35-270 (7) Gzty of 'Nart.?kiliiptoll
x 6 �a�sachusctte j_
' DEPARTMENT OF BUILDING INSPEC IONS
212 Nfain Street ' Municipal Building
INSPECTOR Northampton, Mass. 01000
Square Footage Amount
Basement @ .1.0
15t Floor @ .40 _
2nd Floor @ .20
112 Floors, ACti-c, Garage . 10
GCE) Qw G
Deck, Porches . 10
TOTAL
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ENERGY CONSERVATION MANDATORY CHECKLIST FOR NEW CONSTRUCTION Ail i
(OTHER THAN LOW-RISE RESIDENTIAL) 780 CMR, 130 1.8.1
S Owner/Agent Name: t��Z� U , I�1 CGc h Phone: PjL4 33S
Owner/Agent Address:
U
City/State/Zip: cJ d
Project Name:
Site Address: P, City/Town t/ d
Applicant's Name: - �U), IAQCL t Signature: �.
Applicant's Phone: Date of Application: O(�
s
3
I. Envelope Compliance Option (check ONE)
❑ Trade-Off (1304.5)-Attach software Compliance Report(COMcheck-EZ)
❑ Appendix J(1301.2 - For buildings up to 10,000 sf only)-Attach Appendix J compliance documentation
❑ Systems Analysis(13 09) - Attach Registered Architect's or Engineer's report
` ❑ Prescriptive(1304.2) - Complete this section, and attach copy of applicable Table (1304.2.1 through 13.4.2.12)
Climate Zone(from Table 1303.1) ❑ Zone 12a ❑ Zone 13a ❑ Zone 14a
a. Gross above-grade wall area sq.ft.
b. Total window& glass door area sq.ft.
V c. Glazing%(100 x b=a) % Table# utilized:
0
II. HVAC (check ONE)
❑ Simple Systems &Equipment(1305.2) ❑ Complex Systems& Equipment(1305.3)
L
Q ❑ Systems Analysis(1309) - Attach Registered Architect's or Engineer's report
ti
III. Lighting(check ONE)
❑Building Area Method(1308.6.2.1)
Attach Compliance Documentation (COMcheck-EZ or other)
` ❑ Space-by-Space Method (1308.6.2.2)
Id �s) ❑ Systems Analysis(1309)-Attach Registered Architect's or Engineer's report
_ ;Z: v
IV. Approval & Acceptance Construction Documents (1301.8.4.1)
Attach a narrative report describing the HVAC, Lighting, and Electric Distribution systems, including:
� 1✓.bi:.O�cral Use ONLY�''
4 1. Design Intent
O 2. Basis of Design
ttildnt O. e
❑z 3. Sequence of operation/systems interaction
Ghee ,o ` % 4. Description of the systems(capacities, etc.)
cam e,
5. Testing requirements/criteria acceptance
"v o zepo _
s M, 6. Requirement for submittal of operation manuals and maintenan ce manuals
�. fl 7. Requirement for submittal of record drawings and control documents
� 1
IL-2001 11:12:00 Hampshire County Registry of Deeds Receipt No: 149673
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
MR DAVID MCCUTCHEON Addr: 12 TURKEY HILL KD
WESTHAMPTON MA 01027
�ipt Type: OR
Payment
:al Pages: 0005 Fees Taxes
Fee: $ 20.00 Cash: $ 0100 $ 0.00
Tax: $ 0100 Check: $ 60.00 $ 0.00
Misc: $ 40.00 Charge: $ 0.00
Charge Cade:
Comment: SPECIAL PERMIT/SITE PLAN APPROVAL
!ipted By: DIANE Status: PAID
DOCUMENTS: 992115833 to 992115834
--------------------------------------------------------.-------------------------------------------_--.. .--------.,-.,------------
Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
002 0001 0000 0.00 10.00 0.00 20.00 3-JUL-2001 11:11 992115833 OR (6272/0036 INIT
003 0001 0000 0.00 10.00 0.00 20.00 3-JUL-2001 11:11 992115834 OR /6272/0038 INIT
Page 0001 of 0001
Doc: 992115833 OR /6212/0036 01/03/200111:11
Planning Board - Decision City of Northampton
Fite No.: PL-2001-0075 Date:June 7, 2001
APPLICATION TYPE: SUBMISSION DATE:
Special Permit 3/29/2001
Applicant's Name: Owner's Name: Surveyor's Name:
NAME: NAME: COMPANY NAME:
David McCutcheon MAILLOUX FREDERICK R&CAROL A
ADDRESS: ADDRESS: ADDRESS:
12 TURKEY HILL RD 70 TURKEY HILL RD
TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE:
WESTHAMPTON MA 01027 FLORENCE MA 01062
PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE NO.: FAX NO.:
(413)529-9973 (413)529-9231 (413)586-4152 0
EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS:
cell 563-2315
Site Information:
STREET NO.: SITE ZONING:
WEST FARMS RD NB
TOWN: SECTION OF BYLAW:
NORTHAMPTON MA 01060 54
MAP: BI�E(K I LOT: MAP DATE: ACTION TAKEN: - -
35 270 001 Approved
NATURE OF PROPOSED WORK
CONSTRUCT ONE(3)FAMILY UNITS&REAR BLDG AND RELATED PARKING AREAS.
HARDSHIP:
CONDITION OF APPROVAL:
FINDINGS:
In granting the Special Permit, the Planning Board found that the project meets the criteria under Section 10.10 of the Zoning Ordinance.
COULD NOT DEROGATE BECAUSE:
FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DA L
41512001 411912001 511012001
REFERRALS IN GATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE:
411212001 61212001 412612001 412612001 612712001
FIRST ADVERTISING DATE. HEARING DATE: VOTING DATE: DECISION DALE:
411212001 412612001 1 412612001 61712001
SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE:
411912001 7:45 PM 1 813112001 813112001
MEMBERS PRESENT: VOTE:
Keith Wilson votes to Grant Anne Romano votes to Grant
M.Sanford Weil,Jr. votes to Grant
Daniel Yacuzzo votes to Grant Julie Hooks Davis votes to Grant
Kenneth Jodrie votes to Grant
Andrew Crystal votes to Grant
MOTION MADE BY: SECONDED BY: 1'7 OTE COUNT: DECISION:
Anne Romano Kenneth J Approved
MINUTES OF MEETING:
Minutes are available in the Office of Planning&Development.
CERTIFICATE OF SERVICE
Pursuant to M.G.L. Chapter 40A, Section 11, I, Angela Dion, Board Secretary, hereby
certify that I caused copies of this Decision to be mailed, postage-prepaid, to the
owner and applicant on June 7, 2001.
r
GeoTMS®1998 Des Lauriers&Associates,Inc.
Doc. 992115113 OR 1627110037 071031200111:11
ll;11 '
/
Planning.Board - Decision City of Northampton
File No.:P1,2001- 0075 Date:April 26,2001
Pursuant to Massachusetts General Laws(MGL),Chapter 40A,Section 11,no Special Permit,or any extension,modification
or renewal thereof,shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days
have elapsed after the decision has been filed,or if such an appeal has been filed that it has been dismissed or denied,is
recorded in the Hampshire County registry of Deeds or Land Court,as applicable and indexed under the name of the owner
of record or is recorded and noted on the owner's certificate of title.The fee for such recording or registering shall be paid by
the owner or applicant.It is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and
record it at the Registry of Deeds.
The Northampton Planning Board hereby certifies that a Special Permit with Site Plan Approval has been GRANTED and
that copies of this decision and all plans referred to in it have been filed with the Planning Board and the City Clerk.
Pursuant to Massachusetts General Laws,Chapter 40A,Section 15,notice is hereby given that this decision is filed with the
Northampton City Clerk on the date below.
If anyone wishes to appeal this action,an appeal must be filed pursuant to MGL Chapter 40A,Section 17,with the Hampshire
County Superior Court or the Northampton District Court and notice of said appeal filed with the City Clerk within twenty
days(20)of the date of that this decision was filed with the City Clerk.
Applicant: David McCutcheon - West Farms Road - - - -- -- --
DECISION DATE: April 26, 2001
DECISION FILED WITH THE CITY CLERK: June 7, 2001 JUN:
, Tune 28 , 2001
I , Christine Skorupski, City Clerk of the City of Northampton, hereby certify
that the above Decision of the Northampton Planning Board was filed in the Office
of the City Clerk on June 7 , 2001 , that twenty dayQ have elap d si ce suchf:ilint,
and"that no appeal has been filed in this matter. • ,, °
Y
Attest:
n; 4-., 11 l 1, n; 4-., r,�F Tt ,,..+-1.,-,.,,..H ,,,
�(11A11 p�,
B�ooag
Cr i of XvIrtilaillpf fail
$ B �IassxcE(nsctla'
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AF t AVU
L U Kc(
(liceusee/permittec)
with a principal place of business/residence az:
(street/city/statrlap)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees wor�dng on this job:
(Insurance Company) (Policy Number) (Expiration Dale)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Ands additional shed ifnaocs to ird- d information prxtaiuing to all 001dr hn)
I am a sole proprietor and have no one worlang for me.
I am a home owner performing all the work myself.
NOTE:plcaec be aware that while homtovioe s who cmplay pc==to do muiatcuaac5 constractioa or repair work ou a dvmAdag of
not moce than throe units is v f ch the homeowner raids or on the g:vvunds apputtenani thacto me not gax:aky ooasidcred to be
etnployaa under the%V%*ces oompewation Ad(GL152,s3 1(5)),application lry a homeowner for a license or permit may evidmoe the
ItSil►ts h, of an employer under the Workeet C•ompamation Act.
I undustsud that a copy of this sistemmd may be fawsuded to rho Dcpar of Indushial Accad a&Offioe of lan"noe For the
covmge vaificmdoo and that failure to secure covaago undcr section 25A of MQL 152 can lead to the imposition of criminal Pen Wed
00asisiing of a fmc of UP to S 1,500.00 and/or of up to one year and civil penalties in the form of a Slop Work Ord_—and a
fine of S 100.00 a day against mo.
Foe dgMt=3W uao only
Permit Number
9 `/^ ,Jf //�� jjJJ
Nfapw Lot#
Si of Liceusee/petmit tee rr����
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR'110.11)
Independent Structural Engineering Structural Peer Review Required Yes......❑ No......
SECTION41 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
ILL a 1.` as Owner of the subject property
hereby authorize C 10 Locy, to act on
my behalf, in all ma s ela i to qoik authorized by this bui d ng 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 o penury. u
c�Q1 � t) �
�..
Print Name
L W/f
Signature of Own r/A nt Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Su ervisor: Not Applicable ❑
Name of License Holder : � L� 7 y�
License Num er
r-10 L/k ae ? c
Address Expiration ate
_�-
Signature Telephone
SECTION,` 3-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152,§25C(6))' '
Workers Compensation Insurance affidavit must be completed and submitted win this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
Versionl.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 116(CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)'
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
7. Water Supply (M.G.L. c. 40, § 54) 17.1 Flood Zone Information: 17.3 Sewage Disposal System:
Public ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size z9 PA
Frontage qb O
Setbacks Front (q8 1 RF,
Side L: R: 3 Z L: ' R:_3
Rear
1 4G
Building Height \ zo
Bldg. Square Footage �r t i % I! 5� q ca L
Open Space Footage ,,` "1 % N
(Lot area minus bldg&paved Z2r�3 7G Z2 o 3
parking) 7
#of Parking Spaces
Fill:
(volume&Location) ��,
A. Has a Sp pal Per �#/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued: to
i
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
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
IF YES, has a permit been or need to be obtained from the Conservation Commis ion?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are ere any proposed changes to or additions of signs intended for the property ?YES_
No
IF YES, describe size, type and location:
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SE'RVIC'ES FOR PROJECTS LESS THAN 35,000
CUBIC.FEEL"OF ENCLOSED SPACE
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
❑ ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building[ ] Repairs [ ]
% I� l�i�, ?c4 \ X qq
SECTION'S - USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly Io A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑
A-4 ❑ A-5 ❑ 1B El Business 2A ❑
E Educational ❑ 2B I ❑
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
OFF SE QNLY °
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
r , "
Floor Area per Floor(sf) St
1st 2nd is
nd 3rd � � 3 '€ f a
3�d
4th g f `
th `
4 '
Total Area (sf) Total Proposed New Construction (sf) F ,k
�.� ................. e �
Total Height(ft) ( x f
Total Height ft ---- , ,, �
Version 1.7 Commercial Building Permit May 15,2000
City of Northampton
Building Department
,2T..2 Main Street
;Room 100 yy 1
Northampton, MA 010606
phone-413,'P$7-1240 Fax 413.587.1272
APPLICATION TO CONSTRUCT] REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
i3OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: `This Section t0Abe completed by Office
j Map t.ot Untt
L�VP4 � done Overi�y I�rstrtct
EIro;St.DSsirict B:Dlstrict
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: [4
A&w-
Name&I' 6n '_,w Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
,O S
Name(P t) Current Mailing Address: C�
`mac `"� -
Sign ure I Telephone
SECTION 3 - ESTIMATED CONSTRUCTION''COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building �7 C op (a) Building Permit Fee
2. Electrical 00 �Ci (b)Estimated Total Cost of
Construction,from 6
3. Plumbing ze�� r cc Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5)-1 Check Number /257 a
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commi;signer/Inspector of Buildings Date
File#BP-2003-0581
APPLICANT/CONTACT PERSON Paul McCutcheon
ADDRESS/PHONE 77 FOREST GLEN RD (413)584-3352
PROPERTY LOCATION 27 WEST FARMS RD
MAP 35 PARCEL 270 001 ZONE NB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid 1W,57 /7S• ao
Typeof Construction: CONSTRUCT(2)UNIT GARAGE TRADESMAN BUILDING 24 X 48
New Construction
Non Structural interior renovations
Addition to Existing
AccessoEy Structure
Building Plans Included:
Owner/Statement or License 062544
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION PRESENTED:
r/Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan N
Major Project: Site Plan AND/OR Special Permit With Site Plan 1 v
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
✓12 '4��4 _/`? - PGa'z
Signature of Building fficial 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.
BP-2003-0581
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category BUILDING PERMIT
Permit# BP-2003-0581
Project# JS-2003-0955
Est.Cost: $32500.00
Fee: $175.20 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Paul McCutcheon 062544
Lot Size(sq.ft.): 29359.44 Owner: MCCUTCHEON DAVID J
Zoning:NB Applicant: Paul McCutcheon
AT. 27 WEST FARMS RD
Applicant Address: Phone: Insurance:
77 FOREST GLEN RD (413) 584-3352
FLORENCEMA01062 ISSUED ON:12123102 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT (2) UNIT GARAGE TRADESMAN
BUILDING 24 X 48
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/23/02 0:00:00 5445 $175.20
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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27 WEST FARMS RD BP-2003-0581
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:35-270 CITY OF NORTHAMPTON
Lot:-001
Permit: BuildinF
Category_ BUILDING PERMIT
Permit# BP-2003-0581
Project# JS-2003.0955
Est. Cost: $32500.00
Fee: 175.20 PERMISSION IS HEREBY GRANTED TO:
Cgnst.Class: Contractor: License:
.Ltae Qroun: Paul McCutcheon 062544
Lot Size(sq_ft.): 29359.44 Owner: MCCUTCHEON DAVID J
Zoning:NB Applicant: Paul McCutcheon
AT: 27 WEST FHKMS RD
Applicant Address: Phone: Insurance:
77 FOREST GLEN RD (413) 584-3352
FLORENCEMA01062 ISSUED ON.12123102 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT (2) UNIT GARAGE TRADESMAN
BUILDING 24 X 48
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.Y.W. Building Inspector
Underground: Service
f
:3 t} ro Meter:
Footings: r,
Rough-.,- Rough: House 1# Foundation: K �'; —/l•C`J ;��,
+ Driveway Final:
Final: i►'/D" 01i Final:IZ1240
Rough Frame: UK(�-cta� l
3
Gas:
Fire Department
Fireplace/Chimney:
1j {%
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Rough: -.ii' IItSUia 11011:
Final:t'1-10-d3 f1 Smoke: Final•Q,t-
THIS PERMIT MAY BE RE VOKED BY THE CITY OF NORTHAMPTON UPON VIOL N OF
ANY OF ITS RULES AND REGULATIONS. r ,
J
Certificate Of OCCU anc signature:
Fee Type: Receipt Nwtt, Date Paid: Check No: Amount:
Building 12/23/02 0:00:00 5445 $175.20
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
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