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31B-226 (2) BROSCO Brockway-Smith Company ROSCO, Smce 1890 www.brosco.com ..,\_,__L__.__.,89,, 1 r ``' l S--r-� .2 X i o pr -Fi-aa,2 1-48 h �' �k ,,66.1%,..a p J eM� h3� �x 10 3 eaer- P )2 / 1)\ \ !_ D .� J Z c z t 2 . i W 17 , , , - - ANDOVER, MA 01810 COXSACKIE, NY 12051 HATFIELD, MA 01038 PORTLAND, ME 04103 146 Dascomb Road 171 Stacey Road 125 Chestnut Street 203 Read Street 1-800-222-7981 1-800-222-7303 1-800-922-0191 1-800-222-7981 Fax: 1-800-242-4533 Fax: 1-800-222-7304 Fax: 1-800-922-0296 Fax: 1-800-443-0331 7/18/13 Northampton,MA Property Detail '[City of Northampton, MA: Commercial Property Record Card ___ _________1 New Search Property Type classification Code Reference Card 1 of 1 _ Parcel - Location - Zoning - Assessment Map-Block-Lot: 31B-226-001 Zoning: I Assessment: 1 Location: 12 BEDFORD TERR Neigborhood: 11 Land: 249,130 #Living Units: 7 Deed Book: 1803 Building: 459,170 Class: A-111 Deed Page: 142 Total: 708,300 _ [Building Information uilding Sketch _._ 1 B Bldg #: 1 Descriator/Area Year Built: 1900 5 C 5 A:AF/2SFR/B # of Units: 8 22 1632 sgft B:WD/OFP Quality Grade: B 9 135 sgft C:1 S FRAME # Efficiencies: 0 WD/O FP22 30 sqft # 1-Bedroom: 7 D:2SFRM/B B # 2-Bedroom: 1 s 19 AFI2SFR/B 50 6 E:WDK/OFP ■ 117 sgft # 3-Bedroom: 0 632 1;D 7 Covered Parking: 0 6 Uncovered Parking: 0 I 28 Total Unadj RCN: 191,480 Total Unadj RCNLD: 401,970 41 Grade Factor: 1.26 1 WDK/OFPP # Ident Units: 1 112 Func/Econ Factor: 1.15 RNCLD: 462,270 Detail Information: Attached Improvements I --J Levels Use Ext�Wall- Heat AC %�Good Unadj RCN Type!Me "-- Meas-21 Meas-3-3 #Units ` ���t —� RP1 117 0 1 1 [1-31-1 91 L Hot Air�F-71__ 22,2601 RP1 J 105 L_ E-111 __ E1 01 imitrame Hot Air —7I 0 I 72,040 jRP3 117 F---T—E-7 02 11 Frame Hot Air ��� o[ 67,330 I is _ 105 LT��iii , A 11 Frame (Hot AU-1 l 0,[ 29,850 ___ __ Land Data Outbuilding Info _— ___ I __ `s, [Square Foot Type -1_Utilities 1[TyPe Feet Value All Length Yr� Phys� Func % Prime Public Descr I Width or Size Quan Built Cond Util Good Value Site �� 8,976 249,130 j { , __ _ no Acreage Type ��� I _._ information] Type 1JAc�res Value IStreet/Road Other Improvements_ 1 Total Value: 0 1 lino (Paved J www.northamptonassessor.us/noho/conundetail.php?map_no=31B-226-001&pagecard=1 1/2 Initial Construction Control Document !`( To be submitted with the building permit application by a Registered.Design Pr,icssionni f ` t i A. for work per the 8th edition of the Massachusetts State Building Code,780 Gam,Section 107 Project Tide: T,Q �c Project: Check one or both as applicable: 0 New construction j Existing Construction Project description: Alita f's - _ ...pm. .. l 37'" t'_ ,,r„40.1 p ♦ A.r" Registration Number: 4•6. 4 Expiration date: Cle5 /3 am a registca d deagn fro,fes Tonal. and I have prepared or directly supervised the preparation of all design p s, computations and specifications concerning: C+g Architectural [y Structural [ ] Mechanical ) Fire Protection ( 1 Electrical [ 1 Other for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code;(780 CMR),and accepted engineering practices for the proposed project. I understand and argue that I(army designee)shall path=the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the contraction documents. ?. Perform the duties for registered design professionals in 780 CMt.Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this coda Nothing in this document relieves the contractor of its responsibitny regarding the provisions of 780 Q 1 R 107. when required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building o" 1?C,,yr Upon completion of the work,I shall submit ,{; . �< �, : %r:. final COnstrnrriom Control Document'. Enter in the space to the right a-wet or n electronic signature and seal: c's&� 8 ,_ - ON Phone number i 'ltmail: Building Official'Mc only anitnin official Names Permit No.: Date: Ve4esi.on 06_112013 TO/T0 39 d dli SMOMI.S113 £i19SLZ Ett7 bz :6T £103/LI/LO ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/YYYY) `...-� 6/11/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cynthia Henderson, CISR NAME: Y Webber & Grinnellf. (413)586-0111 I r Nol.(413)586-6481 8 North King Street ADDRESS:chenderson @webberandgrinnell.com INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A:Travelers Companies, Inc. INSURED INSURER B:Citation 40274 Reiter Builders, Inc. INSURER C:Travelers Indemn. Co. CT 25682 51A Hatfield Street INSURERD: INSURER E: Northampton MA 01060 INSURER F: COVERAGES CERTIFICATE NUMBER14aster Ex') 12/13 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POUCY EFF POLICY EXP LIMITS LTR INSR WVD POUCY NUMBER (MM/DD/YYTY) (MWDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000— DAMAGE TO RENTED 300,000, X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A I CLAIMS-MADE X OCCUR 680631956611342 6/1/2013 6/1/2014 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 TI POLICYnPjF PILOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED g SCHEDULED 12144BCDR07 12/21/201212/21/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE % HIRED AUTOS $ AUTOS (Per accident) Medical payments $ 5,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I 1 RETENTION$ $ C WORKERS COMPENSATION I WC TATU- I IOT ER- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A 1EUB2A56578213 6/11/2013 6/11/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ***** For Information Only ***** ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Henderson, CISR/CIN 'ar° '°--a ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN9.02! mmnner m Th ACfPrl name and Inn"ores rnnio+nrnrt n»r4o n4 ACfRrl The Commonwealth of Massachusetts f Department of Industrial Accidents =4-- Of,Office of Investigations asi I Congress Street,Suite 100 € _l:• ty Boston,MA 02114-2017 S° www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �j pp Please Print Legibly Name (Business/Organization/Individual): >rjC t re-s.- .DV t`b Fits, C Address: 5A ATA- ' -b sir. City/State/Zip: Aroi n-1 c -1aN , A.Ail Phone #: yr3s 5 , 8C,Uv Are you an employer? Check the appropriate box: Type of project(required): 1.N I am a employer with 3 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. KRemodeling ship and have no employees These sub-contractors have 8. ❑ 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 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: I tul A NC LE-i\.S Su►Z NCE Policy#or Self-ins. Lic. #: .1 E.L)a X5bShi Sal 3 Expiration Date: (o' I( - 2 014- - Job Site Address: I Z 86- Felet,b it A(.E- City/State/Zip: No"-T11-Oh&-k Q Zip►` (\A Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c fy under the ains and penalties of perjury that the information provided above is true and correct. Signature: ■ / g, ev,,b!'GS, .-„b(. Date: ' /g° I 3 Phone#: if f3' c$fo• $(co 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 © No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i'1,--,E 'TREE)s TES 6 F T Ne: I, m 11� Goer_ ,,- , as Owner of the subject property hereby thorize N(E r 164 �"I''p tit S ,F/ 'N�, to act on y behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I. O r r an 1.--7 S -4: C' , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Na - n p ria r kAr rrelt D rt-A•x5 �2. 7- 115-13 Sig r e of Owner/Agent , Date S MON 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Sco1 T 14-t-elt-- /02'15" 7 License Number 5ti A, 44-r-4'tEL Sr. , N e+t.- v n-m MA (, • 2 0 • l `i Addr- s 1 Expiration Date y >i �1(3S-fs6 ,8r000 -'• u 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 t uilding permit. Signed Affidavit Attached Yes No O 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: S‘EGG CZAE .S?c 4•1"4 Not Applicable ❑ Name(Registrant): (O(p 31 C-/■SC SC€ A-- c- "D -bcCv,x-et 71 Registration Number Address p �� Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor nn� KE re-it. WI c-bEY!S , Zi c • Not Applicable ❑ Company Name: Scot r \'E-tTll`iL- Responsible In Charge of Construction SI A Aim V tE t,. Sr. /lice.-r7#Y i J , MA 016 b n Address or / a m yi3 • sra, •“.oa Signat,i / Telephone Version1.7 Commercial Building Permit May 15,2000 S. 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 DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO 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 ® NO 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 f❑ Roong❑ Change of Use CI Other❑ Brief Description • - . _ • . - - 02C.N asp %Rs Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1B I ❑ B Business ❑ 2A 1 ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ( ❑ H High Hazard ❑ 3A I ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1st 1st 2nd 2nd 3rd 3rd 4 4t" 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system 0 Version1.7 Commercial Building Permit May 15,2000 RECEIVED Department use only VEEI C ty of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit JUL - 013 212 Main Street Sewer/Septic Availability Room 100 WaterNVell Availability DEP. No hampton, MA 01060 Two Sets of Structural Plans NORT,,A Top., t TIONS 413587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 12. SeaFoO[,D j c,E Map Lot Unit Na.-n+N roN , 11/4-LA, Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: -ME `112u5-r Es j .) Stt�rrt-1 Co�c.e o F .Tt-te ' 2 W ES ! ST Name(Print) )11/44 I' 11 COLd Current Mailinig Address: _-� ✓'7 97 7aA.J ,M 4 4)14.3 I No Signature 41 'Telephone /3 .,ej ....2420 2.2 Authorized *'�T ► i— — Luc E y /26 SET Or- Name(Print) Current Mailing Address: n/o2THAmf'Tan!, MA D /D‘.3 t Signature 1111 Telephone y/3 SE3 5 2 112- SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building S9 J tS".0 • 0 (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) q 750. 0o Check Number 74 06-5— This Section For Official Use Only Building Permit Number Date Issued Sign. /, 9 ---/ -/3 ng Co issioner/Inspector of Buildings Date 12 BEDFORD TER BP-2014-0056 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B-226 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2014-0056 Project# JS-2014-000130 Est. Cost: Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): 8973.36 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: EU(100)/URC(100)/ Applicant: SCOTT KEITER AT: 12 BEDFORD TER Applicant Address: Phone: Insurance: 51A HATFIELD ST (413) 320-9035 WC NORTHAMPTON MAO 1060 ISSUED ON:7/22/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAI R PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 7/22/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner