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18-013 178 NORTH KING ST BP-2023-1804 180 NORTH KING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18-013-001 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-2023-1804 PERMISSION IS HEREBY GRANTED TO: BIG LOTS ROOF TOP UNITS Project# 2023 Contractor: License: Est. Cost: 75000 CAPSTONE MECHANICAL LLC 13099 Const.Class: Exp.Date: 02/04/2025 Use Group: Owner: LP NORTHAMPTON HOLDINGS Lot Size (sq.ft.) Zoning: HB Applicant: CAPSTONE MECHANICAL LLC Applicant Address Phone: Insurance: 755 BANFIELD RD WC3538241 PORSTMOUTH, NH 03801 ISSUED ON: 02/08/2024 TO PERFORM THE FOLLOWING WORK: REPLACE HVAC ROOF TOP UNITS AND 1 SPLIT UNIT 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: $525.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVE _ emit) s>� �; _. _ . . ;y � ,r-„ DEC 2 8 2fte Conrtmonwealth of Massachusetts Office of Public Safety and Inspections L_ --Massachusetts State Building Code(780 CMR) BfuiIdM 1Fc #W 4rbn fir any Building other than a One-or Two-Family Dwelling (Thus Section For Official Use Only) Building Permit Number.,Z3 /gaY Date Applied: [Building Official: SECTION 1:LOCATION i7$ 6/ 6 rn No`.slid City/T 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 ❑ (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy ❑ Other ❑ S tidfy: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No 0 Is an Independent Structural Engineerin Peer Review r uired? Yes CI No 0 Brief Description of Proposed Work_Ar F (.U ) H V ft(" F T'o ) LJn iT3 0.td ( 17" UnIT 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 Cl B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2❑ H-3 0 H-4 0 H-5 0 I: Institutional I-1 C] I-2❑ I.3❑ I-4 O M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-I 0 S-2❑ U: Utility❑ Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA D IB D IIA D IIB D IIIA D IIIB D IV D VA D VB D SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information; Sewage Disposal: Trench Permi! Debris Removal: PP Y A trench will not be Licensed Disposal Site 0 Public 0 Check if outside Flood Zone 0 Indicate municipal[] 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 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: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner (211A011-0"tl alto7e 1e"-ar i O tt-)_iitC FOA,ft Pci TARRY iefewil 11, /0,r?/ Name(Print) No.end Street City/Town Zip Property Owner Contact Information: S0,7 Zc%Kaa, re V /y-43 i- &aim, - srolor,IANr-AkenqI:L ear Title elephone No.(business) Telephone No (cell) e-mail address If applicable,the property owner hereby authorizes: (lM rcnf Ili C_itruisfttL1a~,2J t3r+��iCl{�risk Ur,'fidd fr h3L5/irot>A„ it: 11 c'6 Pc-( Name Street Address City/Town State Zip to apply for and act on the property ov ma's behalf,in all matters relative to work authorized by this building permit application. SECTION 1(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 a Otherwise provide c.,YILI strut t yr ryntaxnt fr>r ..(scv action 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) ItoLCAI"1rex.Id/ .-3>J - 74t^r - 43co8 Name(Registrant) Telephone No. e-mail address Registration Number Lt' 6(. 1l dt) (ammt:t,,s..LCT t e'dmiti uA$, , IL)1 d etoj 4 • ID.dttltgY Street Address City/Town ' ' State Zip Discipline Expiration Date 10.2 General Contractor 041)_sreAC 11le-Cki/it CvI i ke 7a--1`3.70 ck/ fd•l 1lnii /etit fe,ATamct'rti fj Company Name 44,adf\Ft4) ill u6r'v j_ oYp Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Mown State Zip 617-365= ei t? c - - And Ari,,ii 2 y,,Aoo, 6`C,7) Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:vo IRK FPC Ct Airr ,.., 1't¢„,t = . (M.G.L c.152 I25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit siibmitted with this application? Yes 0 No 0 SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 9,1:-po0 1.Building $ g?S o00 Building Permit Fee a Total Construction Cost x.040(Insert here 2•Electrical $ S� c co _ appropriate municipal factor)_$.. 0 0 3.Plumbing • $ 5— pc-.b �^ i Note:Minimum fee=$ (contact municipality) 4.Mechanical (IiVAC) $ �6�b0 t7 5.Mechanical (Other) $ - Enclose check payable to .4 c>5 �^� 6.Total Cost $ 7J''ci,j ' (contact municipality)and write check number he �- C.l�'`4) SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pa' and penalties of perjury that all of the information contained in this application is true and accurat to the bes my know) e and understanding. , Andrew Musto CSL license holder 1 -6/7. 366- Baia o ' %a Please print and sign name Title Telephone No. Date 1 s9 0 0/p 0/C S-r. 14)o*.wood in A O&0 b . . andr440—i tst. .zey a.tomn Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: 44/SiliY Name Date AC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYY) `.� 07/07/2023 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 Jennifer Kokolis Cross Insurance-Manchester PHONE (603)669-3218 FAX (603)645-4331 IA/C.No.Extl: (A/C,No): 1100 Elm Street E-MAIL enc manch.certs crossa com ADDRESS: @ g y' INSURER(S)AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURER A: Zurich American Ins Co 16535 INSURED Travelers Prop.Cas.Co.of America 25674 INSURER B: Capstone Mechanical,LLC INSURER C: 755 Banfield Rd INSURER D: INSURER E: Portsmouth NH 03801 INSURER F: COVERAGES CERTIFICATE NUMBER: 23-24 All lines 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 WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X OCCUR DAMAGE 10 RENTED 100,000 CLAIMS-MADE PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A GL03538242-01 07/01/2023 07/01/2024 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY PRO �/ PRODUCTS-COMP/OP AGG $ 1-7 JECT X LOC 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO • BODILY INJURY(Per person) $ A OWNED SCHEDULED BAP3538243-01 07/01/2023 07/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE CUP5W16321223NF 03/01/2023 07/01/2024 AGGREGATE $ 10,000,000 DED RETENTION$ $ WORKERS COMPENSATION X PER () TH- IN ER AND EMPLOYERS'LIABILITY Y N A ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA WC3538241-01 07/01/2023 07/01/2024 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (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 WC 3a states:CT DE MA MD ME NC A ND NH NJ NY OH PA RI SC VA WA WV (3a.)continued:WY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Refer to policy for exclusionary endorsements and special provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main St AUTHORIZED REPRESENTATIVE 2,...... 6.4#02„. Northampton MA 01060 6 f� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r IF._ Commonwealth of Massachusetts ) Division of Occupational Licensure Board of Building Re • ulations and Standards IT . Cons * ' I +rI . ‘ # isor 1 G t- C S - I 13099 pires: 02104/2025 ,..., . IP ANDREW J STO ,= n 740 159 WALPOLE STREET, APT 2 4 A 02062ear , ' NORWOOD M •04vcs , .le - tz,.. ifiNglA N r. ;eib gab i ir"oilb sr 4:0NP i de" 417 irm'T "A* * a moo vV/ iillii%?Ji% l Ilk* $ Li./I aer„,4 # ). k.,000 'km, i I 1641.8"1"„.• , , , 1 ,...:. Initial Construction Control Document .,. 1 4 , i' '-' ; To be submitted with the building permit application by a ..fi. 1 I i 1.4 Registered Design Professional $ for work per the ninth edition of the Massachusetts State Building Code, 7S0 CMR, Section 107 Project Title: Date: / 7 6 to,K, ,7 5FACCV Propert7,,Addi essi 6:7 ka T-5 A)c A-r-ii 9 rri p it)0, Ill A 0/ 0 b 0 Project: Check(xl one or both as applicable: New construction Existing Construction Project description: Bob Steckel I MA Registration Number. 43008 Expiration date.06/30/24dm a registered design professional, and I have prepared or directiv supervised the preparation of all design plans,computations and specifications concerning:: Architectural x Structural x Mechanical Fire Protection Electiical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designeel shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to; I Review, for conformance to this code and the design concept. shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 7SO CMR Chapter 1,7, as applicable_ 3. Be— reseni.at intervals appropriate to the stage of construction to become C generally familiar with the regress and qualite of the work and to determine if the work is being performed in a manner consicter.t falCabIJ-i-ita , 1•c...--0.', . the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 760 CMR 107. Vhen required by the building official.i shall submit field/progress reports ;see item 3.) together with pertinent commentc, in a form acceptable to the building official. 7. pon completion of the work. I shall submit to the building official a 'Final Constiuction Control Document'. fr.,,.,..",......_,..,„4 OF Enter in the space to the right a -wet- or electronic signature and seal: irize., RsOTBEEeRKTE Mi. Phone number: 262-377-7602 Email: bob.steckel@ambeng.com i .25 ST NR oUCT3U00R8AL i, ' ck' l • BuiliLxg Offic:ai Use 0):Iy 67570NALC5\,44 ( 1 I 444' IL 1,. 2-S [Building Official Name: Penssit No.: Date: Note 1.Indicate with an'x'?reject ciesip Flans,co:nr_AsEons and specificahons Gut you pleparea or Irectly supervised. If other' .is chosen,provide a description. Is's:1km 01_01_20:3 f 19 sr a 4 4 l:h.. City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: / 7 A)oR-t ff 4/1.sj , r The debris will be transported by: aArag The debris will be received by: %� .{) Building permit number: Name of Permit Applicant AP1 `� z3 Date Signature of Permit Applicant