24D-125 (6) BP-2022-0167
23 HOOKER AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-125-001 CITY OF NORTHAMPTON
Permit: Demo
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A).
BUILDING PERMIT
Permit# BP-2022-0167 PERMISSIONIS HEREBY GRANTED TO:
Project# DEMO Contractor: License:
Est. Cost: DALE UNSDERFER 106022
Const.Class: Ekp.Date:05/11/2022
Use Group: Owner: PRISCILLA NOVITT, ADAM &
Lot Size (sq.ft.)
Zoning: URC Applicant: WESTERN MASS DEMOLITION ORP
Applicant Address Phone: Insurance:
48 SUN SET DR (413)579-5254 O
WESTFIELD, MA 01085
ISSUED ON:03/24/2022
TO PERFORM THE FOLLOWING WORK:
DEMO COMPLETE 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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: (�
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Fees Paid: $300.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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The Commonwealth of Massach 20�2
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Office of Public Safety and Inspections �•if f
Massachusetts State Building Code(780 CMR) rNry��"
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Building Permit Application for any Building other than a One-or Two-Familptitenfitg,
o f ('This Section For Official Use Only)
Building Permit Number a". " la 7 Date Applied: Building Official:
at'� ,_// �,P �-�j SECITON1:LOCATION
c) 4 d 2.l!/�e- ,Clo GG�[� 7n,^--' 670 b
No. Stre City Town / Zip Code Name of Building(if applicable)
Assessors ap# Block#and/or Lot #
SECTION Z PROPOSED WORK
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ Alteration ❑ Addition 0 Demolition'(Please.fill out and;submit Appendix.2)
Change of Use 0 Change of Occupancy 0 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No\N'
Is an Independent Structural Engineering eer re Review quired? �p Yes 0 No
Brief Descripti of Pro se Work: t'-'-((6 C
SECTION 3:COMPLETE'THIS SECTION IF-EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGEIN 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):
SECTION4: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❑ A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
Ft Factory F-1 0 F2❑ H: High Hazard H-i 0 .H-2.❑ 1-1-3 ❑ H-4❑ H-S❑
I: Institutional I I❑ 1-2❑ L3 D I-4❑ `M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1 0 S-2❑ _ U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB0 IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV CI VA 0 VB ❑
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:
Public Check if outside Flood Zone 0 Indicate municipal A trench will not be Licensed Disposal Site
Private 0 or indentify Zone: or on site system Elrequu ed 0 or trench or specify
permit is enclosed❑
Railroad right-of-way/ Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable Itir Is Structure within airport am roach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No Yes 0 No��
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: /Vf} Special Stipulations:
Design Occupant Load per Floor and.Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Pijoperty Owner ,/� ^l�
it.'t I)o 0/ /7 / e6-7 �'v-'7.�~ ,✓ /t �/V
Name(Print) No.and Street City/Town Zip
Pro erty Owner Contact Information
co
Tie Telephone No.(business) Telephone No. (cell) e-mail ad4.fess
a plica le,the prope trey owner hereby authorizes:
0 ttve i&kk k\uctI4viiicc \ Abk ckociQ
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)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Compr n Name
,)CLtf 1:fi\y e Cer G S:SC_ — 1/. 0 . -
Name of Person Responsible for Construction License o. andgypp if Applicable
Street Address City/Town State Zip
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 Cost x—(Insert here
2.Electrical $ appro]pate municipal factor)=$
3.Plumbing $ /SP t /�"-4fii7 �t't
Note:Minimum fee=$ (contact municipality)
4.Mechanical (HVAC) $ L r'1 •
5.Mechanical (Other) $ Enclose check payable to �, .t T C f ' +�
6.Total Cost $ (contact municipality)and write check n mber 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 ac ate 16
the best of my knowledge and understanding.
tiPA ;d& gi_.;_6----? -is-D-sz/ .. /0,-,,2,j
Please print and/sign name Title Telephone No. ate
L l e d i s C.S V CA- (Le_ s 1 ' / 14- Cl L A) —+-'�-h: e t t%''`(As,,,'
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Street Address ' City/Town State Zip Email Address
^ram, � n
Municipal Inspector to fill out this section upon application approval: --- � _ -^� T 27 c7/D11/R
v Name
City of Northampton
;;. •rn•4: Massachusetts A;r'"31:- ''•s<<
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(it: 1 ' t y DEPARTMENT OF BUILDING INSPECTIONS ��'1 ,"„
I` 212 Main street • Municipal Building
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M'y Northampton, MA 01060 �s'iY �.
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: 67 C6 l✓ /'"1 Ct.i\k- Ut-' e Ol6l(C7
The debris will be transported by:
Name of Hauler: ck)e-‘1-e--(70 y )Vi- ,Nncntss �� �A
Signature of Applicants --- ------ — Date:
The Commonwealth of Massachusetts
y/'3 Department of Industrial Accidents
. ,=`� I Congress Street,Suite 100
_it ��
ss�1 Boston,MA 0 114--2017
_.G°a wwxtntoss.govldia
11'iukers'Compensation Insurance Affidavit;Builders!('antrectors/ElectricinnsIPlumbers.
TO BE BLED W I'I'lI TILE PERMITTING AUTHOR!IV.
Applicant Information Please/(Print Lecibly
Name(liusin s,Ort anizeuun,'lndividual): VIL-4 �ii'V I-1t .cc & t1.�14),'J f -,i1 .
Address: `- ) M C_de)-0.5 l c • _
City/State/Zip: c j' Phone## f�� .5 777-- 5 �_/
Ara r.e am einida ert Cheek the approprkatt boa: i Type of project(required):
I. am a employ a w rth il„;,_employees[full sold'or pat.ballet." 7..0 New construction
2LJ lama sole proprietor or peatnrnhtpand tout nu cteployaes working for nor ut $. Rentodelit
Any.apa.rty.[Nu workers'oanp.uuuranun nit uitni-1
9. Demolition
30 I a d h orneoisnet doing all snot myself.[Ne wielors'toss+.ta+uaar soe reouueri nam
4 Q i am a hurtsvwnrr and will be haute oueuta utd ttntato ruad all work on my property: heal iD Building addition
emutt 11uu All nxur:yuni either base wwriter+.'rumpetr ataun insurance or ate cote II.Q Electrical repairs or additions
prupnetors with no arrpl iyeei_ 12.0 Plumbing repairs or conditions
10 tam a general u.ntractur and 1 base hired tier sub..+ruractun kited on the anadrs4 sheet.
These wb-contratton bass onpluyeas and has workers'comp.insurance. l3.❑Roof repairs
6.0 VI'r are a cwlxaaiuo and its officer,los won.tacd tbca newof racmptiurt pat MCA.c. l ❑QIIICt
112.¢it it.and NC lure nu employee..[No Porkers'c.aup.in o:muax mound]
'Aoy appbu.0 that cheeks hats Pi.punt also fill out the section below showing-their wudars'compeowtiun pulu..y infurmatiwt_.
t litmrwwners who subsea thus aftwlrt'a iteticstsng they art Join all N irk and then bur uut,idc contractors mint subnnt n new affrrtasu rntiosing sta.-IL
:t.unnar:wn that ch eel this lox must An ebr:d an additional short shim mg the mrne of the subutntrxlors Arid sate whether er ur not those entities hiss
ermplirsces. it the sub-I..n`ra.t.trs have curio!,o.s.thug must pturtdc th.lr uurk.rs'a•.r.p_polo.?ntcnter_
Iam an employer that is providing workers'compensation insiitartnet for my employees. Below is the policy and job site
information. _ ,,
Insurance Company Name: 6 A„Cal I V d� :; -i�t fit'`^^ - CGS
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Policy t?or Self-ins.Lie.#: W C,A. C 3S F/03—/1> Expiration Date: g1..2/12-l),)_t)
Soh Site Address: d 3 f' is ()11 . city/statzip:W -J it4,Attu acopy of the ssorkers'compensation poy declaration page(showing the policy number and e#piration date
Failure to secure coverage as required under MGL c. 152,*25A is a criminal violation punishable by a fine up to 51,500.00
andlor one-year imprisonintent;as well as civil penalties in the fort of a STOP WORK ORDER and a tine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Otlicc of Investigation of the DIA for insurance
overage verification.
I do h .certify nder the pains and penalties of perjury that the information provided above Is true and correct
Signattis . . Date: .�.
�'�L
Phone 4/ _�� 5 9 7l r� /ao�
3 '
Official use only. Do not write in this area.to be completed by city or lawn official
i ('its or Tossn: Permit/License#t
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.Cit�lTossn Clerk d.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
1
-NOTE-
PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
T BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED.
CURRENT SNOW COVER NEGATES THE ABILITY TO ASCERTAIN
ENCROACHMENTS UNDER SAID SNOW.
NOTE:
PROPERTY LINES SHOWN ARE APPROXIMATE, A
FULL FIELD SURVEY IS REQUIRED TO
ACCURATELY DETERMINE THEIR LOCATION.
90.7'±
cn
F}'
approximate location
of abutter's shed
12
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BOOK 12652,
PAGE 219
2 r t
IRON PIPE
tk 53,t FOUND
HOOKER AVENUE
TO:
CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
—NOTE—
SURVEYOR: �(RN.LL2Q �. THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
—MORTGAGE LOAN INSPECTION PLAT—
°' 9cy�� NORTHAMPTON, MASSACHUSETTS
I RANDALLi PREPARED FOR
(3 IZER l ADAM & PRISCILLA NOVITT
#35032 SCALE: 1"=30' MARCH 5, 2021
suRO�i v HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET HADLEY — MASSACHUSETTS
ASBESTOS REMOVAL
All residential, commercial and institutional buildings are subject to Massachusetts Department of
Environmental Protection (MassDEP) asbestos regulations at 310 CMR 7.15. Therefore, owners
and/or operators (e.g. building owners, renovation and demolition contractors, plumbing and
heating contractors, flooring contractors, etc.) need to determine al asbestos containing materials
(ACMs), both friable and non-friable, that are present at the site, and whether or not those
materials will be impacted by the proposed work, prior to conducting any renovation or
demolition activity.
Examples of commonly found ACMs include, but are not limited to, heating system insulation,
floor tile and vinyl sheet flooring, mastics, wallboard, joint compound, decorative plasters, window
glazing, asbestos containing siding and roofing materials and fireproofing materials.
Failure to identify and remove all ACMs prior to its being impacted by renovation or demolition
activities, can result in significant penalty exposure, and higher clean-up, decontamination,
disposal and monitoring costs.
A DOS certified asbestos consultant must be contracted to determine if asbestos is present and
whether removal/repair is necessary. If the building is a state owned facility, contact DCAM and
DOS. DOS provides a list of licensed asbestos abatement contractors and consultants. You may
wish to inquire if a contractor has any history of violations. Only DoS licensed and DOS certified
asbestos abatement contractors and consultants may be hired to perform asbestos related work
in Massachusetts.
Received by: -''''DP..,ti\ Kk0,S\Tc �� �.I.n\(-��_
Print Name Title
,L�� 21 z Z f a/
Signature Date
BUILDING DEPARTMENT
DEMOLITION PERMIT SIGN-OFF SHEET
Date: )41 l IDCA)-
Address: Q3 1+4)C*1 Building Use: Lr;A,im
Owner: ( c(t, /1,f Phone: --? 220/27
Owner's Address: I J-i
UTILITY CUT OFF
(Signature of Authorized Representative of Utility Department required)
As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not
be issued until a release from the utilities is obtained, stating that their respective service
connections and appurtenant equipment have been removed or sealed and plugged in a
safe manner.
Eversource (Gas)_
Signature Title
National Grid (Electric)
Signature Title
DPW (Water)
Signature Title
DPW (Sewer)
Signature Title
DPW (Storm water)
Signature Title
DPW (Tree Warden)
Signature Title
DPW Director
Signature Title
Historic Comm. Review
Signature Title
BUILDING DEPARTMENT
DEMOLITION PERMIT SIGN-OFF SHEET
Date:
Address: I '3 14COic(2-1 Building Use:
Owner: Pleic,(..AkA A)0 0‘i1-11- Phone: al so°-‘772k
Owner's Address: 11 6'0 4vc
UTILITY CUT OFF
(Signature of Authorized Representative of Utility Department required)
As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not
be issued until a release from the utilities is obtained, stating that their respective service
connections and appurtenant equipment have been removed or sealed and plugged in a
safe manner.
Eversource (Gas) Al/A
Signature Title
National Grid(Electric)
Signature Title
DPW (Water) e -
Signature Till
DPW (Sewer) L \-
Signature Tit
DPW (Storm water)
Signature Title
DPW (Tree Warden) J-15
ig re Title
DPW Director
Signatu Title
Historic Comm. Review Rrik_o_ki. fi 60.1 _ 3 cl ODeP -
Signature Title
EVERSURCE
March 7, 2022
Adam Novitt
23 Hooker Ave
Northampton, MA 01060
E-Mail: taxonomy@gmail.com
Re: 23 Hooker Ave
This is to inform you that there is no Eversource Gas Service at 23 Hooker
Ave, Northampton, Ma 01060
Sincerely,
Cynthia Rivera
Cynthia Rivera
Eversource Gas
Office: (413) 784-2259
nationaigrid
40 Sylvan Rd
Waltham MA 02451
March 14,2022
RE: Service Removal for Building Demolition
23 HOOKER AVE
NORTHAMPTON MA
To Whom It May Concern,
This letter is to confirm that,per your request,National Grid has confirmed the electrical meter
and service have been removed from 23 HOOKER AVE NORTHAMPTON MA
. The work was processed on work request 30549234.
If you have any questions or need further assistance,please feel free to contact Andrea Hache@
508-691-6552.
Sincerely,
441'ar16g°j'
Samantha Cruz
MyConnections NE
nationaigrid