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03-024 (4) *PLE.ASE READ CAREFULLY A SI EP-PY_STI-T CHECKLIST OF YOUR NEW POOL INSTALLATION CUSTOMER RESPONSIBILITIES THREE WEEKS FROM CONSTRUCTION: APPLICATION FOR FINANCING-Please make all final arrangements with your hank 3 week,prior to Tcdcly Bear's arrival for excavation of your pool.This will assure no delay,and provide for completion on time. TREE REMOVAL-Make arrangements with a tree,specialist in the event trees must he eliminated to make room fir your pool.At yom'request,we will he glad to refer you to local companies. REGARDING STUMPS:Any stump that is approximately 3'to d"in diameter within a pool area will he gladly removed by Teddy Bear Pools.In the event a stump must he excavated,a nominal fee will he assessed,i e.machine time and/or extra materials needed.We do not remove stumps from the joh site. If you can,have the stumps ground I'below ground level. SEPTIC SYSTEMS/LEACH FIELDS&DRYWELL In the event your present septic system or arterial Ieach field Imes are'going to interfere with pool construction,arrangements should he made now,through a septic contractor,to address this concern.Teddy Bear Pools is not equipped to remove such systcros,he we arc available to assist you in the handling of this matter. It your tank is nonfunctional,please make sure it is pumped I week in advance ACCESS-The first step,of course,is C?cavarion Please rooks sure that entry to the"and i,s clear fors lenses,wood piles,awingset,hushes,etc.This will he greatly appreciated-"Teddy Bear Pools eannrx he ie,ponsihle for the removal for in_,,of!he aN)ne, I)elacs could occur it this has not been taken care of in lassoes. If access is across a neighbor's property it will he your responsibility u)obtain their permission and it will he understood that_you,riot Teddy Bear Pools,will assume the responsibility for the finished grade of your neighbors yard. TWO WEEKS FROM CONSTRUCTION: BUILDING PERMITS-Plcasc obtain voar huilding permit twtr weeks in advancc of excavation-where local codes apply.Usually these firms will be mailed h_v your town to you upon request.Our Horne Improvement Contractor License#'s are:MA#11189 and CT#520951. ELECTRICITY-"AVOID DELAY-HAVE POWER SUPPLY READY."Power must be supplied to the excavation area.A 20 amp outlet will suffice in most cases. WATER-Please make sure that your msiallation crew has availahility to water and hose.For insurance purposes,we are unahle to allow any of our employees to enter"our home - AT TIME OF CONSTRUCTION: DRIVEWAY/SIDEWALKS- If the point of entry for truck,or equipment is over your concrete or blacktop driveway,we regret to say,it is at the owners risk since we have no wav of knowing how firm each individual drivewav will he.We will take every precaution,or listen to any suggestion you might have,to minimize any problem that may arise.Once again,we cannot accept any liahility for damages of any kind. SITE WORK-"THINGS YOU SHOULD KNOW" SHALE;/ROCK-Expense could vary signiticantly dependin_on the circuntstanccs;therefore,this cost will be discussed on an individual hasis. WATER TABLES/GROI ND WATER/CLAY/REDPAN-Teddy Bear Pool charges the customer for direct costs only. l;sually one or two loads of crushed stone will suffice for an average water problem.The cost per load is$200.00-$300.00 delivered.(Extra excavation fix this work and stone will he billed with labor.) NON-APPARENT UNDERGROUND OBSTACLES-If underground dchris(I c.stumps,large rocks,etc.)are encountered.it may he necessary to use material such as gravel,concrete and/or Sono tubes to icctifv am voids created by the removal o1 such ohstacles_Aov charges tor this rype of extra material will he collected with"our excavation payment. EXTRA FILL-It mas he necessary lox us to htud dirt away from your yard to create enough work space If this is the case,it will he your responsibility to have additional fill brought in for grading,if necessary.It you have Clay soil,it will he necessary for you to have the rough grade top dressed,as clay cannot he spread as eflectively as other types of ground rnatenal.Teddy Bear Pools will leave you with a sough machine grade around the pool area.Fine grading will he your responsibility. DRAINAGE;-Occasionally a site may require a drainage,}stem due to irregular landscape and soil conditions. Drainage is used to prevent smTace run oil and upper seepage toward the pool.Water is directed away from the pool to a lower point on the site.Gutter downspout should also he directed away from(tie pool. RETAINING WALL-If a retaining wall is necessary,please arrange for construction and back till if the wall I,to be constructed after the pool installation. Please see that it is constructed promptly to avoid soil erosion. LANDSCAPING-Teddy Bear Pools does not provide this service.When landscaping,be sure to maintain a pitch away from the pool and concrete.Crushed stone is an aesthetically effective wav to provide proper drainage. WATER TO FILL.11001.-Normally your pool is filled through Your garden hose. I f water needs to be it in,please inlorm us and we can make the necessary arrangements. REFUSE-Debris, mainly from the packaging of equipment,will be packed up neatly and left for your curbside trash collection. AF'T'ER INSTALLATION OF POOL STRUCTURE: CONCRETE DECKING-Teddy Bear Pools utilizes the highest quahty materials along with the most qualified cratismen to ensure that cracking of concrete is kept to a minimum.Unforlunatcly,given the Northeast climate,cracking of concrete is a fact which cannot he avoided,Your concrete deck WILL.crack. In some instances,acid rain,leaves,dirt and other debris that may come in contact with_your Bieck could discolor concrete decking.Please keep your deck as clean as possible from foreign debris first m , Within the rst month of deck completion the ground will settle around it. It will be vnur responsibility to rcgrale to mid-deck height. FLOA'T'ING LINERS-Excessive rainfall m t,cause flooding;wound vnur pool much like it does to a hascment. ['Ile result of this may he it floating liner,which at times may leave wrinkles in the liner.We can attempt to remavc these wrinkles hr re,cning it.The cost of this service will he covered by most homeowner's insurance policies. SEASONAL SERVICE;-Pool opening and e Iosinr_*services are provided throuc*.h iwr.Ser"ice Department.We provide several services to cater to each customer's individual needs.Please do not endanger your warranty by not having your pool properh,opened and closed.Our Service Department is,staffed by professional Service Technicians who are equipped with factory authorized part;and training.The Tcddy Bear P,-ol Service Team will open and close your pool professionally. CHEMICAL TREATMENT-Teddv Bear Pooh urges our customers to use only file Tedldv Bear Pool;recommended chemicals in you swimming pool.These chemicals have been specially formulated to ensure the life long quality of our products without the risk of flading or wrinkling caused by inferior grade chemicals or chemical imbalance.Such disorders are not covered under your warranty.A detailed outline and hooklet on water chemistry will he provided to you upon completion of your new swimming pool.Please read this booklet carefully.Do not endanger your warr,mty by using inferior chemicals, IN CLOSING....... Teddy Bear Pools is honored by our confidence,ce,and will dry °very.thing within our powcr 10 keep that trust.A swimming pool i,,a long term investment. Finally,you will be given complete instructions as to the operation of vofir new Teddy Bear Pool when_your pool has been inspected and passed your electrical requirements.Thi,must he done by a licensed electrician. Thank you once again from all of us at Teddy Bear Pools & Spas THIS MUST BE;SIGNED AND RETURNED BEFORE.EXCAVATION CAN BEGIN ON YOUR POOL. DUE,TO INSURANCE REGULATIONS. THANK YOU. Owner Date Pleased#n one cop n of this page for leddv Bear Pools and keep the other Jirr your records. 1 TEDDY BEAR P60LS, INC. O�� MA Home Improvement Cont. # 111889 41 East Street �e CT Home Improvement Cont. # 520951 Chicopee, MA 01020 �� p G Fed. I.D. No. 04-2583701 j (413) 594-2666 MA/CT: (800) 554-BEAR 0 Fax (413) 598-8823 O www.teddybearpools.com AID TEDDY BEAR POOLS 9 SPAS { 4 EXTRA WORD COST ESTIMATE TO: Il( "°�� �'�LV PHONE: H to/._z DATE t a ✓t��� W f tf- {�v at I JOB NAME/LOCATION: n JOB DESCRIPTION: �Ti�`I / k I _ � I - - r _ t= + -. - k < _ E I f'1, ..... _._ 11.1.. ••-..._.�.. - I/ k I , < . - I _ } —, a 4\j rj i t I � , N t Included: Loam .................... ....... ......... .'. Fencing {' Dry: /ye ❑ No 3/4"Stone...... ... ......... :: '�. .. . Chemicals °' Water Tanker: Yes ❑ N Clean Fill e ms, ;....... . Bid. Permit Trucking: CI Yes A NO Pump.............� :................... <.......... r . Labor... ... ��.................................' Water Stumps: F1 Yes �No i ' I k "V1 ....................................... Job Description: �� � Excavator .................................................. Lax Stump Removal......... ..... ............ � 1 Other j See wording contract for signing back. ESTIMATEq JOB COST THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED a ABOVE.IT IS BASED ON OUR EVALUATION AND DOES NOT ESTIMATE INCLUDE MATERIAL PRICE INCREASES OR ADDITIONAL LABOR BY AND MATERIALS WHICH MAYBE REQUIRED SHOULp UNFORSEEN CUSTOMER PROBLEMS OR ADVERSE WEATHER CONDITIONS ARISE SIGNATURE AFTER THE WORK HAS STARTED. f WHITE COPY:OFFICE YELLOW COPY:OFFICE I` Mar 03 03 02:4,Gp p.-4 •. (rite of NorthimipUm► t 1 �ladaacMaarttt 212 Main Street ' Municl &l Building Northamptoo, Meta. 01000 WORKER'S COMPENSATION INSURANCE AFFIDAVTT with a principal place of busineWresidence at: / S - t 1 C �.. y 1 o_?o (phone#) 5-1Y-2-6k,9T 2- {dtteeticity/swetzip? do hereby certify, under the pains and penalties of Perjury, OW! ( am as employee-providmithe follow.ug workces-cosnpectsatioo-covuagt fo( gay employees working on this job- t A4 i4's e WMZYX2`I`l1 3 (Ins a=0i(:aaPwy) -Policy N=1bcT1 1)=) ( ) 1-13M al xfe-Vt raph 4 �or tcmecwEr cut4e of+ -md+tve hired the contractors listed below who have the foliowicg worker's compensation policies- (Name of contractor) (Insurance Compazy/Policy Number) (EVimdoo Datc) (N=e of Cocrma loo furaace CompauylPoi►ty Number) (Expisauoa Date} (Name of Connector; ra=Gou:pa:Ty/Policy Number) (fixpuaDOD Date) (Name of Cottt=or� (Iauraace CompanylPelicy Number) (EXPirtaea Date) (&Us&aditgo ai ah"if neanowy to MCKA.Oforw.u..pwua"r JI.c..o.N.n) ( ) I am a sole propt'lewati Awn im 4me wmiaagtot me. ( ) I am a home owner performing all the work myself. NOTF-pleat be ev"n tlst aaotduaioe rr:tuff vwk m S d"ta tK of Oat ate time WAS wilt in"loch tt o bft s -""SWO or m do trig WpWWON 1trW an so amaslly wanda°d to be tav1cym uedar dw wwkvr 4.W."U a Aat jGLiS2,v1(S)4,,appt1�4a0)y abamaneaatari films apeYmtmay et tderac the Iesat maar arao ee9pl undW tb.wmkW6 C WV*..iva Mti i Wwouaed rant a Dopy o(W MWb4(0*" J..tis gorac ocv"p reritiediaa aed alit UJIU a W SaWN mreeap.—Ar r swim 15 A.(MOL 132,eaa Wl.W-t!S isapeatea Stotwd praa{dn of a fiM a(W to STOO 00 aodlar uWrbawac y of up to aw pea ltd*rvd pwafte a d+fm eta SUP Wort orda aid e fim of 3100.00 a day apAnd a {for&WWO BUW ur mq PenW1 Nuntier 0 . S&P.MUM of Lrot9xe/BerIDWQ I e r t C0 30Vd S-100d dV38 AGG31 CZ8886SETVI 6G:60 E00Z/b0/60 name 03 03 Z2- 4-3p p. 3 SEEN Now House 0 Addition —0 R ntYliln,dows altecaflOdw 0 �OOl+ng a Or 90"s f] Accessory Bldg. 0 t14010 tion0 New sigma { I -01"A{ I Sid"J j 6tRerJ&e Brief Description of Prbpesed Mork: Alterathon of existing bedroom Yes —"'*No Adding new bedroom Yes ✓No Attached Narrative 0 ytrnovatmg urcfmtstmd basement Yes ✓No Plans Attached Roll-Sheet O 1 a- Use of building:One Family Two(amity_- tither. b Nt:mber of ro s ihtachUnl4AIAll -of Baehr C is there a gars ttachad? 7 d Proposed Squ e f age of new constru ion. Oimensions e. Number of sto es? — Method of heat ng? F es-or-ftodst t er o1 ac g. EnofgyConsonationCompli ce. ascheck Energy ompllance form attaehad? t,. Type of constr ction I. Is construct►o within 100 ft.of w tlands? Y No, Is c nstruction within 100 yr. floodplain Yes__No I. Depth of base ent or ceftffaar w fiT ished rade k. Will budding c nfdrrn fo the-B.Wl Ing dens? Yes No. Septic Tank City Sewer Private well City water Supply �' dN t:D�WpHEN Z. �C t ll ..y. ]� _, as Owner of cne subject property y r �._1. t0 cart on rereb authorize k�. rcy r.alf, in all matters relative o work uthorized by this bui ding permit application $ nature o net Date / ✓i© A Ir v eC(\ � t as DwnerJAuthoriled Agent l hereby de,.. v r.the at,.....«ents and into-matiorr the foregoing application are true and accutatt, to;he best of my Rncwledge and belief. Signed under the pains an penaltielp of Fer;,,fy Dale ti0 3 Vd 5100d 8V38 ACC31 EZ888696TVI 6D:60 E00Zr170/60 Mar 03 03 02: 43p P'2 City of Northampton Su"-Depairtment 212 Main Street Northampton, MA 01060 ph'6ne-413--587-3 40 f$x 1-3 587-1272 APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR OEMOUSH A ONE OR TWO FAMILY DWELLING SECTION l -SITE INFORMA411104 1.1 Properly Address- to�•�,5..�. n��n_ #'�#� �; ,. ei i.. �i61it FAECT1ON 2- PROPERTY.OWHER1k#1P�AUyH . E,D,AGENT 2.1 Owner of RecerO: Name(Print) Current Mail ig AddreSS' V w x &W-M Telephone $i8natur _ 1 .2 Aut i d Aeent; Nam Pnnt). Current Mating Adeeess $;gnature tN hone SECTIOjj 3 •E5110 CO STR LION COS75 1te r. i sUmated Cost(Dollars)to be Official use Only i c3m leted qy permit applicant 1 ouiidi�g C vl �p/ s o &L) (a)Ruildsne Permit fee p ?lec:triLel (b)IstimatedTotal Cost of Construction.from 6 3 I'lurnbing Budding Permitfie a Mechanical(HVAC) 5 Fi-e Prolection 6 Total =(i +2 + 3 +4+ 5) SAl.:i .73C3 Check Number _ hie Section For Official Use-Only t3ujlding Permit Number: Date Issued:- Signature: - -�:,; --- —�--- Building Carh�il' ca 39H ! 5100d 8V39 AGG31 EZ88865Eibi 6b 60 E00i /b0/E0 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ r Name of License Holder :� 6� -QAiI PQUC V1 __ ' - �'1 17 –� d�r W-tA — License Number eC; C C!>jg4� IAA 010 -0 _ Address Expiration Date /d I3 - 59.4 - Zbttla Signature Telephone „ ""'J �. Not Applicable ❑BReIst red Hiem e 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...... ❑ cyl �--L2 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, von 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- RE"IPTION:OF PROPOSED WORK(check all apalicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [y}� Brief Description of Proposed Work: >in4)nD wnd lb 3!3 Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes ✓No Attached Narrative❑ Renovating unfinished basement Yes ✓No Plans Attached Roll ❑ - Sheet❑ 6a If New house and 'r `°tltlition.to existin' No'uMn" ,xom leteFth RdWin" : a. Use of building : One Family _ Two Family _Other_ b. Number of rooms in each family unit: Number of Bathroo s c. Is there a gara ttached? d. Proposed Squ re fo age of new construction. /Dimensions e. Number of sto 'es? j I f. Method of heat ng? Firepl es /stcotv, er of ach g. Energy Conser ation Compli ce. aschecnce form attached?h. Type of constr ction i. Is constructio within 100 ft. of w tlands? Y No. Ithin 100 yr. floodplain Yes No j. Depth of base ent or cellar floor be w fir ished rade k. Will building c nform to the Building a o ng regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7A OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGEN7";00 CONTRACTOR APPLIES FOR BUILDING'PERMIT ►�26 1 as Owner of the subject property hereby authorize) = rL , f � (3�$ "f , I.�C- to act on my half, in all matters relative to work authorized by this building permit application. l IJA S Z Date l as Owner/Authorized Agent hereby deu u c the bLU— cents and information the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of per;ury. Print ' ne r Signatt .r/P��,f Date r ,_ 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 Building Department Lot Size 2— . ,q a(Azo 2 , 14 At tI4 Frontage �J �Y - 1 T S `f¢ Setbacks Front C')Q Side L: R: L: R: /C9 Rear See— ��XC Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved u parkin CJ #of Parking Spaces Fill: volume&Location A. 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 # B. 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: 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 No IF YES, describe size, type and location: s City of Northampton v qF Building Department _ 212 Main Street . Room 100 vva Northampton, MA 01060etsca phone 413-587-1240 Fax 413-587-1272 Plo fSae OtherSpo[ r 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 p comleted Icy office rk 5-7 Cwt e.S H eaC{Cat,v PIA . ?p i.ot t1nit Mo r -t4N A h, r'�C�r1 Zone Overlay bistr�ct Elm St.District CB District' SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: CC-)le`; a dr-, i,% Na e(Print) Current Mailing Address: peon Telephone Signatur — __ 2.2 Aut orized Agent: 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 �' ,trEti 3� S- U !iC> (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 6. Total = (1 + 2 + 3 + 4 + 5) 3(� S�v . VC) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2003-0728 APPLICANT/CONTACT PERSON TEDDY BEAR POOLS&SPA ADDRESS/PHONE 41 EAST ST (800)554-2327 PROPERTY LOCATION 575 COLES MEADOW RD MAP 03 PARCEL 024 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_yneof Construction: CONSTRUCT INGROUND POOL New Construction Non Structural interior renovations Addition to Existing _ Accessory Structure Building Plans Included: Owner/Statement or License 069222 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: L-olApproved 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 StreoVCommission 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. BP-2003-0728 GIS#: COMMONWEALTH OF MASSACHUSETTS � CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-0728 Project# JS-2003-1183 Est.Cost: $30510.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TEDDY BEAR POOLS & SPA 069222 Lot Size(sq. ft.): Owner: SCHWAB JONATHAN&CHERYL Zoning:RR Applicant: TEDDY BEAR POOLS & SPA AT. 575 COLES MEADOW RD Applicant Address: Phone: Insurance: 41 EAST ST (800) 554-2327 Workers Compensation CHICOPEEMA ISSUED ON:3110103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT INGROUND POOL 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: Feel e: Receipt No: Date Paid: Check No: Amount: Building 3/10/03 0:00:00 943 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo