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23A-311 CO-OP , ® POWER BUILDING COMMUNITY-OWNED SUSTAINABLE ENERGY PERMIT AUTHORIZATION FORM l e N e-W, ;L A, owner of the property located at: (Owner's Name) (Property Street Address) (City/Town) hereby authorize Co-op Power, Inc. (Contractor) to act on my behalf to obtain a building permit and to perform insulation and/or weatherization worl�on my property. L, (Ow 's Signature) 4 (Date) -- - Co-op Power 15A West Street,West Hatfield,MA 01088 phone:413.772.8838 or 877.266.7543,fax:413.517.0300 Email:infokooppower.coop Website:www.cooppower.coop A�0 DATE CERTIFICATE OF LIABILITY INSURANCE F/14/2014(MM/DDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Debbie MacNeal James J. Dowd & Sons Iris PHONE FAX 14 Bobala Road A/C No Ex - -7 4 4 4 (A/C,No:4 13-S 3 6- Holyoke MA 01040 n0-DRESS: dmacneal @dowd.com PRODUCER CUSTOMER ID#:COOP INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:MOunt Vernon Fire Insurance Company Co-op Power, Inc. 15A West Street INSURERB:Safety Indemnity Company 33618 West Hatfield MA 01088 INSURER C: INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:400481920 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1 H POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.EXP IN SR I TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDYIYYYY MMIDCDY LTR /YYYY LIMITS A GENERAL LIABILITY CL1566148A 11/8/2013 11/8/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE [:]OCCUR MED EXP(Any one person) $5,000 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY PRO X LOC $ B AUTOMOBILE LIABILITY 6212701 3/23/2014 3/23/2015 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Per accident) X NON-OWNED AUTOS deductible $500 Comprehensiv $ A X UMBRELLA LIAB OCCUR CUP1550265A 11/8/2013 11/8/2014 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DEDUCTIBLE $ X RETENTION $0 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers' Compensation Certificate of Insurance to follow separately from the carrier. RCS Network,Conservation Services Group, National Grid, NSTAR, Boston Gas Co. , Colonial Gas Company and Essex Gas Co. are named as additional insureds per written contract in regard to general liability only. Waiver of Subrogation Applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Conservation Services Group 40 Washington Street Westborough MA 01581 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD 11/7/2013 11:56:13 AM PST (GMT-8) FROM: 100005-TO: 14135170300 Page: 5 of 6 A °RDI CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREII AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER JAMES J DOWD &SONS INS AGCY INC CONTACT NAME: 14 BOBALA RD PHONE A/C No l: HOLYOKE, MA 01040 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A INSURED INSURERS: CO OP POWER INC 15 A WEST STREET INSURERC: WEST HATFIELD MA 01088 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 18307643 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYpE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR N POLICY NUMBER MM/DD/YYYY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE EI OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY a aBci ent)IN L LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED e SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC5-31 S-388245-013 11/2/2013 11/2/2014 wC ST M oE7 I- AND EMPLOYERS'LIABILITY Y/N ✓ TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? ❑N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers insurance coveracie aoDlies only to the workers comoen ation laws of th state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CONSERVATION SERVICES GROUP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 WASHINGTON STREET ACCORDANCE WITH THE POLICY PROVISIONS. WESTBOROUGH MA 01581 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD C BT YO.: 1830]543 DLd1 Dangas 11/7/2013 11:52:�0 AM P]ge L of,l TFhrs certi icate cancels and supersedes ALL previously issued certificates. �60Y)IIijellf")JItOY'll(�/1//1 0/ ""4/ Office of Consumer Affairs and Business Regulation . ._: 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165217 Type: Corporation Expiration: 1/21/2016 Tr# 247991 CO-OP POWER, INC. SHAWN GALLAGHER __ _ _. 12A WEST ST WEST HATFIELD, MA 01088 Update Address and return card.Mark reason for change. Address ( Renewal ( Employment I.ost Card Office of C onsumer Affairs&Business Regulation License or registration valid for individul use only ' ROME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: ;Registration: 165217 Type: Office of Consumer Affairs and Business Regulation Expiration: 1/21/2016 Corporation 10 Park Plaza-Suits 5170 ry Boston,MA 02116 CO-OP POWER,INC. SHAWN GALLAGHER 12A WEST ST v;;WEST HATFIELD, MA 0108$ 4:alii"ith-ut L`ndersecretary signature Massachusetts Department of Public Safety Board of Building Regulations and Standards t i�riwti'17l'll�li1'�fUl)�'rMt:s�i' � License: CS-095430 S11AWN GALI.AC#tiEK s< , 13 BELTRAN ST.AP 12 � Maiden MA 02148 Expiration Comonsstoner 0412912016 The Commonwealth of Massachusetts Department of Industrial Accidents u Office of Investigations a d I Congress Street, Suite 100 <� Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly N1TTltr (Business/Organization/Individual): Co-op Power Address:15A West Street City/State/Zip:West Hatfield, MA 01088 Phone #:(413) 772-8898 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 10 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.0 Other (A/�[ r�LrAllDi✓ employees. [No workers' 1. comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Liberty Mutual Insurance Company Policy#or Self-ins. Lic. ##:jWC5-31 S-388245-013 Expiration Date:11/02/14 ,/ Job Site Address: `rt l C��.�J Zk f�l 7- City/State/Zip: _ IV 14 V(oc.)_ 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 ce ify under the p ins and penalties of perjury that the information provided a ove is ue nd correct, Si=at t� r's�...—s Date: L Phone#• 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 Suupervisor:,,/ r� Not Applicable ❑/ Name of License Holder: J�r }j{�/Vici t'/ /_�f 0 (5 L(5D License Numb r Address Expiration ate �I 13 7�? - f q r u e Telephone 9.Registered Home Improvement Contractor:'- "' Not Applicable ❑ Company Name Registrati n Nu ber t - G� W4 f2A O$8` l Addr s Expirat on Dat 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-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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Sign [O] Decks [❑ Siding[O] Other[ Brief Description of Poposed Work: Z C) t^ _ 1�' i��I✓�� Ct C 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.aInd or`addition to'existing housih- 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 I, j(JJ Akw75iwl as Owner of the subject property hereby authorize '�l� �✓ to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1 �'S_e AA tIAJ ,4(LA eHL 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. A 4,A1 AL F c Print Nam s" at r 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 Rear Building Height Bldg. Square Footage =1 % Open Space Footage #of Parking Spaces A. Has u Special Permit/Variance/Fimdingeverbeen issued for /on the site? NO DONTKNOY 0' YES C) |F YES, date isauedd | IF YES: Was the permit recorded at the Registry ofDeeds? NO v�� DON7KNOVY K_) YES C—] |FYE5' enter Book [----------1 Page and/or Dncument#[------------� ' ] L__ _'__j i__-----_' B. Does the site contain a brook, body cf water urwetlands? NO »x���� DONT KNOW K�]' x~� YES �_� �� IF YES, has a permit been ur need tobe obtained from the Conservation Commission? Needs to be obtained ��� Obtained »�� Date Issued: F----------` ^~� v�� ' ' C. Do any signs exist on the property? YES K } NO ---- -------- ------ ---'i IF YES, describe size, type and location: | D. Are there any proposed changes to or additions of signs intended for the property? YES K l NO K�l |F YES, describe size, type and location: [-------------------------------- ---- ------] E. Will the construction activity disturb(clearing,grading excavation,m filling)over 1 acre uris it part ofo common plan that will disturb over 1acre? YEGK��> NO K�J IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ASS Department use only City of Northampton Status of Permif Building Department Garb Gut'Dnveway Permit 212 Main Street SewerlSepticAvallability O cti�o�5 Room 100 Water/1lVeil Availability 6rthampton, MA 01060 TwaetsofStructuralRlans �� E rpFione 413-587-1240 Fax 413-587-1272Io#�Sit Plans' a C1th6r APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Ll � ti F s.piv..f. 57— Map Lot Unit F'Oec �CS� MA °(c�6,- Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNtRSMP/AUTHORIZED AGENT 2.1 Owner of Record: JUG i t was vial '�7 0f-5- 71— i K WiWIT A& 010 Name(Print) Current Mailing Address: ✓ F0,e/V1 Telephone ��,� —��� e Signature 2.2 Authorized Agent: oLi=e- 151 VVEE5 -' . WE-51 AA Name Current Mailing Address: Sign 'e Telephone-T SE ION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 7 q (a)Building Permit Fee 2. Electrical I (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) Check Number ho p� This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2014-1380 APPLICANT/CONTACT PERSON CO-OP POWER INC ADDRESS/PHONE 15A WEST ST WEST HATFIELD (413)772-8898 O PROPERTY LOCATION 47 CHESTNUT ST MAP 23A PARCEL 311 001 ZONE URB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ATTIC INSULATION,AIR SEALING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 095430 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Dednolition Delay Si ure of Bu di g 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. 47 CHESTNUT ST BP-2014-1380 GIs#: COMMONWEALTH OF MASSACHUSETTS MapBlock: 23A-311 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2014-1380 Project# JS-2014-002329 Est. Cost: $2792.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CO-OP POWER INC 095430 Lot Size(sq. ft.): 8102.16 Owner: NEWSUM PETER E&JULIANA M Zoning: URB(100)/ Applicant: CO-OP POWER INC AT. 47 CHESTNUT ST Applicant Address: Phone: Insurance: 15A WEST ST (413) 772-8898 O WC WEST HATFIELDMA01088 ISSUED ON:612512014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ATTIC INSULATION, AIR SEALING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType• Date Paid: Amount: Building 6/25/2014 0:00:00 $55.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner