38B-073 BP-2023-1612
227 SOUTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-073-001 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-2023-1612 PERMISSION IS HEREBY GRANTED TO:
Project# BALCONY REPAIR 2023 Contractor: License:
Est. Cost: 53000 DANIELLE MCKAHN
Const.Class: Exp.Date:
Use Group: Owner: LLC BLACK SHEEP DEVELOPMENT
Lot Size (sq.ft.)
Zoning: URB Applicant: DANIELLE MCKAHN
Applicant Address Phone: Insurance:
32 PERKINS AVE (413)320-7208
NORTHAMPTON, MA 01060
ISSUED ON: 11/16/2023
TO PERFORM THE FOLLOWING WORK:
REPAIRS TO BALCONY
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:
`CithAri/
Fees Paid: $371.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
pia ,7.4, e m n RECEIVED
The Commonwealth of Mas ac sc 1 5 2023
Office of Public Safety and Insp do s
Iir E Massachusetts State Building Code(7 0
Building Permit Application for any Building other than ne-wm um'� ,`�$hg
(This Section For Official Use Only)
Building Permit Number:c)3.' 1( I2.Date Applied: Building Official:
SECTION 1:LOCATION
227 South Street Northampton 01060
No.and Street City/Town Zip Code Name of Building(if applicable)
38B 073-001
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used: 2015IBC If New Construction check here 0 or check all that apply in the two rows below
Existing Building® Repair® Alteration 0 Addition 0 Demolition El (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 Engineering Peer Review required? Yes 0 No El
Brief Description of Proposed Work: Balcony repair including removal of existing trex decking and roof membrane,lowering
the existing balcony structure,installing new flashing and new EPDM roof,and reinstalling handrails
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) 13
Existing Use Group(s): R2 Proposed Use Group(s):R2
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 4 4
•
Total Area(sq.ft.)and Total Height(ft.) 4,417 34' 4,417 34'
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 ❑ A-4 0 A-5 0 B: Business ❑ E: Educational ❑
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 0 I-4❑ M: Mercantile 0 R: Residential R-10 R-2 El 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 0 IV 0 VA VB 0
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
MI
Trench Permit: Debris Removal:
Public RI Check if outside Flood Zone ElIndicate municipal® A trench will not be Licensed Disposal Site
Private 0 or indentify Zone: or on site system CIrequired X or trench or specify: Valley
permit is enclosed Recycling,Northampton
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable® Is Structure within airport approach area? Is their review completed? N/A
or Consent to Build enclosed 0 Yes 0 or No® Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: 2015 IBC Use Group(s): R-2 Type of Construction: VA
Does the building contain an Sprinkler System?: Yes Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Pioneer Development LLC 32 Perkins Avenue Northampton MA 01060
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Danelle McKahn,Managing Partner 413-320_7208 413-320-7208 danimckahn@gmail.com
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®.
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
Pioneer Development LLC
Company Name
Danielle McKahn CS-114308 Construction Supervisor(Unrestricted)
Name of Person Responsible for Construction License No. and Type if Applicable
32 Perkins Avenue Northampton MA 01060
Street Address City/Town State Zip
413-320-7208 413-210-7208 danimckahn@gmail.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 17
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost from Item 6)= $53,000
1.Building $ 53,000 Building Permit 'ee=$371.00 $'.00/$1,000)
2.Electrical $ 0
3.Plumbing $ 0
4.Mechanical (HVAC) $ 0 Enclose check payable to City of Northampton Check#221
5.Mechanical (Other) $ 0
6.Total Cost $ 53,000
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 to the best of my knowledge and understanding.
7208
Danielle McKahn Managing Partner,Pioneer Development LLC 413-320-
_ _ 11/9/23
Please print and sign name Title Telephone No. Date
32 Perkins Avenue Northampton MA 01060 danimckahn@gmail.com_
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: AL �. l06/3'3
Name Dafe
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
No Changes Proposed
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
,,,,, ,, , 1-( Massachusetts ? 't{
DEPARTMENT OF BUILDING INSPECTIONS 'z
t ,E,3 212 Main Street • Municipal Building Q,. i,-
Northampton, MA 01060 :x« `.0.
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, 234 Easthampton Rd, Northampton, MA 01060
The debris will be transported by:
Name of Hauler: Allen's Roll Off Container Services, 36 Log Plain Rd, Greenfield, MA 01301
Signature of Applicant: 4v:1 ;'(/ L Date: 11/9/23
The Commonwealth of Massachusetts
=CZ Mt=
1 Department of Industrial Accidents
1 congress Street,Suite 100
4i449„
,-415.,,
7-1,2-7-`1 3 Boston, MA 02114-2017
www.mass.garidia
II takers'Compensation Insurance Affidavit:BuibiersiContractors1Electricians1Plumbers.
'IX)RE F114.1)WrID THE PERMOTING AUTtIORITV.
Annlicant Information Please Print Legibly
Name ithnimesa;Ormunzationindreidua0:
Pioneer Development LLC
Addr,:— 32 Perkins Avenue
citv,,StateiZip: Northampton, MA 01060 Phone ii-'. 413-320-7208
tre!,.tria an corptiayer?this:k the a ppropriati:WA.: ' i,,,•pe of project i required):
‘Trmlnya.with anployems dill antifoir part-lintel* 7_ El New construction
20 1 am a,sok phiptactor or pannership and have 110 C111116.12Mea workiny for rim.an 8. ii Reiriodeling
any capacity,[No workers'comp,insurance mhotinid_l
9- Xi DerttolitiOri
I am a homeowner diiing all work myself:ftilo winters'comp.insurance required."2
i. I 0 El Building addition
&El I am a nooksaviner mid will be hiring oantratiors to oandott al 0urk.,on rity prisperty will
ensure that all COlitraciurs either have vtnIkers'comporiation abonsmx or an F.oie i i a Electrical repairs or additions
prwrictem 0 ith no employe
12.0 Plumbing repairs or additions
5 r I am a iimierat contractor,ind I ko.chm:d,:fac sub="cuntraa:turs Fisted on Tht alttt.hext sheel
13.Ej Roof repairs
mesa..,ab-courisci:‘,1 . .. . . !..r..£workers'cimp .' • :. , _
or are sole proprieters [No worker's comp. insurance required] 14.0 Other
t1.0 We'are a envoctim..:. • ' ,, , ...cic6cd their raglit o.f excaminm.per Wit e,
i 4t.and we hais,m ,...ii,,-k.,._i.-..i 2,., ,4 orl.crfi•comp.imuntrax tetiumail
*my appirczni that chivio,box 41 mug also till out the soetion below shossins then workers'conipertsation policy informairm
Ilionicowners who submit this affidavit otidicating they are doing all work and then hat outthic ctratrnetex.$mint submit a new affittio it unheating amt.
1.t..2ontractors that eheck this box intnet attached an additional sheet shim mg fix n.ale#e‘f the mrix- orttractor3.and sum whether or not those intlitim,•luoc
nirit”vcc.. if the sub- km c Limicrj,ce.s.tht7,-ttho pro'«idc thcir ...,,!4,4.:7 C0.1 Ur pofi4..,ntarivr
I am an employer that Ls'providing teorAers'compensation insurance fior my employees.. Below IA the policy and fah idle
information.
Insurance Company Name: _
Policy#or Self-ins. LK. '4: Expiration Date:
Job Site Address.: CityiStale;Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MOE c. 152. §25A is a criminal violation punishable by a fine up to$1,500.00
aridior one-year imprisonment,as vie!1 as civil penalties in the tame 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 or the[MA for insurance
coverage verification.
in I do hereby A u/4er the &plaid aliks of perjury that the information trot idea'above is true and correct
' 1 f/
SI un atti 1 z. 101.4A1
1' fi 0 i/ (--, ' ii,k 11/09/23
phott,r 413-320-7208
O
fficial a se twill. 1)r,not Icrlit.I tit it iA firtw.hi tie contpleted by city or town of-Ili-1,11
City or Town: PermitiLicense 4
Issuing Authority(circle one):
I. Board of Health 2,Building Department 3.City Crown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
__......__