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17C-240 (2) III NORTH MAIN ST BP-2017-0130 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: I7C-240 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit# BP-2017-0130 Project JS-2016-002638 Est. Cost: Fee:$75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JIM MAILLOUX 081694 Lot Size(so.ft.): 9016.92 Owner: DYLAN,CURTIS&JAMES LLC Zoning: URB(100)/ Applicant: JIM MAILLOUX AT: 111 NORTH MAIN ST Applicant Address: Phone: Insurance: 55 MAIN ST - 2ND FLR (413) 563-4654 O FLORENCEMA01062 ISSUED ON:8/31/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO FIRE DAMAGED HOUSE 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: FeeTvpe: Date Paid: Amount: Building $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File BP-2017-0130 (NS 't " "� �6 APPLICANT/CONTACT PERSON JIM MAILLOUX (0 LAO 3 tC`- - ADDRESS/PHONE 55 MAIN ST-2ND FLR FLORENCE01062(413)563-4654 0 a}i -o fA - PROPERTY LOCATION III NORTH MAIN ST "6� yyy��� � MAP 17C PARCEL 240 001 ZONE URB(100)/ 3.6L �(2p THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ,{ y Fee Paid /Of1,7C Building Permit Filled out Fee Paid Typeof Construction: DEMO FIRE DAMAGED HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 081694 3 sets of Plans/Plot Plan THE F a LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFateATION P/ESENTED: a Approved J 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 Permit DPW Storm Water Management V Demolition Delay //—..2 8/4116 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. RECL E1VED Department use only of Northampton Cub sufDrr JUL2 9 2016 Building Department Curt Cut/Driveway Permit 212 Main Street Sewer/Septic Availability D�M1Room 100 WaterAiVell Availability NORIWAIMPUM01010 lorthampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION / ,/)'� This section to be completed by office 1.1 Property Address: ,// wo / /{) / ' h)n si Map Lot Unit Zone Overlay District Elm St.District Ca District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: TT �yL.oV1 Cert�S -4 ....771 Pi ES GLC .moi C :rA/,✓ S�. , Arn(( ✓/JEL Name(Print) Current Mailing Address /57 fel 474‘;� Telephone Signature 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 /9071 t7 This Section For Official Use Only Date Building Permit Number Issued' Signature: Building Commissioner/Inspector of Buildings Date a w Section 4. ZONING A4 Information Must Be Completed. Permit Can Be Denied Due To Incomplete In ormation Existing Proposed Required by Zorbng This column tu be Id ed in Ipap: - 4 Bolding Depanmen Lot Size ._._ . . Frontage Setbacks Front Side L Rear Building Height Bldg. Square Footage % Open Space Footage % _(Lot area arga minus bldg&paved parking) #of Parking Spaces - - (volume&Locehon) A. Has a Special Permit/Variance/Findingever been issued for/on the site? NO Q DONT KNOW g YES Q IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES Q IF YES: enter Book Page and/or Document N. B. Does the site contain a brook, body of water or wetlands? NO ( DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q 7 Date./ Issued: C. Do any signs exist on the property? YES Q NO f X) IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES (3 NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, x avatlon or fining)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES QNO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor:errAri -�f Not Applicable £ Name of License Holder: \{I G] piAl -ix C.-5 -O ' 1694 License Number 11 si,A-rhaw1tr \4j&4 t AA Dk 7 /opt/ Adtlress /1 0. V „I Expiration to 1�I//// y/3 Sl3 �145�1 Signature Telephone 9.Registered Home Improvement Contractor Not Applicable £ Company Name Registration Number Address Expiration Date Telephone SECTION 10-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 £ No...... £ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings ofonc(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to 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.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also he advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility 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 SECTION S-DESCRIPTION!OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n �-y Or Doors ❑ Accessory Bldg. ❑ Demolition IYJ New Signs [❑] Decks [❑ Siding[C]l Other[❑[ Brief Description of Proposed --}� I Work. 'Jfi(NO U!C Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Ba. If New house and or addition to existing housing, complete the following: 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? E Method of heating? Fireplaces or Woodstaves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 fl. 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject properly hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 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/ r- /moil �d r�Y Print Name �s�rb Slgnalu of w /Agent Date N / 1 The Commonwealth of Massachizacus P:91—t d)e,,pczrPrraent mj'Irsdnstrzaf Accidents a !ieriri6Office of Investigations I , ti, 600 Washington Street r¶ -_,L.,,,,,,,,/,:; Boston, MA 02111 www.ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1`�, Please Print Legibly Name (Business/Organization/Individual): ,�-4A tt+`S ( i ¢t 1 ]aU ` Address: -,( 76y �ui(ti0.v ,, /' City/State/Zip: WC5/6“-11(1 i /t14 O 109-1 Phone #: 4415 5,3 454 Are you an employer? Check the appropriate b Type of project(required): I.❑ I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.E I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ R/eA odeling ship and have no employees These sub-contractors have g. Iy}'Demolition working for me in any capacity. employees and have workers' 9Buildingaddition [No workers' comp. insurance comp. insurance.: ❑ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 insurance required.] t c. 152, §1(4), and we have no ❑ Roof repairs employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D •r■fir insurance coverage verification. Ir{a hereby erti \ d::'J h.pains and penalties of perjury that the information providedaboveis true and correct V//S/tCnahIre: r4 Date: I ] 1 ii Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: City of Northampton - .,i Massachusetts k� F DEYr]RTP1EPTl OF BUILDING INSPECTIONS o vst- � @ Y 212 Main Street o MuMA 010 Bui'ding Northampton, MA 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footinqs (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) , I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall bedi§pos.ed of in a properly licensed solid waste disposal facility, ass defined by MGL c'111 , S 150A. Address of the work: //l Noy /� /14/4/) rn4(r The debris will be transported by: D {`/, The debris will be received by: Vict&Ey Rc< ycl „y Building permit number: Name of Permit Applicant Tby(�it/ Cart„ -1-‘71‘4., S /LC �JZl//6atura) Date e of Permit Applicant 73 William Franks Drive West Springfield, MA, 01089 Telephone 413.781.0070 3734 ENVIRONMENTAL • GEOTECHNICAL Fax4ervice .com LUIIOING SCIENCES • MATERIALS IESIINL wvw+.atcgmupservices.com July 29, 2016 Western Mass Environmental Attn: Ray Marciniak 93 Wayside Ave. West Springfield, MA 01089 • RE: Asbestos Final Air Clearance 111 North Main Street, Florence, MA Cardno ATC Project No. 183WME1618 Dear Mr. Marciniak, Asbestos abatement Clearance Monitoring Procedures as described in the State of Massachusetts Department of Environmental Protection (Mass DEP) Regulations 301 CMR 7.15 (8) and the State of Massachusetts Department of Labor Standards (DLS) Regulations 453 CMR 6.14 (5) were performed in the abatement area(s) referenced above. Cardno ATC's Massachusetts licensed asbestos project monitor, Marc Soutra; AM0002286, performed the final clearance visual inspection, air sampling and analysis on July 22, 2016. Final air clearance sampling was performed after successful completion of the visual inspection performed by the asbestos abatement supervisor and project monitor. Analysis of air samples was performed on-site using Phase Contrast Microscopy (PCM), NIOSH 7400 Method. Analysis of all air samples indicated levels equal to or below 0.010 Fibers per cubic centimeter (f/cc), the minimum level required by the US Environmental Protection Agency and State of Massachusetts DLS following an Asbestos Response Action. Enclosed please find the PCM air sample analysis report, the Certificate of Visual Inspection and the Site Log. If you have any questions, please call our West Springfield, Massachusetts office at (413) 781-0070. Sincerely, Cardno ATTTC L Sc,e4 `v Edward Kolodziej Brian Williams Senior Project Manager Branch Manager Enclosures IATC nMum FranAt Cr ObSttltdrd014.CCM/4.1[M W 45p<nT'cu.iM%799 t tuki=RCM-WT[A4LS'NSW iil SBi W]0 FaA413 791-0739 ASBESTOS M AR SAMPLE ANALYSIS REPoflT _'�'i 'C CYeNTNAME 1vmMrMMaT :, .x � JOB SITE .RWVYnGLSeRn[y t'CE C0000 —ill Noah Main SI Fispn SAMPLED DATE OF ANALYSIS:22.M.15 lace. Po — Sam Ut '—� '.eM 9hnk Volume Fiber/Seta 0i Frtg FIres 6bbelarm` atW Flbayce (2 `----- i Fk ,n Aw �6 ! 1 Puw A4Carzm aiw 02 L i<. nAieav ri AV GNonte t=Wb 4rcv6mxl AtoneT.oia'uirs Wtl[ <LW 6eNntl neer Oman Ran 7 d MO aliW 5312 6 srro <Loo sloa LOO IIIIIaas .........._,n .. _ _ __:____ ___ yam_. . .„. ___ _ ___ am. ____....s.a. jatigna. IMINIIMMI 1.11111.11111111111 11.111.11.11.11111a111111 N/WIffin. --- a,n .._ ameas ______sain a,,.... __ OROLIP SERVICES LLC PCM AIR SAMPLING CHAIN-OF-CUSTODY 'roject Name: / / I I✓, l'Np in'.Sjf /inr.-Ea $44 Collection Date: 7 — 2-L - /6 'roject#: if yn'ivlr //i/t - - Cf� r — Date of Analysis: 7 Li -L Z - /6, /I/44 l 'lient: Project Monitor: /�4YC S -/v4 ,ocation:j 1 I A 014-•-•- `4udm-...v tbi.L , 60 ��JJ �a'"1 York Area: Os' / 4 90s. ' F 29/ pan- Project Manager: /7Y10. /aw .- 14). (�I t • Analyst Signature: )•VI c V7 totometer#: Location Sample I Actual Adjusted Analyst Total Volume Result Sam le or Type Time Flow Rate Count Count ID p Worker Name/SSN/Task/PPE (1-10) Start End Start_ End Time Q,) LOD (f/cc) (f/cc) (Vcc) LnIt:als > 22 _ A. Field Blank Field Blank • ' )72zi - nr., an„) 7 '1/" /G 50 /5 'S,5 �5 13u(,, S^ fro Z 41 /0"8 — </[1,/) b Scf f is )7z2-f6-Z 7 ° 2D, (0 . /f /, rc ( ?eV, a- 1CM2 IfrI'•, o — .1-.(4 0s51- ll)7zZ16- !/ 7 07/0 Ji ) /1 Y5 L30s , s'Y u — /La) /its - ` Reference Slide DuplicateSlide ample Type: 1)Area Background 3)During Prep Work 5)During Final Clean 7)Final Air Clearance 9)Associated Work 2)Pre-Abatement 4) During Removal 6)During Glovebag Removal 8)Personal Air Sample 10) Hazard Assessment relinquished By: . Date: - Received By: ___ Date: ikTcDAILY S]TE LOG Page 7 of MI U141111=DUO-Wsltatt147111k Project f ( I ft/, FY1 Lc+.s St -J/eV.w.v /tlN Deo. ^2. 2 -,,((,/ Project# 11.3 U:.tAf (j, (f Project Monitor 1"moi 4vC e �rs Client - Project Managor: GVeri Tivne //. OBSflVATIONSIAC LIONS I _ .y,d 1 dpi deed ee e a,t _ . vf=....o i . lets 1st ,_. G- ..t-t• 'K J s 41:1 1k Orr ,.3aw..acr.t_.._ n' Ills ys UrC • • • ENNINONNEXTAL• EEOTECNNICAL 801491X9 SCIEXCES• MAIERIAt1TESTINN CERTIFICATION OF VISUAL INSPECTION Client: • Projett Number: / 3i(/MF/G /1 g _ General Location: I' A. f..arn 5.-1 9/,tIi...1. t}`la/, Abatement Contractor: (A/./146 D Method of Abatement: , ,,,. ,., .. /LCnwry LType,and Quantity of Material Abated: .7/..;-,rt ti ka,: r J i C?.4 orkfl ) nnc fFz�ae.. Suspect Material Remaining in Work Area: 11-11. Specific Area Inspected: 'Y -a.�, - . . .. -A. ., . ,... sn. --012.01.11 x Lata CERTIFICATION OF VISUAL INSPECTION . F In accordance with Specification for this project and any applicable regulations the Contractor hereby certifies that he has visually inspected the work area (all surfaces including pipes,beams, ledges,walls, ceiling and floor, decontamination unit, sheet plastic, etc.) and has found no visible dust, debit or residue. • �. By:(signature) x f�,[�� Date: Print Name: /IcZ/," l )9(.J is • Print Title: �I / % A7 j Accreditation Number: /52-5{) /3gn1� • State: /432372, OWNER'S REPRESENTATIVE CERTIFICATION The Owner's Representative hereby certifies that he has accompanied to Contractor on his visual Inspection and verifies that this inspection has n through and to the best of his knowledge and believes the Contractor certification rtippaboveis a true and honest one. • By:(signature) �- _ Late: 7.- Z 2 / 6 'Print Name:. Print Title: Y{• r;a t Yvrn.t-{rry C' Accreditation Number: 4 \r 6/11'0) State: (L4 4 . ATC-73 William Franks Dr.-West Springfield,MA 01089 Phone +14137810070 Fax+3413 781 3734 6/42016 City of Northampton Mail- 111 North Main St Cilty of Louis Hasbrouck <Ihasbrouck@northamptonma.gov> Northampton 111 North Main St 1 message Louis Hasbrouck <Ihasbrouck@northamptonma.gov> Thu, Aug 4, 2016 at 11:14 AM To: Sarah LaValley <slavalley@northamptonma.gov> Cc: Jim Mailloux <maillouxelectric@gmail.com> Sarah, We received a demo permit for 111 North Main St in Florence. here's a copy. The house has significant structural fire damage, and it has had several recent additions. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax 111 N main demo 2016-08-04.pdf 78K htt s://nail google.can/mail/=atWO/?ii=2&ik=ec5f198/85view=pt8search=sent&N=156561f0f24dcald85im1=156561f024dcald 1/1 NYSYRFAY01 8/22/2016 8:48: 41 AM PAGE 2/002 Fax Server nationalgrid 40 Sylvan Rd Waltham MA 02451 August 22, 2016 RE: Service Removal for Building Demolition Work Request number- 22404311 Dear James, This letter is to confirm that,per your request,National Grid has removed the electrical service from 111 N. Main St,Florence, MA. If you have any questions or need further assistance,please feel free to contact me at(508)357-4628. Sincerely, P. Amy St. Onge Customer Initiation nationalgrid a,""m>>, CITY OF NORTHAMPTON, MASSACHUSETTS #f - DEPARTMENT OF PUBLIC WORKS _ 125 LOCUST STREET 3 : ,e 6 NORTHAMPTON, MA 01060 yea 441 413-587-1570 FAX 413-587-1576 Donna Lascaleia Director August 4, 2016 Louis Hasbrouck, Building Inspector Municipal Office Annex 212 Main Street Northampton, Ma 01060 Dear Mr. Hasbrouck: The water service at#111 North Main Street has been disconnected from the city water supply and the water meter has been removed from the premises as of August 4,2016. Please contact me if you have any questions. Sincerely, Andrew Dunn Superintendent of Water Cc: Donna Lascaleia, Director of Public Works David Veleta, City Engineer Columbia Comas of Massachusetts A NiSource Company 995 Belmont Street Brockton, MA 02301 Date: August 31, 2016 To Whom It May Concern: The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : 111 N Main St TOWN : Florence STATE : Massachusetts Sincerely, Heather Meunier Integration Center Columbia Gas of Massachusetts 508-580-0100 x 1342 DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: 111 North Main Street, Leeds Map 17C Parcel 240 Year Built 1900 Address: 111 North Main Street, Leeds Received in Building Department: August 4, 2016 Referred from Building Department: August 4, 2016 Action Taken/ Northampton Historical Commission Action Taken By: _ Entire Commission _X_ Sub-Committee of the Commission Commission Designee/ Staff Date Action Taken: August 22, 2016 Initial Determination NA Public Meeting held NA Public Hearing Held Determination Made: _X Property has been determined not to be Significant according to Ordinance definition. No further action will be taken. Demolition Permit may be issued. Property has been determined to be Significant according to the Ordinance definition and a Public Hearing has been/will be scheduled. Demolition Permit may not be issued at this time. Public Hearing has been held, Property was determined Significant but not Preferably Preserved. No further action will be taken/ Demolition Permit may be issued. Photo documentation may be required. Public Hearing has been held. Property has been deemed to be Preferably Preserved. The demolition review period has been initiated. No demolition permit may be issued until the Historic Commission approves an alternative plan or the twelve month period concludes. Alternate plan has been approved/ delay terminated. Demolition may or may not be approved as part of plan. Twelve month time period has expired, demolition permit may be issued. Referred by: Sarah LaValley Date August 31, 2016