Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
31C-082 (5)
BP-2022-0819 140 OLANDER DRIVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31C-082-001 CITY OF NORTHAMPTON Permit: Temp Structure (Tents) PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0819 PERMISSION IS HEREBY GRANTEI TO: Project# TENT Contractor: License: Est. Cost: PARTY PATROL Const.Class: Exp.Date: Use Group: Owner: LLC NORTH COMMONS AT VILLAG: HILL Lot Size (sq.ft.) Zoning: Applicant: PARTY PATROL Applicant Address Phone: Insurance: 172 COLLEGE HWY (413)230-0596 SOUTHAMPTON, MA 01073 ISSUED ON:07/12/2022 TO PERFORM THE FOLLOWING WORK: 20X30 TENT 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: 0�Z r/3/? t�• 1 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: . 51-'1 • fit , Fees Paid: $30.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 31C-0YA City of Northampton 1 - Massachusetts '• - < ; t C' DEPARTMENT OF BUILDING INSPECTIONS �: if y ��_}"� 2 Main Street • Municipal Building j / Northampton, MA 01060 'fl 0.0. � JUL 12 1S 2022 go_ 7- /9 LDEar of TENT PERMIT APPLICATION ----.._21ORTH4jr%/G,,,INspECT S 01060 N (For Tents over 120 square feet) Permit Fee: $30.00 Check # /564 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: RaCi-rO 1, -atilatS , Address: (1)‘.C.ollpgi.-16 - i1 p-fOYI f, i- Telephone: 113 c,30 06 4 CD 2. Owner of Property: Address: H ,O 0/Wider _-_ Telephone:/l3 516 5' 15` 3. Status of Applicant: Owner Contracior f /� 4. Tent Location Address) ®ia_(�rw__Dl / Qr � i tR OIO!V Parcel ID: Zoning Map# Parcel# _District(s) (TOAEFILEECIN BY THE BUILDING DEPARTMENT) 5. Use of Property: Residential: Commercial: 6. Description of Tent:Size: ouX 30 Occupant Capacity:_50 _-_— Dates of Use_JsJft' 1.• L‘ . -- 7. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE:4#o1Q _-_ APPLICANT'S SIGNATURE _,g�, j-.Wv DICE_ NOTE: Issuance of a permit does not relieve an applicant's burd=n to comply with all zoning requirements and obtain all required permits from the Conservation Commission, Department of Public Works and other applicable permit granting authorities. I: - ,,.. 71,ALP, ''- ,' ..,, , W'rril 14 fcr,mi!! • tuniabilitcs IQ trtifi t ate at Eta „ .. .. loto ,012,41;40, This is to certify that the materials described herein have been flame retardant treated (or are inherently non-flammable). 0..,, ,.. , .,. 4• ,1 . , . , For; King Canopy-PIG Amenca,LTD. i2n7t ss 2L6ane ) Cit3 : Fitquay-Varitza SAtdadter:esi\s'o:rl t7h3C).'aFriovleinPa°, .11e(... on v 0 ti 1, and NFPA-70, 1%, ,,'4.•' t Section 6 Certification is hereby made that the articles desert. certificate. have been treated with: this . .. . ▪ a flame retardant fabric standard. or 'material. The article meets i the CP,NI-84 10 414' 'r flame retardant st fr., ..,.• ef.4▪4i l'Ite flame ietardant process will not be removed by washing. 3.- 1 tlx:44i Tested Samples: PE Tarpaulin , _ 7 IF*, ' --) .,. o2o6i IDS I 013 TDS 10206_5 ff*" ' WS 1 0206G TDS 1 _ KING CANOPYi -1 FC 1 020 .""WIIIPPIPP- - S1010S , 4,4 1 I/ TDS 10?_i_-:,5 TDS 1 820 liP)121-0((2110111:2)1"22(°(1:17R‘‘5 ‘11:4:4::?:::., ,,,.;.•,,,,,tk TillF11:711:2112°°022:-)X1F'RV%(') - TDS 12206 -cps 1827-5 ActelintheorarilzmedaBnayg:ePru:young --AWil 4k. LTD. ------ , -.•. i,\, y*"1- 1:41,,,,,Iyosk Gene SmoakId. Co.' -—- -:VP 1r — --1°' .'>,-•'41 *‘:.,±te, ' ' '-i , "4, '"s,-4 :*.„,0,-,, '' ' ' .,... ,,,,,' s I 42..- CERTIFICATE OF LIABILITY INSURANCE 5/9/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ' BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Contact Name: I Todd Tyler Cossio Insurance Agency Phone (864)688-0121 Fax PO Box 5987 (.a/C,No,Ext): INC,No): Greenville,SC 29606 E-Mail: shay@cossioinsurance.com (864)688-0121 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Aegis Security Insurance Company 33898 Party Patrol Rentals LLC INSURER B: 172 College Highway Southampton,MA 01073 i INSURER C: INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF POLICY 'ADDL SUBR I POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMIDD/YY) (MMIDD/YY) — — — — r - -- - Aggregate Limit Excluded X COMMERCIAL GENERAL LIABILITY `' i CLAIMS MADE 1l OCCUR Each Common Cause Limit Excluded - 1 Abuse or Molestation Aggregate Limit Excluded Abuse or Molestation Each In sident Li Excluded A 1 CIL-001748 6/5/2022 6/5/2023 Hired and Non-Owned Auto L ability Excluded 1 Each Occurrence Limit $1,000,000 GEM_AGGREGATE LIMIT APPLIES PER ! ' X POLICY L PROJECT General Aggregate Limit $2,000,000 _ILOC I ( Products/Completed Operations Aggr $2,000,000 j l OTHER: I ' Personal&Advertising Injury_imit $1,000,000 — — — —� — - AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ' BODILY INJURY(Per Person)_ I ALL OWNED ----. SCHEDULED ! I 'AUTOS —AUTOS 1 i - _. - - - - -- ---— -_------i IJ HIRED AUTOS —� NON-OWNED I BODILY INJURY(Per accident) $ s -.J AUTOS 1 l $ i PROPERTY DAMAGE i i__ ii ;Per accident) II LA LIAB OCCUR � - 1� -LJ UMBREL ❑EXCESS LIAB I CLAIMS-MADE I I L I DED [ I RETENTIONS I WORKERS COMPENSATION % PER 1 10TH- AND EMPLOYERS'LIABILITY 1 STATUTE L lER 1 — 1 ANY PROPRIETOR/PARTNER/EXECUTIVE y/N ,I OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) ! If yes,describe under II I i DESCRIPTION OF OPERATIONS below !; Deductible Amount Per Covered Person $100 II Maximum Benefit Amount Per Covered P $25,000 A Accident Medical CIA-001731 I 6/5/2022 6/5/2023 Loss Period after Accident 90 Days I' Full Excess Medical Expense $25,000 1 ; I Principal Sum $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Party Equipment Rentals Operations located at 172 College Highway Southampton.MA 01073.Verification of Insurance Only CERTIFICATE HOLDER: CANCE.uATION Party Patrol Rentals LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 172 College Highway THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Southampton,MA 01073 ACCORDANCE WITH THE POLICY PROVISIONS. [AUTHORIZED REPRESENTATIVE 7#‘0,..„........0" 1 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • �•....41 PARTPAT-02 KPAGES ,4coRv CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYWY) �-. 9/30/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). — PRODUCER MOOT _ -- - - E:--- HUB International New England 1070 Suffield St i iaco,Nu,Ext):(800)243-8134 I ra,No): 413)731-9539 Agawam,MA 01001 t aoDRESS: — —_ I INSURER(S)AFFORDING COVERAGE NAIC# ,INSURER A:AIM,Inc. INSURED i INSURER B: Party Patrol Rentals LLC I INSURER C: 172 College Highway INSURER D: Southampton,MA 01073 'INSURER E: r— - - -------- -- INSURER F: COVERAGES CERTIFICATE NUMBER! REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IADDL SUER POLICY EFF I POLICY EXPT LIMITS LTR TYPE OF INSURANCE 1 INSD WVD POLICY NUMBER ,IMM/DD/YYYY)I IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ CLAIMS-MADE 7 OCCUR : DAMAGE TO RENTED .J PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APF.:DS,._F: I 1 GENERAL AGGREGATE $ POLICY PRO- i ;OC I JECT �-_'� i PRODUCTS-COMP/OP AGG $ F OTHER: L -------- —I $ -- I COMBINED SINGLE LIMIT AUTOMOBILE LIABIUTY S Ea accident) $ ANY AUTO _ I j BODILY INJURY(Per person) . $ OWNED ' SCHEDULED I I ,AUTOS ONLY AUTOS j L BODILY INJURY(Per accident) $ HIRED NON.pWNED 1 I PROPERTY DAMAGE , AUTOS ONLY 1 AUTOS ONLY ,LEer accident) $ I $ UMBRELLA LIAR OCCUR i EACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE , AGGREGATE $ DED I 1 RETENTION S • $ A WORKERS COMPENSATION 1 X1 PEPER iTE OOER TH AND EMPLOYERS'LIABILITY AWC40070248662021A : 8/12/2021 8/12/2022 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N I_E.L..EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �_ N/A' ! 100,000 (Mandatory in NH) I F L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS beicvr . E L.DISEASE-POLICY LIMIT $ SOO,000 I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may ue attached if more space is required) CERTIF!CATE HOLDER _ CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE UMASS 1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE ,. ,, i , , - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD