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38-050 (10) A►°B� �-0�9 �95O1i�"%%:ki*O>>� L4'7* 40-* 4° 11 ° C LO-x LO- I L_° , {an/&* lo.T-*°BIA LO°1►] r 05/06/'2004 007:39 5059473093 COSTELLO DISMANTLING rHUF- 05/06/0'4 0i :21 AM , a National Grid Company 09,101 To: COSTELLO DISMANTLING CO Attn: MARI,AM voice: 508-946-0880 Fax: 508-947-3093 Re: Locating facilities in the area of your excavation This is an important safety Message from a National Grid Company. We are replying to your request to locate our underground facilities in an area where you are planning excavation work. The following is the current status of our faoility marking in the area specified in your notification. Ticket number 20041904997 is: This response is from Massachusetts Electric. There are NO known Massachusetts Electric underground facilities in the proposed excavation area. Please check for any Municipal and/or Customer Owned underground electric facilities in the excavation area. County: place : NORTHAMPTON Street: 1 PRINCE ST If you have any questions about these responses to your excavation notification, please call one of the following numbers: In NX 1-800-NIAGARA, In Ri 401-784-7267, in MA 800-322-3223. 05/04120,04 16:10 5089473093 COSTELLO D15MANIL1Nu mac U� qk0mystaftc-Un A WOUrm COMPBnY 2025 Roosevelt Ave SpringfiRld,MA 01162-2025 April 28,2004 Ms.Jeannine M.PWIlips, Co5tello I)iamntling Co.,InG. Dear Ms_Phillipq: The address listed below has been verified by Bay Stats Ow Company to be clear from having any undcrground facilities,therefore,it should be ready for demolition. Address: X Plri-ace St(Former Hampton State Hospital) Building#26 Town: Nothawpton State: Massachusetts Sincemly, �. Fleury i,. Eva �Y CottMUrption Administrator 05/04/2004 16:10 5089473093 COSTELLO DISMANTL1NU rr�ut n� Mai 04 04 10:370 Nothampton DPW 413 587 1583 p.P CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS Res LOCUST S'1'1Z1-L''1' NORTtIAMM'ON, MAO 1060 413-587-1570 FAX 411.387.1576 Cworge Andrikidis, P.E. I)Iwlor.('11Y&Aiin-Ur May 4,2004 Anthony Patillo,Building inspector Municipal Office Annex 212 Main Strcet NorthamMn,Ma 01060 Dear lair. Patina: The domestic water services on the south side campus of the Northampton State Hospital have been physically disconnected frnm NorthamptoWs water distribution system. There is a dedicated fire line to feed hydrants also on the south campus but do not enter any buildings. Please contact me if you have any questions. Incerely, David S Suporintiondcut of WdLcr Cc:George Andrikidis,Dire=of Public Works Ned Huntely,Assistant city Engiaeer 05/04/2004 16:10 5089473093 COSTELLO DISMANTLING NAUE 02 MAY 04 2004 13:16 FR HATFIELD ENG 413 247 5730 TO 15089473093 P.01i01 VERTRON CBRIMOHICATTONd �► R7rnfre�Y 111 ROR'A'R AATPIBLD AD, pygm RATPXBLri, NA 01039 MW4,x004 C xwBo D� Dear Si arMadam, Al Verism eriuVm m and cablaag has been removed or is no Langer in service at 1 Pd=Sunset B4 A 26. Smocr+ely� Quentin,Autres ouzo a Pint Engineer Verizw Ill NORTK HATFIELD RD- HATFIELD. MAS 01038 TOTAL PAGE,01 ** Massachusetts Electric A National Grid Company May 5, 2004 Costello Dismantling Co. Inc. Jeannie M. Phillips Building #26 1 Prince Street Northampton, MA 01061 Dear Customer: This is to verify that Massachusetts Electric has removed the electric service and meter at Building 426, 1 Prince Street Northampton, Ma., for building demolition. Sincerely, Tom Smith ('I�A Account Manager JN/mba PO Box 507 Northampton, MA 01061-0507 413.582.7200 05-0-2DO4 09:49am From- ?-844 ? 003!003 F-756 Tighe&B*nd Consult ng Engineers E-nvironmmtal Specialists 1;�W1W328(111it�rS H,I5,2 .Z5AP,A,B.C,11,1Z TL,NEL..ASBES,-OS INSPtToN.DOC Copy: Anthony Pati-11o, Building Commissioner Alan Delaney, Engineering Manager Rob Holmes, Costello Dismantling Co. Chris Thompson, Air Quality Experts - 2 - Oriainnl prinlcd op rdfgcle iaapn 05-0572004 "vO:48am From- , "044 F�""",, R, ' ,i56 Tighe&Bond Consulting Ln'ginc Environmental Sbecia&s W-3280-10-14 May 5, 2004 Mr. Larry Vincent MassDevelopment Northampton State Hospital Northampton, MA Re: Abatement&Demolition of Buildings 8, 15, 26AP, 26G at the Northampton State Hospital Dear Larry: Tighe & Bond inspected Buildings 2.6AP and 266 at the Northampton State Hospital yesterday to confirm completion of the specified abatement work. All asbestos containing materials and Iisted hazardous materials have been removed and abated from the building wish exception of the following, which will be removed prior to demolition and disposed of properly. The hydraulic oil located within the piston of the elevator has to be re-captured. This was inaccessible prior to demolition and requires the use of heavy machinery to safely remove all oils. The other item includes two large batteries that are located on the back loading dock of Building 26G. Engineering controls shall be implemented during demolition and consist of constant water use during all facets of demolition and demarcation of the work area in accordance with OSHA regulations. If unspecified asbestos is encountered during demolition activities, the contractor is required to stop work, notify Tighe&Bond and be prepared to remove the asbestos in accordance with applicable regulations, If any questions or comments arise please contact the undersigned at 500-754-2201, ext 123, with any questions. Very truly yours, TIGHE& BOND, INC. Daniel J. Dragon Environmental Scientist 324 Groue Scan Worcester, MA 01605 Tel. 508.754-2201 Fax. 508-795-1087 Main Qpce; Wesffield, MA Tel 413-562-1600 Fox. 413-562.5317 aiginol printed on recr/cled paper. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE TE(MM/DD/YY) S 02/18/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MF&T Ins. Construction Div. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Construction Division HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 Phone: 781-261-2000 INSURERS AFFORDING COVERAGE INSURED INSURERA: Gulf Insurance Company INSURER B: Arch Insurance Company Costello Dismantling Company, INSURER C: American Home Assurance Co. 2 Rock Gutter Street INSURER D: Commerce Insurance Company Middleboro MA 02346 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GU2828661 12/06/03 11/01/04 FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE 41 OCCUR MED EXP(Any one person) $ 5,000 X Pollution Llab. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PROECT LOC Pollution 1,000,000 J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT D X ANY AUTO YJ9667 03/25/03 03/25/04 (Ea accident) $ 1,000,000 X ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 10,000,000 $ X OCCUR CLAIMS MADE 42ULP1453800 12/06/03 11/01/04 AGGREGATE $ 10,000,000 DEDUCTIBLE $ RETENTION $ WC STATU- $ WORKERS COMPENSATION AND _X TORY LIMITS ER C EMPLOYERS'LIABILITY WC7482588 11/05/03 11/05/04 E.L.EACH ACCIDENT $500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Dismantling and Demolition; CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION FORINFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL For Information Purposes Only IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHO REPRESENT TIVE ACORD 25-S(7197) ' ` > OACORD CORPORATION 1988 NOTICE NOTICE TO TO EMPLOYEES EMPLOYEE v v The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22&30,this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: American Home Assurance Company NAME OF INSURANCE COMPANY 70 Pine Street, New York, NY 10270 ADDRESS OF INSURANCE COMPANY WC7482588 11/05/03-11/05/04 POLICY NUMBER EFFECTIVE DATES MF&T INSURANCE, 77 ACCORD PARK DRIVE, B1 , PO BOX 9145_(. NORWELL_,.MA. 02061_ NAME OF INSURANCE AGENT ADDRESS . PHONE# Costello Dismantling Company, 2 Rocky Gutter Street, Middleboro, MA 02346 EMPLOYER ADDRESS 11/05/04 EMPLOYER'S WORKERS' COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment - to furnish adequate and reasonable hospital and medical services in accordance with the provisions of*the•__ Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The" " employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME.OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER WC 75069(2-02)UNIFORM INFORMATION SERVICES.WG . R ,.. E �t�csr<nchnsctta" DEPARTMENT OP BUILI3010 INSPECTiotJs - 212 1fain Strcct ' 14unicipal DOilding Northampton, tInss. 01060 WORKER'S CONZPENSATMN 1NSURA.NCE ANTI•. AVIT —DANT FI,_-CQ.S_rLET,T,n__,/ (-()(;TFT-T,() _-- (li ccuscrlpermi ttrx} u�th a principal place of businesslresiderice ac 2 go Ky =TER STREET, MIDDLEBORO MA 0230hone-') 508 946 0880 (sic",.-tJci rylstazc1zi p} do hereby certify, under die pains and penalties of penury'., hal (X) I am an employer providing die following workc>'s cotnacnsadon covemge for Inv etuplovees woriarlg on tliis job. AMERICAN HOME ASSURANCE CO. WC7482588 11/05/04 (ins=4"I=Compam) (Policy],:u_m--r) -- (r';piraor Date) ( ) I am a sole proprietor, geoerai conu-acior or homeowber (cucie one) aid have hired the contractors bste,i below cgho have the foilowzng worker's camDel-,,anon pcilcles: (Nan),- Oi C0:1'7'.CiO') (Inn,ranc: Company/Poi.icr Nl1II1CC:I ClExpina",on Datc) (Name of Contractor) _ (bis-arancc• Company/Pobo, Nu mccr) xnir ion Dale) (Name of Coaa7actdr) Onst?raocc Company/Potiq• Nwnbu) (Exairrion Daic) Qgamc of Contractor} (Irtsutancc Compzny/Poky Numbu) (Expiration Da.tt). (nn.at�'1:ddi:;ocil r:`�a.1 ilacocury to iaeiurk iafor�1on pextaiui.nE to cU cxa-�c.o�) , ( ) I am a sole proprietor and have no one wor4>dng for nye. ( ) I am..a home owner perf'orzning all the work myself. NOTE:plcsc be twvt t�1..ale boaxrnstxn ujcp ctaplof pcz- r=w da=,,-r.-•jmc, -w� rc�Q Ivor c a�.d cl!^Z or tux mrxt th n t"a--t-- ,j in%x-tieb the bomoowna r=&=a oo a,.p + zp�tbce-.•o I oa C=X-a y 00=d-rcd w t-- -4119Y— e-411oyca 12L11L ttx ups moa Act(GL152=1(5)} a.pptiation by a bomco-na ra c be—v-or pc mrt t=y c,-td+moc the Icgs.1 ecaau of e*crloyx uodar dw worlcol,Compo¢sali Act I urrd--,od tb+a a oopy of tai,=xL=o w m,.y t a forxuni.d t.abo D or lr,& rid Accd�s'omff or Iraur,oeo ror tb. ' covense vcr%Geation acrd th1 L•iltrzc to socztrs tovcre e uodcr==ion 25A of MOL 152 oa trsd to tba i aoa of aiminsl peasiE cOc-%L..iug of a Goc or trp to S1-500M xr dfC i=pr6oaMc=of up to ooc yc,r acid civil pmalUo io rs-form ora Stop wort order acid e f=0(5 100.00 x dry Lpi=ttx �� Fa'dcpsrtai=�r u.e cnJy Pcrmjt Number r' �• > 4/27/04 Lot Versionl.7 Commercial Building Permit May 15,2000 SfCTONSTRUCTURAL�PER REVIEW X780 CMR 110 llj; _ Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ SECTION 31:r OWN'ER AUTHORIZATION; TO BE COMPLETED WHEN OWNERS AG'ENTOR CONTRACTOR APPLIES FfJR BUIIDING'PERMIT : a l DANIEL COSTELLO as Owner of the subject property hereby authorize PAUL ROWAN to act on my-behalf, in a I mat e to work authorized by this building permit application. 4/27/04 Si nature f ner Date I, DANIEL COSTELLO 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. I D Print N 5 ature of 0 er/ en Date SECTION "; CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: DANIEL COSTELLO CS 043330 License Number 02/02./05 Address Expiration Date -90 947 6548 nature. Telephone SECTION 1 WORKERS'j'COMPEtISA710N INSURANCE AFfIDAYl7{IYI G L t 152;§25C(6)) ti .. �Au. ��_.. ,.....,, u. . _�... . 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....... E No...... 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9=.PROFESSIONAL DESIGN AND CONSTJ3,UCTION SER�JCES FOR BUILDINGS,AND STRUCTURES S;16JECT TO Cd..STRUGTION:CONTROL PURSUANT T0:780:CMR"116(CONT.A(NlNG MORE.THAN 3x;000,61Y. OF=ENCLOSEO SPAGE)' 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): j Registration Number Address t I Expiration Date Signature Telephone 92 Registered Professional Engineer(s): w a Name s Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 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 Not Applicable ❑ Company Name: ResponsZeZIharge of GeRsirAwiien Addres Signature Telephone Idw Versionl.7 Commercial Building Permit May 15,2000 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private ❑ 1 Zone: Outside Flood Zone ❑ Municipal ❑On site disposal system ❑ 8. NORTHAMPTON ZONING 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 Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved arlan #of Parking Spaces Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does he site contain a brook, body of water or wetlands? NO DONT 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 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: Versionl.7 Commercial Building Permit May 15,2000 - SEfl]N�"�-�N��iCl�fll,1� �fS-�Q� Rt}�ECI�I�SS PIAN 3'�,�OD*� Ci7BI ` EEIrFNClASEId�P, 1CrE'�� s Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolitioid New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] BRIEF DESCRIPTION: (1�^i ALA 11 a 3 .�Z SECTION-5USCtROUP AND CONS RIIL'130N E l USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ I-2 ❑ I-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: �COMPLETEQN i1="DQSTiNG BIIIl�IIVG UNI)l=#tG©111GµRFIO�'A3IQNS, DDflNS AItJOI 'CFA1�iGE IN USEU k Existing Use Group: ��/ Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6-`$UILDING HEIGI�I AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) ( stv ( Uj 2nd1-p 7u a 3rd " O , V b — mar r th 4m - gr Total Area (sf) l d d .6Ub Total Proposed New Construction (sf) =11P R x W �` Total Height(ft) Y_ , Total Height ft----------------- ; " Versionl.7 Commercial Building Permit May 15,2000 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF pR DMQ H ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING �A i '� I SECTION�.� SITE`"3Nf-OIIMA�ION 1.1 PrODertv Address: j6(,( -A C ,NAAtLh [V.A.LAk iln�olz <SECRON mPROPERTY OINNERSHIPJAUTHOJRIZED�► EI�T..; 2.1 Owner of Record: Name(Pri Current Mailing Address: 9753 77G2�G�3� nature Telephone 2.2 Authorized Agent: 12Y9— Name(Print) Current M fling Address: yI3 - Si a Telephone 1.SECTi�IN�TED�ONSTRUCTION COST'S , Item Estimated Cost(Dollars)to be Official-else Only completed by permit applicant 1. Building it.Fee, 2. Electrical (!J Estimated Total Cosi of �' .ConStr'i�cbon'�rom�.6 3. Plumbing Building Perm�Cfee 4. Mechanical(HVAC) 5. Fre Protection 6. Total = (1 + 2+ 3+4+ 5) lmber ' "Tl��_5 on°Facir_piTficiiai:Uw Onl =Building Permit Ntunber + Bate issued f. Signature: Building Commissioner/Inspector of Buildings Date File#BP-2004-1098 APPLICANT/CONTACT PERSON COSTELLO DISMANTLING CO INC ADDRESS/PHONE 2 ROCKY GUTTER ST MIDDLEBORO (508)946-0880 PROPERTY LOCATION PRINCE ST-STATE HOSPITAL MAP 38 PARCEL 050 001 ZONE PV 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: DEMOLITION OF BLDG#26A&26G New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 043330 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 X00 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. PRINCE ST-STATE HOSPITAL BP-2004-1098 GIS#: COMMONWEALTH OF MASSACHUSETTS Map.-Block:38-050 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-2004-1098 Project# IS-2004-1637 Est. Cost: Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: COSTELLO DISMANTLING CO INC 043330 Lot Size(sa. ft.): 226512.00 Owner: MASS DEVELOPMENT Zoning Applicant: COSTELLO DISMANTLING CO INC AT. PRINCE ST - STATE HOSPITAL Applicant Address: Phone: Insurance: 2 ROCKY GUTTER ST (508) 946-0880 Workers Compensation MIDDLEBOROMA02346 ISSUED ON.5/7/04 0.00.00 TO PERFORM THE FOLLOWING WORK.-DEMOLITION OF BLDG #26A & 26G 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• Receipt No: Date Paid: Check No: Amount: Building 5/7/04 0:00:00 MO $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo