48-027 (3) BP-2023-0437
66 RIDGE VIEW RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
48-027-001 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-2023-0437 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 new single family Contractor: License:
Est. Cost: 46528 FIRE SERVICE GROUP LLC SC145974
Const.Class: Exp.Date: 07/04/2021
Use Group: Owner: S ARMSTRONG KIPP S& PATRICIA
Lot Size (sq.ft.)
Zoning: RR Applicant:
Applicant Address Phone: Insurance:
ISSUED ON: 04/12/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL SPRINKLER SYSTEM
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:
.
Fees Paid: $
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissioner
r' w .
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
:� Massachusetts State Building Code, 780 CMR qpR MUNICIPALITY
r ? USE
Building Permit Application To Construct,Repair,,kenq, ate Or Demolisl 3 Revised Mar 2011
One-or Two-Family Dwelling A,- rU„--.—
This Section For Official Use Only , F c.rk.,
Building as
Pe it Number: ,&Jo a 3" y3 Date Applied:
Ck+.� ! y• IZ 2623
--&
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
66 RIDGEVIEW ROAD,NORTHAMPTON,MA _
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private MI _Zone: Outside Flood Zone' Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sovereign Builders(General Contractor) Northampton,MA 01060
Name(Print) City,State,ZIP
16 Center St Suite 215 413-527-8001 tcellura@sovereignbuilders.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 181 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other L$ Specify:Fire Sprinkler System
Brief Description of Proposed Work2: Installation of new NFPA 13D Fire Sprinkler System
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
1
4. Mechanical (HVAC) $ List: Costs for permit c. r 'ed by GC
5.Mechanical (Fire $ 46,528.00 Total All Fees: $
Suppression)
Check No. Ch;•• ;4. 8 t: Cash Amount:,
6.Total Project Cost: $ 46,528.00 ❑Paid in Ful I 0 tstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
SC-145974 7/2024
NA CSL-Sprinkler Contractor Fire Service Group Dan Belanger License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
1010 Thomdike Street
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Palmer.MA 01069 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-668-9100 bhanechak(2l encorefireprotection.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
NA HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town, State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit 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.
Signed Affidavit Attached? Yes . l No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
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.
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces __ Number of bedrooms
Number of bathrooms Number of halFbaths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
ti-74::,
Massachusetts 4' �__ '�
DEPARTMENT OF BUILDING INSPECTIONS,
212 Main Street • Municipal Building ',., `,`
Northampton, MA 01060 rr1 � <�
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: Fire Service Group Dumpster 1010 Thorndike Street,Palmer, MA 01069
The debris will be transported by:
Name of Hauler: Fire Service Group
Signature of Applicant: it ,j,t Date: 4i11/2023
ire seruice ._..:noun
Fire Protection Testing& Maintenance Provider A14 License i121832-A
1010 Thomdike Street MA License #SC 145974
Palmer, MA 01069 CT License #1 RP 004113 2-Fl
November 10, 2022
Sovereign Builders, Inc.
710 Southampton Road
Westfield, MA 01085
Phone: (413)527-8001
Email: tcellura@sovereignbuilders.com
sovereignbuilders.com
Re: 66 Ridge View—Northampton, MA
Subject: Fire Sprinkler System Installation
Dear Todd,
Fire Service Group is a locally owned company offering a full line of fire protection services in the Southern New
England region.Our professional and experienced team specializes in the installation and repairs of fire alarm and fire
sprinkler systems,tenant fit-outs,design build projects, inspections,and 24-hour emergency service. Fire Service Group is
one of the only privately-owned fire protection companies in the area performing all these services under one roof.
FSG is pleased to present you with a updated proposal of Forty-Six Thousand Five Hundred Twenty-Eight Dollars
(S46,528.00)to perform the following scope of work at the above referenced property:
A. Our quotation is based on the following scope of work:
1. Plans as prepared by Kuhn Riddle Architects dated 10/26/22
2. Specifications design build(unless noted otherwise)
3. Obtain all necessary permits, including but not limited to;
a)Fire sprinkler permit.
4. Sales tax
5. Starting our work at a pump&tank supplied by FSG
6. Engineering services(drawings,calculations&narrative)
7. Adequate heat in all areas of the building protected by the wet fire sprinkler system
8. Wet sprinkler system is designed in accordance with NFPA#13D "Installation of Sprinkler Systems in One-and
Two-Family Dwellings and Manufactured Homes"
9. Installing sprinklers on exposed piping in all areas with exposed construction (unfinished basement areas)
10. Installing concealed pendent or sidewall sprinklers in all finished areas
11. Perform all system tests and inspections as required
,* 1-888-279-8590 .Tel: 413-668-9100 • Fax: 413-213-6567
Aft www.Fire3GPUICeGPOUP.com LJ
OtcaA NPPA'
B. Exclusions:
1. Utility or alarm company shutdown fees(if any)
2. Electrical work
3. Emergency or alternative power supply (generator)
4. Fire alarm work(available upon request as an extra)
5. Core drilling
6. Patching
7. Painting
8. Fireproofing/firestopping
9. Sprinkler protection in any other area (attic, garage, crawl spaces, closets & bathrooms—meeting specifications
to not require protection within a NFPA#13D sprinkler system)
l 0. Insulation over the piping run in the attic to feed concealed pendent sprinklers on upper floor where using sidewall
sprinkler heads fed within interior walls was not feasible (to be completed by others)
1 I. Premium portion of overtime labor
Indemnity
Each party(the"Indemnifying Party")agrees to indemnify and hold harmless the other party and its officers,directors and employees,
from and against any and all third party damages, liabilities,actions,causes of action,suits,claims,demands, losses, costs and
expenses finally awarded by a court of competent jurisdiction for injury to or death of persons or damage to property("Claims")
arising out of the Agreement,but only to the extent that such Claims are caused by the negligence or willful misconduct of the
Indemnifying Party or its employees,agents,representatives or contractors. The party seeking indemnification under this Agreement
(the"Indemnified Party")shall provide prompt written notice of,and furnish a copy of written communications relating to,any third
party Claim covered hereunder to the Indemnifying Party. The Indemnifying Party shall have the right to assume exclusive control of
the defense or settlement of,or other efforts to resolve such Claim. The Indemnified Party agrees to cooperate reasonably with the
Indemnifying Party in connection with the performance by the Indemnifying Party of its obligations under this Agreement. The
Indemnified Party may engage counsel of its own choosing,at its own cost and expense.The Indemnifying Party shall not be
obligated to indemnify the Indemnified Party under this Agreement with regard to any settlement or compromise made without the
Indemnifying Party's prior written consent.
Limitation of Liability
To the extent permitted by law,the aggregate liability of Seller to Customer,whether in contract,tort(including negligence)or
otherwise,will be limited to amount of payments received by Seller from Customer under the Agreement.The foregoing does not
limit the liability of Seller for any injury to,or death of a person,caused by the gross negligence of Seller.
Project Delays
A party will not be in breach of this contract or be liable to the other party if it fails to perform or delays the performance of an
obligation as a result of an event beyond its reasonable control including, but not limited to,strikes,industrial disputes,fire,flood,act
of God,war, insurrection,vandalism,sabotage, invasion,riot,national emergency, piracy,hijack,acts of terrorism,embargoes or
restraints,extreme weather or traffic conditions,temporary closure of roads, legislation,regulation,order or other act of any
government or governmental agency.
Notwithstanding anything else in this Agreement,neither party shall be liable for any indirect, liquidated, consequential,special or
economic loss,cost liability, damage or expenses howsoever arising.
Extra charges may be applied due to failure to coordinate necessary parties involved,completing scheduled alarm/utility company
shutdowns,etc.Any damaged piping or sprinkler components caused by others during installation will be repaired on a time and
material bases at an extra charge.
Progress payments will be made for the work to be performed according to the following schedule:
A. Monthly progress billings
B. Final payment is due with 30 days of completion
Due to the uncertainty of material prices we will be unable to honor this quotation after(21)days.Payment is due in full within(30)
days upon invoice.Any payments not timely made will bear interest at the rate on 18%per annum.
FIPe SQ' PUJC2' mrioUP
1010 Thorndike Street-Palmer,MA 01069 Phone:413-668-9100 Fax: 41.3-213-6567 •www.fireservicegroup.com
•2-
We thank you for the opportunity to quote and hope we may be of further service to you on this project. If you are in
acceptance of these terms,please indicate so by signing below and return this document to our office as soon as possible
so we may initiate material ordering and scheduling.
If you have any questions or concerns, please feel free to contact me at: 413-668-9100 or by email at:
terry@fireservicegroup.com
Sincerely,
Terry 9 7-(anec1aiE
Terry Hanechak
Chief Estimator
By signing below, I agreed to above terms and conditions of this proposal.
Project:66 Ridge View—Northampton, MA (updated 11/10/22)
AGREED:
CUSTOMER:Bove n Builder . SELLER: Fire rnup LLC
f
Printed Name: . ,✓" Printed Name '/' -��
Date: f/ /7 4 Date: 1 42/2e.,
Fine 52nuice rout
1010 Thorndike Street-Palmer,MA 01069 Phone:413-668-9100 *Fax: 413-213-6567*www.fireservicegroup.com
-3-
The Commonwealth of Massachusetts
► �� g _ 1, Department of Industrial Accidents •
.1t" lit 1 Congress Street,Suite 100
Miff s Boston,MA 02114-2017
` www.mass.gov/dia
w z Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/individual): Fire Service Group
Address: 1010 Thorndike Street
City/State/Zip: Palmer MA 01069 Phone#: 413-668-9100
Are you an employer?Check the appropriate box: Type of project(required):
1.0 tam a employer with 45 employees(full and/or part-tone).* 7. 0 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling
any capacity.[No workers'comp.insurance required.]
3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]
9. ❑Demolition
10 0 Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per MGL o, 14.®Other Fire S rink 1 er
152,*I(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Beacon Mutual & Argonaut
Policy#or Self-ins.Lie.#: WC 9 2 8 7 9 8 7 4 7 3 6 4 & 8 7 718 _ Expiration Date: 10/1/2 0 2 3
Job Site Address: 66 Ridgeview City/State/Zip: Northampton, MA
Attach a copy of 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 fine up to$1,500.00
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
coverage verification.
I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct.
Signature:_._ Date: 4/11/2 023
Phone#: 413-668-9100
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#: