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32A-242 (2) 127 BRIDGE ST BP-2021-1302 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A-242 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:demolition BUILDING PERMIT Permit# BP-2021-1302 Project# JS-2021-002149 Est.Cost: $10000.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PIONEER CONTRACTORS 017890 Lot Size(sq.ft.): 22781.88 Owner: CAMPBELL AMY Zoning: URC(55)/SC(45) Applicant: PIONEER CONTRACTORS AT: 127 BRIDGE ST Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTONMA01061 ISSUED ON:5/7/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INTERIOR DEMO 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. • . 51-111 • Certificate of Occupancy Signature. FeeType: Date Paid: Amount: Building 5/7/2021 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner // er, The Commonwealth of Massachusetts / ,4 f`' r Board of Building Regulations and,Stankialyds y ~ 'FOR Massachusetts State Building Code, 780 C CIPALITY _ �Q ?0�1 USE BuildingPermit Application To Construct,Repair,Renovate �'' 0, •. ' 'evisediMar 2011 PPep • a One-or Two-Family Dwelling -..?'v asp This Section For Official Use Only �1°'°sootis // Building Permit Number: V"dZ I' ,- Date Applied: `' .. i' /GUIs.) 17-7Z < Ko,S 5'7-ZOZI Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Ad,drqs 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted stt'eet?yes , no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zgne? Public l( Private❑ Municipal 0 On site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP' 2.1 Rwnerl of ord: Imo Name(Print) City,State,ZIP k 1-1 6r► ? St' 4113-72-7-ZZu i No.and Street J Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Ef Owner-Occupied I3I Repairs(s) 0 Alteration(s) lal Addition 0 Demolition El'Accessory Bldg. ❑ Number of Units % Other 0 Specify: Brief Description of Proposed Work2: c2 8Q 149,,t e-ti.�I v,14 .,,e(-47(' ) Crev.v\/0-A"Ftsy, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: lv`C?�SSj1 ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: }, Check No.a Oieck Amount: Cash Amount: 6.Total Project Cost: $ ` (U iiy 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) `emu►rL c5 1 �scjU p Number License E ira• n Date Name of CSL Holder ? O n l(�j List CSL Type(see below) ' 65(No.and Street Description (4 ^ Unrestricted(Buildings up to 35,000 cu.ft.) +" • ��—/ Restricted 1&2 Family Dwelling City/Town,State,Zfii M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances G I _ Insulation _ elephone Email address D Demolition 5.2 Registered Home Imp ovement Contractor(HIC)�jt I39 pt S/ q'(, �, l ' cX HIC Registration Number Expiration Date HIC Co any Name or HIC R otstrant Name No.and Street Emai address City/Town, State,ZIP Telephone SECTION 6: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 Issuan of the building permit. Signed Affidavit Attached? Yes No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize (G,r, ✓v"C/^ to act on my behalf,in all matters relative to work authorized by thi buildin permit application. ,hg Print Owner's N�me(Ele i 'i c Signature) 15ate SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. ._Kbx s11/z.r -Print Owner'aer Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" AZX The Commonwealth of Massachusetts _:�t` Department of Industrial Accidents 1 Congress Street,Suite 100 Boston. MA 02114-201 : =say` www.mass.gor/dia 11 urkers'Compensation Insurance Affidavit:Builders)('ontractors/ElectriciansiPlumbers. 10 BE FILED N fl'H I HE PERM lTIM;Al'I HO121 I i. Annlicant Information Please Print Lctihl Name i Hustncss Organu tton Inditidual):_ t jc�'LkA Address: __'f2 ) City/State Zip: Phone#: S3 `3 l Are yew an aspluy re!t heck the appespe to tat: 114 Type Pe of project(required):I am a entpluya with 7/ employers(full and Of pan-urn. • 7. D New construction as 1 am a sole proprietor ur pannhrp and have nu employees working tow me in 8..�Remodeling am capacity-(No*otters'comp.insurance require d.I 301 am a homeowner denng all work myself.(No workers'comp_inhumane required]" 9.0 Demolition 40 I am a homeowner ner and will he hiring uurrractors to conduct all w.«rk un my property_ I wall 10 Q Building addition ensure that all contractors either have workers'Iti pen atrun insurance or are sole I I a Electrical repairs or additions peupncionwith no employees. 12.0 Plumbing repairs or additions 30 I am a general contractor and I hate hind the subcunuacion list:1 on the awaited sheet_ 131:Roof repairs These subcontractors lave employees and have workers'comp insurance.: 6.0 Ike are a commotion and its officers have exercised their ngtn art:semptrun per AKA.a 14.❑Otlttt— — 132.s51(1l.and we have no eniplarytes.( fir wurke s'comp.main nee reguuo& •Any applicant that chucks fox al mist also fill out the section below sbh.s mg their workers'compensation pulse!,inlo nnation Ilurneuw nets who submit this affidavit usdrrauag tire's are durng all work and then hue outside contracture must subnut a new atfidas a rrrduaung such. (onuacturs that check this hat must attached an additional sheet show m_the arum:of the sub-contractors and state whether or nut those trusties have employees. If the sub-Lunt:.to s fuse ei pluyees.they mina piuside their workers'comp.policy number I am an employer that is proiiditg workers'compensation insurance foe my employees. Below is the policy and job site information. Insurant a Company Name: RS6‘61 P, _ l q, -- ( " ' Policy n or Self ins.Lic.s Expiration Date:Cl 7.45 S Job Site Address: 12,"7 1 D UI4 t City/Statel'Zip: (711-.)(Lj Attach a copy oldie workers'compen ation policy declaration pe(showing the policy number and espiratioa date). Failure to secure coverage as required under SIGL c. 152. 4 25A is a criminal violation punishable try a line up to S1.500.1Kl andtor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator_A copy of this statement may be forwarded to the Office of Ins esttgattons of the DIA for insurance coverage verification. I do hereby certify der the pas an nalt of perjury rjurt•that the information provided above Is true and correct Signature: 1 / Date. ii/ Phone: Official use only. Do not write in this area.to be completed by city•or town official ('ity or Town: Permit/License Si Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City A own Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other ( untact Person: Phone Si: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC-500-5005957-2020A PRIOR NO. WCC-500-5005957-2019A ITEM 1. The Insured: Pi Con Inc DBA: Pioneer Contractors Mailing address: P 0 Box 1145 FEIN: *-"'1984 Northampton, MA 01061 Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period is from 06/30/2020 to 06/30/2021 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 000063757 INTER SEE CLASS CODE SCHEDULE Minimum Premium $507 Total Estimated Annual Premium $2,150 GOV GOV Deposit Premium $553 STATE CLASS MA 5437 State Assessments/Surcharges$1,736.00 x 3.5100% $61 This policy,including all endorsements,is hereby countersigned by '� 7 L_ 05/29/2020 Authorized Signature Date Service Office: King &Cushman Inc 54 Third Avenue P 0 Box 447 Burlington MA 01803 Northampton, MA 01060 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, usedWith its permission. City of Northampton par Ham"--M.pi- Massachusetts ��s ��r"C ft ' '1 4 DEPARTMENT OF BUILDING INSPECTIONS ?. 212 Main Street • Municipal Building `ktill,14' Northampton, MA 01060 AZ:— CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: VCcTlk' 1(J)II\I\Tt The debris will be transported by: Name of Hauler: OP?. V v/ la jc—,,t,L c.. ., 4 Signature of Applicant: Date: Ilig EMILY ESTES 40 . Pt d)el1..eN Wnu•d mrOMer w.oA�r r ..... .dd"e.�yM. Aanct LOSS aw o.�u. FRONT PORCH UNCAMERATHROUGH I ANY OBSTRUCTIONV K ANY OBSTRUCTIONS OR DAMAGE. 1 SEWER LINE REMOVE ALL EXISTING i i v•�•u I f-}-- --�--r� 1i1, WAIL BOARDS `v ;;_�-e_ I,1 THROUGHOUT I I I U�N U ,, �I BASEMENT.TYP 1 I INC:..` I 7• 11 r I I II', pep j j j .A„ -� --4-- I I '' j STORAGE _ n-- I-- Project North b I i .•, 1pi g� BEDROOM g '--- i j ..;;v 1 c VIM, j EMOVE TILE HEARTH 1 I w�, REMOVE WOOD SHELVING 81 REMOVE WOOD FLOOPoNI •• i -- ANDFRAMING,TYP 1 I , II I I e Y G I ��"®° I I ••'"I d fro I I i �'—Tl ��` --.� DEMO BATHROOM.REMOVE ® 1t r - 3 C ~r� ® r r 1 r rT SEWER I I I FLOORING,TOILET,SHOWER, __ r LINE I I I SINK �Am `J �' ' 1 [ I EMOVE FURNACE AND I N •-/ ALL gssosscATEp 1 �;� _ CLOSET i,� /•I DUCTS AND PIPES REMOVE ALL EXISTING 1 ��v I WALLBOARDS AND 1'•' ••, CEILING PANELS I 1 I THROUGHOUT — ® ,,•,, I ,1 I BASEMENT,TYP %i i �, [1 a�p BAD{ I i ID& r CLOSET DININQ "' EN) �iI ,, �y ProledTme I I •+' I rN Additions a Renovations to: N CAMPBELL p 4 C e I-- I ® �_-1 y %/ RESIDENCE 1 I i i iII DAME HOT • ' roVATER HEATER , , 1e.112• 127 BRIDGE I I i =' i L___I-1 1' STREET 0 I F� REMOVE ALL FLOORING, I 1�� I I ' / I NORTHAMPTON MA I I•• I , {I.1 CABINETS,COUTNERTOPS, CO3i 1: UNFINISHED I AND APPLIANCES IN KITCHEN • i"C7" .7i REMOVE CHIMNEY i �'iCeP J BASEMENT i i i ❑ y 'I REMOVE STAIRS TO 'H�y' 1 EMENT AND I I --__ -_ / SEWER BEDROOM ITI ___ SECOND FLOOR y TTT LINE MOVE EXISTING a-- ----A vice(ACTUAL)iT•o.c. L:1 i J -_' KITCHEN _ GENERAL DEMO NOTES' WASHERDRYER,AND FFF��� -• �{I I SINK.TO SE REPLACED 5 1. WITH NEW IN CURRENT 1{---- --{I 1.REMOVE ALL OBSOLETE MECHANICAL '.�.' LOCATIONS. T Rev Dale Description t---- - 1�� T AND ELECTRICAL SYSTEMS I. REMOVE STaausE REMOVE WINDOW y,��, It II ;;� SEAT '�� ii i`F.:r . 02/1221 PROGRESS SET j: II ' III 2.IDENTIFY AND ABATE ANY ' oa25rzt SCHEMATIC OPTIONS j1 p yI i 11® `,ss•, " ••, HAZARDOUS MATERIALS is li " �" '� �j._ ® 11 12_2 3.REMOVE ALL RESILIENT FLOORING, TILE FLOORING AND WALL TO WALL CARPET. 4.REMOVE ALL EXISTING DECORATIVE PANTRY LIGHT FIXTURES AND CEILING FANS ' REMOVE FRAMED SCREEN PORCH UNLESS NOTED. SCREENS 6.REMOVE EXTERIOR DOORS AND WINDOWS WHERE NOTED. f 6.REMOVE ALL RADIATORS. Project ID:21A1 -1 °I ° 7.REMOVE ANY ROTTED OR DAMAGED prawn By: ERR MATERIALS ON EXTERIOR. Chocked By: Sur: AS NOTED 8.REMOVE ALL WINDOW TREATMENTS Irmo Data: ovl.rzozl AND FURNITURE. I I I I I I I I I I © elrlr I I I I I I I II : II I I •I I I I I I I I I I 9.RUN CAMERA THROUGH SEWER LINE ' ' ' ' ' ' TO IDENTIFY ANY OBSTRUCTIONS OR EXISTING DAMAGE. FLOOR PLANS EXISTING&DEMO BASEMENT PLAN O EXISTING&DEMO FIRST FLOOR REMOVE WOOD EXTERIOR 1 Scale:1/4"=1'-0" 2 1/8"=1'-0" STAIRS AND RAMP GC TO VERIFY ALL DIMENSIONS IN FIELD. Drawing No. EX-100 PROGRESS SET ONLY. 50% . NOT FOR CONSTRUCTION . 03/17/2021 Igil EMILY ESTES REMOVE ALL EXISTING METAL GUTTERS AND DOWNSPOUTS,TYP T.ermine N MA kn„eM p,."I It d era for seinneuetbn asepses a en En.,Ws Trt dnue"ma •rtier at Mimi elinninant•aid Ind yeah di owniIYku,kaaaastarry q"akeeither Maned REMOVE 1_i r,CEILNG,TYP BEDROOM 3 Propel Nonce — 1._71. REMOVE ALL ASPHALT I SHINGLES ---\ ATTIC ATTIC \ / REMOVE J \ T rCEILING,TYP • Ilkl ii M Y I-REMOVE EXISTING WINDOW SEAT y, [��p!1I I WINDOW SEAT TO REMAIN Y `3 iii L T • II i� Protect TBle c\ L Additions a Renovations to �:'/ CAMPBELL _1 RESIDENCE 127 BRIDGE !i _\EXISTINREMAINGBUIL-INTO STREET I i NORTHAMPTON MA ATTIC G EMOVE MASONRY REMOVE MASONRY f t " HIMNEY FROM ROOFCHIMNEY FROM ROOF �._-_. I TO BASEMENT TO BASEMENT F i REMOVE STAIRS II I I GC TO CONFIRM IF I EXISTING RAILING CAN I:==T_==-_ BE REPURPOSED Rev no. Daaabtbn 0Y2521 SCHEMA IC OPTIONS 2: :" 4MO' Checked 9, Sub: AS NOTED law Dale 02/1912021 Shoal TAN EXISTING FLOOR PLANS OEXISTING&DEMO SECOND FLOOR O EXISTING ROOF PLAN 1/4"=1'-0" 1/4"=1'-0" GC TO VERIFY ALL DIMENSIONS IN FIELD. Da.nsNo. EX-101 PROGRESS SET ONLY. 50% . NOT FOR CONSTRUCTION. 03/17/2021