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35-207 (6) Renewal riI bJ�'Ande en. *' WINDOW REPLACEMENT an AndersenConipany To Whom It May Concern, Enclosed is a permit application package for a project we have been contracted to do in your town. Thank you in advance for receiving this package by mail. As we work in every town in the state, it greatly helps us in our process. We have also enclosed a self addressed and postage paid envelope and would request that when the permit application has been processed, that you would mail it back to us. Finally, if you would mail us back a blank new application we would appreciate it. Enclosed for you review in this package is: ❑ Permit Application ❑ Home Improvement Contractor License ❑ Construction Supervisor License ❑ Proof of Insurance ❑ Proof of Energy Efficiency Rating ❑ Signed Contract from customer ❑ Permit Fee (if accepted at time of applying) If you have any question regarding this application please call me at 508- 919-0992. Best Regard, Carol O'Brien Permit Manager 104 Otis Street 1 Northborough,MA,01532 Phone(508)919-0900 Fax(508)919-0903 Website: vata4v.ic0cmalhNande.r-sen.com 1 re a1 NFRC RT'ANM!RARN' WoodNiny(Composite Frame,- MaGOn�� erlesbetivn Dual Argon Low E Fie 0tA1 niolfe' Glider ENERGY PERFORMANCE RATINGS 'U-Factor(U.S)/I-P Solar Heat Gain Coefficient 034 130 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance OM49 Manufacturer stipulates that these ratings conform to oppaeable NFRC prooeduras for detamking whole product performance.NFRC ratings era detennnod fora fbed set of envNorvmental condmlons and•speclfk product size. _ NFRC dwa not recommend any product and doss not warrant Me sultablaly of any product for any apeolmc use. Consult manufacturees literature for other product performance lntomldbm. www.nfrc.org 1 DESIGN PRESSURE(PSG . M Iasod/ar HS L C 2 5 100-0029631-3-006 Tested A Ol 5.?-07 or M of iuty•1 Ia Opp(O CIO Ikca slMdafdi - Meets or eacwds M.E.C.,C.E.C,6 I.E.C.C.Ak Inf4Ntratbn mquherhants WDMA HO*Twtk CMl(kadon Program. 4 ACORD CERTIFICATE OF LIABILITY INSURANCE DAO12AMIDDIY0"8 02/13/2408 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR JP McKeone Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 333 Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE NAIC# INSURED Renewal by Anderson INSURER A: Hartford lnsurancg Company J&L Windows,Inc. INSURER e: Hermitage 104 Otis St INSURER C: Northborough,MA 01532 INSURER D: 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ENSR ADDL EFFECTIVE POLJCYEXPIRATION POLICY NUMBER LIMITS B GENERAL LIABILITY HCP 507 404 09/07/2007 09/07/2008 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PEKTIM COMMERCIAL GENERAL LIABILITY I PREMISES Me e=reneel $ 100,000 CLAIMS MADE 7 OCCUR MEO EXP(Arg one person) S —.51.0-0-0 PERSONAL b ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APP(LIIEES�PER: PRODUCTS-COMPIOP AGG S 2.000.000 POLICY PRO. ) I LOC A AUTOMOBILE LIABILITY 35 MCC XD 6390 10/01/2007 10!01.2008 COMBINED SINGLE LIMIT (S 1,000,000 ANYAUTO (Ea acddenq RALL OWNED AUTOS BODILY INJURY SCHEOULEDAUTOS ' (Per person) S HIRED AUTOS BODILY INJURY NON•OWNED AUTOS (Peracddenq S PROPERTY DAMAGE S (Peracddanq GARAGE LIABILITY AUTO ONLY-EA ACCIDENT IS I E ANYAUTO OTHER THAN EA ACC S AUTOONLY: AGG I S EXCESSNMBREL LA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE Is _ S i DEDUCTIBLE S El RETENTION S $ A WORKERS COMPENSATION AND 35 VVEC PP 1444 02/17!2008 02/1712009 "'RV MTU- 0TH- EMPLOYERS'UA6ILITY E.L.EACH ACCIDENT S 500,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 500,000 U describe under AL PROVISIONS below E.L.DISEASE-POLICY LIMIT 5 500,000 SPECI OTHER I. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORMED REPRESENTATIVE ACORD 25(2001108) ©ACORD CORPORATION 1988 G 1ze Pammzo,xuea�ll o�✓�aaaac�u�vet�a Board of Building Regulations and Standards Construction Supervisor License License:-CS 74251 Birthdate 3/9/1963 Expiration 3f9/2a09 Tr# 11065 Restr ction Op JOHN K ESLER 104 OTIS ST NORTHBORO,MA 01532 Commissioner ,per .°T� -�� ✓l��e� �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 149601 Expiration: 1/24/2010 Tr# 262050 Type: Private Corporation RENEWAL BY ANDERSON =- JOHN ESLER 104 OTIS STREET NORTHBOROUGH,MA 01532 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information get) Please Print Ley-ibly J) Name(Business/Organization/Individual): et)e i)Cc � �V ��n r e r3 e.i'1 Address: 01i 5 �Tre, City/State/Zip: IV 0 -I�i d o r� ,�4 1� 3 Phone#: (�U�) �I f �%'00 Are you an employer? Check the appropriate box: Type of project(required): 1.a I am a employer with 00 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. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#I 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 sub-contractors and their workers'comp.policy information. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ] Insurance Company Name: � �n //1 S!asl n C e Policy#or Self-ins.Lic. #: �J Ut1�� ray Expiration Date: Job Site Address: furl S Ai �()ae� City/State/Zip: 01��'nC� l'/ A I/00— 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 c rtify u er th pains and penalties of p�ury that the information provided above is true and correct. Signature: "— Date: _ Phone#: fo - v U 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#: renewal BY ANDERSEN' window«plunnmr Customer Service 800-573-7606 104 Otis St.-Northborough,MA 01532•Main:(508)919-0900.Fax:(508)919-0903 J&L Windows,Inc.doe Renewal by Andersen Contractor License#149601-Expiration Date 09/23/2008 ` WINDOW AGREEMENT r SOLD TO: �U 1� �'S, c? \\ p DATE: 7 I— W G t ADDRESS:((��f Z 3 v r�, �t 7 1� PHONE—Home:(�) CITY: 1—I Ott nc-e- STATE: ZIP: 010(p 2 PHONE—Work: (_) JOB SITE ADDRESS(K different): E-mail: Approximate Start Date: /—Le Approximate Completion Date: Renewal by Andersen a roved materials will be furnished and installed to these specifications: 1. Install total of: windows. 2. Quantity of windows: _Double Hung(DB) ❑Equal sash ❑Cottage sash(1/3 top,2/3 bottom) ❑Oriel sash(213 top,1/3 bottom) Casement(CW) ❑Hinge right ❑Hinge left(as viewed from exterior):❑Standard handle ❑Metro handle _Do ub4 Casement(CDW) ❑Standard handle ❑Metro handle asement/Picture/Casement(CPW) ❑1:1:1 or 111:21❑Standard handle ❑Metro handle _2 Lite Gliding Window(GW) _Glider/Picture/Glider(GPW) ❑1:1:1 or ❑1:2:1 _Awning Window(AW) �Bow Window(PW) _ Window: #Windows to be Custom Fit Replacement: 4. ❑Yes �of sills to be replaced: 5. ❑Yes [ No #Windows a New Construction Full frame(includes new interior&exterior casings): Exterior casings: ❑ e ❑Maintenance-free material ❑Factory applied 908 Fibrex brickmold 6. Glazing to be: igh Performance ❑�Othh If other,please specify: 7. Exterior color to be: ❑White ❑Sand Panvas ❑Terratone / 8. Interior color to be: [I White El Sand ❑Canvas ❑Terratone ood l 1-r Ne Note:Interior color can only be white,wood or same color as exterior. Wood interiors need to be finished by Gust. 9. Hardware: hite ❑Stone ❑Canvas❑Brass Double Hung: Install lifts? ❑Yes ❑No 10. 0 Yes oval of metal frames or grilles #of Units: 11. ❑Yes lJTNo Install new paint-ready or stain-ready casings. Inside or outside stops#of openings:_ Interior casing#of openings: Exterior casings p Ings: ❑Pine ❑Maintenance free material 12. Customer aware that RbA does not do any phinting. Cust.initials 13. ❑Yes ❑No Wrap exterior casings with al um coi s ock: color. Note:Required with storm window re oval of stone windows will leave screw holes in casing. 14. New windows to have: ❑Half or IIF-Fuacreens Screens to be: ❑Fiberglass ❑Aluminum 15.Windows to have grilles: ❑Yes o If Yes: ❑Grille Between Glass(GBG) ❑Removable Interior Wood(INTW) ❑Full Divided Light(FDL) Grille patterns: DH DH DH DH CW/Picture Glider CPW or GPW *use aadXonal sheet if needed Customer approved(initials):_ 16. L? s ❑No Insulate,caulk and seal windows with three-point system to prevent water and air infiltration. 17. vy.s:s ❑No Remove and dispose of existing windows and storm 18. No Clean Up. All job related debris removed.Vacuum nightly. 19. No Insurance. All workers compensation and liability insurance maintained. / (,� 20. No Warranty.Given to customer upon completion and receipt of full payment. ! �/ 21.Additional information: 22. Regular Retail Price:$ 7a 23.Total Project Amount:$ All available discounts have been applied:❑Yes ❑No 24. Is Project to be paid in❑Cash inanced ❑Combination of Cash and Finance 25. Cash D it(1/3):$ 1/3 of balance due at start of job and final 1/3 due at completion of job. If re inrng 2/3 payment is made by credit card,an additional fee of 3%will be added to cover fee charged by Credit Card 26. Y No Financed. If Yes,Amount Financed: (Account#: ) 27. No Customer agrees to be present on the final day of installation for final inspection and to deliver final payment. 28. es ❑No Homeowner gives RBA approval to place a yard sign on their lawn at the time of measure. 29. ❑Yes ❑No Building Permit—As a convenience the company will secure the building permit.The fee for the permit is not included in the agreement price and a separate check is required at the time of sale for this fee. `RENEWAL BY ANDERSEN"IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS OR CONDITIONS THAT COULD NOT HAVE BEEN SEEN PRIOR TO OPENING THE WALLS.PLEASE REMOVE ALL SHADES,VERTICALS,BLINDS,CURTAINS,DRAPES OR WINDOW MOUNTED AIR CONDITIONERS,AND ANY FURNITURE AT LEAST SIX FEET AWAY FROM WINDOWS AND DOORS PRIOR TO THE INSTALLATION OF YOUR NEW'WINDOWS. INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS.'SALESMAN HAS NO AUTHORIZATION TO CHANGE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND"OWNER'REPRESENTS THAT NONE HAVE EEEN MADE TO,OR RELIED UPON BY"OWNER"YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE OF THIS AGREEMENT.'CONTRACT SUBJECT TO FINAL INSPECTION BY RENEWAL BY ANDERSEN CONSTRUCTION DEPARTMENT.'TERMS AND CONDITIONS THAT GOVERN THIS CONTRACT ARE PRINTED ON THE REVERSE SIDE. This contract Is a legal document Your Renewal by Andersen products will be especially made-to-order for you.UNDER NO CIRCUMSTANCES WILL REVISIONS OR CANCELLATION BE POSSIBLE BEYOND THE THIRD BUSINESS DAY AFTER THE CONTRACT HAS BEEN SIGNED AND DEPOSIT PAID.BY SIGNING I3ELUVV.YOU ARr A KNO EDGIN TH T THE ABOVE SP CIF/ A I K N5 F TH RBA PRO DU T YOU ARE ORDERING ARE CORRECT. RbA Rep.Signature:_ � Date: Customer Signatures t"/�— / '`t Customer Signature: White—Renewal by Andersen Yellow—Installation Pink-Homeowner 02-02-07 SECTION 8--CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: John A)er D 15 - License I Ad ress Expiration Date Signature Telephone 9t alt d Home Irn r vei ent Contractor: Not Applicable ❑ `77 G� Company Name t Registration .Number Address l G/ Expiration Date 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....... No...... ❑ hr' . - dome 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 Alterations) Roofing Or Doors JZL Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[0] Brief Description of Proposed Work: n �-PL(_e tr Alteration of existing bedroom Yes X_ No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes Dom. No Plans Attached Roll -Sheet o�If 14w ho'Osi a6d or ad kion to existina housina, complete the foiiowi 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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date l \1101fi ,��'l��- as Owner/Authorized A e eby declare that the statements and information on the foregoing application are true and accurate,to the best of may noo edge and belief. Signed under the pains and penalties of perjury. Pr Print N me �r o� Signature of ner/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 t Setbacks Front Side L __ € R:1...........__.. L:L .� ...� R: .. a . ..... , ... Rear Building Height Bldg. Square Footage e Open Space Footage qq % (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 YES IF YES, date issued IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES _....... _ IF YES: enter Book Paged > 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 Q , Date Issued C 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: 1 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 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 'N�Y9i�� t�� ^�• d& 3 S Pity of Northampton Auilding Department #dry yl�tit 3 33'; 212 Main Street APR - 20 Room 100 ;a l 7 �II orth 'mpton, MA 01060 � a 31 ljrn tr�5°['��{�49 3-58 -1240 Fax 413-587-1272 33r.I ---"""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 Map Lot Unit Florence, I)m a/ Z Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT, 2.1 Owner of Record: (( \JLI. 0 brf'C Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized A ent: N (Print) Current Mailing Address: 4�L� is.) Signature Telephone SECTI 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $ / 1 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee J 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 1 Check Number This Section For''Official Use Only Date Building Permit Number: sued: Signature: Building Commissioner/Inspector of Buildings Date BP-2008-0852 GIs #: COMMONWEALTH OF MASSACHUSETTS -r-° CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) categor-:_ BUILDING PERMIT Permit# BP-2008-0852 Project# JS-2008-001299 Est. Cost: $5591.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 149601 Lot Size(sq. ft.): 71002.80 Owner: KOSSON JULIE&MARCIA MERITHEW Zoning: SR Applicant: RENEWAL BY ANDERSEN AT. 1238 BURTS PIT RD Applicant Address: Phone: Insurance: 104 OTIS ST (508) 919-0900 WC NORTH BOROMA01532 ISSUED ON:41212008 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 4/2/2008 0:00:00 $25.005387 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 1238 BURTS PIT RD BP-2008-0852 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35-207 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-2008-0852 Project# JS-2008-001299 Est.Cost: $5591.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 149601 Lot Size(sq.ft.): 71002.80 Owner: KOSSON JULIE&MARCIA MERITHEW Zoning: SR Applicant: RENEWAL BY ANDERSEN AT. 1238 BURTS PIT RD Applicant Address: Phone: Insurance: 104 OTIS ST (508) 919-0900 WC NORTHBOROMA01532 ISSUED ON:41212008 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 REGULA N Certificate of Occu anC Si nature: FeeType: Date Paid: Amount: Building 4/2/2008 0:00:00 $25.005387 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo