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31A-067 (46) I PARADISE-WILSON HOUSE BP-2019-1285 GIs COMMONWEALTH OF MASSACHUSETTS Mao.Block: 31A-067 CITY OF NORTHAMPTON Lot: .001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Cate wvry renovation BUILDING PERMIT Permit# BP-2019-1285 Project# JS-2019-002076 Es[ Cost $265000.00 Eql-1855 00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Sire0q.ft 7 Owner: SMITH COLLEGE OFFICE QF TREASURER Zoning,EUlIO0WRCIl00u Applicant: KEITER BUILDERS AT. 1 PARADISE -WILSON HOUSE Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 0 WC FLORENCEMA01062 ISSUED ON.511512019 0:00:00 TO PERFORM THE FOLLOWING WORkINFILL OF 2 EXTERIOR COURTYARDS. RENO 1 ST FLOOR ENTRY AND DORM ROOMS, REMOVE ELEVATOR AND INSTALL INTERIOR RAMP 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: %1 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 Occuoancy Sizmat re• FeeType: Date Paid: Amount: Building 5/15/20190:00:00 $1855.00 212 Main Street,Phone(413)587-1240,Fax;(413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP•2019-1285 Q\� APPLICANT/CONTACT PERSON KEITER BUILDERS \ �� ADDRESS/PHONE 35 MAIN ST FLORENCE (413)586-8600 Q 1N PROPERTY LOCATION ( PARADISE-WILSON HOUSE MAP 3IA PARCEL 067 001 ZONE EUf 1001/URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid A o 1, Building Permit Filled out Fee Paid Typ of Co trucfo INFILL OF 2 EXTERIOR COURTYARDS RENO IST FLOOR ENTRY AND DORM ROOMS REMOVE ELEVATOR AND INSTALL INTERIOR RAMP New Construction Non Structural interior renovations Addition to Ex'slin8 Accessory Structure Building Plans Include& Owner/Statement or License 102457 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 ANDiOR 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 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. Versioul.7 Commercial Buildin Permit May 1 2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Orlveway Permit 212 Main Street Sewer/Septic Availability Room 100 WatedWell Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Othe APPLICATION TO CONSTRUCT, REPAIR,RENOVATE, CHANGE THE U%OR CUPANCY OF, ORD OL H ANV BUILDING OTHER THAN A ONE G TWO U G 019 SECTION 1 -SITE INFORMATION 36ddoRAA,IWP ted offlce 1.1 Pr rt Atldress: T11,11—ov, rea o 'sr y Sant of ege - uad 1 Paradise Rd Map e3 A Lot unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: The Trustees of The Smith College Name(Print) C/o Facilities Management, Gary Hartwell Current Mailing Address, 126 west Street Noprthampton, MA 01063 Signature Telephone 585-2441 2.2 Authorized Agent: Keifer Builders, Inc. 35 Main Street Florence, MA 01062 Name(Print) Current Mailingg Address: 413-58b-8600 Signature — Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Oficial Use Only completed by permit applicant 1. Building (/� / ff-tG�t,Q� (a)Building Permit Fee 2. Electrical 3"I 'I I'll r/0 (b) Co structionll of from (6 3. Plumbing / �. t / !'j Building Permit Fee ' ^� 4. Mechanical (HVAC) b r �7 l ✓L. 5. Fire Protection 6. Total =(1 + 2+3 +4+ 5) Check Number w/ This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissionedir Spector of Buildings Dale d Version L7 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 El Repairs Additions ❑ Accessory Building El Exterior Alteration ❑✓ Existing Ground Sign❑ New Signs❑ Roofing[-] Change of Use❑ Other❑ Brief Description Infill of two exterior service courtyards. Renovations to first floor entry and dormitory rooms for Of Proposed Work: improved access., including removing elevator and installing interior ramp. SECTION 5-USE GROUP AND CONSTRUCTION TYPE See attached USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly LE11 A-1 17 A-2 Q A-3 'Qto A-4 FE-11A-5 O 1 B O B Business 97 2A n E Educational ® 2B FEII F Factory F-1 (J F-2 [11 2C H High Hazard LTJ 3A I Institutional ® -1 © 1-2 ❑O 1-3 FEM 3B LI M Mercantile 4 0 R Residential R-1 R-2 R-3 5A [Ell S Storage Pi S-1 fm S-2 LM 5B al U Utility 0 Specify: M Mixed Use 12 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(at) 1V Z" 2"a 3 rd 3,a 4 4'n m Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height it 7.Water Supply(M.G.L.c.40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 9 Private g Zone Outside Flood Zoned Municipal g 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 Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (1-al erne minus bldg&paved parking) q of Parking Spaces Fill: (vulume&1,ocaiian A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document M 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: 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 O 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. Version 1.7 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: Laura Fitch Not Applicable 0 8835 Name(Registrant). ---- Registration Number 8/2019 Address Expiration Date See attached Control Doc Signature Telephone 9.2 Registered Professional Engineer(s): Mark Felgate Electrical Name Area of Responsibility 47531 Address Registration Number 508-821-9759 6/30/20 See attached control Doc Signature Telephone Expiration Date Daniel Herzig Mechanical Name Arca of Responsibility 45603 Address Re istration Number 6 30/20 See attached control Doc Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Dale Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Keiter Builders,Inc Not Applicable [0 Company Name'. Scott Keiter Responsible In Charge of Construction 35 Main M. Florence,MA U 1062 5 413-586-860(1 Pre�'dem KBI Signature Telephone Version L7 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 BECOMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Gary Hartwell, Project Manager, Facilities Management as Owner of the subject properly Keiter Builders, Inc. hereby authorize -_ - __ to act ony behalf, in all matters relative to work authorized by this building permit application. _.._ _ 5/6/19 —- Slgn caner Date Keiter Builders,Inc I, ,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. Scott Keiter Print e P rd-(- e'r 5.6.19 Sign are of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Scott Keiter CS-107457 Name of License Holder'. License Number 51 A Hatfield Street 6/20/20 Ad ss Expiration Date 413-586-8600 P t nature Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§26C(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 Q No 0 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 Paradise Rd The debris will be transported by: Keiter Builders, Inc. The debris will be received by: valley Recycling Building permit number: Name of Permit Applicant Keiter Builder Inc 5.6.19 /eF.!/l '� P,eOdw,K61 P Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents jk Office of Investigations ' I Congress Street, Suite 100 Boston,MA 02114-2017 Ii www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Keiter Builders, Inc. Name (Business/Organization/Individual): Address: 35 Main Street City/State/Zip: Florence, MA 01062 Phone ti: 413-586-8600 Are you an employer? Check the appropriate box: Type of project (required): 1.F�j I am a employer with 22 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ® New construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have R. ® Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp. insurance comp. insuranee.t required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3,0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ® Roof repairs insurance required.] c. 152, §1(4), and we have no employees. [No workers' 13.R Other comp. insurance required.] 'Any applicant that checks box GI must also 811 out the section below showing their workers'compensation policy information. a I lomeowners who submit this aRtdavit indieatingthey are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this be.most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Bela.is the policy and job site information. AIM MUTUAL Insurance Company Name:_ _ Policy N or Self-ins. Lic. N: MCC20020005382018A Expiration Date: 6/11/19 1 Paradise Rd Northampton Job Site Address: Cily/Slate/Zips_. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine chap to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do herebygrilly under the pains and penalties of perjury that the information provided above is true and correct. 5.6.19 Si ng anti ire' Pi(,,ideal,KBI —_. ___ Date:__ Phone 4: 413-586-860C Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit[License # Issuing Authority (circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Ac o® CERTIFICATE OF LIABILITY INSURANCE °ATE,MMI°p Y, 050712018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerligcate holder Is an ADDITIONAL INSURED,the policylies)must have ADDITIONAL INSURED provisions or 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)leu of such endorsement(s). PRODUCER CONTACT Cynthia Henderson CIER Elite ME: _ Webber B Grinnell xae�, (419758&0111 A ma: (413)5666481 8 North King Street FMAIL 5: CnendcrsoLdwebberandgnmell com ADDRE sURERISIAFFOROING COVE RAGE _ Face Northampton MA 01060 INSURERA. SDlecfelns COOISCarolma INsuxep N.Unka. ALM.MuwaIIA LM. Reiter Builders,Inc. INSURER C AINI Scott Reiter Ix BUD..: _ 35 Main Street INSURER E'. Florence MA 01062 INSURERF: COVERAGES CERTIFICATE NUMBER: Master cap 2019 REVISION NUMBER: THIS IS TO CERTIFY THAT TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERN OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT yi I RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IgjqTYPE OF INSURANCE Iqg p POLICY HUMBER _ MMIOIpIYETYY MMIDDYME'%YY LIMITS X COMM ERLIALOEXEMLLIABILITY EACH OCCURENCE S 1,000000 500,000 DIME ADS [OCOURPREMIS'S =_wlonce $ `— MEOE%P(Any one Poo=nl S 15,000 A 82265567 06ZO112018 061012019 PIPPOP_AL 1POV,U11EY _ 5 1,000,000 GEN'LAGGREGUELIM11 APPLIES PER GENEfNLAGORPGATE 5_2,000.000 POLICY JEC LOL PEUnJE1S COMWCPA_OG 5 2.000 000 OTHER. CCMOt -' - - - - - -- INED SINGLELIMIT `AUTOMOBILE LIABILITY £u accGem 5 1000,000 ANV AUTO 00DIIV NJU RV Pcroorson) 5 OWNED SCIIEOULED A X A91052V O6I01I2018 O6IOt12019 GODUY PJ.IURY IPe,n==,een0 5 AUTOS ONLY AONO PROPERTY DAMPGE nRED NONOWNED s X Au105 ONLY X ALI OhiY Pe:acnu _ Medical payments 5 5,000 XUMBRELLALIAB OCCUR EACH OCLONHLNLE $ 5000,000 A Excaas UAB LLAIME-MADE 52265567 06/01/2018 061012019 AGGREGATE $ 5000,000 OED RETFNtION E 10'000 E WORKERS COMPENSATION X 51 TUTS AND EMPLOYERSLIABILITY YIN 1,000,000 B ANY PNOPRIETORPARTNER/E%EOUPVE ELfAL11ACCIOENT $ wLERPMUMBER EXCLUDED? a NIA MCC20020005382018A 06/1112018 06111/2019 1000,000 IMantlelory In Na EL.DISEASESXEMPLOYEE S _ ,uvea id-urbo„n e, 1,000,000 DescRlPnoN OF GPErunoxs oolow ei DlsFASE-POucv umT s DESCRIPTION OF OPERATIOX91 LOCATIONSI VEHICLE¢------------------ ACOROIOLAECIIIOneI B.T.HeSclueub,may EeaxecM1OE Xmen¢Paco Is mpulme) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1980-2015 ACERB CORPORATION. All rights reserved. ACORD 25(2916/03) 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 (U for work per the 81h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project "title: Access and Landscape Improvements Date:5l3/2019 Property Address: Smith Quad, Smith College Campus Project: Check(x)one or both as applicable: -New construction x Existing Construction Project description: Infill of two exterior service courtyards. Renovations to first floor entry and dormitory rooms for improved access., including removing elevator and installing interior ramp. I, Laura Fitch, MA Registration Number: 8835 Expiration date: 8/19,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 Inv designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic hasis to: I. 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 ot'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 submitto the building official a Final Cotsn'uction Control Document Later in the space to the right a "wet' of electronic " signature ad seal: Phone number: 413-549-5799 Uke-31e, " -t4ft5),Yt Email: Ifitchgfacdarchitects.com U Building OtImal llec Onh nuilLling Ul}idal Name: Ihnnii No.: Dale: Note 1. Indicate Ll ith an pr)'Iccl dLslgn plats_cunlpwati i .....Iaa-itical.....sthanm pr pr- d �rdi,alk a 1,,,,,d. It oil. r i+choral. pnnWe a de,riptlnu. Vcrsun 116 11 200 Initial Construction Control Document t To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Access and landscape Improivements Date:5/3/2019 Property Address: Smith Quad,Smith College Campus Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:Infill of two exterior service.murtvards. 12enovations to IIIstfloor enhv and donnilol ioonrsfor improved access, including removing elevator and insUlling interior ramp. I, Daniel J. Herzig,MA Registration Number:45603 Expiration date'.6-30-20,am a registered design professional,and I have prepared or directly supervised the prepuation of all design plans, computations and specifications concerning': 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 the provisions of 780 CNIR 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'. Enter in the space to the right a "wet" or qH OF electronic signature and seal: = qH y 0 u m o. 3 Phone number: (508) 821-9759 rQ Email: dherzigChallam-ics.com Ems' Ifuilding 0/j,"'1 Use 00,1 Building Official Name: Permit No.: Date: V croon 01 01 2018 TI- Initial Construction Control Document ? To be submitted with the building permit application by a ' Registered Design Professional for zoorlc per the ninth edition of the Massachusetts State Building Corte, 780 CMR, Section 107 Project Title: Access and Landscape hnproivcments Date:5/3/2019 Property Address: Smith Quad,Smith College Campus project: Check (x)one or both as applicable: New construction X Fxisting Construction Project description: Infill of hvo exterior service courh anis. Renovations to first floor entry and dormitory roomsfor improved access, including removing elevator and installing interior ramp. 1,Mark Felgate, MA Registration Number:97531 Expiration date: 6-30-20,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning' Architectural Structural Mechanical Fire Protection X 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 thestage of construction to become generally familiar with the progress and quality of the work and to determine if the work is hemp, 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 perfinenl comments, in a form acceptable to the building official. Upon completion of the work, I shalt submit to the building official a 'Final Construction Control Document'. Enter in the space to the right a"wet" ortd OF Mgssy electronic signature and seal: oy O MARK W. G f FELGATE M ELECTRICAL N No 4]531 Phone number: (860) 788-6812 ,f f�Sox.9`OG1S fEP���F�Q Email: mfelgateo)hallam-ics.com 8SSi0NAL ENPv Building Official U,00,1 Building Official Name: Permit No.: Date: Vcrsinn 01 III 2018