The URL can be used to link to this page

37-002 Commonwealth of Massachusetts ,. 1100143821 1 . Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) !COMPASS RESTORATION 1- 176 PINEVALE STREEi ----- ----. ------ t - a. Name of General Contractor b. Address 1 SPRINGFIELD j 01151 , 1413-265-1569 c.city[Town d. ZipCode e. Telephone NUmberAarea code_and e [ATLANTIC CHARTER 1 1 WCV0082630 i [8128/2012 1 f. contractor's Worker's Comp. Insurer g_loticyNumber 1). Exp.DaTeTErn/ddth {TN Hi 6. What is the size of this facility? a. Square Feet b. Of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site (if necessary); [COMPASS RESTORATION 1 1176 PINEVALE STREET . , l_ - ._... a. Name of Transporter b. Address Note: Transfer .. . .. _„. Stations must [SPRINGFIELD __! [4132651569 __I comply with the c. City/Town I 101151 d. Zip Code e. Telephone Number Solid Waste Division 2. Transporter of asbestos waste material from removal/temporary site to final disposal site: Regulations 310 _ __ _____. CMR 19.000 IRED TECHNOLOGIES [10 NORTHWOOD DRIVE — ------ a. Name of Transporter b. Address {BLOOMFIELD CT [ 106002 18602182428 _ c __. _____ __d Code__ e. Telephone Number — ---._ 3. [CHARLES M. GORDON & SONS 1203 PICKERING STREET a7Aefusefransier Station and Owner b. Address .... . , 'PORTLAND CT 1 06480 J [8603421022 c. City/Town CI . ii e7feiephonember 4. MINERVA ENTERPRISES INC [MINERVA . _ a. Final Disposal Site Location Name b. Final Di Site Location Owner's Name [9000 MINERVA ROAD .... . i [wAYNESBURG c. FinatDisposal.S J Site Address [OH 1 1 44688 _ L 13308663435 1•10■11.1111•111111111•11111•1 e. State f. Zip Code g. Telephone Number cy) MnImMININIMIIIIIM•11111 0 •II••■•■■ min■IMINI ......... o D. Certification The undersigned hereby states, under the CHRIS HOPPER 1 [Chris Hopper -- -- I =--c penalties of perjury, that he/she has read the a. Name b.Autic&Tied Signature ....,.. Commonwealth of Massachusetts regulations MANAGER _[ [3/6/2012 , . for the Removal, Containment or c..Position/Title____ _ ii DateammIdd/yiyy) ---- ■.....' Encapsulation of Asbestos, 453 CMR 6.00 and r ................■ ;4135837919 1 COMPASS REM:ORi ,.. 310 CMR 7.15, and that the information L_______ ----. =••••• . . contained in this notification is true and correct e. Telephone Wumber _ f. Representing ........, ° to the best of his/her knowledge and belief. [176 PINEVALE STREET .■11•1110.1111111■11111•11•M P■1111111■11■ 0 9 _____ _________ _.._________ ___ 11■11111111011■10•11111• !SPRINGFIELD [91151 i 01■111•1111■MIMINIM i •■••=0.■MM.1.1_ -,...- •111■11111111111■11•11• h. City/Town I. Zip Code ...,,,,,........... MIIIIIIIMIMMEINIIIIMMI IMIIIININISI■■ < • anf001ap.doc • 10/02 Asbestos Notification Form • Page 3 of 3 5 ,.<- i ' L Commonwealth of Massachusetts 000143821 Asbestos Notification Form ANF-001 1 Decal Number . . ..1 '1 _ A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials (ACM) to be removed, enclosed, or encapsulated: [0 ! '1. falai pipes O'r ducts (linear ft) - b - TioTaTottief_sufficesql - arVitY c. Boiler, breaching, duct, tank I - d. Insulating cement surface coatings I Lin. ft. s 1 Sq. ft. 1 f ---- - e. Corrugated or layered paper 1 - r- 1 L J I f. Trowel/Sprayer coatings pipe insulation Lin. ft. Sq. ft. g. Spray-on fireproofing 1- 1 --------------- --------- h. Transite board, wall board ._.___J 11200 i ""---- i. Cloths, woven fabrics 1 I _ j. Other, please specify -- : ..._ c k. Thermal, solid core pipe L 1 - IDAMPPROOFING 1 ,.... ......._.... insulation Lin. ft So'. if. I. Specify 14. Describe the decontamination system(s) to be used: 1REMOTE 3 CHAMBER DECON PER OSHA 1926.1101 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): 1DOUBLE WRAPPED AND SEALED IN 6 MIL POLY SHEETING OR EQUIVALENT 1 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: L a. Name of DEP Official b. Title I . c. Date (mm/dd/yyyy) of Authorization d. DEP Waiver # I - r - e. Name of DOS 6fficial 1:M fife L ____ I ____ _____ ....0.0 ■ .__ _ _ .., 01■1111■•••••••11 g . - Date (m of Authorization h. DOS Waiver # .■ ( \ 1 " 0 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A apply to this project? [-- Yes l.,71 No ......--...° B. Facility Description ........- .................., C \ I FRE — _ _I ..----- 0 1. Current or prior use of facility: ....—......... , 2. Is the facility owner-occupied residential with 4 units or less? 1 Yes Lj No ••••••••••••=1■1 RICH DENNO I [559 FLORENCE ROAD ...........,- 3 _ a. Faci _ . • _ mOIMION11■11•111110•• lity Owner Name b. Address ...........e. a INORTHAMPTON 1 [01060 I 4135840852 IMIN•mimil■IMOINIII - — ---- — --. 1••••■■•■••1 0 - 67 - o r itiff - OW . n _-- _ _ : _ d . - 7ip_ Code e. Telephone Number (area code and extension) ....—........-.. ,....1,■.......... FRTCH DENNO I 1559 FLORENCE ROAD — a. N 7o Fealty Owner's On-Site Manager b. On Site Manager Address ------- MIIIM -. illo■i■NIMMin z NORTHAMPTON -- — --- 7 110 iiiii8 — ----- -- — INNOMINIIINIMII ImINMIIIMINIMMMNIMO < c. City/Town d. Zip Code e." code and extension) • anf001ap.doc • 10/02 Asbestos Notification Form • Page 2 of 3 II , „ • Commonwealth of Massachusetts III 100143821 i i k Asbestos Notification Form ANF-001 1 Important: out A. Asbestos Abatement Description When filling forms on the computer, use 1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less? si Yes E No to move your 1 [......_. .. .. _.1 cursor - do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key. 2. Facility Location: V irm .1 1 RESIDENCE J 1559 FLORENCE STREET } a. Name of Facility_ b. Street Address Northampton [l 101060 c. City/Town MA e. Zip Code , _I 4135840852 f. Telephone Number INSTRUCTIONS 3. Worksite Location: ki iNN 0 RESIDENCE 1 I I 1 r --- _1: ------ __ - _] r --------1 i. All sections of this form must be a. Building Name/Building Location b. Building # c. Wing d. Floor e. Room completed in order to comply with 4. Is the facility occupied? 1:1 Yes Lil No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: of Occupational LCOMPASS RESTORATION SERVICE SERVIC 1 16 PHEASANT RUN _1 Safety (DOS) a. Name b. Address ....._ - I 1 notification [BELCHERTOWN 1 101007 14132651569 requirements of 453 -- -- — CMR 6.12 c. City/Town d. Zip Code e. Telephone Number IAC000695 g. Contract Type: 171 Written n Verbal i. DOSTICense - Number [RICH DENNO !OWNER _ -----1 II_ FacgtEContact Person _ i. Contact Person's Title [JACK D. RODRIGO IAS061983 6. a. Name of on-Site Supervisor/Foreman b. Supervisor/Foreman DOS Certification Number ____ 7 FSTEVE NE1C AM072377 1 . L ..._. . a. Name of prkect Monitor b. Project Monitor DOS Certification Number_______ 8 _. ITRC ENVIRONMENTAL - 1AA000052 1 .. all■ ................ a. Name of Asbestos Analytical Lab b. P■s6estds Analytical Lab DOS Certification Number - L --- , •■•■ 1— I■•••••••• 1 3/20/2 0 1 2 [3/26/2012 ... a. Project Startpate jnytydd/yyyy) _._ b. End pate (mmicld/yyyyl_______ ....... .......... 0 17AM-5PM 1011111■111•0111■• limillaillIMMINI c. Work Mon-Fri. ci7WOrZ-Fiai-s-gif--8Tii:---- --------1 1111•■••■■•■ cl .........r..... 0 10. a. What type of project is this? , ., ImIONIOn■• 1111■111■•••= ,,-, 1 j 71 Demolition lil Renovation ... [11 Repair [ Other, please specify: b. Describe ,-. 11■1.111■• INNIMIIIIIIIMINIIIIMMIIM ww■IIIIIIIIIIIIIIMNIII 11. a. Check abatement procedures: •■•■■•■•■■•■•••=11 MM 0 Li Glove bag n Encapsulation 111111•INIMIMMINIIM IMENOMIN■...... CD Li Enclosure P Disposal only ......-...... 1 Cleanup El Other, specify: ... 11, — — ......■■ n Full containment b. Describe MIIIIIINIMININ■ 2 12. Is the job being conducted: Indoors? [ ;21 Outdoors? ‹ ..... • anfOOlap.doc • 10/02 Asbestos Notification Form • Page 1 of 3 U r ry6 • • A • • L J"' Restoring Homes, Buildings, & The Environment Within Mr. Rich Denno March 6, 2012 559 Florence Road Northampton, MA 01060 Re: Demolition and Asbestos Abatement of the existing building at 559 Florence Road, Northampton MA Dear Mr. Denno: Compass Restoration Services, 11C is pleased to submit this proposal to perform demolition and asbestos abatement at the subject project. Our work shall included removal and disposal of the wood structure, foundation walls, and floor slab and rough grading the site using existing soils from the site (no imported fill) to blend grade lines of the existing foundation hole to stabilize slopes. Our work will also include removal and disposal of asbestos containing plaster, asbestos containing foundation damp - proofing mastic, and asbestos containing window caulk and glazing. This work can be completed for the firm, fixed price of $12,000 (Twelve Thousand dollars) payable upon completion of the work. Our price includes all labor, materials, equipment, disposal and insurance. With your acceptance, work can begin as early as March 20, 2012.. If you'd like to proceed, please indicate your acceptance by signing this proposal in the space provided below and returning in to me. Please feel free to call me with any questions or concerns. I can be reached in the office at 413 -583 -7919 or on my cell at 413- 265 -1569. Sincerely, Accepted: C Victor Rodrigues _ • AlQr° J 2— President Signed Dated 563 Center Street, 2nd floor Ludlow MA 01056 tel 413.583.7919 fax 413.583.2963 email compassrestoration @yahoo.com XFINITY Connect http:// sz0083. wc. mai1. comcast .net/zimbra /h/printmessage ?id= 1840 &t. XFINITY Connect richdennocontractor@comcast.net ± Font Size Fw: Proposal for 559 Florence Road From : Victor Rodrigues <compassrestoration @ yahoo.com> Tue, Mar 06, 2012 10:39 PM Subject : Fw: Proposal for 559 Florence Road 1 attachment To : richdennocontractor @comcast.net Reply To : Victor Rodrigues <compassrestoration @yahoo.com> Rich, Our proposal for the abatement and demolition of 559 Florence Road is attached. Please let me know if you'd like to proceed. Regards. Victor Rodrigues Compass Restoration Services. LLC 563 Center Street. 2nd floor Ludlow. MA01056 tel: 413.583.7919 fax: 413.583.2 963 cell: 413.265.1 569 Email: compassrestoratiorayahoo.com Compass Proposal for 559 Florence Road.pdf ` '`' 431 KB From:National Grid 17815221067 01/31/2012 15:05 #444 P.002/002 n onalgrid Reservoir Woods 40 Sylvan Rd Waltham, MA 02451 January 31, 2012 Richard Denno Fax: 413 584 -0850 RE: Service Removal for Building Demolition. Attn: This letter is to confirm that, per your request: National Grid has removed the electrical service and meter, number 84970798. located at 559 Florence Road, in Florence, on January 30. 2012. if you have any questions or need further assistance, please feet free to contact me at (508) 357 -4661. Sincerely. _. 13ecij 7 <el% nationaigrid Customer Order Fulfillment Central 'Western NIA r Office 508- 357 -4661 �'-- Fax 315-460-9149 Here's how we're working Sorry we missed you for you What we did today: J We were here today, but we J Installed your new /additional need access to your premises to communication service, including complete the service request. inside wire /jack work Please call us at the following J Installed your new /additional number to schedule a new communication service, no inside appointment or add new services: wire /jack work required J Business Repair J Installed a Verizon Broadband service J High-speed DSL J Residence Repair J State -of- the -art FiOS (fiber optic service) J F' S TV J DSL µ ,ii Repaired Verizon network trouble at no cost to you J Located /repaired trouble in your J FiOS equipment /wire J Identified trouble in your J New service or change to existing equipment /wire. If you wish to service have us repair the problem, call us at J We were unable to complete your J Temporary service wire placed, service request at this time. see technician comments below Please refer to the technician's comments below. Customer Name 9EA-/-4 Address Date & Time 3°(/-Z.. ' Technician Name 6 Comments 77E.6 T/'- c/t c/c /f c.� tC e.) " . The Commonwealth of Massachusetts Department of Industrial Accidents e Office of Investigations 600 Washington Street Boston, MA 02111 ' - *: 7 www. mass gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business/ Organization /Individual): ie y /iv() Address: City /State/Zip: ) 4-iv% ova Z Phone. #: s /- O th Are you an employer? Check the appropriate box: Type of project (required): 1.0 lam a employer with 4. 0 I am a general contractor and I 6. New construction employees (full and/or part- time).* have hired the sub - contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees These sub - contractors have 8. Demolition worlcing for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance. 5 required.] We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself (No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homdowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the subcontractors have employees, they must provide their workers' comp. policy number. 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 -ins. Lic. #: Expiration Date: Job Site Address: City /State /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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains , enalties of perjury that the information provided above is true and correct. Si :nature: ✓ r _ _ Date: 2 �. • Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: CITY OF NORTHAMPTON Construction Debris Affidavit In accordance with the provisions of MG.L. c. 40 § 54, all debris resulting from any work covered by a Building Permit shall be disposed of in a properly licensed disposal facility, as defined by M.G.L. c. 111 § 150A. Address of Work: X57 The debris will be transported by: — —= r." The debris will be received at: , Fc� ✓ ` u f wall Signature of Permit Applicant /f.y Date —2/2 7/ Building Permit Number: �� 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : De . kilt) 6° License Number d 0s4h0- /e A Address Expiration Date � - c8 ? Signature Telephone Not Applicable ❑ ILO 4 Company Name Registration Number S� ithl,' ./ e. %� 2//x/4 Address Expiration Date Oly�i �c / CDMez, Telephone 3 Q& SECTION 10. WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L,. c. 152, §25C(6)) Workers Compensation Insurance affidavit 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. I Signed Affidavit Attached Yes ❑ No ❑ The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the buildine permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature • €`) ag i�8r a`a, . i ,. . f. `°.;»a ..;:•," °_FR x a't_.'w New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition * New Signs [ ] Decks [ ] Siding [ 3 Other [ ] Brief Description of Proposed Work: 2...7f. )7 ou . Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet ❑ a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply Xa " 4temit 1, i j< L L C , as Owner of the subject property hereby authorize r col) . h, 0 to act on my behalf, in all matters r e to work authorized by this building permit application. l _> . Signature o Owner Date I, /G/ hh4 , as Ownerfrzed-€fent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/ 7- Date •• Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) i # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW YES W YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01062 phone 413.587 1240 Fax 413 - 5874272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, REN �' � MOLISH A ONE OR TWO FAMILY DWELLING ED 4 . R 8 201 1.1 Property Address: � P 53? }��'Yhr �� S . « 2.1 Owner pf Record: LL C .5f/ r he,. ,.f Name (Print) ,. Current Mailing Address: --_ Telephone Signature 2,2 Authorjz�d Agent: j I41 L «a Q Name (Print) Current Mailing Address: Signature Telephone f � r�: ��1 �� a AA * s f,. "$ 7 ri! Item Estimated Cost (Dollars) to be al # one+ com•leted b •ermit a••licant 1. Building 2. Electrical 3. Plumbing 4. Mechanicai (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) ° • . f�' f)f#I��dl rely ing Pr►it PIber:_�_ •_ Date Issued: Y. Ig ! • , Du =1 irtr 3taner /trrr# tenor +if D2te . File # BP- 2012 -0779 APPLICANT /CONTACT PERSON RICHARD DENNO ADDRESS/PHONE 551 FLORENCE RD FLORENCE (413) 584 -0852 PROPERTY LOCATION 559 FLORENCE RD MAP 37 PARCEL 002 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out LpQ �� -- Fee Paid /O'er / `� Typeof Construction: DEMOLISH HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 066189 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: 1/ Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 3//S l �- Signa of Building Official Date / Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 559 FLORENCE RD BP- 2012 -0779 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 002 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit # BP- 2012 -0779 Project # JS- 2012 - 001364 Est. Cost: Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICHARD DENNO 066189 Lot Size(sq. ft.): 26440.92 Owner: DENNO KAREN H & RICHARD Zoning: Applicant: RICHARD DENNO AT: 559 FLORENCE RD Applicant Address: Phone: Insurance: 551 FLORENCE RD (413) 584 -0852 FLORENCEMA01062 ISSUED ON:3/15/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMOLISH HOUSE 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 3/15/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner