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GIS#: COMMONWEAL T'H OF MASSACHUSETTS
Map:Block:23A-291 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-0754
Proiect# JS-2015-001459
Est. Cost: $229930.00
Fee: $1379.00 PERMISSION IS HEREBY GRANTED TO.
Const. Class: Contractor: License:
Use Group: KEITH MODESTOW 58467
Lot Size(sq.ft.): Owner: MODESTOW IAN E&MICHELLE M KERSBERGEN
Zoning: GI000) Applicant: KEITH MODESTOW
AT. 190 NONOTUCK ST - MODESTOW FAMILY DENTISTRY
Applicant Address: Phone: Insurance:
36 BURLEIGH RD (413) 566-0286 WC
HAMPDENMA01036 ISSUED ON:112912015 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT & DEMO 2 WALLS & INTERIOR
RENOVATION
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring L.P.W. Building Inspector
Underground: Service: �/ kA f, 1: Meter:j_�'' Footings:
Rough: Rough:z J-tr House# Foundation:
Driveway Final:
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Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: ^
Final: Smoke: Final: .7,,f
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THIS PERMIT MAY BE REVOK D Y THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE TIO
Certificate of Occupancy Si nature:
7 / V/r
FeeType: Date Paid: Amount:
Building 1/29/2015 0:00:00 $1379.00
212 Main Street, Phone(4'3) 587-1240, Fax: (413)587-1272
Louis Hasbe(.m(1h Building,Commissioner