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07-061 (4) ACC)WO CERTIFICATE OF LIABILITY INSU1�ANCE DA 191201DOIYYYY) 02/19/2014 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditlons of the policy,certain policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder to ileu of such endorsement(s). PRODUCER CONTACT MARSH USA,INC, NAME: PHONE TWO ALLIANCE CENTER FAX No): 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA,GA 30326 ADDRESS: INSURER(S) AFFORDING COVERAGE NA1C S 100492-HomeD-GAW-14-15 INSURER A.-Steadfast insurance Company 26387 INSURED Zurich American Insurance Co 16535 THO AT-HOME SERVICES,INC, INSURER 8 MKTHE HOME DEPOT AT-HOME SERVICES INSURER C:New Hampshire Ins Co 23841 2455 PACES FERRY ROAD INSURER D:Illinois National Insurance Company 23817 ATLANTA,GA 30339 INSURER 6: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003242685.01 REVISION NUMBER:3 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 A DL UB - POLICY E POLICY EXP - -LIMITS - - LTR - TYPE OF INSURANCE POLICY NUMBER MM/DD IMMIDDfYYYYI A GENERAL LIABILITY GL04887714-04 - 03101!2014 03101/2015 EACH OCCURRENCE S 9,000,000 PREMISES c $ 1,000,000 X COMMERCIAL GENERAL LIABILITY o CLAIMS-MADE OCCUR LIMITS OF POLICY XS MED EXP(Any one person) S EXCLUDED OF SIR;$1 M PER OCC PERSONAL b ADV INJURY S 9,000,000 GENERALAGGREGATE $ 940,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 9,000,000 X POLICY PRO- LOC $' B AUTOMOBILE LIABILITY 9AP 293BB63-11 03101/2014 03101/2015 COMBINED SINGLE LIMIT 1,000,000 Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED SELF INSURED AUTO PHY OMG BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTYDAMAGE $ HIREDAUTOS AUTOS P r Ident S UMBRELLA LIAB HOCCUR EACH OCCURRENCE S EXCESS LIAS CLAIMS-MADE AGGREGATE S DED RETENTIONS S C WORKERS COMPENSATION WC049101882(AOS) 03101/2014 03/01/2015 X I WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN WG049101884(AK, )VA 03101/2014 03/01/2015 1,000,000 TORY LIMITS IR C ANY OFFMEMBER IpROPRIETOR PEXCLUD IEXECUI--J NIA E.L.EACH ACCIDENT S 0 (Mandatory in NH) WON 9101883(FL) 03/01/2014 0310112015 E.L.DISEASE-EA EMPLOY S 1,000,000 H yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C WORKERS COMPENSATION WC049101885(KY,NC,NH,VT) 03/0112014 03101/2015 (EL)LIMIT 1,000,000 C WC049101886(NJ) 03101014 03101/2015 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION THD AT-HOME SERVICES,INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OBA THE HOME DEPOT AT-HOME SERVICES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2455 PACES FERRY ROAD ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee —3�a�Apo► �M' '�c�u (D 1988-2010 ACORD CORPORATION. All rights reserved. -- -- --• - TL- Ar r)Dr\ a L �.e �enicfnrw i marks of ACORD A . � � eoe(gysiar.nrcan—rncan.gi;.ca • ' ' f t ! .'r i � t rte-.' •• '�'�.`[, ::!; lbtell(led Remove label.atter final inspection; SAVE for future reference Weather , • CPD# 050 LA—�A-172 NFRC Model 8108 Double Hung Operatinb Alum clad Thermal Frame 314 Inch Glazing , nafr,g l ne+;►a ZO—E .022 Low—E I Argon f=ill Grille in Air Space ENERGY PERFORMANCE RATINGS 0.3 0 U—Fala1. 7 0 � Solar He1� ntn Coellident ' SA—P kklrislSl ' ADDITIONAL. PERFORMANCE RATINGS Ylslhlc Trml:gs}Ilancc Gandcnszti°n Resistance F /� 0.40 O unu(ecttisr ttpulttrt hit miss ntngs=brm to eppncsble AFAC procedures br deltrmloing •holt pmdael nirgr perbmuact,NFnC rrangs an daltrmined tar s tied eel of earirm mw tw aims end scEc padrN sizaa NFRC don tot retorrtxnd mr ptoddct end'deet nil rumf he cu14lov 41 M ptsdacl W*n7 spetlac umt. Cmsut(mmufscanl'a 9trnbn tot Met fmducl per Ananee tnlomuson. www.0rc.orig Muss or escaeda M.EC., C.E.C.,and I.E.C.C. Alr Inflttralfon Be ulrements O P) (D (PS ,eaed dXSUAAttA WW'&DJ,IWLS.2-17 t f r H—LOS 44n0 imeru AA RAM DL Kto + 3uq MIX77e0(uz901 -- 35 Uet Quit 9rttbrA ptdrrettrt hr MW f1% a+ezn r.F.nr'2d7dF_1— 1 6101SCMAIMSTD Tie t-Sri'_-n Je Lo:-g w SL' dL 0U _l '51, ✓ IvJ 0j'zce OJ lnvestigat'ons 600 Wash ng ton Street _ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affdavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name(Business/Organization/Individual): �/� T� "I Address:y it CLS City/State/Zip: _aL0___f - 503. Phone#: �1 Are you an employer? Check the appropriate t)ox: Type of project(required): 1.❑ I am a employer with 4. S6 I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-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 g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.F]Ro repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Oth comp.insurance required.] °Any applicant that checks box#1 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: lew j fc u-m Sit f—' _2 UNY 010 , Policy#or Self-ins.Lic.#: W �o g Expiration Date: 3 l5 Job Site Address: City/State/Zip: 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 certify n r th pains and s of perjury that the information provided above is`true and c rrec4 7 Signature: Date: _ Phone# � �� Official use only. Do not write in this area, to be completed by city or town officlaL 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#: Jul 30 14 04:53a p.1 HOME IMPROVEMENT CONTRACT PLEASE READ THIS Sold,Furnished and Installed by: Brartch Name:Boston North&Soruh Date:73l.)_7 Y THD At-Home Ser,4x m Inc. d,Wa The Home Depot At-Home Services Branch Number:31 and 33 908 Boston Tumpike,Unit 1,Shrewsbury,MA 01545 Toll Free 677-903-3768 Federal ID#75-269846(ME Lic#C 02439:RI Cont-Lice 16427 `CT Lic#HIC.05fi5522;MA Home Improvement Contructcr Reg,It 1261393 Installation Address: �7� �ir�i �l FtNx:I` s 9,10 FJ c-\4a A cl? A_jCo6:) City State 7ip Purchaser(s); Wnrk Phone: Rome Phone: Cell Phone: ! [ ] [ ] [ ] Home Address: (If different from Installation Address) City State Zip ❑El I D Address sh receive project corketing utions and Home Home updated: I DO NOT x�ish to:o:ceia'e any marketing mails from The Home Depot /�✓-7' Project Information: Undersigned("Customer"),the owner.of the property located lithe above installation address,agrees to buy, and THD At-Horne Services,Inc.("The Hone Depot")agrees to rurnish,deliver and:mange for the insalllwion("Installation")of all materials described on the below and on the referenced Spec Shcet(s), all of which are incorporated into this Contract by this reference,along oidh any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, °Contract"): Job#: umemnaderut' Products; SpecSheet(s)#: _ YroectAmrnmt /yh ''] Roofama ding windows Insulation ___Spec ] 'j -7 $ �C s-7o V1 �,/i, '76700 t ©Gutters+Cavac QEntryDa;xs�J T ( t1 P1' 2-� 09� i/j`/!/ f1411 p� URtooftng QSiding C3 Windows Insulation [� (��'1"1 , ,utters i Cow+ QEs+hy Dtrxs ❑ Ir��j J1 .,..,0Iyjaz Roofing Siding Windows awilation ��•LNNI [1GUtterS 7 COYCr5 Q En+ry L)09rY El r Q y Roofing Si$nor 14'indrrws Inselnhon � , Fj,Z -7 6j �l Q DGutrers li Covi-V3�Iry De xs e��f � 4006 To ✓ Nfnimum25%Deposit of Contract Amount due upen executimt of this conhaci Total Contract_lrtttrurtt $ T Maine Pumbusers may not deposit Inure thanone4bird d the contract Amount. -� $v Customer agFOCS that,irnmcdiately upon cnnipletion of the work ro'each Product. Customer will execute a Completion Cmii6caic =/.. (one for each Product as defined by an individual Spec Sheet) aril pay any balance due. As applicable,each Cus!otner under this 1 Contract agrees to be;oinily and sethxnlly obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Prcdt:r:t(S)included herein.at its discretion.if Tl'e Home Delxx nr its uutlnri•rcxt service provider deternmines that it cannot perform its olrlit=iWs due to a Struclurnl problem with the hcune,environmental hazards Such as niold,asbesttx or Icad paint,oiler stfetycoicerns. pricing errors or because work required to complete the job was not included.n the Contract Payment Summary: 7be Pu)inelu Summary#_ tAl Ds-1�5._..__, included as part Qf this Contract, sets torah the total Contract amourt and rxiyments required for thedeposits and final payment,,by Product(as applicable). NOTICE,TO CUSTOMER You are entitled to a crimpletely milked-in copy or the Contract at the time you sign Do not sign a Completion Certificate(node: there is one Completion Certificate for each listed Product as defined by ftulividual Spec Sheets)before wont on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of tern-fruition,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WfTHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM '11W DEPOSIT PAYMENT Olt 071IER PAYMENTS ~LADE WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Aeceplance amt Authorization: Customer a2mes and understands that this Agrocnment is the entire agreement between Customer and 7%e Horne Dcoot with rugard to the Products and histallatiat services and%VpCr1y_dtS all prior discvssi:n%attd agreements,either oral or written,relating to said Products and Installi.tion.This.Agreement can of be'Ssignel or amended exccpr by a writing sigvcd by Customer unit The Monte Dcpot.Custonivr acknowledres and arrces that ora:r es read,understands,voluntarily accepts the terms of and has received a copy of this Agreement. A epted by: Submi v Cult r s gnat 1)le Sales I it's Signature Date X Telephone No. Customts s Signature Date Sales Consultant l.iccns,:No. CANCFA,LATION: CUSTOMER MAY CANCEL THIS ra>pp+varlet AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME q (3 L3�-DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AYTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. n / � Address of the work: �k� / y� The debris will be transported b Y: p The debris will be received by: � � Building permit number: �J� f Permit Applicant Name of Perm Date Signature of Permit Applicant SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su ervisor: / Not Ap licabl "J v Name of License Holder:_ License Number Address h� Expiration Date o/� � Signature Telephone 9.Re"istered Home Im rovement C nn# r: Not Applicable Company Narne Registration Nurriber A e Expiration Date Telephon 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 buildin fit. Signed Affidavit Attached Yes....... No...... £ 11. - Home Owner'Ege""mption The current exemption for"homeowners"was extended to include Owner-occupied Dwellines 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 Wi Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding Other[ ] Brief Descripti Pr 20 Work: h/- J f°' Alteration of existing bedroom Yes No Adding ne edroom Yes No U Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa:'If New'house and.oir.add'ifonto existing housing, complete the followinq: 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 un a the p ins and penalties-QLP"p Print Name 7-111 Signature of Owner/Agent Date , . Section 4. ZONING ALI Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning Ms column to be filled in by Building Department Lot Size Frontage Setbacks Front Rear Building Height Bldg.Square Footage Open Space Footage % (Lot area minus bldg&paved f #of Parking Spaces (volume&Location) A. Has a Special Pennit/Yarianco/Rnchng ever been issued for/on the site? �� -\ �~� �~�� NO v�/ DON7KNO�' YES |F YES, date ioued:| � IF YES: Was the permit recorded at the Registry of Deeds? NO C) D � --__ _- IF YES: enter Book Pag and/or Dncument# B. Does the site contain a brook. body of water nrwetlands? NO 0 DON7 KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained x—� Obtained »-� Date Issued: �~� �_� ' . C. Du 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 v��~� NO x�«_�� IF YES, describe size' type and location: f � ...................__-______________] E. Will the construction activity disturb(clearing, gradingexcavation,orfiUinO)over I acre orisit part ofa common plan ' that will disturb over 1acre? YES K ) NO K l �� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ^ ~' wDepartmentvseonlX 212p, 1�1111 �� —-�_-------- ---� ty of Northampton Status ofPermrt h i; ilding Department Gur'B 0.uvDrive�uay Permtt` AUG - 7 2014 111. 212 Main Street Seyrer/Septic/valta6llrty Room 100 Water/VlfeliAvallablll#y ton MA 01060 efs of 5#rtrcturai Plans Electric, Piuinbing&Gas Inspe am p , Two S r Northampton, - 7-1240 Fax 413-587-1272 P[of/Slte Pians 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 gffice f Map Lot Unit Zone Overlay Dtstnct Elm St.District :: CB D'istnct SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record:_ V Name(Print) r�1 Jam_ Curre Z 0 n i 2 ��r -//�'r' �/ Telephone Signature 2.2 Auth rized ent: y� .�, Nam t) / Current Mailing Address: 4 , nature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building n (a)Building Permit Fee 2. Electrical 4i' (b)Estimated Total'Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection FF 6. Total=0 +2+3+4+5) Check Number This Section For Official Use'Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector'of Buildings Date 367 NORTH FARMS RD BP-2015-0174 GIs#: COMMONWEALTH OF MASSACHUSETTS Map.Block: 07-061 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:replacement windows/siding BUILDING PERMIT Permit# BP-2015-0174 Proiect# JS-2015-000309 Est. Cost: $26618.00 Fee: $70.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Gronp: HOME DEPOT AT HOME SERVICES 99209 Lot Size(sq. 1): 24567.84 Owner: WOODMAN MARILYN J zoning: RR(100)/WSP(100) Applicant. HOME DEPOT AT HOME SERVICES AT. 367 NORTH FARMS RD Applicant Address: Phone: Insurance: 5 RIVERVIEW DR (401)935-2633 O Workers Compensation NORTH PROVIDENCER102904 ISSUED ON.811112014 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS, ENTRY DOOR & VINYL SIDING 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 8/11/2014 0:00:00 $70.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner