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41-005 (5) L �; � k ao _ ` �\G ��. � i 1 a ro_ic-i a - -- COS ICY - ---- -- -- -- - - --- - - v� �taK_t C',ry,5 _ - I i V V REMOVE THIS11STUB BEFORE CASHING 1 M 86558-M2 832(5/02)700/14000 THE FRONT OF THE DOCUMENT HAS A MICRO PRINT AMOUNT BOX AND THERMOCHROMIC.ABSENCE OF THESE FEA ES W�LIr ICAT$y } k?' Z.t.�i l F 1193 4 F r ' E' Cumber ' nd fi�Ilf� ll � ti -� �? _ rk �_ c ® I (f �� m ISSUING AGENT Faints Y PAY TO THE �^ T. so al '': •: ri " ! '' ORDER OF: Cc� M{V�6^ w 4I Ul AS' F m 1.J I•••t E _ H I j t ii F C:1 + 4* +; 107 D I_I L L A R5 I_I I_I I, E t I T o v—I PURCHASER SIGNER FOR DRAWER PURCHASER,BY SIGNING ,, AGREE TO THE TERMS ON THE REVERSE SIDE ��I t'{• �' N 6S r � � AT � i � 4>'I ,�'020145001- Cr, MONEY ORDER:ADDRESS/GIFT CERTIFICATE:RECIPIENT o I_I :;y a' I %1':1�� '�4 Payable thru ISSUER/DRAWER: r m I.q °' ta• C-, I> WF National Bank o'' S'•? 1-- '-F o �l TRAVELERS EXPRESS COMPANY, INC. m South Central z Farlbault,MN x.09 L900533 477 5 L 29 X94 II 0 90 KEEP THIS STUB �, � FOR YOUR RECORDS WIRDOW ROD DOORS;ERGLE WIIIDOWS 12;3 STROLEY STEEL DOORS 1 FRERCH DOOR ROOF;WILID ROD RRIO BRRRIORAOLD FELT PAPER 30YR RSFRLT SHIOGLES FIRISH'WORR;WIRDOWS ROD DOOR TRIMMED BRSE BOARD ROD CUSTOM WIRDOW SERT%ISLRnD IR KITCHER MRTIERRLS SUPPLED BY OWIIER FLOORS; OR00M'EDRTYWRY ACID KIITCHELI TO HRUE TILE FLOOR SUPPLED BY OWDER Lfl 70mf;WRLNS TO BE REPAID GROSS TO BE PLROTRD COST; $74000.00 HOT TO IRCLUDED RITCHER ISLflM) ROD flPPLIROCES PHYMEHTS; S3000.00 DEPOSIT $10000.00 FOR MRTIERRLS ROD LABOR 510000.00 FOR ESCRURTIOR ROD FOUODRTIOO $10000.00 WHEn ROUGH FRRMIRG UDDER WflY S12000.00 FOR WIODOWS ROD DOOKARY HEED DEPOSIT S10000.00 WHER ROOF IS SHIRGLED ROD HOUSE IS PREWIRED 59000.00 WHER IRSULflTED ROD SHEETROCKED $10000.00 00 COMPLETIOR DOTE oz � CORTRRCTOR COOTRRCTOR HOMEOWDER contract REII MinOR 413-595-9115 DRUE MORRIS 413-695-7132 WORK TO BE PERFORMED FOR EUE RM)RflDE RT 1472 WEST HRMPTOR RD FLORERCE MR 01062 WORK TO COIISIST OF;40 BY 10 flDDITIOfl 15X10 SURR00M 10X10 EIITRYWRY 15X10 RITCHEII 214X13 DORMER ROOMS FOUnDRT1011-24'X6' FOOTInG 5 FOOT X 10 IBCH PORED COnCRET WRLL ROUGH FRRMfl1G;2X4 WHLL STUDS,2X8 FLOOR JOIST,2X8 ROOF RflFTERSAX8 HERDER.4X6 POST 2X6 CEILIDG JOIST,314X4X8 SUB FLOORIDG,1IN=SHERTHIDG ELECTRICRL,DORMER ROOMS TO BE WIRED FOR PLUGS BY CODE WHITH OUERHERD LIGHT WITH SWITCH.EBTRY WRY TO HflUE PLUGS,OOERHERD LIGHT WITH 2 WRY SWITCH finD OUTSIDE LIGHT. SUnROOM finD KITCHER flDDITIOD TO HRUE PLUGS RDO OUERHERD LIGHTInG RS OWIIER MUST WITH In RERSOD. IIISULflTlOn,-WflLLS CEILIIID No FLOOR IMLRTED TO CODE URPER BflRRIOR RS HPLIES FIt11SH WRLIS;SHEETROCRER TOPED SflgDED THREE CORTES OP PRInT OR LURn RPLIED CEILInG SHEETROCRED TOPED finD THREE CROTES PRIDT. D escriPkor Area 28 A: FAQ 1 Fr;B 1120 sgfk 3 B: OFP V 56 sgfk C: E FP 8 64 sgfk EFP 0 FA/ 1 Fr/B 40 r i 28 7 O FP 7 &56 T� �J �O ..S 1117 apt/ Nt Z i Mir- r � 1 M �„l , NOd � J ___ /y __ _ _- _-_ _. . � ��_-� �J��.��- cam., Ste, . � /�I Z� � � �� <,� �x y I � ©�, c��%- c �-�ecs/�---- _— 2 ° I t e r I .......... -7/ivin x 9i /rvc�r trl/N�ra 9 � i J�C s 550 0 41 -001 <F ' 41 -043 I 83, 41 -039 148 508.85 41 -006 Pppitrol2 1 55! ; r 1308.97 l\ \ J y 131.21 178.28 230 ` 91.98 130 $2 574 �41 -008 }} 7 r 100 75 150 1 'O��O / i 41'-013 210 -wQ'� i 310 j' / �- r 695 505.09 r 41 -048 Al _nna ENERGY CONSERVATID14 APPLICATI444 FORM FOR LDW-RISE P.ESIDENTiAL NEW CONSTRUCTION AND ADDITIONS 780 AMP App--r4dix :)-(e-,fE-Ctive 3/1/98) Site Address: ,t,ppl+cant >,ddress: City/Town. _-- _ Use Group: > !�G/ 7�T..>�^,.✓ �r7;1'G ate o' Anal lr�nt Dfv_+!r: ':j.yi:�utiv i n ' CO{tt�3lYCC Pxb- (Chf--Ck RCeE)z Prescriptive Para gp (_'_imit2o O 1- or 2• family wood fr::-1c will, fossil fuels only) Faci•,ap.e (A throw KY,from Table J5.2. lb): Heating Degree Days (IiDD�j from Table J5.2 la: CFor iioms o. throw i., fill in all values thzi apply from T2b4e J5.2) a. Gross 'Wail are° sq. ti T. W2)i P_Yafuc g- 't Gltzine Maas � -'�•C. Gi.Ezina g,(I C)o x b a) h. Easement wall C. L.C+ltna R- alue t�l' t- Hsz—,Ing AFL;- Lj r,....- ^-� tJ w11�{xr1+c7+t ra',7t5rM2JiL'e: 'tJ3TtUal Tr2de-&,i` (Lirr'irted to •«6pd or metal ',r-3rn?d buildings only) aims Zoe(f7-inn Figrz r u6.2.2) Zone 12 ❑ 2-or:e ;5 r1 Zono _4 Attach f;orn Appe rid i i (and HI AC Ira? -077 eef, if appli:z blcj �vtASCAE-rk S-aft,arr Attach Cnmpttance Repoxt ar+d lnspee;ion CAecj.tjs1 printouis. i.1 Sy�icr,5 Aral)--is C;�: Q RenewaDie :Energ-y Spurc°s Attach Mass Fte i,te rep± t rthst Or Engin,,*Ana!,. ALTERNATIVE FOP A'DD1TM?>—'; 0M - a. Gross Wall ! CCilmg F.fe?/�acGS;. `t. b. Glazing Area' /'`'`G-d SgJ1 C. Glazing fc (..100 x b,-a) 3,-3 ADDMON with ula2ing (c.)up io may use 780 CMR Table JI :.2.3.1 blow: 1 FcCfXlWii:`i Minimum. R-vaJuc: ra ration iluq If I Floor FiasGn-r--it Wall ; Slab Perimeter. Dep< 6:35 I R-37 R•I3 R-19 ; R-10 1 R.lo G ti. ❑ SU'�'?JON adCition (greatrr than 40%gtazing-o wa'l1 an,o cr-iinr gross arm) e Attach 'Consumer JnfDrniation Form- frorn 7i-CM-P App-nd-ix B. offtcial`5 fame: CffT)6al's Signature: El¢p1iCE11i7n Apps [� Denied ( 1 Date of Ap,-;r� a;;Dam al: n�vos.ln(5) ,vi vcnizl: (Z7ivvide addiiiorial details as ne-ede-d on baci,:s+ae) .max • "w nb#�-CenmE or"tJair A tiatrioa; THE COMMONWEALTH OF MASSACHUSETTS Board of Building Regulations and Standards Home Improvement Contractor Registration Program Registration No: 1 Ashburton Place,Room 1301 Boston,MA 02108 Effective Date: Application for Registration as a Home Improvement Expiration Date: Contractor or Subcontractor-MGL Chapter 142A,780 CMR R6 (PLEASE READ BOTH PAGES CAREFULLY) Date Processed: 1. BUSINESS NAME: Kc o\ 1 l•,i%5'k L c L1 (� Print the name in which the applicant is conducting business (SEE INSTRUCTIONS) 2. Mailing Address: R 0 � ( —) S Area Code Telephone Number 3. City: a t ) State: �� Zip: ( o 4. Street Address(if different): 1 tl . h/A ( 11 () 1 W Q J (Print street name and ritimber,a P.O.Box is not acceptable for address)City State Zip 5. Applicant type: Individu ? DBA ? Partnership ? Trust ? Private Corporation ? Public Corporation ? Limited Liability Partnership ? Limited Liability Corporation Please Check One (See instructions regarding enclosing a city or town registration under DBA or"fictitious name"law-NGL c 110,§5 8 6) 6. Social Security or Federal ID Number: �`� " '� Z ' (see back) 7. Number of Employees . (See instructions) 8. Have you registered previously under this law? If so,under what? Name: k Registration No: y 9. Individual responsible for Home Improvement Contracts: s") J^ I(C A At' d 0 o (See instructions) Last First MI Social Security No. 10. Title of individual responsible for Home Improvement Contracts: �')aV N 9 1, 11. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? ? Yes ? No Type of License or registration Issued By License or Expiration Date F7�ame of License Holder registration number 12. List all partners,trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary. (See instructions below) Check here if you wish to receive an application for additional ID cards for key persons. ? Last First Middle Initial Title in Applicant Business %Owner Address 13. Is the applicant claiming exemption from the registration fee?(See instructions) ?Yes N 14. Registration fee enclosed:$ f (see note#l,of instructions) Guiaranty Fund fee enclosed:S (see note 92.of instructions) If necessary,include two separate certified checks or monev orders-one marked"Registration Fee";one marked`Guaranty Fund". See instructions for the fee amounts.Make all certified checks or money orders payable to"Commonwealth of Massachusetts". PERSONAL OR BUSINESS CHECKS WILL BE ACCEPTED BUT WILL REQUIRE AN ADDITIONAL TEN(10)DAYS TO PROCESS. Pursuant to Massachusetts General Laws Chapter 62C§49A,I certify under the penalties of perjury that I, to my best knowledge and belief have filed all state tax returns and paid all state taxes required under law. Signature of applicant or applicant's representative Title held with applicant Date }� �? Cx#y of Xort ainpton L = * t �AEEAC�I[EtttS - DEPARTMENT OF BUILDDIG INSPECTIONS / INSPECTOR 212 Main Street • Municipal Building '>a Northampton, MA 01060 s r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to act as has/her construction sups: -'sor. 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 �1�+'�� 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 r/ Date JA,Yt�� Address of work location { i ��ltlJf pT 9 .• E - �a3anrhncrlla' - _- u © DEPARTMENT OF BUII1DrNC INSPECT'1o1.'S t 212 Alain Street Municipal Building '•o Northampton, A1acs. 01060 W0IUC:It'S CO\'fPENSATTON MSURANCE AF=— :.VIT (li�-xlperm)tics) vr]Lb a principal plat-- of business/residence at: i + (sv�.t/c�ty/stattla p) do hereby certify, under Che.patnt and penalties of pcgury, hzt ( ) I am an employer providing the followin_L ivorkcr's comp--isado, cove age por Im emplovecs worUng on this job: ,- z Qnsu>—mac Conp.�) (Pclic: Number) (r;pinion, D21~) O I am a sole proprietor, general contractor or homeow 0er (c cie one) and have hired the contractors listed below rrbo liave the following workers GoL--ptnCa6on policies: .. �riIImC Oi CO„^czor) (Innlrancr- Colnoan),111GUc (Y>:)l vuon D- t (Name of Contretor) (lnsuranc- COmoanv/PoUm Number) (x-Dir,-.6on Date) (Name of Connamd:) (Lasurane; Company/PoL-q- Numb i) (Expir.:tien Date) (Name of Conaaaar) (Lasluanc-- Comrany/Pobcy Numbcr) (Espim6on Datc)- (an3C��coc�l rbcd,if acct,«•to mdu�ialoraa�o0 pcta;�w.11 ooca-.-co:a) . KI am a sole proprietor and have no one work-jog for me. ( ) I am,a home owner performing all the ,vork- myself. NOTE:plea be aw uc tfi+•ki c bom=o-mcn-to cc=pIaY pcn-ow w di ecs=oo c repair Wont oa.d.•c11_Z of ant moec the 'zr_t=xi','in u+sicb cbe bocaoowver rcida oc oa the Qou�zppurteo.-z1 tbecto e.-c we�-xclly oc-=rd�w be eixploye3 11 the.. c=cpc ca Act(GLl52sa 1(5)�=WUc=Doo by a bo=oo••oa fc a lie=__or pcm4 rz:y n-rdr_noc the j lcpl r+».,of a.a e=rloyar under drn Workoe,Compcmatioa.Act f undc:utad rha a Dopy of thin mt.®cat m.ay be f—,nard.nd to cba popartm�t of 1 i M.cd ,e offioa of 4vu+«'4 for tho 00v='Js "c•irc=lioc mnd tbnt L-.ilum to to=ut):o%crn�.—&=sln Z oa 25A of N(OL 152=1¢d to the i=P0s600 of==im�1 pcc+Wc= coc=L'V ag OIL fiat of up to s 1.500.00&nNc r of up to ooc yr,end aNzl pcmY,ia w tx form of a Stop Work Ord-and a ri=0(5100.00 a d_y Lpinit tnc For d",,— u,c only --------- � Pcrmlt Numtci Nip." -- Lot sign-iturc of LiccnscrfPcrmiucc f: P , SECTION S-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone ""�." ...�.a M�'r hg ";.-iN °r" "" ,"' 9 ecrister"e`"d}ome pro emenf"l oii't'racto ..a.r Y ;,s ,.: ._ Not Applicable D 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...... ❑ 41 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 Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House F-1 Addition © Replacement Windows Alteration(s) Roofing F Or Doors 0 Accessory Bldg. ❑ Demolition New Signs [ED) Decks [0 Siding[o] Other[0] Brief Description of Proposed Work: .� d �.Lc1 ice. . Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes Plans Attached Roll -Sheet eroctse and ar a�ditlort�to:existing.�10[JSlt1q; cnmpe�ie fawmq: a. Use of building:One Family Two Family_�_Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? n U , d. Proposed Square footage of new construction. Dimensions `f r(� j b �J� .> j '� e. Number of stories) �- d f Method of heating? `fir s,1 I s " Fireplaces or Woodstoves 1 , ( Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction IN Oo / i. Is construction within 100 ft.of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes—L/—No Depth of basement or cellar floor below finished grade V 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:-TOBE COMPLETED WHEN OWNERS.AGENT OR CONTRACTOR�APPLIES.FOR BUILDING PERMIT � / �.w ... t -C of "�C... l /, , 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 as QwKer/Authorized Agent her by 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. Print Name l; Signature of Owner/Agent Date w , 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 - r` Side L: R: L:i O R: A Rear � � - Ole- Building Height l ,� Bldg.Square Footage / % F - I ;---I Open Space Footage % (Lot area minus bldg&paved parking) i � #of Parking Spaces -- Fill: volume&Location ' A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued:! l IF YES: Was the permit recorded at the Registry of Deeds? NO 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 0 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 0 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: 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 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • y City of Northampton r Building Department 212 Main Street Room 100 Northampton, MA 01060 a phone 413587-1240 Fax 413-587-1272 , ho APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1'-SITE INFORMATION 1.1 Property Address: T-ftts sectiion to be completed bpuiftce . Maps dot Unit Overlay Dist, ^w El<n'S€r D,stnct F ;� C�ustrict'" SECTION 2 PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: f� Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION-3--ESTIMATED CONSTRUCTION COSTS: Item Estimated Cost(Dollars)to be Official Use Only com leted by ermit applicant 1. Building U UO O (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing 113pilding,Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For'Offiicial Use Only Date Building Permit Number. Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2006-1347 APPLICANT/CONTACT PERSON ANDRADE EVE L ADDRESS/PHONE 1472 WESTHAMPTON RD FLORENCE (413)586-9120 Q PROPERTY LOCATION 1472 WESTHAMPTON RD MAP 41 PARCEL 005 001 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_ypeof Construction: CONSTRUCT 40 X 10 SUNROOM/ENTRY&(2) 14 X 13 DORMERS 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 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. BP-2006-1347 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Buildinq Category BUILDING PERMIT Permit# BP-2006-1347 Project# JS-2006-1995 Est. Cost: $74000.00 Fee: $309.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 261360.00 Owner: ANDRADE EVE L Zoning:RR Applicant: ANDRADE EVE L AT. 1472 WESTHAMPTON RD Applicant Address: Phone: Insurance: 1472 WESTHAMPTON RD (413) 586-9120 0 FLORENCEMA01062 ISSUED ON.612712006 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 40 X 10 SUNROOM/ENTRY & (2) 14 X 13 DORMERS 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 si nature: FeeType• Date Paid: Amount: Building 6/27/2006 0:00:00 $309.20215 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo