The URL can be used to link to this page

17A-197 (6) ONYM A�® CERTIFICATE OF LIABILITY INSURANCE DA9/4/D018 9ia�aols 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(lea)must be endorsed. N 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 endorse s. PRODUCER ACT Linda Pavers Webber A Grinnell PHONE (413)586-0111JAIC No FAX {413}58s-easl 8 North Ring Street EXIL- -MAIL .lp0xere@xebberandgriaaell.Com INSURER AFFORDINGCOVERAGE MAIC! Northampton NA 01060 MURERA:ZMIOYSrS Mutual Casualty INSURED INSURERS:Berkshire Hathaway GUARD Ing. Co. American installations, LLC INSURER C: Attn.- Was & Suzanne Couture INSURER 0; 130 College Street, Suite 100 INSURER E: South Hadley MA 01075 INSURER F: COVERAGES CERTIFICATE NUMBER:Xaater zxv 9-2019 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 INSURANCEUM uUmn PO Y N MBEFI POLICY EFF POLICY EXP LIMITS L COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 DAMAGE TO A X CLAIMS-MADE 7 OCCUR PREMISES Ea mance $ 500,000 SD3535217 9/4/3018 9/4/2019 MED EXP oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JO- LOC PRODUCTS-OOMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY IdenNEO SB LE UNIT $ 11000,000 A ANY AUTO BODILY INJURY(Per person) $ALL OWNED XSCHEDULED SZ3535217 9/4/2018 9/4/2019 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS x AUTOS K Coll$2000 X comp$2,000 PIP-Basic $ 8,000 X UMBRELLA LIAR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB CLAIMS NIDE AGGREGATE $ 1,000,000 DED I X I RUZN-nONS 10,000 543535217 9/4/2018 9/4/2019 WORKERS COMPENSATION PER OER TH AND EMPLOYERS'LIABILITY Y t N ANY PROPRIEfOPJPARTNERIEXECUTIVE ❑NIA E.L.EACH ACCIDENT $ 500,000 B OFFICERMIEMplarwWory In NH EXCLUDED? I m e,109917 9/4/2018 9/4/2019 E.L.DISEASE-EA EMPLOYEA$ 500,000 If yes,describe wMerE.L.DISEASE-POLICY UNIT $ 500,000 DESCRIPTION OF OPERATIONSbebw A CcmaerCi&1 Property 5x3535217 9/4/2018 9/4/2019 deducdble$1,000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES(ACORD 101,AddlBonet Remarks Schedule,may be alteched It Mort space Is""P*W) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W Grinnell, CPCU, CIC �� a 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(2omo1) Commonwealth of Massachusetts Construction Supervisor Division of Professional Licensure Unrestricted-Buildings of any use group which contain ` Board of Building Regulations and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed Construction Supervisor space. CS-106178 E-'Xpires:09/29/2019 WESLEY COUTURE 218 LATHROP%STREET SOUTH HADLEY-MA 01075 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. r,LD- For information about this ficense Commissioner v Call(617)727-3200 or visit www.mass.gov/dpl Ayt yyt 10 it r'lefA �?y . Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: LLC AMERICAN INSTALLATIONS,LLC. Registration: 175982Expiration: 06/26/2019 130 COLLEGE STREET SUITE 100 SOUTH HADLEY,MA 01075 Update Address and return card. Mark reason for change. SCA 1 0 20M-0511 / rl A.dr=--c lyl 0 Fmp-layment Lost Card Office of Consumer Affairs&Business Regulation -; HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only fF -a TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation >' 175982 06/26/2019 10 Park Plaza-Suite 5170 AMERICAN INSTALLATIONS,LLC. Boston,MA 02116 WESLEY COUTURE 130 COLLEGE STREET SUITE 100 SOUTH HADLEY,MA 01075 Undersecretary valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Levibly Name(Business/Org — ,anization/individual). American Installations,LLC Address:—130 College Street,Suite 100 City/State/Zip: South Hadley,MA 01075 Phone#: 413-552-0200 I—-Are,youanemployer?_Check the appropriate box: Type of project(required): LN I am a employer with 60 4. El I am a general contractor and 1 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 7. (__J Remodeling 2.0 1 am a sole proprietor or partner- listed on the attached sheet.I ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers'comp. insurance. 9. E] Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.[] Electrical repairs or additions required.] officers have exercised their 11.F❑I Plumbing repairs or additions 3,n I am a homeowner doing all work right of exemption per MGI, myself. [No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 131A Other Insulation comp. insurance required.] *Any applicant that checks box n I must also fit I out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors must submit a new affidavit indicating such. o rs'comp.policy niormat on. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their w rke c m , i . i i I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. InsuranceCompany Name-, Guard Insurance Companies Policy 9 or Self-ins. Lic. 9: URWC609917______ Expiration Date: 09/04/2019 t)(- Job Site Address: NAJA4)�1 zY 2- City/State/Zip: 40AW 6166 Attach a copy of the workers compensation policy declaration page(showing the policy number and etfi�o�ndate). 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. Idohereby certify under lite pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: -It 413-55f-0200 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): I. Board of Health 2. Building Department 3.Cityffown Clerk 4.Electrical inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: s I � gut), mass save Licensed&Insured PARTNER PAA CSt a:TIM 17.9 MA Registrrtion a 77.598) I American Installations www.Americaninstallations.com 130 College Street Suite 100,South"adey,MA 01075 Office:(433)SS2-0200 Fax:(413)552.0202• Email:support*Amerkantnstallations.com Customer Name:Hamenth Swaminathan Email:Not provided Phone:413-561-3022 Premise Address: 149 N Maple St,Northampton,MA 01062 Project ID:3457242 Date:Aug.22,2018 Job Description Measure Description Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92:58 $0.00 Rim Joist-2" Thermal Barrier Polyiso 108 SF $516.24 $51.62 Exterior Door Weather Stripping (with AS hrs) 3 each $90.21 $0.00 Door Sweep (with AS hrs) 3 each $75.93 $0.00 Project Total $774.96 Weatherization incentive ($464.62) Air sealing incentive ($258.72) Total Program Incentive -$723.34 Customer Total $51.62 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 1-year workmanship warranty. Arimican installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are TOTAL CONTRACT VALUE=S 51.62 satisfactory and are hereby accepted.You are authorized to do work as specified.Payment ) will he 1/3 down prior M start of work,and balance dun upon CnmPl rN nn. Down PaYnlenl=S 7.0-00 � V�.7'� C� _h PAID Balance ULre Upon Completion- S 31.62 Signature Y {�? pie Isvp zol3 Property Owner(Printf -�I �•5•� O• Pt �ignf � Date ` Representative:(Print) than Seaman (sign) Ethan Seaman Date 8/22/18 THIS IUMEEME 115 LVNPUSUT LM THIS PAGE ANO THE IIESI ISE 510E IT THIS PAGE ANO SNAIL LIE crosIDEREUENEENTB[AG•ECMENT 13—M, INYCILWDTHIS AUMECIAEN t 15 LIETWEEN AMENIIAN INSTALIA NUNS,LLCHEITEW—tX MEFORCU WAS LURSPANI-. ANUTHE CUSIOV.ERIS)MANED ANCM,HEREINAFTER REFERNEO TO AS'01IENI'.+NU'/:Ill HE SLB1ECTIOAIt APPNOPN14TE lAµ'S.REGULATIONS AMU OPDIYANCES OF IHESTATE OF MASSAOIL15Fn ON CONNK11CUT 110IPEC1ryEO.AS Wnl 45 ALL LOCAL IU rISOICIIONS w- 11 �r www.AmericaninstaUations.com s. pp-11313, rix-� cow"ra • Licensed&Insured MA CSL q:106178 American Installations MA Re0strodon#175982 130 College Street Suit!100,South Hadiay,MA 01075•Office:(113)552-0200 Fax:L4131552-0202•Email:wpport@Amerinnlnstalhtkstrs.00m O'Brien,David 8/22/2018 IWI n•NI ae 149 N.Maple Fiorance,Northampton MA 01062 IA&-d K" almi pal 413 5591009(LL) johnoeme@gmail.com M-1 1G.4) 470 785 18-2509-B ISA.IaI Ib•n Quantity Unit Unit Cost Total Air Sealing AIR SEALING 6 man hour $ 85.00 $ 510.00 Air Sealing $ 510.00 Air Sealing Incentive $ (510.00) Air Selaing WX Balance S Weatherization ATTIC FLAT-7"OPEN R-26 CELLULOSE 720 sgft $ 1.38 $ 993.60 ATTIC DAMMING-R-38 FIBERGLASS 76 sgft $ 2.05 $ 155.80 VENTILATION CHUTES 46 each $ 2.50 $ 115.00 ATTIC HATCH-SEAL&INSULATE 1 each $ 60.00 $ 60.00 Total Weatherization $ 1,324.40 Weatherization Incentive $ 1,191.96 Total Project $ 1,834.40 Total Utility Contribution $ 1,701.96 Total Customer Contribution $ 132.4 WARRANTY:American Instalhitiom,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building rogulatloos for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and TOTAL CONTRACT VALUE= S 132.4 conditions are satisfactory and are hereby accepted.You are authorized to do work as specified.Payment will be 1/3 down prior Down Payments: $ 44.00 y(q-0 0 G to start of work,and balance due upon Completion. PAID Balance Due Upon Completion= $ 88.44 ta— IF W. IA- M C' W FNNNOyanN,vNNu oN•.f aru DSG Ethan Seaman Ethan Seaman 8/22/18 AM--M iFF.AI R.wElw. -isMl mit TNn AGKfMEW ri COASFOSFDOF"K MGFANOTNE RMRSF SIOFOF MSFACW ANDSHALLAE CONSIOMfOTNE WME AGREEMENT"THE AART1l 10D[VlD.THIS M.aEfMf.NfnIIE1WElN AMEa1fANINSTAUATNJffE,llf.NEII[INAFTfq AFIFIMFD TG AS YOMPAMY',ANOTNF CU[TOMf•(Et MAI,EDARONE,MfKIMAFTIP gffEAA[OTO AE'UNMT',Nin WNl K w•ucr i0 All AFFRDFNAti 1Awf,KGUTATNNff AF1D OgdMAMCEf OFTMF STAROr NA•SACNINETTE d ODMM[RIM aFSFFCTAIEIY,K w[LL AS ALL IOCAIARaSptrpNl City of Northampton Massachusetts Ffr .tom DEBARnWNT OF BUILDING INSPECTIONS 6; a♦+a 212Main Norttha ton,M 01060 ia Building Property Address: i+ Contractor Name: Address: City, State: f; Phone: 1 ' Property Owner Name: Address: ' City, State: (contractor)attest and affirm that the building i intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that 1 have provided the property owner with a copy of this affidavit. Contractor signature � � �"-_ N X- Date 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: 149 North Maple Street The debris will be transported by: American Installations The debris will be received by: Waste Management of New England Building permit number: Name of Permit Applicant Wesley Couture 10/17/2018QA, A Date Signature of Permit Applicant SECTIONS-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address / Expiration Date Signature Telephone 9 Rig Not Applicable istered Home Improvement Contractors 11 7,<N Company Name Registration Number Address Expiration Date r r Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C_ 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....... 0 No...... ❑ 11. .-Home OwnerxemAtion 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,Rrovided that the owner acts as supervisor.CMR 780 Sixth Edition Section 1083.5.1. Definition of Homeowner Person(s)who awn a parcel of land on which he/she resides or intends to reside,an 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 persons) 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 applicable New House Addition Replacement Windows Alteration(s) Roofing [� Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [C}] Decks [Q Siding[©] Other[0 Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.if New house and or addition to eAAncl hausinq..cdMp1ete the following: 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? 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 1. 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. 1. 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 1, 1'i c k a i-A as Owner of the subject property hereby authorize ttai�,_tr? hl;ta111 ! to act on my behalf,In all matters relative to work authorized by this building permit application. Signature of Owner Date 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. Print Name \-• �) Signature of !Agent Date Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning Ibis column to be filled in by Building Department Lot Size Frontage Setbacks Front C� Side L:= R:= L:= R:= Rear Building Height J (' Bldg.Square Footage u % Open Space Footage % r (Lot arca minus bldg&paved actin #of Parking Spaces 1 Fill: � --------- �i _ � ._�i—_-------.------I volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Pagel � and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO O DONT 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: , f D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 0 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. V4kwO W Department use,pn r City of Northampton Status of Peant iiding Department cure cut/Ddyeway hermit V 1 5 018 212 Main Street SeweriSepbc AvailabdEty Room 100 Water/Well Availab�llty t�t��sNo ampton, MA 01060 Two:Sets of Sirttt2ural Pians hld' 87-1240 Fax 413-587-1272 PlutlSite Ptans � -- Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION (,b 0 (%AO(!!�- 1.1 Property Address '"�T,(hhiis"section to be corn-loted by office Map `/ Lot Unit. Zone Overlay District Elm St.Dlstrict CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: S()ti 1 ; } tt}iditl }tk.li X1.1 ()1t)i}F, Name(Print) Current Mailing Address: (41 1 -9 1009 Telephone Signature t 2.2 Authorized Agent: A11ILr;-0? It .,t:a!i.tti res 1 3;? C„ZGC�C St., Ste 100 S� taf 7 1I tidle'3 .11 3 i �' Name(Print) Current MaAisg Address: ��5e'S�15 y- . 1 1L i 111,' 1 00 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 060 00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee �Q 4. Mechanical(HVAC) ✓ 5.Fire Protection 6. Total= 1+2+3+4+5) ?.;7i i H) Check Number This Section For Official Use Only Date Building Permit Number. Issued: Signature: -)z Building Commissioner/inspector of Buildings pate 149 NORTH MAPLE ST BP-2019-0605 GIs#: COMMONWEALTH OF MASSACHUSETTS Man.-Block: 17A- 197 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category INSULATION BUILDING PERMIT Permit# BP-2019-0605 Proiect# JS-2019-000983 Est.Cost: $2000.00 Fee:$65.00 PERMISSION IS HEREd3Y GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sg.ft.): 9104.04 Owner., GRIMALDI KATHERINE RYAN&JOHN OLSON PICKARD Zoning:URB(100)/ Applicant: AMERICAN INSTALLATIONS LLC AT. 149 NORTH MAPLE ST Applicant Address: Phone: Insurance: 130 COLLEGE ST �(413) 552-0200 WC SOUTH HAD LEYMA01075 ISSUED ON.1112712018 0:00:00 TO PERFORM THE FOLLOWING WORK.-ATTIC AND BASEMENT INSULATIO AND AIR SEALING THROUGHOUT 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 Deyartment Fireplace/Chimney: Rough: ,OZI. 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: Feehye: Date Paid: ,Amount: Building 11/27/2018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck--Building Commissioner