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29-144 (5) The Commonwealth- of Massachusetts . '.• t DepartnrenttfIndustrial Accidents • . t ,,,=wt.-6...u.... o 0O7i e ,.) Investigations = ma= 4 600 Washington Street • . s� Boston, M4.02111 . G , _, www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers - Applicant Information - Please Print Legibly Name ( Business /Organization/Individual): / /f 4 f� .f / / //� � � ,, /7C. • Address: /3.11 /ti r,' S %Grp • City /State/Zip6r6 n /S /V /4 .g /3 /?J o/ Phone #: ' 770 0 /O71 Are you an employer? Check the appropriate box: Type of project (required): 1.1) I am a employer with . 7 j, 4. E] I am a general contractor and I employees (frill and/or part- time).*, • have hired the sub- contractors 6. ❑ New-construction 2.0 I am a sole proprietor or partner- .listed on the attached sheet. 7. ❑ Remodeling ship and have no employees . These sub - contractors have 8. (I Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance .t . required.] 5. 0 We are a corporation and its 10.0 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 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no M{C wf'b1aRS employees. [No workers' 13.0 Other told il2AtArk7s 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 them 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 wfiether or not those entities have employees_ If the sub-contractors have employees, they roast provide their workers' comp. policy number. • lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. / / � 7 n i/ . Insurance Company Name: �G�'C�' i at � n � U t^ cr) CC rn ,- ►-� f Policy # or Self -ins. Imo. #: /j) C, t< /J ,_,7,4_ -5 i,--2 Expiration Date: - / - G/- 2 7/ 2 Job Site Address:/d' dy AIX �i y 4 4€ Y7iijI ' City/State/Zip _fihteigkogsgior Atg,260 l,. 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 ce- u der the pains and penalties of perjury that the information provided above is true and correct Si :nature: /, / / . W . Date: DEC J 2008 Phone #: ` i_5 c 7- . d / 6- 3 ;3 02 Y • . — Of fc %ad use only. Do not write in this area, to be completed by city or tower bfficiaL City or Town: Permit/License # 1 T ysrting Arithortty (circle one): '.. taro of 1l.;. - 2. Building IDdpartinent 3. City /Town Cle ` if,4. Elect_ical Inspector Plumbing Inspector 'i 1 "tho 1 u tl . . , ,tat i N iron . it-_ 11S fIkr. t/. _ .i FROM Berkshire Insurance droop (THU)SEP 10 2008 14: 481ST. 14: 471No.7527318780 P 1 ACORD, CERTIFICATE OF LIABILITY INSURANCE 1 9/10/200 ' PRODUCER (413)773 -9913 FAX: (413)774 -3872 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MassOne Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 117 Main Street ALTER THE COVERAGE AFFORDED BY THE _ POLICIES BELOW. P.O. Box 638 Greenfield MA 01302 -0638 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Continental Western Pella Products, Inc. INSURER B: - ATTN John Benjamin INSURER C: 155 Main Street INSURER Di Greenfield MA 01301 -3258 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER/OD 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXPATION INSR ADM POLICY LTR I D TYPE OF INSURANCE POLICY NUMBER DATE (MM /DDD/YY) POLICY (MM/DDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY PRE (EaE RENTED $ 300,000 A CLAIMS MADE LOCCUR CPA020470112 1/1/2009 1/1/2010 MEDEXP(Any one person) $ 15,000 PERSONAL& ARV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2, 000, 000 ` OLIC J P Y JEC I ( I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1, 000., -QOD- A ALL OWNED AUTOS MAA020470212 1/1/2009 1/1/2010 BODILY INJURY (Per person) $ - - -- - -- X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE _ ~ w (Per accident) f ` GARAGE UABILAY AUTO ONLY - EA ACCIDENT $ — 1 ANY AUTO .. OTHER THAN EA ACC $ - - • AUTO ONLY: AGG $ EXCESS/UMBRELLA ! AL EACH OCCURRENCE S �I OCCUR t �- CLAIMS MADE AGGREGATE $ f DEDUCTIBLE $ RETENTION $ _ -1°M. S _ A WORKERS COMPENSATION AND X I TORY I IMITS - j EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT f . 500, 000 OFFICERJMEMBEREXCLUDED? WCAO20470512 1/1/2009 1/1/2010 500 09 E.L. DISEASE - EA EMPLOYEE $ , If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT _f 500,, -000 OTHER • DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS _ _ __ _ Operations usual to the sales & installation of doors & windows. ................. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE Terry Toner EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 64 Spruce Hill Avenue 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Florence, MA 01062 FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE , INSURER, ITS AGENTS OR REPRESENTATIVES. ' AUTHORIZED REPRESENTATIVE Robin Sargent /RMS :, �_ rr - ACORD 25 (2001108) 0 ACORD CORPORATION 391 INS025 (0108).08a - Pa9e,till g7te -6 , 4 / I ° ,4 'a == ► = _ le Board of Building Re la ons and Stan. ards _- ' One Ashburton Place - Room 1301 "'-�_ Boston. Massachusetts 02108 Home Improvement :Cb itractor Registration r , — `� —_-4 Registration: 142279 Cr r = -- - - __L-i, 1- 2 Type: Private Corporation i, ° - =4 -,t ,, Expiration: 3/242010 Tr# 263223 PELLA PRODUCTS, INC. -', - GARY SHERMAN (4 , =�y 155 MAIN STREET \:' �_ r- ! GREENFIELD, MA 01301 ' \- .2,—` S ,'� " Update Address and return card. Mark reason for change. 0 Address D Renewal 0 Employment 0 Lost Card DPS -CAM 0 50M-07/07- PC8490 E/ ite - Pamma>Gweakii o1.,icra r�uuu c� .�sCl Board of Building Regulations and Standards License or registration valid for individul use only 41 �� HOME IMP 2OVEMENT CONTRACTOR : before the expiration date. If found return to rs= Board of Building Regulations and Standards '11147 - ' Registr 142279 One Ashburton Place Rm 1301 `''. r c F7c'1S on 4/2010 Tr# 263223 ; E_- � = «3 : =7 _, Boston, Ma. 02108 `;^F_��"y -5 �. to Corporation r- i +j PELLA PRODUC _c i4 l ;. GARY SHERMAts0' 4 ' , y � te a} = _� - j : 155 MAIN STREE7`' _v.�.�1r►. "� Not val' • ithout signature GREENFIELD, MA 0130'1 "" Administrator / � • Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Phone: 413- 772 -0153 Cell: 413 - 834 -8799 To: Building Inspector From: David White — Installation Manager Date: January 19, 2009 SUBJECT: Building Permit Applications & Designees Pella Products Incorporated is in the business of replacing windows and doors for our customers. Our process includes providing a building permit for each and every project. I am a licensed Construction Supervisor. Building permits will be applied for using my CSL #091496 and our HIC, # 142279. Please find a copy of my licenses below. X11, rt'lltl111 rt + pa/ lenlrli A 1LI 1k 4 11111 R rsttlte+ed ea: o 1 I3 I,I I IIrl 11f IV, E {R lilltl 17 1.1111 'I.1011.11 .1 ^ Irt.Cr S'' I•:+ _..,. _. 011 [tart LI+<`,a1•I . r: ' & 914tA IG - 1 2 Finnily Mimes F26:rr,r '1 t<r. 130 DAVID C WHITE 64 GAR�EVTER ST Ware to tablet% n claratrditJotl of the M ORANGE. MA 01364 4s3#Chu ttt 5t #ts rltlaildin� undo- is (sot for . rtwgcat t n 11f this bonne. - .� -4 __-14„,...4_ rF )I .k116r:: 1131.201' Refertn:. W1k'1tt.if'1ss�.Gu /DPS 711111) ■.1 “,% trn. g44q HOMEOWNER - FOR YOUR INFORMATION LEGAL CONTRACT REQUIREMENTS FOR HOME IMPROVEMENT CONTRACTORS IS DETAILED BELOW THIS SITE RESPONSIBILITIES FORM IS PART OF YOUR CONTRACT WITH PELLA PRODUCTS INC. 155 MAIN STREET, GREENFIELD, MA 01301 HOME IMPROVEMENT CONTRACTOR REGISTRATION # 142279 EXP. 3 -24 -10 FEDERAL TAX ID #: 04- 2303271 The law requires the following fourteen items to be included in any contract between the homeowner and a registered home improvement contractor in all contracts for home improvement work subject to MGL c 142A 1 The complete agreement between the owner and a clear description of any other documents which are part of the agreement. 2 The full names, federal ID, addresses (not PO box #'s) of the parties, the contractors registration number, the names(s) of the sales person(s)) involved, if any and the date the contract was executed by the parties 3 The date on which the work is scheduled to begin and the date the work is scheduled to be substantially complete. 4 A detailed description of the work to be done and the materials to be used. 5 The total amount agreed to be paid for the work to be performed under the contract. 6 A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, including all finance charges, if any. Any deposit required to be paid in advance of the start of the work shall not exceed one -third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. 7 All parties must sign the contract. 8 There shall be a clear and conspicuous notice stating; a. That all Home Improvement Contractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to; Registration Division, Program Coordinator One Ashburton Place - Room 1301 Boston, MA 02108 617- 727 -3200 x 25239 b. The contractors registration number must be on the first page of the contract. c. The homeowners three day cancellation rights under MGL c93s48; NGK c 140D s 10or MGL c255D s 14 as may be applicable. d. All warranties on the owners rights under the provisions of 780 CMRR6 and MGL c 142A e . In ten point bold type or larger, directly above the space provided for the signature, the following statement; DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES f. Whether any lien or security interest is on the residence as a consequence of the contract 9 An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10 Any other provisions otherwise required by the applicable laws of the Commonwealth 11 Permit Notice: Every contract shall contain a clause informing the owner of the following; a. and all necessary construction related permits b. that it shall be the obligation of the contractor to obtain such permits as the owners agent c. that the owner's who secure their own construction related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 12 Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance funds due under the contract, which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for w'hdrawal. 13 No wcrk shall begin prior to the signing of the contract and transmit al a the owner of a copy of such contract. 14 Arbitration: If the contractor determines that in the event of a disrw' , - , contractor wishes the dispute to be settled by arbitra t'!':.a, this fact must be signified on the contract and both t- c.. ...ctor and owner shall sign this clause separately. The contractor and the homeowner hereby mutually are in advaw :e ... 'n the event that the contractor has a dispute concerriini this c =ontract, the contractor may subrit such : ispute to to art: `ration service which has been approved by the Orrice of Consumer Affairs and Business Reg::iation and (h.. " ., ner sh all be required to submit to such 3rbitrution pr ;vided in MGL c 142A ; T)wner:,�,.r. ;ontractar' NOTICE: a atur' s cf the par *+.s . r. wr, ?poly only to the of the parties to alternate dispute rescluti+ n -nitiated by the contractor. e ' v,1 r rn?y ■oil;- r,,. • 'e cm putt t resolution e'ran where tnis section !a not signed separately t `.r k,tt . . SITE RESPONSIBILITIES Customer: Terry Toner Date: 8/26/2009 Order #: 739161R271 Signature: Salesperson: Benjamin Ricard Signature: • �_ j_ 1 50% Deposit required at time of order. 2 Final payment is to be made to installation team on the morning of the last day of installation. 3 If customer will not be present at time of install, payment is to be made prior. 4 Checks returned NSF will be assessed a fee of $50.00 to cover fees incurred by Pella Failure to pay your final bill will result in finance charges of 1 -1/2% per month (18% Annual) and legal fees associated in the collection of owed monies. 5 Due to inclement weather or site conditions, it may be necessary to reschedule. 6 We cannot and will not guarantee specific dates or days of the week for installation. 7 Time given to complete a job is an estimate, extension of time is possible 8 An Install appointment will be confirmed at Verification. A courtesy reminder call will be placed 1 week prior. 9 Unforeseen rot repair will be quoted on site as additional work via a Change Order. 10 Substantial completion is achieved when all available products have been installed and are operational. Items such as missing or broken parts and service adjustments are covered by Warranty and do not affect affect the status of a project from being Substantially Complete. 11 In the event that any products are unable to be installed, the final payment wit be recalculated. The cost of products not installed will be subtracted from the balance due. A subsequent and final payment equal to the cost of products not installed as scheduled will be due upon final completion. 12 Order is not binding until approved by Pella Products management 13 Pella will secure all necessary Building Permits Type of Installation: New Construction: (tear out installation) Completely remove interior and exterior Trim, completely remove existing window frame, install new window in rough opening, re -trim both interior and exterior of window / door. Pocket Install : (sash replacement, existing frame remains) © Remove interior or exterior stops, install new window in existing window frame opening, re -use existing or replace window stops (interior or exterior) Some glass loss will occur. Lead Paint Discloser: #1© Home was built prior to 1978, Lead Paint discloser has been signed and "Protecting Your Family From Lead in Your Home" brochure has been given to Home Owner #20 Are there children under the age of 6 or women who are pregnant? Pella Will Owner Will Iry l � Authorized to install Yard Sign on 1st day of installation and remove 7 days afterward I X I Ensure someone over age 18 is present at all times while Pella employees are in the home. © n Deliver and unload products I ^ I n Place drop cloths in work areas © I ( Remove & reinstall interior and exterior trim if applicable n R • emove & reinstall existing shutters and awnings by contract © n Remove existing product and adjust or modify opening as needed For all service needs, © n P rovide all equipment necessary to install products please `all: (800) 957 - 3552 n Cut all wood and other materials outside of home Please make sure you I ^ I n Install all products purchased mention that your project Q n Insulate and caulk around products was installed by Pella and reference your order © n Remove stickers and perform initial cleaning of all glass surfaces number U � n D emonstrate proper operation of products t ^ Cn C onfirm that all products are in working order n R • emove drop cloths, vacuum and remove all old products from premises n F • inish (paint or stain) product purchased n f 3 1 � Cut -back or tie trees, bushes, snrubs from exterior wall n ! A rrange to have alarm system sisconnected and reconnected F l © Arrange'to have any plumbing Jr e'ectrical repairs or changes by appropriate licensed contractor n © Remove and reinstall "existing window treatments, wall hangings and air conditioning units. © Remove and reposition furnitur:: in work area i P-1( I Secure pets in a 3:.'o manr PO Remove valuable 1 break -b" from work Berea I� X R emove snow from area DI titio necessary 08/26/2009 14:2 4137363390 PELLA PRODUCTS INC PAGE 03/09 ft0i40144.tiktglitglialltiteigtaIMM *All PM notes must appear in OFFICE ORDER COPY Installation Cost: Sales: provide detail of install price including total. 170 per pfit wow - 20% Sales Noes to PM: I* Sales: provide Important project notes for verifier. ARO !, g,qabl'A * Notes are for installer reference only. El Around Entire House El Elevations - note difficult access for staging. El Rot - ensure costs discussed CD Obstructions - Service Boot Needed, etc. Wrap - consider style and difficulty E Confirm picture package fs adequate ti0 * Notes are for installer reference only. ee, are__ Exisi - CA - Poor - .(5 Page 3 of 3 06/26/2009 14:20 4137363390 PELLA PRODUCTS INC PAGE 02/09 `���"" v fvt�Y �Wf hI�E � . r W � �aF, -1':. w �,, y � � I 4 X i .; l � Aw14tiV�\J �L i il k ry �.� VY `� ----- Ilk Quantity Item #is Pfit Install Type: - Interior 13 all 6535 ❑ Exterior afit x tat 'r '" x 8 r., moo © Mod. Pocket 110g9 8098 ST17P ❑ Irnpervla Y STOP WM947 a te x ;' . Pfit Pocket Depth: — y /e x r!a Cut back sills & stops: Q ( + $40 /unit) Exterfot_Gap Options (+ $40 / unit for any option) - only 8422 a 8065 available for Vinyl ❑ Backer Rod & Caulk New Stops Needed: ❑ YES mete =rpc on Int Trim Line ❑ L -bends over gaps Stop Material ❑ WOOD ❑ VINYL ❑ Wood fillers for gaps Weight Pockets ❑ YES ❑I NO W' t r a i ,` ,;;, z Ciit : C� at: 'Zli "all trim to be 3 -1/2" min. Install Type: ❑ soffit ❑ Build Roof ❑ Picture Framed Shingle standard Is Certainteed's Woodscape Architectural Sill with Apron ❑ 4/4" slit ❑ 5/4" sill ECrctwood Cyonreawpr,( clotwood Ebonywood Foreat Shingle color. Oakwood Pnw(Orwood Slate [Mend Sunset Bndt Weathered Wood BELOW IS POI SALES USE ONLY 1 ,.- - , k i Sales °mt pvide glass rile alt i 1 ' , units spec d e g . ff. 5w. bt�w A for - E) B I I i B j , r Wilt Al �:.�..�.:.. Unit C: r , 30 Degree - = 45 Degree UriltD' ''''''''''''" "._. Unit: E: Unit F: .d.... ........, __ ..aa T_ . _ Estimated Head & Sint board Dimension: I I , Thit,:'infoilmatlon must be dlscussed wlth customer by-sales II; ForMUla: C froritbay chart + :: vi►eil:depth V I _., ` I' i Eg: 3e deg w!:;21' flankers R : _• ---- . -..ii 1 , i - . 1 . 1.6iitr+ 4 =8116 "- 5 " '.'-', '7b -?I8 " " ......... . RoW :4 -: 6',itiide . Soffit Projection (MAX AVAILABLE / DESIRED): ( / ) Electrical concerns: 0 YES ❑ NO �rri NO * A'1J�1F1 t1Et`tfifb.�>t flllef` r/# '1:li t1 +tfi. Plumbing concerns:s N Project Manager to call logistics for Production Date: Project Manager to Verify Jamb Depth to Build Unit to: Project Manger to Verify Actual Rough Opening: Project Manger to Verify Actual Masonry Opening: _ A Project Manager to Verify RO to Build Unit too: NOTE: Windows must always be ordered at 3. 11/15" from factory Protection provided from ADM is to exterior of glass. Add 1 - 1/4" to face of clad. RO to Build Unit to is for install / Shop use on ----r ❑ Cut Header - ADD $250 1 Keyed Alike hardware 'qty: 1 I ❑ Rip Jacks - AD $125 ❑ Double Check Jamb Derr I ❑ 5ien5 of Ret • DISCUSS REPAIR $$$ El Rier o`1.01 i puled at'': -.1 0 Re-att .:ft Doobel I0 New Kick:3oar;1 Need TYPE 1-1 Paddling ,ipeni ig amount ❑ Erilarciro Opening - ADD $750 atnouht Best Jamb Depth Available for prclecL , Verification imp. only. Sales leave section beloi blank 1 08/26/2009 14:20 4137363390 PELLA PRODUCTS INC PAGE 01/09 INVEST - VERIFICATION FORM Customer Name Terry Toner - CALL TO SCHEDULE Street 64 Spruce Hill Ave VERIFICATION; Town, State, Zip Florence, MA 413 - 773 -1157 x338 or x317 Site Phone 508-329-1383 413 -772 -0153 main # Email Address DATE TIME VERI - Alt. Phone A ,. ALL' , 3 ; I'716 .• h !'''.°.,, . I..rw- .rilfit'� .. N'a ih < �'. ` 1'+, h- il.. f' ii� , -; i +r3; "., A' 'J.W7'U: �( . p e• '�• ' N J'. J �f!� el%:Il� -r -Y � ..�, .� ' { ' � i � e � ,s A, 4" ' 42 X i' !y��. N k',. *qr d n 4 �����/�� � _ r ' 0 _, . . "0-.. "u'L' r.t.f ^w � f,� i ��rr � �4 ,�M'k� �l- �' ' . h P' / !.,.�'� ;.. �yµ,'1.s F. �^;Y e'YY.. h �j I ��vv ,�. . . "�yil�iwd,Tr� r '�:2�'�' -, t1': ` )I' W0. f i � �'. E. � ;i f 1' �:r4-� � •. Y �V M. i+, V •!"i 19r+. �,. ! -- n-'' c 1 1 � a� •i f� t i t t l y i Vii { rh - �l - - !' A M '� .e e � ' •r' ,31 4 .e,: . 0.; I �:,ll� iidi�'1� F n'` d:4 1,f . * IP 4 Exterior Siding: El paps ❑ Shakes ❑ vinyl ❑ Atuminum ❑ Other Cotor/Size: Plaster Walls ❑ YES ❑ No (ir yes field apply ext. iambs) e Wallpaper ❑ YES El NO Alarm System ❑ YES Ell NO . "`s; Parking Difficult ❑ )(Es ow Lift Over Deck ❑ YEs IS NO - baker sraging(wheels) Covered Work Area ❑ YES I 1 No Long Carry ❑ YES El NO - leader w/plank ' Ound Beck ❑ YES EI NO Modifying Opening ❑ YES El NO - pump /acks Install on Deck ❑ YES El No Staging required ❑ YES El NO - pipe staging (blue) Ta - ?: . ' _ ..'.•.;r,.- ",19 ''AT :. *Alttiim'.1r rtit tionf�ugtl .detailed'on P 'bQ'Trmllnes c - no;not hei`e.: New interior Trim: Standard Interior Trim List - anything else must be quoted by job Picture Framed ❑ 2 -112" Ranch Sill & Apron ❑ 4/4" sill 0 5/4" sill 3 -112" Ranch Untrimmed L YES 2 -1/2" Colonial Field Apply Ext. Jambs ❑ YES ❑ NO 3-1/2" Colonial Dim. I Clear Pine - up to 4/4" x 5.1/2"", include specific width PFJ Pine - up to 4/4" x 5 -1/2 ", include specific width New Exterlor Trim: ❑ PIC1UItE FRAMED ❑ FAUX SILL Standard Exterior Trim List , _ _ Wrap ❑ YES 2" Brickmold Pella color/ wrap color Notes: 3* Brickmold brown /bronze white /WI _ 514" X 4" PFJ hartfotd green /MG black /BL 5 x 6" PFJ putty / pebblestone brick red / BR Quantity ' Item #s Wrap poplar white /cameo ten / wick r Azek - (4- $1.00 / 1.19 - - (!flterwr and �t'teriolr' Trim�MUST bC detaded on .PDQ Trfm :Lim ,b y Litl I ,m) ', * Verification use only. Sales leave section below blank 4 .. .. c Y ..c i�u� r u1 � �y �y� �eir. �y�, +mow q� �qy�y�. ,,yt; .,f ��. r r. lc: mr.,i.i �..,:,,,: 0.r � �:',rJN '•,1,`i'� " }' . CZ::. w. "a , !^ ' TIg q. '71 ! �.iV. '1:3 rP X 70f )'.L �`'',.: t•r :;:"��; ; y r p 1 • . - ' ,1 .. . 'rV:� � �i..!'a�C w'f +. .: p.�� !.. y. n •.i.�. 1 4 �'�r l r!!. �' r ' Manpower required: I 'Men [ ` / 'Days Installation Date: I / 9 Schedule Notes to Order Entry: y , ir't t' ., t'' "f', I k ' " ; } - Y � y , . '. ' ' { ^ ih; P r4 r t h' � pp//yyyy..�yy1� � ‘i,4,,,, .�►.. it i ,i� �t9' � . � � t kl'� ifl� • 4 MJ' r t "ti '" t � l ,�-,/ 0 1,41 {rd > 4 • � r% : .�*, . .. 4 r i {� r✓ n ' 41 "1 f hx � .lir� '�" - I � �Cy�i i �� ? "i.; �y, � �' y y`�' o� yQt r• M• H , � r w' Y M1 'r f ° �r � ;4 f f t ':4 b : ¢ f ,1 C l - f b, A f itl 4, ,. ��� �,, ,r ,, . ry , , l a . i f „ , , i �a 1 t iV�'o ti ar e ^1 1 - �,� � i ` r : ��a. S.c ,,�. t ki � , � + � :' � 1^ ! w 1 1 1 1 1 � �.. rr�� i - { k . � � � 4 � a 3 .✓ +',t A ��C 1 �. f .. I,, 1 }�1 b .> '' .,dry' }' ` : 4,, QQ� aa 9'4 L�n. " f y��,'N.' r %. 4 1 i r ! ? �' i k!' .n 'l d e k F � �l,�J'4erv pf ` �'.: 1: i 1' { . ' er,ff t M l t X�i "''� ;e'1. 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Page 1 of 3 % � ��� m (` F� I Customer: Terry Toner Project Name: Toner, Terry 64 Spruce Hill Lane Florence MA Order Number: 739 Quote Number. 744365 01062 ❑ Project Checklist has been reviewed Order Totals Taxable Subtotal $7,981.47 Credit Card Approval Signature Sales Tax @ 6.25% $498.84 . ---�— < r Q I Non - taxable Subtotal $2,661.50 - v r-6A 1c, r.�r e4 ¢M9/9 /)rC9f Customer Name (Please print) Pella Sales RtpName (Please print) Total $11,141.81 E_ Deposit Received $5,50 ( e a �.. `� , ' i�i•►.,�� Amount Due G'' �, "� =.b e� � � ; � Customer Signature P=,?'• Sig - ' C25 )-��( U � l / Date 11 Date For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pella.com �. o.4.,Fe.1 nn Q/')R woo •.,,,+,a,.+ 11o4..H.,1 o.,,,., r6 . Customer: Terry Toner Project Name: Toner, Terry 64 Spruce Hill Lane Florence MA Order Number: 739 Quote Number: 744365 01062 Line # Locatrpn Attributes ____ w `yy_ 50 None Assigned INSTALLATION - INSTALLATION Item Price Qty $120.00 1 $q ;; o r, Line #. Location Attributes 60 20% Promotion Item Price Qty Ext'd F"ricc ($2,654.56) 1 ($ Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this cc ntract Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and proper management cf voi sr•:**- within the wall system. Neither Pella Corporation nor Pella Products Inc will be bound by any other warranty unless specifically set out in this contract. However, '' 2 Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening (egress) information does not take into consideration the addition of a Rolscreen or any other accessory] to the product. You should consult your local buiidirg core to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty, unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually. t'., +e «•after. Variations in wood grain, color, texture or natural characteristics are not covered under the limited warranty. Refer to Pella Corporate Warranty This form constitutes a contract between Buyer and Seller. Prices are subject to change anytime after 30 days following date of estimate and does not gUarai.iee :' listed. Pella Products Inc. management has final authority on acceptance of this order. Your signature confirms the accuracy of the product(s) chosen. Pella Products assumes no responsibility for accuracy of take offs from drawings or blueprints or that the products listed will be sufficient to complete customer's intended project :14: agrees that the product(s) listed herein are correct, final and cannot be changed, returned or canceled. Deposits are partial payment of the contract and are not refundable. The Buyer agrees that if paying by credit card that authorization is granted to the seller to debit the R'ryers c a i`. , . r by signing this contract The Buyer agrees that payment discounts do not apply when paying with a credit card. A 1 -1/2% SERVICE CHARGE per month (18% PER ANNUM) sr!i bP 4: l to a'•i outstanding balance past our stated terms, plus lawyer and account fees for collecting outstanding accounts. The Buyer agrees that the customer delivery date is a realistic estimate of when the product is to be delivered. Items remaining in our warehouse for more than 30 days beyorr: the a,ree-t t; delivery time will be subject to a storage and handling fee of 1% of the net amount of the order ($25.00 minimum charge). The Buyer agrees that the product can be delivered without the Buyer present and agrees to accept the shipping documents as proof of delivery. The Buyer agrees not to hold the Seller responsible for any damage to driveways, sidewalks, trees and overhead wires caused by the Seller's delivery vehicles. The Buyer agrees to examine the product(s) upon delivery and within 7 DAYS OF DELIVERY provide the Seller notice of any discrepancy between the product(s) ordered and the productss) delivered, induding hardware. If the Buyer does not provide notice within 7 days the Buyer accepts the product(s) as is. For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella®website at www. pelia.com anaI')nno (', n4, .+ ne +eao,+ o.,,.,, ,. -.r Customer: Terry Toner Project Name: Toner, Terry 64 Spruce Hill Lane Florence MA Order Number: 739 our to N:;r -;4; ".'?''C 01062 Line # :' ' " Location: - , , , , Attributes 30 2nd Bedroom Architect, Precision Hung Double Hung, 27.5 X 41.25, White Item Prize Qty ±_ _ p , $767.54 2 ;; . 1 1 11 0 1: Non - Standard Size Double Hung, Equal Split JINNI Frame Size: 271/2X41 1/4 General Information: Style Edition, Clad I II PIN Exterior Color/ Finish: Standard EnduraClad, White ` , Interior Color / Finish: Prefinished White Interior 11111 Will Glass: Insulated Low E SunDefense Dual LowE Argon Gas ..- -. Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 27.5" X 41.25° Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 138 ", Glazing Pressure = 140. Attributes: 35 Upstairs Bathroom Architect, Precision Hung Double Hung, 27.5 X 41.25, White Item Price Qty ;:?_'' $767.54 , IMI- 1: Non- Standard Size Double Hung, Equal Split . al Frame Size: 271/2X41 1/4 General Information: Style Edition, Clad Exterior Color / Finish: Standard EnduraClad, White Interior Color I Finish: Prefinished White Interior „ r Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 27.5" X 41.25" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 138 ", Glazing Pressure = 140. "Line #' Locati ©n: .. A 40 Master Bedroom Architect, Precision Hung Double Hung, 27.5 X 41.25, White Item Price Qty txt'd Priczi $767.54 2 $1.535.08 1: Non-Standard Size Double Hung, Equal Split IIIMII Frame Size: 271/2X41 1/4 General Information: Style Edition, Clad NMI Exterior Color / Finish: Standard EnduraClad, White $ Interior Color/Finish: Prefinished White Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas '. Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 27.5" X 41.25" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 138", Glazing Pressure = 140. Lrne ti LvGat7Gn Attlrib _ _ _ _ _ _ 45 None Assigned INSTALLATION - INSTALLATION Item Price Qty _ : F. i I =' $2,541.50 1 32.541.50 For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www. pella. corn n.:..6. ..... o n,...4-,,..4 n..+..a....+ n,...,. 0 ,. Customer: Terry Toner Project Name: Toner, Terry 64 Spruce Hill Lane Florence MA Order Number: 739 Quote Number. 744365 01062 Line" Locatrort Attributes __ J 15 Living Room Architect, Precision Hung Double Hung, 31.5 X 53, White Item Price Qty Ext'd Price $865.03 2 $1,730.05 1U 1: Non - Standard Size Double Hung, Equal Split 1 Frame Size: 31 1/2 X 53 111 II G General Information: Style Edition, Clad Exterior Color / Finish: Standard EnduraClad, White IWO Interior Color / Finish: Prefinished White Interior J Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 31.5 X 53" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 169 ", Glazing Pressure = 100. Line # ':"Location Attributes 1 20 Office Architect, Precision Hung Double Hung, 31.5 X 53, White Item Price Qty Ext'd n ::cc l $865.03 2 $",.730 .0E R MO 1: Non - Standard Size Double Hung, Equal Split 11111111 Frame Size: 31 1 /2 X 53 2 il ii iii General Information: Style Edition, Clad Exterior Color / Finish: Standard EnduraClad, White � ; r Interior Color / Finish: Prefinished White Interior Min Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 31.5" X 53" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 169 ", Glazing Pressure = 100. Line # t:ocation:. Attributes — - - - -- - i 25 Downstair Bath Architect, Precision Hung Double Hung, 31.5 X 33.25, White Item Price Qty -_A :_' _'_ - $73.12 1 . - I : _ 1: Non - Standard Size Double Hung, Equal Split i Frame Size: 31 1/2X331/4 ° General Information: Style Edition, Clad " Exterior Color / Finish: Standard EnduraClad, White Interior Color / Finish: Prefinished White Interior I Glass: Insulated Low E SunDefense Dual LowE Argon Gas —" Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 31.5° X 33.25" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length = 130 ", Glazing Pressure = 125. For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at www.pelia.co1 n.:..L...r oinc n.,..1,.,..4 n- 4 -:i,.a n..,.,. .r Contract - Detailed Pella 70 0 P loc. Sales Rep Name: Ricard, Benjamin 424 Hord T e. Ci Sales Rep Phone: (508) 842 -1112 Sh�� b154 Sales Rep E -Mail: bncard I8 i -�T 'i') pd iiC..; Cad Phone: Fax: Customer information ProjectlDelivery Address ` > Order Information + Terry Toner Toner, Terry 64 Spruce Hill Lane Florence MA 01062 Quote Name: Toner, Terry 64 3pruco Hill Lary P'f' E. .■ e IAA 64 Spruce Hill Lane Order Number: 739 , Lot# Quote Number: 744365 Day Phone: (413) 586 -9758 Florence, MA 01062 Order Type: installed Sales Mobile Phone: County: Payment Terms: Fax Number: Tax Code: MASS E -Mail: Quoted Date: 8/11/2009 Great Plains #: Line # Location: Attributes 10 Dining Room Architect, Precision Hung Double Hung, 31.5 X 53, White Item Price - . 1 ( " c : c .� • PI 1: Non - Standard Size Double Hung, Equal Split Frame Size: 31 1/2 X 53 M s , General Information: Style Edition, Clad Exterior Color / Finish: Standard EnduraClad, White 1 Ida Interior Color/Finish: Prefinished White Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas — 31 -. Hardware Options: Spoon Lock, Champagne, No Sash Lift Viewed From Exterior Screen: Half Screen, Standard Fiberglass Frame Size: 31.5" X 53" Grille: RMB, No, 3/4 ", Traditional (3W2H / 3W2H), Prefinished White, Prefinished White, Shipped In Unit Wrapping Information: Perimeter Length =169", Glazing Pressure = 100. , For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella® website at vno.. .'n:r, Dri.,wa ,.., a na nnno f^rolfr.„ . 1^1e1.eil. D -- l SECTION 8 - CONSTRUCTION SERVICES 8 Licensed Construction Supervisor 'La . 7 . 1)6,0 ; 3( logr C 9- r -f " Peill i4 "itektei 'DO q 41111 ! CI:untqfr 1 65 Yittli)tSitia:k )14.)7. also t etiatta„oil 1 712 - 0)1 9. Registered Horne iraprovement Contractor: ;.11 I - RA.1.14. -- Pitodatts R.a / Cornparty Name Norru9t i•C51 OZ)2 (.41 Ittl 1 1 BO I fftf , i ( 141V- $01.53 :l3ECTION 10- WORKERS COMPENSATION iNStiRANCE AFFIDAVIT ta.152, 25C(6)) .rt'co th's HH ffsof arfo.u-f, === dc-snfful of , ne :',..3.,!..cfc.uff buuciu'uf Sagnet.i Attac..hes' Yes tie 1 1. !Ionic Owner f:‘,( 0,1 th dim o‘f_per us sliur% isor 1R Sl‘th 108 3 5.1.. Definition of tiotitco‘Incr , 1===` 1 = =.: :== =■' H..".=`; ===:=1=== =,== =.1 =„ .r= =====, == ====== === ===. = li==== tH=Hh=■',' ===== =:" L'== ii===:===== .1= ,=,',-==="=!" !=, 1;' ='i = 1 , t; _121,= t 1.1)3n (MC hUrtn! in u noi bc considered a horneottrit t: ip nta -.e.l.‘8 Li.: 8fic:al,that Otall for all Naltat N‘orl undvr thc buildinq jrcurnit, Hek CL ' „=1= !=' ==',.=';==.= " .1==.===,=== = === ======■========== === =======:=1,2 ''====■ -.H.H1== 1 .),===! = == %.,!== . === ===', ■,====,,,= == 1, ht ha /21t „ Ilotneullner Signature ` ` 1 SECTION 5- DESCRIPTION OF PROPOSED INOR2 j_...,"ciimsk aii applicable) i New House 1 i i Addition 1 i i Replacement tAiindows • Alteration(s) 1 ---- ! Roofing r 1 1 Accessory Bldg L....1 , Dernelitiou r_i i New Signs U7:1) Decks Ii::71 Siding ;ED] Other [Eli 1 6a if New house and or addition to existin. housint comolete the followini 1 SECTION 7a - OWNER ALJTHORIZATION - TO BE COMPLETED WHEN 1 i OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERN-liT 1 I tie t ehty antho::ze 4 11% VIA _e • ic)kiic o'r 4 ligi "- PAPC144._4:1S: t crite • i 1 r.o . act , .:n e behtilt, in ail matters reetat:de to tbot tti, 9 - zed by Inns butici penret ::,-)pitedoinan 1 ' 1 / 4 ))/)#_1(1.1 1. 1 40 ?ot /14 "reOdte7i -z-Ae. 3', 0:3flei/ 1 C ik)W9r . i 1592Aitiav< if-zw5' _ _ , Alow •r 3.: i..,A .-3r.ri ruc,q70 , „; - 4,7:m p...;;07p.7, pc.iciu.mirporsj ..7.ru..;r41' -11 )(-----) oN (--) ..‘.-7,. ,,r.„L •,,,. 1 q ill. 10, '.,t;:44 Lc CO t.iCadWO!:.; ::: JO 4„ted •;1 , ,,:i ,;:, :',;IDe I . .;,:,, , ,, - 2 b,Dwi Jo • ucIU/V,J. bu0) ;;.i5 ,..', i2:.il j cppisip f'ilv Lra10 - 04uu ,0 er-44 :UOLIP:01 pli P -.)(,_; A:1 ` 0 t P., Oci u y;,:4 p ' „ii () ...,3,,r., ,..... tcoi io ; paptp.nur ar;-20 4.0 supprpp0. ro far , ..,o`ciuo..;) p,.--Dsodaid Aue „.)k-N.r pue 011 '„:.-i, „x_p_pnap rsio Jr () siT3), JkliJJdoici. ,, .:4'(.0 U0 1SEKO ',. spansst a.exj ' (--.) patsrelqo ' 0 paur aq o spa..4N Aroiy ) Lr0li4?A.100.10"• ow, u.1 '. p.,:rtweicio rxi o.t po„Ai tradq litir.4,„Kr e set4 's3A Al s, (3 mOrr>11,,rrou piivilav, Jo JJ.440) 40 ttpoq ' 0 Lueluor...) „:.Ys .T.:;r_o 000n - cl .-- .0...a4r000 Joip'...r :).60d )io0 .40400 :sir Ai m,„:,,,,„ ,,,,0„, „,,,) ,,,, 4.0 0„r„, 40 pdp,0„0 ,,t,,,,,-,d ,,,,„ „pm :Nnssr alep 'sit „Al P .L.H0r.1 0 Or ( roils 004 p0ry.0 ',..1„.-p..4 .10, :30Lplil ;id:AR', iPA/Vii 0))04 0 ),.:7:4ds 0 Sim ; 1 1 i f i f---- -4 i 1 , ! I 1 i 1 1 1 L ; - ...4...... --4— :-;;?' $, , A --- 1 1 1 --- 1 t T , i , I , 1 , , 1 I ! i i . I I i — -4--- ---i i i 4 "rog °pearl 1 1 , ..:,,. 'f . ,.. i,,,,. ,,: ii i DIA IN oi Virigni p pnedn9 oN-pinivitmN rivp froarre tipProto*L. . , 1 1 Department use only City of Northaiyinton 'Status of Permit: 1 Building Department I !Curb Cut/Driveway Permit _ 212 Mau Street i Sewer/Septic Availability_ , i..- , , , ROOIL1 100 'Water/Weil Availability ..,. , NOIThartipton. MA 01060 !Two Sets of Structural Plans____ i phone 4-51-124.0 Fax 413-587-1272 I PlotiSrte Plans I i i I Specrty_ i 1 APPLICATION TO CONSTRUCT. ALTER. REPAIR, RENOVATE OR DEMOLISH A ONE OR 'IWO FAMILY DWELLING 1 SECTION 1 - SITE INFORMATION I k- - -- i This section to b completed by office i 1,1 Pr2perty.Address i 641 510/U4 0 WI ' I I AlAtfULIC Map Lot Limit i 1 . P1Otta*1 Le 1 ilta 0)0617. Zone Overlay District Eim Si District CB Dtstiict 1 1 1 Sr-CTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT - I 2.1 Owner of Record: I .... i 1 ) iatoitt4 c'" 1 ". D.Oti f ( 9 dieb.2.- , 1 itricoe ,1-tr:rit) 11 ,, , rment tilt Altires 4fktotiLi9ia dalsiletitii i 2.2 Authorized Agent: 111.4);.11 0•.6 Or i 2dhl3Citliaa.therite • I l deliiiit.14 /KA , _al 101 ,• (PrInt) 101-‘t , 11-t,rreno PtItlihnttt Acidresr., 1 0 c a f-N /4 I na' te ).5 3q grifeV/ i mr SECTION 3 - ESTIMATED CONSTRUCTION COSTS i i - i 1 ---- r t--- 1 ',; Elect.n.:,a; 1 ; :i - : E Sii Mate d ': , :q;r 1 C.,,C):,1 •_) 1 0 _i_ C 0 r'St ,TrAon rrimt itt , _ "1 1 'I iI i 1, -, t'11tIntrt,,nct 1 0 1 Buildina Permit Fee I .-- - ' he ! 1 tt 1 ' ire Hot:et 1 0 , .5q53 4 - 36 - 1 ri To3,1„,; „:3, 3 ,. ,,, itt I 11 i V120. VO i t`rtItt tttLittttl, t r 1 1 This Section For OfficiaI Use Oniiiy_ _ — ,... T I `'' •Ociv L'Prmq kii;n1b.r I i --'`°— —I 1 i 1 1 t 1 1 i illtili(fina (..ommittsrttr,,:::;10 :,t boi,dir1,1€-. iLtatEr 1 .._, • €.t ;v6141000 BP- 2010 -0373 GIS #: COMMONWEALTH OF MASSACHUSETTS 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- 2010 -0373 Project # JS- 2010 - 000495 Est. Cost: $11200.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 142279 Lot Size(sq. ft.): 30099.96 Owner: TONER JOSEPH A & TERESA Zoning: URA(100) / /WSP Applicant: PELLA PRODUCTS, INC AT: 64 SPRUCE HILL AVE Applicant Address: Phone: Insurance: 240 MOHAWK TRAIL (413) 772 -0153 WC GREENFI ELDMA01301 ISSUED ON:10/6/2009 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 10/6/2009 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo