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23B-103 mew mertee1VEMENT CONTRACT PLEASE READ VHS I • I � 1 Sold. Furnished and Instailed by Boston Dam TI4D At -Howe Services, the. ( dews The house Depot At Hone Services 345A Greenwood Street. Unit 2.. Worcester, MA 01607 Toll Free (800) 657 -5152; Fax (308) 756.8823 Branch Number: 31 Federal ID # 75-2693460; ME Lic # C 02439: RI Cont. Lk* 16427 CT Lie 0 H1C.0363322: MA Home I vomit CoacttorReg # 126693 A Installation Address; n t ' JOA C)T de '5A. 1.1 'o 00 L� rR —+�� . City State Zip • Purebaser(5): Work Phone ape Phone: _ Cell_Meoe: [ [ [ 1 — Home Address: (If different from Installation Address) City State Zip Email Address (to receive project communications and Home Depot updates)- ❑ I DO NOT wish to receive any marketing ennails from The Home Depot hornet Information: Undersigned ( "Customer'), the owners of the property located at the above installation address, agrees to fury, and THD At -House Services. Inc. ("The Home Depot') agrees to furnish, deliver and arrange for the installation ("Installation") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated Into this Contract by this reference, along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders (collectively, "Contract"): P/C:6T Job & ammoswasne Spec Shooks) 0: Protect Ammrnt Lliteerean X u hisetatioe 5 71 7 ❑tomes! Covers Dlhtny Doors ❑ 11 S I-10 . TrReeding QS Wand LI Ira ritiaaeas /covets DEntry Doom n ■ r .r,,. • Windows a lesulatioa Ora r come paltry Doors n _ 1.3lloothig Dog O arindoas 13 Insulation OGoteers / Coism 1Enny Doom n_ Miss T s% DepadtafCentract Await dame wept eecadesaft)tieadre • Total Contract Amon; $ ;,�,j 71 — truePumas mos set &pdt mem teen anafieitd tithe CnanaalAamt rm Customer alters that, immediately upon completion of the work for each Product. Customer will execute a Complexion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot moves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home, Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the hoar, environmental hazards such as mold. asbestos or lead paint, other satiny concerns, pricing errors or because work required to complete the job was not included in the Contract Pavesat 5 tat*. The Payment Suzy # 3 7 x2 _ - -- indsded as pert of this Comet. sets forth the total Contract amount and payments required for the deposits and final payments by Product (as applicable). NOTICE TO CUSTOMER Yoe are waded to a completely filled-Ia copy of the Contract at the time p sign. Do not sigtt a Cempleti n Certificate (note: there is alit Caatptesion• nt ter ca listed Product as defined by ttt Spec Sheets) before work on that product Is complete - In the event of termination of this Contract, Customer agrees to pay The Hoene Depot the costs of materials, labor, expenses and services provided by The Home Depot or Authorised Service Provider through the date of termination, plus other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AM OUNTS OWED TO THE HOME DEPOT FROM THE DEFOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNT& sad Aatlta.trtadon Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes nil pilot discussions and agreements, either oral OF written, relaxing to said Products and Instillation. This A cannot be assigned or amended except by a writing signed by Customer and The Home Depot Customer acknowledges agrees that Customer has read. undeands, voluntarily accepts the tams of and has received a copy , this Agaement. �4✓�" / I X P Customer' .. • / Dire Sakes Coasultent's Date X Telephone No. • Customer's Signature Date Sales Consultant License No. CA NCELLATION: CUSTOMER MAY CANCEL THIS (as ardkabte) AGREEMENT WITHOUT PENALTY OR OBLIGATION SY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE gOPPLavlE+1T ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY ' PRESCRIBED BY ' LAW 1 IN CUSTOMER'S STATE. NOME; ADi UiONAL AND comeTnloNS ARE STATED Cod TUE MYEPSE ttILE AND ARE PART OF THIS aOnTNACr 64 - 11 C-SC Whits — Branch Rle Yeeow— Customer v ■ HOME IMPROVEMENT CONTRACT PLEASE READ THIS Sold, Furnished and Installed by Rosana Date: THA At -Home Services, Inc. —� MA., The Home Depot At: Home Services 345A Greenwood Street, Unit 2, Worcester, MA 01607 Toll Free (800) 657 -5182; Fax (508) 756 -8823 Branch Number: 31 Federal ID # 75- 2698460; ME Lie # C 02439; R1 Conb Lic# 16427 y i CT Lie # HIC•00556�55522,2; MA Home Improvement Contractor Reg. # 126893 Installation Address: !a N \ o9k k % . ,, , , f City State Zip Purr hseer(s)' Work Phone: Home Phone: Cell Phone: [ i [t((3 75.3 t [ ] If I Nu] .5%- L Horne Address: _ (If different from Installation Address) City State Zip E -mail Address (to receive project communications and Home Depot updates): - ❑ I DO NOT wish to receive any marketing mails from The Home Depot Pro ec Info Lion: Undersigned ( "Customer "), the owners of the property located at the above installation address, agrees to buy, and D At -Home Services, inc. ("The Home Depot ") agrees to furnish, deliver and arrange for the installation ( "Installation ") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this q/1/0 reference, along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders (collectively, "Contract"): ,Yob#: ,e .rxrnwcta s # • , ect Ammtnt ■Rondos ■Si• ., FA Windows • Insulation 5ec33 aft. /t o,. •Ear 0 4 %1 (.1 g 329 ❑ofin QSidin [t Windows ['Insulation OGuteers I Covers ©Entry Doors ❑ — _ _ Okoofng OSiding 0 Windows ❑ huniaton [Omen / Coves 0Entry Doors LL ORoofng • • . _ 1P Windows ■ Insulation DGettera / Covers DEntry Doom rl Minimum 25%Depadtot hat Amount due upon anandow efRas ven het, Total C�njct Amount $ 7� MabrPre etersmlgnotdtpOltwereduo etta dettheCersArsatn ✓ ti Customer agrees that, immediately upon completion of the work for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other Safety concerns. pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The - Payment Summary # $' (1 , included as part of this Contract, sets forth the total Contract amount and payments requited for the deposits and final payments by Product (as applicable). NOTICE TO CUSTOMER You are entitled to a completely tamed -in copy of the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that Product is co In the emit of termination of this Contract, Customer agrees to pay The Home Depot the costs of 'materials, labor, expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPI PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. /iceelrtance and Authorization: Customer agrees and understand that this Agrcc,T,cjit i5 t),4 Gnus ag_ . s E: ' :_• t l x:___ _ and The Home Depot with regard to the Products and Installation services and su - x.dcs It d 44, Vaai�, „a a,,.. . c u.,. oral or written, relating to said Products a-^d ► ^ °• �+ r, :_ 1"' ....• P ” by Customer and The Horne Depot. Customer acknowledges and agrees that Customer bas read, understands, voluntarily accepts the terms of and has received a copy of this Agreement. A ei tA ) v c-0 11.5=46., i: Date Sales Consultant's Si nature Date X Trlrrhnnr No , Customer's Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (ea appa'l:Wi) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DPI Wvr'r -rms wnrrry ire err rYnnSE DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING TILTS AGREEMENT. THE STATE SUPPLEMENT ATTACIEED HERETO - CONTAINS A FORM TO USE IF ONE IS SPl t:trtt.ALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE: ADDITIONAL TERMS AND CONDITIONS ARE STA'Y'ED ON THE REVERSE SIDE AM) ARE PART OF THIS CONTRACT 04.11 - C - White - Bra.et Fre Yelow- Customer City of Northampton • , ............. ,, , — ./ , . ojitt Massachusetts ,. t kt DEPARTMENT OF BUILDING INSPECTIONS la. i , • 212 Main Street • Municipal Building .i. Northampton, MA 01060 4 :Pi ly ,,,,..?-■ ,,-)- INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner ) HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her _ construction supervisor The state defines "Homeowner as, " Person(s) who owns a parcel on which h resides - OT iritends - a - one - ortwo attached ordetached 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building • permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date • - , Address of work location ---- - — The Commonwealth of Massachusetts 2 Department of Industrial Accidents Office of Investigations ' . 11-7--'77,11 `° ' 600 Washington Street ,, ;. Boston, MA 02111 .z , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): ii EU _. - Ail! Address: i AA �'r�i I 1. City/State/Zip: Imo . •_ a/ Phone #: ' (DO ` j Via Are yo . n employer? Check the appropriate box: Type of project (required): 1. la I am a L employer with 9 4. ❑ I am a general contractor and I _ hb t - - 6. ❑ New construction - -- ..__ * av e - hired the sub- conractors employees (full and/or part- time). h 4 . 2. ❑ I am a sole proprietor or partner- listed on the attached sheet.- 7. ❑ Remodeling -- These sub- contractors have 8. Demolition ship and have no employees � - -- - ❑ for in any capacity. employees and have workers' working Y P ty. 9. ❑ Building addition [No workers' comp. insurance, comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised. their 11.0 Plumbing repairs or additions myself. [No workers' comp. right o f exempt pe r MGL 12.1g R repairs insurance required.] t c. 152, §1(4), and we have no 13. ._ Other C A employees.' [No workers' �� h 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. tContractors 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. Jam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site • .information. �—�- Insurance Company Name: S ii. ' lir 1 ' _A . Policy # or Self -ins. Lic. #: L141 Expiration Date: -- - Job Site Address: _ 61/ i 3 City/State/Zip: i ,.l,, 11 Iii, I �� Attach a copy of the workers' compensation p n policy declaration page (showing the policy number and expi ation 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 - :. ' st the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of th , r insuranc - overage verification. \ I d - hereby ce - y • under t 'd pe - «!ties of perjury that the information provided above is true and correct. Sly a . : , .ham / - _ Date: / > ? Phone #: - 1- 14)14 - ‘ •C -- - Official-use only : --Do not write-in-this area; to -be completed by city 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 #: vk. r '� 4 5 F 1? 2x '-mi S ECTION 8 CONSTRUCTION SERVICES i • a k Eafi,dwa :'"'� ,t�•2`4:.? ,,,N �.. .t_�._;_.7. . t ..;.- \ ,. t `.3 _ 8.1 Licensed Construction Supervisor: Not Applicabl Name of License Holder : � I1 c r %-- (a 7( ( License Number _ A_ AM= aw 4 4/5 0 //e - Addre . Expiration Date Ai _ ail /, Signature Telephone ems ere . erne{ mproveme •ricrac err " ; ' a �x , , , . , ; ; 2 Not Applicable ❑ 1aL6g3 • Company Name fo Registration Number u 3 � n _ _Address 6 Expiration Date b fir"`:�e�f�tl, i) 1 // elephone r ( oCi ! `SECTION 10 W-ORKERS'- COMPENSA' IOI INSURANCE'AFFIDAUi.T (M G 52 -4 ... '�k� r�,c..xn'`"�- ,.,'r.,. $ ....�aLSfA:...�,. - Workers Compensation Insurance affidavit m be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin ermit. Signed Affidavit Attached Yes No ❑ 2 he Ja _LC- 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 " - shalt submit 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 tiithaiiter 1 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 '- -_ -- - `T_ - - • • • - r . J gk 43 :• ? Y' ,n -L t -r � fir.. J "u� Kaa t..' ' `��'oa r "'w5�` +, .0 V t1 dE W 4*,t qtq- SECTION 5 DESCRIPTION OF PROPOSED WORK !c hec k allapphcable) , -- A 4z ,, • "n a v - '4v� r .1a. tY' c x. aV x- jr`r� *� w 4: _ v 2> t riu's`i .� xv :i' rs''ih.r� �i.Prb " r,� r +�Y'i`P „lu'n,x,.T $ , e(' . : New House ❑ Addition ❑ Replacement Wi ows Alteration(s) ❑ Roofing n Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] : -ck mi ._ 'di • to •thu ... Brief Description of Proposed -.41. _ A , V7 , Ge e ��I G Work: .II i s ` Alteration of existing bedroom Yes No Adding new •edroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet - . 21f.9 ;r . �. .: 1M , a"�o`I - � � ;: �.�L4e-'�y® [�1 � o ,a� �, , o dsl[ 1 4�� 5 amp e � be e I'o the: ' i . _ _ a. Use 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? V es No . I. Septic Tank yy City Sewer Private well City water Supply 4 E I)IN �lERt?Alla{O t1 A'�'IO - �B OG]Mf' - . r,,,FRS`A6 7,0tt CONIVSZTO P 1: . f OR' [II N e' P RN4fl ti 4g 1 , fL 0 p( , 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 . I, lO T3eas Owner /Authorized Agent hereby declare tha the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under thi and pe • of perjury. 7 e . . bi Print Name / „ / i Signature of • er/A'ent n't° • 1.. • . . Section 4. ZONING. Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled hi kik i "It Building Department r 14 t Lot Size 1 I I i e• Frontage I I _, I I I Setbacks Front I I I I I Side L: I R:7 7 L:! I R:71 I I i I Re. I I II Bodin ii,i . _ I I -, - - 1 I 1 Bldg. Square Footage I I 1 1 % 1 I I 1 I 1 - - - - - Oflen Footage -- - -- -- -% = -='-'------- - - -- - -- '- '''-' -- -. - - (Lot area minus bldg & paved E1 I I I parking) # of Parking Spaces I I n Fill: I I — • (volume & Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 . 1 1 , • IF YES, date issued: I . IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book • I Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO (2) DONT KNOW 0 YES 0 --- - IF YES,_has a permit been or_need to beobtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: - _ C. Do any signs exist on the property? YES 0 NO CI - - , 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 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. W WI A ' C x z 06 e� l iQ ,ftr1 i $ n t 1 1 s ' City of Northampton fi • .. " : ', t:DBui i g Department � ,�i ��l? �� + at �+4 21 Main Street • f e' ,. 4 201 oom 100 Ai l�r �P. , J, ' � ib No ha pton, MA 01060 ! =i �- ;' ,PJtr , , ` - : i of • X13 5 1240 Fax 413- 587 -1272n }ma i :u'_, " t APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Tli 's' ecfion�fai5'"`" 1.1 Property co Ap1et s `t�Tfice ut � " _ p rty Address: i '' 1 t 4' �l ry l � > : r ;, s c* ,, ., -3 . *- M,L... . , ,, 4e ... 6 1 K) D %Tr 14 (-1, . ......-r--- :.;-,' !i'-:.:4,"$1,-,:,',,7, .g•-i:'-'-".7,1, L:-',;;'''''''-',4',4ra''14-.a.,: ''':'. t.:t`I'`' Yy Y �� 2 }� '`ll 7 Y `, L� 5; _ _t } ®'" A Y, v^ � it 1 � G C �. ��$k �Stt�GL' , • • SEC.TIOAN � , .4 r M H �,•�� :SEC- LOWNERSHIP/AUTHORIZEOkAGEN -.6, 2.1 Owner of Record- ; EL.' • • 4 1,.. • la & _ . , t li of/ rL Name (Print) Current Mailing Address: ' L. ..- e- 4,1 . I Telephone . . Signature 2.2 Authorized 'seZ t: • 1 . .4 `i ietl .f ; � ■ l 7 � �y �_ Name (Prin Current .".ailing Address: ..�Ido I Signature Telephone "''� .tit*,. ia.�"''tek .$F. i .r-;<»r;P c."�.rlr ": MSECTION'3 CONSTRUCTION COSTS; Item _ _.ti (Dollars) ) ,- :;tyhtfwvimAt On Ito _ �.�' ., Estimated Cost Dollars to be xr a completed by permit applicant r ._ tom ,� --..r14 ' ' - . .. 1. Building p 1 ..l e► V ee - ', n om` . o "i" 4.., • ". x ..�e , �, 4,-:. !y o , , y,„ �3� ����� it 2. Electrical : ..,, x y �y� ,, y x r Ons ruct�On irrir (6[)X t " ', ,.'a'.4i ". ^yr'�' �., 3. Plumbing MEWildin t er ree;, "" tea ' ^ ' , ,"f, / ..� 4. Mechanical (HVAC) ' ' � � �"� � ,.�. 5. Are Protection 4 1 ��� l - ,*"jae`�I �`A�, e r TM M f f �,` X5 1 6 Total 1 + + + b ` tb '" „,. 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SFr .,„: . r Wv y r-.- s ,+, ' :- ' ; ;. ,,, l , .. 4, f 4 f+* t -`*A-.+r�. .„ . *,. �+ ,.k+ 3 ; .' -- . -•f ! s -'"i te - - .: : �:£n:<. at r' 4,1 , =Z t' it -,,,• � rtc>re 1."ue .,!. .. 'r' �l i S.4. - t g- - c.. y 4. ;.a 2�" ..s, r 4* tr � ,°`,' ,.f"`'" ro ,Building omm's {Buiitlings . �3 I`r ' ,T. 1' +', - Z' -`F P;-t., 'r 5,�kla'. : xi } a . ?: . .. re c _ . ..a'" . r a,..y M : ,.r.«fs., .a...+;r- _dF, ? Y7.,n4 +- f..; .Y�g +.; K _ :.... .,•;. .rr.cdate a C } mo x 61 NONOTUCK ST - BP- 2012 -0260 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B - 103 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit # BP- 2012 -0260 Project # JS- 2012- 000413 Est. Cost: $5456.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOME DEPOT AT HOME SERVICES 67121 Lot Size(sq. ft.): 16639.92 Owner: HALL SHERYL J & CHRISTINE M NORMANDIN Zoning: URB(100)/ Applicant: HOME DEPOT AT HOME SERVICES AT: 61 NONOTUCK ST Applicant Address: Phone: Insurance: 345 GREENWOOD ST (401) 935 -2633 () Workers Compensation W ORCESTERMA01607 ISSUED ON: 9/15/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: INSTALL 9 REPLACEMENT WINDOWS & FRONT DOOR 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: 212 Ma' t reet P hone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner