Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
39-060
BP-2023-0549 22 ATWOOD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 39-060-001 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-2023-0549 PERMISSION IS HEREBY GRANTED TO: Project# 2022 DISH PANEL Contractor: License: CONSTRUCTION SERVICES OF Est.Cost: 74000 BRANFORD LLC 98294 Const.Class: Exp.Date: 10/11/2023 Use Group: Owner: OXBOW PROFESSIONAL PARK LLC Lot Size (sq.ft.) Zoning: GB/WP Applicant: CONSTRUCTION SERVICES OF BRANFORD LLC Applicant Address Phone: Insurance: 67 FRANKLIN AVE PLAINVILLE, CT ISSUED ON: 05/01/2023 TO PERFORM THE FOLLOWING WORK: INSTALL DISH PANEL 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: rf YV r►' Iv.- c, ICJ Y r e , l Fees Paid: $ 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissi ner s ��,—� ,1� d o 4 t rvL L "71-.1 j k - PIA n I g Fv LCLL `'t Ctf I =D ECEI VE D-- -_ `1'The Commonwealth of Massachuset Y ' 1 2023 Office of Public Safety and Inspections _ ( ` „3. Massachusetts State Building Code(780 CMR) r.of LUn DiNr i Building Permit Application for any Building other than a One-or"' �ii�ly� 4it (This Section For Official Use Only) Building Permit Number: p-A-sin I Date Applied: Building Official: SECTION 1: LOCATION 22 Atwood Dr Northampton 01060 No.and Street City/Town Zip Code Name of Building(if applicable) 39-060-001 22 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used 1f New Construction check here Nor check all that apply in the two rows below Existing Building X ' Repair 0 Alteration 0 Addition❑ Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other I$specify: Northampton Emergency Services Are building plans and/or construction documents being supplied as part of this permit application? Yes 18( No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Description of Proposed Work: Install 1 ice shield 113'. Install 1 microwave dish at 108.5. Install 20mni antennas at 89.8 feet, Install 1 TTA at 90'. Install 1 Omni antenna at 90.3' ntennas on exsisting ice bridge Install a tri collar microwave mount, Install side arms and stiff arms at 3 sectors 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) ❑ Existing Use Group(s): 1 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 A4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 Cl H-2 0 H-3 0 H-4 0 H-5❑ I: Institutional 1-1❑ 1-2❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 0 S-2❑ U: Utility❑ Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA ❑ IIB 0 ILIA ❑ IIIB ❑ IV 0 VA 0 VB 0 ....._ SECTIO .. N 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: 3 Trench Permit: Debris Removal: A trench will not be ; Licensed Disposal Site ClPublic 0 Check if outside Flood Zone 0 Indicate municipal 0 required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 1 permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: 1 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 ig Yes❑ 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: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Crowb Castle/ Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Construction Manager 877;486 -9377 - Fred.Joyce@crowncastle.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Fred Joyce 200 Corporate Drive Canonsburg PA 15317 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 1w 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❑ 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) William R Heiden,Ill 574. 527. 3717 Wheideni@mlcomm. m 45044 Name(Registrant) Telephone No. e-mail address Registration Number 6202 Constitution D r Suit C Fort Wayne IN 46804 Civil Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor CSB Company Name Adrien Paradis CS-098294 Name of Person Responsible for Construction License No. and Type if Applicable 67 Frtanklin Ave Plainville CT Street Address City/Town State Zip 203-488- 0712 203. 641. 5497 aparadis@csofb.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORMER C EEN . , 6? RA E 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 a SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6) =$_. 1.Building $ 37,000 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 37,000 appropriate municipal factor)=S 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 74,000 (contact municipality)and write check number here 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. Thomas J Foley Lead Construction Manager 860 389 7777 - 04/24/23 Please print and sign name Title Telephone No. Date 6615 Towpath Rd East Syracuse NY 13057 TFole_y@Pyramidns.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: 3/i/ a3 Name Date City of Northampton ;4;t ;kr, 4 M� 4 yl, Massachusetts � i ., a• . Jr- DEPARTMENT OF BUILDING INSPECTIONS * ' 212 Main Street 40 Municipal Building rJ, „. Northampton, MA 01060 � i., . ',%.' 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: Not applicable with this application Location of Facility: a The debris will be transported by: Not applicable with this application Name of Hauler: Signature of Applicant: _ Date: 04/26/2023 DATE(MM/DD/YYYY) ACOR $ CERTIFICATE OF LIABILITY INSURANCE 4/26/2023 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 Haylor, Freyer&Coon, Inc. PHONE Ashley Franczak FAX PO Box 4743 (A/c.No.Ext): 315-451-1500 (A/C,No): Syracuse NY 13221 ADDRESS: certificates@haylor.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Cincinnati Insurance Co 10677 INSURED WIDEWATERS1 INSURER B:Cincinnati Casualty Company 28665 Pyramid Network Services LLC 6615 Towpath Road INSURER C:Affiliated FM Insurance Company 10014 East Syracuse, NY 13057 INSURER D:Allianz Global Risks US Insurance Co 35300 INSURER E: Indian Harbor Insurance 36940 INSURER F: COVERAGES CERTIFICATE NUMBER:1324214315 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y EPP0573971 4/1/2023 4/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE RENTE CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $500,000 X Contractual Liab MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X izef X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y EBA0569119 4/1/2023 4/1/2024 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR Y Y EPP0571018 4/1/2023 4/1/2024 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ g WORKERS COMPENSATION Y EWC0530375 4/1/2023 4/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE YNN NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Leased/Rented Equipment 1097527 4/1/2023 4/1/2024 $250,000 Limit Ded$10,000 D Builders Risk SML93079360 4/1/2023 4/1/2024 $1,000,000 Limit Ded$10,000 E Professional Liability MPP003900609 4/1/2023 4/1/2024 $2,000,000 Claim/Agg $50,000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) General Liability Blanket Additional Insured-Owners/Contractors-Automatic status when required by written contract per Form GA472 09/18 General Liability Blanket Additional Insured on a Primary and Noncontributory basis and Waiver of Subrogation applies in favor of Certificate Holder when required by written contract per Form GA233NY 10/20 Auto Liability Blanket Additional Insured and Waiver of Subrogation as required by written contract Form AA288 01/16 Workers Compensation Waiver of Subrogation Form WC 00 03/13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Northampton 212 Mains St Northampton MA 01060 AUTHORIZED REPRESENTATIVE /#4., reta,t4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD