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38A-048 Northampton, MA Property Detail Page 2 of 2 Remodeling Data: !Frame Utility Year Remodeled: 0 Open Frame Porch Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type F Qt Value no no information information Type Qty Year Size 1 Size2 Grd Cond no information Acreage Type Street /Road Type Acres Value no information Home Site 1.02 101,860 Sales Info Permit Info Date Type Price Validity Date Permit # Price Purpose no information no information http://www.northamptonassessor.us/noho/propertydetail.php?mapno=3 8A- 046 -001 &pagecard =1 8/18/2010 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record Card New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map- Block -Lot: 38A- 046 -001 Zoning: Assessment: Location: 91 GROVE ST Neigborhood: 13 Land: 101,900 #Living Units: 1 Deed Book: 869 Building: 248,400 Class: E -957 Deed Page: 417 Total: 350,300 Dwelling Information Building Sketch Style: Conventional Year Built: 1900 D Story Height: 2 A: UAl2Fr Attic: Unfin 6 G 6 840 sqf Basement: Full 16 6:3Fr 396 sqf Total Rooms: 10 C:FUB 252 sqf Bedrooms: 5 25 2 F r 25 D:EFP Full Baths: 2 210 sqf E: FBAY /E Half Baths: 0 1 6 1 B sgft Exterior Walls: Frame 14 22 35 F: 2Fr 400 sqf Unfinished Area: 0 FUB 2Fr G:FUB Ground Floor Area: 840 1 8 252 1 6 1 B 18 24 UA/2Fr/0 24 54 sgft H:OFP Total Living Area: 3288 14 22 132 sqf ter, Finished Basement Living 6 H 6 35 0 X 0 Area: 8 [2_E=21 n s JJ Basement Recreation Area: 0 X 0 Woodburning Fireplace 0 / 0 Stacks /Openings: Metal Fireplace 0 / 0 Stacks /Openings: Addition Information: Heat /Central A/C: Basic Heating System: Warm Air Lower 1st Story 2nd Story 3rd Story Fuel Type: Gas One Story Unfinished Quality Grade: C Basement One Story Frame Frame Attic Physical Condition: Average One Story One Story Frame Frame Interior /Exterior: Same Condition /Desirability/Utility: AV Frame Utility Vacant /Dwell /Oby Status: Dwelling Enclosed Frame Porch Additional Features: Basement Frame Bay Brick Trim: 0 X 0 One Story Frame One Story Stone Trim: 0 X 0 Frame http: / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =3 8A- 046 -001 &pagecard =1 8/18/2010 !' • 0, p hk B11,11-il 4,f Bulittty Rutu 1 `q,4tiri.11,t Licens, CS 13888 RestrIctea to. 00 EDWARD L ORWAT 40 OLD JAMES ST CH . ;;OPEE, MA 1020 E x r at ,0 n 8/7/2011 ■■711111k Tr.t! 20279 SCOPE OF WORK FOR RENOVATIONS - GROVE STREET INN BATHROOMS - Complete renovations to three bathrooms on the first and second floors. First Floor Bathroom: • Strip out existing vinyl flooring and underlayment. • Install new underlayment and vinyl sheet goods. • Install 3/8" drywall over existing ceiling, tape with (3) coats and sand and prep for painting. • Scrape, prime and paint (2) coats walls and ceilings (Owner to select color). • Remove radiator, scrape and paint, and reinstall. • Open wall as needed to brace and rehang existing lay. • Install light and mirror over lay. • Sand and refinish existing fiberglass tub with epoxy kit. • Install (2) stainless grab bars and toilet dispenser. • Install new bath fan/light unit and vent to exterior. • Install new 3068 flush solid core door (slab only) and use existing passage set. • Prime and paint (2) coats door unit. Second Floor Women's Bathroom: • Install new bath/fan light unit and vent to exterior. • Leave existing tile and scrape /prime /paint (2) coats walls (Owner to select color). • Skim coat, sand and prime /paint (2) coats the ceiling. • Remove vinyl flooring and underlayment; install new underlayment and vinyl sheet goods. • Remove radiator, scrape and paint, and reinstall. Second Floor Men's Bathroom: • Demo entire room including all fixtures, walls and ceiling materials (existing toilet and light over the sink to be reused). • Remove subflooring to examine soft spots in floor framing. Consult with Owner on problems /repairs before any work is done. • Install new fiberglass tub and fiberglass tub kit and associated plumbing. • Install floor to ceiling fiberglass panels to cover walls. Scope of Work Grove Street Inn Page 01 1 7, g e c a t& g X9o7 JANE SWIFT (67/} 7.G / -cJGoo Govemor /. /y y p y yp JANE PERLOV c/ CICL% (o7/J /L/ ,/c>.0 Secretary JOSEPH S. LALLI Commissioner Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: GArland Construction /Waste Management (name of hauler) The debris will be disposed of in : Waste Manag of Wes ern Mass. (name of facility) New Ludlow Road, Ludlow 01033 (address of facility) r� 6 Si of perwi.t applicant 8/18/10 date dcbrisaff.doc ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 6/21/2010 PRODUCER Phone: 413 538 - 7449 Fax: 413 - 536 - 6020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION James J. Dowd & Sons Ins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Bobala Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 10300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Holyoke MA 01041 � INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Acadia Insurance Co 31325 Garland Construction Corporation mpany 31. 40 Old James Street INSURER B: Chicopee MA 01020 INSURER C 1 INSURER D: INSURER E: I 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. INSR ADO'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPEOFINSURANCE DATEfMM /DD/YY) DATEIMM/DOM') LIMITS A X ` GENERALLIABILITY CPA005404919 7/18/2009 7/18/2010 EACH OCCURRENCE $ 1,_000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED X _ PREMISES (Ea occurence) $250_, 0 00 J CLAIMS MADE rX OCCUR 1 MED EXP (Any one person) $ 5_000 PERSONAL & ADV INJURY $ 1 000,000 __., I GENERAL AGGREGATE $2,000,000 — GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2 , 0 0 0 , 0 0 0 PRO I POLICY JECT LOC - -- - —� A X AUTOMOBILE LIABILITY MAA004293121 7/18/2009 7/18/2010 COMBINED SINGLE LIMIT 1 1 ANY AUTO (Ea accident) $ 1,000,000 j ALL OWNED AUTOS BODILY INJURY X I SCHEDULED AUTOS (Per person) ' $ -- X HIRED AUTOS - BODILY INJURY $ IX NON -OWNED AUTOS (Per accident) I -- -- PROPERTY DAMAGE $ - (Per accident) • GARAGE LIABILITY i 1 AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A X EXCESS /UMBRELLA LIABILITY CUA004292819 7/18/2009 7/18/2010 EACH OCCURRENCE $ 1 000,000 X � OCCUR L J CLAIMS MADE AGGREGATE $ 1,000,000 DEDUCTIBLE $ RETENTION $ I I $ WC STATU- A ■ WORKERS COMPENSATION AND WCA004290820 7/18/2009 7/18/2010 X ORYLIMTS O ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT : $ 1,000,000 OTHER DESCRIPTION RIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate. Holder is Additional Insured on General Liability & Auto only per written contract. CERTIFICATE HOLDER CANCELLATION' 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Northampton WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Memorial Hall CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 240 Main Street SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Northampton MA 01060 THE INSURER, ITS AGENTS ORR REPRESENTATIVES . AUTHORIZED REPRESENTATI i/r! ACORD 25 (2001 /08) ©ACORD CORPORATION 1988 The Commonwealth MA of Massachusetts Department of In dustrial Accidents = 600 Washington Street �* '' vestigations 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): Garland Construction Corporation Address: 40 Old James Street City /State /Zip: Chi c,nppe, Ma _ 01 020 Phone #: 533 7699 Are you an employer? Check the appropriate box: Type of project (required): 1. kl I am a employer with 16 4. ❑ I am a general contractor and I employees (full and /or part- time).* have hired the sub - contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ` Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 11 Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their 11. ❑ 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. lnsuranceCompanyName: AcacIi a Tnsurance Company Policy # or Self -ins. Lic. #: WC A 004290821 Expiration Date: 711 8 / 1 1 Job Site Address: Al Grc p RtrPPt Northampton City /State /Zip: 01060 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 th DIA I's insurance coverage verification. I do hereby certi 1 j- r 'ns and penalties of perjury that the information provided above is true and correct. Signature: VW Date: 8 /18 /1 0 Phone #: 413 533 7699 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 #: 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 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT l David Pomerantz, Director of Central Services ,asOwnerofthesubjectproperty hereby authorize Garland Construction Corporation to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner 8 / 1 g / ©Date 1, David -- ,Par antz, -- f)irpntor - -. of (:pnt - Sprvir.ps ,asOwner/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. Davi. Pomerantz Print Nam ► 1 8/18/10 Signatur: o f I /Age t Date SECTI • 12 - ONSTR • SERVICES 10.1 Lice _ - • onstructi • ; • ervisor: Not Applicable ❑ Name of License Holder : Edward L . Orwat , . Prcc idcnt License Number l _ 4 01 d Tamps StrP cc Chico p Ma. 01020 cal, cal, 1 38 It Addres v Expiration Date 533 76 99 Signature Telephone SECTION 13 - 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 0 No , 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 ENCLOSED SPACE) 9.1 Registered Architect: NA Not Applicable ❑ Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name NA Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Garland -- Construction Corporation Not Applicable ❑ Company Name: Edward L. Orwat Responsible In Charge of Construction 40 0 James Street Address " / 533 7699 Signature Telephone Version1.7 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 1 ar're carve NA Frontage NA NA NA Setbacks Front NP NA NA Side L: R: L: R:_ Rear Building Height 2 Story Same NA Bldg. Square Footage 3, 288 Same NA Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces NA NA NA Fill: (volume & Location) Nil _ NA NA A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW ta YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Q 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 CD 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, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 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 ❑ Demolition [ii Repairs [}t Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. Demo 2nd floor bath walls /ceiling, install Of Proposed Work:: New finishes, to include vinyl floor & FRP wall panels. Genezal clean . up of .fin.ishes. on___tst & .2nd . Floors .._baths. -See Attached.. SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 0 A -3 ❑ 1A I ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B I El U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use Specify: city owned transitional housing.... COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Speci al... Proposed Use Group: Same ..._....._._ Existing Hazard Index 780 CMR 34): NA.. Proposed Hazard Index 780 CMR 34): NA SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 ST 15 ` 840 same _ ... 2nd 2nd 1636 same 3rd 3`d NA NA ... 4 4 th Total Area (sf) 3 28 8 Total Proposed New Construction (sf) same Total Height (ft) 2 s tory Total Height ft same 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public [ ] Private ❑ Zone Outside Flood Zone Municipal [ On site disposal system i Versionl .7 Commercial Building Permit May 15, 2000 Oeprtrrtent use only' City of Northampton Status of Permit: „ Building Department , k ‘ t 9 21 Main Street Sewer/Septic Availa ility brtha pt n, MA 01060 J S e of Strut ux ? ` � N tans ,.. phone 41 - 87 -1240 Fax 413 - 587 -1272 I Stt Pt s Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DW _._ . e_.___._ - -. - - -.. l l ,' ',- SECTION 1 - SITE INFORMATION 1.1 Property Address: "Fhis section to be completed by office AUG 1 9 2010 Grove Street Inn Map Lot Unit 91 Grove Street Zone r a rO t�stt'ip't Northampton, Ma. 01 060 ( G ,... ' -f Eim St. Dislrtct --.. CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: City of Northampton __. 2.4.0. Street. .. Name (Print) Current Mailing Address: 587 1260 , Central ..Services .. ...... . Signature Telephone 2.2 Authorized Agent: ,David Porn .ntz Director 240 Main Street. Name (Print) Current Mailing Address: 587 1260 Signature \. Telephone SECTION 3 T IIIATED *ON - RUCTION COSTS Item F . Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 28, 000..00 2. Electrical (b) Estimated Total Cost of 3,000.00 Construction from (6) 3. Plumbing Building Permit Fee 4,000.00 4. Mechanical (HVAC) 5. Fire Protection NA 6. Total= (1+2+3+4+5) 3,000.00 Check Number T Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date , File # BP- 2011 -0136 APPLICANT /CONTACT PERSON GARLAND CONSTRUCTION CORP ADDRESS/PHONE 40 Old James St CHICOPEE (413) 533 -7699 PROPERTY LOCATION 91 GROVE ST MAP 38A PARCEL 048 001 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 ¢� Typeof Construction: RENOVATE & UPGRAD 3 BATHROOMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 13888 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IJ F9RMATION PRESENTED: V 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 hem• ', ela r / Sig . re of Bu lt ng 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. Ste:: BP- 2011 -0136 GIS #: COMMONWEALTH OF MASSACHUSETTS $ . a 3k a * 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- 2011 -0136 Project # JS- 2011- 000231 Est. Cost: $35000.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GARLAND CONSTRUCTION CORP 13888 Lot Size(sq. ft.): 65340.00 Owner: CITY OF NORTHAMPTON Zoning: URB Applicant: GARLAND CONSTRUCTION CORP AT: 91 GROVE ST Applicant Address: Phone: Insurance: 40 Old James St (413) 533 -7699 Workers Compensation CHICOPEEMA01020 ISSUED ON:8/20/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE & UPGRADE 3 BATHROOMS 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 8/20/2010 0:00:00 $0.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner