18D-026 (57) 55 DAMON RD BP-2018-1260
GIs 4: COMMONWEALTH OF MASSACHUSETTS
MO.Block: I SD-026 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-2018-1260
Pro iect4 JS-2018-002242
Est.Cost:$300000.00
Fee:$2240.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License.
Use Group: STEVEN RIBEIRO 074975
Lot Size(so. ft.): 61419.60 Owner: SARDINHA EMANUEL
Zoning, GI(100)/ Applicant: STEVEN RIBEIRO
AT: 55 DAMON RD
Applicant Address: Phone: Insurance:
20 RICHARD CIRCLE (508) 889-46610 WC
SEEKONKMA02771 ISSUED ON:71212 01 8 0:00:00
TOPERFORM THE FOLLOWING WORK.•MULTI TENANT BUILDING FIT UP PER PLANS
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 7/2/2018 0:00:00 $2240.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2018-1260 !� �
APPLICANT/CONTCONT ACT PERSON STEVE RiBEIRO
ADDRESS/PHONE 20 RICHARD CIRCLE SEEKONK (5C )1 89-4661 r FsE
PROPERTY LOCATION 55 DAMON RD N r pEZP�tfi
MAP 18D PARCEL 026001 ZONE Gill t40]/
THIS SECTION FOR OFFICIAL JSE ONLY:
PERMIT APPLICATION CIi CKLIST
';1'0EL REQUIRED DATE
ZONING FORM FILLED OUT -
Fee Paid
Building Permit Filled out ;(
Fee Paid Qf-r
Tyneof Construction: MULTI TENANT B I PLA 2
New Construction 0
Non Structural interior renovations
Addition to Existing
Accesson Structure
Building Plans Included:
Owner/Statement or License 074975
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
7INF RMATION 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 Street Commission Permit DPW Storm Water Management
__Demolition Delay
Signature of Building Official Date r
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning j
requirements and obtain all required permits from Board of Health,Conservation Commission,Department 7lri-LSI t
of public works and other applicable permit granting authorities. -_ - -
*Variances are granted only to those applicants who meet the strict standarrdssoof MGL 40A.Contact Office of
Planning&Development for more information. TJ
6tF�
Versionl.7 Commercial Building Permit May 15,2000
Department use only
Cly of Northampton Status of Permit
MAY 2 9 2018 j Bt ilding Department Curb Cut/Driveway Permit
12 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
DEPT OF BUIIDIND
'Norl amp ton, MA 01060 Two Sats of Structural Plans
NORTHAMPTON.Me010fi0
- 87-1240 Fax 413-587-1272 PlotBite 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
1.1 Property Address: AoThis section to be completed by office
5s 1JgrfMon 'R Map 17 Lot USG Unit
Zone Overlay District
E Im SL District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Cmaa,w t /(o /11 s-1
Name(Print) / Current Mailing Address',
1113 - Z46 - 9676
Signature ~ Telephone
2 2 Authorized Agent:
CIr(/ �cl�, aa ybs Sy�rs Rd f;/l rz.
Name(Pont) Current Mailing Address:
* 77th 301 113 Sit
Signature Telephone
SECTION 3 -ES MATED CONSTRUCTION OSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by emlit applicant
1. Building 150ccw Od (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
26 r 0 Construction from 6
3. Plumbing /D, 0610 . 00 Building Permit Fee
4. Mechanical(HVAC) �/
5. Fire Protection 410, Cold, - co `(
6. Total=(1 +2+3+4+5) 3 ci r 0 Check Number /
This Section For Official Use Only )
Building Permit Number Dale
/a2G7 7/
Issued /� /, a0
Signature:
Building Commissionerlinspecttoor of Buildings I,- I Date
CJ�/ /-r lillt't M �IT°M4.Ian��r LdM
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 Je-Additlons ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign ElNew Signs❑ RoofiingLJ Change of Use❑ Other❑
Brief Description Enter a briefdescription here. Mui}, _
Of Proposed Work: j)e, P0an5
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 ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5q ❑❑/
S Storage ❑ S-1 ❑ S-2 ❑
U Utility ❑ Specify:
M Mixed Use Specify:
S Special Use ❑ Specify: .
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS ANDIOR 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
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(so
1 1.1
2na 2m
3,a P
4m
Total Area(so Total Proposed New Construction(s0
Total Height(ft)
Total Height It
7.Water vSupply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewag Isposal System:
Public [/f Private 0 Zone Outside Flood Zone[7� Municipal [�J On site disposal system❑
Version 1.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column m be filled in b,
BUlldivg Bepartment
Lot Size
Frontage
Setbacks Front
Side U R: L R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minve bWg&paved
parking)
k of Parkin Spaces
Fill:
volume&location
A. Has a Special Perm it/Via rianceIFi ndin ver been issued for/on the site?
NO O DON'T KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'7KNOW O YES O
IF YES. enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO a DON'T 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
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 V
IF YES, describe size, type and location:
E. Wil the construction activity disturb(clear g,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required V `D?nl —
by s,+,
Cynrfi, A.--
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 776(CONTAINING MORE THAN 36,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable 0
Name(Registrant:
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineebs):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Atltlress Registration Number
Signature Telephone Expiration Dale
Name Area of Responsibility
Atltlress Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Atltlress Registration Number
Signature Telephone Expiration Date
9.3 General Contractor1
f"t0^`�'�'T .. Not Applicable
Company Name'.
Responsible In Charge of Construction —
yes sykas
Atltlress
'. 7TI3ci 13i1,/Signature v Telephone
Version1.7 ClOmmeocial Building Permit May 1 S,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11
Independent Structi Engineering Structural Peer Review Required Yes O No
SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AG/ENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize G(t+T 1'x-jhe."ro$`
vv��,ttqa to
act on all matter authorized by this buiming permit appiicatign.
n ure of Ovmnr
Date
:Ag.ht
� as OwnertAuthorizadeby 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 pins nd penalties of penury_
H.
i Name,
cliff //`dMY.,i -
Slpnalue,orOrwmUAgerd Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Se ervisoe [1 Not Applicable ❑
Name of Lkanse Hamer: SSS Ktbetr'u E S ^
License Number
Q'r/^'1:� CY- StAi([•n.� . MS '7!!P f j G(
Mdress Expiration Date
SolSFO NZ41_
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§2SC(8O
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 bmlt- pormit.
Signed Affidavit Attached Yes NO Q
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: S S pam,'
The debris will be transported by: NER
The debris will be received by: N E (�
Building permit number: p
Name of Permit Applicant C
5 zv t Y I/f
Date Signature of Permit Applicant
�\ The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street,Suite 100
Boston, AIA 02114-2017
www.massgov/dia
VA'siskers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED NIT"THE PERMITTING AUTHORITY.
Applicant Information // Please Print Leaild
Name(Business/Orgamratim✓lndi,dduap: 06PA—
City/State/Zip:
ppored- rgu Ie`I Ys
Address: '465 SY� Y�
City/State/Zip: 411 gi le,- Ohq O VI Lav Phone#: .508 - Cr'77 o Lf 0 /
Are you an employe0 Check the approp^ate box: Type of project(required):
I.[jKam a employer with 13 employees(full and/open rime) 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees wodcing for me in $. Qmodeling
any capacity.[No workerscompinsurance required]
3F-1I am a homeowner doing all work mysel f.Mo workers'commnc
p.imuend ored.]+ 0. F1 Demolition
4.❑l am a homeowner and will be hiring contractors to conduct all work on myy e Iwnl 10E] Building addition
wethat all comtacwrsedberhave workers compensationinsumrcc or erere sole sole IL❑ Electrical repairs or additions
proprietors win m employees. 12.E:]Plumbing repairs or additions
5❑I am agereral emstraetorand l have hired thesubcosaracturs listed oa the attached sheet 13.�Roof repays
These sub conttactors have employees end have xvrkers'comp. imumn.1
6.❑We are a coryomtian end its officeos heveexe¢ised their rigM1t afexemption per MGL e. 14.❑Other
152,§I(41,and we have tw employees.INo workers'comp.maticaunc eequBed.l
•Any applicant that checks box 4l most also fill out the section below shour,their workers'wn�pemation policy information.
•Homeowners who submit this affidavit indication,they are doing all work and then hire outside contractors most submit a new affidavit indicating such.
Contractors that check this box most attached an additional sheet showingthe name afthe sub contractors and store whether or out thou entities have
employees. Ifthe subcontractors 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 rile
information. /
Insurance Company Name: irov si'S
Policy#or Self-ins, Lic.#: YCG131D^3t
,321101.1 Expiration Date: l /
Job Site Address: SS fl , City/State/Zip: Us
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expire ion date).
Failure to secure coverage as required under MGL o 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/orone-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy ofthis statement may be forwarded to the Office oflnvestigations ofthe DIA for insurance
coverage verification.
1 do hereby certify�under
rtthe pains and penalties ofperjury that the information provided above is true and correct.
Signature y'✓/<! Q--. Date
Phone# e 774 Jut.43.0f
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 l respector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Cwwnonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Conskaliwbrl ftP lsor
CS-074975 5v tires:07/002019
v
STEVEN KIMA > �'!
20 RICHARD C,RCLE
SEEKON D 60T%1. - -
C nrtllssioner
City of Northampton
" .� •,. Massachusetts S-
�G
` I212 lft7 S OF BrRL xCx INSFSCT ng Z :M
212 tL1n SCreat • MuniniPsl aviltlinq
Nortaempten, M 03060
INSPECTOR
Louis Hasbrouck Fax 413-587-1272 Chuck Miller
Building Commissioner Phone: 413-587-1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional EngineerslArchltects maponski for Entire Project)
Project Tlge: Multi Tenant Office Retail Building Date: May 30, 2018
Project Location55 Damon Road, Northampton, MA Map:_Parcel:_Zone:_
Scope of Project:Addit i on/Renovat ion to existing one story multy tenant building.
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
(Sohn A. Aharonian, R.A. Mass. Registration# 6551
Being a registered professional EngineerlArchitect hereby CERTIFIES that I have prepared or directly supervised
the preparation of all design plans,computations and specifications concerning:
Da ENTIRE PROJECT
For the above named project and that to the best of my knowledge,such plans,computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit and shall be responsible for the following as specified in Section 10.7.6.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the conformance
to the design concept.
2. Review and approval of the quality control procedures for all wde-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, In general, if the work is being performed
In a matter consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official,a progress report together with pertinent
comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
completion and readiness of the project for occupancy.
Signature and Seal of Regis red Pptifessio
'i ft�4
30th Day of 20 18 o
6/1/2018 City of Northampton Mail-RE:55 Damon Rd.Mu81 tenant buidrag
CRY Of
A Louis Hasbrouck<Ihasbrouck@northamptonma.gov>
RE: 55 Damon Rd. Multi tenant building
1 message
Cliff M <cliffm@homelandbuildem.com> Fri,Jun 1, 2018 at 1:57 PM
To: Louis Hasbrouck<Ihasbrouck@northamptonma.gov>
Louis,
Attached is a copy of the construction control clot. I have the amount for the electric, on Monday I will stop by the office
to add it and pay the difference.
I know you spoke with the architect.Once they are all set with the other stuff I will send it right over. Thanks!
Thank You,
Cliff Mcdeiros
Conetructlo�Manager
homeland Builders Inc.
office508-677-0+01 Ext.235
Ce11774-30 t-235a
Fax 508-730-Z392
Cliffm@homelandbuilders.com
From: Louis Hasbrouck [mailto:Ihasbrouck@northamptonma.gov]
Sent: Wednesday, May 30, 2018 5:09 PM
To: Cliff M
Subject: Re: 55 Damon Rd. Multi tenant building
Cliff,
A few things;
https:/Imail.google.wWMaillco/WO/?ui=2&ik-e 5fl9a57e&jsver_dxVNc9V02g.en.&cblmgmail_ie_180516.06_p8&view=pt&seamh=inbox&M=163bc7f6c968ece5&
6/1/2018 City of Northampton Mail-RE:55 Damon Rd.Mufti tenant building
This project needs construction control documents from architect(and engineers).
It doesn't look like the cost of electrical work is included in the project cost.
The code review needs to include a statement of the chosen compliance method(IEBC 301.1).
Beyond that, it looks like the lighting specified in your plans won't match up with the site plans approved by
the planning board in 2017. Your plan shows more fixtures on the building and different fixtures than were
shown on the approved site plans. You'll need to do a photometric plan based on these current plans to show
compliance with the zoning regulations. I've included a copy of the ordinance and the 2017 site plans; see
notes sheet C8.
I'll do a more careful review of the plans in the next week or so.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
On Wed, May 30, 2018 at 5:50 AM, Cliff M <cliffm@homelandbuilders.com> wrote:
Good morning,
Please see attached digital set of plans for this job and permit application. If you need anything else please let me
know.Thanks!
Thank You,
Cli{f Minciciros
Conatmctlon Manager
hops://mail.google.mm/mail/ca/u/0/7ui=2&ik=ec5figa57e&jsver AxVNc9V02g.en&cbl=gmail fe_180516.06_p8&view=pt&search-inbox&th-163bc7f6c968eoe5&
61112018 City of Northampton Mail-RE:55 Damon Rd.Mufti tenant building
homcland E>uiWers Inc.
Qffice 508-6774401 Ext.235
Cell774-301-255+
Fax 508-730-2392
Cliffm@homelandbuilders.com
.n Construction Affidavit-17105.02 Tenant Bldg.pdf
334K
ht43s:l/mail.google.com/maillca/u/0l?ui=2&ik=ec5fl9a57e&jsveFAxVNc9V02g.en.&cbl=gmail fe 180516.06_p8&view=pt&search-inbox&th=163bc7f6c968emM