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17C-309 (2) OD c.� IS v �Ito Gum per" J 1 + i6 � 7St9fic _ 16 6 �" 26 2 � 1Fr $ 0 3 20 400 9 1Fr 32 FA/1F�!@ «� 32 2 z V I .... 72 O �� 20 ly� V k 77T �Y, Client#: 1553 DOUGL1 DATE .AC.ORD- CERTIFICATE OF LIABILITY INSURANCE 07/08/08OmvY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King&Cushman,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kin &Finn Streets HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 447 Northampton, MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Peerless Insurance Douglas P Ferrante/Skyline Design INSURER B: P O Box 60142 INSURER C: Florence,MA 01062 INSURER D: INSURER E: - COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YY DATE MM/DD/YY A GENERAL LIABILITY CCP8251649 04/07/08 04/07/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50000 CLAIMS MADE 51 OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $110001000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY E T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC8304684 07/30107 07/30/08 WC sTATU- oTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS **General Liability Information** Loc#: 1;Class Code:91581 Loc#: 1;Class Code:91581 Loc#: 1; Class Code:91581 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION John Schieffelin DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRITTEN 9 Hillcrest Drive NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Florence,MA 01062 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHQRIZED EE T ACORD 25(2001108)1 of 3 #7411J(J(�, LMB 0 ACORD CORPORATION 1988 JUI 1-1/ LULlL', i ik1 U VL IlVi kWk_JM1,I11 TTUV,U 1 111l'11I 6 13-08 I of 1 4-50Y Member Data Description: Member Type.- Beam Application:Root Lateral Beating, Continuous Both Slope, 0,00/12 Standard Load- Moisture Condition,Diy Building Code, IBC I INN Dead Load, 127 PLIF Deflection Criteria: 0240 live,L./180 total Snow Load: 510 PLF Deck Connection:Nailed Member Weight.- 14.5 P1,1' Filename: KYB2 17 0 0 V 17 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 01 0.0001, Wall 3.5001, 1.8151, 5390# 2 16, 6.7501, Wall 3.5001, 1.8161, 5399# Maximum Lead Case Reactions Uaodroi applying pointlosos(orflnefinodg)to carrying membam Dead Snow 1110# 42239 11764 4223# Design spans Product,1-314 x 16 x 2.0E CP-Lam LVL 2 ply Component Member Design has Passed Design Checks." Design assumes continuous lateral bracing for both chords. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 22357.'# 41884.# 53% 8.28, Total load D-46 Shear 4530A 12236A 37% 16-55, Total load 1)+8 Max.Reaction 53991 10412X 51 O/d 0. Total load 1)+-,, TL Deflection OA620" 1.1042" L1430 8.26' 1 utul luud D+b LL Deflection 0.3614" 01628111 0549 8,28' Total load 6 Control: Positive Moment DOLul Livo=100% Snow--116% Roaf=126% Wltid=133% Manufactures Installation guide MUST be consulted for mule-ply connection details and alternatives lye ,� AN pradvot names am trademarks ofthalr map"dive twits A.* copyright(G)1999-;UO5 by KQymark Enterprhigs,LLO.ALL RIC31-ITSFIESERVEL). cro4Isdellned as when the member,1100(julat,burn or girder,trhan,n on this drawing movie aVpkcufAodi&sjDrj Cni0fig forl.00do.Loading Qorlchfioo,90 spa 110 590 0,1 this 61100,-11'4666ign oivvi bg 1" slann]as mwilrod for aawoval.This dt4l(W 660VA165 OMUCI idOWHOVOO OMOAG(O 1119 — --- 22'-5 1/8" j 5-11 1/8" 7'-2" — — 9'-4" _ G I I 2031 I _ o I I , I I I i M N � I I i l 2068 0 0 LO N � �0- LO c LO 6046 Foll co co M � i 77 _ 5'-11 1/8" --- �I Imo— — 22'-5 1/8" — �- 5'-11 1/8" 8'-8" -- 71-1011 I o i { N r� l I i 1 i ��• I � - 5'-11 1/8" 16'-0" a . Sklfine Des�qn Commerciaf• 9?,esidentiaf Construction • Renovation 209 Locust Street Doug Ferrante Box 142, Fforence 413 586-8491 Mass. 01060-142 Fax 582-0275 i � �orrt��2onr� c��czcfzuae�i Board of Building Regulations and Standards Construction Supervisor License License: CS 2722 Birthdate: 10/7/1948 Expiration: 10/7/2009 Tr# 5872 Restriction: 00 DOUGLAS P FERRANTE 27 S MAIN ST HAYDENVILLE, MA 01039 Commissioner 9Xe Boar o Building egulat ons an Man ar s One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 100705 Type: DBA Expiration: 6/23/2010 Tr# 268334 SKYLINE DESIGN ----- ----- Douglas Ferrante 209 Locust St - Box 60142 Florence, MA 01062 Update Address and return card.Mark reason for change. Address ❑ Renewal F] Employment Lost Card DPS-CA1 is 50M-07/07-PC8490 HONE OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CIIR 108.3.4 to act as his/her construction supervisor. 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 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 occupancv 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 _ i he Common�vearth o�!Ylassach seers • -x Department of Industrial Accidents --- y` O,jice of lrvestZ�zaz ons 600 ff ashlra 'on Street Boston, 41A 02111 lti n'.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors,,EIectricians,TILmbers AnDlicant information Please Print Leaibly i_gMe (B usinessi0r2anizarior,'Individual: �f��ei �/]� 6X , �2 Address: �� r--(e� ' r�S� 010w, Cite/State/Zip: Phone : Are you an employer'Check the appropriate box: Type of project(required): . I am a general contractor and I 114 mp I am a employer with 4 ❑ � 6. New construction employees (full and/or part-tune).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑Demolition wort= for me in any capacity. employees and have workers' 9 ❑Building addition [1To workers' comp. insurance comp. insurance.: required-' 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.F7 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box=1 must also fill out the section below showing their workers'compensation policy information. 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'nave employees. If the sub-contractors have ernplovees,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: Policy �or Self-ins. Lic. r: Expiration Date: Job Site Address: City/State,'Zip: 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 NIGL c. 152 can lead to the imposition of criminal penalties of a tine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the fora.of a STOP WORK ORDER and a fine Of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investizatiors of the DLz for insurance coverage verification. I do hereby certiNunder the p r r enalti o perjury that the information provided above is true and correct S izn ature: - Date: Phone=: OfTicial use only. Do not write in this area, to be completed by city or town o�ciaL Citv or Town: PermitLicense Issuing Authority (circle one): J 1.Board of Health 2.Building Department 3. City/'Town Clerk 4.Electrical Inspector 5. P'u.:bing Inspector I 6.Other I Conmct Person: Phone T: I SCCTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suoerrsor: Not Applicable 0 Name of License Holder: % !�� '��S t...,� License Numbert' , adcress ,f�1[ /_ 11 iJ 2 1^ I of .f ,-1 C to "I c Expiration Date signature Telephone 3 r.Reszistered Flo a trrraroveritent Contractor- w Fr Not Applicable ❑ :omoanv Name � Regi/s�tration Number .ddrressq / t .�,�Z Q( Z y P Expiration Date Telephone ECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.432,§25C(&:) Porkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result the denial of the issuance of the building permit. aned 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 10835.1. 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 Derson who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Ofcial,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 Iiable for person(s) you hire to perform work for you under this permit_ The undersimed"homeowner"certines 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 aDoiicabie) New House F7 Addition F7 Replacement Windows Alteration(s) Roofing Or Doors I7 4 Accessory Bldg. !_1 Demolition 0 New Signs [O] Decks Siding[O] Other[o] Brief Description, of Proposed � �� °' � � v-t0 Alteration of existing bedroom Yes No Addinc new bedroom Yes —No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a If Nevi hods acrd or=.drift?h,"to eXfS 'housing._complete:fhe faitaw'tna: 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? NL d- Proposed Square footage of new construction. © Dimensions e Number of stories? 2-- f. Method of heating? �U-S Fireplaces or Woodstoves �Number of each c- Energy Conservation Compliance. yF5 Masscheck .Energy Compliance form attached? h. Type of construction x i. Is construction within 1 GO IL of wetlands? Yes Ill_No. Is construction within 100 yr. flocdplain Yes No j. Depth of basement or cellar floor below finished grade �' ''1 k. Will building conform to the Building and Zoning regulations? T Yes No- 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION TtSE COMP€EPE�WHEN OWNERS AGENT OR CONTRACTOR APPLIES>=ORjBLJIMINC PERMIT 1 S S S ;•P P _, as Owner of the subject property p 1 hereby authorize 1,vim,quo (je, to act on my behalf, in all matters relative to work authorized by this building permit application. CkIL-C -Z Signature of Owner D e Q d()j u,S try ��' as OwnerJAuthcrized Agent hereby oeciare that the statements and information on the foregoing application are true and accurate, to the best of my knewiedge and belier. Signed under the pains and penalties of perjury_ 7 t�7 i FnnT dame j ��cr,at,!re of'.wneriP-gent °° i Section 4. ZONING I At',Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existinc, Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L R:,- R:-- Rear Building Height ............ Bldg. Square Footage % - - Open Space Footage (Lot area minus bldg&paved of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON7 KNOW 0 YES 0 IF YES, date issued:- IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON7 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 DON7 KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES NO (3 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location E. Will the construction activity disturb(clearing,grading'.e�avation, or filling)over 1 acre or is it part of a common i ic,i pfan that will disturb over 1 acre? YES 0 NO IF YES thf-�FaNorthtbn Storm W5-n-agem6n-t-Permit from the DPW is required, y Department use only City of Nor 1hampton Status of Permit Building Department Cui CutlDravewayP? rmit 212 Main Street SrwerlSeptiAvaElability Room 100 Wate.UWel}.Availability Northampton, MA 01060 Two Sets of Structural Plans, phone 413-587-1240 Fax 413-587-1272 PlotlSite Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATiF,QR DEMOLISH A ONE OR TWO FAMILY DWELLING s , SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office "flap Lot Unit r � ��1�j �l tr ✓111�SS " Overlay District Eirri St District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Add re s: }�-_C L-•1 -�� x Telephone Signature c?d E' rP ►'�raES 2.2 Authorized Agent. � Na nnt) Current Mailing Address: S nature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit aoolicant 1. Building S �Q (a�Building Permit:Fee 2. Electrical (b)Estimated Total Cost of C� Construction from(6) 3. Pfumbing Building Permit Fee 4. Mechanical(HVAC) I 5. Fire Protection 6. Total=(1 +2 +3+4+5) �J rr" ® C;ieck Number This Section For Official Use Only Building Permit Number Date Issued: Signature: Budding,Commissioner/lnspecto�o w mgs Date File#BP-2009-0028 APPLICANT/CONTACT PERSON Skyline Design ADDRESS/PHONE P O Box 60142 FLORENCE (413) 586-8491 PROPERTY LOCATION 9 HILLCREST DR MAP 17C PARCEL 309 001 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: EXPAND BEDROOM/BATH ONTO ENCLOSED PORCH New Construction Non Structural interior renovations Addition to Existing Accessoly Structure Building Plans Included: Owner/Statement or License 002722 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 Permit DPW Storm Water Management Demolition Delay 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-2009-0028 GIS#: ' " ° ' COMMONWEALTH OF MASSACHUSETTS .; CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0028 Project# JS-2009-000039 Est.Cost: $33000.00 Fee: $165.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Skyline Design 002722 Lot Size(sq. ft.): 14853.96 Owner: SCHIEFFELIN JOHN JAY&LOIS Zoning:URB Applicant: Skyline Design AT: 9 HILLCREST DR Applicant Address: Phone: Insurance: P O Box 60142 (413) 586-8491 FLORENCEMA01062 ISSUED ON.711412008 0:00:00 TO PERFORM THE FOLLOWING WORK.-EXPAND BEDROOM/BATH ONTO ENCLOSED PORCH 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 7/14/2008 0:00:00 $165.0010782 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo BP-2009-0028 9 HILLCRBST DR COMMONWEALTH OF MASSACHUSETTS GIS#: CITY OF NORTHAMPTON Ma_ p:Block: 17C-309 • -ool PERSONS CONTRACTING THE GUARANTY FUND (MGL CONTRACTORS 142A) Lot• — pe�t. Building DO NOT HAVE ACCESS T BUILDING PERMIT, Category: Permit# BP-2009-0028 Project# JS-2009-000039 Est. Cost: $33000.00 PERMISSION IS HEREBY GRANTED TO: Fee License: Co ns— t_ Cl s• Contractor: 002722 Skyline Design Use Group Owner: SCHIEFFELIN JOHN JAY&LOIS Lot Size(sg ft)' 14853,96 Applicant: Sk line Desian AT: 9 HILLCRES'� DR Insurance.,—� Ayplicant Address: 413 586-8491 P O Box 60142 FLORENCEMA01062 ISSUED ON:7/14/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:EXPAND BEDROOM/BATH ONTO ENCLOSED PORCH POST THIS CARD SO IT IS VISIBLE FROM DTHE STREET Building Inspector Inspector of Plumbing Inspector of Wiring Service: Meter: Sery Underground: Footings: HOUS2# Foundation: Rough:,--r �C)3AcRough: S/`b Driveway g ' Final' Final: ./` -c 4-WFinaL• 7-06, Rough Frame: �� (Z��0�l�C� tew S Fireplace/Chimney: Gas: Fire Department T� rr'•at4or?: � IC r�� s�-( � �� L�vt,t� Rough: :.iii• , Final: 0/-< Final: Smoke: THE CITY OF NORTHAMPTON UPON VIOLATION OF THIS PERMIT MAY BE REVOKED BY ANY OF ITS RULES AND REGULATIONS. Sign ature: Certificate of Occu anc Date Paid: Amount: - FeeT e: Building 7/1412008 0:00:00 $165.0010782 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo