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32C-019 (3)
7 PLEASANT ST BP-2021-1034 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:32C-019 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: WATER DAMAGE BUILDING PERMIT Permit# BP-2021-1034 Proiect# JS-2021-001135 Est.Cost: $86651.00 Fee:$609.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RENAISSANCE BUILDERS 013302 Lot Size(sq.ft.): 522.72 Owner: HEROLD JORDI Zoning: CB(100)/' Applicant: RENAISSANCE BUILDERS AT: 7 PLEASANT ST Applicant Address: Phone: Insurance: P 0 Box 272 (413) 863-8316 Workers Compensation TURNERS FALLSMA01376 ISSUED ON:3/23/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR FRAMING & FINISHES ON EXTERIOR AND INTERIOR THAT WERE DAMAMGED DUE TO FIRE 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. I i7-14 • • , • Certificate of Occupancy Signa re: FeeType: Date Paid: Amount: Building 3/23/2021 0:00:00 $609.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 7 f /49, � The Commonwealth of Massaclusp is , Ps:V / Office of Public Safety and Inspec 'ins 9„ Massachusetts State Building Code(780•1 <7 2 Building Permit Application for any Building other than a Ori¢o�R t•. wo-Fam Dw lin (This Section For Official Use Only) �' Building Permit Numberb1 0;1-/O ' Date Applied: Building Official: SECTION 1:LOCATION ��s 'tis / —N \ltc st vy r SA-., N1o,r-kki.a,0►-,, rev} o I13(e) No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2 PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building Repair tii9 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other $ Specify: V'L YJa.w.CSVv�l20 ( Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No ❑ Is an Independent Structural Engineering Peer Revi required? Yes 0 No ❑ Brief Description of Proposed Work: R4,( k1 ‘6,‘3 Qwd -t1v,iSht5 On a•c{-e -, 7n "P. \& - (OM t -2- rg'Les In iA o� bai IGr ,roam , 50.r.A cs rcgsr4., and k'..r c -nod' ‘t ,r14 r+,. • ki kr.6.4v, 10,50,LAct-1/4-ln�.n .n d o ,vuou c� toLl Irk.rt. 'G\\ Sua,,t a\- J 4.itvr1f- &c c-rAL d . V SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOIN RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY G C Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): 1.k W -$( lef NkNANO.X1.1 i4t S idl.VAW Proposed Use Group(s): KM C#RNGE. SECTION 4:BUILDING HEIGHT AND AREA pp Ci'EI I"[ GIC isting Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business w E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3 0 I-4 0 M: Mercantile❑ R: Residential R-10 R-2 0 R-3 0 R-4■ S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB ❑ IV 0 VA 0 VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) N/,G} Water Supply: Flood Zone Information Sewage Disposal: Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner .e.. Q c-o-e.e-- Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here#. . Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Ve,✓1aiS &arse- P3ks-cld l-S Company Name G ft.R.AAAA0A6 CS-0(3.30i UN"te46c,- r, Name of Person Responsible for Construction License No. and Type if Applicable M 0 tlo I 9—'5a8 Gi. \4\ 1llet 013511 Street Address City/Town State Zip I/11-U as r c$2 LiI3 `t 12- 1 1436 ccrktekUe\ @, nl�u i kd. n e,k- Telephone No.(business) Telephone No. (cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes In No CI SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ UU i(9s k .7:sb Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate m icipa ctor)=$ . 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee= (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ lfl I(pG i . ?j.?) (contact municipality)and write check number here qtra SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereb attest under the pains and penalties of perji that all of the information contained in this ',application is true and accurate t t best of my knowled•e and understan• g t. • - ctir 114fM 413 -8(93- Os!1p f i(11Z( Please print and sign name Title Telephone No. Date &' O kcu h toad a.-i( t 4fr 0 l 3 5 s4c9ktigg.re✓obuM.hck- Street Address City/Town State Zip tmail Address 4 Municipal Inspector to fill out this section upon application approval: ,I�T v �' 1 i Name Date RENAISSANCE BUILDERS PO BOX 272,TURNERS FALLS, MA 01376,413.863.8316 INFO@RENBUILD.NET, WWW.RENBUILD.NET March 9, 2021 Dunaway Trust Jordi Herold 7 Pleasant Street Northampton, MA 01060 WORK LIST for Fire Damage Repairs at Above Address. 1000 GENERAL CONDITIONS 1530 Temporary Protection A. Protect completed work in progress to ensure protection from damage or deterioration until substantial completion of project. 1520 Temporary Heat and Emergency Response A. Provide two electric heaters to heat second and third floors to prevent frozen pipes. B. Provide electrical services to make safe all wiring on second floor and connect temporary heat. C. Provide HVAC and plumbing support day of the fire to drain upper floors of water and restore furnace for first floor tenant to working order. 1730 Cleanup & Trash Disposal A. Clean up all debris and leave the job site broom clean at completion of all work. B. Legally dispose of all debris. C. Clean interior of work area prior to completion of job. Includes: wash interior of all windows; vacuum and/or damp mop all floors; wipe down all cabinet interiors, countertops, shelving, woodwork, and bath fixtures. 1950 Owner Responsibilities A. Any charges by utility companies. B. Cost of electricity and water during construction. C. Cost of parking. EXTERIOR WORK A. Sister two existing floor joists on alley ceiling. B. Install headers and trimmers to repair joists which have been cut by previous plumbing work. C. Install blown in cellulose insulation full depth of joist bays. 7 Pleasant Street Fire Proposal Page 2 D. Install 1" x 6" T&G #2 V groove pine paneling on ceiling and coat with two coats of exterior stain. E. Provide all staging and lifts needed. SECOND FLOOR LAUNDRY ROOM A. Frame new wall to separate space from boiler room and half bath using 2" x 4", 16" o.c. B. Install new 3/4" plywood subflooring. C. Insulate all walls and ceilings full depth of stud or joists bay with fiberglass insulation. D. Construct box style stairs to access fire escape door. E. All walls and ceiling to have 5/8" drywall finished with 3 coats of joint compound and ready for paint. F. Install fire rated door from office to laundry area. G. Install vinyl flooring over '/4" ultra-ply underlayment. H. Install door casing on all doors. I. Walls, ceilings, doors, and trim to receive three coats of paint. OFFICE #3 A. Install carpet and pad. B. Walls, ceilings, doors, and trim to receive two coats of paint. OFFICE #4 A. Install carpet and pad. B. Prepare drywall and repair and leave ready for paint. C. Walls, ceilings, doors, and trim to receive two coats of paint. HALF BATH A. Frame new wall to separate space from boiler room and half bath using 2" x 4", 16" o.c. B. Install new 3/4" plywood subflooring. C. Insulate all walls and ceilings full depth of stud or joists bay with fiberglass insulation. D. All walls and ceiling to have 5/8" drywall finished with 3 coats of joint compound and ready for paint. E. Install fire rated door. F. Install vinyl flooring over '/4" ultra-ply underlayment. G. Install door casing on all doors. H. Walls, ceilings, doors, and trim to receive three coats of paint. BOILER ROOM A. Frame new wall to separate space from boiler room and half bath using 2" x 4", 16" o.c. B. Install new 3/4" plywood subflooring. C. Insulate all walls and ceilings full depth of stud or joists bay with fiberglass insulation. Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#199409 3/15/2021 7 Pleasant Street Fire Proposal Page 3 D. All walls and ceiling to have 5/8" drywall finished with 3 coats of joint compound and ready for paint. E. Install fire rated door. F. Install vinyl flooring over '/4" ultra-ply underlayment. G. Install door casing on all doors. H. Walls, ceilings, doors, and trim to receive three coats of paint. SPIRAL STAIR A. Insulate all walls and ceilings full depth of stud or joists bay with fiberglass insulation. B. All walls and ceiling to have 5/8" drywall finished with three coats of joint compound and ready for paint. C. Install fire rated door. D. Install door casing on all doors. E. Walls, ceilings, doors, and trim to receive three coats of paint. KITCHEN, THIRD FLOOR A. Walls, ceilings, doors, and trim to receive three coats of paint. LIVING ROOM, THIRD FLOOR A. Walls, ceilings, doors, and trim to receive three coats of paint. PLUMBING A. Replace all water piping in laundry area and half bath. B. Replace all drains and vents in laundry area and half bath. C. Replace water line to boiler. D. Install new wall hung sink and toilet in half bath. HVAC A. Replace al line sets and test mini splits for second floor office. B. Recharge compressors. C. Install gas fired boiler. END WORK LIST Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#199409 3/15/2021 _,/^ RENAAISSANCE J1BUILDERS PO BOX 272,TURNERS FALLS, MA 01376,413.863.8316 INFO@RENBUILD.NET, WWW.RENBUILD,NET I a � certify certi that I am the Authorized Represe iative of the property located at P1P�SG r\-f +- We hereby authorize Stephen Greenwald of Renaissance Builders, 390 Main Road, Gill, MA 01376 to submit a building permit application on our behalf for the Oa e 1l-P. ;cS We agree to conform to all applicable laws of the town and state, and we believe the work proposed to be in compliance with all zoning regulations and the Massachusetts State Building Code 780CMR. gerl' Signature of Authorized Representative: Printed Name: I HeY04� Date: 3\ ti 1 ,9ncP The Commonwealth of Massachusetts Department of Industrial Accidents t Office of Investigations snow 600 Washington Street ,4 fir Boston, MA 02111 -.1 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RENAISSANCE BUILDERS -_ Address: PO BOX 272 City/State/Zip: TURNERS FALLS, MA 01376 Phone #: 413-863-8316 Are you an employer? Check the appropriate box: Type of project(required): 1.[ I am a employer with 22 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance... required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.1x) Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] I. c. 152, §1(4), and we have no employees. [No workers' 13.5C1 Other cklec)s O Y 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: AIM MUTUAL INSURANCE CO. _ Policy#or Self-ins. Lic. #:JyICC20020004972021A Expiration Date: 01/01/2022 Job Site Address: \ 'S \.eo�('�,y�k Y1°�PA- City/State/Zip: [\) v\t �9-6I Oki) 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. /do hereby certify ' 'er the pains and,1,I!1esJf)efilrylz the information provided above is true and correct. _a , Signature: S.,`'s�"� Date: 77I 1 L.S1. i Zk Phone#: 413-863-8316 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#: ® A DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/16/21 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Andrea Feeley NAME: Webber&Grinnell PHONE (413)586-0111 FAX (413)586-6481 (A/C,No,Extl: (A/C,No): 8 North King Street E-MAIL afeeley@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Arbella Protection 41360 INSURED INSURER B: MA Employers/A.I.M. 12886 Gill Building Corporation INSURER C: GuideOne National/BRECK • 14167 DBA:Renaissance Builders INSURER D: PO Box 272 INSURER E: Turners Falls MA 01376 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 8/2021 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 8500066134 08/01/2020 08/01/2021 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY n J JPR0- ECT n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A - OWNED X SCHEDULED 1020057016 08/01/2020 08/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED N NON-OWNED PROPERTY DAMAGE $ X N...AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A - EXCESS LIAB CLAIMS-MADE 4620085703 08/01/2020 08/01/2021 AGGREGATE $ 5,000,000 DED Xi RETENTION $ 10,000 $ WORKERS COMPENSATION >C4 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER v/N 1,000,000 B ANYCER/MEETOR/PARTNER/EXECUTIVE N NIA MCC20020004972021A 01/01/2021 01/01/2022 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , Each Occurrence Limit $500,000 Contractors Pollution Liability C ENV562000484 08/01/2020 08/01/2021 Aggregate Limit $500,000 Deductible $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Dunaway Trust SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Jordi Herold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1 Short Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I 1 l,t-!r— \n 4/ V ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AFFIDAVIT FOR DISPOSAL OF DEMOLITION DEBRIS Supplement to Permit Application As a result of the provisions of MGL c. 40, s54, I acknowledge that as a condition of the issuance of a Building Permit, all debris resulting from the construction activity governed by this Building Perrnit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c. I 1 1, s 150A. I certify that debris resulting from this demolition will be disposed of as listed below: Job Site Location: 1 ? e(Lv �- '\o{- ,n t4 a 10(QO Name of Permit Applicant: Renaissance Builders Disposal Facility: F & G Recycling Address of Facility: 15 Mullen Rd., Enfield, Ct 06082 IF SAID FACILITY IS OTHER THAN WHAT I HAVE LISTED, I CERTIFY THAT I WILL NOTIFY THE BUILDING OFFICIAL OF THE CORRECT LOCATION OF THE SOLID WAS lh DISPOSAL FACILITY WITHIN TWO MONTHS OF THE DATE OF THIS APPLICATION. 4P A r Signature of Applicant ate -1ZN RENAISSANCE f BUILDERS PO BOX 272, TURNERS FALLS, MA 01376,413.863.8316 INFO@RENBUILD.NET, WWW.RENBUILD.NET March 16, 2021 Jonathan Flagg City of Northampton 212 Main Street Northampton, MA 01060 Jonathan, Enclosed is a permit application to repair the fire damage at 7 Pleasant Street, Northampton. Stephen is the project manager. His cell phone number is 772-9430 if you have questions or concerns. Also included is: ❑ A scope of the work ❑ An Owner Authorization signature page ❑ A Worker's Compensation Insurance Affidavit ❑ A Current COI ❑ Demolition Affidavit ❑ A check for $ 609.00 ($7 per $1,000 of job costs) Please call Stephen if you have any questions. T nk you, Natasha Olanyk Administrative Assistant natashacrenbuild.net