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31D-142 (12) 175 MAN ST BP-2009-0944 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31D- 142 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0944 Project# JS-2009-001368 Est. Cost: $220000.00 Fee: $1320.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAMS & RUXTON CONSTRUCTION CO., INC. 071951 Lot Size(sq. ft.): 22389.84 Owner: MAIN ST LLP C/O COLEBROOK REALTY SERVICES Zoning: CB(100)/ Applicant: ADAMS & RUXTON CONSTRUCTION CO., INC. AT: 175 MAIN ST Applicant Address: Phone: Insurance: 600 UNION ST (413) 734-2138 Workers Compensation WEST SPRINGFIELDMA01089 ISSUED ON:5/27/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATIONS INCLUDING NON-BEARING WALLS,MECHANICAL,ELECTRICAL & FINISHES 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 Signature: FeeType: Date Paid: Amount: Building 5/27/2009 0:00:00 $1320.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2009-0944 APPLICANT/CONTACT PERSON ADAMS&RUXTON CONSTRUCTION CO.,INC. ADDRESS/PHONE 600 UNION ST WEST SPRINGFIELD (413)734-2138 PROPERTY LOCATION 175 MAIN ST MAP 31 D PARCEL 142 001 ZONE CB(I 00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 7/9/ki 4 /J 3620'n _ Typeof Construction: RENOVATIONS INCLUDING NON-BEARING WALLS,MECHANICAL,ELECTRICAL &FINISHES New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 071951 /26r/Ito d 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 _Aid z0200 s 9 Signa of Buildi g ficial 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 40N.Contact Office of Planning&Development for more information. File#B' 20 1\1-0944 APPLIC• T ' ONTACT PERSON ADAMS&RUXTON CONSTRUCTION CO.,INC. ADDRES ONE 600 UNION ST WEST SPRINGFIELD (413)734-213R PROPERTY LOCATION 175 MAIN ST MAP 31D PARCEL 142 001 ZONE CB(100)/ id THIS SECTION FOR OFFICIAL I. it( PERMIT APPLICATION CHEC C\ ENCLOSE] �N ZONING FORM FILLED OUT (J� Fee Paid -(? d 1 Building Permit Filled out Q /� �� (` 2�L Fee Paid / ! � 1`� IJ J� }1C L) Typeof Construction: RENOVATIONS INCLUDING NON-BEARING W 7 / &FINISHES New Construction Non Structural interior renovations Addition to Existing Accessory Structure _ Building Plans Included: Owner/Statement or License 071951 1,...ezito 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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. Versionl.7 Commercial Building Permit May 15,2000 Department use only --,City of Northampton Status of Permit: \•Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability { Room 100 Water/Well Availability A ZQ09 Northampton, MA 01060 Two Sets of Structural Plans V\ -phone 413-587-1240 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 175 Main St Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Signature r,<. �' Telephone 2.2 Authorized A ent• Adams &Ruxton Const. Co. 600 Union St. West Springfield,MA 01089 Name(Print) Current Mailing Address: (413) 734-2138 Signature -" "' � '' Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /8O ' 0070 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of 4.0i010 Construction from (6) 3. Plumbing r Building Permit Fee ICE 4. Mechanical (HVAC) ) 5. Fire Protection /C ' C 6. Total =(1 +2+3+4+5) 22..0 Cfir Check Number /97yr sj3at, This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date Version1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs El Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign 0 New Signs❑ Roofing❑ Change of Use❑ Other 0 Brief Description Enter a brief description here. Alterations including non-bearing walls, mechanical, electrical and Of Proposed Work: finishes as per plan. 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 ❑ 2B I ❑✓ F Factory El F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ 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: Business Proposed Use Group: Business 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) 1st 1st Wo G1lRN6t 2nd 2nd 3rd 3rd 4th 4th Total Area(sf) Total Proposed New Construction(sf) 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 0 Private ❑ Zone Outside Flood Zone ✓❑ Municipal ❑✓ On site disposal system El 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 existing no change Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW O YES 0 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# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW 0 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: front of building,pylon sing in rear parking lot D. Are there any proposed changes to or additions of signs intended for the property? YES Oi NO 0 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. • 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: • M Not Applicable ❑ 30060 Name(Registrant): 1000 Massachusetts Ave Cambridge, MA 02138 Registration Number Address 10/0 1/2010 S t.0 Ai tvw t-r (617) 547-5400 Expiration Date Signature Telephone 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 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 Adams & Ruxton Construction Company Not Applicable ❑ Company Name: Andrew Touchette Responsible In Charge of Construction 600 Union St. West Springfield, MA 01089 Address ,Za (413) 734-2138 nature Telephone M1 , 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 Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, S k, s, '-.L , as Owner of the subject property hereby authorize Adams & Ruxton Construction Company to act on my be ' - ers r- - - .work authorized by this building permit application. w1c �' Signature of Owner � t Date Andrew Touchette/Adams& Ruxton Const. Co. 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. Andrew Touchette Print Name s/s/ Q 1 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder: Andrew Touchette 071951 License Number 600 Union St. West Springfield, MA 01089 08/04/2010 Address Expiration Date (413) 734-2138 gnature Telephone SECTION 13-WORKERS'COMPENSATION 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 building permit. Signed Affidavit Attached Yes 0 No 0 _ The Commonwealth of Massachusettst Department of Industrial Accidents ._:= tl Office of Investigations __ ,� 600 Washington Street =► Boston, MA 02111 4r� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,�1--ts .4- ?-A-J' i b—_. (p,..(ST . Gb _ Address: 60o 0/..4 i 01✓ ST , o1ocq City/State/Zip: l.�6-s-r SPiaiuc PltLil 1t iA Phone #: +/S 73-t- z Are you an employer? Check the appropriate box: Type of project(required): 1.Di I am a employer with /S 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [j Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P h 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 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. *Contractors 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. Insurance Company Name: AL N) Policy#or Self-ins. Lic.#: LA..) C 3 76?Z I Expiration Date: i 213/ /D 9 Job Site Address: /7 S H At t-' Sr . it, City/State/Zip: ,`Jog?tt ia1--t.f'i o" i i' A 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 of up 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: 6----�— Date: 575 0 i z Phone#: 4-<3 - 734 - Z,i 3 8 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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector ' 6. Other Contact Person: Phone#: ACORD„ CERTIFICATE OF LIABILITY INSURANCE OP ID RH DATE(MM/DD/YYYY) ADAMS-1 04/15/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PHILLIPS INSURANCE AGENCY INC HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 97 CENTER STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CHICOPEE MA 01013 Phone: 413-594-5984 Fax:413-592-8499 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ohio Casualty —24074 INSURER B. Peerless Insurance Company _ 24198 Adams & Ruxton Construction CO INSURER C: P.O. BOX 390 INSURERD. West Springfield MA 01090 • INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AMYL LTR'NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/D0/YYj DATE(M/DD/YY))N- LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY BKW 53153890 12/31/08 12/31/09 PREMISES(Ea occurence) $100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) 35,000 PERSONAL BADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG 82,000,000 POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1 000 A ANY AUTO BAW53153890 12/31/08 12/31/09 (Ea accident) r ,000 ALL OWNED AUTOS BODILY INJURY S X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS .(Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC S OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 A X OCCUR CLAIMS MADE US053153890 12/31/08 12/31/09 AGGREGATE $10,000,000 _ S DEDUCTIBLE $ X RETENTION S 10000 $ WORKERS COMPENSATION AND X TORY LIM S DER B EMPLOYERLITY WC8576721 12/31/08 12/31/09 E.L.EACH ACCIDENT $1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1000000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT b 1000000 OTHER A Fidelity Bond 3795426 08/17/08 08/17/09 Emp Disho 1,000,000 (Empl Dishonesty) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTH ZED REPRESS TATIVE pptit ACORD 25(2001108) ©ACORD CORPORATION 1988. ARCHITECTURE ENGINEERING PLANNING INTERIORS SYMMES MAINI & MCKEE ASSOCIATES CONSTRUCTION CONTROL AFFIDAVIT PRE-CONSTRUCTION Name of Building: TD Bank Project Location: 175 Main Street,Northampton, Massachusetts Nature of Project: Interior Renovation In accordance with Section 116.0 of the Massachusetts State Building Code (Seventh Edition),I,Lerry Asaro, Registration No. 30060, being a registered professional hereby certify that I have prepared or directly supervised the preparation of design plans,computations and specifications concerning: ENTIRE PROJECT 0 ARCHITECTURAL ® STRUCTURAL 0 MECHANICAL ❑ PLUMBING 0 FIRE PROTECTION 0 ELECTRICAL 0 OTHER: for the above named project and that, to the best of my knowledge,such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,acceptable professional practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I, or people under my direct supervision,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that,in general, the work is proceeding in accordance with the documents approved for the building permit as per Section 116.2.2 of the Massachusetts State Building Code and shall be responsible for the following: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2. Review of the quality procedures for code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix A of the State Building Code. Pursuant to Sections 116.2.3 and 4, I shall submit to the building official all inspection reports and r- ords of tests and measurements as requested by the building official. ARe6'/ Upon completion of the work,I shall submit a final report as to the satisfactory completi• , • • IOif4-. TFe) of the project for occupancy. � yQ 1;3 o c g No.30060 (/1/)/ —0 MASS. �J Design Professional Seal ?'�FqtTHOFMPSSP� Signature 44 SS: On this�3 day of 4// , 2009,AD before me, 4- 44.400.,a Notary Public,duly appeared% AM4 /tl• iSithi ,being duly sworn,deposes and says that the above statements by him/her are true. 1>fl.1*14 'l•N.�.c.4.,tw. My Commission expires: /1/21//r 1000 Massachusetts Avenue 400 Westminster Street Cambridge, Massachusetts 02138 Providence, Rhode Island 02903 r 617.547.5400 F 800.648.4920 r 401.421.0447 F 800.648.4920 www.smma.com ARCHITECTURE ENGINEERING PLANNING S\ '(� /( A INTERIORS �1��/�_� SYMMES MAIM 8 MCKEE Assoc ATEs CONSTRUCTION CONTROL AFFIDAVIT PRE-CONSTRUCTION Name of Building: TD Bank Project Location: 175 Main Street,Northampton, Massachusetts Nature of Project: Interior Renovation In accordance with Section 116.0 of the Massachusetts State Building Code (Seventh Edition),I,Brian Gardner,Registration No. 40445,being a registered professional hereby certify that I have prepared or directly supervised the preparation of design plans,computations and specifications concerning: ENTIRE PROJECT 0 ARCHITECTURAL ❑ STRUCTURAL ❑ MECHANICAL ❑ PLUMBING ❑ FIRE PROTECTION ❑ ELECTRICAL ® OTHER: for the above named project and that, to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,acceptable professional practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I,or people under my direct supervision,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that,in general, the work is proceeding in accordance with the documents approved for the building permit as per Section 116.2.2 of the Massachusetts State Building Code and shall be responsible for the following: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2. Review of the quality procedures for code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix A of the State Building Code. Pursuant to Sections 116.2.3 and 4,I shall submit to the building official all inspection reports and records of tests and measurements as requested by the building official. Upon completion of the work,I shall submit a final report as to the satis .. o completion and readiness of the project for occupancy. Pe' . ' DesT•+ 0 1" Sizit b,..,..„... e \, „4'`.. T : '''„4`" 1 SS: On this d� , 2009, As71i '. l AD before me, ��__ ,a Notary Public,duly appeared'? 4/"ij I• + � ,being duly sworn,deposes and says t' . - above statements by him/her are true. / �Ni irn< YYI,�ti4•Ir e. , My Commission expires: /`Mill-{ 1000 Massachusetts Avenue 400 Westminster Street Cambridge, Massachusetts 02138 Providence, Rhode Island 02903 T 617.547.5400 F 800.648.4920 T 401.421.0447 F 800.648.4920 www.smma.com ARCHITECTURE ENGINEERING PLANNING S\ 1 /T A INTERIORS \V/11 ��11LL�, SYMMES MAINI 8 MCKEE ASSOCIATES CONSTRUCTION CONTROL AFFIDAVIT PRE-CONSTRUCTION Name of Building: TD Bank Project Location: 175 Main Street,Northampton, Massachusetts Nature of Project: Interior Renovation In accordance with Section 116.0 of the Massachusetts State Building Code (Seventh Edition),I, Murat Alkim,Registration No. 47066,being a registered professional hereby certify that I have prepared or directly supervised the preparation of design plans,computations and specifications concerning: ENTIRE PROJECT ❑ ARCHITECTURAL ❑ STRUCTURAL ❑ MECHANICAL ❑ PLUMBING ® FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER: for the above named project and that,to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,acceptable professional practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I,or people under my direct supervision,shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that,in general, the work is proceeding in accordance with the documents approved for the building permit as per Section 116.2.2 of the Massachusetts State Building Code and shall be responsible for the following: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review of the quality procedures for code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix A of the State Building Code. Pursuant to Sections 116.2.3 and 4,I shall submit to the building official all inspection reports and records of tests and measurements as requested by the building official. Upon completion of the work,I shall submit a final report as to tory completion and readiness of the project for occupancy. / j10f 1414 a61 MU s. ALKIRATl�A Signature t • *0• �y ,/ C/19TE" .,.'•f SS: O t is day of 4 / , 2009,AD before me, •=a: 4! 1 ,a Notary Public,duly appeared S . , being duly sworn,deposes an• . he above statements by him/her are true. nrn-rr My Commission expires: /a/z'fi/, -- 1000 Massachusetts Avenue 400 Westminster Street Cambridge, Massachusetts 02138 Providence, Rhode Island 02903 T 617.547.5400 F 800.648.4920 T 401.421.0447 F 800.648.4920 WWW.Smma.com Northampton Fire Department Memorandum To: Tony Patillo From: Duane Nichols .CV Date: May 18, 2009 CC: Brian Duggan Re: TD Bank, 175 Main St Secondary to a review of the plans submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • Fire alarm and fire suppression work permits shall be obtained for the project. The CIO inspection fee needs to be paid prior to approval of any fire alarm plan. • Fire Department Emergency Access Key Box is required on the exterior of the structure near the main entrance; a red 120-candela strobe light that actuates upon an alarm condition is required above the Emergency Access Key Box. • Engraved key tags and proper keys are placed in the Key Box. • A graphic representation of the structure needs to be installed at the Fire Alarm Control Panel and/or Fire Alarm Annunciator Panel. The structural members should be outlined in black and each fire alarm device should be outlined in red. Points of egress should be indicated with blue shading, if the • Page 1 building is multi-storied floors should be shown one above another. The building name and address should be posted at the top of map • The Fire Alarm Control Panel and/or Fire Alarm Annunciator must be labeled with red engraved signage with one-inch white lettering "Fire Alarm Control Panel" and/or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. • Pull Stations shall be double action type. • 5 lb ABC Fire extinguishers are needed located at exits. This shall be in compliance with NFPA relative to maximum travel distance. Appropriate signage in compliance with ADA should be located above • Alarm verification must be active on all smoke detection zones. • Page 2