32C-022 (17) BP-2023-0751
29 PLEASANT ST UNIT A COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-022-001 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-2023-0751 PERMISSION IS HEREBY GRANTED TO:
Project# REPAIRS 2023 Contractor: License:
Est. Cost: 120650 DAVID OSIECKI CSL089376
Const.Class: Exp.Date: 01/05/2024
Use Group: Owner: PAMELA DANIELS JEFFREY R&
Lot Size (sq.ft.)
Zoning: CB Applicant: WESTERN MASS MASONS LLC
Applicant Address Phone: Insurance:
383 COLLEGE HIGHWAY 413-527-1800 4283978
SOUTHAMPTON, MA 01073
ISSUED ON: 06/08/2023
TO PERFORM THE FOLLOWING WORK:
REPAIRS TO FRONT OF BUILDING
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:
MAL 0
Fees Paid: $844.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of MassachuJ1s 8 202:3
kT- - j� Office of Public Safety and Inspections
ag Massachusetts State Building Code(780
Building Permit Application for any Building other than aOne ff Il lin
AA ni ono
(This Section For Official Use Only)
Building Permit Number: '15/ Date Applied: Building Official:
SECTION 1:LOCATION
a q % ()f , / �� ,10 °ia60 a%0 is,),.:� s C ,i�� ,�J oc.Z/,,;,,
No.and Street City/TovIn 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❑ Demolition 0 (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 0 No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No 0
Brief Description of Proposed Work:
pr&,47 Frviii c„i_-_,s,. j
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.)
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❑ R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility❑ Special Use❑and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB ❑ IIA ❑ IIB ❑ IBA Cl IIIB ❑ IV 0 VA 0 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:
A trench will not be Licensed Disposal Site 0
Public 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 permit is enclosed❑
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❑ 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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
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❑.
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)
044,in Cs,cx.14 443-S�7 177'7'
Name Registr t) Tel phone N e thtail address Registration Number
36- cl ��./�arkk Oral- / /-�
Street Address City/ own State Zip Discipline Expiration Date
10.2 General Contractor
ei(C CA s1 /04 on J
Company Name
Qit.r 0 OS,eC� , CS o 32 f
Name of Person Responsible for Construction License No. and Type if Applicable
ff
Street Address City/Town State Zip
(./3 Z (cf 2., gd - U`3 Ft (t? �..Qr f e TA,/�1yf) �f2/�)0,7�•Cc�.r�
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 $ Building Permit Fee=Total Construction Co e t here
2.Electrical $ appropriate municipal factor)=
3.Plumbing $ v
4.Mechanical (HVAC) $ Note:Minimum fee=$ (con ality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ /0,-0, 66?i, C{' (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.
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Please print and si name Title N j Telephone No. Date
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval:
Name Date
City of Northampton
r 1, S•
r Massachusetts ��� s.. '<<
r c
� � W ;Ire �.
DEPARTMENT OF BUILDING INSPECTIONS 1i F
212 Main Street • Municipal Building 9t.) `�
-- • Northampton, MA 01060 J'fr ‘1
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: IVA-
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date: 3
The Commonwealth of Massachusetts
r � Department of industrial Accidents
�• ► .t
1 I Congress Street,Suite 100
Boston, MA 02114-2017
sv www mass.go►+/dia
Uwkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
"1`O BE:FILED WITH THE: PE:R t1Tf1%(;AI I'HOlifl'1'.
Annlicant Information Wei)
M �,r�( Please Print Leeibh
Name(Business Organvalion'lndividua1): t/"ei)/erA.., 11j �4�V"-v a<1->
Address:__ 3,1)3 ce/ _ _
City/State/Zip: sa %/)k. - a?i Phone #: '?3� s;9_ Ir04
.Are you as employer?Cheek the appropriate box:
Type of project(required):
I.E.:Kacia employor with _6 employees(fiidl andbr pscs.tirte)! 7. 0 New construction
201 am a sole pnipnesur or partnership and have no employees wonting tun me in 8. 0 Remodeling
any capacity.[No workers'comp.assurance required_]
3.0 homeowner
I am a homwner doing all work myself.[No workers'comp.iustrnrrace required]t 9_ 0 Demolition
4_0 lam a homixioner and will be hiring contractors to conduct all week on my Property. 1 will I()D Building addition
ensure that all contractors either hare workers'compensation itstuanwx ea arc sole 11.D Electrical repairs or additions
proprietors with no employees.
12.D Plumbing repairs or additions
I am a general contractor and I have hired the sub—contractors listed on the anacited sheet..
13.11Roof repairs
These sub-contractors have employees and have workers'camp.insurance.:
,A,1 pp
6.D We are a canpecatiun and its officers have exaaviseJ their nght of exemption per AIGL c. 14. Other /�'�7�1 T J --
M.,41(4),and we have no employees.(Nit workers'comp,insurance required.]
'Any applicant that checks but a I must also till out the section below showing their workers'cave. oration policy information.
?Ho cow er%who submit this atldavit indicating they are doing all work and then hire outside contractors mint submit a new affidavit indicating such.
tContraciors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or nut those entities have
employees. if the sub-cadracto s have employees,they must mvide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sire
information. —AZ_Insurance Company Name: G/ off l ,-�.�} —
Policy#or Self-ins. Lie.#:_ ff 3 A/tic/ Expiration Date: e(P1.01 a /
Job Site Address: s 64J 'City/State/Zip: /./tit /� /2' ' c CG�,
Attach a copy of the w rketis'compensationpolicy declaration page(showingthepolicy number afid expiration date).
P.. pe P R P 1
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 5250.00 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 cert ' er the ins and penalties of perjury that the information provided aa�bor� _e is truecorrect.and
Sibnaturc: Date: v 7 't?
Phone 4. 17 c").2-- t' Li
Official use only. Do not write in this area.to be completed by city or town official
City or Town: Permit/License b
issuing Authority(circle one):
I. Board of Health 2. Building Department 3.('ityrrow n Clerk 4. Electrical Inspector S. Plumbing Inspector
6.Other
Contact Person: Phone#:
—
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383 College Highway
Southampton, MA 01073 ( , "/ N LICENSED • REGISTERED
(413) 527-1800 INSURED
WesternMassMasons.com ,00t40- 0 0 , ACCREDITED
quality@iwesternmassmasons.com
H88 BUSiN£SS
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29 PLEASANT ST. Date: 5-22-2023
To: NORTHAMPTON MA Quote# 743278
Project: TUCKPOINTING / REPAIRS
Phone: 413-586-4331 E-mail:
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Description of Work To Be Done:
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Two sides of the building at 29 pleasant St. were inspected for masonry repairs.
The front side of the building on Pleasant St. has an extreme amount of mortar loss
throughout the entire front of the building. This can be seen from the ground but also from
the scaffolding as we are working on the building adjacent to it and can see exactly the
amount of washout from the top of the building.
This amount of mortar loss is letting water into the building and doing further damage to the
structural integrity of the building throughout the years. There have been no significant
repairs or updates to the masonry on the front of this building that have been noticed.
The lime based mortar in the original bricks of the building has been failing for quite some
time and must be addressed soon in order to stop water penetration to destroy the actual
brick itself during the winter time.
If this issue is not addressed more significant damage will start to occur to the structure of
the building and the brickwork itself which could result in replacement of certain areas if
water is to penetrate further and the freeze thaw cycle does more damage to the old soft
brick of the building.
The proposed work for the front of the building is to grind out all of the mortar joints from top
to bottom and all of the brickwork. The scope of the work will also return to the corner and
will also address the mortar joints to the wooden bump out on the side street. Tuck point
the bricks with the appropriate type of mortar consistency for the age of this building.
Thank You For Choosing Western Mass Masons!
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83 College Highway
• QUOTE
Southampton, MA 01073 j LICENSED • REGISTERED
(413) 527-1800 ,/ INSURED
WesternMassMasons.com I 04') 0
ACCRIDITED
evs,NES s
m quality@westernmassmasons.co
HO6NE
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Scaffolding will be erected on the front of the building for access throughout as needed.
A v acuum system will be used to collect all dust for this job and all of the correct building
permits needed are quoted here as well.
If there is anyadditional structural brickwork that is found once this scaffoldingis set upthat
is not quoted here this will be a additional cost and billed as stock and time and discussed
with the building owners prior to any additional work being performed.
The price quoted below is for the front of the building only and is the total amount of
everything needed to complete the restoration on the front of the building.
WE HEREBY PROPOSE TO FURNISH MATERIALS AND LABOR- $ 120,650.00
IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS,FOR THE SUM OF:
This quote may be withdrawn from us if not accepted within 30 days. Quote Prepared By: David Osiecki
TERMS:Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and
above the estimate.By signing this quote,you agree and understand all the above terms and conditions that apply to this job.Any changes that are to be made,must be
discussed prior to construction and agreed upon by contractor and may also affect to the final price.
PAYMENT TO BE MADE AS FOLLOWS:One half of quoted amount is due when job construction has begun.Remaining balance of bit will be paid in full when job is
complete.A Finance Charge of 1-1/2(18%annual rate)per month will be added to any unpaid balance over 30 days
ACCEPTANCE OF PROPOSAL:the above prices,specifications and conditions are satisfactory and hereby accepted.You are authorized to do the work as specified.
Payment will be made as outlined above.
Signature Date Signature Date
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Thank You For Choosing Western Mass Masons!