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32C-104 (4) P _z s a r d _TO y 7 ?.foz scyzj aif,02(1/y)7 gc7 S f P1' -- ° x 2 .sue" y /.. .$.-()/ (2ex z;/)( 6/ . • 9)\ 4. v/ e** Ar ) 414 4 c‘"1 - k /-0() • • 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED t Q DBY Lot Size Frontage Setbacks Front Side L: R: L: R: L: R: Rear Building Height Building Square Footage % Open Space: (lot area minus building & paved parking # of Parking Spaces # of Loading Docks Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature 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 of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. WADocuments\FORMS\original\Buil ding- Inspector\Zoning- Permit - Application - passive.doc 8/4/2004 4)3 - X - ia - 2 697 {3 �) W d 11 ice-, - , S v,� ✓�i >iij File No. .s S /7) P l b 9 k a ,-7=777-7-37-77 3 rd �.,s 7,757-W77:7 g�j�,- } �'s a .e ° l ':a a z"° s? t �,� tr : 1/f °k `��' r �. » - te " k �r .. --i`_ " Zs �« ° r t .-'� .fix t S s '� & s x f s ss d t '� a � k` ai^ ;t :7 �<tr *,su...�. =,;^� Please type or print all information and return this form to the Building - Inspector's Office with the $15 filing fee (check or money order) payable to the City offNorthampton 7 � J' 1. Name of Applicant: I�C� ,Zile , l i „z,,,, v p � ��``�yt`y --C +� ._ , - t x — Address: ( ©.,t/ Telephone: J -3 "Y/ 2. Owner of Property: ithff Ze4 e Address: Telephone: 3. Status of Applicant: Owner Contract Purchase Lessee Other (explain) 4. Job Location: 17�a r «�- m�rc�re�r - -s .. : z +: s, F � ` z �' '�"f r ^e� m t x � Rrh� f , ' � ' 'c• � C+2! @ `�.� a �.: � ��` � '�'�',t« : 7 §'- :. x , :a.;.r; do � �k , x a s 4i Sz��p 6 1 r� i } � ?.'S�'E �, �T b' t `$"",'TY t'eu 7E .ii J . � .c.`+ -- d t °. 1.i" �a.•oe+. E K - * 3 i $ b,r g ' z FaP 9� � t te $ a i t ts�rw.Cn� zti. ,.�.�.�..Lral. ..� �...„..�?�..�`�st.�,msw..,, v�- ...±.�,.�; s«�, -�. �.~,.. �K.� .�.�.. �a.ri..'.1$as �. s�s�t: �F. , k• ��' ',sEP.aa" ��z '. `" �3; .c..s,`_ 5. Existing Use of Structure /Property: ✓ 7 2) 6. Description of Proposed Use /Work/Project/Occupation: (Use additional sheets if necessary): 4 do ot) /6//2, 1) 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. 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 # 9.Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) 8/4/2004 W:\Documents\FORMS\ original \Building- Inspector\Zoning- Permit- Application- passive.doc File # MP- 2010 -0096 APPLICANT /CONTACT PERSON WORLD WAR II VETERANS ASSOC OF 9� 47i Viet � HAMPSHIREECOUNTY INC ADDRESS/PHONE 50 CONZ ST (413) 586 -3315 () - 071114—d ; ?1 PROPERTY 50 CONZ S° / ' : (JJ W ,���o � ' 47 � 2C_PAR+CEL 104` B(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Z�3P FORM LLED OUT Building Permit Filled out (gyp Fee Paid Tvpeof Construction: ZPA - ROOF OVER PATIO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan STlcd- N66 THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 'Boa pT RM A _ V Approved Additional permits required (see below) - .. CtQ 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 6 Ito Signa iir 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 the Office of Planning & Development for more information. -tti)(c, , , jj / 1/4 , 1, s „S ,ST V 59 z d1 11 N N Pt N U N N N U � V C S „ 8-,6 ” ©�' -W /L1I sx 1 ( Ce) „9 -,II , T \c') --- \ _Lc\ Q , j os r)0 Viiiillm■mmimmaftil S----- ,s 5�o ad, zI —z 1DI! 6 �4P X .1tcr` 2`1.2 �\�• 1�,,6 �,�g,, t ill" ly „ OAS � 1 �l AS I 1 00 . , '2 ,•'; 1 -5 WWII Vets Assoc. 1 -10 -11 KeyBearn 50 Conz St. 4:01pm Northampton, Ma 1 of 1 KeyBeam® 4.506a kmBeamEngine 4.508e1 Materials Database 1243 Member Data Description: Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00 /12 Bottom Lateral Bracing: None Standard Load: Moisture Condition: Dry Building Code: SBC Dead Load: 10 PLF Deflection Criteria: L/360 live, L/240 total Snow Load: 55 PLF Deck Connection: Nailed Member Weight: 11.7 PLF Filename: KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PSF) 0' 0.00" 16' 0.00" 7' 0.00" 10 55 Snow .v.�.\ vv:;•Y;:,Y,•;:$':;::•::;:: { ?: ::.?r x........ M; . �v + : : {..3. 'Yk�+ .. Y.. �:} \ +� :. 4• r2:v �4:•YYY.4: }:k <•. : i'r y \\ {+ }v.;. }L:ti•:,, •T: :xY:�}:{ {• } }:•i:•:{• }:•n. ... is ':4i+.+•. ..q . ..y, {r v'•Y: -0:•:4:•Y:•:•:•:• }Y: ; C $:•h ? {.. ..:. \ ::: }:•:•w• �h �+'• •Y':v�Y'r,'': v:• r. { { \.n\ }:}r. .. : \:.. •:� :.....: ... .i`a..•i$ii$:,;Y +...} v.: ;• }}:• } ? ??:•:a.',,:+: \++> i:: i : +.'v:t�:•i:5:� >r;::;;: } } }:•` +, •:r:::::::::.: r. r....... t \ \rv?.»: ' '`� :\ }. +.•: Y:Y Y:.Y }:.Y:.Y:........: YT•.: + .:::: >.'r,'r,::v:•:• }i:•:• •;c;.;y;,'2 {` ,: \.+:::v. » + �.qy�:: \v rr.: ryr :.v:i >�: +:v:::.v:::::::::r:...v .•:'t•' t,..v » �kr}:{.}:•}:•}: t•?}:•:• Y:::•>: i. Y:{. Y:+{{ i.: ii. t?}:•}:•}:•}::+}»>:: Y� $ :.............: }. :::::::::::: :..5 :•:•,:�`:: ;:` {: <�:ti�s:•: 16 0 0 /O 1600 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0:000" Wall 5.500" 1.500" 3554# -- 2 15' 2.750" Wall 5.500" 1.500" 3554# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Dead Snow 1 622# 2932# 2 622# 2932# Design spans 15'- 2.750" Pr.duct:1 3/4x11 7/8 Ve • -Lam 2.0-3100 SP 2 ply C mponent Member De • n has Passed Design Checks.** D- .r - nuous lateral bracing along the top chord. Design assumes no lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 13530.'# 244664 55% 7.61' Total load D +S Shear 3092.# 9081.# 34% 0.01' Total load D +S Max. Reaction 3554.# 14438.# 24% 0' Total load D +S TL Deflection 0.5782" 0.7615" L/316 7.61' Total load D +S LL Deflection 0.4770" 0.5076" L/383 7.61' Total load S Control: LL Deflection DOLs: Live =100% Snow = 115% Roof =125% Wind =160% Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives All product names are trademarks of their respective owners : ` :::.Copyright (C)l989 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. **Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturers specifications. __ _ WWII Vets Assoc. 1 -10 -11 Key Beam 50 Conz St. 4:01pm Northampton, Ma 1 of 1 KeyBeam® 4.506a kmBeamEngine 4.508e1 Materials Database 1243 Member Data Description: Member Type: Beam Application: Roof Top Lateral Bracing: Continuous Slope: 0.00 / 12 Bottom Lateral Bracing: None Standard Load: Moisture Condition: Dry Building Code: SBC Dead Load: 10 PLF Deflection Criteria: L/360 live, L/240 total Snow Load: 55 PLF Deck Connection: Nailed Member Weight: 17.6 PLF Filename: KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PSF) 0' 0.00" 16' 0.00" 7' 0.00" 10 55 Snow t: 6 0 1 6' / Bearings and Reactions Location Type Input ~ngth ` Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 5.500t 1.500" 9# -- 2 15' 2.750" Wall 5.500 1.500" 11, 99# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Dead Snow . 1 667# 2932# ., 2 667# 2932# . Design spans 15' 2.750" Pr uct :SPPT #1 2 4 ply omponent Memb esign has Passed Design Checks.***" Des ass s continuous lateral bracing along the top chord. Design assumes no lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 13701.'# 17435.'# 78% 7.61' Total load D +S Shear 3156.# 9056.# 34% 0.01' Total load D +S Max. Reaction 3599.# 18645.# 19% 15.23' Total load D +S LL Deflection 0.3850" 0.5076" L/474 7.61' Total load S TL Deflection 0.4726" 0.7615" L/386 7.61' Total load D +S Control: Positive Moment DOLs: Live =100% Snow- -115% Roof =125% Wind =160% Design assumes a repetitive member use increase in bending stress: 15 % This member has been designed in accordance with NDS 2005 , All product names are trademarks of their respective owners 1 '� 1 3f,E 'Rsk y ^XI: Copyright (CH 089 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. • "Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads, Loading Conditions, and Spans listed on this sheet. The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturer's specifications. L, \ The Commonwealth of Massachusetts ``" .,,:_.:= Department of Industrial Accidents _ ::,, . - Office of Investigations M .r.. 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): �co..r D %is i \ ‘`) R (-- Address: •"— -; (a C_®\ e,S `1`t cw %-' V * A • '' City /State /Zip: Phone #: ' %(o --" , 6, Are you an employer? Check the appropriate box: Type of project (required): 1. Tam a employer with ) 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. ❑ New construction listed on the attached sheet. 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ 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. ❑ Plumbing repairs or additions 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. f 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. aa Insurance Company Name: . NSSo L r \ &( E r, 0 Ol. � ' -f 5 S ` f loc Q_ ��1 - Policy # or Self-ins. Lic. #: L i'. CG c.*. c, `3 a. ‘ , 01 c:=:. Expiration Date: % W(1 f 1 Job Site Address: Sc} Q--' Z S ‘ \ City /State /Zip: % , .Co s ;) 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 ' , ins d pen ies of , ' jury t at the information provided above is true and correct. Si • nature. - ... / � ` ! . ``'�, Date: 1 // Phone #: 1 t -1 ,'�> r` —O ` f OS 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 #: t! Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10 STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1/C./ a /I _ /.. ,XA^ _.._.c,tt t / 1 .. , as6wner oTth property hereby authorize d? \V . �� ? ........... _. _ _.. to act on my behalf in II matters relative to work u horized by this building permit application. . „ 't�c�iyyz A Signature of Owner Date I, S ,,P \c, -) _ . , 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 andpenalties of perjury! , _..a . __. _ C‘ c J Print Name �d �r �l Signature of Owner /Agent D e SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder :.. _.SCSa __..- © . _ ,° L t (.=)f. License Number --.�, ..,._. __.. .e«.\ -- .. `i\c' Z. Via` Address Expiration Dat I _ „ . ,,, „ - / ---) 1 ( 4 ( I 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 b tiding permit. Signed Affidavit Attached Yes No 0 Version1.7 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 VI 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 9 Telephone Expiration Signature p 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 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 Frontage , Setbacks Front Side 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 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book . Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 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 0 NO I F YES, then a Northampton Storm Water Management Permit from the DPW is required. . x Version1.7 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 ❑ Demolition ❑ Repairs ❑ Additions s, Accessory Buildtg 0 Exterior Alteration 21 Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Enter a brief description here. Of Proposed Work: ' €- ' v% , ,,iol 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 R 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 ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B l ❑ 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) st C r 1s' 1 13 XT6e 1 C ' 2nd 2 nd 3rd 3rd 4th 4 tn Total Area (sf) Total Proposed New Constructionist) 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 ❑ Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system Versionl.7 Commercial Building Permit May 15, 2000 City of Northampton staus e H l Building Department cxt��t,t t rn�e teen Y 6 KF,_ n' ; 212 Main Street sey�erlSeptt�Aualalltt 1 1 2011 Room 100 u�rateren �airatltty , Northampton, MA 01060 Tuvcse s a1 ttct�ufaFlats� phone 413 -587 -1240 Fax 413- 587 -1272 Plt?7Srte Plana 0fher spew ..: f, r Er 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 ) C ] e' y 'z„ Map Lot Unit JQar7JA,e1.7"729 , / +� eaJe , e) Zone Overlay District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 r 0 e.4 cr.. , 4 a r' j, Name (Print) Current Mailing Address: Si Telephone 2.2 Authorized Agent Name (Print) Current Mailing Address Signature _ 1r „ ���/ Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 3 �\,�� (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) Check Number a� This Section For Official Use Only Building Permit Number Date Issued Signature: It O _ Building Commissioner /Inspector of Buildings Date BP- 2011 -0625 Gis #: COMMONWEALTH OF MASSACHUSETTS t4-164 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- 2011 -0625 Project # JS- 2010 - 001702 Est. Cost: $3000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HARLOW BUILDERS 052460 Lot Size(sq. ft.): 25047.00 Owner: WORLD WAR II VETERANS ASSOC OF HAMPSHIRE COUNTY INC Zoning: NB(100)/ Applicant: HARLOW BUILDERS AT: 50 CONZ ST Applicant Address: Phone: Insurance: 336 COLES MEADOW RD (413) 586 -0465 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:1 /11/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ROOF OVER PATIO 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 1/11/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner