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38A-116 (11) BP-2008-0739 GIS#: COMMO WEALTH OF MASSACHUSETTS �* t ITY 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-2008-0739 Project# JS-2008-001154 tst. Cost: $1013285.60 Fee: $2992.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R2 WILLIAMS BUILDING COMPANY INC 85270 Lot Size(sq. ft.): Owner: Village at HOSPITAL HILL II LLC Zoning: PV Applicant: WILLIAM$ BUILDING COMPANY INC AT: VILLAGE HILL 8D - BLDG A-1 - LOT #23 Applicant Address: Phone: Insurance: 196 OLD TOWN HOUSE RD w (508) 394-3644 WC WEST YARMOUTHMA02673 ISSUED ON:31271208 0:00:00 TO PERFORM THE FOLLOWING WORK:�ONSTRUCT 8 UNIT 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 i# 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 §ignature: FeeType: Date Paid: Amount:' Building 3/2712008 0:00:00 $2992.20271688 212 Main Street,Phone(413)'587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2008-0739 APPLICANT/CONTACT PERSON WILLIAMS BUILDING COMPANY INC ADDRESS/PHONE 196 OLD TOWN HOUSE RD WEST YARMOUTH (508)394-3644 PROPERTY LOCATION VILLAGE HILL RD-BLDG A-I -LOT#23 MAP 38A PARCEL 116 001 ZONE PV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 4 mic oact dApaaa Fee Paid 4:9(1&94 0 4f tO 7�7 0-f CA Typeof Construction: CONSTRUCT 8 UNIT R-2 BLDG New Construction Non Strucairal 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 INF ATION PRESENTED: VApproved_Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER�I§ .1w Intermediate Project: Site Plan AND/OR --Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: Finding Special Permit Variance*—,— ___Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Avail#lity Sewer Availability —Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission 1 Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management _—Demolition Delay 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. i Versionl.7 Commercial Ouilding 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 F3`I�1' t £� ap Lot Unit Bui IACX- L0' 4 '713 one Overlay District �orLel �D 38A-llb-0o� flG1�Pcx e_- •g7y7 - - Im St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Village at Hospital Hill II, LLC p c/o The Community Builders,Inc. Name(Print) Thomas P.Kegelman,Authorized Agent Current Mailing Address: (413) 737-0207 Signature _ _ ------- Telephone 2.2 Authorized Agent: Williams Building Co., Inc., Tim Williams,Principal © 116 Old Towle, flr use. IRO(1 W1151f 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 $810,853.60 (a)Building Permit Fee 2 lectrical $82,188.8' (b) stimated Total Cost of Construction from 6 3 Plumbing $48,508.80Building Permit Fee 4 Mechanical ( AC) 5 Fire Protection $71,734.40 6 Total (1 2 3 4 5) $1,013,285.66 Chec Number / This Section For 4fficial Use Only Building Permit Number Date slued Signature: Building Commissioner/nspector of Buildings Date Version 1.7 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❑ Fkoofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: C-61\) (L ,kCT �JC-(j ClN SECTION 5-USE GROUP AND CONSTRUCTION TYPE T_ 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 El R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 56 Q U UtilityElSpecify: _. 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) St ISt 3386 2nd 2nd 3,229; 3 r 3rd 2,249 4th 4th Total Area(sf) Total Proposed New Corhstruction(sf) 8,864 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 Zoned Municipal 0 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 38,4 QQ Frontage 584r7 Setbacks Front 3r4 Side L: R: _ L:4r2 R: 12.5 Rear n(a(through-lot); Building Height 30 Bldg.Square Footage % 8 ti4' Open Space Footage (Lot area minus bldg&paved1$,900 parking) #of Parkin Spaces 31, (Lot 23 total) Fill: 300�,CY A BLDG volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW © YES Q IF YES, date issued: 02/08/2008 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW Q 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 DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained , Date Issued: C. Do any signs exist on the property? YES ®II 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 O NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commerc al Building Permit May 15,2000 SECTION 9-,PROFESSIONAL DESIGN AND CONSTRUCTION S RVICES-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: Kerry L. Dietz Not Applicable ❑ ..��-.- __....- ___.._ ... 264 Name(Registrant): �„5„ ,Dietz&Company Architects,Inc., 17 Hampden St., Springfield,MA Registration Number Registration . Address ;08/01/2008 (413)733-6798 Expiration Date Sign re Telephone 2 Redste-radprofessional Engineer(s): Mark B. Damold Cavil Engineering Name Area of Responsibility AI `Berkshire Design Grou Allen Place,Northampton,MA 01060 32459 _AAAA.-AAAA. .. _. .._AAAA .. _.._...-... ,. Addres Registration Number �w'0� _„�... .__-AAAA.. (413) 582-7000 06/3_0/2008 gnature Telephone Expiration Date ja Vinske Y, __._ Y ,,, _ Landscape Architecture AAAA. - AAAA... Name Area of Responsibility Berkshire Design GroyR,4 Allen Place,Northampton,MA 01060 '1267 __AAAA. �.. ... Address Registration Number ';(413) 582-7000 '01/31/2009 Signature _AAAA... ._.. 9 Telephone Expiration Date ,William Barry Structural Engmeenng Q AAAA ....... .. ._.�...... Name Area of Responsibility _._�..._. ... _.. 'Barry Engineers&Constructors,Inc., 176 Churchill St., Pittsfield,MA 30196 Address Registration Number ` (413)443-6591 06/01/2008 Signature Telephone Expiration Date !Delbert B. Smith,Jr., CPD,LEED AP Fire Protection Engmeenng ©, Name Area of Responsibility ;CES,Inc., 811 Middle,St.,Middletown,CT 0645.7 PEN 0018073 Add Registration Number AA 060)632-168201/31/2009 I'll, .. . .-AAAA. ......_.. ....._ S' ure Telephone Expiration Date 9.3 General Contractor Williams Building Company, Inc. Not Applicable ❑ Company Name: Responsible In Charge of Construction 196 Old Town House Rd., West Yarmouth, MA 02673 Address ; 508)394 3644 Signatur4 Telephone 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(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 Name Area of Responsibility CES Inc., 811 Middle St., Middletown, CT 06457 PEN 0018073 AdRegistration Number (860) 632-168201/31/2009 �M Si ture Telephone Expiration Date Delbert B. Smith, Jr., CPD, LEED AP !Plumbing Engineering 0 Name Area of Responsibility CE5, Inc., 811 fiddle St., Middletown, CT 06457 PEN 0018073 A Registration Number (860) 632-1682Sy' 01/31/2009 nature Telephone Expiration Date Douglas S. Lajoie, PE, LEED AP Electrical Engineering Name Area of Responsibility CES, Inc., 81 dl St Middletown, CT 06457 PEN 0020909 Address Registration Number Z, Tdfzi� (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 Company Name: Not Applicable ❑ pf Responsible In Charge of Construction Addressl 1 �/ S tur Telephone Version l.7 Commercia I Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review RequiredYes Q No Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT :Village at Hospital Hill II,LLC, Thomas P Kegelman Authorized Agent a as as Owner of the subject property Williams Building Co., Inc. hereby authorize L.w_ ,.,,,e _r e.. ..,m_ to act on my behal , in all matters relative to work authorized by this building permit application. ti Signature of Owner Date m-a .A„e .. ... e �� . � r .. . ,Williams Building Co.,Inc., Tun 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. y WMT Tim Williams __ .. .......... . . ... , _�_ ._ ..i Print Name Signature of O Bate SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Kevin Letendre Name of License Holder. . . . ., m License Nunmmbe.,.r ... ., _. ,,..,...._ . .... 4 Bentwood Drive, Sturbridge01/29 , MA 01566 /2009 _.... a v_ X01/2 ,m _ Address Expiration Date ,(508) 347.0993 Signature Telephone 2 SECTION 13- ORKERS'COMP NS TION 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 0 i I Board of Building Regulations and Standards Construct"Supervisor License Ucensa:•;CS 85270 SW : AM1952 Expirt►" ifZ9i2009 Tr# 8893 KEVIN LETENDRE 34 CEDAR LAKE DR - ST RBRIDGE,MA 01566 Commoner 1 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washin ton Street Boston, MA 02111 Ulf www.mass.gov/dia Workers' Compensation Insurance Affidavit: '!Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): � pp Address: 19LD 61 T iw h6ct�2 h0 City/State/Zip: W 'hone #: 5 "-141 Are you an employer? Check the appropriate Type of project(required): El1. I am a employer with 4. I ant a general contractor and 1 6. XTNew 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. 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.❑ 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.] T employees. [No workers' 13.F-1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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. Insurance Company Name: %A CWa=q4 Q_ Policy # or Self-ins. Lic. 4:w,_n3i `t5 ' (Q Expiration Date: v IR.(5 Job Site Address: rti A 0 rl U . City/State/Zip: 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 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 civ�l 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 cop 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 hies of perjury that the information provided above is true and correct. Si nature: Date: Phone#: C3( qk/ Official use only. Do not write in this area, to be completed Ay 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 AC-Mu CERTIFICATE OF LIABILITY INSURANCE 02/06/2008' 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 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. INSROD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE 0 OCCUR MED EXP(Any one person) $ PERSONAL R ADV 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 S OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC03 71516 05/25/2007 05/25/2008 WC STATU• OTH- EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER 790003653000 07/27/2007 07/27/2008 Limit for Rental $55,900 B 50 Days - $1,000 ded DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City Of Northampton BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 210 Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Northampton, MA AUTHORIZED REPRESENTATIVE ,f'�� Kathy Silvia/FAIJSI f ACORD 25(2001108) ©ACORD CORPORATION 1988 I � i 9 � ;�$SiltCitl7Sttti I- 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' Blau f' Date: Project Location: Map: J� G Parcel: Zone:W ""R'^ 'S`7 Scope of Project: eW W 6OW&A'!29 Uv)S�VCbm t '� �i011S/✓t9 C0&7yChfl-t 7PL S',6 rr Li accordance with the sixth edition Massachusetts State Building Code, 780 CMR SECTION 116.0: I, Mass. Registration Number 5,%(Dq 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 fbr 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 constriction 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';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. �D AR . Signa eta red professional: Y N0. 5264 Springfield, v Fax 413-587.1272 -phone 413-587-1240 i a Crit/ luf �'ar#I� I�ttut� � ` ,r �Rsaxel2usciis �` Z. l DEPARTMENT OF BUILDIJ,,?C JNSPECTIONS INSPI-CT©1~1 212 Main SNreet 0 MuniciP;it Duilding Nor0l=pmn, MA 01060 i SECONDARY CONSTROCTION CONTROL DOCUMENT (for Professional Engineers/Architects responsible for only portion of a controlled pmicct) Project Title:Vill & 4 �Vs�l — ffA 1i Date: Project Location: gt�t�1► �Y t.ti.i4'� ;3C� J II�DY �, � Map: 3 ti Parcel: 7 Zone: Scope of Project EAV W 661 In accorda{rice tr'sth.the sixth edition ,Mlassachusr tts State Building Code, 7SO CMR SECTION 116.0: 1. b1;�1 Pt'I I l'Vt� �K Mass. Registration Number PF4 0018073 Being a registered professional Engineer/Arc:Mt4ct hereby CERTMY that I have prepared or dire4;Uy supen-ised the preparation of all design plans, computations and specifications concerning: Fire protection (j Architectural [] Structural Mcchinical () Electrical [) Other(specify) for the above rtarncd project and that to the best of my knowledge, such plans,computations and specifications ineet the applicable provisions of tete Massachusetts State Building Code:all acceptable engineering practices and all applicable lases for the proposed project. furthermore, I understand and AGREE that I stall perform the accessary professional senlices to deterrriinc thnt ilie above mentioned portions of the%vork procecd in accordance with the documents approN,cd for the building permit. Upon completion of the work, I shall Submit a filial report as to ilia satisfactory couipletion of the abm,e- mentioned'ponion of the work. Signature -Intl Scal of registered professional: 1NOF DEBT R. SMITH,JR. ME 1% 121 /f Fax 413-397-1271 -phone 413-587.1240 Zoo[n ZLZTL89CTV XVJ 9V:VT SOOZ/90/90 -. I �"ye. 6R �, i. �. i F k'� r� �Y ��: i (tiftr Ctf Xarfllalltp011 . ti ` ,t ' BSaRCtti29[tta l DEPARTUENT OF BtU1LD1?,iC INSPECTIONS INSPECTOR 212 Main&rtzt • Munic:ipttl Building Nortll:.mpton, MA 01060 w SECONDARY CONSTRUCTION CONTROL DOC'tliriENT (for Professional Engineers/Architects responsible for only portion ofa controlled project) Project Title: r t ttr�- SDIg � Date: da` tS� 00 Project Loctt[ion: 0V Map: J' 1 C Parcel: 17 Zone: Scope of Project Its lccordance with.the sixth edition Massachusetts State Building Code,730 CMR SECTION 116.0: k I, OV l G�$ �J • 0/Qi Mass, Registration Number BE �� o 01 Being a registered professional Engineer/Architect hereby CERT)TY that I have prepared or direedy supen�ised tic preparation of all design plans, computations and specifications concerning: [ ] Fire protection [] Architectural [] Structural [) Mechinical AFlectrical [j Other(specify) for the above name-d project and that to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of tete Massachusetts State Building Code,all acmpttable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform tilt ntccssarN professional senxiccs to deteraTiine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon coznplctiolt of the work, T shall submit a final report as to the satisfactory completion of the nbove- mentioned'ponion of the work. Sign:lturc and Scal of registered professional: t4 Fax4i3•-587-1272 -phone413.587.1240 ,00[P] ZLZTL99CTP XV3 9P:VT Booz/90/z0 I 0 j f zaaaet7�czaetia ' DEPARTMEN'7"; OF BUILDA,10 INSPECTIONS � INSPi-CTOP! 212 Main Street • Mtanicipcit Bililding Nortltavnpann, MA 01060 �v SECONDARY CONSTRUCTION CONTROL DOCUMENT (for Professional Engineers/Architects a`esponsible for only portion of controlled project) Project Title:—� j LlAkl�. 1� Date: �" W Project LDwaiian: OY��tINn M, p:-3 C_Parcel: 7 Zenc: V Sco,e of raj In accordance with the sixth edition Masmchus*ts State Building Code, 780 CMR SECTION 116.0: 1, I. 10LYL -f> • -D0.*-Y1 t7(d Mass. Registration Number�5 Being a registered professional Engineer/ArcMtdct hereby CERTS);<Y that I lizve prepared or directly supen•isrd the preparation of all design plans,computations and specifications concerning: [ J Fire protection [] Architectural [] Strg-tural [] Mechanical [ Electrical �((Dther(specif})�1�Y1?.�►.Y" for the above named project and that to the best of my knowledge, sucli plans, computations and specifications meet tlac 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 s1hall perform the necessary professional services to dcterminc ih;at ilia above mentioned portions of 6e Nvork proceed in accordance with the documents approvcd for the building permit. Upon completion of the work, I shall submit a fiftal report:as to ilia s,9tisfactory completion of the above- mentioned ponion of the work. Signature and Seal of registered professional: O 4 luIARK B. u� QA{2PdOLD W 32459 '4 GIST Pax 413-587-1272 -p one 413.587. 240 � 7,00[n Z4Z%99CTb XX,3 9V:VT 80oZ/90/Zo j 0 0T2 nkHTo -\ Criu kr ]arI� lltTQ21 ' DEPARTt4ENTI OF BUILDING INSPECTIONS A. fNSPP_CT0P 212 Main Slrrect ! Municipal Building Nordhatmptnn, MA 01060 SECONDARY CONSTRUCTION CONTROL DOCUNI TENT (for Professional Engineers/Architects responsiblc for only portion ofa controlled project) Project Title- Vi I laQ1 Dato; 8( c�dDX Project Locations4rfrtA PT73Iq Mri M�p: G Parcel: 17 Zone: 7N vviIT SC7 Scoe of project, -r} ria VJ► vt G i t4 '�- In accordance witli.tire shah edition N fassachusetts State Building Code, 7S4 CMR SECTION 116.0 I, 1Mass, Registration Number 7 Being a registered professional Engineer/Axchitict hereby CEFtTUY that I hive prepared or dire4;tly supervised the preparation of all design plans, c mputations and specifications concerning: ( } Fire protection (} ArchitecturaI [I SoIctural [} Mechanical (} Electrical Other(specify) for the above namcd 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 lanes for Ithe proposed project. Furtliermore, I understand and AGREE that l 4talI perform the neccssarti°professional sen,ices to determirto chat the above mentioned portions of t$e work proceed in accordance with the documents approved for the building permit. Upon completion of the work, I shall submit a final report as to the satisfactory coinpletion of thc:above- mentioned'ponion of the work_ ON.``,,tutttt:ttttrrrr,,,/, Signature and Scat of registered professional: !,�� 'I'��� "o `A "ir y,J ti, Fax 413-587-1272 -phone 413-587-124(1 ;00[ ZLZTL92CTP xVJ 9V:VT Booz/90/zo i p�Knn�tyTo �' a �% Gif" a 7crr#I� 1zt tQ2� DEPARTMENT OF BUILDINiG 11q5pI:CT10N5 ENSPE;CTrOR 212 Main S'Lreet • Municip;tt Building North;t.mplon, MA 01060 4 SECONDARY CONSTRUCTION CONTROL DOCUINTENT (for Professional Engineers/Architects responsible for only portion of a controlled project) Project Tide:VillAit 61fli1( �� (1 Datc: /Os�d 1 Project Location:� 1v14p: 3LC. Parccl:� Zone; W1 SG7 Scopc of project: &1W 'A-1190d '�' ?4US1L' evLS 5-'1� Tn accordance with.the sixth edition Massachusetts State Building Code, 730 CMR SECTION 116.0: I, Mass. registration Number Being a registered professional Engineer/Architect hereby CERTMY that I have prepared or direct]y supen-ised the prcparation of all design plans, cdmputabons and specifications concerning: € ) Fire protection (J Architectural XStructural r J Mechanical () Electrical [J Other(specify) for tlzc above named project and that to the best of my knowledge, such plans,computations and specifications ineet the applicable provisions of the Massachusetts State Building Code;all acceptable engineering practices and all applicable lazes for-the proposed project. Furllierniorc, I understand and AGREE that I$hall perforrn the necessary professional serviccs to deternninc that the above mentioned portions of the Nvork proceed in accordance with the documents approved for the building permit. Upon c0111plctio11 of the work, I shall submit a Oral mport ,is to the satisfactory completion of the nbove- mentioned'ponion of the work. Signaturc anti Seib of registered professional: 9 ' WILUAM M. BARRY,P.L �9M(✓� App ,^...''I \n Fax 413-397-1272 -p one 413-557.1240 7,00[ 1 ZLZTL92CTV Xvd W tT SOOZ/90/Zo 02/22/08 12:06 FAX 121.001 _ - _ I j -.rte �'•��� _ _ _- ��� � i - zL'"'' �.�: - i- ,.�'�.:sr.ccq crr cL:a r• ' � � � uc�'.AT?„t�;li Gr $U:✓ii�C•INS?�C r �. • I • ?]7 :3 �`--zzt ��ur_c7pj(::jPEC1Q7 -lQ- =.8= qq S�rle�y� Foy,-C age Arnun @40 Ino Floor @ 5-30 c'loars. Attic. Garage .S.23 Deck-. Porches # l 02 MELB Ld