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38A-072 (2) S.N...\ -c-,,-7, 1 ( "\---) C / 't- , - /4,/ r?-)/14:1 ..-,-- e.e, ,powe4i-bantoeay. 1 oi, :.,-, 4,7414ad(-14-646, Office of Consumer Affairs and Business Regulation . -4.11;:c '•,,' 10 Park Plaza- Suite 5170 .-..-. ,- Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165217 Type: Corporation . , Expiration: 1121/2014 Tr# 220702 CO-op POWER, INC. SHAWN GALLAGHER 324 WELLS ST _ .. GREENFIELD, MA 01301 . , , . . Update Address and return card.Mark reason for change. SCA 1 D Address [] Renewal [J Employment fl Lost Card 4 204A415/11 CVA,e W-09YWrii.09.14116Cea 4:2"16.wacv.:adelti Mitt of Consumer Affairs&Business Regulation License or registration valid for individul use only 1!-, . 0 .-:. ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ---- 1 . egistration: 155217 Type: Office of Consumer Affairs and Business Regulation :'-:•'.-lk- 10 Park Plaza-Suite 5170 -, .:: xpiration:- 1/214014 Corporation Boston,MA 02116 CO-OP POWER,INC, .-.. 1 ,-t-,,,,,.. .'•". - -.2 SHAWN GALLAGHER-. 324 WELLS ST '106/ GREENFIELD,MA 01301 -aim, Undersetretary "in."- N■ slid without signature .4, . .. Massachusetts Department of Public Safety Board of Building Regulations and Standards ( esttucons Su pa-k in LIcense CS-095430 SHAWN GA1,1ACHER , 14 BELTRAN ST.APT2, Maiden MA 02148 ,. , Ex wration :.:MMIMIS stoner 04/29/2014 , . The Commonwealth of Massachusetts Department of Industrial Accidents t Office of Investigations rztt 14 600 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-op Power Address: 15A West Street City/State/Zip: West Hatfield, MA 01088 Phone #: (413) 772-8898 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 10 4. ❑ I am a general contractor and I 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 for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. Building addition required.] 5. ❑ We are a corporation and its I0.❑ 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' com right of exemption per MGL y comp. l 2.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.® Other Insulation comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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: Liberty Mutual Insurance Co. Policy#or Self-ins.Ljiee.+#: WC5-31S-388245-012 Expiration Date: 11/02/2013 /�/?,� Job Site Address: 1 ` (GL/ 5fieef City/State/Zip: Aii 7 / /41 1fO& Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex iration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provide ab ve is true and correct. Signature: Date: Q 10 (3 Phone#: ( 3) 772-8898 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#: Ac°R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) `""*-- 11/12/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER JAMES J DOWD & SONS INS AGCY INC CONTACT NAME: 14 BOBALA RD HOLYOKE, MA 010411900 PHONE(A/C.No,Ext): (413)538-7444 FAX(A/C,No): (413)536-6020_ E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Insurance INSURED COOP POWER INC INSURERS: 15 A WEST STREET INSURER C: WEST HATFIELD MA 01088 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 14687992 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1 HE 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR 1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/OD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ j DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY 1 PREMISES(Ea occurrence) j$ CLAIMS-MADE OCCUR 1 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER 1 PRODUCTS-COMP/OP AGG $ RO- POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ig a accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS I JPer accident) $ $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE $ EXCESS LIAR $ CLAIMS-MADE AGGREGATE DED RETENTION$ $ $ A WORKERS COMPENSATION WC5-31S-388245-012 11/2/2012 11/2/2013 WC STATU- OTH- ER EMPLOYERS'LIABILITY Y/N TORY LIMITS_ _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 t I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HONEYWELL UTILITY SOLUTIONS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 65 SHAWMUT ROAD, SUITE 4, FLOOR 2 ACCORDANCE WITH THE POLICY PROVISIONS. CANTON MA 02021 AUTHORIZED REPRESENTATIVE )tip _ Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD SAT NO.: 14687992 Tara McLaughlin 11/12/2012 10:07:14 AM Page 1 of 1 AC°R° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/13/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Debbie MacNeal James J. Dowd& Sons Ins a/c°.No.Ext):413-538-7444 FAX No):413-536-6020 14 Bobala Road E-MAIL Holyoke MA 01040 ADDRESS:dmacneal aadowd.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Safety Indemnity Company INSURED COOP INSURER B Great American Insurance Companies Co Op Power, Inc. INSURERC:U. S. Liability Insurance Company 324 Wells Street Greenfield MA 01302 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1237597439 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS C GENERAL LIABILITY CL1566148 11/8/2012 11/8/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY JECT X LOC $ A AUTOMOBILE LIABILITY COM6212701 3/23/2012 3/23/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED x SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS $ X AUTOS (Per accident) _ Comprehensiv Collision deductible $500 C X UMBRELLA LIAB OCCUR CUP1550265 11/8/2012 11/8/2013 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE _ $1,000,000 DED X RETENTION$0 $ WORKERS COMPENSATION J TORY LIM U- ( I OER TH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Directors&Officers Liability EPP1117563 6/2/2012 3/2/2013 1,000,000 5,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers'Compensation Certificate of Insurance to follow separately from the carrier. Waiver of Subrogation Applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Honeywell Utility Solutions ACCORDANCE WITH THE POLICY PROVISIONS. 65 Shawmut Road Suite 4,2nd Floor AUTHORIZED REPRESENTATIVE Canton MA 02021-1461 • ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CO OP ■'V �/-1 POWER BUILDING I OMMUNITY-OWNED SUSTAINABLE ENERGY PERMIT AUTHORIZATION F • RM I, rn..+'wA Id r owner of the property located at: (Owner's Name) Stdr-2-14, 4 (Property Street Address) (City/Town) hereby authorize C6-OP Po (Contractor) to act on my behalf to obtain a building permit and to perform insulation and/or weathe ization work on my property. to71--• 72' (Ow er's Signature) / 2 / / (Date) Co-op Power 15A West Street,West Hatfield,MA 01088 phone:413.772.8898 or 877.266.7543,fax:413.517.0300 Email:info @cooppower.coop Website:www.cooppower.coop SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Shawn Gallagher CS-095430 License Number 14 Beltran St. Apt. 2, Malden, MA 02148 04/29/2014 Address Expiration Date ��%� 508) 317-0041 Sign / Telephone 9.Registered Home Improvement Contractor Not Applicable ❑ Co-op Power 165217 Company Name Registration Number 15A West Street West Hatfield, MA 01088 01/21/2014 Address // Expiration Date Telephone (413) 349-4969 /ter// 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 lX 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 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 Massachusett s General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) 0 Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition El New Signs [O] Decks [[= Siding [O] Other[©] Insulation Brief Deer' ion of Proposed. 2 2 Work: (�ttt o rim foist insulation; 665ft of R30 cellulose in attic; 30ft2 of rigid board in attic Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. 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 Compliance. Masscheck 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 SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Harriet Diamond ,as Owner of the subject property Co-op Power hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. SEE AUTHORIZATION FORM ENCLOSED Signature of Owner Date Shawn Gallagher of Co-op Power ,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. Shawn Gallagh- � Print N-of- Signat ,- . i .,C ` ff Dat=' 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 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T 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 C) DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO C) IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department�only RECEIVED City of Northampton Statustfp Permit: Building Department Curb CutlDriueway Permit 4 2013 212 Main Street ewerl eptic Ayailab�iltty Room 100 Water/Ul/etl Availability x;'' DEPT.OF BUILDING INSPECTIONS Orthampton, MA 01060 T o S.ts t f tru#urat Plans, NORTHAMPTON,MA,,;, - - 3-587-1240 Fax 413-587-1272 Plot/Site Plans OtherSpify 3 APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 141 Grove Street Zone Overlay District Map Lot Unit Northampton, MA 01060 Elm St.District _ CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Harriet Diamond 141 Grove Street,Northampton,MA 01060 Name(Print) Current Mailing Address: p ���,,,� 19/14 �1�r (413) 584-1412 5EL /�( "1�I�tLct/[WV /y'{ uUS Telephone Signature 2.2 Authorized Agent: Co-op Power 15A West Street, West Hatfield, MA 01088 Name(Print) Current Mailing Address: (413) 349-4969 Sig Telephone SECTION 3-ESTIMATED CONSTRUCTION C STS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant _ 1. Building 1,135 (a) Building Permit Fee 2. Electrical (b) Et Construction stimated To m 6 fro al Cost of 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) b---5— /1 a 5. Fire Protection 6. Total = (1 +2+3+4+5) 1,135 Check Number 5 of j� This Section For Official Use Only . /3 Date �i�a. J Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2013-1216 APPLICANT/CONTACT PERSON CO-OP POWER INC ADDRESS/PHONE 15A WEST ST WEST HATFIELD (413)772-8898 0 PROPERTY LOCATION 141 GROVE ST MAP 38A PARCEL 072 001 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 5 y� Fee Paid Typeof Construction: ATTIC INSULATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Signature of t B i id"/- r r 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. 141 GROVE ST BP-2013-1216 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A-072 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2013-1216 Project# JS-2013-001990 Est. Cost: $1135.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CO-OP POWER INC 095430 Lot Size(sq. ft.): 17380.44 Owner: DIAMOND WILLIAM D&HARRIET R Zoning:URB(100)/ Applicant: CO-OP POWER INC AT: 141 GROVE ST Applicant Address: Phone: Insurance: 15A WEST ST (413) 772-8898 () WC WEST HATFIELDMA01088 ISSUED ON:6/19/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:ATTIC INSULATION 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 6/19/2013 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner