl.7 Commerci4l Building Permit May 15,2000
8. NORTHAMPTONZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size L,
-----------------
Frontage _..._ i ....... .
Setbacks Front
E ... S y� a.,.� .. ....
Side L .._.. _..I R: ._._."' L:l �,., R ,._,.__ � 3
Rear _._ ___1 t• ,,,,_ „E .--,,J
Building Height 1 "......
Bldg.Square Footage % ....,
9
Open Space Footage ....... ... . % ,_f
(Lot area minus bldg&paved
I__ __J
parking) -.
#of Parking Spaces
Fill: I
(volume&Location) ....___--- 1
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW{{ 0 YES Q
IF YES, date issued: ,., .....1
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW Q YES
IF YES: enter Book E Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtainedQ Obtained , Date Issued
C. Do any signs exist on the property? YES NO f
_....._-----------__ ...____.. _ .. ....... .__
IF YES, describe size, type and location
D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO 0
..._._._...,,......�.....�................
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 0 NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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 CMRi 116(CONTAINING,MORE THAN 36,000 C:F.OF ENCLOSED SPACE)
9.1 Registered Architect: S �' D C'�(/ AC
116 PLEASANT ST., SUITE 331 EASTHAMPTON MA 01027 Not Applicable ❑
Name(Registrant)
116 PLEASANT ST., SUS E 331 EASTHAMPTON MA 01027 Registration Number
AddressI lv�z;z
' 529-9434 Expiration Date
Signature 'Telephone
-
9.2 Regis Bred Professional Engineer(s):
Name Area of Responsibility
Address _ Registration Number
Signature Telephone Expiration DateAM
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 I Expiration Date
(9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl.7 Commercual Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No Q
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN'
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDINGPERMIT
IMICHAE R. BANAS & QIUHUI CHEN BANAS
--- ---- ------ as Owner of the subject property
...�. . —_ _a a_. ._
hereby author GF D PO TH ARCHITECT jto
ct on my beh matters authorized by thin bwilding permit application._
103/31/2016 t
Signature of Owner V Date
.........
IMICHAEL R. BANAS & QIUHUI CHEN BANAS
, as Owner/Authorized
Agent herebyLlarethate statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed underpenalties of p 'u
ICHAS & QIUHUI EN BANAS }
NAt Name
03/31/2016
Signature o e Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:[, ___._ __..... ..m... IF
—
Liced ...� w
License Number
} �e .� may. � . .,e
}
Address Expiration Date
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAWIT(M.G.L.c.162,§26C(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
d 1 Congress Street, Suite 100
Boston, MA 02114-2017
y' www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/individual): MICHAEL R. BANAS & QIUHUI CHEN-BANAS
Address:63 MAIN STREET
City/State/Zip: EASTHAMPTON, MA 01027 Phone #:413-527-2700
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. E]New construction
2.101 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. Q Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no 13.❑ Other
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must 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 Name:
Policy#or Self-ins. Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure cov rge as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 /or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
oupnv to
$250.00 a ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of
Itigations of th insurance-coverage verification.
I do he y certify u ce ins ena 'es of perjury that t e ' rmation provided above is true and correct.
613/31/16
Signa Date:
Phone#: 413-527-270
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):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact 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: So? AW AI S7Yi�,ee_T
rt S /The debris will be transported by: '1/VSWt2�l-G .7'N -
The debris will be received by: A46RM E2V7_P,O/ , SzFs
Building permit number:
Name of rmit A licant
pp
Date Signature of Permit Applicant
AV
��
. , Page 1 of 1
Michael R. Banas
From: Maria Tilli [maria@abideinc.com]
Sent: Thursday, March 31, 2016 11:39 AM
To: mb@Banaslnsurance.com
Subject: Asbestos Waste Hauler and Asbestos Landfill Information
Hi Mike,
Per your request:
Asbestos Waste Hauler/Transporter:
Transwaste Inc.
3 Barker Drive C () PY
Wallingford, CT 06492
Asbestos Landfill:
Minerva Enterprises
9000 Minerva South East
Waynesburg, OH 44688
Thank you and have a great day.
Maria Tilli
President
Abide, Inc.
Certified Woman Owned Business
P.O. Box 886,483 Shaker Road
East Longmeadow,MA 01028
Phone#413-525-0644 Fax#413-525-0678
abide
CONFIDENTIALITY NOTICE:
The message is covered by the Electronic Communications Privacy Act,Title 18, United States Code, §§2510-
2521. This e-mail message and any attached files are the exclusive property of Abide, Inc.,are deemed
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3/31/2016
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: AN* 'MF
The debris will be transported by: 44ff&S7- 7WwzG �%fG
v
' V`(US The debris will be received by: �Le ( �eGyC� � S /✓ �.
A00 IL
�WBuilding permit number:
;Name of P mit Applic r t cX%N G!i CriV— �i�/VI�S
3/
Date Signature of Permit Applicant
Initial Construction Control Document
To be submitted with the building permit application by a
fl�. Registered Design Professional
�k for work per the 8'l'edition of the
Massachusetts State Building g Code 780 CMR, Section 107
Project Title: Date:_
Property Address: A,41, /�� 11 C�e
�
Project: Check one or both as applicable: 0 New construction ,'Existing Constniction
Project description: —� � -� � y��
J
I i'"r __�'// ASA Registration Number:� Expiration date:
oma
r egrs�ered design professional, and I have prepared or directly supervised the preparation of all design plans'-/-A'
computations and specifications concerning:
Architectural [ ] Structural [ ] Mechanical
[ ] Eire Protection [ ) Electrical [ ] Other_
for the above named project and that to the best of my laiowledge, information,and belief 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.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
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. *�•�
ms !µI
Upon completion of the work,I shall submit to the bui �f r. i a 1,. istntction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal: r tars 34
Phone number: .,,a
„a
Building Official Use Only
Building Official Name:-- — — Pennit No.:_ Date:_
Version 06 11 2013