28-064 (3) •
c am` if q 04Wi o' �¢ 01441.0 , 0 lI' i i, f ,G ,v ,%'',!
`' Office of Consumer Affairs and Iusiness Regulation
10_ = 10 Park Plaza -- Suite 5170
'" Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 960584
Type: Private Corporation
Expiration: 8/7/2012 Tr# 201019
YANKEE HOME IMPROVEMENT INC
GERARDRONAN _ _ -..___ ...__ ____ _._...,...........__..__..------____--
82 INDUSTRIAL DRIVE --- - - - - -- -.._ ___ - - _ - - — - - - --
NORTHAMPTON, MA O1060 ._____.__. - -_ _ _ .. __.. -----
.
Update Address and return card_ Mark reason for change.
] Address fl Renewal fl Employment [] Lost Card
nas -cat Va 5OTa- ouo4.o1O 27s M ,
Massachusetts - Department of Public Safe",
Board of Building Regulations and Standards
GOntut:tibn. Supervisor License
yt
license: CS 80442
•
J. Re'. WAAL., e
4 7 13141:81 1
otsfr 1•xVl`
n
Expiration: 3/19/2012
c ommbMunar' Tr#: 18580
sir- Zvi 141 17/7-f: ?1 riz.- ., uc V is /9 1
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 cally 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 Room 1301, Boston, MA 02108 (617) 727 -8598
To: r -- .�' f1 0 /<
6 y,4 . ) (-0
,, C.: ' O ./662
EMAIL
PHONE 'DATE /
C3� 1 - 2, A / i G _ CELL PHONE
We hereby submit specifications and estimates for work to be performed and materials to be used:
if-P/1 W ( - CL) / ✓2 c < -7,tl 1 - a - X172 .— r .?e_ sn —
,,J b,r, V- 'ID_ .6 !3_ % - , / %
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- -L61 Da /n l �.J,� - r 7 c. ✓f '/I x /Q c D s 42-- , ,r /L/ Tom" C'E24A./ C
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-
1L-r_ (,,)/, cJ5 4--/y.p .56: (J :x. P/4 ,AIE (9 a % , la- ,e -�-1) ))
_i - -_ lb i__
WORK SCHEDULE
C nt act will of begin the work or order the materials before the third day following the signing of this Agreement, unless spe ' ied re' . Contractor will begin the work on or about
16 (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by (date). The Owner hereby acknowledges
and a rees at the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including, but t li ited to strikes, Acts of God, shortages of materi-
als,accidents, and all other delays beyond its control, shall not be considered as violations of this Agreement. .
WARRANTY �� G>U Et_ �. L i - 7 -- ii --- i2A-As' W-443L,
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shalt comply
with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, its sub tractors, employees or agents, is discovered
after completion of any lob, including cleanup, the Contractor shall, at its own expense, forthwith remedy, repair, correct, replace, or cause 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 connection with the agreed -upon work.
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
r—. — �.. - 0 2....... 0 , . ► le .. -% 0 r , Xx . , dollars ($ 1 � 6 � I ).
P m ent to be made as follows:
%($ 5 33 ) upon signing contract; YANKEE HOME IMPROVEMENT, INC, .
Name of Contractor /Designated Registrant
% ($ ) upon completion of • 82 INDUSTRIAL DRIVE
Street Address
%y % ($ zy 3 ) upon completion of / ?. � ' NORTHA__MPTONJAA 01060 413- 341 -5259
City /State Phone
% ($ "( C 3 / ) shall be made forthwith upon 160584
completion of work under this contract. Registration No.
____y_
Notice: No agreement for home improvement contracting work shall require a down Name of Salesman_ I ....../..:,L '4/ S
payment (advance deposit) of more than one -third of the total contract price or the .
total amount of all deposits or payments which the contractor must make, in advance, Authorized Signature 1 .y9t -� , -1L.l- ��L --,
to order and/or otherwise obtain delivery of special order materials and equipment,
whichever amount is greater,
Acceptance of Proposal I have read both sides of this document and accept the prices, specifications 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 thereof, 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 SPACES.
9 i 411,1,464/ g
Si nature � ` Date 4/it ) Signature Date
Clian .17710 YANKE3
ACORD. CERTIFICATE OF LIABILITY INSURANCE 0B111
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
King & Cushman, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
King & Finn Streets HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 447
Northampton, MA 01061 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Colony Insurance Company
Yankee Home Improvement
INSURERS:
82 Industrial Dr. Ste 2
MUTER C:
Northampton, MA 01060
INSURER El:
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.
P fT CTI poLICY hscra '
TYPEDPIIRINRIANCE POLI CYNULIIBFR DA ODPM PAN , LOOTS
A DENERALUABILR'Y 147995 08114110 08//4111 EACH OCCURRENCE $1,000.000
El COMMERCIAL GENERAL LIABILITY AEPS necuyseral S50.000
!. CLAIMS MADE L. ^_.i OCCUR MED EXP (Any one parson) s5.000
■ _ PERSONAL &ADV INJURY $1,000,000
■ GENERAL AGGREGATE $2,000,000
GENT-AGGREGATE LIMIT APPLIES PER: PRDDVCES- CoMFIGFAUG $2,000,000
■. O- II
M
AUTOMOBILE LIABILITY
ANY AUTO N CO SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
I SCHEDULED AUTOS (Per per)
HIRED AUTOS
BODILY INJURY $
NON OWNED AUTOS (Par eaddenl}
PROPERTY DAMAGE
(Per =Rent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO FA ACC $
OTHER THAN
AUTO ONLY' AGG r $
EXCESSA)MHRELLA LTABIUTY EACH OCCURRENCE S
OCCUR n CLAIMS MADE AGGREGATE _$
$
■ DEDUCTIBLE $
RETENTION S 5
WORKERS COMPENSATION AND I WC STATU- I OTH-
EMPLOYERS' LIABILITY TIIJW I IIYIn's I eR
ANY PROPRIETORIPARTNERMXECUTWE EL- EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE • EA EMPLOYEE $
SY PR OVISjOHS below
EL. DISEASE - POUCT UNIT S
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT Y SPECIAL PR NRSIINS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED pouclE$ BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE IMSUING INSURE{ WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I.EF . BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR GAMUT OF ANY AOND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
ACORD 25 (2001/()8) 1 of 2 49103 SMF a ACORD CORPORATION 1988
<Tofaxnum:a
CERTIFICATE OF INSURANCE
10/05/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED
BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
THE ISSUING INSURER_( AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION
IS WAIVED, subject to the terms and conditions of the policy, certain policies may require and endorsement. A statement
n this certificate does not confer ri • hts to the certificate holder in lieu of such endorsement.
PRODUCER
Kennedy & Associates
1349 Allen St
Springfield, MA 1118
COMPANIES AFFORDING INSURANCE
COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
Yankee Home Improvements
82 Industrial Ave Unit 2
Northampton, MA 01060 -0000
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
THE POLICY PERIOD INDICATED, NOT WITHSTANDING 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 THE
POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
A WORKERS COMPENSATION
J AND EMPLOYERS' LIABILITY LIMIT'S
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE
1NCL o EXCL a 9943619 • 10/02/2010 10/02/2011 STATUTORY LIMITS
• THER
Coverage Apples to MA Operations Only.
EACH ACCIDENT $ 100,000
DISEASE POLICY LOST $ 500,000
DISEASE -EACH EMPLOYEE $ 100,000
DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WIHTE THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
6/,C;Pp.;;;It.--__ /6/0.'4/
The Commonwealth of Massachusetts
Department of Industrial Accidents
ak =CZ
; ' 1 f Office of Investigations
600 Washington Street
Boston, MA 02111
" '� : i ce www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization /Individual): . _ . ,; � - � � � .�,t f ' .. c ' i('c' k a u../
Address: £a
City /State /Zip: At-azr-ft p-h ,j, -i r`r is >c c: Phone #: - s v t - 5 z
Are u an employer? Check the appropriate box: Type of project (required):
1. [ I am a employer with € 4. ❑ I am a general contractor and I 6 n 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 [ j Remodeling
ship and have no employees These sub - contractors have 8. n 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 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work right of exemption per MGL 11.11 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs
insurance required.] t employees. [No workers'
13.n Other -r
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.
:Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: &/?w1 fk,/ , %c= ' i2 tt,cI c_c ( .c�
Policy # or Self -ins. Lic. #: C r? y 34- i Expiration Date: /O • C 2 - 2C / 1
Job Site Address: 6`33 r2Y A. rL). t ccf =:`r ucL M/3 .. C'/ce G L City/State /Zip: c= e_ c'F'?r'--,t/Cc- Ha . 0, t�;L
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 certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date: 1 t s _ 20/0
Phone #: t - 3'11 - S _' `5 cis
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
Parenn• Phone #:
SECTION 8'- CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : 6;4°-:4? d ,) K e.) AJ � / q
// License Number
Address Expiration Date
Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Z
1 f2/09 e— Arc 3sHs3Jy77 &../ C L ~L1 r`% l I '? /1
Address f Expiration Date
Telephone '1r3 - -34/
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 .4 No ❑
11. - Home 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 ❑ ReplacemenV�indows Alteration(s) ❑ ' Roofing ❑
Or Doors �]
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [E] Siding [D] Other [CO
Brief Description of Proposed
Work: RFpe c= C1 Wtarr ( c ; `< A,t /r? .l)c cv.-?..
Alteration of existing bedroom Yes X No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet
ea. If New house and or addition to existing housing. complete the foliowina:
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, __w} - - t.. °3 i'yr.7 U 4 r Cr - r , 24:- . ` 1( 2_ , as Owner of the subject
property
hereby authorize lvftt s .' .J.; , rt 6? AC .. ; , ,, . rI
to act on my behalf, in all matters relative to work authorized by this building permit application.
taa/ Cr =At" ' C // 7:1 - • ;:' c ;
Signature of Owner Date
I,
6 K' C &I . itvorc._ -t r-. /4= ,jc -S r 61,4-0,.. Air , as Owner /Authorized
Agent hereby declare that the statements and information on th€ foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
6Cf - OP, ra .'Cu ter kJ
Print Name _ --
l i 2 3 - 2c (C
Si.. : ' - 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
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
arkin
# 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 ik,40 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW 0 YES Q
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES i
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained (2) Obtained , Date Issued:
C. Do any signs exist on the property? YES ® NO I
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:
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 Vi i,
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
Department use only
City of Northampton Status of Permit
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer /Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
'‘! PFiorj X13;587 -1240 Fax 413 -587 -1272 Plot/Site Plans
Other Specify
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
•x;3.3 1■ K At)
Zone Overlay District
FL2., c tii c ( -MA- 5. O/L) -'
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
AZ Re ? r tau i 6 '3:-5 ,t y,9 A2.04
Name (Print) Current Mailing Address:
F6.c)2t ti C't , A% / t ?_
c/ ry Cc &i"TVA1 C- r Telephone
Signature
2.2 Authorized Agent:
6G / t7 ti0 FvAii .Z,N,Di's e, dk. MGM 7Nra AJ Mi ,
Name (Print) Current Mailing Address:
-1/3 -3 -1/ - 5 ^5 CJ
Sig Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
/
2. Electrical (b) Estimated Total Cost of
Construction from (6) - 13)4.-- C. I
3. Plumbing Building Permit Fee
4. Mechanical (I-IVAC) ;'
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) = ,1 / _ � 4 - G? ( Check Number _ j
This Section For Official Use Only
Permit Number: Date
Building Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
633 RYAN RD BP- 2011 -0483
GIS #: COMMONWEALTH OF MASSACHUSETTS
vlap:Block: 28 -064 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- 2011 -0483
Project # JS- 2011 - 000789
Est. Cost: $13601.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: YANKEE HOME IMPROVEMENT INC 89442
Lot Size(sq. ft.): 35283.60 Owner: DUBOIS ALBERT A & EVELYN M., TRUSTEE
Zoning: SR(100) //WSP II Applicant: YANKEE HOME IMPROVEMENT INC
AT: 633 RYAN RD
Applicant Address: Phone: Insurance:
82 INDUSTRIAL DR, UNIT 2 (413) 584 -8318 WC
NORTHAMPTON MAO 1060 ISSUED ON:11/23/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS /DOORS
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 11/23/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner