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38A-115 (4) MUSANTE DR- BLDG B- LOT#21 GIS#: COMMONWEALTH OF MASSACHUSETTS 3 Bl Mao: ock: 38A- 115 ' CITY OF NORTHAMPTON Lot: -001 PERSONS CON, RACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A) BUILDING PERMIT Permit# BP-2008-0743 Project# JS-2008-001158 Est. Cost: $595118.40 Fee: $2085.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: Use G,ou_p_ R2License: WILLIAMS BUILDING COMPANY INC_ 85270 biz t;:q..fIJ m oni„� PV Owner: Comnit Builders Inc. Applicant: WILLIAMS BUILDING COMPANY INC AT: MUSANTE DR - BLDG B - LOT #21 Applicant Address 196 OLD TOWN HOUSE RD Phone: Insurance: WEST YARMOUTHMA02673 ISSUED ON3 .• /)7/2008 0:0000 508 394-3644 WC T9 PERFORM THE FOLLOWING WORK.-CONSTRUCT 5 UNIT R-2 BLDG POST "I HIS CARD SO IT IS VISIBLE FROM HE STREET Inspector of Plumbing Inspector of WiringP,W �ialj �i�e•Gv4 Gli9/� /i Building Inspector IJndergrot,nd:%`�� rvic r / � eter: p'�S"1��j Rough: /(�/.�7�0� House# Footings: J/� (7 6j/p�a ,\ Foundation: Driveway Final: inal: ;, 1,112710 /7 Rough Frame: OK /1/p3/6-3 �oiq�S Gas: Fire Department Rough: Fireplace/Chimney: �'�u�"�� /cul: Insulation:OK /a-p-O 8•'_/� Smoke: 3 3�� Final: OK o- 06/0 9 y�3 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate Of Occu anc " Feely e: Si nature: �_ � p Date Paid: Amount: Building 3/27/2008 0:00:00 $2085.2027688 7688 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo /as�8S��U� �� ,c f� �,� BP-2008-0743 GIs#: COMMONWEALTH OF MASSACHUSETTS I CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category BUILDING PERMIT Permit# BP-2008-0743 Project# JS-2008-001158 Est. Cost: $595118.40 Fee: $2085.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R2 WILLIAMS BUILDING COMPANY INC 85270 Lot Size(sq. ft.): Owner: Community Builders,Inc. Zoning: PV Applicant: WILLIAMS BUILDING COMPANY INC AT: MUSANTE DR -'BLDG B - LOT #21 Applicant Address: Phone: Insurance: 196 OLD TOWN HOUSE RD (508) 394-3644 WC WEST YARMOUTHMA02673 ISSUED ON:3/27/200 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 5 UNIT R-2 BLDG POST THIS CARD SO IT IS VISIBLE FROM THE §TREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector l!nRlcrl;rou nd: 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 3/27/2008 0:00:00 $2085.2027688 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo I I File#BP-2008-0743 APPLICANT/CONTACT PERSON WILLIAMS BUILDING COMPANY INC ADDRESS/PHONE 196 OLD TOWN HOUSE RD WEST YARMOUTH (508)394-3644 PROPERTY LOCATION MUSANTE DR-BLDG B-LOT#21 MAP 38A PARCEL 115 001 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENC OSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out W61L 'A Fee Paid Typeof Construction: CONSTRUCT 5 UNIT R-2 BLDG New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 85270 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:i§ 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: §_ 6/-c--;Z11 . 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 2 Si,uature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning& Development for more information. I Version 1.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit - 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify': APPLICATION TO CONSTRUCT,REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 41 Map Lot Unit 30A—11 S— 001 (Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Village at Hospital Hill 1I,LLC c/o The Community Builders, Inc. Name(Print) Thomas Thomas P.Kegelman,Authorized Agent Mailing Address: (413) 737-0207 Signature _ -_ _ Telephone 2.2 Authorized Agent: Williams Building Co., Inc., Tim Williams,Principal 0 19to Old Town}lou'eP_IU, \Jest jctvrn00+16+M�p Name(Print) Tim Williams Current Mailing Address: �10� (413) 737-0207 Signature ----------------�------------------------ Telephone _ SECTION 3-ESTIMATED CONSTRUCTION COSTS tem stimated Cost(Dollars)to be Official Use Only com feted by permit applicant 1 Building $476,226.40 (a)Building Permit Fee 2 lectrical (b) stimated Total Cost of $48,270.40 Construction from 6 3 Plumbing $28,490.40' Building Permit Fee 4 Mechanical ( AC) 5 Fire Protection $42,131.20 6 Total (1 2 3 4 5) $595,118.40 1 Chec Number This Section For Official Use Only Building Permit Number Date ssued Signature: Building Commissioner/nspector of Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. �- Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential El R-1 ❑ R-2 0 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: 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) 1 52 1 ac 2,840 2nd 2nd 2,019 3rd 3 rd 4`h 4m _ Total Area(sf) Total Proposed New Construction(sf) 4,859! Total Height(ft) Total Height ft 30' 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public Private ❑ Zone Outside Flood ZoneE] Municipal 0 On site disposal system[— Versionl.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 24,79_8 _ Frontage 175. Setbacks Front g Side L: R: L:�R: 89.0 Rear 60.6 . Building Height 1 30 Bldg. Square Footage % 489 Open Space Footage % (Lot area minus bldg&paved parking) 16 #of Parkin Spaces (Lot_21.total)'! Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW Q YES Q IF YES, date issued: 02/08/2008 IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES 0 IF YES: enter Book 9389 Page; 200 and/or Document# 00002538 B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained Q , Date Issued: C. Do any signs exist on the property? YES ® ' NO e IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO e 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 .SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR'BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONT INING' MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: erry L.Dietz Not Applicable ❑ Name(Registrant): _ 5264 any Architects Inc., 17 Hampden St., S rn2 field�MA Registration Number Dietz&Company Y_ � p.. .. �.`.p�..... .. _ g__ , 08/01/2008 "� Address F413�7733-6798 Expiration Date S' ure Telephone 9.2 Regi tere Prof Engineer(s): Mark B.Darnold Civil Engineering Name _ Area of Responsibility Berkshire s' Grou 4 e,Northampton,Mil 01060 32459 Address Registration Number 413) 582-7000 06/30/2008 ?gnat re Telephone Expiration Date ?Ja Vinske � �� Landscape Architecture Name __ _ Area of Responsibility Berkshire Desiou ,4"Allen Place,Northampton, 0106 Addres _ Registration Number _ (413) 582- 01/31/2009 Signature 9 Telephone Expiration Date William BarryStructural Engineering Name _ Area of Responsibility ( arry ineittsfield,M (BEngers&Constructors,Inc., 176 Churchill St., A30196 _ ;,g&nre Registration Number 13)443-6591 06/01/2008atuTelephone Expiration Date :Delbert B. Smith Jr., CPD LEED APS— Fire Protection Engineering Name _ _ Area of Responsibility CES,Inc., 811 Middle St., Middletown,CT 06457 PEN 0018073 Add s � Registration Number X8860) 632 01/31/2009 Si ature Telephone p Expiration Date 9.3 General Contractor 1Williams BuildinComp�py,Inc Not Applicable ❑ Company Name: Responsible In Charge of Construction_ 196 Old Town House Rd.,West Yarmouth,MA 02673 Addr ss -- 1/111,- L / 4. 7 (508) 394-3644µ iig ature�` Telephone Versionl.7 Commercial$wilding Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SER ICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Delbert B. Smith, Jr., CPD, LEED AP HVAC Engineering 0 Name Area of Responsibility CES, Inc., 811 Middle St., Middletown, CT 06457 PEN 0018073 Ad s Registration Number (860) 632-1682 01/31/2009 ature Telephone Expiration Date Delbert B. Smith, Jr., CPD, LEED AP Plumbing Engineering 0 Name Area of Responsibility CES, Inc., 811 Middle St., Middletown, CT 06457 PEN 0018073 Ad n Registration Number ($60) 632-1682 01/31/2009 S nature Telephone Expiration Date Douglas S. Lajoie, PE, LEED AP Electrical Engineering Name Area of Responsibility CES, Inc. 811 S Middletown, CT 06457 PEN 0020909 Address Registration Number (860) 632-1682 01/31/2009 Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor �' ✓if�"r G��""�• �hc.. Not Applicable ❑ Company Name: i 01 AJN �" Resp ible In Charge of Construction L�t6 0Z-P 704-91, ern / ✓r'S� `��rrr��7i> �l , 1J2��' Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT iVillageI, p LCThomas P KegelmanAuthorized Agent, at Hospital Hill II ,L _. _.. W ,.. as Owner of the subject property Williams Building Co., Inc. hereby authorize _ to act on my behalf, in all tters relative to work authorized by this building permit application. Signature of Owner Date Williams Building Co., Inc., Tim Williams,Principal ------- _.___ _ 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 - _ W.__,. Tim Williams Print Name Signature of Owner/A ent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder. Kevin Letendre ;CS85270 _.___._.._____.____.. _ License Number L4Bentwood Drive, Sturbridge, NIA 01566 ........._............ _._.� Address Expiration Date (508) 34_7_-0993 Signature r Telephone SECTION 13- ORKER MPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No Q The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.niass�gov/dia Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLibly Name (Business/Organization/Individual): Address: 19L0 Q 1 T��yl hda,�� A� City/State/Zip: Phone #: (4-14 Are you an employer? Check the appropriate Type of project(required): 1.❑ I am a employer with 4. am a general contractor and I 6. ZNew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.El I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),'and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box 41 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 their 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. pp�� Insurance Company Name: ( (,� ��,V111 LUl w1,(` Policy# or Self-ins. Lic. #: , 03 1 � Ili I (D Expiration Date: SIR5/a60 Job Site Address: V-_� City/State/Zip: A66 k/V� Attach a copy of the workek 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 imprisorrvnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Signature• V Date c>D— r!p—o2 Phone#: — U 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#: L_ r'�e�m�osuoeal� Board of Building Regulations and Standards Construction Supervisor License License.;CS 85270 B'�e:- `11i�9M952 E)tpir4&.* 1t29t2009 Tr# 8893 Reser '� KEVIN LETENDRE 34 C EDAR LAKE DR - ST RBRIDGE,MA 01568 ComadWoner l 02/06/2008 WED 16: 29 FAX 508 790 1677 FAIR INS w-- wms building 2002/003 ��M CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/06/2008 PRODUCER (SO8)775-3131 FAX (508)790-1677 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fair Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 430 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 619 Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 INSURERS AFFORDING COVERAGE NAIC# INSURED Williams Building Co Inc INSURERA: Star In SUrance Co INSURERS: OneBeacon Ins. Companies OBIO01 196 Old Town House Road INSURER C: W Yarmouth MA 02673 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. ILTR N S R DD' TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION—DATE(MM1012M) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT 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 WC0371516 05/25/2007 05/25/2008 NCSTATU- OTH- EMPLOYERS'LIABILITY CRY I WITS i I FR _ A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? It es,describe under E.L.DISEASE-EA EMPLOYE $ 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S00,000 OTHER 790003653000 01/27/2007 07/27/2008 Limit for Rental $55,900 B 50 Days - $1,000 ded DESCRIPTION OF OPERATIONS/LOCATIONS I 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 J'', DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Northampton BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 210 Main Street I OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Northampton, MA AUTHORIZED REPRESENTATIVE 11 � f I.(Kath Silvia/FAI]51 ( '`'�r'�a`'_ ACORD 25(2001108) ©ACORD CORPORATION 1988 ---------------------------------------------- Official Receipt,for Recording in: Hampshire County Registry of Deeds 33 King St. Northampton, Massachusetts 01060 Issued To: VILLAGE AT HOSPITAL HILL II LLC C/O COMMUNITY BUILDERS 95 BERDELEY ST STE 500 BOSTON( MA 02110 Recording Fees x--------------�--------------------------------� Document Recording Description Number Book/Page Amount ---------------------------------------------- DECIS 00002538 9389 200 $75.00 VILLAGE AT HOSPITAL HILL $75.00 Collected Amounts ---------------------------------------------- Payment ------------ --------------------------------Payment Type Amount ---------------------------------------------- Cash ------------ -------------------------------Cash $75.00 $75.00 Total Received $75.00 Less Total Recordings: $75.00 Change Due $.00 Thank You MARIANNE DONOHUE - Register of Deeds By: Maureen C Receippt# Date Time 018594 02/08/2008 08:568 Reprinted By: Maureen C Reprinted On: 02/08/2008 08:56a z °. Crit of Xzrrf4ainptun cs. DEPARTMENT OF BVILDIAIG INSPECTIONS INSPECTOR_ 212 Main Street i Municipal Building Norultampton,MA 01460 4 CONSTRUCTION CONTROL DOCUMENT (for professional Engineers/Architects responsible for Entire Project) Project Title: � �� k Date: Dfl eI Project Location:/�oY D y Map: 3C G Parcel: 17 W ""R'" 'SCY Scope of Project: N�W W6A (.IMS Corm t �"a� �'IObSI✓+* e�fe�^,r1/pG S- In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0: 1, t?,If K4 l,•D l2,42 Mass. Registration Numbera^ } Being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: [ Entire Project for the above named project and that to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. Furthermore,I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit and shall be responsible for the following as specified in section 116.2.2: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction documents as submitted for the building permit;and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to becomegenerally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,in a form acceptable to the building official,a progress report together with pertinent comments.Upon completion of the work,I shall submit to the building official a final report as to the satisfacto y letion and readiness of the project for occupancy. �9 ARS Signa 4a red professional: No. 5264 Springfield, Fax 413-587-1272 -phone 413-587-1240 a L (Sifit Eta Nartballyftlll � ,r �Rsnse}t�ssetts DEPARTMENT OF BUILz)rNa INSPECt'IONS • INSPECTOR 212 Main Street ! Municirwit Biliictinb w f Nordirunplon, MA 01MO `4• SECONDARY CONSTRUCTION CONTROL DOCUNi TENT (for Professional Engineers/Architects responsible for only portion of a controlled project) Project Title: -firt�1 Date' �� Project Location: k10V _ohtt Neap: 316 Parcel; 17 Zone; f\/ wi�1� 3Ca Scone of Project W ~�-' t ahS�rvc. fist —B In accordance xrith.the sixth edition Massachusetts State Building Code,7S0 CMR SECTION 116.17: I, dj c��fYliT, 1 Mass. PegistralianNumberPEN DO1 807 Being a registered professional Engineer/Archit=hereby CERTxFFY that I have prepared or directly supen•ised the preparation of all design plans, computations and specifications concerning: Fire protection f 1 Architectural [] Structural K Mechanical [a Electrical j Other(specify) for the above named project and that to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of'the,Massachusetts State Building Code,all acceptable engineering practices and all applicable lazes for the proposed project. Furthermore, I understand and ACRZE that I shall perform the naccssary professional services to determine that the above mentioned portions of the work proceed in accordance Nvith the documents approved for the building perrniL Upon coniplction of tete work, I shall submit a final report<rs to.the Satisfactory catrrpleiion of lite:above- mentioned'ponion of the work- Signature orkSignature and Sail of registered professional: I � �OF oELBERr R. SMITH,JR. cwwt tat Fax 413-587-1272 -phone 413.557-1240 00 in ZLZTL92CTV XVd 9V:PT 8002/90/ZO i � w dy �► 6ifu R ?nr �� 111 7 QII %� � � �assac7tr�srCta = DEPARTMENT C)F BUIL.DII,,TG INSPECTIONS r iNSPF-CTOR 212 MainSUreet 0 Munieip,tt Building, Ngr'thasnp(nn,MA 0106) "J SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers/Architects responsible for oniv portion ofa controlled project) Project Tale: 111 11/,1�1 q Cspt7 it �SG"Dato Project Location: v P Map: 31 C Parcel; 17 Zone; v -A S� Scope of Project: die" ..V oo _ —� cay�;�h'„ ��-r} F'i ays 1 vr9 � J5 In accordance nvith.the sixth edition Massachusetts State Building Code, 780 CMIt SECTION 116.0: I, /AS V • fr. D I e., Mass. Registration Numberd MIMIC Being a registered professional Engineer/Architect hereby CERTIT'Y that I have prepared or directly supen•ised tltc preparation of alt design pians,computations and specifications concerning: [ ) Fire protection (j Architectural (] Structural (] Mechanical Electrical [j Other(specify) for the above rtamcd project and that to the best of my knowledge,such plans,computations and specifications meet,Clic applicable provisions of the Massachusetts Slate Building Code,all aecrptable engineering practices and all applicable laws for the proposed project. Furtliermorc, I understand and AGREE that I shalt perform the neceSsary professional senices to deterininc th tt the above mentioned portions of the Nvork proceed in accordance wittt the documents approved for the building permit. Upon completion of the-work, I shall submit a final report ns to the s.7tishictory completion of the above- mentioned'ponion of the work. Signature and Scal of registered professional: � Tti Of t� EU Fax 413-587-1272-phone 413.597-1240 on in ZLZIL999TV Yitd 96=IT 90oZ190/Z0 �g C t1+xTtp� < t CrifI, t31r#I� l�rmn _ � + .t � ,�HS11Hc}t1lDtttD DEPARTMENT OF BUILDTI,,7G INSPECTIONS I; INSPECTOR 212 M;tin'&reet 0 Municifttit B11iltling / Nordiampion, MA 0106)1 SECONDARY CONSTRUCTION CONTROL DOCUhfENX (for Professional Engineers(Arehitects responsible for only portion of controlled project) Project Title: AAAA ,� EuA � Date; Project LOCrilloR: kby M2Lp:__%51_(,, _Parcel, /7 ,Zone, V Scope of wdl � . Doti ptM.t- a yti5 rn Ye vRr�l'+VL7ttS1i1 CJ"J?J In accordancc with.the sixth edition Massachusetts State wilding Code, 730 CMR SECTION 116.0: 1,-- M O k >• a�Yl O 1 Q Mass. Registration Number— Being a registered professional Engineer/Architect hereby CERTXI4Y lltat I have prepared or directly supeniscd the preparation of all design plans,computations and specifications concerning- ( ] Fire protection (] Architectural j] Structural [] Mccllalttical (] Electrical Other(specify) C^,t ►'I._.x' for the above named project and that to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code_all acceptable engineering,practices and alt applicable Iaws for the proposed project. Furthermore, I understand and AGREE that I stall perforrn the neccssaTy professional senlices to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building perp-dt. Upon contplction of the work, I shall submit a final report os to the satisfactory completion of tltc abave- mentioned'ponion of the work. Signature And Seal of registered professional: IA�t� OF MRK B. ��► DAR LD CML CAI W 32439 ST f1;!N Fax 413-587-1272 -phone 413.587- 240 Z00z ZLZTL99CTP XV.d 9V:VT 800Z/90/Z0 i ri DEPAR.Tlv(El,�T OF SuILpI,\iG INSPECTIONS WSPECTOR 212 Main;Sireet 0 Mutiicip,tf Building - NctirdxvnPtctn,MA 01060 �w w SECONDARY CONS' RUCTION CONTROL DOCUMENT (for Professional Engineers/Axchitects responsible for only portion of a controlled project) Projcct Title: Villae, !f Ax tl Date; al'010 Project Location:_/JOMWAI 1 Map: J 1 G Parcel;_. /7 Zone: FV W'�L SC7 scor of Projcct: In accordance with.the sb, th edition Massachusetts State Building Code, 7S0 CMR SECTION 116.0: I—. Mass. Registration Number 10'(e 7 Being a registered professional Engineer/Archittct hereby CERT)T4Y that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: E ) Fire protection E) Architectural [] Structural [)Mechanical E) Electrical '.Other(spccify) �GiV1 Cy� aGl�' 171UY for the above named project and that to the best of my knowledge,such plans,computations and specifications nleet the applicable provisions of the Massachusetts State Building Code:all acceptable engincering practices and all applicable la-.vs for the proposed project. Furthennorc, I understand and AGREE that I snail perform the taeccssary professional services to determine that the above mentioned portions of the Nvork proceed in accordance with the documents approved for the building permit. Upon completion of the work,I shall submit a final report as to ilia satisfactory completion of the above- mentioned portion of the work ,�ittett►tttruntrrrrrrr Sign;tture and Seal of registered professional: �}7�'t VI�vr f� 0 ' Cd,921 a; Fax 413-587-127?. -phone 413-597-i240 ZOOZ ZLZTL99CTV YVA 9P:IST 8OOZ190/ZO o4T �\ a a L (riff aa�#f� Izt� Qn r aa4aelttin ett, DEFARTA4ENT OF SUILDAIG IN5PECTIONS INSPECTOR 212 Main'Slreet 0 Municifstt Bililding , Nortluunpion, MA 0106) SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers/Architects responsible for only portion ofa controlled project) Project Title: V1A�A7� pfis I 't; AA 411 1 L Date: ay Project Location: ND4AM ,M6 MaP: 31 G Parcel: _Zone; Scope of Project: In accordance,with.the si;xtthhedition Massachusetts State Building Code,7SO CMR SECTION 116.0: 1, i t t CL500W Mass, Registration Number Being a registered professional Engineer/Archima hereby CERTWY that I have prepared or directly supenised the preparation of all design plans,computations and specircations concerning: [ ] Fire protection [j Architectural XStruetural [] Mechanical [] Electrical [I Otlter(specify) for the above riatncd project and that to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code:all acceptable engineering practices and all applicable laws for the proposed project. Funherrrlorc, I understand and AGRER that I shall perform the ncccssary professional senices to deteri7tinc th;rt the above mentioned portions of the Nvork proud in accordance with the documents approved for the building permit. Upon completion of tite work, I shall Submit a filial report)s to.the s,itlsfnctory completion of the tbcsve- mentioned'portion of the work Signa(ure and Scal of registered profcssianal: v ILUAM Pa-,K413-597-1272 -p one 413.587.1240 7,0001 %9TL9�M YVd 9V:VT 800:;/90/ZO i 02/22/08` 12:06 FAX Cj00 _ `7 uC?•^J?TIM ZX7 Gr j CT(D9 �i,,in S:�c t Muricipnl Du:Iclna i_:S. E O i I�'orlha�nTiLos, Nfai.n. 01060 Square coo C age As�un Beser,e @ $_L? � .• 2nd Floor @ 4:-30 - j/2 Fla.�rs. FCCic. Gzran�� 5.15 ��" �.•,• .