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31B-252 (18) 60 ELM ST-J014N M GREENE BP-2019-0003 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B-252 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeory: Bath ren o BUILDING PERMIT Permit# BP-2019-0003 Proiect4 JS-2019-000003 Est Cosc $9895.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group INTEGRITY DEVELOPMENT & CONSTRUCTION INC 90514 Lot Size(su.ft.): 62726.40 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoom, EU(100)/URC(100)/ Applicant: INTEGRITY DEVELOPMENT & CONSTRUCTION INC AT: 60 ELM ST - JOHN M GREENE Applicant Address: Phone. Insurance: 110 PULPIT HILL RD (413) 549-7919 Workers Compensation AMHERSTMA01002 ISSUED ON:71612018 0.00:00 TO PERFORM THE FOLLOWING WORK.-BATHROOM RENOVATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy sienature: FeeType: Date Paid: Amount: Building 7/6/2018 0:00:00 $100.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0003 APPLICANT/CONTACT PERSON INTEGRITY DEVELOPMENT&CONSTRUCTION INC ADDRESS/PHONE 110 PULPIT HILL RD AMHERST (413)549-7919 PROPERTY LOCATION 60 ELM ST-JOHN M GREENE MAP 31B PARCEL 252 001 ZONE EU(100)/URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid rig Building Permit Filled out Fee Paid TvueofConstruction: BATHROOM RMOVATON New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 90514 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF,6RMATION 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 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 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 o/� Signature of BOfficial 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. Vetsion1.7 Commercial Huilrim Permit Mav 15,2000 City of Northampton Building Department WEM 212 Main Street ;! Room 100 Northampton, MA 01060 4 I € phone 413-587-1240 Fax 413-587-1272 -. - APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE TME USE OR BUI DING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION. This section to be completed by office 1.1 Property Address' i60 El In St. Norhtampton, MA 010631 Map 3/6 Lot unit _Jtl/�1 rl .m /lJZ(G e n e i(a I' Zone .Overlay District V { I Elm St DlsWdt CB District SECTION..2-.PROPERTY OWNERSHIPIAUTHORIZED RGENT 2.1 Owner of Record. Ills _ ✓i~ oV1 w�l�e 120 w¢cF 5t N7�+cw 1 yr Nam.(Prim an t etrnl} ytip T1',A15 Crmm Mating Address .,,. _ . Signature Telephone 2.2 Authorized Aaeft n p--- -- ------ i Ito 1'u�Q�a tl':P. �,vr1„QfS h', ate%2j Name(Print) Current Mailing_Address -. Signature \ .ems-C �QDSU� Telephone SECTION 3-ESTIMATEDCONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bermitapplicant 1. Builtling $4,150.00 (a)Building Permit Fee 2. Electrical $4,600.00' (b)Estimated Total Cost of Construction from 6 3. Plumbing $1,145 00Building Permit Fee AA w $ 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Nun 6O This Section For Official Use Only Building':Permit Number Date Issued Signature: Builtling Commissioneranspector of Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION4,CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE - Interior Alterations ❑ Existing Wall Signs 0 Demolition El Repairs El Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief desenptlon here 2 /I Of Proposed Work: rJQ % /Q SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational El 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1.1 ❑ 1-2 ❑ 1.3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A Q S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑ U Utility ❑ Specify:! M Mixed Use ❑ Specify: : S Special Use ❑ Specity: '.. J COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: __..- ... ----- Proposed Use Group GPM Existing Hazard Index 780 CMR 34) __..._ Proposed Hazard Index 780 CMR 34) i SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so - ist �a pna 2 3ra __ ... .. Total Area(so Total Proposed New Construction(so ---------_......... Total Height(f) Total Height it i. _.. 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public E] Private ❑ Zone( j Outside Flood ZoneO Municipal El On site disposal system❑ Version 1.7 Commercial Building Permit May 15,2000 S. NORTHWPTON 7.ON1NG Existing Proposed Required by Zoning Tn,a sommn m bs mmd m by BWldb11 Dipmnnnn Lot Size 62726 - same Frontage 257 Same, ._ ( ... ... ... ..__� Setbacks Front Side L: R. LS R ( i Building Height (----' , Bldg. Square Footage '--" t" % Open Space Footage us - pmt men minus bldg&paved , kin %of Puking Spaces - aces --- '" Pill: volum,I Lorm)o — -- - -- ' A. Has a Speciat Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW Q YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW, O YES_0 IF YES: enter Book Pagel and/or Document NI B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued --J C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 730 CMR 778(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Nam__e Area of Responsibility, i Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiation Date Name Area of Responsibility Add ress Registration Number Signature Telephone Expiration Date 9.3 General Contractor Integrity Development&,Construction Inc. Not Applicable ❑ Company Name: Anna Cook Responsible In Charge of Construction 110 Pulpit,Hill Rd Amherst, MA 01002 Address '.(413) 549-7919 Signature Telephone Veisionl.7 Commercial Hui it ing Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(700 CMR 110.11) Independent Structural Engineenng Structural Peer Review Required Yes O No O SECTION II-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR1 CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property !Integrity Development& Construction Inc. __ ___m hereby authorize _._._ —. -- -- ac/��Tn y behalf, in all matters relative to work authorized by this building permit application ign e on0wher Date Anna Cook 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. Sig ned/�under,the gains and penalties ofperLO' _.,._ ..__.....-- Print Namg Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 101 Licensed Construction Supervisor: Not Applicable ❑ Name pf Licepee Holder .Anna Cook CS-090514 License Number 113 JanuaryHills Rd. Amherst, MA 01002 09/12/2015 Address Expiretion Date ��� OSyr (413) 549-7919 k"OSylf�r (413) 549-7919 Signature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§211 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 O No O City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: Go 041 y/_ k(1w ,,, The debris will be transported by: Vc rk5 7N,ILi�, The debris will be received by: S G Pec',J, a Building permit number: Name of Permit Applicant kka C41 Date Signature of Permit Applicant The Commonwealth of Massachusetts Wl"rkers'Compensation Department ofIndustrialAccidents 1 Congress Street, Suite 100Boston,MA 02114-20/77www.mass.gov/dia Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant If Y Please Print Leeiblv Name(BumneWOmmairatlon/Indlviduap:Integrity Development&Construction Inc. Address:110 Pulpit Hill Rd. City/State/Zip:Amhemt, MA 01002 Phone #:413-549-7919 Are ymr a.employer!Cheek the appropriate lus: Type of project(required): LE✓ I am a employer with 12 employ.s.(fell avdlor part-time).^ 7. ❑New construction 2.❑loth asole proprietor or parmership and nave no employees woddng former. 8. ❑✓ Remodeling any es,awity.[No workers'cmnp.insurance required.l 3Dlamahomwwacrdom Ilworkm If Noworkeo'wm .i reran i 9. ❑Demoliflon ga yse G p n' ce requ .]t 4.❑1 are a Immeow.erand will be hiring contractors in conduct all work on m . loop 10❑Buildingaddilioa Pf nmre matane.ntracmnumer have week«i comm .r veanm,n.;.mnceare lrll sole I1.❑Electrical repairs or additions promietors with no employee,. 12.Q Plumbing repairs or additions s❑l am a general contracts, it i have hired the sun-connacmrs listed on the studied sheet 13.❑ROOfrepalf5 These sub<ontradon have employees;and have workers'comp.issuance: 6.❑ aht We arc a emen-atme and its officers nave cxciated their rigof—arp.m per MOL c. 14.❑Other 152,§1(4),and we have m en@loyees[No workers'comp.assurance®quiredl ^.Any applicant mat checks box#I most also fill out the section below showing their workers'eumpe moon policy information. t Homeowners who submit this affidavit indicating they are due,all wrack..a then hire musette e..tmOt.rs mum mbut a new affidavit indicating meh- :Connacmrs that cheek this Fos must attached an additional sheet showing the name cf,he sul.emamemrs and some whether or not mdse entities have employeos. Ifmceub-contractors have employees,they must provide mar workers' omp.WlicYnumhv. I am an employer that is providing workers'compensation insuranre)or my employees. Below is the poficy and job site information. Insurance Company Name:AIM Mutual Policy#or Self-ins.Lic.#:WMZ80080062242018A Expiration Date:4/10/2019 Job Site Address:60 Elm St. City/State/Zip:Northampton, MA 01063 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MU c. 152,§25A is a criminal violation punishable by a fide up to S 1,500.00 and/or ona-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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u er the pains audpenalties ofperjury that the information provided above is true and correct Signature .L.I P ��Q Date d?,Yk1 Q Phone#:413-549-7919 Oficial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every,person in the service of another under any contract of hire, express or implied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deecased employer,or the receiver or trustee ofan individual,partnership,association or other legal entity,employing employees. Howeverthc owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also srules that"every state or Meal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally.MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-connacmr(s)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should entertheir self-neumace license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ofthe affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pen n/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. d 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as-m individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee o£an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer," MGL chapter 152,§25CI6)also states that"every state or local licensing agency she III withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. -the affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a w orkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be,are that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernit/Ilcense number which will be used as a reference number.In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to burn leaves etc.)said person is NOf required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 www.mass.gov/dia Form lie,,, d 02-2}15 DEVELOPMENT&CONSTRUCTION,INC. Commissioner Hasbrouck June 26, 2018 Subject: Request for Waiver I request that you grant a modification to waive the requirement for control construction for the John M Greene Hall room remodel project at 60 Elm St. in Northampton because the work is of a minor nature, will not affect health, accessibility, life and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. All work will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration. "Mass Amendments,sections 107.1 allows for an exclusion from control construction for this project" Respectfully, C Anna Cook; President for Integrity Development&Construction Inc. 110 Pulpit Hill Rd. Amherst, MA 01002 110 Pulpit Hill Road,Amherst,MA 01002 413.549.7919 • fax413.549.7918 • info@integbuild.com • www.Integbuild.com CERTIFICATE OF LIABILITY INSURANCE m041192010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certiFKate holtler is an ADDITIONAL INSURED,the policylies)must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorserrear . PRoouCER NAMBCT Andres Feeley Webber&GnOnall el,�u SM, (413)586-0111Sed rvp. (413)586-6481 e NPdM1 King Street noolSESS: afeeleyLdYlebberendgdnnellAOm INSURENS)AFFORDING COI£RAGE I Northampton MA 01060 INGBRERA: Am.11 Proedon INSURED IRSuRSBB: AIM.MutuallA l M. Integrity DEVelopment and Construction Inc, INSURER C' Arm Anna and Heidi INSURER D'. 110 PUlpii Hill Road IrvsuREa E: Amherst MA 01002 INSURERF. COVERAGES CERTIFICATE NUMBER: FSP 4/2019 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMEN"..TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTE W EOF INSURANCE INSD WYO POLICY NUMBER bellMMNY LIMITS X COMM FACPLGENE-1 I-Mal EACH OCCURRENCE E 1000000 CIAIMSMAOE OCCUR PREMISES Ee arumnm- 5100000 ED ExP Nm one pwso.l g 5,000 A 8500065625 04/10/2018 04/10/2019 pEpSOIULflAOV INJURY E 1000000 GEN LAGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE S 2OW.000 POLICY ❑PEL LOO PRODUCTS-COMP/OPAGG S 2.600,000 OTHER. COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Eaa AOenl S T000060 arvv Agro eooav wJuavtre,Pm�m1 s A ov.NED scHEO1 1020051528 04/10/2018 0411012019 eocavlwuev lP.revwe:N E ABros Ch, Amas X HIRED X FIOITN060NEd �OPERi1tta0AMAGE s JFMCNLV Undennmmed motorist is 1011,000 X UMBRELLA UPS CCCUR EACHOCCURRENCE I S 1.600,000 A EXCESS LIAB CWMSMAOE 4500055626 04/102018 041104019 AGGREGATE y 1000,000 DED X RETENTION s 10000 PER DTH- a W HRUSESCOMPENSATION X GTATUTE ER ANO EMaDYERV LIABILITY YIN 500,000 B DIFICRIESEMEEF E%cLLcbG'ECBrrvE ❑N NIA WMZ80000062242018A 04/10/2018 64/10/2019 EL EACH AccmIiNT S Surseo,yii EL DISEASE v EN EMPLOYEE E 500.000 if Re eei Lebe DESCRIPTION OF OPERATIONS EeNe E L DISEASE FOLICY LIMIT g 500000 oESCRIPTION OF cPERATIONS I LOCATONS I VENll(ACCAN 101,Atldel R ar SoMe4ulemay be ended it more Si be PRI CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1)'i -'� -y-4 m 19883015 ACERB CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are Registered marks of ACERB Massachusetts Department of Public Safety 'vu Board of Building Regulations and Standards License: CS-090514 Construction Supervisor ANNA R COOK 113JANUARY HILLS.K 3 AMHERST MA 01002 - 1 Expiration: 'Commissioner 0911212018 � r./"/e`F.muxonx�iea/��Cr��uan/zaxth Mice of Ocrmumw Maim&Business Regulation) p� HOME IM PROVEM ENT CONTRACTOR qY TYPE Comoral ,' R istcano Fxgjpggil 01/19/2019 INTEGRITY DEVELOP&OONST INC ANNA COOK 110 Pulpit Hill Rd Amherst MA 01002 Undersecretary { 1.. ��40' � DEVELOPAORSr&WhISIRUCIION,M Allison Avalloa Duke for Smith College John M Greene Hall Renovation Elm St.Northampton,MA June 13,2018 This is a preliminary budget for the work discussed on site on 4/30118. The budget reflects all current specifications to date. This budget is to be used in establishing a final,tined-price contract for all work to be completed. We have included the following in pricing your Renovation: Permits Building,plumbing and electrical Job site coordination In-house and on-site coordination Testing and abatement of hazardous materials including lead, asbestos, UFFI insulation or mold has not been included h is assumed that this testing and the removal of all affected hazardous materials will be completed in the areas of disturbance prior to start ofconslruction. Proposal does not include design time or architeclural fees to create permit and construction drawings Additional architect fees, if required by the city, would be an additional cost Premium time is excluded Sales tax is excluded Abatement and drilling of holes and anchors in walls and flour•for outlets is excluded;contractor will layout the holes and anchor locations.for the abatement contractor Required insurances General liability&worker's compensation Temporary facilities&rubbish removal It is assumed that workers can use on-site sanitaryfacilities during the construction period Construction debris will be stock piled on site in the work area and will be hauled away daily Demolition labor&materials Remove and discard(1) carper floor in the president's room It is assumed that Smith College will remove plaster walls and ceilingfrom (I) president's room, bathroom halls are to remain intact Concrete and masonry labor&materials None;existing to remain Framing labor and materials £xistingframing is to remain Pad interior walls for new drywall in the president's room so that the face of drywall aligns with the existingface ofplmter Insulate exposed walls in the president's room with fiberglass baa m fill the stud depth wall cavity Window&door labor&materials All windows and doors to remain 110 Pulpa HIII Goad,Amherst MA 01002 4/3549.x919 a 1x413599.1910 • I WInteglwlld.mm a w jntegbulldxom DEVE,OPMENr&CONMUCnON.INC. Interior trim labor&materials Supply and install new flat primed select pine baseboard in both the president's to match existing as closely as possible Existing window and door trim is to remain Drywall labor&materials Install J"drywall to patch&repair wallsfrom demolition Applyjoint tape& (3) coats ojjoint compound to all seams and sand smooth Painting labor&materials Apply primer and&(2)coats ojBenjamin Moore acrylic latex paint to new walls and ceiling Apply(1) coat ojpalyurethone to (2) eristing windows and casings and(1) existing door casings;no re-glazing is included Tile labor&materials None Carpet Flooring 11 is assumed that carpet flooring will be supplied and installed in the president's room by Smith College Electrical labor&materials Rough&finish electrical per the attached Collins Electrical quote including: Install(2) 11014ou1lets in the Presidem's office Install(1) new fire rated poke-through floor boxes in the main front lobby,-floor boxes supplied by Smith College Alarm No fire alarm, sprinkler or exit signage is included but may be required by the town 0 Alternate 1; Replace lavatory,toilet,vinyl flooring and vinyl cove base in th President's bathroom Demolition labor&materials Remove and discard(1)toilet and(1)wall-mount sink front the president's bathroom. Disconnect(1) existing drinking fountain per plumbing inspector's requirement as i1 shares plumbing with the sink in a non-conforming manner. Remove(1) resilient floor in the president's bathroom Drywall labor&materials Patch around new wall-hung sink with a skim coat ofjoint compound and match faux rile pattern as closely as possible;pattern might not be an exact match Painting labor&materials Apply(1)coat ojBenjamin Moore acrylic latex paint to existing bathroom walls Vinyl and rcsilicnt flooring labor&materials I to pulpit Hill aomd,Amherst.MA01002 413549.7919.fax413549.7918 m In1Wntegbu11dcom•www.Integbutkic m DEVELOPMDM G CONsmuc 10N,A'C. The college is to supply and install vinyl flooring in the president's bathroom after the demolition phase but before finish plumbing. Contractor will coordinate with the college about final.scheduling. Floor prep for minor imperfections in concrete is nor included;floor leveling is not included Flooring underlayment is not assumed to be required and would he additional if found required after the demolition phase Appliances None; water foruaain would remain on-site for Smith College's use Cabinets, countertop hardware and specialties labor&materials None;existing mirror and bathroom accessories are to remain Plumbing&heating labor&materials Existing heat is to remain Hallwav: Disconnect existing water fountain plumbing Bathroom: Replace existing wall.hung sink and toilet with the followingfixtures: (J) Gerber Viper comfort height toilet with open front seat (J) Gerber 12-654 11"x 18" wall hung sink (1) Delta Windermere 4"center lavataryfnteet in chrome Alternate 2(note Alternate 2 price is only valid if contracted with the main proposed work): -Supply and install(2) additional owner-supplied floor boxes in the lobby VW OV-40f kj Alternate 3 (note Alternate includes Alternate 2 work and pricing is only valid if contracted in addition to r main proposed work): -Supply and 1 tall(2)additional owner-supplied floor boxes in the >..tinnduits. nstall w 120V outlet in the Ticket Office 0A ' u to the existing 120V outlets on both sides of the m on both first and second floors.New circuits pulled in uits. 0A outlets in all l6 ations We look forward to the opportunity to provide excellent final design, construction - management, and construction production services for your project. bl tY/ I8 110 Pulpit wa Road Amherst w 01002 413549.7919•fax413549.791a a info@lntegbulld.com a w Jntegbuddtom