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38A-116 (10) VILLAGE HILL RD-BLDG A-4- MUSANTE DR-LOT#23 BP-2008-0742 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A- 116 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-2008-0742 Project# JS-2008-001157 Est. Cost: $998672.80 Fee: $2.761.90 PERMISSION IS HEREBY GRANTED TO: oust. Class: 5B Contractor: License: Use Group: R2 WILLIAMS BUILDING COMPANY INC 85270 Lot Sizef sem. fLL Owner: Community Builders,Inc. zoninLy; n Applicant: WILLIAMS BUILDING COMPANY INC AT: VILLAGE HILL RD - BLDG A-4 - MUSANTE DR - LOT#23 Applicant Address: Phone: Insurance: 19_6 OLD TOWN HOUSE RD (508)394-3644 WC VVE-ST YARMOUTHMA02673 ISSUED ON:3/27/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 8 UNITS R-2 BLDG POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector ervice: Meter: Footings: ()K41 �10s, cry Loe.t(S Rough: J-/19 06� Rough:r(f Ilouse# Foundation:0 Driveway Final: Fina1:f-�Q`�9�✓ Final: ; Xv/0 y Rough Frame: 1/3/o Lf r1S Gies: Fire Department Fireplace/Chimney: -16 � - Oil: Insulation � 11-174 Rough: Final:�-3 n�1 Smoke: ( Final:0 K �j ^a q 1<k THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULA-TJONS. Certificate of Occupancy- Signature: FeeTy e: Date Paid: Amount: [wilding 3/27/2008 0:00:00 $2761.9027688 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo i i BP-2008-0742 (A IS COMMO WEALTH OF MASSACHUSETTS ITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) cater BUILDING PERMIT l'C 11th;,! BP-2008-0742 Project# JS-2008-001157 Est. Cost: $998672.80 Fee: $2761.90 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R.2 WILLIAMS BUILDING COMPANY INC 85270 I_of Size;(stl ft_l Owner: Community Builders,Inc. Zoning: PV Applicant: WILLIAMS BUILDING COMPANY INC AT: VILLAGE HILL BQ - BLDG A-4 - MUSANTE DR - LOT#23 Applicant Address: Phone: Insurance: 196 OLD TOWN HOUSE RD (508) 394-3644 WC WEST YARMOUTHMA02673 ISSUED ON:3127I20Q8 0:00:00 TO PERFORM THE FOLLOWING WORK-CONSTRUCT 8 UNITS R-2 BLDG 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: 1:ough: 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 §ignature: FeeType: Date Paid: Amouutr Building 3/27/2008 0:00:00 $2761.9027688 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2008-0742 APPLICANT/CONTACT PERSON WILLIAMS BUILDINGOMPANY INC ADDRESS/PHONE 196 OLD TOWN HOUSE RD WEST�ARMOUTH (508)394-3644 PROPERTY LOCATION VILLAGE HILL RD-BLDG A-4-MUSANTE DR-LOT#23 MAP 38A PARCEL 116 001 ZONE PV THIS SECTION FOR OFFI�IAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 1311i1diii, Permit Filled out Fee Paid 6 D ' Typeof Construction: CONSTRUCT 8 UNITS 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 F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 �T/f ZONING BOARD PERMIT REQUIRED UNDER: §' �A0AJ 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 Ls Zao� Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 1 , 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 -` ,eve Map Lot Unit `mar Lj-1 2 b 3 S A-- (C-CSD I Zone Overlay District Ac-4-ne" C 87y7 _-- Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Village at Hospital Hill II,LLC 0 c/o The Community Builders, Inc. p Name(Print) Current Mailing Address: Tho s P.Kegelman,Authorized Agent (413) 737-0207 --- Signature __ __ ____________ Telephone 2.2 Authorized Agent: Williams Building Co., Inc., Tim Williams,Principal 0 116 Old ToWh Aou-�,q-RJ, \/V0,t \/.„-„Aovj M�0 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 completed by permit applicant 1 Building $799,160.8.0 (a)Building Permit Fee 2 lectrical (b) stimated Total Cost of $81,003.210 Construction from 6 3 Plumbing $47,809.60 Building Permit Fee 4 Mechanical( AC) 5 Fire Protection $70,699.210 I 6 Total (1 2 3 4 5) $998,672.. 0' Chec Number ..., _ This Section For Official Use Only Building Permit Number Date $sued Signature: Building Commissioner/nspector of Buildings Date i Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS TAN 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: �►j1J S [ (C.V�c`T N£.4J g i.(!j l7 (Z-7 T3(,u(-1 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 E] A-5 ❑ 1 B El B Business El2A ❑ E Educational 132B I ❑ F Factory ElF-1 ❑ F-2 El 2C ❑ H High Hazard El3A 1:1Institutional ❑ 1-1 El1-2111-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential R-1 ❑ R-2 Q R-3 ❑ 5A S Storage ❑ S-1 ❑ S-2 El 513 � 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 _ 3,432 2nd 2nd 3,279 3rd 3rd 2,512 m J ,. 4 t _ 4 Total Area(sf) Total Proposed New CoMstruction(sf) 9,223 Total Height(ft) Total Height ft 38 7.Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private ❑ Zone Outside Flood Zoned Municipal E] On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 38,,100 Frontage 58 .7 Setbacks Front '4.41 Side L: R:s L:2+4.3 R:6.1 - Rear ti/a(through-lot) Building Height 38 Bldg. Square Footage % 923' Open Space Footage (Lot area minus bldg&paved 1 x,900•; parking) #ofParking Spaces _ 3 (Lot 23 total)"''; Fill: 0 volume&Location - _ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW Q YES IF YES, date issued: 02/08/2008 IF YES: Was the permit recorded at the Registryjof Deeds? NO © DON'T KNOW © YES Q 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 © YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtainedQ Obtained Q , Date Issued: C. Do any signs exist on the property? YES O' 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 Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES e NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. I Versionl.7 CommerOal Building Permit May 15,2000 SECTION 9-1 PROFESSIONAL DESIGN AND CONSTRUCTIOK SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION';CONTROL PURSUANT TO 780CMR 116(CON AINING MORE THAN46;000 C.F OF ENCLOSED SPACE) 9.1 Registered Architect: Kerry L. Dietz Not Applicable 13 Name(Registrant): � � [5264 Registration Number [Dietz&Company Architects,Inc., 17 Hampden St., Springfield,MA _ 4 08!011290$ [ Address _ -- {413}733-b79$ j Expiration Date Signatur Telephone 9.2 Registe rofess nal gineer(s): Mark B.Darnold � � � Civil� Egineering�n NameArea of Responsibility Berkshire Desi Grou ,4 en Pla e,Northampton,M4 01060 32459 Addr � _ Registration Number {413) 582-7000 06 3 Q08 Signature Telephone Expiration Date Jay Vinskey _ � � mm [LdscapeArchitecture Name Area of Responsibility Berkshire Desi u ,4 Allen Place,North�n �06Q 12b7 ..�._.._ Address Ration Number {413}5$2-70Q0 -1!31/2009 �� ! Signature Telephone Expiration Date William Barry����� Structural Engineering�� Name Area of Responsibility Barry Engineers&Constructors,Inc., 176 Churchill St., ittsfield,MA 30196 ��� � Registration Number Address 9_rati 413 443-6-- Signature 591 06/9I/2008 �'in .� — Sign re Telephone Expiration Date Fire Protection En "Hearin Delbert B. Smith,Jr.,CPD,LEE AP g NameArea of Responsibility CES_,Inc.,811 Middle St.,Middletown,CT 06457 _ PEN0018(73 Registration Number 4 Irg�m� {$60)632-1682 �113112409 si tura Telephone Expiration Date 9.3 General Contractor Williams Building Coman , _ _ _.,__ Not Applicable ❑ Company Name Url� !t Responsible In Charge of Construction 196 Old Town House Rd.,West Yarmouth,MA 02673 Add ss _ ill ' 7W 508)394-3b jighature Telephone Version 1.7 Commercial 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(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 Name Area of Responsibility CES, Inc., 811 Middle St., Middletown, CT 06457 PEN 0018073 Ad Registration Number (860) 632-1 682 01/31/2009 nat Telephone Expiration Date Delbert B. Smith, Jr., CPD, LEED AP Plumbing Engineering Name Area of Responsibility CES, Inc., 811 Middle St., Middletown, CT 06457 PEN 0018073 Addr Registration Number l(860) 632-1682 01/31/2009 Signa re Telephone Expiration Date Douglas S. Lajoie, PE, LEED AP Electrical Engineering 0 NameArea of Responsibility CES, Inc., 11 /dAAiddletown, CT 06457 'PEN 0020909 Address Registration Number (�60) 632-1682 01/31/2009 Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor —� Not Applicable ❑ Company Name:: / Responsible In Charge of Construction LSignat ss t Telephone - I Versionl.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 O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Willa e at Hospital Hi gelman,Authorized Agent t - as Owner of the subject property g ..._.. e .....,p.a_-_.�. II, LLC, Thomas P Ke..__. ._ ....... .. .._._.._.. ......._ .. Williams Building Co.,Inc to hereby authorize ...._._ _ _ ...._. _.. ... .. . act on my behalf, in all matters elative to work authorized by this building permit application. Z�Ca dP Signature of Owner to 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 - _ .,.,.. . . ....,, ... ._._. ........... ,Tim Williams _.._ . Print Name A6' � Signature of Owner/Agen Date SECTION 12-CONSTRUCTION SERVICES _1.0.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder: Kevin Letendre CS85270 License Number 4 Bentwood Drive, Sturbridge, MA 01566 01/29/2009 Address _ Expiration Date (508) 347-0993 Signature Telephone SECTION 13-W RKER O ENSATION 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 O �le rao� o�✓��aac�iueelta Board of Building Regulations and Standards Constructim Supervisor License Llc :.;CS 85270 B14440K IAW1952 Expir,ti tc 10009 Tr# 8893 ResttrfitC; 00 KEVIN LETENDRE 34 CEDAR LAKE DRG STL IRBRIDGE,AAA 01588 Commoner l l -_ I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:. Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 19(DC1A 71t)Yl haute 9Q4 City/State/Zip: W 6 Phone #: UD g•3<)4/• Are you an employer? Check the appropriate b x: Type of project(required): 1.El am a employer with 4. I am a general contractor and I 6. XTNew construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. F-1 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.❑ 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.] 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 natne of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation ins stance for my employees. Below is the policy and job site information. Insurance Company Name: ��--' Policy#or Self-ins. Lic. #:w o, 031 1 115 ) (D Expiration Date: �/ 16766 Job Site Address: y. City/State/Zip: A&qJ=i9bA1i Attach a copy of the wor rs' 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 certify and an penalti of perjury that,the information provided above its true and correct Si nature: ate: 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 wms building 0002/003 ACM.TM oz/o6/z009 CERTIFICATE OF LIABILITY INSURANCE DATMMIDDos PRODUCER (508)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 Insurance CO INSURERS: OneBeacon Ins. Companies OBIOOI 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 INSI;IRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCWMENT 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. INSLIADD-1TYPE OF INSURANCE POLICY NUMBER POICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR MED EXP(Anyone person) $ PERSONAL&AOV INJURY $ GENERAL AGGREGATE $ GENT 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 S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC0371516 05/25/2007 05/25/2008 WCSTATU- OTH- EMPLOYERS'LIABILITY I21Y I IMIPR A ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ Soo,O00 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 50O OO I(yes,describe under , SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 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/VEHICLES I 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 A UTHORIZED REPRESENTATIVE Silvia/FAI751 ACORD 25(2001108) ©ACORD CORPORATION 9988 i ---------------------------------------------- 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 BEPDELEV ST STE 500 BOSTON MA 02110 Recording Fees ---------------------------------------------- Document Recording Description Number Book/Page Amount s------------- ------------------------------ - DECIS 00002538 9389 200 $75.00 VILLAGE At HOSPITAL HILL $75.00 Collected Amounts ---------------------------------------------- Payment----------- --------------------------------Payment Type Amount ---------------------------------------------- Cash ------------ -------------------------------Cash $75.00 $75.00 Tot81 Received $75.00 Less Total Recordings: $75.00 Chahge Due $.00 Thank You MARIANNE DONOHUE - Register of Deeds By: Maureen C ReesiptN Date Time 0185054 02/08/2008 08:56a Reprinted BY: Maureen C Reprinted On: 02/08/2008 08:56a 0��1"pTp C�i�>L�r �>�f ��t��ljttllt�f�rr � ° �i asiacF�tattta , DEPARTMENT OF BUILDINTG INSPECTIONS INSPECTOR. 212 Main Street • Municipal Building Northampton,MA 01060 CONSTRUCTION CONTROL DOCUMENT (for professional Engineers/Architects responsible for Entire Project) Project Title: a� Date: �de,L. Project Location: 1Av �t w Map: jl G Parcel:�2one: �/ w►7'" SC Scope of Project: Mew .6d �$ e,� M -a hAUsi✓► (0&CbVC#j`11 e_ S—� —rt- In accordance with the sixth edition Massachusetts State Building Code,780 CMR SECTION 116.0: 1' e r LD l Q.47— Mass. Registration Number 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: [t 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 fpr 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. 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 the work and to determine,in general,if the work is being performed in a manner consistent Mth 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,Mork,I shall submit to the building official a final report as to the satisfacto letion and readiness of the project for occupancy. �D ARC! Signa tta red professional:' NO' 5264 t Springtield, • �J S ` Fax 413-587-1',272 -phone 413-587-1240 d trifrr j of r#Iiiltn1z J a �3¢aasc7l:,srCta ' DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Strut 0 Munieipst[ Builtting Nortl =pwn, MA 01060 SECONDARY CONS'TRUCT'ION CONTROL DOCUMENT (for Professional Engineers/Architects responsible for only portion of a controlled project) Project Title:V1 11m #Vil A Ali Z G['C 11 Datc, ' �O 4-R ��e I Project Location: Moy tphlA TMM,ap. 516 Parfet: 17 Zone: FNI %A' Scope of Project, Mewy W661 addst , -d- Y�tS G tlVt -B In accordance with.the shah edition Massachusetts State Building Code,7SO CMR SECTION 116.0: 1, ( 7� tom„ _ -5. !'Yt{ le-. Mass. Registration Number PE4 0018073 Being a registered professional Enginmr/Architect hereby CERT7Y that I have prepared or directly supen•ised the preparation of all design plans, computations and specifications concerning: Fire protection f l Architectural j] Structural KMechanical (J Electrical [j Other(specify) for the above Hamed project and that to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of Oe Massachusetts Slate Building Code:all acceptable engineering practices and all applicable laws for the proposed project. Furthennore, I understand and AGREE that I shalt perform the necessary professional sen ices to dcterminc that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the work, T shall submit a flthal report as to ilia satisfactory completion of the above- mentioned*ponion of the work Signature and Scat of registered professional: OFAI,�e_ DEL.BERT ft.y'n SMITH,JR. MECHANI f2S Fax 413-58'7-1272 -phone 413.587.)240 ZOOz ZLZTLHCT6 YVd 9V:VT SOOZ/90/ZO fl� Ttj ► �` (rife Elf NCtr#1YR111piall � v ,r � ,�esasc}tnattta 1 1 DEPAR.TMEN1T OF BUIL0I7T;0 INSPECTIONS 1NSPF-CTOR 212 Main,irtzt 0 Municipal Bilildin= Nordiampion,MA 01060 SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers/Architects responsible for only portion ofa controlled project) Project Title' J A4 *i tG"Date: Project Location: 8v Map: -31 G Parcel: Zone: Scope of Project- 176VJi 5-t3 In accordance with the sixth edition Massachus¢tts State Building Code, 7SO CMR SECTION 116.0: I, las i D i 2Mass, Registration Number Being a registered professional EngineertArchitw hereby CERT17Y that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: [ ) Fire protection I] Architectural I] Structural [] Mechanical Electrical [] Other(specify) for the above darned 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. Furihermore, I understand and AGREE that I shall perform the necessary professional st:r<iccs to deterininc that the above mentioned portions of the work proceed in accordance w-itlt the documents approrcd for the building permit. Upon contplction of the-work, T shrill submit a iimal report is to the satisfactory completion of the ibove- mentioned'ponion of the work Sigti-Iture and Scal of registered professional: t o � r D i Fax 413-587-1272 -phone 413-597-1240 00 in %9TL99CTV XV3 9V:VT SOOZl90/ZO i 0 �ti4 O vs y F � ` ,r �asgacl7:rertta V� 17a 111P tail FJ t DEPARTMENT, OF BUILDI3\TG INSPECr1ONS INSPECTOR 212 Main�Lreet ! Municipnt 2 iiiilding NtrMia.mpton, MA 010&) SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers/Arcli tects'responsible for only portion ora controlled project) Project Title: AAA �ALtg1 Date-, a' r e6b Project Location: OY4AWAn '_'__Map: 3JG Parcel: 17 Zone; ?V Scope of)�el'cc,� r . DD��k.. fy"at�k,.t, C v�5 G �-h •ve v+�'�'Yvt,�Mt �j"13 In accordance with.tile sixth edition Massachusetts State Building Code, 7SQ CMR SECTION 116.0, I, i-A 0.-YL --Ls• �Q Xf►'? L># Mass, Registration Number_�_5L_._ Being a registered professional Engineer/Architttct hereby CERTSI<Y that I have prepared or direct)}= supervised the preparation of all design plans, computations and specifications concerning: [ ] Fire protection []j+Archfitectural [1 Structural [ Mechinicai (]Electrical Other(specify) l�lY(t� !Jez,*~ for the above named project and that to the best of my knowledge, such plans,computations and specifications meet iltc 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 perfornh 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 contplction of tate work, I shall submit a filial report as to the satisfactory completion of the above- mentioned ponion of the work. Sil na(urc rtr:tt Scat of registered professional: OF K B. p 2N43LD ..,t CW Fax 413-5$7-1272 -phone 413.587- 240 %00 En ZLZTL99CIP YVd 9V:VT $OOZ/90/ZO `fes Cr'L - � It Uf Xorf 11 Liqlly loll � It � f .t �RDDRC}�1IDRttD t Z. t ' DEPARTMENT OF BUILDING 1N5PECTI(.?N6 J- INSPECTOR 212 Main Street e MuniciFit Bttiltlilig w i No dtrunP( rn,MA 01060 SECONDARY CONSTRUCTION CONTROL DOCUhiEN'r (for Professional Engineers(ArcWtects responsible for only portion of a controlled project) Project Title:Villa4b IW AX t/ Dale; � e�'. ' ��7T�� Project Location: Ai6i&haG q M A Neap: 31 c Parcci; W Zone; V �! Seo of 1'rojccc t !!-- . `c y16 Ul lIM, 6b Vr glrV& #14 In accordance with.the sixth edition`Massachusetts State Building Code,780 CMR SECTION 116.0: 1, � 1►'154Q.T Muss, Registration Number 1 �l Being a registered professional Engineelr/Archittct hereby CERT)TY that I Have prepared or direedy supervised the preparation of all design plans,c6mputabons and specifications concerning: [ ) Fire protection [] Architectural [] Suuctural [] Mechanical ( ) Flectrical Other(specify) 1r► for the above named project and that to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of'the Massachusetts State Building Code,ail acceptable engineering practices and all applicable laths for the proposed project. Funhermore, I understand and AGREE that I skull perfomi the ncccssaty professional services to determine that the above mentioned portions of the`work proceed in accordance with the documents approved for the building permit. Upon completion of the work,I shall submit a final report as to ilia satisfactory completion of the above= mentioned'ponion of the work ,�`tttttttmltttr►r[rrirrr Signature and Scal of registered professional: A- -'re, ' O. '` stMCI Fax 413-587-1272 -phone 413.597•)240 Dort( %ZT499UV Ytr3 9V:PT 90oZ190fZo Q � azzaC4 Its r II Za 1 DEPARTMENT OF BUILWNG INSPECTIONs j INSPECTOR 212 Main$Lr=1 ! Municip;it Bisiidin Northampton,MA 010(4) SECONDARY CONSTRUCTION CONTROL DOMNI rNT (for Professional Engineers/Architects,responsible for only portion of controlled project) Project Title: VidAlt 4 5DIM 1e '�� �IDatc: os a --�— - I I S�7 Project Location: / 046& map:—,31G Parcel, Zone: Wr Scope of Project: In accordance with.the sLah edition Masmchusetts State Building,Code,7SO CMR SECTION 116.0, I, }} 1 (�1 A,r'v1 OeXY Mass, Registration Number Being a registered professional BngtneerlArchittct hereby CERTUZY that I have prepared or directly supcMsred the preparation of all design plans, computations and specifications concerning: [ ) Fire protection t 1 Architectural XStnlctural (] Mechanical () Electrical [j Other(specify) for the above rtaincd project and that to the best Of my knowledge, such plans,computitions and specifications meet the applicable provisions of the Massachusetts State Building Code.all acceptable engineering,practices and all applicable latus forthe proposed project. furthermore, I understand and AGREE that I shall perform the necessary professional smice:s to determine that the above mentioned portions of the Nvork proceed in accordance witli the documents approved for the building permit. Upon completion of tiie work, I shall submit a final report as to,ilia satishictory cotnptction of the above- mentioned'ponion of the work Signaturc and Scats of registered profcssianal: WMAM M. BARRY, P.E. �+ Pax 413-58'1-1272 -p one 413-587.1240 Z00in ZLZTL99CTP yvd W VT 8002/80/Z0 02/22/08 12:06 FAX 12 001 _ ' uc?n1?iirtfT OF BUILD, INS?c'C10i.'S _5PC-C_OD ?12 ?iz,n c AfLricipul Liu=lain01050o !'- qq SCrua/recooca e 40 Psoun y �3 2nd Flocs @ $.-30 1/? FII-ocs. AtCic. Garage .S Lick; Pocches • �` �- �°""' r�1'��k,w•� �_'" ",�a -rte-= ,�