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32C-142 (30)
BP-�2022-0714 319 PLEASANT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-142-001 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-2022-0714 PERMISSION'S HEREBY GRANTED TO: Project# VINYL SIDING Contractor: License: Est. Cost: 49000 null null 087540 Const.Class: Exp.Date:07/18/2023 Use Group: Owner: PAQUIN GERARD A Lot Size (sq.ft.) Zoning: GB/URC Applicant: DIVERSIFIED CONSTRUCTION SERVICES Applicant Address Phone: Insurance: (413)549-2900 AMHERST,MA 01002 ISSUED ON:06/30/2022 TO PERFORM THE FOLLOWING WORK: REPLACE SIDING ON 3RD FLOOR 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: � �) ICI el • I • 1 • Fees Paid: $343.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner " 1�c LIN The Commonwealth of Mas ac etts 7 o Office of Public Safety and Inspec A o, J�0 j Massachusetts State Building Code(780 CM ' ryeGi4 �f Building Permit Application for any Building other than a One-or 07, . Dwelli g (This Section For Official Use Only) •4.f"I c Building Permit Number:Z2"7/'L Date Applied: Building Official: f06,0 0ws SECTION 1:LOCATION 319 Pleasant St Northampton 01060 Northampton Bicycle No.and Street City/Town Zip Code Name of Building(if applicable) Sac- I y2 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 9 th If New Construction check here 0 or check all that apply in the two rows below Existing Building IN Repair® Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 12 Is an Independent Structural Engineering Peer Review required? Yes 0 No 12 Brief Description of Proposed Work We are removing the cedar shakes from the third floor and replacing them with cedar impressions vinyl siding. We are also Repairing/painting the existing trim and clapboard siding 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) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft) 4 3000 4 3000 Total Area(sq.ft.)and Total Height(ft.) 12, 000 35 ' 12, 0010 35 ' 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 0 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 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2❑ 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 ❑ IUB ❑ IV 0 VA El VB 13 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: A trench will not be Licensed Disposal Site 0 Public l5 Check if outside Flood Zone® Indicate municipal EXrequired Etor trench or specify: Austin S Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Dumps t e r Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 13 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 8 Yes 0 No C SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 9 t h Use Group(s): Type of Construction: V J3 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 Gerard Paquin 319 Pleasant St Northampton 01006 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 413-586-3810 413-51-9-9685 nohobike@comcast .net Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Joshua Kenney PO Box 2093 Amherst MA 01004 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. i 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) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Diversified COnstruction Services LLC Company Name Joshua Kenney CS 087540 Name of Person Responsible for Construction License No. and Type if Applicable PO Box 2093 Amherst MA 01004 Street Address City/Town State Zip 413=549-3703 413- 427- 6723 josh@divconllc.com 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® No 0 SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 49, 000 1.Building $ 49, 000 Building Permit Fee=Total Construction st xo•00 sert here 2.Electrical $ appropriate municipal factor =$ 343.00 3.Plumbing $ _ 4.Mechanical (HVAC) $ Note:Minimum fee=$ 100 (contact municipality) 5.Mechanical (Other) $ Enclose check payable to City of Northampton x 6.Total Cost $ 49, 000 (contact municipality)and write check number here J O O I� 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 accurate t of m knowled e and understanding. Joshua Kenne Manager 413 -427- 6723 Please print and sign name Title Telephone No. Date PO Box 2093 Amherst MA 01004 josh@divconllc.com Street Address City/Town State Zip Email Address l 1 Municipal Inspector to fill out this section upon application approval: 'v : r • 4/30/A ' Name , Date CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton o0. (',� �' a s Massachusetts - . 4 DEPARTMENT OF BUILDING INSPECTIONS It t ., 212 Main Street • Municipal Building Northampton, MA 01060 444 N'� 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: Valley Recycling Northampton The debris will be transported by: Name of Hauler: Allen ' s Roll off Signature of Applican Date: 6/9/2022 The Commonwealth of Massachusetts i=tfr`'� s Department of Industrial Accidents _� I Congress Street,Suite 100 .= Boston, MA 02114-2017 mmatt•. www.mass.gov/dia — 11utkers' (bmpensatiun InsuraneeAffidavit:Builderslt'ontractorsiElectrieians{Plumbers. TO Bk EILIJ)WITH THE:PI RMI1TING Atrr'll©RTTt. Applicant information Please Print Leeihly Name(Business organizationtndividual): Diversified Construction Services LLC Address: PO Box 2093 City/StateiZip: Amherst, MA 01004 Phone 413-549-2900 Ate yam as employer?Cheek the negnipeiate box: Type of project(required): I.0 I am a enrplover with 5 employees(full:md'm part-rime i_" 7. 0 New construction 201 am a sole proprietor or partnership and have nu employnts working for MC in 8. 13 Remodeling any capacity.[No workers'camp.insurance moaned.] �7 30 I am a Inornauwner doing all wort myself.[No wort cis comp.mamanet regatta]' 9. ❑Demolition 4.01 am a huouwnrr and will he hirnng contractors to conduct all week my poverty- 1 will I©D Building addition ro ensure that all Ccmtrm"luri either Irave workers'compensation insurance or emc sole i f.Q Electrical repairs or additions proprietors with nu employees. 12.0 Plumbing repairs or additions 50 I am a general contrarian and I have heed the sub-egntruturs Limited on the attatiired Alert [ 1=1RdOf repairs They sub-contractors have employees and have workers'oxlip.insurance): 6.❑We ere a corporation and its officershave cxcreised their right of extaaptron per AK&c. 14.0 Other _ 152.ol(A).and we have no employees.[No workers'comp.inatsrruue required.) "Any applicant that checks box ir1 must also fill out the section below showing then wuakkm,'compensation put iafannatiun Homeowners who submit this affidavit indicating they art doing all work and then hire outside contractors meat submit a new affidavit indicating such :Contractors that chmi,this but must attached an additional sheet showing the name of the sub-ct nftnct.xs and.state whether or not those artistes have employees If clot sub-contractors have cir�las rv%.they must provide their workers'onto.policy number. I am an employer that is prosiding workers'compensation insaranc•t•for my employees. Below is the policy and job site information. Insurance Company Name: Ohio Casualty _ Policy#or Self-ins.Lie.#: XWO 60461213 Expiration Date: 10/1/2 2 Job Site Address: 319 Pleasant st CityrStateiZip: Northampton, MA 01060 Attach a copy of the worker'compensation polkv declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL C. 152,*25A is a criminal violation puni•rhable by a fine up to SI,500.00 and'or one-year imprisonment,as well as civil penalties in the firm of a STOP WORK ORDER and a tine 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 crrt*under Mr sand penalties of perjury that the information pros soave is true and carted Sienattft>e: 'r' 2 Date: 6/9/2022 r _. Phone#: 413-549-2900 Official/INN volt. Du not write in this area.to be'completed by cite or town official_ ( its or I eau n: Permit/License# Issuing.luthoritt ieircic noel: L. Board of health 2. Building Department 3.('its Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other ( otttact Person: Phone#: i Initial Construction Control Document I 47 f - To be submitted gis Frithtere thdeD builesign Pding profermessionait application by a J a{ j for work per the ninth edition of the Massachusetts State Building Code, 1 S0 CMR, Section 107 Project Title: Date: Property Address: Project: Check(x)one or both as applicable: New construction Existing Construction Project description: I ?vIA Registration Number: Expiration date: ,am a registered design professional. and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning:: 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, (i 80 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. I 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_ jVhen 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: Email: Building Official lire Only Building Official Name: Permit No.: Date: Nate L Indicate with an'x project design plans,computations and specifications that_:•ou prepared or directly supanised If'other'is chosen,provide a description Version 01 41 2018 Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance X 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Numbe Street Address City/Town State Zip Discipline Expira 'on Date Name(Registrant) Telephone No. e-mail address Registration Numbed Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Numbet Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons r,UUtWelitiypfrvisor CS-087540 *. _ E;i ppires:07/18/2023 JOSHUA J KENNEY 48 MEETINGHOUSE :,�t. PELHAM MA D1002 ?? ONS'43 Commissioner �p . a4rtt:P.lik