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17C-070 (7) •r Al c9 1 . it f -f TZ to 9)kz d9l7vM Nval� ai 0010 91 1 8�2 YY3i5hS �icv7� (fit t riv t 'S1 . 13 93 ' t� to ,. 30 off r, f i t7f 9 � �� . 97 Chestnut St EDO Construction Florence Narrative 1. pour slab in basement 2. encapsulate stone footing 3. basement masonry wall repair 4. 6- 12" sonotubes w/concrete filled columns under kitchen ell 5. new ktichen and bath 6. new elec service and wiring 7. new heating system s 8. re-hab each room (walls, ceiling, wiring ) q 9. construct 20' x 30' 3-bay, 2-story garage/storage Pour concrete slab over basement dirt floor.. Stone footing and sub-grade walls to be cement encapsulated to shed weather/water and provide surface to lay cement block from footing to first floor beam. Sonotubes will be poured to support existing 16' x 18' kitchen ell Kitchen to be completely remodelled. New full bath in basement. A gas-fired boiler and hydronic heat is planned. A 20' x 30' garage /storage along left side of driveway to be supported on 18" sonotubes.(see drawing) Supporting structure to be 8' x 8" SYPT timbers with diagonal bracing. 2x6 24' O.C. conventional framing for 2nd floor 02� 3 ... r-- s �. IS L }� --� ' O�'CttAMP�O Crzty of Wort4ainpton fD r VIX $ JIassa chits VHS 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 sups:,,isor. 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 �Tlt/.H/>J� O fib `I' P 6 [S S A tif ns ct Is _ ^z :� UEPtTf.fEITT Of' 1R EUILDD) G INSPECTIONS 212 Main Street ' Municipal I3u1l(6ng T y j NorthaIllpton, Mass. 01060 WORKER'S COMTENSATION INSURANCE A + F AV1.T (liccr.:°�'rrrinitI c} % pith a principal place, of buSMcSSJrn*d--nc I: CIO hel-c" y Certll�'. 1111:';:r tj1C 1)i:ii1S ::i?d 1)Cil?'li]2.> of per'lll)t, ihilt I am an erilployer providill- the Iollo%villf; '•':olkcr's colllpens Uoll Gove"-,-..r1c IOI illy employces working on t?lis job: (Inss=ca Company) (P clic,?r'u lber) ---- (ra rir.:tien Date,) j I am a sole prop ietor, general c-xil:nc�zer o: hon?cowoer 16rcle one) and 'Have hired the contractors llstt_-l; bei0w-�-,7h0 i1� lli t01� r;: v key mp ':L:. � offi S colt_ ensa�oll (Nnmc of Contractor) (?nsa nee Corro-::1,;Pc1ic; ?tulnt�r) i Lx .,.t cr: Datc) (Name of Coet_T:c<o:) -- (7ltscranec Comarlv/Pe!ie,' Number) Date) (2�,'ame of Contractor) (lI1S; 3110 (_O l`,:I]_iltlo!;C: wi1SP..Ir r) I,. xirl::i:Q:: Date) - (Name of ContTactcr) — (Ian r nct- Cotnr�-,},I'olicy Number) (I-.:r.i-::ion Datc) (^[llGl-`.d'{It:CY:1I 5::��I._.•____. � ::1 t.:_.�.:...::K:::1::^x:r" ._.::I`I�.,'l!_:(::::�i:") C 1 gull a solC 1p i ••' . ` for- If 1 dill a tome No•rii:plc:u L-ntva:c tt:a:.?:i)c fx<rc:� irr: :a r._! ixr- n c.: aant�ct:c n;c`•m cz:-pair. .._... c.• not ttzoce ttl a throe units in tt{ dt he 1 .:uZr r u a; calpioyc3 U.-. 1 tht wrzk:e,ar -_.__icn Ax!((37,152-~ !(5)),at:i:_ ic::by a hntacot: >cr for e licctsc Cr,xr^i:r. - ....'.:ncc e._ legal rta";of an aazployx ux)a' t:ro Wcwi;cre t:•o.-zz;�or--ation!.ct I un<L---:tend thL a co?y of(}ii et y bo fa-Wtiod to tin D--jxi L—:of lodus:riel Arcs y Of S of for Ul coverage vaifl=ioo and that failure to!=Lrc cotcr_g^ur.•'...-.;cG'—.2 5 A of MG L,152 Can Iced to the inipasition o;cr==_—1 pc a7,:= comtaIin$of a fin,of up to S 1.300.00-nF 'cY impri ter..0::1 of t2p to cr.:)-:r r.:.1 civil pc Itiu in ye,birth c•f a Str,,`Vane .nti= Lri~of 5100.01) day main 1 m.. For do,'.uuzrztil urc c.,1y i qq Permit NtllIlfT'.S —_ 1 Jirnaturcc�t-i.iccntiJPc S�CTON 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License mber Address Expiration Vate Signature Telephone Re>r s e orn mp em'entContracto Not Applicable ❑ -moo co K Ssm�1caot,) 11011'7 Company Name Registration Number 'Ro ` C)X hs q P()fP ice 2 ^3 Address —�- Expiration Date Telephone—Los— c SEGTIONlA WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M G:L.,c. 152, § 25G(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"homeo�vner"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 fr.-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 x� � • Kam . � � , �,r �� , M SEC fOt�_ Ste.PATIO O�PROPOSED WORK= check all 09 lIcable z NOW New House ❑ Addition ❑ Replacement Windows Alterations' Roofing ❑ Or Doors ❑ Accessory Bldg. Demolitiony New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: OQ 100 PAC 0129 SE '1'8 � Alteration of existi bedroom Yes No Adding new bedroom Yes No 77V � Attached Narrative Renovating unfinished basement No' Plans Attached Roll 0 • Sheet 0 V rt T:e,. ;o e M00r abit oMR existihR-;d sing OMNI a 6SfUlt ntw a. Use of buildin : One Family Two Family Other b. Number of rooms in each family unit: 1 Number of Bathrooms c. Is there a garage attached? Z d. Proposed Square footage of new construction. ((T)O bimensions 0 y-3 e. Number of stories? �Q L' SMQp f. Method of heating? Qr&C J Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? f h. Type of construction Cl ' V car rj i. Is construction within.100 ft. of wetlands? Yes No. construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 0+ Grn e k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City eS—wT Private well City water Supply SEGFO 1N R AUTO RIZATION :TO BE<COMPCETED WHEN OWN�Ef �GEN 0 CONTRACTORAPPL'IES FOR`BUILDING RERMIT- 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 Vas Owner/Authorized Agent i 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. L� Print Name Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION >(Existing 'Proposed Required by Zoning This column to be filled in by Q Building Department Lot Size 1 1 I G0 I co Frontage Z'J 5 0- Setbacks Front 15 —� Side L: Z R: l L: 4 R: Rear Z O Building Height 3Z— Bldg. Square Footage i Z5-0 °/a 50 Open Space Footage I % J�� (Lot area minus bldg&paved I�Q /��00 pg)arkin #of Parking Spaces A Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO <DO:MT:K NOWT_ 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 # B. Does the site contain a brook, body of water or wetlands? E;L- IF DON'T KNOW YES YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF-YES, describe size, type and location: C Northampton B I I g Department ain Street auL 2 4 2003 R m 100 Nor mp on, MA 01060 � A � 7.12 0 Fax 413-587-1272 C� er V-PtrCICT—ION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Prope/r�ty Address: Y� x f4huA 54 , M - EN ! p� ,rte:` floYe e, k, zone Ouerl ` str,_ Elri St3 District .: CB Dis rict .,rte SECTION 2 PROPERTY-OWNERSHIP/AUTHO:,,IZED AGENT 2.1 Owner of Record: Name P n Curren a' n Addres Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECT10N2!z-ESTIMATED CONSTRUCTION CO"Sl'S' Item Estimated Cost (Dollars) to be Official Use Qnly completed by ermit applicant 1. Building I�t00-0 (a) Building Permit Fee 2. Electrical (b) Estimated Total'Cost of Construction,,from. .6 3. Plumbing �2 1©0r 0 Building Permit Fee 4. Mechanical (HVAC) -3i oo O 5. Fire Protection I 1 00 0 6. Total =(1 + 2 + 3 +4 + 5) Check Number This Section For Official Use Only Buildi"n Permit-Number: gY. Date:Issued; Signature: Building -of o . Dater f Buildings File#BP-2004-0099 APPLICANT/CONTACT PERSON Edwin Olander ADDRESS/PHONE P O BOX 60284 (413)584-6364 PROPERTY LOCATION 97 CHESTNUT ST MAP 17C PARCEL 070 001 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: CONSTRUCT 20 X 30 DET GARAGE W/STORAGE,FOUNDATION REPAIR, INTERIOR RENOVATION New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 049348 3 sets of Plans/Plot Plan THE FOLLOWING 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 B-G-o3 Signature of Building O cial a 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-2004-0099 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: BUlldinq Category: BUILDING PERMIT Permit# BP-2004-0099 Project# JS-2004-0160 Est. Cost: $21000.00 Fee: $195.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Edwin Olander 049348 Lot Size(sq.ft.): 18905.04 Owner: PILON MARJORIE V Zoning:URB Applicant: Edwin Olander AT. 97 CHESTNUT ST Applicant Address: Phone: Insurance: P O BOX 60284 (413) 584-6364 FLORENCEMA01062 ISSUED ON:817103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 20 X 30 DET GARAGE W/STORAGE, FOUNDATION REPAIR, INTERIOR RENOVATION 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• Receipt No: Date Paid: Check No: Amount: Building 8/7103 0:00:00 1642 $195.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo It 1 D File No 7 t^� REGISTR� I HOME OFFICE/OCCUPATION (510.2 & 11. 11) ith the Building Inspector 1. N e o - b z Ad � ta1L a Telephone: tf !i 625' 5590 N;IRTNQ4.. 2_ caner of Property:_� )'V�� Address: Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Map /7C, Parcel f 070—, 00 Zoning District(s) (include overlays) Street Address C/'7 Choidhkf 4, 5. Narrative Description of Proposed Home Office: (Use additional sheets if necessary) V C 6. Is this a legal residential building? YES . 7 . Will there be an employee/owner who doesn't .live in the home NO 8. - Will you ever see clients or customers at your site? YES NO How often For what purposes 9 . Will there be any signs f-or the Home Office? YES NO 10. Will there be any goods sold from the premises or any sale of goods stored on premises, either retail or wholesale, or any display of goods on premises? Y NO 11. Will there be any outdoor storage of materials?OCCQ510MIA YES NO 12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parking congestion, noise, air pollution, and mater 'als storage) '? YESJ NO If NO explain: J&!�y oCCA.SSIbhe! 13 . Attach Plans (if applicable) 14 . Certification: I hereby certify that the information contained herein is true and accurate. I understand that if any information is incorrect, my permit is null and void and I may be liable for non-criminal fines and criminal and civil actions_ Sael'lk jA 11.1 Date: ��-�—QG� Applicant's Signature: THIS SECTION FOR OFFICIAL USE ONLY: proved as-presented/based on information presented APPROVAZ EXFIRE'8'- 02i DECEMBEi2 .31 ,OF, fiHIfi YEAR AND MUST THEN BE RENEWED Denied as presented---Reason: .3 Signature of Building Inspector Date NOTE:Issuance of a permit does not reliove an appiioant'a burden to comply with all zoning roquirements and obtain all roquirod pormits from the Board of Hoatth,Consorvation Commission, Department of Public Works and ouior applicable pormtt granting authoritlos. 10. Do any signs exist on the property? YES NO IF YES, describe size, type and,tocation: Are there any proposed changes to or addltjgns oftigVi ; 'ffie property? YES NO A1F.`YES, descnbe 1ze,type and location 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This cohmm reserved for use by the Building _... Department FOXISTING PROP® . : Nils, S1 ;, LOt.Size Frontage Setbacks Front „Os5 Side L: R: L: . .. R: �- Rear 1 Bgildmg Height ,. luilftg,Square Fnota .e k it- % p ti3pa e:.(Wilrea c minus building it paved parking #of Parking Spaces f i 1.,' ,i .c-i .:�.� •l.!.F .•..ice-x P ;t+.. _.,* C..:•.... "'�:t,.- l s" #of Loading Docks/ Fitt: ' (volume a loca 12. Certification: hereby certify that the information contained herein is rue and accurate to the best of my knowledge. Date: l�"' 04' Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to co ply 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. ODO.pdf i i I j i File No. V7 Please type or print all information and return this form to the Building Inspector's Qffice with the$i S'filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: jej: W In Olar,cJer Jr- Address: , . a renLP_ Telephone:W3 ,675 S5O d 2. Owner of Property: SAW 15 Address: Telephone: 3. Status of Applicant Owner Contract Purchaser Lessee Other(explain) 4. Job Location: 5. Existing Use of Structure/Property: Z hC w Adached 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): u sa orwncl6rslilp of 12it r t re moe4 dh nq vt D a 7. Attach Plans: Sketch Plan , Site Plan Engineered/Surveyed Plans o pN a11-G1if ,uno- bwkld 3 p5 m t-F-W r- 5cUM E! 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or, Document# 9. Does the site contain a brook;body'of water or wetlands? N­01 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) File#MP-2005-0017 APPLICANT/CONTACT PERSON Edwin Olander ADDRESS/PHONE P O BOX 60284 (413)J&4-6"r"' PROPERTY LOCATIAN 97 CHESTNUT ST MAP 17C PARCEL 070 041 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: OFFICE IN GARAGE FOR BUILDING REMODELING BUSINESS,STORAGE OF TOOLS,HARDWARE FOR SAME 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF94MATION PRESENTED: Approved Additional permits required(see below) /V4 ac,T PLANNING BOARD PERMIT REQUIRED UNDER: § Sipes S7voeome Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Bow Major Project: Site Plan AND/OR Special Permit with Site Plan A r AeJ ZONING BOARD PERMIT REQUIRED UNDER: § 0elA t'' V '� 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 ld� Z00 Signature of Building Of icial 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. Y� �� � .� <. �. � u � _ .� :. � - A • .�w ' _., -� � i -? - ?�, ?YY+ ��.. �` �...,_ 0 97 Ct-%STNUT ST 13P-2004-0099 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-070 CITY OF NORTHAMPTON Lot: -001 Permit: Building Catelzory: BUILDING PERMIT Permit# BP-2004-0099 Project# JS-2004-0160 Est. Cost: $21000.00 Fee:$195.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Edwin Olander 049348 'Lot Size(sq. ft.): 18905.04 Owner: PILON MARJORIE V Zoning: URB Applicant: Edwin Olander Applicant Address: Phone: Insurance: P 0 BOX 60284 (413) 584-6364 FLORENCEMA01062 ISSUED ON.817103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 20 x 30 DEr UARAGE W/STORAGE, FOUNDATION REPAIR, INTERIOR RENOVATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building L.:pector Underground: Service: Meter: Footings: Rough:, Rough: House# Fc undation: ' Driveway Final: d L 5 t Final:3 Final: 31210�`�/� Rough Franua:,,'&lC `6-G Ll J Gas: Fire'Di , f Fireplace/Chirnney: Insulation:O)W Final:-- - � Smoke: r(�( /*/1y qyry/J(f[/� � /�/j/J(�y� Final: �'Jr 3-�4j-Ol-� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY CF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 8/7/03 0:00:00 1642 $195.00 212 Main Street,Phone(413)587-1240,Fax:(413)X87-1272 Building Commissioner-Anthony Patillo