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25A-188 (24) 99 INDUSTRIAL DR-HERITAGE HEMP BP-2019-0842 GIS#: COMMONWEALTH OF MASSACHUSETTS Map�Block:25A- 188 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate eorv'Zonine Permit BUILDING PERMIT Permit# BP-2019-0842 Project# JS-2019-000947 Est. Cost: $28900.00 Fee:$202.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group, SANDRI CO 111260 Lot Size(sn. ft 7 172497.60 Owner. CONZ STREET REALTY INC Zonine G11 10I / Applicant.. SANDRI CO AT. 99 INDUSTRIAL DR - HERITAGE HEMP Applicant Address: Phone: Insurance. 400 CHAPMAN ST (413) 772-2121 WC GREEN FIELDMA01301 ISSUED ON:3/4/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:NEW CEILING AND 1 WALL IN EXISITNG ROOM & INSTALL EXTRACTION MACHINE 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 N Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Deoartmenl Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTYpe: Date Paid: Amount: Building 3/4/20190:00:00 5202.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner < a File 9 BP-2019-0842 i M P^1 ot V bnp4 to H pelebl APPLICANT/CONTACT PERSON SANDRI CO l PuOt &CLN j L�.nPvW ADDRESS/PHONE 400 CHAPMAN ST GREENFIELD (413)772-2121 S-1 W l$6E PROPERTY LOCATION 99 INDUSTRIAL DR-HERITAGE HEMP �� AouU MAP 25A PARCEL 188 001 ZONE GIf 1011/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST EN L ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid T cof Construction: NEW CEILING AND 1 WALL EX TNG ROOM&INSTALL EXTRACTION MACHINE New Construction Non Structural interior renovations Addition to Existing Accessory Structure _ Building Plans Included Owner/Statement or License 111260 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: r/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 14.0 3 ;It Signature of Building Official i Data 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. Version 1.7 Conunic,cial Building permit May 15,2000 Department was only " 1 ;._vEIVED (Ciof Northampton q,pwmlt i Bull Jing Department r"Idb,CO*UNMW Permit I 2 12 Main Street SewedBapticArrislability- JAN 2 8 2019 Room 100 WassnWell Avallabi 1111" I lorth impton, MA 01060 T or$,bhtkcdwuralpllins P,�7 T o=rvuu oinis A. , -5 -1240 Fax 413-587-1272 pkwsft plans- MA 01060 Ouders' pecify- APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING --------7 SECTION 1 -SITE INFORMATION 2,v /(/A laldlt� 1.1 Property Address This section to be completed by office 9 9 1 vA a os D ".Map Lot Unit Zone Owday District Elm St.Distinct CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: --e4t.WZ S7, 9041 d"w so Name(Pnnt) jj Current Mailing Address: 111—f 7774__.. Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Alre,s I I - Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3, Plumbing 00 Building Permit Fee h, 4, Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number Date Issued I Signature: Building Commissioner/Inspector of Buildings Date Versiori Commercial Building Permit May 15,2000 SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition[I Repairs B�Additions ❑ Accessory Building El Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. (VbW C.G —C- A10 -1Wgr.c_ Iry Ex ,sTwc- Slo e Of Proposed Work: p, L) ) `vSiRz� E�T!_Rc7 /oN 1'nvg L., wu j'l,. Pis' r) SECTION 5•USE GROUP AND CONSTRUCTION TYPE USE GROUP(Cheek as applicable) CONSTRUCTION TYPE A Assembly11A-1 ❑ A-2 ❑ A-3 ❑ 1A E] A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A . E� 1I E Educational Ely 2B "Y F Factory F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential ❑ R-I ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage 13S-1 11S-2 ❑ 5B ❑ U Utility Cl Specify: M Mixed Use ❑ Specify: _. S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existmg 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(so 17,00s Sq ICf 4 4m Total Area(so Total Proposed New Construction(so Total Height(ft) __. Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood.Zone Information: 7.3 Sewage Disposal System: Public � Private ElZone Outside Flood ZoneMunicipal 02-1Onsite disposal system❑ Version L7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning Thus column to be filled in by Buddwg Department Lot SiZ Frontage _.. ..._ __._. ..____. ..__._ Setbacks Front Side L. R:- L:_. R:_.._._. _. Rear Building Height Bldg.Square Footage % ' Open Space Footage % _..... (Lot area minus box&paved - arkin ._... N of Puking Spaces volume&Locatiunl —_-_. ..-_—. A. Has a Special Permit/Variance/Fingd�ing ever been issued for/on the site? NO O DON'T KNOW 50( YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 1i YES O IF YES: enter Book Page and/or Document# 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 O Obtained © , 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 O NO � IF YES, describe size, type and location: E. Wil the construction activity disturb(clearing,grading,excavation,of filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Period from the DPW is required. 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: 0 i? a.i1 l 1Z y(iH t_ _.. R ;c. Not Applicable ❑__. Name(Registrant): .. Registration Number I Yi,CVN7 r/Ln_r r,� ,T w,tiGn bS 1 � xL ___Mr7 OlR �1d _.. .. Address 1'1 A ? 3 q a'(. (,)gUAIAkC. 1_jwv AR( , cex 7$1 711772) Expiration Date Signature Telephone S J31 -101 9.2 Registered Professional Engineer(s): SrHate L-b PE Name Area of Responsibility '7;� 'Z.fir AR,.,p r.r 5 Pct.n, 6111 Address Registration Number .'+7 MtK To4,1 F' C Aa{c r,c, � D6:py C-c2w,y'17$ 312._ KG7 H 3 Signature 'Co.... Telephone Expiration Date _ 6/ 30 / x- Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Reeponsblllly Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone 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 II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. ...__... .__... _.._. . as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of tamer Date I. R'- '1 AMC, ME12-I<S _.._ 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 underthe pains and penalties of perjury. Pnnt _.e. _........ Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable L ❑ Name of License Holder'. . / AI—1 t10 of Q.V n N C L L License Number Address Expiration Date Hoo CGh Ar7MA� SI 6^izttmfly H13-. j71- 7-f:-7-) Signature Telephone _ ) 3 _ 7c� SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8)) 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 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: `1 `f i w o usrn a, ca_ nio^t I.n^'* The debris will be transported by: Ai-rCA 17 -v a sov<< '/S7 C L112 5,7 bort' The debris will be received by: Building permit number: Name of Permit Applicant NEr-n a G c -1 u� i30 Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 01114-10777 wwwmass.gov/dia U11 orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING ALTHORITY. Applicant If ( Please Print Legibly Name(BusinesuOganizatioNlndividual): 59rv0¢ / Address: yoo C HA;7 s i City/State/Zip: G P L-e,,...c,_k7 rn n oI�dI Phone#: til 3 7?a -;a- J Are you an employer'Check the appropriate box: Type of project(required): I.ETIamaemploye'-do tl6 employeea(fullrowe',an-time)' 7, ❑New construction 2.[:]1 am a sole proynemr ur partnership and have nn employces working harridan $, r❑.Rcmodehng anycad.cony[Noworkers'comp.arm— required.] 3.R l am a homeowner doing all work myself[No workers comp.iaurmce recorded I 10 Building 9. ❑Delding addition n 4.R 1 am a homeowner and will be hiring convectors to conduct all work on my property. I will onow,mat all contractors ciwer have workers compeaation mamanceor we sole I I.E]Electrical repairs or additions propnet.wile no empmyees. 12.❑Plumbing repairs or additions .5❑I on a general contractor and I have hued me sub-contractors listed on the arched sheer 13.DRoof repairs Iiiese s dviondsomrs have employees and have workers'comp.lamanoc: 6.❑Wearen end aam, almits officers have exemismlthe,n,ht ofemuldron per MGL o, 14.❑Other 152,¢1(4),and we haven employees.[No workers'come vsumeacrequired] •Any applavart had checks box#1 most also fill out the section below showing their workers'compensation policy information. e Homeowners who submit this affidavit indicating they are doing all work and her hire outside contractors most submit a new affidavit indicating such. iComo-amo,that check this box an arched an additional shm showing are cone ofthe nbcmand ctors and orate whether or not more rnones have employces. If me sub-contiacmrs have employees,have must provide their wmkcrs comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lia#: W a1 -21 1 13 R SG?7 -a fir Expiration Date: Job Site Address: `J9 1 V 91S7I A 04 CSIy/State/Zip: NoaTuA eel o w Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ertunddeerr thepains and penalties of perjury that the information provided above is true and correct Signature 2' j ­2 'a, D t 1 -A S - bw Ph #� Q:;0 3 3y 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.Cityffown 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 ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of 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,§25C(6)also states that"every state or local 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 ofthis 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-contractor(s)name(s),address(es)and phone number(s)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 ifyou are required to obtain a workers' 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,one 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 permit/license 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 of 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 proofthat 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. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-I5 www.mass.gov/dia ---I ARSANDR-02 RDIN ALE 4.ppe. ' CERTIFICATE OF LIABILITY INSURANCE DATE mMIDD 19 `.i ovzanal9 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 pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 License if 1780862 *ALT Rosemary DiNatale HUB International New England PHONE FA% 96 Shaker Rd. INC,No,sae: IA¢.Hog East Longmeadow,MA 01028 s. :Rose mary.dinatale@h ubinternatlonal.com IXSU.�REF s]AFFORDING COVERAGE HAIL# x.URERAPhiladelphla Indemnity Insurance Company '18058 INSURED INsuRERa:LlberO Mutual Fire lnsu mote COmpanr 23035_ Sandri Energy,LLC INSURER c:Great American Assurance Company z6344 400 Chapman Street INSURER p: Greenfield,MA 01301 INBU0.ER E: _ NSURER 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IXS0. TYPE OF IXSUMNLE ADDL SUB# POLICY NUMBER POLICY EFF PODCT E%P LIMITS A X COMMERCIPL GENERAL LYa1LII EACH OCCURRENCE 1.000.000 CIAIMSMADE OCCUR PHPKI855155 0713112018 07/3112019 DAMAGE r�SF ORENTED s 100,000 FREX MIS DELIVERY OF MED ExpK� ¢rsr=toe_ �. X LIQUID PRODUCTS pexsorvALa ADv wJuar g 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERALAGGREGATE E 2'000.000 X POLICY 1 J PF. LOC PROGUCTS-COMPIOP AGG s 2'000.000 OTHER: ,LIQUOR LIAB $ 1,000,000 A AUTOMOBILE LUBILITY COMBINED SINGLE LIMIT S 1,000,000 X ANY AUTO PHPK1855154 07/3112018 0713112019 BODaY1NJURY Per rs E GwNEG rC SCHEDULED AUTOS ONI "Au�rNops BODILY INJURr aw'aenl S X Hy�D X T $WNE0 P¢�aadam MALE E AUTOS ONLY AU O ONLY �� - $ A X UMBRELLA LIAB X pLCUR EACH OCCURRENCE $ 6'000'000 T�IEXCESS LIAB LILAIMY MADE PHUB639988 0713112018 0713112019 AGGREGATE 5.000'000 DED X RETENTION$ 10,000 B WORT. XERa COMPENSATON X PEraT�*E—X AND EMPLOYExs'L7'7 WC2-Z1188863T-018 0713112018 0713112019 E 1,000,000 En ANY PROPRIETORIPARTNERIE%ECUTIVE Tlx El I ACCIDENT �pF^CERMEUp .E%CWOED? N NIA IMa tlalory In NHl EL.DISEASE.EA EMPLOYE E 1'000.000 aaeulw weer 1,000,000 E$CRIRION OF PERATIONE blow E.L.GISEPSE-POLICY LIMIT C Excess Liability IUC2275497 0713112018 0713112019 10,000,000 DESORIPTON OF OPERATIONSI LOCAMNS I VEHICLES (ACORD 101.Acalaonal 0.amaM1e S16$d11,may Ee creches R mwe spam le recused) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton;Dept.of Building Inspections THCORDANRA ION THE POLICY PROATE VIS O TICE WILL BE DELIVERED IN 212 Main Street Municipal Building Northampton,MA 01060 AUT?p UW H�OORRWED REPRESENTATIVE v U -;P;Xq— ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 9" edition of the Ulf Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Heritage Hemp CBD Extraction Room Renovation Date:January 24,2019 Property Address: 99 Industrial Drive Nor'thamton, MA Project: Check(x)one or both as applicable:_New construction X Existing Construction Project description: Mechanical Renovations to Extraction Room I Steven R.Houle P.E.MA Registration Number: 46743 Expiration date: 6/30/2020 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural X Mechanical Fire Protection Electrical Plumbing 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. 1 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 the 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 official. Upon completion of the work, 1 shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: Phone number: 978-372-8880 Email: mark toccidcrossficldengincerine.conl Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an's'project design plans,computations and specifications that you prepared or directly supervised.11 other' is chosen, provide a description. Version 0611 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Ulf Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Heritage Hemp CBD Extraction Room Renovation Date:01/23/19 Property Address: 99 Industrial Drive,Northampton, MA 01060-2359 Project. Check(x) one or both as applicable: New construction X Existing Construction Project description:Conversion of an existing 512 sq.ft.room into a Hemp CBD extraction room. I Daniel R Quaile MA Registration Number: MA #8394, Expiration date: 8/31/2019 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural 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 the 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 official. Upon completion of the work, I shall submit to the building official a'Final Construction Control Document'. 1EPfup Enter in the space to the right a"wet" or e"��""° electronic signature and seal: Phone number:781.721.7721 Email:dquaile@lincarc.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x project design plans,computations and specifications that you prepared t r directly supervised.If'other is chosen,provide a description. Version 01_01 2018 01, Coyof Por,7emrrpf= Louis Hasbrouck<Iasbrouck@northamptonma.gov> Re: Heritage Hemp updated plans 1 message Louis Hasbrouck<Iasbrouck@northamptonma.gov> Tue, Jan 29, 2019 at 5:54 PM To: Richard Marcos <richardmarcks@gmail.com> Cc: Kevin Ross <kross@northamptonma.gov>,Andy Pelis <apelis@northamptonma.gov>, Duane Nichols <dnichols@northamptonma.gov> Mr. Marcks, I received the revised plan set and did a preliminary review. I may have missed it but I still don't see the process chemicals listed along with quantities. I'm not familiar with C-1 /D-1 hemp extraction but I do know that some extraction processes use ethanol, a class IB flammable liquid.You included IBC table 414.2.5 as part of your review; I think 414.2.5 applies to use groups M and S. I think table 307.1 (1), attached, regulates group F-1.The allowable quantities are much smaller, especially if hemp extraction uses an open system. Please let me know what chemicals this particular process uses,whether it is an open or closed system, and what quantities are used and stored. I have questions about whether any electrical equipment needs to be Class 1, Division 2. We also need information about the fire protection (sprinkler)system in the extraction room and chemical storage freezer; construction documents per Mass amended code section 9.1.2.1. We need this information before we can issue a building permit. Let me know if you have any questions. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Mon, Jan 28, 2019 at 5:22 AM Richard Marcks<richardmarcks@gmail.com>wrote: Richard Marcks Project Manager 7 Ledgewood DR Old Lyme CT 06371 richardmarcks@gmaii.com 860-662-3039 .. 2015_ibc_307.1(1).pdf 159K CHY of '-t,/H Louis Hasbrouck<Iasbrouck@northamptonma.gov> Re: Plans Heritage Hemp extraction room 1 message Louis Hasbrouck<Ihasbmuck@northamptonma.gov> Tue, Jan 22, 2019 at 5:10 PM To: Richard Marcks<richardmarcks@gmail.com> Cc: Kevin Ross<kross@northamptonma.gov>, Duane Nichols <dnichols@northamptonma.gov>,Andy Pelis <apel is@ northampton ma.gov> Thanks.We'll review them once we get the building permit application.One question; what specific chemicals are involved in the process and what class? Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Wed,Jan 16, 2019 at 4:32 AM Richard Marcks<nchardmarcks@gmail.com>wrote: The plans enclosed are for 99 Industrial dr Northampton ma. file#mp-19-38 zoning map 25A parcel 188 Richard Marcks Project Manager 7 Ledgewood DR Old Lyme CT 06371 richardmarcks@gmaii.com 860-662-3039 CAM Of ( ,: /H Louis Hasbrouck<Iasbrouck@northamptonma.gov> J Re: Heritage Hemp MOD 013019-CR1.1 R1.pdf 1 message Louis Hasbrouck <Hasbrouck@northamptonma.gov> Wed, Jan 30 2019 at 10:16 AM To: Richard Marcks <richardmarcks@gmail.com> Cc: Duane Nichols<dnichols@northamptonma.gov>, Andy asks <apelis@northamptonma.gov>, Kevin Ross <kross@northamptonma.gov> We still need more information (open or closed system process, specifics about how the ethanol is stored, etc)but it looks like 550 gallons exceeds the quantities allowed per control area in table 307.1 (1), even considering increases allowed with a fully sprinklered building. If this is true,the codes for flammable liquids storage rooms will apply. Relevant Mass codes are complicated; IBC sections 415.10.1 to 415.9.1 to IFC 57 and Mass fire code NFPA 1 chapter 66 to NFPA 30 various sections. It looks like fire separation, means of egress and ventilation requirements are addressed.We don't have enough information about the sprinkler system and no information about spill control and both primary and containment. It seems like the next step might be a discussion about this with the mechanical engineer. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)567-1240 office (413)587-1272 fax On Wed, Jan 30, 2019 at 7:29 AM Richard Marcks <richardmamks@gmail.com>wrote: Here is updated file. Richard Marcks