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32A-174 (37) 34 BRIDGE ST BP-2019-1183 GIS n� COMMONWEALTH OF MASSACHUSETTS MM Block: 32A- 174 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Perm@: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateaorv, renovation BUILDING PERMIT Permit# BP-2019-1183 Proiect4 JS-2018-002158 Est C q, 0 OQ 0_00 Fee: $280.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SARAH STINER 080077 Lot Size(sg. a.): 54885.60 Owner: ES REALTY CORP zoning CB(100)/ Applicant: SARAH STINER AT: 34 BRIDGE $T ApplicantAddress: Phone: Insarance: 82MAPL E AVE (413) 528-4935 WC GREAT BARRINGTONMA01230 ISSUED ON:4/30/20790:00:00 TO PERFORM THE FOLLOWING WORK.-ADD INTERIOR HALF WALLS, CHANGE TOILET, SLOP SINK, DOOR CHANGES AT ENTRY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector o(Wiring D.P.W. Building Inspector Underground; Service: Meter: Footings: Rough: Rough: House N Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Depgrtment Fireplace/Chimney: Rough: M 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 Sianaturr FeeTvge: Date Paid: Amount: Building 4/26/20190:00:00 $280.00 212 Main Sheet,Phone(413) "1-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2019-1183 QI VOL). Fp M1'�olt- t�tpa� APPLICANT/CONTACT PERSON SARAI STINER t" A 0 b q��er,;.,t�UU ADDRESS/PHONE 82 MAPLE AVE GI !ATBARF.I .7T01,+ ; 13)528-4935 51g,J�No PROPERTY LOCATION 34 BRIDGE ST MAP 32A PARCEL 174 001 ZONE CB(,'-,O'/ THIS SECTION FOR OFFICIAL 7J5E ONLY: PERM;T APPLICATION C:{ECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstreation'_ADD INTERIOR HAL CHANGE TOILET,SLOP SINK DOOR CHANGES AT ENTRY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included Owner/Statement or License 080077 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 ofBuildmg Official Date Note: Issuance of Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conseryation 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. 0111"186 C 6 s S��S rtic , cow Versionl.7 Commercial Building Permit Ma v 15,2000 ------ at only U RECEIVE-DiCity of Northampton Status of Parnst Dull Ing Ueparulle'll Curb CutTimerway Permit t'P r 2 2 Main Street Awilabili APR 19 2019 Room 100 =Avilifiability �, :,1 707' r rt ilear Of structure[PheallEEL— th Tipton, MA 01060 T", D'LPT 58 -1240 Fax 413-587-1272 P",Plans LIT 0, CUILDI% NC, Olihier Specify APPLICATIONTO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION I -SITE INFORMATION 1.1 Property Address This section to be completed by office �4 [5P--106C IW-P—EE?`- MapLot 1 '7'1 Unit 1 10A—T7A" P/--6AJ kAA- Zone Overlay District EM St.District CS Distinct SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: 47 J-A-6,t-1S0A-/ ST Name(Print) ament Mailing Address —E Mq 01040 signature Telephone 98 _ 2.2 Authorized Agent: Name(Penn Current Mailing Address GT Signature I,"-- 119--) Telephone -// Ll 9 -3- SECTION 3- IMATE 5- 'DS014STRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permita licant 1. Building 0O u (a)Building Permit Fee 2, Electrical (b)Estimated Total Cost of 0 00 Construction from (6) 3. Plumbing Ooo- 00 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) X00o00 . Check Number This Section For Official Use Only Building Permit Number Date Issued S,gn Stu Building Cimm anlmrpectrr of Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition Repairs El Additions Accessory Building❑' Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here Of Proposed Work: C PI-A/J66 F--/C-CF� /}D/j SLOP S C-4K4�7 � SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-0 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A P E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ElH High Hazard El3A ❑ 1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify __ _.. ..... _.._ ..._.. M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTIO'N//IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: T ....._ _.. Proposed Use Group .. .._.... Existing Hazard Index 780 CMR 34) 1,3 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) 1m 77� ...._.. ... i.i . . ..7'3 _.. _.. __.. 3. _.. 4m 41, Total Area(so Total Proposed New Construction.(s@,.,.,_ Total Height(0) _....._.. . Total Height ft 7.Water S pply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Di osal System: Public Private ❑ Zone Outside Flood Zone Municipal Onsite disposal system❑ V¢fionl.7 aanmemi�I Bedins Pamir Mw 752000 RE EIVED� f Ing �N 1 9 z z Nein Sheat ArohMl Iy�Y' APN 2019 � 100 aen.o wAa -1240 fax 413507.1272 ,..:; soanutu+Tat,u�mae0 APPLICATIUN TO CONSTRUCT.REPAVL REt1OVAM CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUB.MING OTHER THAN A 00 ON TWO FAMILY DWELLING Twig assain to SECl10N 7-SOE BFORMATpN M Sy allRe 34 fi ,r�GE sn Er MSP 3x w ► "7`! ura AJOA-rHA"? " AJ &AA* raga, owwkwWAMM Rr�Duotet Ceowla SECTION 2.PROPERTY OWNMRSK"AUT$10fd AAGENT 2.1 ftPK id awaill. and S7". E$ REAL. Cr�� `�m7_ZYLK4 - 1>•mPS'AO E'�-I SUli rnt' tuna Y_W�gMaaa:._. "FF`o Lam_p k.E MA Ol o�D )1 T Mir NYm(PAx) Cumt.Nacre Adpma'_.. .. ...caL. �hl.J..lnJ�s.% MA_Dl.�3D MErCx0 �� raePwr -//ISA{9 IN" EaBnWd Cwt(Dc➢NS)to OP OlkW Los any 1. BulldnS 0 a 0�e o iAl BWWre PxmSFr0 . . _. 2 EMctrimeZ YO 00. °O (b)ESOMMOd ToIFICOstof - 2. PxmbinS . . .. p_0 J. ao BuHdoq Pemx1 Pr S.Flry PTOUCUn _ Q/-O 0 0._ B. TaPI• ta7+J•d•S) Odd Pa CIIWtNImpOf I un Oftiv SVNMS Pamx NWbr DOW bwo swohoa a DW ON wA wpm wApivv Pw nPpw lMdp ltw MWq W,,.IBM NABPWO MW opr"m*mod voPooft IN&w p2muglsps pvwoww Lp wwwAPW cwnwluaNwatllwJ w WM wapepa LIW 0004 rd nsdw 7 /, r'zi 46-✓ f 'oLrXrrrsts oWH W .� MPOI %WpddVlON ... .._.... ....... . ... l LIId Lw•N YVd _.... _ _.. .._ ._. _. ..._. ..-'FOlpim'j3 wAiI1I N ON LNLd an APLM PWft P.Pq Put LdPLWOW RW p Iw9 M OI•nLML*A PWM BM M uO11LOlddt dupftOl Md W UOpMmdpl Pw nW1pILLLIL IN OW pump A49M WOV pL'dlgryrypLWeQw .. ... ... .. .._ _ ry f,/�'� •I LNO LfiML16 _ c . _. ". .... ...'vopotldOd lluLad WiW1O9 LIW RV PILpOWdL lVwn llLYsd 6wuom 1 LInAYLL m,' ❑Nmd�laaanr aoda�rLddn roanvaLNoaao claw aaanx o ON LOA PmPISLN MgLLy MdInllpllda ILLO>ti18 I (Ll'dLL MIS N1INIaNa11 LBNd lVW1L91Y1La yL MnIL'13i odox'n(Lw nWMa�IPaLa Inmaaup�c•Irop+.n Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineenng Structural Peer Review Required Yes O No SECTION 11 .OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ...��(G_.... SSU / ��. as Owner of the subject property hereby authorize Ga 7�l/E. .UU/L(�//J�_ tS 64 L) 1700. _ �-i-L- .. to ` act on my behalf, in all matters relative to work authorized by this building permit application. "7 Signature of Owner Date I, U�� y�y� CS N�.�� .—.. 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. (c�&fr "'m'0E-e— _ Print Name . 9 Sig ature o OwnerlAg Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor:.p Not Applicable ❑ Name of License Holder'. �R� 677�-E� QO¢p— _. 007 /. License Number 67- Address Expiraton Date 4/3 -d -1/?,3S Si laturei 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 issuanceof the buil g permit. Signed Affidavit Attached Vas No Q 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: 34 3x-106E ST. . N otz-/MA7—tP/TD /1') The debris will be transported by: The debris will be received by: Building permit number: Name of Permit Applicant 12)U1Uyna; (Soe-i -/7b/J,� cS / 9 i9 Date Signa of Permit Applicant Versionl.7 Commercial Building Permit May 15,2000 8. NORTRAMPTONZONING Existing Proposed Required by Zoning lhis column to be filled in by Building Depmtramt Lot Size ._.. __._... Frontage --- - -------- Setbacks Front Side L R:- L: .. R Rear -..... . J Building Height Bldg.Square Footage Open Space Footage in - (Lotateammusbldg&paved arkin 9ofParkin Spaces Fill: _.. . I volume&'m idoo0 A. Has a Special Permit/Variance/Finding gver been issued for/on the site? NO O DON'T KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Regis ry of Deeds? NO O DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO a 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 NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Gr� NO O IF YES, describe size, type and location: �fip-�E 11}(1p, TO /J�' .rLle-D E. Will the construction activity disturb(clearing, grading,excav tion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO F IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 789 Cl 776(CONTAINING MORE THAN 35,696 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: 0/ S 0^J f,-ILGH./ )`—EGTS ..._.. ._.. Not Applicable ❑ Name(RegistranQ �c (.CJAQ?' �G--T, 1 S7-' kiE—�)E � 03113 / Registration Number ,... Address AQ CVN 7 / Expirebon Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Emiration 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 G2E�}y lV _.Q(�/L!J/xJG SOLU70A�5� LL-t= Not Applicable Company Name: Responsible In Charge of Construction 8 1-1"i AVE, GT• �Ff2�1n�To J ter} Address O/ n �z �fi�3S��`f93 Signal re Telephone The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-1017 www.mass.gov/dia WM-orkers'Compensation Insurance Affidavit:Builders/Contrastors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant If tin Please Print Legibly Name (Business/Orgmization/Indlvidaa0: e, 1-7VC L'�UIC-!�/ \6 d6L_L)7oti-:IS LLL Address: ga I11-+PLc All'C_ . ' lq City/State/Zip: �T ,GPrX 2-1fJ67-01,J Phone#: `11,3 ria-�` '?SS Are You an employer."Check the appropriate has: Type of project(required): 1.❑l on a employer wit employees(full anmor pan-time]." 7. ❑New construction 2❑Imy asoleproprietor or parmemMp and nave no employees working for me in $. Remodeling any capacity.[No workers'comp insurance no ined.] 3.❑l am a homeownerdming all work myself[No workers'comp.insurance required.]' 9. E]Demolition 4.❑ mI oa homeowner and g contrackers m eondoctall wcckonyry wicontrcontractorswill be halm m I10❑Building addition r,sole ore that alcontractorseither have workers compensation mm pn samee or me wan 11.❑Electrical repairs or additions M7. btore with no employees. 12.❑Plumbing repairs or additions 5. am a general mnvactor and 1 have hired the mb-cemracmrs listed on the attached sheer 13.❑Roof repairs These sub-covtracmrs have employees and have workers'comp roumnce. 6 E We are a corporation and its officers have exercised their right ofexemption per MGL c 14. Other 152.§I(4),and we have no employees.(No workers'comp. ouravee mquilvd] :'Any'Aapplicant tust applicaat checks box%I malso fill out no section below showing their workers'compensation policy incineration. /Homeowners who submit tis affidavit an icating they are doing all work and then hire outside convacmrs must submit a new affidavit indicating such. tConaactors tat check thus box most arched an additional sheet showing the name of the sub-contractors and state whether or not toss entities have employees, ate sub-contractors have employees,they must provide ten workers nmp.po ws maider. I can an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A',, }or Z L1. Policy#or Self-ins.L''ic..#: 7,Za /007 &ems/ Expiration Date: Is d Job Site Address: L3T kr�QI tX6 E CV-. City/State/Zip: AJ01-4?bH-47_441 Attach "lA- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine up to$1,500.00 andior one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby cer(d uunder�dw pains and canines ofperjury that the information provided aboveisnue and correct S' t X64oY_ r'8'1 Data Phone# G i !� Official use only. Do not write in this area,to be completed by city or town officio!. City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industnal Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write`all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-NIASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia i� CREAT-2 14COR0 CERTIFICATE OF LIABILITY INSURANCE DA03(MMm"Y kr� 03/07/2019 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 MEND, 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 ceMfcate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject W 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 413-243-0089 ICD cT LV Toole-Lee oNE 413-243-0089 IFax .413-2434221 195 Main Street °u"c,He,so, ac xP. Lee,MA 01238 e'MAIL Kim Baker,CWC, INSJRERB AFFORDING COVERAGE HgILr PR URER A,Arbella Protection INSURED Creative Building V.AER 9: SDlutions,LLC 82 Maple Avenue,2nd Floor LNsuREB c GL Barrington,MA 01230 IIx INSURER E', INSIIPER 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. INBR TYPE OF INSURANCE ADDLSUBR POLICY NJMBER PMICY EFF POLICY EEP LIMn$ A R cOMMERCULGENERAL LNBILnY EACMOCCURRENCE 1,00,005 �LLAIMS-MADE C,'OCCUR DAMAGETO RENTED 100,000 �Bs000zlDlB Qe/zs/zStelDensnot9 uMEDFAR A c,m — s,000 PFRSONAL&ADV INJURY Is 1'500'500 GEN'LAGGREGATE LIMT APPLIEB PER. - GENERALAGGREGATE IS 2,005,555 POLICY ]Fre. I�LOC „ PF.000CT£-COMWOP AGO E 2,DDO,000 OTHER- £ A '' UTOMOBILELIABILItt COMB'NEDaINGLELIMIT le 1,050,000 OWNS,o 9020008084 11JOEI2018 11105/20191 BODILY INJJRr Pe, 1— £ AUmp0s ONLY x IAUT09 LED BODILY INJURY We,acceen L^_I AHIRU TOS ONLY '�ABTO£ONLLYY PReO,amOen DAMAGE IIS UMBRELLAMAIL OCCUR EACH OCCURRENCE IIS E%LES£Me. CLAIMSMADEIIS I AGGREGATE S DED RETEMI N£ S A III WORINERSCOMPENSATOX X ' PER I DTH- AND EMPLOYERS LJASILIN �Y4225579621 113101/2119 03101/2020 e . Lx AcaoENr 500,000 PRONARTNExNIAFM, F4MEAEEREx0.UGf .Wy P E.LDISEASE-EAEMKOYEEIS 500,000 EOUTNE IF,weedde M,m, 500,000 DESCRIPTION OF OPERATIONS MIw OI54 YIMn DESCRIPTION OF OPERATIONS I LOCATION51 VENICLES LACORD 101,AtltlM.AWRemaNf YLetluR mry ee aMaeh.d II nw epeeN r,w.l l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GEORGE HADDAD ACCORDANCE WITH THE POLICY PROVISIONS. 1021 SOUTH STREET LLC 50 BLYTHEWOOD DR AUTHORBD RErRRREmAnvE PITTSFIELD,MA 01201 g ita 4ii/I/� ACORD 25(20181031 ©1988-2015 ACORD CORPORATION. All fights reserved- The ACORD name and logo are registered marks of ACORD Thursday,April 11,2019 at 9:51:40 AM Eastern Daylight Time Subject: Fwd: 34 Bridge St Date: Wednesday, April 10, 2019 at 3:57:53 PM Eastern Daylight Time From: Kadin Shafiroff To: Linda@cbsberkshi res.cam, Sarah@cbsbeiiahires.com Sent from my iPhone Begin forwarded message. From: Steven <sczupryna(almsn.com> Date:April 10, 2019 at 11:24:41 AM EDT To: <Kadl n acbsberkshla,,conv Subject: 34 Bridge St Hi Kadin it was a pleasure to meet you this morning. Here are the contacts you requested Owner: Eric Sher 413-531-9898 Security&Fire Integrations Brian 413-563-8069 Baystate Sprinkler Jan. 413-433-3314 M.B.Elector Mitch. 413-237-3510 CGA Mechanical Charlie. 413-650-0044 rr r. Thank You ) Steven TC. pryna Sent from my iPhone - n Page 1 of 1 0 MY ll Louis Hasbrouck<Ibasbrauck@northamptonma.gov> 34 Bridge St. _. Louis Hasbrouck<Ihasbmuck@nothamptonma.gov> Thu,Apr 25.2019 at 6'.15 PM Draft To oficecbs5@gmai[.com Cc'. Eric Suher<esuher@esspots.com>,Eric Boner<eric@meg.com>,Kim Carson<kcamen@northamptonma.gov>.Kevin Ross <kross@northamptonma.gov> Samh, We need a signature or specific authorization from the property owner or an authorized representative before we can Issue the building permit for 34 Bridge St.An email from the owner designation you as the authorized agent,or a copy of a signed contract will serve. We also need an electronic copy of the plans.You can email them or provide a download link. Louis Hasbrouck Building Commissioner City of Nothampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax