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38A-012 BP-2022-1568 31 CHAPEL ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38A-012-001 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-2022-1568 PERMISSION IS HEREBY GRANTED TO: Project# DEMO Contractor: License: Est. Cost: 30000 SUNWOOD BUILDERS 065400 Const.Class: Exp.Date: 06/25/2024 Use Group: Owner: CORP SUNWOOD DEVELOPMENT Lot Size (sq.ft.) Zoning: URB Applicant: SUNWOOD BUILDERS Applicant Address Phone: Insurance: 84 POTWINE LN (413)259-1000 WMZ80080056582022A AMHERST,MA 01002 ISSUED ON: 12/08/2022 TO PERFORM THE FOLLOWING WORK: DEMO 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: i Fees Paid: $300.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner z—oK File #BP-2022-1568 APPLICANT/CONTACT PERSON:SUNWOOD BUILDERS 84 POTWINE LN AMHERST, MA 01002(413)259-1000 PROPERTY LOCATION 31 CHAPEL ST MAP:LOT 38A-012-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $300.00 Type of Construction: DEMO GARAGE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 1,„ 6 iaops, ature of Building Official i, ( Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Depar ent of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office f Planning&Development for more information. The Commonwealth of Massachusetts 5 2022 Office of Public Safety and Inspections r;' sa c Massachusetts State Building Code(780 CMR) n,pt ri )/ TNAico NC.;tN�acriorvs Building Permit Application for any Building other than a One-or Two-Family rYWelhng,, (This Section For Official Use Only) Building Permit Number: A2•/56/J Date Applied: Building Official: S CTION 1:LOCATION No.and Street City/Tow Z 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 Repair 0 Alteration 0 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 ❑ No Is an Independent Structural Engineerin Peer iew re " ed? e 0 No Brief D9scription of Pro osed'Wo}�k: i ,' i �1 Pe1Y,Qvo0 G#� r, r / Co at or - .'on 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) Cl 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 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ 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:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA CI IIB 0 IIIA ❑ IIIB ❑ IV VA El VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supp : Flood Zone Information: / Sewage Disposal A trench will not be Licensed Dis osal Site 0 Public Check if outside Flood Zone j*r,1( Indicate municipal p required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit 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 0 No 0 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: _ P 7 SECTION 9: PROPERTY OWNER AUTHORIZATION Name a d Addr of Property Owner / fled U#Po Ji/ .firfi1C/�T �� 0/ Name(Print) No.and Street City/Town Zip Property Owner Contact Information: #3 -cs'9 /000 y,O_Cl/C oo'W gut,wool&cofirc0.s/ 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. Q 1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) SAaa .r / -G//G- 001 k i/W0 0 ,C0/0?Co.irel 667-G400 N e strdit) Te}�ph ne No e-mail address Registration Number 8ia ibtP /C/kf ,/�flifte-eel O/00et is ds �� Street Address City/Town State Zip Discipline Exati n Date 10.2 General Contractor UL7WoOCY i n•/dC.rS Company Name t /terry • WvaJoif - Na�mje of PPeerso Reylponsiible for Construction /� License No. and Type if Applicable U i✓"2Li%#U/if Aincr,571 fa O/ODD Street Address City/Town State Zip / /fii-061 7000 �f/3 -6,6 -O,14 5vr,WoodLaiconia„sJri 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 $ c30 000 ,$ Building Permit Fee=Total Co..;.uction C. x (Insert here 2.Electrical appropriate m ....al factor)=$ . 3.Plumbing $ •." 4.Mechanical (HVAC) $ Note:Minimum f-• =$ c.• .:ct municipality) 5.Mechanical (Other) $ Enclose check payable 6.Total Cost $ (contact municipality)and write check number here_ jV/ SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby att st un er the pains and penalties of perjury that all of the information contained in this application is true and accurate t the t of knowledge and understanding. 014,ncr 411 // Plea u n sign am T tl TelephonyNLo. ' ate O/D0� SwrwOC- co11,cad . Stre t Address City/Town State Zip Email Address /'f I Municipal Inspector to fill out this section upon application approval: 12 N2a___ Name Date City of Northampton TN ..,_p' Massachusetts �4/ '•!<< (11 -.....-A. ,.. 1 ta .1 °,, !l f , ' If DEPARTMENT OF BUILDING INSPECTIONS eq e J 212 Main Street • Municipal Building yJ �.ii: r.Y, Northampton, MA 01060 d 1 `10 VO 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: % u,,,,� ��ck Location of Facility: GI, Alecic,'ros {1‘. Y / Uc1/Xe/c/ di O/O� The debris will be transported by: Name of Hauler: c,S7`crtt daes @corn oil - /ccrlsv 0/ 4Age-ed Signature of Applicant: Date: _ The Commonwealth of Massachusetts .' _'`- +./ Department of Industrial Accidents .3f1t'= 1 Congress Street,Suite 100 1=1=i= Boston,MA 02114-2017 'i1/46.,... : www.mass_gov/din Workers'Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers. TO RE FILED WITH THE PERMITTING AUTHORITY. Applicant Information J 1 Please Print Leltibly Name(f3usinc kganizaticn/lndividual):__gal: it d 3rr./r'�c'!'s Address: di{,POTr✓,„„ J e, Jrjcry-1, A1 O/OOO1 City/State/Zip: Phone#: 6cc3 AI"/O ) Are yea fill employer!Check the appropriate box: Type of project(required): t. t:m a employes with IQ_employ (full aadlar l +-i1-' i 7. 0 New construction f any a sale proprietor or partnership and have m employees working for ODE ill 8. 0 Remodeling anyopacity_[No*roams'comp.insurance required.] 3 [ant a homeowner doing all trout m o workers' 9. Demolition "self_(N mom.iuLsrenae required]' 4.0 I am a homeowner and will be hiring contractors to conduct all work an my property. I will I ❑13tlilding addition ensure that all carraCmrs either have workers'compensation insurance or ace sale 1 I a Electrical repairs or additions proprietors with no ernployt. 12.0 Plumbing repairs or additions 501 ant a general coatroom and I have hired the subabrttractrirs lined on the attached sheet_ l 3.0R4nf repairs These sub-corttractors have employees and have workers'comp.immure.: 0 Other 60 We are a corporation and its otfkens have exercised their right of exemption per hiGL c. 14. 15Z$1(4),and we have no employees.[No workers'comp..insurance required.) "Any applicant that cheeks box RI Mg also fill out the section below showing their workers'ceenpenaaaion policy information_ t liornoowners who sultana this affidavit ixicatti tg they are doing all work and then hie outside contractors.must submit a new affidavit indicating such. :Coatrooms that check this box must attached an adrirtianai sheet sbuwing the agate of the sub-contractors and state whether or not those equities have ernployva treat sulrcoetracwrs have employees.they num provide their tturkers'comp_policy number. I ant an employer that is providing workers'compensation Insurance for nay employees. Below is the policy and job site Information. C �./r/ / Insurance Company Name: v v svrtrrcr,_/ — Policy#or Self-iris.Lie.#:WfrfZ.,00(50 80faiGl Expiration Date: ��'p�13 Job Site Address: (3/ ClAaptelSkei City/State/Zip: 0/0lo0 Attack a copy of the workers'ebmpensation policy declaration page(showing the policy number and xpiratiou date). Failure to secure coverage as required under MGL c. 152,i25A is a criminal violation punishable by a fine up to$1,500.00 sndfor 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 far insurance coverage verification ' . I do hereby ceriif tradelthe pa s red penalties of perjury that the Information provided above Is tine Da a wreCL Si'nature: id/I u. I4Aie Date: • i� Phone#: ' -, -/I0/I Official use only. Do not write in this area,to be completed by city or town official i City or Town: Perenit/L[cense# Issuing Authority(circle one): I.Board of health 2.Building Department 3.Cityrfown Clerk 4.Electrical Inspector 5.Plumbing Inspector i 6.Other I i{ Contact Person: Phone#. AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/16/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Parker NAME: Webber 8,Grinnell PHONE (413)586-0111 FAX (413)586-6481 (A/C.No,Extl: (A/C,No): 8 North King Street E-MAIL kparker©webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC ft Northampton MA 01060 INSURERA: Selective Ins Co of Southeast 39926 INSURED INSURER B: Selective Ins Co of S Carolina 19259 Sunwood Builders,Inc., DBA:Sunwood Development Corp. INSURER C: A.I.M.Mutual/A.I.M. 33758 Attn:Shaul Perry INSURER D 84 Potwine Lane INSURER E: Amherst MA 01002 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2242618181 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. INSR ADDL'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,INSD VI/VD, POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY), LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 15,000 A S239905501 03/04/2022 03/04/2023 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I I JECT LOC 2,000,000 PRODUCTS-COMP/OPAGG $ OTHER. $ - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ g OWNED X SCHEDULED A9108082 03/04/2022 03/04/2023 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-ONED PROPERTY DAMAGE $ _X AUTOS ONLY X AUTOS WONLY (Per accident) Medical payments $ 5,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE S239905501 03/04/2022 03/04/2023 AGGREGATE $ 1,000,000 DED X RETENTION $ 0 $ -WORKERS COMPENSATION PER oTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? N/A WMZ80080056582022A 05/22/2022 05/22/2023 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Northampton is listed as additional insured with respect to liability as per the terms and conditions of the policies. RE:31-33 Chapel Street Northampton MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 240 Main Street AUTHORIZED REPRESENTATIVE /j Northampton MA 01060 '//1/, `D • ,0 I hJ ice-- ©1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD �oaTHAMo CITY of NORTHAMPTON ,. PUBLIC HEALTH DEPARTMENT � rili Public Health Director Merridith O'Leary,RS , 44::,,,,,v, =�� Municipal Building—212 Main Street—Northampton,MA 01060 _ �' Phone(413)587-1214- Fax(413)587-1221 ��,,--LL''++.� ww�th http://www.northamptonma.gov/245/Health rill:Hsi Prevent.Promote.Protect. WITNESS OF EXTERMINATION Date I Zl 9' I Z. Time Property Owner: 5 h a v 1 f r ir y Property Address: 3 1 GI,a -Q, S (- Exterminator: F1" r-er“..'t- P.2 bt So LA-0.11 / STe Ve_11 Rp Company: Company Address: PO 6OK G 0 S r7 Rodenticide/Chemicals Applied IL_S 0 =S S u-eS 4 0 U (1 5-e. -A-t-64cJ d I nv 6 i c.'e_,.. Reason for Extermination: Comments: CJ e..e_. Ar tiPc Gh Q Ci L.uc up l C.-f. I hereby certify, under the pains and penalties of perjury, that I to the best of my knowledge and belief, have applied the above noted pesticide in accordance with M.G.L. Chapter 132B and any other applicable law or regulation. .®'City Water ❑ Well ❑ Septic System If applicable ❑Yes ❑I No 5 tee.. pc t i ae ct i r1 V o c c..v.__ Board of _ealth Representative Signature of Exterminator *Demolition best practices relating to fugitive dust and debris must be adhered to in accordance with MGL Chapter 111, Section 122. Service •Sltp/invoice FLORENCE PEST SOLUTIONS 1 PO BOX 60578,Florence,MA 01062 413-687-3131 0' , ti i 1` — w• P 0. 1 Bill To: Location: ' a d',/ WCJc' 1s0-J - nr,Ato fr—sf L' - 3) 0/1-4-re-0 5F r,0 Z-r-f /0 0 d` ititi/Pik tft44940`'' ii.442,S 0/06 Work Date Time Target Pest Technician IPurcha a OrderTerms Last Service Next Service Termidor•06%Fipronll EPA 7969-210 0 i► Ne,Phantom 0.5 Chlofenapyr EPA 241-392 fl Advion Dosch Bait 0:6 Indoxcarb EPAIOO-1484 L J J �O / r Final Blox 0.0Q5%Brodifacoum F , 2455-89 , _ . First Strike 0.0025%difethialone EPA n 7173-258 I tigailio -. 11 a�145,4 °...,~ 11. Cl I--d, i1 yN-j a tab e6 - r tg- 0 4 fy 10,0 rr r C.LKra. Lae q J 46 / sf✓eJ A To Maximize our service and reduce conducive pesrcondition .the following problems were noted.Yourattention • these areas would greatly be appreciated.Please contact our office if you have further questions.Thank You. INTERIOR I EXTERIOR Screen open doors and windows. Wall Rom junction must be scaled. I Vegetation(Tree lnanchea,'lute,plants) t5oil(very high against property) Clean up accumulations of grease waste and moisture Sawdust ; Drains must be clean and free flowing. Repair holes,cracks,and loose file I Moisture problems Clove garbage containers rft Door sweep required Weil Carpenter bees damage Other . Comme a 'le i I hereby acknowledge the satisfactory completion of all i Changes outstanding over 30 days from the date of service are subject to a I.112%FINANCE CHARGE PER services rendered and agree to pay the cost of services as`MONTH or annual percentage rate of 18%.Customer agrees to pay accrue(expenses in the event of specified above x 1 collection. Date Pest management Professional Customer Signature 1/ ._ ,,.. la .._... _......... BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: / Address: di 6,4 c f� 6A 1 Building Use: A / Owner: sul1Wood �� "rOcAtC o�Mc1T/ Phone: 1�c3'OV7 '/000 Owner's Address: OiYc7 ✓i%1C, a,-tG Arhe6 / /►M 0/004 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) N/'I N/o 64.9 Signature Title National Grid (Electric)i� ja � "su,i��sc/%d %iccr 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 �orufcG/ d 670/04n'S 6jCG o�J1 4/4' nationaigrid 55 Bearfoot Rd Northborough MA 01532 Nov 18th, 2022 RE: Service Removal for Building Demolition 31 Chapel St Northampton, MA To Whom It May Concern. This letter is to confirm that, per your request, National Grid has confirmed the electrical meter# (25107496) and service have been removed from 31 Chapel St,Northampton, MA The work was processed on work request#30695561. If you have any questions or need further assistance, please feel free to contact Andrea Hache@ 508-691-6552. Sincerely. X etYi , Andrea tische Custom erComedians Representative MyConnections NE nationaigrid 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 ACMs include, but are not limited to, heating system insulation, floor tile and vinyl sheet flooring, mastics, wallboard, joint compound, decorative pl sters, 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, deconta !nation, disposal and monitoring costs. A DOS certified asbestos consultant must be contracted to determine if asbestos isi 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: Pcrc)( Owglcr' Print am , Title // c300/1 ture D to IMO rNv!RONMFNTAL CONSULTANT November 11,2022 Mr.Shaul Perry 31 Chapel St. Northampton Ma. Reference: Asbestos Abatement Property Commercial 31 Chapel St. Northampton Ma. Dear Mr.Perry: - Thank you for providing Safety Environmental Consultants the opportunity to serve your asbestos consulting needs. Asbestos-containing materials were removed from the above referenced location. The contractor removed Joint Compound(430 SF)and Glue daub (75 SF)from Office space (Mechanic shop). The final visual inspection was approved, and the job was completed November 10,2022. The final air clearance that was collected inside the containment indicates the airborne fiber concentration was less than 0.010 Fibers/Cubic Centimeter as required by the Environmental Protection Agency. The air sample was collected and analyzed using Phase Contrast Microscopy in accordance with the NIOSH Method 7400. The air samples were collected by a licensed Project Monitor. Please call me directly with any questions at 1-617-981-4774. Very truly yours, Johnnie M.Lituma Services Manager. 16 Pattee Rd.Salem NH 03079 Phone number 1-617-981-4774 PO Box 733 Methuen Ma. www.secmass.com .R x c?FETY EIJVIRONMFNTAI_ CO1s.1SI JI TANT LABORATORY SAMPLE RESULTS Property Commercial @ 31 Chapel St. Northampton Ma. - November 10, 2022. 1 Office Space-Removed J.Compound&Glue daub. JV 11/10/2022 Northampton 31 Chapel St. PCM SEC 11/10/2022 BDL 2 Field blank JV 11/10/2022 Northampton 31 Chapel St. PCM SEC 11/10/2022 - 3 Field blank JV 11/10/2022 Northampton 31 Chapel St. PCM SEC 11/10/2022 - RS-I Duplicate Analysis , m 11/10/2022 Satisfactory NOTE:PCM=PHASE CONTRAST MICROSCOPY i THE PCM RESULTS REPORTED ARE BASED ON THE SAMPLE TIME AND AIR VOLUMES SUPPLIED WITH THE SAMPLES AND ARE NOT REPORTED AS 8 HOUR TWA'S PCM AIR SAMPLES WERE ANALYZED IN ACCORDANCE WITH NIOSH 7400 METHOD(A COUNTING RULES),REVISION#3,5/15/89. I I I I I l I I I 16 Pattee Rd.Salem NH 03079 Phone number 1-617-981-4774 PO Box 733 Methuen Ma. www.secmass.com PCM:PHAS 'CONTRAST MICROSCOPY BDL:BELOW DETECTION LIMIT 0701-DS-2-01: DATE-TOWN-TYPE-SAMPLE# TEM:TRANSMISSION ELECTRON MICROSCOPY <LOD:LIMIT OF DETECTION BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: 1113vlaa Address: 3) CAaftc2 f Building Use: Owner: RQIMJ Phone: 0759 /0'0-0 • Owner's Address: cSUfltAtc 1Jurtcillitio Jr,e- 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) Signature Title National Grid (Electric) Signature TitleDPW (Water) )(L -& Sac Signature Title — DPW (Sewer) JVV!_� SiLkAA.QA._ Signature Title — DPW (Storm water) SPAAAQA-7 ✓VL -SSignature T — DPW (Tree Warden)( Iiu (K/O,Klititk. . M/30/a Si ture Title / d/r DPW Director1��� ture Title Historic Comm. Review Signature Title