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32C-198 (8) BP-2022-0773 107 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-198-001 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-2022-0773 PERMISSIONIS HEREBY GRANTE TO: Project# DEMO Contractor: License: Est. Cost: 33901 KEVIN PERRIER 085319 Const.Class: Exp.Date:01/13/2023 Use Group: Owner: LLC. 4 ACES REALTY, Lot Size (sq.ft.) Zoning: - URC Applicant: FIVE STAR BUILDING CORP Applicant Address Phone: Insurance: 123 UNION ST (413)527-4060 WMZ80080077052020 EASTHAMPTON, MA 01027 ISSUED ON:08/17/2022 TO PERFORM THE FOLLOWING WORK: DEMO HOUSE AND GARAGE 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 VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I )2 . rI Fees Paid: $350.00 2l2Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner JUN 2 ?022 he Commonwealth of Massachusetts 6 Office of Public Safety and Inspections �r.OF eU1t Massachusetts State Building Code(780 CMR) _______`ORTHq` M i it A plication for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: -7 72, Date Applied: Building Official: SECTION 1:LOCATION _ 107 Williams Street Northampton MA 01060 No.and Street City t. /To wenn v I R g 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 I (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 Nb 0 Is an Independent Structural Engineering Peer Review required? Yes 0 N. 0 Brief Description of Proposed Work: Complete structure demolition - house & detached garage SECTION 3:COMPLETE E 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 P.oposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 2.5 0 Total Area(sq.ft.)and Total Height(ft.) 950 0 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 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4 0 M: Mercantile 0 R: Residential R-151 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:CONSTRUCTION TYPE(Check as applicable) IA 0 IBC IIAD IIBEl IIIA 0 IIIBD IV El VA CI VBD SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Public IX Check Site Check if outside Flood Zone IN Indicate municipal A trench will not beDisposalgi Private CI or indentify Zone: or on site system❑ required or trench or specify:_ permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable IR Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No gi Yes 0 No 9 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 4 Acres Realty, LLC 23 Balsam Fir Rd So Windsor CT 06074 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Anuj Dhamija 413-949-2033 - dhamijaanuj(a�yahoo.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Five Star Building Corp 123 Union Street Easthampton MA 01327 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 17. 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 Five Star Building Corp Company Name Kevin Perrier CS-085319 Name of Person Responsible for Construction License No. and Type if Applicable 123 Union Street Easthampton MA 01027 Street Address City/Town State Zip 413-527 4060 413-246-9845 kperrier@fivestarcorp.net 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' suance of the building permit. Is a signed Affidavit submitted with this application? Yes No 17 SECTION 12:CONSTRUCTION COSTS AND PERMIT F E Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 33,901.00 Building Permit Fee=Total Construction st x rt here 2.Electrical $ appropriate municipal factor =$ . • 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (c cipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 33,901.DC.) (contact municipality)and write check number here i 1 U .. SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By enterin na below,I hereby attest under the pains and penalties of perjury that all of the information contained in this appl' ' tru d accurate to the best of my knowledge and understanding. . Kevin Perrier President 413-246 9845 06/29/22 e e pr' a sign name Title Telephone No. Date 123 U on Street Easthampton MA 01027 kperrierfivestarcorp.net Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ���Z ^ � , I Name Da e City of Northampton c��lrPl ti: S�5"' "SAC r�= Massachusetts �1. 44'. DEPARTMENT OF BUILDING INSPECTIONS .. �' 212 Main Street • Municipal Building vb., •.err'�i,S'�Y ''.,,.N� 0Q �t = Northampton, MA 01060 •. � 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: 352 Albany Street Springfield. MA The debris will be transported by: Name of Hauler: Associated Building Wreckers Signature of Applican : Date: June 29, 2022 The Commonwealth of Massachusetts Cl Department of industrial Accidents _; 1 Congress Street,Suite 1011 • �',� Boston,MA 0211 4-201 7 www nt(tss.gowilia 11 utters'('ompensation Insurance Affidas it:SuildersContrtrctorsfElectricianstrP1 '1 )ME FILED WITH 17tE Pt:R]tt"t a'i t::AI'iHOtitllY. Applicant Information Pleas Print l.efibly Name(ttusinessiOrA:,amirstionietdexadual): Five Star Building Corp Address: 123 Union Street I City'StatedZip: Easthampton MA 01027 Phone#: 413-527-4060 Are yen SO niegnluy re`'(Arch the appnpriw/r bus: Type of project(required): l.0 I ant a entp65ev weak[ cnriluyc:s rinda and?ua pala-tiam 1.* 7. 0 New co ion 2.] nt I a a:sulk paopricaaa in ptuaamcvslhil+and Iuaxc mu cntp1 ycel.wwrk.Its mt.r mn.in R. Q Remodeling +--r any catpucuty..[fi t!wcrtile&c,tnmp.nr wramcc magwirral[ 9. ®Dt:^ttnolrtton 30 I ant a Iuumwwtwauv Junius all wink nmyndi INoaya¢hen::umtp..inirruauh rt.-yuircd_V ill] Budding addi,',n 41711 ant a lutmttou.watca and will be dtiatay moult.dnna,lib tiindtuct all w yak on my pmuprcaty.. I w,ill cvt+wrc than all t:uararuiues either ILIA warnktm":v n11*naation imswramcr:•tv ape:sub: 1 I a Elearical ,. ._or additions ptuptietorl.with no aampluyees` or idllttlitprtti 12_©Plumbing irs :sin I ant a Lwv/end eumtrae'BL r and I Iwtk a lwrcd the nub-cunta.ttwara listw•t1 in aloe a7tladht d:!lice[. 13.n Rtxtnfrepaiirs Ihese hut,.cam 1 h.cmntancsurs haapluye..and ha., wur,,c ken comp .tatsnranec 14.n Otit,. ri.O Itft anc a t..ummcaaun and au atlseers have c><crt d theta n tikt at e:ccmtn+tiirut pet MU.e. 152.,j nil.and wti flame nr7 evatgalnpeCY.[Nu mouth ns':camp imsuarrmcc leywiauaN.l '.Any applicant!'ikon checks boa rl anuba abii fill out the [glum slum imp tlncar wnrktvs'cnntp.ti.atioat peaky iadxtaamatwun.. 4 Itmamiuw mere win auflmm t Glues,at iht it iwlicaaarmr they atrc alaainn all mark and[item lair:outside a-emIDarcUuas.utast vabnwt a new,a fttaLaa it am+tic-aInng stack ltomaractuta that ylx>_-I.alai:*ha.x mmna attached am additional'alama slxrwimi the manic of the sat c&artruu•btc,.am!state wiwahen'ty not Ilium:a'attitie^.s lta.c employee.. If the stab-ccun rachxrs Isaac imarluy ees.they Houma pnuaidc Ilhe-ir workers"swamp.puke%nunmber.. I am an employer that is providing workers'compensation insurance for my employers. Below is the policy and jab site information. Insurance C cwnp uttv Name: AIM Policy#tar Scll=ins.Lie.#:WMZ8008007705202A Expiration Date:05/09/2023 Job Site Address: 107 Williams Street cityarstat&Zip:Northamptgn MA 01060 Attach a copy of the workers'compensation police declaration page(showing the policy number and expiration date). Failure to secure coverage as requires!under MGL c. 152,*25A ir;a criminal violation punishable ba a tine up to$1,500.00 :ndOr one-year imprisonment.as well as civil penalties in the loan of a STOP WORK ORDER and a line of up to S250.00 a day against the violator_A copy of this statement may be l a—warded to the Office of Investigations gations oldie DIA for insurance coverage v'eritication>✓/ I do hereby cerf a d like l and penalties of perjury that the information provided above v trace and correct. Si<�ttttttre / [)ate_ June 29, 2022 Phone#: 41-527-4 6 Ofcial use only. Do not write in this area,to be completed by city or town official ("itv or Town: Perini.icense At Issuing Autliorit, (circle one): 1.Board of Ikalib 2,Building Department 3,CitviTonel Clerk 4.Electrical Inspector 5.Plumbing Inspector G.Other ('intact Person: Phone a: City of Northampton �,,.T�C,rj S`5. „, Massachusetts 2- '<. * N; v t- A' ''.) 3. :f., t. DEPARTMENT OF BUILDING INSPECTIONS A`. 212 Main Street • Municipal Building y'•. s Northampton, MA 01060 'rsYjjj i;k. 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 ch-cks 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 C.mmercial demolitions and all abandoned residential properties. (Extermination may be required Of 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) 587-12411 BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: June 29, 2022 Address: 107 Williams Street Building Use: Residential Owner: 4 Acres Realty, LLC Phone: 413-949-2033 Owner's Address: 23 Balsam Fir Rd; So Windsor CT 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 iri a safe manner. Eversource (Gas) Signature Title National Grid (Electric) Signature Title DPW(Water) Signature Title DPW(Sewer) Signature Title DPW(Storm water) Signature Title DPW(Tree Warden) Signature Title DPW Director Signature Title Historic Comm. Review Signature Title Health Department Signature Title ASBESTOS REMOVAL All residential, commercial and institutional buildings are subject to Massachusetts Debartment 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 dr demolition activity. Examples of commonly found ACMs 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 DICAM and DOS. DOS provides a list of licensed asbestos abatement contractors and consultant. You may wish to inquire if a contractor has any history of violations. Only DoS licensed and DO certified asbestos abatement contractors and consultants may be hired to perform asbestos re ated work in Massachusetts. Received by: Kevin Perrier President Print Nitre Title z 2 June 29, 2022 Si re ;' Date • Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Consir et'f AiSpgrvisor CS-085319 icpires:01/13/2023 KEVIN A PERRIER r;# 123 UNION ST; EASTHAMPTON MA 0 Commissioner da >i. bfencha., • • p. Construction Supervisor Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters) of enclosed space. • Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpI • • September Lane Labs, INC P. O. BOX 275 Beacon Falls, CT 06403 203-668-8533 06/09/2022 4 Aces Realty, LLC 23 Balsam Fir Road South Windsor, CT 06074 Work Performed By: Baystate Contracting Services, INC. 352 Albany Street Springfield, MA 01105 Project Manager: James Beaudry Project No: 107-WS-NHM 107 Williams Street Northampton, MA The asbestos abatement project is considered completed because the post- abatement criteria for the asbestos abatement have been satisfied. On June 09, 2022, a Licensed Project Monitor completed a final visual inspection. No visible debris was found. ABATED ACM: Transite Siding Marco Carralero MA License # AM041931 BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: 7-a72_ od,1 Address: /07 W Bulldi Use: Owner.91t(4ó . Phone: -Cry - iR 0 Owners Address: (I UTILITY CUT OFF (Signature of Authorized Representative of Utility Department required) As required by the Massachusetts State Building Coat(780 CAM),a permit to •- •,.h shall not be issued until a release from the utilities is obtained,stating that their r- five service connections and appurtenant equipment have been removed or sealed and ,. Lagged in a safe manner. Eversouroe(Gas) Signature Title National Grid(Electric) __. • Signature Titlr ,4 DPW(Water) Signature Title t DPW(Sewer) ".rc`' �t Nre 'c.;.._. Signature Title 11 DPW (Storm water) Signature Title 7 DPW(Tree Warden) Signature DPW Director Si gnature Title Historic Comm.Review Signature Tits /a7 VcL&w 1LL A (...0n1A;..0. ...2".' er�i'�' Cu}zL4_,coo BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: l- !-aaav� Address: /07 �(/ j,�{�l R:1G _ Building Use: -^ Owner: )'yj(//r''/Ss Phone: I/3+d9 9 7- a 305- Owner's Address: 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 respectiveliservice connections and appurtenant equipment have been removed or sealed and plugged in a safe manner. --- Eversource(Gas) Signature Title - National Grid (Electric) Signature Title DPW (Water) _ tA/ 7/c7f1 Signature Title DPW (Sewer) Signature Title 7t DPW (Storm water) _ .14VA.6412/11 ,_. in Signature Title DPW (Tree Warden) l'icori C. f�auit t!ji' Supt/Tree Warden • TitleMt DPW Director 8 Si a Title Historic Comm. Review Signature Title