32C-056 (2) MARK LANDY
DESIGN/BUILD SERVICES
Box 61
Ashfield, MA. 01330
tel: 413-625-6999 /cell 413-531-4440
MA CSL # 77431
HIC 131627
Northampton Building Dept
Att: Louis Hasbrouck, Commissioner
and Chuck Miller , Inspector
Dear Louis and Chuck,
Please let this letter stand as proper documentation that the repair work we are going to
perform at Sylvester's Restaurant, 111 Pleasant Street, Northampton will be repair work
and repair work only of existing rot of the window sills at the bottom of the windows on
the mansard roof, rotted crown and dental work above the same windows, and some
casing parts of those windows. We will also be replacing 50-70 broken black slate
shingles with matching slate shingles of the same origin,repairing the metal aprons on
the roof dormers, patching the EDPM rubber roof and the chimney and stack on the top
roof, and patching the EDPM rubber on the lower roof with matching rubber. We will
also be replacing a handful of rotted clapboards with solid CVG clapboards as originally
installed and repainting all new wood with the original paint colors now existing on the
building.
Under no circumstances will we be adding or deleting any architectural elements that
now exist on the building, but rather simply remediating water damage to those elements
as they now exist, and making absolutely no changes to the building or the trim on the
building.
We will document all aforementioned repairs by taking photos of the areas before we
repair them and after we repair them to document the fact that we are not making any
changes at all to the building or any elements of the building, and we are making no
additions or deletions of any elements of the building at 111 Pleasant Street. After we
have completed all of our repair work, the aforementioned building will look exactly as it
did before the water damage occurred.
If I can be of any further assistance in demonstrating our intent to follow the above-
mentioned protocol,please advise me and I will provide you with any further information
you may require.
Thank you in advance for your attention to the above-mentioned protocol we intend to
strictly adhere to.
Sincerely, and with kind regards,
Mark Landy
SIEGFRIED PORTH
A R C H I T E C T
A.I.A.
116 PLEASANT ST.
SUITE 331
EASTHAMPTON , MA 01027
PHONE: 413-529-9434
05/07/13
TO:
LOUIS HASBROUCK
BUILDING COMMISSIONER
212 MAIN ST.
NORTHAMPTON, MA 01060
I SIEGFRIED PORTH ARCHITECT REQUEST THAT YOU GRANT A MODIFICATION
TO WAIVE THE REQUIREMENT FOR CONTROLLED CONSTRUCTION FOR THE PROJECT
LOCATED AT 111 PLEASANT ST. NORTHAMPTON,MA. BECAUSE THE WORK IS OF A
MINOR NATURE, AND WILL NOT AFFECT HEALTH, ACCESSIBILITY, LIFE SAFETY, OR ANY
STRUCTURAL ELEMENTS.
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THANK YOU, :r,,
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SIEG' RIED P';"' PL ,/ l''
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. The Commonwealth of Massachusetts
Department of Industrial Accidents
--- - Office of Investigations t. ,
600 Washington Street r
:; a
.r.,.,. >? Boston,MA 02111
www.mass.gov/dig
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): till. i N. lAlf'' t tN�' Cau;ui1 i 1'At \'A a
Address: T U: by LI ) Pik
City/State/Zip: ktif oa l H HA,v a3 Q Phone#: 44;w t 1S— b1
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
2._0_I am
listed sole proprietor or partner-
listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
' I
[No workers'comp.insurance co mp.insurance.
10. l repairs or additions
required.] 5.1Z We are a corporation and its ❑Electrica re p
3.❑ I am a homeowner doing all work
officers have exercised their 11.0 Plumbing repairs or additions
right of exemption per MGL 12.�Roof repairs
myself. [No workers'comp. P
insurance required.]t C. 152, I(4),and we have no 1 Awl y;w�>^i ��
§ 13.LeOther 6'il ) 9
employees. [No workers'
, comp.insurance required.] rqfi3'r'
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
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 DLk for insurance coverage verification.
I do her -ertify under the pains and penalties of perjury that the information provide t
a ove is true and correct.
Signatur ; ,r�
Date: 5 7' tg
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)
w
Independent Structural Engineering Structural Peer Review Required • Yes 0 No ej
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, ` ` 4 as Owner of the subject property
hereby authorize
act on my beh. -.I m. e relative to work authorized by this building permit application. _
Sig "re of Owner Date
,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 enelties of perjury.
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION:SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
k sv Name of License Holder. __4 ]rir . A ! (I_ —0'11411:
License umber
_
6�,1skf4 r�a�t 4... 30_ l� ! -
a:•ress Expiration Date _.
_413
Signat re Telephone
SEC ®N 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG.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 buil ing permit.
Signed Affidavit Attached Yes No
Version1.7 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 36,000 C.F.OF EILOSED SPACE)
9.1 Registered Architect:
•
Not Applicable ❑
'SAW, Vim. 3 ,_.. _.
3
Name(Regi op, _ _.
Registration Number
Address ?. _____ ,W.__... ..
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
l
_ _
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
4
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
I
Address Registration Number
t
Signature Telephone Expiration Date
.
Name Area of Responsibility
—
Address Registration Number
i
Signature Telephone Expiration Date
9.3 General Contractor
1 _W
. 1 it) . _C-8 V 11v t 1INI- 2\?'/r t . -----. Not Applicable ❑
Company Name
Responsible In Charge of Construction
V' ` .1 .Ole tL._Atiq IA i mi&133 d . __ __r__
Adgres_s
�� 4. ,� All-42 Lill:
Signa re Telephone
•
Version1.7 Commercial Building Pe3mit May 15,2000
8. NORTHAMPTON ZONING 1 1 0 1,
Existing '� Proposed Required by Zoning .
This column to' filled in by
Building Department
Lot Size _ = f _. ___
Frontage _. .. . __:._ . _ ._.
Setbacks Front --1
r---T r-- I , # j I
Side L: i R:, = L:i l R: ■ L
Rear
I [—I
Building Height "—i
Bldg. Square Footage "''''—n- % _� T
Open Space Footage 1
(Lot area minus bldg&paved ! I I
parking)
#of Parking Spaces }
Fill: i
1
(volume&Location) - ...._........__--- ---
A. Has a Special Permit/Variance/Finding ver been issued for/on the site?
.. NO 0 DONT KNOW YES 0
•IFYES, date issued:
IF YES: Was the permit recorded at the Regi ry of Deeds?
NO 0 DONT KNOW , YES 0
IF YES: enter Book Page' and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO er 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 0 , Date Issued
C. Do any signs exist on the property? YES ec NO 0
I
IF YES, describe size, type and location:
_ 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,ex tion, 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.
.
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS L , .
CUBIC FEET OF ENCLOSED SPACE .
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing 0 Change of Use❑ Other❑
j� �zte oil:M Q1'' ;•thy 146. 44 sy, ,cYta
Brief description nter a b f description he e. �Q
Of Proposed Work: ic ‘141 nm-14"I'
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A❑A ❑
A-4 ❑ A-5 ❑
B Business ❑ V 2A 0
E Educational ❑ 2B I ❑
" -
F Factory ❑ F-1 ❑ F-2 ❑ ' 2C ❑
H High Hazard ❑ _ 3A ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ _ 4 ❑
R Residential ❑ R-1 ❑ //R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:f
M Mixed Use ❑ Specify:1
S Special Use ❑ Specify: :
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING.RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: __.__. , _ • Proposed Use Group:
Existing Hazard Index 780 CMR 34):'_ _,...,,, ..... Proposed Hazard Index 780 CMR 34):1 _
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
(
1sc
---.._.._.._..._—_.---- d
2nd 2
41h '
Total Area(sf) Total Proposed New Construction fsf)
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 j1 Private ❑ Zone;.,__ __,1_ Outside Flood Zone Municipal ❑ On site disposal system
. .....
raELVZD Version1.7 Commercial Buildinl Permit May 15,2000
..__...
City of Northampton
— Building Department
ivilLV' 20'3 t
212 Main Street
DEPT OF BOILDING INSPECTIONS Room 100
NORTHAMPTON,MA 01060 MA 01060 ,Al''4445`,VIR''' .: ;T',,Pr3NW7VitZ.Vit?7,:tti.,;,lyk
Northampton,
1.4.,,1*,_ Iiri14'474,,,-'-1-7-%' 4 a. r,i14.7-Y
phone 413-587-1240 Fax 413-587-1272
:.,%'' "lifvPi,'°Z.',171',:.:,t,;:n.':"„'-'0-`:4:::"Mt''N:ii,,,•',',.. '-ov,''' -44
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
,
i . • .....,
Map Lot
M ?I fill PA' St` LSI 'ye-tArarN j Unit
Zone Overlay District
WafthicletAt)1 ti144 1
- - ' Elm St:District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: _
;
ri r V144(444 7 l', VIA/64 i
...... CAA , 010 24
,
. ......_
„. ...______
Name(Print) Current Mailing Address:
Signature „V'-'---".__---- -7'/, ------
: 443._21,1- aoqk
Telephone
2.2 Authorized Agent:
Name(Print) Current Mailing Address: _
- -
Signature Telephone
SECTION 3-E TIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
_ completed by permit applicant
1. Building il .00b ' (a)Building Permit Fee :
i
■
2. Electrical ---7 (b)Estimated Total Cost of ,
Construction from(6)
------- - ..„1.
3. Plumbing 3, Building Permit Fee ...fr'
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) clft.r)
Check Number f
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2013-1060 2 1A\t L
APPLICANT/CONTACT PERSON MARK LANDY r]
ADDRESS/PHONE P 0 BOX 61 ASHFIELD (413)625-6999 0
PROPERTY LOCATION 111 PLEASANT ST
MAP 32C PARCEL 056 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /
Fee Paid M 065
Typeof Construction: REPAIR ROTTED WINDOW SILLS,CROWN MOLDING,REPLACE BROKEN SLATS
&REPOINT BRICKS&REPLACE CLAPBOARDS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 077431
3 sets of Plans/Plot Plan
THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
jØelaY
ture of Buil I ing 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.
111 PLEASANT ST BP-2013-1060
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-056 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2013-1060
Project# JS-2013-001753
Est. Cost: $5000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARK LANDY 077431
Lot Size(sq. ft.): 4922.28 Owner: ST MARTIN PETER A&MAUREEN F MCGUINNESS
Zoning: CB(100)/ Applicant: MARK LANDY
AT: 111 PLEASANT ST
Applicant Address: Phone: Insurance:
P O BOX 61 (413) 625-6999 ()
ASHFI ELDMA01330-0061 ISSUED ON:5/10/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIR ROTTED WINDOW SILLS,CROWN
MOLDING,REPLACE BROKEN SLATS & REPOINT BRICKS & REPLACE CLAPBOARDS
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 5/10/2013 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner