22B-109 (17) BP-2024-0017
199 PINE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-109-001 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-2024-0017 PERMISSION IS HEREBY GRANTED TO:
Project# 3 ENTRY COVERS 2024 Contractor: License:
Est. Cost: 15500 SONDRINI ENTERPRISES 075258
•
Const.Class: Exp.Date: 11/07/2024
Use Group: Owner: LLC MATT & NICK
Lot Size (sq.ft.)
Zoning: OI/URA/WP Applicant: SONDRINI ENTERPRISES
Applicant Address Phone: Insurance:
343 PECKS RD (413)443-0219 2001W7055
PITTSFIELD, MA 01201
ISSUED ON: 01/05/2024
TO PERFORM THE FOLLOWING WORK:
ADD 3 ENTRY COVERINGS
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:
' >9 • T.0
Fees Paid: $108.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
1 _
RECEIVE :
! 1- ,4A.)/,,,041/6--/), eu7-1-\
1 JAN - 5 2024
The Commonwealth of Massachusetts
���'' ; F nun r.in!.inisPFctioNs Office of Public Safety and Inspections
t f Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
qq,! (This Section For Official Use Only)
Building Permit Number: 0�'1-11 Date Applied: Building Official:
SECTION 1:LOCATION
199 Pine Street, Florence, 01062
No.and Street City/Town Zip Code Name of Building(if applicable)
22B-109-001
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 0 Repair 0 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 ® No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No DC
Brief Description of Proposed Work Add 3 entry coverings/awnings for employee safety
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.)
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 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 1-2❑ 1-3❑ 1-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 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 0 IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV El VA 0 VB ❑
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:
Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0
Private 0 or indentify Zone: or on site system 0 required 0 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
Matthew Dufresne 1456 Santa Marta Ct Solana Beach, CA 92075
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information
Owner/Manager - - 41.3-265.3482 matt@pvep.com
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Andrew Klepacki, Director 155 Industrial Drive Northampton MA 01060
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 O.
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
Sondrini Enterprises
Company Name
Nate Sondrini CSL#075258
Name of Person Responsible for Construction License No. and Type if Applicable
343 Pecks Road, Building#3 Pittsfield, MA 01201
Street Address City/Town State Zip
(413)443-0219 - - info@Sondrini.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 0 No 0
SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ 15,500 Building Permit Fee=Total Construction Cost x ( it here
2.Electrical $ appropriate municipal factor)=$ �7�(
3.Plumbing $ 1
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact muni ' ality)
5.Mechanical (Other) $ Enclose check payable to V
6.Total Cost $ 15,500 (contact municipality)and write check number here
V
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 tothe best of my knowledge and understanding.
Andrew Klepacki t/1 41. Director 413-214-2338 12/27/23
Please print and sign name 7 Title Telephone No. Date
155 Industrial Drive Northampton MA 01060 andy@pvep.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: ' � �tr
4M6IName ate
City of Northampton
4' '' �.
1j•' Massachusetts �,, i.. ?
�'
. DEPARTMENT OF BUILDING INSPECTIONS '?' �;
` -•.. t�' 212 Main Street • Municipal Building vd•., O
7.
- -,
Ca
,.• Northampton, MA 01060 djy j.
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: wt-stftm,-TVIA t\k-T1-44.1M p r-O -1 I 0/1 4'
The debris will be transported by:
Name of Hauler: USA Waste
0%Signature of Applicant: Date: December 27, 2023
•
The Commonwealth of Massachusetts
: .�' l ►i Department of Industrial Accidents
�' if8.--7 : 1 Congress Street,Suite 100
, .Y Boston,MA 02114-2017
. ,o" www masr.i;ov/din
%1'urkers'Compensation insurance Affidavit:BuildersfContractorstEkctrieiansfPlumt►ers.
TO HE FILED WITH THE PERMITTIN(;.&t'THORITV.
Annlieant Information Please Print Letibls
Name(:i3ttaint:ss' '1nd; • l,d:_ U v.,_ 4... _ -.�� Z _ ___.
Adder : ��C. 5
City/State/Zip: lC.. 0\10' Phone n: \� u� -o ..� l
yse as employee Cheek the appropriate box:
Type of project(required):
1 9n:a miployct web 1 employees(Bull ardor pan-tune).' 7. a New con&truction.
2.0 I nu:a sole proprietor ut pmMcnhrp and have no empioyees working for nx in $. D Remodeling
Je.)capacity.[No workers.'comp.im+urance required.]
30 tarn a herwotks 3 doing all work myself.NO truckers'come+ icrrarsnlr raguired.j' 9• ❑Demolition
j"`j 1 an:if humeou tbct and will be tiring cxxura¢ux s to conduct all work on my property_ 1 will 10 Building addition
r�rnautr that all contracture zither hie.e workers'Coeomperiattion rmainose,r or are role 110 Electrical repairs or additions
peupmetwa with no anpkiyees_
12.0 Plumbing repairs or additions
l area genera!roaaalwr and I have hired the sub-contract listed on the-attached shed_
i he.e setb-uwtraru n hare ennployism and have wexkime eoetgr.me+uraeuz.; 13.0 Roof r airs \• I
n.❑ss c ant a corporation and its otfircrt have a xemsed theta right of etemption pet MGL I{ \
- 152,Q 1(41,and we ttitic no miryloyees.[No workers'comp.tnatssncc required)
'Any appttere r Jan chocks but al must tdn fill as the section below-showing their withers'wmpm eeac policy infoemsuim
t itUmrsts iaets*Ito submit the atfatari t iaibcating they art duiag All'1,1•01i add darn hue outside contractors rs nuns subunit a new affidavit indicatInt mach
;Conn Joins that check that but mull attached an additional sheet showing the name of the at)t.aura torn and state whether or nut these entities have
to iployees It the sub-curasactar.Katy employees,they must pr midi their v.tniccrs'comp.puiicy number.
ainilliMill
I am an employer that is provi 'ng workers' ompensarion insurance for my employees. Below Is the policy aeifai site
Information.
Insurance Company Name: c ('\ Q{'<\ C, (A \ \ C
Policy tY or Self-ins.Lie.#: OO • O __ Expiration Date:Job Site Address: \ CityiStat Zip: 0t 0\OC
Attach a copy(tithe workers'compensation policy tkdaratias page(showing the policy number and ex "ration date).
Failure to secure coverage as requited under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 1.500.00
and/or one-year impriso as well as civil penalties in the form ofa STOP WORK ORDER and a fine of up to S250.00 a
day a ' viol or.A of this statement may be forwarded to the Office of investigations of the DIA for insurance
covera veri i
I do here 'certify a ►the and penalties of perjury that the information prove above it true and correct
\ L_l �I—'I
Signature: I Dale:Phone t-': yi5 .--- LA L4 13 - 0, .2_\n
A
Official use only. Do not write in this area.to be completed b1 city or town official.
, City or Town: Perniit I icenu#
' hiring Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector
' o.Other
(Contact Person: Phone IS:
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