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23A-294 (3) J>te cr tiiw:zivecztld G /jai. ar/rr.:el Office of Consumer Affairs & Bus Hess Regulation License or registration valid for individul use only .-_HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to Registration: 146402 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Exp 4 /22/2013 Private Corporation Boston. MA 02116 IDEAL HOME IMPROVEMENT INC. 17) JAMES ELLIS ` 142 BOYLE RD � �, / GILL, MA 01354 Undersecretary ( Not valid without signature orpdruLtion Super\ hot CS-091207 JAMESPELLIS :- 181, a'�.' 142 BOYLE RD GILL MA 01354 10/16/2014 A`°R° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/4/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Tracey Kuklewicz A.H. Rist Insurance en Inc. PHONE (413) 863 -4373 I FAX 413)863 -9658 cy, r PHONE No. Extl: I IAIC, No): 159 Avenue A ADDRESS: P.O. Box 391 INSURER(S) AFFORDING COVERAGE NAIC # Turners Falls MA 01376 INSURER A :Nautilus Insurance Company INSURED INSURER B : Commerce Insurance Company Ideal Home Improvement, Inc. INSURERC: _ 142 Boyle Road INSURERD: INSURER E : Gill MA 01354 INSURERF: COVERAGES CERTIFICATE NUMBER:2012 to 2013 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 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 HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADM SUBR POLICY EFF POUCY EXP LIMITS LTR INSR WVD POUCY NUMBER (MWDDIYYYY) IMMIDD/YYYY) GENERAL UABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) A CLAIMS -MADE i X OCCUR NN179788 11/19/2012 11/19/2013 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 POLICY 7 IF 1 LOC $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ BODILY INJURY (Per person) S B ANY AUTO AL OWNED X SC SCHEDULED 12MM35xL36 BODILY INJURY (Per accident) 1 1/17/201211/17 /2013 S X x NON -0WNED (PRerOPERTYtDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE S DED 1 RETENTION $ $ WORKERS COMPENSATION I TORY 1 A IO MITS I I FR AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE I / N E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below _ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Classification: Insulation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ideal Home Improvement, Inc. 142 Boyle Road AUTHORIZED REPRESENTATIVE Gill, MA 01354 C Tracey Kuklewicz /TJK ./--- ' p. � ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 i9n1nnsl ni Thu A1' flPfl name. linrI Innn aro renicfurud mnrtrc of Ar(APII The Commonwealth of Massachusetts ` • ,---- Department of Industrial Accidents Iy •► ; Office of Investigations �::yl1_ ;; to 600 Washington Street i f . .....---J1. Boston, MA 02111 _q www.mass.got /dia Workers' Compensation Insurance Affidavit: Builders /Contractors /Electricians /Plumbers Applicant Information p Please Print Legibly Name ( Business /Organization/Individual): i A -e a c___ -Ho ALL / r'1 r3+� O V f Nit 1/ )' / r'i C • Address: / y J,_ 12c-L. City /State/Zip: (i 1 it 01 ' Phone #: 41 r 'c 3- a 1 Are u an employer? Check the appropriate box: Type of project (required): 1. I am a employer with 4. ❑ 1 am a general contractor and I have hired the sub contractors 6. ❑ New construction employees (full and/or part - time). * 2. I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have no employees These sub - contractors have g. 0 Demolition - worlin for me in capacity. employees and have workers' g any P ac tY• $ 9. [ Building addition No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. - right of exemption per MGL 12. 3.60 f repairs insurance required.] t c. 152, §I (4), and we have no L employees. [No workers' 13. Other 1 n kl& i 1 by ti - 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. tContractors 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, ( surance Company Name: l G-. i11 S'ICrgl 1C'___ C 11 V /1 P /11.11 r PL Policy # or Self -ins. Lic. #: IA; C "' d 0 " 0 --- CiV Li- 4`1.0: -- CO Expiration Date: v (I )1 fi 1 (4 i 3 Job Site Address: kit ht-iy City/StatelZip: �0 1-C v1 C'- t' 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 he ify under the pains and penalties of perjury that the information provided above is true and correct. / _ L � t 1 r.� I D ate: kV/ q/i -'- Signature: Phone #: i ll ` V(e" - '21 i - I Official use only. Do not write in this area, to be completed by city or town official j 1 I City or Town: Permit/License it I Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other I Contact Person: Phone #; t tHAM� City of Northampton �r oti :; }S � 5.1 Massachusetts � ,' 4,... < < ` Vi c * c oaf 0 , ,, + DEPARTMENT OF BUILDING INSPECTIONS y s t. M 212 Main Street • Municipal Building A 1c,, y" ' -* Northampton, MA 01060 sb W TO Property Address: 0 LaincNiy ((\<.... ` iOrci 1(C. Contractor Name: 1 6 CAL /.OIL(. /Mrkov eHiAi Address: 1 (' of 4 O y k d City, State: 4' 1 I x Phone: `-7K- .52:3 1dsi Property Owner /[�' Name: 1 . Cf r114 f t'L I/ILC r / I Address: J - incry Ul vc 1 City, State: (,) (MC ( WI - I, k,.�i (Yu S f I I / S (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. C tractor si Date Ni/ qi /, �— € t)lt zlx3��t�s = , J h- ,,f 1 !assacnusetts A Wrsoum Company ,- 2 Gas Account # Audit Request # PRELIMINARY AGREEMENT READ THIS AGREEMENT AND MAKE SURE YOU UNDERSTAND IT BEFORE SIGNING. MAKE SURE ALL BLANKS ARE COMPLETED AND ALL PROVISIONS THAT DO NOT APPLY ARE CROSSED OUT. THIS AGREEMENT HAS LEGAL FORCE AND EFFECT AND BINDS THOSE WHO SIGN. This Agreement is made on / t i" / 1 L between Honeywell of 65 Shawmut Rd, Suite 4, 2" floor, Canton, Massachusetts 02021, (800-247-4112) hereafter called "Administrative Contractor" or "Honeywe " and i/ v/ & fti /6420• of S L4/ y i//' (Customer) / (Address) 21V7 , ( ) tS 7 6 -- 7,9-t) (Address cont.) (Telephone) Hereinafter called "Customer." The Customer is t e Owner / Tenant of the above - mentioned Premises. DESCRIPTION OF WORK TO BE PERFORME / In consideration of the Administrative Contractor's agreement to select a qualified Installation Contractor to perform in a good workmanlike manner all work ( "the Work ") set forth in the attached Work Order(s), the Customer agrees to the terms and conditions of this Agreement. No Work may be performed without the written consent of Owner. Customer understands that calculated energy savings are estimates only and are not guaranteed. PRICE For field technician use only: For the Work described in the Work Order(s) and shown on C 2 - SEE HEALTH LT the accepted Offer Sheet, attached hereto, AND SAF FORM the Total Estimated Cost is $ 1 O OTHER r j (‘....-, The Total Due at the time of Installation from $ the Customer for the Work to be performed is: S • If the Installation Contractor determines that the Work cannot be provided for the Price quoted above, all parties will have the right to terminate this Agreement. Price quoted is valid for 90 days. • Owner of the Premises agrees to pay, prior to the commencement of the Work, and Administrative Contractor accepts, in full satisfaction for the Work the Price set forth above. • Tenant agrees to pay, prior to the commencement of the Work, and Administrative Contractor accepts, in full satisfaction for the Work the Price set forth above. RIGHT TO CANCEL THE CUSTOMER MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED AT A PLACE OTHER THAN AN ADDRESS OF THE ADMINISTRATIVE CONTRACTOR, WHICH MAY BE ITS MAIN OFFICE OR BRANCH THEREOF PROVIDED THAT THE CUSTOMER NOTIFIES THE ADMINISTRATIVE CONTRACTOR IN WRITING AT ITS MAIN OFFICE OR BRANCH BY ORDINARY NIAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. SEE NOTICE OF CANCELLATION (IN DUPLICATE) ANNEXED FOR AN EXPLANATION OF THIS RIGHT. IMPORTANT: ADDITIONAL TERMS AND CONDITIONS ARE ON THE REVERSE SIDE By signing below you, the Customer, represents that (1) You read and understood both sides of this Agreement before you signed it; (2) You agree to be b and by the terms and conditions set forth on the front and back of this Agreement; (3) The Administrative Contract r (. 'rectly or indirectly) has made no representations or warranties regarding the Work, other than those contained in this AT e (4) That at the time you signed the Agreement, it has been signed by the Administrative Contractor or its administrati - ep s. tative, there were no blanks that had not been completed and that the Work • requested was properly describe ali . I� or • 4-'11./ Ati_ l d 1 -- Honeywell Signature / Date 0 ner's Signature of Date I Tenant's Signature Date ii .. MAIL THE SIGNED AGREEMENT TO: HONEYWELL 65 SHAWMUT RD, SUITE 4, 2ND FLOOR CANTON, MA 02021 Honeywell- White Installation Contractor- Yellow Customer- Pink Revised 10/2010 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : V S ((It I ( � ' 5 / License Number r i& k lei- (t I + Plf Joh(olitt Address Expiration Date Cv L i I. R, 3- 014 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ / l ' � 4 4 - t KC 1 r'r d ►lYN/t J r` r c/6 4 -d Company Name Registration Number r Lfe,t 4-4■14_ ,1 � ,, � t ()f 'C Address Expiration Date 4 )1' Telephone 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 buildin permit. Signed Affidavit Attached Yes No ❑ 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 108.3.5.1. 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ri Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [o}'' Brief Description of dosed (/, //�E Work: / J,i n Sr tx (,C EV. woL/ IS !0 (G 2 at i ly Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes v 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. Masscheck 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, 6,12L t britk& 9 7 /4 la 11 , as Owner of the subject property hereby authorize jAdit t: 1, S to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, S - 1 1 s S , as Owner /Authorized Agent hereby 44111 hat the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed un er the pains and penalties of perjury. c. s ( 1 I, C Print Name t .... u2-' I -)(QS , 21,161)1 1 Si grah�t� "o'# /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area 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 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW ® YES 0 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 0 NO C; IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 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 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. - Department use only I ---- ty of Northampton Status of Permit --` - B ilding Department Curb Cut/Driveway Permit q 12 Main Street SeurlSeptic Availability . 1 GrC Zak Room 100 Water/Well Availability -iort - mpton, MA 01060 Two Sets of Structural Plans pEpT.Op BJI-v� DE _ ro® - : -1240 Fax 413- 587 -1272 Piot/Site Plans NORTHAM Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office ' L1 a Map Lot Unit _i/ Are/ ire Zone Overlay District t Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: i , Name (Print) ,t Current Mailing Address: ',.2(,- ,/ Telephone Signature 2.2 Auth rized Agent: Name (Print) Current Mailing Ad ess: ---_, CCI:li 1 4 ( x'6 �� 3 � J i Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (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) ,23a Li- -- Check Number /?6' $53 This Section For Official Use Only Building Permit Number: I sssuu ed: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0663 APPLICANT /CONTACT PERSON IDEAL HOME IMPROVEMENT INC ADDRESS/PHONE 142 BOYLE RD GILL (413) 863 -2128 PROPERTY LOCATION 25 LANDY AVE MAP 23A PARCEL 294 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /! - Fee Paid !D " Typeof Construction: INSTALL WALL INSULATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 091207 3 sets of Plans / Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Commission Permit DPW Storm Water Management D- • lay Signature of Buil. ing Of icial 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. 25 LANDY AVE BP- 2013 -0663 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A - 294 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit # BP- 2013 -0663 Project # JS- 2013- 001098 Est. Cost: $2324.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: IDEAL HOME IMPROVEMENT INC 091207 Lot Size(sq. ft.): 20473.20 Owner: YUSCAVAGE JOHN M & BARBARA A FUNGAROLI Zoning: URB(100)/ Applicant: IDEAL HOME IMPROVEMENT INC AT: 25 LANDY AVE Applicant Address: Phone: Insurance: 142 BOYLE RD (413) 863 -2128 GILLMA01354 ISSUED ON:12/20/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL WALL INSULATION 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 12/20/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner