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18-002 (6) a " Customer:Jessica Moms Project Name: Moms Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number:5780793 ❑Project Checklist has been reviewed �55 a, Custo me (Please print) Pella Sales Rep Name (Please print) Taxable Subtotal $1,548.13 C to r Si ature y Pella Sales Rep Signature Sales Tax @ 6.25% $96.7 tQ �� Non-taxable Subtotal $1,509.68 Date Total ,. $3,154.57 Deposit Received $1,500.00 edit Car proval Signature mount Due $1,654.57 For more information regarding the finishing maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Customer: Jessica Moms Project Name: Morris Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number.5780793 Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. Refer to Pella Corporate Warranty This form constitutes a contract between Buyer and Seller.Estimate does not guarantee availability of any product listed. Pella Products Inc.management has final authority on acceptance of this order. Your signature confirms the accuracy of the product(s)chosen. Pella Products assumes no responsibility for accuracy of take offs from drawings or blueprints or that the products listed will be sufficient to complete customer's intended project. The Buyer agrees that the product(s)listed herein are correct,final and cannot be changed,returned or canceled. Deposits are partial payment of the contract and are not refundable. The Buyer agrees that if paying by credit card that authorization is granted to the seller to debit the Buyers credit card by signing this contract. The Buyer agrees that payment discounts do not apply when paying with a credit card. A 1-1/2%SERVICE CHARGE per month(18%PER ANNUM)will be added to all outstanding balance past our stated terms,plus lawyer and account fees for collecting outstanding accounts. The Buyer agrees that the customer delivery date is a realistic estimate of when the product is to be delivered. Items remaining in our warehouse for more than 30 days beyond the agreed to delivery time will be subject to a storage and handling fee of 1%of the net amount of the order($25.00 minimum charge). The Buyer agrees that the product can be delivered without the Buyer present and agrees to accept the shipping documents as proof of delivery. The Buyer agrees not to hold the Seller responsible for any damage to driveways,sidewalks,trees and overhead wires caused by the Seller's delivery vehicles. The Buyer agrees to examine the product(s)upon delivery and within 7 DAYS OF DELIVERY provide the Seller notice of any discrepancy between the product(s)ordered and the products(s) delivered,including hardware. If the Buyer does not provide notice within 7 days the Buyer accepts the product(s)as is. This sales agreement consists of and is subject to the Terms and Conditions set forth on subsequent pages of this document as well as the terms and conditions of the applicable Pella Product Limited Warranties available at pella.com/warranty and Seller's Installation Limited Warranty and Service Agreement and Seller's Finish Limited Warranty(if Seller is providing finishing services)and referred to collectively as the"Contract".Please read the entire Contract carefully before signing.Contract must be signed within thirty(30)days of Quoted Date for pricing to remain firm. Contract becomes binding only upon execution by Pella Products,Inc.("Seller")management. Buyer understands the Total Care Guarantee is the Seller's Installation Limited Warranty and Service Agreement and Pella Product limited Warranty(ies)(int.1 *Buyer(s)has received the Seller's Installation Limited Warranty and Service Agreement for Pella Products(int.)_ *Buyer(s)has received the Pella Product Limited warranty or reviewed at pella.com/warranty(int.)—j AA Product is finished by Pella and the finish is covered as set forth in the Pella Product warranty(int.0 Irroduct is not finished by Seller or Pella and Buyer(s)will undertake prompt finishing in accordance with applicable instructions(int.)_ For more information regarding the finishing,maintenance,service and warranty of all Pella(&products,visit the Pella(&website at www.pella.com n.;-t-,r.... C140 Inn 4 A Customer:Jessica Moms Project Name: Morris Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number:5780793 _X_ Arrange to have any plumbing or electrical repairs or changes by appropriate licensed contractor- $500 charge for site unprepared on 1 day job _X_ Remove and reinstall existing window treatments,wall hangings and air conditioning units- 4-5 feet in front/1 foot to side with clear path _X_ Remove and reposition furniture in work area _X_ Secure pets in a safe manner _X_ Remove valuable/breakable items from work area _X_ Remove snow from area of worksite if necessary _X_ Deliver and unload products _X_ Place drop cloths in work areas _X_ Remove and reinstall interior and exterior trim if applicable _X_ Remove and reinstall existing shutters and awnings by contract _X_ Remove existing product and adjust or modify opening as needed _X_ Provide all equipment necessary to install products _X_ Cut all wood and other materials outside of home _X_ Install all products purchased _X_ Insulate and caulk around products _X_ Remove stickers and perform initial cleaning of all glass surfaces _X_ Demonstrate proper operation of products _X_ Confine that all products are in working order _X_ Remove drop cloths,vacuum and remove all old products from premises Signa Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products arc covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system. Neither Pella Corporation nor Pella Products Inc will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. For more information regarding the finishing maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com or, +oa r1101004A r,—#tea.,+ no+.;i.A o.,,.,. r, -f 7 Customer:Jessica Moms Project Name;,.Moms Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number.5780793 L111@� t..00BtCOn Attrt�Ut@S + ` � 't iii t 30 Site Responsiblities Item Price Qty Ext'd Price $0.00 1 $0.00 Customer Notes: 1. 50%Deposit required at time of order. 2. Final payment is to be made to installation team on the morning of the last day of installation. 3. If the customer will not be present at time of install,payment is to be made prior. 4. Checks returned NSF will be assessed a fee of$50.00 to cover fees incurred by Pella. Failure to pay your final bill will result in finance charges of 1-1/2%per month(18%Annual)and legal fees associated in the collection of owed monies. 5. Due to inclement weather or site conditions,it may be necessary to reschedule. 6. We cannot and will not guarantee specific dates or days of the week for installation. 7. Time given to complete a job is an estimate,extension of time is possible. 8. An install appointment will be confirmed at Verification. A courtesy reminder call will be placed 1 week prior. 9, Unforeseen rot repair will be quoted on site as additional work via a Change Order. 10. Substantial completion is achieved when all available products have been installed and are operational. Items such as missing or broken parts and service adjustments are covered by Warranty and do not affect the status of a project from being Substantially Complete. 11. In the event that any products are unable to be installed,the final payment will be recalculated. The cost of the products not installed will be subtracted from the balance due. A subsequent and final payment equal to the cost of products not installed as scheduled will be due upon final completion. 12, Order is not binding until approved by Pella Products management. 13. Pella will secure all necessary Building Permits. Type of Installation: Construction: (tear out installation-existing frame is disposed of) Remove interior and exterior Trim,remove existing window frame,install new window in rough opening,trim both interior and exterior of window/door. Iet Install: (sash replacement,existing frame remains) Remove interior or exterior stops,install new window in existing sash opening,re-use existing or replace window stops(interior or exterior). Glass loss will occur. Lead Paint Discloser: 1_4 Home was built prior to 1978, Pre Renovation Form signed and"Protecting Your Family From Lead in Your Home" broc yore has been given to the Home Owner. 2. / Are there children under the age of 6 or women who are pregnant? Pella Will Owner Will Authorize install of Yard Sign on 1 st day of installation and remove 7 days afterward _ Finish(paint or stain)product purchased: Trim will be painted by customer _X_ Ensure someone over age 18 is present at all times while Pella Employees are in the home _X_ Cut-back or tie trees,bushes, shrubs from exterior wall _X_ Arrange to have alarm system disconnected and reconnected- Pella Products can re-route alarm wires but can not reconnect contacts For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Customer: Jessica Moms Project Name: Moms Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number:5780793 Line# Locaticin A#ikrfbute� k 25 None Assigned INSTALLATION •INSTALLATION Item Price Qty Ext'd Price $108.48 1 $108.48 Customer Notes: Building Permit Fee For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the PellaOwebsite at www.pella.com C14017/14 A Customer:Jessica Moms Project Name: Morris Jessica 87 Pines Edge Dr Northampton MA Order Number: 739N6GR241 Quote Number.5780793 Line# Location f At#ributc*s 15 None Assigned Vinyl Windows 1 Doors By Pella, Replacement Double Hung, 26.25 X 38,White Item Price Qty Ext'd Price $509.50 1 $509.50 1:26.2538 Double Hung,Equal PK# Frame Size: 26 1/4 X 38 641 General Information: Standard, Vinyl, Block Frame With Mull Groove,3 1/4",31/4", Sill Adapter Included, Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low-E Advanced Low-E Ins g lass Argon Non High Altitude Hardware Options: White t Viewed From Exterior Screen: -F!!ll 9emm, Grille: No Grille, Frame Size:26.25"X 38" Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance, Perimeter Length= 129",Glazing Pressure= 160. MP-1 -Modified Pocket Installation up to 60 UI wtwrap Qty 1 Line# Location 20 None Assigned 3.1/2"wlkerf Solid Jamb Extension, Length: 96, Bright White Item Price Qty Ext'd Price $34.30 3 $102.90 1:3-1/2"w/kerf Solid Jamb Extension PK# Length: 96 • r* 641 Interior Color/Finish: Bright WhiteWood Type: Pine Viewed From Exterior Frame Size:0"X 0" Line.# Locattors Attributes; 21 None Assigned Wood Products Cove Trim 1, Length: 96, Bright White.Wood Type: Pine Item Price Qty Ext'd Price $20.52 3 $61.56 1: Accessory y PK# Frame Size: t X 1 641 General Information: Pine Interior Color/Finish: Bright White Interior ~` Wrapping Information: Perimeter Length=0". Viewed From Exterior Frame Size:0"X 0" For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella@website at www.pella.corn I'].L.L...J.... C/401')A4 A Contract - Detailed Pella Window and Door Showroom of Shrewsbury 424 Hartford Turnpike (Route 20) Suites C and D Sales Rep Name: 50ard, Benjamin ( ® Sales Rep Phone: (508) 842-1112 Shrewsbury, MA 01545 Sales Rep Fax: (508) 842-1336 Phone: 5088421112 Fax: 5088421336 Sales Rep E-Mail: bricard@184.pellapdsn.com i,....: C' t" ; trt orrna io Piro e0t.'" l�u i�d+ re Irt rG 1>r tat crt trr Ir1 1., ►'�l Jessica Morris Morris Jessica 87 Pines Edge Dr Northampton MA Quote Name: 1406904 Patio Door and Window 87 Pines Edge Dr 87 Pines Edge Dr Order Number: 739N6GR241 NORTHAMPTON, MA01060-1562 Lot# Quote Number: 5780793 Primary Phone:(413)5855955 Northampton, MAO 1060-1562 Order Type: Installed Sales Mobile Phone: County: Payment Terms: Fax Number: Tax Code: MASS E-Mail: vassar89 @hotmail.com Quoted Date: 6/912014 Great Plains#: Customer Number: 1006897752 Customer Account: 1002355992 `Line# Laca#ran ;; ; ,� Attrlbute� 10 None Assigned Vinyl Windows I Doors By Pella, Double Sliding Door Fixed I Vent Left, 58.75 X 81.5, Item Price Qty Ext'd Price White $2,275.37 1 $2,275.37 1:6082 Fixed I Vent Left Double Sliding Door PK# Frame Size: 58 3/4 X 81 1/2 641 General Information:. Performance Upgrade,Vinyl, Nail Fin With Mullion Groove,4 1/2",1 7/16",3 1/16" Exterior Color/Finish: White i Interior Color/Finish: White Glass: Insulated Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude 's Hardware Options: White,White Viewed From Exterior Screen: Sliding Screen,Standard Unit Accessories: No Accessory Option Frame Size:58.75"X 81.5" Grille: No Grille, Wrapping Information: No Exterior Trim, Ready Trim Knock Down, Colonial,2 1/2"Colonial 2, Factory Supplied, Knock Down,Pine, Bright White, Pella Recommended Clearance, Perimeter Length=281", Glazing Pressure=160. PD-1 -Patio Door install up to 6FT In width Qty 1 EXTTRIM18-Strip and Reuse Vinyl(12Ft x 8Ft area) Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Dear Sir or Madame Building Inspector, as the property owner, give my permission to our contractor, David C. White of Pella Products, Inc., to obtain a building permit for the installation of Windows and I or Doors for my home located at: -1 : �r r1�S E C` D i M m 0 / 0 Please accept this letter in place of my signature on the Building Permit Application. Thank you, Op5s tu,� A/V, Homeowner's Name (Please Print) VI Hoiine`owrioiN Signature Date The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information f Please Print Le gibly Name(Business/Organization/Individual): Address: City/State/Zip: UP one Are yo employer?Check t appropriate box: Type of project(required): 1. I am a employer with 4. ❑1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 2• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp•insurance. g_ ❑Building addition [No workers'comp.insurance 5• ❑ We are a corporation and its 10.Q Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof rnhez,,-,insurance required.]1 employees.[No workers'comp.insurance required.] 13' l CI' r'3 Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating tbey are doing all work and then hire outside contractors must submit anew affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information I am an employer that is providing work 'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Da�te:� I l— Job Site Address: U City/State✓Zip:i - , �1 � Attach a copy of the workers'compensation po icy 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 hereby certify u er and e e perjury hat the information provided above ' e a correct Sivn afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official 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 Contact Person: Phone#• SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construc ion Supervisor: Not Applicable ❑ Name of License Holder Q ail (. /���/n G) e'�® ►'L'�G C'� C Lg 711 041 License N ber Yj' C7v-e-,e-f,1;e-1,1 �t�,0317 //�/ �X-/ 5- Add ess l , Expir on Date 5 ` ,V - tJ t1 Signature Te on 9.RegisteA too3e lmg&vement Contractor- Not Ap plicablp ❑ Company Name Registratioq Numbe Address^ Expiration Date u•t \ Telephon �i3)��� � �� 3 3/ 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 building permit. Signed Affidavit Attached Yes....... 1B' 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 buildine 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 `+ 1 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Bows Alteration(s) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [p Siding[❑] Other[❑] Brief De of Pose / ,' / & i°!!� L 11� --,� C cif t � a Work: !� �/�ld��' s�YC t �V'il?G!r �� �' L°-�P S' !/+�2 j vac 0 a� Alteration of existing bedroom Yes N(t, Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No �O t 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 CO RACTOR APPLIES FOR BUILDING PERMIT (_5 as Owner of the subject prop t (� p -ll hereby authorize `.-�`cw i C, - +� �� '���% 1 ("p3 L-1 CTS rx C_ to act on my be in all matters relative to work autho ized by thi uildi g permit application. Signature of Owner Date C (k r+ 5 , 4-t1 L as Owner/„hut on Pd �4 ei 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. C. Print N Signature of Owner/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 ® DON'T KNOW ® YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW Q 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 Commissio ? Needs to be obtained 0 Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the proper ? ES 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 ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only Cr y of Northampton Status of Permit: ,¢ ding Department Curb Cut/Driveway Permit 3 2 Main Street Sewer/Septic Availability oom 100 Water/Well Availability No ,,h pton, MA 01060 Two Sets of Structural Plans phi S ,0 �7- 40 Fax 413-587-1272 Plot/Site Plans SUmq n9 MP o Other Specify ec c� P N TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Prog)eM Address: This section to be completed by office � / � �.� � - Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2. O ner o�Record: - f Na (Print` )_J AL� L Cur`enL`3-di-g Address: Signature uthorized Agent: /; Name(Print) Current Mailing Address: (-0K3) ,�/- J-:7 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building A-3 - 5-7 (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) jCheck Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date 87 PINES EDGE DR BP-2015-0008 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18-002 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2015-0008 Project# JS-2015-000014 Est. Cost: $3154.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 091496 Lot Size(sq.ft.): Owner: MORRIS JESSICA Zonine: Applicant: PELLA PRODUCTS, INC AT. 87 PINES EDGE DR Applicant Address: Phone: Insurance: 155 MAIN ST (413) 772-0153 WC GREENFIELDMA01301 ISSUED ON:71112014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL REPLACEMENT WINDOW & SLIdDING DOOR 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 7/1/2014 0:00:00 $35.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner