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17C-215 (2) i ASSOCIATED BUILDING WRECKERS I MELANIE NEWHOUSE Demolition Coordinator 0 s p P.O. BOX 2851 1-800-448-2822 352 ALBANY ST. (413) 732-3179 SPRINGFIELD, MASS, 01101 FAX (413) 734-6224 CODE ENFORCEMENT DEPARTMENT, BUILDING DIVISION REQUIREMENT FOR DEMO .PITON PE MPT LOCATION! fj� DATE: USE:- TYPE OF CO TRUCTION: OWNER: OWNER'S ADDRESS: C UTILITIES CUT-OFF (To be signed by Authorized Rep. of Utility Company) DATE BY BAYSTATE GAS N.E. UTILITIES WATER DEPT. D.P.W. WAIVER LABOR & INDUSTRY I BELL ATLANTIC As required by Massachusetts State Building Code, Article 1, Section 116.0, a demolition permit will not be issued until release is obtained that the respective services have been removed. To be returned to the Building Department before the permit can be issued. Jean O7 00 03: 14p City oP Northampton 413 587 1576 p. 2 CITY OF'NORTHAMPTON,MASSACHUSETTS "Y DEPARTMENT OF PUBLIC WORKS �I-= 125 Locust Street Northampton, MA 01060 413-587-1570 Samuel B. Brindis, P.E. Fax 413.587-1576 Director,city Engineer Guilford B. Mooring, RE. Assistant Director of Public Works June 7,2000 Anthony Patillo, Building Inspector Municipal Office Annex 212 Main Street Northampton,MA 01060 Dear Mr. Patillo: The water service at 1 Depot Avenue has been shut off at the property line and the water meter removed from the premises. Please contact me if you have any questions. Sincerely, Charles Borowski Superintendent of Water CB\ir cc: Sam Brindis George Andrikidis C'W yP.1w\Dpw3 MW W"r F,xo-u%W—rhur W i Dej�A.—?d 06/05/2000 MON 14:40 FAX 1413 568 6625 R9EDINONE RNE Fax: Jun 1 2000 11:oo C uul P.as ASSOCIATED BUILDING WaECKERS, INC. 352 ALBANY STREET P.0_Box 28s1 SPFIINGFIE.O,MA Ot lot TEL.(413)732.3770 a 1-900-4482822 DATE: FAX: l/13) ro; ! FH: FROM: Melanie D. Newhouse Please cu[ oft All services at: Tbis bui!dit;g is to be demolished. Please fax me a letter confirming that this %work has been compiEced ' A.S.A.P. You may fax me your company letterhead or you may sig u o me at (413) 734-6224. Thank you. ASSOCIATED SUILDJlNG WRECKERS. INC. FA a 4 Melanie D. Newhouse Demolition Coordinator SERVICES AT: �&ZCHAV'E BEEN CUT OFF. PRINT NAME; ft;3Uft �l� O SIGNED BY: DATE. s CtW r 06,1.05/00 14:08 10001 Fax- MaQ 2�5 2000 06:33 P.04 ASSOCIATED ED U IL DING Y� ECKE S, INC. 352-ALBANY STREET P.O.Box 2-851 SPRING E.W. WADI 10 i TEL.(413)732-317'9 n 1.$00-.:48.2822 )ATE- .0: r r S R" lI ✓ / ��J J�Y 'R01M. Melanie D. cwhouse ;east cut off all services -iis building is to be demolished, Please fax Graz a letter curt krn:in that tt;t5 work has peon con:pPe�ed .S.A.P. You may fax me your company letterhead or you may sicn acid fax d:is request to it'te at 13) 734-6224. iartic you_ ;SOCTATE—D EMLI)N' G WRECKERS. WC. (a Ed/t/ - eianie L3_ Newhouse _rrtolitiorn Coordinator :,RVICF—S AT: �� �" NAIVE BEEN CUT OFF. ZIN'T NAME: _ gG-'lx 1'Jt�tet0 GNED BY: �.�� DATE: , 4zczr � NEES v . .�.. Ma®chuseas Electric Narragansett Electric Granite State Electric New England Power April 4, 2000 Florence Savings Bank 85 Main Street Florence, MA 01062 Attn: Michael Brown Dear Mr. Brown: This is to verify that Massachusetts Electric Company has removed the service for building demolition at 1 Depot St., Florence, - meter#96659727 & 96659729) effective 3/30/00. Sincerely, l Peter C. Bernard Supervisor Engineering Services PCB/mjb MAY-23-00 'TUE 9:40 Bay State Gas ASP:" !d? FAYY, K C3 739 5272 PA1 �y --- -- Bay State Gas Company May 23, 22)00 Associated Building 352 Albany St Springfield, Ma 01101 Dear A3r300iated Building, The add:ees listed below has had the gaa service(6) disconnected and is now ready for dwmvlitioa. ADDRESS: ! Cepot AV IOwfl : H:art:han�pton STATE : Maseschusetts Singe rely Jeffrey D. Mannheim Senior Distribution Clerk WDMS WO* 2060851 2025 Roos veIt A�,e%e Pp.Box 2025 Sprrgfie'A,MA 011:2.202~. 413.7SI.9200 Fax 412'61-9222 1 4�ttA1Np�, •�� Oe �x1MU1�7LIn RAE - • 8 6 �lstssrtcilttsctta' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'a Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT 12 IoLn6 ( c)ca s (li >ermittee) with a principal place of business/residence at: (phone#) ( city/statelrip) do hereby certify, under the pains and penalties of perjury, that: ( /I am an employer providing the following worker's compensation coverage for my employees worlang on this job: t t (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (anach additiocal shed if necessary to iochude information pataiaing to all coatr d ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homcownera who employ parsons to do maintcaanor,co sbu on or repair work on a dwelling of not mote than throe units in winch the homeowner asides or oa the grounds appurtenant thereto are not generally oo=ukrtd to be employers under the worker's comp=u4oa Ad(GLI52,s 1(5))�application by a homeowner far a liceasc a pcmit may evidence tho legal&lawn of an employer under the Wockeet Compamatioa AcL I understand that a copy of this su temew may be forwwxW to the Depwuor n of Industrial Aocida&Oftioe of Imxwoca for the coverage verification and that failure to somm covamp under soctic a 25A of MOL 152 can lead to the imQoutioa of criminal penalties comisting of it fine of up to 51,500.00 and/or imprison of up to one year and civil penalties is the form of a Stop Work order and a fins of 5100.00 it day against me. EAa �al uao oats' f J�, mber Z U Lot# '"-.•�< e Si of Lic=see/Permittee , ' " SECTION 8 SERVICES 8.1 Licensed Construction Superviso Not Applicable 0 Name of License Holder Nq �2y License Nu q Tot Adclres�, Expirati)n Date zykm_ Signao Telephone Not Applicable 0 Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS',COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C( 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. ID The current exemption for"honuowoors'was extended»oinclude one(1) or two(2)families and to allow such homeowner to engage uu individual for hire who does not possess olicense, provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own u parcel ofland on which he/she resides or intends m reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. . Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official, responsible for all such work verformed under the building permit. As acting Construction Superviso your presence on the job site will be required from time to time,during and upon completion of the work for which this permit ivissued. Also ho advised that with reference to Chapter l52(Wodcerx` Compensation) and Chapter l53 (Liability of Employers to Employees for injuries uotnuoultingiuDeadh)nf the Massachusetts General Laws Annotated,you may be liable foopczyuo(o) you hire to perform work for you under this permit. The undersigned`^bomeovmner`cortificauuduoeuoeoruopoouihilky for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature FSB OPERATIONS 4135860241 09/25 '00 12:09 NO.070 02102 r°-A. 'ep 25 lUUu 10:43 P. 02 Now House D Addition ❑ Repiacem- t Windows A teration(t)O Roofing O Or Doors fl Accessory Bldg, 11 Demolitions/ Now Signs [ ) necks [ I Siding[ ] Other[ ) Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes _. No Attached Narrative 0 Renovating unfinished basement Yes -No Plans Attached Roll 0-Sheet❑ a. use of building :One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. is there a garage attached? i d. Proposed Square footage of new construction. Dimensions e. Number of stories? C f. Method of heating Fireplaces or Woodstoyes Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?„ h_ Type of construction i. Is constructlor►within 100 ft- of Wetlands? Yes No. Is construction within 100 yr. floodplain Yes No J. Depth of basement or eeliar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No_ 1. Septic Tank City Sewer Private weli City water Supply y' I0+f+°rYruY2S �ner of the subject property hereby authorize to act on my behalf, in a ma rs rei to work authorized by.AiS building permit application. i Signet a of Owner Y Date 0 , a I - I _,(- 4xcrZ &aJAA= oeuk t S r„ ,as Owner/Authorized Agent hereby declare that the statements andAnformation on t e�i lbregoirng application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perju :4 a k Print Nomv ^ Sign of alrl-r/jAaOit Da We IV i SECTION 5 DEM, IFTION QF PROPOSEQ„MRK(.check all gpplipablel New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolitiono/ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: +1L + Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ ­Nti NIWWWO 0 f' a. Use of building : One Family Two Family Other b. Number of rooms in each family unit:_ Number of Bathrooms_ __ c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT u S caner of the subject property hereby authorize I ov W to act on my behalf, in all matters relative to work authorized by1his building permit application. Signature of Owner Date rS ( as Owner/Authorized Agent hereby declare that the statements ancVnformation on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjur . Print Na—me'- ame Signa ur of Owner/Age t Da e Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height 0/� V Bldg. Square Footage 0//0 O Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site?`� NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page _v and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES 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 NO V IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES_ No IF YES, describe size, type and location: of Northampton 2 s ing Department 2 Main Street Room 100 DEPT OFBUttt' ;# nFCTlIt mpton, MA 01060 p o 7-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION' 1.1 Pro ert Address: This sectia # bey- omprlbY offi � 9� Map Zone " �Ov�r�ay Dl� ict ".stricter tafrTi # ,_ �. SECTION 2' PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: kws Name rint) Currept�Mailing�ns) _ ! 1 Telephone Signature 2.2 Authorized Agent , 5 i s Nam Print) Current Mailing Address: Wit, ��2- -31 Sign e Telephone E K TION 3 ESTIMATED CON T TI N T Item Estimated Cost(Dollars)to be Official-Use Only competed by ermit applicant 1. Building I tl (a) Building Permit Fee 2. Electrical (� (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4+ 5) Check Number —" This Section For Official Use Only Building Permit Number:- Date Issued: Signature: =Building Commissioner/Inspector of Buildings Date File#BP-2001-0316 APPLICANT/CONTACT PERSON Associated Building Wreckers Inc ADDRESS/PHONE P O Box 2851 (413)732-3179 PROPERTY LOCATION 1 DEPOT AVE cJ r MAP 17C PARCEL 215 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 0 5 Typeof Construction: DEMOLISH PRINCIPAL STRUCTURE&(3)SHEDS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 019428 3 sets of Plans/Plot Plan THX�FLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § _w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § _w/ZONING BOARD OF APPEALS 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 C sion Permit from CB Archite ture C ittee 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. I DEPOT AVE BP-2001-0316 G1S#: COMMONWEALTH OF MASSACHUSETTS ` : 1 ak: 17C-215 CITY OF NORTHAMPTON Lot: -001 Permit: Buildba Category:demolition BUILDING PERMIT Permit# BP-2001-0316 Project# JS-2001-0522 Est.Cost:$11500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO Const.Class: Contractor: License: Use Group: Associated Building Wreckers Inc 019428 Lot Size(sq.ft.): 6403.32 Owner: Florence Savin sg Bank Zoning:GB Applicant. Associated Building Wreckers Inc AT: 1 DEPOT AVE Applicant Address: Phone: Insurance: P O Box 2851 (413) 732-3179 Workers Compensation SPRINGFIELDMA01 101 ISSUED ON.1013100 0:00:00 TO PERFORM THE FOLLOWING WORK.DEMOLISH PRINCIPAL STRUCTURE & (3) SHEDS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Tyne: Receipt No: Date Paid: Check No: Amount: Building 10/3/00 0:00:00 7043 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo