The URL can be used to link to this page

13-038 (7) 08/14/2013 08:37 FAX 347 787 7956 FREDS TENTS 11001 ' • i %., -D-I ) rn __ ., t..., . 0rn _ _Ti .1nS Nrnrim Ln rn 1 A � tr-+ z (D r 1—.. 4,, N w W - W w - � NO -g rn 124- 2W W 411 In 1 r Q W W N O r.eti r nm .._1 En A Tr . m m `° N HL P-4, Cri N 0 O O O _ r r cri vi cn O nm O cab -Q fD o r__, .... .... i,„ i., i„,., r r , ,..._ ,,,,, . . r -�Tn r - N W mom. W 41 AOAmc.1OoNOOrnrop$ n F-► m p r C7 c O fri O O p 00 1-- M M r A � rS (/1A_ N �1 ; 1 v V! p n = Q gm X51 -iii , i 1 ''' From:Stacie Pecor FaxID: Page 2 of 2 Date:8/1 4/20 1 3 08:23 AM Page:2 of 2 COREY-6 OP ID: TP A1CCM°" CERTIFICATE OF LIABILITY INSURANCE DATE(MM 08/14//2013 2013' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Phone: NAME: Berkshire Insurance Main Street America Group-NE Fax: PHO� 86600-6643 -FAX New England Region m No,E:q: yvc,No): 866332.4776 PO Box 2027 ADDRESS:servicecenter@msagroup.com Keene,NH 03431 Berkshire Insurance Group INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Main Street America Assurance 29939 INSURED John Corey INSURERB: 101 Old Chesterfield Rd INSURER C: Williamsburg,MA 01096-9308 INSURER D: — INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. INSR ADD'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDIYYYY)_SMM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPB51061 04/29/2013 04/29/2014 DAMAGETO RENTED PREMISE1Ea occurrence) $ 500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Wright Builders Inc ACCORDANCE WITH THE POLICY PROVISIONS. 48 Bates Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE —16(44Q7‘, cI a C 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD oatNA„�,a ity of Northampton —, Massachusetts t ti _ , •ar•, -2 NT OF BUILDING INSPECTIONS \ 21 Main Street • Municipal Building 6 1 s, ©,� Northampton, MA 01060 `114 3!?‘~ .Y-';c�1l005S 81C tJCF. TENT PERMIT APPLICATION (For Tents over 120 square feet) Permit Fee: $25.00 Check# 'i / PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ("Jr,: ''h 1 r., Address: gc?/P_S i//e e t Telephone: /3 2. Owner of Property: titVe-1 Vane y 14c{fke -1 C Address: 3 T3 0 Al Kt t^ S7L, •-(:- Telephone: V13-581/81/ -a 6 6 5 3. Status of Applicant Owner )(Contractor 4. Tent Location Address): ��% �, n j n� J f ! V C Qm�p 0/ ) Par I,D 7- , . ; , °4'1'z�ZD1I1�1.9�.� n v s. �:� ^-� 1'C.eI� '. ✓1�r.�"�.,��+ps DIS�nCf�S)��P, .t. .t. _ ..._. CIA HE iULEP.1.4$Y 1EVAllba1NGOEFAR.'11.4END 5. Use of Property: Residential: Commercial: x 6. Description of Tent: Size: o XI X L(U Occupant Capacity: .5 0 / Dates of Use: S/, /i 3 10 420/13 7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 3/13 ! ' 3 APPLICANT'S SIGNATURE 1' L NOTE:Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Conservation Commission,Department of Public Works and other applicable permit granting authorities._ File#BP-2014-0183 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116) PROPERTY LOCATION 330 NORTH KING ST MAP 13 PARCEL 038 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 4c3 n� Fee Paid Typeof Construction: ERECT 29 X 40 TENT 8/22/13-10/20/13 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION 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 40 OF, Sign. e o 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. 330 NORTH KING ST BP-2014-0183 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 13 -038 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Tents BUILDING PERMIT Permit# BP-2014-0183 Project# JS-2014-000313 Est.Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group:_ WRIGHT BUILDERS Lot Size(sq. ft.): 130680.00 Owner: BILLMAR CORPORATION C/O RIVER VALLEY MARKET Zoning: Applicant: WRIGHT BUILDERS AT: 330 NORTH KING ST Applicant Address: Phone: Insurance: 48 Pates St (413) 586-8287 (116) NORTHAMPTONMA01060 ISSUED ON:8/22/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:ERECT 29 X 40 TENT 8/22/13-10/20/13 PO`'h THIS CARD SO IT IS VISIBLE FROM THE STREET Insp :or of Plumbing Inspector of Wiring D.P.W. Building Inspector Und Service: Meter: Footings: Rout Rough: House# Foundation: Driveway Final: Fin: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Roue i Oil: Insulation: Fin:.': Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF AN': OF ITS RULES AND REGULATIONS. Cer''ficate of Occupancy Signature: Fee 'voe: Date Paid: Amount: Bui' 8/22/2013 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner