36-103 (2) 1:n-1 Rn n i 1_n 1 5 ? 0
140-160 0.5 I 0.5 1.0 1.5
R 100-130 0.5 I 0.5 0.S 1.0
I
----NOTES TO FIELD (Building Department USE Gn1y) -------------------------
ylings, wails, and floors.
r
MATERIALS IDENTIFTCATION:
[ 1 I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
I and cooling equipment and service water heating equipment must be
i provided. Insulation R-values, glazing U-values, and heating
I equipment efficiency must be clearly marked on the building plans
I or specifications.
I
DUCT INSULATION:
[ ) Ducts shall be insulated per Table J4.4.7.1.
I
I DUCT CONSTRUCTION:
[ l I All accessible joints, seams, and connections of supply and return
I ductwork located outside conditioned space, including stud bays or
1 joist cavities/spaces used to transport air, shall be sealed
I using mastic and fibrous backing tape installed according to the
( manufacturer's installation instructions. Mesh tape may be
! omitted where gaps are less than 1/8 inch. Duct tape is not
I permitted. The HVAC system must provide a means for balancing
I air and water systems.
I
I TEMPERATURE CONTROLS:
[ ] i Thermostats are required for each separate HVAC system. A manual
I or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provideu.
HVAC EQUIPMENT SIZING:
[ 1 I Rated output capacity of the heating/cooling system is
I not greater than 1250 of the design load as specified
I in Sections 780CMR 1310 and J4.4.
I
[ 1 I SWIMMING POOLS:
! All heated swimming pools must have an on/off heater .witch and
require a cover unless over 20% of the heating energy is from
I non-depletable sources. Pool pumps require a time clock.
I
[ 1 I HVAC PIPING INSULATION:
I HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in. ) :
PIPE SIZES (in. )
I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
I Low temperature 120-200 0.5 1.0 1.0 1.5
I Steam condensate any
1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
i Chilled water or 40-55 0.5 0.5 0.75 1.0
I refrigerant below 40 1_.0 1.0 1.5 1.5
I
[ 1 I CIRCULATING HOT WATER SYSTEMS:
I Insulate circulating hot water pipes to the following levels (in.) :
I
PIPE: SIZES (in. )
I NON-CIRCULATING I CIRCULATING MAIN,- � u.vvtTS
HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2,0" 2,0+"
- Scheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01
Addition
DATE: 8-10-2002
Bldg. !
Dept. !
Use 1
1
! CEILINGS:
[ ] I 1. R-30
I Comments/Location
I
+ WALLS:
[ ] ! 1. Wood Frame, 16" O.C. , R-15
Comments/Location
I
I BASEMENT WALLS:
[ 1 4 1. Conc. 8.0' ht/6.0' bg/8.0' insul, R-13 interior cavity
I Comments/Location
I
WINDOWS AND GLASS DOORS:
[ ] ; 1. U-value: 0.32
! For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ ] Yes [ ] No
I Comments/Location
I
! DOORS:
[ ] i 1. U-value: 0.39
I Comments/Location
R
! FLOORS:
[ ) ! 1. Over Unconditioned Space, R-19
I Comments/Location
I
I HVAC EQUIPMENT:
[ ) I 1. Furnace, 92.0 AFUE or higher
I Make and Model Number
I AIR LEAKAGE:
[ ] I Joints, penetrations, and all other such openings in the building
f envelope that are sources of air leakacle must be sealed. When
I installed in the building envelope, recessed lighting fixtures
! shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the
inside of the recessed fixture and ceiling cavity and sealed or
gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no
! more than 2.0 cfm (0.944 L/s) air movement from the the
I conditioned space to the ceiling cavity. The lighting fixture
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
i
I VAPOR RETARDER:
[ ) ! Required on the warm-in-winter side of all non-vented framed
LEner14 MAScheck C OY, P, `SMassachusett �d'c�� I Permit #MAScheck SofVision 2.01
I I
I I
I Checked by/Date
CITY: Northampton I
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 8-10-2002
DATE OF PLANS: 8 - 10 - 02
TITLE: Addition
PROJECT INFORMATION:
Foley / Akey Residence
947 Burt's Pit Road
Northampton, Ma.
COMPANY INFORMATION:
Contractor Unassigned this Date
NOTES:
Calculations are for existing house plus addition
COMPLIANCE: PASSES
Required UA = 458
Your Home = 365
Area or Cavity Cont. Glazing,/Door
Perimeter R-Value R-Value U-Value UA
--------------------------
--------------
ILINGS 1140 30.0 0.0
WALLS: Wood Frame, 16" O.C. 2109 15.0 0.0
BSMT: Conc. 8.0' ht/6.0' bg/8.0' insul 134 13.0 0.0 162
GLAZING: Windows or Doors 9
269 0.320 86
DOORS 44
FLOORS: Over Unconditioned Space 1062 19.0 0.0 n 39r 17
50
HVAC EQUIPMENT: Furnace, 92.0 AFUE
----------------------------------
------------------
COMPLIFiNCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125 of the design load as specified in
Sections 780CMR 1310 and J4.4.
f
r
Deck
Provide and install 18'X36' two level deck with cut out fqr hot tub. Decking to be Trex
Decking.
Brick Patio
Provide and install brick patio on remaining cement slab
Brick Wall
Provide and install brick wall from front steps to driveway.
Steps
Pour concrete front steps and Veneer Stucco Stone. Veneer porch foundation with Stucco
Stone.
Existing Porch
Remove roof and reframe to match house and repair as needed.
Cost: One Hundred Fifty Thousand oonoo 150,000.00
Payment terms: 1/3 at job commencement
1/3 after electrical and plumbing work
1/3 after completion
Submitted: August 14, 2002
Robert P. Boido
We hereby authorize and agree upon a ov work d speci cati s
Acceptance
De a oley
Tracey key
Electrical
Provide and install electrical outlets/sockets/recessed lighting according to Mass Zone
and owners placement upgrade to 200 and smoke detectors. Provide and install hard wire
smoke detectors according to code.
Plumbing
Provide and install plumbing and waste according to Mass Codes (price does not include
fixtures). Provide and install gas piping to furnaces/fireplaces
Insulation
Provide and install wall/ceiling insulation according;to plan. Walls R-13 attic R-38.
Provide and install R-13 between bathrooms and bedrooms for sound control. Blow
insulation on first floor.
Sheetrock
Provide and install 1/2 sheet rock to walls and ceilings. Install green board in bathrooms.
Tape and Spray ceilings.
Paint
Primer coat all walls and apply tow coats paint to walls (color choice of owners).
Trim
Provide and install 2 I/4 Colonial or Ranch casing on all doors. Provide and install
Colonial or Ranch Base around all walls. Paint grade, paint all trim. Construct
entertainment center around bedroom fireplace to house T.V.
Provide mantle for living room fireplace. Provide and install marble surround for
fireplace (color choice of owners).
Flooring
Provide and install Oak or Birch 2 1/2 inch flooring over entire second floor excluding
bathrooms. Floor covering in bathrooms to be determined and not included in price.
Closets
Provide and intstal112" shelf and rod in all closets. Provide and install largest shelf
allowed for linen closet.
First Floor
Remove walls between living room and front bedroom. Repair oak floors and ceilings.
Reposition closet door from front bed to rear and repair wall. Stairs construct oak
staircase for second floor. Access design to be determined. Remove and replace all doors
on first floor. Replace with six panel Colonial Wood Doors paint grade and paint.
Remove window in dining area and install French Doors with hinged screen.
Y«
' _..7-1 +
i
Boido Construction
I _ 351 Morgan Road
E
West Springfield MA, 01*089
C,"Il 413-737-3581
Second story construction and remodel of Deborah Foley and Tracey Akey's residence at
947 Burts Pit Road.
Description of work to be performed
Remove existing bushes and steps in front of house. Excavate around front of house and
rear of house up to carport. Apply rubber foundation coating to minimize water
infiltration. Backfill foundation. Excavate for front porch. Pour footings for porch
foundation and pour concrete walls for front porch. Backfill new foundation. Pour
concrete slab on porch. Install columns as needed. Existing rood and car port demolition.
Remove and dispose of existing asphalt, shingles, roof, sheathing and roof rafters. Cover
dwelling with tarps.
Siding Removal
Remove and dispose of all existing siding and trim on entire dwelling.
Framing
Provide and install all necessary lumber for construction of second story addition. Install
Symington Window accordingly to plan specifications. Install I.K.O. Asphalt Roof
Shingles with ice barrier(color to be of owners choice). All construction to conform to
Mass Building Codes.
Siding
Install insulation board and Wolverine siding to entire home (color to be choice of
owner). Install Soffit Trim to outside corners and freize boards (color to be choice of
owner).
Front Porch
Install framing and rails and columns according to plan.
Heating and Air Conditioning
Remove existing hot air furnace in basement. Provide and install two units- one basement
unit consisting of high efficiency 75,000 BTU furnace complete with 2 1/2 ton central air
conditioning. Attic unit consisting of 80,000 BTU unit and 2 1/2 ton central air
conditioning.
Fireplaces
Provide and install two Direct Vent Gas Fireplaces. Living room: construct outside
doghouse to house unit. Country Flame DV43 with remote and blower. Bedroom:
Majestic BDU36RRN with blower and remote.
WCX,d
Lk
4v
HIS PUT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
_Co
O�
j
Z�-3
C."�5 C�zA
i Jt
I' f, t
4L
l!" I
TO: SOURCE ONE MORTGAGE CORP. &
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
4 -NOTE-
IF • Tom, THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
WUMV - MORTGAGE-LL� INSPECTION ,PLAT._NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
DEBORAH STIER & ANNE KORNBLATT
SCALE: 1 "-40 ' AUGUST 4 , 1 999
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
i
�. 4i'
i
'C1w'f PT
- Al"Itchnsetts
m DEPARTMENT OF BUIIAING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, :Mass. 01060
WORKER'S COMPENSATION INSURANCE A FMAVIT
(licensePJl�ermittee}
with a principal place of business/residence at:
(phone#)
(stMet/city/st&JziP)
do hereby certify, under the pains and penalties ofper3ury, that.
( ) I am an employer providing the following worker's compensation coverage for my
employees wor sing on this job:
(Insurance Company) (Policy Number) (Expiration Date)
tI am a sole proprietor, general contractor 4o ;ho:m:eowrler ( cle one) and have hired
contractors listed below who have the foll s coin ensation policies:
g P
d 0-3
(Name of Con r) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Hxpiration Dale)
(Name of Contractor) (Insurance Compan(/Policy Number) (Expiration Date)
(-Hach addifiocal sheet ifneo=ury to inerude infocmatioo pertnia ng to afl coots ors)
I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plcaac be aa-ue that while homcowvcm who cmploy periom to do muatcn.,. 4 oo,s�ruC.ioc or rcpair work on a dwclling of
not more than throe units is which the homoov n resides or oa the grounds appurttnant tha-do arc nee grncrally 00=Ldacd to be
employ--under the worku's onmpcnsxtioa Act(GL152-m 1(5)),application by a homeowacr for a Uc==cc peamit may evkk=the
]cgil status of an employec under the Workeet compomation AcL
I under- d that a copy of this sEatcmcnt may be fot�od to the Dcputmool of Lod<tstrid Aca&w&Ofhoc of Imurwca for the
coveage verification and that failure to&==cowmgo under soctioa 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1,500.00 andfor impris�of up to one yar end civil pemlti c,in the form of a Stop Work Ord--and a
film of S 100.00 a day agninA mc-
For ni—only
i permit Number
-e'6 - Map:f Lot#
Signature of LiccnswRerrujace e _ F
SEC�TON 8<•CONSTR40I0 N SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
R u en F .n rx 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...... ❑
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"ce ifies and assumes responsibility fo pliance with the State Building Code,City of
Northampton Ordinances, Stat a d Local oning L ws and Stat usetts General Laws Annotated.
Homeowner Signature -
licab a C P6140 ES I ' POOSE l�e '
New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑ �g7��(r J �
Accessory Bldg. ❑ Demolitionl� New Signs 1 Decks Sid'n l ] Other ]
Brief Description of Proposed Work:)s_pl'Tl(7x3 cal= 2, �� 1 wJ ? Qp
Alteration of existing bedroom Yes No Adding new bedroom X Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet
Ifs ho see --roOddifl6n to�ezist�ng;`housing carnplefielifol`lowing
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? 4 V
d. Proposed Square footage of new construction. 2-3W Dimensions X'Ay .5-4'(0
e. Number of stories? �21
f. Method of heating? GIV (Liz- Fireplaces or Woodstoves_ _Number of each
g. Energy Conservation Compliance. Mascheck 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 OWh E_, AU HORlZATlON, TO BE COMPLETED WHEN
OWNERS AGENORGON1tACTOft A.I'PLIES,-�OR`BUILDING PERMIT
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 under the pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
t-7v� J Building Department
Lot Size J G ! / j 1dJ zfav
Frontage r76-
Setbacks Front 130
Side L: -�3 R:_Z',6, L a R: , —
Rear
Building Height
Bldg. Square Footage f�Q O %
Open Space Footage 1� %
(L.ot area minus bldg&paved Q
parking)
#of Parking Spaces
=cation) ,o
A. 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 #
B. Does the site contain a brook, body of water or wetlands? NO 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 NO
IF YES, describe size, type and location:
D. �rethere any proposed changes to or additions of signs intended for the property?YES
No
IF YES, describe size, type and location:
C rtham ton
� epartment
2] i n Street
100
North mpt n, MA 01060
�-E' -12 0 Fax 413.587-1272 e
CEr'1„r �t �,il:�'tCNS
�4
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE I INFORMATION
This sectiprt to'be cqm ' t off[ce
1.1 Property Address:
Map
' r
Elm'St'Distract° GCB Dist cf
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
am (Prin Current Mail' g Address:
Telephone
Signature _
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3- EST.IMATED CONSTRUCTION'COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building �.—a ao�` (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) 1 Check;;Number ?- ., 90
This Section For Official Use Only
Building Permit Number:; _ �' Date Issued:
Sign ature:
w
Bwlding,Comisslonerylnspector of B tidings
Date,_
' a
File#BP-2003-0169
APPLICANT/CONTACT PERSON FOLEY DEBORAH J
ADDRESS/PHONE 947 BURTS PIT RD (413)586-0577 Q
PROPERTY LOCATION 947 BURTS PIT RD
MAP 36 PARCEL 103 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 2N13 FLR ADDITION Q BEDRMS), 5 X 40 FRONT PORCH& 18 X 36
DECK,&REMOVE(2)WALLS 1ST FLR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan J(/J
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFPRMATION PRESENTED:
JX 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
5? �3•0 �
Signature of Bui mg O- c 1 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.
947st4 p7,RD A' BP-2003-0169
GIS#: COMMONWEALTH OF MASSACHUSETTS
01 .
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0169
Project# JS-2003-0318
Est. Cost: $150000.00
Fee: $316.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Size(sq. ft.):: 16770.60 Owner: FOLEY DEBORAH J
Zoning:URA Applicant: FOLEY DEBORAH J
AT. 947 BURTS PIT RD
Applicant Address: Phone: Insurance:
947 BURTS PIT RD (413) 586-0577 O
FLORENCEMA01062 ISSUED ON.8/27/02 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2ND FLR ADDITION (3 BEDRMS),
5 X 40 FRONT PORCH & 18 X 36 DECK, & REMOVE (2) WALLS 1ST FLR
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 8/27/02 0:00:00 652 $316.80
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo