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22B-057 • :, o ar. • 0 uz sing ' egul pans ails • tanc�ar s • _ O One-As V`on - Place - Room 13'01 • �;s,:. Boston, Ma 02108 . Construction / Supervisor • License 70 626 License CS: • , �t Restriction: 00 i . • • n. r�ihe¢s: 6G21OR7�f r q o LU p w s: Tit 3712 h .... ,, r q p. y ' ,r X 1G�tP��a 81 1C20YY ' , �� , t - - --• ' ,� r , A "C� A �/ 1�A �,.',GtUE1�INE V ��L E .: . ' • ."1. • ° I �OL,q;, ��y;; f y D.yg,. ' • I c f., k = #4 • , Office of Co nsumer Affairs usiness Regulation 14= - 10 Park plaza - ' and ite S 1 �'0 % , , Boston, Massa i usetts 02116 Borne lflrnprove ent � Gtor Registration Regtstrat on: 120962 .r. ;; — _ Type: DBA Eratdon 3/2a1.?.012 Tr# 293069 i i .. . .. A % AM (. - - -' E GV LE 4OE C�e _..._ EW A DAM QUENN MLLE _ ^ - 4 C 1. OLD':LYMAN PD a : = - !- IIAI�LEY MA 01075 r . , -. _. - , , --- I, h , f y �` a v y 4 h iui' L L 'r � fr_ i . w... ,.. +� ' h M me! .,. '„ + .,'. i1: , 7 r r 3 , �.- tom , , ,,+ k •� — — ._ .�.. -- ' ,/ fl l . , ' A Jl 0 F ( Q 3 Ti + JM PARTliYY 1�_h 1 x 11 W �JE . _PR 7 # Be if known that 1 it 1 • 1 60 O LD I - �. � R OAD . SOOT c ' ;.� •� 4 11 75 2� 2 s 1 e ec� kh e De a, ®, 5� ? e c tnon a , a eg stee • ..„..(:-.- i = p p HOME 9 PAC F: �� � ` , ..~ T r " /r :-'IZ '' a. '" 0 1Y ' 1. l! E R�%N.s''Y"L.1�4 lo': - - - _ - - f . • I , i `: - I r �' { ,'• R f civ : /0 I /200 ' jL� • 1 I. ' ` "' t � 11 " G 20'1 _ RX Date /Time 05/03/2010 12:28 1 413 538 6010 P.001 May -03 -2010 02:22 1M .Remillard Insurance 1- 413 -538 -6010 1/1 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DM DATE(MMIODIYYYY) ADAAMQ 1 05/03/10 PRODUCER THIS CERT(FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Remillard Insurance Agcy, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 79 Lyman Street ALTER THE COVERAGE AFFORDED BYITHE POLICIES BELOW. South Hadley MA 01075 Phone:413- 538 -7862 Fax :413- 538 -7179 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER k AIM Mutual insurance Company INSURER B: Travelers Ins . Co . Adam Quenneville Roofing & Siding NSURER C: Scottsdale Ins Co. 160 Old d L n Road INSURER 0: South Hadley MA 01075 INSURER E. COVERAGES • 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. - LTR SRC D ATE (MM,DDm) ' P D ATE (N )) LTR NSRC TYPE OF INSURANCE POLICY NUMBER UNITS GENERAL LIABILITY EACH OCCURRENCE S 1000000 UAMALit ICJ lit MI tU X COMMERCIAL GENERAL LIABILITY CPS10349$0 06/23/09 06/23/10 PREMISES (E'aoceurance) $ 100000 CLAIMS MADE OCCUR MED EXP (AnT one person) S 5000 PERSONAL & ADV INJURY S 10 00000 _ GENERAL AGGREGATE 52000000 GEN'L AGGREGATE UMIT APPLIES PER PRODUCTS • COMP /OP AGO S 2000000 POLICY ri jEC I „ 7-1 LOC � T AUTOMOBILE LIABIUTY $ ANY AUTO BA7450L946 11/01/09 11/01/10 COMBINED SINGLE LIMIT S 1000000 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS { BODILY INJURY X NON-OWNED AUTOS I (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ r— � t AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ _ OCCUR n CLAIMS MADE AGGREGATE _ $ — DEDUCTIBLE 5 RETENTION 8 1 S WORKERS COMPENSATION AND X [ WC LIMITS X O R TORY LIMITS ER EMPLOYERS' LIABILITY A AWC701286101 04/29/10 04/29/11 EL. EACH ACCIDENT $ 10 000 00 ANY PROPRIETORIPARTNERlEXECUT1VE OFFICER/MEMBER EXCLUDED? E.L. DISEASE. LA EMPLOYEE $ 1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT S 1000000 OTHER DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION D QJH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Adam Quennevi.l Ie Roofing DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Brian NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL fax # 5 3 6 -14 4 8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 612 South Hadley MA 01075 REPRESENTATIVES. AUTHO ED REPRESENTATIVE ACORD 25 (2001108) 47) ACORD CORPORATION 1988 The Commonwealth of Massachusetts Department of Industrial Accidents - Office of 600 Washington Street Y, Boston,. MA 02111 www. mass gov /riia Workers' C nnpensationinsurance Affidavit: - Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Le2iib-ly Name Business /Orgamizzatio divide ): ynr), ' o (A Address: /(O Di c mcs o& City/State/Zip: , t i t t OtCPS P h o n e : i 3 5 S Y Are you an employer? Check the appropriate box: Type of project (required): I .i am a employer with ) 4. Q I a a g eneral contractor and 1 6. Q New construction employees (full and /or part- time).* have hired the sub - contactors 2. El 1 am a sole proprietor or partner- listed on the attached sheet. t 7 0 Remodeling ship and have no employees These sub - contractors have S. 0 Demolition working for me in any capacity. workers' comp. insurance. g 0 Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10. ❑Electrical repairs or addition 3. Q 1 am a homeowner doing all work right ofexemptiion per MGL • ILO Pl uiibing repairs or additio myself. [No workers' comp. c. 152, §1(4), and we have no 12 i�' R.00frepairs inshanc_e- required.} t employees. [No workers' 13:Q OClier comp. insurance required_] *Any applicant that checks box # I must also fill out the section below showing their workers' conepeasation 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. tCmntractors that check this box must attached as additional sheet showing the name of the sub - contractors and their workers' comp. policy information. I am an employer that is providing workers' con sensation insurance for my employ M.. is the policy and joh site information. A . Insurance, Company Name: _ i LI. -v150 , rQ Policy # or Self -ins. Lic. #: f } ( , o C 76 t a ( 1 c f . Expiration Date: Li - a - AO t l Job Site Address: 1 /0 SoL l S - City /State/Zip: .4 )1 A O t °L2 4Th, 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 cif a :STOP WORK :ORDER: and a fin 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 DMA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct — Si g A ature: Date: Phone #: Li l) 53CL 5 9 Official use only. Do not write in this area, to be completed by city or town officw . 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 r Phone # :. A D \) ))()Lk-6.1- VISA �� - S.Q naaste A DIJCOVER QU EN N EVI LLE www,1800newroof.net ROOFING & SIDING, INC. 160 Old Lyman Road, South Hadley, MA 01075 We Are Licensed 1- 800 - NEW -ROOF • 413-536-5955 Fully Insured Email: info@1800newroof.net Factory Trained MA Construction Supervisors Lic. #070626 MA Registration #120982 Factory Certified Installers Member of the Home Builder's Association of Western Mass. CT Registration #575920 Member of the Building & Trade Association Member of the Better Business Bureau P P.C. 38710 Proposal Submitted To: Date Phone #'s Work: 67 7`l0'/ " ..!.. ,, v5/4c - ..., v /4{ � q y0 //U H: Cell: V/ j 7 - e,F Street Li i 17<p., �,�� C-11- Email: City, State, Zip Bode Special / Requirements / E1/4/ /76 l / O /D a-" K ,F'.i, 9'((/ Complete Roof System [) We shall acquire all appropriate permits for all work W' Home exterior and landscaping to be protected [XI Entire existing roofing materials to be removed to existing decking ® Deteriorated existing decking will be replaced at $3.47 per sq.ft. t 7 / 6 S j G l i l [I Install Ice & Water Barrier at all eaves, valleys, chimneys, pipes, skylights and sidewalls DI Install�5 it` Synthetic) underlayment over remaining decking area j4 Install Metal rip edge at eaves and rakes (8" / ") '-+/ brown / copper) "O Z Install manufacturers starter shingle on all eaves and rake edges P� '24 Install new pipe boot flashing ta — I 5l / copper) `� K Install new step flashing where necessary ( andar / copper) YI Install Hand nailed rigid baffled continuous ridge vent ❑ Install proper soffit ventilation Shingles: (6 nails per shingle) Shingles ❑ 25 year ill 30 year • ear Color C c(C} Gf1 ' Ridge cap shingles Warranty Options: C k0 J d l ( I, We guarantee our workmanship for 10 full , ears (see our w /rr my coverage) 111 GAF ELK System Plus warranty --) t e g ❑ GAF ELK Golden Pledge warranty Q G -. s 0 ."—, Chimney Options: � ' 7. l (( . O Z, C [,Lead Counter Flashing ❑ Wat r l & Tu.. Romt -B- zed Crown ❑ Metal Ch(mney Cap We Propose hereby to furnish materials and labor - complete in accordance with above specifications for the sum of: °- � " K# Zr� Total Sale Price $ O ( Down Payment $ Upon Completion $ .17,7:4 s- ACCEPTANCE OF PROPOSAL: The above prices, specificatio4 and conditions are satisfactory and are hereby accepted. You are authorized to do work as specified. Payment will be 1/3 down upon signing, and balance due upon completion. Unpaid balances shall accrue with interest at 18% per annum. Purchaser(s) will pay for all costs, expenses and reason- able attorney's fees incurred by Adam Quenneville F}�fing �yld Siding, Inc. to recover any sums due under this contract. e„, , 9 Date: `5/ 'n Signature: Phone # Date: ✓ • Tor (0 Estimator's Signatur ATTENTION HOMEOWNERS: Please cover all personal belongings in the attic, garage or storage areas due to the possibility of roofing debris or dust coming in through cracks of the wood. Adam Quenneville Roofing and Sidings will not be responsible for debris or dust in the attic or storage areas. 1/09 • • rtMS .r "-` waTF� AI JI ••• :�AIW'M '•� •�='^ I' iJ Wt� 3i� . � Y • .F^�Yn' yi�� }.:J" • o T-7.• .. F 8.1 Licensed Construction Supervisor: Not Applicab e ❑ Name of License Holder : Adam Q ha ril-s, VilleWtt #iil : SWIM 706 160 Old LVnlarl Road License Number �t ;a# ^ E�2sh �;_ ,,82P1 Address Expiration Date 13--631.0 ignature Telephone red f" m,,a. s, MI:171Mra _ � T` # = t _^ ' Not Applicab e ❑ Company N p t►,t (,1,ir •� °d�tRR� # � Ut➢ itrt� , 004l14 , . Registration Number 160 Old Lyman Road 3 i ,,. ir ri'^V ' ark fs f I Address Expiration Date Telephone (- )3 - 3C) • • s� .; -r- .� ? 9!� L • r _ ©N � , , p9i Cdr s IT., ? • a P; , ' a f f ' ' • o • a , e S* A jT N1�s', ID '. 2, . ` '' ' . ...,?.' .d. -.A a�WU: Y... �:ll_ "�.'.'�..7 l .: wi • . gin' , u rhA '^� t. i •. d :t1 . ^.... '!.,.F�zd .d .s._ 17-411R ... rn.g '1 • 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 No ❑ • 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, proviced that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) 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, attadh.ed 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 (Liatility 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 for you under this permit. The undersigned "homeowner" certifies and assumes, responsibility for compliance with the State Bu lding Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Arnotated. • Homeowner Signature _ • - -'^^+ —'r m �� � � '� �, �����"�:gq�y"yry' �� � I'� � ,��I � t a y�I� • u C ki ` y rm7� � �µM Tl i :4 -, �+4�F� Its' 1�. i. 11j 4'4 61 r a .4 L - 14 l sio. ° 15;6 ti 0 1+p .f . : . s h C� • '- 4 � . - b I !t a�; • 4 , :i ' _ '�.. L :w t -' " "L�,,.,.. ,a ...y.w Auri, N ', I a.- ' ur�r , uz",,,,,,,, J t sue i , '�..1 4 J , j,, rm,>v=.: ,;:i!" aLrawfo Kll�c wusa tbb,wl`" .,-.,- ;� N 4 av,'!i,44, °:' -:, New House 0 Addition ❑ Replacement Windows Alteration(s) 0 Roofing X Or Doors ❑ , Accessory Bldg. 0 Demolition❑ New Signs [ ] : Decks [ ] Sid'ng [ ] Other [ ] Brief Description of Proposed Work:ll enrlc id-P_ (? )('I,SA rpt} -ir- T-A54 W U.) `R00.f . Alteration of existing bedroom Yes . No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Y e s No Plans Attached Roll 0 - Sheet 0 :a i : • .ew, A b ;ewa. MINTAffitreillt .a,kex+i tirogih' irl _ ao m e to !° atr f 7o<w•=m,_c 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. • .. Masch,eck . Energy,Corimpliance form attached? h. Type of construction . ., .... . i. Is construction within 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 r 4 kaL ea'b r<t n«pr r '"".•' rr l ;p t A 7T 0 1 w r o r 3 t �p q�W 'INC.. ATM 7 4 i'4: 1,A 7 .. y M� _4 1,, , :St ' W 87 A , �a� ,I +1� r! 'i!^� ALIMIE I, 1 .., e1 )5 \ a& 4/1<4? re 14 Y' , as Qw9er of the subject property hereby authorize ( 'in &P nrio o► i (e e- Rot7f-pel f � 'CL , nc_ • to act on my behalf, in all matters relative to work authorized by this bui ing permit ap Sew 06-nAlct„0,4- / t /J o .., , Signature of Owner Date ('hdain £ P enaetJ I k ?Gd'L`(`Q, °t- ' m ,,. G - . , as Owner /Authorized Agent hereby declare that the statements and iriformatidn on the forein'g application are true and accurate to the best of my knowledge and belief. Signed under the pains and penalties of. perjury, Print Name , Signature of ner gent • . • - Date — 1 , City of Northampton t "�r?F, - • • Building Department �` i t; ? :9 't _ . � ,. • 21 • 212 Main Street ' '; ��: ;� =� .f t R 1 � i r� R 1 - 7 . R oom 100 �'�i.�" i ��i�E, 3 >y F 1,: ;v N\( Northamp , con MA 01060 s �� ° t o-� tr; °�� .,.t l � ,1 '04,- phone 413-587-1240 Fax 413 587 1272 �� 1 , • FI p K, C R� L-rI 1 `;1 J -.,`,A 6 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWti FAMILY DWELLING • w ..:. ; ,. . 1 � ;; r... ,- . , „ r . . .r1 . r.:, • • _5EC7LG)Nn�! �f��lij,F"s �1,,�:�.�k q:. r f 9'H, 1� Yn 1 M'�r'w rY' d l'ro' inM v v •WM"C1! h d '3 t+ r.. �� ,� r � �r is ti' m offacef < �° ��'. 1.1 Property Address: k r A yra C ��'� ' 0 I f , t }� 9 "u' d. �', d ::;,.,.,..._....-1, yr .}3 &al a lR . of A.. ,tF • µ G� Y_ ,�tW pWl yl {5"6 r-i t,r-^ 1" p `., 4� �y�1. rw .' ' :-.4%,-,4 4'. Ng�� m :AS " T 1 '. " b •''' �"+ 494 le '4 r J �rj___0_ce Pi °)D4°4- — ` Zo❑ r ,r4,f,C c, t x , ti 1 � , H � I �".F ' / .�,��rr55 ' `� T'. ' ,;.... ' 1' .1E1 t_ i#:;„2,7., i I Est 'rasp., tt ,. •IS riG .w - "s I s'_ 1 ar' 1 ,1. „r , Im�+�Cjti'E LMI • '� ' :leil�l r : r hl,' ':s_Eft 2;,'P;F r QP, rjfOi�r N` '{�'' aAlJ1 4 LZ D.;� tJT. - 1:r"_h•: ; 1r : > x r ' , t9''Jt.4:- a,� r&d E= . ?I''.. n�MA ,; "4 - .7 . h p4: , ^E f9t :i -.. , r• s- -s4n r.t 5 � "iu,�d`'' ^ • '' _ 2.1 of Record: �0,� ) a n y a h S �f a .n ( e C O Name (Pr) Ct:rr t ailin ddress: el Telephone '.' Signature — • _ 2.2 Authorized Agent: . _ • � A 1 Oof vw.. r J1.o o,. r .: , ` c 1(, C7 bl ea 1 cX �`�/t —?-$ © a7 • Name (Print) Current Mailing ldress: Li a ure Telephone _ '5`'E-t-T-riO d I ,'',,4,11411,0411 0N'S - M EO. ' . S G f�7 5 : ' - . I �;�q . Item Estimate Cost (Dollars) • -:,.; r ro : ' •' 1 : 0 to be G 1po - ,. i.,ia`I`, U see r> y '' ,� com•leted b •er.ni a.•licant .. w^" _ Building f a-) B P errfi f -Fev r " .! � � bO 7F • J +Sr •:,',,,,•;;.. 2. Ele:irical - . .. • (b),Estimated Total Cost: of . Constructi.ok.fratAki). 3. Plumbing Building Permit ~ • 4. Mechanical (HVAC) . • 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) -1 1 POp, 00 Check Number °....., • This' Section'•;F'or. Off . .. ci'�:I Use'Gfnly_ . lltft i uri �.^B r eri t' 0-61 ei. - � 6 1.x : . . ., , � h.• " .r: k . . . • ate:iI "ssued: -::.,,. • . ;.,,,].4„,. 4 -. .. .. ..... .r :�I 'd r.:^,.+:'+ .r S-i r. _...r.r .. .. _ ._ ... _,� !L':::.:'.. ____- ,T :' !4 . ",fir • j .. :: :. •W t.. q , ' 'r9h • 6''' g: . r',:F, - . . t ; {' ,,.2. ., .`� :��h '4 JJ , ; ' . ; ' _ :...r' : .i� " " � '�' :�I•!l: r : 1J,1i-1�,! . tt' .;�.,,'• �S.i i gri'aturer - rl h ''...1. @.i'�. : � "•••rh • .a' Bu itdieig. s o;himissioneril pecto,i o fhBNildE . rig r s v .a..'. h • ^us,,: . •o xe ,. r �.. • • 4 BP- 2010 -0996 GIS #: COMMONWEALTH OF MASSACHUSETTS VInnBipck: 22B - 057 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- 2010 -0996 Project # JS- 2010- 001463 Est. Cost: $4800.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sq. ft.): 12545.28 Owner: ANDREW DOUGLAS E & AMY E Zoning: URA(100) //WP/WSP Applicant: ADAM QUENNEVILLE AT: 40 SPRING ST Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536 -5955 0 Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:5 /7/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF 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 5/7/2010 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo