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12C-122 CS-106178 WESLEY COUTURE 166 NORTH MAIN STREET South Hadley MA 01075 09/29/2015 . 077 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 6/27/2015 Tr# 242171 AMERICAN INSTALLATIONS, LLC. WESLEY COUTURE --- --- 341 NEWTON STREET SOUTH HADLEY, MA 01075 Update Address and return card.Mark reason for change. SCA 1 % 20M-05/17 Address F-i Renewal E. ] Employment Lost Card — — !'�Ir('�O/JUJ/(+NII!('(l�l�C�n'((CIiJCIf�/IJP��i Office of Consumer Affairs&Business Regulation License or registration valid for individul use only I� ! IOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 175982 Type: Office of Consumer Affairs and Business Regulation Expiration: 6/2712015 LLC 10 Park Plaza-Suite 5170 4�--;6 Boston,MA 02116 AMERICAN INSTALLATIONS,LLC. WESLEY COUTURE 341 NEWTON STREET � �- SOUTH HADLEY, MA 01075 =' Undersecretary Not valid without signature CERTIFICATE OF LIABILITY INSURANCE rMPORTE 6 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEai1RCATE HOLDERL THIS TANT:E DOES MW AFFIRMAMELY OR NEGATIVELY AMENS E7CTL-ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE INEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE H the certificate holder is an ADDITIONAL INSURED,the podcKws)rrllrt be endorsed. N SUBROGATION IS WAIVED,subO 2 W the rrdifions of the policy,certain policlea may require and endorsement. A alahmwd on this bWgiaae does not confer rights to the cats holder In Rm of such j PRODUCER CONTACT NAME: MCK&PERRAS INS AGCY PHONE ' FAX 6 CAMPUS LANE (AiG,No,Ev* OA N* 114ANL EAS7iTiAT+TPTON,MA 01027 ACDFW- 28NIK NYC• INSURED PAURER A HARTTRXW UNDWWRRS:W 04SURA NCE00WANY ANIMCAN INSTALLATIONS LLC INSURER B: INSURER C: MURER D: 341 NEWTON STREET IINBEURER E: SOUTH HADLEY,MA 01035 INSURER IF: COYERALIFS CW"ll'CATENU BFR RE SIONNtA18Etk x1YRt3otiR9Brf IBIMd1CClQR NCIPAWOCKnIMM RCSHER001I31111RVMf PAWMTroI►MOH dE3tlBOrctEwYalE19e 3A4ORtMYHBtdMl7ttei5tlMIICE MVO[3V7lEPOLIOL'3 i6MlIIS IB:[1OALL7tETPJ E7 1ffi"& l0CloNDM ' 4QFWMPCL=M UWM94Mir MAYW!/EaMIMUMBY PmOu4 6 NOR Am Sm PC[CVfFFCICE PG=E7l QUE LTR TIIPECF0EURKCE L R POUCVMAMIER ("mmM 0111mm"m _ UMTS GENERAL LIABILITY OCCURRENCE S MM MERCTAL GENERAL LIABILITY TO RENTED S CLAD WOE [D OCCUR. (EA oowrare) EXf+WW*ne pMm) $ ERSONAL&ADV MLA RY S GENL AGGREGATE LIAT APPLIES PER: ERALAGGRE13ATE S POLICY a PRMWT LOC ROOUCTS-COMPIOP AGG $ fAUTUIMOR"UAMLn Y ED SINGLE S ANY AUTO (Ea acddarp ALL OWNED AUTOS 8o01LY INUORY S SCHEDULE AUTOS }ieram) BODILY FLARED AUTOS S NON-OWNEDAUTOS DAIAAOE S • (Wracddent} UMIBREL.A U48 OCCUR JEACH OCCURRENCE S EXCESS LIAR CLAtM{SIWIDE ffREGATE S DEOUCi7BLE S RETENTION S S WORKERIS A �IPLOYER'S LIABLLtTYT AtND TIN 00J04=13 &YONE014. Y X LNTS T ryA ! E L EACH ACCIDENT S M000 pard"yy,wo ELDISEASE-EAEWLOYfE S 500,000 urder Fi-DISEASE-POLICY UY4T $ uv,000 0 ESCRIPTIONOF0PERAIN*6LOCATFONSI4MCL99IRES T f I CTI 0 1019 P ECI ALf r US THIS FMI AM ANY PRIOR CWIIPICA'lE MW TO THE CwnIRCA MHOLM MFEC IM VIORKERS COMP COVMAM CERTIFICATE HOLDER CANCELLATION SttaILA ANY OF TIE AIVOVF DESCfED PALICES Bt CANCtRMED BERM THE.EXPIRATION DATE THEREOF,NORCE SILL RE D IN ACCORDANCE VKMTHE POLICY AM11ORQED RtI�SENTATIYE ACORD 25(2DID } The ACORD name and logo are registered marks of ACORD 1940-MO ACORD/?,5 AEve oi !'1 . 14 O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD013 `-� 12/18/2013 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 CONTACT Barbara Van Mourik Finck & Perras Insurance Agency Inc. PHONE (413)527-5520 FAx A/C No:(413)527-5970 6 Campus Lane AE-MAIL .bvanmourik @finckandperras.com INSURERS AFFORDING COVERAGE NAIC# Easthampton MA 01027 INSURERA:Travelers 19046 INSURED INSURER B:Safety Insurance 39454 American Installations, LLC INSURERC: 341 Newton St INSURER D: INSURER E: South Hadley MA 01075 INSURER F: COVERAGES CERTIFICATE NUMBER:CL13121800447 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 POLICY EFF POLICY EXP LTR POLICY NUMBER MM/D DffYYYL (MMIDDrYYYYl LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTE PREMISES Ea occurrence S 300,000 A CLAIMS-MADE Fx]OCCUR 68050937015 9/4/2013 9/4/2014 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea aco ED SINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED 6225740 0/23/2013 0/23/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Underinsured motorist BI sin ie $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N LEA ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Proof of coverage 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. AUTHORIZED REPRESENTATIVE Denise Blais/DENISE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnn.m m Tho arnP 1 nomn nnrl Innn orc rcnicfnrcrl mnrlrc of Ar_r1Rrl _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Oraanization/lndividual) American Installations Address: 3q I New`6n S . City/State/Zip: SoiAik ftD�t M,� nais- Phone#: 1-t1�- !=,Sa-oaoCJ Are you an employer?Check the appropriate box: Type of project(required): 1.04 am an employer with 3 4.0 1 am a general contractor and 1 6.[INew construction employees(full and/or part time).' have hired the sub-contractors 7.C]Remodeling =.01 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have S.❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. 9• Building addition j required] 5.0We are a corporation and its 10.❑Electrical repairs or additions j 3.01 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers'comp. right of exemption perm NIGL insurance required] c. 152,§ 1(4),and we have no 12.❑Roof repairs { employees. [no workers' 13.XOther fl O t' comp. insurance required.] �Y1 U'A L .Any applicant that checks box#1 must also 611 out the section below showing their workers'compensation policy information. iFlomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. _Contactors that check:this box must attach 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 cult an employer that is providing workers'compensation insurance for nnr employees. Below is the policy and job site information. '' (( k insurance Company Name: 1 1 P L6 -{1 yr'c Li-1 Sufanc­- n Policy#or Self-ins.Lie.4: 6 S fn OU)(�- aO9 69 -y- 13 n 13 Expiration Date: -(- 4" q r Job Site Address: �� 1�A1 �� �:, City/State/Zip: acnyQ � Dohar) 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 152 can lead to the imposition of criminal penalties of a tine 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 fife of $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the . DIA for coverage verification. I tlo herby certify under the pains and penalties of perjury that the information provided above is true and correct. SiSznattn•e: Print A'ame: d' Phone ss ^O a O n Official use only Do not write in this area to be completed by city or town official Citv or Town: Permit/license#: Issuing Authority(circle one): l.Board of Heath 2. Building Department 3.Citv/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: Licensed&Insured www.Americaninstallations.com MA CSL#:106178 MA Registration#175982 0- American Installations E] MECO /�C MA -Efficient Home Services- 1' 341 Newton Street,South Hadley,MA 01075 • Office:(413)552-0200 Fax:(413)552-0202 • Email:support@Americanlnstallations.com Name: T/rr A C,/NC Is a e Z Date: � �( lusq 6trsq Address: 10 t c K / City: AIL_e n E State:.A454 zip: ©/O Z-- Phone#:home /3"59y �{Ste_cell Email: �K ,r �0�i — g3 I CC.� SALES CONTRACT FOR: - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -t-('!�-- -���5� Ot �✓7 - - - -- - 13. 1G - - - - - - - r s - - - - - - - -- - - - - y - - - - - - - - . - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALUE=$ — �77,� 2—, (9 C,2 are satisfactory and are hereby accepted. You are authorized to do work as Down Payment=$ ' O 7 ° 00 specified.Payment will be 3J3 down prior start of work,and balance due upon Completion. - Balance Due Upon Completion=$ 5 00 Signature Date Property Owner(Print) �i Y e4 (Sign) Date Representative:(Print) ,� (Sign) /;` Date THIS AGREEMENT 15 COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED.THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS,LLC HEREINAFTER REFERRED TO AS'COMPANY",AND THE CUSTOMER(S)NAMED ABOVE,HEREINAFTER REFERRED TO AS-CLIENT",AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: \Ou n Wesley couture License Number 341 Newton St —3 q Addres South Hadley, Expiration Date 413-552-0200 nature - Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Companv Name American Installations Registration Number 341 Newton Street X12_ ` - Address South Hadley, MA 01075 Expiration Date 413-552-0200 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 I:Ajilcyng permit. Signed Affidavit Attached Yes....... No...... ❑ 11. - Home Owner Exem don 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) El New House ❑ Addition El Replacement Windows Alteration(s) El Roofing Or Doors E] Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [[] Siding[O] Other[ 1 t Brief Description of Proposed Work: tYZ�` °``~?} Alteration of existing bedroom Yes No Adding new bedroom Yes o Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing 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 I, C 1 \� (�1 �C \o 1��'� U as Owner of the subject pro erty hereby authorize American Installations t"ct on v behalf_ in Al matters 41;6#64o work authorized by this building permit application. add CICc-� - Signature of Owner Date I, American Installations 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. American Installations Pri t N e Signature O er/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 Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW ® YES O 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 ® DONT KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained O 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 ® 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 ® NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. o?� o� Department use only City of Northampton Status of Permit: o - Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability. Northampton, MA 01060 Two Sets of Structural Plans Q phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify A LICATION 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 Map Lot Unit O`+�1� Zone Overlay District 1 ►�.X , , 1 t"� ` Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) C� ��'Su ck + C��d cont �Q(-+ Telephone Signature 2.2 Authorized Agent: American Installations 341 Newton Street VN� '�Pri SoM H t+ s: 413-552-0200 Signatu Telephone SECTION 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 l (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) 0 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0080 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 341 NEWTON ST SOUTH HADLEY (413)552-0200 PROPERTY LOCATION 103 RICK DR MAP 12C PARCEL 122 001 ZONE RI(100)/URA(100)/WSP(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 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOIjA�iATION 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 De on Delay Signa re o uilding fficial 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. 103 RICK DR BP-2015-0080 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C- 122 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-2015-0080 Project# JS-2015-000143 Est. Cost: $1900.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq. ft.): 10018.80 Owner: MURRAY CHRISTOPHER K&GISELA Zonin,R: RI(100)/URA(100)/WSP(100)/ Applicant. AMERICAN INSTALLATIONS LLC AT. 103 RICK DR Applicant Address: Phone: Insurance: 341 NEWTON ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON.712812014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ATTIC INSULATION 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 7/28/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner