29-109 (4) '�wte' 1.7
YANKEE HOME IMPROVEMENT, INC. All home improvement contractors and subcontractors
MA# 160584 CT# 0673924 CSL# 089442 engaged in home improvement contracting, unless specifi-
82 INDUSTRIAL DRIVE, NORTHAMPTON MA 01060 cally exempt from registration by Provisions of Chapter 142A
1 - 877 88YANKEE 1 - 877 - 889 - 2653 of the general laws, must be registered with the
413 341 - 5259 Commonwealth of Massachusetts. inquiries about registra-
tion and status should be made to the Director, Home
j4 t in Improvement Contract Registration, One Ashburton Place,
Submitted ". / Y / / ! 1�� Room 1301, Boston, MA 02108 (617) 727 -8598
To: 57 / (Zyan at �
F1a /1/14- 0 I06,;.. '' , Iov ky-eyeilia", � EMAIL ,.3 s
PHONE 4 DATE ,.Calk P HWE C U J ` o 4' 06.). -
We hereby submit spe ifications and estimates for work to be rformed and materials to be used:
.. 11 ea grag D4 4 ,Z2 .4../.n .r -Me xifie r / akxot ` —
P; c-Fvr-t, bt11►' /ow z<.. /D o'ic . . 4:e /'/ !' Q/a „ A ulmplatif
It 7,2 WA -e-- • � —
(id ru� aV ft: 4a-- �, V j ');i- 1 fi�,i� 1I T M r
4 r` v 4-T At Mrull" T C , r Wik4 Ji
L . ---/-44" - fa, - ' i r -- W a/V -- - - ----
WORK SCHEDULE
Contra or wi no begin the work or order the materials before the third day following the signing of this Agreement, unless spe Te ern. Contractor will begin the work on or about
/ (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by L% //l (dale). The Owner hereby acknowledges
and grass at the scheduling dates are approxknate and that such delays that are not avoidable by the Contractor including, but t 1 o strikes, Acts of God, shortages of materi-
als,accidents, and all other delays beyond its control, shall not be considered as violations of this Agreement.
WARRANTY )
The Contractor warrants that the work furnished hereunder shall be free from detects in materials and workmanship for a period of / following completion and shall comply
with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, its subcontractors, employees or agents, is discovered
after completion of any job, tnckrding cleanup, the Contractor shall, at its own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such dam-
age or such defect in materials and workmanship. The foregoinq warranties shall survive any inaction performed in connection with the aftreed -won work.
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
_ dollars ($ /� ' ).
Payment to be made as follows: 1
% ($ ) upon signing contract; YANKEE HOME IMPROVEMENT, INC.
Name of Contractor /Designated Registrant
% ($ )upon completion of 82 INDUSTRIAL DRIVE
Vim) Street Address
% ($ • n completion of NORTHAMPTON_.MA01060 413- 341 -5259
_____q_2C2ke
�f G�f- . City /State Phone
.% ($ ! / c'tP r ) shall be made forthwith upon 160584
completion of work under this contract. Registration No.
Notice: No agreement for home improvement contracting work shall require a down Name of Salesmaq
payment (advance deposit) of more than one -third of the total contract price or the
total amount of all deposits or payments which the contractor must make, in advance. Authorized Signature ,,,^
to order and/or otherwise obtain delivery of special order materials and equipment, / '
whichever amount is greater,
Acceptance of Proposal I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon
signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above.
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller, which may be his main office or
branch thereof, provided you notify the Seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than
midnight of the third business day following the signing of this agreement. Please refer to the Notice of Cancellation that accompanies this contract; con-
tents of which are referred to above and incorporated herein by reference.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
4/ r
Signature i ./ . Ir... y .i.. ' ; Date I / I o Signature Date
J
s l
Massachusetts - Department of Public Safeti
Board of Building Regulations and Standards
COhsttui ttcm Supervisor License
ii License: CS 89442
1 Reotticterl#N, !!,t ,
GERA "11 • ' 1,(1 Y
M1 1 1 1
4 i t
PO BOAC APB "'
r EAS . i , ki fOl 0107 ' ' .. ''''
V
`-- 1 ". - iG-- .o"-- Expiration_ 3t19/2O12
r onnni:oiode Tr#: 18580
/
viI
0
100 , 7 1/Iff."94r0,0 4 94 -
•
Office of Consumer Affairs and Eusiness Regulation
s.- 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 160584
Type: Private Corporation
Expiration: 8/7/2012 Tr# 201019
YANKEE HOME IMPROVEMENT INC
GERARD RONAN
82 INDUSTRIAL DRIVE – —
NORTHAMPTON, MA 01060
Update Address and return card. It4arkreason for change.
Address n Renewal fl Empioyment fl Lost Card
ops-epo 50M-04/0443101216
<TOname: - - - -> <To£axnum:>
CERTIFICATE OF INSURANCE
10/05/2010
HIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED
:Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
HE ISSUING INSURER S AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION
IS WAIVED, subject to the terms and conditions of the policy, certain policies may require and endorsement. A statement
).n this certificate does not confer !fights to the certificate holder in lieu of such endorsement.
PRODUCER
Kennedy & Associates
1349 Allen St
Springfield, MA 1118
COMPANIES AFFORDING INSURANCE
{ COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
Yankee Home Improvements
82 Industrial Ave Unit 2
Northampton, MA 01060-0000
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
THE POUCY PERIOD INDICATED, NOT WITHSTANDING 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 THE
POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
fl TMs' ' • '
CMPEr8ATION
{ ND EMPLOYER$' LIABILITY
Ji HE PROPRIETOR! LIMITS
'ARTNERSIEXECUTIVE
FFICERS ARE:
NCL a ExcL a 9943619 10/02/2010 10/02/2011 , TATUTORY LIMITS
ETHER
rnerage APIA* to MA Operetlons Only.
CH ACCIDENT $ 100.000
DISEASE POLICY LIMIT $ 500,000
DISEASE -EACH EMPLOYEE $ 100,E
DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER ANCELLATION
SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WIHTE TIE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Cliant' 17Ti#0 YAN .
ICE3
AGQRD„, CERTIFICATE OF LIABILITY INSURANCE 09/11
"
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATER OF INFORMATION
King & Cushman. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
&Finn HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
Rine ALTER THE COVERAGE AFFORDED BY THE POLICIES se m%
P.O. Box 447
Northampton, MA 01081 INSURERS AFFORDING COVERAGE NAIC 0
INSURED INSURER A: Colony insurance Company ,,._.
Yankee Home improvement
INSURER It
82 Industrial Or. Ste 2 INDIIAtEAC:
Northampton, MA 01060 .
INsuRER o:
INSURER E•
COVERAGES --
THE POLICIES OF INSURANCE LISTER BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE FOR 'THE POLICY PERIOD INDICATED. NO'TWM4t3TANOING
MY REQUIREMENT. TERM OR COMMON OF ANY CONTRACT OR OTMER DOCUMENT W(TH RESPECT TO WHICH THIS CE RThFTCATE MAY RE ISSUED OR
MAY PERTAIN, THE MSURANCE AFFORDED BY THE POLICIES DESCRIOED HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE Limas SHOWN MAY HAVE 9E04 REDUCED BY PAID CLAIMS,
MUIR AD • DA�
i -.. ,. TYPE OFMOORANCE POIJCYimamR if1YXi - grI . L -
A GENERAL uABILIrY 147995 08/14110 08114111 PACE OGI RRENCE s1.000.000
X COMMERCIAL GENERAL aABTLTTY - AVIOnEAREPffEn S s50.000 _
■. MAWS MADE El OCCUR MFD EXP(AKy dm person) 55.000
I PERBCALN. &MWSNIURY $1 .000.000
GENERAL AOGREGATE S2
OEM. AOOREOATE MIT APPLIES I PRODUCTS-COMM/PAW s� 00
000,0
I
AUTOMOBILE IJAB1UTY
AINfAUTO (E CG T INGLE LIMIT $
ALL OWNED AUTOS
BODILY INJURY s
SCHEIXREDAUTOS (Pei perm)
II HIRED AUTOS tTOIR1 Y DLRIRY
tuON4 WNED AUTOS (Per sedOEID $
III . PROPERTY DAMAGE
Per `
~ ^ -'—
MANAGELABUTY AUIO ONLY - EAACCIDENT $
ANY AUTO OTHER TIME PA ACC $
AUTO ONLY' AGO , S
EX*p
CJMBRELLA LIABILITY — EACH OCCURRENCE $
I OCCUR [ 1 CLAW:WARE ,O6�t,ATE $
I $
■ DEDUCTIBLE S
RETENTION , $
WORKERS COMPENSATIORAND ` _ Y _ Y _ C _ IRS BTA��'tt1�-- OT►}
EMPLOYERS LABILITY ..... LJ RY) IA J FR
ANY PROPRtEPOFNPARTNL XCGU N El_ EACH ACCIDENT $
OFFICERMEMBER EXCLUDED?
II d .. under EL DISEASE EAENIMO $
OTHER
DESCRIPTION IN OPERATIOTM I LOCATIDNe IVEH CUES I 4I(CLUS1Dee ADDEO BY�T I SPECIAL NS
CERTIFICATE HOLDER CANCELLATION _
SHOULD ANY OF THE ABOVE INISCRISEXI POLICIES BE CANCELLED serum THE EXPIRATION
DATE TIWRRIOC, THE ISMUINO HI*URER WILL ENDEAVOR TO NAIL 10 DAYS WRITTEN
rumen.. TO me ce1V.TIPICAm. HOLDER NAMED TOTER *Err, BUT FARA/RETO DO 80 SHALL
VAPOR! NO OBLIeATION OR UA*UTV OF AMY MOD UPOe$ THE INSURER, ITN AO$NTE OR
RgittglipHAThin. _ L
A/ [ A '�ts"
ACORq 2.5 t 1 of 2 1191$3
SMF 9 ACORD CORPORATION 1988
1 ne Lomtnonweattn of .lvtassac,tuaeua
�- - Department of Industrial Accidents
m- --.!l office of Investigations
,:�:= 600 Washington Street
1 i
+�t4 i , Boston, MA 02111
''=� www.inass.gov /dia
Workers' Compensation Insurance Affidavit; Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organizationllndividual): le , . - .4, _ ..r 1_'.�S • r. - - . l • P.c.,N +
Address: .152 nozis l'C D ik/c� •
City /State /Zip: ifikrionirrert, MR . a io G 0 Phone it; 113 - 3 9 - / -52
Are you an employer? Check the appropriate box: Type of project (required):
1.0 I am a employer with 8, . 4. ❑ 1 am a general contractor and 1
employees (full and/or part- time).* have hired the subcontractors 6. ❑New construction
listed on the attached sheet 7. [ Remodeling
2.0 I am a sole proprietor or partner
ship and have no employees These sub - contractors have 8. [3 Demolition
working for me in any capacity. ca i tY yee employees and have workers'
; 9. ❑ Building addition
[No workers' comp. insurance comp. insurance' r
required.] 5. ❑ We are a corporation and its 20. ❑ Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised 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,tt/ W Akaxa' C5
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.
*Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whetter 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: �� f' /Z' 5- /4 7 �i�l5-c2AtitC:T C -6-ll1}I'I
Policy # or Self -ins. Lic. #: 9? 4 /3c, /` 7 Expiration Date: 16/2.12//
Job Site Address: 57 7' 0i ' Rd City /State/Zip: rtok-'&Va: M4 a 0062,
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 covera a ve ification.
I do hereby certify and the pains and penalties of er uty that the information provided above is true and correct
'Sgnature; Date: / - 2 - ZD /O
Phone #: '1'3 -- 3 -/ - 52 5.7 •
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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
•
M ' '
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : 66Q4, e40 E wF1V c.8
/ License Number
£32 � mous - 1 EA-6 D� / i XIAlT'ac +J 3 ° i q - 2c3/2
Address Expiration Date
iii - 3 , 1i - as?
Signature Telephone
f
9. Registered Home Improvement Contractor: Not Applicable ❑
pt /-/® Ole :riy G r�tc 7 _•vc.. G w2a korwn` /60-5
Company Name Registration Number
7 ZteivC. iVGeeA/Ary'r7vl�l, HA • 0/6E r �7/2
Address Expiration ate
6cR 4D Za AI n! Telephones/16 - 34/ - 525/
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 ❑
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 ❑ Replacemen Alteration(s) Roofing n
Or Doors , X1
Accessory Bldg. ❑ Demolition ❑ New Signs [CI] Decks [CZ) Siding [0] Other [0]
Brief Description of Proposed
Work: . ,SILL /2 441 1 u.L,DOc.s:. 5
Alteration of existing bedroom Yes )< No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet
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
1, ..fir) Ar - ctrl 14 A NLcSN k , as Owner of the subject
property
hereby authorize YAntlt-ea { -t e: ,IMt c.4G 4 r- 6 D RoNAN
to act on my behalf, in all matters relative to work authorized by this building permit application.
O(L fca./7 • qc l
Signature of Owner Date
1, as E2 AAL) /?o&,4A../ >q„ e e </6ME .S>✓IPeoJCki &AiT , 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.
=,c,4 ReNR AI
Print Name
/ o 2 -20/6
ature er /Agent 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
Side L: R: L: R:
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 DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 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 ® NO
IF YES, describe 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:
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 Q NO
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 Availability
Room 100 Water/Well Availability
r � ^LQ10 Northampton,
MA 01060 Two Sets of Structural Plans
��v I phone -4'13 -587 -1240 Fax 413 - 587 -1272 Plot/Site Plans
Other Specify
APPLICATION 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
s R'1A � �G� L� Map Lot Unit
Zone Overlay District
FLotz ,t-ittQf OIO,
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
3 ANn1 KLAN Lov'S K Y 5:7 ti Ry;Ad.t RD. CG .MA 0 (04, 2.
Name (Print) Current Mailing Address:
1 +13 - 727 - 8c)QQc
Gtt c.,.» tT f CT Telephone
Signature
2.2 Authorized Agent:
y N ICCc.. t- ME ThPraIGM6 t`1 T ' 662. fl IOOr. (mv 82 Zhli ,- Tel AL DR, kicempim Thl\l M
Name (Pri t) Current Mailing Address:
-- 34 I - 5259
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
f 12352 cv
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) (i2., 3s2, max' Check Number /�f $1/436
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Budding Commissioner /Inspector of Buildings Date
BP- 2011 -0512
GIS #: COMMONWEALTH OF MASSACHUSETTS
40T 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 -0512
Project # JS- 2011- 000834
Est. Cost: $12352.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: YANKEE HOME IMPROVEMENT INC 89442
Lot Size(sa. ft.): 21170.16 Owner: NAHLOVSKY JOANN
Zoning: URA(100) //WSP II Applicant: YANKEE HOME IMPROVEMENT INC
AT: 574 RYAN RD
Applicant Address: Phone: Insurance:
82 INDUSTRIAL DR, UNIT 2 (413) 584 - 8318 WC
NORTHAMPTONMA01060 ISSUED ON:12/2/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
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 12/2/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner