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32A-078 (5) 8-22 GRAVES AVE BP-2017-1249 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A-078 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPAIR BUILDING PERMIT Permit# BP-2017-1249 Project# JS-2017-002088 Est. Cost: $17600.00 Fee: $123.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: P&B NEW ENGLAND SERVICES LLC 109528 Lot Size(sq. ft_): Owner: GRAVES AVE CONDOS Zoning:URC(100)/ Applicant: P&B NEW ENGLAND SERVICES LLC AT: 8-22 GRAVES AVE Applicant Address: Phone: Insurance: 47 COATES RD (413) 650-6010 WC LEYDENMA01301 ISSUED ON:5/1/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:remove rotten facia and soffit boards and replace 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: FeeType: Date Paid: Amount: Building 5/1/20170:00:00 $123.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1249 APPLICANT/CONTACT PERSON P&B NEW ENGLAND SERVICES LLC ADDRESS/PHONE 47 COATES RD LEYDEN (413) 650-6010 PROPERTY LOCATION 8-22 GRAVES AVE MAP 32A PARCEL 078 000 ZONE URC(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 'v Fee Paid Typeof Construction: remove rotten facia a d wu t boards and replace New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owned Statement or License 109528 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: pproved 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 a ey• - .y 0. Siy-: re of Building Ifficial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain a0 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. i-- - - Versionl.7 Commercial Building Penult May 15,2000 r- _. .' Department use only City of Northampton Status of Pemrit APR 2$ �t I Building Department curb caperrnnaeway Pen L212 Main Street Serum/Sep&Availabiliy Room 100 Watariwell Availability orthampton, 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 1.1 ProRm1Y Address: A, n This section to be completed by office e-2,2 Gt'1fku6$ PLIC Map .fid A lot etiyUna UO2Thrlon?TATA*, Ma. c4Oe Zone Overlay District Elm SL District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner W Record: Gra hct Ave:Canape, Po eox UR)( c, Nor � p nils Name(Print) • Cu Address: (4 Signature _ ft ofe.Of // Telephone 2.2Aut. abnnaRARI.Wei {}tBox (DNA ra ,t-skQ �`iThy Name(PanFexop- tt C t Mailing Address, T413 CO (o Signature Signature Ili.. A ti a • to• • _ wig Telephone SE •• . -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant a 1. Building N I 0Q O (a)Building Permit Fee /( 2. Electrical (b}EstimatedTotalCost of Construction from from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) A 17,600 Check Number /C 2 This Section For Official Use Only �.+� Building Permit Number Date issued Signature: Building Commissionerrinspedor of Buildings Date Version!.?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 Repaint Additions Accessory Building Exterior Alteration Existing Ground Sign New Signs Roofing Change of Use Other Brief Description Enter a brief description here. 9...e u-s- (cin Fac c4- am( $c-(-+- )(proms Of Proposed Work: 4H.J acct QC SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 0 A-2 ❑ A-3 0 IA I ❑ A-4 0 A-5 0 1 BI ❑ B Business 0 2A ❑ E Educational 0 2B I ❑ F Factory 0 F-1 0 F-2 0 2C 0 H High Hazard 0 3A 0 I Institutional 0 I-1 ❑ 1-2 0 I-3 ❑ 3B 0 M Mercantile 0 4 0 R Residential 0 R-1 0 R-2 0 R-3 0 5A 0 S Storage ❑ S-1 0 S-2 0 5B , 0 U Utility ❑ Specify: 1 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) 1 1a ° 2nd 2 flth th 3 3 4th 4a Total Area(sf) Total Proposed New Construction(sf) Total Height(0) Total Height ft 7.Water Supply(MAL.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 L: R: L: R: Rear Building Height Bldg.Square Footage • 'b Open Space Footage (La area minus bldg&pared Poking) it of Parking Spaces Rll: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW ® YES O IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW © YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES,describe size, type and Location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 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 O NO C� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version).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 CUR 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 Expiation Date Name Area of Respcnsiaity Address Regktrabon Number Signature Telephone EXpiaion Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibfity Address Registration Number Signature Telephone Expiation Date 9.3 General Contractor t� P 6 Ue s- £&C7LA i y SCN,CC$ (LC, Not Applicable 0 Company Name: SkAAC Rotes?, Responsible In Charge of Constriction 41 (114-re5 RPAO leYDEu)r1A , 013°1 Address • A , 0.3 71Z1107 sig �t 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 O No ieL SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR1BUILDING PERMITPE� MM�-�� �- ��"-`-+r(�a., ( 1 - ` �' �1 1i. ) as Owner of The subject property hereby authorize c4--C� N e..17 E , v� tc.,Lp. to act on my behalf,in � ze y this building permit application.all matters relative to work authorize f QC a ipo c �) , I--7 n `1 T 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 OwnertAgent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construd0po Supervisor: Not Applicable �j Name elucense Holder: SSCar*, @ee' 2f Cs"' i09J!ZV License Number 1? (oMTCS ZAP' 1.-eYOU)) MA oi301 l� Add Expiration Date / Y(3 -77 Z Y/�9 -71(21 7919 Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L e.152,§25C(S)) 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 in No 0 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, as defined by MGL c 111, S 150A. • Address of the work: Q Z 2 6 aa-UES {>Cv E The debris will be transported by: Sh4Aie PAR/Let— The R((e The debris will be received by: UAtL - I RuCidig Building permit number: nn J Name of Permit Applicant S4444-- yt7zs/ 7 Date Signature of Permit Applicant The Commonwealth of Massachusetts __ _ Department of Industrial Accidents =tl Office of Investigations tJ a_ I Congress Street,Suite 100 —r ' Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information ( Please Print Legibly Name(Business/Organization/Individual): Q {DQ1-' J1 �-r t),ce) Address: 4 (y4Te S (ZoAO ��11 City/State/zip: LE y94flt) , *A- of 3o1 Phone#: YU 7?z -ytin Are you an employer?Check the appropriate box: I.�.I am a employer with 3 4. ❑ I am a general contractor and 1IYPe of project(required): employees(full and/or part-time).' have hired the sub-contractors 6. 0 New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7.. Remodeling ship and have no employees These sub-contractors have 8, ❑Demolition working far me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 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❑Roof repairs insurance required.]' c. 152,61(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] 'Any applicant that checks box$1 must also fill out the section below showing theirwodcers'compensation policy information. t Homeowners who submit thisafdavit 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 name of the sub-contractors and stale whether or not Nose entities have employees. If the sub-contractors have employees,they must provide their workers'corp policy number. I'a`m an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. Insurance Company Name: 1-‘1\-rit I-CKZ D OWE RLMIc til-S II.JSuR,r0“-r Ccivie//M1 y Policy k or Self-ins. ppLLick: (O SCOUB — fitloSIJ - 3-IJ Expiration Datee:/ 9`%//IS D Job Site Address: ' 22 G24-UES qui , City/State/Zip: itieVEacy1oh i re .aidO 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby ce u the pains and penalties ofperjury that the information provided above is true and correct. Si ature: � -7 -11,--`i V p Date; `f/ ??5---/!?r( (3 Phonek ) -7 � — l0q Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License b Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone Sr AMR!? CERTIFICATE OF LIABILITY INSURANCE METE O 4" ;J'1T TNS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENS, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUOE$ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: R tte mance*holder Is an ADDITIONAL ENSURED.the pdk}@a)need be endorsed. If SUBROGATION IS WANED,subject to the tams and candtlons of the pone%certain policies hey re W se an endorsement. A stalemert on IN s tentacste does not confer Gilts to the cenIfkate hokler In lieu of such edasenengs). mOWCER 22 Matthew Brawn Dale A Prank Insurance Agency, PHONE : FAX POMap 13 66. 24 §§, (417) 665-138D Box 455 Sunderland, HA 01375 infoUJEJ6 anklnsuraace.com INSURERS)AMMO°COVERAGE HAICF DIRRERA:MGT a Dade ,a iters Sr ; ialt• I PORED pWRER e:Hartford Underwriters Ins CO P 6 B New England Services LLC INSURERc: 47 Coates Rd DBIRERv, — _........... Leyden, MA 01301 'MOROIE: .. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE PCLICES OF INSURANCE USTED BELOW HAVE BEEN LRRFD TO THE INSLRED NAME}ASDVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAN,THE INSURANCE AFFORDED SY Tit POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS, y x EYCLUSONS AND CONDITIONS OF SUCH POUCIES.LMTTS SHOWS MAY HAVE BEEN REDUCED BY PAD CLAMS. LTR TYPE OF INSOLENCE SVD POGO WIRER M14aG/f' 1 sY ) �._ LINTS a) tPRFMISAOCUoA.A1,0104,00000A �BTALLOWY M000515924-000 3/13/17 3/13/18 HOC /PANE COMMERCIAL CEIERiltWAIW CIAIMEADEI` NOCCUR WD EMP wY one ocrar) $ 5.000 PERSONALS ADV INSRY $ 1,000,000� GENERAL AGGREGATE II s 2,000,040 SERI AGGREGATE LMT'PPM'.SPE R PROWCts.QIWXV AGO t 2,000.000 POLICY CT MJTOYOBIE L4m1T' '�i COMBINED SINGLE LPAR Ea ) ANY LOWN BODILY INJURY IPA Peron) f KLOV+IFU _SCHEDULED BODILY INJURY(Per roenp $ AUTOS AUTOS NON oXAGE HIRED AUTOS � Sraiang 't e UIeRELLA UAB I OCCUR � EACH OCCURRENCE ERBBWB CLAIMS-MDE ADDISONTE $ ........rt_ DUD RETENTIONS E B ammtam COMPOSJRpN 6S60UB-7E96513-3-17 3/11/11 ani/is WCSTATU I OST ANOF 'R lRw LIABILITY mWR NV v/x EL.EACH ACCIPENr $ 500,000 OFFICERS/EMBER EXCLUDED, N/A phinlaioryin MI ELCISE-FA W IDYEE $ 500,000 ID aIfOrvaAPEPAnoxs mwl+ E.L.DISEASE LAW E 500,000 LE ISCRIP11014 OF OPERATIONS/LOCATIONS/VEHICLES ONO ACORD IM Moors Rene,MF SROM.N more ONO Y nr9Yr!) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PONCES BE CANCELLED BEFORE HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N City Of Northampton ACCORDANCE WITH THE POLCY PROVISIONS. Building Inspector 212 Hain St AUHCIIZED"BIESENTATTV Northampton MA 01060 Karina Linares 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(20/005) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mall: P&B New England Services LLC. 47 Coates Road Leyden. MA. 01301 a (413)772-9109 servinoneweralands maiLcors April 24, 2017 I request that you grant a modification to waive the requirement for control construction for the facia and soffit project at 8-22 Graves Ave. in Northampton because the work is of a minor nature,will not affect heatth,accessibility, life, and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. Thank you for your consideration. "Mass Amendments, sections 107.1 allows for an exclusion from control construction for this project" Respectfully SLT iI Shane Parker P&B New England Services LLC. 47 Coates Road Leyden, MA. 01301