25A-099 (7) BP-2022-0742
29.SHERMAN AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25A-099-001 CITY OF NORTHAMPTON
Permit: Demo
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0742 PERMISSIONIS HEREBY GRANTED TO:
Project# DEMO Contractor: License:
Est. Cost: 14000 SOVEREIGN BUILDERS INC 060176
Const.Class: Exp.Date:01/19/2023
Use Group: Owner: INC. SOVEREIGN BUILDERS,
Lot Size (sq.ft.)
Zoning: URB Applicant: SOVEREIGN BUILDERS INC
Applicant Address Phone:, Insurance:
710 SOUTHAMPTON RD 413-527-8001 CMQ8013720
WESTFIELD, MA 01085
ISSUED ON:07/01/2022
TO PERFORM THE FOLLOWING WORK:
DEMO OF STRUCTURE
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: •
Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
vailjk )2
- 3-11,
Fees Paid: $100.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts
u
Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: a a--74,2{ Date Applied: Building Official:
SECTION 1 LOCATION
29 Sherman Ave Northampton 01060
No.and Street City/Town Zip Code Name of Building(if applicable)
25A-099-001
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 ® (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes El No ❑
Is an Independent Structural Engineering Peer Review required? Yes 0 No DI
Brief Description of Proposed Work: Demolition of axiating strnrfiirr -»�t;��F ���inu fame
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) 1 floor 6,365 3 floor 3558
Total Area(sq.ft.)and Total Height(ft.) 6,365 12ft 21348 38'
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub ❑ 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 0
I: Institutional I-1 0 I-2❑ I-3 0 I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 IN 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 ❑ IIIA ❑ IIIB ❑ IV 0 VA VB 0
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 0 Check if outside Flood Zone 0 Indicate municipal❑ A trench will not be Licensed Disposal Site 0
required 0 or trench or specify:
Private 0 or indentify Zone: or on site system❑ permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission ReviOw 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 ❑
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:
ASBESTOS REMOVAL
All residential, commercial and institutional buildings are subject to Massachusetts Department of
Environmental Protection (MassDEP) asbestos regulations at 310 CMR 7.15. Therefore, owners
and/or operators (e.g. building owners, renovation and demolition contractors, plumbing and
heating contractors, flooring contractors, etc.) need to determine al asbestos containing materials
(ACMs), both friable and non-friable, that are present at the site, and whether or not those
materials will be impacted by the proposed work, prior to conducting any renovation or
demolition activity.
Examples of commonly found AGMs include, but are not limited to, heating system insulation,
floor tile and vinyl sheet flooring, mastics, wallboard, joint compound, decorative plasters, window
glazing, asbestos containing siding and roofing materials and fireproofing materials.
Failure to identify and remove all ACMs prior to its being impacted by renovation or demolition
activities, can result in significant penalty exposure, and higher clean-up, decontamination,
disposal and monitoring costs.
A DOS certified asbestos consultant must be contracted to determine if asbestos is present and
whether removal/repair is necessary. If the building is a state owned facility, contact DCAM and
DOS. DOS provides a list of licensed asbestos abatement contractors and consultants. You may
wish to inquire if a contractor has any history of violations. Only DoS licensed and DOS certified
asbestos abatement contractors and consultants may be hired to perform asbestos related work
in Massachusetts.
Received by:
Print Name Title
Signature Date
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
SOVEREIGN BUILDERS.INC. 710 SOUTHAMPTON RD WESTFIELD MA 01085-1392
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
SOVEREIGN BUILDERS.INC. - - (413)- 527- 8001 tcellura@sovereignbuilders.com
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)
SOVEREIGN BUILDERS,INC. (413)- 527 - 8001 tcellura@sovereignbuilders.com 158240
Name(Registrant) Telephone No. e-mail address Registration Number
710 SOUTHAMPTON RD WESTFIELD MA 01085 Home improvement '05-29-2024
Street Address City/Town State Zip Discipline EXpiration Date
10.2 General Contractor
SOVEREIGN BUILDERS,INC.
Company Name /
Todd Cellura d C0 017G '( 7t Z/
Name of Person Responsible for Construction License No. and Type if Applicable
710 SOUTHAMPTON RD WESTFIELD MA 01085
Street Address City/Town State Zip
413-527- 8001 - - tcellura@sovereignbuilders.com
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❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor 14 000
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ /`6 aftBuilding Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ 100 (contact muni'pality)
5.Mechanical (Other) $ Enclose check payable to City of North Hampton
6.Total Cost $ f CrO (contact municipality)and write check number here 2148
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.
Todd Cellura President 413- 527 - 8001'
Please print and sign name Title Telephone No. Date
710 Southampton Road Westfield MA 01085 Trelluracclsovereip nbuilrlers rnm
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: itrN �M, • ft
Name ate
•
City of Northampton
SMM
Massachusetts ��Ns
'
* r
t
, DEPARTMENT OF BUILDING INSPECTIONS
qyn 212 Main Street • Municipal Building � �'S
..ate Northampton, MA 01060 41;)Y
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: 686 Main St,Holyoke,MA 01040
The debris will be transported by:
Name of Hauler: David Dietz
Signature of Applicant: rodd,c a Date: T 21-2022
City of Northampton
7.e• �- 'ti'
Massachusetts
sf �j EI EPARTIENT OF BUILDING INSPECTIONS
Main Steet • Municipal Building1 , , 5�
Nort�iampton, MA 01060 �1�
JUN 2 1 2022
a�-I-E.t� �. mo -�-t .s �,-,
DEFT OF BUILDING INSPECTIONS ` I_ NORTHAMPTON,M V V7)c I
A 01060
APPLICATION FOR DEMOLITION PERMIT
Attached are the forms required for a Demolition permit. Please fill out all of the attached forms
and submit them to the Building Department with the appropriate fee. Please make checks
out to the City of Northampton. (Cash not accepted)
Please be advised that disconnect signatures from the following departments must be submitted
with the application:
1. Eversource (Gas division)
2. National Grid (Electric division)
3. Northampton Department of Public Works -Water
4. Northampton Department of Public Works — Sewer
5. Northampton Department of Public Works — Storm water Management
6. Northampton Department of Public Works —Tree Warden
7. Northampton Historical Commission Review(if built prior to 1945)
*Proof of extermination is required to be submitted to the Health Department for all Commercial
demolitions and all abandoned residential properties. (Extermination may be required at the
Health Inspector's discretion if evidence of rodents exists).
Other required documents:
• Massachusetts Construction Supervisors License
• Copy of Workers Comp Affidavit
• Asbestos abatement report
A Demolition Permit will not be issued, and no demolition is to commence until ALL required
documents are submitted to the Building Department.
For further questions or information, please contact this department @ (413) 587-1240
BUILDING DEPARTMENT
DEMOLITION PERMIT SIGN-OFF SHEET
Date: Jun-10-2022
Address:29 Sherman Ave, Northampton, MA Building Use:
Owner: SovereignBUilder.Inc Phone: (571) 639-6836
Owner's Address:710 Southampton Road, Westfeild,MA
UTILITY CUT OFF
(Signature of Authorized Representative of Utility Department required)
As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not
be issued until a release from the utilities is obtained, stating that their respective service
connections and appurtenant equipment have been removed or sealed and plugged in a
safe manner.
Eversource (Gas) Cynthia J. Rivera Supervisor, Planning and Scheduling
Signature Title
National Grid (Electric) Andrea Hache Customer connections Representative
Signature Title
DPW (Water) Keith Snape Water Superintendent
Signature Title
DPW (Sewer) Brendan Shea General Foreman Sewer and Stormwater Division
Signature Title
DPW (Storm water) Brendan Shea General Foreman Sewer and Stormwater Division
Signature Title
DPW (Tree Warden) Rich Parasiliti Tree Warden
Signature Title
DPW Director Ann Furciniti Dept. of Public Works
Signature Title
Historic Comm. Review Sarah LaValley Conservation/Preservation Planner
Signature Title
II "
The Commonwealth of Massachusetts
Department of Industrial Accidents
41 1 Congress Street,Suite 100
.k.,,t_av Boston,MA 02114-2017
www.mass govldia
%Yorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
10 RE FILED WITH 11IE PERMITt`ING AUTHORITY.
Applicant Information Please Print Leuiblr
Name,(Business't rgenizationAndividualj SOVEREIGN BUILDERS,INC.
Address: 710 SOUTHAMPTON RD
City/State/Zip: WESTFIELD MA 01085 Phone#: 413 527 8001
Are yea an employer?Chock the appropriate boat
Type of project(required):
I El am a ernplvyer with r,_ 11_.__employees lMI andt'or part-time}_'" 7. 01 New construction
20 I ant a sole proprietor or pull sership and have no employers scotting tritest in Pi_ 0 Remodeling
required]
capacity_[No workers'comp.insurance
30 I am a horricsiwnin doing all wint myself.[No vimittes,`carry_it roan.-e required_j r
g_ 0 Demolition
0 4.Q I am a honsoowner and will he hiring innetraetnrs to oundoct all work on mypoverty. I wiA 10l Building addition
ensure that all cwntmoors either have wvakets'compensation insurame or are sole 110 Electrical repairs or additions
proprietors with no employees_
12.0 Plumbing repairs or additions
sr3 l am a step etal contractor and I have hired the sub-contractors listed on the auactwvi sheet
These subcontractors have employees and have workers'comp.imutancc.e 13.❑Roof repairs
6.0 we are a oarporataun and its offtccm have exercised their right of exemption per MCiL r,. l4_❑Other
151,f l(4j.and we have no tsriplayves.[No workers'cunnp.inatrance tequircd.j
"Any applicant that checks boat t'I must also fill out die section below show ing their*orlons'e:utupensation policy information_
t Homeowners who submit this affdat t indicating they art doing all wink and then hire outside eamtractors most submit a new affidavit indka#rig such
tCnnrractors that check this box most attached an additional sheet showing the name of the sub—contractors and state whether or not those entities haw
cmplutees_ titles sub-cuntracturs base einpluyixs.Iliymust provide their ut.+rkers' atmp.pulse numbk.r.
I am an employer that is providing workers'compensation insurance for my employees: Below is the policy and fob sire
information.
Insurance Company Name: Clayton Insurance Agency,Inc
Policy#or Self ins.Lie.#: CMQ8013720 Expiration Date: 04/01/2023
Job Site Address: 29 Sherman Ave City/State'Zip:Northampton MA,01060
Attach a copy ot'the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,*25A is a criminal violation punishable by a tine up to S1,500.00
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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
ci) crave ,e'rititatitn.
I do hereby certify under the pains and penalties ofperjurh that the Information provided above is true and correct
Signature: 7-�../ Date_ a���
Phone": (413) 527 8001
Official use only. Do not write in this area,to be completed by city or town official
• ('itv or Town: Permit/License t
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
E ER 7 R E
6/24/2022
Abdallah Iskandar
Project Coordinator
Sovereign Builders Inc.
E-Mail: project_coordinator@sovereignbuilders.com
Re: 29 Sherman Avenue Northampton MA
To Whom It May Concern:
This is to inform you that there is no Eversource Gas Service at 29 Sherman
Avenue Northampton MA.
Sincerely,
Cynthia Rivera
pp Eric Lent
Eversource Gas
nationaigrid
55 Bearfoot Rd
Northborough MA 01532
June 9th 2022
RE: Service Removal for Building Demolition
29 Sherman Ave(garage)
Northampton MA
To Whom It May Concern,
This letter is to confirm that, per your request,National Grid has confirmed that(no mete i
present) and no electrical service have been confirmed at 29 Sherman Ave (garage)
Northampton.
The work was processed on work request#30603495
If you have any questions or need further assistance,please feel free to contact Andrea Hache@
508-691-6552.
Sincerely,
X .eC1.aw`h' tai
L.ndlrea Haehe
Customer Connections Representati;;e
MY Connections NE
nationalgrid
skos, Mok„,
Phone: 508-865-4525
0
Al Spectrum Services, LLC
Cell: 781-820-1523
Asbestos • Mold • Indoor Air Quality Consultants
ci4
'uoo foe
June 28, 2022
Report For: Sovereign Builders, Inc.
Attn.: Todd Cellura
135 Southampton Road
Westhampton, MA 01027- 9535
C: Ultimate Abatement, Inc.
34 Mountain Street
Plainfield MA 01070-9757
Project: Commercial Structure
29 Sherman Ave.
Northampton, MA
Date of Sampling: June 16, 2022
Date of Analysis: June 16, 2022
Scope: It was requested that a visual inspection be performed and final
air samples be collected and analyzed for fiber content. The
inspection and air sampling were performed by Robert Gravallese,
an AHERA accredited and Massachusetts licensed project monitor.
Methodology: The air samples were collected in accordance with 454 CMR 28.00.
The samples were analyzed by the NIOSH 7400, Issue 3,
method for Phase Contrast Microscopy.
The samples were collected with high volume pumps with flow
rates pre and post recorded. The rotometer used to measure the
flow rate was calibrated to a primary standard within the past 6
months.
43 Eight Lots Road I Sutton, MA 01590 I A 1 Spectrum.com I Email: robertgravallese@gmail.com
SAMPLING DATA
Sample ID Location Start Stop Type Result LOD
F/cc
06.16.22.29Sh East 9:03 10:13 AM Final <0.003 <0.003
el Containment
06.16.22.29Sh West 9:09 10:19 AM Final 1. <0.003 <0.003
e", Containment
Comment: The containment was visually inspected and found to be free of
suspect material.
The project involved the removal of asbestos containing damp
proof by the full containment method.
The current clearance standard in the State of Massachusetts is
0.010 fibers/cc of air. The airborne fiber level in these areas
were below this level.
• obert. F. ravallese
AM # 061537
AA# 000152
AF#000030
c: file
ekos,&Iwo.
Phone: 508-865-4525
A 16 Al Spectrum Services, LLC Cell: 781-820-1523
0
?P-' Asbestos • Mold • Indoor Air Quality Consultants
ifoo
June 28, 2022
Report For: Sovereign Builders, Inc.
Attn.: Todd Cellura
135 Southampton Road
Westhampton, MA 01027- 9535
C: Ultimate Abatement, Inc.
34 Mountain Street
Plainfield MA 01070-9757
Project: Commercial Structure
29 Sherman Ave.
Northampton, MA
Date of Sampling: June 18, 2022
Date of Analysis: June 18, 2022
Scope: It was requested that a visual inspection be performed and final
air samples be collected and analyzed for fiber content. The
inspection and air sampling were performed by Robert Gravallese,
an AHERA accredited and Massachusetts licensed project monitor.
Methodology: The air samples were collected in accordance with 454 CMR 28.00.
The samples were analyzed by the NIOSH 7400, Issue 3,
method for Phase Contrast Microscopy.
The samples were collected with high volume pumps with flow
rates pre and post recorded. The rotometer used to measure the
flow rate was calibrated to a primary standard within the past 6
months.
43 Eight Lots Road I Sutton, MA 01590 I A1Spectrum.com I Email: robertgravallese@gmail.com
SAMPLING DATA
Sample ID Location Start Stop Type Result LOD
F/cc
06.18.22.29Sh Rear 9:22 10:32 AM Final <0.003 <0.003
el Containment
Comment: The containment was visually inspected and found to be free of
suspect material.
The project involved the removal of asbestos containing damp
proof by the full containment method.
The current clearance standard in the State of Massachusetts is
0.010 fibers/cc of air. The airborne fiber level in these areas
were below this level.
Robert F. Gravallese
AM # 061537
AA# 000152
AF#000030
c: file