10D-035 PREPARING FOR YOUR NEW WINDOWS AND DOORS
Congratulations on your decision to increase the comfort level, value and appearance of your home. To maximize your
investment and enable the installation to take place as smoothly as possible, we have created this page to acquaint
you with what to expect when our installers arrive.
1. Expected Delivery Time. All of our windows are custom made at one of our manufacturing plants located around the country and
shipped to any of our over 200 Window World locations.The time between when your order is placed and when the windows are ready to
be installed,though not guaranteed is typically 6 to 8 weeks.At that point we will call you to set an installation date. If for some reason you
need to delay your installation for more than a couple of weeks after notification that we are ready to install your order we will be happy
to work with you.We will need to collect the remaining balance before installation if the delay you request is more than three weeks.
2. Access to the Windows and Doors. We will need approximately 2 feet in front of each window, inside your home, so we can place our
drop cloths and tools necessary to perform our work.When the old windows are removed,gusts of wind typically flow through your home.
It is advisable to gather together important papers,and other small items that can be disturbed by the wind and relocate them.Computers
and other electronic equipment should be covered or relocated temporarily. Please move aside any furnishings that are in the way of our
work. If any furniture items are too heavy to move easily,we will gladly assist you.
3. Window Coverings.To gain access to the interior of the windows,we need all mini blinds,vertical blinds,roll-up shades,shutters,drapes
and any other window covering removed prior to our installation. We are not responsible for removing or reinstallation of these items
and are not responsible for damage resulting in the removal and reinstallation. We also are not responsible for any window
covering alterations that may be required to reinstall them.
4. Plants and Bushes. Occasionally we need to work in planters and other landscaped area, of your home that are adjacent to the
windows and doors. Please survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes
need to be pruned back to give us access to your windows. Delicate plants and shrubs in areas right below a window should be
temporarily relocated if they cannot survive being stepped on and you want to preserve them.We strive to be careful when working
around vegetation, but our priorities are to focus on our work, your windows and our safety while working on your property. We are not
responsible for any damage to plants, shrubs or landscaped areas.
5. Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with
you. We generally stay till the job is done, unless it will be a 2 or 3-day job, in which case we may work as long as there is daylight. It is
our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you
be available to approve the job and make final payment at the time of completion. If this is not convenient for you, we need to
know before we start the job.. Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you
understand if the weather,traffic, etc.cause a delay or cancellation of an installation appointment. We typically do not schedule
more than a day or two in advance to try to avoid such issues.
6. Our Worksite. We like to set up our worksite as close to your windows and doors as possible and generally your driveway is the best
spot. If using the driveway will block a garaged car, please be ready to pull it out upon arrival.
7. Alarm Systems. For those of you who have alarm systems, the alarm company should be notified and advised of our job. They will be
responsible for the disconnection and reconnection of your alarm system.
8. Where do we start? Upon arrival,the crew leader will survey the job and determine where to begin. If you have a preference,feel free to
advise us and we will accommodate to the best of our ability. Because we work in stages (i.e., removal of old windows, setting the new
window, wrapping of exterior, etc.),we don't complete the job one window at a time. The job moves along in a rolling progression where
each operation is done on all windows at the same time.This produces a quality job.
9. if the job takes more than a day,will there be any openings in my house? No.We only remove that which can be reinstalled in the
same day.Although there may not be a complete window, it will be weather-tight and secure for overnight. (Please no critiquing at this time).
10. Pets. We love furry, four-legged creatures; however, we need your help in supervising them. We are not always able to close a gate or
door behind us when carrying a window, so please keep them in a safe place.Our job description does not include scampering down the
street after Fido with new found freedom. Many people say, don't worry, he doesn't bite, but many installers have been bitten. So please
secure dogs that have an aggressive bark towards strangers.
11. Expect some dust, noise and general disruption of your living space. Construction work can sometimes be messy depending upon
the scope of your job. It's an unfortunate reality of remodeling, but we do our best to keep things under control. We appreciate your
patience and understanding during the job and until everything is finished. Even after we have cleaned up, it is advisable to survey the
areas for something we may have overlooked (i.e., kids rooms, baby's room).
12. *Damage to walls and old trim stops. For those of you who have old aluminum and steel windows and are replacing them due to
sweating and damaging of the walls be advised that all water damage plaster will most likely fall out. In addition,all the patch work you
have done over the years will fall out also. This is normal; however, we are not plaster experts, so the repair to those walls would best be
left to the experts. In some cases due to out of square openings. new trim is required to make the window look good. *Unless noted
on the contract new trim will not be provided or installed by us. You can expect to do some touch up painting on the trim after the
installation of your new windows. This is not always necessary and is usually minor if it occurs. If your trim stops around your sashes are
very old, dry, and brittle, they may snap and crack upon removal. If this happens, we can leave them off if you please, or for a small up
charge, replace them with newer ones. Many of the old style stops are no longer available so we would replace the entire window with
newer style stops. Should we discover any hidden damage to the frame or wall area we will advise you before we proceed. Should you
decide to replace or repair anything,the price will be added to your balance.
13. Relax and enjoy the show. After we've been introduced to your home,feel free to run errands, take a walk, or just relax. If a question
should arise; by all means ask the crew leader for clarification. We enjoy people who are interested in what we do, and most customers
are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder. Like any professional,
we're always happy to answer questions, but we appreciate being able to concentrate on our work without interruptions and distractions.
This ensures a safe and quality installation.
14. Past Due Balances are subject to a service charge of 1.5% per month. In the event that this amount is placed in the hands of an
attorney for collection, the purchaser agrees to pay all costs of collection, including a reasonable attorney fee. Return check fee is$50
(fifty dollars).
Salesperson Home Owner
P.S. Now would be a good time to review contract with the salesman to be sure of your order options and work to be done. Only the
items and services on the contract will be done. If you have any questions whatsoever,now is the time to ask.
Window World of Western Massachusetts may not require an acreleration of payments as specified in the payment secticn tfroni) for the
reason that he deems himself or the payments to be insecure. However,where the contractor deems himself to be insecure he may require as
a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed
in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal.
Arbitration: Window World of Western Massachusetts and the PURCHASER(S) hereby mutually agree in advance that in the event
Window World of Western Massachusetts has a dispute concerning the contract, Window World of Western Massachusetts may
submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer
Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A.
Window World Owner
Date Date
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.
The owner may initiate dispute resolution even "where this section is not signed separately by the parties."
�M — Window World of Western Massachusetts HIC# 165641
W 1029 North Rd. - Hampton Ponds Plaza CSL#57011
� � Westfield, MA 01085
C3�Ltn Fax( 13)485-7055
+ "Simply the Best for Less" Phone(413)485-7335 • F4 HOUSEREEpING
NAT-41779-1 www.windowworldofspringfield.com BBB st.Iud,Childrns
Research H p
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Name: z r''t r ;
es,
Phone (H): / r
Install Addr: I Phone (W):
Bill Addr.
E-Mail:
WINDOW WORLD VA L PLUS 4000+6000 SERIES PACKAGES
Series 2000 Mech. Frame Welded Sash $189 ( energy Spar Plus U-Value ,1 SHGC $79 r' r
Series 4000 Double Hung $205 t F&Irfi'lnsulation Wrap $16
Series 6000 Double Hung (triple pane) $239 Remove Window From Property $16
Picture Window $329 Lifetime Glass/Seal Failure Warranty $16
2 Lite Slider $329 Transferable Lifetime Warranty $15
3 Lite Slider('/4, '/2,'/4) (1/3, '/3, '/3) $520 In Home Service $20
Awning $285 Double Strength Glass $16
Casement LH RH $285 Total Options: $178 %1'
Twin Casement(Requires 2 value+)(0973)(0979) $570 t r' SALE PRICE(Save 50%) $89 t/
Three Lite Casement(Requires 3 value+) $885 Foam Enhanced Frame L lue_SHGC_ $25
Basement Sliders<55 UI $239
Hopper(in existing wood)(vent add$150) $185/250 PRE 1978 BUILT HOMES(Federal Lead Containment La
— f EPA LEAD SAFE ) $60 ,.
Specialty Window , ; ;/ 1 f (Per Window
Bay/Bow(Insulated seat,Int.Casing&Ext.Cap) $2875 EPA LEAD SAFE(Patio or/Bay/Bow/Garden) $100
Garden (Insulated seat,Int.Casing&Ext.Cap) $1'875 MY HOME WAS BUILT IN THE YEAR ? 4. 4 Initial: ,
Grids/Ext.Color/Int.Woodgrain/Colors calculated in WW Upgrades I decline third party verification(initial):
Remove Existing Bay/Bow $250 r
(Initial)I have received a copy of the Lead hazard information pamphlet
Reframe&Retrlm (stain/paint not included) $250 infor,,PP��ing me of the potential risk of the lead hazard exposure from renovation activity to be
Roof for Hay/Bow Window $460 — perl
Ting in my dwelling unit.The EPA"Renovate Right"brochure.
Second Floor Installation $500 7rg .y
+
Window Color ? e (initial)I have received a copy of the lead test result(s).
' f � ,`
Inside outside ._......--.... ...„.
WINDOW WORLD UPGRADES Sign: Date:
Full Screen $25 Name(s)(Print): .:>..
BEIGE Color charge $35 MISCEL OUS LABOR
Ext. Color(AT)(AB)(DC)(HK)(FG)(ER)(CG) $165
WOodgr.cain,Interior(LO)(DO)(CH)(FX)(RM)ISM) $95 .., Full Exterior White Trim/Wrap(SMOOTH)/(PVC) $79 " .._.• i
Contourefd/Flat Grids(Top)(FULL)(ENDS) $45 ,,'.�. Color Other Than White $10
- —#Prairie Grids(Single)/(Double)-(Flat)/(Contour) $69 Specialty Custom Exterior Trim/Wrap $
Diamond/Brass Grids(Top)(FULL) $B9 Quick Trim (Int)(Ext) $30
Oriel/Cottage Style(40/60)(60/40) $30 Aluminum/Vinyl or Steel Out $50/$125
Obscure Glass Per Sash(BOT)(FULL) $35 Mull Removal $30
Tempered Glass Per Sash(BOT)(FULL) $65 Mull to Form Multi-unit $30
Catalog Options $ Install Interior Stops(WHITE VINYL) $45
Install Exterior Stops(WHITE VINYL) $45
VINYL PATIO DOORS-LH or RH(Outside Looking In) Customer Provided Stops/Trim $20
Includes:White Interior Casing and Exterior Trim. Install Interior Casing $60
5 Ft. Sliding Patio Door(LH)(RH) $1250 Repair/Replace Sill or Jamb $75
6 Ft. Sliding Patio Door(LH)(RH) $1300 Mobile Home Conversion $200
8 Ft. Sliding Patio Door(LH)(RH) $1500 Remove/Re-Install A/C or Awning $100
Patio Door Beige Color $125 Site Setup
Patio Door Low-E/Argon $125 EPA Lead site setup&disposal fee: X00.00
Heat Buster Package Upgrade $215 EPA Lead,third party verification:
Patio Door Grids(Regular)(Woodgrain) $100 Extra labor(Box on left for desgi $
Woodgrain/Brown(LO)(DO)(CH)(Fx) $225 Total Amount Due
Exterior Colors $395 `
Patio poor Triple,Pane Upgrade $250 50%Deposit Amount:$
Keyed Lock $36 Foot Lock $51 [ ] Cash
Storm Door Model $
[ ].Finance-( )Wells Fargo ( )Other ...
NO EXTRA WORK IF NOT IN WRITING/INSTALLER NOTES [ ] Check made to Window World of WM #
[ ] CC#:
Exp. Date: V-code:
Final Payment Amount: $
To be paid to the installer upon installation.Thank you.
Sales Rep Recommended: [ ]Interior Stops [ ]Exterior Capping: WINDOW WORLD CARES
Customer Declined: [ ]Interior Stops [ ]Exterior Capping: St.Jude Children's Research Hospital
WW of W.Massachusetts anticipates starting this work on and being substantially completed in_days.Security Interest:Yes_No_.Any deposit required in advance of the start of the work
SHALL NOT exceed 33 1/3%of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of work to assure the project
will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction on all parties.All home improvement contractors and subcontractors shall be registered and that any inquiries
about a contract or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170 Boston,MA 02116.Phone:(617)973-8700.No work
shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract.WW of W.Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain
all required construction-related permits.WW of W.Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individu-
als.Notice:If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors,the PURCHASER(S)is hereby advised that in
the event of a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by Chapter 142A,M.G.L.
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of the transaction.
Notice of cancelation must be in writing or postmarked no later than midnight of the following third business day.THIS IS A CUSTOM ORDER PLOT FOR RESALE!
Owner Date
w
Sales Rep. Date Owner Date
White Copy-Original Yellow Copy-File Pink Copy-Customer Rev.0711
The Commonwealth of.Massachusetts
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street
Boston,MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): W I N D()W hiDIb nF WV-6 E" MAS9AC_ t455TTS
Address: 102a Nv9'fW A-Q
City/State/Zip: W F-STP I F L.f> MIA- d t O$S Phone #: 1413 `'t q S - '13155
Are you an employer?Check the appropriate box: Type of project(required):
L[9 I am a employer with Z 4. ❑ I am a general contractor and I
employees(full and/or part-time)."
have hired the sub-contractors 6. New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working or me in an capacity. employees and have workers'
g Y aP t5'• 9. ❑ Building addition
[No workers'comp. insurance comp. insurance.•
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑.I am a homeowner doing all work officers have exercised their 11.(]Plumbing,repairs or additions
myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]'' c. 152, §1(4),and we have no
employees. [No workers' I3.�Outer1.AelFMErNT
W1AVpW$
comp. insurance required.]
'Any applicant that checks box#I 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.
�Cormactors 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 policy and job site
information.
Insurance Company Name: LI gEltTY 1NIL UAL IMS!4RAy F
Polir/#or Self-ins.Lic.#: till/C_2 — ?j 1 S- 377 q t❑' '01'3 Expiration Dater ' -?-2.D 1,, -
Job Site Address: '76 LOVER '6► d-City/State/Zip: M ;,,_MA 0(65?,
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 4erelry certify u r the pains and penaliies,pf perjury that the information provided above is true and correct
,C,
Signature. Date:
Phone#: 3 S - 733'5
Official use only. Do not wrrte 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. Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES
A.1 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder:
License Number
5 70 l
12-7 `R ODS'V C L-I A V F Expiration Date
Address
PEEDW6 PILLS MA Cto3o
Signature Telephone I
Registered Home Improvement Contractor. Not Applicable ❑
Rv BEe--F 8as►+f-y 3-(L 1 , 51- 4 I
Company Name Registration umber
W I ti'i)p� 0�t-D c� W Y 6TH 2N .MASS )>3 3 T 15) ) (0
Address Expiration Date
j 107A NVAT44 Qb W E S f I O L-Z� A48 0105 Telephone q q q tj�733 5
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....... 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 Officialithat 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
i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House F-1 Addition El Replacement Windows Alteration(s) F_� Roofing
Or Doors 0
Accessory Bldg_ Q Demolition 0 New Signs [pj Decks [C7 Siding[Q] Other[Q]
Brief Description of Proposed
work: �(:��-/1 C;1-7y1�t./y i" L�/N ()�,r`�r t e i rY�
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
i Plans Attached Roll -Sheet
sa. If New house and or addition to existing housing complete the following:
a. Use of building:One Family Two Family Other
fb. 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
Ji Depth of basement or cellar floor below finished grade
I k. Will building conform to the Building and Zoning regulations? Yes No.
1. 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. 'ID 1-Irli r4-LA f LA(I re7k as Owner of the subject
property
hereby authorize L'xs-re"""
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
1, R 0 bEIZ-1 BikS NE 1 as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Py nt Name
J 1,
Signature lof 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 bids&paved
parking)
#of Parking Spaces
Fill:
(volume&Lo=on)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON T KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'f KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and location:
E. Will the construction activity disturb(Gearing, grading, excavation, or filling)over 1 acre or is it part of a common plan
that wilt disturb over 1 acre? YES O NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department.use only
City of Northampton Status o Pemlit:
(01 Building Department Ou� yk
i � •�, .
212 Main Street ,rarer Avta67tr
�, g 2r�fj4 Room 100
MAY N rthamnton, MA 01060 TyrnSi t Seta �3
X587-1240 Fax 413-587-1272oas x
leo
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
qtp Map Lot Unit
Y
Zone
Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
-7�N n, fZti\1 F t L �A EI E -AP �N/t�C12 `�T� ECD�� MA C(0 3 3
Name(Print) Current Mailing Address:
C See "em CO Tele
phone
Signature
2.2 Authorized Agent:
R'06E��T E BUSH&y - 1p2 Nc(ZTI+ r2� csTjr7lel4-) /,ti9 61DSS
Name(Print) Current Mailing Address:
`•�' � ,L <.:%_..-L�-,,,� 413 y 4s5 7 33 5
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed bv Permit applicant
1. Bui.ling n C1 �c� (a)Building Permit Fee
2. Electrical G- (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection c1 /
6. Total=(1 +2+3+4+5) 2 �j D Check Number
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
R
76 WATER ST BP-2014-1174
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: IOD-035 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-2014-1174
Proiect# JS-2014-001983
Est.Cost: $2988.00
Fee:$35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ROBERT E BUSHEY JR 57011
Lot Size(sc. ft.): 16727.04 Owner: RUYFFELAERT JOHN&CAROL
Zoning. URB(173)/WP(160) Applicant: ROBERT E BUSHEY JR
AT. 76 WATER ST
Applicant Address: Phone: Insurance:
1029 NORTH RD (413) 485-7335 Q WC
WESTFIELDMA01085 ISSUED ON.51812014 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 6 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:
FeeT_ype: Date Paid: Amount:
Building 5/8/2014 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner