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32C-017 (11) 76 MAIN ST BP-2017-0427 SIs a: COMMONWEALTH OF MASSACHUSETTS a :Block: 32C-017 CITY OF NORTHAMPTON Lot: PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit ft BP-2017-0427 Project# JS-2017-000713 Est.Cost:$30000.00 Fee:$210.00 PERMISSION IS HEREBY GRANTED TO: onst.Class: Contractor: License: 11se Grgup PIONEER CONTRACTORS 017890 tot Size(sq.ft.): 4094.64 Owner: TRIDENT REALTY CORP C/O HAMPSHIRE MANAGEMENT GROUP Zoning:CB(100)/ Applicant PIONEER ONTRACTORS AT: 76 MAIN ST Applicant Address: Phone: Insurance: PO Box 1 145 (413) 586-5491 Workers Compensation NORTHAMPTONMA01061 ISSUED ON:9/30/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:MINIMAL PARTITIONS, DOORS, ELECTRIC, HVAC POST THIS CARD SO IT IS VISIBLE FROM TIIE 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 CTTY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sienature: FeeTvpe: Date Paid: Amount: Building 9/30/2016 0:00:00 $210.00 212 Main Street,Phone(413)587-1240, Fax: (413)587.1272 Louis Hasbrouck Building Commissioner Version 1.7 Commercial Building Permit May 15,2000 t-.. r�, ,T7-1,,, Department use only L-'-" City of Northampton Status of Penile Building Department Curb CuuOriveway Permit _ - �' 2 9 212 Main Street SewertSe�Availability Room 100 Water/Well Availability___, _� D��nF P.Nt,Cle3 fl5`�GONS Northampton, MA 01060 Two Sets of Stmdural Plans NOME/WM ON,M.AGIG6° ._;.- 413-587-1240 Fax 413-587-1272 Plot/Site Plans Otter Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 PropeiTy Address: This section to be completed by office ?$ I'r\U-I\A ' Map Lot Unit Su:Ate- 209- 212- zone Overlay District Elm St.District CB Distract SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Z.1 Owner of Record: t 000;11,_, ''-11`'I&CN g 19) W14%.14‘ WJE'. , 1VOfIt y#N Arft.. Name(Print) Current Mailing Address: 1 '413— Si -AC1?D Signature f_ ..A Telephone 2,2 Authorized Agent: Pi m&eer £ AravAvcs (Lo• t itis, NdfitCwkw MA Name 1Prini) Current Mailing Address: da 06% 413- S b-, jilt 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 ti,DIET. Ott 2. Electrical (b)Estimated Total Cost of S`ra'rn7 Construction from(61 3. Plumbing Z sib lb Building Permit Fee 4. Mechanical(HVAC) / .y%MD* fYD 5.Fire Protection 7,i-^�/ S. Total=(1 +2+3+4'S) 30, 00 Check Number �(J / 57& _ , 1tJ This Section For Official Use Oit Budding Permit Number Date Issued Signatur- , 7:e.4.:/ 73d I Build•• pectoro uil Date Versionl.7 Commercial Building Permit May 1.5,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations fid Existing Wall Signs 0 Demolition Repairs Additions ❑ Accessory Building Exterior Alteration 0 Existing Ground Sign❑ New Signs 0 Ro(ofing❑ Change of Use❑ Other 0 Brief Description Enter a brief description here. ?-air\(rtQvt, ectAkt5vCe dOvYS, eI'zc*riC., hvt..c or Proposed Work: Pec Priem-s SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-I 0 A-2 0 A-S ElIA 0 A-4 ❑ A-S 0 1B ❑ B Business L'1 _ 2A ❑ E Educational ❑ 28 1 0 F Factory 0 F-t 0 F-2 0 2C ❑J H High Hazard ❑ 3A I I Institutional 0 I-I 0 1-2 0 13 0 3B ❑ M Mercantile 0 4 0 R Residential 0 R-1 ❑ R-2 0 R-3 ❑ 5A 0 5 Storage ❑ S-1 0 S-2 0 58 0 U Utility ❑ Specify: M Mixed Use 0 Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: t�o u t tYX,tia 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{ef) a fu 2 d 2"d m 3m de dm Total Area(sf) Total Proposed New Constmction(sf) Total Height(ft) Total Heightft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zane information: 7.3 Sewage gt`sposai System: Public g 0 Zone Outside Flood Zone(t� �"Municipal On site disposal systems Versionl.7 Commercial Building Permit May 1 S,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning HA,coivmo to be fined in by Building Depaument Lot Size Frontage Setbacks Front Side L: L: R: Building Height Bldg.Square Footage Open Space Footage {Lot area minus bldg&paved Parkin) #of Par) Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO O DONT KNOW YES 0 IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO (73 DONT KNOW O YES 0 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 0 NO O IF YES, describe size, type and location: D. Are time any proposed changes to or additions of signs intended for the property? YES C) NO el IF YES, describe size,type and location: E. Will the consuuclico activity disturb(clearing,grading,ex ation,or filling)over I acre or is it part of a common plan that will disturb over t acre? YES O NO 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 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: `t 0 `� Not Applicable ❑ Name(Registrant): iQ b P1ca k . Registration Number Scb• I Address 834te S$S•D641 Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registragon Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Y' ,., ",1 Pta r n 1r,s^r�1 tr'eLpw > Not Applicable ❑ Company Name: DPAI W� C.la�e•{w- Responsible In Charge of Construction P.©- BCPC 114 +t -, MA• 006( Address ate. c a es 413-616-7167 Signature Telephone • Version t.7 Commercial Building Permit May IS,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No €1 SECTION 11 OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i. �'Iwuv� CJ�s.LY� /�^'' ...�,as Owner of the subject property hereby authorize '['t(11 1tiRe04- Cana to act on my behalf,in all matters relative to work authorized by this building permit application. edit Al v 1 C7 (28)(24'16 Signature of Owner Date I. t'ICJYtt:RC' Cnti)YG3Sb ) t✓p.,,fx� 6 aefesns'Authorized Agent hereby declare that the statements and information on the foregoing application are this and accurate,to the best of my knowledge and belief. Signed underih ins and penities� Print Name '{. / Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: t� Not Applicable 0 Name of Upon.*Halder: 'itexit PL. GI c -017 NO ��jj f� �'`C�+�_'j`,^'` License Number T.t], i9JJ' 1l4r boort V Eat i1t417& Address Expiration Date gouta 43$ zC13 626 7> G7 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 v.411 result in the denial of the issuance of theebbui ing permit Signed Affidavit Attached Yes l(4 No 0 =oytlwlvpo (rit�I at Northampton e s- -mkt'�' er ai.,.argbb.ne d . _ _1c - DEPARTMENT OP BUILDING INSPECTIONS %1111=—W1 212 Math Street ' Municipal Building !A@- Northampton, Macs. 01060 v- WORKER'S COMPENSATION INSURANCEE, AITTDAVIT 1, Pioneer Contractors giceuseclperminM) with a principal place of business/residence at: • P.O. SOx 1145 Nnrt-hamptnn MA n1-061 _(phonea) 586 5991 (strcet/nb')swdrip) do hereby certify, under the pains and penalties of penury, that. (VI/I am an employer providing the following workers compensation coverage for my employees working on this job: • Wcc 50059570120C1z A¢cnri atefl Wmpl oyerc Tnsunnce—Co____________ —.F/40 ire, (Insuranc- Company) (Policy Number) (Expindoo Dale) O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers compenc tion policies: • (Name of Cont actor) (Insurance Company/Policy Number) (Espim000 Data) • (Name of Coutr cior) (Insurance Company/Policy Number) (Thcouaoon Date) (Name of Contractor) (Insurance Company/Policy Numbs) (Eepiranon Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (mad additimal tat if ny ta mwee infonaut on peat.mus to all matron) O I am a sole proprietor and have no one working for me. O I am a home owner performing all the work myself. NOTE:pies.ix aware thn white homcosrners who aagtloy patois to da on;M..n mosruaioo m rspaa work en a dwtniog or not mets thu three win in whir the bomcoworr reide cc on the grouods a pufcnam thereto art not g ]atIy waded n bc comloycrs uMm the work&n.np-. tim art(GI-152,si(5)),npplieapon by t bomnowno fm a tcmjc w pomi may cW.rc the legal name of an a rployec order to Wo'ce.Cn...p -.tion An. I undernand that a copy or this mt®-m may be fo watdad to to Dcpvmat of lodmtid AmhmY O&m of lmv.na for the coven ge wtifc.rim rind du fsilurc to serum intern der cc-react 25A of MOI.IS2 curl lel to the impcstco of criminal pmataa wmi�g oft fmcbfup cis ly0e.eo tidal impiso®mtofup to am mw yor Lod patbo form of a Stop Weer OtdeM , a - . fim or S100.00 a Jay erg iost For nIusc only Ay(Latr 71 /b Pu wflt Nu i MaP' I.ot Si -pem/pCrmi g 'c- e 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: -Ifs 'V VAN The debris will be transported by: C:iu.Seaw Ti0Atkiel The debris will be received by: VetlAtel Q&c1otc Building permit number: I !f Name of Permit Applicant Ptm&evr 6Mtndto6 12.6.6 /004 get Date Signature of Permit Applicant in Hi � Ill / 4: �c 1 i.#/getvelei_5 • _ . T j_1o• BLOCKEDHEAT - p 1 NEW PLUMBING WALL f HALL#2 F ;;.4•v' of, ss lilt FOR WAS NO ER d y EA ; DISHWASHER LINES surF �=' Is 1 t 29' TO' fV' o L j WI CNEW ABINETS tA" �' ll/ EX STG COLUMN FQ 4 IIS / ������■ REMOEEX 6 -: �� 7 SINK CA INET NG CityotNorthampton rMIN. 51 CABINET AND �.y��/�Department IFN CT1tiC%SOuD A COUNTER RIGS L 3I Building paparimeM uwmn MO ._ ENT .PATCH p COUNTERTOP W6a 2 REMOVE A9NEL WOOD Plan Review ORPEOGE. B L EXISTING EX WOOD KR. FG SG J14" WINDOWS AND TRIM 212 Main Street OWNER TO INSTALL nG N NFnE ,� EXPOSE Gil CLG �./� ` AND!NEILL OPENINGS NOnhernplOn,MAQ1WM SIGN ON MONO; EX W00DFLR. pin OMATON ADJACENT NEW DOOM NAT ; 1p AC°US4.CLP ) WALL. p ' ENANT YOTRN i . e9'3 Ue'A$4 dW"rD 2 S. �REFIN,SR WALLS +i:._ TNRO`JOAs0T TENANT .7 ENENTWPM ED PNlT ( 1 - .PACSSASDIRELRED BY hFILINGICABINETS / i'. 1 r" 7 W INB AL6A6E owNEa Pry eel NOM inki rALLE- 6v ��" -. 2116 rnRl ETEND ' ,,,.� — \\ TENANT IpANEI.- vs'Ig MAIN Ia / _ Ir CORR.OL__t REAR - z`D" `PATCH WOOD FLOORS CARP PER REWINGAREA x__ TBRaxuwm TENANT f GYP OD.CEIL. SPACESOWNER..? ABDIRECTED BY @810'A.F.F Ex,WOOD FLR. ER GYP SID LLGea. — GYP SID"ALOE \ UNIT REI CWGBLx Neo 4„� 0 211 EXESTGBEAM RAPro 1ANEL ht 000 N ! Z z AWO ELECTRICALTP E%6T68kAUAeOVE WEND TO NEW n Ex WOOD PLa. � � BELOW p; (.i Z I ,,,, -A0. EXPPSE DN.°LG_ ' W Z ' L —�. EXISNG COLUMN f N W id 2,_D. CY ENCLOSURE DEMO EXISTING WALL Z I— I- i NI4Ur '•—: �mvERRRG6 Dowty TD I M < _ f, / / 'C h f wsC1I€D 8 WF£RE - f ix = r wAON GROt9i B„ROUGHOUT TENAN ' c MATCHSDOORTINGiO LION V ”' RO\KN IOVT TENANT End ` O 1 E%SiINGA3 Y�10" CRAIP NAILAT 6PALE6� co a u.1 N' E CLOSELY AS AITINO � � POSSIBLE GP Q PEflIMFTEN n a LL SR(tB i" BAsEYOARD a'`1P" T �/ 9HELV6S �SHELVES G, MART 2Tati I 1 IL\ s E _ '/ .AZR'.6 ars �� _'� UP 1 SNR OKE �I E 10) 1 _ / \ / , G. , _ ON ELEV\ .. Exw°GD FLn. ' PNIMUD' 1n 034 / 6 TIN CL G. 171 / ^' GONE RMJER PNM ®• 9iTBAS Damn By SOF A v NM CEO . MN ""�j '�- "—UP .flW CTHROU WALLS WFL 'Nwon M( NEARE 51R"GYPSUM t- MpeNM Sy'. SOF j+tA 4itYAf F. W .7 i£NAM BOLL. MYYER SIDER OF 4'STPSDM —Exisrt NCLOSUOWMM SPACESASDIRECTED SY BOARD ON E1rHA G6iDEOF.1'STUD UNIT ENCLOSURE OWNER yFde'. AS NOTED WINDOW FILL TO MATON ADJACENT WAL naue Dek'. S,2W2R16 • ~... SM1enr+tle >_� 1 �� °PTIGNALGIASB BL°GX INFILL s31!16- E °ooR.REVPr% Ex sTNCGPErvwGtoR PROPOSED LAYOUT MINIMUM DOOR WIDTH INDICATED.DEMO ANDNFLL FOR XB MAIN ST q TT®11" EXISTING INSTALL NEW FULL ABOVEDOORSDOOR OR BR .Vi.r DEMOM OPi NINWNREOYDTERRNE TOP 7T®11. GFTRANSOM OP NING.OWNER TO DETERMINE mewing Na. DOOR GMS. 78 Main Street Partial 2nd Fir- Schematic Layout#4B n---.. ",RL ACIURET °° EmE`N sVEREO PER 1 Scale: 3/16" = 1'•O" SD-4.2