37-107 (2) m uruumr u. r r mcc u� i y Malt, r t i _ , u ,„ ,� I t11,1, , , “0. 1,m 111 , ,u. i ,111,, i a. Wl. aic
ayailahle 10 assist you in the handling of this matter H y our tank is nonfunctional, please make s[re it is pumped I vclick in advance
1( ('ESS - 1 he first step . m +t c C ,,t,.ititI11 1'Iea1< ncmke 111 10 111111 Cntry to the yard I Clear t 1011 1c11rl1, wood pile,- swingseN. hushes. etc This will he
greatly appreciated_ ted Roar Pool, cannot he responslhie tar the re[un t any 01 ,111111. Delays could urcur it this ha, not heen taken care of in ash - ance. If acre„ is
across a neighbor', prcipertc it 111!1 he your re,pon,ibilil to ohtain their permission and it will he understood that you, not Teddy Rear Pools, will assume the responsibility t or
the finished grade of your neighbor's cart!
'TWO WEEKS FROM CONSTRUCTION:
BUILDING ('ENNUI'S - 1 1 1 . 1 0 0 ain 1 1 1 11 building permit Iwo week, in adb:ince nl cxc;nauon - where local moles apply. Usually these forms will he mailed by
out 10 w 0 to you upon request Our Horne Improvement Contractor License #'s are: NIA # 111)19 and CT # 52095 I.
ELECTRICITY- "AV'1)11) I)E1.A1 - IAAV'1 PO \")1:k .SEPI'I.Y READY" Power must he supplied to the excavation area. A 20 amp outlet will sot lice in most case,.
WA "1 l l - Please [make sure 1)111 your installation crow 11.11 ,nailahilily 111 wa10r ;uiul hose For 11,(1111101 purposes, wr arc unable to allow any of our employees to
cameo your h(
AT TIME OF CONSTRUCTU)N;
DRIVEW'AN' / SII)1•,11,V,KS - 11 Ili; pumnl of entry for Inlcks or equipment t, „(cr your ronc101c nr blacktop driveway. we regret to say. it is at the 110101', risk
since we have no wa0 of knowing 11,1 11 firm carte individual dncc■av w ill he We will take even prec or 11 111 any , 1000 y00 [might have, 111 nminimiie any
prohlcm that may 11010 One: again. we cannot ac, rpt .my liahiliu for damages of any kind
SITE WORK - "THINGS 101' SH(UL1) KN011"
SHALE l ROCK - Expense Could y 1 s1 110lc11111 y depCnd111C 111 1110 cmrnnnstances. Ihcietore. his cost w ill he discussed on an individual basis.
WATER TABLES / GROI.ND' \I'lR / ('1. IV' / RFDPAN - Teddy Rear fool ,harucs the lustn for direct costs only 1 1110)ly one or two loads of crushed
stone w. 111 ,utlice l a0 ayelocc water problem The o 0 per Toad i0 S2O0 1/) S30) 00 delivered (Extra eked y;mon for this work ;1111I stone will he billed with lahor.)
NON - .APP,ARENT I NI)h:RGROI.Ni) OBSTACLES - If underground debris (i c stumps. large rocks. etc.) arc encountered, it nEiy he necessary to use material
such as gra101. (0note and/or ,ono u,1/c, to 10,111■ 111(■ void, created by the reruny of such obstacles- Any charge, for this m p0 of extra ■material vyill he collected with tour
exr.a; ion pay [merit. .
EXTRA FI1,1, - It 1111,1 110 neres,at for u lu 11111) 11111 away t1111 your o mid 10 crcale enough work space. If this is the case. it will he your responsibility to have
additional hill brought in for grading, if necessary II 01ru have clay soil, it will he necessary f you to have the rough grade top dressed, as clay cannot he ,spread a0 effectively
as other types of ground [11 101iah Teddy Rear Purls will Icave you with a rough machine grade around the purl arcu. Fine grading will he your responsibility.
1)RAINAGE - Occas 0 site may require a drainage sy stem due to irregular landscape and soil conditions. I)rainage is used to prevent surtacc run off and
upper seepage toward the pool Water is directed away from the pool to a lower point on the site Gutter downspout should also he directed away from the pool
RF TA1NIN(; A'.ALL - Iha reu11nin0 wall is necessary, please arrange for construction ;Ind hack Fill if the wall is to Pe constructed atter the pool installation Please
see that 11 is constructed promptly to ,quire ,oil erosion_
LANI)S('AI'ING - Teddy Rear Pools does not provide this service When landscaping, Pc lure tv maintain a pitch away from the pool and concrete. Crushed stone
is an aesthetically effectiyc 1101 to prov proper drainage
\ \ATER'10 FILL TOOL - von11;1111 your pool is tilled through your garden hose - It water neer: to he trucked in_ please inf us and we can make the necessary
arrangements
REFUSE - Debris, mainly from the 1 1 , k a 0 1 1 1 0 01 qu1pmen1, w i l l he packed up neatly and I e t 1 for 0 0 0 1 ¼ urbside trash collection
AFTER INSTALLATION OF P001 S FRI('11 RL:
C'ON'('RETE I)l (EKING - Teddy 1(111 Pools utilires the highest quality materials along with the most yualiticd craftsmen to ensure that cracking of concrete is
kept to a minimum 1'nturtun<mtely_ giv 1111 N∎ 1(11(01 J11111110 cc(cking rat concrete is a lad which cannot Fe avoided. Your concrete deck WILL crack. In some instances, acid
rain, leases, dirt and other debris tao man come um r on(11 (111)1 y our deck could discolor concrete decking. . Please keep your deck as clean as possible from foreign dchris.
Within the 11111 month of leek completion the ,,Inoue will settle around it It will he your responsibility to x101 0)1 to mid -deck height.
FLOATING LINERS - !'.xcc1,nr 111111,111 oldv cause flo around your pool much like it does to ;m basement '1110 result of this may he a floating liner, which at
times may lea wrinkles in the liner %' e 11(0 attempt to rernm.e these wrinkles by resetting it The cost oI this set ice wd1 he covered by most homeowner's insurance policies
SEASONA SI''RVI(1', - Pool op11 ' and closing sea ices arc 1111 tided f11nwgh out Scry ice I)_:p111111enl. We pruyidr several 1eni 111 cater to each customer's
individual needs Please do not endanger your warranty by not haying your pool properly opened and closed Our Service Department is staffed by professional Service
Technicians who are equipped ix oh factory ,0(11011X11 part, and training The Fetich, Rear Pool Scrn iee :111 wit! open and close your pool professionally.
CHEMICAL, TRI•:A'TNIEN'I' - "h ,tdv 1edr Pools urges o111 C101111111(1 tom 11 110■ the teddy Real Pool r,cummendcd chemicals 111 you swimming pool These
chemical, hays been specially Inrn(111 0111 to cu the lilt long qualm of our product, yv iihout the risk (1I 1 11111 or wrinkling caused by inferior grade chemicals or chemical
imbalance. Such disorders are not coccred under your \.k Ern( detailed outline and hook let on water chemistry will he provided to 011(1 upon completion of your new
swinuning pool Ple« read 0110 111111101 (11 110% 1)11 nut 1[0(11 /11 t.nur warranty by 11 1 1110 interior chemical
IN (71,1/SING
Tcddq Bear Pools is h +nn X111) I1y yr [(1 c111' 1111.0. <u111 will do C(01\ thing 1( 11 11111 011 Pow tam kr:p that trust. A 1(1 1111nmin0 pool is a long term investment.
Finally. you will he green complete instructions as to the operation ot now "teddy Rear Pool when our pool has been inspected and passed your electrical
requirement, ' his 11111 he done he a Ii eased electrician.
'Fhank you once again from all of us at Teddy Bear Pools & Spas
THIS \1( S1' lib; SI( ;Nl;D.ANI) RT:I'(tRNED B1 FORE I \( CAN BEGIN ON YOUR P001
1)1 TO INSI'RANCF. RI -( 1 1. "I
THANK YOU'.
Owner Date
Ileac( sign one copy ()/this page for (eddy Bear Pools and keep the other fir your records.
N
,
/137T i i K,tOVC i i ' - Vi
TO: : ,'
PHONE: H ''', :, a )(,, 4 - DATE:
A: i tm. iii / i1 1/ 7/ 1),)
- , ' t ' W 4.. . LL
it. : f t / 6r... '';4 1 1
JOB NAME / LOCATION:
JOB DESCRIPTION: L'..47 ( l
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11 i i I 7 ;
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44. m- / m. I
EMI NIIIII
Mi.11.1111.
Mill i
nownsamaninnumiummoma
Not Included: Dry: 0 Yes El No Loam /L./.. i / •
f ••• , - , -
,,-
EYFencing 3/4" Stone 1
Water Tanker: 0 Yes 0 No "• "°• - ' '
D Chemicals 4.-". 'N
Clean Fill ,
71 Bld. Permit Trucking: CI Yes El No
,
P ump -i,.......,—,•:„., ii.i.161:1 ,••:•, '
, , =
0 Water
Stumps: CI Yes 0 No Labor
Back Hoe
Job Description:
Excavator
...., , ,
• •-, ' - ,,.".,°/,,'% , _ , ,
Stump Removal
Other
See wording contract for signing back.
ESTIMATED
THIS ESTIMATE IS FOR COMPLETING THE JOB AS JOB COST:
DESCRIBED ABOVE. IT IS BASED ON OUR
EVALUATION AND DOES NOT INCLUDE MATERIAL ESTIMATED :
PRICE INCREASES OR ADDITIONAL LABOR AND BY:
MATERIALS WHICH MAY BE REQUIRED SHOULD
UNFORSEEN PROBLEMS OR ADVERSE WEATHER CUSTOMER
CONDITIONS ARISE AFTER THE WORK HAS STARTED. SIGNATURE:
WHITE COPY: OFFICE YELLOW COPY: OFFICE PINK COPY: CUSTOMER
ctSA4p
Vii► . / , �'_1. (r xf rd art am ton 1 L „.. =_,%„-__ —
� _ � -� :i AA assachusetts n `_
DEPARTMENT OF BUILDING INSPECTIONS _.� _ = /_
INSPECTOR 212 Main Street • Municipal Building ' ,6 4.
Northampton, MA 01060 ,~ S`,y
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction sup': •• sor. The stale 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 struct 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 th permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
i de
! .
ih,■■•■ 1 r _ understand the above.
(Home own • /reside 's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date C 2 1
Address of work
location
•
F tt ),'€ (52112 of l l or fl�al)I}ltal�
• R e � .�.(► E �Z a�arcrh ntr(!a' •
DEPARTMENT OP BUILDfq.0 INSPECTIONS
212 Main Street. • Municipal Building
' 01060 i�1
?�orlhampton, Mass. 60 ' 0
«'ORIQIZ'S CONDENSATION NSURANCE AFFU)AV1T
(li ccnsa ipermi ticc)
with a principal place of business/residence at:
_ (phone :')
(sar=i /city /staarla p)
do hereby certify, under the pains and penalties of perjury; :hal
( ) I :m an employer providing the following worker's comocnsation coverage for my •
employees worng on this job:
(Insure Comracv) (Policy Number) (Ex tion Date)
( ) I aat a sole proprietor, general contractor homeowner ; cde one) and have hired
the contractors listed below who have the follow workers coonen anon pc!}cies:
(Name of C f .tr c.or) (In urancc. Cornoany?oLici Nu ± ) (XpiraUQP. Datc)
(Name of Conmaor) (Ln.sttrancc Comoa.ayfPoUc Nulncer) (Expi lion Date)
(Name of Connector) (Lnsuranc; Compare } /Polic y Numbs) (Expirdon Date)
-
(Name of Contractor) (Insurano Comcany/PoLicy Numbr) (Ex Date)
(attach -dditio ,J Meet • ifconcur ) . w mcv& izform,.Zoa peruini to .11 ooh - ln:a)
( ) I am a sole proprietor and have no one wor for me.
( ) I arn.a home owner performing all the work myself.
NOTE: piesc be awue tba: v-( Jc hcaxxnvocrs who caspioy pa to oc m - zaroo c repair f+ -oric c . d..cttrg of
not more than t v- =its ie u$ioh the bomoawncr rcide or on the j -ou.nca apputcass the arc oot Ce* =-1Jy occrid to be
oitployes the w'a'S:a's c c t 1 ion. Act (G L152_1:31(5)), application by a boa fcr a lies - cc permit rn=y c -id-ax the
Ic c t s z u of en amployec under tho Workol. Coccapoon..6oa Act
1 uadc*t+ad that a Dopy of thu mtoama may bo foranrd.,d to tbo Dopartmcol or i., - •'-mi noadcos' o i; of Gasrr.00a ror th°
coverage vcif eatioo and that C:.iltaz to .Dade tsovcrngs =den- suction 25A of MOL 152 an led to the is +* ;oa of criminal pca'hi°
cocainmg of a fine of up to S1.300.00 andlor impriyo ®ol of up to one ya.r e.nd c vil pm• do in t e form of Step Work Or and a
firb of S I00.00 . day .ptin1 toc.
For d�.rtay.: -�� u,c only
/ )\ Permit Nt:mtxr
° a 1 •' /t `� ^, Map: -- Lot"
L e -
$ impa2uyr n Lia�srsJP - deer --
SECTION 8 - CONSTRUCTION. SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
9 .Aeqtitared FJoitie Fmproveirrerif:tontractoiFZ,,�, r � NI 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 ❑
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 d Local Zonin Laws an State of Massachusetts General Laws Annotated.
J Homeowner Signature i t
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding [P] Other [❑]
/ Brief Description of Proposed /'�/ \[
Work: (✓l �'� v✓1t.( ?Cc: . V �fL /"'
Alteration of existing bedroom Yes 1/ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes %---- No
Plans Attached Roll - Sheet
sa 1f Neri nolfse.2anrd -ter- ,-.aadI ta-fa c1stinq foustn ; mplefe tt s oI1owtr> q:
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 - OWNERAUTHORIZATION -- TO BE COMPLETED WHEN
OWNERS AGENT OR APPLIES FOR.BUILDING PERMIT
1, , 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
1, , 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.
)Yt Nam .
Signature of Owner/Ag AL_ Dat
9 9
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
t i Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 4c. _ (,Sfutc_�C —
Frontage
Setbacks Front
Side L:—.—.: R: R: / D A
Rear PT '' ____A
Building Height
Bldg. Square Footage
i .
Open Space Footage % `
(Lot area minus bldg & paved
parking)
# of Parking Spaces '
Fill: ,; —
(volume & Location) l
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO CO 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 f� DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES 0 NO
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
IF YES, describe size, type and location: :
E. Will the construction activity disturb (clearing, grading, e cavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO tt
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
` C ity of Northamp ®, u, �_
B riding De partment r g ,� - am;.
12 Main Street . E , �� $ t
1 .. Roo 1 00 e a �
4 1,
(ortha pton MA 01060 �� , e r .- . � �
- oele4 58 7.1240 Fax 413- 587 -1272 ff
APP LICATI O N TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION . 1 -`SITE INFO RMATION
�1.1 Property Address: r
This s ection to be completed by o ffice
5 �' 1ZE 1� � � ..0e,
Ma t /� u nit
C., I.0 ) 41 T _o ne f Ouerla�r Arstctct
; Im & t Dlstuc �.. CB Distu �:
SECTION 2 - PROPERTY OWNERSHI /AUTH ORIZED AGENT
2.1 Owner of Record:
'�`( ~ 'rl " r'C, - a �� E I CI - rte
Name (Print) Current Mailing Address:
_ , I 1 - -� 41,4______, 41,4______, ..
� Telephone
Signature
2.2 Authorized Agent:
Name (Print)
Signature Telephone Current Address:
Mailing
SECTION 3 - `ESTIMATED CONSTRU COSTS:
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit appl
1. Building (J tn, L g ( a) Building Perm
it Fee
✓✓ C' 7e ,
2. Electrical (b)- Estimated;Total Cost of
Construction from (6)
3. Plumbing Bu ilding Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + + 3
Date +4 +5) Z0 + 000 Check Number / l ( 177 This Section For Off icial Use Only 7,6°
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector o
Buildings Date
File # BP- 2006 -1383
APPLICANT /CONTACT PERSON TICKNOR MARY ESTEY &
ADDRESS/PHONE 58 ICE POND DR FLORENCE ( ) 586 -5052 Q
PROPERTY LOCATION 58 ICE POND DRIVE
MAP 37 PARCEL 107 001 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 /OW T6
J
Typeof Construction: CONSTRUCT 36 X 18 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOyMATION 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 'ssion
./...eva
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.
BP- 2006 -1383
GIS #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2006 -1383
Project # JS- 2006 -2052
Est. Cost: $28000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): Owner: TICKNOR MARY ESTEY &
Zoning: SR Applicant: TICKNOR MARY ESTEY &
AT: 58 ICE POND DRIVE
Applicant Address: Phone: Insurance:
58 ICE POND DR ( ) 586 -5052 ()
FLORENCEMA01062 ISSUED ON: 6/23/2006 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 36 X 18 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 6/23/2006 0:00:00 $50.00121
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo