32C-007 (3) BP-2022-0114
132 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-007-001 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-2022-0114 PERMISSIONISHEREBYGRANTED TO:
Project# REPAIR Contractor: License:
Est. Cost: 175500 DAVID OSIECK1 CSL089376
Const.Class: Exp.Date:01/05/2024
Use Group: Owner: MARSAM LLC
Lot Size (sq.ft.)
Zoning: CB Applicant: WESTERN MASS MASONS
Applicant Address Phone: Insurance:
383 COLLEGE HIGHWAY 4135271800 30104
SOUTHAMPTON, MA 01073
ISSUED ON:02/03/2022
TO PERFORM THE FOLLOWING WORK:
REPAIR TO LIMESTONE AND BRICKS
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I !Ar, cs- •
Fees Paid: $1,232.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEB - ? 202 f the Commonwealth of Massachusetts
4;. 2 / / Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
PI:II
���r ,, lit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: 22- OiiY Date Applied: Building Official:
SECTION l:LOCATION
/32 eM�}-�.�.- .,r Q/ v
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 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy ❑ Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0
Is an Independent Structural Engineerin&Peer Review required? J Yes 0 No ❑
Brief Description of Proposed Work: g .- !` ter.s/u. ' 5 r A- (J
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.)
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 0 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❑
I: Institutional I-1❑ I-2❑ 1-3❑ 1-4❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use❑and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ HA ❑ IIB ❑ ILIA ❑ IIIB ❑ IV ❑ VA ❑ VB [7
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information Sewage Disposal: Trench Permit: Debris Removal:
Public❑ 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❑ or indentify Zone: or on site system 0 penrtit is enclosed 0
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❑ No 0
SECTION&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
Name(Print) No.and Street v 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 0.
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)
rx -(/, 19 2 /'c,r,I t,. y,ts' --$` _Zdt' ., �.w,is-4,,a, 341fr 02 Y1 '
Name(Registrant) Telephone No. e—mail address 'c'" Registration Number
3113 Get(;'. /17 Sc'.f A- 1 ur'vi"f Ml etc/)' "101 ///- )r
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
kA)C-1 Cr,✓ / .l ////lfCie7)
Company Name /
'A(,:19 OSi+- / . (ems - c)?7 37 6
Name of Person Responsible for Construction License No. and Type if Applicable
3 P-3 Cci1(ei c b � i...% A.-. O C102)
Street Address City/ own State Zip
-D li)vz. �/1 3.332,- 6-3// q,...„1,J(0_,...1„e.per, f.1M1„,,"Cvn
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
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appropriate m .: pal facto =$
3.Plumbing
$ I a °'t
4.Mechanical (HVAC) $ Note:Minimum f:• _$ I i ntact municipality)
5.Mechanical (Other) $ _ Enclose check payable to
6.Total Cost $ /,S_3O'v• t.r.✓ (contact municipality)and write check number here qO 7
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 t of my knowledge and understanding.
l /1 tA0 ojr cc'1l. V O U t')t r' 4la -Q i- /Pvt,. /'. y i— &2
Please print and sib name7 Title Telephone No. Date
j 5 TiUI f - � J /L ,Gl`( G c ?1 4,^,, _____
Street Address Ci /Town State Zip Email Address
ilMunicipal Inspector to fill out this section upon application approval: Co i'i ' `.` V' It' 3 a
Name '
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
Massachusetts
w
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 SSNry ar.)\"‘‘‘
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: �. j/
The debris will be transported by:
Name of Hauler: USA (•
Signature of Applicant: Date:
The Commonwealth of.tifassachusetts
;=VIII=c
fit Department of Industrial.Accidents
( I Congress Street, Suite 100
`, '"""` Boston, .11.9 lJ?114-_'al
'' wwi .mass.got/dia
- %%talkers' ('ompensation Insurance Affidasit: BuildersiC'ontractors/Eketrieiamt/Plumbers.
to HI. FILED 55I I it I IIE PI:R'tI"FLING AtfTIIORITY.
Applicant Information Please Print Lt1Libls
Name 4 Bus mess.Organization l nd:1'dual l: Vita f g '� Ili� /�i aeo
Address: 3,PS re1/6 /74-7
City/Stater`Zip: --/% /4 OW, Phone#: "Xi—,�"./�—t �
Art'uu an employer'(leek the appropriate toot:
Type of project(required):
I-Trani a employer with . . ._,cmplo ors(full and or part-time t.' 7. ® New construction
20 lam a sole proprietor or pmtncrship and have no etilployee%working fur use in 8. y l-.!Remodeling
m)capacity.(No worker, drop.rnsarancc MIIIIIV .J'
.10 I atn a horlxoaner ding work
myself.[No workers"comp utterance nywred.j i
9. El Demolition
ID 0 Building addition
3.0 1 am a lrinsownco and will tse hiring,contrsours to eitaduct all work on m}'property. I will
tnsirre that all contractors either have workers'compensation tasurancr 07 are sole I I a Electrical repairs or additions
proprietors with no employees
12.0 Plumbing repairs or additions
5C3 I am a general contractor and I have hired the subti,nttaetors Listed on the attache sheet..
These sub-contractorshose employees and live worker,'comp.insurance.' !3.0RaJof repairs
60 ix.an:a eorpiratian and its officers have exercised theft nght of exem.phon per MGL e.
t52.t 144 t.and wt have no esnploste.[Na workers'emir.moor rric:e rciluurd_j
kr. at+trli..nii that chss k,boa"I mini also till out the section below shout m,their workers'compensation puliss information
Winn-six' nen why submit this.atpitaais it indicatlnyy they are doing all work and then hire outside t.onina.'krs mint suhunt a new Attldac it irs lila7lrig.t,.1:
't yntrattor'that cticck dh:s box must attached an aldationai sheet show in the name of the 3.0h a.uursrkss and state w hcttic:ax tail that(entitle,have
criplit cis It the sub-coatrvctars hasr*-ti k seas.th.-s trust pro cidc Lhur is rket3":urp polies nombrr
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. _
1
Insurance Company Name: //4,' fps �i7.tfc..t,rr'l�tr} ___
Policy lr or Self--ins.Lic.;t: 'O/O'( Expiration Date: *'*-deli.
,�
Job Site Address: /�� / 's� ih "Si- Ctty�Statet'Lip: L Clio G-.
Attach a copy of the workers'compensation polio) declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MOIL c. 152. §25A is a criminal violation punishable by a line up to S i.500.00
ai `or 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 s iolator.A caps of this statement mac be forwarded to the Office of Investigations of the DIA for insurance
coverage sentication.
I do hereby conk y er the poi nd penalties of perjury that the information provided above is true and correct.
Signature: ( Date. 7 . 3 0Z"Z
Phone r: 7/f— 577 2" ls7 Cam-'
Official use only. Do not write in this area.to be completed hr city or town official.
(ity or Town: Permit'License 4
Issuing. uthorit (circle one):
I.Board of Health 2.Building Department 3.('it)/town Clerk 4. Electrical Inspector 5. Plumbing Inspector
` 6.Other
Contact Person: Phone s$:
Initial Construction Control Document
4 To be submitted with the building permit application by a
( 'V • ;f Registered Design Professional
i�li / ' for work per the ninth edition of the
' Massachusetts State Building Code, 7S0 CMR, Section 107
Project Title: Date:
Property Address:
Project: Check(x) one or both as applicable: New construction Existing Construction
Project description:
I MA Registration Number: Expiration date: ,am a registered design professional, and I have
prepared or directly supervised the preparation of all design plans,computations and specifications concerning=:
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
C\,MR), 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 760 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 building official a'Final Construction Control Document'.
Enter in the space to the right a "wet" or
electronic signature and seal:
Phone number: Email:
Building Official Use Only
I
1 Building Official Name: Permit No.: Date:
Note L 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 01 201E
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
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 V
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
L..S 9 3?a
D4Q.f Os/e.4,1(
,. 416 -.. Ell Gt1,.i.i,,ww t..rsiP-� ►i
t i
Name(Registrant) Telephone No. e-mail address CAA. Registration Number
� S (i( � S.. ►/1". /14/t Cif o)! CS /-S—r�
Street Address City/ oval 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.
383 College Highway
Southampton, MA 01073 17 tn LICENSED • REGISTERED
(413) 527-1800 INSURED
WesternMassMasons.Gotrr � �*#511.1 �■ {�{/�{-� A pF
quality@westernm assm asons.corn
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MICHELSON GALLERIES Date: 4-20-2021
To: 132 MAIN ST. Quote# 84387989
NORTHAMPTON MA Project: REPAIRS
Phone: E-mail:
Description of Work To Be Done: c i r
-S 1
This quote is for repairs to the existing facade of 132 Main St Northampton mass.
Staging will be erected off the Main Street side of the building to extend just past the end of
the building to be able to return on to the roofs of the adjacent buildings. Written permission
will be needed prior from both building owners to allow use and possible staging to be set
up on both of their buildings to allow access for needed repairs.
The staging will be erected from the ground level to the top of the building netting will
protect the front as well as a walkway protection for pedestrians and access to the building.
The rear of the building will also have a stair tower access along with an electric hoist that
will go up to the top of the roof that will allow for materials to be accessed.
The two main areas that the main work will be performed will be the limestone corners on
both sides of the building. The limestones that are leaning out are unstable will be taken
down. Approximately 6 to 8 limestone blocks on each corner will temporarily be removed
with crane service and stored possibly on the roof or offsite. The existing rubber membrane
that is directly below each corner will have the brickwork relayed and replaced as necessary
to make those corners structurally sound.
All brick work on these two corners will be laid up and replaced as necessary.
The brickwork that is not quoted here is where the remaining membrane which goes up the
middle of the Gable end on the rear roof side which is also going to be taken down . If
minimal repointing is required that will be included in this quote, but if bricks must be
383 College Highway
Southampton, MA 01073 L�/ N LICENSED • REGISTERED
(413) 527-1800 •� 4. I INSURED
WesternMassMasons.corn
quality C@Y westernm a^ssm axons.coil?
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replaced and relayed this will be a further cost and a written change order at the time that
the rubber membrane is pulled down.
Michaelson Gallery's will make sure that their roofer is on site immediately following the
replacement and the completion of the brickwork so that the new rubber membrane and
flashing can be installed. No roofing is quoted here or carried on this quote. If any roofing is
necessary on the adjoining walls to the other buildings this will be the responsibility of
Michaelson gallery's.
Western mass Masons makes no warranties that the existing limestone are in good
condition and can be reused . We are assuming that the existing stones may be reused and
is quoted as such. If once they are removed their deemed structurally unsound they will
have to be sent out for fabrication and this will increase the price of the staging rental and
cost of materials that is not quoted here.
Assuming the old limestone pieces are in good condition they will be re craned back into
position and mortared as such.
All of the seams in the limestones will be grinded out at the top and will be apoxy filled. All
other face vertical limestones that are above where the electrical bird fencing is will also be
grinded out and packed in with new mortar. No work is to be performed below the dental
work on the face of the building at the Gable end.
On the right hand side of the building just below the limestones were the facade ends and
the brick begins some areas over there where the staging can access will also have their
mortar joints grinded out and repacked with mortar as we are able to access with the
staging.
Any and all additional issues that are unseen will be an additional cost with a written change
order and will be discussed prior to any work commencing with the owner.
Western mass Masons will pull all necessary building permits sidewalk permits and parking
permits for this job.
Thank You i
ERN
383 College Highway
Southampton, MA 01073 / •
LICENSED • REGISTERED
(413) 527-1800 x� ffz INSURED
WeSternlUlasSMatSvrlS.c®iTt 0 Tr5)
Acraemren
qua lity@westernmassma sons.corn
f3� R_SlNES9.
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All safety and OSHA related regulations will be followed.
Western Mass Masons will conduct all dealings with the building Department, DPW and
Police Department as may be required for completing this job.
Western Mass Masons offers a 8 year workmanship warranty on the areas that are
associated with this job .
WE HEREBY PROPOSE TO FURNISH MATERIALS AND LABOR- $ 175,500 00
IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS,FOR THE SUM OF:
This quote may be withdrawn from us if not accepted within 30 days. Quote Prepared By: David Osiecki
TERMS:Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and
above the estimate.By signing this quote,you agree and understand all the above terms and conditions that apply to this job.Any changes that are to be made,must be
discussed prior to construction and agreed upon by contractor and may also affect to the final price.
PAYMENT TO BE MADE AS FOLLOWS:1/3 of the total amount is due before construction is to begin.Once all brickwork is completed another third is due..Once the
scaffolding is removed and the job is completed the balance is due.
ACCEPTANCE OF PROPOSAL:the above prices,specifications and conditions are satisfactory and hereby accepted.You are authorized to do the work as specified.
Payment w' e made as outlined abov
Signatur : Date: Signature: Date:
///
1 /, �1/15/2022