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18C-089 (5)
• ACORD DATE CERTIFICATE OF LIABILITY INSURANCE DATE( 2011 PRODUCER Phone: (413) 781 - 2410 Fax: 413 - 731 - 9539 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURANCE CENTER OF NEW ENGLAND ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1070 SUFFIELD STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 1230 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AGAWAM MA 01001 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Acadia Ins Co Teddy Bear Pools, Inc & TGH Leasing, Inc INSURER B: 41 East St INSURER C: Chicopee MA 01020 INSURER D: INSURER E: COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , NSR ADDY> TYPE OF INSURANCE POLICY NUMBER : POUCY EFFECTIVE " POLICY EXPIRATION LIMITS LTR -1NSRR DA TE VAVA)t3+YY1 DATE BOINDONYI GENERAL LIABILITY CPA 0382188 -10 04/01/11 04/01/12 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES ( RENTED $ 100,000 PREMISES (Ea awrence) CLAIMS MADE X OCCUR MED. EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN%AGGREGATE LIMIT APPLIES PER PRODUCTS- COMPIOP AGG $ 2,000,000 PRO - POLICY Lt' LOC AUTOMOBILE LIABILITY MAA0382191 -10 07/01/11 07/01/12 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WCA 0382194 -10 04101/11 04/01/12 oar uM rS OTHER EMPLOYERS' LIABILITY E L EACH ACCIDENT $ 500,000 A ANY CE ER/X UDEXECUTIVE OffICER /M EMBEOE R EXCLUDED? EL DISEASE - EA EMPLOYEE ! $ 500,000 RIM yes, describe uncle/ SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO WHOM IT MAY CONCERN TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE _. Attention: iam O. Tru� ACORD 25 (2001/08) Certificate # 56769 © ACORD CORPORATION 1988 _ .,+ pun -DING REGULATIONS AND STANDARDS —�,,.n.USETTS STATE BUILDING CODE • SECTION =WOz S' CO#i ATiOlNU UR&NCEAPP EVIT' Ot.G.L. e. i52..$ 25C(6» :1 . Workers Compensation Insurance t must be completed and submitted with this application. Failure to provide this affidavit will result in the denial4►t� issuance of the building permit. Signed Affidavit Attached Yes a No.»... 0 ..SECTIONS 'DESCR1pTIONt OF PRtiPOSEDWdR,1ir{ hacicdt.appllcsbl4:M ' New Construction a Existing Building 0 Repairs) o I Alteration(s) o' Addition a Accessory Bldg. a Demolition D Other o Specify: Brief Description of Proposed Work • • . /YeZ /7f)1/0 sSGTIONi s 1S; .... ATETkCx)N8CTl2IIGiSaNOC)8TT d Item Estimated Cost (Dollars) to be o •completed by permit applicant ''�' �, ,. °: z ;< s aY : t , 1. Building¢ k a Dys � 1 a \ . 2. Electrical s EWesiitectlihtatCaat.oE:: .. 3. Plumbing E .,, : 4vwn *r, ::, `]t� a a' } 4. Mechanical IHVAC) _.. `� 1 1C7es � , 5. Fire Protection ;_ . ,' ' : n_. ' , . .aw' 6. Total - t1 ♦ 2 + 3 + 4 + S) )<'Olteclrfi6 amb ti : ' , * _ - SECSIOS5 W1 tffi[EZiTSOIRIZATlOI/ s'L �CO1 OWFIERS Al262- ' 1t C 1 IZ[d ...... ;.APPLIES t0R. 8D1LDAFfa«P.f!«RiQ 1. . as Owner of the subject property hereby uthortze r)• to act on my be - l • fn to work au by this building permit application I 1 A 4 .. _ - 0 lC Signature of • Date I 'SECTION 7b OWNIERJAIJTSGEIZICD AGOif DECL I. . 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. Print Name / I _ A S i 1 / 3 . • v "of Owner /Agent - Date • 672 780 CMR - Sixth Edition 2/7/97 (Effective 2/28/97) 780 CMR: STATE BOARD OF BUILDING REGULATIONS ANu 0 . — APPENDIX B ' $a The Commonwealth of Massachusetts 46 State Board of Building Regulations and ` Standards FOR MUNICIPALITY USE Massachusetts State Building Code /// 780 CMR • APPLI CATION TO CONSTRUCT. REPAIR. RENOVATE OR DEMOLISH d ONE OR TWO FAMILY DWELLING ", "` x R 'll is Sact Fo 011felat IIse Only ` fi e , . . ... .11.E i, caaaYL i�fii {GI�S�.Sx""`�'.:°.?yi?�.'. .d .'..� C . -h` R :. �/�t/�yy +R t '........iI4, .. ... ... . . r ;44e4-.0.,„c.,•.,,,.,,,,„4: w.3; ". # as ,. .,.r,� p; 4 a a.��p L,,;-,„,.,...,,...:4.w, ; c A ...`«..::: 7eil It C`AO�aii00ernitiPicter. <;; . v ,. » �w,;aRiESf 4 hx. .o i":q .r. . ` IrCTION`L»�.&TE UIRORMATIOIf,,.:,., I 1.1 Property Address: 1.2 Assessors Map & Parcel Number. ,i 61-MSOft ki Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions Zoning District Proposed Use • Lot Area (aft Frontage (ftf 1.6 Building Setbacks (tt) Flout Yard Side Yards Rear Yard Required Provided Required Provided Required Provided / / 1.7 Water Supply (MG.L. c. 40. $ 54) 1.5 Flood Zone Information 1.a Sewage Dispo System Public a Private a Zotre Ou tside flood Zone a Muntdpai o Oa site disposal system 0 CUOI PiLOPilRTT OW lM 7IHORIZEDAGEII1' . 2.1 Owner of Record: Name (Prtntl Address for Servlcn Signature Telephone 2.2 AnthorIzed Agent: Name t( h Address for Service: 1 J Telephone 'SECno* CONSTRUCTION 6ER.9I, r 3.1 Licensed Construction Supervisor. Not Applicable 0 , Licensed Construction Supervisor License Number SupSupervisor Address Expiration Date Stgnattoe Telephone 3.2 . jse Boatp t�atraetor. Not Applicable O cam ( (f J c ,4 v k / / /gg r Expiration to • : „ ex, Signature Telephone 2/7/97 (Effective 2128/97) 780 CMR - Sixth Edition 671 City of Northampton �+ ,, ti Massachusetts 4. ; t w utg g DEPARTMENT OF BUILDING INSPECTIONS • 212 Main Street • Municipal Building �� , Northampton, MA 01060hfr INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and i ' . pections are :de ,t understand the above. H e o !' er /r sident's signatu a requesting exemption) I will c- I to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth of Massachusetts --. Department of Industrial Accidents . Office of Investigations J �;, 60 Washington Street 4. ,,_, Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly e ( Business /Organization/Individual): L ' • L r �� , , _ C.36 S Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): I. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. El New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling have ave ship and have no employees These sub-contractors 8. ❑Demolition working for me in capacity. employees and have workers' g any P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑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 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. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City /State /Zip: 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. /do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: Signature: 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector • 6. Other Contact Person: Phone #: SECTION 8 ' 4 CONSTRUCTION SERVICES w able ❑ 8.1 Licensed Construction Supervisor: N ot Applic ' Name of License Holder License Number Address Expiration Date Signature Telephone Ret tstered loan« lmprovemeri onttactor,. .r-> Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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 ❑ No ❑ ® 1' 11 a ca . I31p 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 "homeowne certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, S : and L • cal Zoning A w State o assachusetts General Laws Annotated, N. Homeowner Signature Ail / � L _ � � -di I .. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) t. . r New House ❑ Addition El Replacement Windows Alteration(s) n Roofing n Or Doors ❑ Accessory Bldg. Demolition n New Signs [O] Decks (p Siding [10] Other [DI Brief Description of Proposed //'' t r) j 1 y Q' Work: k ' L? (� 4 �" ] ( O Alteration of existing bedroom Yes /No Adding new bedroom Yes 1.7 Attached Narrative Renovating unfinished basement Yes /7 Plans Attached Roll - Sheet saw! :e ;fieiise and or addit on_ #o existinpc , ouslnct;= complete; he,foilowrnct: 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 n re t j, ; ( - (fl C_- /J( IPC , as Owner of the subject property �, J her by authorize 1 . e..41.4.- .-- co 15 to , on m behalf, ' all m. e -tive to work authorized by this building permit application. ign • ure of 'J er Date 1, �rl ctr?). ( c C - ( G1 J 1 t P , 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. ri�: me i.:.-A-' e ...Zoog 1 1 .40/ 141 Signat re of 01 er1Ag nt Date • Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Inco s e e n e ' *.t ,;. "'. "„ , k ! $ ;. 4 " Z Existing Proposed Required .y,' "� " This col •. to • - lied in by Building D .. n - nt fra t w. ; !i • Lot Size 1 ? t Frontage . Setbacks Front t , I Side L: R:. R : 3 : 7 x r Rear Building Height I I z 1 i Bldg. Square Footage i I "" % t s Open Space Footage (Lot area minus bldg & paved , l i I 1 parking) # of Parking Spaces Fill: i' 1 1 (volume & Location) # I A. Has a Special Permit /Variance /Finding ever been issued for /on the site? A NO 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 t► DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? - Needs to be obtained Obtained 0 , Date Issued: , C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: 1 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO r IF YES, describe size, type and location: 1 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 4 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. V it � 4 D epa a . eAit use'O I , r . , �; ,. City of Northampton Status • lie it RECEIV D Building Department u G �` Dnvewa P -mid- 4 �, 212 Main Street a er e� i Ava taa I � . . = � Ain - 1101 Room 100 Wa el ailabrl ty rthampton, MA 01060 T w- e ` er T' tyt at an � e a ., 41 587 -1240 Fax 413 -587 -1272 P w r s oth p up 66 fe a n4 , : F e c r W , t.,, �a as • .�#'� #.,'� � . `fir -" -. ws�.2.�c � ��. .. a� A - LTER, REPAIR, APPLICATION TO CONSTRUCT, A RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1` SITE INFORM This section to be. completed by offic ` , 1.1 Property Address: x� 1 , r C.l i j ,,�,.yy 1a ' *;�. ; °�r ; Lot * x x,, `,' ;1 ,,; „' rs. -. . .'CrN, 4 Rclr �Irlt a ,Z-a na ::. .x �t " „, , ' '*,,W a Overla I, IStrlCt : ti r : : Elm St . Di strict= ... , r � ' CS Di s tr ict � v. SECTION - .PRO PERTY OWNERSHIP /AUTHORIZED AGENT ' 2.1 Owner of Record: t q re' rer `S , V i c a c. /� r` .�'g Cc, LQ s nn i G- am Print) Current Mailing Address: /� C A1..- T e l ep h one n ( � p (� Sig�iat�re � �.3 ,,,,s— d' d ' � G �c�' 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building f- r� e 000` et) (a }B F ee 2. Electrical p� (b) Estimated : Cost o C Total from (6) 3. Plumbing Budding Permit F e e 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5} Check Number'` This Section For Official Use Only Building Permit Number r _ Isste Issued: Signature Building Commissioner /inspector of Buildings Date • 4 e t File # BP -2012 -0127 APPLICANT /CONTACT PERSON MCNAIR THOMAS P ADDRESS /PHONE NORTHAMPTON (413) 586 -8926 0 PROPERTY LOCATION 58 GLEASON RD MAP 18C PARCEL 089 001 ZONE URB(100)1 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out L-:? 0 Fee Paid Typeof Construction: CONSTRUCT 14 X 28 INGROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE F 9kLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I ATION 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 f i tr l'ela /w_ L„. ., ' I/ ''' Y 1 /7 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. . i • 58 GLEASON RD BP -2012 -0127 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C - 089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Inground Pool BUILDING PERMIT Permit # BP- 2012 -0127 Project # JS- 2012- 000185 Est. Cost: $28000.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 12763.08 Owner: MCNAIR THOMAS P Zoning: URB(100)/ Applicant: MCNAIR THOMAS P AT: 58 GLEASON RD Applicant Address: Phone: Insurance: (413) 586 -8926 () NORTHAMPTONMA01060 ISSUED ON:8/4/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 14 X 28 INGROUND POOL 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 8/4/2011 0:00:00 $60.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner