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20-009 - = — *__�...., -. _� �� _—__ `1 _ -... ,, ��_��—�� ems -�—• 7_ = -. ��_ . newal r: ,.. • . .. . .. u c. by dersena i � _;. � # :n i ,ye 4 w.NOOW REPLACEMENT an. AnderaenCompany . • z a WootiMinyl Composite IF • xif r4 t xGl. Dual Argon • Low E4 SmartSun __ __ _ r, Double Hung • :.�; 10D- 00473518 -010 • i • ENERGY PERFORMANCE RATINGS U- F actor (U.S)/ -P Solar Haat Gain. Coefficient. • • e ADDITIONAL PERFORMANCE RATINGS Visible Transmittance • • . 0 r . Manufacturer stipuatae that teen retina conform to an pt btaNFRC pra.:eduras for catarminhtg whatr proaucl oedom,ance. NFRD ratings arc oatarminad lora£xedsat of environmentarcondh'nns and aspeoffu pracuot o . NFRG doac not re mntand any product and Boas not warrant the suhadility of any product for any space'. ea- Consult manufacturer's literature for othar product performance information . www.nirc.orp SE r =n aildliantahrabitattara ` � t' k k. Tea product meats Groan r `fiaW tWaint843tWS1 '•-f• • Saal'e environmental C.. standaCs go enarsy r t - x j of ic'tathey,'haavy mataf =m C ��Yy ~W tt ,:: • ... : fir` I " "lhe frame and sash )` '"% - : � 5!•�-r,:fS� r... . ,.. .maarial, pacl®ning, and - 4 '.5: :I:!; •_ :_ . � consumer a6n @lGnal ((--� ' F ,, . .� tateriais. rt4'_ j' - - ` �$■:• ' • f € L . '0'' r � I. . DESIGN .PRESSURE (PSFI �* 7J (�}1�j �j kflLaM A Mann twse Dour UrautriJ�ii, If ° T 10 25. RbA DB Sloped Sill . DH 'IN l to ItA°Scis a-A,Y,I,lna /ti=iO))S/M4i totarutayarcr sllputilt rantnrmarce to Ott aOn)naok, starmras, heats or aticaeds n ;_t., C.EC, L LE.G.C_Air Inliierateen r gartoments WDRtt Hallmark Canifcalae Program. • • • • • 1 • 1. " s=3/e81WpIN <.rnurnInhar L^*pmm 14YT3TZ'S•' `�d A so .1=•A' - 7uld>d -Ain ycs Paz.axel[.Q W, - . . • . l�uanran❑d y •aagr7es= n¢1alpura ? , ' ; . . . 1pw$mpald Sint 1 't1 ' I ' [ . .. . ' . 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AB EI I : rt y • • • �z_kt2T , . RT. z .. . • • Ia m m7eacirr@.1ouo . G . coat i®C�61 — • . t7 0. i �l [m .tag irra�u . ';:oat h.(a.ffpu..10. !age! a�►er 11Dgnadstli ;pa: JPUR pun . ;ii . jou aq• . —. -- • R enewal. R Ewal by Andersen Corporation MA Home Improvement Contractor �i License #170810 (Expires 12/23/2013) sx � -��� � ����:. , 104 Otis St., Northborough, MA 01532 p � ' WINDOW REPLACEMENT an Andersen Company (508) 351 - 2200 • Fax: (651) 351 - 4810 Federal Tax ID #41 1918413 WINDOW SPECIFICATION SHEET syer(s) Name Date of Agreement f?w S /kr n4<• Se-v k ti S 5- tZ - I The Buyer(s) listed above hereby jointly and severally agree to purchase the goods and /or services listed below, in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, of which this Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install a total of ( O windows in Owner's home, using the following individual quantities: 7 Double Hung (DB) a Equal sash ❑ Cottage sash (1/3 top, 2/3 bottom) ❑ Oriel sash (2/3 top. 1/3 bottom) Casement (CW) ❑ Hinge right ❑ Hinge left (as viewed from exterior): ❑ Standard handle ❑ Metro handle 2- Double Casement (CDW) R. Standard handle ❑ Metro handle Casement / Picture / Casement (CPW) ❑ 1:1:1 or [7`1:2:1 [f Standard handle ❑ Metro handle 2 Lite Gliding Window (GW) Glider / Picture / Glider (GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window (AW) Picture Window (PW) Bay or Bow Window Patio Doors (see separate Door Specification Sheet) 2. R Yes ❑ No Qty of Windows to be Custom Fit Replacement: 9 3. ❑ Yes 12 Qty of Sills to be replaced by Contractor: 4. 2 ❑ No Qty of Windows to be New Construction Full frame (includes new interior & exterior casings) and actual I Exterior casings: ❑ Pine 2 Maintenance -free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be: E HP Low- E -4 TM ❑ Other If other, please specify: 6. Exterior color to be: [✓]" White ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: 2-White ❑ Sand ❑ Canvas ❑ Terratone ❑ Pine ❑ Maple ❑ Oak Note: Interior color can only be white, wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware : Et ❑ Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes 2L- Install Lifts with Double Hung Windows 10. Screens: windows to have: ❑ Half or 2 screens Screens to be: Fiberglass ❑ Aluminum ❑ TruScene GRILLE DETAILS 11. Windows have grilles: 2 Yes ❑ No If yes: ❑ Grille Between Glass (cscs Removable Interior Wood an*nv> ❑ Full Divided Light (En) Q L'( QtY: Qty: QtY: Qty: Qt)': Qty: DH DH DH DH CW/Picture Glider ICPW or GPW Draw grille patterns above "Use additional sheet if needed Owner approved (initials): ( ) ADDITIONAL WORK DETAILS 12. ❑ Yes 2 Contractor will remove metal frames of windows. Qty of Units: 13. ❑ Yes No Contractor will install new paint -ready or stain -ready casings. Interior casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance -free material 14. ❑ Yes No Contractor will install new paint -ready or stain -ready inside or outside stops qty of openings: Interior stops qty of openings: Exterior ps qty ofop gs: Initials ❑ Pine ❑ Maintenance -free material 15. Owner is aware that Contractor does not do any painting. 16. ❑ Yes 2TNo Contractor will wrap exterior casings with aluminum coil stock of color. Note: Wrapping may be required with storm window removal; removal of storm windows will leave screw holes in casing. I 7. 2 - Yes ❑ No Contractor will insulate, caulk and seal windows with 3 - point system to prevent water and air infiltration. 18. v❑ ❑ No Clean up all job related debris including old windows will be removed. Vacuum nightly. 19. 2 ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 20. rL Yes ❑ No Building Permit — Contractor will secure any and all necessary permits. The fee for the permit(s) is not included in the Contract Price and a separate check is required at the time of sale for this fee. 21. " Yes ❑ No All discounts have been applied to this agreement price. 22. Additional job details: 23. Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. It is agreed and understood by and between the parties that this Specification Sheet, along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, constitutes the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms. This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read this Specification Sheet. Renewal ersen ipora ' n Buyer(s) Bu�(s) . Signature of Product Manager Si ture Signature Print Name of Product Manager Print Name Print Name enewal .- 7--:,]. _ MA Home Improvement Contractor 114 4 License # (Expires 12/23/2013) Andersen. , - � � Renewal by Andersen Corporation Federal Tax ID #41- 1918413 INDOW REPLACEMENT an Andersen Company 104 Otis St., Northborough, MA 01532 (508) 351 -2200 • Fax: (651) 351 -4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT yerfsl Name Date of Agreement / 1 7 T yerlsl Street Address, City, State, and Zip Code / `l Fl` S�/ - e s1 -t•- R�' F!c�itnce A d IO6c. Sail Address Home Telephone Number Work Telephone Number ''L76aar0ti °coon errs I t n-CA L / , $ 7 7 6 5 _ L.(17- 6 fl 3 9 1 sver(s) hereby jointly and severally agrees to purchase the products and /or services of Renewal by Andersen Corporation Contractor "), in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached ■ecification sheet(s) (collectively, this "Agreement "). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed 1 work under this Agreement. Total Job Amount: 16 ' G 6 S Estimated Starting Date: Method of Payment: Deposit Received (33%): S 5 5 5' 1 O - 12 `-- 4 - 5 ❑Check ❑Cash ❑Financed Balance at Start of Job (33%): 5-5-7 r `UVisa /MC ❑Discover ❑AMEX Estimated Completion Date: If credit card is selected, please see Credit Card Balance on Substantial I - 7 o t S Payment Form. Completion of Job (33 %): 5 ayer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties, and that ere are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation om this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. Buyer(s) hereby !knowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a rmpleted, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on the date first ri.tten above and 2) was orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF EIERE ARE ANY BLANK SPACES. enewal by Andersen Corporation B er(s) Buyer(s) 7: ,M..------ or „.,..,..: .....-----k--- Signature of Product Manager Signature Si. ature ,r' - / �i // 7 v �7 2 v1 '9 ien. L Il-P Print Name of Product Manager � 'rint Name Print Name DU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD USINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS DR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION `k NOTICE OF CANCELLATION ate of Transaction S- r 2 / 2— . You may cancel Date of Transaction .5" / - - /�. . You may cancel tis transaction, without any penalty or obligation, within this transaction, without any penalty or obligation, within tree business days from the above date. If you cancel, any three business days from the above date. If you cancel, any roperty traded in, any payments made by you under the l property traded in, any payments made by you under the Dntract of Sale, and any negotiable instrument executed I Contract of Sale, and any negotiable instrument executed y you will be returned within 10 days following receipt by you will be returned within 10 days following receipt y the Contractor ( "Seller ") of your cancellation notice, I by the Contractor ( "Seller ") of your cancellation notice, rid any security interest arising out of the transaction will and any security interest arising out of the transaction will e canceled. If you cancel, you must make available to the be canceled. If you cancel, you must make available to the slier at your residence, in substantially as good condition Seller at your residence, in substantially as good condition s when received, any goods delivered to you under as when received, any goods delivered to you under this tis Contract or Sale; or you may, if you wish, comply Contract or Sale; or you may, if you wish, comply with the rith the instructions of the Seller regarding the return instructions of the Seller regarding the return shipment of iipment of the goods at the Seller's expense and risk. I the goods at the Seller's expense and risk. If you do make you do make the goods available to the Seller and the the goods available to the Seller and the Seller does not _ller does not pick them up within 20 days of the date pick them up within 20 days of the date of your Notice F your Notice of Cancellation, you may retain or dispose of Cancellation, you may retain or dispose of the goods F the goods without any further obligation. If you fail to without any further obligation. If you fail to make the take the goods available to the Seller, or if you agree goods available to the Seller, or if you agree to return the ■ return the goods to the Seller and fail to do so, then goods to the Seller and fail to do so, then you remain liable Du remain liable for performance of all obligations under for performance of all obligations under the Contract. le Contract. To cancel this transaction, mail or deliver a To cancel this transaction, mail or deliver a signed and gned and dated copy of this cancellation notice or any I dated copy of this cancellation notice or any other written flier written notice, or send a telegram to Contractor: notice, or send a telegram to Contractor: enewal by Andersen Corporation, 104 Otis Renewal by Andersen Corporation, 104 Otis Street, treet, Northborough MA 01532, BY NOT LATER THAN Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT IIDNIGHT OF 5 - t5- t 2 - . (Date) OF 5- / 5 /Z . (Date) HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Pont Name Date RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink ©BLLP2009.RBA- PB.MANH • The Commonwealth of Massachusetts Department of Inclustriat Accidents w Office of Investigations � 600 Washington Street • " AP = y Boston, ,14�1A QZZII ' wwvw.mass.gov /ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information (� ( Please Print Leeibly Name ( Business /Organization/Individual): e, Address: \5 L-{ S Ste . City /State /Zip: \Th � ln2(� C�1 C3 D.. Phone #: ? 00 Are you an employer? Check the appropriate box: . Type of project (required): 1. Q I am a employer with � C� 4. ❑ I am a general contractor and I 6. ❑ 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 7 • [3.R.emodeling ship and have no employees These sub - contractors have E. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. 1] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.1] Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself [No workers' comp. c, 152, § 1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other .comp. insurance required.] . 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit inticating such. :Contractors that check this boa 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 is format`on. • Insurance Company Name:_ a 0 6 l \ c1 S • C, • Policy # or Self ins. Lic. C— ' Expiration Date: — — a Job Site Address: k a'(o ` t lie y VC City /State /Zip: 1p✓�� „� c . r 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. /n I do hereby .certify un r.the pains penalties of perjury that the information provided above is true and correct Simat re: / / / • Date: ' - — / Z • Phone #: SZ) ? - 7J i r r3 O Official use only. Do not write in this area, to be completed by city or town official 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : P �, h ✓l l d .'� �S 0 License Number Cie CC1'' l'se �a i (Az. G(() 6 'd7 � V Address Expiration Date S' - 351— X SS 3 Si gnat Telephone 9 P 9 " Reiais#ere I oine � im b ro v ement Contrac'or _ t : , ,3u ; , h Not Applicable ❑ Company Name k Registration Number Address Expiration Date — Telephone.)? 3 I ^0� -20� • 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 pelt. Signed Affidavit Attached Yes L8' No ❑ 1.1 H©i i C .wn ee xemptio The curren exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow s homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. C ` t 780, Sixth Edition Section 108.3.5.1. Definition of Homeo • er: 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 o - or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who con ucts more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit t. he Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work perfo •, ed under the building permit. As acting Construction Supervisor you .resence on the job site will be required from time to time, during and upon completion of the work for which this permit issued. Also be advised that with reference to Chapter 1 1 Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the ■ . ssachusetts 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 responsi.' for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State o • assachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition El New Signs [D] Decks [Q Siding [D] Other [D] Brief Description of Proposed Work: 1RN a Lc_ it) U1) . v\ A O S NJ (� ✓ ex ( C' c Alteration of existing bedroom Yes t Adding new bedroom Yes �No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet Ga. New h�iise If Ne*hoLise anti or addition - to.existinq °housing: complete the following: 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 A .. v W i O(& CO A 4" Pa , as Owner of the subject property I (� '" hereby authorize V s rx ✓� t Jf /t ✓1 \ SON-1 to act on my behalf, in all matters relative to work authorized by this building permit application. S ignature of Owner Date (5\1\ ` p v\ . v1/1t36>,\ , as Owner/Aultorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge arr belief. Signed under the pains a d penalties of perjury. - I - 5∎4% t;. PALA 5641 Print Name Signature of 0 -- 'agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning �� (( ++ r This column to be filled in by Q eJ \ C cv,,`i `c \ IC e s , , L c..,,t ,c„ Building Department Lot Size __ .1-. - -- II E W .Y___ _._._.a Frontage _ `_ ( .w.__.. LL _ui _�l_ u u Setbacks in E1TJ Eli L . Side L:i-- --_..J R:1 ! L: __.J R:E. Rear I _ E-1 Building Height Square Footage = % L I -- �_i --- Open Space Footage % , . (Lot area minus bldg & paved E L __ i L S ._ ._.. parking) # 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 ►11 YES 0 IF YES, date issued: i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Pager i I and /or Document # I I B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW (;� YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,Date Issued: i i C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: ^ ^^ _ D. Are there any proposed changes to or additions of signs intended for the property ? YES i0 NO 4) _i IF YES, describe size, type and location: 1 _____� E. Will the construction activity disturb (clearing, grading, ex avation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ,, 1 r,,ri'te�t 10 t 1 , ,, ; i '. `' . _. �� { C of Northampton �� � r. Building Department c ut/ �re Way rml � -psf r 9 y 212 Main Street Sew p, it-striv,,,,:i1,4„,,,,o,,,g,,.,,,,,,t,., , ° ` MAY 2 3 2012 ° N. ,, k f. -- ,� , X Room 100 �� W at � L----;:----.61. a Northampton MA 01060 Tw S ructtirial;I t s 1 n g y ` .. SP ECTiONs j e/ iapsi N, e -413- 587 -1240 Fax 413- 587 -1272 $ �� e.. i #' A C S k. ' 0 � ' i X 4 4 w'r � C = 4 4 r� `" i , "u, �i , 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 Li g( 5,�w c r' M ap lot Unit �\ O� c � ( � 0l 0 (o ff �Zone` - Overlay District Elm St. District ` CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: f� � rv� ���� 4 � � r� �`~° � ' c �� ' 1?10 S ■ �L ve.. •-c.rs (z- F t o ✓ �v� c e , dti c\ Name (P int) Current ailing A dress: Telephone Signature 2.2 Authorized Agent: ff I) f`..0,/\ t-/Q,✓l✓t1SG✓1 lb� �J�t� �C)f'�h�b/1) 1 liLCn 61 Name (Print Current Mailing Address: 5) 3s - 1 — aa ,; .s5D S Signature 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 I (a I (ohs . o._. 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Perm Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) {( ( ( .ua Check Number / -,1C.35- This Sect For Official Use Only Date Building Permit Number: I ssue d : Signature: Building' Commissioner /Inspector of Buildings Date 486 SYLVESTER RD BP- 2012 -1037 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 20 - 009 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 -1037 Project # JS- 2012- 001788 Est. Cost: $16665.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 95707 Lot Size(sq. ft.): 114562.80 Owner: AARON AMY J & PATRICIA JENKINS Zoning: Applicant: RENEWAL BY ANDERSEN AT: 486 SYLVESTER RD Applicant Address: Phone: Insurance: 104 OTIS ST (508) 919 -0900 WC NORTHBOROMA01532 ISSUED ON:5/24/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: INSTALL 10 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 5/24/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner