Loading...
22B-042 (4) I CORTICELLI ST BP-2019-1095 GIs s: COMMONWEALTH OF MASSACHUSETTS Map.Block:22B-042 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv� ROOF BUILDING PERMIT permit# BP-2019-1095 Proiectf JS-2019-001780 Est.Cost: $19000.00Cost: $19000.00 Fee: $132.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MAJOR HOME IMPROVEMENTS 103054 Lot Size(sa. ft.): 27529.92 Owner: MORELLI PAUL Zoning:s1000) Applicant: MAJOR HOME IMPROVEMENTS AT. 1 CORTICELLI ST ApplicantAddress: Phone: Insurance: 19 HUNTER SLOPE (781) 913-6405 WC WESTFIELDMA01085 ISSUED ON:4/3/2019 0:00:00 TO PERFORM THE FOLLOWING WORK STRI P & SHINGLE ROOF 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 S'¢nature: FeeType: Date Paid: Amount: Building 4/3/2019 0:00:00 $132.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Versionl.7 Commercial Building Permit May 15,2000 Department use,only City of North mpt EC E I V a of I mpt: Building Dep rtm Cut! vermd - 212 Main S reef n AVapabildy Room 1 o APR 3 201 a Awilabilily Northampton, A01 60 Two ,Structural Plan phone 413-587-1240 F x4 - - mrvr or[wroirvc Ir w "�ORTIi4MPinN �A1 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 PropertyAddress 1 jss: / This section to be completed by ogee Map lj Lot Oy.)i— Unit Zone O"rlay District Elm SL District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owl1 n//ero Record:I/ of ...Vll ±.�. ..I�"+I�h!?1/lL=l.iu lL "G'� } I �N'"' "l�. lo�✓e liP,S 1/f Name(Print) � Current mailing Address: Signature Tel 2.2 Authorized Agent Name(Print) Current Mailing Address _ / Cor fi ce llt r Signature ��"�1 " " "� Telephone 401 ' 3l f—3 Q y� SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed be"it applicant 1. Building / (a)Building Permit Fee Oc00 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 6. Fire Protection ._...__.. 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date n Issued Signature: Building Commissioner/Inspector of Buildings Date t Version L7 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 El Repairs[I Additions ❑ Accessory Building Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change oT Use❑ her❑ Brief Description Enter a brief description here. �rv+cOG(� C/ Q J tilc."P l%Z"e,, Of Proposed Work: ,v4,/ O "� ?, � � 0 SECTION 5-USE GROUP AND CONSTRUCTION TYPE i USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly1:1A-1 ❑ A-2 ElA-3131A E3 A4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Facto ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B Ej M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Speciry. ... _.. _... _... __... 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) v 1.1 2 ° __ ._... _..... 2"� _.._ .... 4th 4th Total Area(so Total Proposed New Construction (s0 Total Height(ft) Total Height R 7.Water Supply(M.G.L.c.40,S 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ MuniciQal ❑ On site disposal system❑ r Veniuml.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON TONING Existing Proposed Required by Zoning This cnlumn m be filled in by Building Depmrmem Lot Size -.. .....__... Frontage Setbacks Front - - - Side L R:- L:_ R:—, Rear _....... Building Height Bldg.Square Footage % Open Space Footage % -- (Lm urea minus bld€&Pnved ..__.. __.... mkin rl of Puking Spaces -- Fill .. (volume&Lacmion) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DON'T KNOW O YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES ©, ,. IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O 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 O IF YES, describe size, type and location: E, Wil 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 O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May t5,2000 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): 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor /.'.1.'9\02 (NC1lYKM�/ G�. "GC.. . , Not Applicable ❑ Com any`rd Responsible In harge off�/,onstX an p UAs;�'e K Z �iw ,1 W4 Address yi 3�3�-537� Signature Telephone w f 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 O No O SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, __ ......_ ..._._..,as Owner of the subject property hereby authorize VA,, LI( Q ' ��`� --to act on my behalf, in all matters relative to work authorized by this building permit application. �ignalure of Owner // Date L �Ac�u t,Q__ )�u-�V/pR � 'uc_✓ 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 penalt fpj�'ry Print Name .. _. Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Constructis Su a isor. Not Applicable ❑ Name of License Holder rts {L KK7lI�G�u.LI . /0 30,S License Number elwzo Adder. Expiration Date 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 perbit. Signed Affidavit Attached Yes ® No 14 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: / C-Yr✓t/���oGT, The debris will be transported by: 6(,e,4 The debris will be received by: Building permit number: Name of Permit Applicant 05; 1(Q Date Signature of Permit Applicant a The Commonwealth ofMassaehusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-20177 www.mass.gov/dia VNI orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le ibl ' Name(Hnsiness/otrganl/eati Indivi al): pe/ rQ Address: / City/State/Zip: ^4olo,5 -� Phone#: Are you an employer."Chask the appropriate box: Type of project(required): I_L]1 and a employer with emp ores(full an for pare-time)• 7. ❑New construction 2[P4, a sale proprietor or partnership and lave no employees working for me,in 8. Remodeling y copumry.IN.workers camp.insurance required.] 3❑l am a homeowner domeall workm If. No workers com mane d. 9. ❑DemOnga myself,I p crequve I' 4.❑1 am a homeowner and will be hiring contactors to conduct all work on my property. 1 will 10 El Building addition efivem,thatall contractors Amer have workou'oompenaatiov announce or are sole 11.❑Electrical repairs or additions proprlemrs with no emplOyaes. 12.❑Plumbing repairs or additions 5 r7 1 am a general contractor and 1 have(tired the sub-contractors listed on are attached sheet. These b-contrers rsmmm cmhave employees and have workecop.inser, 14.E]ROOf repairs su fi.❑We arc corporation and its officers have sed car tight of exemption per MGL c, 1 .❑Other 152,k I(4),and we have no employees_[No workers comp,wauance required] •Myapplican[that checks bex#1 most also fill outthewentn belewshowd,mcirworken com,ansoation,dwylinfisproation. '(Ion.aystram who submit this of icavit indicating they are dews all work and men hire outside contractors amt submit a new adidead indim[ing such. :Conauchas that check this box most attached m additional shear showing the name of the sub-canuaomrs and care whether or not mase entities have employees. If the sub-cuoauctera have employees,they most provide their workers comp policy nmabeir. I am an employer that is providing workers'compensudon insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lia#: Expiration Date: Job Site Address: City/Statc/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 MGL c. 152, §25A is a criminal violation punishable by a fine up to$1.500.00 and, one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pens(jltes'Df pury that the information provided above is true and correct Sumatum r/ U Date' Phone# til 3 Official use only. Do not write in the area,to be completed by city or town ofvial. 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#: a Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally.MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely, by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permidlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia G aNh GamronweOl MassxM+HEts , Division of Prahssbnai ai St re i Boartl o/Buidiig RegWtians and aiaards 4 Cons�rir3lSrvisor CS-103054 .5 4pires:08/24/2020 KA YAHUNSUE M % M K 1S WESTFlEID f oR43309''� Commissioner CL •.•.�.... .tea �ov.�on.�a/�fq�dSzswr�r«'Ac<r R HOW Nfdmb IXEttiR a '. fXaa<3"XR2�0 ' i VA%E.: J% DOA NAMP VASUEK j, V 16HiAMTO+S WESTFCEED,MA 010' i" CERTIFICATE OF LIABILITY INSURANCE DA srovz�D 1 B 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 IHSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(m)must be endorsed. H SUBROGATION IS WAI D,wbject to the terms and Conditions of the polity,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemends). PRODUCER NTA JUtllth Mabee BERKSHIRE INSURANCE GROUP INC PxaxE 413 5533090 xo: A°pL ; 'mabee berkshireinauran rou .Com 43 East St INSUREISAFFORDINGCOVERAGE NAR# PITTSFIELD MA 01201 INSURER A: LM INS CORP 33800 INSURED INSURER 8: MILET INC INSURER C: DBA MAJOR HOME IMPROVEMENTS INSURER D: 19 HUNTERS SLOPE INSURER E: WESTFIELD MA..01085 INSURER F: COVERAGES CERTIFICATE NUMBER: 263948 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. NOTLMTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. IU, TYPEOPINBURANCE ADOLINAIR I U POLRYNUMOM DCT EFF QqYW DNS COYNERCPLGEN.UUASILnY EACH OCCURRENCEcAscSETO RENTED f TCLA=-1AADE F7 OCCUR R S MED UP I S _ N/A PEINONKBADV INJURY S DEAL AGGREGATE UMITAPPLBS PER GENERALAGGREWTE S POLICY JECT ELOD PRODUCTS-COMP/OP ADD S R' s AUTOMOBILELUBIl1TV i CMBINEDSINGLELIMM S ANYAUTO I BODILY INJURY(Pw Pawn) IS ALLONMEO SAUTOS BODILY INJURY(Pw awtlem) f AUToa ❑ NONEED NIA HIRED AUTOS H AUTOS fp �'E f S UMBREWWB OCCUR EACH OCCURRENCE f RYCFSSLW CIANS.MADE NIA AGGREGATE E DED RETENTION 8 f WORNERSrANPFNSATON X ER ANYANO PERMOPPRE10PIRARTNEmRR IIY/N ELEACX ACCIDEM 100,000 A OFFSEMEERE%CLVDE% WA WA WA WC531S360160058 O6/09R018 06I09/2019 ManNtoryln NN) E.L.DISEASE-E4 EMPLOYIES1 S 100,000 ayes,R iMr F OPENATIONa NA. (DESCRIPTION OUME.L.DISEASE-POLICY LIMB I$ SDD,ODD NIA CEICRIPPON W OPERATIONS/LOCATONS/VEHICLOS (ACOPD 101,AWXIpW pemvha SCMCuk,mry G#WGeO M iror#speq Y,giu,#Ej Workers'Compensation benefits will be paid to Maaeachuselts employees only.Pursuant to Endolcement WC 20 03 06 B,no authorization ie given to pay Claims for beneltts to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in farce on the data that this certificate was issued(unless the expiration date on the above policy precedes the issue date ofthis certificate ofinsulance). The Status.ofthis Coverage Con be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mase.gov/IwcVworkers-compensatonrnvestigationV CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATJON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Longwootl FL 32750 Denlel M.Cr y,CPCU,Vice President—Residual Market—WCRIBNA ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ACC d CERTIFICATE OF LIASILITY INSURANCE 14131ow THIS CERTWICATE 4 MSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RDHTS UPON THE CEROPIOATCERTIFICATE BOSS NOT AFFIRWIT HELY OR NEGATIVELY RINSING, E%TEND OR ALTER WE COVERAGE AFFORDED BSEIOW. TNM CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT SEIIYEEN THE ISSUING INBUREFNSREPRESENTATIVE OR PROBUCSN,ANO TEsCOMF"TE HOLDER.IMPORTANT: Vtke pr IS ft~4 as ADDITIONAL INSURED,She Poft(Mq must h o;W n— R SUBR06ATION M WAcerNSiate hoN4r In Hou cd aukNORBNEIUI=mnceAgw,cylnc fiS2 RNeNa45ireN West Spr Tow,NAo10Se . dU�tNsns.mm . wCWiP.GE N. A: NONVNIna W ufeftc8(Na 24015 xawm MIR Inc s tl Myer HomeImpnawmema do Vasas NWA.N k C` 19 Hunters Slw NEENEre: WeEEiNC,MA O1o3S APHISIM, COVERAGES.. CERTIFICATE NUMBER: REVISION NUMBER: TF116 ETO CERiVY IIMT IIiE POLICES OF W911RAfB'E Tl61EE1 BELOW FIAWE BEEN IBSIlEO TO THE INSURED NA1aEp ABOVE FOR THE FERIOO INNCATED. 14TMGI$rANONO ANY REQUIN@IEW,,TERN OR CONDITION OF ANY OONTRACT OR OWER DOCUMENT VAIN RESPECT TO H TH18 CERRFIOATE MAY BE ISSUED OR MAY PERMYN.THE NBVRANCE APFORDIX,BY THE POLICES DESCRIBED HEREIN IS SUB TO DLL THf TERNS, iDELUSIOWA 000NWRCRiS OF SUCH PCLMA88.LMIB BNOMM MAY IWVE BEN REDUCED BY PAID CRAMS mEwad IMMca Im; A eobmnNmRSI�Acu1Eavm % WSU1759 OV2Q=iS M=2019Ew,+DDwwErs t 1,000.00) OWNEaIIce LyJ0C0.R a /00-00 mwa $.000 PEaeoNPESArvIRswT ! 1,000,OW C+F]1L400Rm0TEWnaF91P8PER C86Vy TE a 2.)B 000 PDua'❑-P",' ❑LDc PAoulns-oaProFAEo ! 2.0001000 a Mnaweaauram t ANY ADIO Bma.YRUWK(Farp , I "tLOAN® 8°'� ewarvuum P.amNMEI I -urea DurcB NIq®Ayn)g I I usRNUAUMa acau EAbi accuRw&cO I e� C1IY9NaOF M 71! a 4 � Y1M 7l EL EtOi N'.tlfEM I da ElgeM9E-FABMOYEE t � rt�M.Kr:� MTgrN EICOFABE-WLWYHMR t EP�l1VJMeFe191AneWIL0G1MJM11Y81N.1!•yC01M1M,J�NnM AWaErbNtaq MlW W Emmrggb:Mytl:M) THDAT-HOME SERVICES INCANDTHE HOME DEPOTARE INCLUDED ASAODIHONAL INSIIREDSWRH RESPECTTO GENERAILUE frY INS CERTIFICATE MILDER CANCELLATION SHOULD ANY aF THE ABOVEiN%CRM®POUWES BE CANOE 0SRI TM EERIUTWN DATE momm F, NOTRE PALL. BE mmaiD N ACQORaNCE WIINTNEPOLNYPRO'MN1X8. MINOI®IO � �. 0IM-014 ACORD CORPORATION. AS TIE as mend. ACORD 25 U2011i--:'1; TM ACORDn a and logo art regletaed marks of ACORD From. To: rr.:. Louis Hasbrouck Building Commissioner City of Northampton a a X212 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 re uirement for construction control of the project at because the work is of a minor nature,will not affect tructurai elements,health,accessibility,life or fire safety,and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration, Respectfully, Scanned with CamSCanner