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11A-071 (12) 47 EAST CENTER ST BP-2019-1323 GIS N: COMMONWEALTH OF MASSACHUSETTS MW.Block: I IA-071 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category ADDITION BUILDING PERMIT Permits BP-2019-1323 Proiect N JS-2019-002136 Est.Cost:$78000.00 Fee:$507.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: Homeowner as Contractor_ Lot Sixe(sa. B.): 30012.84 Owner., BRADISH PAUL Zoning:URA0001 Applicant: BRADISH PAUL AT: 47 EAST CENTER ST Applicant Address. Phone: Insurance: 47 EAST CENTER ST (413) 221-5814 O LEEDSMA01053 ISSUED ON:5/2812019 0:00:00 TO PERFORM THE FOLLOWING WOR%•ADD 10 FEET TO EXISTING GARAGE AND 2ND LEVEL OVER GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Fautings: 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 TTS RULES AND REGULATIONS. Certificate of Occuoancv signature: FeeTvoe: Date Paid: Amount: Building 5/28/20190:00:00 $507.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File N BP.2019.1323 APPLICANT/CONTACT PERSON BRADISH PAUL Q (L ADDRESS/PHONE 47 EAST CENTER ST LEEDS (413)221-58140 PROPERTY LOCATION 47 EAST CENTER ST MAP IIA PARCEL 071 001 ZO E URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY• ENCLOSE REQUIRED DATE ZONINGFO FILLED T Fee Paid Building l Fee Paid Tvneof Construction: ADD 10 FEET TO EXISTING GARAGE AND 2ND LEVEL OVER GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included; Owner/Statement or License 3 sets of Plans/Plot Plan TFHEA ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 1�TION PRESENTED: �_j:V/Approved_Additional permits required(gee 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 _____P=it DPW Storm Water Management Demolition Delay 528 Zolq Signof Building Official Data 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. Department use,only Status of Permit. BUll �p ifr Ep Curb Cut'Driveway Penni: 2 Sewer/Septic Availability Room 100 Water/Well Availability North mpUY a bim Two Sets of Structural Plans phone 413-58 -1240 Fax 413-587- 72 Plot/SiOe Plans Spac fy QERX OF w In 01 APPLICATION TO CON n OR DEMOLISH A ONE ORT��yy/WO FAMILY,DAWELLING SECTION 7 -SITE INFORMATION �.�It (��� 1.1 PropertyAddress This section to be completed by once . / Map Lot G� Unit jt/( /t OloJJ eons Overlay District / Etre IN.Dherl CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner ofR 7 gAdd Name( pqg� Cumuli MailingWtlress: /„ Telephone Signa ure 2.2 Authorized Aael= Name(Print) Current Mailing Address: Signature Telephone SECTION 3.ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by nit applicant 1. Building ,P� D o v (a)Building Permit Fee 2. Electrical " (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 0� 4. Mechanical(HVAC) 5.Fire Protection m 6. Total=(1 +2+3+4+5) OJ tJ Check Number rj This Seceon For Official Use,Only Building Permit Nu bar: Date Issued: Signature: 5 Z$ ZO(4 Building CoJmmis/siiooner/inspector of Buikings Dmde WM01ihcn �/ h .h4 Qr�c : I . LJ EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) e Section 4. ZONING All Information Must Be Completed. Permit Can Be Dented Due To Incomplete Information ' Existing Proposed Required by Zoning This column m be filed m by Building Depn.m am Lou Sim �uV Y �dJ ' I AQa ' Jr,o _ Fivinuge Setbacks Front Side L: R: �'� L: R: � Rear Building Height BIdg.Squzre Footage /(1L % -- r.tg c5miambM,StPerot / .,2`J-YLt7 53 Z #ofParVd Spat= �.� ~J/j 1,391 Fill: 1 7-71 volume a L«auoo I _._---- ___.. A. Has aS "at Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 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 O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO W/ IF YES, describe size, type and location: E. Will the wnstruction activity disturb(clearing,grading,excavationor filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO 9 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S DESCRIPTION OF PROPOSED WORK Icheck all applicable) New House ❑ Addition Replacement Windows Alterations) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs I01 Decks Iq Siding[0] Other[� Brief Description of Proposed / Work: 4.1J lo ' v i%� �� t/r✓C. ( Os/ ' Alteration of existing bedroom Ves_No Adding n edroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet on.N Now haiva NOW or addttion to"Kistin housl 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? I J! d. Proposed Square footage of new construction. ��G ,9o11 imensions It 2Y X aq e. Number of stories? Z f. Method of heating? -/;-I Fireplaces or Woodstovas Number of each g. Energy Conservation Complian/ce. Masscheck Energy Compliance form attached? h. Type of construction -S%; I� I. Is construction within 100 ft.of wetlands?_Yes No. Is wnstmction within 100 yr, floodplain _____Yes—Y—No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? -X Yes No. I. Septic Tank_ City Sewer_:;I,, Private well_ City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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. Signasae of Omer Date I, P, / ,as OwnerlAuthonzed 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 p sand penal0es of pe' ry. , 7,s 7,ry Print Neme lL _/� Signature6ofOwnedAgere Dab r SECTION 8-CONSTRUCTION SERVICES t 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address EVIndion Dale Signature Telephone .Realabi'H/ome Improvementn r: Not Applicable O Company Nam C` Registration Numbs V2 L Can .f / 1..;L,) Address Expiration ate ze,jj �1� � (SIC)S-1 Telephow SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(ILG.L a 752,f 25C(S)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will Msuft in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ City of Northampton MassachusettsDNKPL 212 ainrr OF BUILDING al ftiTZONS tl1 1Yin athw • Mmieipal suildiny C Nortaupton, eu 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors perforating improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstructlon,alteration,renovation,repair, modernization, conversion, improvement,removal,demolition, or construction of an addition to anypre-exisblg owner-occupied building containing at least one but not mare than/our dwelling units....or to structures which are adjacent to such residence or building'he done by registered contractors. Nate:If the homeowner has contracted with a corporation or LLC,that end&must be registered Type of Work^A./s i},n Est Cost CZ O o a Address of Work:!-/? Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): Job under$1,000.00 #(honer obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: 5�31)AZIf / 2 i, 4 Date Owner Name and Signature r City of Northampton y5 Massachusetts NT OF BUILDING INSPECTIONS 2:2 MoranStret • Municipal Building \\.... Nc a6eempton, . 01060 Massachusetts Residential Building Code Section 110.85.1.2 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. Section I I O R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.85,provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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. ' City of Northampton f .: Massachusetts F; L •:r� // � c C' c O212R — s OF BUILDING ISBuiltUn Sb ° 212 Bain scot •Municipal auildinq rvo:chwpinn, Na 01060 Debris 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. The debris from construction work being performed at: V9 C C-7 LrrJj /t1/4 01&4'3 (Please prim house number and street name) Is to be disposed of at: / ^^ ,, C / ' p4/1L (PI se print na and loca ion of facility) Or will be disposed of in a dumpster onsite rented or leased from: y(Company Name and Address) Signature of Permit Applicant or Owner Date If, for any reason,the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-1017 www.mass.gov/did Vxl.rkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apolicant Information Please Print lanuibly Name(Business/OrganrzatioNlndividual): At ;J Address: y7 Crry�_ S�— City/State/Zip: A1 A &ZdJ—J Phone#: Areroa m employer?cheek Ne appropriate Iwx: Type of project(required): I.L]l am a random w his employers lfall mWmlmrt-ties) 7. ❑New construction 2.❑lamaaokpopimrmpmmenhipmdhevcrornrylo swo&ng fromem 8. Remodeling any"oseny.[No workers'wmp.nom mrve n,uhed] 33MM��I ama h..doing ell work myself[No woNsn'emn,imumnce required,]' 9.....,,,,_❑_,,ddll Demolition 1.15dlenasmma hon¢1 and will be hoar contractors to conduct all work m my property. twill IO Bnilding addition "' mat anenmm�ors tither bee woAcrs wn.pe won msumncemmc ink 11.❑Electrical repairs or additions ,rurneon with no employee`' 12.E]Plumbing repairs or additions 5.[3 1 am a gereml convector and I have hired the sub-con6aotors listed an�;mched then. Th13 Roof repairs eo subcmaacmr rs have mpkyar and have workers'wmp.imumn 6.❑We arta em somtion and m oR as have exemksed then right of exemption per MGL c. 14.❑Other 152.¢I(s),and we lure m employees.[No workers'wmp.immence"unert] •nny applicant that checks has#1 most also fill out da section below showing them policy minimums, I Homcowoers who submit this affidavit indicating they an,dome all work and then hire out cmmmors most submit a new affidavit thdicahng such. :fonmmms that check this bas most smehed son additional sheet showing the mane afthe odr.m,ons and sure whether or not thow entities have employeeslithe subconswrors have employees.they mus povide thea workers'wrap.Policy no ntner. I am an employer thin is providing workers'compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy ofthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un/der the pains and penalties ofperjury that the information provided above/is hue and correct. Sianature: KA Date' T�tLS Phone#: Offwid use only. Its not write in this area,to be completed by chy or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cilyflbwn Clerk 4.Electrical Inspector S.Plumbing l nspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers in 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 certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are,not required to tarty workers compensation insurance. If an LLC or I.I.P 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. Alm 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 Industrial 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 mus[submit multiple permit/license applications in any given year,need only submit one affidavit indicating turret policy information(if rmcessary)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 veturc (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-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 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 martments 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 your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,arc not required to carry workers'compensation insurance. If an LLC or LIF 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. Alm be sureto dgn 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 Industrial 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 bosom 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 petrnit/license number which will be used as a reference number.In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary). 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 most 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 Boston,MA 02114-2017 Tel.#617-727-4900 ext 7406 or 1-877-NIASSAFE Fax#617-727-7749 www.mass.gov/dia Fwm acv 02-2115 ACOROd CERTIFICATE OF LIABILITY INSURANCE OATEAMIA'YYYY) 05202019 THIS CERTIFICATE IS ISSUED AS A MATFER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEWTIVELY AMEND, MEMO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TMS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: N the cenificate IloMer is an MOTIONAL INSURED,Me polwyhes)must be efldorsed. N SUBROGATION IS WAIVER subjeLH ED Me tam,and coniums of Me policy,carWn policies may require an endorsement. A statement on this ceriffiwM ODes half Calfa rights Be Me rarWiva holder kl lieu a sixthcONTrNMasemrA(s). MmlcEe LWffnc Regina Jasak REGINA JASAK INDEPENDENT INSURANCE INC °wc"ria,E„. (855)8349607M ADDacADDRE ss: regaa@re ina'asek.com POGOX543 xrSLNERI,)AFfaWNG<OXOMOE Mesas LUDLOW _ MA 01056 mxERA. AIM MUTUAL INS CO 33758 1e _ XNral® WSU.1 a6 HANDY HUBBY LLCnsIJEEItc. 11151JEIR. _ 47 E CENTER STREET INSURER E: LEEDS MA 01053 WaLIFIERE - — - COVERAGES CERTIFICATE NUMBER: 401381 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 MY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. eaM TMEDFXNRaNR RuNaL311BRPoIILYMMIER ADUCYEFF PDUKYEV_�-.._.. - _IVIS son�ALllflpIlLHXiDY FK,NDCLURRENLE , QAM,MIDE �OCCUR MONS ! ' YEDEaP(Myaepefoy_ t WA REnwM ..INAmY t GENLADCREWTELpYp �raRfESPER ffNEMEAGGRE.TE e —Y ElPmT �LOL RIOOUCfS.COMvgPAGD t OTHER: t mitaxwee,MnOYDaIE WinY - HMI t 'AAY To tool,IWURY IPaP t ARL ED SCHEDULED WA wont NIUIn'1. 'deGt ADT. M1Taa KiEoamos NalOWNED PROPERn DWF - t AUIOS Pa aupM __ t IWEl1ALW Dol EACHOCC...ENCE t EXllsal CW6WCf WA AGGREGATE e aD '. RETEN1gNt y e NObIEefLOM4NfATpM X STATURE ER ,1NIOPLOYF115'LINLT' -. A P(HIRETDREARTNEILEMECUTNE YlN EE EACHACCIDENT 3 IDD,WD A aFN:Ea 111REXCLUDEW © NM MM AWC10070357262o18A 0&1412016 0&742019 elYlab)-lM ELDhEASE-OI FLOYEE 3 1130.000 XDE'CRIPnONOFO RRLIONMEt p5EF5EPDUCYR s 500.000 WA Warsels Co DPFAAlainheOLATNINll Koran SN assach AyWNMR�byMi.wybi l Waco yht WC2� Workers' benefts to benee s will states s of to Massacnusa6 eOgbt es any.pursuant lO s h,icl th WC log O6 B,no of Malratia is given a pay claims fa bereNz a employees N stales oNer Nan Massachhlse05lthe nsaetl M1ues,or has hHetl inose empbyees outside IX MassactMseRs. This cenGicate of insurance snows the policy in lace an the date that this catifiraa Was issued(Unless the expiration dsa an the above policy ish cedes the issue dateof tha cenificaa of insurance). The soros of Nis coverage Can be moatared Cady by accessiry Ne Roct d CoYerage-Coverage Veriflcalion Search tool at www.mass.govftd rWts-mmpensati mesbgationsl. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIMTMJN DATE THEREOF, NOME WILL BE DELIVERED IN Town of Leeds ACCORDANCE WIIH THE POLICY PROVISpNS. cry Hao MmRll@DaVHSDITATNE Lceds MA W053 Daniel M.Gw¢y.CPCU.Vice Resident-Residual Market-WCRIBMA D 711662014 ACORD CORPORATION. AB right,reserved. ACORD 25(2014101) The ACORD name and logo are registered maks of ACORD CSB®31118.9A.16 Bradid,Paul 5-1619 bnBmiFn®rc2019.9A.1 Nwtlmpmn 11:12. M#mida DYbmr1372 1 of l Member Data Description: MemberType:Beam Application:Floor Top Lateral Bracing:Continuous Bottum Lateral Bracing: 0.00 Standard Load: Moisture Condition:Dry Building Code:BCIIRC Live Load: 40 PLF Deflection Criteria: LOW live,1-1240 Dotal Dead Load: 10 PLF Dock Connection:Nailed Member Weight 30A PLF Filename:Beam1 Other Loads Type Td0. cabin, giant t (Description) Site Begin Erin W1dth Stem End Slut Erin category Re laoement Unrfom(PSF) Top 0' 0.00' 26' 000' 12' 000' 30 10 Live 2600 9 m, 2600 Bearings and Reactions low Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0 0000, Wall SPF#3rSted 2x or4x End-Gv n(6500) 5.500' 1.887' 6438# - 2 26' 0000' Wall SPF#3/Sad 2x a 4x EMGan(650PSO 5.500' 1887' 6438# Maximum Load Case Reactions u¢Nbglyire LivPeL l (n INe Im0:1bmeadmenlva e Wad 1 1561# 1 2 4541# 189>#" Design spans 26 2.75P Product: 13/4x20 VERSA-LAM 2.0 3100 SP 3 ply PASSES DESIGN CHECKS Correct memberswith 4 rows ot 1W cannon nails at 12.0'on NOW:Neils must be applied horn bin sides Design assumes continuous lateral bacing along the top chard. Design assumes maximum untraced ereth a 0.00'alag#1e bdf9m chord. Allowable Stress Design Acari Allowable capacity Location Lwdng Posflive Moment 40608.# 88845'# 45% 13' Total Load DBL Shear 55881 19950.# 28% 0.4' Total Load D-L Max.Reaction 84384 18769.# 34% 0' Total Load G+L TL Deflection 0.61 12615' L1455 13' Total Load DEL LL Defection 0.4686' 0 8410' U645 13' Total Load L Cenral: apellxlion DOB: �Iom sur-115% mod-Izm Wi 180% Design assams a mpd'aiw medrr nae rxxmse in benilm stress: 4% u ixdux�mima.ammWx.da:rrmpa#waaai c�(c)oma IN ll a 4agTbcalvaryY All axinra RESARVED. "rVffiirei¢mfi�mm WmtlenmmlW,aeJim,amllQ drN.LMimah YVMemmhgliCEledslpinlbi¢b IIDIS.IWryfmiMa.Wa SpeaIIS61m �A¢ypy.Teptipimulla�anwxGiNepYnelE®mW a4ie�P�-aw:rgiMN m4d9.TIM1s�gmwn®MMclimYlMmun3�pbrB mYJw.bYS CatiVc. -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED 100 4 BOOK9301, PAGE 258 shed NOTE- SUBJECT OTESUBJECT TO EASEMENTS AND N RIGHTS OF WAYS OF RECORD. p M #47 1 100'3 EAST CENTER STREET TO: PEOPLESBANK AND COMMONWEALTH. LAND TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PROD AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 SURVEYOR: THISPLATFOR MORTGAGE LOAN PURPOSES ONLY � • ANO DOES NOT CONSTITUTE A PROPERTY SURVEY M y —MORTGAGE LOAN INSPECTION PLAT— NORTHAMPTON, MASSACHUSETTS RPREPARED FOR KAREN L. ENGLAND JANUARY 6, 2012 +� H L EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELLSTREET — HADLEY — MASSACHUSETTS