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39-041 (7) 23 ATWOOD DR SM-2019-0013 COMMONWEALTH OF MASSACHUSETTS _ CITY OF NORTHAMPTON GIS#: Map: Block: 1041 SHEETMETAL PERMIT Lot: 001 -- Permit: SHEETMETAL Category: 'Zoning Permit Permit# sM 2019 0013 PERMISSION IS HEREBY GRANTED TO: - — Project# JS-2017-0016.42_ Est.Cost: $213,000 00 Contractor: License: Expires: Fee Charged 1$50.90 -,RK SOLUTIONS Sheetmetal-5644 09/28/2018 Balance Due:!$.00 Owner: ATWOOD DRIVE LLC of Fixtures: Applicant: RK SOLUTIONS DigSafe# _ AT: 23 ATWOOD DR UseGroup ConstClass� ISSUED ON: 10-Sep-2018 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: FIRST FLOOR TENANT BUILDOUT THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal REC-2019-000835 07-Sep-18 5234 $50.00 212 Main Street,Phone:(413)587-1240,Faz:(413)587-1272,Email:lhasbrouck@northamptonma.gov GeoTMS®2018 Des Lauriers Municipal Solutions,Inc. i �; File#SM-2019-0013 APPLICANT/CONTACT PERSON RK SOLUTIONS /ADDRESS/PHONE P OBOX 262 (413)3"74-8500 eta PROPERTY LOCATION 23 ATWOOD DR MAP 39 PARCEL 041 001 ZONE GB S�IEEZ N�ET� THIS SEC fiON FOR GFFICTAL 17SE ONLY: PERMl? APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: FIRST FLOOR TENANT BUILD New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 5644 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF,9RMATION PRESENTED: Ll 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 i, 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 lk"I(� - 7 b 6 C6 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 the Office of Planning&Development for more information. yVD /J'>J(- i69C 7'2a��/�c Commonwealth of Massachusetts City Of Northampton ° Jc"te Sheet Metal Permit Dc tuber 7, 2 01 8 Permit# o Cost: $ 213000 00 Permit Fee: $ 5 0.0 0 Z a med: YES_x NO Plans Reviewed: YES NO w nse#508 - 3/2v1Z0 Applicant License#5644 —BubilirlbatArmation: Property Owner/Job Location Information: Name:RK Solutions Name:Northwood Development, LLC Street: PO Box 262 Street' Atwood Drive City/Town: Agawam City/Town: Northampton Telephone: 413-374-8500 Telephone: 413-789-3720 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office X Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. X Number of Stories: 3 Sheet metal work to be completed: New Work: X Renovation: HVAC X Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: First floor tenant buildout. Fees with Building Permit:$25.00 Residential,$50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees for jobs without Building Permit$50.00 Residential,$100.00 Commercial �- - .. __t —.f..� i..:..w.4 i _ �� i .' ' �•� P t „_ 1 ��, A,) o • INSURANCE COVERAGE: I have a current liabilitinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes® No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:1 am aware that the licensee dnPg nest hayF.the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waive this requirement. Check One Only _______ Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES_____ NO_____ IPrnorpcc TncnPrtinnc DaW Comments Fi'inal InSpeC.lion Date Comments Type of License: BY-- _ ___-- --_ :0 Master �--- Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit#----------___ _____ ❑Journeyperson-Restricted 5644 _ License Number: Fee$ ❑ ------------ heck at www-mass-gnv�I Inspector Signature of Permit Approval .. a a-. - � - o. - i 3� �•� RKSOL-1 OP ID: BR ACORO DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/30/2018 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 certificate holder is an ADDITIONAL INSURED,the policy(ies) must be 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 endorsement(s). PRODUCER NAME:CONTACT John Eagan LeBel/Laviggne&DeadyP"d"E 413-532-3291 N,:413-5348982 Insurance Agency,Inc. A/c No. 637 Grattan Street/PO Box 59 E-MAIL Chicopee,MA 01021-0059 ADDRESS: John A O'Keefe INSURER(S)AFFORDING COVERAGE NAIC8 INSURER A:Arbeila Protection Ins.Co. 41360 INSURED R K Solutions of Western Mass. INSURER B: Keith A.David,Sr. PO BOX 262 INSURER C: Agawam,MA 01001 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIL:Y PLKIUU 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY FF POLICY EXP LIMITS LTR I POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE Al OCCUR 8500046810 04/20/2018 04/20/2019 PREMISES Ea occurrence $ 300900 MED EXP(Any one person) $ 5900 X EPL,addl insd,a PERSONAL&ADV INJURY $ 1,000900 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY jE O- FI LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY CldeINEDrlt)' LIM Ee BC $ 1,000,000 A ANY AUTO 1020000964 06/19/2018 06/1912019 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ X AUTOS AUTOS X NO OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per acadent X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ A PEXCESS LIAB CLAIMS-MADE 4600065634 04/20/2018 04/20/2019 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑NIA 0050268 02/20/2018 02/20/2019 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE S 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-PODCY LIMIT I$ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RK Solutions ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John A O'Keefe ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Initial Construction Control Document F W To be submitted with the building permit application by a Registered Design Professional for work per the 91h edition of the ^M s Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Courtroom Fit-Out Date: September 5, 2018 Property Address: 15 Atwood Drive,Northampton,MA 01060 Project: Check(x) one or both as applicable: ❑ New construction ❑X Existing Construction Project descdR ion: Renovations I, Robert F. Griffiths,Registration Number: 33161,Expiration date: June 30, 2020, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': ❑ Entire Project ❑ Architectural ❑ Structural X❑ Mechanical ❑ Fire Protection ❑ Electrical ❑ Other: for the above named project and that to the best of my knowledge, information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports (see item 3.)together with pertinent comments,in a form acceptable to the building o ' Upon completion of the work, I shall submit o a `Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: . Phone number: 413-789-0960 f: ail-,, 'ffiths@rwhall.com Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 01 01 2018