38-050 (11) MAssDEVELOPMENT
September 24, 2002
Devens
43 Buena Vista Street Daniel T. Costello
Devens,Massachusetts Costello Dismantling
""' 2 Rocky Gutter Street
Tel:978-772-6340 Middleboro, MA 02346
Fax 978-772-7577
wwwdevenscentercom
Dear Mr. Costello,
Main orae: This letter is to inform you that MassDevelopment has voted to award the contract for the
75 Federal Street
Boston,Massachusetts Demolition of the Laundry and Power Plant to Costello Dismantling. Contracts for this
02110 project are currently in the mail for your execution. Please execute the contracts and
Tel 617-330-2000 provide a Payment Bond, Performance Bond and the proper insurance certificates in
800-445-8030 accordance with the contract documents. Tighe and Bond will be notifying you of a pre-
Fax:617-330-2001 construction meeting to be held at the site.
www massdevelopmenteom
We look forward to a successful project with your firm.
Yours truly,
Alan M. Delaney
ManagerofEngineering
'"NE Sv,FI Cc: vLarry Vincent, Clerk of the Works
Governor Rosalind Whitney, Contracts Administrator
RoeEe L Br[
Chairman
MICHnkt.P.HOGAN
President/CEO
pg �...Pe on pnpennnupicmmd.r.Mon........ .
%'eoa >t a�irt R'cut
License: CONSTRUCTION SUPERVISOR
Number: CS 043330
Birthdate: 02/02/1949
Expires: 02/02/2005 Tr.no: 8128
Restricted: 00
DANIEL T COSTELLO � _G
25 WINTER STREET
MIDDLEBORO. MA 02346 trator
o4�N�af pTO
Qint 11a11yIII1 z
a fl HCh n5c tiff,
xn DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 '
WORI�E'R'S COMPENSATION INSURANCE AT, + AVTr
DANIEL T. COSTELLO
(li ceuser'Jpermi ttee)
with a principal place of business/residence at-.
2 ROCKY GUTTER ST, MIDDLEBORO, MA 02346 (l)hone-,#) 508 946-0880
(str�f/ci ty/statrizi p)
do hereby certify, under the pains and penalties of perjury", that:
(X) I am an employer providing the following workei's compensation coverage for my
employees working on this job.
AMERICAN INTERNATIONAL CO WC2910171 11/05/03
(Ins=ce 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 Numbcr) (Expiration Date)
(Name of Contractor) (insurance Compary/Poky Number) (Expiration Date)
' (Name of Contractor) (I stu-an(-- Compaoy/Pohcy Number) (E), irabon Date)
(Name of Contractor) (Insurance Company/Policy Numbcr) (Expiration Date)
(anach additioml short ifne�c to mchxie informafioa pertaining to all ootrndora)
O I am a sole proprietor and have no one working for me.
( ) I am a borne owner performing all the work myself.
NOTE:please be aware that while homcowncm who employ persom to do m•jztc udioa or repair work on a dwelling of
not more lhsn throe units in wfrich the homeowucr resides or oa the Vous appurtcnnrst thaeto arc cot wally oomidcrrd to be
etnPloY=under the warkc radon Act(GLI52,sa 1(5)),application by a homeowner for a Grasse oc paved may evkknoe the
legal date of an omployor under the Workmet Compornal Act
I un4asisud tout a copy of this cfaf--d may bo toawnrded to tho Depnrtrncud of Indwtrial Aomdca&Otlioo of LavAu no*for thn
covcrx vaificatioa and that failure to scaire coverage-,under section 25A of MOL 152 can lead to the imposition of aiMVW penalties
coasisiing of a fine of up to S1,500.00 and/oe imprisom=rd of up to one year and civil peasltia in the form of a Stop Work Or&-and a
film of 5100.00 a day agaiast me
For icpartm�cai uic only
`La Permit Number
2/24/03p# Lot#
Signature of Liccnser_lperr ittee e
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL kItIR REVIEW(780,CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑
SECTION 11 -OWNER AUTHORIZATION TO;BE:COMPLETED WHEN
OWNERS'AGENT OR CONTRACTOR A'PPLIES FOR BUILDING PERMIT -
l as Owner of the subject property
hereby authorize to act on
my behalf, in all mat rs relative tow authorized by tI IXbuilding permit application.
-� X43
Signature of Owner Date
l 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.
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
CS N13330
License Number
AddreExpiration [(ate
Signature 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....... C9 No...... 0
4
Version 1.7 Commercial Building Permit May 15,2000
SECTION 9-•,PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND:STRUCTURES SUBJECT TO
CONSTRUCTION;C""kTROL`PURSUANT TO 780 CMR 116(CONTAINING;`MORE`''THAN35,000;-C:F..OF°ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
M14 o► &05— 371 63 y
Address Registration Number
� 5UW 15y 2701 6 30%
Signature Telephone x 10- Expiration bate
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 ��JJ
`•0'57t'ica ,U�5�4t�►.l�'7La�/ty Not Applicable ❑
Company Name:
,—r—
I van
Responsible In Charge of Construction
2k��,� G��� �;. �� r�4.�� MAS
Address
2 Ste, q4E, 0161,
Signature Telephone
Version 1.7 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 ❑ 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
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 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
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:
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 Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
Exterior Alterations Demolitioo New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building[ ] Repairs [ ]
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 ❑ 2A ❑
E Educational ❑ 28 I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ 1.3 ❑ 313 ❑
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 0 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;BUfLDING HEIGHT AND AREA
OFFICE USE ONLY;
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
Floor Area per Floor(sf) St
1
s
nd
1st 2 c ,
3rd Q
2nd
3rd 4 thWx
th
MRDA
Total Area (sf) 121 Total Proposed New Construction (sf) ,' a"t-
,
Total Height(ft)_ SO
r�
... - ----
Total Height ft -------------------
r t
Version 1.7 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 t.
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
�o•2LE2
Map ' Lot Un&
f Zone. Overlay District
Elm St.District' f` CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Signature Telephone r
2.2 Authorized A-zent:
Name(Print) Current Mailing Address:
Signature _ Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars)to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing BuildingPermit'Fee
M
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(I + 2 + 3 +4 + 5) Check Number o2
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/inspector of Buildings Date
File#BP-2003-0721
APPLICANT/CONTACT PERSON COSTELLO DISMANTLING CO INC
ADDRESS/PHONE 2 ROCKY GUTTER ST (508)946-0880
PROPERTY LOCATION EARLE ST
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
Buildiniz Permit Filled out
Fee Paid
Typeof Construction: DEMOLITION OF BOILER PLANT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FqLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF94MATION 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 ElmyStreetCo ssion
//
Signature of Building Official at
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.
t
BP-2003-0721
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ida CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0721
Project# IS-2003-1166
Est. Cost: $0.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: COSTELLO DISMANTLING CO INC_
Lot Size(sa.ft.): 226512.00 Owner: NORTHAMPTON STATE HOSPITAL
Zoning:PV Applicant: COSTELLO DISMANTLING CO INC
AT. EARLE ST
Applicant Address: Phone: Insurance:
2 ROCKY GUTTER ST (508) 946-MN Workers
Compensation
MIDDLEBOROMA02346 ISSUED ON:3/5/03 0:00:00
TO PERFORM THE FOLLOWING WORK.-DEMOLITION OF BOILER PLANT
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/ Shmature:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 3/5/03 0:00:00 44621 $35.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo