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24D-185 (4) EXHIBIT B Pot Pourri r ti 241 King Street, Northampton MA r gall■ S Floor - Suite '''• 3 C l C .\ Approx. s ft. pP Q• Scale Approx 1/4 in. = 1 ft. (occasionally inaccurate in Adobe® printouts) 8' 4" -1 y 13' 3" - _jumuuunmuumm�mmMuunnunmj I al DD AIIIPM— 11 1 I / 7Ni ?bt ' I G x.11 �e I I, 1)(,,, 1 6" 16' 7 „ A ��-- _ 1 1 D ' j)BbY ,-.---1 I �ieater Heate "� ✓1✓ loset Closet t i I\ i [ _„,,/ — e° -.. A' 18.6.. >. c I F Glass Doors to _� 22 6 I Common Area 03 Aid' i 2 11'2" Q Eat J rc �C f <� 1./.) Ai : / E �v Duct �� Duct \(-1 o Duct 1-----'-\\\\\I �puct 225 - - -�- 22 ,� -24' 5" -r Initials: :567 Common Area Hallway Lessee f Lessor 7 . , ti\( Scale Ruler Pot Pourri I I I I I I I I I I I I I I 1 1 1 I 1 I I 1 I 1 1 I I I 241 King Street, Northampton MA Second Floor - Suites 224 - 226 0 5 10 15 20 25 30 / --I J Approximately 1,650 sq ft / (subject to verification after wall removal) —4 Note: Structural columns may exist in addition to those shown by rectangular box shapes. The location of all structural columns all N 41■._ . should be verified in the course of new floor plan design. A P 0 - C \--- C‘C e (c, 04- ; -,\ t ....,c c ...7,,, 11 \ 4 / . \ / ao / , -NI 1P/ 1 !VP '' ■ • \ \ .// D \ , ,.........1 \ ---- ---- --- - \ \ ‘ ■ I ::::. :: .*. .... .. • . % I .. .. • . . . ..... - • - •-■-P ' . . .. Vilka=1. k.111.MCL 1--- --- ) 0 Heater Heater 7 t ----- milavaloma■ ...........- ›.. ,.. - cu - • • ...... I t L_ / CO \ Ti / 2 MI E. C c , 3 4 r - 0 rJ C-- 3,-5/ 4/1'46 I E „,,, 1 "Jo 1 ■ _ --, I Common Area —41 0 ce L • , --. 226 i (; ■ ...... . N Duct 1 i / \ I '.... \ \ 1 ffr7M1:210W1 , Duct ---, \ \\ , ,,, ,- 1 Duct \ \\ 1 Duct 225 i t 226 I Common Area Hallway 0 • lkt 1 6, OF S* itZcee "'At l* t^: 0 04:01 1 dakt: Z*4-, *(4.4.= - Aria. t 9,4 4•At• 46' 411100k- Pot Pourri EXHIBIT B 241 King Street, Northampton MA Second Floor - Suite 226 sla N ift..- Approx. 580 sq. ft. Scale Approx 1/4 in. = 1 ft. -13' 1 -1/2" - �I " - I nitials: 1 I Lessee nnininnuiuniiiuumuuuinuuiuii n Lessor Mt I 13' " ( 1 : 7,,..00 'i s, ' r ft 1 I 1 16' 10 -1/2" - ` / __ = / 1 `,- HI ' ' 1 I I ,P--r- -3' 6" - � \ 1 N r v 18' 10" L i 1 / / \ 14'2" / -- Glass Doors to Common Area --> 226 11' 3" 1 - P A ----,[ \ I Duct Duct I ■ - 1 1 - -3' - --rte 7' -'r i I if 12' 6" - --•I' -11' 11" - -4 I 1 , -24' 5" -'r 5 6 ' * ° 1 (4- Common Area Hallway ,�` ,e. # If s 7 '1°4).") R 06/01/2009 10:58 14135840859 AQUADRO ASSOCIATES PAGE 01/01 • • _ AGUR © „, CERTIFICATE OF LIABILITY INSURANCE I 6�1i20o r P (413) 586 -7313 FAX: (413) 584 -0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aguadro & Associates HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 355 Bridge St., P . 0. Box 357 ALTER THE COVERAGE AFFORDED BY THE P OL,ICIES BELOW. • 1 I Abr't`.haaptuwr .MM 010,FJ _ ___ _ _INSURERS AFFORDING COVERAGE NAIC # NEE INSURER A: Travelers Inge i ty Co. 25658 COOLIDGE NORTHAMPTON LLC INSURER a: C/0 DELAORANTIS MAMAGXMRWr INS PO BOX 310 INSURER D: WHITE PLAINS NY 10605 INSURER E: • I i _ c THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS A I ING ANY REQUIREMENT, TERM OR CONDITION DP 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. A - ,,; IMITS S •1 u.. : Y HAV : - EOUC , : - -I. - ,„ POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF 1:i E POLICY NUMBER MLR` DA7E 1� GENERAL LIABILITY EACH OC S 1, �yay TO COMMERCIAL GENERAL Lu WREMIS�a rfa RENTEO acwrryln g 300,000 A 1cIAIMSMAaa I "i I OCCUR 1680260 :003otND07 12/21/2008 12/21/2009 . - ,, , S 5,000 .. a 1,000,000 _ c � y _. i s 2,000,000 • GEM_ AGGREGATE OMIT APPLIES PER P - O! NE - .. P/OP 2,000,000 ,X POLICY 1111. , T . . • C AUTOMOBILE LIAWLIT( WARNED SINGLE LMT 1 (Ea cidi.Io I?I, S ANY AUTO • . ALL OWNED AUTOS BODILY INJURY {Per ') 1 $ 1.11 SCHEDULED AUTOS . • . HIRED AUTOS BODILY INJURY S III AUTOS {Per aoade rt) I PROPERTY DAMAGE ; (Per accident') GARAGE LIABILITY AUTO ONLY. BAACCIDENT $ .� ANY AUTO OTHER THAN PA ACC $ AUTO ONLY: AGG S • FXCE89NMBRELLA _ . • • , -,- - ,. - 1, 000,000 OCCUR a CLAIMS MADE AGGREGATE 1, 000 , 000 $ V 'Termo LE IB1ICUP2950Y40S1NDOE 12/3 12/21/2009 $ © •. ENTION 5 000 {.�,;� I woman COMPENSATION AND 1 +1: 1 Y ��: 7 EMPLOYERS' LIABILITY ANY PROPFII IOP IONS .:.,. ExECUTikE . • , 500,00C OFFICER/MEMDER ISUB2997C73008 12/21/2008 12/21/2009 E.L. %EASS•EAEMPLQYEES 500,000 Eyes, describe under SPA ,. I IONS L •I E. POLICYLI 500 00C I MER. DESCRIPTION OF OPERATWNS /LOCATIONSNEHICL.ESICXCL.USIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS — CERTIFICATE HOLDER r CANCELLATION 587 -1272 SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THE CITY OF NORTHAMPTON E0 PATE THEREOF, THE ISSUING INSURER YELL ENDEAVOR TO MAIL LINDA LAPOINTE 10 DAYS WRITTEN NOTICE TO THE GERT1PICATE HOLDER NAMED TO THE LEFT, BUT . NORTHAMPTON, MA 01060 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR.L.IABIUTY OF ANY KIND UPON THE INSURER I EATS OR REPRESENTATIVES. • AUTHORgeo REPRESENTATIVE ] ��d ' C Su i van /CMS 4AeL -• •• 11 m +�w•�+ . ACORD 28 (2001/08) 0 ACORD CORPORATION 19e INS02a(o1o8).ose Noe 1 a The Commonwealth of Massachusetts Department of Industrial Accidents '- Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. New construction listed on the attached sheet. 7. El Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 1 3. [1 I am a homeowner doing all work ffi h id hi ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City /State /Zip: 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 fin? „p to $1 ,5011 00 and /nr nnw -yt tir impriSanmezt, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a thy 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 certifr under the pains and penalties of perjury that the information provided above is true and correct. Sicnature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town officiaL - City or Town: Permit/Lieense # - - - -- -- 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 #: 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 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, _ as Owner of the subject property hereby authorize _ ._ to act on my behalf, in all matters relative to work authorized by this building permit application Signature of Owner Date I, / ? e c /". - Nee = / _.� x..,.__.. _.._...__ ._._. ..... ._,._.. ..... , 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 ofperjury, fet c) I, _. Vi _/ ��. ��q ..a..�. 0 Print Na ''i - 1 l ' 14-,,t, - ?.„,x. Signature of Owner /Agent a te SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : ._ c./.L .. _. ,..Gs.,' -1! License Number n 1 44 t 2 Address Expiration Date ( 1 .- 2 4. VA4/ 6 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 0 No 0 Version1.7 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 y ,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 Not Applicable Company Name: Responsible In Charge of Construction - Address__ _ - _ _- - Signature Telephone 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 "' °" " " Side L. ...,..._._ R:__,,,.__. L......_ R:!...... ,__ 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 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT 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 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 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 0 NO .r/ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 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 ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use 0 Other ❑ Brief Description Enter a brief desciiption her p f710a 3 I , o ,,, joc,,,,,, e_.,Jai I S r Of Proposed Work: „,G1 Hal t � y � 1 4- i z w 5 f ' C Co C� IV r v C , f o 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 ❑ B Business `ZI 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A El I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ I 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -i ❑ S -2 ❑ 5B I ❑ 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: 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) 1st 1st 2nd 2 3 rd 3 4th 4 ”' Total Area (sf) Total Proposed New Construction jsf) 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 ZoneD Municipal ❑ On site disposal system Version1.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Pertptt F Building Department Curb Cut/Dnveway Permit - ,212 Main Street Sewe /Septic Avatlabtli#y �CUg Room 100 WaterlWell Ayatlabtllt} Northampton, MA 01060 Two Sets of Structural Puns phone 41$3...g...7..1.240 5 Fax 413- 587 -1272 Plot/S, to Plans Other Speci ' APPLICA`fION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING r - OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office a y i(, )P ,)36- a.D 9 Map Lot Unit rear ),t�,�_ ,/�r51 rr�- � 0evl? � toYt F' >, Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: tit Name (Print) C612 Current Mailing Address: Signature Telephone 2.2 Authorized Agent: J c .e�, �!�. . l a . N a4, (71--€12 c t (c 111 (Print) g Name Current Mailm Address: ,.... 4 1/3: 3a4 Signature ��+�/ ° ULO-L ! Telephone SECTION 3 - ESTIMATED CONSTRUCTION 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 e e', od Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) _..... .. ....__._._... __._. 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number /I'1 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2009 -1004 APPLICANT /CONTACT PERSON RICHARD LAVALLEY ADDRESS/PHONE 27 NORWOOD ST GREENFIELD (413) 326 -1950 () PROPERTY LOCATION 241 KING ST - SUITE 224 -226 MAP 24D PARCEL 185 001 ZONE HB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid di/9 45-6- Typeof Construction: REMOVE NONBEARING WALLS & CONSTRUCT PARTITIONS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 054203 3 sets of Plans / Plot Plan THE FO ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 information. S7-77-4/ , ?l/ fv n' '5 ) - i �/ zr° �'� - / 3 //ide - 241 KING ST - SUITE 224 -226 BP- 2009 -1004 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D -185 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Peiniit # BP- 2009 -1004 Project # JS- 2009 - 001447 Est. Cost: $9500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICHARD LAVALLEY 054203 Lot Size(sq. ft.): 86248.80 Owner: Coolidge Northampton LLC Zoning: HB Applicant: RICHARD LAVALLEY .. 241 K.NI ST S UITE 224-226 Applicant Address: Phone: Insurance: 27 NORWOOD ST (413) 326 -1950 O Workers Compensation GREENFIELDMA01301 ISSUED ON:6/2/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: REMOVE NONBEARING WALLS & CONSTRUCT PARTITIONS 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: $ � 8 d House # Foundation: r ,� ! , I f Driveway Final: Final: ( - a L t (,� 1 � i nal. /& 2 3 1� ( � i i / / Rough Frame: r d eer - Gas: Fire Department Fireplace /Chimney: Rough: is T s l?tion: Final: Smoke: Final: (:)/c �\ AA? , i THIS PERMIT MAY BE REVOKED BY THE CITY • NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. r . ,.., "1:9 Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 6/2/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo