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39A-078 BP-2022-1012 518 PLEASANT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 39A-078-001 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-2022-1012 PERMISSIONIS HEREBY GRANTED TO: Project# INTERIOR DEMO/RENO Contractor: License: Est. Cost: 500000 MATTHEW WAINSCOTT 104496 Const.Class: Exp.Date:08/17/2023 Use Group: Owner: 518 PLEASANT STREET LLC Lot Size (sq.ft.) Zoning: GB Applicant: WAINSCOTT BUILDING Applicant Address Phone: Insurance: 37 STAGE RD (413)559-0825 2001W9052 WILLIAMSBURG, MA 01096 ISSUED ON:08/18/2022 TO PERFORM THE FOLLOWING WORK: FIT OUT 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: Q l i �I• yU f Fees Paid: $3,500.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / , �� 1 - -�- The Commonwealth of Massaclyuse��0 i ;, t5�� ` Office of Public Safety and Inspectiu 1 i _ / Massachusetts State Building Code(780 CMRj�n�� ?�c7� . Building Permit Application for any Building other than a One-aim* , • y Dw g /: (This Section For Official Use Only) l Ati gs1,.r�0 / Building Permit Number: /` A' 10( 2— Date Applied: Building Official: •°so Ns SECTION 1:LOCATION ,IC ( Pie A•S 4 3 54 f tit;,,,y niU i✓1 No.and Street City,/ y O Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 1 '`"" If New Construction check here 0 or check all that apply in the two rows below Existing Building.. Repair 0 Alteration 16 Addition❑ Demolition ❑ (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy 0 Other ❑ 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 required? Yes 0 No i sf Brief Description of Pro osed Work: ?awto.1,r i 1 ` `'4' 'r � t 5'i't�1v L 1.-1`4--S "4-'' S-,, 1- L) : 4-eLuP Ote Sc .?�:— �vin,� ?rnu,A,, a SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDmON,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): ii) SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) t 41,7')L..._ I `il32. Total Area(sq.ft.)and Total Height(ft.) ," ?j 2- to' (wit I ep 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 6 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2❑ H-3 0 H-4 0 H-5❑ I: Institutional I-1 0 I-2❑ I-3 0 I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3❑ R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA CI IB ❑ HA GI IIS0 IIIA ❑ IIIB ❑ IV ❑ VA 0 in,ti 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:Licensed Dis osal Site lif Public Check if outside Flood Zone 0 Indicate municipal A trench will not be P Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify._ permit is enclosed 0 Railroad right-of-w y: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable A. Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No' Yes 0 No a 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 51(r) s )t 1- LL(r <19) ' ee.,,A•..k SI- Oetoe ..) MA 6 10 6( Name(Print) No.and Street City/Town Zip Property Owner Contact Information 'A- loll MC Co SRa `{i324 - 93-`(1- - - Title J Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: ame Street Address City/Town State Zip to apply for and act on the pr per r 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 D. 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 � � iJJ,)$ce .td,I P ( LC Company Name G , -) to r J,.��cA�— � I J�-1 of . U 0�rc.sar t t S Name of Person Responsible for Construction License No. and Type if Applicable 'VI. 56. CA WI[11M h.,f5 14 ___ _ •0104L Street Address City/Town State Zip 113-.50 09,16- - - C (1,.) Go k:1 o t IL 5 -N I .c u vlti Teleephone No.jbusiness) Telephone Nocell) e-mail Tess 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 O No CI SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ n1,10 C00 Building Permit Fee Total Construction Cost x_(Insert here 2.Electrical $ (AO O' ) appropriate municipal factor)_$ . 3.Plumbing $ 11Ai00.4 �(`, 4.Mechanical (HVAC) $ '16 ppb - Note:Minimum fee=$_3, (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 6j 00 1000 _ (contact municipality)and write check number here (.o '1 0 SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest der the pains and penalties of perjury that all of the information contained in this application is true and accurate to the owledge and understanding. [� 1 ilt 4Y�J (s-)4 1..i 4y.�L -I l�j _C61 O c g-u -2z Please print and sign name Title Telephone No. Date VI- S St (C_ 41 t1,1-n.., 6vt,) Ika oto t _ bli,►,sw02,11at 0014./,t4", Street Address City/Town State Zip Email Addre . Municipal Inspector to fill out this section upon application approval: -444 N � ;yI4 ��ame I Date