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25-015 (66) 160 OLD FERRY RD-AIRPORT BP-2019-0112 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-.Block:25 -015 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category:NEW COMMERCIAL ACCESSORY BUILDING BUILDING PERMIT Permit# BP-2019-0112 Project JS-2019-000183 Est.Cost:$375000.00 Fee:$4470.00 PERMISSION IS HEREBY GRANTED TO. Const. Class: Contractor: License: Use Group: ROBERT BACON 94282 Lot Size(sa.ft.): 43560.00 Owner: SEVEN BRAVO TWO LLC zonine: Applicant: ROBERT J BACON AT. 160 OLD FERRY RD -AIRPORT Applicant Address: Phone: Insurance: 20 HAWTHORNE TER (413) 485-4104 WC FLORENCEMA01062 ISSUED ON.712612018 0:00:00 TO PERFORM THE FOLLOWING WORK:50X149 AIR PLANE HANGAR 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: Driveway Final: 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 Occuoancv Signature: FeeTYpe: Date Paid: Amount: Building 7/26/2019 0:00:00 $4470.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0112 �� APPLICANT/CONTACT PERSON BOBER I BACON /. ADDRESS/PHONE 20 HAWTHORNE TEA FLORENC.? (413)485-4104 Cl PROPERTY LOCATION 160 OLD FERRY RE -AIRPORT MAP 25 PARCEL 015 001 ZONE THIS SECTION FOR OFFI I NLY: PERMIT APPLICATI CHECKLIS ENCLOSED QUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildma Permit Filled out Fee Paid T eof Construction: 50X149 AIRPLANE HANGA New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included Owner/Statement or License 94282 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION 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 AND/OR 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 Commission Permit DPW Storm Water Management Demolition Delay � 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. • Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more infortnation. Version 1.7 Commercial Building Permit May 15,2000 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 .a1 4„gSyl ' 4 Iffl, a APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: This section to be completed by office 160 Old Ferry Road map Lot 01115— Unit Northampton,Ma 01060 Zone Overlay District Elm St.District CS Dildisict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: !Seven Bravo Two, LLC TO Box 699,Westfield, Ma Name(Print) Curent Mailing Address: i(413) 584-7990 Signature Telephone 2.2 Authorized Actent ---------- —---- ---- Robert J Bacon,-- It60 Old FerryRoad , Name(Print) Current MailogAdi I(413)584-79801 ------- Signature Telephone SECTION IMESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bennit auDlicant 1-1-1- 1. Building $1751000.00 (a)Building Permit Fee 2, Electrical -- (b)Estimated Total Cost of 2-a Construction from(6) 3 Plumbing Building Permit Fee '70 4. Mechanical(HVAC) q 5. Fire Protection 6. Total=(1 -2+3+4 6) Check Number —1 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition El Repairs El Additions ❑ Accessory Building Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ _pour _-footing Brief Description Excavate, form and our footing and foundation for 50' x 149' Air Plane Hangar Of Proposed Work: SECTION 5.USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 0 S-2 ❑ 5B ❑ U Utility ❑ Specify: ''.. M Mixed Use ❑ Specify: - --- j S Special Use Specify: ! COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: � _._.... ( Proposed Use Group Existing Hazard Index 780 CMR 34) I Proposed Hazard Index 780 CMR 34) u... SECTION S BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 3rd ... .. _ ..._., 4 t Total Area(si) I ', Total Proposed New Construction{sf� --7,450, Total Height(h) Total Height h 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone i_____ Outside Flood Zone[] Municipal ❑ On site disposal system❑ Versionl.?Commercial Building Permit May 15,2000 8. NORTHAMPTON ZOR N0 Existing Proposed Required by Zoning TMs column to be CHU in by Building Department Lot Size 149.416 Frontage fX908___ Setbacks Front Side L)I10 8.119201 L:=R:1 _ Rem, Building Height ""' r'—_,. - 7i � ,15.5 ...... �L..._ ._. Bldg.Square Footage 1 f - I iZ450j , Open Space Footage _ % G-ot area minus bldg&p.ol erkin ) #of Parkin S aces -'-- Fill: ( rvolumn&t.r,larionl �— it -- — A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW Q YES._O IF YES: enter Book Page _ _ and/or Document #[ B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained Q , Date Issued .. C. Do any signs exist on the property? YES G) NO IF YES, describe size, type and location: various locations D. Are there any proposed changes to or additions of signs Intended for the property? YES O NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it pan of a common plan that will disturb over 1 acre? YES O NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ ----. --_ Name(Registrant) --- ------- _.._._____ _.,._ __ ----_ Registration Number Address ----- - Expiration Data Signature Telephone 9.2 Registered Professional Engineer(s): '.Richard White Structural -_- --_-- _i Name Area of Responsibility 55 Railroad Ave. Southington,_CT 06489 Address Registration Number '(860) 276-9100 Signature Telephone Expiration Data I ( Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Data Name Area of Responsibility Address Registration Number Signature Telephone I Expiration Date 9.3 General Contractor One Development & Construction _ - Not Applicable ❑ Company Name'. ,Derek Helie Responsible In Charge of Construction 68 Union Street Westfield, Ma 01085 Address Let,y,"I 94 (413) 485-4056 j Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Robert J Bacon _.__._ -._ as Owner of the subject property hereby than Derek Helie sip act h ,in all her ati w k authorized by this building permit application •.07/03/2018 nature of Owner Date Robert J Bacon Mgr. of Seven Bravo Two,LLC ,as OwnerlAuthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed un r th ains and pen _ s of penury _ b � Print 7_ z/ -/9 Signature of Owner Agent Data SECTION 12.CON RUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of Licen olds ;Robert Bacon SCS-094282 — � License Number Un_i h St ,�{fiel MA SDs85 03/06/2020 Atltlmss Expiration Date (473) 568-0905 Si ature I Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affdavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes (D No 0 Versiou1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name Begistrani ---------- ---- ' Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): (Richard White _- .- - _j (Structural -- -- Name Area of Responsibility 55 Railroad Ave. Southington, CT 06489 Address Registration Number � 4X/ [(s6ota76-9i-- 4, � 1- _ Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Dale Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility i Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor One Development & Construction Not Applicable ❑ Company Name: Derek Helie Responsible In Charge of Construction 68 Union Street Westfield, Mal Address ((41 3) 485_4_0.5_6 i Signature Telephone Initial Construction Control Document UlfTo Ube submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Date: Property Address: Project: Check(x) one or both as applicable: VNew construction Existing Construction Project description: I MA Registration Number:4(7 Expiration date: ,am a registered design professional,and I have prepared or directly supervised the preparation of all design plans,computations and specifications concemingk Architectural X.Structural Mechanical Fire Protection Electrical 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 designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. 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 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,l shall submit field/progress reports(see item 3.)together with pertinent comments,in a tome acceptable to the building official. Upon completion of the work,I shall submit to the building official a'Final Construction Control Document'. Enter in the space to the right a"wet"or NOF electronic signature and seal: // G� 3 wmrE E smucrusnt Phone number. Ecco -276 9 len Email: " wo.asre2 r Ki N� wh • +z@ cca I� co m s Ex Building O/fi'cial Use Only d10NpLE Building Offival Name: Permit No.: Daft: Note 1.Indicate with an'a'project design plans,computations and specifications that you prepared or directly supervised [Vothet is chosen,provide a description Vnsion 01 01 2018 City of Northampton ®' .,.... .s.. Massachusetts c t DEPARTMENT BUILDING INSPECTIONS 2 YSY .-.- 9tha.. •Nunicipal Building NoiNempton, M 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c40, 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. The debris from construction work being performed at: 1( Q C>W) FEKRY ROAD (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: N �Nec NPS � SoN c�NstR�itoN �a cctrp,el;�S. pr- ��e (Company �Namee and Address) Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. ine uummunweotin or inassucnuseus Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgmizadon/lndividuap: Elm Electrical / One Development & Construction Address: 68 Union Street City/State/Zip: Westfield, MA 01085 Phone hi:413-568-0905 Are you an employer? Check the appropriate box: Type of project(required): 1.IN I am a employer with 170 4. ❑ 1 am a general contractor and] 6. M New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g employees and have workers' ❑ Demolition working for me in any capacity. p y ees 9. E] Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.] i c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box MI must also at out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. IComraclors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they most provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Holmes Murphy-Colarado Policy#or Self-ins. Lie. #:WC112510700 Expiration Date:5/1/2019 Job Site Address: 160 Old Ferry Road City/State/Zip: Northampton MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u er thepains and penalties of perjury that the information provided above is true and correct Signature: oh 0& Date 7-5-18 Phone#: 4134854060 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service ofanother 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 in ajoint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an 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 not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit 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 certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple per at/license 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 town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a 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 obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext 7406 or 1-877-MASSAFE Revised 7-2013 Fax #617-727-7749 wnxnu mace arnrldia Client#:57981 ELMELEPC ACORD- CERTIFICATE OF LIABILITY INSURANCE 6/29/2018 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 INSU PENIS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Polley,c ser aln policies may re9uim an endorsement A statement on this certificate does not confer any rights to the certificate holder in lieu of such erdmsemem(s). PRODUCER E° Sandra Chavez ^CaIW, PHONE -]20-622-8248'Na am F"X .8444847750 schavez@holmesmu h .com South Greenwootl Wliege,C080111 WSIIRERS AFFORDHG COVERAGE x11C• rsURER A:r—M•---� 16535 .Va. wwRER e.+ .nm.n�.drw.n.na 25674 D Elm Electrical Inc.,Piper Electric,LLC One evelvelopment&Construction,LLC wsuRER r.--.� 10273 68 Union Street IxwRER o Westfield,MA 01085 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. was ryA c,scol.. DOL VBR POLICY MIIMBER AMM LlYR4 A II COfaaRau IUNSMALLLMmIm GLO112510800 7/01/2018 05/01/201 EACH OCCURRENCE sl D 000 GWMBLMDE X1=UP FOD loo-ow MED EXP M ero $10000 PERSONAL ADV INJURY $1000000 GEN'LAGGREGATELIMITAPPUESPER GENEMLAGGREGATE 52000000 PCULY�JE(T OLOC PRODUCTS P.P AGS $2000000 OTHER: W0000 A AUIOYOBAE weILm BAP112510900 7/01/201805/01/201 COMBINEDSINGLEUMITX Ary AUTO BODILYIWURYIPwim—l ZMD SLXEOULFD AUTGSOra.V AUTp4 BODILYIWURV IPv m'aNRNCNOWNED PROPERTY DAMAGE XX AUTOS OILY XOccuRZUP81NO059118NF 7/01/201805/01/201 EACH OCCURRENCE IXLESR LMB LWMSMAOE AGGREGATEX 1 000 PROR�TgypAflTNE1LEXECMVE EL EA HALLIDEM CFFaOP R IBERECRTNE 0E N/A (MNMBI>YB,wI) EI )1SEASF-FAe.n.E1$1000000 NdWYLI,gF09SATIQUILls, EL DISEASE-POICYUMn 1$1.000,000 C Excess ECO1958911416 7/01/2018 05/01/2019 $10,000,000 Fa.DEC. $10,000,000 Aggregate Butler Buildings, Division of lueSco(ACORDel Buildings ywwM,pulMl Butler BUIMings,a Division of BlueScope Steel Buildings North America,Inc. Is named as Additional Insured as respects the General Liability policy per written contracrL CERTIFICATE HOLDER CANCELLATION Butler Manufacturing Company SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Insurance Compliance ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 419917 Kansas City,MO 64141 ANXORLI RREP-RESENTATNE 64* ^M'�E 01986-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016f(3) 1 of 1 The ACORD name and logo are registered marts of ACORD #S372548/M371740 LUKJl Massachusetts Department at Environmental Protection DEP File Number'. Bureau F Resource Protection -Wetlands 'N _ SS 1 WPA Form 7 — Extension Permit for Orders of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General Information �Il2ell��� ll Important: 18 0001477 nfilling out 1' Applicant'. /� Bk: 1302BPg: 174 Page: 1 oft forms on the [�I�r-rhamron �fItYD�t Recorded: 07126/201601:10 PM computer,use F - konlyey the tab it`aU , I1 yy �iJ 1 key to move G V fb l C h GI your cursor- M. ing Ad teas do not use the NDN'I' OVW-JOK 0(660 return key. City/row� State Zip Code .�rl.. II 2. Property Owner(if different): FA Name nw Mailing Address Cityrawn State Zip Code B. Authorization The Order of Conditions (or Extension Permit) issued 1tothe applicant or property owner listed above on: VQ(. 1N, aoor-f Issued by: NOfiYC1N1PIa1 Date Conservation C mission t5 for r I r $3 U ff� d 1 i for work at: gtreet Address Assessors`, ap/lat Number Pa=YLot Number rec?illied at the Registry of Deeds for: JFkp4tIDo^: atnoshra iaobg ao'► County Book Page Certificate('d registered land) C Iq is hereby extended until* Da �o loo � Nov I3. aol� Date Date the Order was last extended(if applicable) This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest extension.Only unexpired Orders of Conditions or Extension may be extended. This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to the applicant and the appropriate DEP Regional Office(hftpJ/www.massaov/deo/about/reaionffndyour.htm) Signatu s: �$ aJl ,yJ viato n 4Cti w2m 7&-w vrrzorc .�, R1100MPa11+ 2 ][AU jartment of Environmental Protection DEP File Number ----e protection - Wetlands Official Receipt for Recording in: 'kxtension Permit for Orders of Conditions P�d by DEP Naopa,_'e C,,Iy Registry of beside nds Protection Act M.G.L. C. 131, §40 33 Ming St IIII II�I����� I1�'BIII III _ NortharPtan. Nassuhusstts 41060 iitlon... ...I 1 issued 1a: 022111111000111iillll 'g�4 Ili III SEVEN flRAYU iM0 LIE j�,,�/r�� Be 13028Pg: 174 Payee 1 of 5 160 BLD FERRY RD J 11tY4�'I' Recorded: 07/26/2018 01:10 PM NBRTNANRiON MA e��Y - 485-4032 Il G Lxk t Recording Fees e._____.___ --------- - - - _ Recording Document Amount state Zip Code Description Number BookfPage _ _ 0Dtl14771 13020174 E75.0D EXT NBRTNANPTON AIRPORT' Collected Amounts - ____..-_m __ . payment Amount TYPO .-_______-___.--. state Zip Code — ___—_ 875.00 Check1161 ------- 375.40 $75.06 Total Received : $A Do derision Permit) issued to the applicant or property owner listed above on: less Total Recordings: __ _— change Due Issued by: y e Q Conservation C missnionff 5 Thank You .. : 5. ,Mee Z7r� NARY OLBERDING - Register at Deeds Assessors MaplPlat Number ParceRot Number ds for: 9kuM&an: By: Debbie .iRc)bQo�(zb'� RAMPIA Data Time Book Page 0332860 07/26/2018 01:10p Certificate t8 regsteretl land) is hereby extended until: U-019, 901� -N-OV OV e9l 1 Date Date the Order was used a#ended(if appAcfi This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest extension. Only unexpired Orders of Conditions or Extension may be extended. This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to the applicant and the appropriate DEP Regional Office(httD/twww mass aovideDtabout/reoiontfinQdyaur Mm) of A D `ott7��y Signatu s: ate -- .... 1 _ tea"^1mmW� US.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FOMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY E%plydllOn Da[et July 31,2D3$ I.—I 1b unre ,hell IMPORTANT:Follow the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION S3WYMtiI'11SE,s;. Al. Building owners Name Seven Bravo Two, LLC : A2. Building SVee Address(including Apt.Unit,Suite,and/or Bldg.No.)a RO.Route and Box No. 60 Old Ferry Road City Northampton Slate MA ZIP Code 01060 A3, Property Desenpeon(Lot and Block Numbers,Tax Pa¢el Number,Legal Descnplton,etc.) Assessors 10#28-071-021 A4. Building Use(e.g.,Residential,NoOFdidarbal,Addition,Accessory,etc.) non resdent'al A5. latitude/Longitude:Lat, 42-1410 Long, 072-9651 4 Horizontal Datum: D NAD 1927 FKI NAD 1983 A6. Attach at least 2 Maregraphs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1_B A8. For a building with a crewlspace or enclosmeed: A9.For a Wilding with an attached garage: a) Square footage W crawlepace or arelosure(a) sq h a) Square footage of attached garage sn ft b) Number of permanent flood openings In the crawlsbace to Number of Permanent flood openings in the attached garage or enclosures)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in AB b .,in c) Total net area of flood openings in A9.1, eq in M Engineered low openings? E]Yes 0 N d) Engineered flood openings? ❑Yes DNo SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bl. bi Community Name 8 Community NumberBZ.Dpunry Name 83.State Northampton,MA 250167 Hampshire MA 84. Map/Panel Number H5.Suffix s6 FlRM Indez Dale BZ FlRM Panel E#eclNe/ B&Flood 2gne15) 09.Base Flood Ekvation(m(Zone Revlsetl Date A0.use Was flood depth) 0002 A 04/03/1978 04/03/1978 A 125 810.Indicate the source of the Base Flood Elevated(BFE)data or base flood depth entered in Item B9: D HE Profile 0FlRM D Community Determined 0Other/Source: 811.Indicate elevation datum used for BFE In Item 09: ®NGVD 1929 D NAVD 1968 D other/Soume: B12.Is the building located in a Coastal Banner Resources System(CBRS)area or Otherwise Protected Area(Cal ❑Yes MIND Oesignation Date: / / 0CBRS DOPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ®Cmstrucum Draverge. D Building Under Coustmccon" D Finished Constmcuon 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,VI UO.V(with BFE).AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO.Complete Nems C2.&-0 below awarding to Ne building diagram specteed In them A7.In Puerto Rico only,enter meters. Benchmark Ug@ed: Lafluer MZ2675 vertical Datum: NGV01929 Indicate elevation datum used for the elevations In items a)MMU&h)below. H NGVD 1929 D NAVD 1988 D other/source: Datum used for bulding elevations must be the Same as(flat used for foe BFE. Check the measurement used. a) Top of bottom floor(including basement crawlspace,or enclosure floor) 121 . 4 ®feet D meters b) Top of Me drum higher floor _ — Elfact Dmeters c) Bottom of the lowest floriaontal Emotio al member W Zones only) ._ 0 feet D metals d) Attached garage(top of slab) D feet D meters a) .,Avesl elevation of machinery or equipment servicing Me Welding 125 . 1 0feet 0metals (Describe type of equipment and location in Comments) Fl Lowest Ad)acent greshed)grade nen to building(IAG) 121 . 3 0feet Dmetic. g) Highest adjacentunished)grade next to building(HAG) 121 . 4 0fast ❑meters m Lowest adjacent grade at lowest elevation of deck Or stairs,'Including D feet D meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This cenlfication Is to be signed and sealed by a land surveyor,engineer,or amhbect authodzed by law to certify elevation Information.I tartly that the Intomraem on this Cortland represents my Pest efforts to Interpret the data Available. I understand that any false statement may be punishable Py fine or impoundment under 18 US.Code,Section 1001. X18 OF AM,r C Check here if comments are provided on back of form. Were latitude and Imgitude in Section A provided try a Y'M �qc. BR D Check here d attachments, licensed land surveyor? ®Yes CNG E� BRUCE G Ceri theme License Numher PLAT Bruce A.Coombs 27814 All '^ tmaCompen,N a �81< President Heritage Surveys,Inc. AMmxs CiM Stem ZlPaadc 241 College Hi hwa Southampton MA 0IPOCA u1B`'1' 61 r pie -1 llephpn¢ -r6ee_.; �O 7 /O 413 527-3600 FEMA Form 08xi(Revised 7/12) See reverse side for convocation. Replaces all prevfpps edition, mme xa.e,onex ana,wo„ex®nn amprnn ew Re:PDF Drawings Northampton Alport 160 Old Femy Road saa9e Lwie Nubo 4 Xw b �nwleampbnme.9wa Thu J11 36,3016811:44 PM PI Omek Ho ,JPII Egon L< M> Ce M. I tlonl me arryor NelpM mna ulm,nnllcal nnh in Pe Eulltllnp em no Mernnma to PBCE 4<Floatl Reslabm Oey9nantl Lonxlnimlon. I IFnk Y1e mnamdlen mmMe9pnla 9dn910 weA imormSion m mmyerMsry 9waga. Nxn,bq Mkln9 pLsware paxxwde pmlMal aM I un\Male MeµMa or mmbinn tlgm Imoa xin9ln lYan seL il¢nkv o„Ix Haabmuck aW61n9 CnmmleeMer GM 1Fm er.mplpn (8ll.'wWl13<O ORrce 1a131 eernnvea 01 rI,Ju136,3018,1304 PM,0emk xxie<tlnenenTre1- cam1 mII, Lc am JMI NImM LIP wlM an M111 In r Idl I,lle lnrlbe xcMempinn Nrryx Heyer Pmlect III M ynm main polnlWmnuellor enyiawexor p1ea11om In rpaMe rn lF a PmleM�Ir"I albo atlaWb a Ilk I,Yw props Jm,In POP­s,Pleaxa lel me know 11 yw leetl enNIiy Nu. hIy 1n Pw c0.x 511636ir8n9ny19 nh NMM hopxr Manager One.a I.pmemdCanxnncbon,LLC. Structural Engineering Consultants RK. White Engineering, LLC 50 Railroad Avenue,Southingim CT 06489 Phone: 860-276-9100 Fax 860-276-9160 Notice of New Building in Special Flood Hazard Areas TO:Louis Hasbrouck FROM:Richard White PE-Engineer of Record SUBJECT:Letter of Affidavit-Flood Hazard Construction This letter certifies that the design and construction of the hanger building located at 160 Old Ferry Road Northampton, MA will be in accordance with Chapter 5 of ASCE 7 and ASCE 24 as required in the 0 Edition of the State of Massachusetts Building Code. The property is currently located in flood zone A-13 and has a base flood elevation of 125.0. The proposed finish floor of the structure will be 121.0. Per the table in ASCE 24 titled"Tables for flood-resistant materials and wet and dry flood-proofing" the proposed building shall be constructed of flood resistant material to an elevation of BFE + I ft, which is equivalent to elevation 126.0. The proposed structure is a pre- engineered metal structure with metal wall construction. This structure satisfies all requirements of ASCE 24. The foundation of the proposed structure has also been designed to resist the effects of all flood hazards and flood loads. Flood vents will be provided by using a 2' high by 18' wide knock out panels in the overhead doors located on opposite comers of the proposed building. The total area of the knock out panels will be 72 SF,which is 38 percent greater than the 52 SF required. These knock out panels are designed to open into the building when loaded by the hydrostatic pressure of the water. Please do not hesitate to con ith any questions in regards to this project. a� Regards, Richer W Y"M K o � PE SEAL: '`, AEE Public Notary Seat: Public Notary Signature:'� � Page I of s Y= W Y I t V � Y use* ,it Lr t i1 Nt' xI NN�� t#1 r � ? I Y x � } �iI t z r a VI •CM swirrguptoOd"mesiroard I ' - ai oelWafd i .` •ComMuedopemdmoncebottomsectionbas "A Great Start to Long-basting been inadvertently hit Door Solutions! a -Resets in seconds •Ntedoroovu PrerentsdamagesMuld section be stnsds Our break-away.bottom section prevents damage and allows .Ave lleblean32OQ3RIO,3717,3718,3720,37,VaR320swiea, operation When the bMrom section of thedoor is and all 324series Clopaydoom inadvertently hit.Resets in seconds! .tanbesetleflttatldstingproducts •Avaifableln single cin n bottom sections � Wept v� ai , � ` a SINGLE AND DOUBLE BREAK-AWAY BOTTOM SECTIONS Ciopay's breakaway bottom sections will release from the track and swing up to a full 45'angle inward or outward,preventing further damage to the doocThe cable attachmentat the bottom of the second or third section enables the door to continue operating after being struck.The bottom sections can be"snapped'back into place in less than a minute.The bottom sections have o fiberglasspr polycarbonate sheet on the inside of the sectioosto resbtdants and maintain an attractive appearance These sections are available on the 1-3/4"and 2"thick 3000 series polystyrene and polyurethane insulated doors,and on all 520 and 524 series ribbed steel doors. SPECIFICATIONS: Qualty AssurantG Doors shall be insulated or iron-insulated steel section al overhead type as Inside View Single manufatured by Clopay Building Products Co.Each door is provided as one complete Bottom 5ection unit including sections,brackets,trackscounterbalance mechanism,and hardware (list options)to wk the opening and headmom ava7labie.Door is provided with a break-away bottomsection assn integral part of the door,exterior to match door face. Section provided for Z-or 3"rollers and track as required.The interior of the bottom section islmed with fiberglass or 1/8"polycarbonate to prevent damage to the.section. Options for Break-Away Bottom Section: Inside slide lock mechanism provides..additional security. Padlock may be applied. Specification requirements: Sing Break-Away Bottom Section, Vertkal6ft doors,or door must have at least 36"ufhi-lift. Maximum door width:20'21,. Double Break-Away Bottom Section; Vertical lift doors,or door must have at least 60"of hi-lift. . Maximumdocr ak":l0'2". Single or Double Break-Away Bottom Section: Not compatible with door drop safety dev-iee/bottom brackets Inside View of Double -- Nat compatlble with doors requiring a double torsion shaft. Bottom Section Materials and ConstrardNem Breakaway bottom sections are available on the 1-3/4"and 2"Clopay brand 3000 series thermally broken insulated doom and the 520 and 524 series ribbed steel doors.Section will be provided with flexibleru.wprenerubber side edges.Bottom astragal retainer and flexible astragal ori provided Interkirof section is lined with enherBbergless(3000 series)or 1/8' polycarbonate(500 senes)... DISTRIBUTED BY, For special applications and options,co�nssulttcommercial Information Rssistansai at 1-eo"2 i301. a mwwi rarmeMknuucnmiM..mwMreisypdu:e.wraooasw�urtnur.ebs�rta s.we..ao° a.m,�.w