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23D-186 (7) 31 WINSLOW AVE BP-2008-0208 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D- 186 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2008-0208 Project# JS-2008-000326 Est. Cost: $8500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENNETH LYNDS 013668 Lot Size(sq. ft.): 161 17.20 Owner: ROSE-LANGSTON JASON A& Zoning: URB Applicant: KENNETH LYNDS AT: 31 WINSLOW AVE Applicant Address: Phone: Insurance: P 0 BOX 448 (413) 584-9282 WC LEEDSMA01053 ISSUED ON:9/4/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 8 X 10 W/8 X 18 FRONT DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: r( /j.-°7 Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: OK o9/V4//07 Lai/Li THIS PERMIT MAY BE REVOKED BY THE C '''Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULA ONS. Certificate of Occupancy- si nature: FeeType: Date Paid: Amount: Building 9/4/2007 0:00:00 $50.003531 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2008-0208 APPLICANT/CONTACT PERSON KENNETH LYNDS ADDRESS/PHONE P 0 BOX 448 LEEDS (413)584-9282 PROPERTY LOCATION 31 WINSLOW AVE MAP 23D PARCEL 186 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ` / #3-7, Fee Paid Typeof Construction: REPLACE 8 X 10 W/8 X 18 FRONT DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 013668 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commi ion 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. \-\ Department use only Pity of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit 2G01 --212 Main Street Sewer/Septic Availability AEG 2 9Room 100 Water/Well Availability hlortharrR�pton, MA 01060 Two Sets of Structural Plans hone 413-587-1240 Fax 413-587-1272 Plot/Site Plans p`` Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION This section to be completed by office 1.1 Property Address: 3' t.)''^S/ L) S li'J4't Map_ Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: / ) (,ron 4- 4 6&e6.4 104 L - L,Brlq.lta K.ilorJ Ji rcid— Na .nt) Current ailing Address: " to V Telephone ture <l/3 30 3 - 9$ 7o 2.2 Authorized Agent: 1 f f eA y1 L'1t `t)• �J ,".�, C -z- 9 Cs.) P v. g oX �L CG4J/ PJ. O'Q 5+J Name(P'nt) Current Mailing Address: a re Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building is =- (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) 47S Oo i Check Number 3c31 — This Section For Official Use Only Date Building Permit Number: — Issued: Signature: Building Commissioner/Inspector of Buildings Date on/TJ Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department rs° ,- Zee' tlA Lot Size Frontage Setbacks Front FX t-$ri�+/ 2,1" 2,0 � �I . Side I�l RJR L: R: IS— Rear ZIP 2,0 Building Height Bldg.Square Footage Open Space Footage (Lot arca minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW V YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO IV 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are re any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House 0 Addition 0 Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 Demolition❑ New Signs [ J Decks K Siding[ ] Other[ ] Work:Br Descri tion of Proposed n / q,�j?f Fx : �;M, +� - t / ,/ -- 1�rrwJ•t- key �► a !`, �J /� � c�(.l� �o Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes ✓ No Attached Narrative Renpvating unfinished basement Yes ✓ No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing, 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? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k_ Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS+ AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, J,aS s►.- .- 41,......... 'od.- - 4,....5 Jtel` ,as Owner of the subject property hereby authorize Ke..14.m.- "- ' 1ti CA •d ' 7 g GJ to a nnbehalf, in all • .tters relative to work aufiorized bythis buildingpermit application. y —_ 1_41\_ — — (5" °1 nature of Owner Date I �✓'A K W• h 1 t4.CJ 0' 2 - C • ,as Gwwrar/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 nder the pain and penalties of perjury. vl,w� k 4ywdw ( 4 • of-z ,� c-.,� Print a e S' ure of Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suupervisorj:1 �// !I' Not Applicable ❑ 3 / Name of License Holder: /( eK�-+'/"► v" `� _ CS v lj `d' p ` l License Number /i G.t vdi 10 a g G t,e--d.I DES) _ 7- 2 y• Zoo Addres / / Expiration Date lure Telephone 9.Registered H e Improvement Contractor: Not Applicable ❑ ew,L I). Ly� CA ) • 2 9L.\ / 3 " 77 ompan/yy Name /� ',L. Registration Number I l /`L1 e.9'a,k !C. 04.•� 4 2 4�41 �'�`J' 6/Dr-3 -/y. 2 oo j _— Addre ,/ ��/ Expiration Date J / - Telephone Yl1 17 V P 82 SECTION 10-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 the building permit t— _ Signed Affidavit Attached Yes No 0 M. , IA-- r K. iJe v A {*.p,A 2/4 .�s p,Q� a cewn- 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) 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 1083.5.1. Definition of 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. 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 . • oR1 tv.t r pi,, .o0 ?E (.rhj ofP(11 f(j�tltt�t0►1 1 E �t a7.rtch nrrtl•- = Y .. ter!f, 1 " •� DEPARTMENT Or nuiwrNc INSPECTIOF.S • —, - 212 Main Street - Municipal 13ntldinp Northampton, Mass 01060 - 1/' WW'O21C1:2It'S CONITENSATION GYSURANCE AFPTDAV1T (110 I, ____ al-_ bJ- LY_Id- CO*_0?• Z i C-) --- __. (liccuscripermittcc) s'ntb 2 principal Olace orbusioessJresidencc at. 7/ I'&J44.61,./LXII 1-.1.4.-44 ASP.w of0.t,7 (phone 4//.') Y - aV.-P2?2-- (str�.tJci ty/statcJZi p) do hereby certify. under the paints and penalties of perjury. h.I ( ) I am an employer providing the following worker's coinncns noe cover2ge for my • . etuployccs working on tin job. !Je✓k- G 4•-•-•• ate- ,46.• ;It e . G/ ,93/49 v4 Log e` (lns saoc Coocxv) (Policy Nu_cr) (✓.-oirZtior. Date) O. I am a sole proprietor general contracts : homeowner (cr•ce one) and hive hired the contactors listed below v • ve the following worker's com0ensznon pchcmes: �i nt-, ' ?�'uink: (ADirasoa Date) (Name o;Co......aor) (lnstranr„ Corn�aa)rl ciic, -') (Name of Contractor) -- (Insuranc: ComoaawPo!icy NWDccr) (Ex-Dir.-loon Date) • (Name of Coanaeto,) (Lasuranee Compaoy1Pot;cy Naar bcr) (Espu cioo Date) (Naive of Contractor) (Iasuran ComcaayIPoticy Numb`() (E.\pi shoo Date) (.aft i::oc.I,_,cc:it oc,=..ry to mete infct-m oo pert,uniog to.L cora- or)) . • ( ) I am a sole propnecor and have no one worlang for me ( ) I am a home owner performing all the work myself. NOTE:ples:bt ew-are tr,..'.i`.!c b<xroo..vcrt..bo employ pc-cont tow :nr-.,..'+ c^-..-_--.:ciao c rc?cu•Sonic on.d••<1L•_1 of not aoc t '- - .t in..'yeh the bomoowocr(maid=or o-tb-c err. o..,rppertroc"tb.=cn r_-c oLY C->-_lly wo t d:mil to be ctztploycn..o'er-the'.txi;r r— m r.-zt; Act(GLI 12.o m a 1(S))-npplir-,rioo try.boco° c fer_liter!or;unlit rc:-y c.i-'ooc tbC - Icgal rtx2u or ea eraloy.r under du,Wor4d.Cooapow..rioa Ac_ I uodc t..nd ttva c Dopy of tbi.mrcm m coy M fo(- .to L.4 to tbo Dop.nm of of lneiorrid Arod^K'!Ofroo of lr So bbc Lb' novenae vvttctioo wu:1 th1 Liltzc to ccciu<tovcro c under zoctioo 25A of MOL 152 c.,n lad to the vrcwirioo of corm.-';pco-' hici rOcc,is irg of a(roc of up to S 1 .500.00.ndfor mopriaccrw.cut of up to ooc yto end civil peat io in tt>c roan of•Stop Wort Order.rd• tiro of 5100.00 a cty c Eain i me 1 / For dcp.nm=--'-u•c�ypermit Ntunt —// i,- f a Mzp::__ Lot 1*644/1)(1,4 rc of Liam cc/Pcrrruticc Dote I NUIt 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 r ex„,,st., SAGZ.. 227 u N s rio • • a �+ f R d S \\‘,..... 'ti. a • • +' . • �ci� yo • . ,1 .„..,, r a' • . + a ; r RiE r A N A :it:60 tr',� 4 4- 4 _ . .. . , _. . ... ... . . , . ...., _ . , _...„,..J , . , .„ ,..... . • ,...„,..."-P• '? "#Z --- 341r*H.,..4":"*",,,,,.47......*imetzt„ f.; ::.,,,,,;,•,,,,,i,:-."....,:. , . ..,,,.. .,J.......:: :; ''l'''' ? a .. . r r :: 3 a .' ^$' ''.; 1\fir•,. �' t .�, .Ji-a- a ',t 11 +.; , ' -k= R • I J `1G ' y ai ..1 •�. ig4 mac' - _ - rt } �' TF ...Ir.: • Y'i {f' .. a . • �. r , !.r - .d... a R^ r • f-1`^.. R' :' ' . , ,,.' I; • \:...k.7,7'..... .r,y " 7 40, 1 A ' M _ � �+ ' -x s- -.1; F ;il , ---., S�. yd ., . 1... rfi • - a sr 40 • • 4 — - -• - . ; ,,,, .0.., a1v . Ft.,,S.,?—.. — 2,./614-14.3 vim— -o CJO ff- t I 3 / W i J l 0 c,•5 �e t/rt— ; AliTaw J I f t I I 'Y.;.1'.1‘."5'I. _ 1E;('') -1 m 7 /Atka c -_______ ' gX)->/%1 61r r i ( I Y oo:� j H r . , is i NI i k"-v)/J° _..). ; pp i{ w I 6,4 fre`14.‘,41 -0;:,,, /re) 11.g-/' il` gi ' '‘tv ii .. i 8' -----) 4 0 3 w,�1- She, .— 1--._— .. . +))) lv, A i,�i� r• {/ iDy s 9�p� I A'.,?.2 ?ulc:7;4(44,yr ___ _ __]L2____ __„___6plit_01, - — _ _ _ _ _ ___ __-_ - - - - ---_''..-.....** ,:-.....„....",.......,......._____ __ _ , ILLAR ,....3,0(.44 e...--11;4(4. _c_ vli)/ LI /r� jjj '- YoN .:.+ isi4.o siir -. Qtr1� X0',;,,/77*" 4 1pe_,4 s�'". , co,,,P„.., may- Z��Q4.rP• fl f Jo},,il _. Gj�J o i 4" oC - ///-------7". 1( -,, 11 rya 0..z f ad(4— � .1--- - ft --- --------_ (3) a �- "1 • Board of Building Regulations and Standards t Construction Supervisor License '� License: CS 13668 Birthdate: 7/24/1951 Expiration: 7/24/2009 Tr# 17264 Restriction: 00 KENNETH W LYNDS 71 RESERVOIR RD LEEDS,MA 01053 Commissioner • ?T�,, am ma.oeu vald rya, ft'ac uic%ucaeQ6 board of Building;Regulations and Standards HOME IMPROVEMENT CONTRACTOR 6 Registration: 136677 Expiration:p 8/14/2008 Type: Individual KENNETH WILLIAM LYNDS KENNETH LYNDS 71 RESERVOIR RD. LEEDS, MA 01053 Deputy Administrator 1 413 527 5970 P.01�01 _ RUG-29-2007 12:20 _ F I NCK & PERRAS INS , DATE{MMIOWYWY} , - -—�—M %..14rr' I trtfk.H 1 t, i,at LIABILITY INSURANCE Oa/29/2007 PRODUCER (413)527-5520 FAX (413)527-5970 TTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Finck & Perras Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Campus Lane HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. Easthampton, MA 01027 INSURERS AFFORDING COVERAGE NAIC# NsuRED Kennet W. Lyn s A A-2-Z Bu ers INSURER A: Commerce Insurance Company 34754 71 Reservoir Road INSURERS; Leeds, MA 01053 INSURERC: INSURER D: INSURER E; COVERAGES �� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ _ ILy $R Aram R revs OF INSURANCE I, ucY EFFECTIVE PQLICY EXPIRATION DATA NUMBER DA (�fDDNY) DATE LIMIT$ �— GENERAL LABILITY YW9364 12/10/2006 12/10/2007 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ __50 000 �--p s MI A(F_s n_frerwm) ,j CLAIMS MADE I ,� I OCCUR MED EX?(A ny one Persgn) $ 5 a 000 A ��--� PERRQNAL&ADv INJURY S 1,000,WO L.-- GENERAL AGGREGATE $ �t 2.000,00C GENI.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 7 F'OLICY� eT (i LOC AUTOMOBILE LIABILITY ANYAl170 COMBINED SINGI,.ELIhfR $ (Ea accident) ALL OWNED AUTOS _ BODILY INJURY $ SCHEDULED AUTOS (PP,'per') HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) i GARAGE LABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO OTHER TtiAN EA ACC S AUTO ONLY; AGO S EXCESSIUMBRELLA LIABILITY —, —^ EACH OCCURRENCE S OCCUR El CLAIMS MADE AGGREGATE $ —i $ I L_ DEDUCTIBLE r $ RETENTION $ $ WORKERS COMPENSATION AND 1 T4 Y i IIMrr O v- EMPLOYERS'LIABILITY EL EACH ACCIDENT $ ANY PROPRIETORIPARTNERAEXECUTiVE OFFICERIMEMBER EXCLUDED? EL DISEASE.EA EMPLOYEE S If Yea,describe under -- SPECIAL PROVISIONS Wow EL,DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT A SPECIAL PROVISIONS —� � � ---- ,IERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Northampton 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Building Inspector BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OF ND UPON THE INSURER,ITS ENTS OR REPRESENTATIVES, Northampton, MA 01060 Au A E CORD 28(2001/08) FAX: (413)587-1272 3ACORD CORPORATION 1988 TOTAL_ P.01 __�._T-,,AUG. 24. 2007 6 32PhASSOCIATED INSURANCE r t� N . 6 -P. 1/1 ( O 703 '3'7'::,'"fit a w'r" 1 1 fkl' � L it t tit y:tll i � •(t� �(� ; ISSUE DATE 0$/29/2007 ,t„,d, • Y+' u, , l sat .t,l11:t,I. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Finck&Perras Insurance CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE Agency Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- 63 Main Street Florence.MA 01062 COMPANIES AFFORDING COVERAGE WSURED Kenneth W Lynda dba A-2-Z Builders COMPANY A A.I.M.Mutual Insurance Co P O Box 448 LETTER Leafs,MA 01053 'trot A;T j' ,' tl I R t f#ti • tiF1.17 r 17r ili . 1 �� fl' '.e. #M THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 HAVEBEEN REDUCED BY PAID CLAIMS co TYPE OF INSURANCE roL1cyNUMBRI[ POLICY EFFECTIVE PQLICV E%PIAATIQN (AMITE era DATQpmWnorrn DATB(F04IDLYYY) GENERALtIARIUTY GENIRALAGGRBGATB I PRODUCTS-COMP/OPAGO. % —_ n COMMERCIAL GONIIJ AM UARIILfTY PERSONAL a AOv.lO1URY r1 CLAIMS MAOBfl OCCUR EACH OCCURRENCE OWNER'S A CONTRACTOA'S TROT. FIRS DAMAGE(AAyme tiro) $ j . MED,EXPENSE(Atgw,cp.$0.9 $ AUTOMO\ILE UAInL1TY COUmWgD SINGLE LIMIT I ANY AUTO BODILY DOWRY �..ALL ONNBD AUTOS (Per palm) SCHEDULE+)ALROS =HIR D AWES DODH,Y RUUILY NDN.OWIIED AUrOR (P¢aCciJW) GARAGE LIABILITY PRaP11xIY DAMAGE EXCESS LIARuirV TACM Ot;CURRIWCE I UMRRDL LA FOAM AGGREGATE / 1 OTHER THAN UMFRILLA FORM �' rN } >• �,g� t ;F )i{1"`li`Y�I;elf�}iI'E e,`:%Z,i•d{"6:"Atx•j WORKERS COMPENSATION AND STATUTORY LIMITS OTHER RMPLOYERB LIABILITY X THE PROP B WS/ EL EACH ACCIDENT x 100,000 A PARNF SkEXECUTIvt OPPICCLERS pRE 6004867012006 12/12/2006 12/12/2007 EL DISEASE-POLICY LIMIT s 500,000 IrrrCL ®EXCL EL DISEASE-EACH $ IOO,000 P�MPLOYEE COMMENTS/DESCRIPTION OP OPERATIONS OR LOCATIONS: KENNETH W MINDS IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY. • ,,,RrW•..,+ni t t `5� } R 1�F�1;,;}'�I T �M 1 ( (11rF+3 F ti!,��w r t• �t t ir{ r :tAycM��7El ",tr+1 k:r :' '�'-.J �,y�� "�'; i. ;r"' �''�•� ri �:� `l �a�tT�.T"YiILLlfl�'1I�I4�:uuk�Sli3"..fQ9t!�i.Cal(Mi:iij++r:t J ';i:��jH .HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T11E EXPIRATION DATE C!C7l OF NORTNAMF!ON EREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAILILWRIITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION AT TN:BUILDING INSPECTOR OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. MAIN STbYL) (1-d2L atzt_ NORTHAMPTON,MA 01060 AUTHORIZED REPRESENTATIVE