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32A-174 34 bridge St
File 8 BP-2019-1183 APPLICANT/CONTACT PERSON SAP Al STMER ADDRESS/PHONE 82 MAPLE AVE GI iATBARFINGTON (U3)528-4935 PROPERTY LOCATION 34 BRIDGE ST MAP 32A PARCEL 174 001 ZONE CB('SOV THIS SECTION FOR OFFICI ISE ONLY: PERM iT APPLICATION-`fECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof C nstmctom ADD INTERIOR HAL CHANGE TOILET SLOP SMK DOOR CHANGES AT ENTRY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included Owner/Statement or License 080077 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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. 014,C-6 C 6 5 Varsioml.7 Commercial Building Permit L42Y 15,21�nhrasdga..hly '3' RECEIVIE-DiCity of Northampton diatus orpegandc 'Building Department Curb Cirt/Dhi Permit 212 Main Street SessirlSeptic Availability APR 19 2019 Room 100 waeerrWeBA h orth�mpton, MA 01060 Two Seb� Structural Plans T! '�T D1,cprpT _58 13-587-1272 Pkfjsits Plans— �T 0=OUR D1N]c FM-58 '-1240 Fax 4 E. Odw S" 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 Property Address This section to be completed by office t I -P -a.44 '7'/ ,�))Q-Io6c s F —ec-7 map Lot I Unit lel 0STH A"Ply Aj Zone Overlay District El.St.District CB Militia SECTION 2-PROPERTY OVINERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: ES C L-Tq 6 XO L.)/Q 47, ,J-A&x-,S0^-/ S7—. Name(Pont) r)1-f rn'C— Current Mailing Address -qo 14�J-0 4—E 11-44 01040 Signatua Telephone 46 X13/ 98?a 2.2 Authorized Anent: Name(Print) Current Mailing Address 6 7-, A-A-e4&XITO JA 4ADId SO Signature 49�� TelephoneLl 9a5- SECTION 3-1E5)`IMATTRUCTI0N COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by penrit aDplicant 1. Building 0 C) o c, (a)Building Permit Fee 2. Electrical 0 00, 0 (0 (b)Estimated Total Cost of 02 Construction from 6) 3, Plumbing 000- 00 Building Permit Fee 4, Mechanical(HVAC) jJ 5. Fire Protection 6J 0, 6. Total=(1 +2-3+4 5) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commasionerlinslecuar of Buildings Date Version1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER RENEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETEDWHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize If E= /7VE QS 6) LC 6LU../70d>�� LLto LL \\ act on my behalf, in all matters relative to work authorized by this building permit application.. Signature of Owner Date I, y �y"� ti ,�� 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. Pnnt Name _.. � 4 _ Sig afore? OwnerlAg Date SECTIO 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor.''cc--nn Not Applicable ❑ Name of License Holder: AR- f♦ V/ r �-- 0O O 0 7 I Ucense Number M/'+ via3o 61 /6 . L9 Address Expiration Date Sig atureTelephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT NI.G.L.c.152,§25C(8)) 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 builkJing permit. Signed Affidavit Attached Yes Or No 0 Version1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON Y.ONING Existing Proposed Required by Zoning This c.I..ro be evm m br Buildivg Depa au Lot Size — Frontage Setbacks Front Side L R:.._.—. L.._. R: . ..._ ... Rear _._.. _..... Building Height Bldg. Square Footage Open Space Footage (Lav arw in.bldg ffi dv #of Parking Spaces -- Fill: ........ ._.. _. Ivolume&Locvvvv7 --- A. Has a Special Permit/Variance/Finding er been issued for/on the site? NO © DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at theRegi ry 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 a 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 (9/ 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 Q� NO O IF YES, describe size, type and location: -�P 4{-(-P, r0 /- .FjLC(7) E. Will the construction activity disturb(clearing,grading,exeav tion, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. The Commonwealth ofMassachusefts Department of Industrial Accidents I Congress Street, 100 Boston,MA 02174-104-20 17 www.mass.gov/dia IFRorkers'Compensation Insurance Affidavit:Builders/Contractors/Electririum[Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly/ Name (Business/OrganizatioMndividuap: GR-E-�n U= i(y]U1C-/�/ � (�OL_y/) 0 �S L_LC— Address:_Q> a NI1-'+19LL AI✓E City/State/Zip: �T. AAiL42—JA-�6TO AJ Phone#: rf/Nj r�-a-,*SS Are you an employer". Cherk the appropriate box: Type of project(required): Il am a employer with rxxPm,ees(full and/or pmt-Nme) 7. ❑New construction 2.�Iamasnle pmpriemr or partarship and Mve no employtts working for mein g_ I�Remodeling any capacity.INo worker'romp msutance requirtd.] I am a homeowner doing all work myself[No workers' 1O Buuildincomp.insurance unwed]' []Demolition ildn b.❑1 am a homeowner and will be hiring wmmet...to conduct all work on my property. 1 will Ig addition eastuallestallomductmandar Mvewolarrs1o.1mandon inset reastresolc ll.[]Electrical repairs or additions Pm nemrs with ro employees l2. Plumbing repairs or additions 5�a general raaws t aria 1 Mire hued the sub-tonnacmr lis[ed an unmatched sneer These sub-contrm'mrs have avployees ad have workers'comp.inswanu. 13.❑Roof repairs fi.[-]we are a mrynmtion and its officers base exemised their right or exemption per MGL a 14.00ther 152,i lift and we base no empIW=s,Mu workers'emalo insumroe required.I 'Any arch-m that checks box to must also fill out We section below showing Wen workers compmsaion policy infomanion. t Homeowners who submit this affidavit indicating they one doing all work and Wen hire outside in.m etors want submit a new affidavit indicating such. :Connacmrs Wan check this box most uttahcd an additional shm showing We more or the sub-conancmr union,whether or not those carinae lav, employees. If the sub—cwt ra have employees.Wev most provide their woolonstromp.policy number. I man employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A'� ///e t5EE � A Policy#or Self-ins.L'ic..#: 7a a 0079/0 -1 F Expiration Date: Job Site Address: \3Y' 4j l C6 (ST City/State/Zip: rU�/ oI /"lA- 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 a 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 venfication. 1 do hereby cerci underr of pains and entities O perjury that the information provided aboveittrue and correct Signature /l�`f��[ ��- 8-1 Date 41 ' Ph #' Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License it Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CREAT-2 00 in-11 acoao CERTIFICATE OF LIABILITY INSURANCE D re'Se"DD""" 03/07/2019 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 do.not confer rights to the certiflca[e holder in lieu of such endorsements. PRODUCER co 413-243-0089 Cr LV Toole-Lee "�i,"x En:413-243-0089 ac.rvo 413-2434221 195 Main Street Lee,MA 01238 'MAIL Kim Baker,CWCA INSUR aAFFORDINGCOVERAGE xplC• INSURER A.Arbella FrotecUon INSURED Creative Building SISISH R B: Solutions,LLC 82 Maple Avenue,2nd Floor INSURER C, GL Farrington,MA 01230 INSURER D' INSURER E: MUSES.F' 7,111pparpq 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 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. INRR TYPE OF INSURANCE IADOLSURR POLICYEFF I POLICYEM POLKY NUMBER I IIMR$ A X ..MERCPL GENERAL LIAINUDY EACH OCOURRENOE Is 1.000,00 cuIMs MAGE CoccuR8500021018 OSIM2018 I�10812612019 I DAMAGESTO( Ep IS 100,000 I MEo Exv A o ne IS 5,000 RERSONALSADMINJOeY Is 11000,000 -G�EIN'LHIGREGATE OMIT APPLIE£PEq I ENERILRGGR GATE Is 20001000 ROU.'1�jEo- _LOG ERODUCT£-COMPg AGG i S 2,000,000 OTHER' $ i COM&NED SINGER MIT 1,000,000 A AUTOMOBILE LIABILIN i n 5 Ff ANYAUTO 1020008D94 11/05/2018 1110512019IBODILV NJURY Pe, ero I£ OWNED 1 sCNEDVLEO AUTQSONLY x AUTOS BryOpDILY INJURY Pe,arrBent £ x HRQO X AB.O4� pe,amOe DAMAGE Is AUT%ONLY UMBRFLIALAS Irl OCCUR EAU1 OCC CE E EXCESS WB CUIMSMACEII AGGREGATE 5 DEC RETENTONS £ Ao.-ERs COMPENSATION X PERT DTW AND EE LOYERY DAN. PROPR1ARTNERIEXECUTNE rix 220079621 10310112019 03101120201 NAcaoENr 5 500,000 OFFlCERmLE"EER EXCLUDED+ l N NIA narr..,In NN1 SEL. EE-FAENNLDVEE 1 500,000 Ryea,x:<,Ir<onaer 500,000 IDE NO°CE RATCIONS1I IMn Me PTONOFOPERATDNSIWCATIONSIVEOUS IACOR0111,AtleXlwal RemaNS EcNeOuk.mg enuttlll molsPa[e M rc .INNf CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GEORGE HADDAD ACCORDANCE WITH THE POLICY PROVISIONS. 1021 SOUTH STREET LLC 50 BLYTHEWOOD DR A"HORSODRmasseNTAi1VE PITTSFIELD,MA 01201 ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Thursday,April 11, 2019 at 9:51:40 AM Eastern Daylight Time Subject: Fwd: 34 Bridge St Date: Wednesday, April 10, 2019 at 3:57:53 PM Eastern Daylight Time From: Kadin Shafiroff To: Linda@cbsberkshires.com, Sarah@cbsberkshires.com Sent from my(Phone Begin forwarded message. From: Steven s:1r n.coiT,y Date:April 10, 2019 at 11'.24:41 AM EDT To: 'Ka�kcts a.11<el':ires.ro TL:"<IC�d]_nita_ iS .h-rlWhii r,rom> Subject:34 Bridge St Hi Kadin it was a pleasure to meet you this morning. Here are the contacts you requested Owner. Eric Suher 413-531-9898 Security& Fire Integrations Brian 413-563-8069 Baystate Sprinkler Jan. 413-433-3314 M.B. Electric Mitch.413-237-3510 CGA Mechanical Charlie. 413-650-0044 LI. Thank You Steven Czupryna Sentfrom my Phone Page 1 of 1