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31A-322 (4)
19 WARD AVE BP-2017-0684 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31A-322 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TTO�THE TGUARANTY FUND D((MGL Lcc.1144/2�A)) Category: INSULATION BUILDING 1 �•zRNII1 Permit# BP-2017-0684 Project# JS-2017-001117 Est.Cost: $3988.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BRYAN HOBBS 83982 Lot Size(sq. ft.): 11107.80 Owner: BAKER CARRIE Zoning:URA(100)/ Applicant: BRYAN HOBBS AT: 19 WARD AVE Applicant Address: Phone: Insurance: 346 CONWAY ST (413) 775-9006 WC GREENFIELDMA01301 ISSUED ON:1I/16/2016 0:00:00 TO PERFORM THE FOLLOWING WORK INSULATION FOR ATTIC AND BASEMENT CEILING 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 ft 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 Occu.anc Si!nature: FeeType: Date Paid: Amount: Building 11/16/2016 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0684 APPLICANT/CONTACT PERSON BRYAN HOBBS ADDRESS/PHONE 346 CONWAY ST GREENFIELD (413)775-9006 PROPERTY LOCATION 19 WARD AVE MAP 31 A PARCEL 322 001 ZONE URA{100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 6//) Fee Paid TvngofConstructionINSULATION FOIC AND BASEMENT CEILING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 83982 3 sets of Plans I 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 Cm 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 %!�! l/—//17 Sir ui n_O'iciat 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. 3 Department use only City of Northampton Status of Permit: Building Department Cure CUNDriveway Permit r�( k Q 212 Main Street Sewer/Septic Availability Room 100 Water/Nell Availability " - - Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Piot/Site Plans -_... Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office lq Ward AvevlAe Map Lot Unit No rk 0.p Pfv Pi M(T Zone Overlay District Of OW Elm St.District CS District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ca{r;e ( a11\e( !% Ward Ave vlAe- Not kiawlptont Al Name(Print) Current Mallin Address: See- Perm* ka}l,o(iza-Fiovj (wt tleph e ;40 Signature 2.2 Authorized Agent: i� 6rycaTi 1-0)6 Re1M elitnG _ -ib Loo.tvot 9` 6-(€e4 ;eIA Aa 01301 Name( nnt) Current Mailing Address. y�,1J�/� %% 913- 77S— 9006 Signe Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only _ completed by permit applicant 1. Building 7,rfII 4$Ij/ (a) Building Permit Fee r— 2- Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection /(/ 6. Total=(1 +2+3+4 +5) Check Number ,5 W 5 This Section For Official Use Only Date Building Permit Number. • Issued'. Signature: Building Commissioner/inspector of Buildings Date Section A. ZONING All Information Must Be Comptetes.Permit Can Be De.med Due To Incomplete information Existing Proposed Required by Zoning l his cote nn m be tilled in by Building Department Lot Size Frontage Setbacks front Side L: R: L: R: Jtear Building Height Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: Jolume&Incanon) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW a YES C} IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Ll , Date Issued: C. Do any signs exist on the property? YES Q NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 IF YES, describe size, type and location: E. Wilt the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over I acre', YES U NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5•DESCRIPTION OF PROPOSED WORK(cheek all applicable) New House ❑ Addition 0 I Replacement Windows Atteration(s) Roofing Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs !Ci] Decks (q Siding ICI Other tIZE Brief Description of Proposed Work: ^r77reo,+- �/luerll�`//i?, igassnwo-i¢ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Rall -Sheet ea. If New house and or addition to existing housing, complete the following. a. Use of building One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction._-, Dimensions a. Number of stones? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i Is construction within 100 ft.of wetlands? Yes No. is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR� APPLIES FOR BUILDING PERMIT Ste t4- jI lI .Df t`toit 'LTJ co✓\ _, 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. Si nature of Owner Dale ":(774. �/s�G1 yl n9l . as Owner/Authorized Agent hereby de are � 1e that the statements anc 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. eii\701,v\ 1/0106$ Print Name 'MC gr 'Ij2Jt/ Illi//� signature of Owner/Agent Dale SECTION S-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not A�p plica ble 0 Name of license Holder: 1s ,Nl EO ©0�/3 ( gZ License Number tib COn, iy 6-0c/evt-ftr1c,. Al 01301 7r irr7 5 Zig_. Address4 /„ Expiration Date yy°./Ll/'yj'/-„"� �t13�- 775~�oDr, Signature 5 Telephone 9.Reafstered Home improvement Con+vac or Not Applicable 0 6rycn Nobby izemodeihie 1361 RA -- Company Nam!e__ //''++ Registration Number 39 17 Lo lA Wet./ 41— _ 7113/f7 Address J7 'j Expiration Date t11.3-7)C—C1004 � ft A ©�30\ Telephone '113-7��—(t7� � SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L o.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 bund.n permit Signed Affidavit Attached Yes....... tZ No O 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner pets as supervisor_CMR 760, Sixth Edition Section?06,3 5J. Defnitiowof Homeowner: Person(s)who own a parcel of and on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who cnnstruats more than one home in a two-vear period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work fur which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 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: , 9 lniar0\ /gkeWe' 40i1[1'iGNnplo11 The debris will be transported by: ( vA01 Cte b poscil Co, The debris will be received by: (otvtp)e +t r 15 po5c1 (D Building permit number: Name of Permit Applicant Dr yup 0 'l)5 II/3�6 f5 /4-GC Date Signature of Permit Applicant City of Northampton /i. 6� Massachusetts Cr 4 If Se. h f � � C£PANT1fSdS OF BUILDING INSPLCSZONS y �+ \ '15.."-:, .T,. 212 Neon Street • eunicipot R atdong jt OCA __ nn ' / Northampton, HP 01I1060 ( I,� e , se Property Address: ICI Wz f �V� �).(T ka Wi n l O Vl; /_' a O 1O6(„J Contractor �7 �/ I (� I Name: (i3Pyctn ITOb 5 ICCMvde iris Address: 316 (o((N v,/ n.,/,� 5 I City, State: (srecA Ce.- a c / 01 0 1 Phone: t1 l - 77 r S^ q/ "I WOG Property Owner,,a f1 e Q�kC( Name: A (Aj 11� /J,, ( 7 / Address: 19 ,,li///u(CI AV(11NC /)o �'tipforI J 01060 City, State:ilb 1, Qtya t1 N''II o\ (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with as/copy of this affidavit. //< /,�y Contractor signature it Date 11/3// fit RISE60 Shawmut Road,Unit 2I Canton,MA 02021 1339.50216335 ENGINEERING www.RlsEengineering.com OWNER AUTHORIZATION FORM -Atp 6A K- r2 (Owner's Name) owner of the property located at: 1 W A-t AV O (Property Address) it) ¢ A. f -vim -T6tt) M/i . 0/01. O u <; I. (Probe Address) 3 t 1), v il hereby authorize , �l�u LI (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property.This form is only valid with a signed contract. Ther Permit win be secured by the insulation contractor,at no additional cost it is the homeowners responsibility to close out this permit by contacting their municipality at the completion of this work. Owners Signature 1 Date 62018 The Commonwealth of Massachusetts Department of Industrial Accidents =F.' 7= Office of Invesfigatlons 600 Washington Street �' Boston, MA 02111 www.massgow'dia Workers'Compensadon Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (If.smessVYgim>ation/mdividual): Bryan G. Hobbs Remodeling 346 Conway SL Address: Greenfield,MA 01301 City/State/Zip: Phone #: Lift rl`1 S""ze,Gds 14 Are you an employer? Check the appropriate box: Type of project(required): 1.:1 I am a employer with 6 4. ❑ 1 am a general cootactor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contactor 7. ❑ Remodeling 2.❑ I am a sole proprietor or pram- listed on the attached sheer. t chip and have no employees These sub-cootractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. q_ 0 Building addition [No workers'camp. insurance 5. 0 We are a corporation and its • I0.0 Electrical repairs or additions requited.] officers have readied thea 3.❑ I am a homeowner doing all work right of exemption per MOL 11.❑ Plumbing repairs or additions myself [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance requred]t employees. [No worker' 13.[(11 that comp, insurance required.] •..•.al lttal!"d'x •Any appWol Qat amour tort al masa abs NI out the section below Mowing Wei,woken'compensation policy information' t Hemeowe..dlo siti thin affidavit Wiest*tbsy an doing an work ed Nen bin omcde mare mm Witt•mew ar16.a bdicming such :Contraltos ted that des box twin epcted an.ddidOIS sten showing No nate oft the aibamoama andtheir aortas'tea.policy information I ton an talployer that it providing workers'campertsatian insurance for my employees Below is the polity and fob site infarmafltw. /1 insurance Company Name: Wrk6UAK.�D Ii1.S I Aro Fj(I.i', UuIYlfi(kn]t.4 Policy p or Sel4im.Lie.N: kZ.LA er 5 I .s q N e; Expiration Date: I(42.1--ii) !4- Job Site Address: I r 1 wa,Yri 4%CIta- City/State Zip: Uf tta w)O+ 1217 I't f OidlY Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to wane coverage as required under Section 25A of MGL a 152 can lead to rhe 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 5250.00 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 herby any and r e2' and penalties ofptyuty Gm the information provided above I,true and carrots Signature: />J Date: Phone 11: 4145— 5- q f]©e Ofllcid las only. Da not write a this area,to be completed by city or gown official. City or Town: PermIt/Llcease N Inning Authority(circle one): 1.Baird of health 2.Balldlog Department 3.City/Term Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Comet Person: Phone 4: acfRLA CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDRYTY) 10/17/2016 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 nnm&EtcT Dakota Coughlin A. H. RIST INSURANCE AGENCY INC. 1yfON` tea. 1413)863-4373 (wG, _ p. j2DREss'. dakutagandst corn _ P.O.BOX 391 INSURER(s)AFFORDING COVERAGE MAIC TURNER FALLS MA 01376 INSURER A: AMGUARD INSURANCE CO 42390 _I. _ - INSURED _-- WSUREftB: HOBBS BRYAN G MSURERC'__ TA BRYAN G HOBBS REMODELING CONTRACTOR INSURER D: 346 CONWAY STREET INSURER E GREENFIELD MA 01301 INSURER F: COVERAGES CERTIFICATE NUMBER: 94101 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 CLAIMSI . L}q NSq TYPE OF INSURANCE AODL'$UBRr- POLICY OFF POLICY EXP - ma yayD' POLICY NUMBER IMMIOOMYY) INWDO(YIWi LIMITS COMNERCIALGENERALURBLLnY DAMAGE AMN ETUR RO S CLAIMS-MADE OCCUR •PRE (SES(Ea �_. PREMISES(E :ungnce) $ MED EXP(Any one person) S N/A PERSONAL SAOV INJURY S GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE g -- POSY Pfl4 LOC PRODUCTS-COMNCPAGO S OTHER AUTOMOBILE LIABILITY IAMBINED SINGLE IIMR $t (Ea accident) IANY AUTO BODILY INJURY(Per person( S T ALL OWNED SCHEDULED. AUTOS AUTf)8 WA BODILY INJURY(per aWCa90 S _ U ?ocQ^ SrvREOWtO5 AUTOS cirfl_ -_.. • • UMBRELLA UAB i OCCUR EACH OCCURRENCE_ EXCESS LIAB CLAIMS-MADE' N/A AGGREGATE - 5 DED RETENTIONS 'WORKERS COMPENSATION v ER OTH- AND EMPLOYERS'LIABILITY YIN ^ STATUTE -,ER __ A ANFPPROPPIETOR AR oEoxECunVE xrA�'NIA WA EL EACH ACCIDENT :S 500,000 R2WC768203 10/20/2016 10/20/2017 (Mandatory In NH) L.L 0/SASE-CA EMPLOYEE S 500,000 n yes.dscice under - - - OESCRIPTIpMOFOPERATIONS heNlw EL DISEASE-POLICY LIMIT S 50(7000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES ACORD 101.Additional Remarks Schedula.may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B.no authorization ts given to pay claims for benefits to employees in states other than Massachusetts ifthe{named tires,at has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in form on the date tat this certificate was issued runless the expiration date on the above policy precedes the issue date or 1A:Nficate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.massgovllwd/workersco m penseti on/Investige Lion er. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH POLICY PROVISIONS. Bryan Hobbs Remodeling 846 Conway Street AUTROR2E0 REPRESENTATIVE .., ) _ SPX... Greenfield MA 01301 Daniel M.Cro oy,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i BERKSHIRE HATHAWAY WorkComo)Worker's Coensation and Employer's Liability Policy INSURANCE AmGUARD Insurance Company - A Stock Company St"'t2 GUARD COMPANIES Policy Number R2WC64S612 Renewal of R2WC513915 NCCI No. [21813] Policy information Page (AR) :[1]Named Insured and Mailing Address Agency Bryan G Hobbs A. H, RIST INSURANCE AGENCY INC. 346 Conway Street 159 Avenue A Greenfield, MA 01301 PO Box 391 Tanners Falls, MA 01376 Agency Code: MAR1ST11 I Federal Employers ID 01-3517850 Insured is individual Risk ID Number 842909 Additional Names of Insured (N2) Bryan G Hobbs Remodeling Contractor Locations on Policy (L2) 171 Wells Street_ Gr eenfe!6, id1A 31301 (10/20/2015 - 7.0720/2016) [2] Policy Period From October 20, 201 S to October 20, 201S, 12'.0I AP1. scanoart time at the insured's nailing address. [3] Coverage A- Workers` Compensation Insurance - Part One or this policy applies to the Workers' Compensation Law of the following states•. Massachusetts B, Employees t.ioe:Sty Disuranee -Part Two of ', is policy app,122 a o%orn in Coil: it; Uie states listed at item j3]A. The limas of our liability under Part Two are: Soddy injury-by Accident - each accident $500,000 Roddy injury by Diseae each employer $500,000 Soddy tnjury by Disease- policy Iimit 5500,000 C, Refer to Residual Market Limitea Other States insurance Endorsement-WC200306B U. This policy includes these endorsements and scheotdes: See Extension n: Information Page -Scherh,ie of Forms [4) Premium The Premium Basis and, therefore, the premium wW be determined by our manual of Rules, Classifications, Rates, and Rating Plans. All required inibrmason is Subject to venfcotion and change by audit. (Continued on another page) Total Estimated Policy Premium s 10,916 Total Surcharges/Assessments s 599.00 Total Estimated Cost 11,515.00 INTERNA US!! OR Pack - inrnrn atinn Page R21/4A/cel'sl2 WC 0000NFl Bale 0/28{2o15 MANOTE issuing office: P.O. Box A-H, 16 S. River street, Wilkes-Bar,-e, PA 18703-0020 • www.guard.com • Massachusetts Department of Public Safety tV Board of Building Regulations and Standards License: CS-083982 BRYAN G HOBBS 346 CONWAY STREET GREENFIELD MA/ ' 01301 r Expiration: Commissioner 05/02/2018