Loading...
24A-245 11/23/2010 10:01 41- 33363390 PELLA PRODUCTS INC PAGE 01/02 \I .‘ n / Re() )acji ne, b 4-- LISII A S .JI._ SITE RESIN NSiBILITIES Customer: Lori Divine - Hudson Date: 1 11!812410 9.1 f _ Order #: 7a2LP031 If Signature: ��ry SaJeSperson: Steven Polom Signature: 1 50 %1)eposft required at time of order_ 2 Final eayment Is to be made to installation team on the morning of the feet day of installation. 3 If cus :omer will not be present at time of install, payment Is to be made prior. 4 Chec is returned NSF will be assessed a fee of $60.00 to cover fees incurred by Pella Failur to pay your final bill will result in finance Charges of 1.1/2% per month (18% Annual) and legal fees associated in the rollection neowBd monieS- 5 Due t: Inclement weather or site Conditions, it may be necessary to reechedufe• 6 We cannot and will not guarantee specific dates or days of the week for installation. 7 Time )Iven to complete a job le an estimate, extension of time is possible 8 An ►rndall appointment will be confirmed at Verification. A courtesy reminder call will be placed 1 week prior. 9 Unfor seen rot repair will be quoted on site as additional work via 2 Change Order. 10 Subslential completion is achieved when ell available products have been installed and are operational. Items such as missing or broken parts and service adjustments are covered by Warranty and do not affect the st afus of a project from being Substantially Complete. 11 In the event that any products are unable to be Installed, the final payment will be recalculated. The cost of produts not installed will be subtracted from the balance due. A subsequent and final payment equal to the oast c r products not installed as scheduled will be due upon final completion, 12 Order is not binding until approved by Pella Products management 13 Pella viii secure all necessary Building Permits Type of !nets Ilation_ New Consb, action: (tear out installation) - • x ' , Completely remove interior and exterior Trim, completely remove existing window frame, install new eendow in rough opening, re -trim both interior and exterior of window/ door. Pocket Install : (sash replacement, existing frame remains) MA Remove Interior or exterior stops, install new window in existing window frame opening, re-use existing or replace window stops (interior or exterior) Some glass loss will occur_ Lead Paint Diorctoser: el NA Home was bulit prior to 1978, Lead Paint discloser has been signed and 'Protecting Your Family From Lead In Your Home" brochure has been given to Home Owner #2INAj Are there children under the age of 6 or women who are pregnant? Polio Wlil 3wner Will © Authorized to install Yard Sign on 1st day of installation and remove 7 days afterward © Ensure someone over age 18 is present at all times while Pella employees are in the home. 13 ❑ Deliver and unload products 13 1 J Place drop cloths In work areas © ❑ Remove & reinstall Interior and exterior trim if applicable 113 I Remove & reinstall existing shutters and awnings by contract 1 Remove existing product and adjust or modify opening as needed F5 n P rovide all equipment necessary to install oiodifcte © n C ut all wood and other materials outside of home Install all products purchased � L.^J n Insulate and caulk around products L^J n R emove stickers and perform initial cleaning of ail glass surfaces �X n Demonstrate proper operation of products © n C onfirm that all products are in working order 13 Remove drop cloths, vacuum an I i n Finish (paint or stain) product purchased 1 XI Cut -back or tie trees. bushes. shrubs from exterior wall 13 Arrange to have alarm system disconnected and reconnected X1 Arrange to havepny,piumbing or electrical repairs or changes by For all service needs, appropriate licensed contractor please call: n (too) 957 - 3652 R emove and reinstall existing window treatments, wall hangings and Please make sure you air conditioning units. mention that your project E Remove and reposition furniture in work area was instance! by Pella X 1 Secure pets in a safe manner and rCfCrorlCe your order number © Remove valuable / breakable items from work area © Remove snow from area ofworkslte If necessary 11/23/2010 10:01 . 413,>363390 PELLA PRODUCTS INC PAGE 02!02 117. 3-';:f,97'''''`,"4,'''''C c t / V ti - t l 1 43 K't i its J �t o v z �' � , a ,. ` s � j 5 lk' � iz c '�, ' ti 1 r ' , n P ,r 1 . • r r r .I • New ho use [I Addition n Repiacementllyet Iowa Afteratlon(s) Roofing 0 Or Doors Y f ©J _ Accessary Bldg. El Dem olltlon Q • New Signs [Gil] Decks (1 J Siding Igj Other [Cij Brief De =xx[p on of Proposed , " i WO ,115 11 in LA • • m t ) l a.. - 0 6t�CS . t�1 -F ( silly ty S. D C- • ‘ C.Ka - .. Alteration of a ng bedroom , Yes No Adding new '' Yes No Attached Narrative Renovating unfinished basement Yes . _ No Plans AttAched Roil - Sheet . . L _P., . -.,,.. .. .I -.-.�� t.. -1„ 4.,._,I. „r2 s.,f :ice. -: 1 r ,: k. t }. i.- .'J_, 7 1 :. '..' a. • Use of building : One Family_ • , Two Family . Other _ b. Number of roams In each family unit _ Number of Bathrooms _ • c, Is there a garage attached? __ , d, Proposed Square footage of new oonsdvction- _ Dimensions e, Number of stories? _ f. Method of heating? - Fireplaces or Woodstoves - Number of each , g. Energy Conservation Complier ice. Masscheck Energy Compliance form attached? . h. Type of construction _ _„, • • 1. Is construction within 100 ft. of wetlands? Yes No Is construction within 100 yr- floodplain _ Yes No j. .Depth of basement or cellar flow below finished grade __� • . k Will building conform to the Bui ding and Zoning regulations? Yes No . . L Septic Tank City Sewell _ Private well _ City water Supply t r , 1 r r Y _ I Itr ,T , r _ t k ✓ »•c r '' i , . ,. '-'- ''^k ''. Vin ,-., >' Fr .1', ?. • , t.. ' , j. , ;4 , 1•..4,4 ,1 ----- I, _, as Owner of the subject property hereby auth•arize to act on my beh alf, in ail matters relative to work authorized by this building permit application. — Signature of Owner ner Date _ -- ` -- 1, A'g t1l raeclare sfatemrants 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 Warne = Signature of Ouvner/Agent Data BERKSHIRE INS • Fax:14135684284 Aug 6 2010 8:11 P.01 ACORD_ OR-1 Q CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM/DD/YYYY) 8/6/2010 PRODUCER (413)i FAX: (413) 774 -3872 r THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION Mas»One I =8tiranGe Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 117 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 638 Greenfield MA 01302 -0638 _ INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Continental Western Pella Products, Inc. INSURER 11 ATTN: , john Benjamin INSURER 0; 155 Mai= Street INSURER 0: Greenfield MA 01301 -3258 INSURER E: ; 0VE AGES THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NCTVV17HSTANDING 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. (AGORFG TF t IMITS SHOWN MAY HAVE BEEfiREDUCFD BY PAID CI AIMS_ IN$R ADD' POLICY EFFECTIVE POLICY EXPIRATION I TR,INS • TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDNY) DATE (MM /DDNY1 LIMITS GENERAL LIABILITY EACH OC G U R R H CE - $ 1,000,000 X COMMERCIAL GENERAL Ug91LITY DAMAGE TO RENTED 300,000 eREMISES (Fa eva $ A ] CLAI4ISMADE I X I OCCUR CPA020470113 1/1/2010 1/1/2011 Mal EXP (Any anep -r ,) $ 15,000 PFRSONAI & AOV INJURY ,$ 1,000,000 GENERAL AGGREGATE S 2,000,000 $ N'L AGGREGATEUMITAPP � LIESPER: PRODUCTS - COMP/OP AGG E 2,000,000 X POLICY n 1.743(-0:i I I LOC AUTOMOBILE LIABILITY COMBINED,$1NCaLE LIMIT $ 1,000,000 ANY ... (Ea accident) . A w ALL OVVNEO MAA020470213 1/1/2010 1/1/2011 BODILY INJURY (Per Peron) X SCHEDULED AUTOS _ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) PROPERTY (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ _ . - ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGO S • EXCESS/UMBRELLA LIABILITY FACH 000URRFISCE $ 1 OCCUR I l CLAIMS MADE AGGREGATE S DEDUCTIBLE _ .. RETENTION $ _ wwCC yy TT((�� S A WORKERS GOMPENSATION AND X I TORYTIMiTS O FR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE E.L EACHAOCIbf�NT 500, 000 OFFICER/MEMBEREXCLUDED? NCA020470513 1/1/2010 1/1/2011 E.L DISEASE - EAEMPL0Y£E$ 500,000 If yes, dascribe undef SPECIALPROVSbebw E.L DISEAsg- POLICYUMIT S 500,000 IN OTHER DESORIPTION OF OPERATIONSILOCATIONBMEWCLES /EXaLUWONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS operations usual to the Bales of windows & doors. CERTIFICATE HOLDER CANCELLATION (413) 736-3390 BHOULb ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Northampton EXPIRATION BATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 212 Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Northampton, MA 01060 FAILURE TO DO 50 SHALL IMP08E NO OBLIGATION OR LIABILITY OF ANY KM UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPISENTATNE Norma Laforest /SPG ACORD 25 (2001/08) IDACORD CORPORATION 1988 INS025 (oWB).a5e • Page 1 of 2 The Commonwealth of Massachusetts Department of Industrial Accidents d:: Office o Investigations ~� t � � .. ff f Investi g - _ l � 600 Washington Street `=n , Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): / / /pe riu c � 3 J f rI C. Address: J5 A/ cV / n S y t City /State /Zip: 6 t"F E /d /'/? 0/2o/ Phone #: ///J 70 v/5 Are you an employer? Check the appro box: Type of project (required): 1. [: I am a employer with U 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. n Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.# required.] 5. ❑ 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. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. EZ Other c,/c7ce /,d,, dew ) comp. insurance required.] M 'rf ./� r S *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: / -7d/ i_ / u r4 h CE C A n Policy # or Self -ins. Lic. #: W G 4 e27 ''7 70C/ .3 Expiration Date: /- 27 �[ � O 77 Job Site Address: 21-4 -p ` i� (m 1'� - City /State /Zip: 0 fi` Q n) ploy / Fl 6 C/ Attach a copy of the workers' cominnsation 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. I + Signature: 0 � C� G A.�ht,�Q- Date: (I l 0 Phone #: `I t1 - 1 - 1 � ^ C) k. 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 #: ,_/ ?-e e of - 0 A Jr de of Mili=- d Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 ..,0- Boston, Mass9,91cLusetts 02116 . Horne Improvement . .ctor Registration , .., ,._ ........_.. _. ...._ Registration: 142279 —* . Type: Private Corporation .2214. -' ".. 117) -. 1 7' - - ' , Expiration 3/24/2012 Tr# 2945 : 51 M -. 4i .... 4 (1" PELLA PRODUCTS, INC. i t --,.........!......'. ....._._ La GARY SHERMAN iwi' s, , , ,,, , 'W. ',..___ 155 MAIN STREET GREENFIELD, MA 01301 .;. 'tlei " = -1-......A. - i,: N. e f-- .. ) . 1r ‘:/' Update Address and return card. Mark reason for change. i, n Address 11 Renewal Ell Employment – I Lost Card DPS-CA1 0 50114-04/04-G101216 • gi eowilptonetieaa, or,Azaadzeizea • Office of Consumer Affairs & Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR HOME IMPR9V before the expiration date. If found return to 7- t ' * Registration: 42279 Office of Consumer Affairs and Business Regulation 0 1, t s: 4 10 Park Plaza - Suite 5170 - 33•„„-- , 4 Expiratitifig Tr# 294515 Boston, MA 02116 1 1 , m,, , -- - -ii,tf.L.7 : 4 • Typez gpt t ion i„0: PELLA PRODUCTS T GARY SHERMA ir 155 MAIN STREET sc,--.!7---;-::; .;':-: .4!.....4.—resa.5._______ "of / ,,,,, . . ......4 .i.. A GREENFIELD, MA 01 '- Undersecretary Ai 24444.4 L ot van/ Rho signature Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Phone: 413- 772 -0153 Cell: 413- 834 -8799 To: Building Inspector From: David White — Installation Manager Date: January 19, 2009 SUBJECT: Building Permit Applications & Designees Pella Products Incorporated is in the business of replacing windows and doors for our customers. Our process includes providing a building permit for each and every project. I am a licensed Construction Supervisor. Building permits will be applied for using my CSL #091496 and our HIC, # 142279. Please find a copy of my licenses below. Ni t 0 I - 0 a vuhb. , aCt r: , . Rosarictedto: Oa „ , ttoani s_t 13t sltlatlsb tt. a -than .ts4 .-4411 $4rfik f q ?'s#t's.tC't r,0 5.iWI' 4ito% t ,c 0t§., D • thi titrkktt4 R an r, 91,403 t G- i 2 Fomity f retctk Pasrr,cra t 1,1 ; V C WHITE 64 CARPENTER 5 i ,; A Failure to tx si 4 co mot 441600 et thu: M aisichoetts State rnt to g 4 ORANGE, MA 0 � ° , , 2.. t4ut4- lot r cv4c4ti44 of ittez lirgn.e. r.. To Whom It May Concern: I, `Low - 1`._) Vi 1 (71Q,-1-{ as property owner, give permission to our contractor, Pella Products, Inc., to obtain a building permit for the installation of windows or doors in my home, located at 1P (/- E, (t--1 "he nOCI I 1�� . Please accept this letter in .place of my signature on the permit application. Thank you, � \ Please Print Name I 8 Homeowner's Signature Date ..s W, � + jam 8.1 Licensed Construction Supervisor:. Not Applicable ❑ Name of License Holder: License Number C C:1C -ee • (D . 31 �►� Address Expiration ate 0 (a C j t Signature Telephone mss?'. iis�s� i�€a:�axA N o t Applicable ❑ 1 Tnduc , Inc. 1 q a 1c Company Name Registrati n Number 1 Main S C7 ( fl , ce,i n I I�0. O 1 O i au � g Address Expiration Date 3 ` , l,t / hk Telephone L i 1 - 1 7 _ O 153 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 f 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 > 1s f: w vt T > fi aH �• ,y�t jiJ r- %, dr *d' r�,.c�.'��✓ � _'" � �' , .. ,... � > *1,4 .. New House [l Addition ❑ Replacement Vlj1 dows Alteration(s) Roofing ❑ Or Doors ©© Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [0] Brief Description of Proposed Work: Alteration of existing bedroom Yes /No Adding new bedroom _ Yes No Attached Narrative Renovating unfinished basement Yes . No Plans Attached Roll - Sheet 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 A ( � c n , �— lo r - l rn e rvoe e f • i. Is construction within 100 ft. of wetlands? Yes 'No: Is construction within 100 yr. floosjplain 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 >'"Sn y `"r.,�!'c` +"•.yx'n5 �r< '�'Si __ ,.. • " r S �4�6 =xFY t. •*r c� } , r _ /444:7: , h` � a ��C ��• ' 3 4 Ws�trij.° R"�I' ���3Clf "�� l k�iJ jr�� > � � �t f .,� .. b.Aw ,akv.,w. -...r a,.e.�.. Ne'c... �.- '(i?�L �,: vy, -S.. ].•R� ..tad..,...n. arr 1 , Lor1 v,n -e__ , as Owner of the subject property ' hereby authorize I� l V� C C n C to act on my behalf, in all matters relative to work authorized by thiIbuilding permit application. P_12_ SI ' G red Cb c+ Signature of Owner Date T e ( 1 a ?co CJ I J inc , as Owner /Authorized Agent hereby declare that the statements and infafimation on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Dcv ; t�_ Print Name C QMCt&JI ( 1 S ' D Signature of Owner /Agent Date , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 1 1 1 1 1 Frontage 1 11 1 1 1 Setbacks Front 1 1 1 1 1 Side L:1 1 R: 1 1 L:1 1 R:1 1 .1 1 1 1 Rear 1 1 1 1 1 1 Building Height 1 ( 1 1 1 Bldg. Square Footage 1 1 1 1 1 1 1 1 Open Space Footage (Lot area minus bldg & paved 1 1 1 1 1 1 1 1 1 1 parking) # of Parking Spaces 1 1 1 1 1 1 Fill: 1 (volume & Location) A. Has a Special Permit /Variance /Findin ver been issued for /on the site? NO 0 DONT KNOW YES 0 IF YES, date issued:I 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 e ( DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ® , Date Issued: 1 C. Do any signs exist on the property? YES ® NO e 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 O IF YES, describe size,- type - and location: E. Will the construction activity disturb (clearing, grading, exc tion, 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. 24 pt.c , BP-2011-0484 GIS #: COMMONWEALTH OF MASSACHUSETTS 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 -0484 Project # JS- 2011- 000790 Est. Cost: $7200.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 091496 Lot Size(sq. ft.): 52707.60 Owner: HUDSON D DENNIS REVOCABLE TRUST C/O LORI DIVINE HUDSON Zoning: URA(100)/ Applicant: PELLA PRODUCTS, INC AT: 24 PILGRIM DR Applicant Address: Phone: Insurance: 155 MAIN ST (413) 772 -0153 WC GREENFIELDMA01301 ISSUED ON:11/23/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT DOORS 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: FeeTvpe: Date Paid: Amount: Building 11/23/2010 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner