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25C-241 Client#: 1553 DOUGL1 ACORD,. CERTIFICATE OF LIABILITY INSURANCE 07/08/08'-"Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King&Cushman, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE King &Finn Streets HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 447 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton,MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Peerless Insurance Douglas PFerrante/Skyline Design P O Box 60142 INSURER B: Florence, MA 01062 INSURER C: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN ADD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DDIYY LIMITS A GENERAL LIABILITY CCP8251649 04/07/08 04107/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50,000 PEEMISES(Ea CLAIMS MADE Ex-1 OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2'000,6-06 POLICY JEQ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per(Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO _ -- OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ ]DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND WC8304684 07/30/07 0]/$0/08 WC STATU- T'- EMPLOYERS'LIABILITY JORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $1 00,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS **General Liability Information** Loc#: 1; Class Code: 91581 Loc#: 1; Class Code:91581 Loc#: 1; Class Code: 91581 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTH RIZED REPRESE TATIVE ACORD 25(2001/08)1 of 3 #7411 LMB © ACORD CORPORATION 1988 Client#: 1553 DOUGLI ACORDTM CERTIFICATE OF LIABILITY INSURANCE 07 DATE /08/08DmYY) PR(1DUCER' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King&Cushman,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR King &Finn Streets ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 447 Northampton,MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Peerless Insurance Douglas P Ferrante/Skyline Design INSURER B: P O Box 60142 INSURER C: Florence,MA 01062 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DDIYY A GENERAL LIABILITY CCP8251649 04/07/08 04107/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $SO OOO PREMISES(Ea occurrence) CLAIMS MADE 51 OCCUR MED EXP(Any one person) $5 OOO PERSONAL&ADV INJURY $1.000,000 GENERAL AGGREGATE s2.000.000 GE JECO T NT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC8304684 07/30/07 07/30/08 WC sLIMIT OER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under E.L.DISEASE-POLICY LIMIT 1$500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS **General Liability Information** Loc#: 1; Class Code:91581 Loc#: 1; Class Code:91581 Loc#: 1; Class Code: 91581 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTZED REPRESENTATIVE a° ACORD 25(2001/08)1 of 3 #7411 LMB © ACORD CORPORATION 1988 � rla (v� �� �� ��' � - � o ::J 1` a F C S { f� if Sklfine Des qn Commercial• Residential Construction • Renovation 209 Locust Street Doug Ferrante BoX 142, Florence 413 586-8491 Mass. 01060-142 FaX 582-0275 SOX" -%ter vruy uueaCGl ��-�//a�ac/.�ae s Board of Building RegulatioIns and Standards Construction Supervisor License License: CS 2722 Birthdate: 10/7/1948 Expiration: 10/7/2009 Tr# 5872 Restriction: 00 DOUGLAS P FERRANTE _ 27S MAIN ST HAYDENVILLE, MA 01039 Commissioner Boar o Building egulat ons an =andfars�� One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 100705 Type: DBA Expiration: 6/23/2010 Tr# 268334 SKYLINE DESIGN ---- — - -- --- Douglas Ferrante 209 Locust St - Box 60142 Florence, MA 01062 - Update Address and return card.Mark reason for change. F-) Address ❑ Renewal Fl Employment Lost Card DPS-CA1 is 50M-07/07-PC8490 N 49'-6"- BRIDGE STREET The Commonwealth of Massachusetts Department of Indusrrial Accidents Office of Investigations 7 600 N'ashington Street — Boston, MA 02111 wwh'.mass.gov1dia «'orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information {, Please Print Legibly Name ("Business/Organization/Indi vi dual): 1\ Address: 2 0 C( Locuc, f 7-r 1:7/0 l e&i N.-e (39 ' t?l Y2 i�,us5 O104z City/State/Zip: Phone#: e-1l3 OJ— 43 73 Are you an employer? Check the appropriate box: Type of project(required): 1. \1 am a employer with Z— 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' 9. ❑ Building addition [NTO workers' comp.insurance comp. insurance., required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.m se o workers comp. right of exemption per MGL Y [-'�' ' P 12.7 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r 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 thepolicy and job site information. Insurance Company Name: e_-Qf SC) l'eVA C' a Policy#or Self-ins.Lic. #: W 1!c 3 0 Expiration Date: 0 t© Job Site Address: �� �� t �� City/State/Zip: �f� `t`�yQTd">l 61 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 S 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 5250.00 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 cert' ider the paii a Iftes of p rjury that the information provided above is true and correct. Signature: 21r Date: 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#: Version L7 Con=ercial Building Permit May 15. ?000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1_ as Owner of the subject property hereby uthorize ��, )6p-(, y � r!l� to act on my behalf, in all matters relative to work authorized by this building permit application. Sicnature of Owner c Date I, 00 4+G�,.G S. ,. .. r ... 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 y` and belief. v X- Signed under the pains.and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES r 10.1 Licensed Construction Supervisor: Not Applicable ❑ �M�[? c �Q�.. 1=er� � Q ._ �.7 ^f ' Name of License Holder: ` License Number Add re Expiration Date Signature v Telephone SECTION 13-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 b ilding permit. Signed Affidavit Attached Yes . No 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration n ..__.,__ .. _..._.�. . ...._._ ... Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone 9 Expiration Date 9.3 General Contractor _. ..... _. _.._..._ . .,,_„ Not Applicable C3 Company a e: � Responsible In Charge of Construction _ . A lj Signature Telephone AV Versionl.7 Commercial Building Permit May 15, 2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department E Lot Size - -• - Frontage l� Setbacks Front s (M" 12- 2o Side L � �r9 R: . ,. L: R:... p Rear 2b Building Height a.2 Bldg. Square Footage L Open Space Footage °o �. may- /y (Lot area minus bldg&paved ��[-5 � /0 parking) C �f #of Parking Spaces Fill: O O (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW /711\ YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW V YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q Date Issued: C. Do any signs exist on the property? YES NO 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 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ AdditionsM Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing El Change of Use❑ Other❑ Brief Description Enter a brief description here. / Of Proposed Work: qcl SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C I ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential JR R-1 ❑ R-2 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: .__ Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): ,. SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) St 15' I�2 2nd . 2nd ..� ... 3rd 3rd 4th 4th Total Area(sf) (�(� Total Proposed New Construction(sf"' r .� d 2 U Total Height(ft) �Z . ... Total Height ft 2 7.Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone'Information: 7.3 Sewage Disposal System: Public Private ❑ Zone Outside Flood Zone[] Municipal On site disposal system❑ 'Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit': Building Department Curb'Cut/Driveway Permit - 212 Main Street Sewer/Sep ticAvaifabiiity Room 100 Water/Well Availability ' Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plo 6,�Ta ^} F I I 41 Other S APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING I I �r, SECTION 1 -SITE INFORMATION f L__ 1.1 Property Address: This seciblin to be completed by office 3,57—3 7 /�(bF �-- Map Lot Unit l / � Zone Overlay District MOR-�ArnP."A) �� 0if)Go Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Signature � � Telephone 1 2.2 Authorized Agent: 2." I. LocyS t 5 '- x ...�Y 2- E, J F vi l[°q Name(P t) Current Mailing Address: r - y 37 __ Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS' Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building [�` ©Jr (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of 0 Construction from (6) 3. Plumbing O Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) t) Check Number rCr-+ ' :� �Q el0 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0045 APPLICANT/CONTACT PERSON Skyline Design ADDRESS/PHONE P O Box 60142 FLORENCE (413)586-8491 PROPERTY LOCATION 235 BRIDGE ST MAP 25C PARCEL 241 001 ZONE URB 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: ADD EGRESS&ADDITION TO DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 002722 3 sets of Plans/Plot Plan THE FO WING 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 Demolition Delay zee Signature of Building 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. BP-2009-0045 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-2009-0045 Project# JS-2009-000057 Est. Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Skyline Design 002722 Lot Size(sq. ft.): 7056.72 Owner: WEBER WILLIAM R Zoning:URB Applicant: Skyline Design AT. 235 BRIDGE ST Applicant Address: Phone: Insurance: P O Box 60142 (,413? 586-8491 Workers Compensation FLORENCEMA01062 ISSUED ON.712112008 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD EGRESS & ADDITION TO DECK 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 7/21/2008 0:00:00 $50.0010785 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 235 13RIDGE ST BP-2009-0045 GIs°#: COMMONWEALTH OF MASSACHUSETTS Map:Blo& 25C-241 CITY OF NORTHAMPTON Lot: -001 PER.S: NS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category_ BUILDING PERMIT Permit# BP-2009-0045 Project# JS-2009-000057 Est. Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groan: Skyline Design 002722_ Lot Size(sq. ft.): 7056.72 Owner: WEBER WILLIAM R Zoning:1JRB Applicant: Skyline Design AT. �1F Rplfll�C C.T Applicant Address: Phone: Insurance: P O Box 60142 (413)586-8491 Workers Compensation FLORENCEMA01062 ISSUED ON.712112008 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD EGRESS & ADDITION TO DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: ! 6mo(1665 o k 61/evj (mq, Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: )abrz, al �u { Gas: Fire Department Fireplace/Chimney: Oil- Insulation: Final: Smoke: Final:e w'. THIS PERMIT MAY BE REVOKED BY THE CITY NORTHAMPTON UPON VIOLATI N OF ANY OF ITS RULES AND REGULATI S. Certificate of Occupancy -' Si nature: FeeType: Date Paid: Amount: Building 7/21/2008 0:00:00 $50.0010785 212 Main Street,Phon (413)587-1240,Fax: (413)587-1272 Building Conunissirner-Anthony Patillo