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42-164 (3) PARTWJMMG CONrnncm Licensed&Insured L• www.Americanlnstallations.com MACSLA106178 American Installations MA Registration#175981 -Efficient Home Services- 341 Newton Street,South Hadley,MA 01075 • office:(413)552-0200 Fax:(413)552-0202 • Email:support @Americaninstallations.com AIR SEALING CONTRACT James Fahey 832 Westhampton Rd Apt I Northampton MA 01062-9797 Site 1D:5000501.33502 Project ID:P00050152219 Customer ID:C00050134574 Contract 1D:20151 123 ASEAL Description Quantity Location Perform AirSealinngpat Estimated 62.5 CFM50 Per Hair 4 L)v n SpaceM $337 28 a.__q m._ R � .. Exterior Dope Weather Siri 1 NIA $27.55 Door Sweep 1 WA $23.18 _. Sub Total: $38$.05 Utility incentive Share $368.05 Customer contribution $0.00 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALUE=$0.00 are satisfactory and are hereby accepted. You are authorized to do work as specified.Payment will be 1/3 down prior to start of work,and balance due Down Payment=$0.00 PAIDAI upon Completion. /� Balance Due Upon Completion=$0.00 we 9-4 f/, 11/23/2015 Signature Date Property Owner(Print) Fahey,James (Sign) �j Date Representative:(Print) Craig A. Dragovich (Sign) /� Date 11/23/2015 THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED.THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS, LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMER(S)NAMED ABOVE,HEREINAFTER REFERRED TO AS"CLIENT",AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. yl••r0Y PARTKVATOO counumm Licensed&Insured www.Americaninstallations.com MA C5L#:106178 American Installations MA Registration#175982 -Efficient Home Services- 341 Newton Street,South Hadley,MA 01075 • Office:(413)552-0200 Fax:(413)552-0202 • Email:support @Americaninstallations.com WEATHERIZATION CONTRACT James Fahey 832 Westhampton Rd Apt I Northampton,MA 01062-1797 Site ID:S00050133502 Project ID:P000501 522 1 9 Customer ID:000050134574 Contract ID:20151123 WORK Description Quantity Location Attic Floor Cipen Blow Cellulose 5" 360 Living Space $504.00 Propavent 2'or 4" 45 Attio $172 35 w�....w _._ _.. --- . ee ®®�x�� �� -, Vent bath fan to soffit exhaust 1 a., Attic® r_ $125.93 Damming._ _ _ _ . _._ 65 _NIA _ e� ..... ._, $142,35 Hatch:Thsrmel Barrier f'olyiso 2 inch Attic 1 LiviIn Space $41.71 e _. _ . ... W.m ,.v "._ r , _.. ��.._.,....,� Sub Total: $518634 Utility incentive Share $739.76 Customer Contribution $246.58 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALUE=$ 248.58 are satisfactory and are hereby accepted. You are authorized to do work as specified.Payment will be 1/3 down prior to start of work,and balance due Down Payment=$ 82.00 PAID 11/23/2015 upon Completion. ?A4Balance Due Upon Completion=$ 166.58 Signature � J Date 11/23/2015 Property Owner(Print) Fahey,James (Sign) Date Representative:(Print) Craig A.Draeovich (Sign) Date 11/23/2015 THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED.THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS, LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMER(S)NAMED ABOVE,HEREINAFTER REFERRED TO AS"CLIENT",AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. Massachusetts -Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(99 IM)of Conlitruciior, 1..._�.i �iiiier"viii�r ..r�� Gi1t.IVJGIt Jl/aw. License: CS-106178 t-ITS WESLEY COUTUE 166 NORTH MA I 1i S IF South Hadley MAr Ol Failure to possess a current edition of the Massachusetts ` ' >ri4r�a State Building Code is cause for revocation of this license. ,1Z,,,,�i Expiration Commissioner 09/2912017 For DPS Licensing information visit: www.Mass.Gov/DPS al Office of Consumer Affairs and Busi- ss R.ec-lation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 6/27/2017 Tr# 265208 AMERICAN INSTALLATIONS, LLC. _ WESLEY COUTURE 130 COLLEGE STREET SUITE 100 SOUTH HADLEY, MA 01075 - — Update Address and return card.Mark reason for change. scni Co 2onn-osi» L Address Renewal D Employment Lost Card r'%�ie`�rnt�ncrrtriwcrll�r��r'!-'I�a.I�n��u,:�//3 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only (AOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ( egistration: 175982 Type: Office of Consumer Affairs and Business Regulation 6/2712017- LLC 10 Park Plaza-Suite 5170 r{ Boston,MA 02116 AMERICAN INSTALLAVONS,LLC. WESLEY COUTURE 130 COLLEGE STREET SUITE 100 _ SOUTH HADLEY,MA 01075 Undersecretary N valid without signature ACCORV® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYI() 9J4/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME-CT Linda Powers Webber & Grinnell PHONE (413)586-0111 1 AAC No:(413)586-6481 8 North King Street E-MAIL INSURERS AFFORDING COVERAGE NAIC ati Northampton MA 01060 INSURER AEm to ers Mutual Casualty INSURED INSURER B AmGl3ARD/BH GUARD American Installations, LLC INSURER C: Attn: Wes & Suzanne Couture INSURER D: 130 College Street Suite 100 INSURER E: South Hadley MA 01075 1 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 9-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY NUMBER MMIUDDr EFF MPMM1DDr YY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE $ 50,000 A X CLAIMS-MADE OCCUR PREMISES Ea occurrence 5D3535216 9/4/2015 9/4/2016 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO LOC PRODUCTS-COMPIOPAGG S 2,000,000 X �JECT $ OTHER: AUTOMOBILE LIABILITY Ea(Ea SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS X AUTOS 523535216 9/4/2015 9/4/2016 BODILY INJURY(Par accident) $ _ _ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Peraccrdenl PIP-Basic $ 8,000 IDED UMBRELLA LIAS OCCUR EACH OCCURRENCE $ 11000,000 A EXCESSLIAB CLAIMS-MADE AGGREGATE $ 1,000 000 X RETENTIONS 10 000 �SJ3535216 9/4/2015 9/4/2016 S WORKERS COMPENSATION PER ERH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? URWC609917 9/4/2015 9/4/2016 E.L DISEASE-EA EMPLOYE $ 500,000 (Mandatory in NH)If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB I$ 500,000 A Commercial Property SA3535216 9/4/2015 9/4/2016 deductible$1,000 20,000 deductible$1,000 40,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Proof of Coverage. Workers' Compensation policy includes class code 5474 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kevin Joyce/LMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(2nunii 4&A The Commonwealth ofMassachusetas rg Department oflndustrialAccidents Office of Inyestigations 600 Washington Street Boston,Mass 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electriciaiis/Plumbers Applicant Information Please Print Legibly lZ Name(Business'/O�r-g-a�nizationllgdividual):_mP{'i;['Ar �n S'�'a��1 1l dns LU Address:3_o HY9GO 5 : City/State/Zip: &Uju r 41L £?,,/ A 61615 Phone#: y0-�%6?- ()r'160 k- AM you an employer?Check th a appropriate box: Type of project(required): LAI am an employer with a` 4.()1 am a general contractor and I 6.D New construction employees(full and/or part time).* have hired the sub-contractors 7.D Remodeling 2.01 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8.0 Demolition working for me in any capacity. employees and have workers' 9.0 Building addition [No workers'comp.insurance comp.insurance.$ required] 5.0We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself[No workers'comp. right of exemption perm MGL insurance required]t c.152,§1(4),and we have no 12.0 Roof repairs employees.[no workers' comp.insurance required.] 13. Otheru�p-kt° — *Any applicant that checks box 61 must also fill out the section belowshowing theirworkers'compensation policy information. tHomeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new aftidavitindicating 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 empiogees,they must provlde their workers'com&policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name:_ �`�t a r _ _- Policy#or Self-ins.Lic.#: (/t Qw C to oqq n Expiration Date:_ Job Site Address: S'N 2 K)¢,wJ— T t60.�. City/State/Zip: Q c once MA O 1 O o 2 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 die pains andpenaldes ofperjury that the information provided above is true and correct. Si nature: Date: JJU Pr1n1Name-rN'(lMnnn 0 Phone#- Official use only Do not write in this area to be completed by city or town official City or Town: Permitllicense#: Issuing Authority(circle one): i.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:_ Wesley K Couture 106178 License Number 130 College St., Ste 100 South Hadley, MA 01075 9129117 Address W, i r� Expiration Date �l�/OA I— 413-552-0200 Signature Telephone 9.Regis4ered Home fmprovemerit Contractors Not Applicable O Wesley Couture 175982 Company Name Registration Number American Installations 6127117 Address Expiration Date 130 College St., Ste 100 South Hadley,MA 01075 Telephone 413-552-0200 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....... IN No...... ❑ 11. 1-Home Uwner Exempt oh 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 1083.5.1. 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 hermit. 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 O Accessory Bldg. ❑ Demolition ❑ New Signs Ip) Decks [Q Siding[p] Other[A Insulation Brief Description of Proposed Work: Attic and basement insulation and air sealing throughout 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 1c)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. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1. ,as Owner of the subject property hereby authorize American Installations to act on my behalf,in all matters relative to work authorized by this building permit application. See attached 1/22/16 Signature of Owner Date I, American Installations ,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. American Installations Print Name American Installations 1/22/16 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-C--.1 R:= L•= R.= Rear f --� Building Height Bldg.Square Footage �--� 1 Open Space Footage L J (Lot area minus bldg&paved parking) #of Parking Spaces C Fill: _-- (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES Q IF YES, date issued:l IF YES: Was the permit recorded at the Registry of Deeds? NO O Dow KNOW O YES 0 IF YES: enter Book Page and/or Document It L ! B. Does the site contain a brook, body of water or wetlands? NO Q Dow KNOW O YES O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO Q IF YES, describe size, type and location: i D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. R ,' Department use only � ' City of Northampton Status of Permit: 2 6 uilding Department curb cut/Dnveway Permit ,A 212 Main Street Sewer/S,eptic Availability. Room 100 VNater1We11 Mailabjhty "�'"spt�noris MA 01060 wo Sets of SUvaturai Plans NCR Nw01060 hampton, T But phone 413-587-1240 Fax 413-587-1272 Plotlslte 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 Map Lot Unit. 832 Westhampton Road Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: James Fahey 832 Westhampton Road Florence,MA 01062 Name(Print) Current Mailing Address: (413) 919-5309 See attached feleplione Signature 2.2 Authorized Agent: American Installations 130 College St., Ste 100 South Hadley,MA 01075 Name(Print) Current Mailing Address: American Installations 413-552-0200 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 1400.00 (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) 1400.00 Check Number This Section For Official Use Only Date Building Permit Number. IIssued: Signature: Building Commissionerlinspector of Buildings Date File#BP-2016-0946 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY01075 (413)552-0200 PROPERTY LOCATION 832 WESTHAMPTON RD MAP 42 PARCEL 164 001 ZONE 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: INSTALL ATTIC&BASEMENT INSULATION New Construction Non Structural interior renovations Addition to Existing Accessoa Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFqRMATION 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. 832 WESTHAMPTON RD BP-2016-0946 GIs#: COMMONWEALTH OF MASSACHUSETTS MapBlock:42- 164 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2016-0946 Project# JS-2016-001602 Est. Cost: $1400.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq ft.): 21039.48 Owner: FAHEY JAMES Zoniny,: Applicant: AMERICAN INSTALLATIONS LLC AT. 832 WESTHAMPTON RD Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON:112712016 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ATTIC & BASEMENT INSULATION 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 1/27/2016 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner