25A-182 (42) 94 INDUSTRIAL DR BP-2018-1001
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mam lock: 25A- 182 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Catcgo:Siding BUILDING PERMIT
Permit# BP-2018-1001
Project# JS-2018-001819
Est.Cost $15200.00
Fee:$112.00 PERMISSIONIS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: PIONEER CONTRACTORS 017890
Lot Size(sp.ft Y 170319.60 Owner: 94 INDUSTRIAL DRIVE LLC
Zoning: GI(100V Applicant. PIONEER CONTRACTORS
AT. 94 INDUSTRIAL DR
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586-5491 Workers Compensation
NORTHAMPTONMA01061 ISSUED ON:4/11/2018 0.00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL NEW SIDING & DOORS ON EXISTING
BUILDING & OPENINGS
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 4/11/20180:00:00 $112.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File BP-2018-1001
APPLICANT/CONTACT PERSON PIONEER CONTRACTORS
ADDRESSTHONE PO Box 1145 NORTHAMPTON (413)586-5491
PROPERTY LOCATION 94 INDUSTRIAL DR
MAP 25A PARCEL 182 001 ZONE G1I10001
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid n
Building Permit Filled out
Fee Paid
Tvneof Construction INSTALL NEW SIDING&0@011910N EXISTING BUILDING&OPENINGS
New Construction .
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included'
Owner/Statement or License 017890
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 Sheet Commission Permit DPW Storm Water Management
Demolition Delay
/LitL�
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.
APR - 3
Version)-7 Commercial Bui my Permit Ma 15 200
r
City of Northampton Status of Permi' voar.v+ ��^_
Building Department Curb Cut(Dnveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specity
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 compOpleted by office
Map -7 ✓� Lot �O� Unit
94 Industrial DR.
Zone Overlay District
Elm SL District CB DisVlct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Storage Solutions 941ndustnal Dr.,Northampton,MA 01060
Name(Pant) Current Mailing Address'
413.320.4650
Signature . Telephone
2.2 Authorized Agent
Pioneer Contrators P.O.Be.1145 Northampton,MA 06016
Name(Print) Cummt Mailing Address.
413.586.5491
Signature i���A./i%'/ Ul �'i V4- `-- Telephone
SECTION 3-ESTIMATED CONSTRUCTIO COSTS
Item Estimated Cost(Dollars)to be Official Use Only
correlated by ermit anolicant
1. Building 14000.00 (a)Building Permit Fee
2. Electrical 1200.00 of Estimated Total Cost of
Construction from fi
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) v 0
5,Fire Protection
6. Total=(1 +2+3+4+5) 1SAW'hCheck Number ( Q'
/Y7
This Section For Official Use Only
Building Permit Number Date
Issued
Si r '/'�
in mmissi aiir sp of Buildings Date
Version 1.7 Commercial 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: Install new siding 8 Doors on existing building 8 openings
SECTION 5-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 ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2S
!jH Hi2h Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 38 ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 58 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
5 Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Storage Proposed Use Group: Same
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(at)
V,
Vs 2 a
3e 3a
4' 4�
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height it
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public [D Private 0 Zone Outside Flood Zone❑ Municipal ❑ On site disposal system E]
Version 17 Commeroial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
pins column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side U R; L: R:
Rear
Building Heigh[
Bldg. Square Footage
Open Space Footage
(Wr area minus bldg&paved
rkin
#ofPazkin S aces
Fill:
volume&Lomtfon)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW (�) YES Q
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
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
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 Q
IF YES,then a NoMampton Storm Water Management Permit from the DPW is required.
Vcrsionl.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 36,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Douglas Architects 196 Pleasant St, Northampton Not Applicable ❑
Name(Registrant):
Douglas Architects 196 Pleasant St, Northampton Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Epnfion Data
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiragon Date
Name Area of RespcnsibiRy
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone 6piraflon Date
9.3 General Contractor
Pioneer Contractors
Not Applicable ❑
Company Name:
David Claxton
Responsible In Charge of Construction
PO Box 1145 Northampton,MA 01061
Address
Signature �'" Telephone
Version l.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required yes Q No 0
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Todd Marchefka as Owner of the subject property
herebyauthorize Pioneer Contractors
to
act on my behalf,in all matters relative to work authorized by this building permit application.
K�, � 4/3/2018
Signature of owner Data
David Claxton/Pioneer Contractors ,as ownerfAathohzed
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 palms and pepaltiels of perjury.
Print�—
4/3/2018
Signin r.of DemedAgent Data
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Halder: David Claxton CS 017890
License Number
PO Box 1145 Northampton,MA 01061 1/19/2020
Address Expiration Date
413.626.7267
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 o
a Catty of 'WQTtffatllp fall
9 ° �{usarhnc.nc'
d _
DEPARTMENT OF BUILDING INSPECPIONS
212 Main Street ' Municipal Building _
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFMAVIT
I, Pioneer Contracfnrc
(IioensaJpe=acc)
%iri h a principal place of business/residence at'. -
P_O. Box 1145 mnrrhamptnn. MA n1nGt (phonea) coc 51or
(sacUdry/starcEP)
do hereby certify, under tie pains and penalties of perjury, UL t
((� I am an employer providing the following workers compensation coverage for my
employers wor'zmg on rlus job.
Wcc 50059570120Clz
Accnriatarl Fmnl nvor�- rns rray,p Cn
(ImCone.ny) (Policy Number) (Eiyuanon Dsrrt .
( ) I am a sole propnetor, general com¢ aor or homeowner(circle one) and have tied
the contractors listed below who have the following workers compensation policies_
(Nnmc of Connaemr) (Incur <z Company/Poliry Number) (�punoon Dalc)
(Name of Coutmaer) (Ins cc Cgmpan)-/Pobq Number) (Expiradoa Date)
(Name of Connaclor) (Insu cc Compaay/Policy NusAr) (�—\Pur uoo Date)
(Name of Coaaachor) 9Rslu-mce CDmpany/Policy Number) (R�Tiradou Date)
(u�uL:etirimal soa Jn�++y a meAd=wfvm�uoe e�s+a ell�r.+nn)
O I am a sole proprietor and have no one worlang for me.
O I am a home owner performing all the work myself.
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Permit Number
1 b�lE' Map% Lot L.
Si -anu oflioascJPccmi � _
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: 4 L mUsF .
The debris will be transported by:
The debris will be received by: U,
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
SOS.@.§ EO!'Rm TNOM S OOUOLAS REGISTEREDARCHITECT,
Nomampton,MA Archltecfs,Inc. COMMONWEALTH OF S -A
1012612017 MASSACHUSETTS PLAN LAYOUT `�—
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