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31B-262 . . . (1) Cl) CD B CD 0 111111= CD 3014FX / 3014FX / / • I / _y D Hr _ • I P WEIMIMENUMMEM___ 3014FX 3014FX Bourke Builders (413)-548-9214 19 Center Court 0 -u (ca 77 Long Hill Road CD Northampton, MA Leverett, MA 01054 — il I I 1 . 3040DH 3040DH O U o ci. / 1--'.. - T \ \\ii " ,,„ / ,e7 --------- sc.) 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A true copy attest, dated: April 29, 2009 ARCHITECTURAL ACCESS BOARD Ait Le- Gera'd LeBlanc, Chairman This constitutes a final order of the Architectural Access Board entered pursuant to G.L. c. 30A. Any aggrieved person may appeal this decision to the Superior Court of the Commonwealth of Massachusetts pursuant to Section 14 of G.L. c.30A. Any appeal must be filed in court no later than thirty (30) days of receipt of this decision. A complete administrative record is on file at the office of the Architectural Access Board. Page 6 of 6 S:\AAB\KSutton\Agenda's and Results\ DECISIONS \2009`040609\Professional Offices, 19 Center Ct., Northampton.doc from the second to the third floor. The final variance that the petitioners needed was in regards to not bringing the second floor existing toilet room into compliance with Section 30.1 of 521 CMR. Conclusion: After reviewing the matter at the April 6, 2009 hearing, the Board voted as follows: - CONTINUE the variance request for Section 28.1, regarding the lack of access to the upper floor, to have the petitioners submit a revised first floor plan, portraying a usable accessible toilet room and common use space, by April 24, 2009. - CONTINUE all remaining variance requests until the vertical access variance is resolved. Later in the day, the Board voted as follows: - REOPEN the matter regarding the Professional Offices at 19 Center Court in Northampton. - Have Board Staff issue a STOP WORK ORDER immediately - CLOSE the matter regarding the Professional Offices at 19 Center Court in Northampton. After reviewing the submittal during an administrative discussion on April 27, 2009, the Board voted as follows: - REOPEN the matter regarding the Professional Offices at 19 Center Court in Northampton. - RESCIND the previous order to issue a "Stop Work Order" immediately, based on the prompt submittal of a modified plan for a fully compliant unisex accessible toilet room at the first floor. - GRANT the variance for Section 28.1, regarding the lack of access to the second and third floors, based . on the submitted "Lease Agreement" and plan for compliant entrance and accessible unisex toilet room at the first floor (received by the Board on April 21, 2009, File). - GRANT the variance for Section 25.1 to maintain the front entrance as inaccessible, based on the fact that the side entrance to the building will be accessible and that an area of rescue assistance will be provided at the front entrance porch. - GRANT the variance for Section 30.1 for the lack of an accessible toilet at the second floor, based on the fact that a compliant unisex accessible toilet room would be provided at the first floor. - GRANT the variance for Section 27.4.1 for the lack of compliant interior handrails at the stairway from the first to the second floor, on the condition that a compliant wall -side handrail will be provided at this stairway, and compliant handrails will be provided at the stairway between the second and third floors, as proposed by the petitioners. - CLOSE the matter regarding the Professional Offices at 19 Center Court in Northampton. Page 5 of 6 S:\AAB\KSutton\Agenda's and Results \ DECISIONS \2009`040609\Professional Offices, 19 Center Ct., Northampton.doc tenants that anyone using the common space area could be disrupted by a person needing to use the accessible entrance or accessible toilet room. Ms. Gaev noted that all sessions held within both 9 and 19 Center Court were scheduled by appointment only. She added that there will be plentiful signage throughout 19 Center Court, directing people to the accessible features throughout the first floor of the building. Board Member Myra Berloff asked why access was not created to the front entrance of the building. Mr. Bourke stated that they had built the ramp along the side of the building to allow for the majority of the ramp to be covered. Board Member Berloff then asked if the petitioners had looked at creating a walkway to the front entrance porch. Mr. Bourke stated that the change in level was too great, especially since the existing porch was demolished and rebuilt to meet the grade of the first floor level to allow for the area of rescue assistance to be provided at the front porch. He added that the current design was done by an architect and thought to be the most feasible option for creating access. Board Member Walter White asked for clarification that the drawings were not done by the architect that stamped them. Mr. Bourke stated that he had done the plan drawings and had an architect stamp the plans upon reviewing them. Board Donald Lang noted that the toilet room shown in the plans did not comply with 521 CMR, since the sink for the toilet room is located within the common use space. He added that it did not appear as though the 5 -foot turning space was provided in the proposed toilet room. Mr. Bourke stated that even with the sink at the corner of the bathroom (not shown in the plans) the 5 -foot turning radius was provided. Board Member Lang noted that if the purpose of granting the lack of vertical access to the second floor was based on the first floor being fully accessible and providing a common use conference space, then this situation would not meet that criteria as currently proposed. He added that he was very troubled by a person having to leave the bathroom to wash their hands if they were in a wheelchair, but that a person without a disability could wash their hands and not go to the outside sink. Ms. Gaev noted that the sink provided in the common space area would be a wet -bar type sink. Mr. Thomas Hopkins, Executive Director of the Board, stated that the "accessible" toilet room shown off of the common area space would not be usable since there are not enough clearances within the bathroom. Mr. Bourke stated that he was disappointed to hear that the bathroom would not be usable; noting that they had thought that the proposed design was the best possible solution to create an accessible first floor. Board Member Angney stated that she would like to see a plan for a ramp to the front entrance. Mr. Bourke stated that this would not be feasible since it would take up the entire front of the building. Ms. Gaev noted that they went forward with all of the work because there was a limit in how long the renovations could take; based on the requirements of the insurance company and the need to have the tenants occupy the space. She added that her hope was to have three offices at the first floor (including the common space area as an office) and the accessible toilet room; noting that there is a large demand for first floor accessible office space in Northampton. On April 27, 2009, the Board reviewed the submittal from Mr. Paul Bourke, which included plans, a narrative, and a copy of the "Lease Agreement" for the building. Mr. Thomas Hopkins, Executive Director of the Board, noted that he had not issued the "Stop Work Order ", based on an April 7, 2009 sketch that was submitted to him from Mr. Bourke, which was the rough drawing proposal of a proposed fully compliant unisex toilet room at the first floor. The submitted plan (Bourke Builders, dated 4/09/09, specifically page 3 of the submitted plans) included a compliant unisex accessible toilet room, which was not proposed in the original plan submittal. The submittal noted that the petitioners were still seeking a variance for the lack of access to the second and third floor offices, based on the fact that the two offices on the first floor would be available, based on the "Lease Agreement" language, for those unable to access the upper floors of the building; and that there would be an accessible entrance at the side of the building, area of rescue assistance at the front entrance, and a fully compliant unisex accessible toilet room at the first floor. The submittal also noted that the petitioners were also seeking a variance to maintain the existing front inaccessible entrance, which would have an area of rescue assistance on the front porch large enough for two wheelchairs. The petitioners also were seeking a variance to maintain the existing historic inside stair handrails at the stairway from the first to second floor, but are proposing to install a compliant wall -side handrail at the stairway in question and will install fully compliant handrails at both sides of the stairway Page 4 of 6 S:\AABV{Sutton\Agenda's and Results \ DECISIONS \2009`)40609\Professional Offices, 19 Center Ct., Northampton.doc The Rule: The Boards regulations under Section 3 (Jurisdiction) of 521 CMR, specifically Section 3.3.2, requires that if the work performed ($289,077.00) amounts to 30% ($28,710.00) or more of the full and fair cash value (See 521 CMR, Section 5, Definitions) of the building ($95,700.00), then the entire building is required to be brought into compliance with all applicable sections of 521 CMR. Analysis: The variance hearing was convened on April 6, 2009 at 2:30 p.m. The Board reviewed the case file exhibits numbered as AAB 1 through 28, and marked it as Exhibit 1 (File). Present at the hearing was: Lilly Gaev, Building Owner Paul Bourke, Bourke Builders, LLC (Applicant) After all were sworn in, Mr. Paul Bourke submitted a copy of a packet of letters. The packet included the following: a letter from the Historic Northampton Museum and Education Center; four letters from potential and existing tenants; and a copy of Section 7 of the lease for 9 and 19 Center Court in Northampton, regarding the use of first floor tenant spaces for those unable to access the second floor. This packet was accepted by Board Member Gerald "Jerry" LeBlanc, and marked as Exhibit 2 (File). Mr. Bourke stated that the building in question was a small house (2342 square feet including the basement, 1648 square feet without including the basement) that was converted into an office 13 years ago. In June of 2008, there was a fire caused by a lightening strike, resulting in the need for the building to be completely rebuilt at the interior. Mr. Bourke stated that the work to reconstruct the building has been ongoing and that the project is at the point that the building is sheet - rocked. The first variance request was in regards to the lack of vertical access to the upper floors of the building (Section 28.1, 521 CMR), based on the fact that the first floor will be accessible and there will be a common space meeting room available for the upper floor tenants at the first floor if needed. Mr. Bourke stated that they had already received a variance from the Board of Building Regulations and Standards to provide only one means of egress from the second and third floors. Mr. Bourke noted that the installation of vertical access within the building was not technically feasible and that it would be an excessive cost without substantial benefit to persons with disabilities. He added that the estimated cost of $100,000.00 to create vertical access to the second and third floors did not include the cost of creating an accessible toilet room at each of the upper floors. Mr. Bourke noted that a new ramp had been constructed at the side of the building, adding that the ramp was covered and led directly into the accessible common space. He added that the offices were all interchangeable within the building and that all of the tenants understood that there was the common space, along with the availability to exchange office space if needed. Mr. Bourke stated that there would also be an area of rescue assistance provided at the front entrance porch. Ms. Lilly Gaev stated that both her buildings at 9 and 19 Center Court operate as cooperatives and that all of the tenants understand that if needed, first floor offices are to be made available to upper level tenants meeting with clients unable to access the upper levels. She added that the therapists that rent out the offices generally share an office and switch off days that they use the office; but noted that if a conflict ever occurs that both "roommates" need to use the office the same day, then they simply find another empty office space within the building to utilize. Board Member Mark Trivett noted that it was not ideal that the accessible entrance into the building is through the common space area that will be used as a therapy space at times. He also noted that a person unable to use the inaccessible bathrooms provided would have to go through the common space area again to use the accessible bathroom, again possibly disrupting a therapy session. Mr. Bourke stated that it was the understanding of the Page 3 of 6 S: \AAB\KSutton\Agenda's and Results \ DECISIONS \2009`040609\Professional Offices, 19 Center Ct., Northampton.doc COMMONWEALTH OF MASSACHUSETTS SUFFOLK, SS Architectural Access Board Docket No. V09 -021 BOARD'S RULING ON APPEAL Paul Bourke ) Bourke Builders, LLC ) 77 Long Hill Road ) Leverett, MA ) On behalf of ) Bennett and Lilly Gaev ) 608 Westhampton Road ) Florence, MA 01062 ) Defendant ) ) vs. ) ) Architectural Access Board ) Plaintiff ) ) Issue• This matter came before the Architectural Access Board ( "the Board') on February 9, 2009, as a variance request submitted by Mr. Paul Bourke on behalf of Lilly Gaev, for the property at 19 Center Court in Northampton. The variances being requested were as follows: Section 20.11.1, lack of accessible egress; Section 27.2.1, lack of compliant handrails at existing stairs; Section 28.1, lack of vertical access to upper floors; and Section 30.1, lack of compliant toilet rooms. On February 23, 2009, the Board reviewed the variance request and voted to schedule a HEARING. The "Notice of Action" along with the "Variance Hearing Notice ", both dated February 25, 2009, was sent to all parties concerned. The variance hearing was scheduled for April 6, 2009 at 2:00 p.m. On April 21, 2009, the Board received a submittal from the petitioners regarding a new plan for a fully accessible bathroom and waiting area at the first floor and a copy of the Lease Agreement for the offices to be rented at 19 Center Court in Northampton. The Board reviewed the submittal at their regularly scheduled April 27, 2009 meeting. Page 2 of 6 S:\AAB\KSutton\Agenda's and Results \ DECISIONS \2009`040609\Professional Offices, 19 Center Ct., Northampton.doc IF - c 26 ,14 --e, tx .40:4„ 4 „, 6 „.„. cr g., „ t,14 t( • - # aced& goi t heme, /9iO Deval L. Patrick gLz b, e4 &2/&d Thomas G. Gatzunis, P.E. Govemor 6�/- /G�066' Commissioner �J' y y Director Timothy t Governor Thomas P. Hopkins o / 67/ /2 /-066 Lieutenant Governor Kevin M. Burke www.mass.gov /dps Secretary DECISION OF THE ARCHITECTURAL ACCESS BOARD Date: April 29, 2009 Name of Property: Professional Offices Property Address: 19 Center Court, Northampton Docket Number: V09 -021 Date of Hearing: April 6, 2009 Date of Administrative Discussion: April 27, 2009 Enclosed is a copy of the decision relative to the above case wherein certain variances from the State Architectural Access Board Rules and Regulations (521 CMR) have been requested. Sincerely: ARC HITECTURAL ACCESS BOARD e- %' Kate Sutton, Program Coordinator /Clerk for Proceedings cc: Local Building Inspector Local Commission on Disabilities Local Independent Living Center Page 1 of 6 S:\AAB\KSutton\Agenda's and Results \ DECISIONS \2009`040609\Professional Offices, 19 Center Ct., Northampton.doc 78r Ci , : STATE BOAR 3 THE MASSA SETTS STATE Bl areas served by the area of re .1 through wheelchair spaces shall not reducL __ means of egress width. Access to any of the 1 008.1.1 Actual number: The actual number of required wheelchair spaces in an area of refuge occupants for whom each occupied space, floor or shall not be obstructed by more than one adjoining wheelchair space. wilding is designed. 1007.5.2 Separation: Each area of refuge shall 1008.1.2 Number by Table 1008.1.2: The be separated from the remainder of the story by a number of occupants computed at the rate of one smoke barrier complying with 780 CMR 712.0. occupant per unit of area as prescribed in Table Each area of refuge shall be designed to prevent 1008.1.2. the intrusion of smoke, except those areas of 1008.13 Number by combination: The number refuge located within a stairway enclosure or of occupants of any space as computed in those areas of refuge where the area of refuge and 780 CMR 1008. i.1 or 1008.1.2 plus the number all areas served by the area of refuge are equipped of occupants similarly computed for all spaces throughout with an automatic sprinkler system in that discharge through the space in order to gain accordance with 780 CMR 906.2.1. access to an exit. 1007.53 Communication system: Every area of 008.1.4 Increased occupant load: The refuge in buildings more than four stories in occupant load permitted in any building or portion height shall be provided with a two -way thereof is permitted to be increased from that emergency communication system between the number established for the occupancies in Table area of refuge and a central control point. 1008.1.2 provided that all other requirements of In each area of refuge provided with a two- 780 CMR are also met based on such modified way emergency communication system, number. Where required by the code official, an instructions on the use of the area ender approved aisle, seating or fixed equipment emergency conditions shall be posted adjoining diagram to substantiate any increase in occupant the communication system. The instructions shall load shall be submitted. Where required by the include: code official, such diagram shall be posted. 1. Directions to other means of egress; 2. Advice that persons able to use the exit Table 10 08.1.2 stairs do so as soon as possible unless they are MAXIMUM FLeOR+'A1 4=ALLOWANCES assisting others; PEROC 1PANT' 3. Information on how to summon planned Floor area in availability of assistance in the use of stairs or Occupancy square feet per supervised operation of elevators; and occupant 4. Directions for use of the two -way Assembly with fixed seats See780 CMR 1008.1.6 emergency communication system. Assembly without fixed seats Concentrated (chairs only - not fixed) 7 net 1007.5.4 Identification: Each door providing Standing space 3 net access to an area of refuge from an adjacent floor Unconcentrated (tables and chairs) 15 net area ghail be identified by a "sign complying with Bowling centers, allow 5 persons for 521 CMR and CABO A117.4 listed inAppendix each lane including 15 feet of A stating "Area of Refuge" and the International sway, and for additional areas 7 net Symbol of Accessibility. The sign shall be Business areas 100 gross illuminated as required for "Exit" signs where Courtrooms - other than fixed seating 40 net "Exit" sign illumination is required. Additionally, areas tactile si a complying wi th 521 CMR listed in Educational s r � Classroom area 20 net Appendix A shall be located at each door to an Shops and other vocational room 50 net area of refuge. areas Industrial areas 100 gross 1007.6 Signage: Signage indicating the location of Institutional areas accessible means of egress shall be installed at all Inpatient treatment areas 240 gross exits and elevators that serve a required accessible Outpatient areas 100 gross Sleeping areas 120 gross space, but which are not an approved accessible Library 5 means of egress. Reading rooms 50 net 1 ? ' Stack area 100 gross ,. 780 CMR 1008.0 OCCUPANT LOAD Mercantile, basement and grade floor 30 gross 7 t-r 1008.1 Design occupant Imad: In determining areas greas on other floors 60 gross — required facilities, the number of occupants for Storage stock, shipping areas 300 gross - whom exit facilities shall be provided shall be established by the largest number computed in 176 780 CMR - Sixth Edition 12/12/97 (Effective 8/28/97) ' 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS MEANS OF EGRESS Floor area in Note a. Buildings equipped throughout with an - - Occupancy square feet per automatic sprinkler system in accordance with 780 CMR occupant 906.2.1 or 906.2.2. Parkmggarages 200 Note b. 1 inch = 25.4 mm. 12esideatial . ' 2 gross Storage areas, mechanical equipment 300 gross 1009.3 Exit design per floor: Where exits serve room more than one floor, only the occupant load of each Note a. 1 foot= 304.8 mm; 1 square foot = 0.093 m floor considered individually shall be used in 1008.1.5 Maximum occupant load: The computing the required capacity of the exits at that occupant load of any space or portion thereof floor, provided that the exit capacity shall not shall not exceed one occupant per jhree square decrease in the direction of means of egress travel. feet (0.28 m of occupiable floor space. 1009.4 Egress convergence: Where means of 1008.1.6 Fixed seats: The occupant load for an egress from floors above and below converge at an assembly or educational area having fixed seats intermediate floor, the capacity of the means of shall be determined by the number of fixed seats egress from the point of convergence s of be , installed. The capacity of fixed seats without less than the sum of the two. J ��� dividing arms shall equal one person per 18 , inches (457 mm). For booths, the capacity shall 780 CMR 1010.0 NUMBER OF EXITS t 4' -- be one person per 24 inches (610 nun). 1010.1 General: The general requirements of 1008.2 Mezzanine levels: The occupant load of a 780 CMR 1010.0 apply to buildings of all use mezzanine level discharging through a floor below groups. Where more restrictive requirements are Provided in 780 CMR, such requirements shall take shall be added to that floor's occupant load, and the precedence over the general provisions of 780 CMR capacity of the exits shall be designed for the total 1010.0. occupant load thus established. 1010.2 Minimum number: Every floor area shall 10083 Roofs: Roof areas occupied as roof gardens 4E-.="` or be provided with the minimum number of approved r for assembly, educational, storage or other independent exits as required by Table 1010.2 based purposes, shall be provided with exit facilities to on the occupant load, except as modified in accommodate the required occupant load, but there 780 CMR 1010.3. shall not be less than two approved means of egress Exception: In buildings with occupancies in Use from roof areas of Use Groups A and E. Group R having multistory dwelling units, the 780 CMR 1009.0 CAPACITY OF EGRESS means of egress from a dwelling unit to the required exits is permitted to be provided from COMPONENTS one level only. Within the dwelling unit access to 1009.1 General: The capacity of means of egress the means of egress from the unit shall conform to for a floor, balcony, tier or other occupied space the applicable provisions of 780 CMR 10- _ shall be sufficient for the occupant load thereof. Table 1010.2 1009.2 Minimum width: The width of each means MINIMUM NUMBER OF EXITS FOR of egress component shall not be less than the width OCCUPANT LOAD computed in accordance with Table 1009.2 for the Occupant load Minimum number of exits required capacity of the component, but not less than 500 or less 2 the minimum width as prescribed by 780 CMR for 501 -1,000 3 each such component. over 1,000 4 • Table 1009.2 EGRESS WIDTH PER OCCUPANT 10103 Buildings with one exit: Only one exit shall be required in: Without sprinkler With spritader 1. Occupancies in the use groups shown in Table system o PeC (inches 6 1010.3, provided that the building has not more Use group Use than one level below the level of exit discharge. Doors ' Doors Stairways ramps and Stairways ramps and < condors corridors / L � 1� e t a �G ii ©r gJ A B R,S I n i -o r b R. S 0.3 0.2 0.2 0 -15 i � H 0.7 0.4 0.3 0.2 ., }( J4 04 r 0.2 0.2 0.2 W 1-2 >' : 10 : 0.7 . •0.3 01 • I -3 03 0.2 01 02 2/7/97 (Effective 2/28/97) 780 Sixth - 177 City of Northampton Massachusetts E, w , � ., DEPARTMENT OF BUILDING INSPECTIONS $ � ^ ' v. a y 212 Main Street • Municipal Building i K - ��""`' Northampton, MA 01060 413 -587 -1240 Building Commissioner September 8, 2008 Bourke Builders 77 Long Hill Road Leverett, MA 01054 RE: Egress variance require for 16 Center Court third floor, Northampton, MA Dear Mr. Bourke, This department reviewed the application, for renovation at the above address. The third floor plan indicates a kitchenette and office area has only one means of egress from floor. 780 CMR 1010.2 requires that each floor have at least two means of egress. I understand the occupant load will be small and the building is historical but in order to use this floor for habitable space you must seek a variance from the Building Board of Regulations and Standards Appeals Board. • This letter shall serve as denial so that you may proceed with variance. Sincerely, , ,,,, 7 :13-- - „ ai rr Anthony Patil o Building Commissioner City of Northampton • 3. Accessibility Narrative, 512 CMR: Currently the 1st, 2nd and mezzanine floors are not accessible. We propose re- building the porch deck to raise it to the same elevation as the 1st floor and provide a landing and side ramp for accessibility to the first floor. We propose to change the door of office #1 to a 3' wide door and provide 3' wide doors to the 1st floor 'Common Space', one to the first floor hall and one to the exterior. We propose to provide an area of emergency rescue assistance near the front door on the front porch. We propose to remodel 1st bathroom to convert it to an accessible bathroom. We request that the 2nd floor and mezzanine remain non - accessible. The 1st floor will have a 'Common Space' for use of 1st floor office #2 and 2nd floor/ mezzanine tenant(s) with persons of disability. rr fit ! ei BOURKE Tr, BUILDERS i! July 31, 2008 City of Northampton Department of Building Inspections 212 Main Street Municipal Building Northampton, MA 01060 • RE:19 CENTER COURT, NORTHAMPTON, MA Date of Construction: mid to late 1800's Type of Construction (780 CMR 600): 3 Existing Use Group: B Proposed Use Group: B (Professional Offices) Existing Hazard Index: 4 Proposed Hazard Index: 2 1. Analysis, Fire Protection Code, 780 CMR Chapter 9: Smoke, heat and fire detectors are not required. No bedrooms, Use Group B. CO2 detector required within 10' of natural gas furnace in the basement. Fire suppression system is not required for building under 12,000 s.f. with Hazard Index 2. NOX Box will be installed near the front door of the building. Fire extinguishers will be installed in the following areas (780 CMR 920.0): One per floor in 1st, 2nd and Mezzanine floor hallways: 51b. ABC Type Basement boiler area: 10 lb. ABC Type Attic access: approved access doors to storage and mechanical areas on the mezzanine level will be provided. 2. Life / Safety Narrative, Means of Egress Code, 780 CMR Chapter 10: Approved exit signs shall be installed as designated by Building Inspector. Approved means of egress lighting shall be installed as designated by Building Inspector. Basement area has one existing exterior door at the side bulkhead, and one set of closed stairs with entrance door to the first floor. Stairs from 1st floor to 2nd floor are partially open, partially closed. Stairs from 2nd floor to mezzanine level are closed with entrance door at bottom of stairs. The chimney will be removed and a door will be provided to allow egress through the side first floor door. Egress is also provided through the front first floor door. (See 780 CMR 1010.3 and i 780 CMR 502.1 & 505) �•; ' - 77 Long Hill Road /Leverett MA 01054 /Phone - Fax: (413) 548-9214 - ` H.I.C. #108441 •f Fully Insured a. two successive tiers of beams or finished floor team power, shall be exempt from ti surfaces; an for the topmost story, from the top area limitations of Table 503. of the floor finish to the top of the ceiling joists or, where there is not a ceiling, to the top of the roof 503.1.2 Open parking structures: ( rafters. structures shall conform to the hei, ` limitations specified in 780 CMR 40 :t Mezzanine: An intermediate level or levels between the floor and ceiling of any story with an 503.1.3 Buildings on same lot: 1 aggregate floor area of not more than 1 /3 of the buildings on the same lot shall be F separate buildings or shall be a , area of the room in which the level or levels are portions of one building if the he f / located (see 780 CMR 505.0) f T . ' ' building and the aggregate area of Story: That portion of a buildin g ar e within between ' in the limitations of Ts _ . . P o 3 42/) f �� �' : the upper surface of a floor and the upper surface modified by 780 CMR 504.0 and . - 2g0 f66°4 of the floor or roof next above (also see provisions of 780 CMR applicable CS "M arsine "). p gate building shall be applicable to e 2/7/97 ( Effective 2128/97) __ ...._ 780 CMR - Sixth-Edition ■ 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ' THE MASSACHUSETTS STATE BUILDING CODE 780 C1'IR 505.0 MEZZANINES aggregate area of the enclosed space does not 505.1 General: A mezzanine or mezzanines i exceed ten/ CMR with 780 CR 505.0 shall be considered ... 2. A m ezzanine h aving two or more m eans of a portion of the floor below. Such mezzanines shall egress is not required to be open to the room in not contribute to the building area as regulated by which the mez is located, if at least one of 780 CMR • 503.2. • Such mezzanines shall not the means of egress provides direct access to an contribute to the number of stories as regulated by exit from the mezzanine level. 780 CMR 503.3. The area of the mezzanine shall be " included in determining the fire area. 780 CNIR 506.0 AREA MODIFICATIONS 506.1 General: The provisions of 780 CMR 506.0 505.2 Area limitation: The aggregate area of a shall modify the area (imitations of Table 503 as ,mezzanine or mezzanines within a room shall not herein specified. exceed '/3 of the area of that room. The enclosed portions of rooms shall not be included in a 506.2 Street frontage increase: Where a building or determination of the size of the room in which the structure has more than 25% of the building mezzanine is located. In determining the allowable perimeter fronting on a street or other unoccupied mezzanine area, the area of the mezzanine shall not space, the area (imitations specified in Table 503 be included in the area of the room. shall be increased 2% for each 1% of such excess Exception: The aggregate area of mezzanines in frontage. The unoccupied space shall be on the same buildings and structures of Type 1 or 2 lot or dedicated for public use, shall not be Less than construction for special industrial occupancies in 30 feet (9144 mm) in width and shall - have- access accordance with 780 CMR 503.1.1 shall not from a street by a posted fire lane not less than 18 exceed 2 /3 of the area of that room. feet (5486 mm) in width. r 505.3 Egress: Each occupant of a mezzanine shall 506.3 Automatic sprinkler system: Where a have access to at least two independent means of building, other than those with an occupancy in Use Ui egress where such spaces require two means of Group H -1, H -2 or H -3, is equipped throughout with z, t,/1 rt 1-- egress in accordance with 780 CMR 1017.2. Where an automatic sprinkler system installed in f a stairway provides a means of exit access from a accordance with 780 CMR 906.2.1, the area ' t mezzanine, the maximum travel distance required by limitation specife in Tabe 503shall be increased 780 CMR 1017.2 shall be measured to the bottom of 200% -for one -and two -story buildings and 100% the stairway. for buildings more than two stories in- height. 505.4 Openness: A mezzanine shall be open and 506.4 Multistory buildings: The area limitations LL „, ^ unobstructed to the room in which such mezzanine for buildings two stories in height shall be the same is located except for walls not more than 42 inches as the area limitations provided in Table 503 for one- (1067 mrn) high, columns and posts. ' story buildings. In buildings over two stories in (.) A IL Exceptions height, the area limitations of Table 503 for one -, ''' 1. Mezzanines or portions thereof are not required story buildings shall be reduced as specified in Table -' to be open to the room in which the mezzanines 506.4. are located, provided that the occupant load of the 45 'i 116 780 CMR - S ixth Edition 11/27/98 c' . J a ac1u etts ' ' ‘ -=_ :2 -1- = 111111 4.."1 it DEPARTMENT OF BUILDING INSPECTIONS - ' � - Q INSPECTOR 212 Miun Street • Municipal Building r,�' me S Northampton, MA 01060 FAX TRANSMITTAL DATE: , 5 FAX TO NUMBER: ,5-- i - / 2-i`7 TO: L ties FROM: RE: Q C,c...„?ce Cy- NUMBER OF PAGES INCLUDING THIS SHEET: ' ).----- AlZy 1 /6 *O/SC !/S54_ 7, /S /SS</,� .° ` 4. 477/9C// .4S P,a 6 �" 8 — fir s o d j i. r'y a 'a w �_ ,, Anthony L. Patillo, CBO Building Commissioner Zoning Enforcement Officer 212 Main Street - Room 100 587 -1240 � Northampton, MA 01060 -3189 Fax 587 -1272 /S /2Ie 4 ?7D� a/c' , - Z - 2A,w P, `'► 966 cme 2 › deo • 1 //..4.//s ,),. ,net7.-,,,,e9A/ 1,,, _„ac. x,,,..„ s -® --. ,/,5- "o/f5-1-07 (a,,./2/ 08/19/2008 14:10 413- 5489214 BOURKE BUILDERS 9/ 0 7Q PAGE 01 BOURKE BUILDERS THE HOUSE lil y �' AS A SYSTEM FAX TRANSMISSION: AUG 1 9 '008 FROM Paul Rourke TO: •s • • #•■s.u • - • . 9! •'Ili ' OS FAX NUMBER: 587 -1272 DATE:. 8/19/08 NUMBER OF PAGES 2 incl. this cover page) pg} MESSAGE: RE: 19 Center Court, Northampton, MA Tony, In response to your fax of 8/15/08 regarding how does the 3rd floor of this building comply with the definition of mezzanine in 780 CMR502: �I I was taking your lead on this issue, based on a conversation we had regarding the extreme difficulty, if not impossibility, of providing egress from the '3rd floor level' by means of a second set of stairs. The total finished area of the 2nd floor = 752 s.f. The total finished area of the floor above = 243 s.f. 752 X .333 = 251 s.f. meets the code definition of mezzanine. Please note that I am faxing you a revised mezzanine level floor plan. The plan we submitted with the Building Permit application was incorrect. My apologies to you for that. On another note, 19 Center Court became part of the Northampton Downtown Historic District through the National Parks Dept. in the National Register on 5/17/76. This house has historic significance, especially regarding the exterior of the building. Thank you. Paul 77 Long Hill Road/Leverett MA 01054/Phone-Fax: (413) 548-9214 H.I.G Si 08441 Fully Insured 0809/2008 14:10 413-5489214 BOURKE BUILDERS PAGE 02 1 3040DH 3040DH .1.■=mipmr- 1 I ' ' aogs:ww, vuo.,,,...:=,..i.goaa' mwd wmkoR / 1 i I oNttiv4u4KNo ,4, s r \ 1°441 . , Attic/Storage/Mechanical II „ , k P . 1 .■ :„- ' 1 • \ '(' \ ti \ Mezzanine , § 41 4 \ 0, 7 k \ ‘c.....:. N,,. — wwwwmapammomomiwommlartmm 2668 Alm lwmimpowwwwwwwww,46~4 1 .., „ \ A t *WO: 4,..VIORitea II ' ....----- ^ lir Mezzanine Kitchenette 1 8 cr. Y , , . ,..1 .1111111111 - \ \ i ,.i _....... , \ , 14,2...:,,,, Mall t • ii3 11.111111111 1' '• A e \ .,,,,.. ,, _ "...As 0 Attic/Storage/ , - _____ ;1 t •Mechanical 3088 li i i" I L,„...,„—.--at2SAtN4X*kWvKkM18a.IAWS,*tmWA.7tlk1/61,..Ab■ke*lh.1011rM6SqrthW4r'vuV,t,S7Wi-INNr17.o.Ntkxk,I,.. , VLJ Mezzanine Level, IR estsciEva., Comic( . t.locriteiktAirma KA* 08/06/2008 08:40 413- 5489214 BOURKE BUILDERS PAGE 02 THIS PLAT NOT FOR RECORDING PURPOSES BK • 997, F., 1 1"7 • • , \ . • _ - tom 0 kit . - . ----.....„........„ : • . i X 44.75 ti r i. Cr o i 0 4 j C4Rj ref 1 'TV: FLORt •SCC 'SAYINeS 15Aiv 4 it 0 4.D Re pv 6‘.ic TITt -t.: 1A.3S •c0. . ' I HEREBY REPORT THAT I HAVE mr,moNgb THE PREMISES, ARID BASED ON EXISTING MONUMENTAT1ON, AU. EASEMENTS. ENCROACHMENTS { AND BUILDINGS ARE WEANED ON THE GFROUNO AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT UNESi. I FUAT'HER REPORT THAT THE PROPERTY II NOT L.00.ATE° IN A FLOOD PRONE AFIE N A AS SNQw 0t4 tORAL INSURANCE MAPS POR cQMMLINITY r r' NUMBEfl 2.f,� I Cm 7 • ' . rZ5 G t l DATED: 1 1. NOTE t - ' ' FOR MORTGAGE LOAN PURPOSES ONLY PLAT i =o ,o t p RP u� Y AND DOES SURVEYOR: V . • _ .r _ . - NOT CONSTITUTE A PROPERTY SURVEY. o r . �` MORTGAGE LOAN INSPECTION PLAT -- a t%30 I ,T 1 ANS P7O1i MASS. 2 4 L I o W µ+.R. ' S MARY £4 l <ATrl Lae 0.I g. gapa �► I �!t44r 411 :.' ' S I 114 3 ©r . . , • . VA Richard J. L *B*►qe. St.. $1691Mend Prolasalor►*I LAW Swwayor 110 Mho Shit: NaM*mpton, Ntass*ahutetts MOO w 08/06/2008 08:40 413 - 5489214 BOURKE BUILDERS PAGE 01 FAX TRANSMISSIQ FROM: _ ._ ? __ `- 324-.5 TO : t - NAi4 FAX NUMBER; 5'81- 121 DATE; 16\015'100 NUMBER OF PAGES 'Z- (incl. this cover page): MESSAGE: - -nos M-o Pte..! cc- 19 CEATtx, Ccu c A Pti.ocbratto Acr...view+. ki\ . } Please telephone if any pages are missing or received improperly. FAX TRANSMISSION: FROM: kpoz . @ e- �DDLY4V.,G TO: �1 ty : igr-1 FAX NUMBER: 5 DATE: 16 1 06'105 NUMBER OF PAGES Z (incl. this cover page): MESSAGE: �>✓ A4sc C,10 — S - AE ( 1 t-0 - t--140.1 oC-- 19 C.6Phrit. .00(CT crotZ A Pa-oPo D Ace- ess i�31.�.�pt�lp &uE.57 1 t✓,.t._t_ )A>z, g y1 o441 noiC. Please telephone if any pages are missing or received improperly. AsW ' THIS PLAT NOT FOR RECORDING PURPOSES 73 K • 997 P G 11 t , \ , " 4 1 L CC i — 008 1 • — _._ ,...... 99.? .....\ • ,.... . ry,/ opoStioAR . I • ' •••••••■...........s. , 0 0% It . I •-■........... >c . • X •:.-. I Z i , F . 51 To Re s ER vAriew s 0 F . / ecOR 0 I ' • - ro: FLADIzer..1ce StkviNG.S BANK. I' o LD Repvet Trit..r* ri.15 .Co. f I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 2 -S 0 I C.01 . . .,- ▪ DATED: 1 I -2.5 -9 C, ir....________. I I NOTE I ii THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES 1 SURVEYOR: C • . • _ I • . .! . 4 I 1 , - , ' NOT CONSTITUTE A PROPERTY SURVEY. i3 1 '4 1 : F MORTGAGE LOAN INSPECTION PLAT • 44te o rt , 01,1 OF 4,, II 'Nke 4 ( RICHARD 't . (1 I Q 0 IZT) A P 7 o NI t./\ A ss. li ' 4it.I . LABARG srt - " 4 _, - t, M Ap.y Ez KATri LmE )..1 €, Begyz.y it / 2. tft 3 , 1 0 1 tv i i, ,.. SCALE: Ct.: 3 O I Renard J. LaBarge, Sr., Registered Professional Land Surveyor • II 110 King Stioet, Northampton, Massachusetts 01060 ACORD CERTIFICATE OF LIABILITY INSURANCE DI CSR 1 DATE 02/26% 8 PRODUCER • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Remillard Insurance Agcy, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 79 Lyman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Hadley MA 01075 Phone: 413 - 538 -7862 Fax:413- 538 -7179 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hart Ins . , Co INSURER B: Dion & Son Floor Covering INSURER C: Donald R Dion 74 Russell Street INSURER D: Hadley MA 01035 — - -- INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSF( UU'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MM /DDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE I D RENT occurence) COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocre $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ POLICY PRO- LOC -- JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - - -_ BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND O SIAIU Of � TORY LIMITS X ER EMPLOYERS' LIABILITY -- A ANY PROPRIETOR/PARTNER/EXECUTIVE 08WECRJ0669 01/03/08 01/03/09 E_L_ EACH ACCIDENT $ 500000 B OFFICER/MEMBER EXCLUDED? i E.L. DISEASE - EA EMPLOYEE $ 500000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION BOURKEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Bourke Builders IMPOSE NO OBLI tO,N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 77 Long Hill Road Leverett MA 01054 REPRESENTA Li • - Field Ed•y & Bulkley , ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR RL DATE(MM /DD /YYYY) CELLU -1 06/25/08 ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Remillard Insurance Agcy, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 79 Lyman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Hadley MA 01075 Phone:413- 538 -7862 Fax:413- 538 -7179 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Merchants Insurance Group INSURER B'. Arbella Protection Ins Co Catamount Spring LLC dba Cel lu- Spray NSURER C 94 East Catamount Hill Road INSURER D: Colrain MA 01340 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUU'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM /DDNY) DATE (MM /DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GLP9108431 06/18/08 06/18/09 PREMSES(Ea o $ 50000 _! J CLAIMS MADE ! X OCCUR MED EXP (Any one person) $ 5000 PERSONAL &ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2000000 POLICY JEC LOC AUTOMOBILE LIABILITY B ANY AUTO BINDER # CANB3944 06/17/08 06/17/09 COMBINED SINGLE LIMIT $ 1000000 CO cident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE j $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC I $ AUTO ONLY AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC WORKERS COMPENSATION AND TORY S LIMITS X ER TOR LIMITS ER EMPLOYERS' LIABILITY - 1 A WCA9095511 06/14/08 06/14/09 E L. EACH ACCIDENT $ 500000 ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBEREXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS insulation CERTIFICATE HOLDER CANCELLATION BOURKEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Bourke Builders IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 77 Long Hill Road Leverett MA 01054 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ste E. Radon ACORD 25 (2001108) © ACORD CORPORATION 1988 LMG 2/15/2008 7:57 PAGE 002/002 LMG Liberty Mutual Group rr te% Liberty P.O. Box 9090 IAll Mutual. Dover, NH 03821 -9090 Telephone (800)653 -7893 Fax (603)- 245 -5330 February 15, 2008 BOURKE BUILDERS 77 LONG HILL ROAD LEVERETT, MA 01054 - RE: Certificate of Workers Compensation Insurance Insured: RICHARD E FAY DBA RICHARD FAY CONSTRUCTION 60 CHAPEL ROAD AMHERST, MA 01002 Policy Number: WC2 -31S- 352781 -027 Effective: 12/7 /2007 Expiration: 12/7 /2008 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability (Limits): Sole Proprietor /Partner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident The workers' compensation policy does not provide Bodily Injury by Disease: $ 100,000 Each Person coverage for: Bodily Injury by Disease: $ 500,000 Policy Limits RICHARD E FAY As of this date, the above- referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you, the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date, Liberty Mutual will endeavor to notify you of such cancellation. balAjilL AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: RICHARD E FAY ENCHARTER INSURANCE LLC DBA RICHARD FAY CONSTRUCTION C/0 BLAIR CUTTING & SMITH 60 CHAPEL ROAD 25 UNIVERSITY DRIVE AMHERST, MA 01002 AMHERST, MA 01022 - - .SJO ....._ LEED____ CEf. El (IF LIABILITY /NSURAP.ICE . , . ,. . i14,0illOr . _ ,.._ av<ToFic 1.'"LE 'i iSSJEJ .SA '0,4.‘. ; tt. ;1' NO RIGHT ... urcN rpr_ cvtTtl F! 1.,t''.;- ...TER THE 'LOVER .,':';E A 31' 1 ..irL -'(:)E.ir ii EE!..01 -__.------. : ', --,,-.,, ':. 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LMEs •-, ACOP.D :ORPORA'r1(;:N 'HAP; ACORD„, CERTIFICATE OF LIABILITY INSURANCE 1 � (MM s ) PRODUCER (978) 249 -3217 FAX: (978) 249 -5936 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cornerstone Insurance Agency, Inc. • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 534 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 779 Athol MA 01331 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Grange Mutual 14788 Whittier Bruce W& Clukay- Whittier Anne E, INSURER B: 61 West Main Street INSURER C: INSURER D: New Salem MA 01355 INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MM /DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 500 000 PREMISES (Ea occurrence) $ A CLAIMS MADE 1 X OCCUR MP039542 12/9/2007 12/9/2008 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY _ $ 1,000,000 '•J GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY ^ JECT F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE _ $ DEDUCTIBLE $ RETENTION $ . $ A WORKERS COMPENSATION AND / TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? w1039542 7/1.7/2008 7/17/2009 E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below EL, DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Bourke Builders EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 77 Long Hill Road 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Leverett, MA 01054 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Shelly Curtis /CORMCl Q - �✓[ivvu�S ACORD 25 (2001/08) © ACORD CORPORATION 1981 ACORD CERTIFICATE OF LIABILITY INSURANCE 02/28 /z s ,PRODUCER (413) 549 -4971 FAX (413) 549 -4974 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blair Cutting & Smith ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Encharter Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR p ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 25 University Drive Amherst, MA 01002 INSURERS AFFORDING COVERAGE NAIC # INSURED PAUL KORPITA DBA KORPITA MASONRY INSURER A: Travelers Indemnity of America 25666 PO BOX 263 INSURERB: Preferred Insurance Agency,inc/ Granite Sta DEERFIELD, MA 01342 -0263 INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRQ DATE IMM /DD/YY) DATE(bIM /DD/YY) GENERAL LIABILITY 680622H1853 03/01/2008 03/01/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300 000 PRFMI.SFS (Fa nrrurancr) $ CLAIMS MADE X I OCCUR MW EXP (My one person) $ 5,000 A PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 n POLICY n �E n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE �$ RETENTION $ $ WORKERS COMPENSATION AND WC6627142 03/02/2008 03/02/2009 TnRY IMITS I I EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100 , 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BOURKE BUILDERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 77 LONH HILL RD OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. LEVERETT, MA 01054 AUTHORIZED REPRESENTATIVE William Dowd, Acct Exec . /NO lU A t •' ACORD 25 (2001/08) ©ACORD CORPORATION 1988 Client #: 9600 BRIAN2 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0 ATE(M 7 D"YY') PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King & Cushman, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE King & Finn Streets HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 447 Northampton, MA 01061 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nautilus Brian Maziarz , A U).,,,t- INSURER B: Zurich- American 127 Williams Street - INSURER C: Northampton, MA 01060 INSURER D: INSURER E: COVERAGES _ 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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COVDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR -NSRC DATE (MM /DD/YY) DATE (MM /DD/YY) A GENERAL. LIABILITY NC660330 - 06/07/07 06/07/08 EACH OCCURRENCE $300,000 X COMMERCIAL GENERAL LIABILITY PREMISFS $100,000 1 CLAIMS MADE I X I OCCUR MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $300,000 GENERAL AGGREGATE $300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s300,000 - I POLICY n JECT n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S _ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR I 1 CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND 6ZZUB5529C62607 08/18/07 08/18/08 WC STATU- EMT- EMPLOYERS' LIABILITY T ORY l IMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 5100,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $100,000 If yes. describe under SPECIAL PROVISIONS below _ _ E.L. DISEASE - POLIC` "LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Miscellaneous Coverage - General Liability - Pol.# NC660330 Form Information (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Bourke Builders DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL i ri DAYS WRITTEN 77 Long Hill Rd NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Leverett, MA 01054 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTH RtZEO R EE TATIVE 17' ACORD 25 (2001/08) 1 of 3 #7012 LMB © ACORD CORPORATION 1988 NOTICE = NOTICE TO = _ 4 , 7 TO EMPLOYEES • - _1. = ' EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617 - 727 -4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803 -0970 ADDRESS OF INSURANCE COMPANY WMZ 8005805012008 02/01/2008 - 02/01/2009 POLICY NUMBER EFFECTIVE DATES Webber & Grinnell Insurance 8 North King Street Suite # 1 Agency Northampton, MA 01060 (413) 586 -0111 NAME OF INSURANCE AGENT ADDRESS PHONE Bourke Builders, LLC 77 Long Hill Road Leverett, MA 01054 EMPLOYER ADDRESS 03/07/2008 EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO RF, POSTED RV F.MPI .fVFR , \(?) _�� 2 o Northampton Fire LA-Al Department Memorandum To Tony Patillo From: Duane Nichols Date: September 4, 2008 CC: Brian Duggan Re: 16 Center Ct. Business Offices Secondary to a review of the plans and narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • Fire Department Emergency Access Key Box is required on the exterior of the structure near the main entrance. • Engraved key tags and proper keys are placed in the Key Box. • Fire extinguisher placement in narrative is approved along with appropriate signage in compliance with ADA located above extinguisher. • Recommend for property conservation, life safety and insurance purposes that a fire alarm system be considered if not with this project then with any future renovations or plans. • Page 1 Client #: 9600 BRIAN2 ACORD. CERTIFICATE OF LIABILITY INSURANCE 09;;Z D""") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King & Cushman, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kin & Streets HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR King ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 447 - Northampton, MA 01061 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nautilus Brian Maziarz 6 N & U,.i,r � INSURER B: Zurich - American 127 Williams Street INSURER C: Northampton, MA 01060 INSURER D: INSURER E: COVERAGES 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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR , NSRC DATE (MMIDD/YY) DATE (MM /DD/YY) A GENERAL LIABILITY NC660330 06/07/07 06/07/08 EACH OCCURRENCE $300,000 C OMMERCIAL GENERAL LIABILITY DAMAGE S t RENTED $100,000 _ X PREMISES IFa nrcurre. ^,ral 1 CLAIMS MADE n OCCUR MED EXP (Any one person) $5, PERSONAL 8 ADV INJLRY $300,000 GENERAL AGGREGATE $300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 5300,000 PRO- - 1 POLICY n EC n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ — SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) — PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ — 1 OCCUR I I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE — E RETENTION $ $ B WORKERS COMPENSATION AND 6ZZUB5529C62607 08/18/07 08/18/08 WC STATU- ENT EMPLOYERS' LIABILITY TS1RY I IMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $100, If yes, describe under SPECIAL PROVISIONS below _ E.L. DISEASE - POLIC'' LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Miscellaneous Coverage • General Liability - Pol.# NC660330 Form Information (See Attached Descriptions) CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Bourke Builders DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 DAYS WRITTEN 77 Long Hill Rd NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Leverett, MA 01054 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ AUTH RIZED R E TATIVE ACORD 25 (2001/08) 1 of 3 #7012 LMB o ACORD CORPORATION 1988 NOTICE NOTICE TO =� TO EMPLOYEES . L EMPLOYEES r VA The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617 - 727 -4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803 -0970 ADDRESS OF INSURANCE COMPANY WMZ 8005805012008 02/01/2008 - 02/01/2009 POLICY NUMBER EFFECTIVE DATES Webber & Grinnell Insurance 8 North King Street Suite # 1 Agency Northampton, MA 01060 (413) 586 -0111 NAME OF INSURANCE AGENT ADDRESS PHONE Bourke Builders, LLC 77 Long Hill Road Leverett, MA 01054 EMPLOYER ADDRESS 03/07/2008 EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER f , HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The buildins department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill). sonotube holes (before pour). a rough building inspection (before work is, concealed). insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location _ The Commonwealth of !t7assaci usetts == ___ Department of Industrial _4 ccidents Office of Investigations _____L- _ .4.4=7' ° � Washington ashing ton SL eet Boston, 1114 02111 www.mass. j ol- /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Pl =umbers Applicant Information Please Print Legibly '_dame ( Business . . AYI- G. -k,k k- D le K1-. I L. L C.. — Address: 77 t- tL L /4 City''State /Zip: LEA441 -71 (444- © D 4- Phone #: 4(3 - 54R -g114 ' Are you an employer? Check the appropriate box: Type of project (required): 1. I am a employer with employees (full and/or part- time).* 2. 4 . cg-,1 I am a general contractor and I I, have hired the sub- contractors 6. CJ New construction listed on the attached sheet. 7. Remodeling ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. Demolition employees and have workers' working for me in any capacity. 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ R e are a corporation and its 10. ]Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ] Plumbing repairs or additions myself. [N o workers' comp. right of exemption per MGL 12.1 Roof repairs insurance required.] ' c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Amy applicant that checks box #1 must aiso 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 - contactors and state whether or not those entities have employe If the sub - contractors have ernployeea, 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: i - ,. g J:, l .f 1__0.ir _ . iiL ►A.-► ►-.,.► . -.. __ CO Policy 4 or Seif-ins. Lic. 4: 113 vA2, Ism 5so -50 - Expiration Date: ems 1 -- ci Job Site Address: (1 C$N . COLA. ' City /State /Zip: 1 ItZW -414 ) Me 0(0(.0 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 iuuposition of crrninnl penalties of a fine up to 51,500.00 and/or one -year imprisonment, as weII as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby tern under the pains and penalties of perjury that the information provided above is true and correct. SicnatiYre: cL)..A � (9—e t o _ M— Date: 7/3( (o Phone 4: « I 1 Official use only. Do not write in this area, to be completed by city or tows: official City or Town: Permit/License 4 1 Issuing Authority (circle one): I 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ■ i i Contact Person: Phone 4: i SECTION 8 - CONSTRUCTION SERVICES , 2.1 Licensed Construction Supervisor: 1 Not Applicable : Name of License Holder : 1 / \ s. 55 37 License Number - 77 Rt. LtOoke r (M+� 0(0:54 ;ccress - Expiration Date c2/„.,_Q a 4(3-.548-9244- signature Telephone 1. Reaistered Home Irrmrovernert - Contractor f ,._.... Not Applicable ca U�1e�G2j(1�L�S L.`C :omoanv Name - R Number 7? Lam& t( 2�, . Lct—�t- o� 1 5q aF$ .ddress t Expiration Date / . Telephoned, i �i' —�� 10 ECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (n at... L. c. 152, § 25C(6) I !crkers Compensation insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result the denial of the issuance of the building permit.. gned Affidavit Attached Yes 11S1 No ❑ The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a Icense, provided that the owner acts as supervisor. C3/112 780. Sixth Edition Section 1083.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -vear period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to-the Building Official. that he,!she shall be responsible for all such work performed under the building permit As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion ofthe work for which this pertnit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, von may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature ' SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House n Addition n Replacement Windows l Alteration(s) % i Roofing L Or Doors E Accessory Bldg. — 1 Demolition E I New Signs [G] Decks [G] Siding [Gi Other [G] Erie( Description of Proposed $Ltli Kam` I4 S + T ' g L A,_!SStg1r�. V SZ` Work: /e -" l e►LI „Nor rae.o� CtYe.e, k .ti 1 #IS RACI4 tik.Th Iirt'C h( T, Alteration of existing bedroom Yes No Adding new bedroom Yes 1( No Attached Narrative P.enovatina unfinished basement Yes k Nc fans Attached Roll - Sheet / , 6a. If New house and oe addition .to existing housing: comoiete trio: foirowina: x ` ( ilk a. Use of building : One Family Two Family Other ' b. Number of rccrns in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodpiain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform tc the Building and Zoning reguiations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION ._ O-BE C OMPLETER -WHEN - OWNERS - AGENT OR CONTRACTOR APPLJES FOR BUILDINGPERMIT - 1, Lt ay , as Owner of the subject property hereby authorize Nut t, -- ou to act cn behalf, in all matters relative to work authorized by this building permit application. • ' ill of Owner 11111- Date Eir 0 I ,lAukk o. CLL)Q- K- -C-- , as•Gvarrer /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 pairs and penalties of perjury. Print - c„....,Q_ a (&-t4-131--- 7j3, .8 i Signature of.,2ver, .;F•aent • Section 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing I Proposed Required by Zoning II C j This column to be filled in by �I ��s Buildins Department LotSize _ _...___. ..... . -_ ._ ._.._.._"... . ....._ _".. __._.: Frontage 1 Setbacks Front Side L:..:... __.._' R...,__ L R _...._,. , Rear ___. ..____ Building Height . 11 -_, _ ___ .. I Bldg. Square Footage 1 % _..._ ___ Open Space Footage ________ _ % ___ (Lot area minus bldg & paved narking) # 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 (la IF YES, date issued: (z-4...q 6 IF YES: Was the permit recorded at the Registry of Deeds? NO (3 DONT KNOW . $ YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 4 ,w DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 10 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES (3 NO 10 IF YES, describe size, type and location: E. WiII 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 ir® IF YES, then -a-Northam-pion Storm Water Management from the DPW is required. I _ Department use only City of Northampton - Status of Permit: Building Department curb Cut/Driveway`Permit 212 Main Street Sewer /SepticAugatahElttr -= ' ;, + ' Room 100 WaterIVtt t tA ,alt silrty'r1 kk -. - --•- Northampton, MA 01060 Two Sets ofS'ucturaI phone 413 -587 -1240 Fax 413 -587 -1272 Plot/Site Plans. v 2,00g Other Specify I APP! !CATION TO CONSTRUCT ALTER, REPAIR, RENOVATR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: Map Lot Unit ( C (b Coke. -k y ,, , ` — � l Zone Overlay District �� � Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ltu k tot GA�v 60 , LJE-S-T ,.$`\b� mn Name (Prin Current Mailing Address: -41, Telephone 1'L i - O�o�Z Signature ( 4i3 — 5796_,78 5 }{ — 2:224556o 2.2 Authorized Agent: ` 0, ��\ t�ot�.yQlL 7 7 Lov - a -, C Vr,Q - rt - itt U1v5`� Name P Current Mailing Address: 4(�51E3 -9zi4( 413- 348-o ((c) Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building alb 6.0()-0-f) (a) Building' Permit Fee 2. Electrical Q (b) Estimated Total Cost of 1fJ �� Construction from (6) 3. Plumbing Building Permit Fee • 4. Mechanical (HVAC) I D-8,0 5. Fire Protection 11 6. Total =(1 +2 +3 +4 +5) 028 q I O 77, cit Check Number 14 2, 0 ) - 7 4 -- This Section For Official Use Only Date Building Permit Number Issued: Signature: 8uildirg, Commissioner /inspector_ot Buildings Date File # BP- 2009 -0130 APPLICANT /CONTACT PERSON BOURKE BUILDERS ADDRESS /PHONE 77 LONG HILL RD LEVERETT (413) 548 -9214 PROPERTY LOCATION 19 CENTER CT MAP 31B PARCEL 262 001 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ✓ Building Permit Filled out t ,7 y L,ee Paid Z2 Typeof Construction: Repair fire damage, Ramp and steps New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan , — L�!� .' — %./ THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON �r,tt2t vn� 6'114.1 INFO) MATION PRESENTED: . R � to 3 I Z (coo �4 1/Approved t Additional permits required (see below) w f � 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 Vilding 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. 19 CENTER CT - - - GIs #: COMMONWEALTH Map:Block: 31B - 262 CITY OF NI 0/ et Lot: -001 PERSONS CONTRACTING WITH UNRE Permit: Building DO NOT HAVE ACCESS TO THE GUAR S p`m category: BUILD - �., c� z s � 7 1,w Permit # BP- 2009 -0022 � S/ Project# JS- 2009- 000028 Est. Cost: e/ / d)g Fee: $200.00 PERMISSION IS HEREBY ( Const. Class: Contractor: Lice Use Group: BOURKE BUILDERS 055 ? 7 Lot Size(sQ ft.): 7579.44 Owner: GAEV BENNETT N & LILLY Zoning: Rrlt IRKF p Jil lFRC AT :. 19 CENTER CT Applicant Address: Phone: Insurance: 77 LONG HILL RD (413) 548 -9214 Workers Compensation LEVERETTMA01054 ISSUED ON :7/9/2008 0 :00 :00 TO PERFORM THE FOLLOWING WORK :INTERIOR DEMOLITION 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: ilisulatiGn: Final: Smoke: Final: >J Ptki f 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 7/9/2008 0:00:00 $200.00221 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo