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32A-174 (12) 34 BRIDGE ST BP-2006-0706 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:13lock 32A- 174 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0706 Project# JS-2006-1068 Est.Cost:$105559.00 Fee:$1007.79 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: DESCO PROFESSIONAL BUILDERS INC 053922 Lot Size(su. ft.): 54885.60 Owner ES REALTY CORP Zoning:NB Applicant: BRADFORD E PRESCOTT AT: 34 BRIDGE ST Applicant Address: Phone: Insurance: ONE TALBOTS DRIVE (781) 741-4042 WC HINGHAMMA02043 ISSUED ON:2/2/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATE & EXPAND SPACE - TALBOT'S (SECTION 116) 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 2/2/2006 0:00:00 $1007.793041587 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File i{BP-2006-0706 APPLICANT/CONTACT PERSON BRADFORD E PRESCOTT /44474— ADDRESS/PHONE ONE TALBOTS DRIVE HINGHAM (781)741-4042 PROPERTY LOCATION 34 BRIDGE ST 9,9,- 7411 -- 7/ 7/ MAP 32A PARCEL 174 001 ?,ONE NB THIS,SEC ON FOR OFFICIAL USE ONLY: PERMIT APP)ICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM F&LE OUT Fee Paid Building Permit Filled out q( fG n y Q Fee Paid dC, ici ` SSo /J 7 7 ( Tvoeof_ CofvsnuctiomRENOVATE&EXPAND SPACE-TALBOT'S New Construction __Nan 8tmcmral interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement olicense 10549„, 3sew of Plans/Plot Plan � / 0G THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INEI6RMATION PRESENTED: �/Approved Additional permits required(see below) roa'litere ' Carr,1004P0*/ PLANNING BOARD PERMIT REQUIRED UNDER:§ rC`R ilk Intermediate Project: Site Plan AND/OR Special Permit With Site Plan t� 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 Stree mmission 191004 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. RE: Talbots-Northampton, MA - LL approval Page 1 of 1 Bryce Hillman From: Suher, Eric[Esuher@essports.com] Sent: Wednesday, January 04, 2006 10:14 AM To: Bryce Hillman Subject: RE: Talbots- Northampton, MA-LL approval Bryce, This e-mail will serve as written notice that the landlord,ES Realty Corp,approves the plans as submitted by Talbots for renovation and expansion of existing store located at 34 Bridge St.,Northampton,MA. Please call or e-mail if there is anything else you need. Sincerely, Eric Suher Original Message From:Bryce Hillman [mailto:6ryce.Hillman rJtalbots.co n] Sent: Tue 1/3/2006 3:52 PM To: Suher,Eric;eric@iheg.com Cc: Donna Collins Subject: Talbots-Northampton,MA-LL approval Eric, Thank you for returning my call while on vacation. Please send along a response for Landlord approval.The building department will require this before we submit for permit for tomorrow delivery. I think that we may need to depend on the city being able to pull a plot plan for their zoning meeting. I have no other reference to a plot plan. Thanks, Bryce Hillman Talbots Store Planning and Design One Talbots Drive Hingham, MA 02043 Ph:781-741-4699 Fax: 781-741-7171 E-mail:brycehillman@talbots.com 1/4/2006 • VersionL7 7 Commercial ButMin.Permit May 15,2000 ,. . *Agri- 44-Al- City of Northampton /1.± 7..7. 8,84% ' •441 1140 Building Department e. 212 Main Street Room 100 vaablr iettlf Northampton, MA 01060 phone 413-587.1240 Fax 413-587-1272 PtB > :5+1Y.:Y *Irr \ APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION I r6: This section to be completed by office 1.1 Property Address. , Map Lot Unit 140WCINESNY1044, Zone Oveday District CB Distnct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: O.jc1oij Owe- 4411-444444,snit NameWiringCurrent Mailing Address 7S17 41-vn* a Signature/sr,4fizTelephone 2.2 Authorized gent: koiddidA\ Osjd oNs -1oaears -14fhigmelivythil-- oaa+3 Name(Print) Current Mailing Address. rei--te+1 - /4-15 2 signature _ _1.. Ot _ Telephone SECTIO -ESTIMAT I ONSTRUCTI COSTS hem Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1 Building (o4k--7 (a)Budding Permit Fee 2. Electneat 13, tip_ (b)Estimated Total Cost of Construction from(6) 3. Plumbing I iS1 Building Permit Fee 4 Mechanical(HVAC) Z.1, (PO3 5-Fire Protection 6. Total=t1 +2+3+4+5) I 05, 559 Check Number ,yo y/517 ifrhooq lqc1 This Section For Official Use Only Building Permit Number Date Issued Signature: Budding Commissioner/Inspector of Buildings Date • Version l.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations d Existing Wall Signs d DemolitionE/ Repairs 0 Additions 0 Accessory Building 0 Exterior Alteration LSG Existing Ground Sign❑ New Signs d Roofing❑ Change of Use❑ Other 0 Brief Description Enter a brief description here. TH+-Bot S EXvpt4 Si 01J OF pett-tt5 'i Wor4A4-1 Of Proposed Work: CON C 'T3 3 Rani OV TlD4 OP EX1S111-1C) PYNSS G-S Coe-ICgfr. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A AssemblyIDA-1 0 A-2 0 A-3 0 1A I 0 A-4 0 A-5 0 1B 0 B Business ❑ 2A 0 E Educational 0 2B 1 0 F Factory 0 F-1 0 F-2 0 2C 0 H High Hazard 0 3A 0 I Institutional 0 I-1 5 1-2 0k 0 3B 0 M Mercantile Er 4 0 R Residential ❑ R-1 0 R-2 0 R-3 0 5A 0", S Storage ❑ S-1 0 S-2 0 5B Ltd U Utility ❑ Specify:. . M Mixed Use 0 Specify _._ S Special Use ❑ Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Y11IEILCAN11 CE.... Proposed Use Group Y CA 4 flLC. Existing Hazard Index 780 CMR 34) L 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) ___. ....... _ 1s' 4401 2m'' _. 2�a _. 3e _ ..._ 3,e _. . _._.. 4 _. 4th th Total Area(sf) 47 E¢ Total Proposed New Construction(sf) 4407 : Total Height(ft) 1 13 Lo ^ Total Height ft 1'D-0' -. 7.Water§ripply(M.G.L.c.40,§54) 7.1 Flood Zone Jnformation: 7.3 Sewage sposal System: Public [i( Private ❑ Zone Outside Flood Zone[v" Municipal J On site disposal system❑ Version!.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: !13R-A0F02b E. QR'ESC.D TT __.. .-_- _ .._._ Not Applicable 0 Name(Regstrant} -. - -_-. G)Atc ONE. PL.: c7J ORwVE 411-16141711Y), MI* 0204') Re9stration Number -- - Address — ---_ --._. — - — --_- -_. -...- j'3110L 781-741-4404$ Expiation Date Signature Telephone 9.2 Registered Professional Engineer(s): "Pih 7 LOc+I( Name Area of Responsibility 7? 136q/et. co2leWFTkE3anao, Cr 061o6 3ZL6?- Address Registration Number %o-72A-7234 S Signature Telephone Expiration Date DAVID 5. (+4 -_... _.._ _. -- -. . ELF-al CA- Name Area of Responsibility 78tIEAVez2ono WeRie1w(Euo, Cr 06106 ..___ 45a c AddressNumber-- ---- - Reg stration ,8100-72A-72-31- Signature 6o-72A-72-34Signature Telephone Expiration Date pErezJ Fp4.44 .. . 5'72ucturza - -_-. Name Area of Responsibility 14 ALLEN ?LPCE SGITUATE,flA O2-OCza6 ‘1"31-5 Address Registration Number 781-54S-2Fs4&' ._._ __- Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor 7' B.D. Not Applicable 0 Company Name: —_ — Responsible In Charge of Construction Address .Tele. ._... Signature Telephone Version 17 Commercial Building Permit May IS,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning Tttic cuioran to bo fined in by Bolding Department Lot Size __ I. .. Frontage _ _... .. _._... Setbacks Front gine L R Rear Building Height 29' Bldg.Square Footage Open Space Footage % .... (Lot arca minus bldg&va\cd perking) #of Parking Spaces — - - Fill: _.. ... (vohtme&Lucavian} A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO 0 DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES Q IF YES: enter Book Page. and/or Document B. Does the site contain a brook, body of water or wetlands? NO d DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES el NO Q IF YES,describe size, type and location: $'',(9 X Z) „ B.{i5DV 'LvEUUEYt LtiR1-41-1EZ- D. Are there any proposed changes to or additions of signs intended for the property? YES ei NO Q IF YES, describe size, type and location: rC 1 rr,y, 41 LLLT h1831-4 .. OVAL_ on{ rrAONt T=ree fD -Fx lisOis44 XV us-r . 4 Loccfnof,/ E Will the construction activity disturb(clearing,grading,exc vation,or tilling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO tE YES,then a Northampton Storm Water Management Permit from the DPW is required. Version I.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) I Independent Structural Engineering Structural Peer Review Required Yes © No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 DatC 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 penury Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder License Number Address Expiration Date _________ _2_2 - _—._____- _ _' Signature Telephone SECTION 18-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 theebuiiding permit_ Signed Affidavit Attached Yes a No File No. se e ��a n� ,.. Please type or print all information and return this form to the Building Inspector's Office with the $15filingfee (check or money order)payable to the t City of Northampton 1. Name of Applicant:tate Trhi_LYnA4 Address:O,4E rfra ns D . t"Y(Agi)4h, [KO 0204' Telephone: -MI-74V4-61'1 2. Owner of Property: "-gest-5. Address: O,u ,Rt—Tort-s Da 4.64c•1- 4Ufl402W3Telephone: 781-711-i-4f _ F2a7'ere 3, Status of Applicant: Owner Contract Purchaser Lessee Other(explain}_ j 4. Job Location:....... ei e ST. hiteee l'hh MiSTMVI ' 'tett. to sp. c+x`:o S • 4IP , tJ5 10 • rt rnq 'Titp ,r011 r . ' •4 t. rsiiilial, "t s : a ct . 8, o s r F u 1we 5. Existing Use of Structure/Property:(flett i-n t.E. Tftt-�bLs7 S 13 A 0_01111,1„.‘q S2ait_a Sau_1N4 tnbM445 C-Lu-t i4{c"c 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): ..a G4,0044>r , 7. Attached Plans: Sketch Nan Site Plan . Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW �/ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO . DON7 KNOW YES _....... IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO sl/ 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: (Form Continues On Other Side) WSDoeuments\FORMStongemitth itding-Inspecteezenlne-Perme-Apeheation-pattlet het 8/4/2004 10. Do any signs exist on the property? YES x/ NO IF YES, describe size, type and location: 1 b '( 21 P-O 148:4•1 RtiVGIZSF Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location:9VX 4-/-61" "q Ll? 4E14 O✓fh, Oki F12.047 reCE OF 31XL4)INCE torr E tsr, L-oc,Arn a ct. 11. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO ✓ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size NO INFO . NO CahalgE rwOM Wraacr Frontage Np CHFCE PGom CLtt6+1- Setbacks Front Side L: R: L: R: L: R: Rear Building Height 2.9 I 29 Building Square Footage %Open Space: (lot area Nb C$AN4E minus building ft paved Rats, CURizett parking #of Parking Spaces No cimM4e TV" c nt at #of Loading Docks 0 0 Fill: (volume& location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: II 5/06 Applicant's Signature/. -102 -4 NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W\Documents\FORMS\on gin al\Building-Inspector\Zoning-Penrod-Application-passive doe 8\4/2004 4110 STORE PLANNING & DESIGN Letter of Transmittal ONE TALBOTS DRIVE HINGHAM, MA 02043 DATE: Phone: (781) 741-7600 Fax: (781) 741-7171 TO: Building Inspector TYPE OF ATTACHMENTS: City of Northampton Plans Samples Specification Reproducibles 01060 Shop Drawings Other: FROM: HOW THEY ARE BEING SENT: SUBJECT: Store#335, Northampton _ Approved - - Prelim. Design PROJECT: 05132 Approved as Noted - Check Set CC: Revise & Resubmit F.Y.I Rejected Issue for Bid Review& Comment ATTACHMENTS: No. of Drawing Description Date Copies Number 3 signed and sealed drawings I _ signed and sealed specification 1 Zoning and Permit application Permit fee of$1007.79 to follow COMMENTS There are a total of 4 packages. J cc, Page I of I STORE PLANNING & DESIGN Letter of Transmittal ONE TALBOTS DRIVE HINGHAM, MA 02043 DATE: January 04, 2006 Phone: (781) 741-7600 Fax: (781) 741-7171 TO: Building Inspector TYPE OF ATTACHMENTS: City of Northampton Plans Samples Specification Reproducibles 01060 Shop Drawings Other: FROM: HOW THEY ARE BEING SENT: SUBJECT: Store # 335, Northampton _ -- Approved Prelim. Design PROJECT: 05132 Approved as Noted Check Set CC: -- Revise &Resubmit - F.Y.I Rejected Issue for Bid Review& Comment ATTACHMENTS: No. of Drawing Description Date Copies Number 1 Permit fee of$1007.79 - 1-4-06 Leffee o$' (.andloci 410,K.6)41 1-1 c,G COMMENTS Permit fee/sign and awning fee enclosed. Page 1 of 1 .. i 4w �(Ez#p of Northampton � , i 9 vl ,�< "henchmen' Yma y `. i ? DEPARTMENT OF BUILDING INSPECTIONS '� INSPECTOR 212 Main Street ! Municipal Budding Nor hampton,MA 01060 FAX TRANSMITTAL DATE ///p(�f FAX TO TELEPHONE NUMBER / 28/-- `/ - r/v/ TO �«NQfaff94 /FSco}r/ FROM pQ/� / RE: 7�cife PAd S INCLUDING THIS SHEET J xIlit• ac-iiTir tf � 13 .4..."--1.-7 swr Anthony L. Patillo, CBO Building Commissioner Zoning Enforcement Officer 212 Main Street-Room 100 567-1240 Northampton,MA 010604169 Fax 587-1272 ;sn.c c.c2 /termssv4"O c 6t� t�/PJ fi'AAO 1 cc,"/"CLr Northampton Fire Department Memorandum ToTony Patillo From: Duane Nichols P'' "' ! LICE' Date: January 10, 2006 CC: Brian Duggan Re: 34 Bridge Street, Talbot's Secondary to a review of the plans and fire protection narrative submitted to me for review, 1 concur with the issuance of a building permit subject to the following conditions: • A Fire Department Emergency Access Key Box is required on the exterior of the structure near the entrance to control equipment; a red 120-candela strobe light that actuates upon an alarm condition is required above the Emergency Access Key Box. • Engraved key tags are required for the keys in Emergency Access Key Box. • A graphic representation of the structure must be installed at the Fire Alarm Control Panel (FRCP) and/or Fire Alarm Annunciator. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one-inch white lettering "Fire Alarm Control Panel" and/or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. •Page 1 • Pull stations are required at the exits. Must be double action type. • Signage on Electrical/Sprinkler room door clearly labeling it as "Fire Alarm/ Sprinkler Control Room" • Horn/strobes are needed through out building for notification of occupants. • 5 lb. ABC fire extinguishers are required under each pull station. • The Fire Alarm system must be supervised by either a direct connection to the Northampton Public Safety Dispatch or by a UL listed Central station. • Existing smoke detection shall remain. Do to the age of current smoke detectors; they will need to be replaced with new compatible smoke detectors. • Fire alarm and fire suppression work permits shall be obtained. • The FD connection for sprinkler system is to be 4" Storz connection with an attached chain, in addition a sign reading "Fire Department Connection" in 3" white letters on a red background is to be mounted above the connection. Also an electric bell, which activates upon water flow, must be located above this sign. • The old Gamewell Master Box on building can be removed. The city no longer utilizes this system. •Page 2 Northampton Fire Department Memorandum To: Tony Patillo From: Duane Nichols ''`'i ' Z Co Date: January 10, 2006 CC: Brian Duggan Re: 34 Bridge Sheet, Talbot's Secondary to a review of the plans and fire protection narrative submitted to me for review, I concur with the issuance of a building permit subject to the following conditions: • A Fire Department Emergency Arrpcs Key Box is required onn the exterior of the structure near the entrance to control equipment; a red 120-candela strobe light that actuates upon an alarm condition is required above the Emergency Access Key Box. • Engraved key tags are required for the keys in Emergency Access Key Box. • A graphic representation of the structure must be installed at the Fire Alarm Control Panel (FACP) and/or Fire Alarm Annunciator. • The Fire Alarm Control Panel and Fire Alarm Annunciator must be labeled with red engraved signage with one-inch white lettering "Fire Alarm Control Panel" and/or "Fire Alarm Annunciator". Also engraved signage listing all fire alarm zone locations installed near panels. •Page 1 • Pull stations are required at the exits. Must be double action type. • Signage on Electrical/Sprinkler room door clearly labeling it as "Fire Alarm/ Sprinkler Control Room" • Horn/strobes are needed through out building for notification of occupants. • 5 lb. ABC fire extinguishers are required under each pull station. • The Fire Alarm system must be supervised by either a direct connection to the Northampton Public Safety Dispatch or by a UL listed Central station. • Existing smoke detection shall remain. Do to the age of current smoke detectors; they will need to be replaced with new compatible smoke detectors. • Fire alarm and fire suppression work permits shall be obtained. • The FD connection for sprinkler system is to be 4" Storz connection with an attached chain, in addition a sign reading Tire Department Connection° in 3" white letters on a red background is to be,mounted above the connection. Also an electric bell, which activates upon water flow, must be located above this sign. • The old Gamewell Master Box on building can be removed. The city no longer utilizes this system. •Page 2 ,;„attAdrpr ..+0 a, ` p �cy1�t. %ifs of Worflfalltpt0)) f- t`�� ¢ 9i,r..(hao.tta-!Ofe ,t ,v iT , -cam DEPARTMEN OP UUILDING INSPeCTIONS t 212 Main Strcct - Municipal Budding 1\rorihampton, Mass- 01060 WORKER'S COM1''ENSATION. INStJPA NCE AFFIDAVIT 1, _— _.__ {'1iccna /pLeunucc) t.P uo.947- •C. • e_. 92Sr✓F3id@5Ee-2{- '(f:rAnet-) —.... (scrr-Ucity/sutchip) do hereby certify, under Ulf pains and penalties of perjury. :Jul () I am an employer providing the following vYorker's compeasrrion coverage for my , employees woreing on this job. (Incoraic Coora.nv) (Policy Nu_mirr) D'_pt.tion Data) ( ) I am a sole proprietor, general cootraaor or homeowner(circle one) and have hued the comae ors listed below who hzve the following workers comoe,7saoon policies_ (-lame of Can•^cw=) (Insvranc: CoinpamyiPoticy dumcc:l mx,Jratoe Datcy (Name ci Cas(,boil (lnxurzncz Company/Policy Nucica) (E a imuon Daft) (Name of Coaaanor) (Insurance. Company/Poircy Numb::) (Expire-elan Dare) I (Name of Contractor) (LOstrancc CompmyfPotuy Numba) (Taxpuauoo Date) (.da AJ 1 ac Ifao:e.ry u muuc Inf.-maxim pe't^XwF to.11.....,-_coo) 1. () I am a sole proprietor and have no one wafting for we. ( ) I a_m,a home owner performing all the work rnyslf NOTE:ylcac be cove%.:,.L-1<M vera.ba caoloy umr./.-e+..... c� ,. c rtje xati w•dx-ricIc of CM 4r.[c*h,^tLcrt is nSdttx roil=orm to llr~'ou+ip.:rtrar thc .-PL..+'-Jl.xo'1.dot mployc ..'a thc,,vta:m. p--im An{GLISt 1(5)).ppticapao fry lat cox a Fran t—y c"dact t - I.gal dna of to Moya.Ueda tb Woad*finny..,.•on An. I uodeuod ibna wpy or Wu mremw m.yb.( _ ' I ta ea.DJay..rmas at ind.widA 4 f Odw of Ir coo for Jr m.eayc.aileiw a:4tItta(Gelatin smut m.ersy crAlccr scaiw 23A of 2K53 t 3 coo lr..dutba u„m a(ecro>!Ce3'111a coasivA:gof a floc o(up to Si}NOO crvitor' of up to os yr-11'W cvit pad1Il•eh rcrn ora Stap Wart Ord`tad• fm o(S I WOO t try(pima at Fa[quo:D. Uu.e my Parma Numba Map* Lots I Signature of LIcAo wfPccmiucc - Pate .. „I r Ati%nk i t 1 irICATE OFHLIABILITY INSURANCE DMmILO"""1 rfLagQ5712.5591 PAR (x60)496-9713 THIS CERT1TICATE M ISSUED AS A MATTER OF INFORMATION Eurn37 Brooks A McNeil ONLY AND CONFERS NO RIGHTS UPON THE CERINICATE RRIY.bUrnA6rookancnlll.tnM HOLDER.THIS CERTIFICATE GOES NOT AMEND EXTENDDR ALTER THE CONDUCE AFFORDED MY THE POLICIES num 69 Nater Street P.O. Bak 717 Torii ngton, CT 06790 INSURER,AFFORDING COVERAGE NAILS num Basco Professional Buliders, Etal WWII: National Grange Mutual Ins Co 290 Sas Road MUREX R. Ellington, CT 06029-1434 MOM ROMA I! W+a+@I E CO AJfl • THE POLICIES OF INSURANCE MED oE1.O,Y HAVE BEEN MUM TO THE MIMEO MINED ABOVE FOR THE POLICY PW OD INDICAnQ NOTWRTHSMNDINO FMN RIQVIPSIENT,TERM OR CONCITON OF NIT CONTRACT OR OTIESE COMMENT WITH RESPECT TO WHICH TIM CER11FIGTE MAY SE I$SUFp OR MAY PERTAIN.THE MNSUFVOICE AFFORDED BY THE POLIO=DEICRIBED HEREIN IE WILMOT TO ALL lHe TERME,EXCLUSIONS NC CONORKN6 OF SUCH POLRaLt.AGOREMTI Lion swamiMAY MK BSM REOOMI CE)SY D CLAW ,L Tan a TA 0,ORYRMRS FOLLY MIISR F ��i;y',I' TCM WOWWOWLAMRT MSesisso ofl/2min 07/ 1 2 ' SCHOCCIMAa,E 1,000,000 X COMORO'S OEv.MI LOOM Ir' eTOplu"...TED.,.., X30.000 MAW MAOI D octux MW EAP lam ER P•.T) 5,000 A - X "X,C,U /MOW A AAS WARY 1.000,000 OaaRA,AOGRflWn 2,000,000 GEML AOURitA1I LMR APDL l Wok FAouuora.COMM•AGO 2,000.000 AMT icaummLllY BIBSa490 07/01/2005 07/01/2006 =MO=NMaA LMT I R ANY MtrO a°e6M-'I 1.000.000 KLa1NS AUTOS ROOA'WAY Oe.wt Miro! a'•Fcaa�) I + ARID ALMA WOOLY OUT' WOMCYMED AUTOSIrRr EaOT,O I rJ errYMMM3L ./ ' OMA Waif - AUTO OM.Y.EA,carFMr _ MT MfltO MAO;G AL ^' KL awAY Lauri, - CUEGM SS490 07 /01/2005 "07/01/2006 R, oconats - WMIM5,000,000 MOCCUR ❑MAIM Wa• R0060An 5.000,000 — Decuo iu X .-'a OM I 10.000 Mita Nan TpIMM WIESa490 07/01/3005 07/01/2006 X I, I TTS !%T E MMOVRIW LOOM/ INCL IRDAD FOIST ALL sL EAGTIAcammn 500,000 • EI HyY, a STATES u MOON-EA BARMEN SO0,000 RaieCwrRRaNIRNO at II,OWN."WET LIT SO9,0OO GROOM OF OrtMTRWE/LOTAIROIS/VORTAA'EAaNMOM ADDED Mr MIOadUlT'I'WRLMOMS, 1TIFlCATP NOIgER GAMCFI I ATOM MAUI AMY Or TIE MCA OoaIi12r01A06 IE r••'""AO SORE 11O- IARIATpM COI T IERON.TIE ROC OMAoI NSE EIOIAYm To U 30 mos mono,MOMS To TME CERTING11a Mann MAIMun THE LFFT. RN MIME n RALVA.WO1Ir2MtlLL*MOM NO OINMTOI OR LM LI! Or AMYKM!SOMME MarIRFA RI AMln OR PIEMOOIIMTNEt Proof of Insurance AMORE=Pert Patricia Tedesco sus fa(2tO1/OS) CAOORD cO POMTgN SSM FEB. 1.2006 4:53PM DESCO INTERIORS 9i a etpownovadob oaamocriessate BOARD OF SUGO4NG REGULATIONS Y;,,.ft: License; CONSTRUCTION SUPERVISOR Number: CS 053922 Birlhdale: 06/1871863 ale Expires:0811312007 Tt.no: 12680 Rasblcted; 00 ROBERT F ANDERSON 14 SUNSHINE FARMS ORL � SOMER.S, CT 08071 �/4 Cemmiufener NO.3333 P.3i aE ._1.206' Li: 3M') DESO IN)LMIORS'Si6N (781)7417191 • , • , it• rti -�^.�.; a^ +}• (ry �} a{ axtttraut}3fau' �� ' 2'�`• A P'MaeaddWT OP aUCWP4} mispi T4ONS 4i-7 ' t 21% MAI;Sttaat ' Mvaic:pat ltdildind :#- - ie I. ' 'N..rthamptan, Maes, 01040 ate` wonzaws COM:RLK6AT,COtj. INSURANCE ArrJna.a.r,' y • I, 2,46/4- ,Pliaersurs. 4teSi'6eraq . De-ACP CsStsitigl .13?i. erS, zYtlC. _. ,,,.:+bsr�treirl-re. ofh,tspro•rdrsef,Ne7aaatt .. • 240 Sea a.r9. . lGvrM. : , .t.G Et ets trst-Or4. C r- ,terr e)(00(=Z 9.' , , •Gbonc':) race- 370 797Q . • scUdw ty/rehip)• . . do hereby certify, under the.p4its m0,pmaides ofpe4uty, =hu 3 . �/! t 2m an employer pm++iding the ftftlowing*ocher! comtans eon cove a for any ict0playecs wort og on this job: ' t }} a 4.1c71.4N/iL •(arAS64@ , • '. UMc. 5$LI ca. `Ili lot., • Y..,a dtiawtaC Co®eray. Te i:y 7.i42424 (Eapintion Dam) ' i' . ( ) I am a sole proprietor,general cQ uaaor or homeowner(circle one) Pad Lave hired the unseat=Gored below who rave gm following worker's gapebsea'on policies: . ,. ',.:y ,Nast ori Cenettaf Ascom Compal yRaticy h'vater) ' ri minas+Dater . 04,21ac of Connect) ,(IAsmaa®Campaayr?oiicy Nutt) (EibUsdon Deo - . !Name ni Caa=ctot) aasmanm C timanyRouct Na mMarl (airsdoe DnW (tows aodi eca e. ..�w,r'e ssalus t,.(.. .w4tr,^ot:.c �e��.t elicy 3 • ���aoa Aaml. ': + ( ) I am a sole pronde:or and have•"•'ir�j ogle worming forme: }' ( ) I 2.244 home owner pa mat elog!U%be,work myself. ICm0=P't..22222w w><tmarn 7.Osky9%j eeamise1 atekma•nem++0.rigek Vs,-.R,Mir..t w coos*AO uxw eta 6 wet.see Baweeee , mmoa roost +hem ccs &Te at wO Shiro,WeYmwtmyergeaatm As Ott 'HALseaaadae by.kimono b serer Me7enterlemeecM . kid MOO ete aat4+r..d..*.W.40 J.u. I eadm....e Oa amwa or mL sagas aeVNn..=nail*a.pad:erledbookt wrdJ.at e�warImes IL et el.mY6m•eriG a+e nS Oa 6.170.1Y—tees.paa¢eadwISAef MOt tat as 1dYtt,aWteas4mia4lt sa lS+ srtfe Raax N'apte P.StOC ont orkatorl eft+;tow rat..a dA;sale a ea WO Ob.a n tbh Otte W. Or era RODS.tN watt rot aco+.amavw+•eh ., paean W(Wart — m — j . . SI t'' u/ lel. + -cemiVca sate tt.epe_.._.—LatA F FEB, t.cet 4 53P1 DESCO INTEP I ORS r i DESCO PROFESSIONAL INTERIORS A Mod am of MECO PAOWEIAONAL INZILDERS,MIC 290 Somers Road,Ellington, CT 06029 (860)870-7070 Fax(860) 870-1074 Fax Transmittal To: Northampton Building Department Fax:413.567-1272 From: Bob Anderson,Project Manager Re: Talbots, 34 Bridge Street, Northampton, MA Date: February 1, 2006 Total Pages: 4 MESSAGE: Hi Linda, I am the contractor for the Talbots job. Please find attached my license (CS 053822) and a copy at my Insurance certificate. If you need anything else, please call. Thanks.