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25C-085 (21) 238 BRIDGE ST BP-2019-0883 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block:25C-085 CITY OF NORTHAMPTON Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit# BP-2019-0883 Project# JS-2019-001470 Est.Cost: $7500.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): Owner: MALZONE WESLEY Zoning: URB(100)/ Applicant: ASSOCIATED BUILDING WRECKERS INC AT. 238 BRIDGE ST Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON:2/14/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMO DEMISING WALL BETWEEN OFFICE AND WAREHOUSE, DEMO OF INTERIOR FINISHED ON FRONT EXTERIOR WALL,DEMO OF PLASTER CEILING 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 2/14/2019 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0883 APPLICANT/CONTACT PERSON ASSOCIATED BUILDING WRECKERS INC ADDRESSIPHONE 352 ALBANY ST SPRINGFIELD (413)732-3179 PROPERTY LOCATION 238 BRIDGE ST MAP 25C PARCEL 085 000 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T eof Construction: DEMO DEMISING WALL B EEN OFFICE AND WAREHOUSE DEMO OF INTERIOR FINISHED ON FRONT EXTERIO ALL,DEMO OF PLASTER CEILING New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 063282 O / �� CC F/ l_. 3 sets of Plans/Plot Plan C THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 / .Zl3 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. Versionl.7 Commercial Buildin 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 ther Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR`OCCU�ANCYbF,bR D�IVIOLI H ANY BUILDING OTHER THAN A ONE OR TWO FAMILY-DWELLING ' SECTION 1 -SITE INFORMATION F 201 1.1 Property Address: This section to be completed by office 238 Bridge Street Map unit Northampton,MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ;Wes Malzon 74 Cottage Street,Easthampton,MA 01027 Name(Print) Current Mailing Address: (413) 270-2970 Signature Telephone 2.2 Authorized Agent: !Associated Building Wreckers, Inc. 352 Albany Street, Springfield,MA Name(Print) Current Mailing Addres - _. _. j(413) 732-3179 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $7,500.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 1,100. 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 0 37 This Section For Official Use Only Building Permit Number Date 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 Demolition/removal of demising wall between office area and warehouse. Demolition/removal of of interior finished on the front exterior wall. Of Proposed Work: 'Demolition/removal of 1,100 S.F.of plaster ceiling. "Work to be performed will have no load bearing impact on structure. 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 ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I 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: J 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(so 1 1 St St 2nd 2nd _._� ..... 3rd _ 3rd ,_ 4th 4th _ Total Area(so Total Proposed New Construction(so 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[Z] 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 DON'T KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW Q YES 0 IF YES: enter Book 1 Pagel 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 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO O IF YES, describe size, type and location: Free standing sign approx. 20'high in parking area oil D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: ;Unknown, outside of our scope of work. 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 Q 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: N/ANot Applicable Name(Registrant): N/A Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): IN/A Name Area of Responsibility N/A Address Registration Number 1 ; -- . Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number 1. s Signature Telephone Expiration Date �N/A Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date iN/A Name Area of Responsibility N/A Address Registration Number i s Signature Telephone Expiration Date 9.3 General Contractor Associated Building Wreckers, Inc. Not Applicable ❑ Company Name: Andrew Mirkin Responsibl In harge ol Construction 352 Al n Street Springfield, MA 01105 Address ;(413)732-3179 Signature Telephone Versionl.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 4 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Wes Malzone I, ; as Owner of the subject property ;Associated Building Wreckers, Inc. hereby authorize,— __ __ _ _.___ _ to act on my behalf, in all matt rsrrela o work authorized by this building permit application. '02/08/2019 Signature Date And Mirkm(Associated Building Wreckers, Inc) 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 a pains and penalties of perjury. Andre firkin Print Name i02/08/2019 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of Licen older:sAndrew Mirkin 1CS-062382 License Number 352 Alba treet, rin field MA 01105 X10/31/2019 _. Y. _g.___... Address Expiration Date i(413) 732-3179 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 4 No Client#:27633 ASSBU 1 DATE(MM/DDIYYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 2/01/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Denise Kelley People's United Ins.Agency MA PHONE 413 735-6564AX One Monarch Place, 10th Floor E MAI�� Ext): A/c,No ADDRESS: PO Box 4950 INSURER(S)AFFORDING COVERAGE NAIC# Springfield,MA 01144 INSURER A:Nautilus Insurance Company INSURED INSURER B:Western World Insurance Company 13196 Associated Building Wreckers,Inc. INSURER C:Great Divide Insurance Company 25224 352 Albany Street INSURER D Springfield,MA 01105 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR_ TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLSUBR POLICY EFF POLICY YIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X GLP2011149 2/01/2019 02/01/2020 pEACCHHOECCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $100,000 X Blanket Al Prior MED EXP(Any one person) $10,000 Written Contract PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY F ECT F LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: BI/PD Ded $10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B UMBRELLA LIAR �OCCURX X GLX1000340 2/0112019 02101/202 EACH OCCURRENCE $5 OOO OOO X EXCESS LIAB X AGGREGATE s5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X WCA154516517 2/01/2019 02/0112020 X I PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Pollution X X CPL2011150 2101/2019 02/01/2020 $5,000,000-Occurance $10,000,000-Aggregate Deductible: $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: Any and all jobs City of Northampton is listed as additional insured under general liability as required by written contract for work performed by insured subject to terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION Celt of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 210 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 0X*dMWA&a ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1047384/M1047192 DMK The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):ASSOCIATED BUILDING WRECKERS, INC. Address:352 ALBANY STREET, SPRINGFIELD, MA 01105 City/State/Zip:SPRINGFIELD, MA 01105 Phone#:(413)732-3179 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 32 employees(full and/or part-time).* 7. E]New Construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.O I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:GREAT DIVIDE INSRANCE COMPANY Policy#or Self-ins.Lic.#:WCA154516517 Expiration Date:02/01/2020 Job Site Address:238 BRIDGE STREET City/State/Zip:NORTHAMPTON, MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-yea ' prison ent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against th vi lator.Atopy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veri ca on. I do hereby c under e p rins andpenalties ofperjury that the information provided above is true and correct. Si nature: Date: 201 Phone#:(413)732-3179 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, as defined by MGL c 111, S 150A. Address of the work: 238 BRIDGE STREET, NORTHAMPTON, MA 01060 The debris will be transported by: ASSOCIATED BUILDING WRECKERS, INC. The debris will be received by: CASELLA WASTE SYSTEMS, 686 MAIN ST.,HOLYOKE, MA Building permit number: Name of Permit Applica t ASS CIATED BUILDING WRECKERS, INC. February 8, 2019 Andrew Mirkin, President Date Signature of Permit Applicant Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpi Commonwealth of Massachusetts • Division of Professional licensure ��G� Board of Building Regulations and Standards ConstrOC&ti ltdpgrvisor CS-062382 Ok-ires: 10/3112019 ANDREW H r!IRKIN 299 TANG W LONGM 4 ` 1 ���>7�ti,'{1is1. Commissioner �/"'� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home improvement Contractor Registration Type: Corporation Registration: 169969 ASSOCIATED BUILDING WRECKER$, Expiration: 08/24/2019 INC. 352 ALBANY ST. SPRINGFIELD, MA 01056 sCo.1 O 20M-06/17 Update Address and return card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiratio date. if found return to: R291drabon Expiration Office o nsumer (fairs and Business Regulation 169969 08/24/2019 10 Par PI -Suit 170 Bosto ,MA 02116 ASSOCIATED BUILDING WRECKERS,INC. ANDREW MIRKIN 352 ALBANY ST. SPRINGFIELD,MA 01056 Undersecretary Not valid without signature From: ���1A�+�1� LTJ►�►��-� l.� "_ S 1►�_. z &W-6 is. v S� tAGFt 0,-�-> ItAL CJI Ie To: Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, 1 request that you grant a modification to waive the requirement for construction control of the project at because the work is of a minor nature,will not affect structural elements, Aealth,accessibility, life or fire safety,and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully, ���J�=+.� ice-• �,�-�