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23A-038 BP-2024-0837 60 MAPLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-038-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-0837 PERMISSION IS HEREBY GRANTED TO: Project# DEMO/ADDITION 2024 Contractor: License: RENAISSANCE BUILDERS DBA Est.Cost: 1500000 GILL BUILDING CORP 013302 Const.Class: Exp.Date: 08/17/2025 Use Group: Owner: JWA ARCHITECTS Lot Size(sq.ft.) RENAISSANCE BUILDERS DBA GILL BUILDING Zoning: GB Applicant: CORP Applicant Address Phone: Insurance: PO BOX 272 (413)863-8316 WMZ8008008380 TURNERS FALLS, MA 01376 ISSUED ON: 07/17/2024 TO PERFORM THE FOLLOWING WORK: DEMO PART OF BUILDING, RENO REMAINING PORTION, BUILD ADDTITION OF NEW WING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ��� Fees Paid: $2,821.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File # 15 APPLICANT/CONTACT PERSON:DORRIE BROOKS PROPERTY LOCATION 60 MAPLE ST MAP:LOT 23A-038-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ' ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $30.00 Type of Construction: ZPA -DEMO OF REAR PORTION OF BUILDING AND CONSTRUCT NEW ADDITION, RENOVATIONS TO EXISTING BUILDING New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:* 356 - Z_Z.._`) Cta) 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 Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. REGLIVta.1; L15 File No. 6 i l 30 MAR 2024 I I ZONING PERMIT APPLICATION(35O.4.4),] Please type in this fillable PDF or print and hand-write all information--arid return to the Building Inspector at the Building Department (212 Main St.) with the $30 filing fee by check and money order (payable to the City of Northampton) or credit card (in person only). 1. Name of Applicant: Dorrie Brooks Email: db@joneswhitsett.com Address: 308 Main Street, 3rd FI, Greenfield 01301 Telephone:413-773-5551 2. Owner of Property:W&B Development Address: 308 Main Street, 3rd FI, Greenfield 01301 Telephone:413-773-5551 3. Status of Applicant: Owner Lid Contract Purchaser ❑ Lessee Li Other (explain) 4. Job Location:60 Maple Street, Florence, MA Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Business (rented offices) 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Demolition of rear portion of existing building and construction of new addition. Work will also include some renovation or original existing building and site improvements. Proposed occupancy-- Business 7. Attached Plans: Sketch Plan ❑ Site Plan El Engineered/Surveyed Plans ❑ 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ❑ DON'T KNOW 111 YES ❑ IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ❑ DON'T KNOW YES ❑ IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO I DON'T KNOW ❑ YES ❑ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ❑ Obtained ❑ , date issued: (Form Continues On Other Side) 6/7/2023 10. Do any signs exist on the property? YES 111 NO El IF YES, describe size, type and location:A roughly 4 foot by 3 foot sign on posts is existing on site. This sign will be retained and relocated or replaced with a sign of the same overall area. Are there any proposed changes to or additions of signs intended for the property? YES 111 NO ❑ Proposed sign 5ft wide, 3 ft high on stone base and integrated into the landscape IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES ❑ NO 1] IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Dept.only. EXISTING PROPOSED REQUIRED BY ZONING Lot Size 11 ,395 sf 11 ,395sf Frontage 113.95ft 113.95ft Setbacks Front Side L: R: L: R: L: R: Rear Building Height 23'6" 23'6" Building Square Footage 3,888sf 7,489sf %Open Space: (lot area minus building Ex 35. 1 % 38.7% paved parking) #of Parking Spaces 8 8 #of Loading Docks 0 0 Fill: (volume 8 location) 0 0 Driveway Grade% 0 0 I 13. Certification: I hereby certify that the information contained herein is true and accur to to the best of my knowledge. 3/1/24 Date: Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission,Historical Commission and Architectural Boards,Department of Public Works and other applicable permit granting authorities. 6/7/2023 • - - / -- Existing parking area - Al Impervious surface ' 5,730 SF Existing Impervious surface not including building: 5,983 SF Total percentage of Site as Impervious Surface: 67.1% Total percentage of Site 0 as Imprevious Surface Existing Building (not including building) Footprint 52.5% 1,665 SF Percentage Open Space: 35.1% (lot area minus building & paved parking) 11,395 - 1,665 - 5,730 = 4,000 SF ( 35.1%) Existing walkways Impervious surface 253SF PLAN NORTH 0 5 10 20 30 FEET �Z 60 Maple Street - Florence Lot Size: 11 ,395 Sq. Ft. +/- Jones Whitsett Architects Existing Conditions Total Existing Impervious: 7,648 Sq. Ft. +/- (67.1% of site) March 1 , 2024 ,1 A2 Proposed parking area Impervious surface ' 3,268 SF Proposed Impervious surface not including building: 4,408 SF Total percentage of Site p as Impervious Surface: 63.0% o Proposed Building Footprint Total percentage of Site ' as Imprevious Surface 2,770 SF / (not including building) / 38.7% New walkways Impervious surface 1 ,140 SF ♦ Percentage Open Space: 47.0% PLAN NORTH (lot area minus building & paved parking) 0 5 10 20 30 FEET 11 ,395 - 2.770 - 3,268 = 5,357 SF ( 47.0%) Gz 60 Maple Street - Florence Lot Size: 11 ,395 Sq. Ft. +/- Jones Whitsett Architects Proposed Conditions Total Proposed Impervious: 7,178 Sq. Ft. +/- (63.0% of site) March 1 , 2024 SUNzs )024 The Comoro w assach set s 5 Office of - ltli�c ° 4.6y qt. Massachusetts State BuiTdi ii: ►.4 R Building Permit Application for any Building other than a One-or wo-Family Dwelling (This Section For Official Use Only) Building Permit Number:Q{y $31] Date Applied: Building Official: SECTION 1:LOCATION 60 Maple Street Florence,MA 01062 No.and Street City/Town Zip Code Name of Building(if applicable) 23A 038-001 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 9th If New Construction check here 0 or check all that apply in the two rows below Existing Building cv Repair 0 Alteration ® Addition c° Demolition ® (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ® No 0 Is an Independent Structural Engineering Peer Review required? Yes ❑ No 111 Brief Description of Proposed Work: Demolish part of building.renovate remaining portion,and build addition of new wing. See Hazardous Waste survey. SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): B Proposed Use Group(s): B SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed Bsmni- No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 3 o�ou 3 o 10 asa.iozs :.e.z+ao Total Area(sq.ft.)and Total Height(ft.) 3110 24 7470 24 SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ID E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IBD IIA ❑ IIB ❑ IIIA 0 IIIB ❑ IV 0 VA 0 VB SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: MI Public® Check if outside Flood Zone III Indicate municipal ODA trench will not be Licensed Disposal Site Private 0 or indentify Zone: or on site system 0 required®or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable® Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No l Yes IEI No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 9th Use Group(s): B Type of Construction: VB Does the building contain an Sprinkler System?: No Special Stipulations: None Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Dorrie A.Brooks 308 Main Street Greenfield,MA 01301 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Principal 413 _ 773 _ 5551 413_ 348 _ 7875 db@joneswhitsett.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Stephen Greenwald 390 Main Road Gill MA 01354 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Dome A.Brooks 413- 773 -5551 db@joneswhitsett.com 50961 Name(Registrant) Telephone No. e-mail address Registration Number 308 Main Street Greenfield MA 01301 Architectural 08/31/2024 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Renaissance Builders Company Name Stephen Greenwald CS-013302(U) Name of Person Responsible for Construction License No. and Type if Applicable 390 Main Road Gill MA 01354 Street Address City/Town State Zip 413..863_8316 413_ 772 _ 9430 info@renbuild.net Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes El No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 1,108,000 Building Permit Fee=Total Cons • ost x_(Insert here 2.Electrical $ 170,000 appropriate munic'•• fact r$ . 3.Plumbing $ 77,000 ik 4.Mechanical (HVAC) $ 145,000 Note:Minimum fee= 1 act municipality) 5.Mechanical (Other) $ 0 Enclose check payable to City of Northampton 6.Total Cost $ 1,500,000 (contact municipality)and write check number here 4 C ti3 SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate the best of my knowledge and understanding. Stephen Greenwald President,Project Manager 413 - 863 _ 8316 06/20/2024 Pleaseprint and signname Title Telephone No. Date P 390 Main Road Gill MA _ 01354 info(a,renbuild.net Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: Ai///2 7 I1 ZOZ' Name Date CITY OF NORTHAMPTON SETBACK PLAN MAP: 23A LOT: 038-001 LOT SIZE: REAR LOT DIMENSION: REAR YARD see stamped Site Plan enoclosed SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural x 2 Foundation x 3 Structural x 4 Fire Suppression x 5 Fire Alarm(may require repeaters) x 6 HVAC x 7 Electrical x 8 Plumbing(include local connections) x 9 Gas(Natural,Propane,Medical or other) x 10 Surveyed Site Plan(Utilities,Wetland,etc.) x 11 Specifications x 12 Structural Peer Review x 13 Structural Tests&Inspections Program x 14 Fire Protection Narrative Report x 15 Existing Building Survey/Investigation x 16 Energy Conservation Report x 17 Architectural Access Review(521 CMR) x 18 Workers Compensation Insurance x 19 Hazardous Material Mitigation Documentation x 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Dome A.Brooks,Architectural(information above) Paul T.Babin Jr. 413_ 333 _9240 ptbjr.bibineng@gmail.com 33979 Name(Registrant) Telephone No. e-mail address Registration Number ElectricaU 430 Main Street Agawam MA 01001 Fire Alarm 06/30/2026 Street Address City/Town State Zip Discipline Expiration Date Robert F.Griffiths 413- 596 _4248 rfgpsg@aol.com 33161 Name(Registrant) Telephone No. e-mail address Registration Number pMechanical 7 Cooley Drive Wilbraham MA 01095 HVAC only 06/30/2026 Street Address City/Town State Zip Discipline Expiration Date Robert T.Leet 978. 544 - 8000 whetstoneeng97@gmail.com 38942 Name(Registrant) Telephone No. e-mail address Registration Number 349 New Salem Road Wendell MA 01379 Structural 06/30/2026 Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. September Lane Labs, INC. P. O. Box 275 Beacon Falls, CT 06403 203-668-8533 Septemberlanelabs(�gmail.corn 05/14/2024 Associated Building Wreckers, INC. 352Albany Street Springfield, MA 01105 RE: 60 Maple Street Florence, MA ASBESTOS SURVEY September Lane Labs, INC. conducted a pre-renovation asbestos inspection of the commercial property located at 60 Maple Street in Florence, MA Massachusetts Licensed Asbestos Inspector - Marco Carralero - AI# 900719 EXPIRATION 04/09/2025 44 samples were taken of 20 building materials suspected of containing asbestos. Samples numbers, descriptions, locations, condition, and approximate quantities of asbestos-containing materials are listed below. l A-B Flashing Tar Roof Perimeter 15% Chrysotile 18 LN. FT. NF Intact 3A-B Roof Field Built-Up Roof 8% Chrysotile 2,000 SQ. FT. NF Intact 10A-B Wall Glue Knee Walls 2% Chrysotile 800 SQ. FT. NF Intact 14A-B Vapor Barrier Back Porch 4% Chrysotile 300 SQ. FT. NF Intact 1 8A-C Pipe Insulation Basement/Crawl 60% Chrysotile 180 LN. FT Friable Deteriorating 19A-C Fitting Insulation Basement/Crawl 65% Chrysotile 15 Fittings Friable Deteriorating NOTES: (1) All quantities are approximations and asbestos contractors should inspect and quantify scope of work. (2) Any building materials other than wood,metal, or glass not tested for asbestos are assumed asbestos-containing until proven negative. (3) One side porch has same built up roofing as sample 3A-B RENAISSANCE cr-- r BUILDERS PO BOX 272,TURNERS FALLS,MA 01376,413.863.8316 INFO@RENBUILD.NET,WWW.RENBUILD.NET To: Building Inspector City of Northampton I, Dorrie Brooks, certify that I am an Authorized Representative of the property located at 60 Maple Street, Florence, MA 01062. I hereby authorize Stephen Greenwald of Renaissance Builders, 390 Main Road, Gill, MA 01376 to submit a building permit application on Jones Whitsett Architects' behalf for the demolition of part, renovation of remaining, and addition of a new wing in building located at above address. I agree to conform to all applicable laws of the town and state, and I believe the work proposed to be in compliance with all zoning regulations and the Massachusetts State Building Code 780CMR. Signature of Authorized Representative: Printed Legal Name: Dorrie Brooks Date: 06/19/2024 AFFIDAVIT FOR DISPOSAL OF DEMOLITION DEBRIS Supplement to Permit Application As a result of the provisions of MGL c. 40, s54, I acknowledge that as a condition of the issuance of a 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, s150A. I certify that debris resulting from this demolition will be disposed of as listed below: Job Site Location: 60 Maple Street.Florence,MA 01062 Name of Permit Applicant: Renaissance Builders Disposal Facility: F& G Recycling Address of Facility: 15 Mullen Rd., Enfield, CT 06082 IF SAID FACILITY IS OTHER THAN WHAT I HAVE LISTED, I CERTIFY THAT I WILL NOTIFY THE BUILDING OFFICIAL OF THE CORRECT LOCATION OF THE SOLID WASTE DISPOSAL FACILITY WITHIN TWO MONTHS OF THE DATE OF THIS APPLICATION. 06/21/2024 Signature of Applicant . Date ACORI) DATE(MM/DD/YYYYI !� CERTIFICATE OF LIABILITY INSURANCE O�,,,)/2024 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(ies)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 Robert Walters III,CLCS NAME: Alera Group.Inc. PHONE (413)586-0111 FAX (413)586-6481 A(C,No,Ext): (A/C.No): Webber&Grinnell Division E-MAIL rwalters©webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC N Northampton MA 01060 INSURER A: Arbella Protection 41360 INSURED INSURER B: A.I.M.Mutual/A.I.M. 33758 Gill Building Corporation DBA Renaissance Builders INSURER C: GuideOne National/BRECK Attn:Stephen Greenwald INSURER D: PO Box 272 INSURER E: Turners Falls MA 01376 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 8/24 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD, POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE i RENTED 1,000,000 . CLAIMS-MADE XI OCCUR P E M SESO(Ea occurrence) $ 100.000 MED EXP(Any one person) $ 5.000 A 8500066134 08/01/2023 08/01/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2'000'000 POLICY PRO• 2,OOD,000 pi JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED •,/ SCHEDULED 1020057016 08/01/2023 08/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY /s AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY ' AUTOS ONLY (Per accident) Underinsured motorist BI s 250,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 9.000,000 A EXCESS LIAB ~ CLAIMS MADE 4620085703 08/01/2023 08/01/2024 AGGREGATE $ 9,000,000 DED X RETENTION$ 10.000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUE ER ANY PROPRIETORPARTNER/EXECUTIVE El_EACH ACCIDENT $ 1.000,000 B OFFICER.'MEMBEREXCLUDED? N/A WMZ80080083802024 01/01/2024 01/01/2025 (Mandatory in NH) El_DISEASE-EA EMPLOYEE $ 1.000,000 If yes.describe under 1.000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Occurence 1.000,000 Pollution Liability C ENV56201122301 08/01/2023 08/01/2024 Aggregate 1,000,000 Deductible 2,500 DESCRIPTION OF OPERATIONS I 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 Jones Whitsett Architects THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 60 Maple Street Florence, MA 01062 AUTHORIZED REPRESENTATIVE 9 :)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts =g —ill. Department of Industrial Accidents soma aY._;;j�i_ A 1 Congress Street,Suite 100 _•t{=_ Boston, MA 02114-2017 www mass gov/dia ..t Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please I'rint Legibly Name (Business/Organization/Individual): Gill Building Corporation DBA Renaissance Builders Address: PO Box 272 City/State/Zip: Turners Falls,MA 01376 Phone#: (413) 863-8316 Are you an employer?Check the appropriate box: Type of project(required): I 0 I am a employer with 25 employees(full and/or part-time).* 7. 12 New construction '_.❑I am a sole proprietor or partnership and have no employees working for me in 8. �x Remodeling any capacity.[No workers'comp.insurance required.] E I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑x Demolition 10 �x Building addition -3.❑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 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 571lam a general contractor and I have hired the sub-contractors listed on the attached sheet. I 13.0Roof repairs These sub-contractors have employees and have workers'comp.insurance.: h❑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 arc 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:AIM Mutual Insurance Policy#or Self-ins. Lic.#: WMZ80080083802024 Expiration Date: 01/01/2025 Job Site Address: 60 Maple 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 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 under the pains and penalties of perjury that the information provided above is true and correct. Signature: i Q� Date: 06/21/2024 Phone#:(413) 863-8316 1 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#: ® Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Const(efc41(014 IS\lrpervisor • CS•013302 I Aires: 08/17/2025 STEPHEN J GREENWALD PO BOX 272 • TURNERS FALLS MA 01376 Commissioner ,.�41-a Construction Supervisor Unrestricted -Buildings of any use group which contain less than 35,000 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/dpl RENAISSANCE fBUILDERS PO BOX 272,TURNERS FALLS. MA 01376,413.863.8316 1NFORRENBUILD.NET, WWW.RENBUILD.NET June 26, 2024 0 Kevin Ross, Building Commissioner City of Northampton Building Department 212 Main Street Northampton, MA 01060 Kevin, Enclosed is a check for $2,821.00 for the Jones Whitsett Architects' permit. The address is 60 Maple Street, Florence, MA 01062. The permit application and supporting documents were emailed to you and Kim Carson on Friday 6/21/2024 at 5:02 from my email, autumn@renbuild.net. Per our phone call this morning, I calculated the addition portion by $.60 per square foot (.6 x 4360 = $2,616). The renovation portion is only $15,000 of the total project cost, as the project focus is the buildout. (7 x 15 = 105 + 100 = $205). This brings the total permit fee to $2,821.000 Please call me at 413-863-8316 if you have any questions or respond to my email. Sincerely, Autumn Harris Administrative Assistant Enclosure NM JONES WHITSETT ARCHITECTS 308 Main Street Greenfield,MA 01301 T.413.773.5551 F.413.773.5552 a1nq4DJpnpvMlbettmm CONSULTANTS: PERMEABLE PATYPNAY Te ir\I _- , SPIGOT DUAL EV CHARGNG ��--- STATION I / • / 41 . //// ./ / j%/ f obi } is �,. j j i H. Lu ;;jam 1 ___ %! I Q %j 1_/ ���/�I �/ 1 .-P BIKE RACK I \ \ V/ 0 CI ter, .IGOT //// (a_ L. I / ER RFD&A TREE / � // ICERUS< n NEW SERWCEBFARY TREE .._.-l/..�/i// / - _ __J �� 719 / LED LOW PATH • GW LENCHER CANADENSR)I I --_ - _ / LIGNENG , „ ` I I !_ � -~ SLOPED`' .SSIBIF REPLACE EXGTNG`\ 0 I P.. DOGWOOD(CORMS i ' ' `17wr SOUSA)N 01 1 t 7. ``..280' 0 I i280 I l \ / • I INBEETW UflTAV ENR CBRRU H DUST JAVAA• ° TO RD/N I BEN1; . L �.__._ II PLANTING BEDS WILL BE DENSELY PLANTEDi, , WI LOW-MAINTENANCE NONINASNE 279-_—___ -Y HERBACEOUS PEPWNNLS&LOW GROWING utll — util — util,0- util — util _—--------------util u it util u it util util _________________ -__-__-._-__-__-__-_--_-__-__-_ __-__-__-__-__-__-__-__---__-__-___. per__ PROJECT: 2303 • G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G DALE: 03/04/24 w w w w w w w w w w w w w W w W W N — S S S S S 5 S S S S S S S S S S S DRAWN BY: SCALE 1:20 1 t Ll 0 0 0 4MI JONES WHITSETT ARCHITECTS 308 Main Street Greenfield,MA 01301 T.413.773.5551 �Q F.413.773.5552 offlceOlonaswhitsettcom 1��� CONSULTANTS: EX. EAVE l_!-I , - - 1 1 . 19' -4„ • ■ - f• — — 2ND FLOOR 10' - 1 1/2" 1 I■ I I LI ,.._ 0 • _ _ , I : , . ; ! , 1 — / I i _ 1ST FLOOR 0' -0" CI CI 1 _ GRADE v) 3' - 0" Z 0 NORTH ELEVATION o W 1/8" = 1'-0" > 1- W J A D E COG H ._ . . __, .._. c, o w Lip 1— \ I ji.„1„____ - I w EX. EAVE Mr - 0 n • W -- — 19 -4 1 . . _ � f� 1 ■ IMMEla rn _— �� — 1— ! 2ND FLOOR N �.. - 10'- 1 1/2" Fr 1 . ,.. ,,, ,,.., �..1 PROJECT: 2303 1 '1 I ''i _ DATE: 02/28/24 IZ� 1 I II �, DRAWN BY: HA — i_�� Ifs _ I 1ST FLOOR SCALE: 1/8' = 1 VIM 0' 0" '0 I, 1 ,\ -�'� -- — — — - GRADE �3 -0" OEAST ELEVATION 1' A3.1 j 1/8" = -0" 1 4 000 WA JONES WHITSETT ARCHITECTS 308 Main Street I Greenfield,MA 01301 T.413.773.5551 F.413.773.5552 EX. EAVE ��— office j°n"n�et`com 0 mg 19'-4' — — —am - ,� __, _ _ im- -, , , CONSULTANTS: ram ii i i . 1 , tr, .. t- te ___,-_ 1 jh 2ND FLOOR j j 111-1 10'- 11/2" — rp.ii / LIRA 0__ 1ST FLOOR _ 1 I. :., Li? 1 —. 0' -0' Livia, _ I, —11 inn i�i GRADE _�ivva ■■■ N Z SOUTH ELEVATION �ED 1/8" = 1'-0" > , W v) W J H G COE D A oCI- w 1-- 1 1 x W — — — _ EX. EAVE 19'-4" 1. I { ' 1 i III I L - ---_______ _ 2ND FLOOR ' I 10' - 1 1/2" - - rI 7- I PROJECT: 2303 . I �,1 DATE: 02/28/24 1 I I ; 1 I i 1 i 1 1 I 11 I 1ST FLOOR DRAWN BY: HA O. 0" GRADE SCALE: 1/8' = 1'-0' ;. I I -3' - 0" O2 WEST ELEVATION 1/8" = 1'-0" ` ` % A3.2