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38B-073 (20) File#BP-2019-1356 /v1v-I_ C 10(- APPLICANT/CONTACT PERSON MATT WALKER W07rrdr-(e a ` ADDRESS/PHONE 1043 SUMNERAVE SPRINGFIELD (541)961-4529 --frrrri PROPERTY LOCATION 227 SOUTH ST MAP 38B PARCEL 073 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: RECONSTRUCT EXISTING VET OFFICE AND RESIDENCE INTO 8 TOTAL RESIDENCES WITH SHEDS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 109037 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 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. F 7 Versionl.7 Commercial Building Permit May 15.2000 Department use only City of Northmptc EC E l\V/ s o rmit: Building Dep rtmei ti +. Cut/ riveway Permit 212 Main tree Se -r/Se tic Availability Room 1100 I MAY 2 9 2019 Wa er/W a Availability Northampton, MA 011060 Tw Sets f Structural Plans phone 413-587-1240 ax 4 3-68742Z2 PIo�iSite lans D PT.OF BUILDING INSPEC' NORTHAMPTON.MA 01 o in er Sp cify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR UPANCY 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 227 Sovth Sireei Map 39 : Lot Q 73 Unit Zone Overlay District Elm St.District CB District -* SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: t'IoNctr` zve,lcsement� L1G 5L PeRkly Ave ci,zf1RnT fey, MA &IO O Name(Print) Current Mailing Address: 7‹. f/3 3z 7 7208 Signature ✓ Telephone 2.2 Authorized Agent: W0-1Yer iC93 3:;,,y,er Ave_ sel e ' ollib Name(Print) Current Mailing Address: _5yi-Y6f-y57/ Signature Telephone SECTION 3-ESTIMATED NSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) Wco 5. Fire Protection 6. Total = (1 + 2 + 3 +4+ 5) Check Number This Section For Official Use Only Building Permit Number Date Oki/ 5-6 Issued Signature: Building Commissioner/Inspector of Buildings Date C fra Ukfl C 6t4 r Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs ❑ Demolition 0 Repairs❑ Additions 0 Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign 0 New Signs❑ Roofing 0 Change of Use❑ Other ❑ Brief Description Enter a brief description here. 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 I ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ 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 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: 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): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 15t 1st 2nd 2nd 3rd 3`d 4th - 4th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system El Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side1 L:l R i Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q 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 part of a common plan that will disturb over 1 acre? YES Q NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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 Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor ..�` xnr.__ Not Applicable ❑ Company Name: Responsible In Charge of Construction tO44 Sc.,•„.0e( Sp re (( , tick Address Sign e 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 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN '/X OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Al jF , as Owner of the subject property j. hereby authorize ./ ►c WO-KC( to act on my in all matters relative work authorized by this building permit application./�' '� t/26/// ignatur Owner Date , as Owner/Authorized 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 under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date * SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: V Not Applicable ElNameofLicense Holder: / fC r CS l('_lere j License Number __ill)`lb° Address Expiration Date Signature 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 affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes t!P No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, 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. Address of the work: % Th st The debris will be transported by: The debris will be received by: USA kawt Building permit number: Name of Permit pplic nt U-)0,tCe--( Date Signature of Permit Applicant The Commonwealth of Massachusetts ► — .l. Department of Industrial Accidents _ �= 1 Congress Street,Suite 100 , ; Boston,MA 02114-2017 www.mass.gov/dia .. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): ilia C Co 0.1. Address: 10413 Sufn.ort - City/State/Zip: Sfrt [a 111-c i1tr Phone#: yf 3-0�Y 31(63 Are you an employer?Check the appriate box: Type of project(required): 1.4 I am a employer with I J- employees(full and/or part-time).* 7. New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 0 Building addition 4.EI I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p ROOf repairs These sub-contractors have employees and have workers'comp.insurance.: 6. We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: hO(C,"WerCI /6 U ostrd Policy#or Self-ins.Lic.#: 1?R ?6 S$tc( Expiration Date: 0 I /0! /oZ o61-13 Job Site Address: Oa? fi City/State/Zip: M '1c4.7 kn. flk Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forty ded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi u th d penalties perjury that the information provided above is true and correct. Signature: Date: -S/ol°/i Phone#: e11 3't 144'34/0 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#: k 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 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 in a joint 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 rep r work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment 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 permit/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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia FW v-(A/NMViui<eue(fl(IF .c-vwwu+nuarus Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 183350 10/04/2019 10 P -Suite 5170 RR&CO REALTY LLC ston,MA 0 116 ROGER ROBERGE c\k-C x—— \ / 1043 SUMNER AVE C SPRINGFIELD.MA 01118 Undersecretary No alid 41(itho signature �[ Division of Professional Licensure Board of Building Regulations and Standards C o n st r.uGtit5ri'Supervisor CS-109037 Erjc�ires:05/14/2021 MATTHEW WALKER • 19 MARSHALL AVE „a CHICOPEE MA, 01013411* • 4 Commissioner 4,42,0r4 DATE(MM/DD/YYYY) ACGRLI CERTIFICATE OF LIABILITY INSURANCE 01/09/2019 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cyndie Henderson CISR,CPIA NAME: Webber&Grinnell PHONE (413)586-0111 FAX (413)586-6481 (A/C,No,Ect): (A/C,No): 8 North King Street E-MAIL chenderson@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Mesa Underwriters/Quaker INSURED INSURER B: Commerce Insurance 34754 RR&Company Realty,LLC INSURER C: NorGUARD/BHGUARD 31470 Go Roger Roberge INSURER D: Mount Vernon Fire/AmWINS 1043 Sumner Ave INSURER E: Springfield MA 01118 INSURER F: COVERAGES CERTIFICATE NUMBER: GL/BA/WC/PROF Exp 07/ 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 CONTRACT OR 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. INSR ADM UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A MP0020003004869 07/09/2018 07/09/2019 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED BHSVGP 10/09/2018 10/09/2019 BODILY INJURY(Per accident) $ • AUTOS ONLY /� AUTOS X HIRED X N -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Underinsured motorist BI $ 50,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY YIN 500 000 C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A RRWC965889 01/01/2019 01/01/2020 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ _ Property Mgmt E80 $1,000,000 Professional Liability D Claims Made REA20112361 01/06/2019 01/06/2020 Deductible $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Workers Compensation policy does not include coverage for Roger Roberge. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN '"" Evidence of Insurance "" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 227 SOUTH ST BP-2019-0593 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-073 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Multi-Family Housing BUILDING PE la.NII T Permit# BP-2019-0593 Project# JS-2019-000963 Est. Cost: $1200000.00 Fee: $6840.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: GABRIEL SHIPPEE 93698 Lot Size(sq ft.): 23217.48 Owner: BLACK SHEEP DEVELOPMENT LLC Zoning:URB(100)/ Applicant: GABRIEL SHIPPEE AT: 227 SOUTH SST Applicant Address: Phone: Insurance: 21 KINNEBROOK RD (413) 446-6707 WORTHINGTONMA01098 ISSUED ON:12/21/2018 0:00:00 TO PERFORM THE FOLLOWING WORK:RECONSTRUCT EXISTING VET OFFICE AND RESIDENCE INTO 8 TOTAL RESIDENCES WITH SHEDS **PARTIAL FOR DEMO ONLY** 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 Occupancy Signature: FeeType: Date Paid: Amount: Building 12/21/2018 0:00:00 $6840.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0593 APPLICANT/CONTACT PERSON GABR1 L SHIPPEE ADDRESS/PHONE 21 KINNEBROOK RD WORTHIN(TON 13)446-6707 PROPERTY LOCATION 227 SOUTH ST MAP 38B PARCEL 073 001 ZONE URE :00)/ THIS SEC ,'ION FOR OFFICIAL USE ONLY: PERMI' APPLICATION CHECKLIST 174CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out U.\ Fee Paid Typeof Construction: RECONSTRUCT EXISTING VET OFFICE AND RESIDENCE INTO 8 TOTAL RESIDENCES WITH SHEDS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 93698 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: �T L Fd p6 O piL i Approved Additional permits required(see below) (y/ ' . (r 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 Del 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 information. VersionI.7 Commercial Buildin Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit _ 212 Main Street Sewer/Septic Availability_ Room 100 Water/Well Availability _ Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLINGN ^^ I n + SECTION 1 -SITE INFORMATION I�t I J_ F tNo— ti�-e,l1- `-�1e_i.f(on( G 1.1 Property Address: This section to be completed by office 227 South Street,Northampton, MA Map '5 g q Lot t:/ 73 Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Black Sheep Development, LLC 32 Perkins Avenue,Northampton, MA Name(Print) Current Mailing Address: Q/�71,,,,�� // ��/�J, Digitally signed by Danielle McKahn / - ! /i/f/(�- eemall danmckahn@gmaiicom,c=Us (413) 320-7208 Signature / Date:Zol3.lo.33tg:39:2s 0400 — Telephone 2.2 Authorized Agent: Gabe Shippee ).i Koleto rro lc it IA)er2,4,,,nt9,M/s- Name(Print) ^ Current Mailing Address: �j /[ j4rIAt 446-6707 Signature TelneSECTION 3 = TIMATED CO UCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 6 g C(6) 5. Fire Protection 6. Total =(1 + 2 + 3+4 + 5) 1i Zoo, () Q ')0 Check Number 3 a C/9# This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations El Existing Wall Signs El Demolition 0 Repairs 0 Additions 0 Accessory Building El Exterior Alteration El Existing Ground Sign❑ New Signs❑ Roofing El Change of Use El Other El Brief Description Reconstruct existing Veterinary office and residence into eight total residences with small sheds Of Proposed Work: for each apt., one shed for on site garbage, a decorative trellis and a playscape. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 0 - 1A 0 A-4 ❑ A-5 ❑ 1 B 0 B Business El 2A ❑ E Educational ❑ 28 0 F Factory El F-1 ❑ F-2 ❑ 2C ❑ H High Hazard 0 3A 0 I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 El 3B 0 M Mercantile ❑ 4 0 R Residential 0 R-1 ❑ R-2 0 R-3 ❑ 5A 0 S Storage ❑ S-1 0 S-2 ❑ 58 [ 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: mixed; B and R-3 Proposed Use Group: R-2 Existing Hazard Index 780 CMR 34): egress 4, ht 4, ext 3, Proposed Hazard Index 780 CMR 34): egress 3, ht 2, ext 3 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 s' 2,774 1st 2,200 end 1,238 2r,d 2,217 3rd 412 3rd 0 4th 4th Total Area (sf) 4,424 Total Proposed New Construction (sf) 4,417 Total Height(ft) 34 Total Height ft 34 7.Water Supply(M.G.L. c. 40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private El Zone Outside Flood Zone El Municipal 0 On site disposal system❑ Version1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 22,041 sf 22,041 sf Frontage 129 ' 129 ' Setbacks Front 11' 11' Side L:55' R: 34'-9 L: 55' R:21' Rear 42'-1 39 Building Height 34' 34' Bldg. Square Footage 2774 13 % 3878 18 Open Space Footage (Lot area minus bldg&paved 8669 39 1201 55 parking) #of Parking Spaces +/-2C 13 Fill: (volume&Location) none none A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 0 YES 0 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 O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained © , Date Issued: C. Do any signs exist on the property? YES O NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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: 77 Worthington Road, Huntington, MA 01050 Not Applicable ❑ MA AR9525 Name(Registrant): 77 Worthington Road, Huntington, MA 01050 Registration Number Address 08/31/2019 (413) 531-1868 Expiration Date Signa Telephone 9.2 Registered Profe ional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor (?pee v t ie\ea.& ANC - Not Applicable ❑ Company Name: C-;4be S ;op t-e Responsible In Charge of Construction i ttlieb10O1. e ct (A)0,z- h0I ,'1A, 0loc', Address 4,4V kjk\a/At '1i3-yyd • 6707 gnature f Telephone Version1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No O SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Danielle McKahn , as Owner of the subject property hereby authorize Gabe Shippee to act on my behalf, in all matters relative to work authorized by this building permit application. //�/ Digitally signed by Danielle McKahn 7 /a..w4'/'.(/ eemall=danirnckahn gmall.com,c=US l0/23/2018 Signature of Owner Date:2018.10.23 19:41:25-04'00' Date Danielle McKahn , as Owner/Authorized 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 under the pains and penalties of perjury. Danielle McKahn Print Name / "' Digitally signed h Danielle McKahn 3 p /!//� DN:cn-Danielle McKahn,o,ou, 1 0/2J/2o l 0 a/(,� email=danlmckahn�xgmaiLmm,c=US Signature of O er/Agent Ddce.<ui8.iu.d ir.,2Lu-u,w Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: e7wb 2 S\A t e@e-e CS — 0C1,36H T/p, _ License Number M tnne cook jrt-A_ (A)(KAN,A ,\-00 MN. 01o61'6 0z/15 7-v2-d Addre Expiration Date Sign cure 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 affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 0 No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, 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. Address of the work: Dar) Sdv'\n Si-cee-+ The debris will be transported by: s(4..1 r The debris will be received by: qq-ih.y !2ec1/4ic Building permit number: Name of Permit Applicant e e <11 1O/3o119 411 Date Signature of Permit Applicant _ The Commonwealth of Massachusetts *=, _grl, Department of Industrial Accidents ;;ei= � 1 Congress Street, Suite 100 t.=; ; Boston,MA 02114-2017 ,,�� www.mass.gov/dia \Yorkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sh inke 3 i,i 1 A.e,z S I iv C, 7 6 A‘,t S t()per. Address: .),1 L'Innebroo\C (1 City/State/Zip: U1o►tAtAt nt3-19t-ii /1It 010 4'6 Phone #: Ili-5- yg C 6707 Are you an employer?Check the appropriate box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Ri Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]f 9. Demolition 4.0I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.E Electrical repairs or additions proprietors with no employees. 12.1 Plumbing repairs or additions 5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.''❑""Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.D Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must 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 must 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: L46c.R.4-1 ni 4cr Policy#or Self-ins.Lic.#: WCS— 31S - 306447 - OSS3 Expiration Date: 41 7 i Zol 9 Job Site Address: a'] So ut\,‘ S4-f-C4-+ City/State/Zip:No1bi1•ta. i1 l/1/4 OI06U Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifynder the pa' s and penalties of perjury that the information provided above is true and correct 8 Si nature: A1/I It, Date: 1 D 13 o 11$ Phone#: L/l3_ 1 06— 610-7 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): I.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 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 in a joint 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 permit/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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia ,i"1 1 WILLGRA-05 CS UIRES '4CVRv CERTIFICATE OF LIABILITY INSURANCE ( DATE(MM ) 4."' 1 07/06/2018/2018 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 C Nr6ACT Cynthia Squires HUB International New England P1HONN,Ext): 1 FAX,No): 1 96 Shaker Rd. .._o_ East Longmeadow,MA 01028 9s:Cynthia.Squiresehubinternational.com INSURER(S)AFFORDING COVERAGE _NAIL# INSURER A_Main Street America Assurance Company 29939 INSURED INSURER B:National Grange Mutual Insurance Company 14788 William Graham dba Graham Electric IN RERC__ PO Box 1 Haydenville,MA 01039 INSURER D . -_ INSURER E: i j 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, NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 ALI.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR i ;ADDL!SUB 4 POLICY EFF I POLICY EXP , LTR i TYPE OF INSURANCE INSR MD R# POLICY NUMBER (MM/PLINYYn IMWDD[YYm LIMITS A COMMERCIAL GENERAL LIABILITY ) EACH OCCURRENCE ,S_ 1,000,000 CLAIMS-MADE X]OCCUR MPT8466W 04/15/2018 04/15/2019 pRp 5(EsENNTE„D I 3 500,000 X EPL,Data Compromise MED EXP(Any one aereonl $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 ARM AGG TE LIMIT APPLIES PER GENERAL AGGREGATE 3 2,000,000 POLICY,fMt X LOC PRODUCTS-COMP/OP AGG ; 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 — f_er_.iA..,r- _ ANY AUTO M3T5736R 04M 512018 04/15/2019 BODILY INJURY(Per Aerscnl $ AUTOS ONLYjr AUUTµOSS�tJ�L{EDp BODILY INJURY(Per accident),,,; x AUTOS ONLY X ARV'S Y AMAGE PROPERTY occident) 3 S B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 � EXCESS LIAB CLAIMS-MADE CUT8593W III 04/1S/2018 04/15/2019 AGGREGATE 3 ' ,DED X RETENTIONS 10,000 I General Agg $ 1,000,0001 A !WORKERS COMPENSATION i 1_ 'PER7UTE - 1 OT ERH AND EMPLOYERS'LIABILITY r ANY PRCFRIETORPARTNER£XECUTVE Y—/ W2T5736R 04/15/2018,04M , 1,000,000 5/2019 pFFICER9.1E Mg�R EXCLUDED? N f A E.L EACH ACCIDENT +S (Mandatoryln NFL) 1,000,000 E.L DISEASE-EA EMPLOYEE]S It yes,desc^Ce under { 1,000,000 DESCRIPTION OF OPERATIONS belcw E.L.DISEASE-POLICY LIMIT♦$ DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Shippee Builders Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN K eBuild Road ACCORDANCE WITH THE POLICY PROVISIONS. Worthington,MA 01098 AUTHORIZED REPRESENTATIVE U ?d ACORD 25(2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC R DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/16/2018 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Joyce Morton NAME: Borawski Insurance PHONE (413)586-5011 FAX (413)586-7973 1A/C,No,Extl: WC,No): 88 King Street,Suite B giDDREss, Imorton@borawskiinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060-3257 INSURER A: Safety Insurance Company 39454 INSURED INSURER B: Norguard Insurance Co John Thomas INSURER C PO Box 614 INSURER D: INSURER E: Goshen MA 01032 INSURER F: COVERAGES CERTIFICATE NUMBER: all lines 18-19 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 OFt CONDITION OF ANY CONTRACT OR 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. ILNTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD IMM1DD/YYYY') (MM/DD/YYYY) COMMERCIAL GENERAL LUIBILITY EACH OCCURRENCE S 1.000,000 DAMAGE 1 O RENTED 100,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S 10,000 A BMA0023273 03/01/2018 03/01/2019 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY n PE 0. LOC PRODUCTS-COMP/OP AGG S 2'000,000 _ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) S A OWNED X SCHEDULED 2428366 02/07/2018 02/07/2019 BODILY INJURY(Per acddent) $ AHIRED ONLY NON-OWNED PROPERTY DAMAGE AUTOS N." AUTOS ONLY X AUTOS ONLY (Per accident) S Uninsured motorist s 50,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTION $ S WORKERS COMPENSATION STATUTEE ERH AND EMPLOYERS'LIABILITY B ANY PROPRIETOR,PARTNERJEXECUTIVE YIN NIA JOW(�931408 03/03/2018 03/03/2019 E.L.EACH ACCIDENT S 100,000 OFFICER/MEMBER EXCLUDED? V (Mandatory in NH) J E.L.DISEASE-EA EMPLOYEE $ 100,000 If Es,desIN under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Shippee Builders Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 21 Kinnebrook Road AUTHORIZED REPRESENTATIVE Worthington MA 01098 - // __ _,p ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC Rd CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDTYYYY) 10/30/18 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME• Carol Shippee PHO Mirick Insurance Agency (NC No,Eel): 413-625-9437 I(AArXc,No) 413-625-9473 POB 375 E-MAIL 28 Bridge Street AODREss, cshippee@mirickins.com Shelbume Falls,MA 01370 — INSURER(S)AFFORDING COVERAGE NAIC N INSURER A: State Auto INSURED INSURER B Gabriel K.Shippee INSURER C Shippee Builders, Inc. 21 Kinnebrook Rd. INSURER D Worthington,MA 01098 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 CONTRACT OR 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 INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE __— INSD WVD- POLICY NUMBER LMM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $ 2,000,000 �/ DAMAGE 10 HEN rD I CLAIMS-MADE X OCCUR PREMISES 1Fa occurrence? S 300,000 MED EXP(Any one person) $ 5,000 A BOP 2699386 10/19/18 10/19/19 PERSONAL BADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POI ICY PR T I 0: PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea acc,denq ANY AUTO BODILY INJURY(Per person) S OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident•. $ UMBRELLA LIAB OCCUR —y EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION — — OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE n E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED/ N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ Ii yes.descr.ee u�^r DESCRIPTION OF OPERATIONS below C L DISEASE.-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Black Sheep Development, LLC ACCORDANCE WITH THE POLICY PROVISIONS. 32 Perkins Avenue Northampton,MA 01060 AUTHORIZED REPRESENTATIVE Carol Shippee 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A ORE® CERTIFICATE OF LIABILITY INSURANCE DATE(IYIWDD/YYYY) 10:31/2018 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MIRICH INSURANCE CONTACT BOX 375 PHONE - FAX SHELBURNE FALLS, MA 01370 E-MAILNo,Erb: (A1C,NoL__ EMAI ADDRER.$ INSURERS)AFFORDING COVERAGE NAIC X INSURER A: LM Insurance Corporation I 33600 INSURED INSURER B: SHIPPEE BUILDERS INC - - 21 KINNEBROOK ROAD INSURER C: WORTHINGTON MA 01098 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 45183010 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 CONTRACT OR OTHER DOCLMENT 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. INS TYPE OF INSURANCE ADOLISUBR POLICY EFF POLICY EXP —' LTR INSD'WVD POLICY NUMBER 1 IMM/ODIYYYY) lMM/ODIYYYYI LIMITS b COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ LGE TO RENTED CLAIMS-MADE I OCCUR PREMISES(Ee occurrence) 1$ r MED EXP(Any one person) II$ PERSONAL F.ADV INJURY I $ GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ ;� PRO- POLICY , JECT LOC PRODUCTS-COMP/OP AGO j $ I OTHER I;$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)-_--_-- S j ANY AUTO , BODILY INJURY(Per person) $ OWNED —t SCHEDULED f 1 BODILY INJURY(Per accident) $ AUTOSIREDONLY AUTOS N-O PROPERTY DAMAGE HIRED NON-OWNED $ _ AUTOS ONLY AUTOS ONLY ,(Per acradent - UMBRELLA LIAR 1 OCCUR EACH OCCURRENCE $ — EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED 1 I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-386247-058 9/7/2018 9/7/2019 PER ;0TH- AND EMPLOYERS'LIABILITY YIN ti✓STATUTE ER jANYPROPRIETOR/PARTNER/EXECUr:VE E.L.EACH ACCIDENT I• FFICER/MEn BENH EXCLUDED? n NIA L$1 OOOOO tt yes(Mandatorydescr In ut) I , E.L.DISEASE-EA EMPLOYEE. $-IOODC,(? DESCRIPTION OF OPERATIONS belo j E.L.DISEASE•POLICY LIMIT I$500000 1 i I i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Addklonai Remarks Schedule,may be attached If more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates.only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BLACK SHEEP DEVELOPMENT LLC 2 ERKINS AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE Jon Smith 1fri I --� ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 45183010 I 1-386247 118-19 (058) I n0270258 110/31/2018 8:34:27 PM (PDT) I Page 1 of 1 R Commonwealth of Massachusetts Division of Professional Licensure } � Board of Building Regulations and Standards Constrtetrt'ttSpervisor CS-093698 4 spires: 02/15/2020 a GABRIEL K SHIPPEE ,--! 21 KINNEBROOJ(RD , WORTHINGTO A 01088 Commissioner Cis.' -Ci'le o/n n ana'eat! iaz Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration T : Corporation Ration: 163287 SHIPPEE BUILDERS INC. Expiration: 03/08/2020 21 KINNEBROOK RD. WORTHINGTON,MA 01098 Update Address and Return Card. CA 1 0 20M-05/17 37 'fe,mmex,i'a/4( ` lla..:,ac/za. !!: Office of Consume Affairs&Business Regulation Rem valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. I found return to: TYPEOffice of Corte A aid Re9tr hdion One Ashburton Place-Suite 1301 163287 � Boston,MA 02108 SHIPPEE BUILDERsiNc. LL&_ GABRI EL SHIPPEE :_ 6P—Cd2,3 21 KINNEBROOK RQ;WORT 01098Undersecretary --r, v Planning - Decision City of Northampton Hearing No.: PLN-2 )19-0011 Date: September 19, 2018 APPLICAION IYI'E SIJIMISSIONCAIF 111111 111E111 111[ 0 II II II PB Special Permit w+Ni Major Site Pia 8/17/2018 2018 00 '1619 Bb: 13110Pg: 164 Page: 1 of 3 Applicant's Name: Owner's Name: Recorded. 10/25/201A 10:41 AM NAMI. NAMI Jeff Penn Danielle and Denise McKahn ADDRESS ADDRESS 77 Worthington Rd. 32 Perkins St. TOWN. S',ATi ZIP COOL. TOWN: SrATI• ZIP CODE: HUNTINGTON MA 01050 NORTHAMPTON MA 01060 PI TONE NO.. FAX NO PHONE NO FAX NO EMAIL ADDRESS I MAIL.ADDRESS • Site Information: Surveyor's Name: STREET NO. SITE ZONING COMPANY NA14- 227 SOUTH ST URB(100)/ TOWN. ACTION IAKI.N. ADDRESS NORTHAMPTON MA 01060 Approved With Conditions MAP RI CI: IC1 MAr'JAIL SECTION OLDYI.A,A 38B 073 001 Chpt.350-10.1:Special Permit IOWN STATE" ZIP CODE 6227 290 PHONE NO FAX NO LMAII ADDRESS: NA TURF OF PROPOSED WORK: Conversion of existing building to eight new residential units HARDSHIP FONDI DON OF APPROVAL: 1) Prior to start of any construction, tree protection measures shall be installed for the trees to be saved along the frontage. Fencing shall be chain link at the drip line. Tree protection shall be inspected by the City. 2)No parking lot lights shall be installed 3)All exterior lighting shall meet the zoning requirements, be no cooler than 3000K.Prior to final certificate of occupancy,a final lighting as-built shall be submitted showing compliance with these standards. 4) There shall be no parking on the east side of the building. 5) Wheel stop to prevent cars over sidewalk. 6) Trash dumpster is not allowed on site. 7)A minimum 36"fence shall be installed on the slope behind play area along the northerly edge of the property line. r1NDINGS. The Planning Board approved the Special Permit with Site Plan for the creation of 8 residential units based on the following plans and information submitted with the application: 1)Site Plan,Danielle and Denise McKahn,by Jeffrey Scott Penn,Architect Sheet Si, S2, S5 Dated August 13, 2018. 2)Memo from Matt Turcotte Power House Energy Consulting dated July 31, 2018 3) Sheet S3 Erosion Control and Stromwater Plan by John Waller, dated August 13, 2018. 4) Sheet S4 Erosion Control and Stromwater Plan by John'Nation, dated August 13, 2013. 5) Engineering and runoff calculations by The Engineering Group LI.C, for Black Sheep Development LLC dated Sept 8, 2018. 6) Traffic Analysis memo by Tim Engineer Group, LLC dated 8/5/2013. 7). Elevations Sheet A3 by Jeffrey Scott Penn,Architect dated July 13, 2018. In granting the special permit with site plan, the Board determined that the criteria in 10.1 and 11.6 had been met 1. The requested use protects adjoining premises against seriously detrimental uses. if applicable, this shall include provision for surface water drainage,sound and sight buffers and preservation of views, light, and air. The front portion of the building will remain while the footprint will be expanded to the rear. The use will come into compliance with zoning. and 2. The requested use will promote the convenience and safety of vehicular and pedestrian movement within the site and on adjacent GeoTMS®2018 Des Lauriers Municipal Solutions,Inc. City of Northampton S Massachusetts ot,' 11 a 1 DEPARTMENT OF BUILDING INSPECTIONS `!r 212 Main Street • Municipal Building J4 01. r` ar Northampton, MA 01060 INSPECTOR Louis Hasbrouck Fax: 413-587-1272 Chuck Miller Building Commissioner Phone: 413-587-1240 Assistant Commissioner CONSTRUCTION CONTROL DOCUMENT (For professional Engineers/Architects responsible for Entire Project) Project Title: L.� oC Date: 2 /o t Project Location: 22.7 "}FSt f ,f Map:3S 5 Parcel:07 3 Zone: Li X S Scope of Project: ` L444.o G AOi2t Z014( 12�-�-0 C' 182 l PA.:I ligg l o To.40-1 -60/i4E-S In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: I, 1C-71 e. Mass. Registration # A.12-/523 Being a registered professional Engineer/Architect hereby CERTIFIES that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ENTIRE PROJECT For the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 10.7.6.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 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, in general, if the work is being performed In a matter consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. AR I Signatur and Seal of R tered pssional i ® '4 9525 x Day of �� e, C 20 1 � 1��%Y ^11� am-- Q ► .i �.�(seal) ARCHITECT JEFFREY SCOTT PENN � 77 Worthington Road, Huntington, MA 01050 r f.`'.•, V 4 q'. I tel.413-667-5230 fax.413-667-3082 i jspsed�a verizon.net J S 26 October 2018 aft Investigation and Analysis /► fi 227 South Street . Northampton, MA 01060 General 227 South Main Street was built as a Residential building c. 1884 and most recently used as a mixed-use building with a commercial first floor (veterinarian) and residence above. The building currently has one occupied residential unit. The owner intends to renovate the existing structure and add new space for a total of eight residential units and no commercial. Thus the building will be proposed as Use Group R-2 with construction type VA and include a NFPA 13R fire suppression sprinkler system. The building is in Northampton Zone URB. IEBC 2015 references 301.1.1 —Prescriptive Compliance Method — shall be used Chapter 4 Prescriptive Compliance Method 401.2.1 — existing materials may remain in use (unless deemed unsafe by Building Inspector) 401.1.2 —new and replacement materials shall meet code 402 — additions 402.3 and 402.4 — existing structure carrying Gravity and Lateral loads — shall comply; we will engage an engineer to write a report on the building structural conditions and requirements 403 — alterations shall be no less conforming than existing conditions 403.3 and 403.4 — existing structure carrying Gravity and Lateral loads — shall comply; we will engage an engineer to write a report on the building structural conditions and requirements 403.6 —wall anchorage for unreinforced masonry — shall comply where reusing the brick walls 403.9 —volunteer seismic improvements — shall be part of engineers report 403.10 — smoke alarms — see IFC 1103.8 — shall comply 406 — glass replacement and replacement windows 406.2 — we intend to maintain the good condition replacement windows in place and replace single pane windows with compliant windows as well as all new compliant windows including proper egress dimensions from all bedrooms 406.3 —replacement windows emergency escape and rescue openings — 1. may use largest window to fit in opening when replacing; but propose all to be compliant 407 — change of occupancy 407.1 — shall be no less compliant than prior 407.4 — structural — no change in risk 410 accessibility 410.5 —additions— shall comply 410.6 —alb- - :1 • — shall comply 410.8.7'�"�''Vve-i; $= -ss than 20 units (17 bedrooms) no type A required; propose 1 unit prepared with type A featgr. 410.8.8 —type B dyillings —all shall comply IFC 2015 REFERENCES (CHAP 18 MA) 18.2.3.1.4 When fire department access roads cannot be installed due to location on property, topography, waterways, nonnegotiable grades, or other similar conditions, the AHJ shall be permitted to accept alternatives proposed by the owner of the building to allow additional fire protection features, up to and including the installation of an approved fire sprinkler system installed in accordance with the Building Code, cistern(s), additional fire hydrant(s), or similar devices or systems. 18.2.3.2. Replace with the following: 18.2.3.2 Access to Buildings and Facilities. 18.2.3.2.1.1. Replace with the following: 18.2.3.2.1.1 Where a townhouse as defined in the Building Code, is protected with an approved automatic sprinkler system that is installed in accordance with NFPA 13D or NFPA 13R, as applicable, the distance in 18.2.3.2.1 shall be permitted to be increased to 150 ft (46 m). 18.2.3.2.2.1. Replace with the following: 18.2.3.2.2.1 When buildings are protected throughout with an approved automatic sprinkler system that is installed in accordance with NFPA 13 the distance in 18.2.3.2.2 shall be permitted to be increased to 250 feet. 18.2.3.4.1.1. Replace with the following: 18.2.3.4.1.1 Fire department access roads shall have an unobstructed width of not less than 20 feet (6.1 m). Fire department access roads constructed in the boulevard-style shall be allowed where each lane is less than 20' but not less than 10' when they do not provide access to a building or structure. 18.2.3.4.2.1. Add 18.2.3.4.2.1 Permeable drivable surfaces, that meet loading of 18.2.3.4.2, are allowed when approved by the AHJ. 18.2.3.4.3.1. Replace with the following: 18.2.3.4.3.1 The minimum inside turning radius of a fire department access road shall be 25 feet. The AHJ shall have the ability to increase the minimum inside turning radius to accommodate the AHJ's apparatus. 18.2.3.4.6.1. Replace with the following: 18.2.3.4.6.1 The gradient for a fire department access road shall not exceed 10%, unless approved in writing by the AHJ. 18.2.3.4.8. Add 18.2.3.4.8 Travel in the Opposing Lane. The use of the opposite travel lane is prohibited in the design of all new fire apparatus access roads. IBC 2015 references with MA addenda 310.4 —Use Group R-2 420.2 — separation walls —walls separating dwelling units and sleeping units shall be constructed as fire partitions (see 708) — propose 1 hour 420.3 — horizontal separation— floor assemblies dwelling units and sleeping units shall be constructed as horizontal assemblies (see 711)— propose 1 hour 420.5 — automatic sprinkler system (see 903.2.8, 903.2.6 and 903.3.2) propose NFPA 13R 420.6 — fire alarm system and smoke detection (see 907.2.9 and 907.2.11) shall comply 504.3 (and Table) — allowable building height R-2, S 13R, VA — 60' — propose 35' 504.4 (and Table) — allowable building stories R-2, S 13R, VA —4 story — propose 3 story 506.2.3 (and Table 506.2) — allowable area R-2, S 13R, VA — 12,000sf— propose 3,972sf 509 (and Table) — incidental uses (possible mechanical room) Table 601 — fire-resistance ratings —VA = all elements 1 hour except nonbearing partitions but we propose 1 hour protection throughout Table 602 — Fire resistance based on separation distance (Fire Separation Distance lot line, center of street or halfway between two buildings on the lot— 38' south (0 hour), 21' north (R = 0 hour) 602.5 — Construction type V: any materials permitted by this code 703.2.5 — exterior of bearing walls — not required 704 — fire resistance rating of structural members — shall comply 704.2 — column protection 704.3 —primary structural frame 704.4 —protection of secondary members 704.5 —Truss protection— shall comply 705 — exterior walls 705.2 (and Table) —projections 705.2.3 — combustible projections 705.8 (and Table)—openings 707.3.2 and 707.3.3 —Fire Barriers (see 1023.1 and 713.4) 708 — fire partitions — shall comply; propose 1 hour throughout 708.3 — fire partitions = 1 hour protected; exception 1. corridors % hour (see Table 1020.1)— propose 1 hour throughout 708.4 — continuity—walls to underside of floor or roof sheathing (see 718.2 and 718.3) exc. 3. wall up to ceiling if ceiling is protected; exc. 5. attics 711 — floor and roof assemblies 713.4 — fire resistance rating for shafts = lhr up to three stories 714 — penetrations— shall comply Table 716.5 — fire Barrier (none present); fire partition— 1 hour = 3/4 hour door 718.3 —draftstopping in floors —shall comply at dwelling/sleeping separations Table 803.11 — interior finish requirements based on group; spr. R-2 = "C" all locations 901.2.1.3 —three tiers of documents required: general plan, shop drawings and as built 903.2.8 —required sprinklers (see 903.3) 903.2.11.1.3 —basement requires sprinklers if any portion more than 75' from opening (none) 903.3.1.1 —NFPA 13 systems 903.3.1.2 —NFPA 13R systems: R use group up to 4 stories and 60' high 903.3.1.2.1 —balconies and decks and patios —sprinklers required where roof or balc. above 903.3.2 — quick response and residential sprinklers 3. in dwelling and sleeping units 903.3.5 — include backflow preventer 903.3.5.2 —residential combination services: domestic and fire suppression loads shall be added 903.4 — sprinkler system supervision and alarms — electronic supervision exc. 3. NFPA 13 R system do not require shutoff for sprinklers 903.4.1 — MA requires alarm, supervisory and trouble signals shall be distinctly different and transmitted to one of three NFPA locations as listed 903.4.2 — audible device at exterior of building 903.4.4 — re-transmission of alarm signals—discuss with Fire Marshall 905.3.1 — standpipe systems —required if top floor is 30' above fire dept. access level Not req. 906.1 —portable fire extinguishers exc. R-2 shall have one in each dwelling min. rating 1-A:10- B:C (plus basement) 907 — fire alarm and detection systems 907.1.1 —contract document requirements 907.2 exc. 2: manual fire alarm box not required in R-2 907.2.2.1 —MA exempts R-2 manual fire alarm system when auto. sprinklers and auto. occupant notification present 907.2.9.2 — smoke detectors 907.2.11 — single and multiple station smoke alarms requirements 907.2.11 —R-2 locations: 1. ceiling or wall outside bedrooms; 2. in sleeping room; 3. in each floor (omit uninhabited attics) 907.2.13.2 — fire dept. communication system — see IFC 510 (determined by Fire Marshall) 907.5.2.3.3 — in group R-2 the alarm system shall have the capability to support visible alarm notification (see 521 CMR for confined spaces etc. ie. lavatories, bathrooms) 911 — fire command center— if required 200sf 912 — fire department connections 912.7 — connecting to any sprinkler will serve all sprinklers and connecting to any standpipe will serve all standpipes 915.2 — CO detectors locations: 915.2.1 dwelling units — outside in the vicinity of bedrooms; 915.2.2 sleeping units— in bedrooms exc. omit inside bedroom if no fuel burning in the room and no forced air furnace 1003 —means of egress 1006.2.1 exc. 1. in group R-2 one means of egress is permitted within and from individual dwelling units with a maximum occ. Load of 20 where the dwelling is equipped throughout with an automatic sprinkler system and egress travel is less than 125' (and egress windows) 1006.3.2 — single exits cond. 1. occupant load and distance does not exceed Table 1006.3.2(1) , Table 1006.3.2(1) — stories with 1 exit for R-2 = serving max. 4 dwellings, max. 125' egress travel (each unit has compliant separate entrance and exit except apt. 3, second floor of the orig. building with its own stair and single entrance/exit— 1607sf= 9 people max.) 1009 — accessible means of egress 1009.1 —not less than one — apt. 1 is prepared with type A features and a future ramp could be added over the sidewalk 1009.3 stair width exc. 2. 36" wide if sprinklers; exc. 5 omit area of refuge if sprinklers 1011 — stairways 1011.2 — width — exc. 1. R may be 36" if less than 50 occupants 1011.5.2 —risers and treads: max. 7" rise 11" min. run; exc. 3. R-2 interior to unit may be max. 7 3/4" rise 10" min. run 1010.1.5 — floor elevation relating to adjacent interior exc. 5. type B dwelling units may have landing max. 4" lower than interior level 1010.1.6 — landings at doors — shall be width of door or stair (whichever is greater) and exc. R-2 36" landing length in the direction of travel 1015.2 — guards required —where 30" or greater drop within 36" 1015.8 — window openings shall be protected if sill is less than 36" high (see means) Table 1020.1 — corridor fire-resist. rating for R if less than 10 occupants with sprinklers = .5hr Table 1020.2 — corridor width if less than 50 occupants = 36" 1023.1 — interior exit stairways and ramps — enclosed, protected path to exterior 1023.2 — interior exit stairways and ramps - "fire Barrier" (see 707) = 1 hr connecting less than 4 stories 1024.2 — exit passageways width 36" if less than 50 occupants 1024.3 — exit passageways construction— lhr 1100 — accessibility (see 521CMR references) 1107.6 —R-2 requirements 1107.6.2.2.1 —Type A units —required if more than 20 dwelling or sleeping units (have 17, will provide one Type A unit) 1107.6.2.2.2 —Type B units — all required to be if more than 4 dwelling or sleeping units — will comply see Table 2304.10.1 — Fastening Schedule 2406.4 —hazardous locations of glazing requiring safety glazing: 2406.4.1 — in doors 2406.4.2 — glass adjacent to doors (within 24") 2406.4.3 — in windows if all: 1. greater than 9sf; 2. 18" or less glass to floor; 3. top of window more than 36" above floor and a walking surface is within 36" of the window 2406.4.5 — glazing and wet surfaces — any window in a bathroom with a shower or tub and closer than 60" to the tub or shower 2406.4.6 —glazing adjacent to stairs and ramps and less than 60" above the surface shall be safety glazing except: 1. if a guard is before the window and max. 18" from it; 2. if any walking surface is 36" or more from the window 2406.4.7 —glazing adjacent to the bottom stairway landing less than 60" above the surface and less than 60" away from a tread nosing except. If the glazing is protected by a guard less than 18" away Table 2902.1 — min. # of required plumbing facilities —R-2 = 1 toilet per dwelling, 1 lavatory per unit, 1 tub or shower per unit, 1 kitchen sink per unit and one automatic clothes washer connection per 20 dwellings—shall comply and include laundry in each apt. Northampton Special Permit Submission Requirements from Chapter 350— 10.1 Zone URB On 13 September the project was granted a Special Permit at the public hearing with conditions including final approval of Site Lighting.