Loading...
23B-068 4 a 'v ,� 7; T z _ f R t �z r = o -1 cn C x „ m z ° a Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. 7/12 Alterations %r NORTHAMPTON, MASS. .2...? 1 9 �$� Additions t APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location i v-S. S /� 761;1\-) Y ' % °/e- 2�✓�R * Lo[ No. 2. Owner's name .7,v[ ,® ,�.�, ∎ Address r 7/4'ii✓ /' /oitw t 3. Builder's name 6/1 / _..., 2 - - Address /IA 7 dc/ 'it/•C4) 4 - Mass. Construction Supervisor's License No. °S3 .�i-? 6i , firoO/ Expiration Date s'2i T 4. Addition 5. Alteration ,e,74,62- h`-ekul p,jwlibv 4S 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No. of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- ,/� — i The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. --- ,Aai/L- ait.,itAo 1-4.- \ 7 Signature of responsible applicant Remarks . • / � s : ; i ' 00445'7 • Date Fi . �� ' '' File No. ZONING PERMIT APPLICATION ( §10.2) 1. Name of Applicant: (i —1,:,./ . Address: 1 • ,,; , .£ migersompy Telephone: ..y`3 -7/,4 . 2. Owner of Property: " .‘J E 1 m/ / C • Address : - 5./n- J ' ' Telephone: . •.' - ./ . 3. Status of Applicant: Owner Contract Purchaser • • - Lessee Other (explain _(� ,a c. ft . ) • 4. Parcel Identification: Zoning Map Sheet# ,?_342 $arcel# Kd' , Zoning District(s) (include o rlays) it:2 O--- Street Address /- 5 >'yC‘z , i , , Required 5. Exit±n roposed by Zoning Use of Structure /Property ✓511i (if project is only'interior work, skip to 6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear • Lot size Frontag . • Floor Area Ratio _ - %Open Space (Lot area minus building and parking) Parking Spaces . Loading Signs . Fill (volume & location) 6. Narrative Description of Proposed Work /Project: (Use additional sheets if necessary) ', / , 4e. . , , , • • 7. Attached Plans: Sketch Plan Site Plan . • 8. Certification: I hereby certify that the information contained herein • is true and accurate to the best of my knowledge. Date: .k�t'93"`" Applicants Signature �iX,,, G, - . G�� � � THIB SECTION FOR OFFICIAL USE ONLY: • //pproved as presented /based on information presented Denied as presented -- Reason: S•ecial•Permit and /or Site Plan Required: • inding Re••iredi Variance Required: `-- _ / t- S •natu - •f-- ;u3.le ..5 at NOTE: issuance o a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Consorvetion Commission, Department of Public Works and other applicable permit granting authorities. L "T, _____________ A g `_� r�, fl City of Northampton REQUIRED INSPECTIONS • BUILDING DEPARTMENT 1. Footings and Walls s 2. Structural Components in Place* 3. Complete Building* No. 524 Office of the Building Inspector Zoning Form No. 4457 • Date 6/29/95 Fee $20 Check # 2491 Page, 23B Parcel 68 , Zone URB Section 127 ❑ Yes ® No BUILDING PERMIT r * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John onna Fvdenkevez before Building Inspections has permission to Replace windows Inspection on Site — Foundations situated on 105 South Main Street Florence Inspection of Plumbing —Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing— Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish of this permit. Expires six months from date of issuance, if not started. Building Inspection — Rough Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection— Finish ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves • • Other THIS CARD MUST BE DISPLAYED IN A CONSPJC . 3 • S ' w. A E ON THE PREMISES Certificate of Occupancy Art. _ ' • • g Inspector ibiti 1 (rf � Twe-.2> - cc.__ A • = 'gr>4 61,rt- ay . a ill/P , *I '4 i ' ' SK c+NMhft .+ L , • • 3G freN ('"EJE...74(i-x f7 ,ro.'er" - ...____. \ , , . , , . FrtrTz-koiF.-0_,ds i . _ .. __ . ..... ........, 1--eicizAr../N6--scvspfk 1 . . , ,...... 3::,1/41.1.roia % ti 10 6 1 2 ...4.. ! 0 0 1 J .sr ue-_, , It . - 1 i . . eiklmNey i I c) L......-...........___ i--- 1 5 1 • HEARTWOOD CONSTRUCTION lay 5aN•itKk ter. 112\& Lam-• MA I C 'E 4 1,1 _ 1 Co Tom-► -� I 1 I .. si' 0' G 2. —5 '3 � � F..��t 1 P TOSS ti 413- 584 -8454 • P.O. Box 901 • Northampton MA • 01061 JUN 14 '95 7:42 FROM GEORGIA-PACIFIC HTF r1 . TO RUGG FlTHN PAGE . 90 1 /71 C / 91 - tGeorg - Pacific Corporation 06/14/1995 6:45 776 N Main ST / Manchester CT 06040 / 203 - 646 -8700 GP FASTReam (c) 1990 -5 GEORGIA- PACIFIC CORPORATION v 4.105 Project : RUGG Location : NORTHAMPTON, MASS Mark : GIRDER Description : SECOND FLOOR- FYDENKFUE Usage : Floor(Ream) Rep.Strs. : No Spacing : 0.0" Max Deft: LL s L/ 360 TL = L/ 240 } 10- 6- 0 } nts 1 • 3.50 ",565psi • 3.50 ",565psi S.A. length = 10- 8- 0 (Span is horizontal dimension to centerlines) roject Design Loads: Floor: Liven 30.00 psf, Dead= 10.00 psf Live+Dead Load(T) Live Load(L) D0L Location* If shape @Start @End @Start End Incr. Span# Starts Ends Add. Info. Span Carried 40.0 psf 30.0 psf 0% 0 0 10.50 24.0' s.c. 1 Uniform 130.0 plf 0 1 0 10.50 2 Uniform 480.0 plf 360.0 plf 0'% 1 0 10.50 3 Uniform 13.0 plf 0 1 0 10.50 Self 111 'Dimensions (feet), measured from left end when span# is 0, otherwise, from left end of the specified span iuppart 1 2 lax R'n (tbs) 5791 5791 lin R'r (Lbs) 2011 2011 iL R'n (lbs) 2011 2011 lin Rrg(inch) 1.95 1.95 .r9 Str(psi) 565 565 esign Value Span# x Group Allow Ratio V abs) 4757 1 0 -11 21 9477 0.50 M (ft -lbs) 15201 1 5- 3 21 19248 0.79 D- LL(inch) 0.28 1 5- 3 21 0.35 0.79 L/455 D- TL(inch) 0,42 1 5- 3 21 0.52 0.81 L/297 SE: GP GPLAM 2.0E 9.5 (1.75x 9.50) 3 plies (Grade, depth & plies selected by user)i G -P LAM tm1 GEORGIA-PACiFIC CORP. °TES 1. Designed in accordance with National Design Specifications for Wood Construction and applicable Approvals or Research Reports. 2. Provide lateral support at the bearing location nearest each end of the member. Continuous lateral support required for comprepsion edge. 5. Loads have been input by the user and have not been verified by Georgia - Pacific Engineered Lunt. r Technical Services. +. Design valid for dry use only. 5. Gearing length based on design material, support material capacity shall be verified (by others). 5. when required by the building code, a registered design professional or building official should verify the input loads arld product application. t. This engineered lumber product has been sized for residential use. A concentrated load check, per the building code, must be performed for commercial uses. R. verify that load is applied at top or equally from both sides. ). Nail plies together with 16d nails Q 12 o/c along top and bottom edges. Nail from alternate faces, 2 from edges. ). Company, product or brand names referenced are trademarks or registered trademarks of their respective owners. v T, A. C '9 .7 z ° rri a 3 ' zm £ R ij 1 Zoning Miscellaneous Additions, Repairs, Alterations, etc. �' Tel. No. SO� -5 6 ;2 45 1 ÷ Alterations -��r NORTHAMPTON, MASS. c. 5IN (Z 1 5 Additions t. APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 10 5 SO 1 11/\,t v l ' r G- IUC- -e Lot No. 2. Owner's name '7 EN K .- L rt W WW►ddress 5 '�--' "0"-A 45 f t33 Jtg- 3. Builder's name A I� - C o � Q ft? . q Address `I , 0 , 66 .?.- q 1 , is Mass. Construction Supervisor's License No. 0 Lf3 -T . m Expiration Date 3 — I — 91 4. Addition 5. Alteration IZ6NtODCL <CO* TC- 16C-175 1'El ect9 ' 6. New Porch 7. Is existing building to be demolished? N O 8. Repair after the fire 9. Garage No. of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost lk .„2__.5 o - o©+ The undersigned certifies at the above statements are true to the best of his, her knowle and be i 14- Ctl k.--k ' t Signature of respo s,bie app<<cant Remarks . C.-:11') Date Filed File No. ZONING PERMIT APPLICATION ( 10.2) 1. Name of Applicant:_ 'Tt 2.., AS S t L hF, . Address: f'.©. (30-)c. of 01 1 6c ITOVq_ Telephone : 41EE = 8 T - . 2. Owner of Property:Zb 01)o F E KC-06.. . Address : .1 O 5 Sts lig AI Ai. 6-02 _ Telephone : 5 sb -- 5 $ 3. Status of Applicant: Owner Contract Purchaser - • Lessee Other (explain $U,iLL >IN,& CovtTrr �' _ ) - 4. Parcel Identification: ,- Map Sheet ` ? arcel# (%(`, Zoning District(s) (include ov la ) Usti pP Street Address (o5 f I 1 i.., Required 5. Existing Z Proposed by Zoning - Use of Structure /PropertyL�,� L (if project is only interior wo k, l}ykip o #6) Building height %Bldg.Coverage (Footprint) / / Setbacks - front / !� - side L: R: 4 ,4,j L: R: - rear OM '' _ • Lot size V �� Frontage - % �' ,_! . Floor Area Ratio f - - 4 . • %Open Space (Lot area minus -- . i . building and parking) Ate, Parking Spaces Loading Signs . Fill (volume & location) 6. Narrative Description of Proposed Work /Project: (Use additional sheets • if necessary) ODE C__. K�Ct ti — ty«.J4�,.Lt - ._ i . _A a Lam iE. • i ► ��. A C ►lw +: • It L _ .• •c 'I( ► 4 - •• C!i• .. r - 7. Attached Plans: Sketch Plan Site Plan 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowle e. 1 t - Date: gv„rm�,. 13 - q6 Applicant's Signature: v/// THIB SECTION FOR OFFICIAL USE ONLY: • Approved as presented /based on information presented Denied as presented -- Reason: Sp - ial'Pe mit and /or Site Plan Required: - ' ding R / • .ed: Variance Required' - . gnat : of Buy. - .% - Spector �� - to • NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board or Health. Consorvation Commission, Department of Public Works and other applicable permit granting authorities. /ell- 'ERMIT AP' ICATIO C EC LIS ES NO DATE ,`. ar► '.li,« rr � '`.°"'- ,#,. `v .,grx,t... R .. ( ,r ` IO► 2. #' 74 17 #,. a' I _ s► • 3 OWL—: • :i : u -i - . . • • • N W. *►S ; •► 6 CU': 7 WI E; _1: •:u 8, ODE _I► ► •; 9. ADDI Is► - 0. ACCES 0: : . 11. SI N :.► ►. use s :s ; s , . s _s I APP_IC•B _ 3, SP C I. :u. : -r I:_ 4. UNDE' S_ •► — Cu: 80 5 FO'u 6. ILL t,iek_44 ,7 — 0-11 COMMENTS: , � �` � • City of Northampton REQUIRED INSPECTIONS - . s •• 1'e 1. Footings and Walls t r� '4 DEPARTMENT V 1LD�� 2. Structural Components in Place* `j. ='- 3. Complete Building* No. 497 Office of the Building Inspector 004399 6/15/ i, Zoning Form No . Dat Fee $ 100 Check # 2 318 Page, 23B Parcel 68 , Zone URB Section 127 ❑ pERmit Yes ® No . ,, * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Art Silver - Heartwood Construction before Building Inspections ' " has permission to Remodel kitchen & attic Inspection on Site — Foundations situated on 105 South Main Street Inspection of Plumbing —Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing— Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish ,. of this permit. Expires six months from date of issuance, if not started. B g Inspection—Rough i Note: A certificate of occupancy will be issued by this office upon retum Insulation Inspection v of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection— Finish Smoke Detectors (Fire Department) Other Y i THIS CARD MUST BE DISPLAYED IN A CONSPI 0 : S P,,1 - ON THE PREMISES Certificate of Occupancy /_ �.iL i � -:-:-.11.. : Inspector _ c' (,of M11Sil)I 0 .2- - LA-b 3 • • i a . `Y ° 15 p7 Northampton City of REQUIRED INSPECTIONS • r ., .' 1 ' . t 1. Footings and Walls j . ai • • BUILDING DEPARTMENT 2. Structural Co vents in Place* '' 3. Complete Building* No. 497 Office of the Building Inspector Zoning Form No. 004399 Date 6/15/95 Fee $100 a # 2318 Page, 23 Parcel 68 , Zone URB Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Art Silver - Heartwood Construction before Building Inspections has permission to Remodel kitchen & attic Inspection on Site — Foundations situated on 105 South Main Street Inspection of Plumbing —Rough " provided that the person accepting this permit shall in every respect Inspection of Plumbing —Fuush conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, C6 Inspection of Wiring —Rough 4 f (. f K --- Maintenance and Inspection of Buildings in the City of Northampton. , c' /1 6/ / -�' / Any violation of any of the terms above noted is an immediate revocation rJ c� t , , Inspection of Wiring — Finish 44* ,/ of this permit. Expires six months from date of issuance, if not started. 6 :5 V /al . Building Inspection —Rough 0 ,, 'S < .e Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection C7 4 f5`/ * ' of this card signed by the Plumbing, Wiring and Building Inspectors . Building Inspection— Finish /1r/ ' S �' Smoke Detectors (Fire Department) Other THIS CARD _0 /' E D�: ' D IN A CONSPI a S P f : / , ON THE PREMISES Certificate of Occup. • - 4/ L _ -i , — IP . . . ....-0-- B h g Inspector co [?: If SiICW ,, wi _ D = /1 t QUENN EN! IIIIL1.E ELKS RCP CI F II N G The Premium Choice' 78 West State Street, Granby, MA 01033 We Are Licensed 1. 800 - NEW -ROOF • 1. 800 -4- SIDING Insured Email: info @1800newroof.net Website: www.1800newroof.net Factory Trained MA Construction Supervisors Lic. #070626 MA Registration #120982 Factory Certified Installers Member of the Home Builder's Association of Western Mass. CT Registration #575920 Member of the Building & Trade Association Member of the Better Business Bureau P.P.C. 38710 Proposal Submitted To: Date Phone #'s 4 ...\ c r11 _ _ __n_�y�2 /O 5---GS H: /(3 Se6' II Cell: Street Job Location /OS So i ifr Sr City, State, Zip Code Special Requirements /L - ?t:, /r4,1 Ar c:Ld ( 2011 I'm ti,t P furnish and install the following .A -('( 3 7 r f /i Stir ' 04 i /? r ' , ''A'r' y f _roposai J i Re Roof ❑Tear -Off ❑ Gutter 'Lein r p e 1 Oci � , Cat��lete Roof Preparation ;; r ;eli '1r A w q Home exterior to be protected by tarps and plywood i £ '( , 9 s - jJ Shrubs, landscaping, trees to be protected from damage , . --_.____, ❑ Entire existing roofing material to be removed to existing decking, including flashing, etc. '-- EE Site to be cleaned everyday with roll magnet debris removed at project completion ❑ Deteriorated existing decking replaced at per sq. ft. 1 8 inch metal drip edge installed at eaves and rakes ❑ 5 inch for re -roof only New flashing will be installed where necessary (see Special Requirements) Q We shall acquire all appropriate permits etc. for all roofing work Complete Roofing System ® ELK Leak Barrier installed at all eaves to protect from ice dams (and meet codes in the north) IXI ELK Leak Barrier installed in all valleys, around penetrations, and chimneys to protect critical areas ❑ 15 pd. reinforced underlayment installed over entire decking Shingles: n// 1 cid ELK Prestige® Series XI 30 year ❑ 40 year ❑ 50 year Color 5A�'�C ( 1 ® Nailable ridge vent will be installed f 1 ELK ridge cap shingles Warranty Options: C -'i ( , c 0 -c; 2 f 1 We guarantee our workmanship for i full years 0,1 \�A S ` �, , ❑ ELK10 -Year Umbrella Coverage Limited Warranty upgrade. bpi- l �Ge C - c` Otl ELK15 -Year Umbrella Coverage Limited Warranty upgrade. RE MR tl; DIIC•VER We Propo a hereby to f ish ma terials and labor - complete irr de w above specifications for the sum of: & p — , re a. cset-j Total Sale Price $ 5 = , U 0 J Down Payment $ 7r0 a v C- '- Upon Completion $ 3,'00. c.r ACCEPTANCE OF PROPOSAL: The above prices, pecifications and conditions.are satisfactory and are hereby accepted. You are authorized to do work as specified. Paymertwill be 1/3 down upotlorgning, and balance due upon completion. Unpaid balances shall accrue with intere t at 18% per 8fl i um. Purc ; - s) will pay for all costs, expenses and reason- able attorney's fees incurred by Adam a enn `ille Roofing a • • iding, Inc. to recover any sums due under this contract. L- � 17 i ,S s1 t. -c.,' Phone # "--t 1 7, ( VI 1 Date: f �f� S ignature: Of ��- � ' � � � Date: /�L�J O3 Salesperson's Signature: � ' l 1 '14.4 / Estimates - e hono d for sixty (60) days from above date ATTENTION HOMEOWNERS: Please cover all personal belongings in the attic, garage or storage areas due to the possibility of roofing debris or dust coming in through cracks of the wood. Adam Quenneville Roofing and Sidings will not be responsible for debris or dust in the attic or storage areas. • . .'- u`. -duun 11:i 6 KM Kemi i are insurance 141.5 .tbbU1U 1/1 DATE (M YY MIDDYY) CSR RL ACORD CERTIFICATE OF LIABILITY INSURANCE ADAMQ_1 11/09/05 : THI' gyp' T r' r' J • S A MATTER OF INFORMATION • 0 f , P i� �, ~ : TS UPON THE CERTIFICATE ernillard Insurance Agcy, Inc HON .,,� a • CA DOES NOT AMEND, EXTEND OR 79 Lyman Street ALT - HE •VE • ' GE A ORDED BY THE POLICIES BLO EW. South Hadley MA 01075 shone: 413 - 538 - 7862 Fax:413 - 538 - 7179 INSURERS AFFORDING COVERAGE 1NAIC# 1 Ns4RED INSURER A: National Fire r. Marina IDs. Co Ada* Quenneville Roofing INSURER B: Arbella Protection Ins Co & Siding Inc & i Adam Quenneville Roofing Inc INSURER C: am mutual Insurance compmy P 0 Box 612 INSURER O. South Hadley MA 01075 INSURER E: .;OVERAGES - I LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FON THE POLICY PERIOD INDICATED. NOTWITHSTANDING I, g CO ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH. THIS CERTIFICATE IAAY BE ISSUED OR , ,IAY AIN, S NCE A RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ^LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HISR RUM, -- POUCYEFFECTIVE POLICY EXPIRATION Tom. NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM(DOIYY) DATE (MM/DOTTY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 81000000 . }� UA PR AEM tt l) ntNltI) A ; X COM ERL L C GENERALLIAB1uTY 72LPE70307 06/2/05 06/23/06 SES(Eaoc:.urencey $ 50000 CLAIMS MADE X I OCCUR ME_D EXP (Arty one person) $5000 X Contractual Liab. PERSONAL & G 1000000 _ X Waiver of Sao. GENERAL AGGREGATE $ 2000000 GENT AGGREGATELIMTAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 n POUCY JTCT - 1 LOC ■ AUTOMOBILE LIABILITY COMBINED SINGLE UMTT $ ANY AUTO 54906400002 11/01/04 11/01/05 (EaaCC$aem) ALL OWNED AUTOS 54906400002 11/01/05 11/01/06 BODILY INJURY X SCHEDULED AUTOS (Per person) $ 250000 X HIRED AUTOS BODILY INJURY s 500000 © NoN- OWNEOAUTOS (Per accident) ■ PROPERTY DAMAGE $ 100000 (Per acenlenl) ( GARAGE LIABLITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSiUMRRELIA UABILITY EACH OCCURRENCE $ I OCCUR n CLAIMS MADE AGGREGATE $ _ s , , DEDUCTIBLE S + — RETENTION $ I $ WCSIAIU- OfH- WORKERS COMPENSATION AND X TORY OMITS 1 1 ER EMPLOYERS UABILITY AWC7012861012005 04/29/05 04/29/06 E.L EACH ACCIDENT $100000 ANY PROPRIETORIPARTNER/EXECUTIVE -- OFFICER/MEMBEREXCLUDED? AWC7019733012005 09/16/05 09/16/06 E.L. DISEASE - EA EMPLOYEE $ 100000 I 11 yes. describe under SPECIAL PROVISIONS mow E L. DISEASE - POLICY LIMIT I $ 500000 . OTHER DESCRIPTION OF OPERATIONS 1 LOCATIOMS 1 VEHIC I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS This copy of certificate is for use by sales reps only. • If job is obtained please call for a new certificate that will show the property owner whom the work is being done for, this will then become a legal document for proof of insurance. 1 . CERTIFICATE HOLDER CANCELLATION ADAM QUE ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Adam Quenneville Roofing & DATE THEREOF, 1 3 [ %41 ~ ] • y yl • , OR TO MAIL DAYS WRITTEN Siding Inc & Adam Quenneville NOTICE TO THE C '., '" A THE LEFT, BUT FAILURE TO DO SO SHALL Roofing Inc IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 612 South Hadley NA 01075 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE RIA Agency Financed Accounts ACORD 25 (2001/08) ® ACORD CORPORATION 1988 Board of Building eqC�ulations -tom One Ashburton Place, ism 1301 � Boston, Ma 02108 -1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 08/21/1971 Number: CS 070626 Expires: 08/21/2007 Restricted To: 00 ADAM A QUENNEVILLE 160 OLD LYMAN RD S HADLEY, MA 01075 • Tr. no: 3761.0 Keep top for receipt and change of address notification. ,1 0 50M- 04/05- PG8698 -6204ronoitivecria F =_ Board of Building Regula ions ant tan . ar s 1.0 =f =f One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 120982 Type: DM Expiration: 3/25/2006 ADAM QUENNEVILLE ROOFING ADAM QUENNEVILLE P.O. BOX 612 SO. HADLEY, MA 01075 Update Address and return card. Mark reason for chang Address El Renewal I] Employment -- Lost Card STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION , • Be it known that ADAM QUENNEVIT.T 78,WSI EST ` GAALS4.14 033 A I is certified by the Departnt ;s Pction as a registered HOME IMPROVE T Ategts4_41twgq. A ; ADAM QUENNEVILLE ROOFING Effective: 12 /01/2005 Expiration: 11 /30/2006 `" The Commonwealth of Massachusetts � Department of Industrial Accidents i T _,' 4 - 17 - T— 6 Office of Investigations 600 Washington Street, 7 Floor Boston, Mass. 02111 Workers' Com ensation Insurance Affidavit: Buildin lumbin lectrical Contractors name: t'idCt1Th 0I•AR Yli`4.cilVo. address: It 1 ` Po city kY r\ t'ici — state: 11 zip: 010) S --- phone # L i 13 j l.c S `fS - J work site location (full address): ❑ I am a homeowner performing all work myself. Project Type: ❑ New Construction [flemodel I am a sole ro rietor and have no one workin in an c aci . Buildin Addition am an employer providing workers' compensation for my employees working on this job. comvanvnam A (AWN) a,,.V, 7�✓ ( address: 1 f b (,t,�� & city: 44, t}001ie -S / 1/ — # phone L i 13 S3Vs `1.55 insurance co. f J) Q / i c .11A c polic - #:; A wc . 7 v _1 r 62 10 I ?OOS ❑ I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: thane #: insurance co. soli # company name: address: city: phone #: insurance co. Folic # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name I-}0 -OlV\ ntvzok Phone # 13 3 3 1c $ ?SS official use only do not write in this area to be completed by city or town official city or town: permit/license # ❑Building Department DLicensing Board El it immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone #; DOther ( revised Sept. 2003) S1= ONJSTUGTON , • 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : f lJc/+nl Ow nee ui lip CS 0" 0Ct ),( License Number Po 64 t14- ks Ian / ).. 7 Address Expiration Date � -- ' � ( 16 5 3 Signal Telephone _7( relasl.�6s No Applicable _ - - Not Appl'cabl ❑ A c eo vi (AN ib 1 , v rs2 Company Name Registration Number Address Expiration Date Telephone \ 1 =c3OUg."404/OR REFFSOCOM PENSATION 45111RANCE AFFIDAVIT (M G L -c 1;52, § 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 ❑ 'pi) 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 ®io� �. 9 t -; ° ®P ® D W c.R K i e : :h •1 1a40a -- New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing E13-- Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ 3 Siding [ ] Other [ ) Brief Description of Proposed Work: -I vr;;tca.a fle/A) 0.50.0.}14- S) Alteration of existing bedroom Yes No Adding new bedroom Yes _ No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 ar giit at rs rti EILIV r f� : ra'p ` aMi rrgg: 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. bimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck 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 , t E �' 4iri" -, a ° 1Zq N TO B COM, P0.E ED Wt EN ; y� TOF2 PI IES TORrBUILDING 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, A Joy, V . N „ t �t `+{ U 1 , 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. Nicusq, Q v) •Nc wilt_ Print Name ^ Signature of Owner /A Date A Section 4. - ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF 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 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES _ No IF describe size, type and location: • City of Northampton Building Department _ _ 212 Main Street�.�= = Room 100 y> ; Northampton, MA 01060 phone 413. 587.1240 Fax 413 - 587.1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH`A DNE�`OR TW FAMILY DWELLING m n 2C06 SECTION - SITE 1N.ECI RMAJTI,ON �sM Tfiis ct% t l a d o m . a " ` d f-f 1.1 Property Address: �- * 4 y� raj C /� C i I. `! � W� ' ` �`'C to V 1_ lO L` {� � /� / 14ZO a -. 5 .v �. - ...- ® f o a w � ' ` V l t ;4. C. :EIn t District ¢ SECTION 2 - PROPERTY 016fNERSHIPs /AUTHORIZED AGENT • 2.1 Owner of Record: C� \J011o I Iry ue z )0S— r4ve1 V+ ' Flv:Yhr.P Name (Print) VV Current Mailing Address: - Telephone Signature 2.2 Authorized Agent: I Q , PO 1), So�- Uee�4e A.aa,�, Qvelnnevttl W� (� Name (Print) Current Mailing Address: ` S3(2 - \9S Signature Telephone SECTION 3 ESTIMATED CONSTRUCTtON:COSTS - Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Elec.rical (b) :stimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 1 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) .5 "v Check Number This Section For Official Use Only .Building- Permit - Number: Date Issued; _ Signature: Building Cornmissioner /Inspector of Buildings Date 105 SOUTH MAIN ST BP- 2006 -0737 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B - 068 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2006 -0737 Project # JS- 2006 -1129 Est. Cost: $5300.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Adam Quenneville 120982 Lot Size(sq. ft.): 28183.32 Owner: FYDENKEVEZ JOHN E JR & DONNA 0 Zoning: URB Applicant: Adam Quenneville AT: 105 SOUTH MAIN ST Applicant Address: Phone: Insurance: P 0 BOX 612 (413) 467 -2426 0 Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:1/20/2006 0:00:00 TO PERFORM THE FOLLOWING WORK: STRIP & SHINGLE ROOF 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 1/20/2006 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo • Pages iReraceter�tfnbobnrootar Page No. / of Main Office: 7 D puerntreat • P.O. O THE JUBB CO., Box 429 , INC. d.b.a. Northampton, MA: Greenfield, MA 01302 LARRY J U B B ' S Brattleboro) VT & Keene, NH (413) 772 -6217 18 North Hatfield Road IMPROVE-A- HOME. 1-888- 639 -JUBB Hatfield, MA 01038 Email: JubbCompanyinc@aol.com PROPOSAL SUBMITTED TO PHONE ^� /� DA 7/45--/A5-- DorismA FJ a Elv rCr VeZ STREET JOB NAME S CITY, ST � AND ZIP �' N JOB LOCATION Vt EW CE M A OW // J Th C i TENTATIVE JOB SCHEDULE (Weather Permitting) MA Registration 100001 � Approximately b weeks from date of signed proposal received by Jubb Co., Inc. MA Cons. Sup. Lic. 055333 We hereby submit specifications and estimates for: Supply & Install Mastic Raved Ware/Owe Ware/Owe Vinyl Replacement Windows • 1/2 Screens (double hung only). • Interlock meeting rail. • Locking Screens (double hung only). • Welded sash & frame. • Tilt -in Sashes (double hung only). • Five degree sloped sill. • Non - conductive intercept glass system. • Seven - eights thermo glass. • Continuous Balances (double hung only). • Insulated padded frame. n I • Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved. • Twin locks on double hung units 32" or wider. • Virgin vinyl. [ 2_3/0 r • Twenty year manufacture guarantee on glass seal failure. • Lifetime transferable manufacture gu. antee on vinyl window frame. ' 19 00• C 0 • Labor guarantee as required by CTe NH, VT contractor regulations. # 12-404- Color: ❑ Linen White ( Almond* ( *extra charges apply for this colors) TOTAL UNITS REEPLACED: L' • �A . • , �. , 4 i►Gc o ' / , id 4 % _ � ❑ Grids .\ (Note: Grids are beveled) AS /11/40e0 p <Low "E" Glass ❑ Argon N A 94. Insulation (into weight Pockets) ❑ Storm Window Removal WO ❑ Aluminum Clad Exterior Castings (❑ Full ❑ Partial) /TICS OTHER / NOTE: fr e_e,\.\ A-2 1 i'v O0t,,0 5 (/ ( S . - gfpb9E -�'O t4» jo res5 u z,,c -- - 7 - E .o '.s « -o . - r /IIv»ZU�J'LGIJG'I. elh o / /!/l ct/iJafilZCm %!% s th ' ` Board of Building e ula30 ns • g iff One Ashburton Place, l m 1 • `= Boston, Ma 02108 -1618 License: CONSTRUCTION SUPERVISOR LICENSE t3irthdate: 05/21/19111 Number: CS 055333 Expires: 05/21/2006 Restricted To: 00 LAWRENCE A JUU1.1 JR Po BOX 429 GREENFIELD, MA 01302 Tr. no 21956 Keep top for receipt and change of address notification. • :1 (Ad alitlitgrnWellia (/'0,/(4iikatid(eJeal 1 BOARD OF BUILDING REGULATIONS 1 it, License: CONSTRUCTION SUPERVISOR • Number: C5 055333 1 • BIrthdato :05121/1951 • . Expires: 05/21/2000 Tr. no: 21956 • Restricted: 00 LAWRENCE A JUBB JR PO BOX 429 GREENFIELD, MA 01302 npC not o nor r t 11; 1 ;:le . B ag�i frie((rula'u'"ons aiai1 ar s One Ashburton Place - Rooin 1301 • Boston. Massachusetts 02108 Horne Improvement Contractor Registration Registration: 100001 Type: Private Corporation Expiration: 6/8/2006 • The Jubb Company, Inc. Larry Jubb Jr. _.__........_...._ , ...... ,. P4 Box 429/ 7 DEVENS ST Greenfield, MA 01302 Update Address and return cart{. Murk reason fur change. 1 Address Renewal' 13 Employment 1•"1 Lust Card • COMMONWEALTII OF MASSACIIUSET I'S DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET BOSTON, MASSACHUSET" I'S 02111 WORKERS' COMPENSATION INSURANCE AFFIDAVIT [ The Jubb Co, Inc. d.b.a. Larry Jubb's Improve —A —Home (licensee /permittee) with a principal place of business /residence at: 7 Devens Street P.O. Box 429 Greenfield, Ma. 01302 -0429 City /State /Zip do hereby certify, under the pains and penalties of perjury, that: (X) 1 am an employer providing the following workers' compensation coverage for my employees working on this job. GUARD JUWC905794 insurance Company I'olicy Number ( ) I am a sole proprietor and have no one working for me. ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company /Policy Number Name of Contractor Insurance Company /Policy Number Name of Contractor Insurance Company /Policy Number ( ) I am a homeowner performing all the work inyself. NOTE: Please be aware that while homeowners who employ persons to do maintenance, construction or repair work on a dwelling of not more than three units In which the hotneowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act (OL C. 152, sect. 1(5), application by a homeowner for a license or permit may evidence the legal status of an employer under the Worker's Compensation Act. I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to $1500.00 and /or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of $100.00 a day against me. Signed this day of ( 10_e v 20 0 S LicenseelPermittee Licensor /P flnit • r • • ECT1O,,(V B ONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : L()AA} OS S 3 License Number (a)0 (&o( 4 /WA 0 I 5r - 40 Address i ° / Expiration Date '. 7 Signature Telephone .2 .,"' ' a r �� ve e r. °�'°" .,`�..�_ � '� � ,.�' Not Applicable 1�2� j tx l o.� O0CX) Company Name Registration Number Po rDC 4-Lvi , A,A 0 I ? c �, �, Address Expiration Date Telephone 7 -6" 2.-1 7 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 affid< will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No ❑ 011 Unmet- r f , f 011 The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) famili and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner act 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( 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 SCR PTIOT O tPR4 OSED •, .RK (chec cell appiIcatile � �msre: x..tt .ux*,w*�+wa e; ��wa: �e��armaawsry ri+.e,.�nm'r�d�.xsu, ,n +ar. , ,,:.� , � ar.. s w 4�t„,m.�U:�? �•; ok z a- " , -oe . a.,vw°' " z w� +.J'`. eaRn ktuos "k#"„ . ..k. , ,, -..J y. : „;....�d AfAepir :: ,, ❑ Addition ❑ Replace e t Windows Alteration(s) ❑ Roofing ❑ Or Doors 3ldg. ❑ Demolition❑ New Signs [ 1 Decks [ ] Siding [ ] Other [ ] 1ption of Proposed Work: & f J o s_c1/41 of existing bedroom Yes ✓ No Adding new bedroom Yes -- No Narrative D Renovating unfinished basement Yes No ached Roll D - Sheet D ev h useTardroMdti io / n fo,e sing ingigatilli e°telthe ellowi of building : One Family ✓ Two Family Other ember of rooms in each family unit: Number of Bathrooms there a garage attached? 'roposed Square footage of new construction. Dimensions Number of stories? Method of heating? Fireplaces or Woodstoves Number of each Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Depth of basement or cellar floor below finished grade Will building conform to the Building and Zoning regulations? Yes No Septic Tank City Sewer Private well City water Supply CTION a 0 7 OINNER�AUTHO UZATION jOiBE COMPLETED : -WHEN W NERS ' AGENT OR CONTRACTOR APPLIES FOR;BUtLDING PERMIT , as Owner of the subject prope . reby authorize to ac y behalf, in all matters relative to work authorized by this building permit application. gnature of Owner Date „P-- � - J t I r- f { 5 . as Owner /Authorized Agent areby declare that the statements and inf6rmation on the foregoing application are true and accurate, to the best of my iowiedge and belief. igned under the pains and penalties of perjury. not Name A e - - -- /agent Date City of Northamptona i k Building Department -7 77- 212 Main Street d e p t . Room 100 � is: Northarrkpton, MA 01060 o t ::o `� r phone 413.587 - 1240 Fax 413 - 587.1272 P • Outer CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SITE INFORMATION This section kto b tlitiipieted by office y Address: as i*Vt$ 4 s h L Map Lot U Zone Overiay District ` ►- t -� c .e ElmSt:District CB District N 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT ner of Record: (Print) /, Current Mailing Address: IIIJJJ _,'[ t Telephone ture authorized Agent: -- - A `� (Print Current Mailing Address: 1 01 jC) t ture Telephone 11ON 3' ESTIMATED CONSTRUCTION COSTS Estimated Cost (Dollars) to be Official Use Only completed by permit applicant uiiding (a) Building Permit Fee lectrical (b) Estimated Total Cost of Construction from (6) iumbing Building Permit Fee lechanical (HVAC) re Protection otal = (1 + 2 + 3 + 4 + 5) I ��' Check Number This Section For Official Use Only ding Permit " Date Issued: ature: Building Commissioner %inspector of Buildings Date BP- 2006 -03:sy COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON ing BUILDING PERMIT 2006 -0339 2006 -0498 PERMISSION IS HEREBY GRANTED TO: Contractor: License: THE JUBB CO INC 100001 18183.32 Owner: FYDENKEVEZ JOHN E JR & DONNA 0 Applicant: THE JUBB CO INC AT: 105 SOUTH MAIN ST dress: Phone: Insurance: (413) 772 -6217 Workers )n iLDMA01302 ISSUED ON: 9/27/2005 0:00:00 ?FORM THE FOLLOWING WORK:INSTALL BASEMENT REPLACEMENT S HIS CARD SO IT IS VISIBLE FROM THE STREET �f Plumbing Inspector of Wiring D.P.W. Building Inspector und: Service: Meter: Footings: Rough: House # Foundation: Driveway Final: Final: Rough Frame: Fire Department Fireplace /Chimney: Oil: Insulation: Smoke: Final: ERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ITS RULES AND REGULATIONS. ite of Occupancy Signature: Date Paid: Amount: 9/27/2005 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo