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Oct 31 02 01:47p DPW _ r „ 4135871576 p.
l
,,,,_)
0c, , 1L Permit No. D22 -03 ,i,
,_,..,
_, . N tki5pEC1!ONIS
"PI t}I B�1 tC `G C C50
tioRIR i� r . 0 ' AMPTON, MA
DRIVEWAY PERMIT
Date: 10 -25 -02
FEE: $25 -00 CHECK tl:
5351
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petitions your honorable body for
Permission to install a driveway at 193 Cardinal Way Lot #12
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All
drainage shall be directed off the driveway surface to adjacent land and not on the existing
roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or
more.
By.,
David Le ne
262 East Street, Easthampton,. MA 01027
Telephone #: .s----07- 3575--
Proposed Location ,l
Inspected By: /i /6 `.-51 dot_...
Gravel Base Grade
Inspected By:
Final Approval
THE BOARD OF PUBLIC WORKS voted that petition be granted.
George Andrikidis
Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
cc: Building Inspector
•
•
MUNICIPAL SEWER AVAILABILITY
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
587 -1570
Location: 193 Cardinal Way Lot it 12
Inquiry Made By: David Lepine 527 -3975
Date of Inquiry: 10 -25 -02
Municipal Sewer Main in Front of Location: Yes g No
Size of Sewer Main: 2" Material: PVC Age: 2002
Depth of Sewer Main: 5
Size of Service Connection: 1 -$ PVC
Comments: The City of Northampton has not accepted responsibility for the
maintenance of the sewer main and service connections as of this date of
inquiry_
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal
sewer system. Arrangements of such installation shall be made with the Northampton Streets
Department with a minimum of 5 working days notification. All work shall conform to Northampton
Streets Department specifications.
Joseph Thomas, Superintendent
Streets Department
cc: Ned Huntley, Asst. ('itv Engineer
,Anthtmv Patillo, Building Inspector
1\1UNICIPAL WATER AVAILABILITY
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587 -1098
Location: 193 Cardinal Way Lot # 12
Inquiry Made By: David Lepine 527 -3975
Date of Inquiry: 10 -25 -02
Municipal Water Main in Front of Location: Yes x No
Size of Water Main: 12" Material: DI Age: 2002
Approximate Street Pressure: 72 PST
Size of Service Connection: 1" copper
Continents: The Water Department cannot guarantee adequate water pressure during peak
demand times at elevations above 320 feet. The City of Northampton has not accepted
responsibility for the maintenance of the water main and service connections as
of this date of inquiry.
A corresponding "water entrance fee" shall be paid prior to making any connection to the
municipal water system. Arrangements of such installation shall be made with the Northampton
Water Department with a minimum of 5 working days notification. All work shall conform to
Northampton Water Department specifications.
Charles Borowski,
Superintendent of Water
cc: Ned lluntley, Asst. ('its l ii inert
•
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non - Circulating Runouts Circulating Mains and Runouts
Temperature ( F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170 -180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100 -130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range (F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure /Temperature 201 -250 1.0 1.5 1.5 2.0
Low Temperature 120 -200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40 -55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
•
•
[ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors.
Materials Identification:
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R- values and glazing U- values must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ] Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
[ ] All accessible joints, seams, and connections of supply and return ductwork located outside
conditioned space, including stud bays or joist cavities /spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the manufacturer's installation
instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
[ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as
specified in Sections 780CMR 1310 and J4.4.
Circulating Hot Water Systems:
j ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on /off heater switch and require a cover unless over 20%
of the heating energy is from non - depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 120 ° F or chilled fluids below 55 ° F must be insulated to the
levels in Table 2.
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
DATE: 10/23/02
TITLE: Lot 12 Cardnal Way
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity + R -38.0 continuous insulation
Comments:
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R -19.0 cavity + R -19.0 continuous insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frame, Double Pane with Low -E, U- factor: 0.350
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[ ] 1. Door 1: Solid, U- factor: 0.350
Comments:
Floors:
[ ] 1. Floor 1: All -Wood Joist /Truss, Over Unconditioned Space,
R -19.0 cavity + R -19.0 continuous insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Boiler 1: , 80 AFUE or higher
Make and Model Number 15 o c% j G
[ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher
Make and Model Number ecA
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] When installed in the building envelope, recessed lighting fixtures
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture
and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944
L /s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.57 Ibs /ft2 pressure difference and shall be labeled.
Vapor Retarder:
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la Checked By/Date
TITLE: Lot 12 Cardnal Way
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 10/23/02
DATE OF PLANS: 10 -23 -02
PROJECT INFORMATION:
Plantion At West Farms
COMPANY INFORMATION:
Dave Lepine Building Contractor
COMPLIANCE: Passes
Maximum UA = 325
Your Home = 193
40.6% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R -Value R -Value U- Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1012 38.0 38.0 14
Wall 1: Wood Frame, 16" o.c. 2071 19.0 19.0 62
Window l: Vinyl Frame, Double Pane with Low -E 214 0.350 75
Door 1: Solid 48 0.350 17
Floor 1: All -Wood Joist /Truss, Over Unconditioned Space 1012 19.0 19.0 25
Boiler 1: , 80 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building
plans, specifications, and other calculations submitted with the permit application. The proposed building has
been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la.
The heating load for this building, and the cooling load if appropriate, has been determined using the applicable
Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall
be no greater than 125 ° / . f the design load as specified in Sections 780CMR 1310 and J4.4.
Builder/Designer /i '7 - Date
O A T t iMf p�,
_ �� ti
��V ye,e (itp, of NartIpplipton =�r=
. alli ytl : ,ftlassndusctts = -
w ..
DEPARTMENT OF BUILDING INSPECTIONS -
212 Main Street ' Municipal Building � :� �
I HSPLCTO
Northampton, Mass. 01060
Square Footage Amount
Basement @ .10 _ (��j_ /0/, ao
lsL Floor @ .40 t ® f 3, iiQy g
2nd Floor @ .20 !o J y . (WO e irb
1/2 Floors, Attic, Garage .10 579 7.' 90
Deck, Porches 10 tiii iv O
• TOTAL 1'3. S v
' ' ./ ___ _ _______ __
1r
r :.•.•-.•-: { 1
I
C.a
i
f
a � � ►a Cr o Nnx#El&mp f o p i ---..^ * •� ..
• ' �. " DEPARTMENT OF BUILDING INSPECTIONS 4
212 Main Street • Municipal Building
Northampton, Mass. 01060 OM'
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
1, 1)4Q/ rte. __. ip' ______.
(li;x iste/permittee)
with a principal place a f bltsinessJresidence at:
•
X4oD ¢57 s ,64S77/7441e)^1-`) • . . (Phone #) l?3 -s 7. 3 776
(street/city /statthip)
do hereby certify, under the pains and penalties of perjury•, that:
( ) 1 am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (,Expiration Date)
( ) 1 ani a proprietor euera contractor . r homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
D,ei z CcwsMue ntao A.r iLi mortok WMz 9577414 °ai * a6, -G3
(Name of Contractor) (Insurance Compaay/PolicJ Number) (Expiration Date)
ienicau r *» ie F}ssw avoce co
31 (acre. w c,5cp V ! '3 R-y 4- co 3
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
2,011(0 .►=�S - S wces
Clay leoSif ' � 4- 'c 541 (p( Goa' r V ao'_o
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
0 e - S . . r / : - , P 5 ( 4 - p i a - , w( coca t 4 3. % -b /^ s 3
(Name of Contractor) (Insurance Cornpany/Policy Number) (Expiration Date)
(attach additional the if necessary to include infocmujon pertaining to ail marac+...ors
t,j1fr +e l e e E I e c f r t c c ' Q � t r r r x 3 a f . t ' h ; S. co. • Luc 7 f' s (r to 7- 7-.'/-�3
("4 I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself I r/-03
F ivy co rfl.uCflcw — RV ,
u�t.s Prop cAs, ifu6fss5x / �^ -
NOTE: picric be aware that while homcow oera cy employ pG sons to do mtaiatm, nn, cmz'rsa co ar repair work oo a dwelling of
mot more than throe units in which the boa owner mild or ea the grouted: appxtrtenartt thereto ere tot generally considered to be
employers under the worker's compensation Act (GL152,ss 1(5)), apptiration by a homeowner fora license or permit may evidence the
Segel e-tatua of art employer under the Worlcec'a Compeosxtiou Ad
1 understand that a copy of this mat any be forwarded to the Dopertmcai of Ire-le:t Acci3ce& Off oo of In ur+oca for the
covet-ago vcriftca i c and tut failure to roatre covet-No =dot sactioo 25A of MOL 152 can 1mi to the: ;tu of crmia+1 petulties
ooadistimg of a fmc of up to S1,500.00 andrer imprisonment of up to are year and civil prmtti cs is de form of a Step Work Ordc and a -
fine of S100.00 a day ega or
' For �lq:s:.cm�n ui c m 111___
� I
mot / � I'crmit Nturtrr
/O --dam- v� l ..ot , .
, , ;i n ;
Sioniturr. ', T :, .-- — - ..
•
SECTION 8 CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : - A Of 0 . -Q,40
License Number
Address Expiration Date
5�r3— 3s Zs
Si Telephone f— _ ` °°/
- g s "e orn mproverrientr ontr ctor. , ...,A 4c-11.4,-4 " ; 49 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 pi No ❑
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 'DESCRIPTION Ot PROPOSED WORK check al a •Iicable
New House W1 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks / [ � ] Siding [ ] Other [ ]
Brief Description of Proposed Work: Cp'-' ! Pa.) r da.0. 5 / / 11
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative ❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet ❑
001 fiNeV h se " id:ror adtl 161164ii
a. Use of building : One Family y Two Family Other
b. Number of rooms in each family unit: 7 Number of Bathrooms c..
c. Is there a garage attached? '
d. Proposed Square footage of new construction. CA4(4 Dimensions 'I7. (v /
e. Number of stories? oZ L C1 &uWce
.A-5
f. Method of heating? /45 / /* IT Are'' Fireplaces or WeePeistmces Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? X
h. Type of construction 6`J SrTt
i. Is construction within 100 ft. of wetlands? Yes f( No. Is construction within 100 yr. floodplain Yes /V 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 7C Private well City water Supply rX
SECTION 7a, OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR= APPLIES FOR BUILDING PERMIT
, 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
, 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
Signature of Owner /Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size f g &d5-1 . "''; t9 -' „ MC'
Frontage 0
Setbacks Front as-1
gg ) 5
Side L: / s R: / S L: O R: a o'
Rear a Si , 3 a
Building Height 30
Bldg. Square Footage % )53i
Open Space Footage %
(Lot area minus bldg & paved 1 '% ,- 0
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 X
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 1( DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES _ NO A
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 YE', describe size, type and location:
•
City of Northampton
Building Department °® Q� ���
212 Main Street
Room 100
Northampton, MA 01060
phone 413. 587.1240 Fax 413- 587.1272 "o S to
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR 1:1 11 1 11 1 1 .-. e'R • A DWELLING
OCT 252002
SECTION 1 - SITE INFORMATION
T $ ,a i g . ,� �� ted1b office
1.1 Property Address: t t
� �Lot
Ci o / ^ J 193 cA j M ap � %a
Zone Overlay Dis ct 7
EIm St. District ;GCB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
110 ✓✓t ,64S% .57 44$;7744"77. -7 A44
Name�n�L� _ Current Mailin €; Address:
Telephone S i ) 7 _ ? % 75
Signature
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 (a) Building Permit Fee
c rzx, or c:v
2. Electrical /0. 0 (.xa n a (b) Estimated Total Cost of
Construction from (6)
3. Plumbing /a. 00 0 Building Permit Fee
4. Mechanical (HVAC) () (3
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) /40 cOO " au Check Number ` lgi3
This Section For Official Use Only
Building Permit Number: .1/2,3_41 Date Issued:
Signature:
Building .Commissioner /Inspector of Buildings . Date
•
File # BP- 2003 -0429
APPLICANT /CONTACT PERSON DAVID LEPINE
ADDRESS /PHONE 262 EAST STREET (413) 527 -3975
PROPERTY LOCATION 193 CARDINAL WAY 0 7eyt/1/ 0 1_
MAP 36 PARCEL 316 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ' 3 3So - :• "/3 d
TYpeof Construction: CONSTRUCT 2 STORY SFH W /ATT GARAGE/DECK 10 7 12
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 044188
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INp leMATION 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 S et Commission
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.
193.1?VAY
BP -2003 -0429
GIS # COMMONWEA OF MASSACHUSETTS
,�t
C O _N ORTHAMP TON
Permit:
Building
Permit:
Category: B ',i,S , ,, .. „ ‘: -. . ';'-::: ; A :f ; ,..,! - ; :---_-„, ?..B :: ::: : ; ,', .;1„ . ` , ';::: , i.i: : =: - - -, - . ::- .. .=',:::, : Lot: -001 G P ER MIT
Permit # BP 2003 -04 29 x {
r
Project#
JS-2003-0727
Est. Cost: $162000.00 £
Fee: $813.50 PER1{2�SSION G ,
Const. Class: 5B Contractor: Licene
Use Group: R4 DAVI LEPINE ` x ▪ 0 4
Lot Size(sq. ft.): Owne DAVID 7E
Zoning: SR Applicant: DA VID LEP La
AT: 193 CAR DINI A
Applicant Address: done Insurance:
262 EAST STREET �#I3 -39 �S wor k e rs
Compensation
EASTHAMPTONMA01027 I SSUED ON:II /14 /ltd : • 111
TO PERFORM .._ FOLLOWING WO RK:CONST RUCT 2 5FH 'W /ATT
GARAGE /DECK a
POST THIS CARD SO IT IS VISIBLE FR THTE3'
Inspector of Plumbing Inspector of Wiring D.P.W Y Building Insp ctor
r
Underground: Service: 3 )aAi, / p, / :- Meter
t Footings-
Rough: :4 i ''''';"4. jr`' Rough: 3 / 4 3 � Hous �� • oundati f� r - q— aa..�
._ J Drivev
gg
Final: / t f� /w! Fina ��t 2'� • &
C.�i✓" 7/.�1 . /(4 Rough Fra �9 -/t - 4.5
Gas( 0 r1 F44.1,-- .�' ► ` k ▪ Fu epl ace /Chimney: •
Roug Oil: Insulation � tC 3 1 O�
w x i "�
fin Sm fz . O� k .
v 7 THIS PERMIT MAY BE RE D BY THE CITY flRTHAMPTON UPON VIOLATION ! OF
ANY OF ITS RULES AND REGULATIONS:''" � '#
Certificate of Occupancy
�� ` ' g®
Fee Type: Receipt No: Date Paid . t Ch ck No Amount:
Building 11/14102 0:00 - " 4: ' ,-. ';,' , ' ,-, '; .: :: - . 1 '':f,',::::.; - -;', - . - -': 5350 $813.50
212 Main Street, Phone (4 13) 5 a x: 4 t3 X87 -1272
Building Commissioner Anth P a tiiici
,. _
. ' ... __:,.„.„.
, .. .,„ .
,•,_, .