32A-185 (7) 89 BRIDGE ST BP-2017-0790
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 185 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-2017-0790
Project# JS-2017-001312
Est. Cost:
Fee: $350.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
use Group: CHARLIE ARMENT TRUCKING INC 017764
Lot size(sa.ft.): 14810.40 Owner: CAMPAGNARI CONSTRUCTION LLC
Zoning: URC(100)/ Applicant: CHARLIE ARMENT TRUCKING INC
AT: 89 BRIDGE ST
Applicant Address: Phone: Insurance:
47 WAREHOUSE ST (413)739-8431 Workers Compensation
SPRINGFI ELDMA01118 ISSUED ON:12/19/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:DEMO BUILDING, REMOVE DEBRIS AND LEVEL
SITE
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 Si 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 Occu.anc Si•nature:
FeeType: Date Paid: Amount:
Building 12/19/20160:00:00 $350.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0790
APPLICANT/CONTACT PERSON CHARLIE ARMENT TRUCKING INC
ADDRESS/PHONE 47 WAREHOUSE ST SPRINGFIELD (413)739-8431
PROPERTY LOCATION 89 BRIDGE ST
MAP 32A PARCEL 185 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E .OSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 7 / ✓
Fee Paid
Tyneof Construction: DEMO BUILD ,RE I ' DEBRIS AND LEVEL SITE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 017764
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INRMATION 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 Permit DPW Storm Water Management
Demolition Delay
/ /CJ 12( (EI(C..
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.
Version17 Commercial Sidldle• 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 Plot/Site Plans
Other Specify
APPLICATIT.0 CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION it -SITE INFORMATION
1.1 Property Address'. This section to be completed by office
1) Uiy, Map Lot Unit
Zone Overlay District
-- -- -- Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
23 Owner of Record: �y
/ pi /Co6.1 ft- ^��* —
Name(Print, 5e'� l ,110 Lt.( Current Mailing Addres
073)-5,21) p21
Signature Telephone
2.2 Authorized Agent:
Cly de} A wr Lich:L Al / as
Name(Print) Curtenr Malting Address
i '711-&Y3i /ayou ina.
Signature Al1�_ �� Telephone
SECTION 3-ESTIMATED CO 1 TRUCTION COSTS
Hem 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 f 3o o
4. Mechanical(HVAC) _ // ..!!�� rr''.. 5
6
S. Fire Protection Ctkrcd Ue "
13
G total=(1 +2a�3+4+5) Check Number �S� D
This Section For Official Use Only
Building Permit Number Date
issued
Signature:
g ionedlnspectorof
@Wdfn Commissioner/Inspector 6uadngs Oai6
a
•
Versionl.7 Commercial Building Pcrmit May 15.2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs 0 Demolition Repairs❑ Additions ❑ Accessory Building 0
Exterior Alteration 0 Existing Ground Sign 0 New Signs Roofing❑ Change of Use❑ Other 0
Brief Description Enter a brief description''itlhere.
��[[" // y,
Of Proposed Work: DIH�._.�(._htlit l iznwt p(,b-u ( 1. ( 4?
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) 1 CONSTRUCTION TYPE
A Assembly A-1 0 A-2 ❑ A3 EI1A 1 0
A-4 ❑ A-5 0 1B 0
B Business 0 2A ❑
E Educational 0 1 2B ❑
F Factory 0 F-1 ❑ R2 0 2C ❑
H High Hazard 0 3A ❑
I Institutional ❑ I-1 ❑ 1-2 0 1-3 0 3B ❑
M Mercantile 0 .. 4 0
R Residential ❑ R-1 0 R-2 ❑ R-3 0 5A ❑
5 Storage ❑ S-1 0 S-2 0 5B 0
U Utility ❑ Specify:.
M Mixed Use ❑ Specify.;
S Special Use ❑ Specify f
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(at)
1°
3 tl 3F _.
qn
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 0 Private 0 Zone Outside Flood Zone [ Municipal 0 On site disposal system❑
•
Version l.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 I,: R: L. R
Rear
Building Height a r
yp-
Bldg. Square Footage 7a Q09_
Open Space Footage Va _
(Lot area minus bldg&paved
parking) -_..
k of Parking Spaces -=-
(volume&Location) ___._ .. . ..._
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW ® YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW YES 0
IF YES: enter Book Page and/or Document#
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 , Date Issued: ,
C. Do any signs exist on the property? YES NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q
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 Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl_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 0
Name(Registrant)... _... .. _. . . .
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
—
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Numbe
Signature Telephone Expiration Date
_..
Name Area of Responsibility
i
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiation Date
9.3 General/� Contractor
OIA& 17 ^'• try .'t)A ._. . Not Applicable
Company
rName
0 / '..
Respon(si�ble In Charge of Construction p
kiLliaf
ahicc
Addres's AL 44.A._v.) i
dW 47a.
Signature Telephone
Version1.7 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 3
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l — - -- ,as Owner of the subject property
hereby authorize _... _._ to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of
1 l �Vof Owner /��1� ,r Date
Cita 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.
CYI t _.. _..
Print Name
e54V/‘
Signature of Owner/Agent D to
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: `� Not Applicable
t�❑/ //
Name of License Holder: .L.,ik.1/1 A MW,t- x _(c-oi 76
License Number /
Address / Exp roti n Da e
3WY/
Signalu e /
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 V No 0
_..
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office ofinvestigations
—i-, 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information // Please Print Legibly
Name (Buslnessr /Organizatiodlndividual): (1/16,41t,(1/16,41t, p / hQ1r -!
Address: yr') k{-,,.� ham .cd.
"17
City/State/Zip: Phone#: c-�'
Are
,yyou an employer? C eck the appropriate box: Type of project(required):
1. 1U/ f am a employer with / 4. ❑ I am a general contractor and I
/ have hired the sub-contractors 6. [New construction
employees (full and/or parttime)!
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. [(]Memolition
working for me in any capacity. employees and have workers' 9. U Building addition
[No workers' comp.insurance comp. insurance.=
required.] 5. ❑ We are a corporation and its Ian Electrical repairs or additions
3.El am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.] I Roof repairs
insurance required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.5 Other
camp.insurance required.'
*Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information.
`Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
[Contractors that check this box must attached an additional sheet showing the none of the sub-contactors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. '�/—,-A
Insurance Company Name: /
,, ..4r
Policy#or Self-ins. Lic. #- (�Ir1/W y9c/y ,??4//i Expiration Date:/�,// ,0,
Job Site Address: Fr? t? toe _COL City/State/Zip: /t/ /s4.nLv�
Attach a copy of the workers' compensationtipolicy declaration page(showing the policy Dumber���ttta��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$25000 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby car +under a pain and penalties ofperjug that the information provided above is true and correct.
Signature: � Date: ki,/i,/'
Phone#: DYi
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 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 be disposed of in a properly
licensed solid waste disposal facility,it� as defined by MGL c 111 , S 150A.uS
Address of the work: 87 n'r SU,
The debris will be transported by: acpikt, 4is& t -1-r„4F
The debris will be received by: no,heit--Tria,04,,At T kr
Building permit number:
Name of Permit Applicant 01044 / to -Tim„ ti4
44,
Date Signature f Permit Applicant
ARANEA - v-2AL,
Pest Control Corp.
11 Watling Street 413-530-2705
Springfield, MA 01104 MA Lic. # 34077
SERVICE INFORMATION BILLING INFORMATION,_
Dare: - 2..A•��Time Out am pm Time In am pm Contract❑ Renewal E] Service�[J Exp.Date:
Customer Nam ee��ff.... ......��a /• •Name: ‘00.2•1"1‘.0-__'-
Service
Service Atl ss: �({{y�` y Billing Address:
City ` `/Q``'k^` V Zip 'Y Cin: SI. Zip
Home eh: ,�A'1' Home Ph:
Work Ph: Work Ph:
`\e&a-r-vc be..S•N/ \ca_
TYPE OF SERVICE Bet Service Fee CSM Commercial ❑Yard Control ❑ Centipedes ❑/p�wder Post Beetles `S i I
❑Residential ❑Ant Treatment ❑Cockroach Service 'Rodent Control Sales Tax
❑initial Service ❑Bed Bug Inspection 9 Drugstore Beetles ❑Spiders
❑Regular Service 9 Bed Bug Re-Treat El Earwigs Ell Termite Inspection 4 e'
❑Pest Renewal 9 Bed Bug Treatment 9 Flea Treatment El Total Amount ! �
9 Six-Month Follow-up ❑Bee/Wasp/Hornets CI Fruit Flies 9
CCM!
L J
❑Pest Control 9 Boxelder Bugs El Mole Service ❑ Payment Rec
o MATERIALS USED
NAME/EPA M AMT % NAME/EPA# AMT % NAME,EPA It AMT % NAME/EPA# AMT
°I 362-652 EPA 12155-86 GEL ww Ervin EPA o F on vaoouN li�j_ �o vwv�Eo to _ vs VASA
4BBC 83 xErxeIx
BEDLAM
FIREBACK
MAXFORDE SELECT TIM-BOR
6° WW1 I In EPA 19807 161 64445 FIPRONIL EPA
-040+ of ioaeronoeewe 52-a n2i sKBE �i2�/,z �o sR�w+ �TT rumn EPA 24 ncua,tinI.,
DELTA DUST EPA 432-772 °° ZENPROX EC
PAz 1 _ _ 272-4¢04
P.„80,5 D,r , MAX801KCE ANT FIPRONIL „ PYRWIDE FLUSHER PYRE
r vna . i2 '0. INE EPA 1021 1741.72113
77 LAA 633.792
Place a check mark by each target pest: STATIONS rnn4s2,ese _ EPA z7a�szmazns
❑Ants-Carpenter/Fire/House/Pharaoh 9 Carpet Beetles ❑Hyrnets 9 Spiders
❑Bed Bugs 9 Centipedes Ouse Mice ❑Subterranean Termites
❑Bees 9 Drugstore Beetles El Moles ❑Ticks
❑Black Widow Spiders ❑Earwigsorway Rats ❑Wasps
❑BoxeiderBugs 9 Fleas Ef aches-American/Brown Banded/German/Oriental El
❑Brown Recluse Spiders 9 Fruit Flies oot Rats 9
TREATMENT AREAS }, ` a2
•APPLICATION
METHOD TREATMENT AREAS •APPLICATION METHOD
�/
❑Attic /, bA
'ant \ Q AT
El Kitchen/Dining Rm
9 Basement/Crawl Spaces ,.�O \ ❑ Living Room
1,3 \
❑Bathrooms - _ 'C% 9 Offices
9 Bedrooms 9 Wall Voids
9 Closets 9 Yard
NclSterrlor 9 Other
❑Garage/Storage 9 Other
COMMENTS:
-5 v,1c4L soastn-c onn-r-n1 Co 2`i Invoice It
serviced by Da
i C9 ooe cia_cvL• - • 4372
Customer Signature
Columbia Gas
of Massachusetts
A NiSource Company
995 Belmont Street
Brockton,MA 02301
August 2, 2016
To Whom It May Concern:
Our records indicate that the address below does not have gas
service from Columbia Gas of Massachusetts.
87-89 Bridge St
Northampton, MA 01060
Thank you,
Heather Meunier
(508)580-0100 Ext 1342
Integration Center
Columbia Gas of Massachusetts
nationalgrid
40 Sylvan Rd
Waltham MA 02451
August 4,2016
87 Bridge Street
Northampton,MA 01060
RE: Service Removal for Building Demolition
Work Request number- 22403109
Good Day,
This letter is to confirm that,per your request,National Grid has removed the
electrical service and meter number 58457858 from 87 Bridge Street,Northampton,
MA 01060.1£you have any questions or need further assistance,please feel free to
contact me at (508)357-4628.
Sincerely,
Shannon Kain
Order Processing Rep
Customer Order Fulfillment
nation algrid
M,Sylvan Road
Waltham, MA 02451
Office (508-3574514
Email Shanuou.Kaiu@uationalgnd.com
Columbia Gas
of Massachusetts
A NiSource Company
995 Belmont Street
Brockton,MA 02301
Date: October 3, 2016
To Whom It May Concern:
The address listed below has had the gas service(s)
disconnected and is now ready for demolition.
ADDRESS : 9 Pomeroy Ter
TOWN : Northampton
STATE : Massachusetts
Sincerely,
Heather Meunier
Integration Center
Columbia Gas Of Massachusetts
508-580-0100 ext 1342
nationalgrid
40 Sylvan Rd
Waltham MA 02451
August 18, 2016
RE: Service Removal for Building Demolition
Work Request number- 22397655
Dear Matt campagnari,
This letter is to confirm that, per your request, National Grid has removed the electrical
service and meter number 41681225 AT 9 POMEROY TER NORTHAMPTON MA. If
you have any questions or need further assistance, please feel free to contact me at
(508)357-4661.
Sincerely,
A0+ 32(/'
Adam Markopoulos
Customer Order Fulfillment
nationalgrid