36-103 r
063-A-038
4 0-4 5 DH
ar
>�et: 6100 Renovations
Double Hunq - Vinyl
Argon/Low B SC
n�rrNiwt�. gg •,
--�` Vi th Grids
1-800-746-6686
NFRIC 2001
ENERGY PERFORMANCE RATINGS
U-Factor(USJI-P) Solar Heat Gain Coefficieitt
0 . 36 0 . 27
ADMONAL PERFORMANCE RATINGS
Visible Transmittance
0 . 44
FoatKt pstatnssin.lEicC taN�t rs deMnarwi tr a cob arK d csidAlau rm a
' WactAc p�aduct sits.Caia�R nwuhedrss't Alanbra for o/sr product psrlamattol,in am
st" Ar_"
' ENEJ�r7 S9W
Unit qualities tot: N9arrg7 Star
R"ton ts): North central,
—.� South central, Sout6nr»
O
aia: AL3l1 00/GLA39 99/N-A30 '
DP : 30 'fast Size: 44 tt 60
order #:3744748030002 40260 HS
t
,,� ''/ee �'o•»incanuealll,. o�:l�aauic/t.�ea9
Board of Building regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 126893
Expiration: 8/3/2006
Type: Supplement Card
THE Home Depot At-Home Ser4c
MCHARD FALLONE
3200 COBB GALLERIA PKWY#'20
kTANTA,GA 30339 ��~ ��✓
Administrator
�L-ANTA,GA 30339 Administrator
MARSH CERTIFICATE OF114SURANCE
►ItOOUCER n"CIB1 MU'llE LI INSUM AS A MATT=OF W"MATION ONLY AND C01/W
MARSH USA,NC. wo uowla W40Im CERI a9CATS HOLDER OTWR THAN T"m rpm=wI TIR
ATTM:E LLEASETrI SMENDINE (404P9 5-35NE POIACV.flan C1R113lICAM OM UM A111M axTSM ON ALTO TM COWERAGE
JENNFER CHICANTEK E404RW3= AFFORIMayIliPOLJ9=owclElaiat oun
FAX NP R COMPANIES AFFORDING COVERAGE
3475 ROAD.SURE 1200
ATLANTA,GA 30306 CCNPAW
lOGM-RMA-MASTR- FMA A STEADFAST W0URANCE COMPANY
tM mmo COMPANY
THD AT-HOME SERVICES.INC. 8 NIA
DI LA THE HOME DEPOT AT.HOME SERVICES
2455 PACES FERRY ROAD NW COMPANY
SULDWG C-11 C AMBUCAN HOME ASSURAdlCE CO PNiF _
ATLANTA,GA 30339
CQIPAMY
D ILLINOIS NATIONAL NSUR DICE COMPANY
COVERAGES Tho oar&caDB sups wwo wW mPw.M any pltrY;oLlaty booed oaWWsAD for Ala pd(cy WwW noW Oalar. 1
7M 6 TO CERTIFY THAT POLICES OF INSURANCE DESCRIBED HEREN RAVE BEEN ISSUED 10 THE NSURED NAMED HEREN FOR THE POLICY PERIOD NDICATED.
NOMrtTNSTANDMO ANY REGUNKMENT,Tom an CONOinON OF ANY OXTNTRACT OR OTHER DOCUIIEHJT TWfH RESPECT TO Vtl'MCH THE CERT39rATE MAYBE ISSUED M MAY
M =Ab&7M 61SUR H M#"GF4 W by THE POIJCEB OESCFJWM HEMM•IU6lECT TO ALL 0%VIEV04.CONOM06A AND LXCUIGOWB OF MUCH POLACC1.AGMEGATE
UYRS SHOWN WAY HAVE BEEN REDUCED BY PAID CLAaAS.
LYN TYPS OF nYlItA1Ca ►OLwv I tJ1�A r / KY h LAMM
Of1i7tAL LJAORJTT
GENERAL AGGREGATE $ 4.000.000
A X C OMMERCUL GENERAL LLUW-n' PR 3757 OW-00 02/01104 021`01106 PRODUCTS-COMPIOP AGO S 4,000,000
4Awf woE X]w. 1MRS OF POLICY ARE EXCESS' PERSONAL i ADV NJURV $ 4,000,000
OMMER'S A COkgRACTCR'S PNOT 'OF SR: $1,000,000 PER OCC EACH OCCUFWDICE s 4.000,000
FIRE DAMAGE am 1W S 4.000,000
AvTarR tJAaLtm WED E%P am
loaa s EXCLUDED
CGMBIAEDSwX ELaw $
ANY AUTO
ALL C%4%"AUTOS BADLY NAX?Y S
SCHEDULED AUT05 v AQ/I
HWD AUTOS SODLY N.i1RY $
NCM-OW►iED AUTOS - Pw
PMPEW-"MADE S
GARAGE LJAMLTTY
AUTO ONLY-EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY.
_ $
AGMEGATE :
WICK"L&%vLnY EACH OCCURRENCE i
ULIa1IIELlA FORM AGGREGATE $
OTHER TH m UMBRELLA FCRW - H $
o �T0,uAaa.ITY RMWC2981984FL wol/a 02/01/05 x UA
EL EACH ACCJOFJTT $ 1,000,000
c T� NCL RlMW 02061992 AOS 07/01/04 02/09/06 EL DISEASE-POIU Y L W $ 1.000,000
D CR4CERS ARE HE= C2982000 NY.W I 07J01/04 0001106 EL DMEA&E-EACH EMPLOYEE]i 1.000,000
C WORKERS COMPENSATION MWC2982001 OSI 02101/04 0209106
oocTf►noll aP a,ounowf�a.oc.An rTOa
CERTIFICATE HOL CANCELLATION
8"OULD ANY OF r"E►0UC9$OEACMM*ED IIEREN RE CANCELLED IEFDRE THE 0"ATION DALE THEREOF
711E MMUNEII KFOgpN(' COYEMME iN4 E110EAAYON 70 MML_�9AYM1 MRIPf1FJI No=E TO THE
CERIFCA'IE FOMDW NAMED IEAEM OJT FA AMM TO MAL MJQt NDTCE aNLL TI/OK NO=-CATKW 94
LIAMUM OF ANNILOC WON TM Muu9EN AFFORD040 COMrERMM.m AQEM Cw WJ4NMFJRATM EA,ON t IC
6d.EA'0F T„M ClXWc^7E
ROM USA IMt
Frank It7(WIAtt
ItIt1(3M2) VAUD AS OF: 07/13/04
Sold,Furnished and Installed by;
Branch Name: Y) Date: THD At-Home Services,Inc.
d;'b''a The Boole Depot At-Home Services
345A Gg,,....d Street,Worcester,MA 01607
Branch Number- L-A Job*: t 3 5`6 Toll Free(900)657-5192; Fax:508-756-2859
Ped.eral 11)#7.5-2699460 VE Lie V C 02439 RI Cont Lic#WV
CTI.ick'565522; NIA Iturne
Installation Addr"s:
City State Zip
Driver's liv.0&EAp.110v Work Ftgignc�, Home Phone;
I t l 0 Hci M
"YI3)2.12 3VIS
Home Address.
(If different front Inst.il"tion Address) City state Zip
Proicctlnfcirmatlon I v1`e:Y'ntt("Porch isr r'"�>the o e rners of the property located at:the above installation address,offer to
contract With I Lome Depot U.S.A.,Inc.("Home Depot")to furnish,deliver and arrange for the installation of all materials as
described oti the auac hed Spet;Sheet 4: 1 in.curpurated herein by reference and made a pan hereof,
Rome Depot resemcs the right to cancel this contract if,upon re-inspection of(he jolt',,Home Depot determines that it
cannot perform its obligations due to a structural probtem with the home or because m ork required to complete the job
was not included in the contract.
DEPOSIT PA YM ENT 0 PTIONS
ts'.bi-t to fund vent-icaimn grwi;git ercda arinnvaj.)
Clive L Caditeis Check or US PostO ScrvlccMnncy Order
CONTRACT ANIOUNT S (Made r4yatic io I he I lorric Dcplt)
*LESS DEPOSIT S 2. Credit Card'and,'ot ottier p.%tocrit"Milani-curie one Urlow
Visa ma."Picard lli:scovvr Anien"ji Express
BALANCE DUE
!ON COMPLETION `? -„-2' 2- The Dome DKILll Home Impol—c"I I-- the Home Npol('r-dit Card
AN'siloble crtdicS_LL,,2t r I fill.&IFDCC 0'-LV)
";Minimum 25%of Contract Amount due upon execution
fthi%contract. 1{�.Lop.Dale.
04
Name xs it appears an r6rJ, :62G 12"L 1-1 A
Indicate Payment Method For I
*13},ffr�,V T Ignilt rt b IaW lo ailow I jam I kpot in r-harge die above
BALANCE DUE ONCOMI'LETION; rcr il=dll JTdf)ri icamd,
�Fz z TA)zy
T—
A-4
I III,or HDCC Authorization Codes
Fina I Pavatent
#
Purchaser agrees that,immediately upon satisfactory Collipledon of the work.PUrCh,1WT Will CXCeLlIt a Completion Certificate
and pay any balance due. PuTchascr also agrees to beJointly and seyerall)obligated and liablc hereunder.
reement: This agreement and its,attachments,including any financing, agreement,contain the complete agreement
RIL71171101f c parties and can not be amended or modified unicss in writing in a separate agreement signed by both parti"-
NOTICE TO PURCHASER
Do not sign this contract before you read it. I'va are emitted to a corgy or the contract at the time you sign- Keep
it to protect your rights. Do not sign any Completion Certificate or agreement stating ifia- ll va are satisfied with the entire project
before this pioico is complete. Law prohibits home repair contractors not regnesting or accvpling a(:omphetion Certificate signed
by the owner prior to the actual completion Of the work to lie perfornitd under the contract,
You may cancel this transaction at any time print to midnight of the third business do),after the dolt of this contract. Ste Notice of
Cancellation for an explanation of this right. There will be 2 service charge viuml to 2s% of the contract amount if the job is
cancelled bv Purchaser AFTER the third bitsiocii day
.BY NlYiOUR SIUNA IVIZE BELOW.FWE AGRF+A'0 BE BOUND BY I I[I,,, I F[thdS OF THIS CON I IiACT. UWE ACKNOWI-EDGE
RECEIPT OF A COPY OF I I[IS CONTILNCT AND I WO COMPLETED COPH,,>Ov I I tE NOTICE Of-(AN(J1A.ATJ0N-
BY MYA)IR SIGNATURE BEI-OW, 11VE UNDERSIAND NiAl' THE AGREEINILNI IS SUIBJECT 1-0 KEVII-`,VV OF MY/OUR
CREDIT HISTORY AND VWK AUTHORIZE I K)ME(DEPOT AUTHORVI:.1)CONTRACTOR, IX)VERIFY AND RE --W MY/OUR
CREDIT RECORD WI I it AN 1-.N73EPENPVNT CREANT REPORTING A(iENCY AND KEL17ASF IIIEN4 FROM ALL J,IABILITY
INCU'llRED FROM INADVERTENT OMISSIONS OR ERRORS.
SUBMITTED BY
SI W t omu
ACCEPTED BY' L)ato:
jf:REVERSE SIDE 817%D AMY PART OF THIS CONTRAt:T
5-18-04 G SG
1qI5i9dS>IjeIN:woj.I qtqqLtqE:Lt,L (1VqE))ZS:90:EoCjL-L1-4o0Z pjotabed lied)jo!n0SHV:01
0 4Tit.�f
ti Crii of �\Tcrrfljalliptoll
DEP1ILRTMEN7' OP BUILDf1\C INSPECTIONS I
212 Main Strcct ' Municipal Building
Northampton, Mass. 01060
I
W O RICER'S C O N[P EN S A ION 6N S URAN CE Al, , A.Vj-j-
%vith a pruicip place of business residence at
(sffr-t/c�ty/ lap)
do hereby cc rd :, under die.pzin5 and pen2ities of pc9ury,
( I am an employer providing file following'workcr5 comocasaho, covemge for Intl
etinpioyces worong on tins job:
0 YUra C Coo slay) McLic.Nu-mb-cr) Dom)
( ) I am a sole proprietor, general coc=cLor or homeowner (ci:c;e one) and have hired
the consacLors tiled below wbo have the ioUoIviDQ worker's pakies:
(c+aruc of C On mn ctorl (In,trznc Colnpan}-fPo6c-, },,ruIIL---) )L°d 3n Datc)
(N:Mc of Conrrcior) (Insaranc;. Comoaati'lPotiC Num6cr) (-Expir.6on Date)
i
(1142-Me of Conaaaor) (tnsWranc Compan}'fpQUCy (Expimdoa Date)
(Name of Coanctor) (Lasurm<_- Comcaay/Policy Ntlmb:r) (E.cp rm;oo Datc) .
(.—Ch:d3_oce.l a=:cG if ncee.._t•to me?u inI•azlaa oo peta.iaia6 to.1.1 coax--l.o:a)
O I am a sole proprietor and bave no one woridng for me.
( } I 2m,a home owner performing all the work myseY
NOTE:plc:.:'x cwzrc ifi,•w-i�ic hcmc:ou.acrl.vho¢aploy pcaal co 0.i c•;�-•,-•,,,•,. �-,:c.wo c rgair..-arX oa a d..c11_�of
nor mat tea tr o �iL is 11.1-6 the bomoownc rr da o<oa the pvuo6 gVLLrtc __ ox e=D.-[Ity occ:d.-oi to be
cixploycs uac-_the �cn AG(GU152.=t(5)�=pplitation try a hommova fm:lick a per=r>_y n•idco=tl:c
Ic�.l Hive of en e=Ployx under dr.o wo['koe,Coo7pom.yioa Ace.
I uodcns,nd tba a ooPy a tbis mtcmw m...y ba f c--,ded to tba Ccpartmcn¢of In 6a itl Ac dca&OfGi of It>;ur.00a for tha
cov,=" sc t'e'if c=irca a_'1d flu L-.il=c to teauc' tmdc Section 25A of?,(aL 152 can tad to the impos oa of eic i peaslSir=
^m8 of a fine of up to s I}oo.00 a,zt, 7o®en oeup to ooc yc=r e=d aNi1 peaaltio w dx room of a Stop Work Ord-_ and a
fl=of S 100.00 a 6 tgxuxa a)r-
- For dGsuza+��use only .
PC='t Number
Si of LiJpctTrtiucc � ap:-- Lot '
CHAMP
S
$ � �isssac}rusetts -
C111 itu of Wart4alliptou
DEPARTMENT OF BUILDING INSPECTIONS /
;\
INSPECTOR '212 Main Street • Municipal Building `o
Northampton,MA 01060
HOME OWNED EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CNM 108.3.4 to
act as i is/her construction sup<.:zsl Sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two,familyr- -
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 eegulations. 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.
r i t __ L 7 C 1 / 1 . + nol nl amhin" Ry Rack tlip
lI the homeowner 1111 es other`Lrt]UGJ to pet tvr iii WOr n(el(,cu i 11 1, i..ii N;" b"
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
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
i
Address Expiration Date
Signature Telephone
9:Re isfered'Horne l'rrr raverrient.Cantraetar Not Applicable ❑
Company Name Registration Numer
6-,&V13
- - ---
r
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 buildigg permit.
Signed Affidavit Attached Yes....... No...... ❑
The current exemption for"homeowners"was extended to include Owner-occupied Dwell;'nes of one r l� or hvor71 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-vear 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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Window's Alteration(s) EE
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [I]] Decks 10 Siding [E:I] Other[O]
Brief Description of Proposed
Work: / r Lo f
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'houseyanci or`actditio�r to ex�st>< a tiorasina comafete tFre fotfowIng:
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
I as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
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 n r th pains 5nI p erjury.Print ame
Signature Owner/Agent Date
-
�
. ,
Section 4. ZONING All Informatio'n 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
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
(volume,&Location)_
A. Has u Special Perm it/Vuhance/Findi ng ever been issued for/on the site?
NO 0 DON KNOW 0 YES 0 �
IF YES, date issued: /
IF YES: Was the permit recorded ut the Registry ofDeeds?
NO DDN7KNOVo Yt-�'
IF YES: enter Book PuQe ' and/or Document#
� '
�� ��
B. Does the site contain u brook, body of water orwetlands? NO «_��� DON'T KNOW �_� YES v��
IF YES' has permit been or need to be obtained from the Conservation Commission?
Needs to be obtained v_�v,� Obtained /,_�� Date Issued:
i |
� ' � ^ '
C. Do any signs exist on the pruporty �� ��� YES �~/ N0 v_/
IF YES, describe size, type and location: `
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 m filling)over 1 acre mis it part ofu common plan
tha *0disturbovor1ocre? YES K } - NO K )
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
r M
Departcrrent use onty
City of Northampton Statusot?erntl �
Building Department Curr`C€rt[ fewaerm�
,
212 Main Street Sewerept�Fvartabdty
Room 100 4lf)aterltiVVeti�1vaEiailat$r
ot,...
Northampton; MA 01060uvo_Sets':of Struct�traf Ptans
phone 413-587-1240 Fax 413-587-1272 r- ans -
-� di
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE O��R1/nTCWO ILY DWELLING
3 LVU5
SECTION 1 -SITE INFORMATION
Tbisl secftwto be co reted by-office
1.1 Property Address: 1E 'ra n,►;trtl _�
of ' r'� - w. Unik
Zone Overiay.Distrtct
Elm=St District CB Dtstrict'
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current g A essa
Telephone _ i
Signature (,-'�
2.2 Authorized A nt: t
Nam (Pr t) Current ailing Addr�s:
Si natur Telephone
SECT N 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com I ted by per it applicant
1. Building �- (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) Q °' Check Number
This Section':For Official Use Only
Date
Building Permit Number.; Issued':
Signature: r
Building Commissioner/Inspector of Buildings Date
947 BURTS PIT RD BP-2005-0702
GIs#: COMMONWEALTH OF MASSACHUSETTS
MM:Block: 36- 103 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING`KITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category BUILDING PERMIT
Permit# BP-2005-0702
Project# ]S-2005-0957
Est. Cost: $4080.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HOME DEPOT AT HOME SERVICES 126893
Lot Size(sq. ft.): 16770.60 Owner: FOLEY DEBORAH J
Zoning URA Applicant: HOME DEPOT AT HOME SERVICES
AT. 947 BURTS PIT RD
Applicant Address: Phone: Insurance:
345 GREENWOOD ST UNIT 1 (508) 341-9401
Workers Compensation
WORCESTERMA01607 ISSUED ON.114105 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL BOW WINDOW
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 Sienature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 1/4/05 0:00:00 5321 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo