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31B-277 (6) COOPER'S DAIRYLAND OF NORTHAMPTON, INC. a,. � P e Sf COOPER'S 31 Main Street k � G ' '� a ' DELI A R Florence, MA 01062 FRUIT cSTORE ' N (413) 586 -1684 WINEeS 6 eSPIRITcS E Fax 584 -6607 RichCooper .CoopersCorner @verizon.net 51 State Street Northampton, MA 01060 (413) 584 -2301 FAX 586 -3753 ssfs @valinet.com statestreetfru it.com Louis Hasbrouck Building Commissioner, City of Northampton 212 Main Street Northampton, MA 01060 7/18/2011 Mr. Hasbrouck, This letter is in reference to my proposed project at 55 State Street, Northampton which entails removing and replacing the set of concrete steps that have settled considerably over the years. I am requesting that you grant a modification to waive the requirement for control construction. The scope of the project is simple and straight forward and at a cost of $3100.00, if it were necessary for me to hire an architect, it would probably make the project unfeasible. I am including photos of the existing steps and hope that you will waive the requirement. Sincerely, / " Richard :Cooper President RICHARD E. COOPER President i , 1 T f ' ■, i \ „ ') f ■ , 1 i I I A -LL I ! 1 _ ... . . , 7 .. . - ..- . , , . . . 1 A i ,-----: ; f , , t 1 4W. t o...._.ft i I ' 1 I , ! ■ ' I i 1 4 t. ‘ ' : ..■31.........a.,. 1 ' I • , I 1 . I . ‘ ,-.... ..-„,....w.."...........__) . . 1 ,,,,,,............„.. ,,,.,, i . C 0 Inc .1 A O._ t ysn A-I LAI 4 i3 Vpsi ..., e- ,,....,/ 'c / , 1 i t , I 4 . - \----- ..- ,. ..f.' . i... ,.. , ... „. '' ' ' , -,... ■ , -',X1, - ,.. . , , .,-. , •-,'," , „,,,,, „ , ,.- • . ' , .,,„ ,- r 4 41., ...' ";;''''''.'''...•-: ' , 3...41., ; 1 - T 1 t ,,. 0..,, , '''. ' ,I , ' — . sa14‘ t‘... • ' . . . . ,„, :,, , --,..., , . • ,_ - i ilibv . .Pidir - 4 ,. - - - , - ., „ , .....,: ,,...,,..--.4...- ._ ' , - .... ■ , 4 2 •• " % , . , _ ....,,,,,,,.' - - - 1•""Iit:' - ' -:-,-..•.,!.,::- ..,, .':•74.4,,,,-2.:* ,. ) 1 1 ' „ ,-- , ,....__. , --,..,.,-•--------. s. . . ,.,•.: ,.,.. .-.•-•-..,:„,..•_.•„....., , - 0 , 1,• ,•.,,,,,- • • ••,...,..... ,,,..,.„ ....... ...-:,-,,,•-•.... .)., -- .‘,..„. .. ,....., ...- - 1 , , -- ' ,;',.■' ''.'4'''''-'''' .t V. A . ,,,..„. .,. ,..... . , ■,.... .. ,. , * , ,.. 1 ,... ■ Hampsh Concrete _■ 45 Florence St. J ob E stimate Leeds, MA 01053 Jim Yurgielewicz 413 -586 -7982 Phone: 584 -2301 Date: 7/5/2011 To: Job Name /Location: state st New Concrete Stairs Richard Cooper Job Description Cost Suport Existing Roof, Remove Old Stairs,Pour New Brick Red Concrete Stairs, Reatach $3,100.00 Post And Hand Rail s -5, This estimate is for completing the job as 100.00 described above. It is based on our evaluation Estimated Job Cost: $3, and does not include material price increases or additional labor and materials which may be Estimated By: Jim Yurgielewicz required should unforeseen problems or adverse weather conditions arise after the work has started. �~����7�U����=������ �����^� CERTIFICATE �~ Ox- LIABILITY INSURANCE [ PRODUCER ----------- ^-- King & Cushman. inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 , HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 1 King & Finn Streets ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 447 Northampton, o|061 INSURERS AFFORDING COVERAGE N_AIC , g � --' _____...„ James Ymrgie|owicz .E111F E Mutual ins Co. Hampshire Concrete t y Insurance 45 F!orence Street '----- ---- MA 01053 ----------- ----- ------ ---' -- ' Leeds, — vvpne - ----'--- 1 -- ______ ___ � -___ COVERAGES r T - IF PoLiciEs, oz: iNISURANCE '.. ISTED PEL0'.", .-IA vE BEEN IZ,SUED TO THE INSURED N'AII 1ABO,P Th : - ''R - HEE FS ICI' FERI:OL": INS,SATEL: P;OTIAITHST ..,',IDIN■R, AN) BEOI,IIREi:IENT TERLI OR CONDITION GI= A,:" CONTRA OR OTHER DOCULENT VviT- R,ESPECIT TO 4 'Pi iI. ' ERT sICATE I, 4, .`■ EE I-,C,I,IEC OR i f:'AY FERTAIN - 1 - , E INSURANCE A.'"I'ORDEC B`r THE l'OLICIEIEI DESCRIBED HEREIN IS SLIP,JECT TO ALL P-iE TERr `''_ E:‘,r 41 'i3O['IDITION''' 0 SL[ - POLICIES AGGREGATE Ll',IITS: EHOV,IN f; AY HA eEEN REDUCED E`' PAC CLAVEI. "7 ----- F" EFFEC nvE 1 poycy EXPIRATION L NSR - TYPE OF INSURANCE POLICY NUMBER i _ DATE tyliv.ccpyy Dm , E ,tra:DDAY) LIMITS — 1PC:: C'''' f r--- :_,,,,,p::::, 7 Loc. 1 c AUTOMOBILE LiAmrry 1703309 08/20/10 III -U1:.;..J., , t..,, .„[-H ‘ :2 , s500,000 OTHER DESCRIPTION OE OPERATIONS LOCATIONS ' VEHICLES r EXCLUSIONS ADDED BY ENDORSEMEN1 ' SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION State Street Frult Store DATE THEREOF THE ISSUING /wuvnsn WILL ENDEAVOR rom^u in DAYS WRITTEN State St. NOTICE ru THE CpnnoL:Arc HOLDER NAMED ry THE LEFT Bill FAILIJRE TO 00 SO SHALL ' Northampton, MA 01060 IMPOSE INC/ OBLIGATION nn LIABILITY op ANY ^mn UPON `xp INSURER, !TS AGENTS on RE PRES EN[ATlVE S.__----___- ---- ----' - m:oRDzs(0o1mu) 1 of ftS10357/M10356 SMF u ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents rral Office of Investigations 1 , 600 Washin Street ,..� Boston, MA 02111 ~� =' www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual):_ Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors listed on the attached sheet. 7. ❑ Remodeling 2. CD I am a sole proprietor or partner- ship and have no employees These sub- contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp. insurance comp. insurance.# required.] _ 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #I 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: Policy # or Self-ins. Lic. #: Expiration Date: Job Site Address: City /State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that 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: Date: Phone #: 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 #: } Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 w No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED! WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , as Owner of the subject property hereby authorize ` _._ ,. __.... .. act on my behalf, in all matters relative to work authorized by this building permit application. ___ Signature of Owner Date I, _ __, _ . ________ . .._ _ _______ . ......w , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties ofper unr,_ �,_� �w . n — - Print Name Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION: SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder . ikkoti 11`0. "' " m -- w -- G. 6 g / B } License Number v _ ._. , a.le_ w c.2-... 4S trEnt s l.E As , M4- 01 o C3 _ ,--. 144 Z.© .. _.. Addre - ��r' ._ w Expiration ate 4 ,41. 11 )1 11 1111011 9- 513 c f, Signatur4� Telephone S ION 13 -W ''C r PENSATION INSU'• 'CE 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 (J No 0 Version1.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION - FOR BUILDINGS AND STRUCTURES SUBJECT TO • CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF EISLOSED SPACE) 9.1 Registered Architect: _ "__ Not Applicable ❑ Name _ (Registrant): _ -- °- -- - ---"- .. "..,o._ m� �_ .w_".... . ---------------- 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 , I Signature Telephone Expiration Date Name Area of Responsibility I Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address ____ — __ Registration Number I ___ , .__,,.,.".,...._._...._,_ I Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required byZoning , This column M filled in by Building Department Lot Size Frontage Setbacks Front Side L. "_ R L:u R: a Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved L parking) # of Parking Spaces Fill: ; (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ` Page and /or Document #' B. Does the site contain a brook, body of water or wetlands? NO 'tr' DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES it NO 0 IF YES, describe size, type and location: 0 4 . 2 21 " ► • 0 "' I 11 /•' ,n h(d' D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO ,) 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 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r Version 1.7 Commercial Building Permit May 15, 2000 A. SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ iccessoi$iiL ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of UseP Other 0 Brief Description Enter a brief description here. 9 Of Proposed Work '� � , . P/ / I S is GM eAlli., e,46.++— S t A. 1t+4'i`f SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ _ 2A ❑ E Educational ❑ 2B - r ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 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: w___. _ _.______ ,_.__ . 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 (sf) i 1 st 1 _ _ ___ _.J 2nd ______. 2 nd 3rd 3 4th ___. -.__ _._ 4m l Total Area (sf) 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 El Private l::] Zone 'i __,,, ____,__ Outside Flood Zone❑ Municipal ❑ On site disposal system El Version1.7 Commercial Build Perm May 15, 2000 A Dena e'�iv tJSe E� �� - � � ti t. RECEIVE ty of Northampton Sta�� M° ;� Buil ing Department Mii e' .g ' 2 2 N ain Street Sewed e� , a 00#4 _ .. Ro )m 100 ,, A afar:: , e P a m t t '? 3` x - " % - x -• + 54 North mp n, MA 01060 I U 16 ma - r�' -1 2 0 Fax 413-587-1272 l 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 SS S 1 RT G $ T . Map Lot Unit lAyfiTI r'1/4 01 6 b 0 , Zone Overlay District . Elm St "District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Wt) ur'S OAv CV01�Er11 DA `ry lP 7 n414 ors (. = 3f M4. 4 51 }^lo rAA k)t o_ bL Name (Print) A Current Mailing Address: Cf6 58b- . y — X" 31_ µ__ r_. Signature a . ,R ' )4 04, Telephone 2.2 Authorized Agent: _ Name (Print) Current Mai gAng Address __ _ _ Signature Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building :431 u O , t)� (a) Building Permit Fee - ,.._ 2. Electrical (b)'Estimated'TotalCost of Construction from (6) __.. __._. ,.. _„.. . 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) — -------- . ad 4 % 6 8 j • op 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) t3 ) OO Check Number This Section For Official Use Only Building Permit Number Date. Issued Signature: Building Commissioner /Inspector Buildings Date File # BP- 2012 -0041 APPLICANT /CONTACT PERSON Richard Cooper _ ADDRESS/PHONE 51 State Street NORTHAMPTON (413) 584-2301 PROPERTY LOCATION 49 STATE ST tf MAP 31B PARCEL 277 001 ZONE CB(100)/ i THIS SECTION FOR OFFICIAL USE ONLY: �, 0kk �,c�' PERMIT APPLICATION CHECKLIST 1j i \ ENCLOSED REQUIRED DATE j.I ,t< ZONING FORM FILLED OUT / F e Paid At9ilding Permit Filled out p � ee Paid SS• al S 5 6 8 . . Typeof Construction: Replace Stairs New Construction 6; \"14 Non Structural interior renovations i' Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 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 e.4 /20/ 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. 49 STATE ST BP- 2012 -0041 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B - 277 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Porch Repair BUILDING PERMIT Permit # BP- 2012 -0041 Project # JS- 2012- 000065 Est. Cost: $3100.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES YURGIELEWICZ Lot Size(sq. ft.): 7579.44 Owner: COOPER'S DAIRYLAND OF NTON INC Zoning: CB(100)/ Applicant: Richard Cooper AT: 49 STATE ST Applicant Address: Phone: Insurance: 51 State Street (413) 584 -2301 NORTHAMPTONMA01060 ISSUED ON: 7/20/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: Replace Stairs 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 7/20/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner