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38-050 (9) 08/16/2004 12:14 , 5089473093 COSTELLO DISMANTLING PAGE 02 August 16, 2004 Costello Dismantling Co Inc. 2 Rocky Gutter St. Middleboro, MA 02340 Dear Costello Dismantling: RE: 1 Prince St., NH Per Moe Mott (FOL) and Dons Mientka (serviceman), all the buildings associated with 1 Prince St, except fnr the Haskell Building, the gas service has been cutoff' and Is ready for demolition. Sincerely, CK, Terri Miner Worff'orce Planning 0 � 08/06/04 12:29.PM , a National Grid Company 01/01 To: COSTELLO DISMANTLING CO Attn: SANDY CLOUTIER Voice: 508-946-0880 Fax: 508-947-3093 Re: Locating facilities in the area of your excavation This is an important Safety Message from a National Grid Company. We are replying to your request to locate our underground facilities in an area where you are planning excavation work. The following is the current status of our facility marking in the area specified in your notification. Ticket number 20043204902 is: This response is from Massachusetts Electric. There are NO known Massachusetts Electric underground facilities in the proposed excavation area. Please check for any Municipal and/or Customer Owned underground electric facilities in the excavation area. County: Place : NORTHAMPTON Street: 1 PRINCE ST If you have any questions about these responses to your excavation notification, please call one of the following numbers: In NY 1-800-NIAGARA, In RI 401-784-7267, In MA 800-322-3223. r5 20 ,08: 33a Nothampton DPW 413 587 1583 p. 2 CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 125 LOC:IJST S'IREE T 1 r� NORTHAMPTON, MA 01060 413-587-1570 FAX 413.587-1576 George Andrikidis, P.L. I inrrinr,Civ Engi►rei•r' August 5, 2004 Anthony Patillo,Building Inspector Municipal Office Annex 212 Main Street Northampton,Ma 01060 Dear Mr. Patillo: The City Water Department has inspected building#23 on the North Campus of the!')tate Hospital and has determined that there are no active water lines entering the premises. Please contact me if you have any questions. Sincerely, David parks Superintendent of Water Cc_ George Andrikidis,Director of Public Works Ned Huntely, Assistant City Engineer •3�Jdd 7tilC 1.** August,�,2004 Costello Dismantling Co. Dear Cl stomer: This is to verify that Massachusetts Electric has removed the electric service at 1 Prance Street, fIldg 23,Northampton,MA.,for building demolition. Sincerely, ii Nicholas Supervisor Eng.Dept JN/mb€. 10i 10'd CGE CLti680S i 6 01 189L 289 n83S isno 0313 SSUW ad Wd Sb:Z 1 Pon b0 9nd AUG-13-04 12: 12 FROM:TIGHE + BOND ID:4135625317 PAGE 2/2 righe&Bond C =ltingEngineers Environmental Specialists ' W-3284-10-14 August.12, 2004 Mr. Alan Delaney, Engineering Manager MassDevelopment 43 Buena Vista Street Devens, MA 41432 . Re: Abatement&Demolition.of Building 23 (Superintendent's Home)at the Northampton State Hospital Dear Alan: Tighe & Bond inspected Building 23 at the Northampton State .Hospital today to confirm completion of the asbestos abatement work. All asbestos containing materials and-hazardous -materials have' been removed and abated from this building and it is.clear for demolition. If concealed asbestos is encountered during demolition activities, the contractor is required to stop work, notify Tighe& Bond'and be prepared to remove the asbestos in accordance.withapplicable regiiJlations_ If any questions or comments arise please contact the undersigned at 508-754-2201, em 123, with any questions. Very truly yours, TIGHE&BOND, INC.70 . �. DanielJ.:Dragon Environmental Scientist 3-.%AW32 0W101ASSF.S1'OS CLEARANCE SUPT HOMEMOC Copy: Todd-M. Brown, P1. . Anthony Patillo, Building Commissioner . Paul Rowan, Costello Dismantling Co. Chris Thompson, Air.Quality Experts 53 Southampton Road Westfield MA 01085 Tel.413-562-1600 Fax 413-562-5317 Offices: .Bellouxs Falls VT;Middletown,CT;Norwalk, CT,Pocasset MA and Worcester,MA Original printed on recycled paper. ACORD„ CERTIFICATE OF LIABILITY INSURANCE, CSR M� °A °D^^� 3TE-5 L1 11/2/25/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MF&T Ins. Construction Div. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Construction Division HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Derby Street, Unit 40 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Z. .gham MA 02043 Phone: 781-740-6300 INSURERS AFFORDING COVERAGE INSURED INSURER A: Gulf Insurance Company INSURER B: United National Insurance Co. Costello Dismantling Company, INSURER C: American International Group 2 Rocky Gutter Street INSURER D: Commerce Insurance Company Middleboro MA 02346 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. LTR TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GU2827202 12/06/02 12/06/03 FIRE DAMAGE(Any one fro) $ 100,000 CLAIMS MADE Q OCCUR MED EXP(Any one Person) $ 10,000 X Pollution Liab. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,0 00,0 0 0 POLICY JECT LOC AUTOMOBILE LIABILITY D X ANY AUTO YJ9667 03/25/03 03/25/04 COMB SINGLE (Ea accident) $ 1,000,000 dent) X ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per Penn) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE S 10'000,000 B OCCUR CLAIMSMADE UMF10358 12/06/02 12/06/03 AGGREGATE S 10,000,000 S DEDUCTIBLE S RETENTION 5 $ WORKERS COMPENSATION AND X I TORY LIMITS ER C EMPLOYERS'LIABIUTY WC2910171 11/05/03 11/05/04 E.L.EACH ACCIDENT 5500,000 E.L.DISEASE-EA EMPLOYE $ 500 000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Abatement and Demolition-Buildings 8, 15, 26AP & 26G, Northampton State Hospital, Northampton, MA. Mass. Development Finance Agency and Tighe & Bond are named as Additional Insured. CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION MADEVEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _I.Q_DAYS WRITTEN Mass. Development Finance NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Agency IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 43 Buena Vista St. Devens MA 01432 REPRESENTATIVES. AUTHO REPRESENT TIVE I � ACORD 25-S(7197) CACORD CORPORATION 1988 R. atttn�rpa A2G �oyE LrI��I of �,To "flji3111})foll - 4 " C �laosarhnt:tlf�' � DEPARTMEIJT OP DU1LDrXG tNSPECr10J:S 212 Main Strcet ' Municipal Building Northampton, Mass. 01060 W o rUCE R'S Co ii V EN SA'IIO N bN S URAN CE AFFIDAVIT Costello Dismantling Co: , Inc __ (li ccasc c/permi ttcc) �kllth a principal place of busioess/residence at: 2 Rocky Gutter Street , Middleboro , MA (phone') 508-946-0880 (su,=/city/n=rap) 02346 do hereby certif)--, under the paint and penalties of penury., 11 (x ) I arm an employer providing the followinc «vor,-ces coinpcns:::ion cover`^c for my etuployccs worzlng on-tills job: MF&T Insurance WC29101:71 11/05/04 (lamnam=Comp=v) (Feuer NU_=bcr) Flxpirz or D;,,-)7 ( ) I.am a sole proprietor, general contractor or homeowner (6 cie one) and bzve hired the contractors 135ecl below wbo h2ve the foiloINing workers compensation POE-Cies: (I`Namc of Contmcior) (IRR rwict Coinpwi)Yl�o6cC �1uII1=<7) (E=:-)r•woon bale) (Name of CODMclor) (ln.safan= CompanvrPo!iey i`urncrr) (xpirarion Due) (Name of Conuaeto,) Gnsuran= C.omTar))•1PoUey Nwnb:r) (Exoim6on Dam) (Name of Contractor) (IaTaranm Comparry/Poticy Numbcj) (Expirtioo Dart). (aaaa aa6riocaJ aca iroeo= ry to iafarmL:ioo pertaiaiat to.L oo=a.aon) ( ) I am a sole proprietor and bave no one working for me. O I am.a home owner performing all the work myself. NOTE:pl=sc be aw-Lm thg wWc bomo&�ven Mbo employ petaw to cb z^,j=c =oo r rgair wore w,d%•tlL^g or not mote the o t'�oe ty�ip u+,ri�the bomoawur rmdo a oo the aouerS spputtta-a 11�0�'`°vx�'�y o�sed�od�o be citproye-a uaGe tuc Act(GL152ss l(5))6 aMUc%Soo M a boa—.—rm c 6=0,a Penait m:y oidcaee the legal R..0 of an-=Pleyee uod.r di.woetne,Compaoa.taon Ami 1 uodcrouad dad a copy of tLi.mt®aa may b.fo,.v.d.d to tb.Dop.nmma or ledut:f.J Aoeidamf Orrin•or 6c umom for tb- cova%4gc veiraaioo.add"L•i=to to=m bovcmr.under socaioa 25A of MOL 152 na lod to the;maoa¢ioa of c im;W pco&Wca oomisiag or a Gx or w tos 1300.00 artdor m of up w one year and o it peoatio io tx form o!a Stop Wort Ordar.ad- rIM 0(5100.00 a diy tpinss me For dcputa+=a1 u+c«fir 08/04/04 p`�Jl Number 1•4ap= int" Sitort ; ucx � e Version 1.7 Commercial Building Permit May 15,2000 SECTION.10-STRUCTURAL PEER REVIEW(780:CMR 110.11) - Independent Structural Engineering Structural Peer Review Required Yes......0 No......1$ SECTION 11, OWNER AUTHORIZATION -,TO BE COMPLETED WHEN OWNERS AGENT-OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize Costello Dismantling Co . , Inc . to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date i, Daniel T. Costello 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. Daniel . Costello Print Name i August 4, 2004 Signature of Owner/Agent Date SECTION 12:-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable O Name of License Holder - Daniel T. Costello CSO43330 License Number 25 Winter Street , Middleboro , MA 02346 02/02/05 Address Expiration Date i — 46-0880 Signature VTelephone SECTION 13--WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M G L,_c 152,' 25C(5))�. ' 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....... EX No...... 0 918'/Y2E3$1h YAUV- L/L AUr-, 09. 2004(MON) 08:50 mASSDEVELOPMENT/DFVENS PAGE / Muti"toy-04 07= 13 FROM e T I GHV t, BOND I D v 4 1 368'25317 _- i' VY/ V'tA ..VY_ Ma.•✓.► ' .+v+�r e,w..-.v wv.w.—.-u r`.►"+ •w„rsr.+. Vesdml;?CoMMM Bmittiha tray 1$,2M rat ' ,,—•" ;moi '���-' �'7�'r�+"`S !y}•i ,Y�r: �' •••j► 1 i l inde�ueu�erK Strvlt�nowStrnetural Pyr Revlew:P wired Yes....,.Ct No-,.: . . j QVVR 4 it#WAP. P 'tNti fiE as owmol of the subject property ( Ya tzE COatello DiXMant1ing Co., Inc. t to all mAtters stat wcutc autbpried �s t?vitdin application. #o act o.'+ mY dY it Rerrnit app" it } Si4t�#tcge d e i � e t, a ost:all yrs r lAerihorized . t tiara"iWare that the Mttft trft and nformstian n foregoing appicatt are true and a te,t� the best of m knowledge and belief. Signed under the pairs;ond patties of perjury. Daniel • - costtello I, ' Pfiint n►erne - . uga t r 2t}04 . Sit Wro of SZ + . e NEW I wed ,•• ion_5��erviacrlr. Not Appil blti CI Nam fLieen�� oldie• Daniel 'P.: Caste 1 CIS04 33q . 25 hinter Street, Midt3liebQza 02346 2/ifl2/Q5. Address �epirutien to ', $00--946- 6 s'rgnaaue. •, , T � • q , 0 ,Sw ( .. . mug- Workers Comps mtlan instminft affigavit must be I ed.and'submi w h is Fa'isre#a provide this.affida.vit Will result Irl the dgMal of the inumce 6f ttje bvitdlo ; R.1. 1 5f ed.Aitida,,Attached.Yes....... M No,..... Q .. Versionl.7 Commercial Building Permit May 15,2000 Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition New Signs [ ] Change of Use [ J Other [ ] ❑ Accessory Building[ ] Repairs [ J BRIEF DESCRIPTION6U'a a, 1vd � SECTIONS :USE ;IROUP AND CONS7RU, OJV HYPE =;; USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ lA ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business Io 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: 7.77177, 77.777 �OMP,CETE IS EGf©N iF'E7QS 11G B 7II I GbI4DE-RGOING�4t�+1 . AJIONS�;-�I)DITIONS�1NDJOR'CHi4NGE IN'LlSE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): �EC7ION 5'BiIL�ING I�IIGIH?AND7IREA� '� BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION NU Floor Area per Floor(st) 1st x 1st 2nd 2"d 3rdm;° .�a. 4th 4th rF; Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) — �^ Total Height ft .^ Versionl.7 Commercial Building Permit May 15,2000 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 a APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1--SITE INFORMATION p z . This sectJion td ire completed b � 1.1 Property Address: ^Iti4 g � ���� � r yt,� t' 14Zone overlay D�st�aci ; ��n�l(ttl$'t.�ISiiSICt '- z ..- �.._. CB yI!l513'7Ct"��._, .�,: •���;.. _SECTION 2-PROPERTY OWNERSHIPJAUTHORIZED AGENT. ;. 2.1 Owner of Record: NaMrint) Current Mailing Address: - �7�- •7 7�-1,�3�D X�3�� SignaUre v I Telephone 2.2 Autho ' ed Agent: a , Name ri Current �Mailing /Address: Signature Telephone SECTION 3-ESTIMATEDCONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building .(a),Building Permit Fee 2. Electrical Estimated Total Cost of Construction from 6 3. Plumbing lljmjd in gf..Pertnilt fee 4. Mechanical (HVAC) 5. Fre Protection 6. Total = (1 + 2+ 3+4+ 5) Check'.Number is-Section For.Official Use Only Building Permit Number �' " Oate Issued: Signature: Building Commissioner%Inspecborof Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION,9- PROFESSIONAL DESfiGN,AND CONSTRUCTION SERVICES-FOR BUILDINGS AND.STRUCTU,RES SUBJEtTTO'�~ CQNSTRU',TION CONTROL PURSUANT T6:780 CMR.1 {CONTAINING MORE THAN.35,000 CY OF.EW OSEU:S E)" 9,1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Co pany Na e: RInnin Char e Ewe{ t GKtyb Ad Sign ture Telephone Versionl.7 Commercial Building Permit May 15,2000 7.Water Supply(M.G.L c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ 1 Zone: Outside Flood Zone ❑ Municipal ❑On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This colunm to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height —35 " Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved arlan #of Parking Spaces Fill: voluna;&L=tion) A. Has a Special Permit/Variance/Findingeve n issued for/on the site? NO DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issueed: C. Do any signs exist on the property? YES NO V IF YES, describe size, type and location: D. Are ere any proposed changes to or additions of signs intended for the property?YES No IF YES, describe size, type and location: File#BP-2005-0193 APPLICANT/CONTACT PERSON COSTELLO DISMANTLING CO INC ADDRESSIPHONE 2 ROCKY GUTTER ST MIDDLEBORO (508)946-0880 PROPERTY LOCATION 1 PRINCE ST#23 MAP 38 PARCEL 050 001 ZONE PV 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: DEMOLISH BLDG#23-SUPERINTENDENT'S BLDG New Construction Non Structural interior renovations Addition to Existing Accesso y Structure Building Plans Included• -- Owner/Statement or License 043330 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: 1,0'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 Comniss' `- 9/Z.00� 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. I PRINCE ST#23 BP-2005-0193 GIs#: COMMONWEALTH OF MASSACHUSETTS M*j.BImk:38-050 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-2005-0193 Project# JS-2005-0224 Est. Cost: Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: COSTELLO DISMANTLING CO INC 043330 Lot Size(sg. fo: 226512.00 Owner. MASS DEVELOPMENT Zoning: PV Applicant: COSTELLO DISMANTLING CO INC AT. 1 PRINCE ST #23 Applicant Address: Phone: Insurance: 2 ROCKY GUTTER ST (508) 946-0880 Workers Compensation MIDDLEBOROMA02346 ISSUED ON.8/17/04 0.00:00 TO PERFORM THE FOLLOWING WORK.-DEMOLISH BLDG #23 - SUPERINTENDENT'S BLDG 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• Receipt No: Date Paid: Check No: Amount: Building 8/17/04 0:00:00 48319 $35.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo