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17C-135 (5)
P.O. Box 656 / 40 2 Roan [l,[2` E[ Qo [ 9[ R A [�l @KiI TTUn [I Aak NORTHAMPTON, M 01061 (413) 5844022 ril.. FAX (413) 5840011 DATE JOB NO. ATTENTION .....) j (i)V/di J/S 1 . J 6�'�G(' C Z/ TO / � CC /� ? (� � RE: /72 -c- /( �( zi __/ ' .17, _.z/ ".7 (/ WE ARE SENDING YOU ,[] Attached ❑ Under separate cover via the following items: > ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION / / // .N /( Ca. %/ G?LC fv , / . I/ ( ?e /1-ITIY1' 5. vi dcTcc( / ////r), „5 %c %Gr 6 5t cf o(c2r- � i ` /' -/ 5 - �f P c A _5 fvJ 1 f/ -tv��' -- .9Z F /c / i 2 ate-4 727 — f15 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints > ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS , COPY TO / SIGNED: f � -Gd If enclosures are not as noted, kindly notify us at once. Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supers isor License: CS -062358 I IS RICHARD D A:Q�UADRO r 30 FORBES AVE NORTHAMFTONi t' 0,+i Expiration Commissioner 02/10/2014 Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991m of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov /DPS • Aco C1 CERTIFICATE OF LIABILITY INSURANCE DATE 0/11 DIYYTY) 1 6.......--- -- 10/11/2012 PRODUCER (413) 586 -7373 FAX: (413) 584 -0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aguadso & Associates HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 355 Bridge St. , P. O. Box 357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton MA 01061 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Al Travelers Insurance Company 0015 Aguadro & Cerruti, Inc . INSURER B: COmmerCe & Industry Ins Co. 0005 Texas Road INSURER C: v - -- P.O Box 656 INSURER D: __ I Northampton MA 01061 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR'ADDL — POUCY EFFECT VE TPOUCY EXPIRATION MM LTR INSRD TYPE OF INSURANCE POUCY NUMBER DATE fIDO(YYYY) . DATE IMWYDDNYYYYI OMITS ' GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 © COMMERCIAL GENERAL LIABILITY PRM TO RENTED PREMISES (Ea occurrence) $ 300,000 A CLAMS MADE X OCCUR DT- CO - 8336L914 - COF - 12 01/01/2012 i 01/01/2013 MED EXP (Any one person) ; $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 --a GENERAL AGGREGATE I $ 2,000,000 GENT_ AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/0P AGG $ 2 , 000,000 POLICY -1 PRO- ( JFCT I I LOC AUTOMOBILE ULBIUTY COMBINED SINGLE LIMIT E $ 1, 000, 000 ANY AUTO ( a accident) A X ALL OWNED AUTOS DDTA0- 810- 978E7592- COF -12 01/01/2012 01/01/2013 BODILY INJURY X SCHEDULED AUTOS (Per parson) $ HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS i (Per accident) PROPERTY DAMAGE (Per accident) $ 1,000,000 • GARAGEUIBILITY AUTO ONLY - EA ACCIDENT I $ ANY AUTO OTHER THAN EA ACC ; $ AUTO ONLY AGG 1 $ EXCESS 1 UMBRELLA UABILITY EACH OCCURRENCE IS 10, 000, 000 • X OCCUR I CLAIMS MADE AGGREGATE $ Ia A [ . DEDUCTIBLE DTSM- CUP- 8336L914- TIL -12 01/01/2012 01/01/2013 f$ I X RETENTION $ 10,000 I $ B i WORKER$ COMPENSATION i TORY I VA S I X OTM AND EMPLOYERS' LIABIUTY TATU MOTS ER __- I ANY PROPRIETOR/PARTNER/EXECUTIVE © i E.L. EACH ACCIDENT 1$ 500,000 OFFICER/MEMBER EXCLUDED? I (Mandatory inNH) N'C006944411 12/31/2011 12/31/2012 E.L DI$EASE - EAEMPLOYE $ 500,000 SPECIAL PROVISIONS E.L. S bay DISEASE • POLICY LIMIT ! $ 500,000 GTH+ Rented /Leased 660 - 84151118 01/01/2012 01/01/2013 $50,000 A Equipment or per unscheduled itea Equipment Floater DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TEE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION FLORENCE CASKET CO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 10 DAYS WRITTEN 16 BARDWELL ST 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. AUTHORIZED REPRESENTATIVE 4 C Aquadro /CTA_ �+Oi" ACORD 25 (2009101) ©1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD City of Northampton Massachusetts . 4, 4 , iti -.d. 4h, 4 4 f='' 41 ,, ” DEPARIMPF OF BUZZATNG INSPECTIONS 401 41, 212 Main Streat a Municipal Building Northampton, MA 01060 INSPECTOR Louis Hasbrouck Fax: 413-587-1272 Chuck Miller Building Commissioner Phone: 413-587-1240 Assistant Commissioner SECONDARY CONSTRUCTION CONTROL DOCUMENT (For professional Engineers/Architects responsible for a portion of a controlled project) Date: Project Title: Florence Casket Co. 11 Oct 2012 16 Barnwell Street, Florence Project Location: Map: Parcel: Zone: Scope of Project: 540 +1- soft Building Addition In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6: 1, William A. Shaheen P.E. ..= 36292 Mass. Registration ff r being a registered professiona agin- - /Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Fire Protection [ 3 Architectural V] Structural [ 3 Mechanical [ 3 Electrical [ 3 Other (specify) for the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Laws for the proposed project. Furthermore, 1 understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents approved for the building permit. Upon completion of the • hall submit to the building official a final report as to the satisfactory Completion of the -,,,,- • work. /4' '.\•\ , 00,Aft f 's . Signature and ; 4 RAggrgied l ''' • -ssional \Ili Itik, - ... ; -- — '‘`r - SON. 201,7___ (seal) The Commonwealth of Massachusetts Department of Industrial Accidents a = ' ' Office oflnvestigations ' ' _ 600 Washington Street x .._ ._ Boston, MA 02111 __ www.mass.gov /dig Workers' Compensation Insurance Affidavit: Builders /Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 4aU P RO r CE <1 u TT 1 •.�C' Address: (3 1 - ie— 5 °lC d -P �).. 190x ��?5 r 42 / *in 1 7t(� (97a0/ City /State /Zip: � � - / /)'/��p / Phone #: /// S Z ), 7-- Are you an employer? Check the appropriate ox: I Type of project (required): 1. ❑ I am a employer with 4. I am a general contractor and I Y 6. ❑ New construction employees (full and/or part- time).* have hired the sub contractors listed on the attached sheet. 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' g addition working y p ty. 9. XBuildin� [No workers' comp. insurance comp. insurance.$ required.] . 5. ❑ We are a corporation and its 10.17 Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3. 1:1 I am a homeowner doing all work 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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 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: (O' M e c ,t)- Y,--4a( 17t 5. - Policy # or Self -ins. Lic. #: f�( COO 7 ( Expiration Date: �,, 6 iy eveJ��l t rb O'' 2l'C� /6/ 6i City/State/Zip: /State /Zi ffd -(...e "�� ll�� Job Site Address: c tY P= 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 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 5250.00 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sienature: ■ • l"--�� Date: /E /7 Phone #: / ./3 -- .5 > ( -- Ii 0 - --- 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 #: Versionl.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 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4 ., i I `��J Tn�lu✓J a OwrigrAbf the subject property hereby authorize / � 1, ( ` .C .. C _ 2_ j > C _ C. to act on my t - . . „ajtTnatters relative to work authorized by this building permit application. i �, ' • e .f� Date ..._..._, .,. `� ..._, ,l� �... Esc . �, 1 t, C t. ' (_. _X.,__. ..L ` -elM,4 ' 1 a.1 PR_0 t6CC. _ 1.._k i T-T. )C-_ , as Eimer.! uthoriz e.i_tiliereby 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 perdu. _ ___� ._.. ^ � .,.. .._ Print Name r Signature of GwuiE �C rye Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder ... 1 4 ' CI A- a- a e t Sl.,:, ... C _ _ .. License Number r Address Expiration D e R ' ,D, ,i/rt,e(r(4( 4 // , — 5 I I ( - — 1 /C ”. Zi? Sign Lure Telephone SECTION 13 - ORKERS' 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 uilding permit. Signed Affidavit Attached Yes No Version1.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 1 16 (CONTAINING MORE THAN 35,000 C.F. OF EIJCLOSED SPACE) 9.1 Registered Architect: • Not Applicable ❑ Name (Registrant): . _ .w _ . _.._._._._ ..... _. _.M.___. - Registration Number Address _..__ Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): • Name Area of Responsibility Address A2„.3 Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address w_ Registration Number ^„ mmm 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 6(CL4 k_ C CE(Z L .TT TAvC Not Applicable ❑ Company Name: Responsible In Charge of Con ruction /3 / fexq Rc c� c .. cCe :7 `� A- 4 A O < r Address Gi( Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by honing This column tote filled in by Building Department Lot Size Frontage Setbacks Front Side L._. R: .__ L:' R. Rear _.I pc, $e e Building Height f Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved # of Parking Spaces — Fill: (volume & Location) A. Has a Special Permit /Variance /Fin i ever been issued for /on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the e istry of Deeds? NO 0 DON -T- -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 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Date Issued:_ A C. Do any signs exist on the property? YES NO 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, vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES (3 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit 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 Additio ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofin ❑ ' Change of Use 0 Other ❑ Brief Description ; Enter a brief description here. ,~� � M� / V` � - �� A � `µY4 .^ � Q� ( Of Proposed Work: / 9 6 i` X 30 r S/Z PG( / ?ca{G�I,C l r(° "l , ( //,6 `� 3 t.' r i ti"1, L � i t SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 0 A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 0 A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ~ 1 ❑ F Factory ❑ F -1 ❑ F -2 0 2C ❑ H High Hazard ❑ — - - " -= ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ I -3 ❑ OP A M Mercantile ❑ i 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 0 S -2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use n Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: __ »... -__._ _. _.w_..__r...- a..—,,_, �. .,._.__ Proposed Use Group: ._._________- _.... __. _._. Existing Hazard Index 780 CMR 34): ____µ, _..,, _ _,_.. Proposed Hazard Index 780 CMR 34): `m.._...,_ ___________ . - ._.... SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING P r ROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) l / r " f (� � ' 15t <7573::, 1 ........._ ._.�,.._r.�.._.m__W.. 2nd 2 nd 3 d � _.... . ._. . . _._. _.�,_. 3rd ,_- ___..__m.. _....... -_ - Total Area (sf) Total Proposed New Construction (sf)_ d ? S75F __...... Total Height (ft) Total Height ft 177, . 7. Wat r upply (M.G.L. c. 40, § 54) 7.1 Fiood_Zone Information: 7.3 Sewag isposal System: Public Ij Private ❑ Zone _ _.__ Outside Flood Zone Municipal On site disposal system Version1.7 Commercial 7 ercial Building Permit May 15, 2000 RECE City of Northampton Building Department Curb CuUDrwayPerm .•. OC 1 2 2012 212 Main Street :SeweE/Septi Room 100 iikaAii1 piiWMV14*:Mxi:zi#"iryto orthampton, MA 01060 DEPT OF BUILDING INSPECTIONS N optune 4 3-587-1240 Fax 413-587-1272 PLot/Site Plans Other Specify 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 • ' FICI` Cu s . Map Lot Unit • c, a9 s'f-, Zone Overlay District : F loi-et(Le„ - 1144 0 r 0 — Elm:St:District' CB District SECTION 2 - PROPERTY OWNERSHip/AUTHORIZED:AGENT 2.1 Owner of Record: koc2 .J2/e262 ex Name (Print) Current Mailing Address: Signature d Telephone 2.2 Autho „etedit/nent: — — a sy, clo,6 cl Name (Print) Current Mailing Address:__ signature Telephone SECTION a -ESTIMATE ONSTRUCTION• COSTS . Item Estimated Cost (Dollars) to be • . Official Use Only. completed by permit applicant 1. Building (a) BuildingPermit.Fee 2. Electrical (b) Estimated' Total Cost of • : Construction from (6) 3. Plumbing Buildirig:Perrnit.•Fee 4. Mechanical (HVAC) 5. Fire Protection : ,„ 6. Total = 1 + 2 3 + 4 + 5) 5, //o/oe CheckNumber 190/ $106 This Section For Official • Permit Number Date Issued Signature: Building Commissioner/inspector of Buildings Date 5 ds File # BP- 2013 -0429 APPLICANT /CONTACT PERSON AQUADRO & CERRUTI INC ADDRESS/PHONE P 0 Box 656 NORTHAMPTON (413) 584 -4022 PROPERTY LOCATION 16 BARDWELL ST MAP 17C PARCEL 135 001 ZONE SI(71)/URB(29)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /� �s /� �/ �j Fee Paid / ��/ / y fi /4 Tvpeof Construction: FOUNDATION FOR 17'6" X 30 SHED ROOF ADDITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Miajkfil1/4# Owner/ Statement or License 062358 3 sets of Plans / Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN 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 _ / jet / 217' f Signature of Building Official Date l tm g 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. 16 BARDWELL ST BP- 2013 -0429 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C - 135 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: FOUNDATION BUILDING PERMIT Permit # BP- 2013 -0429 Project # JS- 2013- 000684 Est. Cost: $50000.00 Fee: $105.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUADRO & CERRUTI INC 062358 Lot Size(sq. ft.): 56192.40 Owner: FLORENCE CASKET COMPANY Zoning: SI(71)/URB(29)/ Applicant: AQUADRO & CERRUTI INC AT: 16 BARDWELL ST Applicant Address: Phone: Insurance: P 0 Box 656 (413) 584 -4022 Workers Compensation NORTHAMPTONMA01061 ISSUED ON:10/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: FOUNDATION FOR 17'6" X 30 SHED ROOF ADDITION 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 10/23/2012 0:00:00 $105.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner