11-001 (13) WORKERS COMPENSATION AND EMPLOYERS LIABILITY
INSURANCE POLICY Liberty Mutual.
lr,suRANCe
INFORMATION PAGE 175 Berkeley5treet Boston,MA 02116
Issued by The First Liberty Insurance Corporation (a stock company) 27359
Policy Number WC6-621-093961-014 Issuing Office Lewiston, ME
Renewal Of WC2-621 093961-013 Issue Date 041172014
Account Number 2-093961 Sub Account 0000
1. Insured and Mailing Address FEIN 14-1792632
BBL, LL,:
P.O. Bost 12789
ALBANY NY 12212-2789 Risk ID 917185085
Status Limited Liability Company
Other workplaces not shown above: See Item 4. Premium-Extension of Information Page
2, Policy Period: The policy period is from 04/01/2014 to 0410112015 12:01 A.M. standard time at the Insured's
mailing address.
3. Coverace
A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law ofthe
states listed here: CT DE FL GA IA MA NE NJ NY NC PA Ri SC TX
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The
limits of our liability under Part Two are:
Bodily Injury by Accident $ 1,000,000 each accident
Bodily Injury by Disease $ 11000,000 policy limit
Bodily Injury by Disease $ 1,000,000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here:
All States except those listed in Item 3.A and the States of:
MD NH ND OH WA WY
D. This policy includes these endorsements and schedules: See item 3, Coverage D-Extension of
Information Page
4. Premium: The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and
Rating Flans. All information required below is subject to verification and change by audit.
Classifications Code Premium Basis Total Rate per$100 Estimated Annual
Number Estimated Annual Remuneration of Remuneration Premium
_ See Extension of Information Page
Minimum Premium $1,250 (CT) Total Estimated Annual Premium
Premium will be billed Annual Deposit Premium
Deposit Tax/Surcharge/Assessment
Producer 0002 012820 Countersigned by Authorized Rep. (FL)
ARTHUR GALLAGHER RISK MANAGEMENT
SERVICES INC
677 BROADWAY STE 401
ALBANY NY 12207 96 _________. —
WC 0o 00 01,4 071987 National Council on Compensation Insurance,Inc. WC 00 00 01 B (CA/NJ)
Ed.0710112011 All Rights Reserved Page 1 of 1
0 0
$� � jl Iassaci�usefls _
Gifu Dif
51 DEPARTMENT Or BUILDING INSPECTIONS
fNSPECTOR 212 Mien Street • -Municipal Building
Northampton,N A 01060
LOCATION
SQUARE FOOTAGE AMOUNT
BASEMENT @ .20
IST FLOOR @.50
qg-
2r'°FLR @ 30 .
</FLOORS, FINISH ATTIC,GARAGE @
DECK/PORCHES @ .'20
TOTAL. 31 4/�
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the 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, S 150A.
Address of the work: 421 North Main Street, Leeds MA 01053
The debris will be transported by: Amherst Trucking
The debris will be received by: Valley Regional Recycling & Transfer Facility
Building permit number:
Name of Permit Applicant General Contractor: BBL Construction Services, LLC
Date Signature of Permit Applicant __
City of Northampton
Massachusetts
w! +�
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 rr � 1�b
INSPECTOR
Louis Hasbrouck Fax: 413-587-1272 Chuck Miller
Building Commissioner Phone:413-587-1240 Assistant Commissioner
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for a op rtion of a controlled project)
Project Title: 14t7l e f VIA` by &Me'M► V�i'�"GYG(X"!a� Date: O�+eh' �, 2014
Project Location: 12 /(Min MGt n Q-rl--CA- Map: t � Parcel: I Zone: FLK-
me-AAA wiGad /f4GC.hri--44 vcyi r rcc r� ides+-+hitii tocu'1 n 5
Scope of Project-_Lpr
In accordance iwith the Eighth edition Massachusetts State Building Code,780 CMR Section 1077..6-,:p
i, ma� cl. QG�0�0_ f5. Mass. Registration# ✓0 !6-0
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] Fire Protection [ ]Architectural [ ] Structural Mechanical Electrical
[ ] Other(specify)
for the above named project and that to the best of my knowledge, such plans,computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit.
Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
Completion of the above mentioned work. I
MARK J.
S- atur of Registered Professional BAGDON
MECHANICAL
4u No.60980
4
�Q1S'iEP��4i�
ay of 20 ss�ONAI.�e '
(seal)
City of Northampton _
Massachusetts
DEPARTMENT OF BUXLDINCr INSPECTIONS
212 Main Street • Municipal Building
Northampton, NA 01060
INSPECTOR
Louis Hasbrouck Fax:413-587-1272 Chuck Miller
Building Commissioner Phone: 413-587-1240 Assistant Commissioner
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for a portion of a controlled project)
Project Title: Housing for Women Veterans Date: October 3, 2014
Project Location: 421 North Main Street Map: 11 Parcel: 1 Zone: RR
Architectural Design for three story residential buildings
Scope of Project: containing 4 dwelling units(16 bedrooms)and support functions
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
I, Peter S. Gillies Mass. Registration# 31919 ,
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans,computations and specifications concerning:
[ ] Fire Protection Architectural [ ] Structural [ ] Mechanical [ ] Electrical
[ ] Other(specify)
for the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit
Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
Completion of the above mentioned work.
Signature a S I tered Professional �► �' `�o,�
ALMW
NONV QaK
3 Day of October 2014
OF
(seal)
City of Northampton
y`s sic
�•'' �, Massachusetts
DSPARTM=T OF BUILDXXG ZNSPSCTIONS '
' 212 Main Strsat • Municipal Building .vJ rb`"
Northampton, NA 01060 SSbyY
INSPECTOR
Louis Hasbrouck Fax:413-587-1272 Chuck Miller
Building Commissioner Phone: 413-587-1240 Assistant Commissioner
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for a tBQrtio 1Z of a controlled project)
Project Title: Housing for Women Veterans Date: October 3,2014
Project Location: 421 North Main Street Map:11 Parcel: 1 Zone: RR
Structural Design,excluding foundations,for three story residential building
Scope of Project: containing 4 dwelling units( 16 bedrooms)and support functions
In accordance with the Eighth edition Massachusetts State Building Code,780 CMR Section 107.6:
I, Wayne E. Beck ngham,P E. Mass. Registration# 50748 ,
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] Fire Protection [ ]Architectural DQ Structural [ ] Mechanical [ ] Electrical
[ ]Other(specify)
for the above named project and that to the best of my knowledge,such plans,computations and specifications
meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit.
Upon completion of the work,I shall submit to the building official a final report as to the satisfactory
Completion of the above mentioned work.
Signature and Seal of Registered ProfessionalZN
*4G, AM
3 Da of October 2014 Cie
(seal)
City of Northampton
}
*' Massachusetts �� 4
N
DEPARTMENT OF BUILDING INSPECTIONS 5
212 Main Street • Municipal Building
Northampton, MA 01060 ssi �1
INSPECTOR
Louis Hasbrouck Fax: 413-587-1272 Chuck Miller
Building Commissioner Phone: 413-587-1240 Assistant Commissioner
SECONDARY CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for a op rtion of a controlled project)
Project Title: 40\Y5lr0G f- 1(� OVAkEA VCTUnAA -� Date: 10•3•IL/
Project Location: q?,s cql,)l N?Vy +1f gAW s �'�ixMap.-U—Parcel:_Zone:
Scope of Project: T-dV d1pA-n0" -t 511U-5 V1 WvW_JC r&K. J� 16FClraoM FA-0_LT-/
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
,F
SAIS S t k. �j CA,L t 5 C :5� Mass. Registration# 32S63
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[ ] Fire Protection [ ]Architectural f(Structural [ ] Mechanical [ ] Electrical
Other(specify) ' A)DAMD&_> -t- S tt'E (
for the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit.
Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
Completion of the above mentioned work.
Si nature and S al R ist rah P'%ssional � /, '
Day of q(FP•20 11 7
(seal)
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
d 1 Congress Street, Suite 100
Boston,MA 02114-2017
a"
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
BBL Construction Services, LLC
Address:302 Washington Ave Extension
City/State/Zip:Albany, NY 12203 Phone #:518-452-8200
Are you an employer? Check the appropriate box: Type of project(required):
1.0 I am a employer with 104 4. F-] I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ 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' 131-1 Other____
comp. insurance required.]
*Any applicant that checks box 41 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: First Liberty Insurance Corp
Policy# or Self-ins. Lic. #:WC2621093961014 Expiration Date:04/01/15
Job Site Address: 421 North Main Street City/State/Zip:Leeds, MA 01053
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 un e p s and penalties of rjury t at the information provided above is true and correct Sip-nature:
Date:05/01/2014
Phone#: 518-452-820 -
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#:
Version 1.7 Commercial Building Permit Nlay 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
James M. Scalise II - Owners Rep., Soldier On, Inc. 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 perjury.
James M. Scalise II
Print ame
10/03/2014
I")i-JJ-5�
Sig re of Owner/Ag nt Date
S N 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: James M. Scalise II 39863 (PE)
License Number
S.K. Design Group-2 Federico Drive,Pittsfield,MA 01201 06/30/2016
Addre Expiration Date
(413)443-3537
Sign a Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE 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 (°) No 0
Versionl.7 Commerciill 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 ENCLOSED SPACE
9.1 Registered Architect:
Peter S.Gitlies Not Applicable 11
Name(Registrant):
20 Co rpo ods ard,� lbany,NY 12211 Registration Number
31919
Address
14 1
(518)434-2556 Expiration Date Ar-
Signature Telephone 08/31/2015
9.2 Registered Professional Engineer(s):
James Scalise,SK Design Group Civil (Site and Foundation)
Name Area of Responsibility
2 Federico Drive,Suite 1,Pittsfield,M.A 01201 39863
Addre Registration Number
(413)443-3537 06/30/2016
Sign re k Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Fire Protection
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
BBL Construction Services,LLC Not Applicable❑
Company Name:
Jonathon R. Lochner
Responsible In Charge of Construction
302 Washington Avenue Extension,Albany,New York 12203
Addr T
(518)452-8200
Telephone
_ Versionl.7 Commercial Building Permit Ivtay 15,2000
S. NORTHAMPTON ZONING )K CVPAfl EF#eA)5 tV e- `pMoa tT-
Existing Proposed Required by Zoning
This column to be 61Ie '1 by
Building Departm
Lot Size
Frontage
Setbacks Front
Side L: R: L:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking S es
FiI
olumc&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW O YES (j)
IF YES, date issued: 12/19/2012
IF YES: Was the permit recorded at the Registry of Deeds? (COAP R-5W-6AJ5I'J : j?,1:-7KfiAA 1-�
NO O DON'T KNOW O YES O
IF YES: enter Book 11644 Page 166 and/or Document# 2014 00007902
B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained 0 , Date Issued: 12/21/2011
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES NO 0
IF YES, describe size, type and location: 1 Sign at Project Entrance
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 O NO Q
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 LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wail Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description The proposed scope of work is the construction of a 16 residential bedroom and wellness center
Of Proposed Work: complex within one 9,212 sq.ft. building of wood construction.
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business El 2A ❑
E Educational ❑ 213 I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B [�
M Mercantile ❑ 4 ❑
R Residential 0 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: 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(so
1st 1st 3,252
2nd 2nd 2,980
3`d 3`d 2,980
4th
4th
Total Area(so Total Proposed New Construction(sf)
9,212
Total Height(ft)
Total Height It
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public `✓�] Private ❑ Zone C Outside Flood Zone[Z] Municipal ❑✓ On site disposal system[-]
Versionl,7 Commercial l3trildino Perinit\1av 15 2000
Department use only
ity of Northampton Status of Permit:
OCT A 2014 Llilding Department Curb Cut/Driveway Pori-nit
212 Main Street Sewer/Septic Availability
Electric
plumbing&Gas inspections Room 100 WaterANell Availability_
Northampton,MA 01060 hampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
I Other Specify__
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION I -SITE INFORMATION
1.1 Property Address: This section to be completed by office
42S (42 1) North Ma i n Strout, Map Lot Unit
Leeds, MA 01053 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
James Scalise 11 - Owners Rep., Soldier On, Itic. 421 North Main ST, BLDG 6, Leeds, MA 01053
Name(Print} Current Mailing Address;
(4113)443-3537
Signature Telephone
2.2 Authol-4 Agent
Name(Print) current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS I
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit apglicant
1, Building $1,517,000 (a)Building Permit Fee
2, Electrical $307,000 (b)Estimated Total Cost of
Construction from(6
3. Plumbing $78,000 Building Permit Fee
4. Mechanical(HVAC) $200,000
5. Fire Protection $18,000
6. Total =(I +2+3+4+5) $2,120,000 = Check Number jr7l r/3 1 5
This Section For Official Use Only j 'Eff
Building Permit Number Date
Issued
Signature:
Building CoiiimissioilertinspectorTf—B-itd—,,i6s-- Date
File#BP-2015-0431
APPLICANT/CONTACT PERSON BBL CONSTRUCTION SERVICES LLC
ADDRESS/PHONE 302 WASHINGTON AVE EXT ALBANY (518)452-8200
PROPERTY LOCATION 425 NORTH MAIN ST
MAP 11 PARCEL 001 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 3 STORY 9,212 SO FT 16 RESIDENTIAL&WELLNESS CENTER
COMPLEX
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOL POWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO.VAATION PRESENTED:
pproved 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
Signature Building Officjal 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.
425 NORTH MAIN ST BP-2015-0431
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 11 -001 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categor:New Multi-Family Housing BUILDING PERMIT
Permit# BP-2015-0431
Project# JS-2015-000780
Est. Cost: $2120.00
Fee: $3414.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BBL CONSTRUCTION SERVICES LLC
Lot Size(sq. ft.): 4511073.60 Owner: UNITED STATES VETERANS ADMINISTRATION V.A.HOSPITAL
Zoning: Applicant: BBL CONSTRUCTION SERVICES LLC
AT: 425 NORTH MAIN ST
Applicant Address: Phone: Insurance:
302 WASHINGTON AVE EXT (518) 452-8200 WC
ALBANYNY12203 ISSUED ON:1111812014 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 STORY 9,212 SQ FT 16
RESIDENTIAL &WELLNESS CENTER COMPLEX
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 11/18/2014 0:00:00 $3414.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner