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  • Demolition Permit Application For Mater Dolorosa Church Steeple in Holyoke

    Transféré par

    Todd Avila
    22K vues11 pages
    This is the application that would allow the Roman Catholic Diocese of Springfield to remove the steeple from the Mater Dolorosa Church.

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    Demolition permit application for Mater Dolorosa Church steeple in Holyoke

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    This is the application that would allow the Roman Catholic Diocese of Springfield to remove the steeple from the Mater Dolorosa Church.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    22K vues11 pages

    Demolition Permit Application For Mater Dolorosa Church Steeple in Holyoke

    Transféré par

    Todd Avila
    This is the application that would allow the Roman Catholic Diocese of Springfield to remove the steeple from the Mater Dolorosa Church.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
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    71 MAPLE ST DP-2017-0023 COMMONWEALTH OF MASSACHUSETTS CITY OF HOLYOKE DEMOLITION PERMIT PERMISSION IS HEREBY GRANTED TO: \Contractor: License: Expires: (Chartie Arment Trucking, the. ___CS-O17764 Owner: Roman Catholic Bishop of Spfld Applicant: Charlie Arment Trucking, Ine (AT: 71 MAPLEST co ay ISSUED ON: 27-02017 AMENDED ON: EXPIRES ON: 27-Apr-2018 TO PERFORM THE FOLLOWING WORK: emition and removal of steeple THIS PERMIT MAY BE REVOKED BY THE CITY OF HOLYOKE UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signatt Fee Type: Receipt Not Date Paid: ‘Ghesk Nor ‘Amount: Dewaliton 1REC-2018-000887 TroeeI7 * $180.00 + Phone:(43) 322-5600, Emallcoted@holyoke.org GevTMS@ 2017 Des Lauriers Meniipal Solvios, In. The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code (780 CMR) Building Permit Application for any Building Demolition (ect 10717 The City of Holyoke Building Department 20 Korean Veterans Plaza ‘Room 300) Holyoke, MA 01040 413-322-5600 wuncholvokeone -17 Dre (Te Section For ici Use Oy) 7 —— J Bate ppl Haiding Otic: [eS SET i ate oi 2 seoet aalene fsatot available No. and Strdet City /Town Zip Code ‘Name of Building (if applicable) fae cane SECTION? PRonosen Wonk Baece Edition of MA State Code used | New Construction check here O or check all that apply in the two rows below Existing Building O_| Repair ‘Aten [Addon [Devotion 0 (ef at and abot Append Ghangeot Use OF | Change of Occupancy 0 Totter Speci ly. Yes, NoO ‘Are building plans aor construction documents Deng supplied as part of tis permit application? Yes) No & Iban independent StuctralEgnoring Pot Review que Brief Description of Proposed Work: lis Ae CHANGE REUSE OR OKCURANCY ; [Check here ifan Existing Building Investigation and Evaluation is enclpsed (See 780 CMR 34) : Existing Use Group) Propased Use Groupie): eee Testing Proposed [No.of Floors /Stories (clude basement levels) & Area Per Floor (54) a Total Area (69 t) and Total Height ) §20[izt = > 7} A Assembly A1G A20 NgichdO asO Asie AsO B: Business O | Bducationdl © a [i fcoy Fig Fo Hi High Hazard HAG, WoO Wo Hso = Institutional FL 120 150 40 | Mr Mercantile O y RIO RSG RAG SSonge SID S20 U Uelty | Special Use wo Water Supply: | Flood Zone information: | Sewage Disposal: ‘Trench Permit: rubicl. | creckitoutie tan Zone Oh] inate manip | Atel nt be PrivateEY | orindentify Zone: oronsite system 2) | Me esst\Ctoeed CY ‘or Consent to Build enclosed O Raion oT Wizards te Ri Navi Not Applicable Gl 1eStructure within sport approach area? Yes or Not Edition of Code: Use Group(s}: Docs the lng contain an Sprinkler Syste? Type of Construction: Special Stipulations: ‘Occupant Load per Foor: SIICTION 5; PROPERTY OWNER AUTHORIZATION, Tgp and Uae of Fopey Over ane (int No.aad street pgp lB pe popry owner tex ons latinos 9 “Base ob Spmileld) GS Elect Sh = lle: — iy — tle — QE toacton the property owe’ behal in all ater elaive to work authorize by this bulding pert application. ‘SUCTION ie CONSTRUCTION CONTROL (Please tilt Append 3 zl der Contr ast cods a and sip Sessa _| — Sui) a __omos (lt Letheor W2SS/Ia _ meee canis Telephone No, (business) Staeet Address Ciy/Toven Costin Cntenk HIB HOH 3822 Bhat selec Send pape ation Number ae tego Tesrionsh emai aties os Pee au SEE a ia 2 I2ei Scene ‘sate Zip | Discipline Expiration Date 6/30/18. “Chee Newest To Sereet Address YB 284-F131_ Telephgne No. submitted with this application, Failure t provide this affidavi Ge sf [aya ait eee Xa ‘License No" and Type if Applicable Fame of Fespa Response fox Consicion (lace hee Se se Slt) fh. — UL wll cesult in the denial ofthe issuance ofthe building permit ‘By entering my name below, (hereby attest yader the applicajon is true and accurate tothe best Aimy ky oe Street Address Isa signed fav smite with this application? YesO)_No 0 E ‘GenOn wi (CORES if timated Costs (Labor ot ‘and Materials) Total Construction Cost (from Item 6) =$ 1 bailing = Building Permit Fee = Total Construction Cost x__ (insert here [2 Hectrcal Hes ‘appropriate muni factor) =$__— 2. Plumbing 5 Mechanical (HVAC) 3 (Note: Minimum fee» $_____ (contact municipality) 5 Mechanical a 7 Enclose check payable to 6. Total Cost $ icipality) and write check number here __ ES = Hicker OF GuiaooeS wiME A é a penalties of perjury that all ofthe information contained in his ige afd understanding. No, ny Title ‘Telephone Gl: Jb — DME Ress siown site Zip Ys ay. pa__hfgtp Date Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location (Please indicate Block # and Lot # for locations for which a street address is not available) eo NOS. | No. and Str City/Town’ Zip Name of Building (if applicable) f For the above described property the following action was taken’ WaterShutO#? Yes Nol) Provider notified and Release obtained? Yes 0 NoO Gas Shut Of? Yes) Nott’ Provider notified and Release obtained? Yes 0) No Electricity Shut Off? Yes O No ga Provider notified and Release obtained? Yes No O. Sewer system? Yes No ag Provider notified and Release obtained? Yes NoO Extermination? Yes Noff _ Provider notified and Release obtained? Yes 0. NoO Other (if applicable) i vy Yes O No Provider notified and Release obtained? Yes NoO Other (if applicable) Appendix 2 ‘ Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required for this. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents, This appendix is to be submitted with the building permit application. Checklist for Construction Documents* fees Mark “x" where applicable Ne. Tem Submited | Incomplete | Not Required 1 | Architect a 2__| Foundation aiaereeee eae 3_| Swuctaral : _ 4__| Fire Suppression eaiaes aaeesai S| Five Alarm (nay require repeaters) 2 ee 6p HVAC : 7 | Blectical ae = | Plumbing includ lea connections) aes a | Gas (Nat pan, Medical or ots) sce 10 | Surveyed Site Pln (Uses, Welland. et) i 11 | Specifications a 12__| Structural Peer Review 13 | Structural Tests & Inspections Program 14 __| Fire Protection Narrative Report 7 i 15 | Bhisting Building Sarvey/lawestigation = [16 | Energy Conservation Report z 17 _| Architectural Aces: Review G21 CMR) 18__| Workers Compensdoh Insurance ae jeesaeces are [9] Flazandous Material Miigation Docameniation i 20___| Other Specify) = 21_| Other Specify) saa Ee aa a2 [Other Gpecify) Trial dust be Mente ercn, Work +Aveas of Deslgn or Corstnucnfr which plans are not complete a the ine of pplication ul 9 Mentifiod must not becommenced und this appcaion fas been amended ae the proposed construction document smendnent hasbeen approved by Ux authorly having jursdetion. Work sated prior tappraval may be subjected to ripe the original permit fee. Registered Professional Contact Information Registration Number Name (Registrant) “Telephone No. Seas aire SSCS cay TOR : Discipline Expiration Date a eee ——_._——_| Registration Number Name (Registrant) felephone No. ‘e-mail address 7 ea ‘Discipline Expiration Date Sweet Address City/Town, The Commonwealth of Massachusetts City of Holyoke Department of Codes and Inspections 20 Korean Veterans Plaza, Holyoke, Massachusetts 01040 (413) 322-5600 Demolition Affidavit Project Name: Males Dufeo59 Chech ~ Steeple (Brann / Project Address: | Maple St Map: Block: Lot: In accordance with Section 54 of Chapter 40 of the Massachusetts General laws, { acknowledge that as a condition of a demolition permit being issued to.me, all debris from the demolition shall be disposed of in a properly licensed solid waste disposal facility as defined in Section 150A of Chapter 111 of the General Laws. Disposal rat Hobe Transl Ee Address Main St City Hbte stae/n zi OaS | shall notify the Building Oficial , within the statutofy time limit, of the location of disposal for tne demolition debris receipts or manifests. Signature of Permit Applicant Date /O/. Mh 2 Printed Name _( hens: pee J Telephone So YOW/IQ. conpary heal reat Ticks tac Aderess_ 4") hbicehuse ~ City 7 state ze OME Tax Collector Affidavit to certify that, in accordance with Chapter 74 of the Acts of 1996, the persons and named herein have NO uncollected taxes, fines, fees or other charges owing the City of Holyoke that would prevent the issuance of permits. Holyoke Tax Collector of his designee Date ” ae ~ Collector's stamp or seal City of Holyoke, Department of Codes and Inspections 20 Korean Veterans Plaza, Room 300 te Holyoke, MA 01040. Telephone (413) 322-5600_ Fax (413) 322-5601 (ee Mision: “To grove the que forth pope of Hoot ean publ helt and sf hough fete bang ode fren. Check List for Controlled Construction Building Permits 780 CMR, 8" Edition 1. Completed Construction Control Affidavit (107.6) 2. Completed Building Permit Application with signature of owner or owner’s agent 105.1 3. Two (2) sets of plans (107.1) with original stamp and signature of 2 Massachusetts registered professional engineer or architect on each page 107.1. 4. The cover page of all plans shall indicate the Edition of the code under which the permit is 10 be issued, Use Group, Construction Type, Fire Grading, Maximum Live Load, and Occupaney Load of the structure. Two (2) sets of sprinkleriplans and calculations signed ahd stamped in original by i 4 Massachusetts registered professional engineer qualified to design sprinkler systems 107.11 and 107.22 6° Fire protection construction documents listed in 901.21 7. . Payment of sewer entrance fees for new construction or new sewer service for renovations requiring such éonnections. 8 + Payment of building fees in accordance with the Holyoke Code of Ordinances Section [8-71 t0 18-91 9. City Tax Collector Affidavit pursuant to Chapter 74 of the Acts of 1996 Office of Investigations 600 Washington Street Boston, MA 2111 wwremass.gov/dia The Commonwealth of Massachusetts Department of Iadustrial Accidents Workers’ Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Name (BusinessOrganization/ndividual: Address: 4) [ecchiase. Cu ____ Ciy/State/Zip. Salta) Please Print Legibly nD Gece WE Phone #: Y/B~DP9-Y3/ [No workers’ comp. insurance required} 3.1 Lam z homeowner doing all work myself. [No workers? comp. insurance required} * 5. [J Weare a coporation and its officers have exercised their sight of exemption per MGL ©. 152, §1(@, and we have no employees. [No workers ‘comp. insurance required) “Are youan ae lle Ml soon en oo ‘am a employer vith ama general contractor an S aaaed employees (fll andor parv-ime) * have hired the sub-contractors C1 New construction 2.0 Lam a sole proprietor or partner- fisted on the attached sheet, 7. [] Remodeling ship and have no employees in raaranate 8. [Demolition ‘working for mein any capacity ‘employees and have workers’ sing ain cap pane ' 9. [Building adition 10.[] Etecical repairs o adiions 11.C1 Plumbing repairs or additions. 12.) Root repairs Bone Sleep, Rrvee( “Any applicant at checks box FL mastako ill ou the gestion below showing kr workers comps policy information + Homenwners who submit thi fiat idcting they are ding all work and then hte outside contractors ests ane fiat inioting sch 4 Contractors thet check this bok mst ataced an additonal sect showing he name ofthe sub-contractors and state whether or otise ents have E employes. Ife sb-conzactors have enplovees, they must provide thei workers’ tmp, ply number ‘Taman employer that is providing workers’ compensation insurance for my employees. Below isthe policy and job ste information. inane Conpuy nae: [ Tavelers Phikanaky G: Policy #or Settin. Lic: CHUB Y9C) P2ZA 12. Job Site Address: 2 Mple. Tao herby log Phone fi 26 — expition Da Hallé a 6 City/StatelZip: fol na aos Attach a copy of the workers" compensation policy declaration page (showing the policy sumber and expiration date), Failure to secure coverage as required under Section 25 of MGL c. 152 can fead to the imposition of eriminal penalties of a fine up to $1,500 00 and/or one-year imprisonment, as well ss civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violstor. Be advised that a copy of this statement may be forwarded tothe Office of Investigations of the DIA for insurance coverage verification ialties of perjury that the information provided above is trae and corréct. Date: hf HL? Official use only. Do not write in this area, to be completed by city r town official Gity or Town: Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk. 4. Electrical Inspector 5. Plambing Inspector 6. Other. Contact Person: Phone #, | | | | | f | | | | Information and Instructions eae Massachusetts General Laws chapter 152 requires all emplayers to provide workers’ compensetion for their employees. Pursuant to this statute, an employee is defined as “..every person in the service of another under any contract of hire, ‘express or implied, oral or written.” ‘An employer is defined as “an individual, partnership, association, corporation or other legal entity, or any two or more ‘of the foregoing engaged ina joint enterprise, and including the legal representatives of a deceased employer, or the receiver or truste ofan individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the ‘dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house ‘or on the grounds or building appurtenant thereto shall nt because of such employment be deemed to be an employer.” MOL chapter 152, §25C(6) also states that “every state or focal licensing agency shall withhold the Issuastce or renewal of license or permit to operate a business or to consiruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance caverage required.” ‘Additionally, MGL chapter 152, §25C(7) states “Neither the commonwealth nor any of ts political subdivisions shall center into any contract forthe performance of public work until acceptable evidence of compliance with the insurance equirements ofthis chapter have been presented to the contacting authority.” “Applicants Please fil out the workers’ compensation aftiavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Libiliy Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the mernbers or partners, are not equired to carry workers’ compensation insurance. [fan LLC ot LLP does have employees, a policy isrequted, Be advised that ths affidavit may be submitted to the Department of industrial ‘Accidents for confirmation of insurance coverage. Also be sure fo sign and date the affidavit. The affidavit should ’be returned to the city or town that the application forthe permit or fcense is being requested, not the Department of Tsidustrial Accidents. Should you have any questions regarding the law of if you are required to obtain a workers’ campensation policy, please cll the Department at the number listed betolv. Self-insured companies should ater their self-insurance license number on the appropriate line. City or Town Officials Please be sue thatthe affidavit is coniplete and printed legibly. The Department has provided a of the affidavit for you to fill out inthe event the Office of Investigations has to contact you regar Pease be sure to fil inthe periniviecse number which will be used as areference number. In ad that must submit multiple permivflicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under “Job Site Address” the applicant should write “all Locations in _(city or own)” A copy ofthe affidavit that has bees officially stamped or marked by the city or town may be provided tothe applicant as proof that «valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each ‘year. Where a home owner or citizen is obiaining a license or permit no related to any business or eommercial venture (Ge. dog license or permit to bur leaves etc.) said person is NOT required to complete this affidavit the applicant. mn, an applicant ‘The Office of Investigations woul like to thank you in advance for your cooperation and should you bave any questions, please do not hesitate to give us a cal ‘The Department's addres, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . Boston, MA-O2H11 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24.07 Fax # 617-727-749 ; wwwww.mass.govidia Client: 17303 CHART BATE TORT ACORD.. CERTIFICATE OF LIABILITY INSURANCE ‘32912017 "THIS CERTIFICATE 1 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS _ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ‘SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. TNPORTANT: ithe corcate Holder an ADDITIONAL INSURED, the poley(es) must be endorsed. SUBROGATION IS WAIVED, subject to ‘he terms and condlfons of the policy, certain policies may require an endorsement. A statement on this certificate does not coifer rights tothe ‘cortfioate holder in liu of euch endorsements). Frooucer Katty HP. Daley Insurance Agey, Inc 415 788-0971 HS 7552008 1381 Westfola St. ‘athleendaloy@rpdaleyineurance.com P.0. Box 1150 MGURER AFFORDNG COWERAE West Springfield, MA 01090 |seunaa, Scottsdale Insurance —_— nsunen; Travelers Indemnity Co, aE Chale Arment Trucking, Inc. nsunene. Safety Insurance G arate Seaaseces 47 Warohouse Street nSuRERD: Beneaaere Springfiold, MA 01118 ‘COVERAGES, ‘GERTIFIGATE NUMBER: REVISION NUMBER TTS 1S 70 CERVIY THAT THE POLICES OF NGURANCE LISTED BELOW FAVE BEEN BSUS TOE NGURED NAMED ABOVE FOR THE POUGY PERIED INDICATED. NOTWITHSTANONG ANY. REOUREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER COCUMENT WITH RESPECT TO WHICH THIS CCERTWIGATE WAY G& ISGUED OR NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MERE 1S SUBJECT TO ALL THE TERMS, [EXGLUSIONE AND CONDMONS OF SUCH POUCIES. LIMITS SHOWN MAY HIVE BEEN REDUCED BY PAID CLAIMS, E|___Twreorwsueance tiv POUCY eB I | owe 15 [Sea nny x | x [ePszeora71 1181/2017) 0113112019 mcr coamnence [51,000,000 4 comers 100,000 [x Bed suppss000 54,000,000 | [es eee eevee eee 2,000,000. Ce ncoreante ut UES 2,000,000, eoucr| X)$8% [100 = 1 [airowose casuie x] [05808 forrsir20%7) “} morn Fo[ gant e] serene X sersnnuros | | RG [A | xf owenstiaune Tx Toccun xLsot073e0 13172017 /O11SI2018 scx occurence | 56,000,000 [| excess uns canmane| om 55,000,000, oxo | XL 310000 a Soe s eee eee oa |GHUB4951P33A17 |o1/31/2017 0131/2018 x Naor aoreea ne a exescnscooewt [34,000,000 enon EL snse- easier s,000,000 LEAR econo HE ie __[ecoesse.roucy ar [1,000,000 Faeecntibn oF aPeATOn®/ LOCATIONS /VENCLES Ach ACORD Wh, Aral ona Schou Hamre poate eae) /Genoral Certificate Additional Insured on Gen. Liab. - City of Holyoke ‘CERTIFICATE HOLDER CANCELLATION ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Holyoke JHE. EXPRATION DATE. THGREOF, NOME WALL BE DELIVERED City Hall ACCORDANCE WATH THE POLICY PROVISIONS. \ Holyoke, MA 01040 ; iitian. fo btiny ‘@ 1908-2010 ACORD CORPORATION. All rights reserved. 4 of 1 The ACORD name and logo are registered marks of ACORD Ko City of Holyoke Mail - permit applicaiton i Cio Hae, SSE manta :fImail.google.com/mail/u/0!?ui=28&ik6177 12a] 2s Damian Cote permit applicaiton ‘message Damian Cote “To: carmentirucking@aol.com Ce; Bernie Hunt Boe: paul Payer

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