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25A-060 (3) ENTIRE AGREEMENT, SEVERABILITY, AND MODIFICATION This Agreement represents and contains the entire agreement and understanding between the parties. Prior discussions or verbal representations by Contractor or Owner that are not contained in this Agreement are not a part of this Agreement. In the event that any provision of this Agreement is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement should be made in writing and executed by Owner and Contractor. MISCELLANEOUS This agreement is a Massachusetts contract, contains the entire agreement between us, any representations or warranties not expressly contained in it are not a part of the Agreement, and it is binding upon our heirs, executors, successors and assigns. This Agreement may be modified only by an instrument in writing signed by both of us. This agreement is subject to and is intended to comply with the provisions of Chapter 142A of the Massachusetts General Laws and its corresponding regulations. YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERETO BY FORWARDING YOUR INTENT TO CANCEL IN WRITING BY ORDINARY MAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. By signing this Agreement, you acknowledge that you have received a complete and original signed copy of the entire Agreement and attached Addenda. Contractor may not start work until after this Agreement has been signed. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. THIS IS A LEGALLY BINDING AGREEMENT. IF THERE ARE ANY PROVISIONS WHICH YOU DO NOT UNDERSTAND, YOU SHOULD CONSULT WITH AN ATTORNEY BEFORE SIGNING. KEITER BUILDERS, INC. (CONTRACTOR) HOMEOWNER U f %� J' r -- , dre/ by . co e'ter, President Date / Date Date ADDENDA The following have been attached to this Agreement: 1. PAYMENT SCHEDULE 2. SCOPE OF WORK 3. COPY OF INSURANCE 4. LIMITED WARRANTY 5. CHANGE ORDER (COPY AND EXPLANATION) 11 this Agreement, as well as receiving payment for Contractor's attorney's and legal fees and all lost anticipated gross profits on the work not performed as of the date of the termination. NOTICE Notice will be deemed if delivered in hand or if sent by certified mail, return receipt requested, to the address listed on the front page of this Agreement. ARBITRATION THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT THE CONTRACTOR HAS A DISUPUTE CONCERNING THIS CONTRACT, THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVIED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN MASS. GENERAL LAWS, C.142A. KEIT BUILDERS, INC. (CONTRACTOR) HOMEOWNER B fcott Keiter, President Date ) Date Date NOTICE THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. THE RIGHT TO INITIATE ALTERNATIVE DISPUTE RESOLUTION SHALL END TWO YEARS AFTER THE DATE OF THIS AGREEMENT. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any controversy or claim arising out of or related to this Agreement involving an amount less than $5,000 (or the maximum limit of the Small Claims court) must be heard in the Small Claims Division of the Municipal Court in the county where the Contractor's office is located. Any dispute over the dollar limit of the Small Claims Court arising out of this Agreement shall be submitted to an experienced private construction arbitrator that shall be mutually selected by the parties to conduct a binding arbitration in accordance with the arbitration laws of the state where the project is located. The arbitrator shall be either a licensed attorney or retired judge who is familiar with construction law. If the parties can not mutually agree on an arbitrator within 30 days of written demand for arbitration, then either of the parties shall submit the dispute to binding arbitration before the American Arbitration Association in accordance with the Construction Industry Rules of the American Arbitration Association then in effect. Judgment upon the award may be entered in any Court having jurisdiction thereof. The prevailing party in any legal proceeding related to this Agreement shall be entitled to payment of reasonable attorney's fees, costs, and post judgment interest at the legal rate. 10 ALLOWANCE work, all Owner - furnished materials, and all work of Owner's separate contractors who are working on site at same time as Contractor. The amount of the Additional Work will be reasonably determined by the Contractor, and will be subject to Contractor's profit and overhead as noted above. Contractor's profit and overhead, and any supervisory labor will not be credited back to Owner with any deductive Change Orders (work deleted from Agreement by Owner). RATES CHARGED FOR ALLOWANCE - ONLY AND TIME - AND - MATERIALS WORK Journeyman Carpenter: $45 per hour; Apprentice Carpenter: $35 per hour; Laborer: $30 per hour; Contractor: $50 per hour; Subcontractor: Amount charged by Subcontractor. Note: Contractor will charge for profit and overhead at the rate of 25% on all work performed on a Time - and - Materials basis (on both materials and labor rates set forth in this Agreement) and on all costs that exceed specifically stated ALLOWANCE estimates in the Agreement. PEOPLE AUTHORIZED TO SIGN CHANGE ORDERS The fallowing people are authorized to sign Change Orders: Please fill in line(s) above at time of signing Agreement) PERMITS To perform this work, Keiter Builders, Inc., or subcontractors hired by Keiter Builders, Inc., will obtain, on Owner's behalf, the following permits (if required): x Building Permit Electrical Permit _ Smoke Certificate Plumbing Permit Demolition Permit Certificate of Occupancy IT IS THE OBLIGATION OF CONTRACTOR TO OBTAIN THESE PERMITS AS YOUR AGENT. IN THE EVENT THAT CONTRACTOR DOES NOT OBTAIN THESE PERMITS, AND THE OWNER OBTAINS THEM, OR IF CONTRACTOR IS NOT REGISTERED WITH THE BOARD OF BUILDING REGULATIONS, OWNER WILL NOT BE ENTITLED TO OBTAIN ANY BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 142A. Contractor's obligation to obtain permits is limited to those permits directly related to performing the work Contractor agrees to do. To the extent that other permits or governmental or regulatory agency approvals, such as, but not limited to, zone changes, variances, special permits, site plan approvals, or approvals of conservation commissions, are required to be obtained before Contractor can obtain their permits, it is the Owner's obligation to satisfy such requirements and to meet those requirements at the Owner's cost. PAYMENT SCHEDULE AND PAYMENT TERMS The total price for performing the work and supplying the materials under this Agreement is Twenty Four Thousand, Five Hundred and Fifty Nine Dollars and Eight Cents ($24,559.08) DOLLARS. Payments against work completed and materials delivered will be made within 2 days from when Contractor notifies Owner that Contractor has reached different completion stages. Payments will be made in the amounts as described in the addendum named "Payment Schedule ". All sums not paid before substantial completion of the work will be due and payable upon substantial completion. Payments due and unpaid under this Agreement shall bear interest from the date payment is due at the annual 4 • 4SCIA AND LATTICE o Install new pvc lattice and fascia surrounding the porch and at sides of steps. RAILINGS COLUMNS o Install new railing system around porch using pressure treated material. o Install new baseboard trim around columns to match existing (Exact match may not be possible) CEILING o Install new '/" x 4' x 8' bead board ceiling panels and quarter round around perimeter. STEPS Construct new, concealed concrete pad for steps (stringers) land on at grade. c Install new stringers, treads, risers, railings, and posts. PAVER ENTRY o Contract includes a $4.00 / square foot allowance for concrete pavers. o Pavers to link new steps to sidewalk. o Includes all excavation, sub -base prep, pavers, polymer -based sandlock, and edging. PAINT & FINISH o Sand and finish new Douglas Fir porch floor with two coats. o Sand and prepare columns, head piece and surrounding soffit. o Prime and paint railings, columns, lattice, fascia, ceiling, surrounding trim, header, and soffit of front porch area. GENERAL o This contract does not include any electrical work. OTHER STORM DOORS $2,194.88 o Remove and dispose of (4) existing storm doors. o Estimate includes a $250.00 allowance each for (4) new aluminum storm doors and hardware. o Installation of (4) storm doors and hardware. LOCKSETS $505.39 o Remove and dispose of (4) existing lock sets o Estimate includes an $80.00 allowance each for (4) new exterior locksets. o Installation of (4) new locksets. REAR PORN ENTRIES $1,060.00 o Sand (2) rear porch decks and railings to prep for paint and / or stain. o Make minor repairs to secure existing railing section. o Sand and prepare railing, column, ceiling and surrounding soffit o Prime and paint. 15 2012 BUILDERSN , 010e SCOPE OF WORK August 14, 2012 CUSTOMER NAME: Jill Mehler ADDRESS: 66 Springfield Street, Second Floor Summerville, MA 02143 PROJECT ADDRESS: 13 -15 Hubbard Ave. Northampton, MA 01060 ESTIMATED START DATE: August, 2012 ESTIMATED PROJECT RUN TIME: 2 — 3 Weeks ADMINISTRATION • Keiter Builders, Inc. will manage the following aspects of the project: o Building permit application and fee. o Standing all necessary inspections. o Subcontractor oversight and management. o Materials ordering and delivery. o Consistent communication with the Architect, if applicable. o Site set -up and break -down. o Certificate of Occupancy. FRONT PORCH $18,148.81 DEMOLITION o Remove and dispose of existing deck planks, railings, ceiling panels, fascia and lattice. o Using break hammer, remove and dispose of existing concrete front steps. FRAMING AND STRUCTURAL REPAIR o This contract includes a $500.00 material allowance, and 32 hour (two day) labor allowance for (1) carpenter and (1) laborer for any / all structural and framing that may be required. If more is required, you will be notified to discuss alternatives. Any additional costs will be added to the contract using a time and material change order as specified in the construction agreement. DECKING o This contract includes 5/4" x 4" tongue and groove Douglas Fir flooring. o All flooring will be fastened using flooring specific staples. S \ The Commonwealth of Massachusetts Print Form Department of Industrial Accidents w g !' Office of Investigations " x 1 'i 1 Congress Street, Suite 100 k. • i ' 15 20I Boston, MA 02114 -2017 5 '; _ www.mass.gov/dia Workers' Compe>Ifkatinfl.Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): /S' /T&-,L &+{z s vti Twc. Address: 1 A SAT \c.1. - Sz . City /State /Zip: ti Ott'cl t4„4, sJ M4 O(c(cc) Phone #: LA 3 3 20 — 3 Are you an employer? Check tjappropriate box: Type of project (required): 1. I am a employer with 4. ❑ I am a general contractor and 1 employees (full and/or part- time).* have hired the sub - contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ['Demolition working ca employees and have workers' g for me in any capacity. tY + 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11. Plumbing re 3. ❑ I am a homeowner doing all work g airs or additions P 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. :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: j(lA t.J (-r(5 '2 CE. Policy # or Self -ins. Lic. #: .Z6043,2ASC, S Expiration Date: (0 11 – a0 ■ 3 Job Site Address: l3 { t:D Ave City /State /Zip: Ai t r\,, ();c c5 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 u er the pains nd penalties of perjury that the information provided above is true and correct. Signature: t' i — j S l Date: 9 ► S .--- /Z– Phone #: f !3 _ 3) 0• -9 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 ❑ cy Name of License Holder : CoT7' f - 1'774 /C.2 14S License Number <1 A 401 vb Sr' 1v‘..1 -T ,k,T-ri v ►u 4 0(0 6 0 (i • 0' o2o ► y / Addres z „,./ Expiration Date 1/13 „ 32° . 90 35 S 4 ature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ h &;ms s , -1---A, ICo 9S° Company Name Registration Number STA 14 ATO(:1--t s' -. ( a ' 0 f - 02CI 3 Address Expiration Date AP11.17 1 M r)/ nc - Telephone 'j /3 -3a o - 9..zi - 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 y ....._ 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 1083.5.1. 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 Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs ED] Decks [❑ Siding p] Other Brief Description of Proposed Work: C •g 4-14- e DE L Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes 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 Complian - . Masscheck Energy Compliance form attached? h. Type of construction i. Is construction wit.' 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of bas- ent or cellar floor below finished grade k. Will build ng 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 PL EA S6 SEcf ,4'7AUtEb (OA)MAC! , 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, C «TT ,k -1T ) .( Y&I'- DtitS, rIUC, , 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. cc - 1 - 4 - ,T '-- Print Name �j % 1 /ice s,- l� )' (-1--72,.— Signat 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 Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO O 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? YEE O NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: Building epartment Curb Cut/Driveway Permit 15 200.1 M 'n Street Sewer /Septic Availability loo 100 Water/Well Availability L. Northampton, MA 01060 Two Sets of Structural Plans m pFi to 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 This section to be completed by office 1.1 Property Address: / ? / S- _ //t z1'ls b ,4 _ 2 �'+ZNi M A pit% a Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: t l L ((Q Sp2 /NEe1 eL2) S I. ifitt/r tLE MtA ©,;Z! of 3 Name (Print) Current Mailing Address: Gi l 7 % f. f77 Telephone Signature 2.2 Authorized Agent: ker /_3c. f t.t &t S , � t. cI A IATic•1 Lib 1 . / A)041 4-R M ibt' ,1($I G WC, 0 Name (Print) Current Mailing Address: �i4 q(3 - 31. x' - 031 Signa r Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) $. , 4 4 , S S C. LSD Check Number c 939 Y / s'7 . 3,c' This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0179 APPLICANT /CONTACT PERSON SCOTT KEITER ADDRESS /PHONE 51A HATFIELD ST NORTHAMPTON (413) 320 -9035 PROPERTY LOCATION 13 HUBBARD AVE MAP 25A PARCEL 060 001 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 Fee Paid �� / n` 3 J { �� 5 Typeof Construction:_REMODEL FRONT PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 102457 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF OVJATION PRESENTED: 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 5 Z/7/ Si : of Building fficial 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. 13 HUBBARD AVE BP- 2013 -0179 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A - 060 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0179 Project # JS- 2013- 000292 Est. Cost: $24560.00 Fee: $147.35 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): 8973.36 Owner: MEHLER JILL Zoning: URB(100)/ Applicant: SCOTT KEITER AT: 13 HUBBARD AVE Applicant Address: Phone: Insurance: 51A HATFIELD ST (413) 320 -9035 WC NORTHAMPTONMA01060 ISSUED ON:8/20/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMODEL FRONT PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/20/2012 0:00:00 $147.35 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner