31D-199 (5) STURDY HOME IMPROVEMENT, INC. ACCEPTANCE PAGE " MA REG.4151711
CT REG.#0501525
ANY WORK NOT STATED ON PREVIOUS PAGES iS EXCLUDED
The following schedule will be adhered to unless circumstances beyond the contractor's control arise: .
Work scheduled to begin the week of-___/..../____. Expected completion date____/..../_...Weather permitting.
The cash price for labor and material as described above is:
1st payment 2nd payment 3rd payment 4th payment
Contract Total (upon signing)
Roof
Ventilation $ 44t pt j caveu� Aw P1�e Q
Other work $
Roofing total $, $ /Ooo c.'
Siding $. 7� j $ 36op, $IT 2, 7 4M "' ace
Windows $ $_ $ — $ $
Special orders $ $ $ $ $
Other $ $ $_ $ $
Totals
Terms: _Cash Finance
Credit Card:#— — — - - - — �— — — - — — — — Exp.date---- / ----Code— — —
Payment schedule:
Any balance not paid in full within thirty days, will be charged 1.8%interest per month.
In order to meet the completion schedule, the following material/equipment must be SPECIAL ORDERED before the contracted work begins.
(Law requires that any deposit or down-payment required by the contractor before work begins,may not exceed the greater of(a.)one-third of the
total contract price or(b.)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the
completion schedule)
$—_to be paid for
$�-to be paid for C7D
Any additional work orders are to be paid for once accepted and approved by purchaser.
Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this
contract. Additional provisions are stated on reverse side a5Xe part of this contract. In witness whereof Purchaser(s)has/have hereunto signed their names
this day of 20 - and acknowledge receipt of a true copy of this contract.
UNLESS OTHERWISE SPECIFIED, IT S UNDERST OD THAT THE OWNER IS READY FOR THE WORK TO BEGIN. THE PURCHASE PRICE QUOTED
ABOVE WILL BE HONORED ONLY UNTIL D" (Date).
You the Purchaser(s)may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See notice of cancella-
tion form for an explanation of this right. Signature affixed below also acts as receipt that Purchaser(s)received separate cancellation forms.
The following is a requirement by Massachusetts General Law,Home Improvement Contractor Law MGL c 142A:
'The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor
may submit such dispute to a private arbitration service which has been approved by the office of Consumer Affairs and Business Regulation and the consumer
shall be required to submit to such arbitration as provided in MGL c 142A.
/ Owner:
Representative. M,
Owner:
NOTICE:The signatures of the parties above apply only to the agreement of the parties to altemate dispute reso ution ini� d ont t contractor The owner
may initiate alternative dispute resolution even where this section is not signed separately by the parties"
Do not si n this contract if there are any blank aces f
Submitted '� /O Accepted � y� r . ����.
Y X �L � b r
by: y:
Representative Purchaser ., Date l
Accepted Accepted [
by: by: -
Rnnrncontativa Purchaser Date
T_
459 Main Street
Tall Free' (877)378-8739 Indian Orchard,MA 01151
Worcestier (508)797-6600 E-mail:HR @SturdyHome,com
Springfitald (413)543-5906 wwwSturdyHome.com
New Haven(203)848-2118
Fax (413)543-3200 MA REG.#151711 OT REG.40601525
WINDOWS • SIDING • HOOFING • ADDITIONS
Name t ` " Ho Pone r.�,4.2-
Business Phone
L� ti�j G �V �e� ` < ey y
Address S'T' U 1, Cell Ph on 'b Other
t�U
Town/City Representative Date
I the omner(s)of the premises d scribed hereinafter, referred to as Owner, offer to contract with Sturdy Home Improvemen, Inc.hereinafter
referred to as Contractor,to furnish, deliver and arrange for installation of all materials to improve the premises as described below. .
Yes No ROOFING SCOPE OF WORK:
8"' ❑ 1. Contractor to obtain required building permit.(see attached permit authorization form) 1'd 2-4OK3 Family home.
91' ❑ 2. Provide certificate of insurance for workers compensation,general liability.(see attached certificates).
❑ 3. Provide job site dumpster,set on planks,to remove job related debris only. Please Note:dumpster for contractor's use only.
(see dumpster clause).
❑ 4. Prior to stripping roof,tarp sides of house beneath work area,from roof edge to bottom of wall.
(see additional protection clause on back).
❑ 5. Keep job site in a clean.and orderly manner. Rake work areas at end of job. Use magnetic sweep to pick up nails.
❑ 6. Provide OSHA approved staging to safely perform work.
❑ 7. Work consecutive days excluding inclement weather.(rain,snow,high winds,high heat,thunder showers,etc).
❑ 8. Staff project with qualified mechanics experienced in residential asphalt roofing.
Q/C] 9. Strip existing 1 f 2_ 3_ �b layers of asphalt roofing(see roof plan,page 2). Number of squares k-
A.__,Li one layer cedar removal. Number of squares c)
B. Q_one layer slate removal. Number of squares-c)
10.Inspect roof deck prior to re-roofing. Renail loose boards:
A.Replace rotted or cracked boards at$ '7" ---' per linear foot.
B. Install new plywood at$�per sheet.
C.Number of sheets of plywood includ d info th's estimate:Quantit (see unit cost above for additional sheets),
❑11.Furnish and install -e -Term -:�. &'71t, 4i shingles. Color
Ul-❑12.Furnish and install 8"aluminum drip edge around roof perimeter.White 0 Mill 42 Brown t./
❑ 0'13.Install cedar drip edge at eaves under aluminum drip edge.Linear..ft-
14.Furnish and install ice/water shield at eaves 31 A4' other. Three feet in valleys and around all roof penetrations.
❑15.Furnish and install underlayment to entire roof. Roofer select !t'Diamond Deck
[ ❑16.Furnish and install starter course shingles,eaves&rake.
�❑17.Furnish and install.hip and ridge cap.
❑I S.Furnish and install new neoprene roof boots at soil pipes up to 4"in diameter. Quantity Size (boots at electrical
mast to be reused).
❑ kl�kf9,Reuse stove pipe flashing kits.
❑ 9�0.Reuse existing step flashing at roof/wall intersections.
❑21.Furnish and install new aluminum copper step flashing at roof/wall intersections.Linear feet . If siding
work is needed,a cost assessment will be made at that time.
❑ W2.Reuse existing wall flashing at roof/wall intersection.
[ ❑23.Furnish and install new aluminum wall flashing at roof/wall intersections. Linear feet if siding work is needed,a cost
assessment will be made at that time.
❑24.Furnish and install new 1./" aluminum step flashing at base of chimney under existing lead counter flashing.
❑25.Replace chimney lead counter flashing. 1 flue cf 2 flues_4Z3 flues. other�.
❑ iTK6.install new roof hood to vent bathroom(s)with insulated flexible tube. Remove roof deck to gain access into attic.Color: black
only.
❑ 027_.Gutter Helmets to be removed and reinstalled by others.
❑
6f8.Remove and dispose of gutters attached with spike and ferrule.
❑29.Remove and reinstall existing gutters strapped to roof. Install straps under shingled over shingles.
❑ W-86 Remove and reinstall existing gutters with hidden hangers. Linear feet
❑
or'l.Reuse skylight flashing kitsp Replace skylight flashing kits Quantity 0 (Velux models,stock only).
❑ 4-r;Z Remove and dispose of the following:Antenna G Snow/Ice Wires Snow Guards/Ice belts Solar panels
❑ (?3.Remove Satellite Dish up to 24'in diameter. Alignment and installation by others.
W-U 34.Page Two=ROOF PLAN. ,
Ur--U 35,Page Three=VENTILATION. 5'i-(11 L,- z-
❑ ❑36.Page Four=VENTILATION PLAN.
37.Addendum (A)=OTHER WORK.
i-l--n 38.Addendum(B)=LOW SLOPE ROOFING. '
l i
459 Main Street
oil Free (877)378-8739 Springfield, MA 01151
Vorcester (508)797-6600 E-mail: HR@SturdyHome.com
ipringfield (413)543-5906 www.SturdyHome.com
dew Haven (203)848-2118
"ax (413)543-3200
WINDOWS SIDING ROOFING * ADDITIONS MA REG.#151711 CT REG.#601525
lame 1 j l l —ASE Ell {phone p ?(Y 9 � 2- Business Phone
,ddress _ ~ ., Cell Pj one tc7 Other
/ )tZ3y
own/City f q y�,� Represen tivf� / Date
N v 't Vl i� U ( � I � tT�-' 4vz�1'(t
'we the owner(s) of the premises bescribed hereinafter, referred to as Owner,offer to contract with Sturdy Home Improve me t, Inc.hereinafter
aferred to as Contractor,to furnish, deliver and arrange for installation of all materials to improve the premises as described below.
es No SIDING SCOPE OF WORK:
l ` ❑ 1. Contractor to obtain required building permit(see attached permit authorization form) 1 214�- 3�Family home.
�' ❑ 2. Provide certificate of insurance for workers compensation,general liability. (see attached certificates).
❑ 3. Keep job site in a clean and orderly manner in a broom swept condition.
❑ 4. Provide job site dumpster,set on planks,to remove job related debris only. Please Note:dumpster for contractor's use only. (see
dumpster clause).
5. Provide OSHA approved staging to safely perform work.
�' ❑ 6. CustomSi to emove all ornamental and personal items away from house,yard and walls outside,etc.
❑ 7. Strip F—layers of siding off existing house.
Wood clapboards ?— Vinyl Cedar Shakes Stucco d Aluminum
Other
. Gutter helmets to be removed and reinstalled by others.
J 119. Remove and dispose of gutters attached with spike ferrule.
L110. Remove and rwFexisting gutters strapped to roof. Install straps under shingle over shingles
@1'1. Remove and reinstall existing gutters with hidden hangers. Linear feet
j ❑12. Furnish and install new gutters. linear feet,and downspouts (10'lengths). Color
I�11'!. Remove Satellite Dish up to 24"in diameter. Alignment and installation by others.
�4. Remove and reinstall the following items:
❑Shutters. (see number 16) ❑Doorbell
❑Storm door ❑Street numbers
❑Power meter(power lines to remain,wrap around anchors) ❑Lights(see number 15)
❑Telephone ❑Water meter
❑Cable TV lines ��, ❑Dryer vents
❑14. Install insulation d r siding.3/8 fan fold Tyvek
Polar Board High density poly styrene/Green Board Total Squares
Y ❑15.Install customer provided light fixture on house. Please note additional wiring is not included. Quantity
] ❑16. Install shutters on house.Quantity Color Louvered Panel
] LA-if Extensions of water faucets on the exterior of home are not included. Please note if needed,this will bean additional$150.00 each.
❑18. Furnish and install M�►� )i 'ir fh�.C•wJ siding. Color Total number of squares. <50
❑19. Install Corners. Color Style Linear feet
❑20.Install ``(-e I Light blocks �:J--f- Dryer vents •0 Water blocks. Color
] .Porch ceiling to be covered with soffit siding. Total squares
❑22. Install J channels around windows and doors. Color Style
!r ❑23.Install vinyl soffit on overhangs. Vent soffit boards prior to installing vented soffit materials. Color C=am-rl-etY Linear feet_.
❑24.Install aluminum coil stock on fascias on front,rear and sides of house. Color e/ /e• Linear feet
❑25. Install aluminum wraps around window and O door(s). Uj lk,�L - /S
] Q66. Cover Gables End vents with siding to prevent air-flow. (if the roof is vented with soffit and ridge vents,then gable end vents must
be closed in order to qualify for warranty coverage).
' 7.Owner agrees to cut back or remove any landscaping 18" from house in order for contractor to gain access around perimeter of
foundation.
❑28. Addendum (A)=OTHER WORK.
❑29. Acceptance Page. Pell,
❑30. Work not included: 1. Final cleaning of windows 2.Any rotted wood (other:
/1509:35PM HPFAX4135861034 Pagel
turdY Home Improvement Inc-Authorization Permit lillyga... hUps://mail.g0ogle.com/mail/u/0/?h1=en&shva=l#inbox/1501e.
I MPROVEMENT
WORCESTER SPRINGFIELD HARTFORD
459 MAIN STREET-P.O.BOX 51033-SPRINGFIELD,MA01151
MA.REG#151711 CT.REG#601525
1-877--3-STURDY 508-7970600 413-543-5906 FAX413-543-3200
OWNER PERMIT AUTHORIZATION
Name. L
..........
Address:
NIV.
City I State Zip: 100 6
(Owner), of the property located at:
authorize Sturdy Home Improvement
Inc, to act as my agent for the construction project taking place at the above
address. I also authorize Sturdy Home Improvement Inc. to obtain a building
permit. I understand and accept responsibility to comply with all regulations an
required inspections.
A,PVLIP�q Al
of 1 10/1/15 4:1.3 PM
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: q5 7 ()uj l �`��E'�� ►��� �nQ fin,
The debris will be transported by: ` ) , �► ����P ` �
The debris will be received by: n ne CAP o
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
w Office of Investigations
I Congress Street, Suite 100
Boston, MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): t i rYi)Pr(A)onx:ri%_
Address:
City/State/Zip: ` (k _ C� � Phone#: � —0 3 1 6 0
Aru an employer? Check the appropriate box: Type of project(required):
1. am a employer with p 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' g ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] c. 152, §1(4), and we have no
employees. [No workers' 13T1 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
I 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. 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:
Policy#or Self-ins. Lic. Expiration Date:
Job Site Address: q5 City/State/Zip:
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$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.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date:
Phone
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#:
NMI
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: (� / Not Applicable ❑
Name of License Holder: V it !� C<, mil.'
License Number
Ma ( -1
Ad r Expiration on
��° D 73G2
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
v I �i7 i
Company NRVke Registration Number
qD- Q Mckin s-- sal If C)rcha.rd,hPv 6l 2-6(1 �
Address Expiration D to
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....... 14 No...... ❑
11. - Home Owner Exemption
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,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 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 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.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors O
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[561"
] Other[ice]
Brief Description of Prp sed
Work:`> ['12 fyl��1'('\C1 I el- C Adlf frQktnf-4 t�J � j�JS�, CU'-n1EKC"-'G1 "nSfQ!l
Ce-ac'infte tagdrrar�CL'F.'- 5'v1 rt �IC � Cv,'n� h� r� �vrnr`;han r'nsictt( tCCf��'�i( f'j' 90r 6
Alteration of existing bedroom Yes No Adding new bedroom Yes No C.—Ise
Attached Narrative Renovating unfinished basement Yes No o If ,'(A i, r q
Plans Attached Roll -Sheet S Tr2 fit-- C al f,61.1(
6a. If New house and or addition to existing housing,complete 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
i. 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.
I. 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
I, L d as Owner of the subject
property --��
hereby authorize S} (C U inc)� yempn t�
to act on my behalf, in all matters r tive to work authorize y this building permit application.
Signature of Owner Date
I, Stof-dw as Owner/Authorized
Agent hereby decl a that the statements a d 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.
r
Signature of Owner/Age Date
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
Frontage
Setbacks Front
t
Side L. R:; L:, _. R
3 _ ,
Rear
Building Height
Bldg. Square Footage " % , `
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page and/or Document#!
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES 0
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 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q 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 0 NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Avai tab![it
y
Co Room 100 W6terAA/ell Avpilability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
1PILICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
q 5 S'(3,�h s y e-e T L Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
1�'Ltu � � fiJSov Sf N�rfCpn MH
Name(Print Current Mailin ddre� Y 13-3 '6 .7
QY c0IYl
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 ermit 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) a Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
95 SOUTH ST BP-2016-0485
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block: 3 1 D- 199 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catego : vine Siding BUILDING PERMIT
Permit# BP-2016-0485
Project# JS-2016-000813
Est. Cost: $37500.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: STURDY HOME IMPROVEMENT 093603
Lot Size(sq.ft.): 17859.60 Owner: GAEV BENNETT N&LILLY GAEV
Zoning.URC(100) Applicant: STURDY HOME IMPROVEMENT
AT: 95 SOUTH ST
Applicant Address: Phone: Insurance:
P O BOX 51033 (413) 543-5906 WC
INDIAN ORCHARDMA01151 ISSUED ON:1011312015 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE 10 SQ ROOF & REPLACE
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:
FeeTvpe: Date Paid: Amount:
Building 10/13/2015 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner