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24D-274 (2) DIG SAFE Client: 3 fc.bL- :1, 9 4I c- tDoJC% Date Called: 6 1, ),3%ao Called by: Lijic. ^c- kc.tiw;Lk 1 State of Massachusetts Dig Safe # 1- 888 - 344 -7233 Barron & Jacobs contractor #18519 ❑ State of Connecticut Dig Safe # 1- 800 - 922 -4455 Barron & Jacobs contractor # 13474 BEFORE YOU CALL YOU WILL NEED: A) White stakep outlining new work area S B) City !1(c 1' C) Address 00 er"vi,f ( D) Nearest cross street to client's street 5 -- jt A"). E) Is this a corner lot? ❑ Yes WI No F) What type of construction 44 G) Where on property J H) How deep 4' DIG SAFE WILL GIVE THE FOLLOWING INFORMATION: A) Dig Safe Approval # AQ/( 3 L f (6 B) Date OK to Dig 5(14 a64-h C) Time OK to Dig 3 127 franklin street northampton, ma - Google Maps http: / /maps.google.com/maps ?client= firefox -a &channel= s &hl= en &q =... GOL SIC �+ Address 127 Franklin St I Get Google Maps on your phone Maps Northampton, MA 01060 Text the word'GMAPS °to466453 xr$ nktn Ct .ir Mary Browns Dingle 2 010 Google Map data Ct2010 Google 1 of 1 9/24/2010 8:50 AM , • SIGNATURES By signing below, you agree to items A, B and C. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. A. Alternative Dispute Settlement (Arbitration Clause): The Seller and the Buyer hereby mutually agree, in advance, that in the event of a dispute concerning this Agreement, the parties shall submit such dispute to a professional, state - approved arbitration service (cost, if any, to be paid by the submitter) prior to either party proceeding to legal action in the courts. Q B. By signing this agreement, you, as the owner of record, are hereby authorizing Barron & Jacobs Associates Inc. to act B as your authorized agent in all matters pertaining to the building permit application. C. This is a binding Agreement. You may not cancel it except as stated. This Agreement covers and supersedes all conversations, statements and agreements, expressed or implied, between the parties, their agents or representatives. You, the Buyer, may cancel this j T J transaction at any time prior to Buyer , Date midnight of the third business day ' , / M �� / Y ) /� Y � after the date of this transaction. t/ilf (. , , ,., ob f 1 r ✓ l See the attached notice of cancellation Buyer Date form for an explanation of this right. Seller retains an equal right to cancel. / q 2Lt/(a Barron & Jacob entative Date ****#****** ** * * * * * * * *** * * * ** * ** * * * * * * * * * ** ****** * *** *** * * * * * ** *** * **** * ** * * * * ** ***ski * * * * * * ** Designer /Salespersons Registration Numbers ❑ Cecil R. Jacobs MA HIC 100809 ❑ Christopher R. Jacobs MA HIC 100809 CT HIC 0518617 CT HIS 0554397 ❑ David J. Satkowski MA HIC 100809 ❑ William J. Bonini MA HIC 100809 CT HIS 0554600 CT HIS 0553918 Barron and Jacobs - Key Personnel Contact Information: Office Cell Home Office Manager: Sandy Scavotto 413.586.8998 Operations Manager: Bill Bonini 413.586.8998 413.672.1009 President: Cecil R. Jacobs (Jake) 413.586.8998 413.250.2357 413.584.4447 Purchase Agreement Page 26 of 26 1 L1 I t ,,,,,,,,, i f in accordance with the- provisions of Mf._ a 4q), 4;54, I acknowleride, as a condition of The Building pen Gil debris resuihng from construaincri acvity governed by this Building Permit shall be disposed of at ! ______-_, i\iii),(1:1 0 \ R-P - -\'\-- C - - -- ccf:(1_, [ __ (1 __ -..-.AF, OP P=AelLiiiM I , i f i , t t a property licensed soiid waste faieiility as defined by Net ice~, ill, F i ___--------------(,_ 1 _ i cf i , r , 3— ,,tcl 3; ) (// • $ I i 1 E 3 PR:HT OR TYPF: THE F-rLOVANG IN FUkNiz...-110Ni: i 1 c I OF PITIT" A PPLICA.NT) ) 1 _,-1-c , I . f -- - -- - f ii OF E4 7 ;: 7 E3,1 01. OF,: i f r 1111._t_fichyL.5 +, N,,,--tL _AA ot 1 (F; OPER TY A DO,RFS S) f i i f t i i 1 1 1 • L.d C7111 Q. L Liz P. , n um.oynw nwo, y, `.ion r a- rage 1 cl'1 L1ate:Or/lr uiu U1:J4 rm rage:i OT 1 CERTIFICATE OF LIABILITY IN$3URANCE OP ID SE DATE (MMIDDIYYI'Y) BARRJ50 06/21/10 PRODUCER THIS CER1 IFICATE IS ISSUED AS A MATTER OF INFORMATION IRM Insurance Agency, Inc. ONLY ANC CONFERS NO RIGHTS UPON THE CERTIFICATE Barry M. Stephens, CPCU HOLDER. "HIS CERTIFICATE DOES NOT AMEND. EXTEND OR '75 North Main St. -P 0 Box 564 ALTER TH !COVERAGE AFFORDED BY THE POLICIES BELOW. East Longmeadow MA 01.028 Phone: 413-759-0010 Fax:413- 759 -0017 INSURERS AFFORDING COVERAGE NAIC INSURED INS_RER A: 20230 Can:ral Insurance eompanias INS_RER B: Barron & Jacobs Assoc. Inc. INS_RER C: 70 Old South Street INS_RER D: Northampton MA 01060 IrIS_RE? E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE\ ISSUED TO THE INSURED NAMED ABOVE FOR T -E POLIO' PERIOD NCICAT D NOTWIT- S IANDINC ANY P.EOU REENIEH', TERM OR CONDITION OF ?N' CONTRACT OR OTHER DOCUMENT WI RESPECT TO WHICH TINS CERTIFICATE WAY BE ISSUED OR M A" PE-P.'AIN, THE PJSURANr= AFFORDED BY THE POL CIES DESCRIBED HEREIN IS SUBJECT TO AL_ THE TERMS, E XCLUSIOrI=_ AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. 1NErt MUL I. POLICY EFFECTIVE POLICY EXPIHAl ION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MMfDD'YYYY) DATE (MrNDD.YYYY) LIMITS GENERAL LIABILITY EACHOCDJRRENCE $ 1000000 A X COF/M°RCIAL GENERAL LIABILIT CLP7933761 03/09/10 03/09/11 PREb1I ES(Eaoccuene) $ 300000 CLA PAS MADE X OCCUR MED EXP (Any one person: $ 5 0 0 0 - - -- __ PE•RS_NALS ?D'V NJ_RY _ B 1000000 _ X GL Plus Endorseme GENERAL AGGREGATE $ 2000000 GENL AGOREGATELNIT APPLIES PER: PRODUCTS - CONIP,OP AGG $ 3000000 POLICY n AC T n Loc. AUTOMOBILE LIABILITY C`MBINEC= I\GLE_IWIT g 1000000 A ANY AUTO BAP8612961 06/22/10 06/22/11 (Eaa•cicent) ALL OWNED AUTOS • BCD LY INJUR X SCHEDULED ALIT (Per parser) X HIRED A_TO: BOO LY INJUR" X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO O \L" - EA ACCIDENT $ AN'' AUTO OTHER T-AN EA ACC $ AUTOO\L" AGO $ EXCESS UMBRELLA LIABILITY EACHCCGURRENCE $ 1000000 A X OCCUR n CI.'JWSMaDE CXS7933762 03/09/10 03/09/11 AGGREGATE $ 1000000 DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION I WC. S. RILL C•Ir,- • AND EMPLOYERS' LIABILITY LIMIT - _ ER YfN A AN B[RIPARLU_EE r— M83758681.7 03/01/10 03/01/11 EL.FSD- IACCIDE',T $ 500000 . — (Mendatory lnNH) EL. DIEEAS=- EA .EMPLOYEE $500000 If yes, dea=ibe Lnder SPECIA_ PROvISIONS below E L. L'ISEASE- POL CY JrMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS f VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROV BONS CERTIFICATE HOLDER CANCELLAT ON SHOULD ANY C P THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PROOE'OF OATS THEREAT . THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DA:/1 WRITTEN NOTICE TO THI CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NC: OE .IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS'' DR Proof of Coverage REPP.ESENTAT V.S. • AUTHORIZED RE 'RESEPIT'ATIVE IRM Insurance Agency Inc. ACORD 25 (2009/01) 01918.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks g ACORD • , The Commonwealth of Massachusetts s Department of Industrial Accidents 1 = _ h g Office of Investigations i M1111 i 600 Washington Street :_eta ca Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly / Name ( Business /Organization /Individual): c. t" i ^ v „ l ti` �� 1 ({ i C � ),_� {` Address: l 0 0 LO j 0 ift71 vi S i-, City/State/Zip: 1VcrA , -0,0 f, A I r1 0 a (0 ((` Phone #: 9 3 t) 1 5 (- `� `iC I g� 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 6. El New construction employees (full and/or part- time).* have hired the sub - contractors 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. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.11) Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12.111 Roof repairs insurance required.] t 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 their workers' comp. policy information. 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 q' �x�" " , " c . : ) , ti, , v,t,,v, e t , . � .� fc, 11, f'l ti nt 4 K' Policy # or Self ins. Lic. #: J � Exp ira tion Date: 1 ) I le i Job Site Address: i 11 Cr i;•tk K I i rl 3 tie e City/State /Zip: A.l kr'('c,1 ` t Yl 0 060 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 certi under the pai s and penalties of perjury that the information provided above is true and correct. Signatur �19---- i Date: 97)" 0" Phone #: C 140 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 #: r , E?J Q�y22 .ecz/a � / / / # ' , Office of Consumer Affairs and usiness Regulation 1 1 0 Park Plaza -Suite 5170 y Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100809 Type: Private Corporation Expiration: 6/23/2012 Tr# 296962 BARRON & JACOBS ASSOCIATES, INC. Cecil Jacobs -- _ - - -- - -- - -- - - - -_ .. 70 OLD SOUTH STREET NORTHAMPTON, MA 01060 Update Address and return card. Mark reason for change. Address l Renewal iJ Employment Lost Card DP5 - CA! CO 50M-0404-G10216 :lite f:ammanujeala ol `(a-u ar r zJe/6 individul L icense or registration valid for ndividul use only Office of Consumer Affairs & Business Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to Registration: 100809 Type: Office of Consumer Affairs and Business Regulation 9 10 Park Plaza - Suite 5170 Expiration: 6/23/2012 Private Corporation t Boston, MA 02116 BARRON & JACOBS ASSOCIATES, INC. Cecil Jacobs 70 OLD .4 70 OLD SOUTH STREET _ NORTHAMPTON, MA 01060 0111F,,,,r. Undersecretary Not valid w' o signature Nla..achu.ctt. - Dcli: ut Puhlic `.itct■ Board Of Builtlin2 Ri,ulatiun. and 'tantlartl. Construction Supervisor License License: CS 30739 Restricted to: 00 l CECIL R JACOBS 70 OLD SOUTH STREET NORTHAMPTON, MA 01060 Expiration: 9/21/2011 ( „nui i..i nrr Tr=: 2429 , • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : �, LL 1 „C-, `} CS i 39 License Number lo old St;.h 5ti,A A)",-i ,1"M Diceo C (ia)ikif Address Expiratio Date Sign , Telephone LGCC ��”" ..,.t 9. Registered H H. - mprovement Contractor: Not Applicable ❑ 11 1 , 6 ( -I �^c.. & L-. 15 Ss0r_ic ) ,,tAL, )cQ`ooci Company Name f j Registration Number 1® v \� x 041.1 S t'e / / ,..-!I �1...o iCvl 444 0,04:2,0 C/a � ao1 t Address ) Expirati n Dat Telephone L-(( S gc ,(c(G( 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 RI No ❑ 11. - 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 108.33.1. 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 Windows Alteration(s) n Roofing pi Or Doors E Accessory Bldg. 1 Demolition ❑ New Signs [D] Decks [0 Siding [D] Other [D] aAfYAG4 rs - 3 ( Brief Description of Proposed � ^ `�� 1 r .r . .rr - Work: Cc. A.Stif �.(- !r 1 (It 2 1),.; Alteration of existing bedroom Yes )C No Adding new bedroom Yes ) No Attached Narrative Renovating unfinished basement Yes i' No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: 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 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ' , e. ; . [s w C° £. 6 , 1 kC' , as Owner of the subject property hereby authorize 46^l4 <- j - - ='')'J to act on my behalf, in all matters relative to Mork authorized by this building permit application. 1:-.1 8 Signature of O &r Da I, LXGI / V p)--La< , 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. ��. j ,L5 Print Nam - • de O Ar ... - re of ner/ Fg - 11111.- Da Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 146ei-3 ��/ This column to be filled in by ��, � N Building Department Lot Size ;1 \ 6 \ \ Frontage a ds Setbacks Front 3 0' 3 Q; Side L: 1 R: ,N/i L: r R: 11 Rear .fr/.4 4f Building Height . a,55 f, ` c-r Bldg. Square Footage 0, % \1 Open Space Footage (Lot area minus bldg & paved ( 5 (AA3 -) (j parking) # of Parking Spaces 3 Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO C DON'T KNOW ) YES C IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES Q IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW C YES C IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES (3 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, 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. I 1 Department use only j'" City of Northampton Status of Permit: ' 'L V7 ii �Q� , \uilding Department Curb Cut/Driveway Permit � �/ fL%S 212 Main Street Sewer /Septic Availability �`, . co �Q , , Room 100 Water/Well Availability `�. Northampton, MA 01060 Two Sets of Structural Plans l' ' phone 413 - 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans Other Specify 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 1 EtwA ICI; A S re.e 1' Map Lot Unit 1\k t"A pie n e' V 4 l! 10 4J 1 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: U JtA. �,ir�., - c.bh,ile g 4I ;5°4 ThD(d ... , a S 1 ^1 •u t Ili !,() Name (Print) Current Mailing Address: l' , Telephone i gnature s s� ' ,., , i �� g / A 2.2 Authoriz- • N ,r►^c., (.k 3 t,CC hs Asscic:it.trc, r 1 ,_.,, 10 01J 5(, 4;l s+, J OG4h „a 1 y.. �� k ow Name (Print) j Current Mailing Address: (- , S qC, `6(1 ' t Signature Telephone . SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 3( ) AS i B oo (a) Building Permit Fee 2. Electrical ( Ors (b) Estimated Total Cost of ® Construction from (6) 3. Plumbing ^ Building Permit Fee 4. Mechanical (HVAC) V 5. Fire Protection 0 yj�/ 6. Total = (1 + 2 + 3 + 4 + 5) • 7 ) , G 51-J00 Check Number / 5 ' 7 This Section For Official Use Only Permit Number: Date Building Issued: , Signature: Building Commissioner /Inspector of Buildings Date rz File # BP- 2011 -0291 \ U (� APPLICANT /CONTACT PERSON BARRON & JACOBS ADDRESS/PHONE 70 OLD SOUTH ST NORTHAMPTON (413) 586 -8998 4 1 PROPERTY LOCATION 127 FRANKLIN ST c t \ MAP 24D PARCEL 274 001 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 /5 9 jr SC Fee Paid J Typeof Construction: CONSTRUCT 12 X 20 DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 030739 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 Commission _ Permit DPW Storm Water Management Demolition Delay l 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. 127 FRANKLIN ST FA.? BP- 2011 -0291 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 274 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: GARAGE BUILDING PERMIT Permit # BP- 2011 -0291 Project # JS- 2011- 000484 Est. Cost: $37051.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BARRON & JACOBS 030739 Lot Size(sg. ft.): 16770.60 Owner: STEBBINS SUSAN Zoning: URB(100)/ Applicant: BARRON & JACOBS AT: 127 FRANKLIN ST Applicant Address: Phone: Insurance: 70 OLD SOUTH ST (413) 586 -8998 Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:10/4/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 12 X 20 DET GARAGE 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 10/4/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner