32A-137 (7) 37 MAIN ST-LUKCY'S BP-2016-1549
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 137 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit BP-2016-1549
Project# JS-2016-002642
Est.Cost:$4975.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: INTEGRITY DEVELOPMENT & CONSTRUCTION INC 90514
Lot Size(sq. ft.): 6664.68 Owner: 39 MAIN STREET LLC
Zoning: CB(100)/ Applicant: INTEGRITY DEVELOPMENT & CONSTRUCTION INC
AT: 37 MAIN ST - LUKCY'S
Applicant Address: Phone: Insurance:
110 PULPIT HILL RD (413)549-7919 Workers Compensation
AM H ERSTMA01002 ISSUED ON:6/28/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL PARTITION WALL
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 6/28/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
A 2 8 -- _V'sic l-7 Commercial Building Pormit lay 15,20 0
City of No �^,. •, Deka merit use only
;• pton Status of Permit:
Building 0••- wt.
_ , -„ Lmerit Curb Cut/Driveway Permit -
Plan Rev's* 212 Main Street SewertSeptic Availability
212 Main 10AtOg6 street
Northampton,10010150 Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans_
Other Specify
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
37 i YA 1 5; pJooD M4 Map Lot Unit
Zone C P Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
35 ✓ A-L -. s1 - (-LG 3r 4Iain cI - ;kid ita;441 <d4-
Name(Print) Current Mailing Address: �`ir l es
X ”. rf Lpl3- - cfj - 7-3.3)
Signature Z. i- Telephone
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone _
SECTION 3•ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building /, 637 (a)Building Permit Fee
2. Electrical i gp (b)Estimated Total Cost of
CC Construction from (6)
3. Plumbing 1 p� Building Permit Fee
4, Mechanical(HVAC) DD j6 o
5. Fire Protection .y
6. Total= (1 + 2+3+4 +5) 141, STS Check Number01l573r,/
This Section For Official Use Only
Building Permit Number Date
Issued
Sign)), -
•
• -o)rissioner in pec r of Buildings Date
3a 4-- /37
r
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4•CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ErExisting Wall Signs 0 Demolitions Repairs Additions 0 Accessory Building
Exterior Alteration ❑ Existing Ground Sign❑ New Signs 0 Roofing❑ Change of Use❑ Other 0
Brief Description Enter a brief description here. COTos+A1 t 9Ar ti t;on vi AN
Of Proposed Work:
SECTION 5•USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 0 1A I ❑
A-4 ❑ A-5 ❑ 113 0
B Business ❑ 2A 0
E Educational 0 28 I ❑
F Factory ❑ F-1 ❑ F-2 0 2C 0
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 0 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 0 R-2 ❑ R-3 0 5A 0
S Storage ❑ S-1 0 S-2 0 513 I 0
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group: /40 F-^4391.
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING I PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
• 1s
2nd 2nd
3,d
3rd
4th
4'"
Total Area(sf) Total Proposed New Construction(sf)
NOr1Q
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.C.40,§54) 7.1 Flood Zone Information: / 7.3 Sewag rsposal System:
Public [Jf Private 0 Zone Outside Flood Zone Municipal On site disposal system
Versionl.7 Commercial Building Permit May 15.MO
18. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be tilled in by
Building Department
Lot Size
Frontage _
Setbacks Front
Side L: R: L.: R:
Rear
Building Height
Bldg. Square Footage l
Open Space Footage ,a
(Lot area minus bldg&paved
parkin 0
tl orParking Spaces
All:
(volume&Location)
A. Has a Special Permit/Variance/Findi ever been issued for/on the site?
NO Q DONT KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW 0 YES O
IF YES: enter Book Page and/or Document/I
B. Does the site contain a brook, body of water or wetlands? NO Ll DON'T KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained O , Date Issued:
C. Do any signs exist on the property? YES 07 NO O
IF YES, describe size, type and tocation:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO d
IF YES, describe size, type and Location:
E. Will the construction activity disturb(clearing,grading,ex vation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO d
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
an
Version1.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable 0
Name(Registrant)'.
Registration Number
Address _
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of ResponsiMbty
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
4-p( {'yf 0-eAieD.a.u4 eccns4r 4-.a* TnC . Not Applicable
Company Cbme: / 77
AAAq !Jo✓e
Responsible In Charge of bonstruction
113 Taos vwr7 14;115 @A. 4„t,em Ali} aton
Addre .
`ttl-s19-7919
Sii nam' Telephone
Versim1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q Na f
SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
,as Owner of the subject property
Xhereby authorize L'+Tc C�1rr '1�.{ Oevektt,,,l} 11Co s-k. <...'� oOf,„ -}�'� c • _ to
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
4 .as Owner/Authorized
Agent 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.
(OteiA L-SseR
Print Name
Signature of Owner/Agent Date AMA of
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construct n Supervisor: Not Applicable ❑
Name of Licgnee Holder. r`0. Nbdtv CS-0 o$f9
License Number
1t3 .. .eet.ri 44,115 it. AM is4-, rA 9�tz�zaf6
Address Expiration Date
../7.7/ .? tl3 fl9-1R
Signe tre .r 71>... ietephona
SECTION 13-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 bbpilding permit.
Signed Affidavit Attached Yes LJ No 0
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 39 frci 5
The debris will be transported by: W c1<�cs TTNnk;..q
The debris will be received by: (S7`G /1�c X,z,�p
Stia4Gs, free' G✓, < CT
Building permit number:
Name of Permit Applicant
/ i
azi l a 16 �c�ll`
Date Signature of Permit Applicant
atr v,nrnwarveauv Jt uocua
_-n Department of Industrial Accidents
Office of Investigations
(' — 0 1 Congress Street, Suite 100
Boston, MA 02114-2017
e www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information /J Please Print Legibly
Name (Business/Organivationandividual): J r 4) a.,, 4 4I £c st,-o4-1:t1 Z-ac
Address: Ito P✓App 1 0 i kV ate.
City/State/Zip: A^$$$ersl tkA (Moot Phone #: RI -51 et-1 9I 9
Areyou an employer? Check the appropriate box: Type of project(required):
I.31 I am a employer with \ - 4. ❑ I am a general contractor and I
employees (full and/or part-time).'
have hired the sub-contractors 6. ❑ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 2/Remodeling
ship and have no employees These sub-contractors have 8, ❑Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers comp. insurance comp. insurance
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
officers have exercised their I1.❑ Plumbing repairs or additions
S.❑ I am a homeowner doing all work
myself [No workers' comp. right of exemption per MGL
12.0 Roof repairs
insurance required] ' c. 152. $I(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
day applicant that checks box n1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
nployees. If the sub-contractors have employees,they must provide their workers comp.policy number.
am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
;formation. 4 -r'
uurance Company Name: ,L M. M4 eta\
olicy#orSelf-ins. Lic. #: W r1Z-- 8O07OcGZZl Za/b A Expiration Date: LIIte12,0
ob Site Address: 37 tlq;\ S4.. City/State/Zip: //o OH -)p„ (14 Q I G60
.ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
ne up to 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
f up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
ivestigations of the DIA for insurance coverage verification.
do hereby certify and t e pains and penalties of erjury that the information provided above is true and correct.
ignature: /4,-7 Date:
hone#:
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual, partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelline house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority"
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information (if necessary) and under"Job Site Address"the applicant should write "all locations in (city or
town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE
Fax #617-727-7749
tevised 7-2013
www.mass.gov/dia
INTEGRITY
DEVELOPMENT&CONSTRUCTION,INC.
Lucky's Tattoo& Piercing
37 Main St. Northampton MA
Room Build-out Project
June 22,2016
To whom it may concern,
I (we)give Isaac Torrin permission to make decisions in all matters regarding the construction of the
Room build-out project at Lucky's Tattoo& Piercing,37 Main St. Northampton. Details and
specifications outlining the scope of the Room Build-out project by Integrity Development&
Construction Inc. are attached.
Authorized signer for 37 Main St. Northampton
_ !2—(4//6
Date
110 Pulpit Hill Road,Amherst,MA 07002
413.549.7919 • fax 413.549.7918 • info@integbuild.com • www.integbuild.com
A O CERTIFICATE OF LIABILITY INSURANCE DATEBAmmo:YT
4/16/2015
THIS CERTIFICATE I5 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER ACT Cynthia HERde 24Rn, CISH
Webber & Grinnell :PHONE (413)586-0111 uc,NPV L415)566-4451
8 North King StreetAWRS55.chenderson@webberandgrinnell.coin
•
iZ uREPT I AFFORDING COVERAGE NMC
Northampton NA 01060 I IXsuRERAArbella Insurance Groue (. 17000
WSURED Ix51NYERa A.LM. Mutual{A.LM. _
Integrity Development and Construction, Inc. IWSURERC:
130 Pulpit x111 Road IxsuBEvo__ -- _
Amherst ti. 01002 INSURER F: _
COVERAGES CERTIFICATE NUMBER34as ter Exp 2017 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTYSTHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
(NSR TYPE OFINyURAXCE ADCITS BR OLICY EFF POLICY E%P RATS
LTRsIN50'. U DI POLICY NUMBER IMM1401YfYYt 11MMIOBM'YYP
I X'COMMERCN4 GENERALLIARRITY I I I • 'EACH OCCURRENCE 5 1,000,000
r— aAM E 6 EN FC _—" -
A +_..�CLAIMSMADE .X.DCCOR I PREMISESE— � 15.— 100.660
I85.000 652.50 4/10/2015 4/10/2017 M DE%P( nv person) 5 10,000
BJ
PERSONAL d AW INIUaY 15 1,000,060
GENL AGGREGAIFLMT APPLIES PER 1 1 'GENERA AGGREGATE 1S 3,000,000
X
I—I POLICY a Ta L.. 1 LOO •I I PRODUCTS.COMP0_GGS 3,_00,000
1 )OTTHER. 16
AUTOMOBLE LIAHILIN
COMENiE0 DINGLEID._u4
6
$
1,000,000
? FcmtO _
A ' AI BODILY INJURY(Per person)
ALL OWNED YSCHEOVLEO I103005146 isEQ)101fi 4J10120]T _RO GE INJURYMP¢t acza,e$1,1
5
AUTOS
ZI HREDnu'n4 XAUNOEO I I PROPk TY DAMAE
I(PeraBl 5
1 uniennsurea moton$1 15 100,600
I XI UMBRELLA LIAR A X I OCCUR 1 1 I i cs C-I OCCURRENCE S 1.0000,000.
A I ESIMSDAS 1 C�MPMADE� 'AGGREGATE 5 1,000,000
DED IX .RETENTDDHS 0 1 •450006562¢ $/10B201.6 6/10/2017 I,S
WORKERS COMPENSATIONIa. P UT x OTH
I AND EMPLOYERS LIA¢LITY - ----'
aSREMt RP4R'ExFOUTfiE "G i EL EACH ACCIDENT 9 500 000
BOFFICER/MEMBER
EXCLUDED'', N INIA c S_
1 G ry NX W480os006224201fia 4/10/201 4/10/3012 L 0rEASE.EA EMP 500 9QC
IOSCRPTON OF OPERATIONS below I 1 EL DISEASE-POLICY LIMIT 5 500,000
)
I i I
DESORIPTpN OF OPERATIONS I LOCATORS I VEHICLES (ACORD 10^..Addpbnal Remarts ScheDoe.may he attached 4 more apace Aa reyule01
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
• ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZE}REPRESENTATIVE
[C Henderson, CISE/CIN a"^ eediract""-'
01988'2O14 ACORD CORPORATION. All rights reserved.
ACORD 25(2014M1) The ACORD name and loge are registered marks of ACORD
INS025 mmanil
VMassachusetts-DepanmentofPublicSafety 1
Board o, Building Regulations and Standards
Construction Stopervitor
Lice se: CS-090.514Vr4D
ANNA RN°VEY " . .
113 January HillsRoali
Amherst MA 01082 f qq
_kpir=_5on
Commissioner 09112/2018
... Ofitt ifios AlTirs&itus esloam
o HOME IMPROVEMENT CONTRACTOR
E} Registration 11804-, Type:
ar Expiration: /201207 Private Corporetior
IN GRiTY DEVELOP. KtUti eo-1NO
ANNA NOVEY -
110PULPIT HLLRD
,MERS I MA 01002 Undersecretary
/4 ueJ 0 0)/( ak\ `r,a-\\S
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INTEGRITY
DEVELOPMENT&CONSTRUCTION,INC.
Commissioner Hasbrouck June 16, 2016
Subject: Request for Waiver
I request that you grant a modification to waive the requirement for control construction for the Lucky's
Tattoo&Piercing room build-out project at 37 Main St. in Northampton because the work is of a minor
nature,will not affect health,accessibility, life and fire safety, or structural requirements and is
impractical in that the cost of control construction is considerable when compared to the cost of the
proposed work.All work will be completed within the prescriptive requirements of 780 CMR.Thank you
for your consideration.
"Mass Amendments, sections 107,1 allows for an exclusion from control construction for this project"
Respectfully,
Anna Cook; President for Integrity Development&Construction Inc.
110 Pulpit Hill Rd.
Amherst, MA 01002
110 Pulpit NIH Road,Amherst,MA 61002
413.549.7919 • fax 413.549.7918 • inforgintegbuild.com • www.integbuild,com