29-224 (4) Renewal by Andersen Corporation MA Home Improvement Contrator
104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2015)
(508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413
Entry Door Specification Sheet
Buyer(s)Name Date of il reement
PHILIPPE J. MACARY March 20,2014
The buyer(s)listed above herebyjointly 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
the Specification Sheet is part.
ENTRY DOOR DETAILS
Location Entry
Width 36"
Height 801,
Iamb depth 49/16 49/16 49/16 49/16 49/16 49/16
Inside style Leg 460GEM
Outside style Leg 460GEM
Sidelite style None
Inside color Snow Mist
Outside Color Mountain Berry
d/size sidelite No
Glass style Gemstone
Caming Zinc.
Add grid No
Door skin Smooth
Grid options None
Operation HRFI
Grid Inside color None
Outside Color None
Int lockset Touch ad
Int Finish Satin Nick
Ext.lockset Touch ad
Ext Finish Satin Nick
Threshold Bronze
Yickplate No
Peephole
Mail Slot No
Cladding color Mtn berry red
Transom No
STORM DOORS
Door Style 97
Storm Color MountainBerry
Handle Style Contemporary
Handle Color Satin Nick
Additional
Job Notes:
Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system and door treatments/hardware.It is the
b responsibility of the homeowner to have the alarm system and door treatments/hardware removed nor to installation. We make no guarantee as to
P Y Y P� 9
whether alarms,door treatments or hardware will fit after replacement. Customer is also aware in some cases there will be glass loss. If there is,the
amount will be dependent on the type of existing doors,type of installation and window style.We make no guarantee as to the amount of glass loss.
Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for
time and materials unless so stated in this contract.
7 Yes 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,doors,
storm doors and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued.
S Yes 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.Check I 2371 $ 35
9 Yes All discounts have been applied to this agreement.
to Ve Yes I I No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s).
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 by Andersen Corporation Buyer(s) Buyer(s)
B. / �G��70-'O
Signature of Project Manager Signature Signature
MITCHELL TORO PHILIPPE J. MACARY
Print Name of Project Manager Print Name Print Name
enewa MA Home Improvement Contractor
License#170810(Expires 12/23/2015)
bYAtldetSeR Renewal by Andersen Corporation Federal Tax ID#41-1918413
trINO0a1 sEPLI1ClMENT xn Arx4 n.(A.e,q,an,�
104 Otis St. Northborouqh,MA 01532
(508)351-2200 Fax(508)-986-7072
CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT
Buyer(s)Name Date:
PHILIPPE J. MACARY - MARCH 20, 2014
Buyer(s)Street Address City State Zip Code
136 ACREBROOK DR. FLORENCE MA 1 01062
Email Address Home Telephone Number Work/Cell Telephone Number
HOPE MACARYQGMAIL.COM 413-221-7115 917-992-4562
Buyer(s)hereby jointly and severally agrees to purchase the goods 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.
Total Job Amount $ 6,729.00 Amount Financed$ 6,729.00 Est.Start Date Method of Payment
Deposit Received(33%)$ 0.00 Check/Cash
10-14 weeks
Balance Start of Job(33%)$ 0.00 Deposit at signing$ 3,364.50 Check#
Balance on Substantial At Substantial Est.Install Time Credit Card
Completion of Job(33%)$ 0.00 Completion$ 3,364.50
1-2 days If credit card is selected,please
see Credit Card Payment form
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. �(�L�7,- ,
Signature of Project Manager Signature Signature
MITCHELL TORO PHILIPPE J. MACARY
Printed Name of Project Manager Printed Name Printed 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.
NOTICE OF CANCELLATION NOTICE OF CANCELLATION
I
1
Date of Transaction 3/20/14 You may cancel this I Date of Transaction 3/20/14 You may cancel this
transaction,without any penalty or obligation,within three business days from the I transaction,without any penalty or obligation,within three business days from the
above date.If you cancel,say property traded in,say payments made by you under I above date.If you cancel,any property traded in,any payments made by you under
the Contract of Sale,and say negotiable instrument executed by you will be I the Contract of Sale,and any negotiable instrument executed by you will be
returned within 10 days following receipt by the Contractor("Seller") of your I returned within 10 days following receipt by the Contractor("Seller") of your
cancellation notice,and any security interest arising out of the transaction will be I caucellation notice,and any security interest arising out of the transaction will be
canceled. If you cancel,you most make available to the Seller at your residence,in 1 canceled. If you cancel,you most make available to the Seller at your residence,in
substantially as good condition as when received,any goods delivered to you under 1 substantially as good condition as when received,any goods delivered to you under
this Contract or Sale or you may,if you wish,comply with the instructions of the 1 this Contract or Sale;or you may,if you wish,comply with the instructions of the
Seller regarding the return shipment of the goods at the Seller's expense and risk. I Seller regarding the return shipment of the goods at the Seller's expense and risk.
If you do make the goods available to the Seller and the Seller does not pick them up I If you do make the goods available to the Seller and the Seller does not pick them up
within 20 days of the date of your Notice of Cancellation,you may retain or dispose within 20 days of the date of your Notice of Cancellation,you may retain or dispose
of the goods without any further obligation. If you fail to make the goods available 1 of the goods without any further obligation. If you fail to make the goods available
to the Seller,or if you agree to return the goods to the Seller and fail to do so,then 1 to the Seller,or if you agree to return the goods to the Seller and fail to do so,then
you remain liable for performance of all obligations under the Contract.To cancel I you remain liable for performance of all obligations under the Contract.To cancel
this transaction,mail or deliver a signed and dated copy of this cancellation notice I this transaction,mail or deliver a signed and dated copy of this cancellation notice
or any other written notice,or send a telegram to Contractor:Renewal by Andersen,I or say other written notice,or send a telegram to Contractor: Renewal by Andersen,
104 Otis St. Northbomugh,MA 01532,BY NOT LATER THAN MIDNIGHT OF 1 104 Otis St.Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF
3/23/14 .(Date) I HEREBY CANCEL THIS TRANSACTION. � 3/23/14 .(Date) I HEREBY CANCEL THIS TRANSACTION.
1
Buyer's Signature PnM Name Date ; Buyer's signature Pan Name Date
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,A L4 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information t ` Please Print Leaibly
Name (Business/Organization/Individual): &en e W c�\ 0�4 ✓%�e,r Se,✓\
Address:, b LA 0�► S S�- .
City/State/Zip: A o (- L YQQf-o t53�hone#: 36^1-J,3 U 6
Are you an employer?Check the appropriate bog: Type of project(required):
1.lI am a employer with -7 c, 4. ❑ I am a general contractor and 1 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. remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp.insurance.=
required.]
5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑Roof repair
insurance required.]t c. 152, §1(4),and we have no
employees, [No workers' 13.[D 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.
:Contractors 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 pollcy and job site
information.
Insurance Company Name: k +(\ ,
Policy#or Self-ins.Lic.#: cl Expiration Date: q
Job Site Address: e__ I_
City/State/Zi .
Attach a copy of the workers'compensation policy declaration page(showing the policy number an 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.
1 do hereby c My nder the pales and penalties of perjury that the information provided above is true and correct
Si afore: Date:
v
Phone#:
Official use only. Do not write in this area,to be completed by city or town ofJlrciai?
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#:
Acs�• CERTIFICATE OF LIABILITY INSURANCE °10/o/ 3
44.�— – r
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INStIRER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the policy()es)must be endorsed. N SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER 1-612-333-3323 NAME
says Companies
PHONE Eatl. FAX x: 612-373-7170
Bo South 8th Street DRESS•
Suite 700
IN
Minneapolis, 5ET 55402 SURERS AFFORDING COVERAGE NAICi
WSURERA: OLD RBFDBLIC INS CO 24147
INS INSURER a:RATIONAL UNION FIRE INS CO OF PITTS 19445
Renewal By Andersen Corporation
INSURER C
104 Otis Street INSURER D:
Northborough, NA 01532 INSURER E:
NISURER F:
COVERAGES CERTIFICATE NUMBER: 36122490 REVISION NUMBER:
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILT R TYPE OF INSURANCE POLICY NUMBER POLN:Y EFF P P LOFTS
• GENERAL LIABILITY MNSY 300361 10/02/1 10/01/14 EACH OCCURRENCE 51,000,000
X COMMERCIAL GENERAL LIABILITY MISS na
l �ee) S 500,000
CLAIMS-MADE a OCCUR MEDEXP M me ersm $10,000
PERSONAL 5 ADV INJURY $1,000,000
GENERAL AGGREGATE $4,000,000
GEN'L AGGREGATE OMIT APPLIES PER PRODUCTS-COMPXIP AOG $4,000,000
X POLICY PRO- LOC 5
• AUTOMOBILE LIABILITY 300016 1 a r. I NWTB 5,000,000
ANY AUTO
Ix BODILYI4AW(Parperson) $
ALL OWNED SCHEDULED BODILYINJURY(Peraccident) $
AUTOS N�ON-OWNED PR DAMAG HIRED AUTOS X AUTOS Far
S
IS Y UMBRELLALOAS N OCCUR 20562235 10/01/1 10/01/14 EACH OCCURRENCE $25,000,000
EXCESS LIAR CLAIMS-MADE AGGREGATE 525,000,000
DED I Y I RETENTION 25,000 $
A WORKERS COMPENSATION 1MC 300359 00 10/01/1 10/01/14 X WCSTATU 0TH" -
AND EMPLOYERS'LIASILITY YIN
ANY PROPRIETORIPARTNERIEXECUT"E❑ N/A E.L.EACH ACCIDENT $1,000,000
OFFICERIMEMBER EXCLUDED? N
(MeedeMrtr In NN) E DISEASE-EA EMPLOYEE $1,000,000
eyq des ,,ndar E.L DISENSE-Pre JCY UMn S 1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedele,N mom space N mpdmd)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
To Whom It Nay Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
jhargrove
36112490
Massachusetts -Department of Public Safety
Board of Building Regulations and Stan aids'
Construction Supervisor
License: CS-090125
\ /e
JAM L MORIN;.\
86 GARDINER ST
LYNN MA 0190
I
Expiration
Commissioner 10!06/2014
i
SCA 1 t 20M-05/11
,per C��ie�o°'rva,,°'u"ea��C!�caaaa�ltt+.�eda
�MINNEREMnfr1ce of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
Registration 1908
Expiratpon >12/2.0/201$ Type:
RENEWAL BY ANDERSON CORPORATION Supplement
JAIME MORIN
104 OTIS STREET
NORTHBOROUGH,MA 01532
Undersecretary
SECTION 8-CONSTRUCTION SERVICES 7
8.1 Licensed Construction S•u'peervis�or: Not Applicable ❑
Name of License Holder: U A�/t I d�k CS— a2 f7126
License Number
Address Expiration Date
61- �-
Signature` Tele hone
9.Registered Home Improvement!Contractor: Not Applicable ❑
Company Name Registration Number
Address _ Expiration ate
A y / �J c ou6 , �(21 S?2 Telephone'W !- D
V
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 buil ing permit.
Signed Affidavit Attached Yes....... 9 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 Replacement. endows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[G] Other[Q
Brief Description of Proposed r _
Work: )J i' 1
Alteration of existing bedroom Yes No Adding new bedroom Yes No /
Attached Narrative Renovating unfinished basement Yes i' No
Plans Attached Roll -Sheet
8a.If New house and or addition to existing housing,cofholete 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
I, 1'U I�-�!' l L ��• MICA1\� as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative torwork authorized by this building permit application.
Signature of Owner Date
A/, }�i�� as Owner/Authorized
Agent hereby declare that t e 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.
f(x
Print Name
-�- c;1-
Signature of Owner/Agen 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:v..
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location) i
A. Has a Special Permit/Variance/Findi ever been issued for/on the site?
NO 0 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the R istry of Deeds?
NO I DON'T KNOW YES 0
IF YES: enter Book , Page and/or Document#i
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , 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
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, avation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
s
Pepi3rlltleri#use,only
City of Northampton 'b(p
T' ° ' Building Department
Curb Gutll3ri t
9 P
c
212 Main Street w 40t
CD z
Room 100 Wafereell A�rbilt�r
r� Northampton, MA 01060 �r #s oftoturailan
M CL ;
a phone 413-587-1240 Fax 413-587-12724e
li$t n
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
1 3(11,(c v,S� )k )K' Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Eiva-11-u- J. A�tAcAMY 13G c-fMg L r� of
al-
Name(Print) Current Mailing Address:
t� �i3- 221- 7115
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Address: T
Signature Telephone
SECTION 3-ES MATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com feted by ermit applicant
1. Building 7-;9-00 (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= 0 +2+3+4+5) •O 0 Check Number y
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
136 ACREBROOK DR BP-2014-1081
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-224 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catego : Dry oor Replacement BUILDING PERMIT
Permit# BP-2014-1081
Project# JS-2014-001855
Est. Cost: $6729.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RENEWAL BY ANDERSEN 065272
Lot Size(sq. ft.): 14897.52 Owner: MACARY PHILIPPE J&ELIZABETH H
Zoning: Applicant: RENEWAL BY ANDERSEN
AT. 136 ACREBROOK DR
Applicant Address: Phone: Insurance:
104 OTIS ST (508) 919-0900 WC
NORTH BOROMA01532 ISSUED ON:412212014 0:00:00
TO PERFORM THE FOLLOWING WORK.2 REPACEM ENT 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 SiSnature:
FeeType: Date Paid: Amount:
Building 4/22/2014 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner