32C-052 (11) I PEARL ST BP-2017-0825
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:32C-052 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-2017-0825
Project it JS-2017-001381
Est.Cost: S3000.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: TEAGNO CONSTRUCTION INC 082248
Lot Size(sq. ft.): 11194.92 Owner: GLEASON HELEN C&PATRICK T TRUSTEES OF HELDON REALTY
Zoning: CB(102K Applicant: TEAGNO CONSTRUCTION INC
AT: 1 PEARL ST
Applicant Address: Phone: Insurance:
228 TRIANGLE ST (413) 549-0803 Workers Compensation
AM H ERSTMA01002 ISSUED ON:I/3/2017 0:00:00
TO PERFORM THE FOLLOWING WORK INFILL 1ST FLOOR SLAB @ SPIRAL STAIR
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 1/3/2017 0:00:00 $100.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File# BP-2017-0825
APPLICANT/CONTACT PERSON TEAGNO CONSTRUCTION INC
ADDRESS/PHONE 228 TRIANGLE ST AMHERST (413)549-0803
PROPERTY LOCATION I PEARL ST
MAP 32C PARCEL,Q52 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMITAPPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FELLED OUT
Fee Paid
euildine Perznit Filled out i OD
Fee Paid
TvpeQfConstruction; INFILL 1ST FLOOR SLAB(o)SPIRAL STAIR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Inclgslcd:
Owner/Statement or License 082248
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOR ION 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
400
a mjlay afr
Sig : . 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 40k Contact Office of
Planning&Development for more information.
Version1.7 Commercial Buildin,Permit May 15,2000
Department use only
R _ City of Northampton Status of Permit
Building Department Curb Cut/Driveway Permit_
O 212 Main Street Sewer/Septic Availability _
Room 100 Water/Wel Availability
Northampton, MA 01060 Two Sets of Structural Plans
.u-c'' phene"413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Bpeci{y
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
I
i.i Property Address: u This section to be completed by office
Map Lot Unit
- feteL ST'
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
er of Record:
G E'R`t.enrss c ST" Elute _ ficc --2--_ ,I� f
Name P "� Current Mailing Address:
j-
n I13 -53d-1Igad
Signature to baa Telephone
22 Authorized Agent/
L 0 V rS a-11inar0, ""Trrzyi,,:tn `wc4/ t2.28TF10. el-ft ,urh°„+ rnJ
Aiyto, -
Name(Print) Current Mailing Address.
SL-Y?-errio -y
Signature //(/i ✓ G(. CA TelePhane
SECTION 3-ES(MATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1, Building ,c0 (a) Building Permit Fee 1
2, Electrical (b)Estimated Total Cost of
Construction from(6)
3, Plumbing Building Permit Fee
4, Mechanical• '1 ,C)
5. Fire Protection I 41C/eq )
yy �,
6. Total ri(1 +2+3+4 =5) Check Number at7,) `r"l(IV
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings — Date
7, /00: Oc M'D, Fey,e, icl+f k
Version1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs ❑ Demolition 0 Repairs pi Additions 0 Accessory Building
Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing❑ Change of Use❑ Other 0
Brief Description Enter a brief description here. IT pF;// F'i Lir F1co 2 -S Lrvt3 e S pie la/ 1-7;4f
Of Proposed Work:
"cit. /1?7ACtott e.igs- / l/0-1 '/),nA.) S kie/(a.•) PF
SECTION 5-USE GROUP AND CONSTRUCTION TYPE 4,BFJk yN
USE GROUP(Check as applicable) ' CONSTRUCTION TYPE
A Assembly A-1 ❑ A-2 LiA-3 0 1A 0
A-4 ❑ A-5 0 18 0
B Business ❑ u 2A 0
E Educational ❑ 28 I 0
F Factory ❑ F-1 ❑ F-2 0 2C ❑
N High Hazard 0 3A 0
I Institutional 0 I-1 0 1-2 0 1-3 0 38 ❑
M MercantileI 4 ,,e'
R Residential 0 R-1 ❑ R-2 0 R-3 0 5A 0
s Storage 0 S-1 0 ...-- S-2 CI5858 I 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: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA tic ( /pa/tJ
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
im
2im 2nd
3 rd Ath
3rd
4`"
Total Area(et) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L c.40,§54) LI Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system
Version!.?Commercial Building Permit May 15,2000
%. NORTHAMPTON ZONING ,y ( Ys/4-A1-P. ..
Existing Proposed Required by Zoning
This column to Be filled to by
Building Department
Lot Size
Frontage _..
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space
bdg& p
menu
(Lot area idg.b paved
parking)
#of Parking Spaces
Fill:
wLnne&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES O
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO it) DONT KNOW O YES f?
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
YES, describe size, type and location: j'J 0A-14-.Y ..r6/. )pent .
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,y_xcavation.or filling}over I acre or is it part et a common plan
that will disturb over 1 acre? YES O NO M
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Vetsionl.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 D ....�
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
!.ea / uo (rG,litli' ruc-Pc b+� u E Not Applicable 0 ._
Company Nam€
Loc; is C- t//1nee ro
R(ee��sponsibbllele In Charge of Construction 717,47 -i
Address.
Si a 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 S
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
�rua�2 t9/! 414111111
i a /A - -- _. ,as Owner of the subject property
•here ith • e .,C9Cr/-s (In//AiflrRel /E'r'5Nc.) cep-O-/-II C.Cf,(1rtl tar ' to
act >n y e alf, in all ars relative to work authorized by this building permit application.
lz
wids
L . f'ies . Atm. ite / 76)6 9-4-10 tic'e")j+f tick(Aii-C Air. 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
an. belief.
Signed under the pains and penalties of perjury.
in 'Cr Lc rQ ./I ✓ a (G)
Print Name 7
� � � /
Si o CegV'
Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Lic used Construction Supervisor: Not Applicable ❑
Name of License Holder: n
Qr't LS C zfjri eri 65-08,:2,) '
License Number
/3A Au ri,;&oo1 . RD - 111ie.u7 t-Jt9 0 7vt),2_ ioty,.a /7_
Ad ass / Expiratio Date'
ign tura 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.
Si.ned Affidavit Attached Yes ([yb( No 0
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 150k
Address of the work: / ?P#2/ J 1. /10r 1177*7 74/4-1
The debris will be transported by: T
The debris will be received by: J/4j 4 C (3/CAL, _,4/F75,1/477,4 k,cl
/ zcrrm.ey7 j
Building permit number:
Name of Permit Applicant /'1 (? //i C` k/ //{A?Efo?o
/}/27/107k) -� /Lo
Date Signature of Permit Applicant
Louis Gallinaro
From: Ryan S HeIlwig, PE
Sent: Wednesday, November 16, 2016 5:31 PM
To: Anthony Gleason; Igallinaro@teagnoconstruction.com
Subject: 1 Pearl St Noho
Re: First Floor Slab Infill @ Spiral Stair
1-V2 20 gauge composite metal deck - deck flutes to run east-west. parallel to Pearl St.
Weld deck to new support steel w/arc puddle welds @ 12" o/c maximum
Provide +/- 4-1" concrete topping (+/- 6" total slab - to match existing)
(2) W8x i 3 filler beams- one each under north and south edges of opening, spanning parallel to
Pearl St.
Cope & weld ends of filler beams to existing 15" 1-beam w/ standard clip angles
Bolt filler beams to existing foundation wall w/ (4) 'l dia epoxy-set anchors& std. clip angles
(2) W8x13 cross beams - each one 6" in from east and west edges of opening, spanning
perpendicular to Pearl St.
Cope & weld ends of cross beams to filler beams
(4) L5x3x1/8 (LLV) deck supports on a 45° diagonal to support curved sides of slab infill
Cope & weld ends of diagonal angles to cross beams & filler beams
- Ryan
This email has been checked for viruses by Avast antivirus software_
www.avast.com
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
�^ 1.
I Congress Street, Suite 100
• Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organizationandividual): /e€ ion (t, ct.rk' O.d L /CyC. _
Address: - )t/ 7724V-Lit/P SIT
/ _
City/State/Zip: fff lki'if} /`/N O .0) Phone #: /q' c � ICE
Are you an employer? Check the appropriate box:
IS am a employer with
u 4. 0 I am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
listed on the attached sheet. 7. 0 Remodeling
2.❑ [ am a sole proprietor or partner-
ship and have no employees These sub-contractors have g. 0 Demolition
workingforme in anycapacity. employees and have workers'
9. 0 Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.0 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGI- 12.0 Roof repairs
insurance required.] c152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp, insurance required.]
'My applicant that checks box;II must also fill out the section below showing their workers'compensation policy information.
°Homeowners who submit this affidavit indicating they aro 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
emptovecs. if the sub-contractors have employees,they must provide their workers'comp.picky number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. A
Insurance Company Name: 17• _I) e �( jQ /jff, Co .
Policy#or Self-ins. Lie. #:/(.j 4 . - 0 / t 0 id g- Expiration Date: l/1/.20 /7
Job Site Address: / /"loth(-} j7. City/State/Zip: Lhr1Ii. f I,, //1 0/C760
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 Si 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 5250.00 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 certi under the pains an 7"; '.e• :Jury that the information provided
above k true/endcorrect
Signature: tej e'<-( Date: /✓" *VA
_..
Phone#: (//J ... -C7/ dO 0
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#:
TEAGNO
Lei CONSTRUCTION
INCORPORATED
December 31,2016
Commissioner Hasbrouck
Subject:Request for Waiver
I request that you grant a modification to waive the requirement for control construction for the spiral
staircase in fill at the first floor at 1.Pearl 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 theprescriptive 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, „/
isee allinaro,General Manager
T.CI
•
228 Triangle Street
Amherst, MA 01002
413 • 549 • 0803 www,teagnocanstruction.com FAX 413 • 549 • 2628