Loading...
24D-303 41 Hillside BP-17-1318 2017-05-18File# BP-2017-1318 --· APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC ADDRESS/PHONE 135 SOUTHAMPTON RD WESTHAMPTON (413) 527-8001 PROPERTY LOCATION 41 HILLSIDE RD MAP 24D PARCEL 303 001 ZONE URAOOO)I THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid T eofConstruction: 9X12 DECK WIT New Construction Nori Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 060176 3 sets of Plans/ Plot Plan REQUIRED DATE THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PR.)tSENTED: __ Approved _iA._ J\dd1ditional 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 V ;;sa-9,3 (11)(7) ar(.,b) 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 Si~dingO(i;A=I Date ' I 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 ofMGL 40A. Contact Office of Planning & Development for more information. ,-r== 1 =~= ... =.=_~ .. ""'"""""=-i\-c-icy-o_f_N_o_rt_ha_m_p_t_on------= l MA) I 2 2llil .. \ I su;1;"i~~P;t~:~nt -~~;;:.,.·:c~;~::;;~.E~~~'-'"' APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ', ·. I SECTION 1 • SITE INFORMATION . . " ' ,· ' '. '. ' -.. ' " ' 7'' ~-,. ··.• •·· .1;!11& --~1~!1;~ !>_Ii Cc>!llpl!iljtd !>y offlCli ,,, •·· 1.1 Proeemi: Address: :·--,.: ,._ .. 'i,··.":-· .-:'·, .. ·, ~I H;/t (,de fil ]it/Di ' Ml'~_··.···.·· <~~t • ·.30~ ... ·. .•· Urii! .. -: .. ·., . ~ ,J r11, ,i 1"1 p11l n1 /VI 1f Zc,rie · · <-•. o~~~yb,,i~: .. ·._·.·····. o i o~ I ~ll!l ~~ ;hltrli:f . · .. CB Qlstrlct • . :, .. ·,_ .· ', .. ' -l SECTION 2 , PROPERTY OW!lfERSHIP/AUTHORIZED AGENT . 2.1 Owner of Record: Al,~ -~ qi lfi[i S11k PJ.. Mr/Ji li l!:_1 t_h,~ lt111. 0/ ot,/ ..WZiJ )1 Name (Print) 0. O Current M~ing Address: t!/ /l 8' fl. . ' eoA ( r-' - ~'i1) -2 ·-Z o Telephone Signature 2.2 Authorize• Anent: .··· .· So/e,e ;'1 Vf (>,,. t.,,) t'h,J /pi/.,, /3r ScJ J77f fo fl/ m,, /ti. tVc.1H1c"'"'''1. ,1/1, Namemt) A Current Malling Address: ~ i ,:)/iJ 1.,-7 ~ ( •'I/J) 'il-7 -S"oui q~ ' Signal r Telephone .. . .· I SE!.TION 3. ESTIMATED CON§TRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only comoleted bv oermit annlicant . (a) SuildinQPemiit Fee 1. Building l'i' J ye;' JO ·, ·, .'. ·, ·' 2. Electrical (b) E~timat~ Total cost of .' 0 ' 0 () · Construction. from (61 3. Plumbing i) ,, (} e1111c11~g-•l'limi 1t Fee 4. Mechanical (HVAC) .) i) 5. Fire Protection () ' ./,/ 6. Total= (1 +2+3+4+5) / t; 7,<I C , I 0 Check Number ,,/)';/// <, r .,r-,. ' This Section For Offli:iaU.lse bniv ,. ·. .·· Building Permit Number: Date issued: ,, Signature: . . . Building Commissioner/Inspector of Buildings Date Section 4. ZONING ALI Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Lot Size Frontage Setbacks Front Building Height Bldg. Square Footage vv'/"·•A-·~- Open Space Footage (Lot area minus bldg & paved parking) # of Parkin~ Spaces Fill: <volume & Location) Existing Proposed -I I ····· ,._· 7 "f ,0 ( -_JI _______ ----------------f'.-. ----···- 1·~-PJ L,lLrcri R,!JC_fi'1 L2,J J 1'77···; % ' :J . , % rr3, ·--~ .,_I i ;iC7 i ;_:,, ___ (. ; Required by Zoning This column to be filled in by Building Department ...... ······ . --. ---· ____ -_ -----] -I i ' . ... Has a Special Permit/Variance/Fin~ ever been issued for/on the site? NO O DON'T KNOW e? YES 0 A. ' IF YES, date issued:i IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES 0 ' IF YES: enter Book I Pagel and/or Document#: B. Does the site contain a brook, body of water or wetlands? NO @ DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 ' , Date Issued: ! C. Do any signs exist on the property? YES 0 NO (0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q IF YES, describe size, type and location: NO@ E. Will the construction activity disturb (clearing, grading, ~vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO (::? IF YES, then a Northampton Stonm Water Management Permit from the DPW is required. Addition ReplacementWlndow& 'Alferation(s) 0 OrDoors 0 Roofing 0 New House 0 ........ .., Bldg. 0 DGmolHion 0 0 New Sig119 1.tJ1 DeclOI [a( Siding [OJ Olhor IOI Brief Desoription@,l'OJIQS09 c,../ "':::'." ,h • Woll<: fJC I~ b!;q( _ ,·!.!..!!,cJ Alteration of existing bedroom __ Yes_:[_ No Attached Nanative 1-Ive// S'L-Mi 14/Cr ):Jou/I Rt::'Ylll~J1rb'7./ 1 Addiro new bedroom __ Yes __ ,;_ No Renovating unfinisliad basement _ Yes :..L_No Plans Attached Roll -Sheet a. Use Of building: Ona Famtly __ _ Two Family ___ Other ___ _ b. Number of rooms ii each family unit. _____ Number Of Bathrooms. ____ _ c. ls there a garage ·attachaa'.? __ _ d. Proposed Square footageofnewcons1ruction •. ________ Dimens!ons ___________ _ e. Numberofstorias? __________ _ Method of heating? ___________ Rreplac.es arWoGdstoves ____ Number of eacn __ g. Energy Conservation Compliance. ________ Massdleck Energy Campl!ancefmm attached?----- h. Type of construction----- !. Is construction within 100 ft. of~ands? __ Yes __ No. Is consltucllonwilhin 100 yr. Hoodplaln __ Yes __ No J. Depth of basement or cellar floor below finlsh.ed grade ________ _ k. WHI building conform to the BuHd!ng end zontng regulations? ___ Yes ___ No. septtcTank __ City Sawer___ Privatewell ___ CltywaterSupply __ _ SECll0N1o • OWN&ll AU'IMORJrATICIH •TOBE COMPLE'tED WHEN OWNJ!MAGSHT OR CONTRACt'OR APPLIES FORBUILDIIIG PERMTI' 0,te 89 Owner of the subject t /r. Ce/( 11 / q •• awner/AulhOrized nts and lnfonnation on the foregoing 311pfication are 1.n.te and accurate, to the best of my lmaw\edge .. SECTION 8 • CONSTRUCTION ~ERVICES I 8.1 Licensed Construction Supervisor: Not Applicable D Name of License Holder : Todd G, Ct 1/v'l'J cs -roo 17b License Number /..l.f Joc.1tltq,n. t,fv., /<.I. {Al,, .tf 4,, /1,,, J;1, /kl/ ()/0?,,? {,--;-t•'/5 j . , Addre~s ~ ,1 Expiration Date (!}Iv--, r;J6 ( 'ft]) s-, 7 -foo/ Signature Telephone 9: Reglitared Horn1.l111ptovg111gnlContm!itor: · Not Applicable D .£Ht are ~a !J., ,'/t{, /f l11 t'. , tf9 l,i.fO Comgan3t: Name -Registration Number llS-S ~v'fl,,r,, ,1 ~fv-, (irtf.: v,I fJf h,, nitlo" ,< ,11,r If 0//)-Z,2 /2..--2,-7 .--Z:.c i 2 Address I Expiration Date Telephone( ¥13) S7? -{!PL SECTION 10-WORKERS' COMPENSATION INSUAANCE AFFIDAVIT (M.G,L. c.152, § 25C(6)) I Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... rr/ No...... D The current exemption for "homeowners" was extended to include Owner-occupied Dwellings ofone (I) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.l. Definition of Homeowner: Person (s) who own a parcel ofland on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner'' shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature ______________________ _ N 0 '1 N u, ... 0 ~ 0 ii, I .. ;= or z u, u,5 '" 0 ~ u, =, '" "TI ~ U) u I N le w :> w u, t;: i:'i N C> ~z Bi B D i1 z 0 z 0 74 FT PARELEL WITH CRESCENT STREET ,NEW DErK & STAIRS 18 18 ~ 11111 IJ LOT APPROXIMATE PERIMETER -~ifU~~~~ ZONING J f-.i" t;: le w ~ :> ~w I~ EXISTING HUMt EXISTING HOME 1460 SF i:::c==---,-,-::-:-::::-1------===~=~------l,XjSTING 1 BAY GARAG "' "' "'z 1'-9" ! ~r; . ~c1~1r· o !I o I ~ g j, ZZo gi .... ~ t I I • " N D\ q WtE s TITLE: Irish Residence LOCATION: 41 Hillside Rd. DRAWING TITLE Site Pion Preliminary ~ ~ ~ ~ SIDE WALK 74 FT _I,.---HILLSIDE ROAD ~ sl ! a >-o I -,,-t"" I • ~ ~! • ~ I ; ! " ~ ~ ~ ! Northam ton, DRAWN BY: JED JOB CONTACT: Todd Cellura CHECKED BY:TC Date: 05/09/17 ~ ~<2~::,a[J"J ~~5cacn B~~[}l§ 0 ~ ~>s!j~> C .:::::,2 U"J ~:;; e3~~ gi:,... 58 "1CI ~~:.!§ !:2ca ~Gl""~ ;8u,~;z ~5-i:,::::i o5~~ ~~§ oo ~a M 440 SF PAVED DRIVE 400 SF ill ~ ~~ B C "llCol~G> l!ii ~ II II II 11 !&l i ~;~~ IR """ 8 ; :;, w ~ ~ u, ~ z w u u, w ~ u 'c tc 3' ~ w ~ w ~ t ~, c--lN]V'BSV] :JNUSIX] LEGEND: Ll l,,L -,g.9-t,N G "GAS W"' WATER S "SEWER I -2.+-T..'i I I I P"POWER I 62. I "UNDERGROUND CONDITIONS I t3 ~ >-LL ii'u... I I d:l U) o (/) .... ~ 8 g I I 0 ...;-~ 'O'" I GENERAi NOTES· I z ~ f; I 1.) 1H1S IS NOT A SURVEYED PLOT PLAI i-1 TO REPRESENT THE PROPERTY FOR T ~ I A BUILDING PERMIT ONLY. LOT LINES i VERIFIED BY A LICENSED SURVEYOR F R I --f ~ I [ 2.) CONSULT ~OIGSAFE' PRIOR TO ANY El .o.:~ I ~ t>ei I ., ........... . ~~ I ~ I";£ --=-, ... I il '!i . :i I ~ SITE PLAN I ~~ ~ bi 1111 WM >llVM -~ t I g SCALE:1"=20' I wO r.:, 0 111 w v, 9:o!i =?c: '° Q 'Sf-I ....1 ~o 40 "'° :::> I-'O'" (/) r--::! I ~ Sti ~ .... :c ' " (I:'.(() c.s I w 36-6 25'-0" V ~ ,1 -I z~"' I ~ I "' , ~ I _ti. I ::;,;:-I I owner: Mr. Alan Irish §'§ I MAP#: SECTION· I w = --" I ZONE; RESIDENTIAL I ---.::,--0 WATER-PUB UC = I I SEWAR.PUBUC I Tl ~ 3BEDROOM I w ~ ':' II f---------_J I w 1--=t-I 1N3VIJ3S\f3 :JNl1SIX3 uu 41 HILL SIDE DRIVE SITE PLAN Scale: ONS IT~IS INTENDED E URPOSE OF ;HQ lD BE 110 TO CAV~TION 2 C 0 I 2 .a oS u u u 0 ~ '" v u C' ;, c--(l'. 6 "I· 0 <D <D C u g; u v E <D ;;;. C "' 'l 0 <D "O <D a I L 0 "' CL <D 0 Cl'. -" .c 0 u "' C w ~ z 0 , >' ·c O w-~ <D i== c' CL 0 w <( e w 0 OJ z y _J u ·-:is u >--0 . •-w i== _J ~ (/) ~ I 0 0 u DRAWING NO. SP-1 SHEET NO. 1 OF 2 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: 'II //;// .f; cit- The debris will be transported by: // S fr J,tllf ffe. The debris will be received by: f/J ft V« rk Building permit number: -------------- Name of Permit Applicant --=S:...:&:...:jl;..::.e.:..:r~::..c'J+nCL__::t::..:i1,:...:.'..:...:'/ r!.:...:t_/:...f......:..c/ n..:....::..t:..:.. _ Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 5 0 Vt re i'7 ~ !5it; ldttf !IJ ( . Address: /JS SO ti flt 11 "":ffel"/ I<,( . City/State/Zip: YVes+h-1r>tfl»>1. /VI,;. #JD'}.."1 Phone#: (lf/J) .sz1-il)v/ A_re,you an employer? Check the appropriate box: I.~ I am a employer with J /) 4. D I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 2. D I am a sole proprietor or partner-listed on the attached sheet. ship and have no employees These sub-contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.I required.] 5. D We are a corporation and its 3. D I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MOL insurance required.] t c. 152, § I ( 4 ), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. D New construction 7. D Remodeling 8. D Demolition 9. D Building addition 10.0 Electrical repairs or additions 11. D Plumbing repairs or additions 12.D Roof repairs 13.@ Other----"'JJ-'--'F-'--(1(,.___ __ _ * Any applicant that checks box# 1 must also fill out the section below showing their workers' compensation policy infonnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. ,I) Insurance Company Name: _ __,_T_ ,l_"i1-'-'/-'-/__,.,)o_1_-"'h-'11..,_,S'-'v'--'f-'lil-'-. c.:"(::..:t-'--___,/ff'--'-+-"-t!--'-''-=-"+'-/------------- Policy # or Self-ins. Lie. #: V C q D 3 J ~ ) I Expiration Date: 2/ Z q /J Z r I Job Site Address: ¥/ Hi/1,,'dr f/,1. City/State/Zip: ;&r 1h1101,1rh 11, /J;f If oJO (,/ Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal penalties ofa fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form ofa STOP WORK ORDER and a fme ofup to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under~ns and penalties of perjury that the information provided above is true and correct Signature: c() li £ Date: 'lpf/17 Phone#: too Official use only. Do not write in this area, to be completed by city or town official. City or Town: _______________ Permit/License# _____________ _ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City ff own 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 defmed 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 a joint 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 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 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 burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Revised 7-2013 The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA02114-2017 Tel.# 617-727-4900 ext 7406 or 1-877-MASSAFE Fax# 617-727-7749 www.mass.gov/dia S0VER•2 OPIO:KK ACORD' CERTIFICATE OF LIABILITY INSURANCE I DAT! (MMJDDIVYVV) ~· 08/1412016 :.:.r~~r:c:o~~SN~:i:,r:.:.:TI~:w,~RO:~:~~;~~:: :~:::::~ ~:~o~::a~~~=r: :~~~:: c BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN ntE ISSUING INSURER($), AUTHORIZED REPRIESENTATIVE OR PRODUCER, AND ntE CERTIFICATE HOLDER. IMPORTANT: 11 lht certlflcate holder Is on ADDmONAL INSURED, the pollcy(las) mu&! be andorsa.d. If SUBROGATION IS WAIVED, subject to tha tann1 and condlUons of lht policy, certain poll .... may require an endersamant A 1taltmant on ihls cartlflcate does not confer dghts to Iha cutlllcate holder In llou of such endorsamanllsl. . ... K..,a Drinkwine PRODUC!R PHIWPS INSURANCE AGENCY INC. -,413-694-5984 1 rre .. , .. 413-592·8489 97 CENTER STREET CHICOPEE, MA 01013 ••• as, K""'..,,,•hlllloalnauranca.com CMstopher McMaslar ' INSUIIIIMIIAFFORDING COVl!RAGE. NAIC# INSURER•, Salacllve Inf Co of South Caro INSURED Sovereign Builders, Inc 1Ns11RER a, Selactlva Ins Co of Soulhaast -Todd Callum INSURER a: 135 Southampton Road INSUREAD: Westhampton, MA 01027 INSU.RERE: fNSURl!RJ: 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 REQ~REMENT, TeRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUAANCE 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 • . ''Lfi TYPE OF INSURANCE = POt.lCYNUMBf!R ~ia,;;,_nl1irv,,-------UM---ITS::------j A X COMP,IERCIAL GENERAL UABILITV . !A.CH OCCURRENCE $ 11000,00 =o CLAIMSoMAOE [!] OCCUR X S21900.C2 11/114/2015 11/04/2018 :==;'m-,-.. ,-t.~--~50;;:0:';,0:::lrn -----------I-------~--- RGEN'LAGGREGATE LIMIT APPLIES PER; POLICY [!] m\= [!] LOO '-"ER: AUTOMOBD.e UAUILl'IY A I- I-NWAUTO ~~ED 'x i--HIQEDAUTOS 1f' SCHEDULED AIJTOS r,f NON-OWNED r-AUTOS ..x UMBRELLA LIAB IH OCCUR I .& l!XCll!'SS L1AB • . DED I I RE-~IONI 1,. WORKERS COMPENSATION 0 .·,· ANDEMPLOVERS'LW11UTY B ANVPROPRIETORIPMTNERJEXECUTIVE . OfflCERIMEMBfR.EXCLUOED? . lJ.!!, (Mtndaloly In NH> · . 1Kl!.'.a~R!;IHPe .. TIONSb1!11w l.J N/A A9104626 ~C9033361 MEOEKP(Anycnepereonl $ 1S.001 PERSONAL & ADV INJURY $ 1,000,001 GENERAL AGGREGATE • 3,000,000 PROCUCTS ~ COMP/OP AGG $ 3,000,000 $ ~INoL $ 1,000,001 09101/2016 05/0112017 600lLV 1NJ'.';u•=v"c•=,:c, ,.c:.c:.,c:,+.sc---'=="J BODILY INJURY (~uccldent) S ~DA,. ........ $ $ EACH OCCURRENCE s I XI Sf"Ai'•rn:: J I iR' - GS/29/2016 05/211/2017 E,L.EACHACCIDENT S e.L DISEASE • eA EMPLOYE $ E.L. DISEASE• POLICY UMlT $ 1,G00,00 ., ... DttiG 100,001. 100,000 500,00 DESCfflPT10N OP 0PERA11QNS I LOCATIONS /VEWCLES (40:0RD 101, Addlllonal Rtmlllkt Schedulo, nttY M IIU11Ch1d If more 1ptct 11 required! RE Project: 705 Park Street Athol, MA CERTIFICATE HOLDER ' ACORD 26 (2014/01) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THJ!REOF, · NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEP REPRESENTATIVE ~ r,,. © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORO GENERAL NOTES: 1. All construction to meet or exceed all local, state, and notional building codes. 2. Ledger attachment to be through bolted with Galv. Carraige Bolts per Code 2X8 PT LEDGER WITH GALV. JOIST HANGERS 3 Deck to be constructed of PT 2x materials with "Trex" Decking and PVC Rail materials. 4. Install all hangers to MFG. directions. 5. All fasteners to be corrosion resistant -exterior grade. 12'-o" 7'-1oj" j @ @ I "" 11 I I 111 I ti b r-TYP. SONO TUBE LOCATION Plan View 0 Scale: DNS 8X12" CONT. CONG. PAD I ~1 I I u E " " 0 Q) C c-" u 0 "' ' 1~; u °' <( 0 c-' z en 0.. 0 0 0 ::::J _c u m ~ m a I~ L 0 0 ~ 0 z 0 E u _c 0:: E U) Q) L Q) ~ 0 u u U) w ,->, ~ >-' ~ U) U) >-' rn -u m 0 Q) I -"' w 0 u z " Q) s u L ~ 0 <( w Q_ -st D'. I 0 u DRAWING NO. PL-1 R OF 2 GENERAL NOTES: ATTACH DECK LEDGER TO SILL W/ ~" HDG CARRAIGE BOLTS THRU BOX SILL@ 16" 0.C STAGGER VERTICALLY +/-2" ALONG LEDGER CL HDG FLASHING REQ'D AT BUILING INTERFACE SIMPSON ABE44/66 POST BASE WI~" DIA. ANCHORBOL T TYP. (7) PLACES RAILING: MIN 36" HT IF DECK IS 30" OR GREATER TO GRADE BALLASTER SPACING NOT TO EXCEED 4" STAIRS:MIN 36" WIDTH MAX 7 1/2" RISER MIN 11" TREAD WIDTH GRIPPABLE HANDRAIL 34" TO 38" ABOVE TREAD NOSE 4X4 RAILING POSTS THRU BOLTED TO RIMBOARD W/ MIN (2) ~" DIA HDG CARRIAGE BOLTS TYP. (3) 2X12 PT STAIR STRINGER PER STAIR ~ SONOTUBE; 20" 0 "BIGFOOT' W/ 8" 0 CONC. SONO-COLUMNS MIN. 4' BELOW GRADE TYP. 7 PLACES OR EQU. 5000 PSI SAKRETE TYP. Front Elevation -Deck Scale: DNS DD D D~o 8 ~ " ~ V PVC RAIi i NG SYS POSTS 4X4 PT W/ (4) GALV. CARRAIGE BOLTS THR. BOLT. ~ ~ " ~ ti 1'11 0 ~ be ~ ';' ( 41 2x12 PT BEAM 2X8 PT JO W/ CONT. C/J..V. SIMP ,W<O,S ~ L-... 6X6 PT KNEE BRACE TYP ~ be "' :iNt<' ~I I~ u E u u G) C: 0 I"-c-u 0 e:.: " 0 ~ u m L <( 0 a, E c-" Cl. z en 0 0 0 => u _c © ~ (D 0 _y L 0 0 0 , 0 CONT. G) z Ill BOAflD, 0 E NJOISf u _c Ct'. E en G) L G) ~ 0 (_) -u en w c->, , >' ~ U) ~ (f) >' 0) u ;--=: ~ .cc (D 0 GJ I w 0 '@ 0 z "' ~ G) 3 u L ~ ~o <( w o_ 'T "' I 0 0 u DRAWING NO. PL-2 SHEET NO 2 OF 2