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17C-084 (6) c t WIZ) L a 4 � i (sE rz , t4E - , i el d: -4 Q 5, N ZL 0 s 1 d i } �� �►o � rose-7-7� Ls AY) c i i z a � E t a 4 ..3i-.� ;Ip��lll f r 44 G JM II9i warp p+tP'�ai 7b�;''. > ar ;r r � a r� y u .: Quote Form R'K Pv1ILES INC -- WEST HATITHELID WEST STREET WEST HATE ELD MA 01088 413-247-8300 Project Information (ID #637275) I Project Name: Paula Ellison Quote Date: 09/1.8/2015 customer: Submitted Date- 'Contact Name: PO#: scott keitel Phone (Main): Phone (Cell): Sales Rera Nar►e: Chr;sta G" ren-at Customer Type: Terms- i Delivery Information Shipping Contact: Comments: Shipping Address. City: State: zip: Unit Detail Hide All Conflgurabon,006gns Item:0001;Ext 30" x 78"S206LE RHI 4 9116" Reeb On Guard Primed Location: Quantity., 1 Smooth Star 30N78" Single Door Confifigurati,,-iin 0ptions FXT sk—le i,,-, x -18" S206LE (Oea�'t. -1 9/164; –uard P,imed, Right Ha� hrom lswlllg "Ic I L ate (Yellow Zinc` EXTE&OR Radius x Square (Self Aligning) Hinges, M" Cwmposite Adjustable Sill, Bronze Corn pre ssion 'A/eatherstripping, Double 'Lo",:k Bore 2-3/8" Rack.set Bore, Sbrike Prep, Outside D= Ninish PF+ Extra White, inside Door [-`Inis P� - '�:);tra White,, Outside Frame Finisf,, PF,- 'Extra White, inside Frame Finish E x t,1 a W h _-..< <4 "Ba'Zic, ie, ELLISON October 1, 2015 ;Cott Keiter �� Op 0 �;, i:ter Builders, inc. s5 Main Street -Iorence, MAO 1062 'EIT R, K E )ffice 413.586.8600 -ax 413.280.0124 9B U LD E R c ;cottkeiter@gmaii.com v ww.KeiterBuilders.cem _icense : 102457 Customer Proje ELLISON Cato & Paula Ellison Name 413-550-0380 87 Chestnut Street 87 Chestnut Street pkellisonCcomcast.net Florence. MA 01062 Florence, MA 01062 )oors DeWiptlo Cost DOORS a,! RE ES quoin#637275 gated 09 16 15 from r a- Milos t t It e rlrr:c Unt Of$1.362 46+lax DOORS-INSTALLATION —2)Exterior Mors Bvitdii Permit � molition and debris removal Preparation of cough opOning to aCCept n=w:Wi°,s Para flashing nstaEkatit;n of new aeors to rr anvfa"Ture, vec;=t "'w expariision toast^irfsu attCrt ..i xtetYS un lafr-:US intwio€casirxj to match existing Exterior PV(-'"a€stock t.11owar>rP of 7;°for exlerio v k sa3i a diiat,>xq t3 lS z€t ..U spr=ig, Bawiriett doo-only ivt fa?t Px St nq 1oCkSe1 r)n t C 5idir5 000' -lnSlaii new P .^. ol%t€ - i3 1?,A rr ort , Insulate arCitnd new buck. Project Total 53,278.86 r''Je appreciate your b ess and lack forward to working with ycu- r ppraved By: Date, _ Bate: 011 or tractor z-I Customer l' 1C}2457 iii.er B dens, In,-- ,License 1 r ? -;h Opening:32 1/2"u 80 112" _.a?urk—,31519" „90" Item Total: Item Quantity Total Item:0005:Ext 30"x 80"S100 RHI 4 9/16" FrameSaver location; Quantity: I Smooth Star 30N80" Single Door Configuration Options E T Single Door 30" x 80 1/2" S100 , 4 9/16" _... .. . FrameSauer, Right Hand Inswing, Zinc Di- Chromate (Yellow Zinc) Radius x Square (Self Aligning) Hinges, Mill Basic Sill Fixed, Bronze Compression Weatherstripping, Double Lock Bare 2.3/8" Backset Bore, Strike Prep, Outside Door Finish PF+ Extra White, Inside Door Finish PFD- Extra White, Outside Frame Finish Unfinished, Inside game Finish Unfinished Rnsu-gh opening:321/2`°x 90 1/2" 'total Unit:31 51/8"x go" hero Total: a'r . Item Quantity Total: Unit Summary _ Mde Item Description Quantity unit Price Total Brice 001 Ext 30" x 78" S2 6LE RH! 4 9/16" Reeb On Guard Primed C,0 07j Ext 'D " x 0" SIOO R 14 9/16"" FranneSaver r r _BMI i TES, ' SUBTOTAL: � ;� �'4, A-CEP ED 9,�; i��,C t. fir' 1 ,.._ TAXES (.00 GRAND TOTAL: „> ELLISON STAIRS October 22, 2015 Scott Keiter PROPOSAL Keiter Builders, Inc. 35 Main Street Florence, MA 01062 KEITER Office 413.586.8600 Fax 413.280.0124 11BU I L D E R S N, scottkeiter@gmail.com www.KeiterBuilders.com License #: 102457 Project YCustorner-:---, _ -- ELLISON STAIRS Otto & Paula Ellison Home 413-559-0380 87 Chestnut Street 87 Chestnut Street pkellison @comcast.net Florence, MA 01062 Florence, MA 01062 DEMOLISH EXISTING STAIRS AND INSTALL NEW STAIR SYSTEM Description -_ - _ -- _— — Cost New Stairs All labor&materials to complete the following: Building Permit Drawings/structural Demolition of existing stair assembly Cut pavement as required Installation of(2)12"sono tubes Installation of crushed stone pad for stringers Installation of crushed stone beneath new platform/stairs. Includes weed fabric Construction of 5'wide x 3'6"deep platform and stringers using pressure treated framing material and 1 x 6 pressure treated decking Install a pressure treated,code compliant railing system on each side of new stairs Install new hand grip on(1)side of railing Project Total $4,992.19 We appreciate yo u iness and look forward to working with you. /o - Z z— i _pate: C' -) S Approved y: D -` Customer Contract Keiter Builders, Inc., License#: 102457 1 DATE(MM/DD/YYYY) '4OO" CERTIFICATE OF LIABILITY INSURANCE 7/10/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cynthia Henderson, CISR — - Webber & Grinnell PHONE (413)586-0111 FAAt No):(413)586-6491 -- 8 North King Street E-MAIL chenderson @webberand rinne11 com ADDRESS__.-- ___-- 9 ___-- __- __ INSURER(S)AFFORDING COVERAGE _-_ NAIC# Northampton MA 01060 INSURER AArbeIla Insurance Group 17000 INSURED INSURER B: Keiter Builders, Inc. INSURER C Attn: Scott Keiter INSURER 35 Main Street INSURER E Florence MA 01062 INSURER F COVERAGES CERTIFICATE NUMBER:Master Exp 2016 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY YYY MOLID/Y YY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE OCCUR PREM SESOEa occTur 300,000 8500064396 6/1/2015 6/1/2016 MED EXP(Any one person) j $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY E-1 PRO JECT El LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY t)_-__ $ -. 1,000,000 Ea acciden A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 1020039381 6/1/2015 6/1/2016 BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident Medical payments $ 5,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X I RETENTION 10,000 4600064399 6/1/2015 6/1/2016 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT _ $ 10 _000_ OFFICER/MEMBER EXCLUDED? N N/A -- A (Mandatory In NH) 9127440615 6/11/2015 6/11/2016 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Henderson, CISR/CIN 'fq ' � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I N 5095 nn i nm i The Commonwealth of Massachusetts Department of Industrial Accidents iW Office of Investigations VA ry l Congress Street,Suite 100 w` Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaalicant Information Please Print Legibly Keiter Builders, Inc Name (Business/Organization/Individual): Address:35 Main Street City/State/Zip: Florence, MA 01062 Phone 4:413.586.8600 Are you an employer? Check the appropriate box: Type of project(required): 1.9 1 am a employer with 15 4. 0 1 am a general contractor and 1 6. ® New construction employees (full and/or part-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0q ] officers have exercised their 11.[) Plumbing repairs or additions l am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no doors and stairs employees. [No workers' 13.11 Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arbella — Policy#or Self-ins. Lic. #:9127440615 Expiration Date:6.11 .16 Job Site Address: 87 Chestnut Street City/State/Zip: Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c under the pains and penalties of perjury that the information provided above is true and correct. 10.30.15 Si gnature: Date: Phone#: 4 3.586.8600 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # _ Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 87 chestnut street Florence MA The debris will be transported by: Ke;ter Bu;lders Inc The debris will be received by: yallev Recvcllnci Building permit number: Name of Permit Applicant Keiter Builders. In 10.30.15 Date Signature of Permit Applicant SECTION 8-CONSTRUCTION SERVICES 81 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Scott Kelter CS-102457 License Number 51A Hatfield St Northampton, MA 01060 6.20.16 Addre Expiration Date prlo [/ 413.586.8600 ig lure Telephone a Registered Home Improvement Contractor: Not Applicable ❑ Kelter Builders Inc 175168 Company Name Registration Number 35 Main Street Florence MA 01062 4 29 17 Address Expiration Date Telephone 413.586.8600 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....... O No...... ❑ 11. - Home Owner Exemption 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all apulicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑✓ Accessory Bldg. ❑ Demolition ❑ New Signs [--]] Decks ED Siding❑] Other[01 Brief Description of Proposed Replace (2) existing doors and install new stair system (&-f ,*cc C-xtS %N(l Work: S'4eAlE rt Alteration of existing bedroom Yes X No Adding new bedroom Yes X �o moo,—Prc�nT Attached Narrative Renovating unfinished basement Yes _No Plans Attached Roll -Sheet 6a. if New house and or addition to existin`a housing, complete the following: a. Use of building : One Family Two Family Other doors ai b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? 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 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 SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Paula Elloson - , as Owner of the subject property hereby authorize Keiter Builders Inc to act on my behalf, in all matters relative to work authorized by this building permit application. Please see attached signed contract 10.30.15 Signature of Owner Date I, Keiter Builders Inc 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 perjury. Scott Keiter Print Na L 10.30.15 n u er/Ag t Date 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 Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO O 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? YE;' O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. °rr JD1 Department use only City of Northampton Status of Permit: NOV _ Building Department Curb Cut/Driveway Permit J212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability orthampton, MA 01060 Two Sets of Structural Plans 3-587-1240 Fax 413-587-1272 Plot/Ste Plans Other Specify_ 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 completed by office Map Lot Unit 87 Chestnut Street, Florence, MA Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Otto & Paula Ellison 87 Chestnut Street Florence, MA 01062 Name(Print) Current Mailing Address: 413.559.0380 Telephone Si nature 2.2 Authorized Acient: �ccA- Nam (P int) Current Mailing Address: 7roiqAature Telephone ECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $8,271.05 (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+q +5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0618 APPLICANT/CONTACT PERSON KEITER BUILDERS ADDRESS/PHONE 35 MAIN ST FLORENCE01062(413)586-8600 O PROPERTY LOCATION 87 CHESTNUT ST MAP 17C PARCEL 084 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT o Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_REPLACE 2 DOORS&STAIRS(SAME FOOTPRINT) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 102457 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOILMATION 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 Permit DPW Storm Water Management o ' 'on lay Si a ui ding fficia 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. 87 CHESTNUT ST BP-2016-0618 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-084 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2016-0618 Project# JS-2016-001036 Est. Cost: $8271.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Size(sq. ft.): 10890.00 Owner: ELLISON PAULA K Zoning: URB(100)/ Applicant: KEITER BUILDERS AT. 87 CHESTNUT ST Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 O WC FLORENCEMA01062 ISSUED ON.11/4/2015 0:00:00 TO PERFORM THE FOLLOWING WORK.REPLACE 2 DOORS & STAIRS (SAME FOOTPRINT) 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 11/4/2015 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner