31A-067 (32) Scott Keiter <scottkeiter @gmail.com>
Jordan House
2 messages
Louis Hasbrouck <Iasbrouck @northamptonma.gov> Tue, May 19, 2015 at 12:05 PM
To: Scott Keiter<scottkeiter @gmail.com>
Scott,
There are 2 HVAC chases in the Jordan House project. Under Build/Install items, 200T1 and 300T1:
"Frame new 25' HVAC/plumbing chase with 2 access panels above toilet stalls. Sheetrock, tape &finish."
We want to inspect the chases before they're covered (fire stopping, etc). Make the permit fee $100 for Jordan
and call for inspections of the chases.
Park is a $55 permit fee
Thanks.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413) 587-1240 office
(413) 587-1272 fax
Scott Keiter <scottkeiter @g mail.com> Tue, May 19, 2015 at 4:08 PM
To: Louis Hasbrouck <Iasbrouck @northamptonma.gov>
Ok. Thank you.
[Quoted text hidden]
Scott Keiter
Keiter Builders, Inc.
35 Main Street
Florence, MA 01062
Phone: 413-586-8600 X303
Fax: 413-280-0124
www.keiterbuilders.com
JORDAN HOUSE (05.15.15) May 15, 2015
Descriptlon Cost
General $23,200.00
Electrical Trenching
T&M ALLOWANCE=$2,100
Existing Window Blinds
Remove and dispose of existing window blinds.ALLOWANCE_$500
Install New Radiator reflective shields
T&M ALLOWANCE=$2,400
Plaster Patch&Repair
T&M ALLOWANCE=$7,800.Patch/smooth drywall for new(lower)tile base height.
Repair/Prep Floors
ALLOWANCE=$5,000.100T1,200T1A,300T1A,400T2,400T2A
Shower Caulking
T&M ALLOWANCE=$5,400
1 st Floor $2,400.00
100L
Mark Carrington to remove&reinstall curtains.ALLOWANCE=$1,000
100T1 (aka HCT1)Bathroom
Demolition&structural repair of subfloor.ALLOWANCE=$1,400
2nd Floor $200.00
200T1
Supply&Install new SS shower rod.Blocking excluded.MATERIAL ALLOWANCE=$100
3rd Floor $200.00
300T1
Supply&install new SS shower rod.Blocking excluded.MATERIAL ALLOWANCE=$100
Portable Toilets(NIC)
(2)Toilets
E t
Abatement
Floors in 200T1,300T1,400T2,400T1
Owner Retained Furniture
Removal and reinstallation of any Owner retained furniture
Remove all books&games
Replace window blinds with new
Tag all furniture
Toilet Paper Holders&Sani Cans
Project Total $375,879.98
We appreciate your business and look forward to working with you.
Keiter Builders, Inc., License#: 102457 6
JORDAN HOUSE (05.15.15) May 15, 2015
Description Cost
3rd Floor
Build/install Items
300T1
Install all mirrors,whiteboard,and moldings above sink DWG#J-8
300T1
Install new bathroom cubbies supplied by Westek.
300T1
ALLOWANCE: $250.00 FOR MATERIAL AND LABOR. Install new,like-kind mop shelf.
300T1
Frame new 25'HVAC/plumbing chase with 2 access panels above toilet stalls.Sheetrock,tape&finish.
300T1
Install counter top supports for multi sink counter. Includes blocking,skirts&countertops.
4th Floor $10,132.00
General $1,560.00
400T2,400T1
Patch holes in FRP left by removal of the following items:old mop shelf,old partitions
400T2,400T1
R&R 2 soap dispensers.Store during construction.Save all hardware.
Cut doors
Accommodate Flooring
R&b Items $2,172.00
400T1
R&D Bathroom Cubbies
400T2
R&D SS drip table.Salvage to Keiter.
400T2
R&D metal wire mop sink shelf(not in designer's plan)
400T2
R&D 5 built-in bathroom cubbies(2 IN HALL)
400T2
R&D 4 wall hung mirrors,Mirrors in 400T1 ETR
400T2,400T1
R&D 6 existing toilet partition frames&doors.(4 in T2,2 in T1)
Build/Install Items $6,400.00
400T2
Install all mirrors,whiteboard,and moldings above sink DWG#J-8
400T2
Install counter top supports for multi sink counter. Includes blocking,skirts,countertops.Sink in 400T1 ETR
400T2
ALLOWANCE: $250.00 FOR MATERIAL AND LABOR. Install new,like-kind mop shelf.
400T2,400T1
Install new bathroom cubbies as described on plan.Cubby will be supplied with all hooks and mounting hardware.
Keiter Builders, Inc., License#: 102457 5
JORDAN HOUSE (05.15.15) May 15, 2015
Description Cost
2nd Floor
R&D Items
200T1
R&D metal wire mop sink shelf(not in designer's plan)
Build/Install Items $11,827.00
200T1
Install counter top supports for multi sink counter. Includes blocking,skirts&countertops.
200T1
Remove existing interior window casing&replace with new to accommodate new shower cubbies.
200T1
ALLOWANCE: $250.00 FOR MATERIAL AND LABOR. Install new,like-kind mop shelf.
200T1
Install all mirrors,whiteboard,and moldings above sink DWG#J-8
200T1
Frame new 25'HVAC/plumbing chase with 2 access panels above toilet stalls.Sheetrock,tape&finish.
200T1
Install new bathroom cubbies supplied by Westek.
3rd Floor $15,403.50
General $1,265.00
300T1
Patch holes in FRP left by removal of the following items:old mop shelf,stalls,glass door,old partitions
300T1
R&R 3 soap dispensers.Store during construction.Save all hardware.
Cut doors
accommodate flooring
R&D Items $2,311.50
300T1
R&D 5 built-in bathroom cubbies
300T1
R&D 5 wall hung mirrors
300T1
R&D metal wire mop sink shelf(not in designer's plan)
300T1
R&D 6 existing toilet partition frames&doors and existing tub area partition frame&door.
300T1
R&D SS drip table.Salvage to Keifer.
300T1
R&D existing tub glass door
Build/Install Items $11,827.00
300T1
Remove existing interior window casing&replace with new to accommodate new shower cubbies.
Keiter Builders, Inc., License#: 102457 4
JORDAN HOUSE (05.15.15) May 15, 2015
Description I scription cost
General
Receive Millwork&Corian
Receive and place all millwork and corian.No elevator access.
Temporary Finish Protections
1 st Floor $7,947.50
General $1,460.00
100C1
Resize 2 French doors to new floor.Currently scrapes existing floor.
100L
Remove,store,and rehang donkey head with new security hardware.
100L
Remove&reinstall 4 framed prints with new security hardware.
100L
Move piano around for work access(prep with casters)
R&D Items $387.50
100C1, 100C2,100S2
R&D existing bulletin boards
100L
R&D wooden radiator.
Build/install Items $6,100.00
100132
Install new built-in cabinetry See DWG#J-6
Bulletin Boards
Construct and install(6)bulletin boards
2nd Floor $15,071.50
General $1,265.00
200T1
Patch holes in FRP left by removal of the following items:old mop shelf,stalls,glass door,old partitions
200T1
R&R 3 soap dispensers.Store during construction.Save all hardware.
Cut doors
accommodate flooring
R&D Items $1,979.50
200T1
R&D SS drip table.Salvage to Keiter.
200T1
R&D 5 built-in bathroom cubbies
200T1
R&D 6 existing toilet partition frames&doors
200T1
R&D 5 wall hung mirrors
Keiter Builders, Inc., License#: 102457 3
JORDAN HOUSE (05.15.15) May 15, 2015
Description Cost
Painting $35,300.00
Paint new HVAC chases in 200T1 &300T1
ALLOWANCE=$300
Painting(SUBCONTRACTOR)
PO#178 Silver Design
Vinyl Wall Covering $5,200.00
100R
Strip Wallpaper&Paint.ALLOWANCE_$1,200
VWC(100ST, 100L)
ALLOWANCE=$4,000
r
Partitions(SUBCONTRACTOR)
PO#175,182 J.Sallese&Sons
Tinting Shower Doors
PO#175 Mr.Tint
Tub Resurfacing
ALLOWANCE=$1,600 ROOM 300T2,400T1
Relocation and R&D of Furniture(SUBCONTRACTOR)
ALLOWANCE=$500 PO#(MB)Boomerang Storage
Plumbing(Subcontractor)
PO#177 MJ Moran
Plumbing(Subcontractor)
PO#192 MJ Moran
Plumbing(Subcontractor)
PO#193 MJ Moran
8m�
Electrical(Subcontractor)
PO#174 Graham Electric.Value Engineered.
r
General $5,625.00
Floor Protection
100C1,100ST2,100C
Materials Running
Keiter Builders, Inc., License#: 102457 2
JORDAN HOUSE (05.15.15) May 15, 2015
Jaime Masick OWORK'
Keiter Builders, Inc. £$
35 Main Street
Florence, MA 01062 KEITER
Office 413-586-8600
License #: 102457 B U I L D► E R 5 CN
FProject Customer
JORDAN HOUSE (05.15.15) Smith College
126 West Street
Northampton, MA 01060
RESIDENTIAL HOUSING UPGRADES 2015 (FINAL EDITION - DRAFT)
Description° Cost
Blueprints&Reproduction
ALLOWANCE=$200
Demolition(SUBCONTRACTOR)
PO#194.SMS
Dumpster(s)-Standard
ALLOWANCE=$8,000
General Cleaning
ALLOWANCE=$1,000
Insurance
Permits
ALLOWANCE=$5,100.00
Millwork&Corian(VENDOR)
PO#180 Westek
Acoustical Ceiling Tile(SUBCONTRACTOR)
PO#172 BAIRD CEILING
Flooring $79,434.00
Flooring(SUBCONTRACTOR)
PO#176 Mercier Carpet
Keiter Builders, Inc., License#: 102457 1
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150A.
Address of the work: I VGfi�s-Q k)azk
The debris will be transported by: �1 -c l -
The debris will be received by: Id1w ~
Building permit number:
Name of Permit Applicant LZAJ2 As
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
a 1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): r��L( L LAA fj_AV-S f 4,1 C _
Address: �� �'l (n-5
City/State/Zip: l ltl"_4v Q0- Phone #: SW_6 ZS 6
Are you an employer? Check t e appropriate box: Type of project (required):
1. 1 am a employer with 4. ❑ 1 am a general contractor and I
employees (full and/or part- ime).
* have hired the sub-contractors 6. ❑ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working or me in an capacity. employees and have workers'
g � y comp. insurance. 9. E] Building addition
[No workers comp. insurance p
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 1. lumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof reX(�A-CVA�s
insurance re uired. t c. 152, §1(4), and we have no q ] employees.
[No workers' 13. Other comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they 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 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.
IInsurance Company Name: _
Policy#or Self-ins. Lic. #: u IJc,2 4 Expiration Date: 6f1t
Job Site Address: wj( �e City/State/Zip:�SY���14A-4 :)166-o
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 $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.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: rY.d-a Date: S-` t
Phone ck__�,
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#:
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Karla Youngblood on behalf of the Trustees of Smith College
as Owner of the subject property
Keiter Builders, Inc.
hereby authorize <to
act on my behalf, in all matters relative to work authorized by,this building permit application.
D 9,Wly i gned by Karla Y—g loud
Karla Youngblood DN n Karla Youngblood—S-1h College o Fac IRies Management,
05/13/2 0 15
il=kyoungblood @sm th eduUS
Date:2015.0519090428 04'00
Signature of Owner Date
1, 6 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.
SC0�� TV
Print Nam
raj S` � • � ��
SirhatLke of caner/Agent P Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable) ❑
Name of License Holder: `"'�"' C's,_` U
aa-
License Number
3�- AA-4— (��le)-D//4
Address Expiration e
siiv
ure /i_ _ L/ � �,(�ys l.qL Telephone
Il✓l�t(7 r
SECTION 13-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 buildin g permit.
Signed Affidavit Attached Yes No 0
Version 1.7 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 1,16(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
9.2 Registered Professional E ineer(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
Version 1.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
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 0 DON'T KNOW (2�' YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Regist of Deeds?
NO 0 DON'T KNOW YES 0
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
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 0 NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑
Brief Description Enter a brief description here. ��� �Q S C-�
Of Proposed Work: M l S� l�( (�' .
SECTION 5-LSE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 113 ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H Hi h 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 ❑ 513 ❑
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
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 St 1 St
2nd
2nd
3rd 3rd
4`h
4th
Total Area (sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑
C9 1A�r � " ', Version 1.7 Commercial Building Permit May 15,2000
�— Department use only
`E� �,' i of Northampton Status of Permit:
1C MP� ing Department Curb Cut/Driveway Permit
p0 2 Main Street Sewer/Septic Availability
�gctr}c,o\U p'p on, Pplc Room 100 Water/Well Availability
N Northampton, MA 01060 TWO Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans.,
Other Specify
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
.SECTION 1 -SITE INFORMATI ON
N This section to be completed by office
1.1 Prooertv,.Ad
� Map Lot 'Unit
Zone Overlay District
Elm St.District CB District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
The Trustees of Smith College 126 West Street, Northampton 01063
Name(Print) Current Mailing Address:
(413) 585-2374 _
Signature Telephone
2_2 Authorized A en
r�� 6,1(Aj XIV� I "L,C-
Name(Print) Current Mailing Address:
Signature / Telephone
SECTION 3- STIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building I f 8C)C� (a) Building Permit Fee
2. Electrical 2 G C-0 (b)Estimated Total Cost of
I Construction from 6
3. Plumbing Li Building Permit Fee'
4. Mechanical(HVAC) 1(�(�
5. Fire Protection G
6. Total= 0 +2+3+4+5) 3 4 S l ! Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-1153
APPLICANT/CONTACT PERSON SCOTT KEITER
ADDRESS/PHONE 51A HATFIELD ST NORTHAMPTON01060(413)586-8600 Q
PROPERTY LOCATION JORDAN HOUSE- 1 PARADISE
MAP 3 1 A PARCEL 067 001 ZONE EU(100)/URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building_Permit Filled out V .
Fee Paid 4-(0 N
Typeof Construction: MISCELLANEOUS UPGRADES
New Construction
Non Structural interior renovations
Addition to Existing
AccessoU Structure
Buildinp,Plans Included:
Owner/Statement or License 102457
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
Approved Additional permits 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
Demolition 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.
JORDAN HOUSE- 1 PARADISE BP-2015-1153
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A-067 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-2015-1153
Project# JS-2015-002064
Est. Cost: $375880.00
Fee: $100.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: SCOTT KEITER 102457
Lot Size(sq. ft.): Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning:EU(100)/URC(100)/ Applicant: SCOTT KEITER
AT: JORDAN HOUSE - 1 PARADISE
Applicant Address: Phone: Insurance:
5 1 A HATFIELD ST (413) 586-8600 O WC
NORTHAMPTON MAO 1060 ISSUED ON.512112015 0:00:00
TO PERFORM THE FOLLOWING WORK.MISCELLANEOUS UPGRADES -CHASE
REQUIRES INSPECTIONS
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 5/21/2015 0:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
MW