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32C-043 (2)
• New Office Area ((2) 8' x 12' offices) • Relocate fire alarm horn/strobe due to obstruction caused by any new partition walls. • Remove (3) floor outlet assemblies in this area. • Install the following in each office: (1) switch, (4) electrical outlets, (2) fluorescent light fixtures. Archway • Remove surface mounted electrical outlets (on Clinic side) as necessary, to accommodate proposed arch opening. • Remove and relocate electrical outlet located on Reception side, to accommodate proposed arch opening. Plumbing • Cap -off and enclose all plumbing located within new Financial Aid office. • Tape / finish / (1) coat of primer PROJECT SPECIFIC EXCLUSIONS This proposal does not include any of the following: • Telephone / data. • Professional cleaning. • Flooring and thresholds. • Painting (except priming as noted above). • Ceiling tile / grid work. • Baseboard installation. • HVAC work. • Assisting Brio Academy with relocation of equipment, etc. TOTAL PRICE (including all labor and materials): $9,500 Page 2 of 2 KEITE:R BUILDERS 518 Hatfield Street•Northampton•MA•01060•Phone: 413-320-9035•Fax: 413-586-1890•keiterbuilders.com SCOPE OF WORK May 28 2010 Brio Academy of Cosmetology 58 Pleasant Street Northampton, MA 01060 Permits & Inspections • All permits and inspections will be handled by Keiter Builders, Inc. and/or its designated subcontractors. This may include the following: Building, rough framing, demolition, electrical, fire, and plumbing. General Construction New Offices • Construct (2) new offices approximately (8' x 12') each. • Office walls will be 8' in height and will not reach the Reception area ceiling. • Framing will be 2x4 studs with R13 open faced insulation. • There will be no doors to the offices —pass through only. • Return duct located in new office adjacent to clinic wall will remain in same location. • Strobe will be relocated to meet fire code. • New office walls will be taped and made paint- ready. • New office walls will be given (1) coat of primer. Archway • Construct new arch pass - through connecting Reception area to Clinic area. This will include: Framing, drywall, taping / finish, (1) coat of primer. • Arch will be approximately 8' in width. • Radius will resemble existing archway leading to back clinic area. Electrical Reception Area • Remove floor mounted receptacles. • Install new wall receptacles to supply power for new reception desk. Page 1 of 2 a A 4, ..;' Al . ., ..i k... ttgrP' - 1 i i I f 0 i I i ,t i t i I 1 4 i • , Mti1100. 4 &` '''`'' :::1 ''' ""1" • .. ''''' IPA- -1-1 - --: r yr - -,,. - . -...,... II- lab . . . . , '` 50' .-- -. Ir Utility Closet — Clinic riii- i Reception Bathroom (1) L MAIN New Arch 12G-L Utility p fi Closet 67' / ti t. � F.A. Office New Off ice New Office 8' x 12' • 8 x 12 Bathroom (2) 1 1 Bathroom (3) F Back Clinic Facial Room 4--- Wax Room r Back j- Washer / Dryer Room 4 Entry ii i ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (II+1tlDOVYYYY) 03/09/2010 PRODUCER 413.586.0111 FAX 413.586.6481 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber & Grinnell In Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIC # INSURED Scott Keiter INSURER A: Travelers Casualty of America DBA: Keiter Builders INSURER B: WCAR— Liberty Mutual 51B Hatfield Street INSURER C: Northampton, MA 01060 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I N D L TYPE OF INSURANCE POLICY NUMBER POLICY LIMITS GEtNERALLIABILITY 6806319N661ACJ09 06/01 /2009 06/01/2010 BsclioocumacE $ 1,000,000 DAMAGE X COMMERCIAL GEHERAl. LIABILITY PREMISES (E ` a occurrence) $ 300,000 CLAIMS MADE X OCCUR MED DW (My one person) $ 5,000 A PERSONAL & ADV IN.AJRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY P n LOC AUTOMOBILE LIABILITY CONSEED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accidad) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ( CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC231S376387010 03/05/2010 03/05/2011 I WRY LIMITS I , T AND EMPLOYERS' LIABILITY B ANYIC T ER a EX VE I YJN ELL EACH ACCIDENT $ 100,000 ANY (Mandatory In NH) YES E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes. C A L PRO under E.L. DISEASE - POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below � OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The Workers Compensation policy does not provide coverage for Scott Keiter. CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRB® POUCES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSLJEIG INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FALLARE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABIJTY OF ANY KIND UPON TIE INSURER, ITS AGENTS OR REPRESENTATIVES. * * = * * For Informational Purposes Only = * * = = AUTHORIZED REPRESENTATNE ,J Cynthia Henderson /CINDY ACORD 25 (2009101) M1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub - contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the - members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees -a policy -is- required. Be advised that this davit may -be- submitted -to the - Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self - insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant • that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617- 727 -4900 ext 406 or 1-877-MASSAFE Fax # 617 -727 -7749 Revised 4 -24 -07 www.mass.gov /dia The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations T _r 600 Washington Street 10 = � Boston, MA 02111 "Zta'� 'X www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electriciaus/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): kG--t7 £U I LbE , • Address: gI Q kt9 i City /State /Zip: Ahrri-I4rixproiQ MA Q(O b Phone #: (3 — 3 2 a 9 3f Are you an employer? Check the appropriate box: Type of project (required): 1.0 I am a employer with 1 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 goof repairs insurance required.] t c. 152, §1(4), and we have no — -_ _ - -- employees. [Noworkers -- - -13. ❑_.Other__ — comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. tHo meowners 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: 1 ZP \k L€T(l S L-1 c�-2T�v1 A- au R t-- Policy # or Self -ins. Lic. #: Expiration Date: 0 3 " 3D II Job Site Address: S€ PL 4 i s t City /State /Zip: /\ l n`} `Tb/v , MA Q (0 LcC 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 D for insurance coverage verification. I do hereby certify er e #r, penalties of perjury that the information provided above is true and correct Signature: Date: Nkii , 0 r C) Phone #: I-(f 3 — 3 c� 7© _ � 3 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 #: Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No O SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Brio Academy of Cosmetology as Owner of the subject property Hereby authorize Keiter Builders, Inc to act on my behalf, in all matters relative to work authorized by this building permit application. 05/28/2010 Signature of Owner Date Keiter Builders, Inc. 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. Scott Kei , President. Print Name / .4f, ,/ . _ PP'eStsk 05/28/2010 Signaturr Owner /Agent Date SECT • N 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Scott Keiter 102457 License Number 51B Hatfield Street, Northampton, MA 01060 06/20/2012 Address Expiration Date 44. Za.../4 Asg.t._i- (413) 320 -9035 Signatu , 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 0 No 0 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 o 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 Keiter Builders, Inc. Not Applicable ❑ Company Name: Scott Keiter, President. Responsible In Charge of Construction 51B tfield Street, Northampton, MA 01060 Addref / 51c f— (413) 320 -9035 Sig j: ture Telephone Versionl.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 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 DONT KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW ® IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 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 Q NO IF YES, describe size, type and location: Located on Building D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs GI Demolition ❑ Repairs ❑ Additions Fl Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing 0 Change of Use ❑ Other ❑ Brief Description Create pass - through between two office spaces and construct two new 8 x 12 offices. 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 ❑ A-4 ❑ A -5 ❑ 1B I ❑ B Business ❑ 2A 1 ❑ 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 ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 0 5B [ ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S 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) 1 st 1 st 2 nd 2' 3rd 3rd 4 th 4 th Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public p Private ❑ Zone Outside Flood ZoneD Municipal p On site disposal system I Versionl.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, 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 Property Address: This section to be completed by office 58 Pleasant Street Map 3, ? - Lot ' T 3 Unit Northampton, MA 01060 Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Brio Academy of Cosmetology 1231 E Main St., Meriden, CT 06450 Name (Print) Current Mailing Address: (203) 237 -6683 Signature v Telephone 2.2 Authorized Agent: Keiter Builders, Inc. 51B Hatfield Street Name (Print) Current Mailing Address: L(beyv-r- (413) 320 -9035 Signature ) Telephone SECTIO 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $7,150.00 (a) Building Permit Fee 2. Electrical $2,350.00 (b) Estimated Construction Total from Cost (6) of 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection '1 6. Total = (1 + 2 + 3+4+ 5) Check Number /0 /v This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -1081 APPLICANT /CONTACT PERSON SCOTT KEITER ADDRESS/PHONE 51B HATFIELD ST NORTHAMPTON (413) 320 -9035 PROPERTY LOCATION 58 PLEASANT ST MAP 32C PARCEL 043 001 ZONE CB(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 1Q /0) 3 Typeof Construction: CONSTRUCT 2 OFFICES IN EXISTIG 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 INFORMATION PRESENTED: Approved _ _ Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay r7/( 0 Signature of Building 0 ficial 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. 58 PLEASANT ST BP- 2010 -1081 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 043 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 -1081 Project # JS- 2010 - 001585 Est. Cost: $9500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): 6229.08 Owner: SURER PROPERTIES LLC Zoning: CB(100)/ Applicant: SCOTT KEITER AT: 58 PLEASANT Applicant Address: Phone: Insurance: 51B HATFIELD ST (413) 320 -9035 NORTHAMPTONMA01060 ISSUED ON:6/1/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 OFFICES IN EXISTING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: kJ/ Footings: Rough: Rough:ea / 0 House # Foundation: Driveway Final: Final: Final: 1 5 y— Rough Frame: Gas: Fire Department Fireplace /Chimney: slicks Rough: Oil: Insulation: Final: Smoke: Final: OK P E' N i ri.6 c 5t ,ed o if 61 tcru f � THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. iiimfr 44044 Certificate of Occupancy b/I /f/O 4u.. nature: Feel yn e: Date a'P i Amount: Building 6/1/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo