17C-219 (4) 21 NORTH MAPLE ST BP-2005-0444
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-219 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2005-0444
Project# IS-2005-0591
Est.Cost: $800.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use croup: Roger Clark 021310
Lot Size(sq. ft.): 11151.36 Owner: CLARK ROGER P
LgnirgL QR fnW- icant.- Roger C lark
AT. 21 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
P O Box 34 (413) 584-1170
LEEDSMA01053 ISSUED ON:10118104 0.00.00
TO PERFORM THE FOLLOWING WORK:SHINGLEI 12 OF ROOF OVER 1 LAYER
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: 0A- l/" ;?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATI S.
Certificate of Occupang Si nature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 10/18/04 0:00:00 4922 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo