Loading...
38-050 (17) BP-2003-0619 GIs#: COMMONWEALTH OF MASSACHUSETTS � CITY OF NORTHAMPTON �_. Lot:-001 Permit: Building Cate-gory: BUILDING PERMIT Permit# BP-2003-0619 Project# JS-2003-1021 Est. Cost: $20000.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Associated Building Wreckers Inc 019428 Lot Size(sa. ft.): 2265512.00 Owner: NORTHAMPTON STATE HOSPITAL Zoning: Py Applicant: Associated Building Wreckers Inc AT. BLDG #24 EARLE ST Applicant Address: Phone: Insurance: P O Box 2851 (413) 732-3179 Workers Compensation SPRINGFIELDMA01101 ISSUED ON:2/3/03 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMOLISH 896 SQ FT BUILDING 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 213/03 0:00:00 11817 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2003-0619 APPLICANT/CONTACT PERSON Associated Building Wreckers Inc ADDRESS/PHONE P O Box 2851 (413)732-3179 PROPERTY LOCATION BLDG#24 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 Building Permit Filled out Fee Paid 7 Typeof Construction: DEMOLISH 896 SO FT BUILDING New Construction Non Structural interior renovations Addition to Existing �po� Z Accessory Structure Building Plans Included• Owner/Statement or License 019428 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICAT IN_ FO ATION PRESENTED: ✓ pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special F 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 E Street Commission Signature of Bui ding 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. Versionl.7 Commercial Building Permit May 15,2000 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413.5,87.1240 Fax 413.587-1272 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING 1.1 Property Address: /V�f�r��— � ��lggg I�rIU #NY's 't-'�7 L L,��.CJI• � '. 2.1 Owner of Record: A�'SS�c A#1 f40 �f U�rI D/ � Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing A dress: Sig6lature Telephone " Item Estimated Cost(Dollars)to ber completed by permit applicantz? , : 1. Building ,. �v � .�1 2. Electrical 3. Plumbingi3 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) 00e eo O,.„L L d � N � is Version 1.7 Commercial Building Permit May 15,2000 MAddi l I fxl � c I, ss�r»Afar >a 3 Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑� ❑ m Exterior Alterations Deolition New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building[ ] Repairs [ ] S1=cert' I ><uD ; lzc�ca�r �rl ; 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 ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi-ah Hazard ❑ 3A ❑ Institutional ❑ 1.1 ❑ 1.2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential 10 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: 5,T,30 �tl �� I "GiRI WifiiflN Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): FUIJLr � 'AICD ' r BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION `r' tX9; � li�9,a Pam,t��p Floor Area per Floor(sf) St 1st 2nd 2nd 3rd 3rd 4th 4th Total Area (sf) (' ( ) Total Proposed New Construction (sf) ................................... Total Height(ft) Total Height ft ------------------- Version 1.7 Commercial Building Permit May 15,2000 7. Wateupply(M.G.L. c.40, §54) 17.1 Flood Zone Information: 17.3 SewageVsposal 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 AW % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Find' ever been issued for/on the site? NO DON'T 0 KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW J 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 SEPTI ' ;i�RDFESI DESIGN D CO C", F 'R BIJlLDiNS fANDTRUC1RES 5 ifEG�?T© , » UAI , `t1D r ryMR.11Ut�TA1-N1IVG . THAM 3bt0_C: ., EN roS � A .>c 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor r�64Q/S.�C. Not Applicable Company Name: %sponsible In Charge of Construction 4 NMI Address 7 �.JL�.07 S nature Telephone Version 1.7 Commercial Building Permit May 15,2000 SEC?fQl� -X "'j, 1 1L7'7R,ErE 3�E1�1 '(780 f��t 1I01 . Independent Structural Engineering Structural Peer Review Required Yes......❑ No...... Q IYl 1 QRI�ATIQh1' Q Q�IIF► ET 0. YiIHEN 1, 1W a/j� r n/ as Owner of the subject property hereby authorize �f55���C � ��r�f� "I��� �5 ✓��• to act on my behalf, in all matters relative to work aut rized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the stateme6ts 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. zap Print Namme� /A, Wost rw N� � i ature of Owner/Agent Date ST[� 77777"� Q©N Ti 1Q SIE 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone �� 5Eif1INbT /Nt �VI'G ., :�52, � Gi �). 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 9f the building permit. Signed Affidavit Attached Yes....... No...... ❑ pnl.wl MAssDEVELOPMENT September 24, 2002 Devens 43 BuenaVista S-,reet Andrew Mirkin, Principal Devens Massachusetts Associated Building Wreckers 011x2 352 Albany Street Tel 978-772-6340 Springfield, MA 01105 Fax 978-7727577 Main Office: Dear Mr. Mirkin, 7 1,5 ledera(Sir-et Boston,hIassa,,husetts This letter is to inform you that MassDevelopment has voted to award the contract for the 02110 Demolition of the Residential Structures in the South Campus to Associated Building T ,e[.6E7 Wreckers. Contracts for this project are currently in the mail for your execution. Please 800-445-8030 execute the contracts and provide a Payment Bond, Performance Bond and the proper Fax 6!7- insurance certificates in accordance with the contract documents. We will be notifying you of a pre-construction meeting to be held at the site. We look forward to another successful project with your firm. Yours truly, Alan M. Delaney Manager of Engineering Cc: Larry Vincent, Clerk of the Works 3-,2-L 3; Rosalind Whitney, Contracts Administrator C,�u man CERTIFICATE OF LIABILITY INSURANCE DATE(MMOW" 10/16/2002 PRODUCER Sedel# 83521 THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION NORTHGATE INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 Box 3182 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SPRINGFIELD, MA 01101-3182 ALTER THE COVERAGE#fFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURED ASSOCIATED 8iJILDINGWRECKERS,INC, GRANITE-STATE INSURANCE Co. 352 ALBANY STREET i INSURER B, SPRINGFIELD,MA 01105 rINSURER 0: INSURER D: ATTN:jgANIES PAGE INSURER E COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND COND11TIONS OF SUCH POLICIU,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS T-Typ E OF! FARCE PO —SIR POLICY EX IRA N CYN Alld IDDAnn nATE Imwn t Ljmrrs GENERAL UABILITY EACH OCCURRENCE CC7MMERCIAL GENERAL LIABILITY i FIRE DAMAGE(Any.11M) CLAIMS MADE ED OCCUR MED W(Any—pemn) PERSONAL&ADV INJURY IS I-o-rrNertA—LAGqREr.Ano- Is fifE 'L AGGREGATE LIMIT APPLIES PER! N' — I PRODUCTS-COMPOP AGO is POLICY EI AS] - 7 Loc. - C—T AUTOMMLE LI aLITY COMBINED SINGLE LIMIT ANY AUTO (Fa accidwt) ALL OViNEDAUTOS 500ILYIN'URY SCHEOULrzO AUTOS (Par p=on) MIRED AUTOS BODILY INJURY NON-OVMED AUTOS (Pat accident) PROPERdT'(DAMAGE (Poreadervt) GARAGE LIABILITY j AUTO ONLY.FAACCIDENT S ANYAUTQ EAACC S OTHER THAN AUTO ONLY., AGO S io —T i EXCESS 61ADWITY 7— EACH OCOWIRRENCE Is OCCUR CLAIMS MADE IAGGREGATE _7 DEDUCTIBLE RETENTION S WORKERS COMPENSATION ANDx 11F TAT111- JTH. vc A EMPLCMS'LANUTf 6257083 211102 -!!!L I TO-Knu—moTS R 15 2/1/03 E.L.EA�;H ACCIDENT $ 11000,000 -1F-LCISRASE CAEMPLOY S 1,000,000 -6.1-DISME-Poucy LUMIT S 1,000,000 OTHER I t DESCRIPTION OF OPEPAnDhOLOCA-nONWVr.WCLSSIEXCLUSIONS ADDED BY INVORSEMENTIBFIECIAL PROVISIONS JJOB, NORTHAMPTON STATE HOSPITAL SOUTH CAMPUS BUILDING#I 19,20,21,24&25 CHAPEL STREET NORTHAMPTON, iMASSACHUSETTS FAX TO 413-734-6224 CERTIFICATE HOLDER aErosnekaL INGURFO;INSURE LErrM. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES gE CANCELLED BEFORE THE EXPIRATION MASS DEVELOPMENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS INNTTM 43 BUENA VISTA STREET I NOT)"TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL DEVENS,MASSACHUSETTS 01432 IMPOSE NO OBUGA710N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR —REPRESENTATIVES. AtiTHl p RES"TATM ACORD 25-S(7/97) Q ACO RD CORPORATION 1388 0 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street * Municipal Building Northampton, Mass. 01060 WORKEWS COMPENSATION INSURANCE AFFMAVIT L (licensee/permittee) with a principal place of business/residence at: _(phone#) (StrCWCity/Aa&2iP) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employ=working on this job: (Insurance Company) (Policy Number) (Expiratfon 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) Offach additiocal shed ifn6cetuLry to k4hido information pertaining to all oaonadtor3) 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 bomcown=who employ per;om to do maiatenance,construction or repair work on a dwelling of not move than three units m winch the homeowner resides of on the pvjn&appurtenant thercto am not Saxt2lty oo=datd to be employers under the worker's compe=ation.Act(GLI52,=1(5)),application by a homeowner for a U==or permit may evidence the legal dvl=of an employer under dw Worker's compeoui*oa Art I undaVAMCL dMa a copy of this oxtemccd may be forwarded to the Dqwtowl ofLukotridl Acci4ente Offloc of h=UM000 for the oovmg--verification and that W=to secure coverage=der sectioa 25A of MOL 152 cam lead to the impositioa OfQimmvl PCOshies o0asisting of fi0e of up to$1,500.00 and/or imNisonment of up to one year and civil penalties in the form of Stop Work Order and a fine o(3100.00 I day tg&i=A ttk For departmec",—only Permit Number Nfap# Lot# Si We of Licensee/Permittee Date - DEC;11-02 WED 13: 16 Bay State Gas (Spf id) FAX N0, 413 739 5272 Ba Stated e A NiSource Company December 11, 2002 Associated Building 252 Albany St Springfield, Ma 01101 Dear Associated, The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : ( SEE BACK ) TOWN , Town STATE : Massachusetts Sincerely, Jeffrey D. Mannheim Maintenance Administrator 2025 Roosevelt t�venue R0 Sox 2!25 Spnngfe d. IIIA 01102-2025 413-7a1-3200 Fax ei 8t a?i DEC-11-02 WED 13: 16 Bay State Gas (Spfld) FAX 110, 413 739 52-2 F. U? Building #19, 10 Chapel St Building #20, 16 Chapel St Building #21, 24 Grove St Building #24, 219 Earle St Building #25, Rear of 219 Earle St Massachusetts JElectric A National Grid Company December 19, 2402 Attn: Johanna Savage Associated Building Wreckers, Inc- 352 Albany Street Springfield, MA 01145 Dear Ms. Savage: This is to verify that Massachusetts Electric Company removed the electric service at the following locations: Northampton State Hospital,Building# 19, 10 Chapel Street Northampton State Hospital, Building#20, 16 Chapel Street Northampton State Hospital, Building#21, 24 Chapel Street Northampton State Hospital, Building#24, 219 Earle Street Northampton State Hospital, Building#25, Fear of 219 Earle Street in Northampton, Massachusetts effective December 19, 2002 for building demolition. ely, rm Nic ols Supe sor Dis ution Design NNr,I PO Box 507 Northampton Ma 01061-0507 413.582.7200 ** TOTAL 'AGE . 0 ,22/2002 14:00 4135965733 ATT BROADBAh,D PAGE 05 I CL/,--4-LJ I'J" uzz" UJLI L 10 ZUUd Id-40 A 352 Alban r Strect,P.O. Box.2851 SpringrieJd,Massachtmtu 01101-2851 Tel: (413)7P2-3179/(800)448-2822 Fa : (413) 734-6224 DATE: October I ro, 2002 TO: DAVEHINCHEY i FAX # 413-568-6625 OF: AT&T BROADBAND j PHONE # 413-562-9923 X296 PLEASE CUT ALL SERVICES AT THE LOCATION OF #24/(CLEL ST., NORTHAMPTON,MA, AS IT IS BE SCHEDULED FOR DEMOLITION. ONCE DISCONNECTION HAS BEE PT COMPLETED, YOU MAY EITHER SIGN BELOW AND FAX IT TO ME AT 41 -734-6224 OR YOU MAY FAX ME NOTIFICATION ON YOUR COMP A NY LETTERHEAD I THANK YOU VERY MUCH FOR YO�R ASSISTANCE. SIINCERELY, I ASSOCIATED BUILDING WRECKE S, INC. JOANIE SAVAGE DEMOIMON COORDINATOR SERVICES AT: #24 CHAPEL ST.,N RTHAMPTON,MA HAVE BEEN DISCONNECTED ASO ,: PRINT NAAU: E' -SIGNATUF ASSOC DLDG WRECKERS - Fax:413-734-6224 Nov 6 2002 09'36 P.04 i 352 Albany Street,P.O.Box 2851 Springfield,Massachusetts 01101-2851 "Tel:(413)732-3179/(800)448-2822 ' Fax: (413)734-6224 DATE: November 6, 2002 TO: CHARLIE FAX # 413-367-1976 OF: WA'T'ER DEPT, PHONE # 413-587-1098 FLEASE CUT ALL SERVICES AT THE LOCATION OF BUILDING 424,219 EARLE STREET, NORTHANII'TON,MASSACHUSETTS, AS IT IS BEING SCHEDULED FOR DEMOLITION. ONCE DISCONNECTION HAS BEEN COMPLE`T`ED,YOU MAY EITHER SIGN BELOW AND FAX IT TO ME AT 413-734-622.4 OR YOU MAY FAX ME NOTIFICATION ON YOUR COMPANY I.ET'TERHEAD. THANK YOU VERY MUCH FOR YOUR ASSISTANCE. SINCERELY, ASSOCIATEI) BUILDING WRECKERS,INC. JOANTIE SAVAGE DEMOLITION COORDINATOR SERVICES AT: BUILDING ##24, 219 EARLE STREET,NORTHAMYFON,MA HAVE BEEN DISCONNECTED AS OF �� I 0 PRINT NAME: _ Dogs---) S Vc SIGNATU ►�r� < REMAIN IF t : Tighe&Bond Consulting Engineers Environmental Specialists W-3280-7-02 January 29, 2003 Mr. Larry Vincent MassDevelopment Northampton State Hospital Northampton, MA Re: Asbestos Abatement at the Residential Structures, Northampton State Hospital Dear Mr. Vincent: Tighe & Bond has completed the final post-abatement inspection and confirmation for removal of all listed asbestos containing materials (ACM) and hazardous materials at the Residential Structures, Northampton State Hospital. Buildings 19, 19G, 20, 21, 21G and 25 have been inspected and cleared of all asbestos and hazardous materials that were listed to be removed prior to demolition. Buildings 19, 20, and 21 have roofing systems that contain asbestos and will be removed during demolition activities. Building 24 still contains asbestos containing materials and is to be demolished under the attached exemption from the Massachusetts Department of Environmental Protection. Engineering controls shall be implemented and consist of constant water use during all facets of demolition, demarcation of the work area in accordance with OSHA regulations, collection and polarized light microscopy (PLM) analysis of upwind/downwind perimeter air samples and fulltime presence of a licensed asbestos monitor during all potential asbestos impact work. Once the basement area is deemed safe, the licensed contractor shall perform abatement via glove bag methods and the use of negative air. The area will be visibly inspected to confirm that the Contractor has achieved a level of no visible debris. Upon acceptance of visual inspection, the remainder of the structure will be razed. Within all buildings listed, contractor was required to investigate, locate and abate all TSI within confines of the building interior. If any TSI is encountered during demolition activities, the contractor is required to stop work and remove any TSI and associated contaminated demolition debris as ACM in accordance with applicable regulations. 324 Grove Street Worcester, MA 01605 Tel. 508-754-2201 Fax. 508-795-1087 Main Office: Westfield, MA Tel. 413-562-1600 Fax. 413-562-5317 Original printed on recycled paper. Tighe&Bond Consulting Engineers Environmental Specialists If any questions or comments arise please contact the undersigned at 508-754-2201, ext 123, with any questions. Very truly yours, TIGHE & BOND, INC. Daniel J. Dragon Environmental Scientist J:\W\W-3280\RESIDENTIAL\CLEARANCE LETTER.DOC Copy: Gordon Bailey, State Building Inspector Anthony Patillo, Building Commissioner Alan Delaney, Engineering Manager - 2 - Original printed on recycled paper.