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17C-037 s EX (fit" I { J I i i z)e. r �� f R.0l { � I 4 i } 13i x } . r ouw R 1 1 f 1 I p 11 i� i i f i � 1 E 1 1 1 4 1 7i j t�t i a ly r6aw?, T � Al 'An s . p 1 e E i 1 1 11 C I � ( i 7 i i { 1 � I i i I 1 { j e 1 1 i UvrS7F 'fit I j MORTGAGE LOAN INSPECTION LOCUS REFSVEACE WW 1873 PAGE 201 , r y� PA ND GIN AoqrH mutE amE r To.. lAiplied M rtpageServices _ AND: First American Title Ins. Co. �� John.T. Gulling Kathy A. Golling Id7+ dodw P aftPka+n LMATION. 113 North Maple Street �aoiwdYifio�odlwMAtw►s! a Northampton, Massachusetts lM�ai . op jft, 250167-0001A E. B. HO ERG &. �B�B 1978; — -- -- LAMAS YBYORS ------ liiiYligA ,rrnawV:113-1:r�.r�irr•�r►Mlrirr*�riii��t': /* ''f- / 60"s of Wort4aiupton $ 9 J9 ass aclt ITS etts V1 - DEPARTMENT OF BUILDING INSPECTIONS _ INSPECTOR '212 Main Street • Municipal Building Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup(,-­visor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two famity - 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 t` r 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 1 f 'S Address of wo k location r , 4-tiw•r r�, t.. fio 0y� IYIf�7 Pf �\Tcr fjaliipjall B _. E glasaRrflttsrttn- - —_- DEPARTMENT OP QUILDDIG rNSPECTio?"s j 212 Alain Strcct ' Municipal Building Northampton, Mass. 01060 WOMCCR'S CO'IN'LPEICISA'nOICI MSURANCE AIt - AVI i Qi ccusxJperrnittcc) \,.,itb a principal place of businessfresidenc- at: --- - - (phone-!) (s7a=t/ci ty/stale/n P) do hereby certify, under dic.pains and penalties of perjury:, :h?.1 O I am an employer providing the followinL!worker's comocnsaLiop covem�e for Inv e1uplovecs wor Dog on t.ilis job: I (lams–an=Coar,zL-") (Policy Nu_ b-cr) -- (r:pirrior,DzL) I am a sole proprietor general contractor or omeowner i:cie one) and have hired the coau-actors listed below wbo have the follo%vl g worker's comoen-sa-Dion policies (�+anzc o.Co��-cta-1 (Iastrancc. CoinDan v1'oUci } ?"umb---) Date) (NzMc of Coamaor) (lnsrrane (Ex-Dir bon Date) I - (Name of COUMCldr) (Insurance Company/Pouq- Nambzr) (Expiraoo Datc) i (Name of Contractor) (Lasuran(--Compaay/Policy Ntrmb,r) (Ecpim6oa Dare). (au�r-3l i::oca!6cct it occcsi v to cncjv L iaf -i oo pcta:�ias to.11 I ( a sole proprietor and have no one worLdag for me. i ( ) I am.a home owner performing all the work myself: NOTE:ple:x be ewut tt•,._LjJ bcc e.- , a Vt'.ampiay pesoar tD do c= .=rao c rr a +oric oa a d"XU-S of ant niece th a tlzm t f t in u'se6 Ibc bomoowtxs rcada a oa the rJo rac a spp rtica_r1 rhea�z oa�r.11y ocQ.d=cd w be ei ployc�une—tlx- -k r:—Pe--*•ea Act(GUI 51.3=1(3)),r-pplinaoa by a bomma-oa fcr:ties.cc permit=y cvi&=tte Icga!naSrc of as er loy« .&-r dw W-+i ea A, I uodcriypd tha a oopy of thi.—I—m.y be fore carded to tho oc�aanmr�a of Ingrid Acez..&oiG-of Lr--Ix oe for t6. coYa's`-crif c lion°'d the U—to saurz bov��-Oder scciioo 23A of),(GL 132 c=led to the imposiioa of aimia-d pcmnlsics coau.%"%of a rux arup b S 1.300.00 andfcc imps tyo�of up to ooc y=sad aril pca+.Yia in c5,:roan ora Stop Work Ordc aad■ flan a(S 100.00 a dsy against 0),I- Permit Numbcr Map. Lot K Siena it of Li cr mittcce -- SECTION 8-CONSTRUCTION SERVICES 81 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone .. sn. . � r Not Applicable lcable ❑ ��Reatsf°ere�"�om maEar�emerr`ll�€€`aritr"aEto PPi Company Name Registration Num er --— Address Expiration Date Telephone SECTION 10-WORKERS'"COMPENSATION:INSURANCE AFFIDAVIT 0A L.c" 152,<§250(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...... ❑ 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 }-LocMo ng�Laws and State of Massachusetts General Laws Annotated. Homeowner Signature p Y-�' f ,.: SECTION 5--DESCRIPTION OF PROPOSED WORK(check;all applicable) New House ❑ Addition ❑, Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. Demolition ❑ New Signs [0] Decks [p Siding(0] Other[Clj Brief Description of Proposed Work: Alteration of existing bedroom Yes�_No Adding new bedroom Yes _No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet , � ^" is., ., a�4. � � nom"°: ,y ,,,M . }p 66 [ 14er� ? ouse� 'Act is to ears c�tar�s>I c�_�amaCe� th a�[a rn4: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: C Number of Bathrooms 2 c. Is there a garage attached? �V / 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 L pfotc s 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 X SECTION Ta-OWNER AUTHORIZATION"-TO BE COMPLETED;WHEN OWNERS AGENT OR CONTRAGl`OR aPPLIES.FOR BUICDING.pERMIT as Owner of the subject property hereby authorize act 'P behalf, in all matters relative to qrk authorized by this building permit ap lic ion. `-Signature o caner" 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 under the pains and penalties of perju ' f Print Na V/�/ 7,-")/ —, t ignature o Owner/Agent Date w Section 4. ZONING All Informatihh 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 t— 14.0 7— Setbacks Front L Side L::_ RLIk-J L:� R:' Rear Izo E Building Height I / r— - - 3U Bldg.Square Footage T" I i i Open Space Footage �_ % �- (Lot area minus bldg&paved I U F ( T-J parking) #of Parking Spaces '- Fill: i� I volume'&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? N0 Q DON'T KNOW YES 0 IF YES, date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW t17N YES 0 IF YES: enter Book Page? and/or Document#I 1 B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Date Issued: i C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: I D. Are there any proposed changes to or additions of signs intended for the property? YES 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 011 NO I IF YES,then a Northampton Storm Water Management Permit from the DPW is required. City of Nort ampton Building Department 212 Main Street Room 100 e b Pj1 AY 1 1 2005 N6 hampton; MA 01060 e phonel413-587-1240 Fax 413-587-1272 s: -J e APPL lt'O`:.CONJS CT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.1.-SITE INFORMATION Thts:sectron to be campteted b�rofce 1.1 ProoertVAddress: fr /� GI 2. done Oe>rFa Dtstr�cf Eliit 5E DistrictCB DistricCu SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED'AGENT, 2.1 Owner of Record: Rrzv' rl 'f �t-a✓ G: �! t�,w.u',�-�''- � F.1�.��C.i` � � :� IV `\G\.�1� x_.` L"�Lr� l�/-� G I t,v, N ma (Pri*t) Current Mailing Addre x � f T ✓,11.35' —�; y Telephone Signature 2.2 Authorized Agent: Name P' t) Current Mailing Address: Signature Telephone SECTION 1-ESTIMATED'CONSTRUCTION COSTS Item - Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building Ja)Building Permit Fee 2. Electrical (b}Esti mated Total Cost of Construction from 6 3. Plumbing rV Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number This'Sectiort For Off ciar Use Onl Date, Building PermitiNumber: tss'ued: Signature: r i Building.Commissioner/Inspector of Buildings Date File#BP-2005-1124 APPLICANT/CONTACT PERSON BROWN WILLIAM W&HEATHER DRUCKER ADDRESS/PHONE 113 NORTH MAPLE ST FLORENCE O 582-1334 O PROPERTY LOCATION 113 NORTH MAPLE ST MAP 17C PARCEL 037 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid WZV Q&2, T_yueof Construction: CONSTRUCT 22 X 2 ATT GARAGE New Construction Non Structural interior renovations Addition to Existing Accesso1y 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 IN_FF ' MATION PRESENTED: �/Approved Additional permits required(see below) CA PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan plc, Major Project: Site Plan AND/OR Special Permit With Site Plan N��- ZONING BOARD PERMIT REQUIRED UNDER: § LI 1 /1 N 67 -5 F 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 Co ssion 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. • r 113 NORTH MAPLE ST BP-2005-1124 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-037 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1124 Proiect# IS-2005-1519 Est. Cost: $24000.00 Fee:$85.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sg. ft.): 19471.32 Owner: BROWN WILLIAM W&HEATHER DRUCKER Zoning:URB Applicant:.BROWN WILLIAM W & HEATHER DRUCKER AT. 113 NORTH MAPLE ST Applicant Address: Phone: Insurance: 113 NORTH MAPLE ST () 582-1334 () FLORENCEMA01062 ISSUED ON.5 119105 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 22 X 26 ATT GARAGE(ONLY BE GARAGE & NO LIVING SPACE) 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 5/19/05 0:00:00 $85.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo x 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 X IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 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 BE(�UIltEDBY Lot Size ( WIEF' , Frontage Setbacks Front Side L: R: 4 L: R: Rear r It Building Height 1 Building Square Footage '95o %Open Space: (lot area *` minus building &paved k Y parking 7 3 �s #of Parking Spaces #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: U 7711 6 Applicant's Sigrii t 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:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 — ---- ------------ Fide No. ©u� easfcr� 'rint 1 information and return this form to the Building Ins�etl i" lO€Fre'e ww t the $15 filing fee (check or money order)payable to the City ofNorthampton 1. Name of Applicant: ,FyA''r' RCr'ftSVSu5' , S Address: V '} Telephone: Sg 1 —91 (o 2. Owner of Property:—Sc l� pler, A a{j - Address: 3 5 Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee � Other (explain) 4. Job Location: S 1 t0AMA 1•► �T SCE 2 "`�- -�`+' -z •t � " ...tx y�.� ° �� nr� ��,r�- � }.h�'a � �w .u, r.1 ,rc-a-- � �`"�,°"-'.t l v- ,_.. 5. Existing Use of Structure/Property: -FAR ILi:)jk L-' -A'q—aCG\ (3T- 3'!S� Adl�m Mtlm �� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): AL T RL 1) (n Ill caJT<, 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans B. 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 DONT 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\Buildinb Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 'File#MP-2005-0139 APPLICANT/CONTACT PERSON TIM STOKES ADDRESS/PHONE 20 TURKEY HILL RD (413)587-9470 PROPERTY LOCATION 35 NORTH MAIN ST MAP 17C PARCEL 252 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING RM FILLED OUT Fee Paid '— Building Permit Filled out Fee Paid Typeof Construction: ZPA-PARKING RIGHTS 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 INFORMATION PRESENTED: Approved V Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Q, .7� r3� Cs c�gCe►1 � C� Intermediate Project: Site Plan AND/OR 1/ 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 ssion Z2-31 Z - 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 the Office of Planning&Development for more information. ` WORTGAGE Lo oA INSP�'nON, WN 4573 PAW 201 � I � t srr kv ,paNDI iR aMV —�•• �cwr�� AWTH AWKE SIM T TO: _.Applied Mortgage Services AND: First American Title Ins. Co. John T. Gulling Kathy A. Lolling Ilr�+ebyr�pa:tlb�!ffiap4ati ---160 ®shpLnm IDUTIO N' 113 North Maple Street Ao�t�po�4dwlfl�*1 AmmadwmenAs ' North ton, Massachusetts Fitt Hm�rpnoQ!�A�'y Flood 1�oosasoolt��i, . 250167-0001A E. B. HOLM BERG &AWCidw pril - .-, . - �►o�o�-ors . ear R r V t l/z-r f v W 109 7-11 �E P JUN 2 2 2005 -3 '7 File#BP-2005-1124 APPLICANT/CONTACT PERSON BROWN WILLIAM W&HEATHER DRUCKER ADDRESS/PHONE 113 NORTH MAPLE ST FLORENCE ()582-1334() PROPERTY LOCATION 113 NORTH MAPLE ST MAP 17C PARCEL 037 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out m Fee Paid Typeof Construction: CONSTRUCT 24 X 26 ATT GARAGRONLY BE GARAGE&NO LIVING SPACE) New Construction �Op k�� as Non Structural interior renovations _— Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 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 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. w 113 NORTH MAPLE ST BP-2005-1124 GIs#: COMMONWEALTH OF MASSACHUSETTS MV:Block: 17C-037 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1124 Project# IS-2005-1519 Est. Cost: $24000.00 Fee: $85.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 19471.32 Owner: BROWN WILLIAM W&HEATHER DRUCKER Zoning_URB Applicant: BROWN WILLIAM W & HEATHER DRUCKER AT. 113 NORTH MAPLE ST Applicant Address: Phone: Insurance: 113 NORTH MAPLE ST O 582-1334 O FLORENCEMA01062 ISSUED ON.5 119105 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 24 X 26 ATT GARAGE(ONLY BE GARAGE & NO LIVING SPACE) 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 SiLnature: FeeType: Date Paid: Amount: Building 5/19/05 0:00:00 $85.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo