No preview available
 /
     
37-083-033 BP-2024-0918 MEADOWLAND COMMONWEALTH OF MASSACHUSETTS CONDOMINIUM Map:Block:Lot: CITY OF NORTHAMPTON 37-083-033 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0918 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: JEREMY SAWYER DBA ALL Est. Cost: 22500 EXTERIORS CSL106836 Const.Class: Exp.Date: 05/26/2026 Use Group: Owner: MEADOWLAND CONDOMINIUM Lot Size (sq.ft.) Zoning: URB Applicant: JEREMY SAWYER DBA ALL EXTERIORS Applicant Address Phone: Insurance: 121 WEST STATE STREET 413-478-1536 6S6OUB2E12612823 GRANBY, MA 01033 ISSUED ON: 07/23/2024 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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. j�� Signature: e/ ;._._.- Fees Paid: $172.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner - ll.w col K 1c,3 Ookni (/t)n►VkL F061 ,�C aiu:-ram -7-tJtio e The Commonwealth of Massachus ,, Office of Public Safety and Inspections at 0^,t Massachusetts State Building Code(780 CMR) > G^^^ Building Permit Application for any Building other than a One-or Two-Fa 1 �� ' g seq . p (This Section For Official Use Only) Building Permit Number.? I- (/7 Date Applied: Building Official: SECTION 1:LOCATION v) 6.6 (oca v c S 4-- /Ue f ,mor, PM p6O /77e'cc/oc✓1* air Con apes_ No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 8 f If New Construction check here 0 or check all that apply in the two rows below Existing Building) Repair 0 Alteration 0 Addition 0 Demolition 0 (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 le No 0 Is an Independent Structural Engineerin Peer Review required? Yes o0Er- Brief Description of Proposed Work: in S n � s Corf^o r P iS /►l ti cr of o-F S Ca'Fr00 f/) 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) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) 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 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional 1-1 ❑ 1-2❑ 1-3❑ 1-4❑ M: Mercantile 0 R: Residential R-1E1- 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 IB 0 IIA 0 IIB ❑ IIIA O IIIB 0 IV 0 VA 0 VB Er SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site 0 Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Po Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 'To,, /y1 c r€. • Ns,.,il 4,r.t Brae-lj 7'14143ra441, )5 r, t S 5 Norfi n-,p /III /1/o 60 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: er•rtr.l-s 711c.n4f-.•r . VC3-cg.1 - 952o y/3 -3X)-SO)O ?",c.ye€ 10./..,240,40. cv,-,, Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: S=re i -..C. ,. LII (r.-- /0/ G.I S'il•c/c S+ ‘c4n 6y �/9 D/03.? Nd'me 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) :-fte en-%7 S wy cr /3-4,7o--- /S26 Al/esr-Erl,o.sl7iaf./c.,, /06 i-36 Name(Registrant) Telephone No. e-mail address Registration Number /)/ G,/ S '-c -(.. s f- 6 1--..5 "I b /v/9 0.o.73 t] _ 47' ,1a 6 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor • —)49 /7 /1, orS Company Name ._1-rto,-->-, J 54. c-,, e,-- /06 br36 C-, Name of Person R6sponsible for Construction License No. and Type if Applicable /off / G-1 -5-f< 4c— s- -I- C9 (-4,el 1, /97/9 D/o .33 Street Address City/Town State Zip 03 1/w- /sue 6 Y/3-y7cf--- /67.76 /Hex./r//Old s:/. ( Q � Telephone No.(business) Telephone No.(cell) e-mail address co 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 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ , ,, ,S(7 O Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=,.$ . 3.Plumbing $ n 6 (� 4.Mechanical (HVAC) $ Note:Minimum fee=$ ( 1' (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 0 6.Total Cost $ c) J, SO 0 (contact municipality)and write check number here 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 to the best of my knowled understanding. -Pre r►, c., ,-Sct L-f,-) e7.- c L-ytle c yi y-V7i-/576 �As/.)% Please print and§ign name Title Telephone No. Date /a / U S faic Sf 6r4n6. /7/9 0 /03_7 ®//CAfcr,afs f'rnc,/, ca, ,. Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: /n7 7 22 Z Z Name Date City of Northampton j� HM. ) � AO' • 4 . . '''it. Massachusetts ��,S .�. S. 'e w Y t Il ,I < •• 4 , DEPARTMENT OF BUILDING INSPECTIONS "y e ,..'a. 212 Main Street • Municipal Building Jar a en _.� Northampton, MA 01060 skh, l1 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: y/_7 Qoc1 f' Sft t The debris will be transported by: Name of Hauler: y7 3 D c'r►", Sf c/ Signature of Applica : — Date: 7//s—/-27 The Commonwealth of Massachusetts )K Department of Industrial Accidents iv- M t; 1 Congress Street,Suite 100 Boston, .'11A 02114-2017 ,, www.mass.gor/din 11 ul kers'Compensation Insurance.tffidas it: Builders!('ontractorsitaectrician+'Plumper.. I()BE IILEI)11 WI 11 1 IIE PI:N1117'I l s(:. t I BONI fl. annlicant Information Please Print l.reihls Name(Business Organization Individual): � �/! O Address: I d / w s 1 City/StatelZip: n /72 /9- 9'°- 1' Phone#: Are vw as t•mpkr)er?Cheek the appnprlale Type of project(required): 1.031 am a cnployer with Y cmpk,y x !full and or part-tirr►t• 7. 13 New construction 20 I am a wk pnupnettt or partnership and base no omits.) s sorting for Mt:m 8. 13 Remodeling am c-nueIt!, (so*otters'eornp.Insurance required] 9. ❑Demolition AO 1 am a homes,*ncr doing all or myself.Nit,*otters'eurrp insurance required]' 10 Q Building addition 40 I am a horneos nee and*ill be h{rtnt esturailors to conduct all work on to prop►rts 1*ill eniutr that all contractors either hate*mien'compensation Insuranec or are sole II.p Electrical repairs or additions proprietors s ith ro ctnpluycsr 12.13 Plumbing repairs or additions t.0 I am a ga-rw-ral contractor and I has hired the subcontractors lusted on the attaches!sheet. Thew subcontractors lase employees and lase Nutters'camp.imurancc 13.NRoof repairs 6.O N'e area corporation and its officers base exaersed then right of cxenrpuon per let il.s 14.Q°that 1322.i 1141.and se has.:no etrrplu)ecs.JNo*utters'comp Insurance required I *An)applicant that checks lox al must also till out the seetiun helos shots mg then s kirk cr.'compensation policy information. Homelrsnen who submit Ilia atudasit Indreatlmt they ate doing all lurk and then hire swtsrdc contractors must submit a ncs affidas it Itldwaling such :Contractors that check this box must attached an:additional sheet shins in the name ut the sub-cotltractors and state*hither of not thaw.glories has. emplusecs lithe suh-contractors Fuse errplutces,thei must pros i.e their sotkcrs`comp poh.i number a I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 7 e h � Policy #or Scif-ins. Lie. e: G ,S 60 Ue a�I01 6I.2 8- - 07 y Expiration Date: 1/,/.6/a S Job Site :WJress:a 66 6 t er( c. S f CitytState/Zip: ^/orf1� 7/1r,f h9la 0 /014 Attach a copy of the workers'eonepeasation policy declaration page(showing the polies number and iration date). Failure to secure coverage as required under MGL c. 152.*25A is a criminal violation punishable by a tine up to S 1.500.00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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 I do hereby certi • an nalties of perjure that the information provided above is true and correct. S Date: 7//S A v9S-/-52?tS Official use only. Do not write in this area.to be completed by city or town official ('its or l own: Permitil.icense Issuing authority (circle one): I. Board of Health 2. Building Department 3.('ihffown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Initial Construction Control Document ,l To be submittedReis w tereith the D esi buildinnPg ro pfermessionait applicationl by a i .v g g for work per the ninth edition of the �:'ati_ . _►os4' Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Date: )//.c/,, I Property Address: 0 E G 61 , j G S f- No(14,,-/z7 le - / ,0/0 60 Project: Check(x) one or both as applicable: New construction XExisting Construction Project description: X.%7 1 c re, e M 4 n-.st ro-{ i2„, J- or,/ �V".c e s G s {f j I MA Registration Number:/?YS)‘Expiration dater/W 7dCam a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning=: Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (7 80 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 760 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the building off- . a 'Final Construction Control Document'. Enter in the space to the right a "wet" or electronic signature and seal: Phone number.63)y7,/.Sy6Email: /7 J/eA.l'c 7, o r,f' 1 y M y/ /- 4 o.-7 Building Official Use Only Building Official Name: Permit No.: Date: Note L Indicate uah an' project desire plans, computations and specifications that roar prepared or directly supervised. If'other' is chosen,provide a description Version Ol Ol 2013 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 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 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 r i r yr2 '7C /.3 6 a/toilet 0. / 7yS'a� Name(Registrant) Telephone No. a-mail address Registration Number Ja/ s fc+c St- G r.,A P7/1 0/033 Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date - - Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. All Exteriors • Roofing • Flat Roofing • Repairs • Snow Plowing 121 W State St Granby, MA 01033 MA H.I.0 Registration#174528 CT H.I.0 Registration#0636067 MA Construction Supervisors License U 106836 Meadowland Condos 1/4/2022 266 Grove St Northampton MA 01060 Mansard Roof Sections Only (2,800 Sq Ft) 1) Remove the existing roofing on the mansard and the bottom of the main roof down to the deck then dispose of the debris in a proper landfill. 2) Inspect the decking and replace any bad sections for$100 per sheet of 3/2" plywood or$150 per sheet of/." plywood if needed. 3) Provide and Install new Ice&water barrier on the entire mansard and the bottom of the main roof. 4) Provide and install new white F8 aluminum drip edge on the eaves and rake edges. 5) Provide and install new white vented drip edge on the eaves of the main roof. 6) Provide and install new starter strips on the eaves. 7) Provide and install new Hickory colored GAF Timberline HDZ architectural shingles to the manufacturers'specs. Provide Owners with a 10 yr workmanship and a • .. •facturer's warranty on the work completed. Contract Total:$22,500.00 Down Payme ' :$7,500.00 : .lance Due Upon Completion:$15,000.00 Estimates are honored for 60 days from the above •ate. Acceptance Of Proposal: The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to complete the work as specified. Payments will be 1/3 down at the contract signing and the balance the day of the job completion. Estimated start date:6/1/2022 Estimated completion date:8/1/2022 06/01/2024 jam'Ailfie, On behalf of the Board of Trustees Date: Owners Signature: Date: //1/ )d•Estimators'Signature: l'- l� (. 9.iikk 1.4 (413)478-1536 s \)\--# Allexteriorsl(iigmail.com Pc)CA1/4 O� Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards N Ls& Constt on s -visor CS-106836 ' cpires: 05/26/2026 JEREMY SAWYER 121 W STATE ST • GRANBY MA"01033 • 0} Commissioner THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 174528 02/25/2025 JEREMY SAWYER D/B/A ALL EXTERIORS JEREMY SAWYER ,JJ 310 COLD SPRING RD ��.0,4,,.N4, �."o,! BELCHERTOWN,MA 01007 Undersecretary • STATE OF CONNECTICUT DEP4RTIIE.VT OF CO:VS('.11ER PROTECTION HOME IMPROVEMENT CONTRACTOR JEREMY SAWYER 121 W STATE ST GRANBY,MA 01033-9614 Registration# Effective Expiration HIC.0636067 04/ 24 03/31/2025 SIGNED l' JEREASA-01 LA_l1RA CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnYYY) 4/23/2024 I— 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 Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE 413 594 5984 413 592-8499 97 Center Street •110 I FAX 'N°):� Chicopee,MA 01013 ,lauraephillipsinsurance.com INSURER(B)AFFORDING COVERAGE NAIL INsuRERA:The Cincinnati Insurance Companies INSURED INSURER B:Selective Insurance Co Of Southeast 39926 Jeremy A Sawyer dba All Exteriors Mauna c:Hartford Underwriters Insurance Company 30104 121 W State Street INSURER O: Granby,MA 01033 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 --- ADDL SUBR ----_----- POLNCY EFF POLICY EXP LTR TYPE OF INSURANCE ;INSD WV-D POLICY NUMBER rMMIDD/yyyyl /MNJDDCOTa LIMITS 1,000,000 A X COMMERCIAL GENERAL LIABIJTY EACH OCCURRENCE S CLAIMS-MADE X OCCUR CSU0151382 6/3/2023 6/3/2024 MAGoE R EoNxTuElDre ncel $$ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE ,$ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY I COMBINED tSINGLE LIMIT S 1,000,000 I ANY AUTO A 9105120 4/16/2024 4/16/2025 BODILY INJURY(Per person) $ _ 1 OWNED AURE� SCHEDULEDX AUTOS ONLY UOSS BODILY INJURY(Per accident) $ X, OONLY X AUOONp P OQAMAGE S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ _ DED7 RETENTION$ _ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X I I STATUTE I FO.R TH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6S6OUB-2E12612-8-24 4/16/2024 4/16/2025 E.L.EACH ACCIDENT $ 1,000,000 OFaF CER/M IMMi BER EXCLUDED? Y N I A 1,000,000 isle NH) EL DISEASE-EA EMPLOYEE $ a s,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Workers Compensation Policy Includes coverage for the following 3A States:MA CERTIFICATE HOLDER CANCELLATION -_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CONSTRUCTION CONTROL WAIVER From. -t" I r:14 7 t-J Al/ / C _s s- (2 rgfibc, 7)/ /9 oi 4.33 To: Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code,section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at 046 ( re, ve_ a /D60 because the work is of a minor nature,will not affect structural eleThents, health,accessibility, life or fire safety,and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully,