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24B-067 (21) 263 KING ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1912 Map:Block:Lot:24B-067- 001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1912 PERMISSION IS HEREBY GRANTED TO: Project# REOVATION TO SHOW ROOM Contractor: License: BBL CONSTRUCTION SERVICES Est. Cost: 500000 LLC Const.Class: Exp.Date: Use Group: Owner: 293 NORTHAMPTON REALTY LLC Lot Size (sq.ft.) Zoning: HB Applicant: BBL CONSTRUCTION SERVICES LLC Applicant Address Phone: Insurance: PO BOX 12789 (518)452-8200 UB8M4153722125G ALBANY, NY 12212 ISSUED ON:09/27/2021 TO PERFORM THE FOLLOWING WORK: RENOVATION TO SHOWROOM 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. Signature: 3- .; • if a y9 ''1 • Fees Paid: $3,500.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner i oi.it.E.A . ?oug RECEIVED 1. 1 . l�SEP 2 1 2021 • The Commonwealth of Massachusetts '-:.,1�� is Office of Public Safety and Inspections 80 _ ) �ii�!TNAMPTONING, 1h INSPECTIONS Permit Application forusetts State any Building other thauilding Coden a One-s or Two-Family Dwelling �Q (This Section For Official Use Only) Building Permit Number:O 'o7I iqf't Date Applied: Building Official: SECTION 1:LOCATION 426 3 k:Al Tk Noiiril eir.A OJo CI, C.ru.4� s1Le'bb 1 Qua.- No.and Street a City/Town Zip Code (Name of Build g(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code/used If New Construction check here 0 or check all that apply in the two rows below Existing Building Repair 0 Alteration le' — Addition 0 Demolition ❑ (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: —/ Are building plans and/or construction documents being supplied as part of this permit application? Yes 4� No 0 Is an Independent Structural Engineering Peer Review require ? Yes 0 No IV Brief Description of Proposed Work:R...n o.Aci4 t n • Q. 1$it i A.3 A•%6 �4kQ[S r.:e Sh...s r....._ 4-. .c.c.\.� 4a_ C :p , Ot,� (1 , P.3.4 }&1 .1.:kt wil/IC . SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) IC oo Total Area(sq.ft.)and Total Height(ft.) /tCOp SECTION 5:USE GROUP(Check as applica le) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 IDA-4 0 A-5 0 B: Business E� 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 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONST>UCTION TYPE(Check as applicable) IA 0 IB 0 IIA 0 IIB V IIIA 0 IIIB 0 IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supp r Flood Zone Information: Z Sewage Disposal: Trench Permit: Debris Removal: Public V Check if outside Flood Zone Indicate municipal 0 A ranch will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required or trench or specify: permit is enclosed 0 Railroad right-of-way! Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable E Is Structure within airport ap oach area? Is their review comppleette^d? or Consent to Build enclosed 0 Yes 0 or No 5T Yes 0 No [� 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 Pro erty Owner �i /�/ A3 Nat�1d�P4.. S0 AIL 1 N 1 /chess Name(Print) No.and Street City/Tow Zip Property Owner Contact Information: 1/1telat\ L1 a Sir -1 - allI - Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Pt. C+s1/'C.*. i.+.,• S,rc.. 302 v 0•O'v Ailm A4e. Gt. A• 12,263 Name Street Address City/ wn 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 D. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registerednn Professional Responsible for Construction Control(the professional coordinati ecum�ncsubmittals}- 5 i (}cc.‘AILLS Si'r-346"- ttSt Name(Registrant) Telephone No. e-mail address Registration Number C \ �L Q\tC--. . ?c J' Id C S_ Street Address City/Town State Zip Expira ' ate ��10.2 General Contractor .%k— ( .%Ir r•J CA k: rN Ski 4 ;cs-S t✓L- __ Company Name Name of Person Responsible for Construction CLicense No. and Type if Applicable 3b2 WIaSV-t Ate E.A- ic2oStreet Address .._,.._Zip 5f- rot-01' SIT- tat- 9i'I & ( \V% Ce- -R) _ • i`o_ 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 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)_$ S O Or 61'1) 1.Building $ Building Permit Fee=Total Construction Cost (Insert ere 2.Electrical $ appropriate municipal factor)=$ • ' 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (conta nicipality) 5.Mechanical (Other) $ Enclose check payable to C'�'y 4 No ti'. lA-ee'— 6.Total Cost $ Sp0( oo'� (contact municipality)and write check number here� �;p SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. (►Chet.\ ?kcM flL0L s,.T1cr;ts• cit-L- 9i044 ei lab' Please print and sign name Title Tele ho o. Date 3b 2 wti.S�wt. .,, i4A_CCti4- \ J� '� \).xo, ><Mle kki-►-t��,..., � .c...,M- Street Address J City/Tow State Zip Email Address Municipal Inspector to fill out this section upon application approval: G"�� ,1. `�"� Name Da e Initial Construction Control Document { To be submitted with the building permit application by a 1S Registered Design Professional a si for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 LIA CQJR Project Title: Date: ocrsierl Property Address:G3 'V g rrt, Nat}- f rn82 O Project: Check(x)one or both as applicable: News construction XExisting Construction Project description: 691 I I vIA'Re stration Number: Expiration date: ,am a registered design professional,and I have gt p gz S' prepared or directly supervised the preparation of all design plans,computations and specifications concerningl: Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2_ Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable_ 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent continents,in a form acceptable to the building official. Upon completion of the work,I shall submit to the bu' ding official a 'Final Construction Control Document'. Enter in the space to the right a"wet" or }..., electronic signatut-e and seal: .M tS Phone number: 5518-348-151 Email: Winir@SEICti3ACOT Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`:t project design plans,computations and specifications that you prepared or directly supervised If'other'is chosen,provide a description. Version 0I 01 2018 Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107.The checklist below is a compilation of the documents that may be required.The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural X 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittat must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information D3 nis Fic 518-348-1151 cb1is ad l.arr 31e91 Name(Registrant) Telephone No. e-mail address Registration Number 6 CY e Cli1 n Pak �Vi o ' tai 32/81/ 2 Street Address Cit//Town State Zip Discipline Expiration Date - - Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date - - Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. Client#: 30433 BBLCONST ACORD,,., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/31/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Lisa M Angerami Amsure-Albany PHONE 518 458-1800 FAX 518 458-8390 (A/C,No,Ext): (A/C,No): 12 Computer Drive West E-MAIL Ian erami/�amsureins.com ADDRESS: g L% PO Box 15044 INSURER(S)AFFORDING COVERAGE NAIC# Albany, NY 12212-5044 INSURER A:Travelers Indemnity Company 25658 INSURED INSURER B:Starr Indemnity&Liability Company 38318 BBL Construction Services, LLC INSURER C:Travelers Indemnity Company of CT 25682 302 Washington Avenue Ext.; PO Box 12789 INSURERD:Navigators Insurance Company 42307 Albany, NY 12212 INSURER E: INSURER F: COVERAGES 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. LTRR TYPE OF INSURANCE INSRL WVD POLICY NUMBER (SUBR MMIDD//YY YYY) (MM/DDT) LIMITS A X COMMERCIAL GENERAL LIABILITY X X VTC2KCO8211A339IND 04/01/2021 04/01/2022 EACH�O,ECC pCURRENCE $2,000,000 CLAIMS-MADE X OCCUR PREM (EaEoocun°nce) $1,000,000 MED EXP(Any one person) $10,000 — PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X !C LOC PRODUCTS-COMP/OPAGG $4,000,000 OTHER: A (Ea AUTOMOBILELIABILITY X X VTKCAP8211A340IND2 04/01/2021 04/01/2022 COMacBINEDcidenUSI NGLELIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS - HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ B UMBRELLA LIAB X OCCUR X X 1000585028211 04/01/2021 04/01/2022 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ ____ $c WORKERS COMPENSATION X UB8M4153722125G 04/01/2021 04/01/2022 X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability IS21EXC7496041V 04/01/2021 04/01/2022 $10,000,000 Excess of Primary DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured/Waiver of Subrogation coverage shown above(and marked with an X)apply only when such coverage is required by written contract signed by the insured prior to a loss. BBL#191061 -Lia Honda Northampton project City of Northampton is named as Additional insured for General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Main St#100 ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S311138/M311072 VJL Initial Construction Control Document To be submitted with the building permit application by a t Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 LIA CDJR Project Title: Date: October 2Oth, 2021 Property Address:263 King Street, Northampton, MA 01060 Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: 31691 08/21/2022 Dennis Rigosu I MA egistration Number: Expiration date: ,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerningl: Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2" Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable" 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the bu" cling official a'Final Construction Control Document'. f3-1n.gCy Enter in the space to the right a"wet"or electronic signature and seal: tt4WISwoe ';l NY Phone number: 518-348-1151 Email: dennisr@sarch3d.com Ra (niOFMP`-�'Ac Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen,provide a description. Version 01 O1 2018 Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107.The checklist below is a compilation of the documents that may be required.The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural X 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Dennis Rigosu 518-348-1151 dennisrC sarch3d.com 31691 Name(Registrant) Telephone No. e-mail address Registration Number 6 Chelsea Place Clifton Park NY 12020 Architect 08/31/2022 Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date - - Name(Registrant) Telephone No. e-mail address Registration NuxnUer Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals.