31D-142 (19) BP-2024-0445
175 MAINST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31D-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-2024-0445 PERMISSION IS HEREBY GRANTED TO:
Project# DEMO 2024 Contractor: License:
Est. Cost: 4000 PIONEER DEVELOPMENT 114308
Const.Class: Exp.Date: 06/01/2025
Use Group: Owner: LLC 175 MAIN STREET
Lot Size (sq.ft.)
Zoning: CB Applicant: PIONEER DEVELOPMENT
Applicant Address Phone: Insurance:
32 PERKINS AVE
NORTHAMPTON, MA 01060
ISSUED ON: 04/17/2024
TO PERFORM THE FOLLOWING WORK:
REMOVE NON-STRUCTURAL STUDS IN BASEMENT AND OTHER SELECT NON-STRUCTURAL MATERIALS
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:
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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APR 1 6 2024
he Commonwealth of Massachusetts
Ijr' Office of Public Safety and Inspections
1 T of 6UILDI��' 1 II Massachusetts State Building Code(780 CMR)
NORTH AMP-1 !+I ( it Application for any Building other than a One-or Two-Family Dwelling
as (This Section For Official Use Only)
Building Permit Number:4' / diy6 Date Applied: Building Official:
SECTION 1:LOCATION
175 Main Street Northampton,MA 01060
No.and Street City/Town Zip Code Name of Building(if applicable)
31D 142-001
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used 9 If New Construction check here❑or check all that apply in the two rows below
Existing Building® Repair 0 Alteration 0 Addition 0 Demolition ® (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 1/11
Is an Independent Structural Engineering Peer Review required? Yes 0 No A3
Brief Description of Proposed Work
Selective demolition:Remove non-structural studs in basement and other select non-structural materials
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): B,M Proposed Use Group(s): No Change
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 2 No Change
Total Area(sq.ft.)and Total Height(ft) 22,372 No Changes
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 DI 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 0 I-4 0 M: Mercantile$3 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 1B0 HA CI IIB ® IIIA ❑ IIIBO IV 0 VA 0 VB 0
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 El Check if outside Flood Zone ID Indicate municipal N A trench will not be Licensed Disposal SiteLN
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 tg 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: 9 Use Group(s): R Type of Construction: IIB
Does the building contain an Sprinkler System?: N Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
175 Main Street LLC 100 Bank Street,Suite 200 Burlington,VT 05402
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information: Joe Engleken
Partner - - 802- 578 5139 jengelken@queencitydg.com
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Danielle McKahn,Pioneer Development LLC 32 Perkins Ave 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 Ix.
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 Unrestricted
Name of Person Responsible for Construction License No. and Type if Applicable
32 Perkins Ave Northampton MA 01060
Street Address City/Town State Zip
_ 413-320 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 El No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor
Item and Materials) Total Construction Cost(from Item 6)=$4,000
1.Building $4,000 Building Permit Fee=Total Construction Cost x.007 (Insert here
2.Electrical $ appropriate municipal factor)=$28.00
4.PlMechanical
e an $ •
(contact municipality)
4.Mecc hanicical (HVAC) $ Note:Minimum fee=$100.00
5.Mechanical (Other) $ Enclose check payable to City of Northampton
6.Total Cost $ 4,000 (contact municipality)and write check number here 1471
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.
Danielle J McKahn Construction Supervisor 413_ 320_7208 4/12/24
Please print and sign name Title Telephone No. Date
32 Perkins Ave Northampton MA 01060 danimckahn@gmail.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: //�/l -0 -n y
Name Date
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
N/A
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
l�ti+rt,lir�.
r�i{ , Massachusetts
a
. ki DEPARTMENT OF BUILDING INSPECTIONS �"
rt' 212 Main Street toMunicipal Building J. a`
Northampton, MA 01060 'rSV w l`'.'C'
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
The debris will be transported by:
Name of Hauler: Old English Services, 68 Williams Street, Northampton, MA
Signature of Applicant: ee///(/�- 4/12/24
pp / Date:
•
-` The Commonlvealth of Massachusetts
i Department of Industrial Accidents
w�jP) I Congress Street.Suite 100
Boston, MA 02114-2017
` wren'.i lass goWfla
%S u/kers'Compensation Insurance:41ff►daa it:Builders/Contractors/Electriciaus:Plumbers.
1'O BE FILED N%'I tit I DV.I'1:R%ltt'CUM;At"titOR1 ti.
'iinlicant Information Please Print l.er/ibis-
Name iBusinessiOrganization/individual}: Pioneer Development LLC
Address: 32 Perkins Ave
City/State,7i(,: Northapton,MA 01060 Phone#_ 413-320-7208
.*,rc you rue ettaplu<<r ( heck the appropriate butt: Type of project(required):
in I am a enq loy cr with -_enanatyees(lull and,or part-tinwr'l-• 7. ®New construction
20 I am a sole proprietor or partnership and have no era players working for ore an
S. 0 Remodeling
any capercrry.(No workers,'comp.insuntni a rdeiuired_)
30 I am a hunsovw ace doing all work myself.(No woarksus'comp.insurance regwna i'
9. El Demolition (Selective)
1 0 0 Building addition
4.0 I am a hum owncr and will be hiring sontnac Ors to conduct all work on my property. I wilt
erasure that all contractors either haw workers'compensation insurance or ane sole t 1.f Electrical repairs or additions
proprietors with no employees_
I2.0 Plumbing repairs or additions
S.eg I am a general contractor and I have hired the arch-contractors listed ur:the mulched sheet_
13.0 Roof repairs
These sub-contractors have employees and have workers'cramp.ursuranee;
14.0 Other
a5.0 We are a corporation and its officers have exerris�ed their right of exemption per Mat c. — _
I.1,§11a1,and w'c have no employees.(No workers'comp.insurance requited]
`Any applicant that checks box t I must also till out the section below showint;their workers'compensation pulley information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new atfiala1 it mdirathrg such.
tCuntr.ctors that check this box tons attached an adatttiunal sheet showing the name attn.:suireentractors and state whether or not those entities have
employees. If the sub-coratracrars have employees.they must provide their workers".. rep.policy nomnb a.
I am an employer that is providing workers'compensation insurance,for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-its.Lie.#: Expiration Date:
Job Site Address: City/StateiZip:
Attach a copy of the workers'compensation policy declaration page(skim ing the pnlicti number and expiration date).
Failure to secure coverage as required under NiGt_c 152, ti?-5A is a criminal srtolation punishable by a tine op to SI,500,00
andor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a
day against the violator.A copy of this statcrnnt may be forwarded to the Office of Investigations of the DIA for insuran.
coverage verification.
I do hereby c lib,lure lethe our zd nallies of perjury that the in formation provided above is true and correct.
5ienature: 1 v l f f j! — Date: 4/12/24
Phone#:413-320-7208
Official use only. Do not wile ia'in flat,area.lu be c srtpleti'd by city or town o ciat
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Pioneer Development, LLC—175 Main Street Subcontractors
Robert A Englaish, DBA Old English Services, 68 Williams Street, Northampton MA 01060, sole
proprietor/no employees.
From: Danielle J McKahn, Pioneer Development LLC, 32 Perkins Ave, Northampton, MA 01060
Danielle McKahn CS-114308
To:
Jonathan Flagg
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
The Massachusetts Building Code,section 107.1 allows for an exclusion from requirements for
construction control in certain situations. In accordance with code section 104.10, I request that you
grant a modification to waive the requirement for construction control of the project at
175 Main Street, Northampton, MA
because the work is of a minor nature,will not affect structural elements, health, accessibility, life or fire
safety, and will be done in accordance with the prescriptive requirements of the code.
Thank you for your consideration.
Respectfully,
7 • II
1
, . , , „ « : .._._. 4/17/24
Danielle J McKahn, Managing Partner/CSL Holder, Pioneer Development LLC