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24C-026 ACM-N-ft WINDOW AGREEMENT �areF - 342 East Street, Unit E ❑ 945 Concord Street Energy Solutions ree �� - �P� nvll i 1 Pl a invil l e , CT 06062 Fram MA 0 17 www.CareFresEne (860) 793 -6606 Toll Free (877) 886 -9997 rgySolutions.com CT Lie. #567904 MA. Lie. #161741 Name: _JOs a j / a/7/ 4Q Email: J arQn-/;n 0`nA a)& -01• "JIA Date: Phone: (home) 6113 S - 9 G (work) ( ) - (cell) ( ) - The undersigned Contractor agrees to furnish all material and/or labor necessary for the work (specified below) on premises located at Street: _// 0 IVO . Uk, Sf City: M61W, a N At. State /Zip elan � 0 GLASS SCREENS INSIDE COLOR OUTSIDE COLOR GRIDS at ❑Contoured Qty. // Brand Style Pane Pan Argon Krypt. E� Full 1/2 Ends hite Beige Lam. hite Beige Lam. Top Bott aE nds lJ02 .Ll1 r/ C ✓ / Main Frame D Multi- Chambered ❑ Dual - Hallow Custom Building ❑ Yes ❑ No Meeting Rail D Metal Reinforced ❑ Hollow Delivery ❑ Yes ❑ No Sill ❑ Pocket ❑ Sloped Installation ❑ Yes ❑ No Trim Exterior Casings ❑ Yes D No Fiberglass Insulation Around Mainframe ❑ Yes ❑ No ❑ Box Bent ❑ Architectural Disposal of Old Windows D Yes ❑ No Window Warranty: ❑ yrs. or ❑ Lifetime Workmanship Warranty: ❑ yrs. or ❑ Lifetime Special Instructions _/ �C A) A) A_ 3& >J Ai 1 % H PE&P i &f E 7 £,O PAR Oe i L 6+46 � �2 - G ( TF �'L � e� /z- - UPS a-s k/A Gr /L1 bS - / Sk_-7 ,, r v /L 4) Al 6V 4 4-P1°i A./G - rt G£.4fi Work NOT to be performed AJ C Q Z r��_ 2J r nT © U 4 i ?fi1 _f T/ M JOB TO BEGIN ON OR ABOUT AND MAJORITY OF WORK COMPLETED ON OR ABOUT ! v / 1 / / f (weather permitting Cash / Price $ 60 Dep. $ - - JL - I_ Pmnt. 2 $ Pmnt. 3 $ Pmnt. 4 $ Pay. on Completion — Pay Date / t Pay Date Pay Date Amnt. Financed $ The Buyer(s) above hereby jointly and severally agree to purchase the goods and/or services listed above, in accordance with the terms described on the front and the reverse of the Home Improvement Sale and Installation Agreement, of which this Addendum is a part. It is agreed and understood by the Buyer(s) that this Addendum and the Home Improvement Sale and Installation Agreement, constitute the entire understanding between the parties. There are no verbal understandings changing or modifying any of the terms of these documents. r Buyer's Signatu _ Seller Buyer's Signature NOTIC OF CANCE1,1.AT10N -7 Ate CERTIFICATE OF LJAE31UTY INSURANCE F4 °"'E"""°°'""" 0&/101'11 ` 001 *w' ( � THS CERTIRCATE IS ISSI ASA MMTTEROF INFORMMTION L Bissell & Sor% Im CNLY AND CONFEFiS NO RIGHTS UPCN TM C OMRCATE Fi01IMt THS CERWRCATE DOES NOTAMEN06 E Kns pOR 9 Park street, PO Boot 178 ALR RTFE COV9iKIEAFFOrMED BYT1 E POLICIES Eli aWt VQaeoN F%DCKVILIE, CT 06066 i j INSURBiS AFF CMNG COVERAGE I NAIC # " Nlgdanej QMW 1"m Carefree BWW SOILdO >IS, LLC �sua3xa 342 EAST ST LNIT E INSr�xc PLAINVILL.E, CTO60G2�UM I Ir�FStDt I INSrat e COMA Ti US1memzvv w-B®Viss m roTiEIN&jR NANMABCHEFMT EpwcypMMIN]CA,7MNDiVVM -GrAM3 G AIWFS3JFWAEWTI WORCDCMCNCFANYOcwRpercRa - mDocumE JfWTF1Fespe:;TlDwicHiHsC : tnRCA - MMWBEISSLEDCR WY PI32T/4N THEINELP/ NMAFFCRC E >BYTI -E POUQEBC89MB®I kS3M B 770AI LTMTBaN$ 8QUI0CN8APDC0CMC NS CF&JCH PCUCI� AQC�gTE LJMT5 SHIQIW MAY Fi4VE 81�117®iJC ®9Y FIWDQAIN6 yKS Parw�oenue� PQJIYOp�R�r101 Lam A N maanL> u�autr NOM I09 1 0&124/2011 0&21/2012 GKtI[70Ci Rra3JCE s 1 ODO X OQmCY�LCETBinLUA®.RY s 100.000 C1ANSWCE 1 7 aOCUR dl®D<P cm 00 s 0 Fe4saw.&AIWVWUrr a 1 00 0 i c3aH�anLAt3C41E s 000 7 CI3QLA 7EUMTAPPU6FBt FROO.CM- 000CPAM S 2 0 X MUCY FSiCY LCC A I N Auramoamummy 82161109 01VIWMI OV10r2012 CCWB S N3 EILMT A ��� VWALM I s 1 nLaw*DnLnm X SOhD1 .WAUMS I F .� S . HR ®ALnM I NCNONr�AJT06 I I YIN b V a �ANY Iia ' L1AJITY AUMC M Y- 64AWMW s /V.riO I I Sao= s AM MY. AM s A i N E IALLArA1JTY CU61109 I O 21 M1 OH2=12 B"OC CUI�a�CE s 1 000 OOCLR F CLAMME AGGFMUE s 1 i0 000 s RE►eJnoN $ 10000 a A Y=iQOL *mvw b/AIC *m Wp61109 0824/2071 082V2012 X ANWW aYw,oreus LLAILRY DT1Lr ! N I EL &#CHP4DCtDE R S ow ;9 K ���� 1 EL gSfiiLSE -64 b 6ekw ELDWrAW- FCUCeUWT b smow OTHER CANCEaxncN I Oe3CRP110NOFd�®PA71pNb/ L.00A71CIi9/ VD�f1aa/ D�3i�L4A )Z'�6YB'�01@lal�lr'!♦�IAL PI�N901i4 SHMAMAWCF7FEABOWMCI PCUMMCANCMAMEWC fiSSWMTM M7E7i� ; 7Fii13BLL •q!6{r®tYW1C�iiYYQt1CM1L 0 nhvavmrTM SAMPLE - INSU?ANCEIAFCRMATICN NODM'MT MConVM'MNMo MV=707MU r,WrPMAMICCOSOaMLL MroMNOaa<LOKiIaNaR ANrrarcuPw oR Rrwrnes . .+fi . , AUMNIM PEM ACOM 25 (20MAM Printed by IHGmAI4;AA 1Q 2011 at CCi49PM SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder r Of) YQ A c j C/1 License Number �5+If 62N 01 - 2,31 1 2- Address Expiration Dad -- _ - (na) i`13 -CSC & Signature Telephone 9�,Rect ste ed:Home #rnpr_ tatv-Gac i a .? . ' �� Not Applicable ❑ _ ;fir e Afico I, � 114 f Company Name Regic-tration Number Ay u+ Un A _ Address `� C-f yll 0 (�r,� W 2 Expi tion ate �>O C_ 5L Telephon J 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...... ❑ it 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 buildine permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable New House ❑ Addition ❑ Replacement Windows [ Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding [OJ Other [❑] Brief Des iptio of Propo ed Work: e til Ont i ki khen and c t �Jraxr . Alteration of existing bedroom Yes X No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes k No Plans Attached Roll - Sheet sa. if -New k�ouse at�d ,ar,dd�` � ��'�' •' 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' (o property IA+ ) n C , as Owner of the subject hereby authorize C dtp%�FYee. UEVO LIII 6lu ;ice S ( L LC to act on my behalf, in all matters relative to w rk authorize y his budding permit application. fD tb / i w ature of wner Date I, AWI VII 1 I� /Q� coic - h ee letC LJ S ILNCY)S , LLC , as Owner /Authorized Agent hereby declare that thd statements and information on the foregoing ap ication are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. �( I I :S0 C . Print Name Q �' I 1 Sign ure of Owner /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 Setbacks Front Rear Building Height Bldg. Square Footage % r Open Space Footage % (Lot area minus bldg & paved 4 of Parking Spaces A. Has a Special Permit/ Variance/ Finding ever been issued for/on the site? �� XN NO �~� DON7KNOYY YES «� �� � IF YES, dateissue& � -------' IF YES: Was the permit recorded at the Registry of Deeds? NO �� D �_/ un/ mvu"v /ES IF t Book � p --- ' enter oo � age and/or Document � ^ '�~' ` ° ^_____________� r B. Does the site contain abrook, body of water orwetlands? NO ' DONTKNOVV 0 YES x~~x IF YES, has a permit been or need to be obtained from the Conservation Commission? Needstubeobtained ^ - � Qbtained x�� Date �~� �~� ' . C. Do any signs exist on the property? YES 0 NO |F YES, describe size, type and iucatinn: | D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO |F YES, describe size, type and location: { ! E Will the construction activity disturb (clearing, gradingexcavation, or filling) over 1 acre oriait part ofa common plan that will disturb over 1acre? YES K � NO ��� �� �� IF YES, then a Northampton Storm Water Management Permit from the DPW is required RECEIVED City of Northampton Building Department L F 2 4 2011 212 Main Street Room 100 INN(31N$ Northampton, MA 01060 MPTON MAO, one 13- 587 -1240 Fax 413 - 587 -1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This secdort to be completed by office ® Nci ! vl G i vn � fy fe-f Map lot Unit 0 y, M fT 01 U Q Zone OveAay`Distr'►ct Elm St: tistrict C8 District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record 1,-Name (Print) Cu f �dr ss Tele Signature 2.2 Authorized Agent: m1m,y) . a to P vi lu- Cx 3 Na4m (Pri nt) Current Mailing Address: Sture Tlephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building e (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3 ( 9 ,)50 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection ( T� 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Onl Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date 110 NORTH ELM ST BP-2012-0426 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Bloc 24C - 026 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category REPLACEMENT DOOR BUILDING PERMIT Permit # BP- 2012 -0426 Project # JS- 2012 - 000670 Est. Cost: $2150.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CAREFREE HOME IMPROVEMENT LLC 100197 Lot Size(sq. ft.): 23391.72 Owner: TARANTINO PATRICIA A Zoniniz:M(1)/URB(99)/ Applicant: CAREFREE HOME IMPROVEMENT LLC AT. 110 NORTH ELM ST Applicant Address: Phone: Insurance: 342 EAST ST (860) 793 -6606 WC PLAINVILLECT06062 ISSUED ON. 10 /25/2011 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 2 SLIDERS 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 Shmature: FeeType• Date Paid: Amount: Building 10/25/20110:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner 10,-6