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25C-095 Greenfield Glass Co., Inc. 52 River Street Greenfield, MA 01301 Phone: (413) 774 -5277 FAX: (413) 774 -5523 02/17/12 Todd Barron Applied Mortgages Services 211 North Street Northampton, MA 01060 Todd, Enclosed is the permit application form for the replacement window project. Please sign in Section 2.1 under Owner of Record, and again in Section 10, Owner Authorization. Also included is a copy of the spec. sheet for the windows being used for the job. sheet 1 am fairly certain the permit fee will be $55 m de out to the City of Northampton. Please let Danny or myself know when the permit application has been accepted. Also please feel free to contact me with any questions regarding any of this. 1 can be reached either by phone (413- 774 -5277) or via e-mail at marvin @greenfieldglass.com. Thank you, Marvin Moss Office Manager Harvey Building Products - Technical Specifications http:// www .harveybp.com/Pro /techspec.aspx N HARVEY FOR HOMEOWNERS » CUSTOMER 'AXON 7 BED # A HARVEY CONTRACTOR 0 BUILDING PRODUCTS Events & Promotions Marketing Tools Locations Contad Us OUR PRODUCTS OUR SERVICES TECHNICAL RESOURCES ABOUT HARVEY Technical Resources / Technical Specifications « home FIRST SELECT A WINDOW STYLE Technical Resources » THEN CLIICK ON A TAB TO SELECT ITS TECHNICAL SPECIFICATION Technical Spedfications » Tribute Premium Double Hung Window AIA Seminars » 4 ET] . 7 4 4 *A1: (` } Signature Vinyl Window s n 4 " Classic Double Hung Window Glazing N R SHGC Visible Light Region ' Factor Value Transmittance Clear 0.48 2.08 0.59 0.62 — Low-E 0.34 2.94 0.30 0.55 SC N, NC, Low -E /Argon 0.30 3.33 0.30 0.55 SC Clearw /Grid 0.48 2.08 0.53 0.55 — Low -E w /Grid 0.34 2.94 0.27 0.49 SC, S .u- Low -E /Argon w /Grid 0.30 3.33 0.27 0.49 All Zones Slimline Double Hung Window R ... 1 Acoustic Vinyl Window Vigilance (Impact- Resistant) Vinyl Window 1 of 2 2/17/2012 11:51 AM 9/19/2011 1:07 PH FROM: Fax Aquadro Insurance TO: 1- 413 -774 -5523 PAGE: 003 OF 003 A 5 RD CERTIFICATE OF LIABILITY INSURANCE 9/19/2 "' PRODUCER (413) 586 -7373 FAX: (413) 584 -0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aquadro & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 355 Bridge St. , P. O. Box 357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i Northampton MA 01061 • INSURERS AFFORDING COVERAGE I NAIC # INSURED INSURER Travelers Indemnity Co of ; 25666 GREENFIELD GLASS CO. INC. INSURER B: AIM MUTUAL INSURANCE CO 52 RIVER STREET INSURER C I �p INSURER et GREENFIF MA 01301 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOW_ N MAY HAVE BEEN REDUCED BY PAID CLAIMS. OR )NERD TYPE OF INAIIRANCE ' POUCY NUMBER - - _ - - DA�MWDDDD/Y' D ATE rMMMIDDIYYYY I LIMITS .. .. .. �— GENERAL UABIUTY I EACH OCCURRENCE s _ 1,000,000 X CO GENERAL LIABILITY - 1 DAME TO REN ED T PREMAGIISE$ (Ea oc curre l ce) $ 300,000 A : I CLAIMS MADE X OCCUR 56806009L182TIA10 1/1/2011 1/1/2012 MED DIP (My oft perm) : f ._. 5,000 - I PERSONAL 6 ADV INJURY : $ 1, 000 , 000 I . ..... .. _ _ GENERAL AGGREGATE - s 2 , 000 000 • } GEN'L AGGREGATE UNIT APPLIES PER: I PRODUCTS - COMP/OP AGG s 2, 000 , 000 t 1 ? X' POLICY I jF - LOC i I . 1 AU_TOMDBiLELIABILITY . COMBINED SINGELIMB - ANY AUTO (Ea accident) f 1,000,000 A ALL OWNED AUTOS EA- 89831005- 10 -SEL 1/1 /2011 1/1/2012 BODILYINJURY {Per parson) $ SCHEDULED AUTOS _ X ' HIREDAUTOS BODILY INJURY S (Per eaiCenq - X j NON OWNED AUTOS . _.7----4 _.. _ i I PROPERTY Par aadert j( es GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT S ?ANY AUTO - -- EA ACC 1 f AUTO ONLY AGG I $ i EXCESS i UMBRELLA UABIUTY s : EACH OCCURRENCE I s - . 5,000,000 I OCCU CLAIMS M ADE AGGREGATE !s 5,000,000 '$ — A !DEDUCTIBLE 28FCDP8659Y7601ND10 .1/1/2011 1/1/2012 I X RETENTION $ 50 • - : .00 $ WORKERS COMPENSATION i WC STATU- OTH• B 1 !_TORY LIMITS i s ER .; AND EMPLOYERS' UABRRY YIN - 1 ANY PROPRIETORIPARTNERIEXECUTIVE ' E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? II 1 Vaso d800624L - 01 - 6/1/2011 6/1/2012 I E.L. DOME - EAEMPLOYEE f 1,000,000 SPECIAL PROVISIONS below I I ' E.L DISEASE - POLICY UP T 1 $ 1,000,000 OTHER I I • i DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTHEABOVE DESCR16EO POLICIES BE CANCELLED BEFORE THEEXPIRATN)N FOR INFORMATION ONLY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO T E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTNORD:ED REPRESENTATIVE .,1 �''T C Sullivan /CLB 'C 4prori• • i •Uu _. ACORD 25 (2009101) ® 1988 -2009 ACORD CORPORATION. All rights reserved. 1NS025 mosoi) The ACORD came and logo are registered marks of ACORD Version 1.7 Commercial Building Permit May 15. 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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 Marvin Moss 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. Signed under the pains and penalties of perjury. Marvin Moss Print Nam 02/17/2012 Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Marvin Moss 52540 License Number 52 River Street, Greenfield, MA 01301 06/07/2013 Address Expiration Date \1v (413) 774 -5277 Signature Telephone SECTION 13 - 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 budding permit. Signed Affidavit Attached Yes 0 No Versionl.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Greenfield Glass Co., Inc. Not Applicable ❑ Company Name: Marvin Moss Responsible In Charge of Construction 52 River Street, Greenfield, MA 01301 Address (413) 774 -5277 Signa ure Telephone Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (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 DONT KNOW 0 YES 0 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 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 Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 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 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 ` .J IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl .7 Commercial Building Permit Mav 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration 0 Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Install four (4) Harvey vinyl replacement windows with low -e insulated glass Of Proposed Work: SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B l ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Proposed Use Group: NO CHANGE Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 1 st St 2 n 2nd d 3 3 rd rd 4 th 4" Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public p Private El Zone Outside Flood Zone p Municipal p On site disposal system❑ Versionl.7 Commercial Building Permit May 15. 2000 Department use only • e �� City of Northampton Status of Permit A O\� uilding Department Curb Cut/Driveway Permit [. 212 Main Street Sewer /Septic Availability Room 100 WaterANell Availability 000'v l orthampton, MA 01060 Two Sets of Structural Plans c,lar+� one 413 - 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 211 North Street Map Lot Unit Northampton, MA 01060 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Applied Mortgage Services 211 North Street, Northampton, MA 01060 Name (Print) !/ e y'r a 7 Current Mailing Address: (413) 586 -5626 Signature 'Ii /9 � �-- Telephone 2.2 Authorized Ag: t: Marvin Moss 52 River Street, Greenfield, MA 01301 Name (Print) Current Mailing Address: 01\ (413) 774 -5277 Signature _ �C - V `� Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applica 1. Building . 1 0 /a) Building Permit Fee 2. Electrical ...s0.00 (b) Estimated Total Cost of Construction from (6) 3. Plumbing $0.00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $0.00 // �� 6. Total = (1 + 2 + 3 + 4 + 5) Check Number .57 P This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -0733 APPLICANT /CONTACT PERSON GREENFIELD GLASS CO. ADDRESS /PHONE 52 RIVER STREET GREENFIELD (413) 774 -5277 PROPERTY LOCATION 211 NORTH ST MAP 25C PARCEL 095 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out , �C Fee Paid / J Typeof Construction: INSTALL 4 REPLACEMENT WINDOWS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: ''Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission - Permit DPW Storm Water Management Demolition Delay /_ l 42_ Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 211 NORTH ST BP-2012-0733 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C - 095 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 -0733 Project # JS- 2012 - 001287 Est. Cost: $1763.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GREENFIELD GLASS CO._ Lot Size(sq. ft.): 8189.28 Owner: APPLIED MORTGAGE SERVICES CORP Zoning: URB Applicant: GREENFIELD GLASS CO. AT: 211 NORTH ST Applicant Address: Phone: Insurance: 52 RIVER STREET (413) 774 -5277 WC GREENFIELDMA01301 ISSUED ON:2/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 4 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 2/23/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner