17D-012 (30) DIETZ & COMPANY ARCHITECTS, INC.
TRANSMITTAL
TO: Anthony Patillo DATE: December 20, 2004
Northampton Building Department
CC: Ellen Freyman — RE: Country Lane Estates
transmittal only
File Northampton, MA
Project Number 20453
FROM: Kerry L. Dietz AIA
® ATTACHED, via hand delivery
❑ FAXED, number of pages not including this page:
COF'IES DATE CSI No. DESCRIPTION
2 12/16/2004 Signed drawings and Signed specs
1 12/16/2004 Building permit application
1 12/16/2004 Sign permit application 17 Hampden Street
1 12/16/2004 Building permit fee check Springfield, MA 01 103
1 12/16/2004 Sign permit fee check
1 12/16/2004 Controlled construction affidavit signed by telephone
g Y me (413) 733 -6798
facsimile
REMARKS (413) 732 -4385
Tony-
e-mail
office @dietzarch.com
1 will give you a call to discuss this project. I had hoped to meet with you prior to
submitting, but you were on vacation — hope it was someplace warm!
Kerry Dietz
shop drawings logged by
x.\20453 - country lane estates\ 06 - construction documents\regulatory requirements\2004 -12 -20 bldg permit
app.doc
DIETZ
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BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 069659
80
O`##F006 Tr. no 625.0
R� 00
ROBERT D BRAM&
8 LITTLES POINT IRO
SWAMPSCOTT, MA 01907
Commissioner
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- j >`% v j asssvdpvsetts . ' a = ;—`
-- DEPARTMENT OF BUILDING INSPECTIONS /:- ' -
INSPECTOR 212 Main Street • Municipal Building \ ..=.-_-_-= /,-`
Northampton, MA 01060
CONSTRUCTION CONTROL DOCUMENT
(for professional Engineers/Architects responsible for Entire Project)
Country Lane Estates December 15, 2004
Project Title: Date:
Project Location: 491 Bridge Rd. Map: 17D Parcel: 012 Zone: URB
Non structural interior renovations, siding,
Scope of Project: win ows, arrossnry strinrtinrp
In accordance with the sixth edition Massachusetts State Building Code, 780 CMR SECTION 116.0:
1, Kerry L. Dietz Mass. Registration Number 5264
Being a registered professional Engineer /Architect hereby CERTIFY that I have prepared or directly
supervised the preparation of all design plans, computations and specifications concerning:
(4 Entire Project
for the above named project and that to the best of my knowledge, such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable
engineering practices and all applicable laws for the proposed project. -
Furthermore, I understand and AGREE that I shall perform the necessary professional services to
determine that the above mentioned portions of the work proceed in accordance with the documents
approved for the building permit and shall be responsible for the following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the
conformance to the design concept.
2. Review and approval of the quality control procedures for all code - required controlled
materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar
with the progress and quality of the work and to determine, in general, if the work is being
performed in a manner consistent with the construction documents.
1 shall submit periodically, in a form acceptable to the building official, a progress report together with
pertinent comments. Upon completion of the work, I shall submit to the building official a final report as
to the satisfactory completion and readiness of the project for occupancy.
Signature and Seal of registered professional:
�'F1W ARc \,
1.0
\ , '' -«-
Fax i3 t ` t # - 7 /9 hone 413 587 -1 -0
OP ID Rl DATE (MM/DD/YYYY)
ACORN? CERTIFICATE OF LIABILITY INSURANCE KEITH-1 10/22/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE --
Thomas Gregory Associates Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1 Edgewater Drive S235 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
- .efield MA 01880
me: 781- 914 -1000 Fax:781- 246 -2601 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Acadia Insurance
INSURER B: Arch Group 1
Keith Construction Inc.
Andy Koines 1 INSURER C:
532 Pa a Street INSURER D:
Stoughton MA 02072
I 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.
LTR R INSRD TYPE OF INSURANCE POLICY NUMBER 1 POLICY DATE MM EFFECTIVE POLICY D //YY) I LIMITS
LT INSRD
GENERAL LIABILITY I EACH OCCURRENCE ! S 1 , 000 , 000
UAMAG!_ IUt
A X X C:OMMERCIALGENERAL LIABILITY CPA0069023 -13 06/30/04 06/30/05 PREMISES(EaN oNIccurU ' S 2 ence) , 000
CLAIMS MADE X OCCUR MED EXP (Any one person) S 5,000
X Per Project Agg. PERSONALS ADV INJURY $ 1,000 , 000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG S 2,000,000
1 POLICY YE LOC I Emp Ben. i 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A X ANY AUTO MAA0069037 -12 06/30/04 06/30/05 (Ea accident) 51,000,000
ALL OWNED AUTOS BODILY INJURY 5
X SCHEDULED AUTOS Per person)
X HIRED AUTOS BODILY INJURY
(Per accident) 5
1 X NON -OWNED AUTOS
X Physical Damage $500 COMPREHENSIVE 1 PROPERTY DAMAGE
IPer accident) $
Deductible $500 COLLISION I
GARAGE LIABILITY 1 AUTO ONLY - EA ACCIDENT ' $
ANY AUTO - OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE 1 s10,000,000
A X X OCCUR CLAIMS MADE CUA0095090 -10 06/30/04 06/30/05 AGGREGATE $10,000,000
I5
DEDUCTIBLE $
X RETENTION $ $0 $
WORKERS COMPENSATION AND I TORY LIMITS I X j U ER I
B
EMPLOYERS' LIABILITY IRWCI00224 06/30/04 06/30/05 E.L. EACH ACCIDENT S 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERJMEMBEREXCLUDED? 10 DAYS NOTICE I E.L. DISEASE - EA EMPLOYEE. S 500,000
If y es. decribe nder
SPECIA PFOVI below E.L. DISEASE - POLICY LIMIT 5 500,000
OTHER
A Contractors Equip CPA0069023 -13 06/30/04 06/30/05 Leased/ $100,000
$500 Deductible Rented Eq
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
*10 days notice of cancellation applies to non payment of premium. •
r*RtiRlt^.;4TE' HbLDEft
-. CANCELLATION
I wHITTO4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN
EVIDENCE OF INSURANCE COVERAGE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
-- AUTHORIZED RESENTAT =5:
ACORD 25 (2001 /C8) _• . ��L/ ACORD CORPORATION 1988
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No CD
SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
_Amy Aithony, President, Meadowbrook Preservation Assoc. Ltd Partnership as Owner of the subject property
hereby authorize Kerry L. Dietz to
act on my b hlf, in all matters relative work authorized by this building permit application.
�V ( L C - C+ L_ 12/15/2004
S ign ure f Gwner_ `� Date
Kerry L. Dietz
), , as to W r /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 ofperlury .
Kerry L. Dietz
Pri• . -1e
i 12/15/2004
Signa . e Ow ri nt Date
SECT ON STRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder . Robert D. Bradle 069659
License Number
8 Lit e • )in ' _ _ • wam. s f MA 01907 07/19/2006
Addr-s. , i , ,� Expiration Date
i (7
81) 828 -8474
gat - � � -- - - - -- Telephone
SECTION 13 -WORKERS' COMPEN'ATION 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 0 No 0
•
Version! .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 ENCLOSED SPACE)
9.1 Registered Architect:
Kerry L Not Applicable El
Dietz, Dietz & Co. Architects, Inc.
Name (Registrant):
5264
Registration Number
_ _ _ -._ 17 axn den. _ reet i _S pr.i_ngfie1d.,._MA Q.1,103 �..
Address
. 08/05/200g
AO
(413) 733-6798 Expiration Date
• at A Telephone
9. Regis - - • • rofessional Engineer(s):
Robert Hall, Robert Hall Engineers Plumbing Engineer
Name Area of Responsibility
540 Meadow Street, Agawam, MA 01001 19283
Address
r?._.4).'6—eA.Art../.7.-11-c214-- Registration Number
(413) 789 -0960 06/30/2005
Signature Telephone Expiration Date
Robert Hall, Robert Hall Engineers HVAC Engineer
Name Area of Responsibility
540 Meadow Street, Agawam, MA 01001 85017
Address Registration Number
(413) 789 -0960 `06/30/2005
Signature Telephone Expiration Date
Robert Hall, Robert Hall Engineers Electrical, Engineer
Name Area of Responsibility
540 Meadow Street, Agawam, MA 01001 34985
Address P Registration Number
,, 4 • 74 // (413) 789 -0960 06/30/2005
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Keith Construction Inc. Not Applicable ❑
Company Narne:
'Robert D. Bradley
Responsible In Charge of Construction
532 Pa • e Street. S : • •on, M • 1,12/'
Address 7 i i/ /
„Ty " (781) 828-8474
;, • lure i n Telephone
Versionl.7 Commercial Building Permit May 15, 2000
8. 'NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 1177000 SF Unchanged • ,
Frontage 75.47 FT Unchanged
Setbacks Front 168 NC
Side L:, R: 22 L:'NC R:iNC
Rear N/A
NC
Building Height 0 O NC
Bldg. Square Footage 10 5 L 6 8 E !9 NC •••• NC
Open Space Footage
(L arca minus bldg & paved 9 2 5 , 2 5 E 79 ,NC ;= NC
.arking)
# of Parking Spaces 394 NC
Fill: ,N /A N/A
volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued: 04/20/1972
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book 1629 Page 207 - and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 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 12/13/2004
C. Do any signs exist on the property? YES NO 0
IF YES, describe size, type and location: €2 entry signs at Bridge Street & Straw Avenue
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location: '? Replace with externally lighted signs
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 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.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 El Demolition p Repairs 12 Additions ❑ Accessory Building El
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other p
Brief Description New vinyl siding with sheathing repair, new vinyl replacement windows, replacement of ext.
Of Proposed Work: ' stair rails, kitchen & bathroom renovations, handicapped accessibility, new postal box kiosk.
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly p A -1 ❑ A -2 ❑ A -3 p 1A 1 ❑
A -4 ❑ A -5 ❑ 1B ❑
B Business 0 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential II R -1 ❑ R -2 p & R -4 R-3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B p
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use
❑ Specify: ,
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use (3roup: Residential _ Proposed Use Group: Unchanged
Existing Hazard Index 780 CMR 34): 2 Proposed Hazard Index 780 CMR 34): Unchanged
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE'ONLY
Floor Area per Floor (sf)
1st .. 1 st ' N/A .
2n N/A
. . ..._ ... ___ _ ...... ..... 3 rd
m N /A _ _ ..'
4 tn
4th ` N/A
Total Area (sf) 282,281 Total Proposed New Construction (sf)
N/A
Total Height (ft) 30' Apts
20' Townhouses Total Height ft N/A
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public p Private ❑ Zone Outside Flood Zone 12 Municipal 12 On site disposal system 0
l�� �,� ', _ _ Version1.7 Commercial BuildinPennit May 15, 2000
Department use only
City'of Status of Permit
2 ` J Building epartment Curb Cut/Driveway Permit
2.12 M in Street Sewer /Septic Availability _
;;.�_ Roo 100 Water/Well Availability _ _
ilorttlampton, MA 01060 Two Sets of Structural Plans _
---- phone 413 - 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans
Other Specify_ -
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH 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
491 Bridge Road Map Lot Unit
Northampton, MA
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Mead,owbrook Preservation Assoc. Ltd Prtnrship 40 Court Street, Boston, MA 02108__
Name (Print) Current Mailing Address.
Amy Antrony, Presid , t (617) 261 -9898
Signature __ �_�__'_ ( -4-1 Telephone
2.2 Authizef:' , agent:
Dietz & 01npany Architects Inc. 17 Hampden Street, Springf e d, MA 01103
Name (Print) Current Mailing Address:
Kerr L. Dietz' 413 733 -6798
Signature ,.��� 0 Telephone
SECTION-2 - E'3 itU!, �1; • s ION COSTS
Item Or Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building $2,800,000.00 (a) Building Permit Fee
2. Electrical $180,000.00 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing $20,000.00 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection $200 000.00
6. Total = (1+ 2 + 3 + 4 + 5) $ 3,200,000.00 Check Number /j,so I4 OD7.9
This Section For Official Use Only
Building Permit Number Date
W /Of////kd Issued
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP-2005-0677 /
APPLICANT /CONTACT PERSON KEITH CONSTRUCTION INC /
ADDRESS/PHONE 532 PAGE ST STOUGHTON (781) 828 -8474 ....el ae/ PROPERTY LOCATION 491 BRIDGE RD 733—(2 n�j ` " 2
MAP 17D PARCEL 012 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid / 5 I/4
Typeof Construction: INSTALL VINYL SIDING W /SHEATHING REP,REPL WINDOWS,REPL STAIR
RAILS, KITCH & BATH RENO, HANDICAP ACCESS, POSTAL BOX KIOSK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 069659 `A
3 sets of Plans / Plot Plan /�
THE FOLLOWING ACTION HAS B TAKEN ON THIS APPLICATION BASED ON
INFM 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 C mmission
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.
•
491 BRIDGE RD BP- 2005 -0677
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17D - 012 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2005 -0677
Project # JS- 2005 -0918
Est. Cost: $3200000.00
Fee: $16000.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R2 KEITH CONSTRUCTION INC 069659
Lot Size(sq. ft): 1169150.40 Owner: MEADOWBROOK PRESERVATION ASSOC LTD PARTNERSHIP
Zoning: URB Applicant: KEITH CONSTRUCTION INC
AT: 491 BRIDGE RD
Applicant Address: Phone: Insurance:
532 PAGE ST (781) 828 -8474 WC
STOUGHTONMA02072 ISSUED ON:1/5/05 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING W /SHEATHING REP,REPL
WINDOWS,REPL STAIR RAILS, KITCH & BATH RENO, HANDICAP ACCESS, POSTAL BOX KIOSK
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: Receipt No: Date Paid: Check No: Amount:
Building 1/5/05 0:00:00 1450 $16000.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
•
491 BRIDGE RD BP- 2005 -0677
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17D - 012 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2005 -0677
Project # JS- 2005 -0918
Est. Cost: $3200000.00
Fee: $16000.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R2 KEITH CONSTRUCTION INC 069659
Lot Size(sq. ft ): 1169150.40 Owner: MEADOWBROOK PRESERVATION ASSOC LTD PARTNERSHIP
Zoning: URB Applicant: KEITH CONSTRUCTION INC
AT: 491 BRIDGE RD
Applicant Address: Phone: Insurance:
532 PAGE ST (781) 828 -8474 WC
STOUGHTONMA02072 ISSUED ON:1/5/05 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING W /SHEATHING REP,REPL
WINDOWS,REPL STAIR RAILS, KITCH & BATH RENO, HANDICAP ACCESS, POSTAL BOX KIOSK
POST THLS 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: Receipt No: Date Paid: Check No: Amount:
Building 1/5/05 0:00:00 1450 $16000.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo