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37-065 Units 3 & 4 (2) - 678 FLORENCE RD-UNITS 3&4 • BP-2005-0376 GIs#: COMMONWEALTH OF MASSACHUSETTS p•Mao:Block:37-065 CITY OF NORTHAMPTON Lot: -001 PERSONS CON IItACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING V ILDING PERMIT Permit# BP-2005-0376 Project# 3S-2005-0498 Est.Cost:$227000.00 Fee: $1456.80 PERMISSION IS HEREBY GRANTED TO: Coust Class:5B Contractor: License: Use Group: R4 Kohl Construction 051622 Lot Size(su.ft.): 371566.80 Owner: TOFINO ASSOCIATES INC Zoning:SR Applicant: Kohl Construction AT: 678 FLORENCE RD - UNITS 3 & 4 Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256-0321 Workers Compensation HADLEYMA01035 ISSUED ON:10/21/04 0:00:00 TO PERFORM THE FOLLOWING WORK CONSTRUCT 2 FAMILY DUPLEX POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service:/f//S y- Meter: Ce vet Footings: �.Rough v /t --j Vyough / �17e} 1C House# Driveway Final: Foundation: OK l _a7 Final:ss%.,, $ Final: Rough Frame: C Fr j-/7.C5 �Gcy Gas: S �y' j Fire Department Fireplace/Chiumey: Roagu$y-/ 0K VtaP 5/4.5-011: Insulation: O u 3-5// -0.S�q�. Final�tak-g/&c) 4/Smoke: G akin Limo'dotnA Final: ,'LT On" THIS PERMIT MAY BE REVOKED BY T CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND • TIO `# J/ 1444tOalalt - Sivnature: Feet vpe: Receipt No: Date Paid: Check No: Amount: • Building 10/21/04 0:00:00 26097 $1456.80 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo //v/y 12To-c/ 17�r 2U/La- 46-.3 6-4/11.Alix Q e €4 Vs 7,-, gr Ada6✓vdr/ /0tint � %/0 F,NA/�/ /9dr ri7 / — UN/7" Ar ye / ele-r /IA"( (p FINAL {y '( cNI- rFt OM IV6 J �� \ W1/4 Z inti jitt. tilt ( Clip of Northampton atnanwa.m DEPARTMENT OP BUIIDDiG INSPECTIONS _ CL- INSPECTOR 212 Main Street ' Municipal Building Northampton, Maas. 01060 CERTIFICATE of OCCUPANCY and USE This is to certify that permission is hereby granted under 780 CMR, sixth edition of the Massachusetts State Building Code, allowing the occupancy or use of the premises or structure or part thereof located at 44 Black Birch Trail Units 3 & 4 as shown on the Assessors Page# 37 , Lot# 65 , Zone SR in the City of Northampton, as herein specified: CONSTRUCTION TYPE(780CMR 6) 5B USE GROUP CLASSIFICATION (780 CMR 3 R4 OCCUPANT LOAD PER FLOOR (780 CMR Table 1008.1.2 40 PSF LIVE LOAD PER FLOOR (780 CMR Table 1606.1) 40 PSF Under the following limitations, special stipulations, and /or conditions of the permits: Issued this 29th day of July 20 u5 Certificate of Occupancy and Use# 13P-2005-03/6 Authoriz-d D-._,1,; t P- onnel Electric. < <• 1.41-1-cq,( /\t Elevator 1/� , i Fire . �, / Plumbing • .�If a, _,Ii �a Building Gas . j 4,_ - _ DPW I -Bu 1dingCommissione}'. --- 4.1 -� This certificate shall be posted by the owner, in a permanent manner and in a visible location, on all floors designated as use coup H, S, M, F, or B, and in every room where practicable of use group A, I, R-1, or R-2 per requirement of 780 CMR section 120.5 Posting Structures. Building Department 413-587-1240 fax 413-587-1272 File#BP-2005-0376 APPLICANT/CONTACT PERSON Kohl Construction ADDRESS/PHONE 31 Campus Plaza Rd HADLEY (413)256-0321 PROPERTY LOCATION 678 FLORENCE RD-UNITS 3&4 MAP 37 PARCEL 065 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST[ ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tweot Construction: CONSTRUCT 2 FAMILY DUPLEX New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildinng Plans Included: Owner/Statement or License O5,2 d /// / 3 sets of Plans I Plot Plan � 4 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOJNNATION PRESENTED: /Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:* Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan ANDIOR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* 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 Commission Permit from CB Architecture Committee Permit from Elm Street Commniss /0/44/C7C7 4l Signature of adding 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. MUNICIPAL SEWER AVAILABILITY APPLICATION i J ii - ' :_,°t.______.._u t _ r`, Northampton Streets Department 125 Locust Street OCT ..., Northampton, MA 01060 ` - 587-1570 i A Department of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: -678 Florence Road- (Black Birch Trail) Inquiry Made By: Steve Ferrari 256-0321 ext. 103 Kohl Construction Date of Inquiry: 1014104 Municipal Sewer Main in. Front of Location: Yes No X Municipal Storm Drain Available: Yes No X Size of Sewer Main: 8" Material: PVC Age: 2004 Depth of Sewer Main: Varies throughout project Size of Service Connection: 6" for all units Comments: . The sewer line that services this project "Rocky Hill co-housing" is a private Sewer. The sewer connects to the City system at the intersection of Burts Pit Road and Clement Street. The City will not maintain or repair this private sewer system. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shallbe made with the Northampton Streets Department with a minimum of 5 working days notification_ All work shall conform to Northampton Streets Department specifications. Storm Drain Concurrence Joseph Thomas, rintendent Douglas McDonald, Environmental Planner Streets Department Engineering Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St Northampton. MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 678 Florence Road Unit#3 Inquiry Made By: Kohl Construction -Steve Ferrari 256-0321 ext. 103 Date of Inquiry: 9/29/04 Municipal Water Main Existing service to in Yes:— No: site. Yes: ? Front of Location? X_ No: X Size of Water Main: 8" Material: Ductile Iron Age: 2005 Number of Type of _Single Family Type of X_Private Units: l Unit(s): Accessory Apart. Ownership: Condo _X_Multi-family Rental Approximate Static Street 60 Flow Test Conducted : Yes:_No: X Pressure: If done attach results Size of Service Connection: I"Service V." Meter Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. It is the responsibility of the developer to provide the necessary infrastructure as shown on the approved plan. Inspection required at house curb stop during installation. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • . nents of such instal• shall be made with the Northampton Water Department with a minimum of 5 wo 'mg days noti ation. • All ark shat chi\on • No. hampton Water Depauntent specifications. . David W.Sparks,Superintendent of Water cc: Ned Huntley,City Engineer Anthony Patillo, Building Inspector MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St Northampton, MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 678 Florence Road Unit#4 Kohl Construction—Steve Ferrari 256-0321 ext. 103 Inquiry Made By: Date of Inquiry: 9/29/04 Municipal Water Main Existing service to in Yes: No: Re? Yes: Front of Location? _X_ No: X Size of Water Main: 8" Material: Ductile Iron Age: 2005 Number of Type of _Single Family Type of _X_Private l Units: I Unit(s): Accessory Apart. Ownership: Condo _XMulti-family Rental Approximate Static Street 60 Flow Test Conducted : Yes: No: X_ - Pressure: If done attach results Siae of Service Connection: 1"Service Y4"Meter Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. It is the responsibility of the developer to provide the necessary infrastructure,as shown on the approved plan. Inspection required at house curb stop during installation. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Department with a minimum �.-- o - working days no' a on. •/ wo/rk shako rrm to I ort/haampptton Water Department specifications. David . Sparks,Superintendent of Water cc: Ned Huntley, City Engineer Anthony Patillo,Building Inspector II a>m 04 liAlf PT (itu of An:tliainpton . ._ I - m� DEPARTMENT OF nul WING 1N$PECTIOsS I I::SPECTOR 212 Main Street ' Munici I P^ Dwld.mg =s=— Nor Lhmnpton, Mnss. 01DGU Square Foocage• ` basement @ $.15 7i/ �7/ ( Amount P e- frit_j_____ )-/3 / 1st Flour @ $-.50 /7/l i— 7/I 1 f-) A 3/ 1) 2nd Floor @ $-30 V� . 1/2 Flouts, Attic, Garage $_js 3-26 4_____-___13-47 f ) zjo• id Deck, Porches $-li 7 2- f 76. SG Tors_ c.94457.56 f'cal 6 �� F twee is_b / FSGa0 ,-7c,-1AV- 37 —O(05— • A , , urvl/73 3 g City of Northampton • Building Department 212 Main Street =--al" r hi - Room 100 Northampton,MA 01060 phone 413-587-1240 Fax 413-587-1272 --2��. , .. s14 - J. ' 'E APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION I-SITE INFORMATION 1.1 Property Address: ' ^eec4ot,tbbe ccrn tetect 3 C fry., 67g FLolq (=n/d� Rb - � r r G 6/4 tic A4 4 _ ,since x Y vNIT5 3f ism - k PWM 5_} SECTION 2-PROPERTYW ONERSHIP/AIAHORREQAGE,NT, 2.1 Owner of Record: TOF=/lv0 !4550! - TA/e_ a / C4 .., pus PLA2q AD_ /-I/Dtry,,y 4 Name(Print) Current Maifing Address: I o/OJ`c-- � Cry Telephone �S6 —o} a Signature — 2.2 Authorized Anent: /oily C'OA157/li "Cr/o A) SN/C., 3/ 04,-/Pus -Pt') 4 Al-7 /j bl- 7Y,lll�` Nam mt) Current Mailing Address: ciio � . "f7v yr ?-5-6 -0) 21 Signatu Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item - - Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /7c) Oddd - ov '-(e)Building Permit Fee 2. Electrical P d _(b)Estimated Total Cost of / /5 0 0 0, Consiruc ianfrom(6) _ 3. Plumbing / 7/ ODDS Gd Building Permit Fee. 4. Mechanical(HVAC) qq 0 p 5. Fire Protection PV7 o 0.0 - 6. Total=(1 +2+3+4+5) 4 ?3-7/ 00(/ . e Check Number q1/� Thiiss'}Sje�ction For OfficialUse Only Building-Permit Number,'..//�/ 3 f t/ Date: ssued' Signature: r Building Commissioner/Inspectorr of Buildings - Date Section 4. ZONING All Informatibd Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning ' This colwmto be filled in by k Building De rnncnt Lot Size I 84 .47A€;.eclI 7-44 917 ficieqtCr i Frontage I OO e(j,4 1 11 Ii .419 I 11 I Setbacks Front IT",71-2) 1,70-Lo- �; Side L: '' :' 7r�i -RL:lNW4211 R:a T—' Rear hCt Building Height I 1 _.. _.__. Bldg.Square Footage 1 I % I25-74.7 I < i,V 1 Open Space Footage % (Wt vea minus bldg&paved I 7 •9d la i parting) //�� � #of Parking Spaces .--p— '- Ti II1 Fill: f (volume'&Loction) I �_ A. Has a Special Permit/Variance/Finding ever been issued for/•n the site? NO Q DONT KNOW Q YES I• ' IF YES, date issued:: /0//03 I IF YES: Was the permit recorded at the Registry of Deeds? (^� NO Q DONT KNOW 0 YES CJ IF YES: enter Book I 7C(7 Page, I 5).. and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q YES r IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained ��W(IV , Date Issued: 18/3 Q/OC( C. Do any signs exist on the property? YES Q NO I IF YES, describe size, type and location: j •• 0. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: I E. Will the construction activity disturb( ea' ,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO Q i IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OP PROPOSED:WORK(cheek-alkapplicable) New House E' Addition ❑.. Replacement Windows Alteration(s) Roofing Or Doors ❑ Accessory Bldg. 0 Demolition ❑ New Signs [CI , Decks [O Siding[O] Other[OI ro�sd workDea`r7ertgVstaT~ Aietre' Z 57vrey aio 0b trAAtGNLr bU et Ex 4Cs7 Aince � Alteration of existing bedroom Yes No Adding new bedroom Yes No . Attached Narrative Renovating unfinished basement Yes No Plans Attached Roil -Sheet tY SY("try'. 2 e.lT tU. '"%iT'. . . o , a. Use of building:One Family Two Family x Other _ b. Number of rooms in each family unit-5/ r0 Number of Bathrooms 27/2- c. Is there a garage attached? A/O 4 v7 d. Proposed Square footage of new construction. ?"S 7 y 6�.J Dimensions / X ?'y / 'tik a. Number of stories? t Method of heating? 64S/1' yj yWRu�Fireplaces clAc d' Fireaes or Woodslaves Number of each g. Energy Conservation Compliance.y^� Masscheck Energy Compliance form attached? K Type of construction c pc, y i. Is constnmbon 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 6 /-c k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer- X Private well City water Supply ?\,. SECTION Ta-OWNER AUiR9R¢ATION-.76-t01.1 FED WHEN OWNERS AGENT OREbN1'RACTOR,kPPUES FOOR.8Uatritf PERMIT I, --- 1110136121.. .g r Sj(LY-Y. -] O P/ YJ 0 ' cs0 C ,as Owner of the subject PrbPertY hereby authorize _'1 Ot) L Qa& sIN e rites L til C . to act on my b=half,in all ma!e.. r- - vet• .rk yj� . by this building permit application. Signature of Owner --m,. 111AA 1s+ -( �! Atf?,, �i2 /QaIA10 -/4W as Owner/Authorized Agent hereby declare that the ements ann information on the o Ding application are true and act-irate,to the best of my knowledge and belief. Signed under the pains and penalties of p :jury. P Name Signature of Owner/Agen -"`'-- �_ - Date • SECTION.8-CONSTROCTION'SERVICES 8.1 Licensed Construction Supervisor n— Not Applicable e ❑ Name of License Holder: DAA V\O ::1Ji RC,\ LA b ©b16a License Number (1 i_ILLla.t3S wey p%o/. ay Address Expiration Date ER��iJifvC� rn � 0 10 34 Signatu w/// Telephone Vii—/ice- - i./. .t 56 • J3 R1 YA ' C. 4..375`-ob o7 -=.r •7-t—a Not Applicable ❑ • Company Name - Registration Number --' - A-00'1- oovu57- TAJQ , (o J )- S Address ] ( / �Y ''y� Expiration Date / rl_ 3/CAr"11°1'5 I°/-R z-A- )` b. /16tl le ,' Telephone 2- b �d 3 a I //�/i ( (/ ltd SECTION 10-WORKERS'COMPENSATION'INSf1NY1tfoiRSEIDAVITTM G:L O.152. 25C(6)) 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 Signed Affidavit Attached Yes.. ❑ No ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellines of one(l) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 1083.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to 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.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility 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 File No. Cw „'*'a 's no`d '. °<�iiir' Please type or print all information and return this form to the Building Inspector's Office with the $io.filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: fraf{L. eaaisr"lVC770 A/ SNC . Address: 3/ C4MP05 fL424 /{.�MticeX, t Telephone: SSC 2. Owner of Property: TOFiMO /)55OC . /VC Address:3 CY)M pvf pt.4.z / ( D /44b1--e*Telephone:...........a.9t --4) 1 al 3. Status of Applicant Owner Contract Purchaser Lessee _._.Other(explain) A6e.. 4. Job Location: 679 //�1 0 k e A/C 2= R D- , FL0 g 7 1uJ C9 m 7 v A s' kg •hay; ;a«f .. ':: 7 • sari" r f7-t..i L qn" 5. Existing Use of Structure/Property: t(10 O DC- 6. Description of Proposed Use/Work/Project/Occupation: {Use additional sheets if necessary): Cnvsiltiey A )'1ItW pmIY4» /ZTD 4") ,1-4? IL/C-1; )RES/ pc-we c-S 7. Attached Plans: Sketch Plan Site Plan _ Engineered/Surveyed Plans A 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW ... YES 0( IF YES, date issued: f/l / /U IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW �" YES , IF YES: enter Book 7 9 7 p Page 15 3..._ and/or Document N 2-DQ9 coo 3-7 (.0 9. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES !!L IF YES, has a permit been or need to be obtained from the Conservation Commission? �/ 1 Needs to be obtained Obtained s , date issued: %f 3 0/ oy (Form Continues On Other Side) 10. Do any signs exist on the property? YES NO 1 IF YES, describe size, type and location; ...... Are there any proposed changes to or additions of signs intended for the property? YES NO ,Al IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size f, 774eres 7-N -47Icge� Frontage / /00 , 66 '0o - 6 y Setbacks Front > ?0 o f Side L: R: L: > wP r R: >, ' L: it Rear > O Building Height33 t Building Square Footage 2-5" 79 dC:4 %Open Space: (tot areaGeosThal bev Tri'.'` minus building ft paved parking / 5 AC 1/ S re h1-7st'yt b (14g # of Parking Spaces cc e Ow EyLf #of Loading Docks Fill: (volume Et location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 9//c)4 q j °y Applicant's Signature117C— �� NOTE:Issuance of a zoning permit does not relieve an appllcan s burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. 000 pdf C/>U 17-s / 3� 4 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION f Applicant Name: rau! Cws-1. JKe . Site Address: 679' f Zo4ENc. ' as Applicant Address: 3/ . CAMPus&PC/1-7-4.- RJ> City/Town: , a .; a s r O if17D y-r =?; Use Group: a — Date of Application: q; •• Applicant Phone: 2.5'(0 —O 3 e?-I Applicant Signature: wars, _ Compliance Path(check one): Prescriptive Package(for 1-or 2-family residential buildings not heated by electric resistance) ill in all values that apply from Table 15.2.16: Package Number(A through 1CK): V/ a. Gross Wall Area sq.ft 1. Wall K-value R 7-2 b. Glazing R.O.Area sq.ft. g. Floor R-value R- II c. Glazing%(b*a) • V. h. Basement wall d. Glazing U-value f)a I Slab Perimeter It- N 4e. Ceiling K-value R- �O 39 j. Heating AFUE 73 O Component Performance(Manual Trade-Ofl) Climate Zone(from Figure16.2.2) 0 Zone 12 D Zone 1) 0 Zone 14 Attach Trade-Off Worksheet from Appendix J,(and HVAC Trade-Off Worksheet,if applicable) O MAScheck Software Attach Compliance Report and inspection Checklist printouts. O Systems Analysis 0 Renewable Energy Sources Attach approved Analysis Official's Name: Official's Signature: Application Approved 0 Date of Approval: Application Denied 0 Date of Denial: Reason(s)for Denial: (over for more) UBRS 1}/02/97 00 _ p ` Qe (f iii of Narfl)aut}5fon • • i =E= ;off DEPA-4ThiEl4T OP O tical-NC INSPECTIONS $ � 1 212 Main Strad ' Municipal Building - Northampton, Mass. 01060 r` woruc .R'S COMMTENSA 110N GVSURA.NCE AFFU)rYV1T t.. I 3-fjnc5,... .evr . a . . a (liccvscctpermittcc) with a principal place of business/residence. at: -` '-- C_K„._ ptCt7ts - \. w\A _Uhonel) as( e3aI (sutiIcitylsemith ) do hereby certify. under the.pains and penalties of perjury, that (\411 am an employer providing the followinc'tvorkds compensation coveRge for my • employees waiting on this job: Phifti rt wan ? geCt .04).4 I (-)Lo (Insunoc Cnetan•) (Policy Nuabcr) (E piauon ai) ( ) Tam a sole proprietor, general COCO-atter or homeowner(c cie one) pad have hired the contractors listed below who have the following worker's c oaen_aiion policies: (NC=of Ceseeeia) (Ms-prance Compa.'ryn'olicy N`u.wEc) (Expirouon Datc) (Name of Coon-actor) (Ossuanec Compaay/Poncv Nernc<r) (expiation Date) • (Name of Contractor) ([nsuanc Company/PaUcy Number) (Espirdoo Datc) (Name of Contactor) (insurance Cometoy/Policy Number) (Epiratioo Dare) ("1.±1 cca<.c Jace-.cy w cilia iSo.,_taa paial-na io sa ) ) I am a sole proprietor and have no one working for me ( ) I am.a home owner performing all the work myself. • 340Thpo•-,"be trove tt<WtJc hcmaa+.xs,bo avivf prom toda+- -r.a.. .m— at iwwk oa.d».IL:.:,of me axe tta a4ee 1=Cf.,'in vt48 Vu boon- u la—d.=a m t14opn,.a6 thcca cr att L-^+y:•ticatanliubc a®laya twee do wcae:.----.,'ra An(GI131.a V(5)1=wr"•'v.M•beo2a tc re.b=x a tapir tic tb` lap(atvu ofenczpiey.r undn ay Woad.0.a97.y'ac At - l Wudewad 9a a grey arw:,mmm m.y a fonard.d,u te.lOw-.wawa of bd.snJ Acedaaf OO..of rm>•a*for w. w'e' t vciL'mim pad um L;Fsc:a uowsw.csL m'c aron 25 A o140415i as lad to-»oa dcimaJ r'.x'cm meimanL oft Ea array b 11,j130,00..,Na inPv«®ar ora('to ore yam:r tad avil pemillica G.f of.Slop W.wt Ott..ad. f o(S100 •aday.y.�r¢c / Tor dvna�:1....W;..... — Pcrmil Number (plans )Lot: f S gnannc or temwict tate .. .1 f O4:tWr PjO J.. - ._� ` r 3.a H tp a40 �„ , (j-rh; of ar#Iial:)}�falt • l+r @ %C r si gv.,..epna.n, t-. t DEPARTMENT OP BUILDING INSPECT/ONS � 212 Main Street ' Municipal Budding ` ' Northampton, Mass. 01060 WOrUOLI2'S COiIYU'ENSAI LON BSURp4CE AFFIDAVIT I, 4110nPao._ fe rCOS t 0-E.' llclni Cn14.4-t V.Sc i'.tIIc,. ...VIG__.__. Qicc sczlpcimiKa) with a principal place of businessfresid� tTtenceat: ,f -' _3.LCrat ifv5 fikel7n Se--1 ' \sii Mt* (pnonc=') .2 (0 'O3rar I (succifcitykimrlp ) do hereby certify, under ihepains and penalties of perjury, that • (�j I RED an employer providing tl)e followinnlworkeds compensation coverage for u)}• employees wetting en this job: A.. I . M. h ct carni -1,. al} IaLins- (Insrranc Cooc:cy) (Petc e:Nmbcr) (a-ptnuon am) ' ( ) I am a sok proprietor, general contractor or homeowner(cele one) and have hired the consactors listed below who have the following worke?s caeperadon policies: (Name of Coeileiew ) flnsununte Comoanyl?ete Nunvc:) ( >:p rotten Dare) (Name ofCoamaor) (lnsuranc Company/Policy Nurle-cr) (Expiration Dais) . (Name of Caneraero:) (Insurance Cmmpany/Policy Number) (Expiration Date) (Name of Contractor) (Ins uancc Comczoy/Poticy Nunnb-r) (Expiration Dile). (.a+d+SSiiraut r Jon- -.ut inclua;d'ac..iw wins 14.n oacort) () lam a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. Nom:plcat be aove victjc bceocn-o ntlromplay pec_a to d,3-:r--.-.- c WOE*.WPi.dw.1Ltd aa,mat,ma rso � . a,;,..sma.eam..,w-a.e,e;ac CC p COas C anda yrr S ip ^aC='rUy :�'"i to be ccIoya,ucG:Onto,. ect Ara(0th}ln1(5)).yPiimoa fr .L"'"'"'' 1w.ti¢<a WmR a:i ci& the Iagl+uu of ea agley.c erten-deo Woa .Ct•mpa....1:00 Act. • I unacitan4 pint a o-ryy ole:.eut®na mAy b.fs-,w+W b W.D.T.•imv aI1....3 'd Keane&Ohm a bu•m tar ea. oota",6c naifaine aNtl eNeihar.to+muctavmy< ,A- :aehol3 A a(MOL in oa kad to le i=c0SirlaZ Orn';` .t pca,Lia cwZiagaf.sec ort to S 00000.ndior;:rneritcerra=or tet to o.c year tad citil r'4t weer a r.$up wotnrdc Lad C of 3lPJ.pCsty kvelet erA, _-._.__.. For dm�,l u.c erel � Fory n., . Pa ii Numb *ii r . _ hap,—_ Lot. k S ztaame of L'..,. •cmuucc tate _ ... . :Ccaov tlW'G!1 ca _— k: 7976Pg: 152 Page: 1 of 1 ecorded: 09/02/200409:59 AM COVENANT—Forml i ) The undersigned Tofmo Associat In.1 of 31 Campus Plaza Road,Hadley, Massachusetts,hereinafter called the "Covenantor",having bmr ied to the Northampton Planning board the Definitive Plan of a solid s, ,Rocky Hill Cohousi r_ Su/division, dated July 14,2003, last revision dated July 20, 2004, _ •-6o4154,../fereq covenant to and ag:1 wi�1 said Planning Board and the successors in office of said Board, pursu Mass. General Laws, m..ter 41,Section 81U,as amended,that: I 0 Covenantor is the owner of record of the premises show on said plan; re, 20 Z, e&, r 1 2. •- s covenant shall run with the land on lot numbers 1 — 8A and be binding upon the executors, "u 1• ad, - 'stators,heirs,assigns of the Covenantor,and their successors in title to the premises shown I -3said plan. hi NI 310_.•- construction of ways and the installation of municipal services shall be provided to serve any "'L-_____..J lo i in accordance with the applicable Rules and Regulation of said Planning Board before such lot 1 • [Inn -v he b•••11"nn— -than by mortgage deed;provided that a mortgagee who _ ses by foreclosure or otherwise and any succeeding owner of / C1,/ 191-- sf may sell any such lot, subject only to that portion of this FiL /A/ ;o sold shall be built upon until such ways and services have UN/7,,. 4' )hibit a conveyance subject to this covenant by a single deed / t Z the subdivision plan or of all lots not previously released by iding such ways and services; /Gig' he approval of said plan; tered upon said plan and this covenant shall be recorded H day of Sty t.... r , 2004. TOFINO ASSOCIATES,INC. By 40 I I Doti. A. Kohl Its resident and Treasurer 00,4 itness Signature COMMONWEALTH OF MASSACHUSETTS HAMPSHIRE COUNTY, SS. ACKNOWLEDGMENT � On this day, "epratM3Ee 2004,before mc, the undersigned notary public,personally appeared Douglas A.Kohl,president of Tojno Associates,Inc., and proved to me through satisfactory evidence of • identification(which was my personal knowledge as to his identity)to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he/she sired it voluntarily for its stated purpose. m �.S_t 21.1 `•Kimberly H. i...mg, notary•- My commission expires April 3, 2009. rs ma �b _(s i Q CONSERVATION RESTRICTION AND EASEMEIlT I. GRANTOR CLAUSE: • The undersigned, TOFINO ASSOCIATES, INC., a:corporation registered to do business in Massachusetts, of 31 Campus Plaza Road, Hadley, MA 01035 ("Grantor"), in consideration of One Dollar ($1.00) I" )wledged, acting pursuant to Sections 31, 32 i /oT AI— Laws and consistent with Article 97 of the itution of Massachusetts, GRANT, WITH C Fit /' " :ITY OF NORTHAMPTON, City Hall, 210 Mair 060, and its successors and permitted assigr U/V/' -a/ 1- Z 3ively for conservation purposes the following d )N, to be managed and controlled by the Northa /L parcel of land located in the City of Northamptc escribed in Exhibit A, attached hereto and mad( For Grantor's title, see deed c d in the Hampshire Registry of Deeds Book 6C ik 6307, Page 283, and Book 6450, Page 92 an. II. PURPOSES: The Premises, contain unusual, unique or outstanding qualities the protection of which in their predominately natural or open conditions will be of benefit to the public. These qualities include: A. A wildlife corridor and greenway connecting other property to enhance the movement of flora and fauna along this valuable wildlife corridor. B. A public right-of-way to allow pedestrian access to these properties for passive recreation and enjoyment of wildlife on the bicycle trail shown on said plan and to preserve a sight and sound buffer. C. Compliance with a special permit and subdivision permit which require open space preservation to create a denser livable neighborhood. III. PROHIBITED ACTS AND USES, EXCEPTIONS THERETO, AND PERMITTED USES: A. Prohibited Acts and Uses. Subject to the exceptions set forth in paragraph B below, the following acts and uses are prohibited on the Premises: 1. Constructing or placing of any building, tennis court, landing strip, mobile home, swimming pool, fences, asphalt or concrete pavement, except for 8 foot multi-use paved trail, sign, billboard other advertising display, antenna, utility pole, tower, • conservation restnction revised doe f , ,A CORRECTIVE AReNT OF MULTI USE TRAIL C ND WATER EASEMENT i. % :I CC; F 'rn,1I'1' ' The undersigned, TOFINO ASSOCIATES, INC., 7-b2/ 4. in Massachusetts, nf3rCampus Plaza Road, Ht iCate /A/ in consideration of One Dollar ($1.00), the receip Z oNi7 / f hereby grants to the CITY OF NORTHAM fit 6_ Northampton, Massachusetts 01060, and its sue WITH QUITCLAIM COVENANTS, BIKE PATH EASEMENT 1. A non-exclusive easement for the be over the "8' wide Bike & Pedestrian Path Easemc "Definitive Subdivision Rocky Hill Co-Housing, N __ for Tofino Associates, Inc.", dated July 14, 2003, Rev. August 7, 2003, Rev. Sept. 25, 2003, Rev. Oct. 9, 2003, Planning Board Set July 20, 2004, and recorded with the Hampshire County Registry of Deeds at Plan Book 202, Pages 1-12 (the "Subdivision Plan") on foot or with non-motorized vehicles other than maintenance vehicles and motorized wheelchairs (Multi Use Trail). "Personal assistive mobility devices" and other motorized vehicles shall not be permitted in the said Bike & Pedestrian Path Easement Area. The paved portion of the Multi Use Trail shall not exceed 8' in width and shall be located as nearly as possible in the center of the said Bike Path Easement Area. 2. The Grantor will install the 8' wide Multi Use Trait Easement in accordance with the Plans and requirements established by the City of Northampton Office of Planning and Development. The portions of the Multi Use Trait as are located within the parking areas, driveway, or building access trails of the Rocky Hill CoHousing Development or within Black Birch Trail which will be maintained, including snow clearance, repaired, and replaced as needed by Rocky Hill CoHousing Association. The approximately 140 foot long portion of the Multi Use Trail located easterly of the Rocky Hill CoHousing parking lot and building access trails, may be maintained, repaired and/or replaced by the City of Northampton or Rocky Hitt Cohousing Inc., but it shall not be the responsibility of either to do so. WATER EASEMENT 3. A non-exclusive Water Line Easement located along the easterly sideline of the premises, being shown on the Subdivision Plan as "20'-Wide Water Line Easement to Christ United Methodist Church," and the right to connect to the Grantor's Water Line through the said Water Line Easement Area.