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31B-207 (3) 98 STATE ST BP-2019-1265 GIs a: COMMONWEALTH OF MASSACHUSETTS Map:31ock:31B-207 CITY OF NORTHAMPTON Lot;-001_ PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category;demolition BUILDING PERMIT Per k u BP-2019-1265 Prpiect a JS-2019-002044 Est.Cost:$2500.00 Fee.$65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin BAYSTATE CONTRACTING SERVICES INC 062382 Lot sim(sa.ft.): 5924.16 Owner: 98 STATE STREET LLC Zoning:URC(100U Aanlicant: BAYSTATE CONTRACTING SERVICES INC AT.• 98 STATE ST AaolicantAddress: Phone. Insurance: 352 ALBANY ST (413) 732-3179 WC SPRINGFIELDMA01105 ISSUED ON,511"019 0:00.00 TO PERFORM THE FOLLOWING WORK.-SELECTIVE DEMO ON NON LOAD BEARING WALLS ON 2ND FLOOR- DEMO ONLY 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 Sienatom; FeeTvye: Date Paid: .Amount: Building 5/1520190:00:00 $65.00 212 Mein Street.Phone(413)587-1240,Fa:(413)587.1272 Louis Hasbrouck—Building Commissioner File fl BP-2019.1265 APPLICANT/CONTACT PERSON BAYSTATE CONTRACTING SERVICES INC ADDRESS/PHONE 352 ALBANY ST SPRINGFIELD (413)732-3179 PROPERTY LOCATION 98 STATE ST /nEy1 D 6N�Y MAP 31B PARCEL 207 001 ZONE URC(100 �✓ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Fee Paid -49 Tvveof Construction, SELECTIVE DEMOBEARINGON 2ND FLOOR-DEMO ONLY New Construction Nan Structural interior renovations Addition to Existing: Accessory Structure Building Plans Included: Owner/Statement or License 062382 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION 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 feeds Proof Enclosed _Other Permits Required: _Cub 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 iY _ S-IS-zoj9 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. I— `' LrNMVel Department use only City Of NO em�i,�C�� • ma: Building artment eway Pe"it �r 212 Mein Stre9t Availability '( Room OD ��Y 9 201 vailabillryNorthampton,MA 1080 tnxtual Plans phom413-587-1240 Fax n ,,,�,� a N�-„1AMm,ON.,nn n APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Prooern A4draes: This section to be completed by office 98 State Street Map :kA Lot eZ07 Unit Northampton, MA01060 Zone Overlay District EIm SL DIe41ct CS Dlvolct SECTION 2-PROPERTY OWNERSHIPIAUTHORIIffDD AGENT 2.1 Owner of Record: Andrew Kitto 98 State Street, Northampton, MA 01080 Nears(P,Inq Cum)Malone 319 '/Air/vCJj� �j anvas Means A Telephone spnen w 2.2 Aut a Atrand 352 Albany Street. Spdncifield. MA 01105 Nems Curran Mena Address: 719-I179 aignelere Andrew Mirkin, Presl Talophora SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only consillesed by rmitapplicant 1. Building $2,500.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from B 3. PWmbi g Building Permit Fee " 4. Mechanics!(HVAC) J 5.Fire Protection e, Total= 1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Num r. Issued:Dale 42 Signature 5-15-7019 Building CommiselowAmpaclar at BWMings Dale michael@ baystatecontracting.com EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) L_ r tk,J+e% Orr Z� ,6t, ' Q°"1S�"1f Candracdlht Se•vic<StT.sc. �� (413)13a-3174 •l Mlc�lae�e�S���dYacb�. COwA Section 4. ZONING ALL Information Avat ge Completed. Permit Can se Denied Due To Incomplete Information Meting Proposed Required by Zoning This wlw bhe flilod In by Holum,Depmm,wl -- I.ol Biu '__ -._.. _.�._. _._�.._.."..__._._ Frontage Setbacks Front Side L.= It:=] r —1 RL—J [_1 r� Rear Building Height Bldg.Square Footage � T= % �-- Open« mac`uooaasawd % #of Parkirig Spam PBI: wdme A l.oraliao A. Has a Special Permit/Variance/Finding ever been Issued for/on the site? NO ® DONT KNOW © YES O IF YES,date issued: N/A 7 4 IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW © YES O IF YES: enter Book N/A Pagel/A_ - and/or Docurner A .'—u 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 0 , Date Issued: NIA C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: N/A 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: N/A E. Will the conMrucaan activity disturb(clearing,gruiing,excavation,or filling)over 1 some or Is h part of a common plan that will disturb over Ism? YES © NO In IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S•CONSTRUCTION SERVICES 3.1 Licensed Construction Suoerweor. Not Applicable ❑ M...er a Holdiir: ndrew Mirkin CS-062382 Lksme Number 352 AI a Street , do geld, MA 01105 10/312019 Addmn Fapbslbn Delo 413 732J179 Slensbee Andrew Mirkin,PreSdefft TdsPh" 9.Registered Home lmorovement Coobactor. Not Applicable ❑ Baystate Contracting Services, Inc. 169969 C re Registration Number 352 ba Stree , Springfield, MA 01105 0510720AQ Addre F�iretbn Data Teleph are f 4131732-3179 .Andrew Mirlun,Presiden SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(11.O.L c.152,§25C(S)) Workers Compensation Iruirance affidavit must be completed and submitted with this epplicaeon.Fallure to provide this affidavit vdll result In the denial of the issuance of the building ermit. Sigried AlfidaNt Attached Yes....... q No...... D I i SECTION S.0 OF PROPOSED WORK check all applicable) New Hous, ❑ Addition ❑ Replaeemern Wlndowa ANeration(s) ® Roofing Ej Or Doors ❑ Accessory Bldg. ❑ DenalKlon ® New Signs 101 Docks f❑ Shing iol Other iq Brief Description of Proposed — �0 On Work:Sclecfive demnlitinn nn nnn-Inti Viper no walls nn the 9nd ttnnr fSee Attached Plan Atieration of ezisling bedroom_Yee Y No Adding rrew bedroom_Ve9 x No Attached Narrative Renovating unfinished basement _Yee __A_No Plans Attached Rall -Steel ca.If Now house and or addition to ezistina housino,complete the foilowlna: a Use of building:One Family Two Family Other b. Number of mane In each family unit Number of Bathrooms a Is there a garage attacheda d. Proposed Square footage of rrew constmcllon. Dimensions e. Number of stores? f. Method of Mating? Fireplaces or Woodstoess Number of each g. Energy Conservation Compliance. Massdhedr Energy Compliance form attached? K Type of corwtmction I. Is conatmctlon within 100 R.of wetlands?_Yes _No. Is construction within 100 yr, floodplain_Vet No F Deplh of basement or cellar flow below finished grade k. Will boding conform tothe Building and Zoning regulations? Yw_No. I. Septic Tank_ City Sewer_ Private wei_ City water Supply_ SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Andrew Kitto . as Owner of the subject Property hereby authorim Ba state Contra in ervices Inc. W am on my bah m re to work authorized by this building permit application. iacL� May 7, 2019 signekrt ofDab I, Andrew Kitto as Omer/Authorized Agent hereby declare that the statements and information on the foregoing application are true and acoumbr,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Andrew Kitto Owner Ptlm Narw May 7,2019 sgrwhre dif0ensdApent Dab City of Northampton .•,.: Massachusetts c x WARlOF BLIaSM a 212 Wain atmct • l.dpa3 oulln4P tj `>e voxtLmrptov, W e1060 0 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Applicallon The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contracture and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconsmrction,axeratkm renovation,repair,modernization,converstan, Improvement,6emoval,demolition,or constmctlon elan addition to any Weexlsb'ng owners upied bWlrAng conlaiMng at least one but not mere than four dwelling units....or to structures wlu'ch are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has conhacted Kith a cprporarion or LIC;that an*must be regWered Type of Work:Selechve Demolition Est.Lout:$2.500.00 Address of Work:98 State Street Northampton MA 01060 Date of Permit Application:05/08/2019 I hereby certify that: Registration is not required for the fallowing reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIROWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE BOMB IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property Date a rew Kitto City of Northampton Nneeachusatta -�. ➢EP2 Min 1S OA B&MnlaO lBauilcling 312 Win Btnn.t • , Ki 0 t auildln0 xonN�npton, W 01060 Debris 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. The debris from construction work being performed at: 98 State Street, Northampton, MA 01060 (Please print house number and street name) Is to be disposed of at: K&W Materials and Recycling. West Springfield, MA 01089 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: I I N/A (Com ny Name and Address) i ,I Andrew Mirkin President Signature of PerM, nt or Owner Date If,for any reason,the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. I City of Northampton Massachusetts MOF 010 212 lLln 9te • Mun Building NwUupton, h1 01060 Massachusetts Residential Building Code Section 110.85.1.2 Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to he, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.85,provided that if a homeowner engages a person(s) for hire to do such work,then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. I As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation)and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)you hire to perform work for you under this permit. The Commonweaith ofMassachusens Department of lndustridAccidenes I Congress Shw4 Suite 100 Boston,MA 01114-2017 www.mass.gov/dia 9W, rkers'CompenicatioInsurance en Affidavit:Bu6d /Cont tonfMwtricismuru /Plben. TO BE PILED WITH THE PERMITTING AUTHORITY. Aoalicevt lnformetian Please Print LeeibW Name(Businoso/Or aniuGooh lividuaq; Baystate Contracting Services Inc Address:352 Albany Street City/State/Zip:Springfield MA 01105 Phone#:(413)732-3179 Anyoa wempla rT Cheele Me apeepa.le box: Type of project(required): I.®lamaempleymwim__employem(Nu uWarpen-wart.• 7. ❑New construction 2.❑Iarse wksovkmr ineen0up and bean ins employes wodo, for me vi 8. Remodeling eey upacay Irgoworkae'comp,vaumnce required] l❑icon.ho oonvordoesdlwo,lino it[No ka 'mvm.kunvuv ad.l9. x❑Denwlitiom 4,❑I an a ho,omw"m W anal ba nam 10❑Building addition e wnatGma m mndacl dl wok nn my molw�ty. 1 will ue aatall mnV lonalhm here wodrm'cninpaaetkm iacmnnu mans xok II.❑Electrical repairs or additions p,opHms wan coo ampoywa. 12.[:]Plumbing repairs or additions 5,❑I an a accent cauaedor aN l neva bird ho ebsunvemmx tiered on do atoched sheet 13. hoof n Thou cob mnecbm hese employes anthew wodan'cmnp.imumtt) ❑ �m 6,❑Weans acoryaalion and iuolpcem hrveexonnd Poor deht oN..ptw par MGL c 14.[]Other 152,41(4),ons we have.aumko a INo workae'mm,immmee rn,.woJ •Anyeowe dat box slmmttoxo HIam Poe aadaobelow YwWlne dao wmkmicompeeuueo Wvt inl'emwbn. tfimnmw,iwhnwbmrtthixaaidavu mbij vov ayao divvy unwire and Poen Firi oubideconUazfanmustrabbittmw ea,ann hdvatmb- tconbmmn del cite*This box Ivan[enxbd m ddwuW chat d,oWuy Poe name ofPoe wbwmecmn cod sole wMabammt dma0mlak'ea have employes If Poe wb<nnhumn beveevmloYut dnY ons p,ovMe tbetr wodsm'mmp.palaY samba. I am an employer tharis provlding workers'compensalon insurance for my employees. Below is the panty andJob site iaformadoa. Insurance Company Name:Great Divide Insurance Company Policy#or Self-ins.Lic.M WCA154464116 Expiration Date:02/012020 Job Site Address:98 State Street City/StdclZip:Northampton,MA 01060 Attach a copy of the workers'compensation policy deduation page(showing the policy number and expiration date). Failure to secure coverage as required under MOL e. 152,¢25A is a criminal violation punishable by a fine up to$000.00 and/or one-year' risonmenk 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 of or.A c y of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verific 'o . Ido herebyter y deHhe pins ndpenalties ofperfury that the information provided above is true and carnet m ZO Phone#: l 37'3) -79 Official use only, Do not write In thh area,to be completed by city or town official. City or Town: _ Permit/License lt _ IssWng Authority(circle one): I.Board of Health 2.Building Department 3.Chylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Corpombon BAYSTATE CONTRACTING SERVICES,INC. Ragatra150830 352 ALBANY ST. E�ifatipm on: 05/07;2020 SPRINGFIELD.MA 01105 UpM@ AdErM and Return CWd. sc.� 0 lwmtr H OnConWmOMainARueuletlpn OME MPRDVEYEYT DDIrtRACTIMYRqOR bq .l s Imfor m..Waal ufe ony TY,E:Caov 9 pNtre the aeplMlon dtls. R fautW rotum to: tiwl11t11toa 05/1)7 pD OMuof Conwnw A-S rW BURltleee Re8u4tbn 150W0 OSICES,IN Ota�rton Ea-SURe 13m BAYSTATE CONTRACTMG SERVICES,INC. Ba A021 ANDREW MAKIN \10 352 ALBANY ST, I "��l SPRINGFIELD,MA 01105 Undwmcnrmy Not valid without signature conslruchon Supervisor Umestncted-Buildings of any use group winch corsam less Ihan 36.000 cubic feet(991 cubic meters)of encbsetl space. Failure to possess a consist edd,.n of the MaesachueeHs Stale BwMug Ootle a reuse for rcvaabon of this hcom e. Fur information shout this license Dell(617)7274100 or osH www.mass.govltlpl Convnonseallh of Ma isacnuselU • v Dwis,on of Professional Lcensure Board of Building Regulations and Standards Construction Supervisor CS-062392 ERpu1es 1(11017�1j4019 ANDREW H MW 299 TA LEiwl DNVE LONGMERDOW MA MA 011 IN Commissioner i/4 ONLY �po2o�o $$-IS-Z0�4 /� /c-� - R¢movt walls S���ouod�ng Q.Se4 l��rcom 0.eMw¢ cb5�+�..,oUS en,ove woll beIween �o si.,dS 98 State Street Northampton, MA Floorplan —2nd Floor Proposed non-load bearing walls to be removed