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32C Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title:Renovations to 1st Floor Tenant Space-Unit 1NW/1NE Date: 10/29/2018 Property Address: 47 Pleasant Street,Northampton,MA 01060 Project: Check(x) one or both as applicable: New construction X Existing Construction Project description:limited interior renovations for reconfigurastion of existing outpatient area I Richard E. Katsanos MA Registration Number: AR8355 Expiration date: 08/31/2019 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a'Final Construction Con ,r, nt'. ARCH/ Enter in the space to the right a"wet" or ��J S A electronic signature and seal: Phone number: (413)585-1512 Email:Richard.Katsanos@HAlArchitecture Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x' project design plans,computations and specifications that you prepared or directly pe ised.If'other' is chosen,provide a description. Version 01 01 2018 Ac RD's CERTIFICATE OF LIABILITY INSURANCE DAMPMMDN"m 10/31/2018 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 have ADDITIONAL INSURED provisions or 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 House NAME: King&Cushman Inc. PHONE (413)584-5610 413 P.O.Box 447 .MM N' Ext A/C,No): ( )584-9322 ADDRESS: 176 King Street yiSUftER(5)AFFOREHNG COVERAGE MAIG M NorthamptonMA 01.061. INSURER'A_ The Concord Group INSURED INSURER B: Ron Grogan Building&Renovations INSURER C: 176 State Street INSURER D: INSURER E: Whately MA 01093 INSURERF: COVERAGES CERTIFICATE NUMBER: CL18103102937 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ASSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. NS XP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD MMIDD E LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 300,000 CLAIMS-MADE FX OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 10,000 A TBD 10/31/2018 10/31/2019 PERSONAL&ADV INJURY $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER, 600,'000 GEIVERALAGGREGATE $ POLICY I I FRO, L0 I I I PRODUCTS-COr61Pf0FAGG, $ 600:000 OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I�E7fCB55 L1A6 1H a A C,AWSWAO—E I I I I A&SREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I I I I I 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) (CERTIFICATE HOLDER CANCELLAn0% SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton Building Inspector City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main St.,#100 AUTHORIZED REPRESENTATIVE Northampton MA 01060f 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(20161'03) The ACORD name and logo are:registered marks of ACORD Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and,including,the legal representatives of deceased employer,or the receiver or trustee of an individual,partnership,association or other"legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply your insurance company's name, address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)wifh no employees otaher than tae members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that:a valid affidavit is on bike for future pem is or Licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 www.mass.gov/dia Form Revised 02-23-15 The Commonwealth of Massachusetts _ Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 y www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. W04W 4W"W44'4i ME ftRWTHNG Ail WHOWi TV. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Ronald Grogan Address: P. O. Box 282 City/State/Zip:Whately, MA 01093 Phone#:413-350-5138 Are you an employer?Check the appropriate'box: Type of project(requ4ted.)- L❑I am a employer with employees(full and/or part-time).* 7. 0 New construction lf��`-�' I am a sole proprietor or partnership and have no employees working for me in 8. 2]Remodeling any capacity.[No workers'comp.insurance required.] IF 11 am a homeowner doingall work myself 9. 0 Demolition y [No workers'comp.insurance required.]t 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0✓ Electrical repairs or additions proprietors with no employees. 12.;;0 Plumbing repairs or additions 5:2]1 am a general contractor and I'have hired the sub-contractors listed on the attached stmt. 13 QRoof repairs These sub-contractors have employees and have workers'comp.insurance.' 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'eoensation insurancefor my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address:47 Pleasant St., Northampton, MA City/State/Zip:01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains and penalties ofperjury that the information provided above is true and correct. Sip_nature: �> 6-^�� ' � � Date: Phone#: - /3 - L 5 ]'•"• S/// 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: 'e%li'� �T The debris will be transported by: ��'� G( `% STZ- The debris will be received by: Building permit number: Nam sof Permit Appficant /�-1 /� Date Signature of Permit Applicant Version 1.3 Commercial Building Permit May 15,200 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Jeffrey.P.Dwyer,'Pres.,J. '.Dwyer,Inc.Managing Partner Coolidge Center,LL)C 1, ,as Owner of the subject property Ronald Grogan& Richard Katsanos hereby authorize to act on my behalf, in all ers ive to work authorized by this building permit application. -e-"I October 30,2018 Signature of Dat; Jeffrey P.Dwyer,Pres.,J.P.Dwyer,Inc. Managing Partner Coolidge Center,LLC I. , 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 2ains and g2nalties of peWU. Jeffrey P. Dwyer Print Name - October 30,2018 Sig natur of'Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:. _��C/✓�� 0 61, G> ,� License Number Address Expiration Date Signature 'telephone SECTION 13-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 Versioti 1.7 Commetclal 13ttllciing Petttffit May 15,2000, SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs 0 Additions El Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑ Brief•Descrf"on Enter a Fief description here.Install two new offices,enlarge conference room,add new Of proceed 1Work. electrical ©Inlets where needed,trove lighting and add internal passageway. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi- h Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 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: COMPLETE THIS SECTION IF EXISTING BUILDING UNRERGOtNG RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: IB-Business Proposed Use Group: B-Business Existing Hazard Index 780 CMR 34): 4 Proposed Hazard Index 780 CMR 34): 14 SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 s` 1 st 8.079 2�d 8.079 2nd 3rd 3rd _ 4cn 4th Total Area (sf) 16,158 Total Proposed New Construction (sf) Total Height(ft) 25 Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone,Information: 7.3 Sewage Disposal System: Public Private ❑ Zone, _ ? Outside Flood Zone[] Municipal [Z] On site disposal system 17-1 Version t.7 Oornmerciai Building Permit May 15,2f & NORTHAMPTON ZUP�iING 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 F % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces -� (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 0 YES Q IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES Q IF YES: enter Book Page, and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW () YES 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 0 NO QL. 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 0 NO 1FFYES,then a Northampton'StormWater Management Permit From the DPW is required. Versioifl.7 Co m- Building Permif May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR:BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Rick Katsanos, 64 Gothic St., STE 1, Northampton, MA 01060 Not Applicable ❑ Name(Registrant): AR 8355 Rick Katsanos, 64 Gothic St,, STE 1, Northampton, MA 01060 Registration Number Addre 108/31/2017 413-585-1512 Expiration Date atute Telephone 9.2 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 Responsbitity Address Registration Number Signature Telephone Expiration Date Name Area of Respons+bftity Address Registration Number Signature Telephone 9 Expiration Date 9.3 General Contractor Ron Grogan Building&t Contstruction Not Applicable ❑ Company Name: Ronald Grogan Responsible In Charge of Construction P.O. Box 282, 176 State Road,Whately,MA 01093 Address 413-350-5138 Signature Telephone Version f.7 Oomtnerciat Buildin Pen-nit May '0,2000 " 8 tttit rd Ws City of Northamptons�fltt Building Department CuttiOtttteiveietlntt 212 Main Street Sei+iierfSeiArtltltty Room 100 � r Northampton, MA 01060 TWti� ►f Sttt� ti P( ts phone 413-587-1240 Fax 413-587-1272skt 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 1.1 Property Address: This section to be completed by office 47 Pleasant Street Neap 4�aIv Lot OVO unit Northampton,Massachusetts 01060 Zone Overlay District Elm St.District CS Dtstrict' SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner 4t-Record: COOLIDGE CENTER,LLC JP.O. Box 790,Cedar Key,FL 32625-0790 Name(Print) Current Mailing Address: (352)-543-9307 Signature Telephone 2.2 Authorized Aaent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED C,ONSTRUCTION:COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $15,000:00 ( )a Building Permit Fee 2. Electrical $2,500.00 (b)Estimated Total Cost of Construction from 6 3. Plumbing 0.00 BuildingPermit Fee 4. Mechanical (HVAC) , 5. Fire Protection 6. Total=(1 +2+3+4+5) 7.4 O—D Check Number This Section For Official Use Only Building Permit Number Date Issued Signature Building Commissioner/Inspector of Buildings Date . File#BP-2019-0541 APPLICANT/CONTACT PERSON RONALD GROGAN P ADDRESS/PHONE PO BOX 282 WHATI;LY PROPERTY LOCATION 47 PLEASANT ST MAP 32C PARCEL 040 001 ZONE CB(l i)?Z! THIS SEC."fON FOR OFi 'IAI,TSF'ONLY: PERM, AP IQN CHECKLIST E LC;SED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out JL Fee Paid Typeof Construction: INSTALL 2 NEW OF NLARGE CONFERENCE ROOM ADD NEW ELECTRICAL OUTLETS WHERE NEEDED MOVE LIGHTING AND ADD INTERNAL PASSAGEWAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure _Building Plans Included: Owner/Statement or License 090818 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: L/ 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 Peftnit 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 *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 47 PLEASANT ST BP-2019-0541 GIs#: COMMONWEALTH OF MASSACHUSETTS M Block: 32C-040 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-2019-0541 Proiect# JS-2019-000877 Est. Cost: $17500.00 Fee: $123.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RONALD GROGAN 090818 Lot Size(sq. ft.): 18556.56 Owner: COOLIDGE CENTER LLC C/O JEFF DWYER INC Zoning: CB(100)/ Applicant. RONALD GROGAN AT. 47 PLEASANT ST Applicant Address: Phone: Insurance: PO BOX 282 WC WHATELYMA01093 ISSUED ON. TO PERFORM THE FOLLOWING WORK.-INSTALL 2 NEW OFFICES, ENLARGE CONFERENCE ROOM, ADD NEW ELECTRICAL OUTLETS WHERE NEEDED, MOVE LIGHTING AND ADD INTERNAL PASSAGEWAY 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 Sienature: FeeType: Date Paid: Amount: Building $123.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner