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29-503 f 1-avv-4�a-ava� speCITlcaliy exempt Trom regisiraTlon Dy t-rovislons oT i napiev Fax 1-413-739-3332 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquires about registration Submitted i2�C SA, and status should be made to the Director, Home Improvement To' - •"° i;�t7 0` ' Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598 Home Work Ph a Email l f 7 7� 01hh• We hereby submit specifications and estimates for work to be performed and materials to be used: -2 �/L"�''Z �'- -%..'':'Z-'� f �l� `.✓%7� ��.�lyj ���V;L�Yc s.%C/_ �/ �r...�(•-` M1\ r' ( / / l✓ /� /ice, > c� ;-ri ,,' X��f . r�i`y�--�;y./ .��✓ C-`"�'c�,2-7 ;•-- �,�%:'l' %�'n�/!.tJG�-.� Vin_/r1`->C.�l�•�'V/..�v t,t-'_'�-' SIDING, ❑Contract /Reprocessed ❑Dealers/Co-Extrusion ❑Specialty/Virgin IYpolymer/Lifetime Transferable r— Grade f -1 Size ( Color C. 65-4 tyle a1-"(( �lonial Dutch dr Clapboard Insulation ❑ yvek ❑Shelter Wrap High Density Poly Stirene Strip Yes❑ No P Gable Vents Louvers) Yes No❑ Porch Interior Yes❑ -Nsl_❑ Shutters Yes I?t No❑ #of Pairs Color lam'.)L-C, if,- ❑Panel c-tLouverecl � Gutters&Down Spouts Yes� No❑ 11 Gutter Grip ❑Gutter Filter ... .� ALU IgIM j Wrap Window&Door Casing(PVC with Anderson Bends) Coior ia� J-t-- Wrap Window&Door Casings(Flat Coll) ❑Color Use Vented Soffit? Yes q No❑ Color a Cover Porch Ceilings? Yes❑ No`ik Wrap Beams&Posts Yes❑ No I;k- Locations? W- Type? NOR'EASTER I NOR'EASTER it Grids Yes❑No❑ Configuration? How Many? DIH PIC 2LS__(S/C)KS CAS HOP BOW(4 or 5 Llfe)_Bay_AWN` Casing Covers? Yes❑ No❑ ❑Flat Coll ❑PVC w/Anderson Bends Color DO,GF Steel Core Entry# Style Storm #Style ,ROOFS Shingle Strip❑ ❑Color =7✓v ) Ice Barrier Yes 1(No ❑ Ridge Vent Ye No❑ WORK SCHEDULE Contractor wl t begin the wo or order the materials before the third day following the signing of this Agreement,unless specified here�i _wn✓fing. Contractor will begin the work on or about _1 !'L` (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by ad- (date). The owner hereby acknowledg and agrees that the scheduling dates are approximate and that such celays that are not avoidable by the Contractor sh I of be considered as violations of the Agreement. WARRANTY In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,Is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced,such damage. All workmanship is warrantied for a period of one year. The forgoing warranties shall survlve any inspection performed in connection with the agreed-upon work. Will Pr'Opose hereby to furnish mate ' and labor-'complete in acc rdance wit ove specifications or the of: dollars($ ). Payments to be made as follows: ($ i' upon signing Contract; Name of Contractor/Designated Registrant PATRIOT HOME IMPROVEMENT o .. ... - ,.:_, .. J...�••/N1 -%f x'/100 ..,, IDING. ❑Contract slReprocessed ❑ Dealers/Co-Extrusion ❑Specialty/Virgin rolymer/Lifetime Transferable Grade t Sized al Color i. _�' i'�- ty or Clapboard le r � k Colonial Dutch Insulation ❑fyvek ❑ Shelter Wrap High Density Poly Stirene Strip Yes❑ entsLou (Louvers) Yes, !° No❑ Porch Interior Yes❑ No 0 Shutters Yes 91 No #of Pairs XColor C�I_-LkC ?: ❑Panel 'Louveregl, Gutters&Down Spouts Yes 4 No❑ ❑Gutter Grip ❑Gutter Filter Wrap Window&Door Casing(PVC with Anderson Bends) �Color (,q— �= Wrap Window&Door Casings(Flat Coll) ❑Color Use Vented Soffit? Yes 4' No❑ Color Cover Porch Ceilings? Yes❑ No Wrap Beams&Posts Yes❑ No Locations? hwem Type? NOR'EASTER I NOR'EASTER II Grids Yes ❑No ❑ Configuration? How Many? D/H PIC 2LS (S/C)3LS CAS HOP BOW(4 or 5 Life)_Bay_AWN_ Casing Covers? Yes❑ No❑ ❑ Flat Coll ❑ PVC w/Anderson Bends Color Steel Core Entry# Style Storm #Style >OFS Shingle Strip❑ ❑Color �. �.w w') Ice Barrier Yes rVr No ❑ Ridge Vent Ye ] No❑ )RK SCHEDULE ( / "tractor w'4II t begin the wor or order the materials before the third day following the signing of this Agreement,unless specified here i writing, Contractor will begin the work on about /S? (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by��(date). The Owner hereby .nowledg and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor sh I of be considered as violations of the Bement. .RRANTY he event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair, correct,replace,or cause to be remedied,repaired,or replaced,such nage. All workmanship is warrantied for a period of one year. The forgoing warranties shall survive any inspection performed in connection with the agreed-upon work. fe Propose hereby to furnish material and labor-/ ' complete in ac"ance with ove specifications or the sum of: � _dollars $ � yments to be made as follows: / ($ upon signing Contract; Name of Contractor/Designated Registrant PATRIOT HOME IMPROVEMENT ($ } upon delivery of material; Street Address ,iii,/ 820 Union Street, West Springfield, MA 01089 ($ ' l�� ) upon 1/2 job completion; Phone 1-800-458-8082 ($ shall be made forthwith upon completion Registration No. of work under this contradt MA#115804 CT# 546-192 .7 � ' 6 �__ Uti ,p �c C� Name of Salesman ice:No ag6menh for hom2 improvement contracting work 00 require a down payment x� /ance deposit)of more than one-third of the total contract price or the total amount of all Authorized Signature osits or payments which the contractor must make,in advance,to order and/or otherwise -` tin delivery of special order materials and equipment,whichever amount is greater. :ceptance of Proposal I have read both sides of this document and accept the prices, specifications and conditions stated. I under- nd that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as .lined above. u, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this nsaction. Cancellation must be done in writing. See accompanying cancellation. NOT SIGN THIS ONTRACT IF THERE ARE ANY BLANK SPACES Inature o`-- Date_')-S-0C3 Signature Date IMPORTANT INFORMATION ON BACK N FROM :WM J MIS AGENCY FAX NO. : 1 413 572 9191 Aug. 15 2007 03:17PM P2 ACORD , CERTIFICATE OF LIABILITY INSURANCE DATE(MMMD/YYYY) 108/15/2007 PRODUCER THIS CgRTIFICAYE -18 ISSUED AS A MATTER OF INFORMATION WILLIAM J MIS INSDRANCA AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 156 ELM STRZET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTFIELD, MA 01085 INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURER A; S"ETY INS CO NATHANRING ....__.....-------- ------._.._...._....... .. INSURERS: TRAVELERS INS T MOUNTAIN ROAD INauRRR WESTF'IELD MA 01085 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUIED TO THE INSURED NAMED ABOVF FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF MY 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. INbR ADD?: .. . ....,....... POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LTA INBRP TYPE OF INSURANCE PATH MMAIDM' DA114(MMMVNI LIMITS GENERAL LIABILITY EACH OCCURRENCE s300,00_0_ DAMAGE TO RENTEO A X COMMERCIAL GENERAL LIABILITY ' CPDUOO1029 09/25/2007 OB/15/2008 PREMISES Mo mcwanca) S100,000 CLAIMS MADE OCCUR MED RXP(Any one person) $5000 PeAGONAL&ADV INJURY $ GENERAL AGGREGATE f 6130,000 0EN1,AGGREGATE LIMIT APPUEs PER: PRODUCTS-COMNOP AGG S POLICY PRO- LOC ....—..._ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Es 0000arrl) ALL OWNED AUTO& B004LYINJURY S I;CHEDULED AUTOS (Per"r6m) HIRED AUTOS 130DILY INJURY f NON-OWNEDAUTOG (PereoddeM) ---_--_._...... PROPERTY DAMAGE 6 (Por acVdsr6) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT f - ANY AUTO OTHER THAN EAACC S AUTO ONLY: AGO S EXCES81UMSRELLA L)ABIIITY EACH OCCURRENCE $ —1 OCCUR -.�CLAIMS MADE AGGREGATE—_—.�__—. .'_. DEDUCTIBLE �...._.. .. ....---- RErENTION f ----------._.. .. —._...-�...-- .....,,,� A B WORKGRr1CoM14NBARGNAND 0556L74907 05/0,/2007 05/64/2008 TORY LIMITS ER EMPLOYERS'LIABILITY ----_ ANY PROPRIRTOR/PARTNP.RT.•XEGUTIVL° E.L.EACH ACCIDENT $100,000 OFFICERI EMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE * 500,000 SPECIAL E.L.DSEASE-POLICY LIMIT s 100,000 OTHER li DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSID f ADDED I3Y RNDORSRMIENTI SPECIAL PROVISIONS II I I II CERTIFICATE HOLDER CANCELLATION RATAIOT HCM® DWROVEDZNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAMCEILED BEFORE THE EXPIRATION 820 UNION STRELRT DATE THEREOF, THE IRSUINO INRURCH VALI ANDEAVOR TO MAIL DAYS WRITTEN WEST SPRTNGFTELI) MA 01089 NOTICE TO THH CERTIFICATE HOLDER NAMED TO THIS LEFT, BUT FAILURA TO DO 60 SHALL IMPOIR NO OBLIGATION LIABILITY OF ANY KM UPON THE INSURER, ITS AGENTS OR REPRESOTATIVJ. AUTNO BD RL BSNT N ACORD 25(2001108) ©ACORD CORPORATIO 1888 Information and Instructions, ; Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or pen-nit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia .. The Commonwealth of Massachusetts $� Y Department oflndustrial Accidents Office of Investigations 600 Washington Street .;y Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: a Ur o i-I S I City/State/Zip: �J SP2_jr4�l(, b fM. or OFF1 Phone #: Are you an employer? Check the appropriate b : Type of project (required): 1.❑ I am a employer with 4. K I am a general contractor and I 6. ❑ New constriction employees (full and/or part-time).* have hired the sub-contractors 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. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. We are a corporation and its 10.E] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 1). E�'_Other liAy1 comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnation. 'Ho meowners 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: (2,�-,(6t, Policv#or Self-ins. Lic. #: —7"1 U 1 Expiration Date: Job Site Address: City/State/Zip:d p/t,—A6ytlT� 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 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DI.A for insurance coverage verification. I do hereby erti under "ains and penalties of perjury that the information provided above is true and correct. Simlature: Date: O`� Phone # �3� UUG"�— Official use only. Do not write in this area, to be completed by city or town official Citv or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: 5EC'1'CdN'8-CONSTRUCTION SERVICES 8.1 Licensed ConstructioiSupervisor: Not Applicable ❑ Name of License Holder License Number Address Y T Expiration Date Signature Telephone 9,fteaisLftd,N$tt*l provsmferi ontrat Not Applicable 0 �) _ V an ameon gumber - A dr ss Expiration Date d lephone^ -ff1T 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 resuit in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... O L The current exemption for"homeowners"was extended to include Owner-oceuuied Dwellin s of one(t) 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 Ps supervisor,CMR 780 Sixth Edition Section 101.3.5.1. 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, Derrson 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, bat he/she sbail be responsible for all such work performed under the building permit. As acting Constriction 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 {, •d ess"O iso ZZ now SECTION 5-DESCRIPTION OF PROPOSE-Q WORK 1check all applicable) New House ❑ Addition [] Replaeemert indows Alteration{s) Roofing [D Or Doors ^ Accessory Bldg. ❑ Demolition ❑ New Signs (C7l Decks (q Siding[01 Other[E:j Sw�Description of Pro sod I N Alteration of existing bedroom Yes No Adding new bedroom Yes _No Attached Narrative Renovating unfinished basement Yes �____No Plans Attached Roll -Sheet 6a>(f� Nevf hoctsel�aa�iidt�t deli c r�.te t f id i Sir' o ri l #� t o I d irad: 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. 1. 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 as Owner of the subject property b hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 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 of perjury. Print Name Signature of Own"iAgent Date U U _ 1 E 'c1 e4S �80 b0 22 noN -City of Northampton { Bu�)ding Department 212 Main Street - Room 100 Y' t ^( } Northampton, MA 01060 ` r " phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION j j IU C17 v7 1.1 Prooertv Addres : This seftidn to bwoompfeted`by office Map Lot Unit__ zone Overlay District Elm St.District CB.Alsvtct SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Lb /N DYE v Name(Print) Curren a'in dre Telephone Signature 2.2 Authe&ed nt: Name( nt) Current Mailing Address: Signature Te p one SECTION 3-ESTI TEED CONSTRUCTION COSTS item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1, Building �C' (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAG) 5.Fire Protection 6. Total=(1 +2+3+4+5) Check Number U This Section For Official Use Only Date Building Permit Number. Issued: Signature: Building Commissioner/inspector of Buildings Date T 'd ebS :BO �10 ea AQw BP-2008-0778 dS =;: 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 1'erinit t' BP-2008-0778 Project# JS-2008-001200 Est. Cost: $19849.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PATRIOT HOME IMPROVEMENT 115804 Lot Size(sq. ft.): 6011.28 Owner: SARAFIN ERIC S zoning: URA Applicant: PATRIOT HOME IMPROVEMENT AT. 6 MATTHEW DR Applicant Address: Phone: Insurance: 820 UNION ST (413) 731-8082 WC WEST SPRINGFIELDMA01089 ISSUED ON:311312008 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ROOF & REPLACEMENT WINDOWS 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 Si nature: FeeType• Date Paid: Amount: Building 3/13/2008 0:00:00 $50.0012810 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo