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36-229 (3) HOME IMPROVEMENT CONTRACT j Sold,Furnished and Installed by: Branch Name: Date: ( D THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services l 345A Greenwood Street,Worcester,MA 01607 Branch Number: �+U Job#: ' Toll Free(800)657-5182; Fax:508-756-2859 Federal ID#75-2698460 ME Lic#C 02439 RI Cont.Lic#16427 CT Lic#565522; MA Home Improvement Contractor Reg.#126893 Installation Address: o'ka `L ff, t o It✓� �, City State Zip Last 4 Digits of Driver's Purchaser(s): Lic.#&Ex p.Mo/Yr: Work Phone: Home Phone: ( ) ( ) Home Address: (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): Project Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with THD At-Home Services,Inc.( me De�ppot")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# ;,I E'er ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) CONTRACT AMOUNT $ E;71, I. Check*,Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). tLESS DEPOSIT $ ( 3 2. Credit Card**and/or other payment options-Circle One Below BALANCE DUE �� � Visa MasterCard Discover American Express ON COMPLETION $ The Home Depot Home Improvement Loan Th Home Depot Credit Card tMinimum 25%of Contract Amount due upon 0 New Account ❑Existing Ac�couunt`� (HIL&HDCC ONLY) execution of this contract. Available Credit:$ (HIL&HDCC ONLY) Indicate Payment Method For Acct#: Exp.Date: BALANCE DUE ON COMPLETION: Name as it appears on card: C 2.rn **By m / below,UWe agree to allow Home Depot to e the abo �rare ed cr t card for the depo it i icated. *When you provide a check as payment,you authorize us either LO 3 to use information from your check to make a one-time electronic Cardholder's Signature D to fund transfer from your account or to process the payment as a check transaction.When we use information from your check to HIL or HDCC Authorization Codes make an electronic fund transfer,funds may be withdrawn from your account as soon as the payment is received,and you will not Deposit Final Payment receive your check back. # 003 �50 # C)7) Cl U Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Aereement:This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely tilled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10%of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,I/WE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. BY MY/OUR SIGNATURE BELOW, I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. IIWE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. c SUBMITTED BY: � Date: 6� es Cons ACCEPTED BY: Date: c( chaser Date: Purchaser NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 6-1-07 rev 4-2-07 C-SC White—Branch File Yellow—Customer Pink—Sales Consultant HOME IMPROVEMENT CONTRACT p�, ) Sold,Furnished and Installed by: Branch Name: Date:a6z- 7 THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services V C 345A Greenwood Street,Worcester,MA 01607 Branch Number: Job#: D { Toll Free(800)657-5182; Fax:508-756-2859 Federal ID#75-2698460 ME Lie#C 02439 RI Cont.Lie#16427 f' CT Lic#5655 ; MA Home Improvement Co�n`�actor Reg.#126893 Installation Address: 4 ) i°Z11�, u s�1` Me, ©kora. City Elate Zip Last 4 Digits of Driver's Purchaser(s): Lic.#&Ex p.Mo/Yr: Work Phone: rHome Phone: n ) Home Address: (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): Project Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with THD At-Home Services,Inc.("Home D t")to furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# U incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) CONTRACT AMOUNT $ - 1. Check*,Cashiers Check or US Postal Service Money Order G, (Made payable to The Home Depot). (LESS DEPOSIT $+ i 5� 2. Credit Card**and/or other payment options-Circle One Below BALANCE DUE i j `, Visa MasterCard Discover American Express ON COMPLETION $_ 1 L G—` The Home Depot Home Improvement Loan he Home Depot Credit Card tMinimum 25%of Contract Amount due upon 0 New Account 0 Existing Account (HIL c execution of this contract. Available Credit:$ (HIL&HDCC ONLY) Indicate Payment Method For Acct#: Exp.Date: BALANCED E ON COMPL TION: - nay I Y I �1N Name as it appears on card: 1 t t t M)CO41 ,�A� �: **By s ature below agree to allow Home Depot to arge a ab eke c credi card for the deposit indicated. *When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic Cardholder Signature Date fund transfer from your account or to process the payment as a check transaction.When we use information from your check to make an electronic fund transfer,funds may be withdrawn from HIL or HDCC Authorization Codes your account as soon as the payment is received,and you will not Deposit Final Payment receive your check back. # 0 C J a�CT # O'D 9&+ Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement:This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,I/WE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF NfY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. BY MY/OUR SIGNATURE BELOW, I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION_ � L�SUBMITTED BY: 1V` L 3 Date: 3/C)__� ens t t ACCEPTED Datew Date: Purchaser NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 6-1-07 rev 4-2-07 C-SC White—Branch File Yellow—Customer Pink—Sales Consultant The Commonwealth of Massachusetts Deidriment oflndustrial Accidents Office of Investigations 600 Washington Street UT Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorslPlectricjans/Plumbers APPUcant Information Please Print Legibly Name(Business!Organization/lndividual): -Ile Address: City/StateJZip:� Y _ , L Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I �� 6. E]New construction employees(full and/or part time).* have hired the soli-contractors 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' 9. 0 Building addition jNo workers'comp.insurance comp.insurance.t' required J' 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers hayq exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp, right of exemption per MGL 12.❑Roof repairs insurance required.]t c.1'52,j 1(4),and we have no employees.[No workers' ME]Other comp.insurance require d.] *Any appOcant Mt checks box#1 must also fiU out the section belowshowing their wodoa's'compensatie®policy information. t Homeowners who subs it this affidavit indicating they are doing all work and then Hire outside contractors must submit anew affidavit indicating such. 6ntractors that check this box must attached an additional sheet shoving the.mme of the sub-contractors and state whether or not those entities have employees:if the sub-contractors have employees,they must provide their worbaa'comp.policy number. I ant an employer that Is providing workers It compensation lnsarance for my employem Below is the policy and job site Informadon. Insurance Company Name: _ •1114 Gz, ' Policy#or Self-ins.Lic.#: _ I Expiration Date: Job Site Address: City/State/Zip: Attach sk copy of the workers'compensation philey declaration page(showing the policy number and ezp anon 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to j250.00 a-ay against violator.$e advised that a copy of this statement may be forwarded to the Office of Tnvesti bons of the IDU-k r imstuance coverage verification. -- I do hereby ce er e p d penalties of perjury that the information provided abovo Is true and correct S• a a l(`�. Phone yDL. 3 Offletel use only. Do not write In this area,to be comp a by , or town efflCial CK7 o-Town: PermiMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.lFlectricai Inspector 3.Plunlbing.Inspector 6.Other � ♦s HEM DEPT RT2�,fP_',T OF BUILDtI1ZG LNSPE(.T IONS N 5 P ECTCR 212 Main Strut • Muuicip<t1 Buildinv I North.unptnn,MA 01060 F f Massachusetts allows the homeowner the right under 780CMR 1083.4 to er construction sup.: Sar. T1:e state defines "Homeowner" as, "Person(s) a parcel on which he/she resides or intends to be, a one or two family tached or detached structures accessory to such use and/or farm s`�.ructures. A person-who constructs more than one home in a two-year period shall not be considered a home owner." The fiuildi g=department for the City of Northampton wants any persons)who seek to use the home owner exemption, to act as thew-own construction super ,S:Sv; 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/footinas (before baCltilll). sonotube holes (before aour) a rough building inspection (before work is cancer-led). insulation inspection (if reousred) and_a-r1nal_buildinQ..insnection. 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 occupancv 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 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 � a ' 77ze Commonwealth of-,Vassachusetrs _--,�—- Department of lndustrzal Accidents Office of In vesns a_dons ( 600 Tf ash in, on Street =_- Boston, U 02111 � wxrw.mass_a ov/dig Workers' Compensation Insurance aftidaNlt: Builders/Contractors/ElectriciansJPlumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): _address: City/Stabe/Zip: Phone.: F,? re you an employer?Check the appropriate box: Type of project(required):4. I am a gene.•-al contractor and I L__.! I am a employer with � 6. ❑New construction empIovees(full and/or part-time).* have hired the sub-contractors - listed on the attac^ed shee� i 7- ❑Remodeling amt a sole proprietor or partner- ( I shy and have no e�leyees These sub-contractors have g, De=oHdon If � employees and have work.A:s' working for me m any capacity. Y - 9- Building addition ° comp.insurance.+ t t [No workers comp.i3suance required_] o- ❑ We are a corporation and its 10-� Electrical repairs or additions .❑ I am a homeowner doing all work ou cers have exercised their 11.0 Plumbing repairs or additions myself o workers' co right of exemption per MGL � j'`+ comp- 1...0 Roof repairs insurance required.]1 c. 152, §1(4),and we have no employees.[No workers' 1S-❑ Other Comp.mstrance reed-] --°�v avp inn caeraS DO15_ nvzst a:�so n out the secoon oe.ow snow., etr wack.^'rs'cataQeasanoa policy Efor.tion. i Homeowners who submit this affidavit indicating they are doing aII work and then hire outside contactors must submit a new affidavit indi�g,on- such that check this box znust.attached an additional sheaf showing:he name of the sub-conttactots and state whetter or not those entities have cnpIoyees- If rbe sub-con=tors have mnpioye-.s,they:rust provide their worxers'comp.policy aumbe. Aram 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.n: Expiation Date: Job Sire Address: CitylState,'Zip- Attach a copv 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 i;ne up to$1,500.00 and/or one-yeas imprisortmen� as well as ci vH 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 Investizadons of the DL4 for insurance coverage verification. I do hereby cent fy under the pants and penalties ofperjury thar the information provided above is true and correct --�i a e'_- ---- ------ Date: Phone=: t ' Official use only. Do not write rn this area, to be completed by c2jy or town offtciaL City or Town: _ _ --__ ._ ---Per-mit/License Issuing.authority(circle one): 1.Board of Health 2.Building Department City/Town Clerk ?.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 Address Expiration Date Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 4r_6T Company Name Registration Numbe Address Expiration Date o i( 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 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-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 buildinE 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement i ows Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [M Siding [❑] Other[❑] Brief Description of e4qpas ed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existinq 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 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 r the painand enalties of perjury.'k'All on -ZVI J'V t a db S na re of Owner/ gent 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 Frontage Setbacks Front Side L: R: L: R: , , Rear Building Height Bldg. Square Footage - Open Space Footage % " (Lot area minus bldg&paved Darking) #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 Q IF YES: enter Book Page and/or Document#' B. Does the site contain a brook, body of water or wetlands? NO Q 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 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 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 Q 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 Q IF YES,then-a-Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: �(ABuilding Department Curb Cut(Driveway Permit 212 Main Street Sewar/Septic Availability ��- Room 100 WaterlSlllell Availability n,, Northampton, MA 01060 Two Sets of Structural Plans 5pff&k 413-587-1240 Fax 413-587-1272 Plot/Site Plans s l Other Specify ° PI IX,ATI.ON I TO q( njR CT;ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: Map Lot Unit L4 1/) &� LSaYw— Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �^ n 1'�v LM win rra Lve-_ VDRne Name(Print) Current Mailin Ad re Telephone Signature 2.2 Authorized A ent Name P nt) Current Mailing Address: Signa u Telephone SEC ON 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit 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 _ 0. Total- (1 1 2 1 3 1 4 1 5) 1 f'hprk Nnmhar JO :1 This Section For Official Use Only Date Building Permit Number: Issued: Signature: - ---- -— - -- —— Date Building Commissioner/Inspector-ofiBui ings BP-2008-0379 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category_ BUILDING PERMIT Permit# BP-2008-0379 Project# JS-2008-000550 Est. Cost: $35463.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOME DEPOT AT HOME SERVICES 126893 Lot Size(sg. ft.): 104544.00 Owner: MINNICK TERRY J&LISA L Zoning: SR Applicant: HOME DEPOT AT HOME SERVICES AT. 44 WINTERBERRY LN Applicant Address: Phone: Insurance: 345 GREENWOOD ST (401) 935-2633 () Workers Compensation WORCESTERMA01607 ISSUED ON.10/9/2007 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS 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 10/9/2007 0:00:00 $25.0020408 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo