Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
38C-020 (10)
City of Northampton SM 4? t y Massachusetts x y + DEPARTMENT OF BUILDING INSPECTIONS ? g ° x` �' 4 r at'f..F nr 212 Main Street • Municipal Building Northampton, MA 01060 4W—W INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made unde rstand the above. (Home owned/resident's signatre requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date t(((/ (I" Address of work location T pvt.m 51- 9d4a� 11 4 cia6.2_ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1= „V,,, ,, �, 600 Washington Street • 5*p- Boston, MA 02111 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I Address: O2o(/a w4 Cj City/State/Zip: tVe5ext u drA, Phone#: Sc 7 7` Y Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7LRemodeling ship and have no employees These sub-contractors have 8. J Demolition working for me in any capacity. employees and have workers' g y P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. [ We are:a corporation and its 10.0 Electrical repairs or additions 3P.,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.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 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. tContractors 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: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: 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/pains and penalties of perjury that the information provided abo e is tr e and correct. Signature: /� Date: /0 Phone#: 913 - `) 7 Y -V(- Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder: License Number 140 Address Expiration Date Signature Telephone 9 .Registered Home Improvement Contractor Not Applicable £ Company Name Registration Number Address Expiration Date Telephone 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 £ No £ 11 ;Home Owner:Eie iption 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 r di Al/ SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [ID] Decks [E] Siding] Other[0] Brief Description of Proposed Kent u re S;�i v13 r 4 c c h 46' U hacc 5c Work: 1� Alteration of existing bedroom Yes x No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes )( No Plans Attached Roll -Sheet sa, If.New house and,or'addition.to'ex stinci housinq,'complete�'the followin : 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 Da u y�k 5 7114()-t‘ , as Owner of the subject property �l hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date ,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. Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 1 I1 ( I F- Frontage1,--. --___J _..–r—__-__–_ _..J L._ __._____.__ Setbacks Front r 1 --�------ I I Side L:r RI I L:I J R:( _.._I L_____.� I..—--1 = I Rear Building Height r:: J [ I I. I Bldg.Square Footage % -1 , ----I Open Space Footage { % �� ; ��{ ( I (Lot area minus bldg&paved L___,_.1 # _.�_ L.._ _.! - parking) #of Parking Spaces Fill: (volume&Location) I €1 A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES Q IF YES, date issued:; f IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES Q IF YES: enter Book 1 Page r----1 and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? 1 Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: I 1 D. Are there any proposed changes to or additions of signs intended for the property? YES O NO I. IF YES, describe size, type and location: 1-� t 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 Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • • plaglintiketwipg0.4#0.04470§:aymaissomilivo -,,,e,setlatiwt.lonirattieogt.taszortloritmgypitripaiitamtorsg.okif Northampton Pi ggtiaRgrtlIgelpaR:artifanikaggfp•MagaiRRE f3tlirkatirt,v Department tarpqatiproaw#9ivottlitztommeRawmatmaafams 211 am Ringaatoolp6.1,050-mtgtmagnmivsamimmougg2cm:A:! 2 ! n Street , ml .136.m 100 8 214Atbrthqmipiin, MA 01060 or.at htsof inempglip.toomfbAr.:AfrAtesingeormattgopi U phone ilinhigtirAg:11:4,40,1151011;1001141110.18100:02941R;4gAgESIREMER 0-12 0 Fax 413-587-1272 !Egoettp.re,,ris:::oiling4iiigi,,,piodrt.,144,,,q0,...,,I:RTIFivaia-plii.-.._.vnirpo,nr:2::::, piumbiQ ,,, v,,pg,,Furmorgrvimiattavavaisialip:Ntagbiog4i4:5:1152: :4*.)ther-spe a No A cirytylififilrei=2647,,,R,,,maaggickdosmagaygloymitom%,,tilto • • 0 CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITEINFORMATION Etentaire17..hi#1:1;00.:0:041.04t completed by office 1.1 Property Address: S vt c } fr OVek4Ce • 01(26 Zone Ove rlay District ftifElirqS. SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT: 2.1 Owner of Record: 1;2-/OZ Nei fht.s$4 j' outs 71 ct,p) e)i-hafr.1) ri 01027 Name(Print) Current Mailing Addres . c7 - Dol)G15 Tha,e‘ Telephone Signature K c3& iir3 2.2 Authorized Anent: Doatit(,1 5 Th ec. Name(Print) Current Mailing Address: 14C3 Otoc•-Yte Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be : Official Use Only completed by permit applicant • • • • 1. Building 00 (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of • Construction frorn'(6)•• 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) •• 5. Fire Protection 6. Total=(1 +2+3+4+5) _ a00-0 Check Number /e6 3 • . This Section For Official Use Only . *. • Date Building Permit Number: ' Issued: - /OP /"•:,"'r-ao Art- • Sire:• 411111FAA,41.-.41. 1 • : .44Agrof?" gnatu Building Commissioner/Inspector of Buildings . : Date 45 SPRING ST BP-2014-0487 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22B-058 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: vinyl siding BUILDING PERMIT Permit# BP-2014-0487 Project# JS-2014-000832 Est. Cost: $2000.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 20124.72 Owner: THAYER DOUGLAS&JAIN LATTES Zoning:URA(100)/WP(100)/WSP(100)/Applicant: THAYER DOUGLAS & JAIN LATTES AT: 45 SPRING ST Applicant Address: Phone: Insurance: 212 NORTHWEST RD W ESTHAM PTON MA01027 ISSUED ON:10/18/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE FRONT GABLE SIDING 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 10/18/2013 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Initial Construction Control Document f' +t To be submitted with the building permit application by a ` sti Registered Design Professional (\s\.../ `r f t' '" for work per the 8th edition of the +': Massachusetts State Building Code,780 CMR, Section 107 Project Title: "er 67-Ci.ei/U Date: 0 7 Property Address: C,7;r-, Project: Check one or both as applicable: OCNew construction kExisting Construction Project description: i 0 # t//e.- /G /77/i- I_5i / f>Ri/� f MA Registration Number: € 6 3 Expiration date: 3d� ,am a r is d design ssianal. and I have prepared or directly supervised th preparation of all d ' Inns,/ � g I�>� y Pervlsed prepare eng� computations and specifications concerning: pc Architectural [ 3 Structural [ ] Mechanical Fire Protection [ ] Electrical [ ] Other for the above named project and that to the best of my knowledge,information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: I. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building efficial.a- Construction Control Document'. Enter in the space to the right a"wet"or ..,iallf e fillartf 4116, lectronic signature and seal: ,/e,",,,049,-401,-40, �• Phone number 4r, ,--Email: xf' Building Ofkeia l thee Only Building Official Name: Permit No.: Date. Version 06 11_2013 SECTION 9:;PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 1i (04okiVr UlpV1 3-T5 wv16� /-S�1 Mr }-1.hyp k O/li&c> Name(Print) ( No.and Street City/Town / Zip Property Owner Contact Information: u It;t_11...__ j..S),- 5` 10 / ig'i- S6". 7 92 2 - Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) (If building is less than 35,000 cu.ft.of endosed space and/or not under Construction Control then check here CI and skip Section io.ii 10.1 Registered Professional Responsible for Construction Control /....,_ . 0? . — el 3 34 Name( e trant Tele hone No. At, e- it address Re tration Number Street Address City/Town State Zip Discipline xpira on Date 10.2 General Contractor 5-k-PL-4/ (1A- (c n 5476C--71-1/4-•'Company Name L.�.; Or 257 01res fe Awl Na C oon Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip q 5-27 ) I '2 cir3 - - ©Yii y Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c 152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)=$ . 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ _(contact municipality) 5.Mechanical (Other) $ s Enclose check payable to _ 6.Total Cost $ t 6. boo. (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is e and accurate to the best of my knowledge and understanding. irtio 1...4.„/ CAS O ��, 1'Z2 ?12 �in 1 Please print and sign name / Ti Telephon a No. D to Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: - Name Date 6 777\ L ir- v \ .. I 1: The Commonwealth of Massachusetts I 0 2.0 -' Department of Public Safety Massachusetts State Building Code(780 CMR) •: . .• ,,:,;:PV. it Application for any Building other than a One-or Two-Family Dwelling No rt ' ''C'"' ,.....,..i.„war (This Section For Official Use Only) ...... Building Permit Number:V r I 7"r 1 Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) /-c-iii.,,,/ 0 r 6 0 yel_k 5:1-ai 1 No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building Itt_ Repair 0 Alteration kfri Addition 0 Demolition 0 (Please fill out and submit Appendix 1) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Description of Proposed Work: 9— A rs-44..,,,C"0-161 S ---. ti- 1-',.,je ‘I) SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 .. F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 1-20 1-30 140 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA Cl IB 0 HA 0 IIB 0 IIIA 0 MB 0 IV 0 VA 0 VB 0 1 . SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: Licensed Disposal Site 0 not be Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-war Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: ...‘,- File#BP-2014-0445 APPLICANT/CONTACT PERSON STEPHEN CAMP ADDRESS/PHONE 46 EAST ST EASTHAMPTON (413)527-7124 Q PROPERTY LOCATION 375 SOUTH ST MAP 38C PARCEL 020 001 ZONE URB(100)/WP(6)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /''J 5'75" 03 Fee Paid !! Typeof Construction: CONSTRUCT 2 HANDICAP BATHROOMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 082531 3 sets of Plans/Plot Plan e.- e C(#€°///C ?Li,/ THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORM LION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management I emo Delay y ( /O —�-5�� Signature of:uilding Official 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, 375 SOUTH ST BP-2014-0445 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38C-020 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-2014-0445 Project# JS-2014-000767 Est. Cost: $50000.00 Fee: $300.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN CAMP 082531 Lot Size(sq.ft.): 56105.28 Owner: DUPREY NICHOLAS Zoning:URB(100)/WP(6)/ Applicant: STEPHEN CAMP AT: 375 SOUTH ST Applicant Address: Phone: Insurance: 46 EAST ST (413) 527-7124 () EASTHAMPTONMAO1027 ISSUED ON:10/16/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 HANDICAP BATHROOMS 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 10/16/2013 0:00:00 $300.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner