38-050 DEMO PERMITS (7) BP-2006-1261
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:demolition BUILDING PERMIT
Permit# BP-2006-1261
Project# JS-2006-1865
Est.Cost:
Fee: $15.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor. License:
Use Groin S & R CORPORATION 061320
Lot Size(sq. ft.): 226512.00 Owner. HOSPITAL DEVELOPMENT LLC
Zoning". PV Applicant: S & R CORPORATION
AT. 1 PRINCE ST
Applicant Address: Phone: Insurance:
706 BROADWAY ST (978) 441-2000 WC
LOWELLMA01854 ISSUED ON 512-512006 0.00:00
TO PERFORM THE FOLLOWING WORK.-DEMOLITION - BLDG 10
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 Sianature:
FeeType: Date Paid: Amount:
Building 5/25/2006 0:00:00 $15.00773
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-1261
APPLICANT/CONTACT PERSON S&R CORPORATION
ADDRESS/PHONE 706 BROADWAY ST LOWELL (978)441-2000
PROPERTY LOCATION I PRINCE ST
MAP 38A 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 -07 Lg--
Fee Paid
Typeof Construction: DEMOLITION-BLDG 10
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 061320
3 sets of Plans/Plot Plan
THE
,QLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED:
VApproved 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 Co *ssion
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.
Version 1.7 Commercial Building Permit May 15,2000
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 PlottSite Plans
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 1 -SITE INFORMATION
_ tion to be completed by office
1.1 Property Address:
1 Prince Street ?, ap, ,i' Lot Unit
Northampton, MA cavo /
Building #10 Zone Overlay District
4
i E1rrr� c CB District
SECTION 2-PROPERTY OWN ERSHIP/AUTHORIZ AGENT
2.1 Owner of Record:
MassDevelopment 1 Prince Street. Haskell Buil
Name(Print)J� Current Mailing Address:
(41 3 ) 587-6314
Signature Telephone
2.2 Authorized Agent:
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 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 +2+3+4+5) Check Number 6"
This Section For Official Use Only
Building Permit Number w ( Date
W Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Versionl.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 ❑ Demolition Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑
Brief Description Enter a brief description here. Complete demolition of building
Of Proposed Work: including foundations
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 ❑ 2B 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 ❑ 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(sf)
1s` 151
2nd 2nd
3 rd 3rd
4 t 4 t
Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft
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[]
Versionl.7 Commercial Building Permit May 15,2000
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 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book ! Page; and/or Document#'
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
IF YES, describe size, type and location:
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 NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial 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 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Tighe & Bond Engineers
Name Area of Responsibility
53 Southampton Road. Westfield, MA 01085
Address Registration Number
`l13-"d-/boo 4.1-3olg
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
S&R Corporation, Not Applicable ❑
Company Name:
Thomas Guerette
Responsible In Charge of Construction
706 Broadway St. , Lowell, MA 01854
Address
( 978)441 -20
Signature Telephone
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No Q
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR
CONTRACTOR APPLIES FOR BUILDING PERMIT
—T
I, ✓�'"�- "��l''�'�D, �ryTGG� ��9%homer /"(alfo��v I o�.nc«T as Owner of the subject property
hereby authorize G[ to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner /J Date
I' 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: Thomas Guerette CS 061320
License Number
18 Longwood Ave. , Londonderry, NH 03053 3/19/2007
Address Expiration Date
( 603 ) 488-5042
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 0 No 0
.���ir TCsjt�xtru+teTu�tf, r�, f�r•i;«,�a�iwt.,r,`;
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 061320
Birthdate: 03/19/1967
Expires: 03/19/2007 Tr.no: 11076
Restricted: 00
THOMAS J GUERETTE
18 LONGWOD AVE �Yc
LONDONDERRY, NH 03053
Commissioner
i
Tighe&Bond
Consulting Engineers
Environmental Specialists
W-3280-9A-14
May 12, 2006
Ms. Sara Northrup, P.E.
Project Engineer
MassDevelopment
Northampton State Hospital
Northampton, MA
Re: Abatement & Demolition of the Main
Building Complex at the former
Northampton State Hospital
Dear Sara:
Tighe & Bond has inspected Building 10 (Fire House) at the Northampton State Hospital to
confirm completion of the specified abatement work. All asbestos containing materials and
hazardous materials that were identified in the specifications have been removed and abated
from the building. This letter serves as the final clearance of the building scheduled for
demolition. S&R Corporation is cleared to commence demolition of Building 10.
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.
ova
I-eq— Daniel J. Dragon
Environmental Scientist
1:\W\W-3280\OLD MAIN AND BLDGS 3-14\BLDG CLEARANCE LETTERS\BLDG 10 CLEARANCE LETTER FOR DEMO.DOC
Copy: Alan Delaney, Director of Engineering
Tom Guerrette, S&R Corporation
Paul Darling, S&R Corporation
53 Southampton Road• Westfield. MA 01085• Tel. 413-562-1600•Fay. 413-562-5317
Luwtu.tighebond.com
FROM :S&R.CORP. NORTHAMTON FAX NO. :4135841568 Apr. 08 2006 12:22PM P1
16MYG
A NiSourm company
2025 fi095eveltAve
P,O.Box#2025
Springfield,MA avu
)lards 31, 2006
90 CORP
706 BROADWAY 5T
LOWELL NA 81654
Dear S&R CORP,
The addrea® listed balov ham had 'tho gas 09rviCelB)
disconnected and is now randy for demolition.
ADDRESS: i PRINCE 6T
TOWN NORTHATIPTON IJA
STATE ; 17a®eaohu®efts
Sincerely
Terri Miner
Workforce planning
FROM :S&R.CORP. NORTHAMTON FAX NO. :4135841568 Apr. 08 2006 12:23PM P2
— MAR 30 2606 12; 14 RM FR MASS FLFC COST SERA 592 7691 TO 614135641563
Massael�usetts NectriC
A Nave"rind Company
March 30,2006
S and R Corp
706 Broadway St.
Lowell MA.01854
To Whom It May.Concern,
This is to vorify that National Grid has removed the electric service and meter's at 1
Prince St.,Northampton, Massachusetts, for Building Demolition.
'zicerely,
i
Jim Nichois
Supervisor
Distribution Design
3N/okp
PO box$07
wrinampton.MA 03.%1.0507
413.U2,72oa
*+' TOTAL ?AGE. 01 :�
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
~. Boston, MA. 02111
Workers` Compensation Insurance Affidavit
Name bcL7 ed - r e HvSP,ra1
.lob Location.:1. j'/ ?NG 7..
r--
City__ 1V_&1_2L6.�/7-n,v r27/7 Phone (978)441-2000
❑ Iam a homeowner performing all work myself_
a I am a sole proprietor and have no one working in any capacity.
I am an employer providing workers'compensation for my emp oyees working on FS ao
Company Name._ S&R Corporation
Address 706 Broadway Street
City Lowell, MA 01854 Phone# (978)441-2000
Insurance Company L;he_,r-y M,17-VC.1 Policy#VVC /111.7578.39piV
I am a sole proprieto _general contractor or omeowner(circle one)and have hired the
contractors listed-below who have the following workers'compensation policies:
Company Name n/a
address
city Phone#
Insurance Company Policy#
Failure to secure coverage as required under Section 25A of MGLI.52 can lead to the imposition of
criminal penalties of fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties
in the form of a STOP WORK ORDER and a fine of$100.00 per day against me_ I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage
verification.
I do hereby certif y/11Pder the pains and penalties of perjur,v*at the information provided above is
true and correct_ J
Signatureue� Date 6-LI 20,ot
Print Name T� r�as a- , Phone-# (978)441-2000
Official use only do not write in this area to be completed by city or town official
City or Town: Permit/license# Building Dept
Ucensing Ud_
check if immediate response is required selectmen
ttutth 6cpL
Contact person phone 9 Other
Tighe&Bond
Consulting Engineers
Environmental Specialists
W-3280-9A-14
May 12, 2006
Ms. Sara Northrup, P.E.
Project Engineer
MassDevelopment
Northampton State Hospital
Northampton, MA
Re: Abatement 4 Demolition of the Main
Building Complex at the former
Northampton'State Hospital
Dear Sara:
Tighe & Bond has inspected Building 10 (Fire House) at the Northampton State Hospital to
confirm completion of the specified abatement work. All asbestos containing materials and
hazardous materials that were identified in the specifications have been removed and abated
from the building. This letter serves as the final clearance !of the building scheduled for
demolition. S&R Corporation is cleared to commence demolition of Building 10.
If any questions or comments arise please contact the undersignedjat 508-754-2201, ext 123, with
any questions.
Very truly yours,
TIGHE & BOND, INC.
Gt - Daniel J. Dragon
Environmental Scientist
1:1.W\W-3280\01-1)MAIN AND BLDGS 3-WBLDG CLEARANCE LETTERS\BLDG 10 CLEARANCE LETTER FOR DEMO.DOC
Copy: Alan Delaney, Director of Engineering
Tom Guerrette, S&R Corporation
Paul Darling, S&R Corporation
Z
ritilltYr1(rt_rtt 1Tr_rill b1' s>i/lr'Ir_1. A/A oloejl-) c1. 1I,JS )62-16(90• VCLV. -413-5621 ''
uuv.�.tigltcbon�l.rrm
��
C
MASSDEVELOPMENT 4196276907 05109/06 11:64am P. 001
From:
MAssDEVELOPMENT
Northampton
Fax: (413) 587-6307
'hone:(41.3) 587-6314
Date: r-06 Pages: 2
Fax number
TO: Teri Anderson, Northampton Economia Development 413-587-1275
Ned Huntley, Northampton DPW 413-587-1576
Duane Nichols, Deputy Fire Chief 413-587-1034
Captain Michael Wall, Northampton Police Dept 413-587-1137
Tony Patillo, Northampton Building Commissioner 413-587-1272
Paul Darling, S&R Corporation 413-584-1558
Tom Guerette, S&R Corporation 976-441-2002
Dan Dragon, Tighe&Bond 508-795-1087
Todd Brown, Tighe S Bond 413-562-5317
by email: Alan Delaney, MassDevelopment 978-772-8815
David Webster, MassDevelopment 978-772-8830
Beth Murphy, MassDevelopment 413-755-1349
Comments:
Attached please fired project meeting minutes for your file.
It you have any questions please call me at 413-587-6314-
Sara Northrup, PE
Project Engineer -
MassDevelopment
MASSDEVELOPMENT 4185876807 05105106 11:S4am P. 002
MEMORANDUM
TO: FILE
FROM: Sara E.Northrup,Project Engineer
SUBJECT: Nortbampton State:Hospital Demolition,Proi0ot No-: 06-002
Weekly projcct meeting—S&R
Date: May 8, 2006
1.00 pm-- 1 Prince Stroet,Northampton,MA
In Attendance:
Torn Guerette(Prof. Mgr., S&R) Alan Delaney Wng. Mgr-,MassDcv)
Paul Darling(Site Supt-, S&R) Sara Northrup(Proj. Eng.,Massnev)
Todd Brown(Tighe&Bond)
Summary of Discussions:
Project ntcajugs to occur regularly at 1:00 pm on Mondays.Next meeting Monday 5/15
• S&R asbestos abatement on Farm Buildings#10, 11, 12, 14 is substantially complete.
•
Steam trench abaWnent to commence after May 1.6'x.
+ Meeting wittlt Fire Chief tentatively this Friday the l2'n.
• DEP waivcr approval may be received this week.
• Stormwater SWPPP notifications to Fed. State,City getting Massdevclopment signatures.
• Temporary pave at entrance on..Burt's Pit OK,restore after project.
Submittals: none
Action,Items•
S&R:
Continue to submit needed submittals
T&B
Provide letter on completed abatement areas.
Prepare for meeting on May 12th with Fire Chief.
MassDevelopment
Documenting security siege.
Copy_ Alan M.Delaney,Di=tor of Engineering,MassDDevelopment
David Webster,MassDevelopa=t
Beth Murphy,MassDevelopmcnt.
Paul Darling,S&R Corporation
Ned Huntley,Northampton DPW
Dwnc Nichols.Deputy Fire Chief
Captain Michael Wali,Police Dept
Tony PaWlo,l3 iding Commissioner
File
1
MASSDEUELOPMENT 413S876307 05102106 10:S8am P. 001
From: ;.;:: .... MAssDEVELOPMENT
it n
Northampton
Fax: (41.3) 587--&107
Phorte:(413) 587--6314
14AY 1
[date: .28*i5r-tis Pages: 2
Fax number
To: Teri Anderson, Northampton Economic Development 413-587-1275
Ned Huntley, Northampton DPW 413-587-1576
Duane Nichols, Deputy Fire Chief 413-587-1034
Captain Michael Wall, Northampton Police Dept 413-587-1137
Tony Patillo, Northampton Buildirq Commissioner 413-587-1272
Paul Darling, S&R Corporation 413-584-1568
Tom Guerette, S&R Corporation 978.441-2002
Dan Dragon, Tighe& Bond 508-795-1087
Todd Brown,Tighe& Bond 413-562-5317
by email, Alan Delaney, MassDevelopment 978-772-8815
David Webster, MassDevelopment 978-772-8830
Beth Murphy, MassDevelopment 413-755-1349
Comments:
Attached please find project meeting minutes for your file_
r
If you have any questions please call me at 413-587-6314..
Sara Northrup, PE
Project Engineer__
MassDevelopment
MASSDEVELOPMENT 4185876807 05102106 10:68am P. 002
w
MEMORANDUM
TO: FILE
FROM: Sara E.Northrop,Project Engineer
SUBJECT: Northampton State Hospital DM- olition, project No.. 06-002
Weekly project meeting—S&R
Date. May 1,2006
2:00 pm— 1 Prince Streot,NortliangAaatt,MA
In Attendance: r -
Tom GuercUe(S&R) Sara.Northrup (Prof. Eng.,MassDev)
Alan Delaney(Dir Eng,MassDev)
Summary of Diseus%ions:
Project meetings to occur regularly at 1:00 pm on Mondays. Next meeting to be May$111.
• Utility cutoff work continuing.
• Knox boxes should be delivered this week
• Reminder from Bldg Commissioner re: Fire Operational Plan.
• Reminder from City Engineer to file Stormwater permit with DPW.
Asbestos: Farm buildings will commence on May 2,as per notification,
Subwlttals;
T&B to forward approvals to Massdevelopment..
Action Items-
S&R:
To file City DPW stormwater permit prior to any demo.
To send written job notice to DMH.
MV
To file Stoarmwater Plan SWPPP w/EPA,.
To schedule mccting with.Fire Chief prior to Old Main demolition_
MassDeveloprnent
Cly: Alan M.Delaney, Uircctor of Engineering,MasslDevelopment
Pant Darlin&S< Corporation
'1`any Pwillo,Building Commissioner
Ned Huntley,Nortbampton.DPW
Duane Nichols.. Deputy Fire Chief
Captain Michael.Wall.Police Dept
Todd M.:Rrawn,Tighe&BoAd
File
1