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' #� 14A# I'�I =t= — o ars o ul., ling ' egu Io _=_ - One Ashburton Place - ns Room an 1301 tan • ar s • , k,�. Boston, Massachusetts 02108 Construction�Supervisor License • License CS: 70626 Restriction: 00 : 88//2211//12907019 Tr# 3712 Expiration : ADAM A QUENNEVILLE 160 OLD LYMAN RD S HADLEY, MA 01075 Update Address and return card. Mark reason for chang �I Address Renewal Lost Card DPS -CA1 ea 50M- 07/07- PC8 0 e/ 1 1 1 - ' -C — Boars : u ldiri ' e l tan • ar • s 1471 Boar o g gu ons an • ,=-= One Ashburton Place - Room 1301 . Boston. Massachusetts 02108 . Home Improvement Contractor Registration Registration: 120982 - Type: DBA Expiration: 3/25/2010 Tr# 264937 ADAM QUENNEVILLE ROOFING. • ADAM QUENNEVILLE 160 OLD LYMAN RD . SO. HADLEY, MA 01075 U pdate Address and return card. Mark reason for change. Address Q' R ene w a l El Employment 0 Lost Car DPS CA1 0 50M- 07/07- PC8490 _ Be it known that �`� 1: i! "- :,.6 - : 1 ' ' ADA QUENNEVILLE )!1) u I 16 O D , ,; RO i , - i ' la `'A �1O75 2632 . )� ; .>:.{:: 1 , , i is certified by�the Dep " eft �i er otectioil as a Yegisterecl , H OME IMPR .: 4 E Ta, ONT tACTOR ! »� Regi ts1 i1 9.0 ' -J " ',{ }r? N5T - ADAM QU E NN EVILLE ROOFING �. Eff 12 /01/2008 ' 7 -. i Ex • :1.1 , ,, Jerry arre11, 1 ssioner ''' • C . ttA Uate/ 11180 U4 /3U /LUU9 14:41 1 413 730 DU1U Y. UII1 Apr -3b -2009 02:44 PM Remillard Insurance 1-413-538-6010 1/1 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LL DATE(MM!OD/YYYY) ADAMQ -1 04/30/09 PRODUCER THIS CERTIFICATE 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 BY THE POLICIES BELOW. South Hadley MA 01075 Phone:413 -538 -7862 Fax:413 -538 -7179 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Axm mutual xecurance company INSURER B: Travelers Ins. Co. AAdamQueenneville Roofing & Siding INSURER C: Scottsdale Ins Co. 160 OId Lyman Road INSURER O; South Hadley MA 01075 INSURER E: COVERAGES THE POLICIES OF INSURANCE USTED 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. DilbN. {{vvuu•L POLICY O14 PATIO N LTR INSR[ TYPE OF INSURANCE POLICY NUMBER I OAT& (MM/D EFFEGTIVE P D/Y V) D X MIDD/YY) LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1000000 UAMA{at I U RbN I bU C X COMMERCIAL GENERAL LIABILITY CLS1517923 06/23/08 06/23/09 PREMISES (Ea oocurence) 5100000 _ I CLAIMS MADE 5E1 OCCUR MED EXP (Any one person) 55000 PERSONAL &ADVINJURY 5 1000000 G ENERALAGGR 5 EGATE 8 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: P RODUCTS •CO MP /OP AGG S 2 0 0 0 OO O 7 POLICY n jE n LOC AUTOMOBILE LIABILITY CO SINGLE LIMIT 81000000 B ANY AUTO BA7450L946 /01/06 11 /01/09 (Ea i ALL OWNED AUTOS B ODILY IN JURY X SCHEDULED AUTOS (Per pe tw n) X HIRED AUTOS - r BODILY INJURY 5 X NON -OWNED AUTOS ^\ ' (Per occident) — PROPERTY DAMAGE 5 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN E/1 ACC S AUTO ONLY: AGG 1 EXCESS/UMBRELLA LIABILITY 7 EACH OCCURRENCE 5 _ OCCUR C CLAIMS ADE AGGREGATE S 8 H DEDUCTIBLE \ 5 ..... RETENTION 8 1 WORKERS COMPENSATION AND X I TORY 1 S I X I A EMPLOYERS' LIABIUTY AWC701286101 04/29/09 04/29/10 E.L. EACH ACCIDENT 11000000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? E.L DISEASE - EA EMPLOYEE 81000000 1 qes, describe undor S PECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 51000000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS C ....----"" 0 (L o V . CERTIFICATE HOLDER CANCELLATION . , (---) TOWNLUD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR , REPRESENTATIVES. ED REPR V A UT�SENTATNE_ • ACORD 25 (2001108) © ACORD CORPORATION 1988 ` �`' -.� t - v 1.... - VJJ1Ge uJ to ve0i.,�..�...., . rl ii� .I • C .� 600 Wash ington Scree , ~ • Boston, MA 02I11 ,T • wnv.mass.gov /dia Workers' C:ompensatio.n Insurance Affidavit: Builders/ ontrac ors/Elect Applica.nif.Inforlmation Please Print Lezibly . Na11'1e ( Business /O u 1. , , u, t, h •,r, _ • ' Address: IL C)lA ' Lurrxxn � C ct City /State /Zip:_ ' c >o AAA, _ ja A OM Phone #: 9 11 , '" L iJ ASS ^ Are yo an employer? Check the appropriate bo'x: ' ' Type of project (required): 1. I am a em lover with S 4 ❑ T a general Contracto and I P 6. ❑ New construction employees (fiill.and/orpart- time)." • • have hired the sub -con. • ctors l isted on the attached sh et. t 7 . El Remodeling 2. r I am a ole proprietor or partner • • ship and have no employees These sub- contractors h:ve 8. ❑ Demolition • . workin;g for me in any capacity. workers' comp. insuran e. 9. ❑ Building•addition [I.-To workers' comp. insurance S. ❑ We area corporation • .. its ' • requird -) . ofacers have exercised ., it , • 10.❑ Electrical repairs or. additions 3. ❑ I ant a homeowner doing all work • right of exemption per 1 GL 1 1 ] .❑ Plumbing repairs or additions myself [No workers''comp. • • c. 1 §1(4), and we h. ve no I2.Er of repairs insurance required.] t ' employees. [No works .' . i' insurance comp. insance rcquir» d.] 13.0 0#hci Any applicant ' at cheeks box #1 mist also fill out t scetioo below shoving their workers' - •mpcnaation • Jicy information. t Homeowners o submit this affidavit indicating thy ?re doing all work and tbcn•h Dotal, c contractors ',cot subptit a ncw afh`,dav i nd i c a t i ng such: , $Cont that check . r th '" ' Otis bob moat attached an additional abcot showing c .name o th s .ntracEois' . then workers' comp. policy infocmaGoq. J r am: an employer that is providing workers' compensation insurance for y employ . es.' Below r`s{the policy and job site information.) ) • / lo' • Insurance Company Name:_ / � / `i't . . �`.5 Policy # or Self -ins. Lie. #: RCA) C. / O I ai4 i63 a ,C06 - . 'Exp' :lion Date : 'i'" WI — avOl Job Site Add R7 • 40, 2 1-1,1\ 'I City/S •te/Zip: F! c» - t f S" 0 I( Attach a c op y of the workers' compensation policy declaration page (s . owing th : policy number and expiration date). ir Failure to sere coverage as required underSection 25A of MGL b. 152 c; . lead to .. c imposition pf ernhiiial penalties of a fine up to $1 5x0.00 and/or•one -year imprisonment, as•weu as ci -vil panaiti . in thc fo .. of a.STOP•WOt2IC ORDER and a fine of up to $25(.00 a day against thc violator. De advised that a copy of this • • tatement i11 ay be forwarded.tp the Office of Investigation» oftbc DIA for, insurance coverage•verificafion. •• ! • . , ; • . • 1 do hereby ettir under t ' pains and pe nalties ofpethury that the info • n pr, • ed above is true and'eorrect • Si>~nattire: : / ' ter Date: `( 3O 1 • Phone #: I� /..–. , ..c .- 3( � / o j ,) . t Official use only. Do not ►write in this area, to be completed by city o town offic , L .• . • • • • City or Town: Permit/Li.ense # • Issubsg is utIuority (circle one): » ' .. • • . • I. Boar : of Health 2. •Buigling Department 3• City,Town'Clerk • 4 Electrica Inspector 5. Plumbing Inspector b. Other . t Contact 'erson: 'h one #: 1 , • • • IALLiSfic\,2—A\ ■ — 11 VISA Master DIICOVER iiiiiiiiiiiiiiiiiiii ■ttt1 QU E N N EV I 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 Horne 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: KO as I/ d Lac ass q -- I L ro T H: q 13-58-y- 7 953 Celi:s,? 7-Hl 9' Street Email: P r 1 q ceigSe„ 67 Vg1 70)/ } , h , City, StatE3, Zip Code Special � irements , 2 riof-eme,f, OA (3i069,2 L t , a f f ig Complete Roof System Ma it N_ We shall acquire all appropriate permits for all work '113-320-10'15 Home exterior and landscaping to be protected 5 If re- it 1' / 0 r 0 Entire existing roofing materials to be removed to existing decking ' Deteriorated existing decking will be replaced at $3.47 per sq.ft. ❑ Install Ice & Water Barrier at all eaves, valleys, chimneys, pipes, skylights and sidewalls ❑ Install (15 Ib. felt / Synthetic) underlayment over remaining decking area .Install Metal drip edge at eaves and rakes 5 ") (white / brown copper) ❑ Install manufacturers starter shingle on all eaves and rake edges ❑ Install new pipe boot flashing (standard / copper) ❑ Install new step flashing where necessary (standard / copper) ❑ Install Hand nailed rigid baffled continuous ridge vent ❑ Install proper soffit ventilation Shingles: (6 nails per shingle) Shingles ❑ 25 year ❑ 30 year ❑ 50 year Color Ridge cap shingles Warranty Options: a n [We guarantee our workmanship for 10 full year see our warranty ❑ GAF ELK System Plus warranty IS'6 q -, 7 ID GAF ELK Golden Pledge warranty 0--- 1 . I n iv Li e) Chimney Options cQ-Q A/O “ 6/o — s 0, Lead Counter Flashing PA Water Sea T Sr uckpoint J Rubberized Cro n , Metal Chimney Cap c e, l d We Propose h�reb to furnish materials and labor - complete in accord c I h�bbve / sq cifications for the sum of: �ce , 9 /. .,- - i « ` � Upon Completion $ ii Total Sal- �IC $ Down Pa ment $ r ' ACCEPT C • OF PROPOSAL: The above prices, s cifications and conditions are satisfactory and are hereby accepted. You are authorized to do work as specified. Payment ill be 1/3 down upon - signing, and balance due upon completion. Unpaid balances shall accrue with interest at 18% per a m. Purchases) will pay for all costs, expenses and reason- able attorney's fees incurred by Quenneville Roofing and Siding, Inc. to recover any sums due under this contract. V' d I � l ^, e�C-4� -k - -- Phone # f-- 6 / `7? 3 Date: �� % � � Signature: '1� °`l i �1./I�l � 71 Date: i i ' 9 E st im ator 's • S 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 • ' . ��� : , ' �'� � : Ji. d *Ix,r -,rk. Jp 8.1 Licensed Construction Supervisor: • Not Applicab e ❑ Name of License Holder :� �` T l Q a�enneville Rog Ee Sld +ng® lip . License Number 160 Old Lym Road e�� _ 07 Address South Had Expiration Date ley, M A 01. f Signature Telephone - e• , i `"' iainli "C.ol a: « .-: = - -VAT- 7;67 `e -W :, { Not Applicab e ❑ &iding, Imo._ Company Name ��enneYillt: �Ootllay Registration Number Adam i60 Old Lyman Road ylp Q107 3 < S - ,.vl (:) Address 50ut64 Expiration Date • • Telephone _)>1x ) `/S ) Para t , . . . .. ..c ... , . -.3 'vy ' .' { .u h e i :Lp .�. .d�11!. Ei: :.r.:rti: ".i.•3 :.:k�Y. :' f.. {v-1 jl l : �if'u'R -�:' __�i M �. i . i . . ;•� :f.:. :.. • _ E:C G ,. �, e. �, $s, , e ' gd1 - S �A ! 0 . 1;4,0 b: i4 A Fil ige . 1 ' 341,I'.GU 5 ('�:• � . J ,. y � . - h' ..., "tqt. of 10. ':ia±'ih:vs •'+_to h•5r1- e rn . Tap. .' 1 k'7.''P•, , 1,1 :i „r _. .d iK.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 h re 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 perfonn.work 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 • i • • ,roarfo ti m � x� J va ll + a '“lipy,.a Ihfit.' 11'-'4i'.,''''' � .� s ''x . P ¢ y "t I 4 `3-'g+v f.3.1 i t r-`4 . I M 6 ]1 19' 1∎rJ ��f. i t.� 4 , ' Itl 1 I n I C " 8€ Sil o , g 0 �f l y D 0 ©h � : + {bh M a I� o 1 ,, .lr • • t ,at m I.... :�......,u .. ,. ^s ...,� -_"'I'r s ,,F.. ' r" . m � T -av, Y 2L�d can , Y..;Z r ads 5 ';r y11 1sT - , -- ; - r-- - - etL. w latai a^IIF p;.ct i' �r+r —rs . l; . -` s ;. .i,:i i7 -.. .kk ,- _,L i i • .r17? -re "x4.64 ■ 'n A' -u ' Ll t New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing _. " Or Doors ❑ , Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: J x(` i Rt (k t a1 '. €i of t Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 . 6a` 1ffio d a a.• elit n th a of ,t tilibc S rl AIMIV ®;#.e.:e. t `"e, fia`IirCVuatlnT : 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`befow finished grade k. Will building conform .to the Building and Zoning regulations ?. Yes No',. I. Septic Tank City Sewer Private well City water Supply � e m in oat ,' ' "I 0-4 � �o R' r ` p 1 mk li .0,P Y...F a I.,,, • x! 4 , , A �,'.- F i,.- MRI''t.Ali s'ZI YTLAWiii I , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this Building permit application. Signature of Owner i Date , as 0wne Aut " Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate to t e knowledge and belief. ' . Signed under the pains and penalties of. perjury. A &cwr . i Q»a i' ,- , Print Name Signature of Owner /Agent ... Date . , — a,w.r--•$� r" ii�'°`ip:�af ' . .3." • City of Northampton . � . ,ems - . { ' . • 't tJ' .J.. y t ' Building Department '4' � ci t �T . m 9 _ - , r f ,_R • 212 Main Street .. ,P r' 6-* r - - 2 . 71ir�' -� `u ��tq Room 100 0 (, ,7, .A.R7F `.�1'�IE ;� ;� , t fiorth \ mpton, MA 01060 � ;4 3 t ; 1 ' \''' phone 4 -58-? -1240 Fax 413.58 7.1272 1L r_ ® a ..�. r . s :'. Sze:1 12&:.-r ...n.-- .e.w41"z r` 'r!! 4.7f4-5 :. APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWf FAMILY DWELLING • • • _S'ECTIO.' i];! , 80t"Illi �,jo, tVl/jT`t1SA. "... f- , . v'!^t . Y" H Kll -TfJ+ Y � W �V V t /y^ +r:WC1i 4 { yJ `o ti'�a tigtg.ecta, ®f� .'4,- pt"ered,93 Loki.tea�'g: <q4r ter :' 1.1 Property Address: r k' `" z ,� *�- r ;K �M r i -`,'',.'1,:- s> .: Lie 7 r m e"t � `c • 4 r Z new '' 4 0 ®V " r l ,y 1prIricf . ' F t W , ;EI "S yr tri .. ...V .' d 01 A C4 BSD r s y et "�7 r ,E :,,,..2:,.. C7-i 0j� l...2• P 1f 6 ,PE _ R ,i.•:• d> ,114 P5. 1 r; i UT; . I. ' :g N T' . �:. - '' a . 'a v - •.:fv;�IF + 4n - � _ _ dl ?+�11:,�,,,,,,4..�� I: . - :. _ _ s . : ... . 2.1:Owner of Record: >57 ` a 14, 11 ,.( F )4 crt ;� • R�i���i �f c . ss� , ,- �„C� • Name (Print) Current Mailing,Address: • Telephone � –,,L 7� � Signature — 9 r • • 2.2 Authorized Agent: � nC. p U ®nne vilie Roofing Sid _ •oad - Name (Print) X 107 5 Current Mailing Address: South Hadley, M i�� Signature Telephone • • ' t. ``�'.�"� # :n,�w�4I�gel r',.t1 �6 V'W d�"J, N' 4, �u n 1�9 y — Stiet 90fV F_AEsti M1 A ED ' + t &TER'. r;�. co I w .r - '.:::rN' ^. •:.?�— Y0: "� �. ...:aT..xw'4 ^�.•:NMJ 15^11. ^.p :n„�:i Y a:�. ^.<: dll"T: q .Y1�1E:II���PMp:t., Jt.:IY!FM. ..,db Item Estimated Cost (Doliars) to be t &fitiei;al U4e'dn1 ' nl `;- . • t comp b y p ermit a pple ant r � >' ,... . ... • 1. Building (a) Building Perrairt Fee 2. Electrical (b) atirriated Tot0'.6os • Construction : . y 3. Plumbing B uilding Permi't' " e'e '______ 4. Mechanical (HVAC) . • 5. Fire Protection ' • 6. T ot a l = ( 1 + 2 + 3 + 4 + 5 C!d[, ; uc. Check,Number /q.6 �Q � S �— • :::F2...,.:,..- y ,Thi Sect�ion'.,Far Offi • UseJO,'n'l :;. • ,, • Butid ,,, r• _ Date Issued �'i km t 1 ' Zv .. a s - q n :' V ,' i+ =x ''i9d M1 � 1 . - — i ' qn v 1 i 1 t �6 �'' I'- Sj�gri'at - ure: " r" y 1' . ri Buiidr ,i - -- ngAo'L mrssioner, /In SP4ctor' "of B}�rldirig,s,,: , ,' Dake . .t. f BP-2009-0915 GIs #: COMMONWEALTH OF MASSACHUSETTS 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- 2009 -0915 Project # JS- 2009 - 001336 Est. Cost: $7000.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM QUENNEVILLE 120982 Lot Size(sq. ft.): 39944.52 Owner: LACASSE ROLAND & DIANE M Zoning: URA(100) / /WSP Applicant: ADAM QUENNEVILLE AT: 87 SPRUCE HILL AVE Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536 -5955 () Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:5/5/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE REAR HOUSE 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 5/5/2009 0:00:00 $35.0014640 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo