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32C-011 (5) 114 MAIN ST-FLORAL SHOP BP-2019-0060 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:32C-011 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category Stair BUILDING PERMIT Permit# BP-2019-0060 Proiect# JS-2019-000090 at.Cost: $5000.0 Fee $100.00 PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor: License: Use Group: JAMES MAILLOUX ELECTRIC 081694 Lot Size(sa. fth 1045.44 Owner: P+D LLC zoning: CB(100m/ Applicant. JAMES MAILLOUX ELECTRIC AT: 114 MAIN ST - FLORAL SHOP Applicant Address: Phone: Insurance. 221 PINE ST SUITE 160 (413) 585-1592 SOLE PROPRIETOR FLORENCEMA01062 ISSUED ON.7/16/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.ALTER STAIRWELL 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: FeeTvoe: Date Paid: Amount: Building 7/16/20180:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File d BP-2019-0060 APPLICANT/CONTACT PERSON JAMES MAILLOUX ELECTRIC ADDRESS/PHONE 221 PINE ST SUITE 160 FLORENCE (413)585-1592 PROPERTY LOCATION 114 MAIN ST-FLORAL SHOP MAP 32C PARCEL 011 001 ZONE CB(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST NCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvoeof Construction: ALTER STAIR LL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 081694 3 sets of Plans/Plot Plan THEE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFARMATION PRESENTED: _�Approved Additional permits required(sea 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: Cub 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 De olition Delay Z6SiBuil mg O t Dat / Note: Issuance of a Zo t 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. � EQEI V ED Version L7 Commercial Building Permit May 15,2000 of Northampton 7 d JUL 1 3 2018 B ildin Department 1 " 12 am Street R om 100 otnNOnninMPION MADili S ton, MA 01060 of 'i I phone 413-587-1240 Fax 413.587-1272 p 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: 7 This section to be completed by office _.. _.... __ _.... _ Map Dac Lot L)It Unit ���/ /19A1f✓ .sf 0/06U Zone O.edayDistrict Ess St District CB Dhmat SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: C Name(Print) Cunent Mailing Address "l 13 5-f N &yurJ Signature � TelePhane ... 2.2 Authorized Vent: Name(Print) Current Maling Address 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 2. Electrical - - (b)Estimated Total Cost of Construction from 6 --.. - 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) -- ---- -- lam " 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued ature mg Commissionerflim, ctorc Ings Dale /�/� Vereionl.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 /JLTC"Z. $fnvwe/� 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 ❑ A-4 ❑ A-5 ❑ IB ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Facto ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Speciry 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 Hszard Index 780 CMR 34) SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 2^a 3 rd 4°i _. ... ._. 4m _. Total Area(so Total Proposed New Construchon_(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.e.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ I Zone Outside Flood Zone Municipal 0 On site disposal system❑ Versiori Commercial Building Permit May 15,2000 8. NORTHAMPTON 7.ONRYC" Existing Proposed Required by Zoning ne;column to be filled w by Building Depvimenc Lot Size ----- -- -- ---- Frontage Setbacks Front Side L R:-- Rear Building Height Bldg.Square Footage '- % -- "` -- Open Space Footage r_... % --- (Lot area morns bldg&paved - poflubb, — tk ofParking Spaces Fill: _..._. v.I.e&Lecabeni I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O 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 q B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs Intended for the property? YES © NO O IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,excavation, or filling)over t 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. Versionl.7 Commercial Building Permit May 15,2000 SECTION 96 PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 790 CMR 179(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Arehltect: Nat Applicable ❑ 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_ of Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address _.— __._ ...... Signature Telephone Version L7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(180 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No O SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ._...._-----._---- _.__._____ ..__, as Owner of the subject property hereby author _-.. to act on my behalf, in all matters relative to work authorized by this building permit application. _ __..... Signature of Owner Date __. ..._....___.. 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 perlury. Print Name _ Signature of OwnerlAgent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: A�1 Not Applicable E]Name of License Holder JA/K 11w5( �� �69 'It License Number Address VExpirat on to YL yii�gS /S9 2 Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.152,§2SC(6)) Workers Compensation Insurance affid it must be completed and submitted with this application. Failure to provide this affidavit will result ance in the denial of the lastof the b Xing permit. Signed Affidavit Attached Yes Q No 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: //V/ /sm '✓ f , The debris will be transported by: V,//O)/ The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. ADDGcaDt Information Please Print Leeibly Business/Organization Name: VAmfG rtoJ)—_� Address: Z7(, �o�l✓I^m'��r` �� City/State/Zip: ItiEA PhoneM Are you an employer?Check the appropriate box: Business Type(required): 1.El am a employer with employees(full and/ 5. 'Retail �orpart-time).* 6. ❑ReslaurantBar/Fating Establishment 2.�-I am a sole proprietor or partnership and have no q. ❑Office and/or Sales(incl real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] S. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per e. 152,$1(4),and we have 10.0 Manufactinng no employees. [No workers'comp.insurance required]* 4.❑ Weare a non-profit organization,staffed by volunteers, 11. Health Care with no employees. [No workers' comp. by req.] 12.0 Other 'My wrnC of that checks box#1 mart also fft out the section below showing their wortem'compensation policy inf oana M. ­If officers have ewemptd themselves,but the coryoratlon has other employees,awor1wo'compensation policya requhed and such an orgaviotuon sboWd check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policyinformation. Insurance Company Name: Insurer's Address: City/State/Zip: Policy#or Self-ins.Lie.# Expiration Date: 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 cerfiftander4he p ndpenalfies of perjury that the information provided above is nue and correct Sie bore* 4 Date: '-7 t Phone#: 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[rown Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.masagov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that must submit multiple pe rnit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-NMSSAFE Fax#617-727-7749 www.mass.gov/dia Furan Revised 02-23 15 Metcalfe Associates ARCHITECTVRE 142 Main St. Northampton, MA, 01060 Tristram W. Metcalfe III, Ma. Reg. 5393 Phone number > 413 586 5775 O-ell number> 4136958200 > 31 rCARONYsMACLWrA AIR July 11, 2018 Louis Hasbrouck Building Commissioner City of Northampton �2C -01 RE: 114 Main St., Northampton, Ma Stair change for Sean Fitzgerald's new Flower shop Dear Louis, The project I just inspected is to do the following; 1. remove bottom 3 threads at lowest floor rear street level. 2. relocate the 3 treads at a new a-4" x 3-4" landing that is cut down from 3'-4" x 7'-0" existing to make a single 90 degree turn in the egress. 3. run the treads straight thru the existing gwb 2x4 wall which will be opened up with header only if needed. An opened inspection should verify the existing floor joists exist there while also being supported by the wall which will keep all studs but those at the stair width. 4. remove knee & railing wall at second level up from rear street and remake as open light passing spindles vs the existing gwb at top of the subject stair run. 5. remove rear bath room walls and recreate as an open sink area without a toilet. I saw no need for a drawing in this simple alteration but will certainly comply with your directions if needed. I certify the above work will meet codes as per my discussion with the GC and any inspections during the work since I will remain as the design professional for the work described. Sincerely, S D ARCHir Tris Metcalfe r R�te�FO� uMoc0'