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31C-081 117 OLANDER DR#I BP-2020-0865 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31c-081 CITY OF NORTHAMPTON Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:NEW COMMERCIAL BUILDING BUILDING PERMIT Permit# BP-2020-0865 Proiect# JS-2020-001484 Est.Cost:$415000.00 Fee: $2689.20 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SHAUL PERRY 065400 Lot Size(sy. ft.): 273873.55 Owner: SUNWOOD BUILDERS Zoning: pv Applicant. SHAUL PERRY AT. 117 OLANDER DR #1 Applicant Address: Phone: Insurance: 84 POTWINE LN (413) 259-1000 WC AMHERSTMA01002 ISSUED ON:2/3/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-NEW CONSTRUCTION OF 4,000 SF COMMUNITY COMMON HOUSE * FOUNDATION ONLY** 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 Sianature: FeeType: Date Paid: Amount: Building 2/3/2020 0:00:00 $2689.20 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner n Versionl.7 Commercial Building Permit Mav 15, 2000 Department use only , !` , If of Northampton Status of Permit: ��✓�—f V -� Ing bepartment Curb Cut/Driveway Permit - 2 2 M in Street Sewer/Septic Availability 7�T ROO 100 Water/Well Availability NOrtha pto , MA 01060 Two Sets of Structural Plans pho 124 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Ic Lot Unit JW 01060 Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �j� Vl p�r /J�v�twa ��.�t:J�mu�� d�,P01W191c,41'c, Ji 71h'k'V /# 0/00v Name(Print) Current Mailing Address: �/C3 -4w� Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 0yo,ow (a) Building Permit Fee 2. Electrical �ooO (b) Estimated Total Cost of 1 Construction from 6 3. Plumbing /QOM Building Permit Fee 4. Mechanical(HVAC) $.L'e 000 �1) ��'do 5. Fire Protection 6. Total = 0 +2+3+4+ 5) ° Check Number This Section For Official Use Only Building Permit Number ,ar' Date V Issued Signatre: / 3LO Buildi Commissioner/Inspector of Buildiggs Date / Version 1.7 Commercial Building Pen-nit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 i CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground J/Sign❑ Ne//w Signs ❑/Roofing[] Change of Use❑ Other ❑ / 1 Brief Description Co/7S�/�cfioll o� y�� C.oirvrr'vir�i`� Alorl �vSc/ Of Proposed Work: Vv,7/7 cJliT,11,5'h�( BGrtci>T / / SECTION 5 -USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicablel CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 1A ❑ A-4 ❑ A-5 ❑ 1B B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ Storage ❑ S-1 ❑ S-2 ❑ 513 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify. COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 15' i1 s` 2"d�. 2�d i 3rd 3rd 4t' 4 t Total Area (sf) F Total Proposed New Construction (sf) Total Height(ft) Total Height ft d � 7. Water Supply(M.G.L. c. 40, § 54) F7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ one Outside Flood Zone Municipal E] 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:�= 0 Rear Building Height Bldg. Square Footage z4 % L Open Space Footage lJ/ % (Lot area minus bldg&paved I_. parking) #of Parking Spaces -� Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DON'T KNOW O YES IF YES, date issued: 9/if�F IF YES: Was the permit recorded at the Registry of Deeds? NO ® DON'T KNOW O YES � IF YES: enter Book 183 _ J Page //Q and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ler DON'T KNOW Q 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 ()Q NO IF YES, describe size, type and location: c30" �,�Mi�lv�,/ D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO M IF YES, describe size, type and location: E. Will the construction activity disturb(cleari grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit 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: /_ . /� , Not Applicable ❑,! �! Name(Registrant): C.4rt>�trlu�i aZ`— M ��L-e4v1 A9 0100ol Registration Number Address _ /.� I I't; r Expiration date Signatu T Telephone J j 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration xpiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor sorw0i Ly�/ � Not Applicable ❑ Company Name: sLI .P�v Ressppoonnsible In Charge f Construction U'I �OTW% GJ fG ,/Y/17�C1S7' (�Jrop� Address AA 7/601 Si rTelephone Version 1.7 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 11 -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 Owner Date 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 4nder the gains and penalties of perjury. er Print Name Sig&uJ ot Owner/Agent ate SECTION 12-CONSTRUCTIONS VICES 10.1 Licensed Construction u ervisor: Not Applicable ❑ Name of License Holder: `.J OcJ/ CrI' a-00100 License Numb r Almne," 40 G1 Address Expiration bate /3 -1 o' -dA SiqWrA Telephone SECTION 13-WORKERSCOMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the bui 'ng permit. Signed Affidavit Attached Yes9 No 0 The Commonwealth of Massachusetts UVDepartment of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. 7'O BE FILED WITH THE PERMITTING AUTHORITY. AvOicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: 8� )00 .21az � �� ©/" City/State/Zip: Phone#: 11/3 -OW9'/1000 Are you an employer?Check the appropriate box: TyNe roject(required): 010,_a employer with employees(full and/or part-time).* 7. w construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition ;.M 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must 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. Below is the policy and job site information. , o�lfG Insurance Company Name:��/y�/�J /v/Jr�Jr/.� Syl' /�/ Policy#or Self-ins.Lic.#: b✓A�I�XOOBOQ O19H Expiration Date: ,') Irul Job Site Address: r1 �C Jr'i✓C/ City/State/Zip: orovrr A&0/060 Attach a copy of the workers'compensation policy declaration page(showing the policy number an 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 u der t pai and penalties of perjury that the in formation provided above is true and correct Signature: Date: Oo�4 Phone#: 0� 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#: A` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/28/2019 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 lieu of such endorsement(s). PRODUCER CONTACT Linda Powers,CRIS NAME: Webber&Grinnell HONE Ext): (413)586-0111 (A/C No): (413)586-6481 8 North King Street E-MAIL (powers@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURERA: Union Ins/Acadia 25844 INSURED INSURER B: AIM 33758 Sunwood Development Corporation INSURER C: Acadia Insurance Company Attn:Shaul Perry INSURER D: 84 Potwine Lane INSURER E: Amherst MA 01002 INSURER F: COVERAGES CERTIFICATE NUMBER: Sunwood Dev Exp 3-2020 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. ( POLICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/OD/ EFF MMIDD/EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAUE TU RENTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 A CPA5381469 03/04/2019 03/04/2020 PERSONAL&ADV INJURY $ 1,000,000 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000O- POLICY ❑JECT PRO F—]PRO- PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED MAA5381470 03/04/2019 03/04/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY YIN 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? N/A WMZ80080056582019A 05/22/2019 05/22/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Builder's Risk C APP BR VILLAGE HILL CO 05/30/2019 05/30/2020 Building $7,400,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It 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 City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 240 Main St,Suite 3 AUTHORIZED REPRESENTATIVE Northampton MA 01060 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 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: Or;Ve/ The debris will be transported by: 6U11WOi2j The debris will be received by: 3 Building permit number: Name of Permit Applicant /412x�� / DD Date Signature of Permit ApfSlicant � • �. � •f • .. � J 1 I .� II � .. � �� 1 � � I .I 1 t • .I "�S\ CHARLES D. BAKERCommonwealth of Massachusetts JOHN C. CHAPMAN GOVERNOR UNDERSECRETARY OF Division of Professional Licensure BUSINESS BUSINESS REGULATION KARYN E. POLITO Office of Public Safety and Inspections LIEUTENANT GOVERNOR CHARLES BORSTEL Architectural Access Board COMMISSIONER,DIVISION OF E JAY ASH 1 Ashburton Place, Rm 1310 . Boston • Massachusetts • 02108 PROFESSIONAL LICENSURE THOMAS HOPKIUR SECRETARY D ECONOMIC DEVELOPMENT V: 617-727-0660 • www.mass.gov/aab • Fax: 617-727-0665 EXECUTIVE DIRECTOR TO: Local Building Inspector Docket Number V 18 215 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: Village Hill Cohousing Orlander Drive Northampton Date: 7/19/2018 Enclosed please find the following material regarding the above location: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. CHARLES D. BAKERCommonwealth of Massachusetts JOHN C. CHAPMAN GOVERNOR UNDERSECRETARY OF Division of Professional Licensure BUSINESS BUSINESS REGULATION KARYN E. POLITO Office of Public Safety and Inspections CHARLES BORSTEL LIEUTENANT GOVERNOR Architectural Access Board COMMISSIONER,DIVISION OF E JAY ASH 1 Ashburton Place, Rm 1310 • Boston • Massachusetts • 02108 PROFESSIONAL LICENSURE THOMAS HOPKINS SECRETARY D ECONOMIC V: 617-727-0660 • www.mass.gov/aab • Fax: 617-727-0665 EXECUTIVE DIRECTOR NOTICE OF ACTION Docket Number V 18 215 RE: Village Hill Cohousing, Orlander Drive Northampton 1. A request for a variance was filed with the Board by Shaul Perry (Applicant)on June 20, 2018 The applicant has requested variances from the following sections of the 06 Rules and Regulations of the Board: Section: Description: 25.1 Petitioner sees relief to the requirement that the entrance to the lower level be made accessible. 2. The submittal was reviewed by the Board as an incoming case on Monday, July 16, 2018 3. After reviewing all materials submitted to the Board, the Board voted as follows: GRANT relief to 25.1 as proposed, and ORDER the Board's Staff notify the petitioner that the guest rooms in the community building meet the definition of a Transient Lodging Facility under 521 CMR 8 and at least one of the bedrooms and the bathroom that serves it need to meet the Group 2B standards. PLEASE NOTE:All documentation (written and visual) verifying that the conditions of the variance have been met must be submitted to the AAB Office as soon as the required work is completed Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after 30 days, a request for an adjudicatory hearing is not received, the above decision becomes a final decision and the appeal process is through Superior Court. Date: July 19, 2018 - 4ajx,� WT- cc: Local Disability Commission Chairperson Local Building Inspector Independent Living Center ARCHITECTURAL ACCESS BOARD