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42-135 • a. Renewal i • „.• bY,Andersen. `,; s' � } i rt, 1 ' ` WINDOW REPLACEMENT ARAndecueCoctpiury WoodMnyl Composite IF lam' Dual Argon Low E4 SmartSun gag Courot4t Double Hung JA e b 80 �IW 100- 00473618 -010 ENERGY PERFORMANCE RATINGS U- Factor (U.S)JI - Solar Heat Gain Coefficient 0 . 29 Q1 ADDITIONAL PERFORMANCE RATINGS • Visible Transmittance • 0 .42 . MaealaeMnrattpNetea Om these mint'. eabnn to appeeabb WRC proaadurea iordetenxniny Mob prodigal • periananea. Nl'RO ratings an det.ratined bra lima aft e/emdroememataoadibeeand a speeMo prodeot aka. NFRC doff net neemmeed any product4nd day aot ~not the m iabky of any predoal for any speore aaa. Consult mannhctunr'. **MOM lot aMr product pelom)rwe b/ormatbe. • 1tCC rwvw.ntro.oig TMs product mean Onen r.�, -e Y . - .�,� r. ',:�• j Scapa smiwormeetal p • ,J, '� elaadaNr gumming enemy l 'nfM ,annd mm H, } r ", ,f padagYJg, and k! eannmaredswliosal ' i try �q nw erble DESIGN PRESSURE (PSF) WD VI HAM 11APA 7 Ci 1,`I'I1'IEb RbA DB Sloped Sill DH 'IN . • Toiled 18 111 /5-02rcMMMCIMNCSAtM6lMN46. MnfOVaraL - cstionanosw n . almlards. deers or exceeds M.E.C., C.EO.l LEC.C. Air bgdnatian nq.inm.nls WOMA H•amatk CaMatb• Rowan. • R enewal �, . !newal by Andersen Cor orati4 MA Home Improvement Contractor byAndersen. !# 104 Otis St., Northborough, MA 01532 License #170810 (Expires 12/23/2013) �� (508) 351 -2200 • Fax: (651) 351 -4810 Federal Tax ID #41- 1918413 WINDOW REPLACEMENT an AndersenCompany WINDOW SPECIFICATION SHEET Buyer(s) Name Date of Agreement BR Sv4P y -� -1 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 _3 windows in Owner's home, using the following individual quantifies: - 1 Double Hung (DB) Equal sash Cottage sash (1/3 top, 2/3 bottom) Oriel sash (2/3 top. 1/3 bottom) Flat sill aw(=t7c'-7, s> iuc> Casement (CS) Hinge right _ Hinge left (as viewed from exterior) Double Casement (CD) 2 Lite Gliding Window (GW) Casement / Picture / Casement (CT) 1:1:1 or 1:2:1 Glider / Picture / Glider (GPW) 1:1:1 or 1:2:1 Picture Window Bay or Bow Awning Window _ # Lights Soffit / Roof Shingle / Copper Specialty Window Patio Doors (See separate door spec sheet) Seat to be Primed / Oak / Pine 2. 3 Qty of Windows to be Custom Fit Replacement: 3. Qty of Windows to be Custom Fit Full frame (INCLUDES NEW INTERIOR & EXTERIOR CASINGS) Exterior asings: _ Pine Maintenance -free material Factory applied 908 Fibrex brickmold 4. Glazing to be: V HP Low- E -4 T " Tempered _ Other If other, please specify: 5. Exterior color to be: White _ Sand Canvas _ Terratone Cocoa Bean Dark Bronze Forest Green Black 6. Interior color to be: VWhite Sand _ Canvas Pine Maple Oak _ Same as Exterior Note: Wood interiors need to finished by Owner. 7. Hardware: V White Stone _ Canvas Estate Hardware: Style: 8. Install Lifts with Double Hung Windows 9. Screens: windows to have: Half or 1Fu1I screens Screens to be: Fiberglass _ Aluminum TruScene GRILLE DETAILS 10. 3 Windows have grilles: /Grille Between Glass (GBG) Removable Interior Wood (INTW) Full Divided Light (FDL) (( ? 5 ) Owner approved (initials) Draw grille patterns below Use additional sheet if needed Qty: 3 Qty: Qty: Qty: Qty: Qty: Qty: 4 MOMS ADDITIONAL WORK DETAILS 1 I. Qty of _ Sills Sill noses to be replaced by Contractor 12. Contractor will remove metal frames of windows. 13. Contractor will install new paint -ready or _ stain -ready Interior _ Exterior casings in Pine _ Maintenance -free material 14. Contractor will install new paint -ready or stain -ready _ Interior Exterior stops in _ Pine Maintenance -free material 15. (Y �fS ) Intls Owner is aware that Contractor does not do any painting. 16. Contractor will wrap exterior casings with coil stock of color. Note: Wrapping may be required with storm window removal; removal of storm windows will leave screw holes in casing. 17. V Contractor will insulate, caulk and seal windows with 3 -Point system to prevent water and air infiltration. Removal and disposal of all job related debris, windows, storm windows and vacuum nightly included. Upon completion of the job and payment in full, a limited warranty shall be issued. 18. pd Yes ❑ No Building Permit — Contractor will secure any and alI 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. Ck # 3 3 $ 3 5 19.4Yes ❑ No All discounts have been applied to this agreement price. + + 20. Additional job detail-- OFF 1 e N . i J5 Du Al (iJ Cit N ter, C>�l\ l/ ' . �, W 1-! T Gr+l1S me 9 p t F13f-, 21. L/ Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). 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 by Andersen Corporation Buyer(s) Buyer(s) Signature of Product Manager Signatur Signature // / /1//4/4. S4 /e/v'J (ZiA1.J S,vA Print Name of Product Manager Print Name Print Name Renewal Home Improvement Contractor - License # dersen. •�� 70810 (Expires 12/23/2013) bYlll l � Renewal by Andersen Corporation Federal Tax ID #41 WINDOW REPLACEMENT an Andersen Company 104 Otis St., Northborough, MA 01532 (508) 351 -2200 • Fax: (651) 351 -4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s) Name Date of Agreement A A) S A/ A p 1 -'7 - l 2 Buyer(s) Street Address, City, State, and Zip Code 875( C'CSf H,Av.i p t o ry gd Fiorelx_e E -Mail Address Horne Telephone Number Work Telephone Number 111 3 - s -s - Buyer(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 specification sheet(s) (collectively, this '`Agreement "). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. / 1 7 f/ Estimated Starting Date: Method of Payment: Total Job Amount: / '0 Amount Financed �. r J� � ❑Check ❑Cash Deposit Received (33 %): OVisa /MC ❑Discover Balance at Start of Job (33 %): © 0 idnanced OAMEX Estimated Completion Date: If credit card is selected, please Balance on Substantial 6 ' 3 r_ Lj see Credit Card Payment Form. Completion of Job (33 %): 1 V Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties, and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on the date first written above and 2) was orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyer(s) Buyer(s) By: 7 t4/ i r (�rk ►..' Signature of Product Manager Signature 9 Signature /)7 t S,4 /' �3(Zi'Rt Swap Print Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. NOTICES. F CANCELLATION X NOTICE OF CANCELLATION Date of Transaction 7-7-1)- 2 . You may cancel Date of Transaction . You may cancel this transaction, without any penalty or obligation, within this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any 1 three business days from the above date. If you cancel, any property traded in, any payments made by you under the property traded in, any payments made by you under the Contract of Sale, and any negotiable instrument executed I Contract of Sale, and any negotiable instrument executed by you will be returned within 10 days following receipt 1 by you will be returned within 10 days following receipt by the Contractor ( "Seller ") of your cancellation notice, I by the Contractor ( "Seller ") of your cancellation notice, and any security interest arising out of the transaction will and any security interest arising out of the transaction will be canceled. If you cancel, you must make available to the be canceled. If you cancel, you must make available to the Seller at your residence, in substantially as good condition Seller at your residence, in substantially as good condition as when received, any goods delivered to you under as when received, any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply 1 Contract or Sale; or you may, if you wish, comply with the with the instructions of the Seller regarding the return ' instructions of the Seller regarding the return shipment of shipment of the goods at the Seller's expense and risk. 1 the goods at the Seller's expense and risk. If you do make If you do make the goods available to the Seller and the I the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date pick them up within 20 days of the date of your Notice of your Notice of Cancellation, you may retain or dispose of Cancellation, you may retain or dispose of the goods of the goods without any further obligation. If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or if ou agree 1 goods available to the Seller, or if you agree to return the to 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 you remain liable for performance of all obligations under 1 for performance of all obligations under the Contract. the Contract. To cancel this transaction, mail or deliver a To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any ( dated copy of this cancellation notice or any other written other written notice, or send a telegram to Contractor notice, or send a telegram to Contractor: Renewal by Andersen Corporation, 104 Otis Renewal by Andersen Corporation, 104 Otis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT MIDNIGHT OF 9 - / O . (Date) OF . (Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Print Name Date RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink 0IBLIP2009 RRA -Ph MANN • • .. The Commonwealth of lefassac tusefts . • Deprcr aent.of I trial 44ccittents ' . E • . Office of Investigaiorrs • . - : ,a 600 Wasfringtrrn Sweet • �.:� 1:' • Boston, M 4 02111 4'•,7„,- .rraass.g ila .. Workers' - Compensation Insurance Affidavit: B dersl Contractors /Electrici.ans/Plnmbers • Ak olicant Infor.rnataon • 0 • Please Prin.tt Leeibly Name ( Busi /organization/Individuai): c .(1 e u) 0. \ r w CL r\.e. c C r'1 • . A- ddress: 5 L{ C4- ST , n City /Si ttorall: N) - -W� h C r`o, irA.O, IS 3D_ Phone #: 5 ` u :; S \ - ,..0.0' Are Yon an employer.? Check file appropriate bnr . Type of project (required): e4 ed) . employ with 7 G7 o ro 1.' I am a 4. ❑ I am a general contractor and I • employees (fTTTt and/or part - time), have hired the sob - contractors 6 . ❑Nw ceustr ¢onion • �• 2. ❑ 1 am a sole proprietor or partner- fisted on the attached sheet t • ' � ,�` (pdefmg ship and have no employees The sub - contactors have - 8. ❑ Demolition • . working for me in any capacity, workers' cOJ . 'insurance, . ❑ Building addition . • - [No workers' comp. insurance 5. ❑ We arc a corporation and its r 10.0 Electrical repairs or additions gnid) officers have exercised their P airs or 3. ❑ I am a homeowner doing all wank • right of rxamption per Ma-- 1 in •Phmibing rap . myself, [N w rL rs' .comp. c. 152, i 1(4), and we have no 12.0 Roof repairs . insuranc required] t • employees [No workers' 1.3 Other comp. ins required] ins • . Any applicant that chew box #1 most also fin oat the section below showing thei wrirloc re compensation policy •infrmmatioa t Aameownea who submit this of davit indicating they are doing all wort: and lima hilt outside eamtractans moot sukmtit a new affidavit indicating sock • teaat - actors that check this box most attached at additional Sheet showing the name of the'sab- coarinetars and their worked' comp. policy information . I a a .enrpk5yer that is providi m n o zaperasafion izr.sararzce for my employees. Below is the poticy and job sde • is rr=rtahan {� Insursmce Company Name; d h e •o o \ i C ,'1 •S, •C b, . • Policy # or Self -ins, Lis, i t , ' ' - 1 . � 1 1 1 L I 0 6 E z g i r a t i o n I ? a t c : ) D — '1 - 1 a Job SitE Adifrrss: D 1 1 AA aI& % n c. G ii&faltd7 -#: `� re.✓\ . , 14Ao. O t 6 C ' 4 it's ['In a copy of the workers' cotnpensafinn policy dpf-hfration page (showing the policy number and rot irafinn elate). • Failure to secure coverage as required - Section 25A ofMGL 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 than of a STOP WORK ORDER and a fine of up to X250.00 a day against the violator. Be advised that a copy o1 this statement may be fui warded to the Office of .hn!esfi„e of the.DIA for msuiance covcaage vacation. . 0 0 n . .1 do - her-eby.cerizfj , ( -taa . tyre p' ' i td penatties ofp�y that the informatiOn provided -above is true sill correct, . •:gimuincrrc: , / / Dam:. I � 7� I Z ( - • Phone # L`'3 _ 3 S ■ -',9,3 66 . . 0 vial use only. Do not write in *it ore* io be completed by city or Wwa • of clot . • City Dr TOW= pprrrsslk/1 >` # ' . ' . 0 . O issuing Auth.ority .one): • L Board of HrRffia 2, B nfding Department 3. City/Town Clerk 4. E aotrical Inspector S. Plumbing Inspector .6. Other. • Contact person: • Phone ft: - . SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 1 ) N � OA Al SC ✓l q c 6 n kb License Number R La IM R rN G� C r C r ` .� 11A(A G / 9- Addres Expiration Date - 3s1 — X 735 8 ." Sign Telephone 9''Realetered Rome Iri iprov itContractor ; '; Not Applicable ❑ R CVlet.JvA.� II-4 -✓� �ersC,n Companv Name Registration Number Address Expiration Date Telephone X 5 ( ;r3• _ 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 lfr No ❑ OVVOrnellinnoll The c�Tent exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to la Tv 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 Homeov`'nerjerson (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 family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs m han one home in a two -Year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building i cial, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the b • 'n2 permit. As acting Construction Supervisor your presence on the job s 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 d Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws tmotated, 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 W__ _ irdows Alteration(s) ❑ Roofing ❑ Or Doors II Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [E] Siding [0] Other [0] Brief Description of Proposed 11 Work: 12 e��ra c e . 3 lei . n AO — (\h ("\ /'z C \n C Alteration of existing bedroom Yes /No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes / No Plans Attached Roll - Sheet 4. If �levv hOUlse' la addit ni" o's ti rl Mousin g,' coi iialete t e<fou6win+ : 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 o 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 1, I _ _ L , as Owner of the subject property (� hereby authorize VA � 1\A\ So .1 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, r Ci. ^• h\ \ , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowIddge and belief. Signed under the pains and penalties of perjury. Z C'LLA_'n Print Name qb3-1,z- Signature of Owner nt 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 Dep xt .>r Lot Size 1 . 1 _..._ Frontage 1 ________ _ __, #_•._. ________ �R____. L- ._•__._.._ _. Setbacks Front E Ell =11. Side L:L --J R: L: _ 1 RE ID [~ I Rear 1 . 1 - ------ 1 Building Height L 1 Bldg. Square Footage C._i 1 1 % = Li-) 1_1 Open Space Footage _ _ % _ ll (Lot area minus bldg & paved _. _ .._ __ .. _. .._- ! ping) , # of Parking Spaces [ 111 1 i i Fill: _—____..•,.._ . __ _ ._._. _, w,. ., . ? ___..._,w,.a. _ _.. ,. (volume & Location) ---- _ 1 i 1 i_ i A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO Q DONT KNOW YES IF YES, date issued: __._. IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 - YES 0 IF YES: enter Book [ _W Page and /or Document # _ � j B. Does the site contain a brook, body offwater or wetlands? NO Q DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q 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 Q NO ��4 IF YES, describe size, type and location: _ _ � __ _.._.._. 1 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 Q NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. RECEIVED of Northam „ @ � 1.- f - Bu' ding Department , .12 Main Street i , = i °..� � SEP 2 8 Room 100 ;,� 17 A : y. t- ort ampton, MA 01060 g l � » :, -.` , , DEPTOFBUaDwe "' 3- ;7 -1240 Fax 413 - 587 - 1272 , NORTHAMPTON MA01060 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: , :f }g ()J. AG\ Akpit7 n ■(‘ Map Lot Unit V V . ✓k.c c k VW i\ C \()( ; . Zone Overlay bisfrict 'Elm Si. District . ' , CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 'r c,,A �nC z 'ii' L3 AzAvv,l0L,n IRA. F <e ncC_ oliktu �k0V,d Name (Print) Current Mailing dd ss:_ t- I t' - -5 ''S , - i) 3 \ Telephone Signature 2.2 Authorized Agent: 6f V.A.A _IAilk oA I 6 '4 O' er J■ . ),. ^ .-L\0, , YNtn C.. Is 3 Name (Print) Current Mailing Address: _5 ' .-. 5 - �c9 U6 }• 55c) 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 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 41> y - },9 K., u' Check Number This Section For Official Use Only Date Building Permit Number: Issued: A Signature // ;?.� Building Commissioner /Inspector of Buildings Date 878 WESTHAMPTON RD BP- 2013 -0357 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 42 - 135 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: windows replaced BUILDING PERMIT Permit # BP- 2013 -0357 Project # JS- 2013- 000582 Est. Cost: $4728.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 95707 Lot Size(sq. ft.): 16727.04 Owner: SNAPE BRIAN & SUSAN GOULET Zoning: Applicant: RENEWAL BY ANDERSEN AT: 878 WESTHAMPTON RD Applicant Address: Phone: Insurance: 104 OTIS ST (508) 919 -0900 WC NORTHBOROMA01532 ISSUED ON:10/1/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 2 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 10/1/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner