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23A-085 (3) 3 MAIN ST-FLORENCE BP-2020-0208 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-085 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-2020-0208 Proiect# JS-2019-001809 Est.Cost: $20000.00 Fee: $300.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): 4312.44 Owner: COOPER RICHARD&CATHERINE KAY E E R&R COOPER PARTNERSHIP Zoning GB(100)/ Applicant. ASSOCIATED BUILDING WRECKERS INC AT. 3 MAIN ST - FLORENCE Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON.8/19/2019 0:00.00 TO PERFORM THE FOLLOWING WORK.-DEMO BIKE SHOP 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 8/19/2019 0:00:00 $300.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0208 APPLICANT/CONTACT PERSON ASSOCIATED BUILDING WRECKERS INC ADDRESS/PHONE 352 ALBANY ST SPRINGFIELD (413)732-3179 PROPERTY LOCATION 3 MAIN ST-FLORENCE MAP 23A PARCEL 085 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST D REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out jL e7- nu Fee Paid !ypeof Construction: DEOM BIKE SHOP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 063282 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: 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 a 19 �q Signature of Kilding 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. Version 1.7 Commercial BuiIdin Perrnit May 15,2000 City of Northa ptonl i E C E 1 Department use only of Pe it: Building Depa men Curb ut/Dri eway Permit _ 212 Main St et AUG 1 �� lewe Septi AvailabilitRoom 10ate ell vailability Northampton, MA 01 60 Two ets of Structural Pians Phone 413-587-1240 Fax 4 & i u;iNsr Oe PI ns ._.. NORT1-WIPTON.P,1A -, e 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 /-� 4/ 3 Main St Map a 3 '4 Lot V O� Unit Florence, MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Rich Cooper Name(Print) Current Mailing Address: Signature � { nhon 563-0954 Telephone 2.2 Authorized A nt: Associat wild* g Wreckers, Inc. 352 Albany St., Springfield, MA 01105 Name(Print) Current Mailing Address: (413) 732-3179 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed ber�nit applicant 1. Building $20,000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee ,tom 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/inspector of Buildings Date 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 ❑ Existing Wall Signs ❑ Demolition ✓❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs ❑ Roofing❑ Change of Use❑ Other ❑ Brief Description Demolition of 1 story business. The old F.J. Rogers bike shop, closed& unoccupied. 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 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ED 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: I 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: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1 St 3,236 St 2nd 2nd 3rd 3rd 4th 4th Total Area (sf) 3,236 Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L. c.40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public s❑ Private ❑ Zone Outside Flood Zone❑✓ Municipal ✓❑ On site disposal system❑ Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 099 Acres Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DON'T KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW Q YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW © YES 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 © NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 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: N/A Not Applicable 0 Name(Registrant): N/A Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): N/A 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 Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable El Company Name: Responsible In Charge of Construction Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No G) SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN -T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I Rich Cooper as Owner of the subject property hereby authorize Associated Building Wreckers, Inc. to all behalf, in all tters relative to work authorized by this building permit application. (-- 'Et 12- X01 to r Date Andrew Mirkin 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 unde t pain and penalties of perjury. Andre Iv irkin Print Name ( �AL 08/12/2019 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERB 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of Llcel2se Hold : Andrew Mirkin CS-062382 3S2 Alb License Number n St S ingfield, MA 01105 10/31/2019 Address Expiration Date (413) 732-3179 Signature `telephone � 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 building permit, Signed Affidavit Attached Yes No Q 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: 3 Main St. Florence, MA The debris will be transported by: Associated Building Wreckers, Inc. The debris will be received by: Casella Waste Systems 686 Main St Holyoke, MA 01040 Building permit number: Nam o P rmit Applicant Andrew Mirkin 1Z IZ.BI Date Signature of Permit Applicant ` \ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia «'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Associated Building Wreckers, Inc. Address:352 Albany St City/State/Zip: Springfield Phone #:(413)732-3179 Are you an employer?Check the appropriate box: Type of project(required): 1.P/1 I am a employer with 32 employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑✓ Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 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 sub-contractors 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:Great Divide Insurance Co. Policy#or Self-ins.Lic.#:WCA154516517 Expiration Date:02/01/2020 Job Site Address:3 Main Street City/State/Zip: Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year' prison ent,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 i lator. copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verif at n. I do hereby cti and the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: 201 Phone#:(413) 732 3179 Of 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 a joint 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 dwelling 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 cant'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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia 352 ALBANY ST. SPRINGFIELD, MA 01105 Lnitedbank 51-7031/2111 404655 413-732-3179 West Springfield,MA 01090 BATE CHECK N0, AMOUNT 08/12/2019 404655 $300.00 PAY *********THREE HUNDRED AND XX/100 DOLLARS TO THE CITY OF NORTHAMPTON ORDER Building Department OF 212 Main St,Rm 100 '1 Northampton MA 01060 AUTHORIZED SIGNATURE il'4046 S Su■ 1: 2 1 1 1 70 3 jai: '10000& ASSOCIATED BUILDING WRECKERS,INC. —� INVOICEIN_V DATE DESCRIPTION CHECK DATE 08/12/201 9 CHECK NO. 08/12/2019 08/12/2019 3 Main st GROSS AMOUNT ADJUSTMENTS 404655 NET_ A_ ►vIOUNT 300.00 300.00 VENDOR NO VENDOR NAME TOTAL GROSS TOTALADJ. TOTAL NET NORTHA CITY OF NORTHAMPTON 300.00 300.00 081-NATIONAL DOCUMENT SOLUTIONS(844)582-4900 7354288 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Corporation Registration: 169969 ASSOCIATED BUILDING WRECKERS, Expiration: 08/24/2019 INC. 352 ALBANY ST. SPRINGFIELD, MA 01056 SCA 1 « 20M-01/1 Update Address and return card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiratio date. If found return to: Registration Expiration Office o nsumer ffairs and Business Regulation 169969' ' 08/24/2019 10 Par Pla Suit 170 Bosto ,MA?021116 ASSOCIATED BUILDING WRECKERS, INC. ANDREW MIRKIN 352 ALBANY ST. SPRINGFIELD, MA 01056 Undersecretary Not valid without signature Construction Supervisor Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpi Commonwealth of Massachusetts • Division of Professional licensure Board of Building Regulations and Standards Con stro,&t)rl Supp rvisor CS-062382 ires: 10131/2019 Af ANDREW H?A92KMtl 299 TANGLEV{fgO0 LONGMEADOYV ,A 014 Commissioner Request Number: 20193011248 Date 07/25/2019 Time 10:53 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address/Intersection: 3 MAIN ST FLORENCE Nearest Cross Street 1: PLYMOUTH AVE Nearest Cross Street 2: Additional Information: DEMOLITION OF OLD FJ ROGERS BIKE SHOP BUILDING Nature Of Work: DEMOLITION Area Of Work: STREET TO STRUCTURE Area Is Premarked: Y Start Date: 07/31/2019 Start Time: 08:00 Caller: JOHN JEFFRESS Title: Return Call: B 430PM Phone#: 413-732-3179 Fax#: 4137323179 Alt.Phone#: Email Address: DEMO@BUILDINGWRECKERS.COM Contractor: ASSOCIATED BUILDING WRECKERS,INC. Address: 352 ALBANY STREET City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: ASSOCIATED BUILDING WRECKERS,INC. Member Utility List _.._.......................—........................... ---- ......... _..._..... _ _— Code Abbreviation Name AJ COMCAS COMCAST-SOUTH BURLINGTON BB VERIZN VERIZON M114 MATECH MASSACHUSETTS TECHNOLOGY PARK CORP MC -NGRDEL NATIONAL GRID ELECTRIC-MASS ELEC RJ......... _VERIZN -.. VERIZON............................__. WB BRKGAS BERKSHIRE GAS _._._�.._ ................._ WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS • There may be non-member utilities in the area that you need to notify. • Electric and other companies may not mark lines they don't own or maintain. You may want to contact them for more information. • The excavator is responsible to maintain markings placed by member utilities. • You are required by law to call 911 if pipeline damage results in a gas release. DIG SAFE ENCOURAGES A COPY OF THIS ELECTRONIC TICKET ON SITE AT ALL TIMES. Renew Another Ticket Print Ticket } Return To .. v��c Gc)lum b►laGas@, A NiSource Company 995 Belmont Street Brockton, MA 02301 Date: August 7, 2019 To Whom It May Concern: The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : 3 Main Street TOWN : Florence STATE : Massachusetts Sincerely, MC Justine McKinney Integration Center Columbia Gas of Massachusetts 508-580-0100 x 1404 City Of Northampton Louis Hasbrouck<Iasbrouck@narthamptonma.go Vater Termination message avid Sparks <davidsparks@northamptonma.gov> Thu,Aug 1, 2019 at 2:18 F D: Louis Hasbrouck<Iasbrouck@northamptonma.gov> c: David Veleta <dveleta@northamptonma.gov> Hi Louis, the water services for#716 and#670 Bridge Road were terminated and cut off at the water main today. Also today#3 Main Street Florence (Rodgers Bike Shop)was terminated/cut at the curb stop. Let me know if any other information is needed. Thanks David Sparks Water Superintendent City of Northampton 413-587-1097 N City Of Louis Hasbrouck <Iasbrouck@northamptonma.gov> Sewer at 3 Main St Cut Off 1 message Brendan Shea <bshea@northamptonma.gov> Thu, Aug 1, 2019 at 2:52 PM To: Louis Hasbrouck<Iasbrouck@northamptonma.gov> Hello Louis, The sewer at 3 Main St has been cut off. Brendan Shea -------------------------- General Foreman Sewer and Stormwater Division Northampton Department of Public Works 125 Locust St Northampton, MAO 1060 Phone: (413)587-1570 Ext 4316 Email: bshea@northamptonma.gov Demo User From: Romito, Jeff <Jeff_Romito@comcast.com> Sent: Monday,July 15, 2019 8:26 AM To: Demo User Subject: RE: 3 Main St Florence, MA- Disconnection of Service request All set From: Demo User<demo@buildingwreckers.com> Sent: Monday,July 15, 2019 8:24 AM To: Romito,Jeff<Jeff_Rom ito@ca ble.comcast.com> Subject: [EXTERNAL] RE: 3 Main St Florence, MA- Disconnection of Service request Hey Jeff just following up on this request from about 4 weeks ago-any news? Thanks, --John From: Demo User Sent:Wednesday,June 19, 2019 1:48 PM To: 'jeff_romito@cable.comcast.com' <ieff romito@cable.comcast.com> Subject: 3 Main St Florence, MA- Disconnection of Service request Hi -attached please find a disconnection request for 3 Main St in Florence, MA.The building is scheduled for demolition. Thank you, John Jeffress Demolition Coordinator Associated Building Wreckers, Inc. (413)732-3179 A v ,'A.yF2S5CCMf40lUYCAIMB Nllk(GIF[N3i 1 nationalgrid 40 Sylvan Rd Waltham MA 02451 July 1, 2019 RE: Service Removal for Building Demolition 3 MAIN ST FLORENCE, MA To Whom It May Concern, This letter is to confirm that,per your request, National Grid has confirmed electrical meter#41019040,meter#41019041 and service line have been removed from 3 MAIN . ST FLORENCE, MA. The work was processed on work request 28571062. If you have any questions or need further assistance,please feel free to contact me at (508) 691 6725. Sincerely, Samantha Cruz MyConnections NE nationalgrid verizon%' MA/RI OSP Center 385 Miles Standish Blvd Taunton, MA 02780 1-866-686-1195 ma-ri.osp.center@one.verizon.com To:John Jeffress Date: 7/15/2019 Re: Facility Removal for Demolition This letter confirms that Verizon's facilities have been disconnected and removed from the address below. 3 Main Street, Florence, MA Thank you, Sidhu,Johnpal OSP Engineer Massachusetts Department of Environmental Protection 10031o71s . BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project# r Project Revision r Project Cancellation A. Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. 1.Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r a.Yes WO b.No 2.Blanket Permit Project Approval,if applicable: Approval ID# 3.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID# Instructions: B. Facility Description 1.All sections of this form must be 1.Facility Information: completed in order to OLD F.J.ROGERS BIKE SHOP 3 MAIN ST FLORENCE comply with the Department of a.Name of facility b.Street Address Environmental NORTHAMPTON MA 010620000 4137323179 Protection notification c.City/Town d.State e.Zip Code f.Telephone requirements of 310 STEVE KONIECZNY GENERAL CONTRACTOR CMR 7.09. g.Facility Contact Person h.Facility Contact Person Title 4137323179 demo@buildingwreckers.com i.Facility Contact Person Telephone j.Facility Contact Person Email MassDEP Use Only k.Facility Size: Date Received 3236 1 1.Square Feet 2.Number of Floors 1.Was the facility built prior to 1980? r I.Yes r 2.No in.Describe the current or prior use of the facility: FORMER BIKE SHOP n.Is the facility a residential facility? r 1.Yes WO 2.No o.If yes,how many units? 2.Facility Owner: r Same address as Facility RICH COOPER 31 MAIN ST a.Facility Owner Name b.Address FLORENCE MA 010620000 4135842301 c.City/Town d.State e.Zip Code f.Telephone 3.Facility On-Site Manager/Owner Representative: r Same contact person as facility r Same address as facility r Same address as owner STEVE KONIECZNY 327 RIVER DR a.On-Site Manager/Owner Representative b.Address Hadley MA 01035 4137323179 c.City/Town d.State e.Zip Code f.Telephone Revised:03/17/2014 Pagel of 3 Massachusetts Department of Environmental Protection 1--_1______-. 1100310718 �� BWP AQ 06 Asbestos Project# Notification Prior to Construction or Demolition Pro ect Revision L71-- j r Project Cancellation C. General Project Description 1.This project is: New Construction r Demolition r- Renovation 2. Project Dates: 7/4/2019 2/4/2020 a.Project Start Date(MM/DD/YYYY) b.Project End Date(MM/DD/YYYY) 3.General Contractor: ASSOCIATED BUILDING WRECKERS,INC. 352 ALBANY STREET a.Name b.Address SPRINGFIELD MA 011050000 4137323179 c.City/Town d.State e.Zip Code f.Telephone WILLIAM BABCOCK 4137323179 g.General Contractor's On-site Manager/Foreman h.Telephone 4. Construction or demolition contractor: r Same as General Contractor ASSOCIATED BUILDING WRECKERS,INC. 352 ALBANY STREET a.Contractor Name b.Address SPRINGFIELD MA 011050000 4137323179 c.City/Town d.State e.Zip Code f.Telephone WILLIAM BABCOCK 4137323179 g.Construction and Demolition On-site Manager h.Telephone 5.Licensed Construction Supervisor: ANDREW MIRKIN CS062382 a.Supervisor Name b.Construction Supervisor License(CSL)Number 6. Is the entire facility to be demolished? 17 a.Yes r b.No 7. Describe the area(s)to be demolished: ENTIRE BUILDING 8. Describe the building(s)or addition(s)to be constructed: 9 a.Were the structure(s)surveyed for the presence of Asbestos-Containing 1✓ 1.Yes r 2.No Material(ACM)? b. Who conducted the survey? JAMES BEAUDRY A1000202 1.Name of Asbestos Inspector 2.DLS Certification# Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection 100310718BWP AQ 06 �� Asbestos Project# d Notification Prior to Construction or Demolition r Project Revision r Project Cancellation C. General Project Description (continued) 10 a.Was asbestos containing material(ACM)found? X31.Yes r 2.No General b.If ACM was found during the survey,please provide the Asbestos 100310691 Statement:If Notification Form(ANF)Project Number. asbestos is found during a Construction 11.For demolition and construction projects,indicate dust suppression techniques to be used: or Demolition operation,all r a.Seeding ri b.Wetting r c.Coverings d. Paving r e.Shrouding responsible parties must comply with 310 r f.Other-Specify: CMR 7.00,7.09,7.15, and Chapter 21 E of the General Laws of 12.Is this an Emergency Demolition Operation? r a.Yes F=b.No the Commonwealth. This would include, but would not be c.Name of MassDEP Official who evaluated the emergency limited to,filing an asbestos removal notification with the d.Title Department and/or a notice of release/threat of e.Date of Authorization(MWDD/YYYY) f.MassDEP Waiver Number release of a hazardous D. Certification substance to the Department if applicable. "I certify that I have personally ANDREW MIRKIN examined the foregoing and am 1.Print Name familiar with the information ANDREW MIRKIN contained in this document and 2.Authorized Signature all attachments and that,based DENT on my inquiry of those individuals immediately 3.Positionv'Title responsible for obtaining the ASSOCIATED BUILDING WRECKERS,INC. information, I believe that the 4.Representing information is true,accurate,and 6/19/2019 complete.I am aware that there 5.Date(MM/DD/YYYY) are significant penalties for N/A submitting false information, including possible fines and 6.P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 Massachusetts Department of Environmental Protection eDEP Transaction C Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: DEMocooRD Transaction ID: 1115817 Document: AQ 06 -Construction/Demolition Notification Size of File: 223.06K Status of Transaction: in Process Date and Time Created: 6/19/2019:2:20:12 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection BWP AQ 06 Pre-Form Notification Prior to Construction or Demolition Ls'1 r This is a revision to an existing form. Project ID for existing form to be revised: r This job is being conducted under a Blanket Permit. MassDEP assigned Blanket Authorization ID: r This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: R None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection 100310691 BWP AQ 04 (ANF-001 Asbestos Project# Asbestos Notification Form r Project Revision (- Project Cancellation A. Asbestos Abatement Description 1.Facility Location: OLD BIKESHOP 3 MAIN ST Instructions 1.All a.Name of Facility b.Street Address sections of this form NORTHAMPTON must be completed in MA 01062 4134271691 order to comply with c.City/Town d.State e.Zip Code f.Telephone MassDEP notification STEVE KONIECZNY PROJECT MANAGER requirements of 310 CMR 7.15 and g.Facility Contact Person Name h.Facility Contact Person Title Department of Labor Worksite Location: THROUGH-OUT Standards(DLS) notification i.Building Name,Wing,Floor,Room,etc. requirements of 453 2. Is the facility occupied? r a.Yes Wo b.No CMR 6.12 3. Is this a fee exempt notification (city, town, district, municipal housing authority, state facility, or owner-occupied residential property of four units or less)? r a.Yes r b.No MassDEP Use Only 4. Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, if applicable: Approval ID# 6.Asbestos Contractor: BAYSTATE CONTRACTING SERVICES INC 352 ALBANY ST a.Name b.Address SPRINGFIELD MA 01005 4137810821 c.Cityrown d.State e.Zip Code f.Telephone AC000021 h. Contract Type: Ri 1. Written r 2.Verbal g.DLS License# 7. JAMES BEAUDRY AS074322 a.Name of Contractor's On-Site Supervisor/Foreman b.DLS Certification# 8 MARCO A.CARRALERO AM041931 a.Name of Project Monitor b.DLS Certification# 9 EMSL ANALYTICAL AA000191 a.Name of Asbestos Analytical Lab b.DLS Certification# 10. 7/8/2019 7/22/2019 a.Project Start Date(MM/DD/YYYY) b.End Date(MM/DD/YYYY) 7:00 AM TO 4:00 PM N/A c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday 11.What type of project is this? r a.Demolition 177 b.Renovation ry c.Repair r d.Other-Please Specify: Revised: 11/13/2013 Page 1 of Massachusetts Department of Environmental Protection 100310691 L7IBWP AQ 04 (ANF-001) A-- Asbestos Project# Asbestos Notification Form r Project Revision r Project Cancellation A.Asbestos Abatement Description: (cont.) 12.Abatement procedures(check all that apply): F a.Glove Bag r b.Encapsulation r c.Enclosure r d.Disposal Only r e.Cleanup f.Full Containment r g.Other-Please Specify: 13.Job is being conducted: P a. Indoors r b.Outdoors 14 a.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 3236 1.Linear Feet(Lin.Ft.) 2.Square Feet(Sq.Ft.) b.Boiler,Breaching,Duct, c. Transite Pipe Tank Surface Coatings 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. d.Pipe Insulation e.Tmnsite Shingles 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. f.Spray-On Fireproofing g.Transite Panels 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. h.Cloths,Woven Fabrics i.Other-Please Specify: 1.Lin.Ft. 2.Sq.Ft. j.Insulating Cement ,� '{"�C e� 3236 1.Lin.Ft. 2.Sq.Ft. 1.Lin.Ft. 2.Sq.Ft. 15.Describe the decontamination system(s)to be used: 15 3 STAGES&REMOTE DECON UNIT 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g)-. TO BE WETTED,WRAPPED IN POLY DOUBLED BAGGED LABELED AND PROPERLY TRANSPORTED TO DISPOSAL LOCATION 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: a.Name of MassDEP Official b.Title of MassDEP Official c.Date of Authorization(MM/DD/YYYY) d.Waiver# e.Name of DLS Official f.Title of DLS Official g.Date of Authorization(MM/DD/YYYY) h.Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149, §26,27 or 27A—F apply to this r a.Yes 17 b.No project? Revised: 11/13/2013 Page 2 of 4 i6oy 7 / �10 PROJECT SUMMARY KARL'S EXCAVATING 3 MAIN STREET FLORENCE, MA. BASEBID ASBESTOS REMOVAL: REMOVAL OF 12 SF OF TRANSITE PANEL LOCATED IN ROOM # 1 REMOVAL OF 1,689 SF OF FLOOR TILE ONLY LOCATED IN ROOM # 19596 & 7 REMOVAL OF 10 LF OF WHITE CAULKING ON BLOCKWALL TO SHEETROCK LOCATED IN ROOM REMOVAL OF 24 SF OF INTERIOR WINDOW GLAZING LOCATED IN ROOM # 4 REMOVAL OF 160 SF OF SHEETROCKMOINT COMPOUND WALLS LOCATED IN ROOM # 8 REMOVAL OF 10 SF OF VERMICULITE INSULATION LOCATED IN ROOM # 6 REMOVAL OF 76 LF OF CAULKING ON STORE FRONT WINDOWS LOCATED EXTERIOR OF BUILDING RIGHT / LEFT SIDE REMOVAL OF 2 EA MERCURY SWITCHS LOCATED IN ROOM # 1 & # 7 Massachusetts Department of Environmental Protection 00310691 �^ BWP AQ 04 (ANF-001) Asbestos Project# Asbestos Notification Form � r Project Revision r Project Cancellation B. Facility Description 1.Current or prior use of facility: BIKE SHOP 2.Is the facility owner-occupied residential with 4 units or less? r a.Yes P b.No 3 COOPER RICHARD AND CATHERINE M KAY 31 MAIN ST a.Facility Owner Name b.Address FLORENCE MA 01062 4134271691 c.City/Town d.State e.Zip Code f.Telephone 4 STEVE KONIECZNY 327 RIVER DRIVE a.Name of Facility Owner's On-Site Manager b.Address HADLEY MA 01035 4134271691 c.City/Town d.State e.Zip Code f.Telephone 5 BAYSTATE CONTRACTING SERVICES 352 ALBANY STREET a.Name of General Contractor b.Address SPRINGFIELD MA 01105 4137323179 c.Cityrrown d.State e.Zip Code f.Telephone GREAT DIVIDE INSURANCE g.Contractor's Worker's Compensation Insurer WCA154464116 2/1/2020 h.Policy# I.Expiration Date(MM/DD/YYYY) 6.What is the size of this facility? 3236 2 a.Square Feet b.#of Floors Note:Temporary C. Asbestos Transportation & Disposal storage of Asbestos P 1� containing waste 1.Transporter of asbestos-containing waste material from site of generation: material is only p g allowed at the place r a.Directly to Landfill or 17 b.To Temporary Storage Location/Transfer Station of business of a DLS licensed Asbestos contractor or a transfer BAYSTATE CONTRACTING SERVICES 352 ALBANY STREET station that is c.Name of Transporter d.Address permitted by MassDEP and SPRINGFIELD MA 01105 4137323179 operated in e.City/Town T.State g.Zip Code h.Telephone compliance with Solid Waste Regulations 310 CMR 19.000 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage location/transfer station to final disposal site: RED TECHNOLOGIES LLC 10 NORTHWOOD DRIVE a.Name of Transporter b.Address BLOOMFIELD Cr 06002 8602182428 c.City/Town d.State e.Zip Code f.Telephone Revised: 11/13/2013 Page 3 of 4 Massachusetts Department of Environmental Protection (1 0031 069 1 L7,,?I-, BWPL ... .. _ ........_...._.__..AQ 04 (ANF-001) Asbestos. .... Pro...jec.t# Asbestos Notification Form I` Project Revision F Project Cancellation C.Asbestos Transportation&Disposal:(cont.) 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: RED TECHNOLOGIES LLC 203 PICKERING STREET a.Temporary Storage Location Name b.Address PORTLAND Cf 06480 8603421022 c.City/Town d.State e.Zip Code f.Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA ENTERPRISES MINERVA ENTERPRISES a.Final Disposal Site Name b.Final Disposal Site Owner Name 9000 MINERVA ROAD c.Address WAYNESBURG CH 44688 3308663435 d.City/Town e.State f.Zip Code g.Telephone Note:Contractor must sign this form for DLS notification purposes D. Certification JAMES BEAUDRY JAMES BEAUDRY "I certify that I have personally 1.Name 2.Authorized Signature examined the foregoing and am PROJECT MANAGER 6/19/2019 familiar with the information contained in this document and 3.Position/Title 4.Date(MM/DD/YYYY) all attachments and that, based 4137323179 BAYSTATE CONTRACTING SVCS on my inquiry of those 5.Telephone 6.Representing individuals immediately 352 ALBANY STREET SPRINGFIELD responsible for obtaining the 7.Address 8.City/Town information, I believe that the MA 01105 information is true,accurate,and complete. I am aware that there 9.State 10.Zip Code are significant penalties for submitting false information, including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of 4 Massachusetts Department of Environmental Protection eDEP Transaction Copy_ LlO�� Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: EAYSTATE1 Transaction ID: 1115766 Document: AQ 04-Asbestos Removal Notification Form ANF-001 Size of File: 230.88K Status of Transaction: In Process Date and Time Created: 6/19/2019:12:52:40 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection BWP AQ 04 (ANF-001) PreForm Asbestos Notification Form ,A 1- This is a revision to an existing form. Project ID for existing form to be revised: C This job is being conducted under a Blanket Permit. MassDEP assigned Blanket Authorization ID: 1- This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: This job does not require the use of an asbestos contractor licensed by the MA Department of Labor Standards because(please check one box below): r This job involves breaking,shearing or slicing of non-friable asbestos-containing material only(e.g.cement shingles/panels,cement pipe,asphalt roofing or siding,vinyl floor tiles,etc.)in a manner that does not generate asbestos dust or render the material friable,as allowed by the Department of Labor Standards(DLS)at 453 CMR 6.13(2)(a)5.All work must be done in compliance with the applicable regulations at 310 CMR 7.15;or r This job involves work on asbestos containing material that is classified by the Department of Labor Standards (DLS)as a`Small-Scale Asbestos Project,'an`Asbestos-Associated Project',or an`Asbestos Response Action' by qualified`in-house'personnel as allowed by the Department of Labor Standards(DLS)at 453 CMR 6.00,and will be performed in accordance with all the requirements of 453 CMR 6.13(1)(a),453 CMR 6.13(2)(a)1.and 3., and 453 CMR 6.14(1)(a),as applicable.All work must be done in compliance with the applicable regulations at 310 CMR 7.15. None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 September Lane Labs, INC. 83 September Lane Beacon Falls, CT 06403 203-668-8533 Baystate Contracting Services, INC. 07/13/2019 352 Albany Street Springfield, MA 01105 Attn: James Beaudry Project NO: 3-MS-FM Former Bike Shop 3 Main Street Florence, MA The asbestos abatement project is considered completed because the post-abatement re-occupancy criteria for the asbestos abatement have been satisfied. On July 13, 2019, a Licensed Project Monitor conducted a visual inspection and collected PCM Final Clearance air samples. No visible debris was found in the containment. The air samples collected in the abatement work areas were below the level specified in Federal and MASS Regulations, 0.010 f/cc. Attached are Test-All's PCM Air Clearance analysis results. ABATED ACM: Transite Panel Vinyl Asbestos Tile Interior and Exterior Caulks Window Glazing Joint Compound on Drywall Vermiculite Insulation alero M#ilMO4191931 ^ . ' ' 238NundhomG�ee�8u»* 30O 96Lanomut�FormRnad ESTALL � Newton, MA 02474 Salem, NH 03079 c�rin0-NH[Xr^c sERr/c[S vmww.testo||envinunmontaiuom p: (855) 958-3782 F: (G17)597-414O SMEMBER IANE LABS 83 SEYFEM.BER LANE BEACON FALLS, CT 06403 203 -665-8533 CERTIFICATE OF VISUAL LISPECTION Project Name: 3 /1//�N 5'"-,-r— Project Location: /�-tw Ct /)7 /9' Work Area: Contractor's Certification of visual Ins Dection Supervisor hereby certifies that he has completed a visual inspection and verifies that this inspection has been thorough_ Ah surfaces within the work area have been inspected. All identified ACM ave bee axed, removed from site, and there is no ACM- Bible. Signature: '`•. Date: / Print Name: x"( �j'lA 176 Print title: �d 16-yk y S a rl Contractor Name: SLL Technician Certification Au SLL field technician hereby certifies that he has completed a visual inspection and verifies that this inspection has orough. areas within the work area have been inspected Allidentified ACM have _ ved from site, and there is no ACM visibl . Signature: ate: Print Name: License Number /`� �/ Exp. Date ■ Braman Termite&Pest Elimination Service Inspection Report • P.O. Box 368 Detailed Service Report #1780525 Agawam, MA 01001-0368 p Termite a'f ftst ECrminativrr 800-338-6757 Client: 10001556 Service Location: 10001556 Associated Building Wreckers Associated Building Wreckers 352 Albany Street Massachusetts Springfield,MA 01105 Springfield,MA 01109 Phone: 413-732-3179 x0 Phone: 413-732-3179 x0 Customer Signature: Technician Signature: Licenses/Certifications MA-1679086 MA-25819 Key account Wayne Jalbert Time In: 7/18/2019 11:15 AM Terms: NET 30 Time Out: 7/18/2019 11:40 AM Order # Service Description Quantity Unit Cost Amount 1780525 Rodent Service 1.00 Service Comments Order Instructions: 3 Main Street,FLORENCE,MA.Old bike shop called FJ Rogers 1 story commercial building.Outside access only,rodent abatement.P.O 1747.Email report over. Tech Comment: Rodent abatement completed at 3 Main St.Florence Ma. Inspected building and surrounding grounds.No evidence of any rodent activity noticed.Posted entryways and placed bait stations around structure. Thank you for choosing Braman Termite and Pest Elimination. Materials Summary EPA# Active Ingredient Finished Quantity Application Method Application Rate Material Applied Lot# AI Concentration Undiluted Quantity Application Equipment Sq/Cu/L Ft Contrac Blox 12455-79 Bromadiolone 24.000 Each Baiting N/A N/A 0.0050 24.000 Ounces N/A Target Pests:Mouse,Rat Areas Applied.3 Main St.Florence Ma Massachusetts Posting N/A N/A 3.000 Each N/A N/A N/A 1 3.000 Each N/A Target Pests:(None) Areas Applied:3 Main St.Florence Ma Pest Summa With Without Total Device Exceptions IY Quantity Device Summary Activity Activity Inspected Replaced Removed Skipped None Noted Exterior Rodent Bait Station 0 4 4 0 4 0 -Totals 0 4 4 0 4 0 Additional pest findings may have been observed.Please see conditions and comments for more details. Area Inspections Area Inspected Pest Findings Time Exterior 11:26 AM Exterior->3 Main St.Florence Ma. 11:26 AM Printed: 8/2/2019 Page: 1/2 l IIMIIIII I011i Braman Termite& Pest Elimination Service Inspection Report P.O. Box 368 Detailed Service Report #1780525 Agawam, MA 01001-0368 p Termite cZ Fest{Efimin ation 800-338-6757 Device Inspection Details Area Device Name Device Type Activity Pest Findings Time General/Other *4 Exterior Rodent Bait Station Removed 11:24 AM Removed *5 Exterior Rodent Bait Station Removed 11:25 AM Removed *6 Exterior Rodent Bait Station Removed 11:25 AM Removed *7 Exterior Rodent Bait Station Removed 11:25 AM Removed Total Devices: 4 Skipped: 0 No Activity: 4 Activity: 0 Material Application Details Material Applied Active Ingredient AI% Application Method EPA# AI Concentration Application Equipment Sq/Cu/L Ft Contrac Blox Bromadiolone 0.0050% Baiting 12455-79 N/A N/A N/A Target Pest: Mouse,Rat Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time Exterior->3 Main St.Florence Ma. 24.0000 Each 24.0000 Ounces Wayne Jalbert 11:26 AM Weather: 0°,0 MPH Massachusetts Posting N/A 100.0000% N/A N/A 1 N/A Target Pest. Area/Device Name Finished Quantity Undiluted Quantity Technician Name Time Exterior->3 Main St.Florence Ma. 3.0000 Each 3.0000 Each Wayne Jalbert 11:26 AM Weather: 00,0 MPH Printed: 8/2/2019 Page: 2/2 Associated B ' Wreckers, Inc. 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800) 448-2822 Fax: (413)734-6224 www.buildingwreckers.com AA/EOE August 2, 2019 BRUCE H DUFRESNE 1 MAIN ST FLORENCE, MA 01062 Re: Demolition of Structure Dear Property Owner: This letter is being sent to you in conformance with the Northampton building inspectors, who state that a letter must be sent to ADJOINING PROPERTY OWNERS, notifying them of pending demolition. Therefore,this is to notify you that the building located at: 3 Main Street,Florence,MA 01062 (The Former F.J. Rogers Bike Shop) will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter Letters\3 Main St,Florence,MA\1 Main St,Florence,MA.doc Associated Hili Wr 1mrs, Inc. 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800) 448-2822 Fax: (413)734-6224 www.buildin2wreckers.com AA/EOE August 2, 2019 copy DAVID A&NANCY E MURPHY 78 NORTH ELM ST NORTHAMPTON, MA 01060 Re: Demolition of Structure Dear Property Owners: This letter is being sent to you in conformance with the Northampton building inspectors, who state that a letter must be sent to ADJOINING PROPERTY OWNERS,notifying them of pending demolition. Therefore,this is to notify you that the building located at: 3 Main Street, Florence,MA 01062 (The Former F.J. Rogers Bike Shop) will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413)732-3179 NAAbutter Letters\3 Main St,Florence,MAW Main St,Florence,MA.doc Asq*ociated B ' ' Wreclws, Inc. 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800) 448-2822 Fax: (413)734-6224 www.buildingwreckers.com AA/EOE August 2 2019 O p AGNES E GARTLAND 14 PLYMOUTH AVE FLORENCE, MA 01062 Re: Demolition of Structure Dear Property Owner(s): This letter is being sent to you in conformance with the Northampton building inspectors, who state that a letter must be sent to ADJOINING PROPERTY OWNERS, notifying them of pending demolition. Therefore,this is to notify you that the building located at: 3 Main Street, Florence, MA 01062 (The Former F.J. Rogers Bike Shop) will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter Letters\3 Main St,Florence,MA\14 Plymouth Ave,Florence,MA.doc ASSOCIATED BUILDING WRECKERS, INC. 352 ALBANY STREET SPRINGFIELD,MA01105 $0,500 US POSTAGE FIRST-CLASS 06250005124952 01105 Gf DAVID A &NANCY E MURPHY 78 NORTH ELM ST NORTHAMPTON, MA 01060 ASSOCIATED BUILDING WRECKERS, INC. $0.500 352 ALBANY STREET US POSTAGE SPRINGFIELD,MA01105 FIRST-CLASS 06250005124952 01105 BRUCE H DUFRESNE 1 MAIN ST FLORENCE, MA 01062 o� Q 0 ASSOCIATED BUILDING WRECKERS, INC. $0.500 352 ALBANY STREET US POSTAGE SPRINGFIELD,MA01105 FIRST-CLASS 06250005124952 01105 AGNES E GARTLAND 14 PLYMOUTH AVE FLORENCE, MA 01062 Associate 3U11 Wreckers, hic. 352 Albany Street,Springfield,Massachusetts 01105 Tel:(413)732-3179/(800)448-2822 Fax:(413)734-6224 www.buildingwreckers.com AA/EOE August 14, 2019 City of Northampton Building Department Puchalski Municipal Building 212 Main St. Northampton, MA 01060 RE: Demolition Permit Application for 3 Main Street in Florence,the old F.J. Rogers Bike Shop Enclosed please find our demolition permit application, supplemental documents, and a check for$300 to cover the cost of the permit. If you have any questions or require any additional information please don't hesitate to contact me - my phone number is above &my email address is demo@buildingwreckers.com. Thank you, John Jeffress Demolition Coordinator Associated Building Wreckers