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38A-036 (f Ic. o �.X Isi f►.fG i=cu��c�N' i J , I 1 I 1 E.xiS-ANC �oJ+�la>fti!c7ni WRLLS ' ' I ; ' 1 , I 1 i ' , I I 1 , I I I - 2MCAr.jts. @ 16" o.c. I ' 1 1 I i I I � I ' I I 1 � , I I i I I I I� 7 existing garage door----,, I I I I I I I , I 1 -' ----------' --- --------- --------"I ' I I I , I 1 I ' I 1 - I i Co i r , M 1 existing garage door 00 I 1 1 I 1 I I I 1 I i I 1 - ----- ! '> > 53cAuF , I 13'-0" existing roof cantilever Ir p 9'-8 13/18" —L—U cr i s � I i 1 0 I x . w 3 0 cr 1 j 0 A N - 1 I 1 I I .I. o I \ I I i 22'-9" City of Northa meat Building Depa c Plan 212 Main S ep1060 Northampton, 4 2� oa 2 9 12 :�F ff 4w -.P r L IG�oc 2x I() JOISTS 16�o G .EXfT�NG SQL ExtSj fry +=o�nrr�T�OfJ 1 _ (Gfle�G� buys/ �x►^�TrNG GA�fl� . . .tee. �x►s�fry �� �e 20L► .b�9. 54 R �,t23• �`� � c�I(' Pmt� "• �. 3ET AT/.P FOVNO l0� f965' 50.00 51• 1ptA� �to� o t � CA 64 c� sr, oo N - • o m ROBERT J. d 54NORA R. DAN/ELS BOOK 1519 PAriE 476 ' v► . 336� �} N rn ..,/OSEPH/N M.N4 TO/Y Y' GP iP M e- sEr PARCEL, - 5 F 8 BLANCHE M. SAN,GLRWYVfNzoow) DD��-fR�IME BOOK 1ZJ7-1*,4GE 268 /.P. ro ae O ar�r 2 u, O .p Q' PARCEL. -3 .9T.4TE O eouNO ro ee seT CAD AT/.P. FY�UN4 +�, cni, OND NDERSOIY . M bzl- MOUND 72�SE.SET Ar II .P. FOUND . �oLO - 1,566`061-00(W i$3 G�c, JOSEPH P 6 JENN/E A. / ICU 15KI ` h ti BOOK 1314 -P,46E 21Z /2.37 1 m TO SE 3eT C3 CK /533-PA6E /48 sEr.� 67.63 s 85.00 / � /IY 9737 '` BOUND TO BE JET AT LP POUND 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO v IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) ove 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage ',7 /0 Gil. 7b Setbacks Front 6 02 66 0 Side L: Y3 R:3. �j L: 1 c7 R:3.*U L: R: Rear O A Q Building Height a` ` 7 2cl 2 i Building Square Footage F6ua /4C%Open Space: (lot area (/ minus building &paved A 406 parking #of Parking Spaces 14/k #of Loading Docks Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 09 lc� 2o14 Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W:Cocuments\FOP,MSloriginal\Building-InspectorlZoning-Pernut-Application-passive.doc 8/4/2004 p CEOVE SEP 2 Z 2014 File No. �" ��� Electric, N hampton,M,0.:41Q6Q. NINGPERMIT APPLICATION Please type or print all information and return this form to the Building Inspector's Office with the $15-riling fee (check or money order)payable to the City of Northampton 1. Name of Applicant: GOP-A )G — Address: ST. 1'lc42i fl1)M?i CN1 Telephone: k�, 2�45 9924 2. Owner of Property: Go PAN g' A JbJA M1}Q(G Address: G4 C°'HA-F>El- 1 '*JoP 0AMP7-0 elephone: 3. Status of Applicant: Owner / Contract Purchaser Lessee Other (explain) 4. Job Location: 64 C'F AFE� _ '3T No P-Tfj A M PT-0iJ Parcel Id: Zoning Map# � Parcel# District(s): In Elm Street District In Central Business.District TO BE FILLED IN BY THE BUILDING DEPARTMENT) . 5. Existing Use of Structure/Property: G6Rpr GG 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 5-1-FaPAGE 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES 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# 9.Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained date issued: (Form Continues On Other Side) W:\Documents\FORMS\original\Buil ding-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 N, 0 re=�,File#MP-2015-0029 `e1" APPLICANT/CONTACT PERSON MARIC GORAN&AJNA bec, �1' ADDRESS/PHONE 64 CHAPEL ST (413)582-0133 ,1 v PROPERTY LOCATION 64 CHAPEL ST MAP 38A PARCEL 036 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST d" ENCLOSED REQUIRED DATE `�► �l ZONING FORM FILLED OUT o0 Fee Paid Building Permit Filled out Fee Paid i Iypeof Construction: ZPA-ADD 2ND FLR STORAGE SPACE TO DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON Jv J INF RMATION 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 Signature f Building Of i ial 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 the Office of Planning&Development for more information. [�ryry 10 P k# 6286 e# 0015/0016 III�IIII��III�IIIIII���II II LJ C, IIIf�Ill��ll��llll l� ffIIII II ! I IIIIIIIIIII�IIIIIIII !II IIIIIIIII�I 2014 00017940 Bk: 11762Pg:211 Page: 1 of 1 Restrictive covenant Recorded: 09126!2014 12:56 PM Know All Men By These Presents That Goran !uric & Ajna (aka A,jia) Maric of the real estate 64 Chapel Street , Northampton Ma ,01060 more particularly deed hook #6286, page # 0015/0016,document # 992117051 on 07/16/2001 hereby Covenant and agree that the accessory structure at 64 chapel street , Northampton Ma, 01060 will he used as Storage, Office ,Studio or Recreation space. It will not he used as unit Or sleeping space Without first obtaining a special permit from the Zoning Board of Appeals. Executed as a sealed instrument this: September 26th 2014. Owner's name and signature Other owners' name and signature JLv8) C f'S S. kN ES 1 WWI Notary Public COM'f,0�h?dEAL7H OF M, SSACHUSETf ' Nly Commission Expires Febi Lary 4,2616 Rob ZZ3� lof �.1 1 N� � T 9� 10�A� .• o o C() �:� b3,3. 00. 64 cwt sr p0 N 3 i o RQ!3ERT J. -W1VDR.4 R. DAN IELS :`z �, `= BOOK 1519 PAGE 476 ' �✓OSEPHlN�M.N4RTON su iP rO Be ser P.4RGEL — 5 . s�Y: •.�. ��,� o Z 333 S /� t L-v 10 TE 8 �L.ANCNE. M, 0,4NL6QWjV�/V%DO/YJ fRr1ME WRWE OK l287-PAGE 26B �" QO I.P. 70 SQ air 2 Qrl. ` ,o . o' W � �f►:roa�' � PARCEL - 4 °� �r .. pw VTATE. .O BoUNO 710 8E SET Ar/.P FYoUNO 7 tF OND N SON Jl.7SEAHIN M 110 72N/a. o — , R.: BOUND r0BB JET • AT/.P. FOUNp Q f:UDiC/ d5 PEE333 .. a �toc � \� 66`-06'-000Y r. /O..00 I83 G� si . ,`b: JOSEPH P JENN/E A: e� BucKowsKl h ti BOOK 1314 -PAGE 2/2 /2.371x• 1p ro BE aEr MCK 1333-PAGE /48 BT..:6'3! 8500 i - %POIN BOUND r0 BE.fir C Ar/.p f,OUND 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. Address of the work: The debris will be transported by: The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant City of Northampton _ r Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Buildingvi. ab�i Northampton, MA 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, 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/footings (before backfill) sonotube holes (before pour) a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection 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 occupancy 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 The Commonwealth of Massachusetts Department of Industrial Accidents .........._ . . Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLxibly Name (Business/Organization4ndividual): Address: lc' 3 GQu✓E -e;-1 City/State/Zip: NGR HII N WON 0(GCO Phone #: 413 9,17?_4 } Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 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.F-1 Electrical repairs or additions 3.M I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. o workers' comp. right of exemption per MGL y � t p c. 152 1(4), and we have no I Z•❑ Roof repairs insurance required.] , § 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. tHo meowners 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: Policy#or Self-ins.Lic. #: Expiration Date: 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 under the pains and penalties of perjury that the information provided above is true and correct. Sim ature: � �.- ✓1 9-f 1 C_ Date:: Phone#: Lf 13 -545 !-J 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 Supervisor: t Not Applicable £ Name of License Holder: License Number 0---> G 'c•Jr�E SI r7 Address Expiration Date Signatu a Telephone 9.Registered Home Improvement Contractor Not Applicable £ Company Name Registration Number Address Expiration Date 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...... £ 1L = 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) q7Roofing Or Doors I] Accessory Bldg. ] Demolition ❑ New Signs [O] Decks [M Siding(0J Other(p] Brief Description of Proposed Work: ADD tT iO J TO F-)x iS i l 1 k S GARAGI / Alteration of existing bedroom Yes �/ No Adding new bedroom Yes I/ No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. if New house and or Addition to ex stinq'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 I, , 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. Print Nam /14 Signature o Owner/Agent Date � ` ' ' ' - Section 4. ZONING AR 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 L(I PJ Rear Ir 7-01 Building Height Bldg.Square Footage Open Space Footage % (Lot area minus bldg&paved L—.-J #of Parking Spaces A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO �����` DONTKNOW 0 YES 0 |F YES, date issued:| IF YES: Was the permit recorded at the Registry ofDeeds? NO K } D YES^~' IF YES: enter Book Pagel and/or Document# B. Does the site contain a brook' body of water nrwetlands? NO ` DONTKNOYY 0 YES 0 IF YES, has permit been or need to be obtained from the Conservation Commission? Needs to be obtained ���~\ �� Obtained �~t Date Issued: C. Do any signs exist on the property? YES 0 O IF YES, describe size' type and location: D. Are there any proposed changes toor additions of signs intended for the prnpe�y? YES 0 NO IF YES, describe size' type and location: E. Will the construction activity disturb(clearing, gradingexcavation,or filling)over 1 acre orioit part nfa common plan ' that will disturb over 1acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ll/I � I'°"� `` r '' DeParfineht use only 1 W E City of Northampton Status ofPermrt s ' Building Department GirrB CutlDnyeuvayPerrrtlf ' SEP 2 5 2014 212 Main Street Sewer/SepticA�airabtlrty 1 Room 100 a/VaterMfelGAvallablhty Plumbing 8 Gas Inspections Northampton, MA 01060 Twa Se#s of S#ructural Plans Northam n,MA oloso ho 413-587-1240 Fax 413-587-1272 PIoflSlte Plans r Otter Speoify .:: APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This sectron#o be completed by office Map Lot Unit f 5T G`f/� Zone Qverlay Dcstr�ct NO T 4-1A M--P 1-0/Q 010 G p El m St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 111F'AIJ 8 >lyl�l Name(Pri Current Mailing Address: fez-`, (G Telephone 1`,. j Signature[ ( � `i'`J 24 2.2 Authorized Accent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building c �t (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 6e 6 6. Total=(1 +2+3+4+5) Check Number his Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspecto[of Buildings Date File# BP-2015-0358 APPLICANT/CONTACT PERSON MARIC GORAN&AJNA ADDRESS/PHONE 64 CHAPEL ST NORTHAMPTON (413)582-0133 Q PROPERTY LOCATION 64 CHAPEL ST MAP 38A PARCEL 036 001 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 i Ida Fee Paid Typeof Construction: CONSTRUCT 2ND FLR STORAGE SPACE TO DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOL NG ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 D it' Sign re of i ding ffi ial 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. 64 CHAPEL ST BP-2015-0358 GIS 4: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A-036 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2015-0358 Project# JS-2015-000616 Est. Cost: $15000.00 Fee: $90.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 15812.28 Owner: MARIC GORAN&AJNA Zoning: URB(100)/ Applicant: MARIC GORAN &AJNA AT. 64 CHAPEL ST Applicant Address: Phone: Insurance: 64 CHAPEL ST (413) 582-0133 O NORTHAMPTON MA01 060 ISSUED ON:101212014 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2ND FLR STORAGE SPACE TO DET GARAGE 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 10/2/2014 0:00:00 $90.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner