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35-304 (2) N 70'53'00" E 1 N 70'53'00" E 90.00' 60.19' 30.00' t ! , i i (n i f I rri Q0 If f ' QO / \\ Q� i - 1 z ; r 0y v i O C0 o aIO m % COQ yc N k N r O? 00 r l 28.0ft/ ( 40.0' 22.Oft 19.Oft 407'0' 31.Oft i -E-E E r , � p l N U) N i N / o PROPOSED DUPLEX %( ROPOSEDiDUPLEX o o r I 1 3.0' f. O t O m 28.Oft , ` 20.0' 20.0' 20.0' 20.0' 31.Oft 19.Oft 16.Oft 3.0' £ 00 i' w w �' w w w w w • - •/ PROPOSED SIDEWALK (sheet flow drainage)/ PROPOSED PARKING v 12.Oft 12.Oft -0 I O U' O rn V cp /. m o m m m 0 41 q °v Ih b .. 6 PROP W i O CALIPER TREES 2 1/2 :, -M. m _._ \ v ...._.._. (TYPICAL) W \ m __...._- - r PR030SSC C \ p; r I ; mi CA m 2'PROPOSED 2 1/2' F \ S 79.12,57;. w` a ! Z CALIPER TREES (TYPICAL) m - � - ` \`A PP'--- LOC 90.96' F ATioN 69.20 SEWER STUB 21.06' S 68'57'41" W (6" VV PVC) W- -- - Permit No. D18-09 Conditions: Driveway Permit In lieu of plan approved by the City Engineer I agree;to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections, any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. 3 135 Ts A/� �6•/ By Petitioner Signature A&�/Aej��y Q Name: Theodore Towne fj Address: 23 Loudville Road, Easthampton 413-246-6841 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. For Commercial and Industrial applicants, a plan showing the proposed driveway with grades and location is required. Cc: Building Inspector 4 C Permit No. D18-09 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 5/28/09 Check#: 3302 FEE: $250.00 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: A new driveway Permission to install a driveway 1015 Ryan Road Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All Drainage shall be directed off the driveway surface to adjacent land and not mthe-existing Roadway. Driveway surface to be paved as soon as possible if the grade of the proposed Driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City Of Northampton in the event of a washout of this driveway. By: Theodore Towne Telephone: 413-246-6841 Signature: Proposed Location Inspection By: 1:—,4 Y Gravel Base Grade Inspected By: Final Approval: -_ - THE BOARD OF PUBLIC-WORKS voted that petition be granted. Edward S. Huntley, P.E. Director of Public Works Cc: Building Inspector (SUBJECT TO ATTACHED CONDITION 1 & 2)az241 'Pitar rdj ,3•��� MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton,MA 01060 587-1097 A Department of Public Works Trench permit shall be required prior to any construction or connection activity associated with this application. Location: 1015 Ryan Road, Florence,MA Inquiry Made By: Ted Towne, 23 Loudville Road,Easthampton,MA 01027 246-6841 Date of Inquiry: 6/9/09 Property will contain Two multi family homes. Number of 2 Type of Single Family Type of Private Units: Unit(s): Accessory Apart. Ownership: Condo Multi-family Rental (Applicant to fill ollt the-above) Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: X No Size of Water Main: 8" Material: C.I. Age: 1945 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 48 psi If done attach results Size of Service Connection 3/4"Existing - 1" Suggested Suggested Meter Size: 5/8 Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. Each house shall have separate service&meter. Water Dept cannot guarantee adequate pressure and volume with existing service. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Department ' mum of 5 working days notification. • All work shall conform to Northampton Water Departmen rfications. Each building shall have individual service lines from street.- / David W. Sparks, Superintendent of Water Water Entry$ 200. Meter$ 200 Radio$a00. cc: Ned Huntley,Director cc: Tony Patillo, Building Inspector Note: If this availability is for a new construction,it must be hand delivered to the Building Inspector. MUNICIPAL SEWERI AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 1015 Ryan Road, Florence Inquiry Made By: Wayne Feiden, Planning & Development 587-1072 ( Eric ) Date of Inquiry: 8/7/08 Property will contairf- i Single-Family Homes Reason for See Attached Letter from Planning Request: Municipal Sewer Main in Front of Location: Yes _ No Municipal Storm Drain Available: 5 '/z deep Yes No Size of Sewer Main: 8 Material: Cbiq ji Age: r � Depth of Sewer Main: Size of Service Connection: Type of Service Connection: S-U Tie-in to Sanitary Main Comments: h)1AA1 Rbdo 7_16 Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. A corresponding"sewer entrance fee"shall be paid prior to making any connection to the municipal sewer system.Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. A,, a f , U John Hall Sewer Department cc: Ned Huntley, Director nPW Anthony Patillo, Building Inspector 0 All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. C) Building framing cavities are not used as supply ducts. L] Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. rl Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the international Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: C] Additional requirements for equipment sizing are included by an inspection for compliance with the international Mechanical Code. Circulating Hot Water Systems: O Circulating hot water pipes are insulated to R-2. Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: C] HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title:Ryan Road Duplesex Report date:06/08/09 Data filename:C:1Documents and SettingsiEvelynWy Documents\My Pictureskeschedc.rdc Page 3 of 3 REScheck Software Version 4.1.3 Inspection Checklist Date:06/08/09 Ceilings: U Ceiling.Flat or Scissor Truss,R-48.0 cavity insulation Comments- Above-Grade Wails: ❑ Wall:.Wood Frame, 16in.o.c.,R-32.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: Floors: ❑ Floor.All-Wood Joistfdruss Over Uncond.Space,R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfioor decking. Heating and Cooling Equipment. ❑ Boiler 1::90 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing 1.1-factors,and heating egriipment efficiency are dearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a scanner that achieves the rated R-value without compressing the Nwilation. Duct Insulation: ❑ Duds in unconditioned spaces or outside the building are insulated to at least R-8. ❑ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and dud connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. Project Title:Ryan Road Duplesex •Report date:06/08109 Data filename:CADocuments and Setbngs\Evelyn\My Documents\My Pic ures\rssdteck.rck Page 2 of 3 Coiling I Roof 48.00 Wall 32.00 Floor I Foundation 19.00 Ductwork(unconditioned spaces): Window Door I T I'M -IM M, I Ma goiter 90 AFUE Water Heater. Name: Date: Comments: REScheck Software Version 4.1.3 Compliance Certificate Project Title: Ryan Road Duplesex Report Date:06/08/09 Data filename:C-XDocuments and SettingsIEvelyrift DocumentsNy Pictures\rescheck.rcK Energy Code: 2006 IECC -ocation: Northampton,Massachusetts Construction Type: Single Family Buffidrig Orientation: Bldg.faces 180 dog.from North Conditioned Floor Area: 600 ft2 Glazing Area Percentage: 00/6 Heating Degree Days: 6404 Climate Zone- 5 Construction Site: Owner/Agent Designer/Contractor. 1015 Ryan Rd Alabama Alabama Florence,Massachusetts 01062 Compliance:0.0%EWW Than Code Maximum UA:134 Your UA-134 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling:Flat or Scissor Truss 600 48.0 0.0 16 ,Nall:Wood Frame,16in.o.c. 480 32.0 0.0 23 Orientation:Right Side Wall:Wood Frame,161n.o.c. 320 19.0 0.0 19 Orientation:Back Wall:Wood Frame,16in.o.c. 480 19.0 0.0 29 Orientation:Left Side Wall:Wood Frame,161n.o.c. 320 19.0 0.0 19 Orientation:Front Floor.AD-Wood Joist[Truss Over Uncond.Space 600 19.0 0.0 28 Boiler 1:90 AFUE Compliance Statement The proposed budding design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IECC requirements in REScheck Version 4.1.3 and to comply with the marxielory requirements Noted In the RESdieck Inspection Choddist Nam-Tide Signature Date Project Title:Ryan Road Duplesex 'Report date:06/08109 Data filename;C.\Documents and Setfings\Evelyn\My Documents\My PicturesVescheck.rck Page 1 of 3 ZtLAf ' (1ity of Xari4anlptan z a. � _ �tassacf�nseffs I�l � ' DEPARTMENT OF BUILDD\G INSPECTIONS ..INSPECTOR 212 M2un Street O Municipal BuiIdin,g Northampton,N A 01060 LOCAT ION � � n 'r LJ o J)V�pLjc)S �. SQUARE FOOTAGE AMOUNT BASEMENT @ .20 if 6161 � 1 sT FLOOR @.50 2ND FLR @:30 FLOORS, FINISH ATTIC,GARAGE @.20 DECK/PORCHES @ .20 TOTAL. ffd� 7-V �Loo 60.tw 1 Lk t l Nti a -- -ZOO 4 l �b ACQRQ- CERTIFICATE OF LIABILITY INSURANCE 06/01/2009' PRODUCER (413)527-SSZQ FAX (413)S27-S970 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Finck & Perras Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Campus Lane HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Easthampton, MA 01027 Rebecca Kubosiak INSURERS AFFORDING COVERAGE NAIC# INSURED Wa unas Plumbing & Heating, Inc. INSURERA: NGM Insurance Company 14788 218 C College Highway INSURER B: Southampton, MA 01073 INSURER C: INSURER D: 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 D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS MMWDO,NSRf GENERAL LIABILITY MPF9633E 01/29/2009 01/29/2010 EACH OCCURRENCE $ 500,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500,0001 CLAIMS MADE X�OCCUR - _ _ MED EXP(Anyone person) $ 10,00 A PERSONAL&ADV INJURY $ 500,QQ GENERAL AGGREGATE $ ]=QQQ QQ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 POLICY JERC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Fa accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per ) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR Q CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WCK47067 01/29/2009 01/29/2010 X WC STATu-EMPLOYERS'LIABILITY E.L.EACH ACCIDENT IS 100,000 __ANYPROPRIETOR IPARTNERIEXECUTNE-_--- ___ _ __ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE S 100,00 SPdescribe u at ECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ S00,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLD911 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ted Towne 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Evelyn Towne BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 7S Parson Apt. V OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Easthampton, MA 01027 AUTHORIZEDREPRESENTA71VE t4ojr Rebecca Kubosiak BECKY ACORD 25(2001108) ©ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE sA"i4�`�os PRODUCER (413)447-7376 FAX: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Reynolds, Barnes & Hebb HOLDER. THIS CERTIFICATE DOES NOT AMEND, CERTIFICATE OR P. O. Box 4889 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 166 East St. Pittsfield MA 01201 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:A11 America 20222 DAN WHITELEY INC IR3LIRM&Central Mutual Insurance 20230 52 COTTAGE ST REAR INSUI:ErR C:Central Mutual Insurance 2 230 INSURER D: BMTRA14P.PON MA 01027-1619 INSURERS GES 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. kTE LIMITS SHOWN Y MM 6 4 ROXICED BY PAID CLAIMS. INSR ADM TYPE OF INSURANCE POLICY NUMBER EFFECTNE DATE POY EXPIRATION GENERAL LIABILITY EACHOCCURRENCE S 1,000,000 X NI+INAERCLALGEI�iAtLIABILITY DAMAGE TO RENTED S 100,000 A CLAMSMADE ®OCCUR CLP 7938625 711/2008 7/1/2009 MEDplp one $ 51000 INAM S 1,000,000 QENEIMLAGGREGATE $ 2,000,000 GEN1AGG EGATELMITAPPLIESPER- eRQ9jj=-COMPfQPAGG $ 2,000,000 X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea a=dded) B ALL OWINED AUTOS BAP 8616026 7/1/2008 7/1/2009 BODILY INJURY 8 SCr�LEDAUTOS (Per e„) S 254.000 X HIiEDAUTOS BODILY INJURY $ soo,000 X N OH4W NED AUTOS tom ) PROPERTY DAMAGE $ 100,0001 (PeracddeM) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLALIABIITY EAC1jQQGUNW8X S 1,000,000 X OCCUR M CLAIMS MADE AGGREGATE E 1,000,000 3 C DBE CXS 8376975 7/1/2008 7/1/2009 S RX 0 $ EMPLOYERS'LIABILITY ANY PROPR1ETORIPARTHERIEXECUTIVE EJ EACH ACCIDENT $ 1,000,000 OFFICEIUMEMBER EXCLUDED? tic 7938626 7/112008 7/1/2009 F L.DISEASE_EA 1,000,000 Kyes.descfte under SPECIAL below ELDISFASE-POLICYUMIT S 1,000,000 OTHER DESCRIPTION OF OPERATK)mS/LACATWNSNEHICLES1EXCLUMM ADDED BY PROVISIONS Electrical wiring CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Towne Builders EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 23 Loudville Road 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Eastxte'mpton, MA 01027 FAILURE To DO SQ SHALL NIFOSE NO OBLIGATION OR WIBILITY OF ANY ICIN D UPON THE INSURER.ITS AGENTS OR REIaSENTATiVES. AUTHORIZED REPRESENTATNE _ - Christine Rawsony.c�IZ/t/' 'd ACORD 25(2007/08) o ACORD CORPORATION 198 Par I INS025 psa - a (w0 AACORP CERTIFICATE OF LIABILITY INSURANCE 0/`266/20' PRODUCER (413)S86-0111 FAX (413)S96-6491 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber & Grinnell Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 . INSURERS AFFORDING COVERAGE NAIC# _,ems re Towne, ]r. wSuRERA. NGIM Insurance Company 14788 21 Loudville Road iNslautB. WCAR Continental/CNA Easthampton, NA 01027 INSURER c- INSURER e COVERAGES THE POLICES OF 1NS1AVNCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD UNDICATED.NOTWITHSTANDING ANY REQUtRamVT,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 -` TYPE OF INSURANCE _ POLICY MUMBM - 4KKJCY EFFECTIVE POLICY EXPYtATION LIMITS._ GEMWtAt.WBIIJTY MPIS1046 06/29/2007 06/29/2008 EACHOL'C4IR E $ 1,000,001 X G L.IABIIM DAMAGETO0WO - $ S00,{IOM MAIMS� X❑OCCUR WED EXP(�Y one person) $ 10 001 A PERSONAL&ADV MJURY $ 1,000,004 c�RAL AGGREGATE $ 2,000,004 GENL AGGREGATE Lahr APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,001 POLICY � Lm AUTOMOBILE LIABILITY CO%A3INED SINGLE LIMIT $ ANY AUTO (Es accidest) ALL OwN£D AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Pew) MIRED AUTOS BODILY INJURY $ NO Q WED AUTOS (Per ) PROPERTY OAWSaE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSA)MINtELLA LIABILITY EACH OCCURRENCE $ OCCUR a[x.AIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION S $ WORIGM tOMp01SArAMAM 6SSW875$2A60207 07/07/2007 07/07/200$ 1 wcsfATUY OTH- EMPLOYERS LIABILITY E.L..EACH ACCIDENT Is 100,00 B yes.�EXCLUDED? E.L.DISEASE-EA EMP $ 100,00 if VSPECIAL PROVISIONS below El DISEASE-POLICY LaASr $ S00 001 OTHER DESCRI ICON OF OPEMTiONS[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 MIPLRAMN DATE THEREOF.THE MANG MISUPMt WILL ENDEAVOR TO MAIL DAYS wRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAW.SUCH NOTICE SHALL IMPOSE NO OBI.ICATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATWES. For Information Only AUnIORIZBD REPRESE NrATIVE 1jenna Rodri ue CISR CI MDY ACORD 25(20Q 1l08� (�JACORD CORPORATION 198 DATE(MM/DD/YYYY) -�,�!�a CERTIFICATE OF LIABILITY INSURANCE 06/02/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk Services Central, Inc. Southfield MI Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 3000 Town Center CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Suite 3000 COVERAGE AFFORDED BY THE POLICIES BELOW. Southfield MI 48075 USA INSURERS AFFORDING COVERAGE NAIC# PHoNE- 866 283-7122 FAx 847 953-5390 INSURED INSURER A, Travelers Property Cas Co of America 25674 Builder services Group, Inc. INSURER B: Travelers Indemnity Co of America 25666 e d/b/a Collins & Company A Masco Corporation Company INSURER C: Old Republic Ins Co 24147 n 48 Hockanum Boulevard *� Vernon CT 06066 USA INSURERD: INSURER E: „0„ COVERAGES SIR applies per terms and conditions of the policy 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. LIMITS SHOWN ARE AS REQUESTED L U' LT. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS TR DATE( DA D c LLUStLiry Mwzy5S52SO8 06/30/2008 06/30/2009 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL-LIABILITY DAMAGE TO RENTED S2,000,000 PREMISES(Ea occtvrerax) —�7r CLAIMS MADE ® OCCUR one person S2 r uvv N PERSONAL&ADV INIURY S2,000,000 GENERAL AGGREGATE $5,000,000 I'D- v GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMP/OP AGG $10,000,000 m 0 ® POLICY ❑ PRO- ❑ LOC JECT `n c AUTOMOBHXL14,BnXry MwrB 18398 08 06/30/2008 06/30/2009 COMBINED SINGLE LIMIT $5,000,000 Z ANY AUTO art) « ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) L: w HIRED AUTOS BODILY INJURY U NON OWNED AUTOS (Per accderd) PROPERTY DAMAGE (Per accid-) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN FA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑OCCUR ❑ CLAIMS MADE AGGREGATE BDEDUCMLE RETENTION A T 3Ug - TIL- X C =L OTH- WORKERS COMPENSATION AND Deductible - AOS - EMPLOYERS'LIABUMT y/� E.L.EACH ACCIDENT $1,000,000 g IN 1 TC2HU8121D127-4-TIL-OS 06J30/2008 06/30/2009 ANY PROPRIETOR/PARTNER/EXECUTIVE M Deductible - Minnesota EL DTSEASE-EA EMPLOYEE $1,000,000 A (OM=da NK)EXCLUDED? TR3U6122D026A08 06/30/2008 06/30/2009 ff describe under SPECIAL PROVISIONS below RetrO - AZ,HI,MA,OR,wI E-L DISEASE-POLICYIIPoIIT 51,000,000 A TwK3U612ZD027-1-TIL-08 06/30/2008 Retention $2,000,000 OTBER self-Insured States statutory included Excess WC DESCRIPTION OF OPERATIONSA OCATIONSNEMCLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ■ CERTIFICATE HOLDER CANCELLATION Theodore Towne SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION 75 Parson Street Apt. V DATE THEREOF,THE ISSUING INSURER VA LL ENDEAVOR TO MAIL - ton MA 01027 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Easthampton BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ="°'"' ACORD 25(2009/01) C1988-200 ACORD CORPORATION.All rights reserve The ACORD name and logo are registered marks of ACORD , ACORD CERTIFICATE OF LIABILITY INSURANCE DATE rau 06/0112009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION K.S.K INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 203 Northampton St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0.Box 597 Easthampton MA 01027 INSURERS AFFORDING COVERAGE INSURED INSURER A: HOLYOKE MUTUAL INSURANCE COMPANY M&R CONCRETE INSURER B: SAFETY INSURANCE COMPANY P.0 BOX 688 INSURER C: EASTHAMPTON,MA 01027 INSURER D: 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS L_ DATE JMMIDDIYYI LTR GENERAL LIABILITY EACH OCCURRENCE $1,000,000. A COMMERCIAL GENERAL LIABILITY CPP0007016949 06103109 06/03/10 FIRE DAMAGE jAny one fire $50,000. CLAIMS MADE a OCCUR MED EXP(Any one on $5,000. PERSONAL&ADV INJURY $1,000,000. GENERAL AGGREGATE $2,000,000. GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000. X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO 3116413 03/24/2009 03/24/2010 (Ea accident) $1,000,000. ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-FA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ _ $ DEDUCTIBLE $ RETENTION $ O7H- $ WC WORKERS COMPENSATION COMPENSATION AND - - EMPLOYERS*LIABILITY BEING REQUESTED E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE S E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATION S/LOCATtONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Concrete Construction CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION TOWNE BUILDERS SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION 75 PARSONS ST APT V DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN EASTHAMPTON, MA 01027 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. AUTHORIZED REPRESENTATIVE ACORD 2_5-S 17197) v H.rvrtu wr�crvt[ra rvi moo ACORD CERTIFICATE OF LIABILITY INSURANCE OPID ,TR DATE(MMlDD/YYY ) XTOWNEP 06/01/09) 6 O1 09 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE First American Insurance Agy. , HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 510 Front Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chicopee MA 01013 Phone: 413-592-8118 Fax:413-592-0995 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Patrons Mutual Insurance INSURER B: Timothy Towne dba Towne INSURER C: Painting 139 Edwards Road INSURER D: Westhampton MA 01027 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. 'NUK ADO'rA NSR TYPE OF INSURANCE POLICY NUMBER DATE MME DATE MW EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY CTR0010310 04/28/09 04/28/10 PREMISES(Ea occurence) $50000 CLAIMS MADE u OCCUR MED EX,P(Any one person) $5000 PERSONAL 8 ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY PRO JE CT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ (Ea accident) ALL OWNED AUTOS ? BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F—I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I I ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED- E.L.DISEASE-EA EMPLOYE S If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!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 30 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 Tonwe Builders 75 Parsons Street, Apt V REPRESENTATIVES. Easthampton MA 01027 AUTHOR 0REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 ACQRQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/02/2009 PRODUCER }527-5520 FAX (413)527-5970 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fi nc W Per Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Campus Lane HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Easthampton, MA 01027 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rebecca Kubosiak INSURERS AFFORDING COVERAGE NAIC# INSURED Shea Tree Service, Inc. INSURERA: Western World P.O. Box 367 INSURERB: Commerce Insurance Company 34754 Easthampton, MA 01027 INSURER C: INSURER D: INSURER E: COVE GES 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 kDD`1 TYPE OF INSURANCE POLICY NUMBER Y EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY NPP119SSO4 09/26/2008 09/26/2009 EACH OCCURRENCE S 1,000,0001 X NTED COMMERCIAL GENERAL LIABILITY DAMAGE TO RE $ S0,0O CLAIMS MADE Q OCCUR MED EXP(Any one person) $ 5,0001 A PERSONAL&ADV INJURY $ 11000.000 GENERAL AGGREGATE $ 2,000,000 GE N L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2 000,00 POLICY JPE LOC AUTOMOBILE LIABILITY RPT504 02/20/2009 02/20/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 11000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X 2008 International PROPERTY DAMAGE Bucket Truck (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO R OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F �CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY J1m ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS HOLDER RTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Towne Builders BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 75 Parsons St. Apt. V OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. Easthampton, MA 01027 [AUTHORIZED REPRESENTATIVEebecca Kubosiak BECKY AFL MY ACORD 25(2001108) ©ACORD CORPORATION 1988 ACOR �, CERTIFICATE OF LIABILITY INSURANCE 06/01/2 0 PRODUCER (413)527-5520 FAX (413)527-5970 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION Finck & Perras Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Campus Lane HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Easthampton, MA 01027 INSURERS AFFORDING COVERAGE NAIC# INSURED Bill Willard, Inc INSURER A: General Casualty 24414 1010 Ryan Road INSURER B: Florence, MA 01062 INSURER C: INSURER D: 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 DD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS IM NSRr GENERAL LIABILITY CCI0393622 08/01/2008 08/01/2009 EACH OCCURRENCE $ 11000,0001 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,0001 CLAIMS MADE r—v-1 OCCUR MED EXP(Any one person) $ 5,00 A PERSONAL&ADV INJURY S 1,000,0001 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,00 POLICY jPERC0j LOC AUTOMOBILE LIABILITY CBA0393622 08/01/2008 08/01/2009 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 1,000,000 A X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY CCU0393622 08/01/2008 08/01/2009 EACH OCCURRENCE $ S'000,000 Xi OCCUR F-1 CLAIMS MADE AGGREGATE $ S'000,000 A $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC STATU- O R EMPLOYERS'LIABILITY - -- _ E.LFJLCH.ACC)DENT_ S ANY PROPRIETOR/PARTNER/EXECUTIVE _ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ted Towne Builders BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 75 Carson Street; Apt V OF KIN UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Easthampton, MA 01027 AUT ES NTATIVE r ACORD 25(2001108) ©ACORD CORPORATION 1988 _ . MAY-18-2009 RON 10:24 AM, FAX N0. �. P, 1/ GATE Irwron!rrwy CERTIFICATE OF LIABILITY INSURANCE 05/11/2009 ' 413 S86-0111 FAX (413)S9s-PlY THIS CERTWICATiE'IS ISSUED AS A MATTfA OF INFORMATION oebber & Grinnell Ins. Agency, Inc. ONLY AND X61313 NO FtMTS UPON THE CERTtFICATE 9 North Icing strext HOLDER.THIS CERTIFICATE DOES NOT AMEND,F�(Ti`eno OR N E COVE E AFFQRQEQ SY T14E PO 1JC IES HE 0W, Northanlrtston, NA 01010 1N3URERS AFFORONG COVERAGE HA1G M mw T re Ttn nP-, Jr-. mum A; WA LWarance 14799 21 LTStetiville Road zqmmsR& WW- Savers Propert Casualty Easthampton, %A 01027 r;auRlltG NSUREA ES THE POLICIES OF IaIS~CE USTED MLOW HAVE WEN ISSUED TO THE WSUREO WAWD ABOVE FOR THE POLICY PERW NO ATED.NOTWITHSTANDING" ANY REQ011 I1eENT,TERM OR CONt7MW OF ANY CONTRACT OR OTHER OOCUME14T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSMD OR MY PERTAK THE INStIRANCE AFFORDW BY THE POLIIrIIaS DRSCRIBED HEREW IS SU$JECT TO ALL THE TERMS,EXCLUSIONS AND COMMONS OF SUCH POUCH.ACGR£GATE LUNT$SHOWN MAY HAVE Keff RWUC.ED BY PAID W00- rift OF mwwwm rocuY M SOJt PCUatt TIS 400"Ot.LwL u" !lPI5104B 06/1#1 16/29/2009 EACHVCCURRFftE a X cw aC%L G&em LAmm a a D r 6� � CtA"S w Mx OCCUR mo Ev vft o+ P—A) ,f 101 A r RSOwuAADVOt"Y S I.00wo GEW.AAL ASMEQA79 S 2.000 t AOrR¢cATS uwlrr mwuES Is a: PRODUCTS-COMMP AW t t pop POLICY 0 WIT 11 LUC 1 WTON01"LIARR.ITYr COw ONO SHiaLf LMMT ANY AUTO (Es d"um+t) ALL OWNED AL)YOS WDILY OQURY 3CMERULCO AUTOS t HIRED AUTOS SWILYVWURY WON-OWMED AvrOe IPW _ PROMRTY DAAMAGE : trot mcfaai) CAPA©E uAeLM )) ANrO 0KY-EA ACcmw 3 ANY AUTO 1 OTHER THAN EA ACC 3 fff AItTO!?NLL�^ AOG LiMLITY EACH OMURRMCE S _. OCCUR CLASS MWE ATi sKOATS $ DEDUCT $ 1NO1PUI S100W1 UTt(W AMO ARM26011 07/07/2009 01/07/2009 X Y�IIK ° 1EW QYSW UAMM S.►_EACH ACCWNT 1 _ 100,000 S or EXCL7 VDIO? UTIY6 EL DcASE-FA 61PLOY0 i l aU"t Oar+` `E,IUKS 0-w- a 1.o g-POLICY t"r I: 500. aTHIZII G?EECf4tvw"OF OlERATwM I I MAIN MS I VF.)MCLEs i m(MUSI!M ADM RY MwfteeIN wl e1P*ML t1 w" SHOOLD ANY Of THE ASOVE Wr0q I M M00 W CANCMLEO O&Q96 THe EXPIRATIVOH DATE THERNOFF,TM6 fMWQ NVIAER WL 6MOZAVOR 70 WM 10 DAYS*Rrr ba%0Mf TO THE CERT-'!GATE HOLDER MANED TO THE LEFT.-. . au l TAXVRE TO WA S>!CH NOTIC£6RA"WPM*0 OaM WATON OR LfANJTY :...: OF AMY KIND up**The usuam ITS ATi6MTU OR NErst 3ElFTA71i . Evidmce of Insura rice R IeasMTATnrt 112MA Rodr"i a GISR JF.3t ACtiRD 25#2attt14$j FAX. (413)S17-%45 MACOIRD CORPORATION 103S HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing.so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before your), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing&gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections.Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location ` ' The Commonwealth of Massachusetts Department of Ltdustrial Accidents Office of Investigations 600 GVashing ton Street „r Boston, MA 02111 _ N % www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 4,,1 / Address: 7 / ,z City/State/Zip: Phone#: Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. [A I am a general contractor and I T employees(full and/or part-time). have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.]]u 5• F-1 We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing alI work 11. Plumbing,repairs or additions myself. [-No workers' comp. right of exemption per MGL 12.7 Roof repairs . insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.7 Other comp.insurance required.] *Any applicant that checks box it 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 inform ation. Insurance Company Name: Policy#or Self-ins.Lic.#:4 ko4'a6 © /1 Expiration Date: 7 10,q Job Site Address: 15 _jt <,vt _ City/State/Zip: 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 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 hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Signature: zzl, �`c,-y �,U /_ Date: Phone#: `7 4 Of 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#: Board of Building Regulations and Standards Construction SuperAsor License ' License: CS 722 Sirthdate: 8/20/1962 „ Expiration' 8120/2009 Tr# 2488 Rest-iction: 00 THEODORE D TOVJI3E JR 21 LOUDVILLE RD EASTHAMPTON,MA 01027 Commissioner t. Board ofl3e931t3P1�a': %FFi'ielOi7 :i:?i3fAr(is License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: f Registration: 132751 Board of Building Regulations and Standards Expiration: 4/2/2011 Tr# 283518 One Ashburton Place Rm 1301 Type: Individual Boston,Ms.02108 THEODORE TOWNE JR. THEODORE TOWNE 21 LOUDVILLE RD. EASTHAMPTON,MA 01027 Administrator Not valid with uut signature SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: f i '12 License Number /6 Address Expiration gate Signature Telephone c 9.Registered Home,lm `ro ment Contractor_`: Not Applicable ❑ 7 �,z /-:>";? - 751 Company Name Regi ration Number Address Expi4tiorf Date Telephone SECTION 10-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....... No...... ❑ 11-—Home Home Owner.Egemption' The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) 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 acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land 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 constructs more than one home in a two-year 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 for 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 t SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[O] Other[O] Brief Description of Proposed Work: dW ins Alteration of existing bedroom Yes X No Adding new bedroom Yes k No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and.or addition to existing housing, complete the following: a. Use of building: One Family Two Family—X —Other b. Number of rooms in each family unit: Number of Bathrooms oZ c. Is there a garage attached? d. Proposed Square footage of new construction.q q 0 U Dimensions G xU e. Number of stories? vL f. Method of heating? .14c4 ­Jt�t ,e Fireplaces or Woodstoves Number of each w g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction ^ ,1✓ i. Is construction within 100 ft. of wetlands? Yes __>�—No. Is construction within 100 yr. floodplain Yes k No j. Depth of basement or cellar floor below finished grade 6 6 k. Will building conform to the Building and Zoning regulations? �_Yes No. I. Septic Tank City Sewer�_ Private well City water Supply X. SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 , 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 Owned Agent hereKS declare that the statemerits and informat0h on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. - Print Name Signature ofbwner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department LotSize _.. _..__.._,,,.__..._..' .._. .... ...._... . _. .-._ ...`..�.,,,,-.__. Lj Frontage ___._ _.__- _..._ ,..,. . ..,. .._ . .._. 2_ _...- . . 3. 7 -. Setbacks Front = ,3 'V Side R:__... . L:1' Rear - �Q Q Building Height ° t' Bldg.Square Footage % ral1U 1� Open Space Footage _- µ % r M N (V (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 DONT KNOW 0 YES nV IF YES, date issued:5 p IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOWmm YES 0 _. IF YES: enter Book Page; and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavatiorr, 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. 13epartmenf use only City of Northampton Sta i5iofPermit k Building Department Curb way,,;Perri�t 212 Main Street eu,rerlSeptAvaiiabrlrty Room 100 �Nater/t/{/eit}4vaiabrtty Northampton, MA 01060 Two Sets otStructurat Plans phone 413-587-1240 Fax 413-587-1272 Plot/5tte Pans Ot�rpecrfy APPLICATION TO CONSTRUCT,ALTER,.REPAt R_ 0 A O �II(IQLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: 1-vv� T is section to be completed by office e )o 15 Map •, Lot Unit Zone Vverlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: kt�leDd Ic2G TiJ�✓/✓� Iii �� F 1 1 Name(Print) Current Mailing Addres y c- / Z' _J0 t-4y–j _ L - Telephone Signature �— `i 2.2 Authorized Agent: AM F Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com leted by.permit applicant 1. Building Ud (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6i 3. Plumbing Building Permit Fee �a 4. Mechanical(HVAC) /1?100 5. Fire Protection C 6. Total=(1 +2+3+4+5) 1 �tO c,o6 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2009-1038 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 75 PARSONS ST APT V EASTHAMPTON (413)527-9060 PROPERTY LOCATION RYAN RD-#1 MAP 35 PARCEL 304 001 ZONE SR/WSPII THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ..n Fee Paid Typeof Construction: CONSTRUCT 2 STORY TWO FAMILY HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000722 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO$MATION PRESENTED: > r04 N O AT(C,AJ 0 1')�,t,g 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 VYater Management Demolition Delay d k fit, P&k AA 6 /�'� 06t,00�` �o -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. 1"'tov �f kr i BP-2009-1038 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma °� 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-2009-1038 Project# JS-2009-001497 Est. Cost: $120000.00 Fee: $1200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 THEODORE D TOWNE 000722 Lot Size(sq. ft.): 15012.00 Owner: TOWNE THEODORE&EVELYN M Zoning: SR/WSPII Applicant: THEODORE D TOWNE AT. 1013 RYAN RD - #1 Applicant Address: Phone: Insurance: 75 PARSONS ST APT V (413) 527-9060 WC EASTHAMPTONMA01027 ISSUED ON.71112009 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY TWO FAMILY HOUSE - i 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 7/1/2009 0:00:00 $1200.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo