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25A-182 (43)
94 INDUSTRIAL DR BP-2018-1110 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A- 182 CITY OF NORTRAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:renovation BUILDING PERMIT Permit# BP-2018-1110 Proiect# JS-2018-001999 Est.Cost: $13100.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: PIONEER CONTRACTORS 017890 Lot Size(sa. fl.): 170319.60 Owner: 94 INDUSTRIAL DRIVE LLC zoninc:GI(100)/ Applicant: PIONEER CONTRACTORS AT: 94 INDUSTRIAL DR Applicant Address: Phone: Insurance. PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTONMA01061 ISSUED ON.412612018 0:00:00 TO PERFORM THE FOLLOWING WORK:DRYWALL CEILING, INSULATION, LIGHTING AND MINI SPLIT HVAC 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 OccuoancV sienature: FeeTvpe: Date Paid: Amount: Building 4/26/20180:00:00 $100.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner i Version L7 Commercial Building Permit Mav 15,2000 {- Department use only City of Northampton Status of Permit per,r ev es`-te isaea-va Building Department Curb Cut/Driveway Pai,Til - Ne,r'YP sr�'+' C10b° 212 Main Street Sewer/Septic Ava7labtl Room 100 Water all Availability . - Northampton, MA01060 Two Sats of St ural lria4l 11 phone 413-587-1240 Fax 413-587-1272 PlotiSite Plans Other:Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION P� 1Q— / / 10 1.1 Property Address: This section to be completed by office 94 Industrial Drive (Spaces For Rent) Map a 51+ Lot / 00` Unit - Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OW ERSHIP/AUTHORIZED AGENT 2.1 Owner of Record, 94 Industrial Drive LLC Name(Pant) Current Mailing Address: 94 Industrial Drive, Northampton, MA 01060 Signature Telephone 2.2 Authorized Agent: Pioneer Contractors Name(Print) Current Mailing Address: P.O. Box 1145, Northampton, MA 01061 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3800.00 (a)Building Permit Fee 2. Electrical 4200.00 (b)Estimated Total Cost of Construction from 6 3. Plumbing 1200.00 Building Permit Fee 4. Mechanical(HVAC) 3900.00 ! 5. Fire Protection 6. Total=T -2+3+4+5) 1% My• w I Check Number This Section For Official Use Only Building Permit Number Date Issued Signature Building Commissionerluspector of Buildings Date y f Z6/1$ 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 ❑ Existing Wall Signs ❑ Demolition[] Repairs❑ Additions ❑ Accessory Building El Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. Drywall ceiling, Insulation,Electrical Lighting, Mini Split HVAC Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 0 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ 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: Business Proposed Use Group: Same Existing Hazard Index 780 CMR 34): Low Proposed Hazard Index 780 CMR 34): Same SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) a 2"� 2"a 3`° 3r° ,n 4t" 4 Total Area(sf) Total Proposed New Construction(if) Total Height(g) Total Height If 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private ❑ Zone Outside Flood Zoned Municipal ❑ On site disposal system❑ Venarnal.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Dep io ncm Lot Size Frontage Setbacks Front Side L: R: U R: Rear Building Height Bld,Square Footage Open Space Footage (Iur arca minus bldg&paved parking) #ofPuking Spaces Fill: (volume&[.ocn[iov) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW e YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O 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 O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained , 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 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 O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 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: 196 Pleasant St., Northampton, MA 01060 Not Applicable ❑ Name(Registrant): 196 Pleasant St., Northampton, MA 01060 Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Teleph.ne Expiration Data Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Data Name Area of Responsibility Address Registration Number Signature Telephone Expiration Data 9.3 General Contractor Pioneer Contractors Not Applicable ❑ Company Name: David Claxton Responsible In Charge of Construction P.O. Box 1145 Northampton,MA. 01061 Adtlress 413.586.5491 Sign Telephone Versionl.7 Commercial Building Permit May t5,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 94 Industrial Drive LLC, Todd Marchefka as Ownerofthe subject properly hereby authorize Pioneer Contractors to act on mybehalf,in all matters relative to work authorized by this building permit application. Z� In g, 23 April, 2018 Signature of Owner A—r Data David Claxton/Pioneer Contractors ,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. Print Namgl /� n ,fM,`/'// 23 April, 2018 Signa ure of Gvw e&Mgent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: David Claxton CS-017890 License Number P.O. Bon 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 (j) No 2° Calx.o3e _ s g Cr�Tt, A'{ eev�,7 II"Zfi73111pfIIli 9 < Rlaaewerybe<nb' - - o DEPAATMEM OP BUIDNG INSPECPIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 wORICER'S COMPENSATION INSURANCE AFrMAVIT I, Pioneer Contractors (license•/permtttm) with a principal place of business residence at: P.O. Box 71 45 Mnrrhamntn. Mn (11061 (phooey) cac�nn, (&w—J ity/etatarap) do hereby celufy, under the pains and penalties of perjury, (1>?_t. ((�I am an employer providing the following workers compensation coverage for my employees working on chis job: Wcc 500595701200tI Aq.q 0,i -t d F ..1 nye, ?ns , ..e Cf —__ C`t)I4(q Qnru(ana;Company) n (Policy Numlze() (FApl tion Das, O I am a sole proprietor, general contractor Or homeowner(circle one) and have hired the couvactom listed below who have the following workers compensation policies: (Noma of Com¢acmr) (Lnsva . Compnvy/PoGry Number) (F zpl utl n Data) (Name of CoutmMor) (lnsumnce Company/Policy Number) (Ezptmdoa Date) (Name of Connector) (lunnance Company/POUCY Nttmbu) (Epuzuon Date) (Name of Connaaur) (Insurance Company/Policy Numher) (Expiration Date) (wssL a6liti sheu if, w zm —PctimuS u a v mn ) O I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:Plaebe.wve Wu wmle bammxun who mpiq Pusambtlo mrtWawa2w.0 A4n6 a( od mae�tmw .^".is w��me bomoowouamde«mthe gwud,app«tmamtb�u.rtuu y<mWy�., ,mbe mplbym umc No wmkchc�atim M(GLt52yalC5)]ygtiorim Ey ahommwwuC alibme«puma m^Y�ilmz We lept.w�o(m.�loy.r mdsrmawMrda Camp®.tion Aa wdanane�hx a.vpy o(Wu mtmm m.Y b^tacwd.d b We Dvpa.mmt d'r�.a;u,mamr O&m o!I®u.m+Cm M, w.cay<.¢ifiaioo cM Ih:t L-ilmc u scwc w.vctegb wdaxcc4w 35A ofA{OL 15i ov 1¢d ib ih.o>pamw olaimmil Pmil^u awti>amgola 6tt bfup to Sl300.00 mdt« orupba«y.v mdaW pmai�u iv lbe fum of.Sbp Wek n,de eod. - " five o[S1o0.00 a aaY apron� Fad,yvatabl u+aoo7 1, Permit Number 1 J a Mao Lot f Si tmc of Lic>ascelpermi 2 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: �l{ 1n�vs�YtaXr" �z The debris will be transported by: gypQ ,� The debris will be received by: VJA XAe�,l,fJ-z Building permit number: f Name of Permit Applicant Z34.1 ZpIP J✓� Date Signature of Permit Applicant P.0 Box 1145 Northampton, MA. 01061 Voice 413-586-5491 Fax 413-527-5099 E-Mail pioneerwrtraca)yahoacom Cell 413.626.7267 To: Louis Hasbrouck/Bldg.Comm. From: David Claxton Fax: Pages: Permit Application&Floor Plan Phone: 413.587.1240 Date: 23 April.,2018 Re: 94 Industrial Dr. CC: 0 Urgent X For Review 0 Please Comment 0 Please Reply 0 Please Recycle e Comments: I request that you grant a modification to waive the requirement for control construction for the installation of non-Ioadbearing partitions,other work including plumbing&electric wiring in existing space, because the work is of a minor nature,will not affect existing egress, 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. Please see attached plan to permit application. Thank you for your consideration. Respectfully David Claxton Pioneer Contractors Spaces For Rent THOMAS DOUGLAS REGISTERED ARCHITECT, Revised Revised Northampton, MA Architects,Inc. COMMONWEALTH OF SK-3 November 22, 2017 JANUARY 5, 2017 1012612017 1 MASSACHUSETTS This drawing Is not Intended nor shall It be used for construction purposes unless Ne Signed PLAN A L„I V A I ��V O' 1 professional seal of a registered architect employed by Thomaaffixeds Douglas Architects Is axed In um i v apace below. The Architect shell be doomed the author of these documents and shall retain all common law,statutory and other reserved n h”Including the copyright. P R O P O S E D w ® -- --- .� w � MERCHANDISE Z I EXISTING RESTROOM r --- -- - -- - -- PAD OUT WALL WITH i ACCESS PANEL OFFICE RETAIL I 'si I =� m 2 %t ss o I --- -- ----- -- - — - POINT OF SALE N 1 3 �?'ECOGG7 r I J NEW ENTRY WIND W 4'-6" 2-1" i i I