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PARTWWAnNG gm 001111TRAMIR Licensed&Insured MA CSL#:106178 MA Registration#175982 American Installations 341 Newton Street,South Hadley,MA 01075 • Office:(413)552-0200 Fax:(413)552-0202 • Email:support @Americaninstallations.com Connly,Glenn&Jacklyn 7/16/2014 (Last) (First) (Date) 49 Platnium Circle Florence MA 01062 (Address) (City) (State) (zip) 413-519-0927 tannerlyn@comcast.net (Home) (Cell) (Email) 401582 14-525 (Site ID) (Job#) Quantity Unit Unit Cost Total Air Sealing Air Sealing-Days Per Man Hour 1 8 Iman hour 1 $ 75.00 1 $ 600.00 Air Sealing Incentive= $ 600.00 Weatherization Crawlspace Wall 2"Thermax or equiv.and 2"on sill 104 sgft $ 3.52 $ 366.08 Rim Joist 6.25"Fiberglass Batting 23 sqft $ 1.75 $ 40.25 Door:Thermax or equivalent 2"R-13 1 each $ 73.91 $ 73.91 Attic Hatch Seal(Q-Lon)&Insulate 2"R-13 Thermax 1 each $ 60.00 $ 60.00 Open Attic 10"Cellulose 1,290 sgft $ 1.40 $ 1,806.00 Propavent 2'or 4' 70 each $ 2.00 $ 140.00 Additional Air Sealing 4 man hour $ 75.00 $ 300.00 Total Incentivized Weatherization= $ 2,786.24 Total Non-Incentivized Weatherization= $ - Total Project= $ 3,386.24 Total Utility Contribution= $ 2,600.00 Total Customer Contribution=F$ 786.24 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and TOTAL CONTRACT VALUE= $ 786.24 conditions are satisfactory and are hereby accepted. You are authorized to do work as specified.Payment will be 1/3 down prior Down Payment= $ 262.00 ® 7/16/14 to start of work,and balance due upon Completion. PAID //�.i � Balance Due Upon Completion= $ 524.24 7/16/14 Signature Data Property Owner(Print) Properly Owner(Sign) Date Wesley K Couture /11,A — 7/16/14 Representative(Print) Re esentatw,(Sign) Data THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED.THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS,LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMER(S)NAMED ABOVE,HEREINAFTER REFERRED TO AS"CLIENT',AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. CS-106178' WESLEY COUTURE .� 166 NORTH MAIN STREET South Hadley"MA 01075 09/29/2015 iy Office of Consumer Affairs and Business Regulation 1 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 6/27/2015 Tr# 242171 AMERICAN INSTALLATIONS, LLC. WESLEY COUTURE -- 341 NEWTON STREET -- ----- SOUTH HADLEY, MA 01075 Update Address and return card.Mark reason for change. Address i Renewal ❑ Employment `–, Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only #1OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: 175982 Type: Office of Consumer Affairs and Business Regulation Expiration: 6/27/2015 LLC -Park Plaza Suite 5170 Boston,MA 02116 AMERICAN INSTALLATIONS,LLC. WESLEY COUTURE 341 NEWTON STREET SOUTH HADLEY,MA 01075 — — Undersecretary Not valid without signature CERTIFICATE OF LIABILITY INSURANCE TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14OLDER. TM ( E TTIRCATE DOES NOT AFRRLgA &y OR NEGATIVELY AMEND,WI TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- I YHO CERTIFICATE OF INSURANCE DOES NOT CONSMTUTE A CONTRACT BErNEEN 7HE ISSUING INSURER{,AUTHOR REP�ITADVE MPORTANT,If the certifieste holder is an ADOITIONALINSUREcD,the policKas)roust be endorse& IfELIBROGATION NS WAIVED.a yelx m the saes and oandWma of the policy,certain policies rr W regtdm and andorsa m t. A statement on this cer tifieafe does not confer rgfa to the ow0cals holder In ken of much CONTWT PRODUCER i INANE: HNCK&YE.RRAS INS AGCY PHONE ' FAX t 6 CAMPUS lANE (AA;,N0.E Qr- ( � 6AANL EAMNAMPMN.MA 01027 ADtIREM— 28NIK INSURERMAFPOtE MCOVERAGE NAICS INSURED IN SURER A. HARMMORD UNIMWtRn IERS 1NSURANM COMPANY AMERICAN I NSTALLATIOM LI.0 INSUREFI& 7z' C: R a 341 NEWTON S'iRFET fi E SOUTH HADLEY,MA 01035 INSR F: COVERAGES CERTIRCATEINBBER: REVISIONNL111I801: ANYRBMI� iT,7EMCOCCl PMCFAWCC*IfRtGrORO NMDOaMWVSMNWWw aDV"%I"CWP0M1W0/WLS =oRIMYPWAN 7lElb AWW A"MMB"HEPOLIMS H8ENISSUBJI 11OAL LItETIN�£�taX+1018MDCGOi1016tN 9LtiPQ�Qi taRi39faIWNAYltlMEa�IR�UC�BY PAIDCLA M L7rR TWECFVAUPAICE AL R POUCVNUL (MADOX"m (IWDO�YYi'1� KOCCrUFICR i,EM GENERALLIAEALM ENCE $ COMMERCIAL GENERAL LAZLITY NTED S CLAW MADE OCCUR. omner�ce) OVGERI.AGGREGATE UMT APPLIES PER: REGATE POLICY [3PROJECT O LOC OMPAOP AGG S AUTCINOBA.�LIABILITY P SINGLE $ ANY AUTO dALL OWNED AUTOS RY S SCREDULE AUTOS IfdiED � RY NON-OWNEDAUTOS DAMAGE S ) UMBRELLA IAAS OCCUR EACH OCCURRENCE S EXCESS LAS CLAW3 A WE fIIrC:1A S DEDUCTIBLE S RETENTION S $ ,� VNORKERS OCtiPE3N61[TION ANO X wC smauraw t711 R ENPLOVERS UABNJTY YM UB M-t3 0810411013 CI9r01t2O14. IJMS D WA ! E.L EACH ACCIDENT S 50 COO E.L.DISEASE-EA EMPLOYEE S 500,000 rCE51CAIP undff /cnot+st�daw E.LOWASE-POLCYLIMIT S 500.000 DESCRIPTION OF OPERA7t01eSIt OCA sTRICE10N6rSPEgALiT9NS THM REPLACES ANY PRIOR ceKnRCATE tSWWTOTHE cgR nF[CATEHOLDEiR AFFECTING WORXERS COM P C:OVERA3E. CEATNW.'ATE HOLDER CANCELLATION SHOULD ANY OFIM ABOW..DESCRIBES?PQUC IES BE CANC ELM BEFORETNE EXPIRAMON OATS 11tER115OP,NOTICE WILL BE DELIVERED IN ACCORDANCE WrM THE POLICY AUTHOR M REPFESENTATIYEE ACORD Z5(201M% The ACORD name and logo are regl hwW merRs of ACORD 1t��2010 dOORD QO Go - Ii,5 1�bove l- Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD 12/18/2013 013 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Barbara Van Mourik NAME: Finck & Perras Insurance Agency Inc. PHONE (Q13)527-5520 FAX, No:(413)527-5970 6 Campus Lane A-MAIE .bvanmourik @finckandperras.com INSURERS AFFORDING COVERAGE NAIC# Easthampton MA, 01027 INSURERA:Travelers 19046 INSURED INSURER B:Safety Insurance 39454 American Installations, LLC INSURERC: 341 Newton St INSURERD: INSURER E: South Hadley MA 01075 INSURERF: COVERAGES CERTIFICATE NUMBER:CL13121800447 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. INSR TYPE OF INSURANCE POLICY NUMBER MMIDD� POLICY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE X COMMERCIAL GENERAL LIABILITY PREM SET EaEoccurrence $ 300,000 A CLAIMS-MADE R OCCUR 6805D937015 9/4/2013 /4/2014 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea a.,deDntSINGLE LIMIT) $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED 225740 0/23/2013 0/23/2014 BODILY INJURY(Per accident) $AUTOS X H REOD AUTOS NON OWNED PROPERTY DAMAGE $ AUTOS Per accident Underinsured motonst BI sin Ie $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION VJC STATU- OTH- AND EMPLOYERS'LIABILITY YIN R ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Proof of coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Denise Blais/DENISE ACORD 25 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnnFt m Thn Ar npn nnmo nnrl Innn nrn rcnicfnrnA mnr4c of Arr1Rr1 The Commonwealth of Massachusetts .� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Dame(Business/Organization/Individual) American Installations Address: 34 I &w 4on St City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): L 01 am an employer with 3 4.0 1 am a general contractor and 1 6.❑New construction employees(fitll and/or part time)." have hired the sub-contractors 7.❑Remodeling i 2.01 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 3.❑Demolition working for me in any capacity. employees and have workers' 9.❑Building addition [No workers' comp.insurance comp. insurance. required] -.OWe are a corporation and its 10.❑Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their 11.❑plumbing repairs or additions myself [No workers` comp. right of exemption perm�IGL insurance required] c. 152.§ 1(4).and we have no 12.❑Roof repairs employees. [no workers' 13.XOther_-_�Cw51a'A f p n i comp. insurance required.] Im applicant that checks box#1 must also fill out the section below shaving 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 indicating such- Contactors that check this box must attach 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.policv number. I can an employer that is providing workers'compensation insurance for n?r employees. Below is the policy and job site information. I ' Insurance Company Name: ';�P rAorcl SiZ:2uranU 0_Q Policy=or Self-ins.Lic.`: 6 o 9 (0q —q- 13 Expiration Date: Job Site Address: City/State/Zi p: RJ�rY,,P , 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 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herbi7 certify under the pains and penalties of perjug that the information provided above is true and correct. Si-r7ahrre: Done: — Print:Fame: 0 Q Q Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#: Issuing Authority(circle one): l.Board of Heath 2. Building Department 3.Citv/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: 1Xegia Couture \ /V/ 341 Newton St License Number South Hadley,MA 01075 9^,--p Addre 413-552-0200 Expiration Date lr6turw Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number American Installations g� S Newton Street uo-��'` Address South Hadley,MA 01075 Expiration Date 413-552-0200 Telephone 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 Puilding permit. Signed Affidavit Attached Yes..... .X 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 Windows Alteration(s) ❑ Roofing ❑ Or Doors 1:3 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M S'di C � Brief Deo Prop � Work:— Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No 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 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, �)��� �����( !t w i- �0(��w as Owner of the subject property American Installations hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date American Installations 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. American Installations Print Na e Signature a Ag 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 Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW © YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW ® YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW ® YES 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 © NO 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only �, D C' � �-- � � �.� -.City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Z 8 2014 Room 100 Water/Well Availability. N rthampton, MA 01060 Two Sets of Structural Plans Electric, Plumbing&Gapho tgti4r) -587-1240 Fax 413-587-1272 Ptot/Site Plans Northampton. RdF;C1,01,60 Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office /4q \�`n A-(��! C,�1� 1 Map Lot Unit —I Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: I �` CSC PAC r�^��unr� C'odc Rowm > ►qi Name r(Print) C — �XJt tl� 1 Telephone (�)) e Signature 2.2 Authorized Agent: American Installations 341 Name ri t) South Hadley;` p1075 dress: 413-552-0200 Signat Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building Or a (a)Building Permit Fee 2. Electrical J (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) — Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0115 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 341 NEWTON ST SOUTH HADLEY (413)552-0200 PROPERTY LOCATION 49 PLATINUM CIR MAP 37 PARCEL 078 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building-Permit Filled out Fee Paid Typeof Construction: INSTALL ATTIC&BASEMENT INSULATION New Construction Non Structural interior renovations Addition to Existiny, Accessory Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: _IZA'pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management De i y. Signa Bui ding 6tticial Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 49 PLATINUM CIR BP-2015-0115 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37-078 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2015-0115 Project# JS-2015-000206 Est. Cost: $2700.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq. ft.): 36241.92 Owner: CONNLY GLENN R&JACKLYN M Zoning: Applicant. AMERICAN INSTALLATIONS LLC AT: 49 PLATINUM CIR Applicant Address: Phone: Insurance: 341 NEWTON ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON.712912014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL ATTIC & BASEMENT INSULATION 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 7/29/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner