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38B-032 (5)
I IN, a=ft' File#BP-2019-0236 APPLICANT/CONTACT PERSON C RIGHT BUILDERS or ADDRESS/PHONE 48 Bates St N RTIIAMPTvN 0-13)586-8 ;7(116) PROPERTY LOCATION 139 SOUTH ST— - I MAP 38B PARCEL 032 001 ZONE URE. .00 % ` THIS SE��CION FORN SEONLY: PER1I.T APP'._C ;KLIST ;D REQUIRED DATE ZONI SIG FORM FILLED OtJ'I' Fee PE'd7w 7 Buildu a Permit Filled out Fee Pai! jypeof"'onstruction: MASONRY REPAIRS New Construction No i Structural interior renovations AdJition to Existing Accessga Structure Building,_Pl, -►s Included: Owne. Statement or License 084280 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: Approved 4dditional permits required(see below) PLANNING BOARD PERMIVREQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site PlhA 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 Rer4aired: Curb Cut from DPW Water Availability Sewer Availability Septic Al proval Board of Health Well Water Potability Board of Health Permit-i om Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolidon Delay Z Z r8 Signature of wilding 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. Versionl.7 Commercial Building Permit May 15,2000 Department use only [=212 y of Northampton Status of Permit: ilding Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability ROOM 100 Water/Well Availability ampton, MA 01060 Two Sets of Structural Plans 87-1240 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 1,31 5' s�, Map 32/g Lot 0 �a Unit N 6 9-�A41K r 1"1� M M U M Zone Overlay District M U Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: &T' '4 61 rf b Pl-tt Am P7+3 �A d PC M �r k p y o M/-; sr. 2) N '-h� Name(Print) �' ��> Current Mailing Address: Signature g Telephone i 2.2 Authorized ent: Name(Print) Current Mailing Adcd�ss: I?— V] Signature 4� Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS b — rVXVab'- Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building / 9�b (a)Building Permit Fee 2. Electrical (p (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =0 +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'X Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑ Brief Description Enter a brief description here. j Of Proposed Work: C -"_ j U'�� SECTION 5-USE GROUP AND CONSTRUCTION TYPE i USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 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: 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: N 0 v`t�rl�— 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(sf) i St 1St 2nd 2nd 3 rd 3rd 4 t 4 t Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water upply(M.G.L. c.40, §54) F7.1 Flood Zone Information: 7.3 Sewa a isposal System: Public Private ❑ one Outside Flood Zone MunicipalAj On site disposal system[_ NVJ "� -t--z &� �1`�� 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 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 O DON'T KNOW O YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES 0 NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO Q 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 Q NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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 ❑ 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 Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor � p�(� "' � ' ` ' "l "' Not Applicable ❑ Company Name: +� Responsible In Charge of Construction AKat Q I 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 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT � Ar I, _ b VMnN,-r � as Owner of the subject property (Its Al1 D_, hereby thorize �,v t', ���'^ l to act on y f, 'n all t7 relativ o work authorized by this building permit application. Signature o O Date as Owner/Authorized Agerit hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge nod belief. Signed under the pains and penalties of perjury. Print Name ellsl 8,s-� / nature o Owner/Agent ate SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable�❑ Name of License Holder: W r / " 11 � " (` '" " ' l` ' O () License Number P Nt"7*1 A, Address � Expiration Date Sigffatuh 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 O 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: 13 ( S-VL'11-�� 1 The debris will be transported by: � The debris will be received by: Building permit number: Name of Permit A licant .y �r 7/ -? Date g1g-11�F Signature of Permit Applicant 9 PP 0 WRIGHT BUILDERS August 15, 2018 Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 RE: Building Permit for: Northampton Community Music Center 139 South Street Northampton, MA 01060 Dear Louis, We respectfully request that you grant a Building Code modification to waive the requirement for control construction for the masonry repair work at 139 South St, 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. Thank you for your consideration. Please let us know if you have any questions or need additional information. Sincerely, Linda Gaudrea ol� Operations Manager NEW HOMES+WORKPLACES+DESIGN+RENOVATIONS+ENERGY RETROFITS+CONSTRUCTION MANAGEMENT 48 Bates Street, Northampton,MA 01060/413.586.8287/Fax 413.587.9276/www.wright-builders-com Board of Building Regulations and Standards License: CS-084280 Construction Supervisor r~f> ROGER S BUZZELL 277 SOUTH STREET w. BERNARDSTON MA 01337 � Expiration: I Commissioher 0310612019 r•, The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl ' Name (Bus Organization/Individual): FJ ) r Address: (� City/State/Zip: -0� A 014 P one#: Are you an employer?Check the appropriate box: Type of project(required): 1.[J I am a employer with employees(full and/or part-time).' 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions S I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs JJJ���"'These sub-contractors have employees and have workers'comp.insurance.: p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other p P 152,§1(4),and we have no employees.[No workers'comp.insurance required.] /J�{ •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. tContractors 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. U Insurance Company Name: r� Policy#or Self-ins.Lic.#: 1�/�i GC-C '� ` D 5,3 �AExpiration Date: 1 ' Job Site Address: J I'1 City/State/Zip:-P�jN; MIT- 6 Ofob 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 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u,�ains and alties of pert ry that the information provided above .C� eq ue and correct X � r -� - ZI Si ature: Da Phone#: t12 3 2-3 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#: ACC? 033/22/22/22018018 Y) CERTIFICATE OF LIABILITY INSURANCE DAT / THIS CERTIFICATE IS 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(les)must have ADDITIONAL INSURED provisions or 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 CONTACT Jenna Rodrigue,CISR Elite NAME: Webber&Grinnell A N (413)586-0111 FA A C. No): (413)586-6481 8 North King Street E-MAIL jrodrigue@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC N Northampton MA 01060 INSURERA: Arbella Insurance Group 17000 INSURED INSURER B: A.I.M.Mutual Wright Builders,Inc. INSURER C: Attn:Jonathan Wright INSURER D: 48 Bates Street INSURER E: Northampton MA 01060 INSURER F: COVERAGES CERTIFICATE NUMBER: Master 2019 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. NOTWITHSTANDING 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. INSR ADDL3UBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ DAMAGE TO RENTEff- 100,000 MED EXP(Any one person) $ 5,000 A 8500068268 03/01/2018 03/01/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT �LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED �/ SCHEDULED 1020070845 03/01/2018 03/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident PIP-Basic $ 8,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE 4600068266 03/01/2018 03/01/2019 AGGREGATE $ 5,000,000 DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBEREXCLUDED? N/A MCC20020005342018A 03/01/2018 03/01/2019 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Informational Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD R lop �;. 40 ' r 1 i H �t f �� t+ 4, �� - '2.r A �� �n �-f [ �t�. ' ',� ��;. � h � m . ! L � fro 'S4 b � r Mb`*,'s�'i a. ,"� f � � ,�� r r e �, � �''�'L`'"w� ��� 1h-.J ''`�^� 'tiR '�� � } .a .... •ti. s.s 4` � _ _ r z City ortKunplDn Of� Louis Hasbrouck<Iasbrouck@northamptonma.gov> RE: Northampton Community Music Center - masonry repairs Louis Hasbrouck<Iasbrouck@northamptonma.gov> Wed,Aug 22,2018 at 11:52 AM Draft To: Linda Gaudreau <LGaudreau@wright-builders.com> Linda, We got the application for the NCMC repairs. I really do want to see how the cornice is going to be repaired (new masonry drilled and pinned to old, ???). I'd prefer drawings/sketches but could deal with inspecting after the prep is done and before the new cement is put in place. Can you pass this along to whoever's doing the job? Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg ' (413)587-1240 office (413)587-1272 fax On Wed,Aug 15, 2018 at 11:07 AM, Linda Gaudreau <LGaudreau@wright-builders.com>wrote: Ok thanks, L Thank }you, Linda Linda Gaudreau Operations Manager Its EMEM �BUILDERS � 48 Bates Street Northampton, MA 01060 t.413.586.8287 x.116 1413.587.9276 Igaudreau@wright-builders.com www.wright-bLlilders.com From: Louis Hasbrouck [mailto:Ihasbrouck@northamptonma.gov] Sent: Wednesday, August 15, 2018 11:02 AM To: Linda Gaudreau Subject: Re: Northampton Community Music Center- masonry repairs David Pomerantz; dpomerantz@northamptonma.gov Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Wed,Aug 15,2018 at 10:56 AM, Linda Gaudreau<LGaudreau@wright-builders.com>wrote: Ok—who would sign the application as"owner"from the city? L Thank you, Linda Linda Gaudreau Operations Manager I %NG BUILDERS 48 Bates Street Northampton, MA 01060 t.413.586.8287 x. 116 f.413.587.9276 Igaudreau@wright-builders.com www.wright-builders.com From: Louis Hasbrouck [maiIto:lhasbrouck@northamptonma.gov] Sent: Wednesday, August 15, 2018 10:31 AM To: Linda Gaudreau Cc: Roger Buzzell Subject: Re: Northampton Community Music Center- masonry repairs Linda, We would want a building permit; it could fall on somebody. Pointing and a few bricks are OK but the cornices put it over the line. I won't necessarily require an engineer but some need kind of plans/sketches to see how it's going to get done. I'm always worried about big things that could fall. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Wed,Aug 15, 2018 at 8:57 AM, Linda Gaudreau <LGaudreau@wright-builders.com>wrote: Good Morning Louis; Jason Trotta, director of NCMC, reached out to us asking if we could do some masonry repairs. Qe have a mason lined up to setup staging,form and pour some replacement colored concrete cornices, replace brick& repoint as needed at the top of a couple of the lower gables—see attached photos As I recall.this is a city owned bldg,so no permit fee ... but since it is just repairs, is a bldg. permit even required? Look forward to hearing from you Thanks, L Thank you, Lina Linda Gaudreau Operations Manager BUILDERS 48 Bates Street Northampton, MA 01060 t.413.586.8287 x. 116 f.413.587.9276 Igaudreau@wright-builders.com 8/9/20' Office of Consumer Affairs&Business Regulation-Mass.Gov Office of Consumer Affairs and Business Regulation (OCABR) Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Search by Registration Number 101536 Search You must click the "Search Registrant" button to search by name or location. Search by Registrant Company name Search Registrant Search by Registrant Last name https://services.oca.state.ma.us/hicAicenseelist.aspx 112 �\6�0 �O 0 Office of Consumer Affairs&Business Regulation-Mass.Gov City/Town State Zip code Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Wednesday, August 8, 2018. Search Results RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUc INDIVIDUAL NUMBER DATE WRIGHT BUILDERS, INC. Wright, Jonathan 101536 48 BATES STREET 06/25/2020 Current Northampton, MA 01060 Site Policies Contact Us © 2012 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. 8/9/18 - We are awaiting the renewed HIC License ... coming in the mail https://services.oca.state.ma.us/hicAicenseelist.aspx 2/2