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17A-257 28. Smoke and CO detectors as required. 780 CMR R314 and R315. 29. Closets beneath stair which have doors must be drywalled with % ". 780 CMR R302.7 Relevant items must be submitted to the building department for approvals before inspections and or CO can be signed. Other items are intended to avoid costly issues at inspections. Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiller(a northamptonma.gov Thank you for your cooperation on these matters. 0 1111.r /f I A--- /-1. Chuck -r City of Northampton Assistant Commissioner and Zoning Enforcement ' 1 a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20 "x41" exception 5 sqft at 1 floor. Minimum clear opening 20 "x24" or 24 "x20 ". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36 ",maximum step 7 3/4" from the top of the threshold and only in- swinging doors. 780 CMR R311.3 15. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ", maximum riser 81/2", maximum overall variance for the run is 3/8 ", 4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception, 4 3/8" on balustrade, 6" in the triangle. Graspable rail 1 %" minimum and 2" maximum rail, height minimum 34" maximum 38 ", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780 CMR R311.7. 16. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36 ", 4" sphere rule. 780 CMR R312.1. 17. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40% of a stud no closer than 5/8 to the edge, In interior non - bearing studs holes not larger than 60% of a stud no closer than 5/8 to the edge, in bearing walls if more than 50% of a plate is cut or notched a 1 %" 16ga. strap must extend a minimum of 6" past the cut both directions and be nailed with 8 -10d per side, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom. Notches are different. 18. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 19. Dryer duct maximum equivalent length is 25' or per manufacturer's specs. 780 CMR M1502.4.4.1, no screwed connections. 20. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 21. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces 22. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 23. Ignition barriers in place before final. 780 CMR R316. 24. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. Energy information including mechanical equipment posted on the electric panel. d. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Building Option Package. 25. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier. An air barrier is intended to stop air flow (convection) a vapor retarder or barrier is intended to stop molecular moisture transfer (diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99% of the moisture in a structure. This is evident every time one exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 26. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 27. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note: ThruLoks are engineered for post attachment supporting a railing. City of Northampton Massachusetts i re, } 7 1 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 010 j INSPECTOR Bourke Builders April 13, 2012 77 Long Hill Road Leverett, MA 01054 Subject Location: 111 Oak Street Map Block: 17A -257 Mr. Bourke, These are a few items which will need to be considered; 1. 2 floor window openings must be 24" AFF or have restrictors to meet the 4" sphere rule. 2. All windows to be energy star compliant. 3. Exhaust fans of 400 CFM or mOre require make up air. As of August 4 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not a substitute for purchasing and reading the MA codes. 1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group I soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8 -16nd common are required at each connection. 780 CMR R802.3.1. 6. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/ 780 CMR R802.3.1 7. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 8. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 9. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I -joist and or Floor Truss c. Roof truss 10. A braced wall plan identifying appropriate braced wall areas and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window /door layout may require special solutions. b. All corners must be appropriately attached to the foundation. 11. Ceiling heights minimum 7' for habitable spaces, 6'8" for bathrooms includes tub /shower area if a shower head is used, 6'8" for basements, 6'4" at beams /ducts. 780 CMR R305.1. MA amended 12. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs, spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4 13. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 14. Egress and emergency escape requirements shall be strictly met. 1 1 I I ] _ _ ( i P , 17171, 1 s . z , 8 , , ___....._ 1 -37(/1. 0 f is 110 \ --c.ma4 (4 . 5) XI I 1 ! 1 OR 09 L 4 zievL i 1 , _.. i - Ar , r 1 1 r i 1 r , i 1 0 C ■ , r TA'S i V ! ft% ........1 *frt.', 1 I ) 1 I The Commonwealth of Massachusetts Department of Industrial Accidents I MOM. t Office of Investigations , 600 Washington Street Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): _ Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. ❑New construction listed on the attached sheet. 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ['Buildin 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 11.0 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' 13.0 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. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City /State /Zip: 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 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. Signature: Date: Phone #: 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 #: \. The Commonwealth of Massachusetts ,IM: WNW. � Department of Industrial Accidents 1, 51 Office of Investigations 1 600 Washington Street • -„ Boston, MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business / Organization /Individual): 1 e.,k C.. /,\(..fl (e-j � C- Address: '7 7 L51/0 G 14-i k if2c)01.0 City /State /Zip: 1 ,fe \) +&-tr Pi/14 C i O 5 -4-. Phone #: 4 l _ 54 e - ii. 2 ( (- Are you an employer? Check the appropriate box: Type of project (required): 1. ® I am a employer with 3 4. ❑ I am a general contractor and 1 employees (full and/or part-time).* have hired the sub contractors 6. ❑ New construction listed on the attached sheet. 7. [l Remodeling 2. E.1 I am a sole proprietor or partner- 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.I 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 11.0 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' 13.0 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. tContractors 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: C:(C.�i.�i�IG.Y) Nt- '�w^'s -• -- ,& � 0 Policy # or Self -ins. Lic. #: PktA) C 2 - 2 - 6 - 0 8 9 Expiration Date: 2 /o l ( i 3 Job Site Address: ( 1 ' OK k-- -, €k -.k City /State /Zip: 1 , al+- 0( 06 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 the DIA for insurance coverage verification. I do hereby y under the pains and penalties of perjury that the information provided above is true and correct. Signature: u.-A--.1/4-‘2. ` Date: i f (1O �Z.- Phone #: 4(3- 548 -9ZI 4 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : . 14(.A.L to (5G9'f_ ._4_k-Q.. License Number °7 LV 1 t 1 lae..v-e..e IAiU'- 0(0'54 4 ° /6- (2— Expiration Date Addeo �,�.�- a. � Signature Telephone 413 4 ? 9. Registered! Home Improvement Contractor: Not Applicable ❑ Lu c ( -des (_ i5gZ- 8 Company Name / Registration Number 'Z? / U Y2 4 V 6 'LQ_l , titA10 04 4 - (6—I( Address t Expiration Date Telephone 4 (3 I 4. 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 build ing permit. Signed Affidavit Attached Yes CV No ❑ it - Home Owner Exemption 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 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ® Replacement Alteration(s) ISJ Roofing 0 MM.L £t T f VOr Or Doors fn.' Accessory Bldg. El Demolition ❑ New Signs [ I] Decks [Q Siding [El] Other [In] Brief Description of Proposed 30.5 5`f• Egjliti QOa -c-tf Etc f►4Y.)5 owe as''1 k "P".41,_ T j L "Ktioa'J Akl tcN� Work: -rc CarkT£ 6 - t2. 1 L w�+ei Afze+4' 1\13 16A - rio i t 4 L 4 11-04::'K� N6� tr Oo&,5 Alteration of existing bedroom Yes No Adding new bedroom Yes )( No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll cf - Sheetg 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family /4. Two Family Other b. Number of rooms in each family unit: 7 Number of Bathrooms 2 c. Is there a garage attached? 0 ($ 75')( (o' ree..x,f a"ed (1 d. Proposed Square footage of new construction. 3O i 5 i•eT Dimensions 5. 2 � ' K 5,75 / A DOrriocoi+I Pr,K '/) e. Number of stories? .2- (EX'STt M,Ot f\Too -4 f. Method of heating? J 10A-vv- VALEle./ &l St Ikea) Fireplaces or Woodstoves 6 Number of each g. Energy Conservation Compliance. /J c1 k1r6Z.0 A Masscheck Energy Compliance form attached? h. Type of construction fie' l-f.-- i. Is construction within 100 ft. of wetlands? Yes x No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade EXt 51 f•- k. Will building conform to the Building and Zoning regulations? )C Yes No . I. Septic Tank City Sewer X Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, L T . V . I �O L/ ,(/iL'�__ , as Owner of the subject property D hereby authorize iAAu - t G�vQ- tl-Qt s L C. to act on m ehalf, i tters relative to wo authorized by this building permit application. > fit_ /a 20r Z Signature of Owner 1 Date 1 Pi4kA L 4( - &Gti(Z -K.a , as9wner /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. P A-. c C.k.►e. . Pri ..me `► / A t 112- - 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 Zonin This column to be filled in by Building Department Lot Size Frontage Setbacks Front � --- \ F---1 ---- 0 Side �� F --- � t � --- h L: � --- DL � — ~ - r F /1|#W) r--- Rear . �-3 r -- r -- Building Height CAwtobE ��� Bldg. 3 Footage '`~~,)u& C> 5,,f. Vokk4- Open Space Footage (Lot area minus bldg & paved parking) C 4-V E # of Parking Spaces '--� "--- �---^ Fill: (volume & Location) A. Has a S cia\Permit/Vahance/Findingeverbeenissuedfor/onthedte? 0 m� 0 NO �~� DON'T KN0VY 147 YES �_� [-------'----� IF YES, date issued: IF YES Was the permit recorded at the Registry of Deeds? NO 0 � DONTKNOVY YES �� IF YES: enter Book l Page, � and/or Document # �� 0 B. Does the site contain a brook, body of water orvvetiands? NO �� �� / DON'T KNOW �_� YES �~� IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained x�\ Obtained �~� Date --' -- v�� , Issued: Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: � U D. Are there any proposed changes to or additions of signs intended for the pnuperty7 YES 0 NO r --- --- - '----- --- IF YES, describe size, type and location: E. Will the construction activity disturb ( ring, grading cavation, or filling) over 1 acre or is it part of a common plan that will disturb over I acre? YES & NO �� �� �� IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only � Ci of Northampton tat of Per mit: ` Bu ding Department Curb GutiDnve yPern1)t, „„ „V2 I. 2 2 Main Street Sewer/Septic AvaH b�ity� S9 ° oom 100 WaterAtif, �iiability o • ipton, MA 01060 Two sets of tru ur Pi h . • 3- 587 -1240 Fax 413- 587 -1272 Other APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office (' i�Yk- j r . Map Lot Unit FLo ,,)L r OA, A— 6 ( 06 Z_ Zone Overlay District V Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT J 2.1 Owner of Record: Svet∎ So 4 ill O WE S`Tlzt ; Rzyt,eoce, MA 00 62_ Name t) n Current Mailing Address: tvait Telephone Q ` 3 _ Signs ure 2.2 Authorized Agent: � L P70 ( - fie. t I t s ) GlG 77 C i4« rte► tx■)ektec 1/1/1! -- Name (Print) Current Mailing Addres CA !it 4 - 54S - tit4 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building Z � � 0° (a) Building Permit Fee 5 2. Electrical SOCK • °° (b) Estimated Total Cost of / Construction from (6) 3. Plumbing 5 oo ` op Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection rr�� 6. Total = (1 + 2 + 3 + 4 + 5) „ 4 500 i 0 Check Number l/ p` 4tca.6 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Date Building Commissioner /Inspector of Buildings File # BP- 2012 -0880 la �� 1 t APPLICANT /CONTACT PERSON BOURKE BUILDERS dl ✓ N � ADDRESS/PHONE 77 LONG HILL RD LEVERETT (413) 548 -9214 PROPERTY LOCATION 111 OAK ST MAP 17A PARCEL 257 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out j a �� Fee Paid / l Typeof Construction: EXTEND ENTRY PORCH,CREATE MUDROOM /LAUNDRY RM,RENO KITCH & BATH & REPLACEMENT WINDOWS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 055137 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 �� y q Other Permits Re u ;�j /� 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 Demol_,, Delay 0� / • :nature o t nil. ing • f icial 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. 111 OAK ST BP- 2012 -0880 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A - 257 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2012 -0880 Project # JS- 2012- 001548 Est. Cost: $34500.00 Fee: $207.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BOURKE BUILDERS 055137 Lot Size(sq. ft.): 11499.84 Owner: STENSON JAN Zoning: URB(100)/ Applicant: BOURKE BUILDERS AT: 111 OAK ST Applicant Address: Phone: Insurance: 77 LONG HILL RD (413) 548 -9214 Workers Compensation LEVERETTMA01054 ISSUED ON:4/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: EXTEND ENTRY PORCH,CREATE MUDROOM /LAUNDRY RM,RENO KITCH & BATH & REPLACEMENT WINDOWS 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 4/23/2012 0:00:00 $207.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner