17C-215 (2) i
ASSOCIATED BUILDING WRECKERS
I
MELANIE NEWHOUSE
Demolition Coordinator
0
s p
P.O. BOX 2851 1-800-448-2822
352 ALBANY ST. (413) 732-3179
SPRINGFIELD, MASS, 01101 FAX (413) 734-6224
CODE ENFORCEMENT DEPARTMENT, BUILDING DIVISION
REQUIREMENT FOR DEMO .PITON PE MPT
LOCATION! fj�
DATE:
USE:-
TYPE OF CO TRUCTION:
OWNER:
OWNER'S ADDRESS: C
UTILITIES CUT-OFF (To be signed by Authorized Rep. of Utility Company)
DATE BY
BAYSTATE GAS
N.E. UTILITIES
WATER DEPT.
D.P.W. WAIVER
LABOR & INDUSTRY
I
BELL ATLANTIC
As required by Massachusetts State Building Code, Article 1, Section 116.0, a
demolition permit will not be issued until release is obtained that the respective
services have been removed.
To be returned to the Building Department before the permit can be issued.
Jean O7 00 03: 14p City oP Northampton 413 587 1576 p. 2
CITY OF'NORTHAMPTON,MASSACHUSETTS
"Y DEPARTMENT OF PUBLIC WORKS
�I-= 125 Locust Street
Northampton, MA 01060
413-587-1570
Samuel B. Brindis, P.E. Fax 413.587-1576
Director,city Engineer
Guilford B. Mooring, RE.
Assistant Director of Public Works
June 7,2000
Anthony Patillo, Building Inspector
Municipal Office Annex
212 Main Street
Northampton,MA 01060
Dear Mr. Patillo:
The water service at 1 Depot Avenue has been shut off at the property line and the water
meter removed from the premises.
Please contact me if you have any questions.
Sincerely,
Charles Borowski
Superintendent of Water
CB\ir
cc: Sam Brindis
George Andrikidis
C'W yP.1w\Dpw3 MW W"r F,xo-u%W—rhur W i Dej�A.—?d
06/05/2000 MON 14:40 FAX 1413 568 6625 R9EDINONE RNE
Fax: Jun 1 2000 11:oo C uul
P.as
ASSOCIATED BUILDING WaECKERS, INC.
352 ALBANY STREET
P.0_Box 28s1 SPFIINGFIE.O,MA Ot lot
TEL.(413)732.3770 a 1-900-4482822
DATE: FAX: l/13)
ro; ! FH:
FROM: Melanie D. Newhouse
Please cu[ oft All services at:
Tbis bui!dit;g is to be demolished. Please fax me a letter confirming that this %work has been compiEced '
A.S.A.P. You may fax me your company letterhead or you may sig u o me at
(413) 734-6224.
Thank you.
ASSOCIATED SUILDJlNG WRECKERS. INC. FA
a 4
Melanie D. Newhouse
Demolition Coordinator
SERVICES AT: �&ZCHAV'E BEEN CUT OFF.
PRINT NAME; ft;3Uft �l� O
SIGNED BY: DATE.
s CtW r
06,1.05/00 14:08 10001
Fax- MaQ 2�5 2000 06:33 P.04
ASSOCIATED ED U IL DING Y� ECKE S, INC.
352-ALBANY STREET
P.O.Box 2-851 SPRING E.W. WADI 10 i
TEL.(413)732-317'9 n 1.$00-.:48.2822
)ATE-
.0: r r S R" lI ✓ / ��J J�Y
'R01M. Melanie D. cwhouse
;east cut off all services
-iis building is to be demolished, Please fax Graz a letter curt krn:in that tt;t5 work has peon con:pPe�ed
.S.A.P. You may fax me your company letterhead or you may sicn acid fax d:is request to it'te at
13) 734-6224.
iartic you_
;SOCTATE—D EMLI)N' G WRECKERS. WC.
(a Ed/t/ -
eianie L3_ Newhouse
_rrtolitiorn Coordinator
:,RVICF—S AT: �� �" NAIVE BEEN CUT OFF.
ZIN'T NAME: _ gG-'lx 1'Jt�tet0
GNED BY: �.�� DATE: , 4zczr
� NEES
v . .�..
Ma®chuseas Electric
Narragansett Electric
Granite State Electric
New England Power
April 4, 2000
Florence Savings Bank
85 Main Street
Florence, MA 01062
Attn: Michael Brown
Dear Mr. Brown:
This is to verify that Massachusetts Electric Company
has removed the service for building demolition at
1 Depot St., Florence, - meter#96659727 & 96659729)
effective 3/30/00.
Sincerely,
l
Peter C. Bernard
Supervisor Engineering Services
PCB/mjb
MAY-23-00 'TUE 9:40 Bay State Gas ASP:" !d? FAYY, K C3 739 5272 PA1
�y
--- -- Bay State Gas Company
May 23, 22)00
Associated Building
352 Albany St
Springfield, Ma
01101
Dear A3r300iated Building,
The add:ees listed below has had the gaa service(6)
disconnected and is now ready for dwmvlitioa.
ADDRESS: ! Cepot AV
IOwfl : H:art:han�pton
STATE : Maseschusetts
Singe rely
Jeffrey D. Mannheim
Senior Distribution Clerk
WDMS WO* 2060851
2025 Roos veIt A�,e%e Pp.Box 2025 Sprrgfie'A,MA 011:2.202~. 413.7SI.9200 Fax 412'61-9222
1 4�ttA1Np�,
•�� Oe
�x1MU1�7LIn RAE
-
•
8 6 �lstssrtcilttsctta'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building 'a
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
12 IoLn6 ( c)ca s
(li >ermittee)
with a principal place of business/residence at:
(phone#)
( city/statelrip)
do hereby certify, under the pains and penalties of perjury, that:
( /I am an employer providing the following worker's compensation coverage for my
employees worlang on this job:
t t (Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anach additiocal shed if necessary to iochude information pataiaing to all coatr d )
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homcownera who employ parsons to do maintcaanor,co sbu on or repair work on a dwelling of
not mote than throe units in winch the homeowner asides or oa the grounds appurtenant thereto are not generally oo=ukrtd to be
employers under the worker's comp=u4oa Ad(GLI52,s 1(5))�application by a homeowner far a liceasc a pcmit may evidence tho
legal&lawn of an employer under the Wockeet Compamatioa AcL
I understand that a copy of this su temew may be forwwxW to the Depwuor n of Industrial Aocida&Oftioe of Imxwoca for the
coverage verification and that failure to somm covamp under soctic a 25A of MOL 152 can lead to the imQoutioa of criminal penalties
comisting of it fine of up to 51,500.00 and/or imprison of up to one year and civil penalties is the form of a Stop Work order and a
fins of 5100.00 it day against me.
EAa �al uao oats'
f J�, mber
Z U Lot#
'"-.•�<
e
Si of Lic=see/Permittee
,
'
"
SECTION 8 SERVICES
8.1 Licensed Construction Superviso Not Applicable 0
Name of License Holder Nq �2y
License Nu
q Tot
Adclres�, Expirati)n Date
zykm_
Signao Telephone
Not Applicable 0
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS',COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(
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.
ID
The current exemption for"honuowoors'was extended»oinclude one(1) or two(2)families
and to allow such homeowner to engage uu individual for hire who does not possess olicense, provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own u parcel ofland on which he/she resides or intends m reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures. .
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,
responsible for all such work verformed under the building permit.
As acting Construction Superviso your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit ivissued.
Also ho advised that with reference to Chapter l52(Wodcerx` Compensation) and Chapter l53 (Liability of Employers to
Employees for injuries uotnuoultingiuDeadh)nf the Massachusetts General Laws Annotated,you may be liable foopczyuo(o)
you hire to perform work for you under this permit.
The undersigned`^bomeovmner`cortificauuduoeuoeoruopoouihilky for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
FSB OPERATIONS 4135860241 09/25 '00 12:09 NO.070 02102
r°-A. 'ep 25 lUUu 10:43 P. 02
Now House D Addition ❑ Repiacem- t Windows A teration(t)O Roofing O
Or Doors fl
Accessory Bldg, 11 Demolitions/ Now Signs [ ) necks [ I Siding[ ] Other[ )
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes _. No
Attached Narrative 0 Renovating unfinished basement Yes -No
Plans Attached Roll 0-Sheet❑
a. use of building :One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. is there a garage attached?
i
d. Proposed Square footage of new construction. Dimensions
e. Number of stories? C
f. Method of heating Fireplaces or Woodstoyes Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?„
h_ Type of construction
i. Is constructlor►within 100 ft- of Wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
J. Depth of basement or eeliar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No_
1. Septic Tank City Sewer Private weli City water Supply
y' I0+f+°rYruY2S �ner of the subject property
hereby authorize to act on
my behalf, in a ma rs rei to work authorized by.AiS building permit application.
i
Signet a of Owner Y Date
0 , a I -
I _,(- 4xcrZ &aJAA= oeuk t S r„ ,as Owner/Authorized Agent
hereby declare that the statements andAnformation on t e�i lbregoirng application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perju
:4 a k
Print Nomv ^
Sign of alrl-r/jAaOit Da We
IV
i
SECTION 5 DEM, IFTION QF PROPOSEQ„MRK(.check all gpplipablel
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolitiono/ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: +1L +
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
Nti NIWWWO
0 f'
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit:_ Number of Bathrooms_ __
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
u S caner of the subject property
hereby authorize I ov W to act on
my behalf, in all matters relative to work authorized by1his building permit application.
Signature of Owner Date
rS ( as Owner/Authorized Agent
hereby declare that the statements ancVnformation on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjur .
Print Na—me'-
ame
Signa ur of Owner/Age t Da e
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height 0/�
V
Bldg. Square Footage 0//0 O
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?`�
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page _v and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO V
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES_
No
IF YES, describe size, type and location:
of Northampton
2 s ing Department
2 Main Street
Room 100
DEPT OFBUttt' ;# nFCTlIt mpton, MA 01060
p o 7-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION'
1.1 Pro ert Address: This sectia # bey- omprlbY offi
� 9�
Map
Zone " �Ov�r�ay Dl� ict
".stricter tafrTi # ,_
�.
SECTION 2' PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
kws
Name rint) Currept�Mailing�ns) _ ! 1
Telephone
Signature
2.2 Authorized Agent ,
5 i s
Nam Print) Current Mailing Address:
Wit, ��2- -31
Sign e Telephone
E K
TION 3 ESTIMATED CON T TI N T
Item Estimated Cost(Dollars)to be Official-Use Only
competed by ermit applicant
1. Building I tl (a) Building Permit Fee
2. Electrical (� (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4+ 5)
Check Number —"
This Section For Official Use Only
Building Permit Number:- Date Issued:
Signature:
=Building Commissioner/Inspector of Buildings Date
File#BP-2001-0316
APPLICANT/CONTACT PERSON Associated Building Wreckers Inc
ADDRESS/PHONE P O Box 2851 (413)732-3179
PROPERTY LOCATION 1 DEPOT AVE cJ r
MAP 17C PARCEL 215 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 0 5
Typeof Construction: DEMOLISH PRINCIPAL STRUCTURE&(3)SHEDS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 019428
3 sets of Plans/Plot Plan
THX�FLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § _w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 C sion Permit from CB Archite ture C ittee
Signature of Building Official 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,Department
of public works and other applicable permit granting authorities.
I DEPOT AVE BP-2001-0316
G1S#: COMMONWEALTH OF MASSACHUSETTS
` : 1 ak: 17C-215 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildba
Category:demolition BUILDING PERMIT
Permit# BP-2001-0316
Project# JS-2001-0522
Est.Cost:$11500.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: Associated Building Wreckers Inc 019428
Lot Size(sq.ft.): 6403.32 Owner: Florence Savin sg Bank
Zoning:GB Applicant. Associated Building Wreckers Inc
AT: 1 DEPOT AVE
Applicant Address: Phone: Insurance:
P O Box 2851 (413) 732-3179 Workers
Compensation
SPRINGFIELDMA01 101 ISSUED ON.1013100 0:00:00
TO PERFORM THE FOLLOWING WORK.DEMOLISH PRINCIPAL STRUCTURE & (3)
SHEDS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
Fee Tyne: Receipt No: Date Paid: Check No: Amount:
Building 10/3/00 0:00:00 7043 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo