32C-001 CEDAR CHEST BP-2022-0434
150 MAIN ST ► R"b*"7 r4COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-001-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0434 PERMISSIONIS HEREBY GRANTED TO:
Project# DOORS Contractor: License:
Est. Cost: 71500 David Claxton 017890
Const.Class: Exp. Date:01/19/2024
Use Group: Owner: LLC THORNES MARKETPLACE
Lot Size (sq.ft.)
Zoning: CB Applicant: PIONEER CONTRACTORS
Applicant Address Phone: Insurance:
PO Box 1145 4136267267 WCC5005957012021
NORTHAMPTON, MA 01061
ISSUED ON:04/28/2022
TO PERFORM THE FOLLOWING WORK:
REPLACE DOORS ON CEDAR CHEST
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
• r . 2
•
Fees Paid: $504.00
•
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
APR 2 6 2022 The Commonwealth of Massachusetts
t .,
4)ffice of Public Safety and Inspections
j Massachusetts State Building Code(780 CMR)
BuW' "# " picat on for any Building other than a One-or Two-Family Dwelling
111rle5N MA0tObO 4
-- .(This Section For Official Use Only)
Building Permit Number:),) 3 ct Date Applied: Building Official:
SECTION 1:LOCATION
No.and�jW#�eeet City/Town Zip Code Name of Building(if applicable)
/6b rr/a/%'J Of 3a►c- aD l
Assessors Map# Block#and/or Lot #
SECTION 2 PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building Repair 0 Alteration le' Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy ❑ Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes No 0
Is an Independent Structural Engineerin Peer Review ? Yes 0 No IRK
Brief Description of Propo d Work: ?f�c� n2.CFtt1 Stvt<^xrrv,'V A doors &+^-
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) CI
Existing Use Group(s): M Proposed Use Group(s):_J
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) S c
Total Area(sq.ft.)and Total Height(ft)
SECTION 5:USE GROUP(Check as applicable) /
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business E3' E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile IW R: Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1❑ S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB ❑ IIA ❑ IIB ❑ IIIA, IIIB ❑ IV El VA El VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supplyy Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal:
Public CY Check if outside Flood Zone Y. Indicate municipal lY A trench wp not be Licensed Disposal Site Er.
,
Private 0 or indentify Zone: or on site system 0 required or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information
A Zveti‘ov 412-bT- 1 _ - •1aoee-f sn�esme 07
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
w� t1(1 06 qi2- 320- (o1GCk C,Atilees-(csvr�G,l'i in 6.03s
Name(Registrant) Telephone No. e-mail address • Low- Registr4tign Numberg 12.0127
Street Address City/Town State Zip DisciplineExpiration Date
10.2 General Contractor
k
1 17v1 eery Cmn—td tres
P
Company Name
C)(AV((\, Ck3)'NI'• C5-(7ti.190
Name of PersonResponsible for Construction License No. and Type if Applicable
-0• t 1.1 ti.,yi 40srs ri, }k O(O(=
Street Address City/To State Zip
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$ /jf ~
1.Building $ 1. 1 t 307 '
Building Permit Fee=Total Co : . ;.n Cost x .1 (Insert here
'7
2.Electrical $ ,31'0-- appropriate m .• pal factgx -$ SOLf "7
3.Plumbing $ uv
—
4.Mechanical (HVAC) $ -- Note:Minimum fee $ J614. tact municipality)
5.Mechanical (Other). $ 2iCi127-- Enclose check payable t.
6.Total Cost $ -71, sm..) — (contact municipality)and write check number here di 07 5
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and 6 ate to the best of my knowledge and understanding.iecur
,k)17/ PDFGV 713464&Lt toY1,a6 eC' 4l3 450-5' 1 z('
Please print and sign nave Title Telephone No. Date
Street Address `/ City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: � 17-2 6 ZOZZ
Name Date
Initial Construction Control Document
val /, To be submitted with the building permit application by a
l Registered Design Professional
for work per the 9th edition of the
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Thornes Marketplace Main Street Storefront Date: 04/06/2022
Property Address: 150 Main Street, Northampton, MA 01060
Project: Check one or both as applicable: New construction ® Existing Construction
Project description:
Replace existing storefront. Same size and location of existing.
I Emily Estes Baillargeon MA Registration Number: 50838 Expiration date: 8/2022 , am a
registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
[X] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
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 if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal:
Phone number: 413-320-6199 Email: emily@estesarchitect.com
Building Official Use Only
Building Official Name: Permit No.: Date
Version 06 11 2013
City of Northampton _
w, Massachusetts fa �4,t, ••�c��
ait
DEPARTMENT OF BUILDING INSPECTIONS 71 g
't 212 Main Street • Municipal Building yJ �P
s�r*-- Northampton, MA 01060 '44. ie
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
. /Location of Facility: / U (1C, GLl
The debris will be transported by:
Name of Hauler: UCutta.t1 A1(Ai I 0 /Of ft Tr
Signature of Applicant: 443I Date: 1-ili.42077----
..;~', The Commonwealth of Massachusetts
Department of Industrial Accidents
A ti " _. 1 Congress Street,Suite 100
wig ' Boston,MA 02114-2017
-- _ www mass.gov/dia
11u►kers'( ompeasation Insurance Affidavit:Bailders/('ontraetor ttaectrician.Plumbers.
to BE I11.t.1)N tfH THE PERMUTING At -fHORfft.
applicant Information Please Print Ixeihh
Name 1 Hustne> p rorzarton Indsy idual l: '1 oe.-e.-t('6"166.0
s(,
Address: e i ' wad'
City/State/Zip: /�Np t 4 A' O(CiiL Phone#: Ll.l - 5.E6-5\,)
Arc you an cantilever?Mad!flta Iola: TyPe prsieet(required):
list l am a employer ugh 3_., a ployees[lull and or part-tune)_' 7. O New construction
21:1 1 am a sole prnprrctta or punncnhrp and base no employees wanking for net m g'Remodeling
any capacity [No nutters'comp.uburance requital"
301 am a honwnet doing all nod. (No woins'comp.insurance required.)' 9. ❑Demolition
nv
4.0 l am a hoawer d V.mil be hiring uu ntracttrs to cond oA an auk oe my poverty. I will I0 D Building addition
m m an
MAIM'that all contractor,either have ureter'caMpa-nsation imams'or are sale I I.0 Electrical repairs or additions
pnpneton w uh no cmtaluyces
12.0 Plumbing repairs or additions
lam a general contractor and I have hued the sub—contractors tilled on the attached sheet. 13.01tAOf
repairs
These subcontractors hose employee's and have workers'comp.insurance.
0ther
60 We are a corporation and its officers hair exercised their night of exemption per M &c. 14.
I S2 4Ill) and we have no employees.[No walls'comp.insurance required.[
'Any applicant that checks boa al meat also fill out datisdin below show mg their n r►ars'compensation policy iafio eetiosl.
e IhanWon lee.who submit this affitma rt ammabcatm'*sty ass doing all wort and then hue outside esntractun mini submit a sew affidavit i—diolUn)t such.
("ontractors that check thus lots must att.r.lsed an adatiousl died showing the name of the sub-:txiruatun and atak smiler or not those eremite hair
canplos:es It the Nilb,:onifarctie.hose employees.they must pi,sndc then workers"comp pulley nienler
/rant an employer that is providing worAers'compensation insurance for my employees. Below is the policy and jab site
information.
insurance('ompany Name: • _ JMS(AAo"c,-. Co•
Policy#or Self-ins.Lie.#: VO(f i-917- JVt'/SG.S7—Zit7211[aspiration Iktte: (0139/20
Job Site Address: 1 S7 Ma Ls. City State`Zip: -k. f D''�_0060
Attach a copy of the workers'compensation policy declaration page(showing the polka number and a parallels date).
Failure to secure coverage as required under MGL c. 152.*25A as a criminal violation punishable by a fine up to SI.500.00
and-or one-year imprisonment,as well as civil penalties in tlx:form of a STOP WORK ORDER and a fine of up to S250.00 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 unde he pains S pelf,//i f perjury that Ike information provided above is true and correct
Signature: p , Dare: [//S•ii-v
Phone#: 1 f Sk6 Ste}91
Official use only. Do not write in this area,to be completed by city or town official
( its or Town: Permit/license
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.('it}.Town Clerk 3.Ekctrical Inspector 5.Plumbing.Inspector
6.Other
('ontact Person: Phone#: