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23A-129 Main Level 10' Oath- I Main level 46_MIDDLE_ST_FLORENC 4/6/2015 Page:4 ,tiK$ WKB Carpentry & Restoration Inc. CARPENTRY 21 Schuyler Drive East Longmeadow,MA 01028 413.525.2914 Any alteration or deviation from the specifications herein will be an extra for which a reasonable charge will be made by WKB Carpentry to the owner; such changes shall be determined and mutually agreed upon before any additional work is begun. This contract is retractable by the contractor at any time prior to the start of work. It is understood that the owner shall at his or her own expense correct any and all pre-existing violations of the local building, plumbing and electrical codes other than those specified herein. WKB Carpentry shall not be liable for any delays due to causes beyond the control of the WKB Carpentry. Owner's Warranties- Owner warrants that they are the sole owners of the property at which the work will take place Owner warrants that there are no hazardous wastes on the premises and agrees to hold WKB Carpentry harmless from any and all loss,costs or damages resulting from the presence of hazardous wastes on the Premises. Owner certifies that he/she/they have sufficient funds to pay for the Contractor's materials and services under this contract. NOTICE TO THE OWNER YOU MAY RESCIND THIS SALE PROVIDED THAT YOU NOTIFY THE HOME REPAIR CONTRACTOR OF YOUR INTENT TO DO SO BY CERTIFIED MAIL,RETURN RECEIPT REQUESTED,POSTMARK NOT LATER THAN 5PM OF THE THIRD BUSINESS DAY FOLLOWING THE SALE. FAILURE TO EXERCISE THIS OPTION HOWEVER WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE HOME REPAIR CONTRACTOR YOU ADDRESS. A COPY OF THIS PROPOSAL IS PROVIDED BY THE HOME REPAIR CONTRACTOR FOR YOUR RECORDS. DO NOT SIGN THIS CONTRACT IF BLANK. YOU ARE ENTITLED TO A COPY OF THE CONTRACT AT THE TIME YOU SIGN IT TO KEEP IT TO PROTECT YOUR LEGAL RIGHTS. WE THE AFORESAID OWNERS CERTIFY THAT IMMEDIATELY AFTER THE SIGNING OF THE AFORESAID AGREEMENT A COMPLETELY EXECUTED COPY WAS FURNISHED TO YOU. In witness the parties have hereto sit their hands and seals t ay-aid year above written: Total$10,924.21 Signature (owner) Total$10,924.21 Signature (WKB Carpentry) r i` 46_MIDDLE_ST_FLORENC 4/6/2015 Page: 3 -AdKB W" Carpentry & Restoration Inc. CARPENTRY 21 Schuyler Drive East Longmeadow,MA 01028 413.525.2914 Grand Total 10,924.21 Grand Total Areas: 243.04 SF Walls 51.80 SF Ceiling 294.85 SF Walls and Ceiling 51.80 SF Floor 5.76 SY Flooring 30.38 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 30.38 LF Ceil.Perimeter 51.80 Floor Area 62.37 Total Area 243.04 Interior Wall Area 297.43 Exterior Wall Area 33.05 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length Guarantee(new work)-WKB Carpentry will guarantee all labor applications and workmanship for a period of five(5)years. This guarantee will be voided if there are alterations made to part of the new work area by anyone other than WKB Carpentry. This guarantee does not cover damage from natural disasters(i.e.hurricanes,tornadoes,earthquakes,flood,acts of god). WKB Carpentry does not guarantee the condition of the building or its contents during construction based on the condition of the existing structure. Labor guarantee does not cover labor associated with materials not supplied by WKB Carpentry. Materials are covered by the manufacturers warrantees. Past due balances-Due to increasing interest rates and material handling costs a fee of 1.5%will be added to all balances owed 30 days past the invoice date. Subsequently,this 1.5%will be added to the total balance due every 30 days until the balance is paid in full. You will also be responsible for any fees incurred(attorneys and attorney fees,filings,collections,etc.)in the process of collecting the balance due. Materials-WKB Carpentry will do their best to match new work to the existing materials and structures however some variation is to be expected; WKB Carpentry is not responsible for color,texture,or grain variation of products. Disposal-WKB Carpentry is not responsible for costs incurred due to items unrelated to the project at hand placed in dumpster. Homeowner agrees to pay for disposal of materials not related to the project at hand. Mechanicals-WKB Carpentry shall not be responsible for increasing the electrical power of amperage either in the panel box or from the outside poles unless expressly specified herein and at an additional cost mutually agreed upon. The WKB Carpentry shall not be responsible for water pressure,water drainage,or pipes in walls or floors unless expressly specified herein and at an additional cost mutually agreed upon. Homeowner,not WKB Carpentry,is responsible for any plumbing,electrical, low-voltage,HVAC,or hazardous waste removal unless expressly specified herein. Disclaimers- Deposits are applied to the total cost of the project and not refundable up to$500.00 WKB Carpentry assumes no responsibility for your pets. Please be sure they are in a safe location before,during,and after completion of the work. 46_MIDDLE_ST_FLORENC 4/6/2015 Page: 2 VV T- f KB WKB Carpentry &Restoration Inc. CARPENTRY 1- 21 Schuyler Drive I East Longmeadow,MA 01028 413.525.2914 mi g t 46_MIDDLE_ST_FLORENC 46_MIDDLE_ST_FLORENC DESCRIPTION QNTY 2nd Floor main bathroom renovation r -rte'. SKETCHl Main Level -} - W K + � 1 B U t/ I ivv 4- C41rt k g SCRIPTION �ONTY 1, Replace Finish Carpentry/Trim(Bid Item) 80.00 EA PROTECT TUB -TUB TO REMAIN NOTES: Gut walls and floor and vanity cabinet; Ceiling to remain-DO NOT DEMO CEILING NO built-in shelves Homeowner to supply ew vanity cabinet,WKB to install Homeowner to paint; W r 1 1 S 004 C W t'+ r Homeowner to supply ELECTRICIAN and electrical fixtures Homeowner to supply surface mount medicine cabinet-WKB to install above sink Homeowner to supply white subway tile for TUB AND SHOWER SURROUD ONLY-Remaining walls to be sheetro k,primed Homeowner to supply Miracle Method �Omeswr{r Wi It +,4 K1 Curl GF M . M e - v d Homeowner to supply towell rods,toilet paper holder before drywall goes up,WKB to install with blocking Homeowner to supply and install floor(to be supplied and installed by Earth's First Flooring in Florence,413.586.0060 WKB to remove existing wood floor and replace with 5/8 plywood(confirm with Bill at site visit prior to construction) WKB to replace window with casement,with 1x4 casing-Bill to measure and order W bathroom fan to roof or side of house(vented currently but not sure where-depending on what is needed there may be achangeor er) Sheetrock and insulate White subway tile(supplied by homeowner)in shower Plumber to disconnect sink,toilet,and support cast iron baseboard heat; WKB remove walls,floor,vanity; Plumber to replace tub waste and install shower valve; HOMEOWNER'S electrician to rough electric; WKB to sheetrock,5/8 (confirm with Bill)floor; Plumber to finish plumbing A 2. (Install)Tile tub surround-up to 60 SF �� Y� t" 1.00 EA 3a. Remove 1/2" Cement board 72.00 SF 3b. Replace 1/2"Cement board 72.00 SF 4a. Remove Vinyl window-c c it,6-8 sf �� +Q M(Iff t °� S f rc S 1.00 EA t �✓ 1.00 EA 4b. Replace Vinyl window-ct�� TI, 6-8 sf - , 5. Single axle dump truck-per load-including dump fees t r d aL�`°t 1 *�+ 1.00 EA 6. Replace Plumbing(Bid Item) 1.00 EA W �L Per estimate from Stirling Plumbing dated April 1,2015 for$2376.00 { 7. Taxes,insurance,permits&fees(Bid item) 1.00 EA W k 6 r kiI+n 11 4- S,/VQ17 f oin+ gre4A 1 kLf CGS;J bGSt�C(4 -4 WK0 rtiMoLt 4- ft -t ek;S+�� �-IAre3I.%t d r1 +0 C �+ (Cc" =nS}al( f s��17 (nlol�v�sf�'F�-in� ) 7k�M Gay►+ Ceil : ,n ' dFlIe WOmmoitaleal4li 1/b_A&JJCCC71f6JC.f ftice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: 165446 Type Expiration: 211712016 Supplement WKE CARPENTRY INC. BRUCE TETRAULT 21 SCHUYLER DR EAST LONGMEADOW,MA U1028 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards License: CS-096193 BRUCE L TETRAVLT ' 115 NORTH BRANCH. A� SPRINGFIELD MA 61, i 954..�.d[ . " "' Expiration Commissioner 12/19/2016 utation c��` ffairs&Bus'ness Iteg Office of Consumer A CONTRACTOR Type: => Fj►OME IMPROVEMENT oratit P registration: 165446 private Corp 211712016 !;expiration: WKB CARPENTRY INC. + 'o BUTLER WILLIAM 21 SCHUYLER DR. MA 01028 �undersecretary EAST LONGMEADOW Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statue,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 defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the forgoing 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 that 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 section §25(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 section §25(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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificates(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 confirmation 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 Towns 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 permit/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 fixture permits or licenses.A new affidavit must be filled out each year. Where a homeowner or citizen is obtaining a license or permit 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, lease 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 phone#: (617)727-4900 ext. 406 or 1-877-MASSAFE fax#: (617)727-7749 Revised 11-22-06 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents i Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: _P I n E_11a(e City/State/Zip: r�IA 0 r-JA/J' rrJ4 lul I'C Phone#: y 13 _: Col - 8 SlO q EA y 13 Are ypu an employer?Check the appropriate box: Type of project(required): 1. I am an employer with 8 4. ❑ I am a general contractor and I 6. D New construction employees(full and/or part time).* have hired the sub-contractors 7_ ❑Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. D Building addition [No workers'comp.insurance comp.insurance..1 required] 5.0 We are a corporation and its 10. D 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 perm MGL insurance required]t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers' 13. ❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach 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 thepolicy and job site information. Insurance Company Name: A ,J r , l.( a 1 -LA 5 i 2 C-ct ✓1 C'�' ( �� nrt 0 w, Policy#or Self-ins.Lie. oo I o �7qao 5A Expiration Date: Q/ / Job Site Address: y I(.�( I�_ S I r �l i City/State/Zip: `GC 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties ofperjury that the information prov'd`ed above is true and correct. - Signature: `Z� 2° �----� Date: 15 S Print Name: �l I � ' (Q!M h. �� )-1 / e r Phone#: (4' � ) Q ,� Official use only Do not write in this area to be completed by city or town official 7 City or Town: Permit/license#: Issuing Authority(circle one): I.Board of Heath 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 Construction Supervisor: Not Appl� f Applicable ❑ Name of License Holder:—h r ox �g y P L C'_� r C.z u�1'+ C-5— q to q License Number Address Expiration Date 0 Signature a ephon 9.Re istered Home Improvement Contractor Not Applicable ❑ Company Name 0 Registration Number 91 )�i/levu le- 3T. Sac-,ti��,J to Address - Expiration Date pTS)o ne Wd� 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 bui 0 ing permit. Signed Affidavit Attached Yes....... d 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 ❑ Or Doors 71 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[❑] Other[❑] Brief Description of osljnf Work: �r � Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _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, flyjr-INJ C i 4✓t,ed 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 Date I, I (,..,pJrY as Owner/Authorized Agent hereby declare that the statements a>�formation on the for4goingApplication are true and accurate,to the best of my knowledge and belief. Signed under ins a enalti s ury.,_... Print Nam 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 tilled 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 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT 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 Commission? Needs to be obtained ® Obtained O , 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 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 ® NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. rthamptOn Status of Permit: Department use only � fi 201 Uil epartment Curb Cut/Driveway Permit 2 ain Street Sewer/Septic Availability j RO m 100 Water/Well Availability Exec°. , —•-- . ^~Nortf aM on, MA 01060 Two Sets of Structural Plans phone- 40 Fax 413-587-1272 Plot/Site Plans 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 (A d(e �j f ►rte-f Map Lot Unit U u, V-r /v Vt, M A Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ka vZ,2 I'Oo-I v✓► Name Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: / _ �G l/ r 1�l�� ,M� 0/z 5- r Name(Print) Current Mailing Address: (X r1 ) .301 u9 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit 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= 0 +2+3+4+5) U n 0 0() Check Number This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0977 APPLICANT/CONTACT PERSON WKB CARPENTRY INC ADDRESS/PHONE 91 PINEVALE ST INDIAN ORCHARD01151 (413)525-2914 PROPERTY LOCATION 46 MIDDLE ST MAP 23A PARCEL 129 001 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 Typeof Construction: REMODEL BATHROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 96193 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: Approved Additional pen-nits 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 tion Delay Signature of Building Official 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. 46 MIDDLE ST BP-2015-0977 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A- 129 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2015-0977 Project# JS-2015-001884 Est.Cost: $10900.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WKB CARPENTRY INC 96193 Lot Size(sg. ft.): 19602.00 Owner: WALMSLEY CATHERINE A Zoning URB(100) Applicant. WKB CARPENTRY INC AT. 46 MIDDLE ST Applicant Address: Phone: Insurance: 91 PINEVALE ST (413) 525-2914 WC INDIAN ORCHARDMA01151 ISSUED ON:411612015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL BATHROOM 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 4/16/2015 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner