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38A-115 (5) BP-2008-0744 GIs #: COMMONWEALTH OF MASSACHUSETTS 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-2008-0744 Project# JS-2008-001159 Est. Cost: $423091.20 Fee: $1566.70 PERMISSION IS HEREBY GRANTED TO: Const. Class: 513 Contractor: License: Use Group: R2 WILLIAMS BUILDING COMPANY INC 85270 Lot Sizc sc. ft. : Owner: Community Builders,Inc. Zoning: PV Applicant: WILLIAM BUILDING COMPANY INC AT: MUSANTE DR - BLDG C - LOT #21 Applicant Address: Phone: Insurance: 196 OLD TOWN HOUSE RD (508) 394-3644 WC WEST YARMOUTHMA02673 ISSUED ON:3/27/2028 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 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 Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Drivewly 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 $1566.7027688 212 Main Street,Phone(413)537-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo s File#BP-2008-0744 APPLICANT/CONTACT PERSON OMPANY INC WILLIAMSS BUILDING ADDRESS/PHONE 196 OLD TOWN HOUSE RD WEST YARMOUTH (508)394-3644 PROPERTY LOCATION MUSANTE DR-BLDG C-LOT#21 MAP 38A PARCEL 115 001 ZONE PV THIS SECTION FOR OFFICQIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin r Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 3 UNIT R-2 BLDG New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: 3 s Statement or License 85270 3 sets o of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan 4�lrl7 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 Availalpility Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Del 2_J/44? Sign re of Buildmg ficial 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 off'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 Versionl.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 Map Lot Unit Pa�c�.l ZD -5-IDA— I is--DO Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Village at Hospital Hill II, LLC d c/o The Community Builders,_Inc. Q Name(Print) qP' gent I Au lkho 2i 2�1 Current Mailing Address: Thomas P. e m -f uthori QN (413) 737-0207 Signature � elephone 2.2 Authorized Agent: Williams Building Co., Inc., Tim WilliarlU,Principal Gat IT, did Town Aous¢- Rd,)^/zst Yo-tIft,0Ai MA a Name(Print)Tim Williams Current Mailing Address: - (413) 737-0207 Signature ---------____ Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS tem stimated Cost(Dollars)to be Official Use Only complete d by permit applicant 1 Building $338,567.20 (a)Building Permit Fee 2 lectrical (b) stimated Total Cost of $34,317.60 Construction from 6 3 Plumbing $20,254.40 Building Permit Fee 4 Mechanical( AC) - 5 Fire Protection $295952.00 6 Total (1 2 3 4 5) $423,091.20 Chec Number This Section For Official Use Only Building Permit Number Date $sued Signature: Building Commissioner/nspector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS T AN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ hoofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: N 3 I re u,eT LA0 '—k �,vtl(A I N SECTION 5-USE GROUP AND CONSTRUCTION TYPE J 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 0 R-1 ❑ R-2 Q 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 UNDERG ING 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 St 1 St 2,312 2nd 2nd 1,230'' 3`d 3 rd 4th 4th Total Area(sf) Total Proposed New Construction(sf) 3,542 Total Height(ft) Total Height ft 29 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: Sewage Disposal System: Public 0 Private ❑ Zone Outside Flood Zoned Municipal E] On site disposal system[:] I I Version 1.7 Commerciall Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing i Proposed Required by Zoning This column to be filled in by Building Department Lot Size 24,708 1 1-11 Frontage 17 .0 Setbacks Front 3.5 Side L: R: Rear Building Height 29. Bldg. Square Footage % 34211, Open Space Footage % (Lot area minus bldg&paved 1,x,950 parking) #of Parking Spaces 1 (Lot 21 total)_,I Fill: - 0 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 © DON'T KNOW O YES O IF YES: enter Book 9389 Page 200 and/or Document# 00002538 B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW O YES O 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 Q' NO 0 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 Q NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commerci 1 Building Permit May 15,2000 SECTION 9-PROFESSIONAL_DESIGN AND CONSTRUCTION SE.VICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO. CONSTRUCTION:CONTROL PURSUANT TO 780 CMR 116(CON AINING MORE THAN 36,00Q C.F OF ENCLOSED SPACE) 9.1 Registered Architect: Kerry L. Dietz Not Applicable ❑ Name(Registrant): 5264 Dietz ?an , . .._ ., , Registration NumberYArchtects Inc. p d Address 08/01/2008 1(3)733_6798 Expiration Date �.__ Si re Telephone 9.2 Rejl&teWd Profes I Engineer(s): Mark B.Darnold �. ..._m Civil Engineering Name _ Area of Responsibility Berkshire Design Gro p,J 1 ce,Northampton,MA 01060 32459 Addres __ Registration Number 413) 582-7000 06/30/2008 �� igna re Telephone Expiration Date Jay Vinskey Landscape Architecture Name _ _ _ Area of Responsibility Berkshire Des Grou ,4 Allen Place,Northampton,MA 0106U � 1267 Addres Ristration Number _ [(413)-58-25000 01/31/2009 Signature L Telephone Expiration Date William Barry Structural Engineering Name Area of Responsibility Barry Engineers&Constructors,Inc., 176 Churchill St.,Pittsfield,MA� 30196 Addr � �� Registration Number 0 443-6591 06/01/2008 Signature Telephone Expiration Date Delbert B. Smith,Jr., CPD,LEED � � _ Fire Protection Engineering � �� Name __ Area of Responsibility CES,Inc., 811 Middle St.,_Middletom; ,CT�06457 PEN 00180_73 I Addr Registration Number :'(860)632-1682 01/31/2009 Signature Telephone I Expiration Date 9.3 General Contractor Williams Build�Com�any,Ino Not Applicable❑ Company Name: �... %tom Responsible In Charge of Construction 1196 Old Town House Rd.,West Yarmouth MA 02673 Address (508) 394-364 Signa re ( Telephone Version 1.7 Commercial:Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SE ICES-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: 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, Ing., 811 Middle St. Middletown, CT 06457 PEN 0018073 Addres IM Registration Number (1860) 63271682 01/31/2009 Signa a 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 Registration Number (860) 632-1682 01/31/2009 Sig ure Telephone Expiration Date Douglas S. Lajoie, PE, LEED AP Electrical Engineering Name Area of Responsibility CES, Inc., 811 M' dle St d own, CT 06457 PEN 0020909 Address Registration Number 860) 632-1682 01/31/2009 Signature Telephone Expiration Date i Name Area of Responsibility .41 Address Registration Number • s Signature Telephone Expiration Date 9.3 General Contractor �y////,1I,S &—"161 C r"/ Not Applicable ❑ Company Name: Responsible In Charge of Construction Address 'ci'y6fi7yr7 Signa re Telephone i Versionl.7 Commercial Ouilding Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 4 No O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ?.V.__i.l.l.a e at Hospital_Hill ill II' LLC, Thomas homas_.P_ K.e,g...,e..lm.an,Authorized Agent .----- , as Owner of the subject property Williams Building Co., Inc. hereby authorize wa. ... . act on my behalf, ill matters relative to work authorized by this building permit application. Signature of Owner Date Williams Building Co., Inc., Tim Williams,Principal V m 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 penury ;Tim Williams ~ Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Kevin Letendre CS85270 License Number W _ ---------- 4 Bentwood Drive, Sturbridge, MA 01566 01/29/2009 Address Expiration Date ,(508) 347-0993 Signature Telephone SECTION 8-WORKERS'C 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 4 No 4 i �'i4e -Po�snryw.erzlG�o�./i<tlaaaa�uaella Board of Buiiding Regulations and Standards Construction Supervisor License LiceM.W,,CS 85270 @irt Ote: AMW11952 rant• 1009 TrAi 8893 Res QEi KEVIN LETENDRE 34 CEDAR LAKE DR ST JRBRIDGE,MA 01566 Commoner r � l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations u4p 600 Washington Street Boston, ]VIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLiibly Name (Business/Organization/Individual): � Address: 19(D �c 71��n h6cl�Q 110 City/State/Zip: W Phone #: 5' 3 -(3 941•,3 60-/Z-/ Are you an employer? Check the appropriatWola:m xType of project(required): 1.❑ I am a employer with 4. a general contractor and I 6. New 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. 2 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.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exernption 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' 13.❑ 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 nacre of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site information. hnsurance Company Name: (%A C LuLaiq4 Q= Policy#or Self-ins. Lic. #: W 0, 031 I l5 I (Q Expiration Date: A/R,5 10?60 Job Site Address: City/State/Zip: kA) I Attach a copy of the workr ' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGI~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 certify under t ties ofperjury thatl lze information provided above is true and correct. Si nature: Date: 02— 02� Phone#: 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#: 02/06/2008 WED' 16: 29 FAX 508 790 1677 FAIR INS -d--r wms building 2002/003 _A.CDJW,, CERTIFICATE OF LIABILITY INSURANCE DATE0WMIODIYYYY 6/2008 oz/o6/zoos PRODUCER (508)775-3131 FAX (508)790-1677 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER 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 BuildingCo wsURERA: Star Insurance Co INSURERS: OneBeacon Ins. Companies OBI001 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 NSRDD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ^� COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ ISF.S(Fa nrrairnnr CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER:POLICY PRO PRODUCTS-COMP/OP AGG $ - 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 F1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC0371516 05;/25/2007 05/25/2008 WCSTATU- OTH- EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ S00,00 OFFICERIMEMBER EXCLUDED? 1I yes,describe under E.L.DISEASE-EA EMPLOYEE $ 50O,OO SPECIAL PROVISIONS belovi E.L.DISEASE-POLICY LIMIT I$ 500,000 OTHER 790003653000 07/27/2007 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 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 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Northampton, MA AUTHORIZED REPRESENTATIVE `� 1 K th Silvia/FAIJSI 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 ---------------------------------------------- Document ---------- ------------------------------ -Document Recording Description 'Number Book/Page Amount i------------ --------------------------------& DECIS $0002538 9389 200 $75.00 VILLAGE AT HOSPITAL HILL $75.00 Collected Amounts ------------ ---------------------------------* 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 Rec iptll Date Time 018854 02/08/2008 08:56a Reprinted By: Maureen C ReprintedliOn: 02/08/2008 08:56a i i O�Kx�pTO c_< Cris of 'Wnrf U11tVt0rr � e yuaAff R[tt1i8[ttl DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR, 212 Main "Street • Municipal Building Northampton,MA 01060 CONSTRUCTION CONTROL DOCUMENT (for professional Engineers/Architects responsible for Entire Project) Project Title: I` ase '' Date: es II I _ Q'/ Project Location: dYY LSA M�t"h /V�� Map: JIG Parcel: _j_7_Zone:W wdoi* StY Scope of Project: Maul WQI $ C4Nvt In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0: 1, 44 ex ^ L• 4/ I Q,4Z Mass. Registration Number Aja-(D Being a registered professional Engineer/Are titect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans;computations and specifications concerning: j Entire Project for the above named project and that to the bust 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:xesponsible for the following as specified in section 116.2.2.- I. 16.2.2:1. Review of shop drawings,samples and other submittals of the contractor as required by the construction documents as submitted for the building permit;and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate.to the stage of construction to become generally familiar with the progress and quality of tlhe 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 letion and readiness of the project for occupancy. 9 ARS Sigma U red professional,: No. 5264 N , Springfield, J Fax 413-587-+..1272 -phone 413-587-1240 p�Sty 0 Ste-\ Cris— crlai r snnachnsetta �z - DEPARTME14T OF BUILDIJ\70 INSPECTIONS INSPECTOR 212 Main Strt:.et 0 MuniciPnl Building, w� Norduunnuon, MA 01060 v SECONDARY CONSTPUC ION CONTROL DOCUMENT' (for Professional Engineers/Architects responsible for only portion of controlled project) Project Title, A I _!zI L4U-4d, All -P�flct ll Date; 0 V �Lt,'�► Project Location: �'b16 Parcci: 17 Zone;�OV� � Map; Scope of Project, EICAu W bf)l Ems. LIMs m- I. R k LiwIlrnoll vnS G tsvt T,46C,_ In accordance with.the ssi?xth edition Massachusetts State Building Code,7SQ CMR SECTION 116.0: 1, Uel !J. �!'y►_E7V�, V' Mass, Registration NumberFFM ODS 8073 Being a registered professional,Engineer/Architect hereby CERTIFY that I have prepared or directly supenised the preparation of all design plans, computations and specifications concerning: Fire protection [l Architectural [] Structural K Mechanical [) 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. Funherniorc, I understand: and AGREE that I shall perform the ncccsstary professional services to deterinirlc 111;1( the above mentioned portions of the work proceed in accordance with the documents approacd for the building permit_ Upon completion of tha work, I shall submit a final report as to ilia satisfactory completion of the above- mentioned*ponion bove-mentioned*ponion of the work Signature and Scstl of registered professional- OFV ' DELBERT M SMITH,JR. cwwt tat t Fax 413-587-1272 -phone 413-587-1240 9V:VT 8QQZ/901ZQ Z00(P] ZLZTL99CTV YVJ i (r�if� orf X0rtJJRJJtpt011 � ,� �saaHel�rraetta DEPARTMENT OF BUILDI?ZG INSPECTIONS • iNSPF-CTOR 212 Main;Stmt 0 Municip;tt Blinding Ntlydu mp(nn, MA 0106) SECONDARY CONSTRUCTION CONTROL DOCUi•1EN x (Cor Professional Engineers/Architects responsible for only portion of controlled project) Projcct Tit}e: I -i� G"Datc; t!?cl iJ� d0 Project Location: 8V tin map: C Parccl; ii / Zone; Scope of Project, ISJOAAI co In accordance frith.the sixth edition Masmchusetts State Building Code, 730 CMR SECTION 116.0- I, V I G1$ V ' 'D l P✓ Mass, Registration Number,115DDaD D Being a registered professional Engineer/Architect hereby CERTSYY that I have prepared or direct}} supen•ised the preparation of all design plans,computations and specifications concerning: [ J Fire protection f J Architectural [] Structural [J Mechanical AElectrical [J Other(specify) for the above named project and that to the best of my knowledge,such plans,computations and specifications meet Clic applicable provisions of the Massachusetts State Building Code_all acceptable engineering practices and all applicable lazes for the proposed project. Furthermore, I understand and AGREE that 1 Ghali perform the necessary professional smices to deterirunc that the above mentioned portions of ft work proceed in accordancc with the documents approved for the building permit. Upon completion of the work, I shall submit a final report is to the satisfactory completion of the above- mentioned portion of the work Sil;n;tture and Seal of registered professional: Pax 413-587-1272 -phone 413-587-1240 7,00En ZLZTL99CTV Y8d 9V:VT 9002/90/ZO i l f ` ,� � � �snnscSt�tsrtin ' DEPARTMENT OF BU1LD17\10 INSPECTIONS INSPECTOR 212 Main',Slreet 0 Mustieip;tt [Busting No dtampitm, MA 01060 SECONDARY CONSTRUCTION CONTROL.D0CU1',1V4 r (for Professional Engineers/Architects responsible for only portion of a controlled project) Project Tide: !! , hh "i `=�'�� '`- Date; i10 � Project Location: �OYhliap: �f G_Parcci; �7 Zone; V Scope of Project btJoO�k 7Ytt. c v�5 'rh6VAv+ vtSlc. �vt �j'/ In accordance with.the sixth edition Massachusetts State Building Code, 7S0 CMR SECTION 116-0- 1, M-A 0,,Y�— --E>. -DQt'V-r) D Mass, Registration Number Being a registered professional Engineer/Architect hereby CERTSFY Lhat I have prepared or directly supervised the preparation of all designs plans, computations and specifications concerning: [ } Fire protection [/]+Architectural [7 Structural [7 Mechanical [}Electrical Other(specify) CJ{VY?p�!'�2[.✓ for the above named project and that to the best of my knowledge, such plans,computations and specifications meet dsc 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 1 shall perfomi the necessary professional services to determine that the above mentioned portions of the Nvork proceed in accordance with the documents approved for the building permit. upon corrspletion of the work, I shall submit a final report is to the satisfnetory completion of the above- mentioned portion of the work. Sigtlah,re and Scal of registered professional: � � OFMARK B. DMAR LD CML CA W 324M f Fax 413-587-1271 -phone 413-587- 240 7,000 ZLZTL89ETV YVA 9V:VT 9002/90%ZO a (yif ,a nr#l� iZt #an , L J ,! � ,�7 R44HC�TI4lttD DEPARTMENT OF BUILD NIG INSPECTIONS INSPF-CTOP 212 Ktin,SLmat 0 MuniciFil Quiltlltlg Nordiarnp( an,MA 01000 SECONDARY CONSTRUCTION CONTROL DOCU1riENT (for Professional Zngineers/Arehitects responsible for only portion of a controlled project) Projcct Title: Villaqba4" Aill L._ •`disc' 11 Date: aO�l1f Project Location: 66r1% jn�M A Map: G Parcel:- 17 Zone: FV Sco of Project: ~a- eta uS i w ShVVf In 5- In accordance ivith.the sixth edition//Massachusetts State Building Code,78O CMR SECTION 116.0: I, 1 f4t? Mass. Registration Number 1-4'(l 7 Being a registered professional Engineer/Architect hereby CERT1rY that I have prepared or diree0y supen•ised the prcparation of all design plans,computations and specifications concerning: [ J Fire protection (J Architectural [J Structural) [//j Mecbatziral [J Electrical Other(specify) La)n �f, A ucAi 44d UVQ., for the above narmcd project and that to the best of my knowledge,such pians,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. Funherinore, I understand and AGREZ that I Shall perform the neccssary professional senicc;s to detertttinc that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shalt submit a final report as to ilia satisfactory completion of the above- !\Itltltltlt}trJJdJ mentioned' onion of the work Signature ,Intl Scal of registered professional: VIiv Fax 413-587-1272 -phone 413-587-12401 zoo[n ZLZTL99CTP YVd 9V:6T 80oZ/90/ZO i a (2f� of NorthaliT loll , L r A 6 , ansse}tuseIts t ' DEPAKTjkENT OF BUILDTI\TG INSPECTIONS INSPECTOR 212 Maim'&r=t 0 Municip;lt Building w� Nordtampion, MA SACK) J F. SECONDARY CONSTRUCTION CONTROL DOCUlIEl1T (for Professional Engineers/Architects responsible for only portion of a controlled project) Projcct Title: VllIAQt47(, �plialAA ?1,4X 11 Date; Project Locution: NOfr M yt Map: .�j—(- Pa rccl;. _Zone; 1 `� Scope of Proiect: In accordance with.the sbcth edition Massachusetts State Building Code,734 CIVM SECTION 116.0: Mass. Registration Number 301` (0 Being a registered professional Ertgtneer/Architect hereby CERTJXY that I have prepared or directly supen-i-tv-,d the preparation of all design plans,computations and specifications concerning: [J Fire protection [J Architectural ' Structural [J Mechanical [J 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 accx:ptable engineering practices and all applicable laws for the proposed project. Furthermorc, l understand and AGREE that I',shall perform the necessary professional sm iccs to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit a final report os to the satisfactory completion of the above- mentioned portion of the work. Signature and Scai of registered professional: y�UkM M. DAUM P.E. an Fax 413-587-1272 -p one 413.597-12 .0 ZOOM %ZTL85CTV YVA Ji':VT SOOZ/00/ZO 02/22/08 12:06 FAX Z001 _ ( ' i •p¢�,�`Oj\ � it - - C�'! ' i r = 1 iit�c J-y �?: C(QT if�c1i1 iG�Ii _arMM uc?^ Tk ?SIi Qr $U:✓i),�C INS?zc�, I ??2 11•I Ln C.`...-CLL 71'i L'I:1 C1�III L�S�IQISIS . _ r::SPEp� r� o i 1�`�Grlhazaplo�, T3�,-c_ Ol0ut7 �`;: Sc7ua t`e c oo C age Asoun t • icS�e L @ y_� _!""-ver _ ?nd Floor 1/? Fla3rs, ACCic. Czrag? S.iS G;c`-, Patches 7 �s'6 7-O