36-199 Attendance Grid Teacher Name: Kira Jewett
Ranney Jr, Kevin
Schwallie, Madelynne
Sullivan, Kyle
Sullivan, Mackenzie
Study Hall MS 199
Thompson, Luke
Weltlich, Brianna
West, Christie
Whiteley, Laura
Apr 27, 2009 2 of 2
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The Commonwealth of Massachusetts
Department of Industrial Accidents
tr c. 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): i rC4 ': j?
Address: la(o 61 at e,c1- Tr"
City/State/Zip: t O ( vl Cam. l i9- D 1 OL Phone #: Z 0 --
tY P - - 3 G J$
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. 13 New construction
2. P/ 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. 0 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 11.0 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 j
employees. [No workers' 13. Other GiCC�3>�> / / i w' i
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:
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 #:
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2005 -2006
" Anthroposophy and Religion in the Waldorf School," by Roberto Trostli
Parents new to a Waldorf school quickly sense that there is something that underlies their
child's education, the teacher's work, and the school's operation. This "something" is
anthroposophy, the world -view developed by Rudolf Steiner.
Anthroposophy is difficult to define, for it encompasses a vast body of research and
teaching. Rudolf Steiner characterized it as "a path of knowledge to guide the spiritual in
the human being to the spiritual in the universe." Anthroposophy is both a world -view
and a path of inner development. It is not a religion, but it recognizes the importance of
what Rudolf Steiner termed "the Christ Impulse." According to Rudolf Steiner, the Christ
Impulse has played an important role in the evolution of the world and of humanity and
has therefore had an impact on all people, irrespective of their culture or religious
background.
Waldorf teachers are students of anthroposophy, and they are striving to bring this
philosophy to fruition through their life and work. Anthroposophy aids teachers in their
preparation and in their work with the students; it also illuminates and gives meaning to
the subjects of the curriculum. Waldorf teachers, however, do not teach anthroposophy.
Waldorf education seeks to bring renewed meaning and purpose to all areas of human
endeavor and to redevelop the connections among science, art, and religion. It is an
education that is deeply religious in the literal sense of the word, for in Latin the word
religion means "to link again." In everything we teachers do, we strive to help our
students forge or strengthen their links to the world of spirit, to the world of humanity,
and to the world of nature. Through every subject in our curriculum— through painting or
poetry, science or sports, mathematics or foreign languages —we hope to stimulate in our
students a deep sense of self, to awaken compassion and understanding for others, and to
instill a feeling of responsibility for the earth.
Although religion is not taught in our school, aspects and themes of the great world
religions are considered in the study of literature, history, and geography. In the first
grade students hear fairy tales; in the second grade, legends of holy women and men, and
in the third, stories from the Old Testament. Fourth graders study the Norse myths, fifth
graders the myths from India, Persia, Chaldea, Egypt, and Greece. In the history and
geography lessons in the upper grades, students learn about Judaism, Christianity, Islam,
Buddhism, Hinduism and the religions of various other cultures. The images and ideas in
these myths and religions are nourishing to children's souls. They help our students to
appreciate the rich cultural heritage of the different peoples of the world. The images and
ideas of the world's great myths and religions also build a foundation for a student's sense
of identity and meaning in life, and, in adulthood, establish the basis for a free
relationship to religious or spiritual striving. We see questions of religious education, per
se, as the province of the family.
1 -3
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:
Not Applicable ❑
Name (Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
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
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
2005 -2006
resulted in a new form of organic agriculture (biodynamic farming), new approaches and
techniques in therapeutic education, new approaches to the arts, and a new form of
education: Waldorf Education.
In April of 1919, Rudolf Steiner visited the Waldorf Astoria cigarette factory in Stuttgart,
Germany. The German nation, defeated in war, was teetering on the brink of economic,
social, and political chaos. Steiner spoke to the workers about the need for social
renewal, through a new way of organizing society and its political and cultural life.
Emil Molt, the owner of the factory asked Rudolf Steiner if he would undertake to
establish and lead a school for the children of the employees of the company. Steiner
agreed but set four conditions, each of which went against common practice of the day:
1) that the school be open to all children; 2) that it be co- educational; 3) that it be a
unified twelve -year school; 4) that the teachers, those individuals actually in contact with
the children, have primary control of the school, with a minimum of interference from the
state or from economic sources. Steiner trained the teachers, developed the curriculum,
and worked closely with faculty. On September 7, 1919, the independent Waldorf School
(Die Freie Waldorfschule) opened its doors.
Because of its philosophy and innovative methods, the original Waldorf School gained
international recognition and inspired new Waldorf schools throughout the world.
The Waldorf Curriculum
The core of the Waldorf approach is an integrated curriculum, designed to develop and
harmonize the capacities of heart, hand, and mind. The breadth and depth of the
curriculum, is a unique aspect of Waldorf Education. The entire twelve years of school
are considered a unity, and all students take almost all subjects. Subjects that the class
teacher introduces in first grade become increasingly complex when reintroduced in
subsequent years. For example, nature studies and animal stories in the lower grades
prepare the children for botany and comparative anatomy in the upper grades and high
school. Storytelling in the early childhood programs builds a foundation for language
arts; house building lays the ground work for physics; geography in the middle grades
leads to a fuller understanding of history in the high school. Consequently, the student
achieves a thorough knowledge and understanding of the world.
The curriculum is designed with the growing child in mind. Grade by grade, following
the developmental stages of childhood, the curriculum mirrors the inner development of
the child thereby making the educational experience both relevant and satisfying. The
child is endowed with a lifelong love of learning and reverence for the world. Waldorf
Education acknowledges and respects the natural gifts of each person, encouraging and
challenging students to achieve their fullest human potential.
I -2
Versionl .7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Dependent Structural Engineering Structural Peer Review Required Yes 0 No
.CTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, , as Owner of the subject property
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date •
I, 'Vim Jgwe T , 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.
Print Name
,401.1114" :72‘140
,nature of Owner / .h ' Date
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not g �lic le
ab
Name of License Holder : �✓ i I I LIMC�(Q / LamCre t i 22"" ,'( /( /Q
License Numbe P
' la 4' 61'0721'16 fl(Ct 12 S1 De-
5g3 /0
Address Expiration ate
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 () No 0
>t
2005 -2006
First Grade Readiness
The kindergarten teachers, in conjunction with the Educational Support Group, will determine
readiness for first grade based on their observations and consultations with the parents. Each child will
have an individual assessment. The assessment has a story format with opportunities for different
kinds of movement, identifying shapes, memory exercises, and drawing. The teachers look for eye -
hand coordination, dominance, and spatial organization, among other indicators of first grade
readiness.
Tuition Payments
Those responsible for tuition payments should contact the Office Manager as soon as possible if
circumstances make it difficult for them to fulfill their financial commitment. Parents or guardians are
required to sign a tuition contract and to follow through on the financial commitment outlined within.
Tuition deposits are due on March 1. Students whose current year's tuition falls more than two months
in arrears will not be allowed to continue, and those whose previous year's tuition has not been paid in
full will not be accepted for re- enrollment in the school. When payments are more than 2 months past
due, payments by personal check must be made at least 10 days prior to the date classes resume after a
vacation break and cash, money order, certified cashier's check or credit card payments must be made
no later than 3 business days prior to the date classes resume or students can not attend school when
classes resume.
There are three payment plan options: the 10- Payment Plan, 4- Payment Plan, or the 2- Payment Plan.
If tuition payments made by check or by ACH are returned twice in the course of a school year due to
"` insufficient funds, all remaining tuition and fee payments for that school year must be made by Money
Order or Certified Cashier's Check.
In order to guarantee a child's place in a class for the coming school year the following must be
received by June 1St:
• Tuition payments for the previous school year.
• A Tuition Contract and full tuition deposit for the coming school year.
Future Year's Tuition Pre - payment Policy
Parents can purchase future year's tuition and lock in the most recently approved tuition rate set by the
Board of Directors.
Pro - rating Policy
• Late Enrollment: If a student is initially enrolled into any of our programs after the program
start date, tuition for that program will be pro -rated on a per -month basis regardless of what day
in the month the student begins.
• Placement: If the faculty determines within 30 days of a program start date that a student is not
appropriately placed in a program, tuition for that program will be pro -rated on a per -month
basis regardless of what day in the month the student is withdrawn, and a credit or refund
issued accordingly.
IV -2
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 � o M r,Z 5 1 G,GXQ. 5
Frontage Co 6G a
Setbacks Front N " f rap' /S
Side L: R: L: 001 R: 1 W
v .. I so{ . CodSeiv b
Rear
('2St'n to Yt
Building Height
Bldg. Square Footage % -6°1'd
Open Space Footage % „
(Lot area minus bldg & paved 1+ 60, Gf 5
parking)
# of Parking Spaces n' /A IV/
Fill: N N /Pr
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW 0 YES e
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES .Ct"
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 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Q , Date Issued:
C. Do any signs exist on the property? YES NO A
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
0"4' that will disturb over 1 acre? YES Q NO ei
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
d'`
2005 -2006
• Partial Day Enrollment: The school does not pro -rate tuition for partial day enrollment for full-
time matriculating students. Tuition for non - matriculating students is determined by the number
of classes the student is attending and pro -rated accordingly.
• Students Going Abroad: Tuition will only be pro -rated for students who are on leave from the
program for more than 90 consecutive days.
Spaces for students going abroad will be guaranteed only if a tuition deposit has been made and
provided the class has sufficient space to hold a place without turning away other students. In
cases where there is not sufficient space, full tuition will need to be paid to guarantee the
student a place in the class.
Students who do not begin the school year at Hartsbrook may have tuition pro -rated on a
monthly basis from the date the student begins class.
Students who leave during the school year to participate in a foreign exchange program are
expected to pay a full - year's tuition unless they notify the school of their absence prior to the
December holiday break. In such cases, tuition will be pro -rated on a per month basis, provided
the 90 consecutive day rule applies.
• Withdrawal: If, at any time after signing a Tuition Contract, a student is withdrawn from the
school, the family is under the following financial obligations:
• Prior to June 30 100% of the non - refundable tuition deposit
• Prior to the first day of school: 200% of the non - refundable tuition deposit
• Prior to December 31: 50% of the tuition and 100% of the payment plan fees as scheduled
for the entire year
• After December 31: 100% of the tuition and 100% of the payment plan fees as scheduled
for the entire year
Families who withdraw after submitting a deposit and prior to the first day of school for two
years consecutively will be required to pay 50% of the tuition in order to hold a place for their
child should they decide to re- enroll the following year.
In addition, the family is obligated to follow the formal procedure for withdrawal as outlined
separately in this section of the Parent Handbook.
Tuition Assistance
The Hartsbrook School seeks to make its educational program as accessible as possible. To this end,
the school allocates a portion of tuition revenue (currently 14 -15 %) for tuition assistance on an annual
basis. Tuition assistance is available to students in the high school, grades and kindergarten.
The tuition assistance program has the following goals:
• To demonstrate the school's commitment to students whose parents have made a commitment to the
school -- regardless of their income level.
• To make it possible for larger families to send their children here.
• To ensure that tuition assistance is fairly distributed and provides a consistent level of aid to families
who are maximizing their own financial resources to remain in the school.
•To allow the school to remain financially sound.
IV -3
Versionl.7 Commercial Building Permit May 15, 2000 2`6
\!
j SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 G
CUBIC FEET OF ENCLOSED SPACE 1_2
.erior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building
Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑
p ntinn , / 6 ,....,,r, )0' beG.1M 6 ctXC.(k ock c
Brief Description F.�tec.a brief desCri PrP x
Of Proposed Work:
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
A-4 ❑ A -5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ _ 3A ❑
I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential 1 3-' R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B [
U Utility Specify: c t ,
`}l /
M Mixed Use ❑ Specify: �
Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1st 18t `y� ,,
�t ty'iib 3 °) p`
2nd 2 nd
3rd 3rd
4
4
4
Total Area (sf) Total Proposed New Construction (sf)
'c l a ,
3gtal Height (ft)
�` Total Height ft t a
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❑
2005 -2006
Probation
Whenever possible the Faculty Conference will inform the family in advance that this measure is being
considered. The terms of probation will be formulated by the Faculty Conference. The class teacher
and a representative from the Faculty Conference meet with the parent(s) and student to review the
terms of probation, and confirmation of the terms are put in writing.
Expulsion
The Faculty Conference may expel students if:
• a student or the family does not support or follow the school's policies or procedures.
• a student deliberately harms another student or teacher.
• a student damages or destroys school property.
• a student is suspended repeatedly.
• a suspension cannot be resolved to the school's satisfaction.
• a student does not meet the terms of probation.
• the student smokes, drinks alcohol, takes drugs, or engages in destructive or dangerous
behavior.
If a student is to be expelled from The Hartsbrook School, a representative of the Faculty Conference
will notify the parents verbally and in writing. When a student is expelled, the family will remain liable
for the remaining semester's tuition.
Compulsory Withdrawal
The Faculty Conference may require parents to withdraw a student if the school determines that it is
unable to meet the student's academic or emotional needs, or if there are differences between the
school and the family that cannot be resolved to the Faculty Conference's satisfaction.
When a family is required to withdraw a student, a representative of the Faculty Conference will notify
the family verbally and in writing. In cases of compulsory withdrawal, the family will be reimbursed
for the remaining tuition.
A family may also be required to withdraw a student if it has not fulfilled its financial obligations to
the school. In these cases, the family continues to be responsible for all of its financial obligations to
the school.
FUNDRAISING
Fund Development Program
Because The Hartsbrook School cannot rely solely on the revenue from tuition to meet its operating
expenses, it is necessary to have a solid fund development program to help support the needs of our
school. This program allows us a variety of opportunities for fundraising andfriendraising including
special events such as fairs, the School Store, and the Scrip program. These activities are a vehicle not
only to raise the funds that are necessary to meet the needs of a growing organization, but to have fun,
raising friends along the way.
IV -5
Versionl .7 Commercial Building Permit May 15, 2000
Department use only
- -ity -pf Nprthampton Status of Permit
l`_ ' ■ 6oilciiN Department Curb Cut/Driveway Permit - '
—4- 2'12 Main Street Sewer /Septic Availability
NOV .. r1�tqq
Room 100 Water/Well Availability
� �
L Northampton, MA 01060 Two Sets of Structural Plans
L____ -_ ...phone 413 -587 -1240 Fax 413- 587 -1272 Plot/Site Plans
D - 'C S Other Specify
APPLICATION TO CONSTRUefi, 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 Pro a Addre s:
This section to be completed by office
. 6 t 6 W aviifkbel I li i Map Lot Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
K;r. t34 3 e (o Bt ad c- d ( (1 10(eou 1 MA v iC )
Name (Print) Current Mailing Address:
^nature fi Telephone
. Authorized Agent.
Niip
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only •
completed by permit applicant
1. Building 1 Of I (a) Building Permit Fee
2. Electrical N IA (b) Estimated Total Cost of
Construction from (6)
3. Plumbing N/A Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection % N /tct
6. Total = (1 + 2 + 3 + 4 + 5) Wil Check Number ® Q 01.7x, 4d
This Section For Official Use Only
Building Permit Number Date
Issued
'nature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2010 -0483 ���
APPLICANT /CONTACT PERSON LAMORE LUMBER CO g al--
ADDRESS /PHONE 724 GREENFIELD RD DEERFIELD (413) 773 -8388
PROPERTY LOCATION 348 WESTHAMPTON RD
MAP 36 PARCEL 199 001 ZONE SR(100) / /WP /WSP II
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ? e�j Z/�
Fee Paid g. �J
Typeof Construction: CONSTRUCT 14 X 28 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 076123
3 sets of Plans / Plot Plan
T OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION PRESENTED:
A pproved _ 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
/, /I -7
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.
BP- 2010 -0483
GIS #: COMMONWEALTH OF MASSACHUSETTS
INTO:i*elc 36 - t } 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- 2010 -0483
Project # JS- 2010- 000666
Est. Cost: $7984.00
Fee: $78.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: LAMORE LUMBER CO 076123
L ot Size(sq. ft.): 652093.20 Owner: JEWETT JOSEPH & KIRA
Zoning: SR(100) / /WP/WSP II Applicant: LAMORE LUMBER CO
AT: 348 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
724 GREENFIELD RD (413) 773 -8388
DEERFIELDMA01342 ISSUED ON:11/6/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 14 X 28 SHED
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 11/6/2009 0:00:00 $78.40
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo