17C-110 (2) Federal ID ti
RISE; Enolinect'ing RI Contractor Rugistration No
MA Contractor Registration No
r ° A dasisit'tt of I'hiciseli Luggincerink CT Contractor Registration No ((
1
€0 Shawnini 92,(anion,NIA 4202t
1
CONTRACT
339-A2-6335 N•7111!7 FAX 339-502-034i
Page 1
$ IssillGlt;1S1 Tai;s earl acT`a ENTEf,M114TOSETWEEN Silt
Chi A-tip; �aoatsErlszoaErrtstiaonrcaa
E!,1C 1N F URl N OEaCaaaert ItELOWY
3
CU5TCnt Ptaa.':E OAT CL,'EPrTI W01-1K CRDEN
1_iit3st l3anirtr
(617)894-4503 1W14/2014 4032`4 t)0ow, �
j `VNICE STRUT aaLUNO STREET _
24 Stilson Awnue 24 Stilson Avenue
C;n',"TATE,ZkA IIaL04 CITY,STATE,VP
1 lo%ncr% NIA ti 1062 F"Wence, 't,'lA 01002
i
,JOB DE'St.9#.#I''I ION
l'roz I&lade r~and m;lwlinl,I,,°.cal alcw of TOur limne wmnst ws t t^tut, all 1eaak tee, This;work W,ill be
vcriorn not"I OUICCrt with its:a*C id',pecrtl lotsls tuad diallwosiic teals it,assuic thal your lumic will he 1111 with a Itcalthfid level of
r-a,_ia 1trG:a!d sn,la.,;r it qu"MV .%latertak to t,wed its scar your htervic eau indodc Caulks.1,0dins,Wicaihet tripping and"Hier
at,wtly s,. l'riatxsry uc,"li,r,Caring include air leakage ter altics,basemcnt:a,a€Iaclw 1 k.;upge<and Other unbeatx:d areas(1Winduu-s utc
alt xa:,:railv.1,17r�.,sed.) taiuwtkinghow,
w;u1c��„mpl ticen i"tla=_s:c�anct v�pvm•,vW,r ,and at no additional asst hi the 1wirwoWSn",a finial blosW Cr dwr andrav k:omiiustioli
will b..eorductco ity ttac sttb-ccaattfaC-tor to murr the sai,-ty of Lbc indoor air quaalits,
tb'cltclt cour r+s onh_r C'Ia�4 w share anavt is liasnint
S
°.i.a'1 1_:1.1`Ptt+Id>o Lti��i1:,asr�naaater.,Is iWa install a i i"liner c-0f I't-34 t„'ix� i C'4llulrs>c aiJaictS to{7>'3}.Guuri°icct t,f��cra attic
d nit,+t !nk:1 tiatt vi.ace rtti did i prob Cat t,"butts
I'x?ruac lather;1ld materials to install a 11"luer ofR-M CLLa,,I Cefiulow,vdde;it)ll?f}j atjtmrc
Of')Pep,
s
f'maeeidc 1aibc r and umawrials Io iusu,dl 2" FSK faced semi-rigid tihergiass hsard iassulutiod to(130)sgLa;c feet c&
i:uue�r.gall:rrW;:.
s
Du:1E�t eaaers;�a,a, ase•.,2R n:,etl
1 5S 1 ro 1&l€,} 3r wid nt�ster4al-to in,lAt;l) new,ftnis'is<.rd pivm,x d.svilte-r"ngid"l hernia 1 wvl.�,v:.w wi: ivj pcal
a nJr-a pint is rtETt ittCiuded.
W s � AL,l"iS;t r.WedE i alxtr nett jatcri 135 a>in,i ill,2i ns,vti finuh.d iatru hftl,kmCc"VaL sr+ac
a Tsu43i d 131111 coda ,mf1I:u rip id b ru aw has rr.l and hjd Lloc:+l by.,}e e v,3_ t s'oo 9 4at,.1W.3 at,1I fie
u s•.i,W.i F r�rn.us,a�,aa(,i p,,.na t:,vol v1W111ded.t
C ?"1416 i30
1';:<11 A 1"TC)N' l r fide 1;0,or=tl na,xmals to inuvll(2) 12"a 12'write vinyl erid attic writ, �
all ATION:Prosaic labin rind tnatrri;il,to install(i)insulawd rxhiaust hose with Fahle wall mounted Rapp,r vent to exhaauat
:; istina r,ar,nI far{si
Ii;{.7 i
a`^
l`t III A Fl ti P i d e Ialior and matcriuk I inslydl vcittilaiion :Maces in(Ig)t.11lcr hays;n mraintuin nir ticlwr_
€ _ S ('mu
3 .'wa'.', c 1 t'Ell 1 11"acriai"to m"44dl 11211)lia,.,ar fkc.t at'k-19 unfuC'I sit=c,Edl,.t�=.,ulailcrmr 1:�the l>crlmkCr I
t`.IaCmvr t ccstm,at thW L"n,e sill.
1 I
I
1 Federal ID#
RISE Engineering RI Contractor Registration No
t MtAContractor Registration No
I A division ofThicisch.Engineering CT Contractor Registration No
60 Shawmat#2,Canton,NIA 02021 Cu""I �i1 TRACT
it 9
339-502-633i X-7109 FAX 339-502~6355'
_... Page 2
PROGRAM THIS CONTRACT IS ENTERSDINTO EETWEEN RISE
i'I -afi]✓S ENatNEERINGAND THECUSTCMER FOR WORK AS
ENGINEERING DESCRIa£a ssLO1Y
PHONE _.. DATE _ .. CLIENT# WORK OR2G 8R
lxicla Burman (617)894-4503 10/14/2014 403224 DOi102
e9-TACE S7REEt BILLWO STREET
24 Stilson Avenue 24 Stilson Avenue
SERVICE CITY STATE.ZIP OILLINO CITY.*TATE.ZIP
Florence,MA 01062 Florence,MA 01062
JOB DESCRIPTION
Same drop ceilings exist.Customer to open ceiling and clear purimeta for access.
BAS M1i:VT DOOR:Provide labor and materials to insulate the back of the basement door lending to the buMead with 2"rigid
board that meets the sections R-316.5.0 and 316.6 requirtmenis of building code. Seal all edges and scams with FSK tape.
572,22
RISE Engineering will app y all applicable,eligible incentives to this contract_ You will oily be billed the!vet amount. Currently,
for e tnible measures,Columbia Gas offers 75%incentive,not to exceed$2,00 per calendar year,and an inventive of 100%fer ttte
Air Sca?ing measures up to$600.
I
For the safety and health of your home's indoor air quality,we will bC conducting a blower door diugnostic of the availuble air flow in t
kot4rhome oih ie o rr die/tin?b is begun,and uRerthe%Yeatherization work is cglnpletc Wa will also conduct a full ussessment of
the combustion safety ofyour healing systern and water heater.This has a value of$90 and is at no cost to you. 'Total allowable
wcathcrixation incentive is$2,690_
S90.0'j
Total: $2,500.65 E1
Program incentive: $1,954.24
Customer Total: $546.41 '
WE AGREE HERESY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE Wit ABOVE SPECIFICATION&rOR THE SUM Cr
"I"Five Hundred Forty-Six&411100 Dollars $546.41 ,
0;0t.F;UAL I;FSPEC TION PWD APPROVAL BY RISE E.NCINEERING.CUSTO!'ER AGREES TO REMIT AMOUNT DUE tN FULL INTEREST OF:A VALL BE CNARG£O MONTi1LT 0.4 Axy �
UlNPt,10 BAI.ANtE AFr&R 10 DAYS SEE REVLLSE FOR IMPORTANT INFORMATION ON GUARANTEES.PUCWT&OF RECMCN,SCHEDULING.AND CONTRACTOR REGISTRATION.
c t DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
"ttil'"ISORt 5tONAT1t�E-RISE. EEfliDiG C'J87 ACCSFTANCB
NKT71;;'ny4S CONTRACT MAYUEWtTNURAWN BY Ua IF 1407 EXECUTEDWITHIN DATE OF ACCEPTANCE _,�.__"_�1. .♦`. f/
<-" ACCEPTANCE OF CO?tTRACT•THL At3OVL PRICES.SPEc4FICATIONS AND COHD.TIONa AR[
{/ SATISFACTORY TO US AND ARE HEREBY ACCEPTED_YOU ARE AUTHORIZED TO DO TH€WD!t74
DAYS. AS SPWrIEO.PAYMENT WILL OF MADE AS OUTUNED ABOVE
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information (if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE
Revised 7-2013 Fax # 617-727-7749
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
F Office of Investigations
1 Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Let?ibly
Name (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.V I am a employer with 20 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 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.1
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. [No workers' comp. right of exemption per MGL 12.❑ 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#I 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.
tContractors 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
Policy#or Self-ins. Lic. #:WC5-31 S-388245-013 Expiration Date:11/02/2015 � ''��
Job Site Address: ; L sti l5�1 (�Ae City/State/Zip: 1�aavl _� 01O(0
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.
Si nature: .. Date: I Oo,(14
Phone#: ��?�— 7 7-2-(CS 9 C'
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: Not Applicable/❑
Name of License Holder: V • \k C„V\Q c 0 7
License Number
l S %(est- St, v�csi- H 0.t-F;elol� V,-AA of o g<
Add res Expiration Date !
s
l3-7 7
Sign ure Telephone
i
xj.Registered H r`v merit Contractor: Not Applicable ❑
Co -off Cowe,t— i (p 5 X17 7 '
Company Name Registration Number
14 #' A ! rs sa-- Sf,
Address Expiration Date
Telephone�" � " 7 7�"' i
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
-- 7
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) fami lies
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 pennit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of F,mploycrs to
Lmployees 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)
j AJ!.v House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors t]
?'ccessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding [O] Other[fir
i
Bl_ief De cription of Proposed
'Aork: Rtc ,*r-ht.AQ1f thn iz 65T-bn!L H* to 2_<Sel PC-in c'4_�-kf1 MAA(.
';iteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes ,No
[ ans Attached Roll -Sheet
s:.a. If New house and or addition to existing housing, complete the following:
:a. Use of building : One Family Two Family Other
Number of rooms in each family unit: Number of Bathrooms
Is there a garage attached?
Proposed Square footage of new construction. Dimensions
i ..
Number of stories?
Method of heating? Fireplaces or Woodstoves Number of each
Energy Conservation Compliance. Masscheck Energy Compliance form attached?
i ype of construction
Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
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
Le 10(Of gp r��(� as Owner of the subject
( property [—
hereby authorize Co `g!e
Seton my behalf, in all matters relative to work authorized by this building permit application.
_
>ignature 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.
i
I Signed under the pains and penalties of perjury.
n 'Jame
Ali a 'A Af Owner/ at
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
13uilding Height
13idg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parkin g Spaces
i11:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW k YES 0
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW (5� YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , 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.
Department use only
City of Northampton Status of Permit:
NOV ( 4 � Building Department Curb Cut/Driveway Permit
i 212 Main Street Sewer/SepticAvailability i
Electric, Plumbing&Gas Inspeciio Room 100 WaterANelt Availability
' Northampton, MA 01060 gr rthampton, MA 01060 Two Sets of Structural Plans
_s
phone 413-587-1240 Fax 413-587-1272 Plot/Slte Plans
i Other Specify
I-,--
! APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
I IF SECTION 1 -SITE INFORMATION
`.1 IProperty Address: p This section to be completed by office
2 L c�t��SOfI T\fie Map Lot Unit_
6CGn Ct° v ��O Co�k Zone Overlay District
I Elm St.District CB District i
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Lt t o Q 9c ryy)0.r-, Z'{ S�1 I sorry we OQ.1 r to
Name(Print) Current--Mail'n Address:
�e Telh:7 4!O 3
il ;signature
I �.2 Authorized Agent:
We%f St, IN, tialItrr`elol,wu-j 6( C�
rrme 'int) Current Mailing Address:
LA', -.-77a--q KCR
-]nature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
vren� Estimated Cost(Dollars)to be Official Use Only
I
completed by ermit applicant
1 Building !1 �r��� (a) Building Permit Fee
r F]ectrical (b)Estimated Total Cost of
I Construction from 6
I=lur„bin-] Building Permit Fee
~ Idechanical(HVAC)
. f=ire Protection
I—---
-. Total=0 +2+3+4+5) Check Number awl
This Section For Official Use Only
I E'Ading Permit Number: Date
Issued:
-,a ,ature:
i
i
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0569
APPLICANT/CONTACT PERSON CO-OP POWER INC
ADDRESS/PHONE 15A WEST ST WEST HATFIELD (413)772-8898 Q
PROPERTY LOCATION 24 STILSON AVE
MAP 17C PARCEL 110 001 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_
Fee Paid
Typeof Construction: INSTALL ATTIIC&KNEEWALL INSULATION&AIR SEAL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 107864
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INy9W4'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
of ' elay
Signature of Building Officia 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.
24 STILSON AVE BP-2015-0569
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C- 110 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-2015-0569
Project# JS-2015-001085
Est. Cost: $2500.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CO-OP POWER INC 107864
Lot Size(sq. ft.): 11456.28 Owner: BARMAN ANDREW T&LEIDA
Zoning:URB(100)/ Applicant: CO-OP POWER INC
AT: 24 STILSON AVE
Applicant Address: Phone: Insurance:
15A WEST ST (413) 772-8898 O WC
WEST HATFIELDMA01088 ISSUED ON.•11/19/2014 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL ATTIIC & KNEEWALL INSULATION &
AIR SEAL
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 11/19/2014 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner