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32C-040 (10) 47 PLEASANT ST BP-2019-0831 GIs#: COMMONWEALTH OF MASSACHUSETTS Map Block: 32C-040 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-2019-0831 Proiect# JS-2019-001376 Est. Cost: $5200.00 Fee: $100.00 PERMISSION IS HEREB Y GRANTED TO: Const.Class: Contractor: License: Use Group: RONALD GROGAN 090818 Lot Size(sq. ft.): 18556.56 Owner: COOLIDGE CENTER LLC C/O JEFF DWYER INC Zoning: CB(100)/ Applicant: RONALD GROGAN AT. 47 PLEASANT ST Applicant Address: Phone: Insurance: PO BOX 282 WC WHATELYMA01093 ISSUED ON.-1/23/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD ONE ADDITIONAL OFFICE 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 1/23/2019 0:00:00 5100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File 9 BP-2019-0831 APPLICANT/CONTACT PERSON RONALD GROGAN ADDRESS/PHONE PO BOX 282 W14ATELY PROPERTY LOCATION 47 PLEASANT ST MAP 32C PARCEL 040 001 ZONE CB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Typeof Construction: ADD ONE ADDITIONAL OFFl New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included: Owner/Statement or License 090818 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: proved 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 t 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. RE i EIVED c, of Northampton Istatus of PerM4. BU 'ng, Departmen-, pefTn!, 12 Main Streei iSewertSepvc AvvaLA0y__,__ JAN 2 2 2019 R6orn 100 rVVWPVXef!Ava,abiAlf,_ E55 -1224.01 Fax 4 1 1-P.A7-1Pl DEPT OF S ------- NRTHAMPTON - ,MA 01060 0 of fir spe0v APPILICAT"TQ CONISTRVCT, REPAIR,RENOVATt, (-'H.kNGE T41E USE `OR OCCUPANCY Of,OR DEMOLISM ANY BU11-01NIC-, OTHER THAN A ONE OR TWO FAMILY DWELLING SF-Cl" I -WE NFORMATION This section to be completed by office 1.1 Property Address 47, PLFASANT S-1 map Lot 0 cl(d Unit I'KAMPTON. !MASSACHUSF, I FS 0 1060 On C U fay trict Elm St.District Ce District SECTION 2 -PROPERTY OWNERSHIP;AUTHORIZED Arew, I - A Owner of Record: COOLIDU LN P.0, Box /dip ;,rO* 2.j,6Mjbj2j.z2d Agent. /k'—VA/4L,0 6jec) 6/ffJ wr:rr.at0a; r A J1 L I f h 6),kfra y 4,16/e 7 —Rs Q C"-STRUCT&N COSTS i Item Esliviateu Lost tLjoiidrsa Ofl�udi Use Onv COMple!ed bv L;tvrO aj)jAcant Buildi1104. fa't3';stj4dfnq pe�rrit Fee S Building Permit Fee Co.C)" —-------------------- 4, Me(,Janical t H%'Af-I 1 5 Fire Proection 6- Iota; Th,-% For 1�,Kc` 1,Isr Only StAoing Perms,Nwnber L)at(- L4 (0 Version 1.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO e DONT KNOW ® YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW © YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES ® NO e IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 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 ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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 0 Demolition❑ Repairs❑ Additions El Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑ Brief Description Enter a brief description here. 80 () 6 /v r[ ADO) 6 F-iC/UL 5j�26ACA- 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 ❑ 1B ❑ B Business El 2A ❑ E Educational ❑ 213 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 1 3A ❑ 1 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 El 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: B-Business Proposed Use Group: B-business Existing Hazard Index 780 CMR 34): 4 Proposed Hazard Index 780 CMR 34): 4 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1St 8,079 1 St 2nd 8,079 2nd 3rd 3rd 4 4 t tn Total Area(sf) 16,158 Total Proposed New Construction (sf) Total Height(ft) 25 Total Height ft 7.Water Supply(M.G.L, c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public [] Private ❑ Zone Outside Flood Zone[:] Municipal 0 On site disposal system[:] Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTIOR CONTROL PURSUANT TO 788.CMR 1:16(COIFAN MORE T 35,886 C.F.OF ENCLOSED SPACE) S.1 Registered Arch*ect: Thomas Douglas Architects Inc. Not Applicable ❑ Name(Registrant): Thomas Douglas Architects Inc. Registration Number Address (413) 585-0541 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 Ron Grogan Building&Renovations Not Applicable ❑ Company Name: Ronald Grogan Responsible In Charge of Construction P.O. Box 282, 176 State goad, Whately, MA 01093 Address — (413)350-5138 e Telephone In(lepencient Strucwrvo l3tn;njrat Pe-.,r Rf?v;,ew Re(vjvf-,e No SECT K)4 I't OWhe,A AVTW),RfVk!'iC* -TO bF.COWL FTEU Wt*m n;z Z"'" jeffr�,-\, P D-Axer J V I hk-%t-rInc M zl na n 4" x UN A 7*--�cz SFCTiC)N i2 -CONSTRUCTION SEkVK;Ei -------------- i4 i) 13 -VIVORKI,R'- INSURAINCL P.FFUQA' woo*er-, convensa!ior Insumn.ne afffflav-, roust tic. r.nfrt%wtact�,vw, vveh thf- ap,-Oyra,()- Path,-ro fxl)vif*t*",q —;,0 m the denW of the issuances of the buAdmq Wrmt. Signed AffidavAl AUWacheed yes • No City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposa:l Affidavit In accordance of the provisions of MGL c 40, S54, [ acknowledge that as a coed tm of the WW g permit afl debars resu ting from the construction activity governed by this Building Permit shall he disposed of in a properly licensed solid waste disposat fac ity, as defined by MGL c I11, S 150A. Address of the worts: The debris will be transported by: ,y41.5 A! Sed 1 -1--2�e rr��lr- The debris MR be received by: -0-�- ,raK n'c,Lcfci�G Building permit number: Name of Permit Applicant 2C3'V,4c4> 6X0 6,f,- . �a Date Signature of Permit Applicant '\ The Commonwealth of Massachusetts v Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Ronald Grogan Address:P.O. Box 282 City/State/Zip:Whately, Ma 01093 Phone#:413-350-5138 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10[]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors 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 site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:47 Pleasant St., Northampton, MA City/State/Zip:01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 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/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CRY Of Louis Hasbrouck<Iasbrouck@northamptonma.gov> 11Po�thamptan 1` .................. .. ....1.1-1.1..........---..........._. .._........111.11_..............I--................_... .......111.1.. .._......... ............ _. .......... ............__.. __.........__ ........... .__....... ...___ ............ .. 111.1.......... __1111... ...._..... Re: Fw: Machine Metrics - plan is attached 1 message Louis Hasbrouck<Iasbrouck@northamptonma.gov> Tue, Jan 22, 2019 at 5:54 PM To: RONALD GROGAN <rongrogan44@yahoo.com> Thanks. Here's the form letter I talked about;just fill it in and drop it off at some point before the final inspection. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Tue, Jan 22, 2019 at 2:55 PM RONALD GROGAN <rongrogan44@yahoo.com>wrote: hi louis this is what douglas arhitects submitted to me so im sending it to you let me know if you need something else thanks ron ----- Forwarded Message----- From: RONALD GROGAN <rongrogan44@yahoo.com> To: Lhasbrouck@northampton.gov<Lhasbrouck@northampton.gov> Sent: Tuesday, January 22, 2019, 2:41:23 PM EST Subject: Fw: Machine Metrics- plan is attached hi louis this is the plan from douglas architects let me know if you need something else thanks ron ----- Forwarded Message----- From: RONALD GROGAN <rongrogan44@yahoo.com> To: rongrogan44@yahoo.com <rongrogan44@yahoo.com> Sent: Tuesday, January 22, 2019, 2:38:18 PM EST Subject: Fw: Machine Metrics- plan is attached ---- Forwarded Message From: Daniel Bonham <dan@tdouglasarchitects.com> To: "rongrogan44@yahoo.com" <rongrogan44@yahoo.com> Sent: Tuesday, January 22, 2019, 12:18:43 PM EST Subject: Machine Metrics-plan is attached Daniel Bonham/Architect/LEED AP dan@tdouglasarchitects.com Thomas Douglas Architects, Inc. 196 Pleasant Street, Suite 202 Northampton, MA 01060 Office : 413.585.0641 Cell : 617.230.2376 in %% Blank Control Construct Waiver 2018-09-25.doc 24K