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37-083 • Nlasachu.ctt. - Department of Public 'afet∎. Board of Builtlint! Rcuulatian. and Stan(larth • Construction Supervisor License License: CS 53221 THOMAS C Me£ARTHY .3 BRODERICK ST EASTHAMPTON, MA 01027 �--� ��f Expiration: 5/23/2013 ( .nnmisioner Tr#: 15338 �, , ✓fze -Vo�atmtoar weala o/ . li'cza�sac/uaet :. Office of Consumer Affairs & Business Regulation =f= HOME IMPROVEMENT CONTRACTOR Registration: 100364 Type: Expiration: 8/16/2012 Private Corporatic THOMAS C. McCARTHY GENERAL CONTRACT Thomas McCarthy 3 BRODERICK ST 47 ,,�� ___ Easthampton, MA 01027 Undersecretary •r I S PRODUCER (413)527 -5520 FAX (413)527 -5970 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Finck & Perra9 Insurance Agency, Inc. ONLY DER 'MIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6 Campus Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Easthampton, MA 01027 Rebecca Kubosiak INSURERS AFFORDING COVERAGE NAJC # INSURED omas Mc art y Genera ontractors ,Inc . INSURER k General Casual ty 24414 3 Broderick St INSURERS: Easthampton, MA 01027 INSURER C: INSURER 0; COVER G „ - , 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'Ng OA • TYPE OF INSURANCE POLICY NUMBER POL r>a , T � 1 * Q N WARS �— GENERAL LIABIUTY CCI0395169 02/10/2011 02 10/2012 EAcH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO ED y 00 PREMISES (Fa „rnx•Mre, 100 1 CLAIMS MADE © OCCUR MED EXP (Any one person} S 5,000 A PERSONAL & AM INJURY $ 1 000, 000 GENERAL AGGREGATE $ 2,000,000 GEM. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2 ,000 ,000 7 POLICY � J ECT ' 1 LOC _ AUTOMOBILE LIABIUTY J 1 ANY AUTO COMBINED SINGLE LIMIT Fa accident) ALL OWNEO AUTOS BODILY INJURY $ SCHEDULED AUTOS pion) HMO EO AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT S _^ ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY: AGG $ EXCESSUMBRELLA LIABILITY 0 EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION 5 5 WORKERS COMPENSATION AND CWCO395169 02/10/2011 02/10/2012 t 5 T ER EMPLOYERS' UABILM EL EACH ACCIDENT $ 100,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEES 100,000 11 yes, ascribe under SPECIAL PROVISIONS • - ow ELL. DISEASE - POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS • T FICA _ . • f ER -., �T • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EEfORE The EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAUON OR LIABILITY Of ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ***sample*** AUTHOR ZOO REPRESENTATIVE NekAA.LEAL•• e..uutadraav Rebecca Kubosiak/BECKY ■ AcORD 25 (2001108) FAX : ( 527 -6693 ©ACORD CORPORATION 1988 TOTAL P.01 2011 -03-13 21:55 1 413 527 5970 Page 1 Nov 1U LU11 0:41M1 1 1 M !li 413 13 Page 1 THE HAMPSHIRE PROPERTY MANAGEMENT GROUP, INC. Date: November 10, 2011T N ,,\„ To: Thomas McCarthy --« From: Patricia Taylor Re: Deck replacement Via facsimile (413) 527 -6893 Dear Mr. McCarthy, This letter serves as confirmation that the Board of Managers at Meadowland Condominiums has agreed that Thomas McCarthy, General Contractor is given permission to replace the deck for Robert Griffen, owner of 266 Grove Street # 5, Northampton, MA at the rear of his unit. Should you have any questions or concerns, please feel free to contact me at (413) 582- 9970 extension 106 or via email at y hpmgloho.com. Sincerely, "lar 0 Patricia Tay or Property M: Cc: Board of Managers • THORNES MARKETPLACE, 150 MAIN STREET, Surrr 310 • P.O. Box 686 • NORTHAMPTON, MASSACHUSETTS 01061 TELEPHONE (413) 582-9970 • FACSIMILE (413) 582-9973 • EMAIL INFO@HPMMGNOHO.COM 2011 -11-10 04:34 413 582 9973 Page THOMAS C. McCARTHY GENERAL CONTRACTORS, INC. 3 Broderick Street Easthampton, MA 01027 (413) 527 -5141 Fax (413) 527 -6893 Email: TCMGCI @aol.com 11/11/11 To Northampton Building Department Re: 266 Grove Street, Unit #5 Northampton,Ma.01060 I am writing this letter to ask for a waiver of control of construction at the above listed address. As noted in my permit application, the work to be done is for working on the rear deck, size 8' x 8', removing the pressure treated lumber of the decking, railings, steps, and covering the 4" x 4" supports with Trex material, and replacing the deck, railings and stairs with all Trex material. This is a cosmetic project that the customer has asked for. All work to be done has no effect on health, safety or structure. rya / . J Thank you, Thomas C. McCarthy President Ma.HIC License #100364 expires 6/16/12 Ma. Construction supervisor's License #053221 expires 5/23/13 % CITY OF EASTHAMPTON ,, . �,► �. BUILDING INSPECTOR • • WN, 50 Payson Avenue �' Easthampton, MA 01027 `'` (413) 529 -1402 Tel (413) 529 -1433 Fax Joseph Fydenkevez, Jr. - Inspector of Buildings Construction Debris Affidavit ' (for all demolition and renovation work) In accordance with the provisions of MGL c40, $ 54, a condition of Building Permit Number ( (k . C is that the debris resulting from this work shall be disposed of in a property licensed waste disposal facility as defined by MGL c 111, $150A. The debris will be disposed of in: • .�� L • LOCATION OF FACILITY The debris will be transported by: t et -tte•4 e G c C u 1(/ it' z7 ei ta few " ch/f NAME OF HAULER r � L SIGNATURE OF APP CANT // 7/ • DATE • • . N Bob Griffen 585 -8313 11/9/2011 266 Grove Street - #5 Meadowland Condo's Northampton,Ma. 01069 Estimate for the following work for replacing the decking, railings, balister's, stairs and lattice work on the rear deck of the above listed address. We will remove the existing the lattice work, all railings, all decking, the sliding door kick plate, and the stair treads. We will install new pressure treated 4" x 4 "s for the bottom of the steps and near the condo for the new railings. We will re -build the deck, railings, the sliding door kick plate, the stairs with risors,(open now -must close up to building code), and the lattice work. All 4" x 4 "s will be covered with the Trex "skins" All materials used to be Trex and in the color Woodland brown. The vinyl lattice work to be in brown. All work to be performed according to the manufacturer's specification's. All related permits included. MASS. HOME IMPROVEMENT Contractor's Registration #100364 ex.06/16/12 Mass. Construction Supervisor's License #053221, ex. 05/23/13 E -mail address — TCMGCI @ AOL.com Six Thousand Five Hundred Seventy and xx /100- $6,570.00 20% Down for order & scheduling: $1,314.00 50% Upon Start: $3,285.00 30% Upon Completion: $1,971.00 45 • • The Commonwealth of Massachusetts ~ - -- Department of Industrial Accidents f.. Office of Investigations 600 Washington Street ' =¢ Boston, MA 02111 y J. ' www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information / Please Print Legibly Name ( Business /Organization/Individual): 7 , < �cG �/ / 4/ - Address: J 6 /P,Ol `ie /'t! / 5 r City /State /Zip: Fd s T � l P hone #: ` 3 S.7 l 5 / Are you an employer? Check the appropriate box: Type of project (required): 1. I am a employer with mt- 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. El I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub- contractors have 8. ❑ Demolition workin g any ca for me in an aci employees and have workers' capacity. ❑ [No workers' comp. insurance comp. insurance. I 9. Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions i d their i h ffi ocers have exercised 11. 3. ❑ I am a homeowner doing all work ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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. Insurance Company Name: ,4..y EA/4 ( e 4 S v 4 / /` x Policy # or Self -ins. Lic. #: D 0 3 l ,S l b 9 Expiration Date: ,,?// e: Job Site Address: Q744 p-iier ' UY1 1 1 s City /State /Zip: /1/1t -C da-st/ kill 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 of MGL c. 152 can lead to the imposition of criminal penalties of 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. 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 ceerttify under the pains and penalties of perjury that the information provided above is true and correct. Signature: J - ' Date: — l Phone #: 7` S 5/V( 7 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/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Version 1.7 Commercial Building Permit May 15, 2000 J SECTION 10 STRUCTURAL PEER REVIEW (780 CMR 11011) Independent Structural Engineering Structural Peer Review Required • Yes 0 r No 0 SECTION 11 - OWNER: AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES`` - FOR BUILDING: PERMIT ee .. _ _ as Owner of the subject property hereby authorize `- .... v''cdnq1. .� _. .......t..'6.13.4_4.....4......_____________ .V _ act on my ha in a mattefs,relativ t work authorized by this building permit application. LAM 7/ - l ,_... Signature of Owner Date I, 7 Q h 4 _ I// . __— __ ---- , 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 ofger u rr „ _ __ ,,_ _, _ „__ ,... , s ___:w.. L', e C Y fr _ ... r __..mu_...a Print Name _____ ________________ _.._._...a. ,-- ef Al."1--- 1ki —`/ _..__ Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : L7I4.(Z"'?'� 4. 42L � ......... <_ '_ f ig., . . License Number Address Expiration Date Signature Telephone SECTION 13 - 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. Signed Affidavit Attached Yes 04: No Version1.7 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 (CONTAINING MORE THAN 35;000 C.F. OF EILOSED; SPACE) 9.1 Registered Architect: Not Applicable ❑ Name (Registrant): --- ____..._.- -. _. Registration Number Address— __._._. M....._._ ..__..._...._..._____.,...._.. _ Expiration Date µ Signature Telephone 9.2 Registered Professional Engineer(s): Name _ Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number__ ___ ___ _ i _ Signature Telephone Expiration Date • Name Area of Responsibility Address Registration Number i i Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor /4 S _ / G_ ' 9(4w � e 4 / �6 141$x' Wit, e, ` Not Applicable ❑ Company Name: : a.4$ ..._/',... ' C _ ......__ __ _ __ Responsible In Charge of Construction _Address _ Signature Telephone Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON. ZONING Existing Proposed ` Required by Zoning , This column to Ee filled in by Building Department _ Lot Size � v Frontage Setbacks Front - Side L: R - L: _ a R:'� 1 l , Rear ._ --1 Building Height '.... t Bldg. Square Footage — % __ "- t _. --- Open Space Footage % --- (Lot area minus bldg & paved , .. parking) >.�,... ..�.. ___ ...,_ of Parking Spaces Fill: i . ...._,.... .. ..,_; (volume & Location) - -- — A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES 0 { IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 __ _" IF YES: enter Book a Page? and /or Document # �µ B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW ; ,4 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , 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 0 NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15, 2000 —,. SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 . t CUBIC FEET OF ENCLOSED SPACE ' de 4 1 Ikai Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other [g° Brief Description : Enter a brief description here. Q 5 k e 1 2P" g-1 V 7( Oee- 4/ Of Proposed Work: r /aces fl 11 921$) dez 4 /. j l ?AI Iif s f � Li //e/Y 5 '/e /j e+ �' w1 I( .T,le ot0yl� SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ,. r ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: ____ .. ' Proposed Use Group: _ ,__. Existing Hazard Index 780 CMR 34): ` . ,,. _ 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) 1 s/ j 1 . --- 2 nd 2 3 rd 3 4m ._ _� _ _. 4 ... _ _ _... _ �_._. i Total Area (sf) Total Proposed New Construction (sf)___ Total Height (ft) Total Height ft ...._ _ v..,.� 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone ! ___ ____ Outside Flood Zone❑ Municipal 0 On site disposal system❑ . . ' • Version1.7 Commercial Building Permit May 15, 2000 RECEIVED Ill 1 4• citY °f N°rthamPt°n ' ,, • %.4,4,40,, v Building Departrnent 212 Main Street 4 , 1 0.4t:. TA . ' ;;Z°, , Room 100 , '.41.: Vart 0,,„,41;i tbte,:' DEPT. OF BUILDING INSPECTIONS 4, '''5:, ':*:,° ',,,.' NORTHAMPTON, MA 01060 Northampton, MA 01060 4 .,„,,HigtU • W ..x*c-,, phone 413-587-1240 Fax 413-587-1272 p t'i ,.*,.:o. . ,- .4142,16**te7y7, 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 This section to be completed by office ' 1.1 Property Address: cr. - ---- .2 ) : Map Lot Unit 02 L Ca 6 ' e SY, i-- 2 Map I 3 i 10117e i L et,i4i) .1 0.....4 p t i 4, O et ,.. 9 6_ ,,,,,, :, Zone Overlay District ,',,---- ----------- — -------------j EITSt. District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT . . 2.1 Owner of Record: , Name (Print) Current Mailing Address: Signature (Ai trIedb ,) 4VU `, 1 i - _ . Telephone 2.2 Authorized Agent: 3 eed e/ 1 7 Name (Print) Current Mating Address: Signature r.// 1 tA e:1 V °— Telephone if -S - Scl_ .,? -- S -/ yj SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee i eo S - eY , 69 a i , . : 2. Electrical i (b) Estimated Total Cost of ; I Construction from (6) 3. Plumbing i Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection _ —. -,. .__ 6. Total = (1 + 2 + 3 + 4 + 5) ea SI ) C -6 Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File # BP- 2012 -0480 APPLICANT /CONTACT PERSON THOMAS C MCCARTHY ADDRESS/PHONE 3 BRODERICK ST EASTHAMPTON (413) 527 -5141 PROPERTY LOCATION 266 GROVE ST MAP 37 PARCEL 083 000 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filed out Fee Paid A(S— E �f (J f� i (. Tvpeof Construction:_REPLACE 8 X 8 DECKX 1 c! �' ( �a l New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 053221 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: i,/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 Commission Permit DPW Storm Water Management Demolition Delay 41:"..."("-"j 11/221 ti 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. 266 GROVE ST BP- 2012 -0480 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 083 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Deck BUILDING PERMIT Permit # BP- 2012 -0480 Project # JS- 2012- 000809 Est. Cost: $6570.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS C MCCARTHY 053221 Lot Size(sq. ft.): Owner: GRIFFEN ROBERT H JR Zoning: Applicant: THOMAS C MCCARTHY AT: 266 GROVE ST Applicant Address: Phone: Insurance: 3 BRODERICK ST (413) 527 -5141 Workers Compensation EASTHAM PTON MA01027 ISSUED ON:11/28/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE 8 X 8 DECK (EXISTING FOOTPRINT NO EXPANSION) 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 11/28/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner