25A-046 (41) ,.,cam. as-cnno 147 :44 em NORTHAMPTONMONTESSORI 413 585 7047 P. 02
Quote valid.for 30 dares.
Quote prepared b David Osiecki
proPeny owner will pay mason contractor one half oi'twal amount Of bill when job
c()nstruction has begun. remaining. balance of bill Nk'ill lei; raid in fill when job is
completed.
By signing this yvotc: you agree and understand all the above termss and conditions that
apply to this job, Any chmiges that are to be made, rnLIst be discussod prior to
construction and agreed upon by contractor and may also aifbct the final )wire. A finance
charge of I '/2%0 8%annual rate)will be added 10 any unpaid balance:over 30 days
7'H'4,VIt rllU FOR CHOOSING WESTERN,VA&V,4l.4SONS
N)accept this quotation. sign here and return to abmv address--:
I I
10 :43 PM NORTHAMPTONMONTESSORI 413 586 7047 P. 01
STERN MA S S M.AS-ONS ]
LICENSED
INSURED
147 Middle Road-,
SOuthaMPton, MA 01073
(413)540-1959
WWW-WESTERNMASSMASONS COM
QUOTE DA TE 10 16-2006
7-0: KATHY MURRI QUOTE ,11 7834
51 BATES ST. NORTHAmp,rON MA,
'rHE MONTESSORI SC1-100L
INTERIOR OF A'T'TIC: CHIMNFN' HAS EXTENSIVE WATER DA141Ac'E AND IS
CRUMBLING,
CHIMNEY MUST BE TAXFN DOWN TO THE ATTIC FLOOR AND REBUILT
WITH CHIMNEY BLOCK TO TIME ROOFLINE-AND NPW 1.1"AD FLASHING
AND BRICKS ON THE EXTERIOR.
THE NEW CHIMNEY MUST BE REBUILT STRAIGHT UP FROM THE ATTIC
FLOOR,TIJIS WILL REQUIRE A NEW HOLE TO BE CtJ IN THE ROOF.
PROPERTY MANAGER WILL SE RESPONSIBLE FOR GETTING A ROOFER '70
PATCH IN THE EXISTING HOLF AND STEP FLASH AROUND THE N'F,',W
CHIMNEY.
MASON CAN CHECK AT TIME TIME OF CONSTRUCTION IF A(Z'HIMNEY LIT413R
IS NEEDED,
MASON CONTRACTOR WILL SUPPLY ALL NEW MATERIAL FOR.J013 AND
DISPOSE OF ALL OLD MATERIAL.
TOTAL3 4265 00
¢•StWrrT f —
0 0_yE (�ii� �f �:cr�-fljal)t}Itor)
l}34y%Achnaclla'
DEPARTMEtrr OP BUILDD\IC INSPECTION'S
212 Main Strcct ' Municipal Budding
Northampton, Mass. 01060
`NrORKE, R'S COKPENSATTON, MSURA CF AI=A�Tlj_
(l ccn' Jpermitux)
do hereby certify, under die.ppuf s and penalties of perJury., --ha
Ian em to yer providing the Following %�orkc>'s COlnncns-do, cove a for 1nV
P ) P Sc o _
eluployccs v"orUng on tsiis job.
(Insurm Conrac.}
(Polio:Nu--,Lb--r)
(r:pir[ior,Dzl ) "
( ) I am a sole proprietor, general contractor or homeow-nef (ci:cie one) znd hwe hired
the coni actors Listed below wbo have the following worKees c000ensahon po.ljcies:
(Namc Of CO_^.': cwr) (IRsumncc COIIID371)'/PGUc NumLC:) Ditc)'.:
(Name of Coocmclor) (insarzncc Comoa.nviPolic; Nuncrr) (—Etviradon Date)
(Na-me of Coaaaczo.) (Insu.faae; CompanyfPotiq- Numbci) (E\pim6on Dale)
(Nta.mc of Contractor) (Insuraac-- Comc cy/Policy Number) - (Expiration DaLc) .
(aQaCh addi:iocal c'�a:.t Fro n•to mc!ud=iaformxzio pertaiains L.11
O I am a sole proprietor and have no one woridng for me.
( ) I am..a home owner performing all the work myself.
NOTE:pie be cwut t*ct k-l-Jc hea�cowvcrs t+'6o czaplay p:c to do�-i,-,,--•,= c='—zc.jv ar rcPair wort on of
aol mcxt than ` _tmi',t is«bich the bocnootivncz r.6.a oa the E �zpp ar-tca-�tbccto t_-c ooc Cox..--ally 0-'=&-rcd to be
calployes'I e the cc: - m Au(GL152-=1(5)�rppl=.6on by a homco—=fer:Ue=r---cc perma r=y c,dmct the
Icgil rt=^,•of—c=ployer under d.Worl: 'Compomaiioo Act
1 uodcrtaad the a copy of thi.= c= =may be for-s.ardsd to tba Dw tmcat oa;.or ln-�for tb-
covaasc`^MEC=600 and that L•Burv-to x,==)covcrx&s tmdct soa.ioa 25 A d?,IGL 152 m Id to the i,= s Oa of eimi-I Pcnaltirs
comutmg or a Erne of up to S 1-500.00 androc oruP W one year end avi1 p=.ph m in t5e form of a Stop Work Ord=and a
ritn oC S 100.00 a d_y&pj=me
For u, only
('L—r=t Nl1IDt)CS --
N'bp:;—_ Lot° +:
Si zltut of LictnscsJPcrmiticcCe F
Versionl.7 Commercial Building Permit May 15,2000
SECTION IA-.STRUCTURAL,PEERREVfEW(780CMR,11011
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
'SECTION,11 -OWNERAUTHO,RIZAT.ION TO:BECOMPLETED WHEIt
OWNERS.AGEN.T,OR GONTRACTORAPPI IES•F0kJ§UILDTrIG;PERMiT
a
i
as Owner of the subject property
t i
hereby authorize! to
act on my behalf,in all matters relative to work authorized by this building permit application.
s
Signature of Owner Date
I,t C ( ! ,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 of peduurry.
A �
Print Nam
� OYYr e s
Sign of Owner/Agent Date
-SECTION 12-GONSTRUCTION SERVICES_ ,
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:�—� ��s �5 r x -
License Number
i
Add re Expiration Date
e��Z7 X/��
Sign re Telephone
SECTION 13-1NORKERS'COMPEN$�4TION;INSURANCE i4FFIDAVIT' G:L:c 152;,§25Cf6)),
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No 0
r
Version 1.7 Commercial Building Permit May 15,2000
SECTION 9-E?ROFESSIONAL<DESIGN AND COLVSTRt3GUIC SEF2 GEC FOR-rsii1`13" a ArvD aTRua NRca f181ECT O
CONSTRUCTION CONTROL P-lJF2SlJi4NT TO'780 CM}211�(CO"TANNING MORE THM/ 35 60T,C F OF ENCLOSED SPACE)
9.1 Registered Architect
Not Applicable 11
i
Name(Registrant):
t ; Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
t
Name Area of Responsibility
•
's
Address Registration Number
I � I
Signature Telephone Expiration Date
e
I i
Name Area of Responsibility
� l
Address Registration Number
Signature Telephone Expiration Date
I i
Name Area of Responsibility
i 1
Address Registration Number
Signature Telephone Expiration Date
F i
Name Area of Responsibility
t
Address Registration Number
� t �
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
t
i
Responsible In Charge of Construction
r ! •
Address
i z
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front U I
Side L:' R:1 L: R i
Rear L— f
-$niT3m`g ei
Bldg.Square Footage
Open Space Footage % ,
(Lot area minus bldg&paved
aridn )
#of Parking Spaces ` l
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued: I }
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Pagei and/or Document#I
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q 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 0 NO 0
IF YES, describe size, type and location: i
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0
IF YES, describe size, type and location: j I
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 Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
t ,
Version 1.7 Commercial Building Permit May 15,2000
SEbiili '4-C:ONSTRIIC'CLQI S' 61-,-S EOI PROJECT LESS TH/XN 35;000
CUBIC FEETOFENC�OSED SPCC,
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing[:] Change of Use❑ Other❑
Brief Description ;Enter a brief description here.
Of Proposed Work:
.SECTION 5--L SE GROUP•ANO CONSTRUG lON TYP ti
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A 71 ❑ A-2 ❑ A-3 ❑ 1A T ❑
A-4 ❑ A-5 ❑ 1B ❑ - --
B Business ❑ 2A ❑
E Educational ❑ _ - - 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
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:1 -
S Special Use Specify:I �
COMPLETE THtS`SEGT:fON TF EXISTII�}C BU1LDIl�IG�3NDERGQI G REI�LOUATEONS ADDITIONS Al tWQR QHANNGE IN USE
._
� ._ W _ r... _._ . .,
Existing Use Group: Po p: `
Pro sed Use Group:
Existing Hazard Index 780 CMR 34):' ' Proposed Hazard Index 780 CMR 34):
SECTION 6,"BUIC.DINGJ-lE1GklTAND`AREA�.
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
Floor Area per Floor(sf)
Ss , r
1 Sc 1 !
2nd
2nd J �
3rd #
3rd
I
4'h
4u, 1 i i
Total Area(sf) i 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 ❑ Private ❑ Zone!—�, Outside Flood Zone[] Municipal ❑ On site disposal system[]
Version 1.7 Commercial Building Pem-iit May 15,2000
viiy of Northa i iptO n
Building Department
212 Main Street e
Room'100
4' Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1272 t
MANIM
T
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
,�S1iCZ1ON 1 STE1NE MARION _- _
Tlts'sectroto l;e cornpCeted bofice�
-—- -"-Property-4dtfrres .,
t/ L � ti
OSF$r a
�.
i;kiT $ a'.QIStrIG 71`.SIISt77Glu�
;.SECTION Z PROPERTY OWNERS IIP.IA�JTHO`RIZEMAGENT �
zS
2.1 Owner of Record:
K.
Name(Print) . Current Mailing Address:
1
Signature Telephone
2.2 Authorized Agent: /
Name(Print) Current Mailing Address:c
Signature Telephone
SECTION_3.-:EST,IMATEQrCONSTRUCiT1ON COSTS
Item Estimated Cost(Dollars)to be O,fficiaLUsOnly
completed by ermit applicant
1. Building ! (a1 Building PermifiFee-
2. Electrical (b)Estimated'Total Cost of' `
Construction from 6
3. Plumbing ' I Bur ee
4. Mechanical(HVAC)
S
5. Fire Protection I
6. Total: (1 +2+3+4+5) L- c'Cl ChedkNumber
.TtusSecfion ForOffic>akUse Only
- x
,:ButldtngrPerm�[Vumber� ' Dafe:�'
- Issued
r
Signatures
Building:Commissionedlhspecfor of Bdildings Date
51 BATES ST BP-2007-0656
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A-046 CITY OF NORTHAMPTON
Lot: -001_ PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2007-0656
Protect# JS-2007-000990
Est. Cost: $4265.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WESTERN MASS MASONS 133234
Lot Size(sq. ft.): 46173.60 Owner: NORTHAMPTON MONTESSORI SOCIETY
Zoning: GI Applicant: WESTERN MASS MASONS
AT. 51 BATES ST
Applicant Address: Phone: Insurance:
147 MIDDLE RD (413) 540-1959 WC
SOUTHAMPTONMA01073 ISSUED ON:1211912006 0:00:00
TO PERFORM THE FOLLOWING WORK.-REBUILD CHIMNEY FROM ATTIC FLOOR
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 12/19/2006 0:00:00 $50.002754
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo