31B-286 (5) 129 MAIN ST BP-2017-0079
GIs#: COMMONWEALTH OF MASSACHUSETTS
Man:Block: 31B-286 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-2017-0079
Project# JS-2017-000141
Est. Cost: $14400.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS DOLAN 039281
Lot Size(sy. ft.): 31755.24 Owner: FIRST CONGREGATIONAL CHURCH OF NORTHAMPTON
Zoning: CB(Ioo)/ Applicant: THOMAS DOLAN
AT: 129 MAIN ST
Applicant Address: Phone: Insurance:
P O BOX 297 (413) 585-0612 0 Workers Compensation
CH ESTERFI ELDMA01012 ISSUED ON:7/21/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE & REPLACE PEWS, CARPET &
RAILINGS
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 St 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:
FeeTvpe: Date Paid: Amount:
Building 7/21/2016 0:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
Versionl.7 Commercial Buildin&Pcrmit May 15,2000
City of Northampton 318M;e s 'O 0
a 2 12016 Building Department Uali ' ° +• :,-.41X7441,-»+.4'.
212 Main Street
IRanuos Room 100
orthampton, MA 01060 +t€514441,nik a�.oma. ` ,•
phone 413-587-1240 Fax 413-587-1272 - a"- 4 " `t' z�i`
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
r e.st CA✓..A.s1144.1/Ow #AsortiOa - Map Lot Unit
/AT /79rin1 J t Zone Overlay District/
L)44Pr Waw et. 13/406L Elm SL Obbkl CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
—175 (/uMe,hti c,/ ith,ini/t` --) /629 /taw'my n n,
Name(Print) Current Mailing Address:
/ j 41712 575"/ 93/2
Signature (04 du j Telephone
2.2 Authorized Anent: � � /
7 /m 17oiR1✓ �/O/h1 A L/L 70.50t orn
Name(Print) Current Mailing Address:
Signature S i — r Telephone An 3"a9 f sJ6
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Offidal Use Only
completed by permit applicant
1. BuildingNVa J, no (a)Building Permd Fee
/
2. Electrical (b)Estimated Total Cost of
Construction frorn(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection - ---- -- - _-
6. Total=(1 +2+3+4+5) 3/44A/QQ, ad Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Si natu `
rair
Builds anmissioner/inspector of Buildings Date
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSEDLOSPACE
Interior Alterations I/Existing Wall Signs 0 Demolition 0 Repairs 0 Additions ❑ Accessory Building 0
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing Change of Use❑ Other 0
Brief Description Enter a brief description here. Renee. Reeh. . , .4w s , Swett AAA easy fast
Of Proposed Work: Las er , Re J ha/ .2 POW, Redd,-,
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly Ei A-1 0 A-2 0 A-3 0 to 0
A-4 0 A-5 0 113 0
B Business 0 2A 0
E Educational 0 2B I 0
F Factory 0 Fd 0 E2 0 2C I 0
H High Hazard 0 3A 0
I Institutional 0 1-1 0 1-2 0 13 0 38 0
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage ❑ S-I 0 5-2 0 5B 0
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: [a✓,w4_..ff6✓/kif_.. _ Proposed Use Group .TP.nt _.
Existing Hazard Index 780 CMR 34): . . Proposed Hazard Index 780 CMR 34)
SECTION S BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
is
2n5. .. . 2m _...
ath
Total Area(sf) - Total Proposed New Construction(eft _
Total Height(ft) _
Total Height ft
7.Water Supply(M.G.L.e.40,§54) 7A Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone _ Outside Flood Zone Municipal 0 On site disposal system❑
Version 1.7 Commercial Building Permit May 15,2000
B. 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
parting)
#of Parking Spaces ..
Fill: _.-' __.... _...._
(volume&Location) •
A. Has a Special Permit/Variance/Findin ever been issued for/on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Regi try of Deeds?
NO O DONT KNOW YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO l;J DONT 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 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 O NO (3
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 13,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 118(CONTAINING MORE THAN 39,000 C.F.OF ENCLOSED SPACE)
9.1 Reglatered Architect:
Not APWkahle
Name(Registrant): .. _.— — — _'..
RepietratIan Number
Address
Signature Telephone
92 ReAgstexed Professional Engineer(s):
Name Area of Responseity_._
Address Registration Number
Signature Telephone Fgsatlon Date
Name Area of Respon®9ty
Address Regisbeb^Number
Signature Telephone Expiration Date
Name Area of ReaponPogty
Andress ----^---
-- -_ Reptatrdlerr Number
Signature Telephone Etmtraam Dots
Nan _.. Area A RespmgtWty
Address Regbtralion Number
Signature Telephone Etphation Date
9.3 General Contractor
Pig YL�1� 1y _--68) .L9( (!4
6 _ Lb Not Apphicabie❑
CompanName:
/dr/
_ .
Address
''. T%LINr,-'i, C� � '/ � 97Si691
Signature Telephone
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, D vlhi4 Qr✓1.14117 - 4
1
crcl9h'a_ -
,as Owner of Na subject property
hereby authorize /DIYI atitA/.deii8<QJ. . .OII K- to
act on m half, in all matt rs lative work authorized by this building permit application
'c L1tg/c 742/Ao/c-
Signet ner -�/� / Date
I - / Pm-- DOA44 earroard _670/At 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. -.
/ [/O nmc A Ovid?
Print Name - -
Signatu a r/Agerrt 7� Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Sut»Msor: Not Applicable 0
Name of License Holder - /%oR111$ .4 boI4-a/..... . _...._ GS-Q,l' gel _.
License Number
Po 19. troy 097 hnisA%efo4/,_ m0ys /a_ oar- /'7
Address Expiration Date . ..
C( ,,..✓ Q In'.1997-Lf6Y
Sign ure Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,%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 build 9 permit.
Signed Affidavit Attached Yes No 0
The Commonwealth of Massachusetts
Department of Industrial Accidents
_.:e, Office of Investigations
is-ie;t_ 1 Congress Street, Suite 100
SEM Boston,MA 02114-2017
a�
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information T Please Print Lecibly
Name (Business/Organization/Individual): /UH 2) 4as—Gan an /. s ItaA�ftp�
Address: 7.49 &..y X5'-7
City/State/Zip: /Lhevii4. /-',.p/aQ el.2.Phone#: 4//3-a s SMy _
Are you an employer? Check the appropriate box: Type of project(required):
L 21 am a employer with / 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction
listed on the attached sheet. 7. odeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. 0 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.E Plumbing repairs or additions
myself [No workers' right of exemption per MGL
Y comp. 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
'Any applicant that checks box#1 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.
tContmctors 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. 1J �A
Insurance Company Name: `L t...*, //!✓�✓a6 ✓'11
Policy#or Self-ins. Lic. #: /1/4f ,1/5 142/f? --/�or/ Expiration Date: 7d6-A6
Job Site Address: /25 hi* t/ 1t' &Air_ City/State/Zip: 0/060
Attach a copy of the workers' compensation policy declaration page_ (showing the policy number and expiration date).
Failure to secure coverage 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 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
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 of the DIA for insurance coverage verification.
I do hereby certify under t •pains and penalti. rjury that the information provided above is true and correct.
Si . ature: AlKt 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):
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: Mt ,I,f it/'i.014—
The debris will be transported by: %rn .�oza,✓
The debris will be received by: t6//.e„, Pry„/„j
Building permit number:
Name of Permit Applicant /a DPIAdy
1
Date /_ Signature of Permit Applicant
r;
a
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TOM DOLAN GENERAL CONTRACTOR
PO BOX 297
172 SOUTH STREET
CHESTERFIELD MA 01012
413-296-4303
FAX 413-296-0150
July 21, 2016
Commissioner Hasbrouck
Subject: Request for Waiver
I request that you grant a modification to waive the requirement for control
construction for the Church Pews at 1st Churches at 129 Main Street in
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. All work will be completed within the prescriptive
requirements of 780 CMR. Thank you for your consideration.
"Mass Amendments, sections 107.1 allows for an exclusion from control
construction for this project"
Respectfully,
JA
Tom Dolan
Tom Dolan General Contractor
PO Box 297
Chesterfield MA 01012
``tilftdtiddit
`-4
The Commonwealth of Massachusetts
William Franck Galvin. Secretary of the Commonwealth
June 28,2016 Massachusetts Historical Commission
Rev,Todd Weir
Senior Pastor
First Church of Christ
t29 Main Street
Northampton. MA 01060
RE: First Church of Christ, 129 Main Street. Northampton
Preservation Restriction Review(M.61..Chapter 184,ss.31-33)
Dear Rev.Weir;
Thank you for the information that you submitted.received May 2,2011),concerning the requested reconfiguration
of the existing Sanctuary pews located adjacent to the nom alter area.The First Church of Christ is listed in the
National Register of Historic Places as a contributing building in the Downtown Historic District The MHC holds a
preservation restriction in perpetuity on the church (both interior and exterior)as the result of Emergency MPH'
funding received,
The Massachusetts Historical Commission understands that the First Church of Christ is seeking to modify the
configuration of a portion of the existing Sono mersin onier to achieve a higher level of wheelchair accessibility as
well as for enhanced audience participation. It is understood that the firm two rows of pews along the right and left
side aisles will be removed and the third row of pews along hods sides will he shortened in overall length by sixty
inches. The first two center rows of pews were previously hemmed nlauy years ago. The pew removal and
modification will provide an enhanced}owl floor area m the front of the church for those with limited mobility.for
ministerial per-ir ance as well an to entourage grtak r audience participation during religious services and other
Meeting House events_ All removed it will he relocated acid stored in en alternative location within the church
property. The modified pews will he shun:red to retain the original cherry wood end panels- Existing carpet and
padding will be replaced in the project arca.
Mier review of the submitted project information,the MiiC is agreeable under the terms of the active preservation
restriction agreement to the scope oldie anticipated project as it has been presented.
These comments arc provided m assist in compliance with the terms of the Preservation Restriction Agreement
(Chapter 1ST its 31-23)
Sincerely,
Paul Holtz l
Historical Architect
Co-Director(]rants Pa,litho
Massachusetts t istoricaI Commission
220 Morrissey Boulevard, Boston. Massachusetts 02125
(h17)727-8470 Fax: (6171727-5(28..
WWW.see.state.ma.us/mhe