32C-001 (76) 150 MAIN ST BP-2019-1026
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV-.Block:32C-001 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:window replaced BUILDING PERMIT
Permit# BP-2019-1026
Project# JS-2019-001682
Est.Cost: $55200.00
1",$3910 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License.
Use Group: MARK SMITH 104325
Lot Sbe(sa.ft.); 16683.48 Owner: THORNES MARKETPLACE LLC C/O HPMG
Zoning,CB(t00y Applicant. MARK SMITH
AT. 150 MAIN ST
Applicant Address: Phone: Insurance.
5 ANNA ST (413) 531-7342 WC
WAREMA01082 ISSUED ON.31262019 0:00:00
TO PERFORM THE FOLLOWING WORK.-ALTERATIONS & REPLACEMENTS OF
EXISTING WINDOWS ON SOUTH & EAST FACING EXTERIOR WALLS
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/Chimuey:
Rough: Oil: Insulation:
Final: mok • Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeTyoe: Date Paid: Amount:
Building 3/26/2019 0:00:00 5392.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File 9 BP-2019-1026
APPLICANT/CONTACT PERSON MARK SMITH
ADDRESS/PHONE 5 ANNA ST WARE (413)531-7342
PROPERTY LOCATION 150 MAIN ST B
MAP 32C PARCEL 001 001 ZONE CB(1001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out _
Fee Paid i
Tvpeof Construction: ALTERATIONS&REPLACEME EXISTING WINDOWS ON SOUTH&EAST
FACING EXTERIOR WALLS
New Construction
_fin Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 104325
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO,AMATION 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 Cm 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
/4"6,J 3zef9
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.
Versionl.7 Commercial Building Permit May 15,2000
Department use only
RECEIVE ldin orthampton Status of Permit:
lDepartment Curb Cut(Driveway Permit
121 lain Street Sewer/Septic Availability
MAA 2 p 201 Rom 100 Water/Well Availability
ort am :on, MA 01050 Two Sets of Structural Plans
phone 413 7-1 40 Fax 413557-1272 Plot/Site Plans
DFPT OF FUILDiNG INSPECr10Ns Other Specify
APPLI ,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION I -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Thornes Marketplace MapG Lot C9 C1, / Unit
150 Main Street Suite 6
Northampton MA 01060 Zone Overlay District
EM SL District CB District
SECTION 2-PROPERTY ONNERSHIPIAUTHORRED AGENT
2.1 Owner of Record:
Richard Madowitz Hampshire Property Management Group
Name(Prim) Current Mailing Address:
4 j(4B 582-9970
Sgnature Tebpllw -
2.2 Authorized Aaent: ,1
.Mark Smith S VV A« MA O(OVZ
Name(Pri Currant Mailing Address:
L4_13) 531-7342
Signature Tele hone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed!by rmit applicant
1. Building (a)Building Permit Fee
1 tL
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building plural Fas
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Uas Only
Building Permit Number Date
Issued
Signature:
SuildingConimissionerimpectorofBaildings Date
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 38,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs 0 Demolition❑+ Repslnl] Additions ❑ AccessoryBuIII
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of U"❑ Otirer❑
Brief Description Alterations&replacements of existing windows on south&east facing exterior walls.
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 ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
N High Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B
M Mercantile m 1 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA ❑
S Storage ❑ S-1 ❑ S-2 ❑ 58 1 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify: (
S Special Use ❑ Specify: I
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONSAND/OR 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
m F L_ _. . .�
2"s! L
3b
3- ;
4e
Total Area(sf) Tobi Proposed New Construction(e0 _.
Total Height(fl)
Total Height fit
7.Water SuPPb(M.G.L.c.40,464) 7.1 FlgortZot!Information: 7.3 Sewage Disposal System:
Puokc ❑ Pnvate ❑ Zone I Outside Flood Zone❑ Municipal ❑ On site disposal system❑
i
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This cdumn m x aura in ny
Building Depvtmmt
Lot Size
Frontage 0
Setbacks Front
Sidi L: R,= L:0 R:=
Rear O
Building Height
Bldg.Square Footage O %
(Lmu.bid& paved 0 %
(LA "
Puking)
k of Puking Spaces
Fill:
volimre&Locaion
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 0
IF YES: enter Book ; I Page and/or Documentp _—
�
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O 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 O
IF YES, describe size, type and location: INot within scope of work
D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versfonl.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:
Not Applicable ❑
Name(Regisiram).
Registration Number
Address
Expiration Data
Signature Telephone
9.2 Registered Prafewlonal Enginser(s):
Name Aree of Respomlbllity
Address Registration Number
Signature Telephone Eviration Date
Name Area of Raspomibiliry
Address Registration Number
Signature Telephone Expiation Data
Name Area of RespomiNBty,
Adtlress Registration N=Iaa
Signature Teleplwne EVIation Date
Name Area of Responsibility
AM. Registration Number
Signature Telephone Expbstion Data
9.3 General Contractor
Not Applicable ❑
Company Name.
Responsible In Cha ge of CornWclion
Address
Signature Tebpltats
- - -
I
1
__a ♦ �tl CPP13nl Sntl2f1 Nli-3 dBC CVf 4?it ONl tllNh+ ` YtOeSE lkVu +a •:bt Ok fV^:"C3E 2�•tlCe; -
!:i�,N "bti6aEl )Yy.- JEe!�bfl"riU �ON21rint;:iON cc^F`SNG22 'L06 BOPL'.No VNl: 1L6 ':f+IriE:' rII8)CCl Lo
;,i 11V y.
Versionl]Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(TSO CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETEDWHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,
Richard Madowitz I property
---- --- as Owner of the subject
hereby authorize Mark Smith �10
act on my behalf, in all matters relative to wont authorized by Nis building permit application.
i /j-17
Signature of Owner Date
i,Mark Smith _---_ _ -- as Gwner/Authonzed
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 perju_ry__. ,
Mark Smith
Print Name
31�
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Mark Smith L,�5 • to4s .S
License Number
EADna St Ware, MA 01082 ) 13 I cf
AddressExpiration Date
OAS,`\1-- (413)531-7432
Signature Telaplane
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§26C(S))
Workers Compensation Insurance affidavit most 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 0 No 0
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: 190 okW S+-
The debris will be transported by: �-62�6ntt�g
The debris will be received by: Utq I U crtt r'
Building permit number:
Name of Permit Applicant VAU— Sr Ccmk
Date Signature of Permit Applicant
i
The Commonwealth of Massachusetts
Department oflndustrial Accidents
Qffiee of Investigations
1 Congress Street,Suite 100
Boston,MA 01114-1017
If www.massgov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Orgmization/Individuap: CabSVIAAT M
Address: 5 R+ A S+.
City/State/Zip: - MA OMT2 Phone#: 413. 53i-73tf1--
Are you an employer?Check the appropriate box: Type of project(required):
1.ElI am a employer with 4. [11 am a general contractor and I
employees(full and/or pan-time)." have hired the subcontractors 6. El New construction
2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. Witermideling
ship and have no employees These subcontractors have g. ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y Por ty 9. ❑ Building addition
[No workers' comp. insurance comp. instuanrz.t
required.] 5. ❑ We are a corporation and its I0.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. Roof repairs
insurance required.] t c. 152,§I(4),and we have no ❑
employees. (No workers' 13.0 Other
comp.insurance required.]
"Any applicant that checks box 81 most also fill out the section below showing their workers'compensation policy inf en ation.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contmemrs most submit a new affidavit indicating such.
tConmactms that check this box most attached an additional sheet showing the came of the subcontractors and smite whether or not those entities have
employees. If the sub-contractors have employees,they most provide their workers romp.policy number.
I am an employer that is providing workers'compensation insurance for rah employees. Below is the policy and job site
information.
Insurance Company Name: uu GOtJ'�II.ICW'71L ( t_T�! l.o.
Policy#or Self-ins. Lic.#: U 9' cri(e[ L.033A, AE�xxppiration Date:
Job Site Address: k9D RA 1 N ca- + `I�T�pMO 'L1[y)State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required order 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 cera oder the pains and
penalties of perjury that the information provided above is true and correct.
Simamre: ,r �'s"'� Date:
Phone#- 413' S25(' 734?-
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#:
Fri -
O No work on Main St facade .' .: O p�
n I. i F
------------
No work on west face -
-• �.
° ' THORN
IALIN- (D J
�.M ins
o o -- o
Eight units on fifth floor/west side of bridge as _
indicated: units to be removed, any damage O_-- - -
' West Elevetlon repaired, size of opening increased b lowering EbvabDn East eevation
,. soo.Ee- p P g y g am'E�
bottom sill. Existing brownstone sill to be re-
° used. Pella Architect series installed. Q Q Q O Q ° All other units to be
removed, any damage
- repaired, new Pella
Architect series installed
0 on, Ion a r- �1 , 1�11"
10 EJ SO 19 G Ima
i LA
L 1313 4131 fao run a
1113
THO NES
O �
1HEU e
oIlQo 00 s mail SOS n
meoi
FNRbOR E-tVAipIE
0 Bevapon
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