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38C-013 'Massachusetts - Department of Public Safct■ 1 Board of BuiWin! Rc2ltlation% and Standards 0 104, Construction Supervisor License License: CS 17276 , ROBERT T BARTLETT JR PO BOX 327 ilk 010 N HATFIELD, MA 01066 -- --�� Expiration: 10/27/2013 ( 4 )nu1ii•∎ilIner Tr#: 4408 isok ti N..r RIN- 16x2011 1233 FINCK & PER(AS :NS 1 413 527 5970 P.01/01 - — �- - . - •im• • n •vP' II. Paw v• •..•r74w• • • ••swvrv I UV/LO /LULL P*ODUC! (413) 527 -5520 FAX (413) 527 -5970 THIS CERTJICATE IS HSHUED AS A MATTER OF INFORMATION Fi nck & Perris Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CITE DOES NOT AMEND, EXTEND OR 6 Canpas Lane R « em u • - * OW. Easthampton, NA 01027 INSURERS AFFORDING COVERAGE NAIC # 0.14 'llom Hampshire Construction Co Inc & I IIERA General Casualty 24414 Evergreen Corporation INSURER B: Hatfield Equipment nt Co, Inc ROURER Box 327 tuSURER North Hatfield, MA 01066 -0327 INSsRERE: COVERAGES THE POLICES 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 00QAIENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED SY THE POLICIES DIED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. • Pt ' ' TYPE 1l1SORANCE POLICY NIJI�ER ' POLICY EPPECTIIfE POW( Expsu TIOM, WARS �I now Irn : 1iaTEINIM IfYt GENERAL LIABILITY CCIO396222 : 07/01/2010 07/0112011 EACH OCCURRENCE s 1,000,000 11 couusnom. GENC{W.EMBILIIY PPAWIE TO R E „D,, I s 100,000 cxA &SHADE I_,JOCCUR mal. F3sPWyare 5 5,000 A • PessceatLaiw wRArl s 1,000,000 mew $ 2,000,000 WIL AGGREGATE umnAPPLESPet PRODUCrs- COINFIoP $ 2,000,000 Pout= f j n LOC At/TOMOBREUADRITY CBA0396222 04/01/2011 ' 04/01/2012 a yam m smosumm AlerARO (Ea c i dent) 1,000,000 WAWA. = AUTO$ Y A Li sr.N�oIREDAUTOS (Pet paw) El HiREO AUTOS (�3 : BOORT INJURY © a AUTos ■ PROPLRTYDAFUIGE $ GAMIN LIABILITY AUTO ONLY-EA ACCIDENT O III $ ANYAUTO OTHER THAN fJt S AUTOWAY: *SG S EXCESSAAreUauuARcl:Y CCUO396222 07/01/2010 07/01/2011 e+uasoccURRENce s 1,000,000 ■ OCCUR [� CLAIMS WOE INSUREOATE s 1,000,000 A $ osaUCTII.E S REYBNIKIN 5 5 WORKERS COmPERSAT10NAmp C W 0 3 9 6 2 2 2 0 4 / 2 9 / 2 0 1 1 0 4 / 2 9 / 2 0 1 2 1 r" 1 X rr A ANT FROPRETOMIRTNEIVEXECuTAFE EL EALNA r $ 500,000 OFFICERMENLEREACLuordn EL. OCEASE -EAEMPLOYEE * 500, s cua Et. D SE- POICYUMIT $ 500,000 OTHER • OESCRINIOI OF OPERATIONS /LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY EIWORSHII9ITISI+€QAL DOE ami of Northamppton► as Additional Insured ATIRA CCRTUF$CATE HOLDER CANCELLATION =MO ANY OF THE PAM nemesia PONp6 OE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF, TM MUM INSURER WILL ENDEAVOR TO UAL City of Northampton _tan WRITTEN NOTICE TOTNE cERTiROATE HOU=RANED Attn: Anne RuTFAM. UIETO NAIL UCH HOME SNAti FARM no OBEICATI7NORIJAARITY 125 Locust Street of my 10No UPON THE INSURER fly* $NTS OR REPRESENTATIVES. 0 00 4 Northampton, MA 01060 AUT/IORI= REPREBdtTAlNE L _ ACORD 25 (2091J00) FAX: (413) 517 -1576 @ACORD CORPORATION 1988 TOTAL P.01 wr Z2 Z i72s • V$ odic do • 59 t�'W /lvoLdWV11Lziopt ° is � - 5 S� .7vivI27zi WQI' S31 . The Commonwealth of Massachusetts Department of Industrial Accidents ' R . "-' Office o Invest e 1 447 - _ ` 600 Washington Street ..... s ` Boston, NIA 02111 www.massgov /dig Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/PIumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): Evergreen Corporation Address: 327 West Streit City /State /Zip: North Hatfield MA 01066 phone #: (413) 247 -9505 Are you an employer? Check the appropriate ox: Type of project (required): 1. 0 I am a employer with 4. I am a general contractor and I have hired the sub - contractors. 6. ❑ New construction employees (full and/or part- time).* listed on the attached sheet. ? 7. ❑ Remodeling 2.0 I am a sole proprietor - or partner- _ 0E4? h b =su- contractors have ship and have no employees These 8. Demolition working for me in any capacity. employees and have workers' g Y P tY $ 9. Building addition [No workers' comp. insurance ` co nip. insurance. _ required.] . 5. ❑ We are a corporation and its 10, ❑ Electrical repairs or additions d their i have ave exercseeir 11. Plumbing repairs or additions J. ❑ I am a homeowner doing all work ❑ myself. [No workers' com right of exemption per MGL y [N comp. 12.0 Roof repairs insurance required.] t - c 152,.§44) and we have no 13. ❑ Other employees. [No workers comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy offill t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new 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. General Casualty Insurance Company Name: Policy # or Self-ins. Lic. #: CWCO 3962222 Exp Date: 04/29/2012 Job Site Address: f5Ef167 /./4M TDA/- - - e4,4 = = -- - _ City /State /Zip://a7/4i 1/7i !lf�- - /D4Q - - - - 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 ofMGL 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 5250.00 against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o' th ='DIA for insurance coverage verification. I do hereby c= under t e` , ains and penalties of perjury that the information provided above is true and correct Si•lature: r. i ∎IAA 1. Date: ► are' v ti Phone #: f; ' 247 4160 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 #: d' • The Commonwealth ofMassachusetts Department of Industrial Accidents , E' Office of Investiaations a . ,,, . „ , _ 600 Washington Street _ • .mac— Boston, , MA 02111. - www.mass.g6v/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Nan1e (Business/Organization/Individual): J 6. "4/)70 / - YYLi /J &-t Address: 15 E.467744/141 40A City /State zip:A l0E7N4A/P7DA/ 0/040 Phone #:_7 ' di • 2232 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part- time).* have hired the sub - contractors 2_0 _ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8 4Demolition working for me in any capacity. employees and have workers' g Y P tY 9. ❑ Building addition . [No workers" comp: insurance" co �` ursurance. t _ r required.] 10. 5. ❑ We are a corporation and its ❑ Electrical repairs or additions officers have exercised their 11. 3. El I am a homeowner doing ffi h i hi . all work ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] -t -- c 152,§ 1(4), and we have no 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. 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. Insurance Company Name: j h ei.-- }4 v Z- Policy # or Self -ins. Lic. #: WC2' 3/5 - 3(.9(vCo 32 --0/0 Expiration Date: 7 -/ S -20/z Job Site Address: EA57 < /Ah/P7D41_4P_D4t7_ _ . _ -- City /State /Zip:Mae7//441P7M .40 eya&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. I do hereby certi undhepains and penalties ofperjury that the information provided above is true and correct. t Date: Cr - * GC 0 e ..., . qa Phone #: q/ - SS il l'c 3 '4 Official use only. Do not write in this area, to be completed by city or town officiaL ----- — Ci - ty 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 iI Contact Person: Phone #: Version1,7 Commercial Building Permit May 15, 2000 I SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) w ndependent Structural Engineering Structural Peer Review Required • Yes 0 No 0 . SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED:: WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING:! PERMIT I, as Owner of the subject property hereby authorize I . to act on my behalf, in all matters relative to work authorized by this building permit application. ___ I Signature of Owner Date .4 r ;CL , over A ^ i I, .. _. .._ _.. f c, ___._._ ____ ___.. , 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 nder the pains and penalties q_faerjury. ;l t 4l,.:� i t o Print Name _ K V gnature of Owner /Agent Date 260 6Ep7 SECTION 12 - CONSTR lus S R ES 10.1 Licensed Construction Supervisor. Not Applicable ❑ _ Name of License Holder . ,� 6 . . ` E . ....,� e L 7T , .. ,_.,_ t ,_ O 7 Z - 7o- - _ . ._.._ ._.. s _ MMµ License Number b ! �Dx 32'�NO. Jf7�' /ELF iGll1'S�j 01 /D' '_0 / ...__... Add/ 1 A iJ 1/3.47.2_15057.-_-_____ _ _ Expiration Date i I i Si. nature Telephone SECTION 13 WORKERS`, COMPENSATION INSURANCE AFFIDAVIT (M GL. 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 •uilding permit. Signed Affidavit Attached Yes r No Building materials (pressure treated columns, horizontal wall secondary framing lumber and steel panels from roof and walls) will be recycled to construct an on site fence along the north property line (rail trail). The building materials which cannot be recycled (roof trusses, damaged framing lumber) will be deposited into dumpsters supplied and hauled for off site disposal by BNB Waste Services. • Versionh? Commercial Building Permit May 15, 2000 8.. NORTHAMPTON:ZONING • Existing Proposed Required by Zoning This column to filled in by Building Department Lot Size _ : q �3 ?' -�f _ _ __ _ __._ _ • Frontage _., _;i,?_ r . _ _ .._ ' _ ._._ . . _ . _•� .. Setbacks Front -- 0 t 1 ! i _ Side L ; s R: L f R., s. 4 Rear Building Height 2- i Bldg. Square Footage g3 1 }T. / . / % _-_._., Open Space Footage 4`_ 9 %o . _.. KF+ - (Lot area minus bldg & paved . P parking) t # of Parking Spaces -- Fill: --"' t:;)�._.,._ a �.. _.�_..�..,_.....� - is (volume & Location) ---- °--•— - --- ------------ A. Has a pecial Permit /Variance /Finding ever been issued for /on the site? • NO fi DONT KNOW 0 - ` YES 0 IF•.YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 _ _ IF YES: enter Book ! Page and /or Document # ± B. Does the site contain a brook, body of water or wetlands? NO 4 DONT KNOW 0 YES 0 IF YES, has a- per -mit: been --or -need tobe- obtained from the - Conservation _Commission? _ Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 1, NO 0 IF YES, describe size, type and location yp 1s w.. .4i/1fEl? fltttlQ e x/ ._ FitlIE OF 15014.4?/..14.1 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, ex•-vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 1 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 1 Versionl.7 Commercial Building Permit May 15, 2000 . SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -.FOR BUILDINGS- AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO; 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF EN„('LOSED SPACE) 9.1 Registered Architect: _ : _. Not Applicable 0 __..._....._ Name (Registrant): z _ ___ Registration Number Address _ _.. . Expiratiof.Date `" Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility I Address Registration Number _ Signature Telephone Expiration Date i _ I Name Area of Responsibility Address _ Registration Number - -_ - - ... 3 - .. .. ____ Signature Telephone Expiration Date Name Area of Responsibility F 1 Address Registration Number . i Signature Telephone Expiration Date Name - - — Area of Responsibility P_Q- i 3o 3 Z� , "1o 7F/ELJ7, M4 0/Mob `O[ 727& Addre ss . Registration Number Signature Telephone Expiration Date 9.3 General Contractor r... ,,. ���E�l �� _._.. i Not Applicable Company Name: —. --- / sld O OF EX /ST //f ci .._..__ .S X 57' z"...i '' 01/41_100' � -42 — .__. _' 1;;?4 4c.2 t7 J'v„ Li Responsible In Charge of Construction - .._ 1 . �` _ _. _._' . __ ___._.. _ ___ — if >a /Z4;=D 7///el? % Adi Signatu \oixi....\____.......„., �_.. _.. _, Telephone ..__ • l r 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 lil Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ;❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description !Enter a brief description here. 05/140/-/-770A1 OF E X/ 57/A16 14161416°/;? ✓OD 1-74446- 8 Of Proposed Work: 7 4(i t3C1 /L;o/NCB p/4444(1577. /8y In/YN7�R 2v // � A/o W r SECTION 5 USE GROUP AND CONSTRUCTION TYPE" USE GROUP (Check as applicable) ' CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A ❑ A-4 ❑ A -5 ❑ 1B B Business ❑ 2A ❑ E Educational ❑ 2B r ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H -High Hazard ❑ =- — - _. -- - -- —_ 3A ❑ _ Institutional ❑ 1 -1 ❑ 1 -2 ❑ I -3 ❑ . 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ - R -1 ❑ R -2 ❑ R -3 ❑ 5A I ❑ S Storage ❑ S -1 S -2 ❑ 5B U Utility ❑ Specify: '""'���_ _ M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETETHIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONSAND /OR CHANGE IN USE Existing Use p: _... _____. _ ___.__.._..W, _ — [Proposed Us oup: - -i trig Hazard Index 780 CMR 34): osed Hazard Index 780 CMR 34): _ ___. SECTION 6 BUILDING HEIGHT AND AREA ''' OFFICE- USE_ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor (sf) , / /0, 4Z -�" xC - lo : , 1 st - 1st .. _14 'SE € 2nd 2nd __ _ __._ _ ____ __ _ '111---- _ 2 3ro _ - -, 4th £ 3rd 4t' - Total Area (sf) '�4 !-, Total Proposed New Construction (sf) Total Height (ft) (22 Total Height ft__ 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public.t' Private ❑ Zone `_ _ _____, ` Outside Flood Zonee°""'Municipal ❑ On site disposal syste i 1 R imeel. 1 Versionl.7 Commercial Buildin_• Permit Ma , 2000 e1s1y] vI y3.a s 4 Ci of Northampton V �� " gip Z 3 11 Bui sing Depa rtment • � z it � , s> x 2 Main Street ',• e 0� ' ,.; Room 100 OF BUILDING INSPECTIONS - 1- mpton, MA 01060 '; a - a o :‘ phone 413- 587 -1240 Fax 413- 587 -1272 t P es W APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, O ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION- 1.1 Property Address: This section to be completed by office g5 -4 37N44 7 4 Map O Lot 0/ 3 Unit ©s� Zo ne , . V 3 , Overlay Dist rict Elm St. District' CB District SECTION 2 - PROPERTY OINNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: SE 4gtE ___. 2 ERL7Y . 7006T 5� E 467/44/1�1/'7DI� , 1 M� Pa4G) / l2 loU Name (Print) Current Curt Mailin Address: _ 2.2 Author Aq 1 t Telephone Signature Ir ` ; " rieEr 01.)61 0A-1 1 85 ELF x74,441 J7aA G14U __O/Dlo 42, . , .. Name (Pant) Current Mailinj Address: - ________.,/ __a..-__.._... -__.r \ ; 3_,1,51,i4 , 2 g_32-__ Signature Di 4 i Telephone SECTION 3` ' � \ ATEb CO" STRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant - 1. Building (a) Building Permit Fee 2. Electrical __ ' ---1 (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) Check Number • • • ' t►r This Section For Official Use Only 0," Building Permit Number Date . Issued Signature: Building Commissioner /Inspector. of Buildings Date • . . . File # BP- 2012 -0295 0 0111--- C. N APPLICANT /CONTACT PERSON SEARLE REALTY TRUST ADDRESS/PHONE 85 EASTHAMPTON RD FLORENCE (413) 584 -2832 O PROPERTY LOCATION 85 EASTHAMPTON RD MAP 38C PARCEL 013 001 ZONE GI(95) /SC(5)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid ,)',0 Typeof Construction: DEMOLISH STORAGE BUILDING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan T E FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I FORMATION 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 Perrit 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 , 12 ., S 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. . . 85 EASTHAMPTON RD BP- 2012 -0295 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38C - 013 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit # BP- 2012 -0295 Project # JS- 2012- 000343 Est. Cost: Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT T BARTLETT JR 17276 Lot Size(sq. ft.): 335412.00 Owner: SEARLE REALTY TRUST Zoning: GI(95) /SC(5)/ Applicant: SEARLE REALTY TRUST AT: 85 EASTHAMPTON RD Applicant Address: Phone: Insurance: 85 EASTHAMPTON RD (413) 584 -2832 () WC FLORENCEMA01062 ISSUED ON:9/28/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMOLISH STORAGE BUILDING 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 9/28/2011 0:00:00 $200.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner