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30A-045 (2) • 1 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 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 occupancy 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 jermits 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 ' understand the above. (Home owner / 'dent's sign .ire requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location . The Commonwealth of3fassachusetts =■%-----.2"--- Department of Indus Accidents • pi, — li Z ■• . Office of Investigations 600 Washington Street Boston, MA 02111 ... .i.. , T...1.--;" www.mass.gov/dia , • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers - Applicant Information - Please Print Legibly Name (Businesi/Organiz' ation/Inclivirin2D: . • Address: ,. • . . City/State/Zip: - Phone.#: Are you an employer? Check the appropriate box: • Type of project (required): 1 • 1. I am a employer with 4. 0 I am a general contractor and I _ 6. 0 New construction have hired the sub-contractors employees (full and/or part-time).* 'listed on the attached sheet: 7. 0 Ren:Lodelirt • 2_ 0 I am a sole proprietor or partner- ship and have no .3.loyees These sub-contractors have .8. 0 Demolidon. • • working for me in any capacity. envloyees_and have workers' • 9. El Buildiiii addition [IsTo workers' comp. insuiance 5 0 We are a corpo an d rt 10.0 Electd requirecL] cal repairs or additions .. . 3. 0 I am a homeowner doing all work officers havexercised their . 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t ' c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp insurance reqUir.ed.1 *Any applicant 1hat checks box #1 must also fill out the section below showing their svorioers compensation policy infinmation. ': • t Homeowlicri who submit this affidaVit imficating they are doing all watt and then hire outside contractors must submit anew 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 nmnber. I am an employer that is providing workers' c ompensation insurance for my einployees. Below is the policy and job site information. . . Insurance Company Name: . • ' - . . • Policy # or Self-ins. Lic. #: Expiration Date: - . . . Job Site Address: " City/Sta/Zip:' Attach a copy of the workers' • compensation policy declaration page "(showing the policy number and expiration date). Failure to secure coverage as required Udder Seetioff25A c 152 can lead to the iiopOsitiOn of Ciiioing 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 __, acie &the DIA for insurance criVeraie - :. -- _ 7 - , 77. - . ..._....._.. _ .... ... _ _ Ida heriby,ceriffr under the pains•and penalties ofperjztrythat the infomullion provididibove_is.truc_tizid_eorrerf Signature: ' - - Da • - • . , - . , Phone ti: , . • Official use only. Do not write in this area, to be completed by city or ton; rzofficiol • City or Town: Permit/License # Issuing Authority (circle one): .- - • .1. Board of Health 2. Building Department 3. City/Town Clerk 4. EIectricalInspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: 1". . • • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone -, 4 . VMI $•�8�!_� . �.e3L; 3.rO iii � +�"�:. � � ° .� ,s , ;7 : , °= Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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 ❑ No ❑ ! Ras 1" 1 The current exemption for "homeowners" was extended to include Owner - occupied Dwellines 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 buildine 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. r.: ner Signature . , ~ ` , SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New Hous El Addition Alteration(s) Roofing p Or Doors D F Accessory Bldg. � Demolition New Signs [0] Decks [1=1 Siding [D] Other [0] ^- *° ' . ork: jm~ � p~°x a«�/9�n� pite././MtiraD )944 rr iA1- 7 44-4 " Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet a. Use of buliding : 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 i. Is construction within 100 ft. ofwetlands? Yes No. ls construction within 100 yr. floodplain Yes No j. Depth of basement or �llar floor below finished grade k. Wifl building conforrn to the Buliding and Zoning regulatioris? Yes Nu. I. Septic Tank _____ City Sewer Private well City water Supply ~ OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT |. .os Owner ofthe subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date <- 1, / \/� . aoOvnanAu�ohzed Agent h��bydodon the fm�goingoppUcodonomtmeand accurate, ho the best ofmyknm�edge / / and belief. Signed under the pains and penalties of perjury. �� ��N�W 0 / 2 Y// 4 . �� � �� ' �m nmmmoxowmovwmo.. `^ 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 ! t Frontage 1 _ 1 I 1 I Setbacks Front 1 1 1 3 s Side L: R:I 1 L:! ' R: I i i ` £ Rear i � 1 ` e Building Height I i ? Bldg. Square Footage % Open Space Footage % — — —i ----1 (Lot area minus bldg & paved 1 I i ? E parking) # of Parking Spaces I # `° _, _ Fill: m ,_._ ._..�., 1 Fill: & Location) s _ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:, IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book # Page! 1 and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ,Date Issued: C. Do any signs exist on the property? YES (3 NO 0 IF YES, describe size, type and location: i I D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0 IF YES, describe size, type and location: r 1 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 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. _ r City of Northampton Building Department rp 2,12 Main Street �� .,. \ROOm 100 . kt ��C3 Nort pton, MA 01060E �� ���r ,,� phone 4' 3' 587 -1240 Fax 413 - 587 -1272 f ,� ����.;- APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION ,1 Property This section to be completed by office 31 Le,(n.$4o r A4 ie, Map Lot u nit FIbIr1i14GG u Zane Overtay District Ekn ° St. Disstdct CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: l)an/y Swe,e, Set.w c a-6 a -hire. Name (Print) Current Mailing Address: Sib — f y Og Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (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 + 4 + 5) Check Number I y 0/-5 This Section For Official Use Only Date Building, Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date Y i :31 LEXINGTON AVE ' BP- 2011 -0167 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Biock: 30A - 045 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- 2011 -0167 Project # JS -2011- 000272 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 15681.60 Owner: SWEENEY DARCY K Zoning: URB(100)/ Applicant: SWEENEY DARCY K AT: 31 LEXINGTON AVE Applicant Address: Phone: Insurance: 31 LEXINGTON AVE (413) 586 -6408 () FLORENCEMA01062 ISSUED ON:8/25/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL WOODSTOVE IN EXISTING FIREPLACE 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 8/25/2010 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner 01 'flee oi:Coristimer Ail'airs and -1 ifusiness Regtdation 10 Park. P1az:3. - SLIite 5170 Boston, Massacilliscas 02116 Home liTipi Contri4ctor Reoistiatiori fz,e(iistra1ior).: 131945 Type. Ivclul • • ••• • Ex21ration: 10[13/ Trti 2:04 • • • - • STEVEN A. SILVERMANI . , • STEVEN SILVERP:11At\I : 269 FOMER RD: • SOUTHAMPTON, MA 01073 re.t rW Nittrit: . ftr Erriplovriu.11( 1,r.v.,r Aff'ni.r 1 .Y HOMEIWIPROVE11,11EP4T1',ONTRACTOR t)ert)re- tb e-tpit €1:tte. If fiitttilf to: Req a tic II: T?pe: offi At fait's ..111 E.7.xpiratio.rt: 10,-'13.r201.2 - itfort, 1 1!.1 !t) 3EF `St: • • t3"IEVEN ,• , ------- SiDUTHAMPTON M4t.1073 • 1.;fittert,,rt Not IiJ ‘vitlit)o i;itttri;!. g: J1 1 1 s 77•279• STE \l'i7.1 A S1LVE.1 2 Ft.)1VER SOUTHAP 1 t‘4, .tdvk 13112,• 3 .. . ----, - SECTION 8 - CONSTRUCTIOF SERMES 1 ... ............ 7 .1 Licensed Construction Supervisor: Not App:icable ED Hame of License Holder : Steven Silverman 077279 N 2 G 8 Fern r Roa 7,, ,7 • uthamp_ton. ,, A 01 n71 i Lo ■ Address Expo ra Dni, 584-7522 c S'gnature Telepflene i . vistereci Home irnprovement COntractor: ' Not Appl:cabe. 0 1 Steven Silvel 131945 1 Company Name Regjetration Nun l 258 :Tomer Road I 10/13//2. I Address [ EDU Date i Sou thalYzr) tor . Iva 0 1 0 7 3 T& 584 I di 5EC110141e- WORKERS COhriPENSATION INSIIRANCE AFFIDAVIT (l'A,G.L c.152, fi 21-7C(6)) 1 i I Workers Compensation Insurance affida must be completed and submitted with it apprcation. Failure to providelhis affidavit will result in the denial of the is's.uance of the building permft. , I . . Sioied Affidavit Attached Yes II No 0 I HOille tv nel ._:_,Afzihr ttet 1110 CUrfeElt exemption 101 "homeowners" was extended to include Ownec-occunicA KliwcHiniy:s (loae (1) or two(?) 'Families' and to allow such homeowner to enage an individual for hire who does not possess a icense, flroviclecl thy.4. the owner 2cts as sumervisor. Clkin 780, Sixth Edition Section 108.3,5.1. flefirtitiop of Homeowner: Person (s) who own a parcel of land n which he.islie resides or intends to reside, on which th is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ Cr rfiVnl 5AFLICi131":::s. A Der411 wi“) c:11trIkL" Yi3:31:0 i71 C,11.=_ E',C1r:13 L i; '• ri.c,.. SkLZ.,t, Ei',.:', :::::: Z3i! aa :.ic.iii.L4' Such "homcowner" shall ;submit to the Building Official, 00 a form acceptahle 10 tho Buildint4 Oflicial, atnt telsh-a si] u4. for al: smIeln ',.,\ ork i'l‘erfrirmed under ile: bulafinfl, 1,,n As acting Construction Stinervio2 your presence. on the job site will be requitvd FrOM time to time, duriin4 and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (WorLers' Compensation) and Chapter 1 (Liability of Ell; pr,inyers to ' Employees for injuries not resulting in Death) of the Massachusetts General Laws Arnotated. yea :Ylav 2 E:2.. 'for person(s) you r:ire tcp peLLonn \VOik ';01:y0 :sines rc!ry,ensibi!fts/ b'1;;7; Viit199.V.,:a A Pte 0 S:dif c't cerge Cry) 710b(9.., h et.) k.tckiJ w1 . J1c:q,tsc . arid or 3ddition to existing housing. corripicto t'fie r" • t. A `4 ri ;2.; %,2.1,` ;1; 1 ;;) .,"1 ,; :`,. ` a .] :": , • 4 ' ft ; ); v • SECT1011 to OWNCR AUTHORIZATiON - T3 BE COMPLETED WHEN EP,S ,t.GENT OR CONTRACTCR Pt FOE OZ.:1 -73 PPMT 1 : Steven S3.1verruari, Valley Horne /11proverrterit., Inc. ! . • / I Steven_Silverman.,._ Va11y licitte _Irtprovezitent, Inc . ..;; •. e , ° ;;V: ;'"• ,`, Steven Silite,rn.n /Z/&) Section 4 ALL INF 11SRMATION MST BE COMPLETED, or PERMIT CAN BE 1ENIED DUE T. LACK OF O) T , TION 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 All (Lot area minus bldg & paved .arking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding -ver been issued for /on the site? NO DON'T KNOW YES iF YES, date issued: iF YES: Was the permit recorded at e Registry of Deeds? NO DON'T KN'W YES ii YES: enter Book Page and /or Document B. Does the site contain a rook, 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 P (;tn4le qw^t CEp �firs.;,.i, C. Do any signs xisi on the property? YES NO lF YES, u, sci {Dc 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: , • P Department use only ---- "-- City of Northampton Status of Permit: E IVED :u ding Department curb Cut/Drivevvay Permit 12 Main Street Sewer/Septic Availability SEP - 8 2011 Room 100 wateriweil Availability ort ampton, MA 01060 Two Sets of Structural Plans DEPT OF 1 , • • - 4 3- Fax 413-587-1272 Plot/Site Plans': , --- . NOFrrHAMPTON MA Other Specify . APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISI-I A ONE OR TWO FAMILY DWEI LING SECTION. 1 - SITE INFORMATION 1_1 Property Address: j/ r 1.-- ix.(4)eizve,- _ A / 2 /,/ a/6771 21 rn/41 /1-7 4- - o oc, 0 ZoMap This section to be completed by office ne _ . Lot Ove.-riay District Unit . . . Elm St. District. CB District__ _ SECTION 2 - PROPERTY 0 AGENT 2.1 Owner of Record: ■ . K 3/ 1-E x, - /et 0-/ 6VO6 0 Name (Print) Current Mailing Address: _ t Cf25■(-- cl-lestc_e_e-- Telephone 3 3' 26. - 7 e Signature 2_2 Authorized AEent: Steven Silverman Valley Monte Imp=remz-nt Inc. P.O. Box 60627, Florence, MA 01062 Name (Print) j Current Mailing Aedre.ss: 11 i i At 584 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be ' Officiai Use 01 completed Dy permit applicant 1. Building 5• wo (a) Building Permit Fee 2. Eiectrical j (b) Estimated Total Cost of 4- — Construction from (6) 3. P!'...!7i7bric; Riine47 r"-Prrtiti: 7,--e ..--- 55 _:::, : Frrj.:-...,-1!,%"1 _ Cc;( Number Tiijs Section Ver Official Use Orilv ..._____ --- builcingPerrnizNumr.)er: Date [ssuet: i , - — ■ -- - 1 1 ...... . ...• - frimzsio• _., nsoec or of 31.zileings 31 LEXINGTON AVE BP- 2012 -0229 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A - 045 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit # BP- 2012 -0229 Project # JS- 2012 - 000356 Est. Cost: $5000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq. ft.): 15681.60 Owner: SWEENEY DARCY K Zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 31 LEXINGTON AVE Applicant Address: Phone: Insurance: P 0 BOX 60627 (413) 584 -7522 FLORENCEMA01062 ISSUED ON:9/9/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: Kitchen window and garage gable siding 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 9/9/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner 31 LEXINGTON AVE BP-2011-0167 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A - 045 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- 2011 -0167 Project # JS- 2011- 000272 Est. Cost: • Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 15681.60 Owner: SWEENEY DARCY K Zoning: URB(100)/ Applicant: SWEENEY DARCY K AT: 31 LEXINGTON AVF Applicant Address: Phone: Insurance: 31 LEXINGTON AVE (413) 586 -6408 0 FLORENCEMA01062 ISSUED ON:8/25/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL WOODSTOVE IN EXISTING FIREPLACE 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: Cp k" 5.3c) - - /G, e1v/ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REG AT S. 1°1° A 4."‘C•4 Certificate of Occupanc nature. FeeType: Date Amount: Building 8/25/2010 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner