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17A-244 SEP -7- 2009 23:29 FROM:YRI4KEE 4133415269 TO:4135871272 P.2'2 AQ 'RIa CERTIFICATE OF LIABILITY INSUF AN(. �j 07/2009 AX % 3 5Z7 -S3 1 ', .: }1= - - - -- R4'.i1RRS. All A or a imION Finck & Perris ZJESu Drammen Q Agency, Inc • MB CONFERS DOES OES NOT E ME OR $ Canon Lane ALTER THE COVERAdE AFFORDED BY ThE MUMS 13ELOVI . Eastnargton, NA 01027 - _ inefunges AFFORDING COVERAGE IMO a ! h Trtv*7tra 73 Sosrth oton Road A � , , W— �„ � t�On, MA 01027 n 1 ' ' _ I• •1 c ' covonnotin ter. -- '. ". " 71Ire. 1 . 71 .i7 i._ •r 1 ' T ' el) '. ,.; i • ,r7,1 ,. \.,. * _ ,. ;Y ..... ._1 Tv. ".r _,, t.. '+ r : AMY neememeort TON OR CONOITIb$ OP ANYtOMiEACT OR OTHER VOCUMEHT WnM Ipim= MOM TMI3 OER/E*IOATN MAY OR IM MO P OR MAY PormYN VAS IMMURANCE AP'YORI O BY T **WOW OILSORMD HERON 16 *UaJJCT TO ALt IMO Tina EXCLUSIONS ANO CONDITIONS OF SUM num Af nisei TE LAWN *gym &MY HAW sew mom= PAID mAsES. , = r . . 7 . ,, , 1 , ? f 1 1/ , • 1 t!' ":I• :'.H. lanimrl U ooW .L C1 ar VA tnv r :.,� '1f` *!�t�■I� CtA1NSMA0R comma [+ s•j _ r,. r r ^ iiiints gi;iiiiiii $ NB ' AM in ALL owmcoauTOS S in Homo/WAN NOW Maw IIIIIIIIIIIII IN INIlV.mVJunco per MHO 111 P*096wsv amuse ...-....... all ONIF 61:40 111 MI1111 r 1111 NI occult d aaursimot MI 1111111 in DomuCTIMUI } A i�i111616lriil 61111111111114040 FRolAFORE ma Iriii�MiM1N i1Wi� M 1 - einOti AT •. - -- Vankee NONNI rsi nt 41171I r tiefIOVALsum m.GPMNoC MMNIa. c UNARY T u istrial Purr aurnome amamul ada, s Acarn;Ca E OXi140 • .., -. = ':'s''.l'wE.it. M1' >:- M: '!., .. TfT ni P 011 11\4As - 2:1 --= Tf--v. , YANKEE HOME IMPROVEMENT, INC. All home improvement contractors and subcontractors MA# 160584 CT# 0673924 CSL# 089442 engaged in home improvement contracting, unless specifi- 82 INDUSTRIAL DRIVE; NORTHAMPTON MA 01060 catty exempt from registration by Provisions of Chapter 142A 1- 877- 88YANKEE 1- 877 - 889 -2653 of the general laws, must be registered with the 413 - 341 -5259 Commonwealth of Massachusetts. Inquiries about registra- tion and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Submitted )i ---, ,.- �,,/ Room 1301, Boston, MA 02108 (617) 727 -8598 To: 3 o*iiv " i,., f ( zip /i v o l"f 2- ?Z- / ycC Cr r zs9-2,-w - 4 <'/"Z f EMAIL !C E C C'4t(- k P E) $ F 3 tg DATE y s — - CELL PHONE (41 9 442:7 Z. a g - We hereby submit speciticatons and estimates for work to be performed and materials to be used: COLO /Z 41-41401/`C31- i -- 1(43 . r)../4 Alcsf. e...c ��,..— _Y) [i / Zlc 3t.."r _. _ ...s - .0 G' Hrrleree 2 -7 - /cc/J* - � l /14 T fe e; -6 Az-cep /49 ne Imo ,6,eyc 4: 2 / / j� c.,-; 7&-\. /f G�/'1/a/rdrav / / � r.� 4../ = E l —d- 4/,iv1 /.S • c - .4-CC --- 77iccC ,4^ f 4 Z. ' c" c%¢Z4a9.7 C-2v 61 4-7 /4--- / ! A/vc-40! /( 4"w e,,,,- 1 C- ev-c ns . W"^', ,- - WORK r7. • begin the wank or order the m before the kind day Wowing the signing of This Agreement, lades, Con tractor wit begin the work on or about -.- I date). Barring delay caused by beyond Contractor's control, the work will be completed by t (date). The Owner hereby acimowiedges and ` -- that the scheduling dates are approximate and that such delays tot are not avoidable by the Contractor hntrd'mg, but to strikes„ Acts of God, shortages of materi- ant,accidents, and al otter delays beyond is control, shall not be considered as violations of this Agreement WARRANTY /'��. The Contractor warrants that the wok furnished hereunder stall be free from defects in materials and workmanship far a period of following completion and stall comply with the requirements of this Agreement. In the event any detect in workmanship or materials, or damage caused by the Connectar: its subcontractors, employees or agents„ is discovered after completese of any job. Inducing cleanup, the Contractor shell, at its own expense, forthwith remedy, repair, correct, replace, or carne to be remedied, repaired or replaced, such dam - age or such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in cormectoh with the agreed•pon work. We . Propose hereby to furnish material and labor - complete accor dance with above specifications, for the sum of / / L..L • .t-' J �v c, ( / 1' /i A-r , Sers . dollars ($ / 2 76' ). Payment to be made as Solows: • # (g 442-3 ) uPoll siring corliTact YANKEE HOME IMPROVEMENT, INC. Nana of Contractor/Designated Registrant % ($ ) ,axon completion of 82 IN IAL DRNE Sheet Address /4 % ($ 442- 1 ) upon completion of NORTHAMPTON, MA Q1060 413 -341 -5259 - City/State Phone I) h % ($ 4 4 Z t( ) shall be made forthwith upon 160584 completion of work under this contract. Registration No. Notice: No agreement for home improvement contracting work shall require a down ___: r ,L -1 _ 4 payment (advance deposit) of more than one -kind of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, Authorized Signature to order and/or otherwise obtain delivery of special order materials and ecµripm ent, Acceptance of Proposal I have read both sides of this document and accept the pries, stations and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller, which may be his main office or branch thereot provided you notify the Seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement Please refer to the Notice of Cancellation that accompanies this contract con- tents of which are referred to above and incorporated herein by reference. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SP ES. Signature I! Date ..x./42 Signatu : '' lt- Date - - L f t • • . ' ' _ - ___ .. __ — Construe « ---~~`~^"" License. 89442 ^w 10 � Tr# 2 0968 n«s,"np'°covn:on: 30/019/20 ss R*Ro�nom�m p000xern ����' c omm i ss i oner -=* � '___ __�_�-____ _-'___- _-- delpiptE Toll- � _ Board of Building Regula ons and Standards ( One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 160584 Type: Private Corporation Expiration: 8/7/2010 Tr# 272291 YANKEE HOME IMPROVEMENT INC GERARD RONAN 82 INDUSTRIAL DRIVE UNIT 2 - -_ - - -_ NORTHAMPTON, MA 01060 Update Address and return card. Mark reason for change. [� Address Renewal ( Employment Lost Card CA1 Co 40M- 08/08•OBSLIFORMCA108212008 : - 1 omm(,uvea/( o 147,Alackt4ea Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: €�( Registration: 160584 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration: 8/7/2010 Tr# 272291 Type: Private Corporation Boston, Ma. 02108 YANKEE HOME IMPROVEMENT INC GERARD RONAN 82 INDUSTRIAL DRIVE UNIT 2 NORTHAMPTON, MA 01060 Administrator Not valid without signature ACORD CERTIFICATE OF LIABILITY INSURANCE - _ DATE ,M `A, 9/3/09 PRODUCER THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFORMATION Eennedy and Associates Insuranc Agen.c ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1949 Allen St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Springfield, NA 01118 INSURERS AFFORDING COVERAGE 1 NAIC # INSURED IJRERA: MAC SPECIALTY INSCIRNACE COMPANY 4ANpF E IOM R W 22 MENT , INC_ _ INSURER B: GRANITE STATE INSO RANCE CO. 82 INDUSTRTUL AVENUE - Z1NIT 2 Irve re o: NORTKAMPTI T, MA 01060 INSURER D: _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING i ANY REQUIREMENT, TERM OR COMMON Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIIED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE PoucY E11P :RATION . k Na I TR RD TYPE OF deSURAHPOLICY CE PO NUYIBER DATE NMMJ '' CAVE (M LIMITS GENERAL (AHEM EACH OCCURRENCE I $1,000,000 A S l COMMERCIAL GENERAL UABILITY 1-5, PRETA EnIISEB r , ccc moxeN I $ 100 , 000 GLA1MSMADE X i OCCUR MA X013700000415 8/14/09 8/14/2010 MEOEXR (Any ens peresI 1E5,000 PEReoNAL & ACV :HAIRY I .1.,000,000 I I GENERAL AGOR€GATE $2,000,000 +3CML AGGREGATE UMiT A PPLIES PER: COMP /OP.AGG $ 1, 040,000 1 PR4DT'S - PRO-, W1.rGY 7 ,1ECT 7 LDC T -' w-_ AUTOMOBILE LIABILITY (;QMSU E.D SINGLE I M T a OBI 1 I ANY AUTO (Ea n I ALL OWNED AUTOS - ( BODILY INJURY 'I I SCI ICDULGD AUTOS I (Pa P9f80h} $ HIRED AUTD I I Per LY atY INJURY I $ NON -OWNED AUTOS i PROPERTY DAMAGE $ ,(P[ra[e.dbrl GARAGE LIABILITY ;,t;TO ONLY -1:s. ACCIDENT i t _._ 1 AUTO �! 1 OTHEFtTHAN �$ _ I AUTOONLY: AGG j EXe $$ANMBRELLALIABILITY EACH OCCURRENCE _� $ �..._ OCcuR ' CLAWS MADE I AGGREGATE f I DEDucTIEIF { _ RETENTION $ $ X 1 TO L ATT} - ! I OTN WORKERS COMPENSATIDN AND - _ 1 TORY LAWS I I ER ,, EMPLOYERS' ANY Ra ! _ ARTNERCCECUTNC' WC873419 ( 6/31/09 8/31/10 E.L EACH ACCIDENT ;100,000 OFFIC cRfldEMBER EXCIa1DEU? E.L DISEASE- EA EMPLOYEE s 500,000 if SPEGAL PROVISIONS belae i 1 E.L OL A* . Pt4ICY OMIT I S 100,000 OTHER . ORSCRWTiON OF OPERATI¢Mt.) LdcATION6 f V MG —AS / €XGLumoNS ADDED BY ENDORSEMENT / NF €CtAL PROvISI iNs CERTIFICATE HOLDER CANCELLATION ~ter SHOULD ANY DP THE ABOVE DESCRIBED PoucIE$ BE CANCELLED lee Foist THE EXPIRATION GATE THEREOF, 114E ISSUING INSURER WILL ENDEAVOR TO MAIL DOB WRITTEN I NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, Ill AGENTS {Ni REPRESENTATIVES. AUTHORIZED - : - T — - 1 di I ',CORD 26 (2401108) • ' a AC D CORPORATION 1958 40 B9Vd 0 S3L I00SSV /,UBNNB)1 84S6Z8LE4b LZ:VT 600 /E0 /6th 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 he/she resides or intends 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 home owner." The building department for the City of Northampton wants 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 • NI - f '• • • s xe_quires 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 occupancv until the work can be inspected. 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 -conj unction _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 I, 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. Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents = _ i., . 0 Office of Investigations • • ° ,!=. , q y 600 Washin Eton Street 4 moo. . / O = Boston, MA 02111 , www.mass.gov /dia W orkers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): %AV ‘Ce7C ,i 4 1 C (> ,A,53 e .,„ , -,- Address: $ 2 /.ti 90 s 4- 2,t 'F` , City /State/Zip: /V94777wr ii) Phone. #: 473 341 / 5'2 S" Are you employer? Check the appropriate box: Type of project (required): 1 1. am a employer with 4(iL! ` am a general contractor and I 6. 0 New construction employees (full and/or part- time).* have hired the sub- contractors 2. El I am a sole proprietor, or partner- listed on the attached sheet. 7. 0 Remodeling ship and have. no. cloy ees These sub - contractors have. 8. ❑ Deniolruon working for me in an capacity. employees and have workers' y p ty 9. D Budding addition [No workers' comp. ins ura c e cc an _e: required:] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions - 3.0 I am -a homeowner- -deing all work .__ _ __ - -_ r have xercase heir —I-kg-Plumbing mbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other 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. IContractors 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. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site formation. Insurance Company Name: Policy # or Self-ins. Lic. #: Expiration Date: Job Site Address: City /State/Zip:" 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 J e of up to $250.00 a day against the violator. 13e 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 certify u pains and penalties of perjury that the information provided above_ rue_and.correcr. Q - Phone # 4 /3 2 `7F ( � T- 0fficial use only. Do not Write in thi d reg; to-be campteted by city or town official City or Town: Permit/License # Issuing Authority (circle one): I: Board of Health 2. Building Department 3. City/Town CIerk 4. EI 5. Plumbing Inspector __ _ 6. Other Contact Person: Phone #: • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : C S T 44- 2- C- D �F, v 5 O z_ License Number A411, v ., 34/i /ice Address Expiration Dat 4/3 J? O 7y (e/ Sign re Telephone Not Applicable ❑ 9.: Registered-: nameImprovemer�tGnntractor,�� ,.... ���� � ,.. ' ..- �; � - ,. GC /1cC Com any Name Registration Number 2 A/ 9 - 7) - t )z c`► Address / Expiration Date V n l ' ? Telephone 4 L ( 3 320 7 ' f 4 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 ❑ tELvi 24 The-current_exemption for "homeowners" 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 o amp on it tna c s ` . - s : : ` i _ , e .4 0 - .: _ - tts-General Laws- Annotated. Homeowner Signature J SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House [D Addition [J Replacement Wi ws Alteration(s) ❑ Roofing 1 _ Or Doors Accessory Bldg. ❑ Demolitio n ❑ New Signs [El] Decks [C] Siding [CI] Other [DJ ief Description of Proposed ork: R Oc9 - 1 6- -7 7 f ic_ , 9 CC.te", 7- 64/ -^' 9 £ . Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet ea.1€14e1rv.itot se arictor. tion io3bkiiiin ii tio6411 ,:comb ete.the "faiow lic : a. Use of building : One Family /J4 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 I, , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. igned under the pains and per s of perjury. Print Name li e Signature owner /Agent Dat- 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 _ __ ._,_ _ ,__..._ ._.__ . _.. ..,._ w_w Setbacks Front Y S ide L :.. , ,.._ R.` ---- _ L: ,______: _ R :: _ , „_._ . Rear _ Building Height' Bldg. Square Footage' i % --- Open Space Footage (Lot area minus bldg & paved _ „�... parking) # of Parking Spaces - - -- Fill: i ;i .���,.�.�...�,..._...,,.� : E {volume &Location) _ _._.„ ....._ . -- j A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book I i Page and /or Document #' B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained 0 , Date Issued C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and Location: D .Are tt e`any proposed ` Changes to grad limns o signs intene or 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 tanagement Permit from the DPW is required. City of Northampton r Building Department we ayes � 2 Main Street \. rr �' Room 100 NOrthahjpton, MA 01060 J phone 41- 58-7 =1240 Fax 413 - 587 -1272 ..,.. g'9 ( 7 te . a a' "; '� imp _ A?..PUCATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTIQ SITE INFORMATION 1.1 Property Address: This section to be completed by office 2 6' Map Lot Unit F 6� .4 e3(06 Z Zone Overlay District Elrri,St District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: -- f� — � - ..— _ — Name (Print) Current Mailing Address: Sr4�"f Telephone _ Signature r` 3 S2"4' Y3 2.2 Authorized Agent: 44+.-j 1 �� (-i,tc- �.��' C 2 i' 2 /-ro sr Dou v& /J nor -h4-(r J Ne Current Mailing Address: 4/3 (.1 r"1 Signature �, Telephone •SECTION IMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building r , (a) Building Permit Fee 2. Electrical (b) EstimatediTotal Cost of •Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection S. Total (1 + 2 + 3 + 4 + 5) Check Number /1 ThisiSection-ForDffcial - se Only Date Building Permit Number. Issued: Signature: Buliding Commissioner /inspector of Buildings Date F } i ti •. , BP-2010-0262 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 Penult # BP- 2010 -0262 Project # JS -2010- 000337 Est. Cost: $13270.00 Fee: $70.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): 16988.40 Owner: MYERS JAMES Zoning: URB(100)/ Applicant: YANKEE HOME IMPROVEMENT INC AT: 82 LAKE ST Applicant Address: Phone: Insurance: 82 INDUSTRIAL DR, UNIT 2 (413) 584 -8318 WC NORTHAMPTONMA01060 ISSUED ON :9/9/2009 0 :00 :00 TO PERFORM THE FOLLOWING WORK :INSTALL REPLACEMENT WINDOWS & ROOFING OVER 1 LAYER 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 9/9/2009 0:00:00 $70.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo