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28-024 FroRosal for Customer Project:Kielboxvicz,Alice QuatE No.:36CULT02 Alternate No.:C cr) Item#20 Qh°: 1 34 x X80 to 81)Rolsereen Starm Dour,Qpening:34 X 81:E-ntr,S%,s(ems 255.34 255.39 Location: Entry,Door Stem Clad,HigbOev,, Model 1 , 1" Solid Core.White-Plain GlassiClear, R,Q;2'10' }k 69" BrasslColor Match Harclw&re,With Hinges, 3550-STD I" WI)Cor HV Rolsween Brass/CM 17 �i Notes: item#30 Q `: I INSTALLATION 840.00 840.00 Location: lw`ates: Prices are subject to change anytime after 30 days following date of estimate. This estimate does not quarantee availability of any product listed. Pella Products assumes no responsibility for accuracy of tale offs from drawings or blueprints or that the products listed will be sufficient to complete customer's intended project. CUSTOMER SHOULD REVIEW ALL QUANTITIES AND SIZES FOR THEIR ACCURACY. YOUR SIGNATURE CONFIR.K4S THE ACCURACY OF PRODUCTS CHOSEN. PELLA PRODUCTS INC.Iv1ANTAGETN4ENT HAS FINAL AUTHORITY ON ACCEPTANCE OF ORDER- NO CANCELLATIONS OR REVISIONS CAN BE ACCEPTED ON ANY DATE AFTER THE MANUFACTURERS LAST REVISION DATE. All prices quoted based on total package price and subject to change if total package not purchased or contents of package change- -THE SALESPERSON HAS REVIEWED THE IMI"ORTANCE OF OUR(VERY) SATISFIED POSITION ON THE FUTURE SURVEY MAILING. TTEhIS REM TG IN OUR WAREHOUSE FOR MORE THAN 30 DAYS BEYOND THE ESTIMATED AGREED TO DELA ERY TDAE Cn WILL BE SUBJECT TO A STORAGE AND ;ellaSalies km�PEE AFL BE 1% OF THE NET ON THE ORDER ($25.00 MR,111NIUM CHARGE)- Taxable Subtotal $ 1,7$1.70 `t Customer Signature ignature � — MA at 5.00°, ; 89-09 None at Q.W°,� 0.00 None :at 0.00'/0 0.00 LO ; Tan-taxable Subtotal $40.00 Total S2-710.79 LO Date pate ;Deposit Received j 50.00 m cv m Proposes-Page 2 of. i Proposat PELLA PRODUCTS,INTC. 240 Mohawk'Trafl CAEENWMLD, MA. 01301 CL Phone: (413)774-7231 Fax: (413)774-6348 m 4 T, 1 Kjelbowkz,Alice Date 03,-'01,2006 No. 36CW02 Alternate No. 0 -Need Date 00M.-100 Sales Rep.Name Prepared by I Ou-ner:Mrs.Alice Kfelbaivicz Pal-ment Terms Bun. Phone:( 3 I Bus.Phase: (4 13)586-7364 Architect Bus- Fax: Home Phone: Cellular. Rome phone. Comments: WO Item#10 Qf)'-- 1 2'811 x 6'811 Right Hinge In-wing Entry Door,Frarne:334`2 X 81-112: 919-67 918.67 Location; Kitchen Entry Sy steins,Clad, Half Lite.Model 21,White, l"Insu I Shid Tetup IG- 11.0:2' 10-114" X 6' 10' GBG Glazing, Swootli-Q-aiu Fiberglass, Exterior Tan:"luterior Tail,Latch WaltCond:6-9-16" Bore with Deadbolt,2-11' Backset, 3.4' Trad GBG- WhiteWhite(Mutitin pattern:3WOH),Brasstone Zinc Di&roniate Hinge,Clad BrIckwould,Tan Paint, Bronze Anodi2td Sill wiGals Threshold,Fins(siujale unit per design) Notes- 00 M Item# is Qt}. 2 Vent Double-Hung,Frame-23-112 X 37-314:Fella limpenia,Alternative 303,82 607.64 L[watfon:Basement Material,Motel I Malf Vent!match Half Vent, White, 11116"lrimlftld R.O:2'0" X 3'2-1 W Temp ICY Glazing..I-Talf Screen,White Hardware.Precision Fit Frame- 3 114" Wal[Cond: I 11116"(Fin taRoonaside) rl 11 Notes: U0 co ti Pmposal-Page 1 of 06/23/2006 16:04 4137746348 PAGE 01 240 Mohawk Trail Greenfield, Ma. 01301 Phone (413) 774-7231 Fax (413) 774-6348 Pella . . Toll Free 1-500-535-9093 Fax N`Q: +y,,L. "�CN+.� From LU Fax: Lf 13 5� "7 " 1 �-7�, Pages-, Phom; Date: 4 Re: CC: 0 urgent Q For Review 0 Please Comment rl Please Reply t3 Please Recycle rh VI) JUN 2 6 2006 3.... f Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 142279 Type: Private Corporation PELLA PRODUCTS, INC. Expiration: 3/24/2008 GARY SHERMAN - 155 MAIN STREET GREENFIELD, MA 01301 _ Update Address and return card.Mark reason for change. DPS-CAI is 5OM-04/05-PC8698 Address E] Renewal 0 Employment Lost Card ✓!!� -C/JG i7UI72oOtLIJC2/,UL O��/G"(,CLJJp�ftll6P.�6 -._._-.... Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 142279 Board of Building Regulations and Standards Expiration: 3/24/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 PELLA PRODUCTS, INC. GARY SHERMAN 155 MAIN STREET �� p GREENFIELD,MA 01301 Administrator Not valid hout signature t ¢'St1AA1P�. Y � �ASSAC}(liStttB DEPARTMENT OF BUILDIXG INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Northwnpton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as has/her construction sup, :: sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. ' If the homeowner hires other trades to perform work(electrical, plumbing&gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location .A F F? yti Cris Cf �rt� B y E -qInsaAchnccIIA' o DEPARTMENT OP DUIL.Df)\C INSPECTIOI.'S 212 Alain Strect Nfunicipal Building Northampton, ATass. 01060 WOlUCER'S CONDENSATION MSUI�CF AFIMAV1-1' I (liccvsxlpermitftx) - ._-._.--- \Vith a principal place of busioess/residenc- at: _ phone'!) � (sat/c�tyfstatc.�n P) do hereby ce '. under Llic. ams and Penalties of c r J ` Ihal ( ) I am an employer providing the folio.vine %vorkcr`5 cotnoensabon cove age for Inv etnPlovecs wor�Dng on Lins job: (LLT nom=Compzm') (Pclicr Nu--Zb--r) FE;-pim or, D2j–^) O I am a sole proprietor, general cony-ac[or or homeowner (c cie one) and have hired the conira(nors listed below wbo have the following workers compen-auion pe!icies- +flII�C 0. Coil aROS) (In urzncc Coinp m)-Pi ouc,' !,!U-M!:.:-,) (Y_Sy mwuon Dalc) j (NzrnC 01 CODtPRO[) -Z CoMD"azw/Po6m Nuzmc.r) (Lx-Dir-bon Date) (Name of Coa[MC16 ) (IDnuancc Com p-an)•/PoL-q- Numb,-j) (Expimaoa Datc) (Name of CADQ3ROr) (Lnsuran Company/Policy Numbs) (Expintioo Datc) . (nasG�_ddiLioczl exct ifnc-+•-y to ixtcu�iaf �oa pertninya�to..11 ( ) I am a sole proprietor and bave no Oct wor-L-ng for me. ( ) I am.a home owner perfon=o all the work myself. NO i E:plea be ew tte Lfii v{ }a bom=.cvcn .bo cmploY Pcs4os to do c- c=.—=,oa a ra air.Qt-c M.d- lt:-�of aot taoce th n t sv_�r�is Leh the bom�raid,or oa the gvuzwd3 zppurtea. thew ,ox C-.. ,Vy oecd=d to be �tploycs uada the Aa(GLt52=1(5)�:ppiici600 by a hommava fm a bcz=or parch cr=y tl e tchZ1 cta3sc or na ex,loy.r n.od< d.worm e.coop;oa Act I uada,z,ad tha>°OPY of tbi.mtcm--a m.y b.f--~d.sd to tbo DeQortznm¢at In&auiel Aaada,,(Y OfL_or Iru+cwoa for tb. o0vazse Nc6 f extioa nad Qt:1 L-iltat to soaut 1 ovot n�=ell loetioa 25A of MOL 157 c.lad to the i=xi ca of-iz i peaittio eoam =Z of a riac or tp to S 1}00.00 u>dor of up to ooc yr=r end oNi1 pasehia in CSC rocs of a Stop Work Orda nod. fim oCSlDODO.d_y eptin4 Mr For Gcy.rta only Pcrmit t•tumtx- — Lot Slgzacurr of Liccnscr-Jpcnnn ucc SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone Not Applicable .❑ 9 0-eglsred,Flom^1�mcirovementontractor PP Q t'd`D AUC— "S S VAC �•'�1 Company Name�M Regist ation Number (� JA Expiration ate Add s IC Cv� �O � � 7 ,0/S 3 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...... Tb 'C 'G!`��-. 0d&C U 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 S-DESCRIPTION OF-'PROPOSED-WORK(check all applicable) New House El Addition ❑ Replacement Windows Alterations) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[O] Other[❑l Brief Description of Proposed Work: — Y P�U 14 y 1p y,$✓-,1 -\z>00 f 14 W% ✓'%cas u S Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa;i#New�h�oi�se�ana��dfiolrt��toez>!s#inciln%asma�c nnes�ett .,.o"Ifiatia: 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 Ta.--OWNERAUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT'OR CONTRACTOR:APPLIESF.OR BUlLl71NGPERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, t CL 6 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. Si:04PI/r the pains and penalties o'�rjury. ` // n 9gnature of Ow 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 - Rear Building Height Bldg. Square Footage Open Space Footage % #of Parking Spaces (volume&Location) A. Has a Special Permit/Vahanca/Findi ever been issued for/on the site? NO �~��� DON7KNOVV _ YES IF YES, dateissua& IF YES: Was the permit recorded at the Registry ofDeeds? ' �� NO �� DON7KNOVV Y[3 IF YES: enter Book Page. and/or Document#: ' x—� v~� B. Does the site contain a brook, body of water or wetlands? NO x����^ DON7 KNOW x�� YES �_/ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tohmobtained �~\ Obtained '~k_�� Date' . ' �� C. Do any signs exist on the prope� �� ��L property? YES �~� NO |F YES, describe size, type and location: � D. Are there any proposed changes to or additions of signs intended for the property? y[S � � NO ICY— IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,gradin on.nr filling)over 1 acre orinit part cif a common plan that will disturb over 1acre? YES ( � NO IF YES,then a Northampton Gtnnn Water Management Permit from the DPW io required. City of Northampton s Building Department LL 212 Main Street e �H Room 100 r Northampton, MA 01060 a N`"^x= �� 4,11- , 1 phone 413-587-1240 Fax 413-587-1272 a APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE ORTW ELLING "SECTION 1 -SITE INFORMATION J 1.1 Property Address: This sect�orto beµpom e "X o h&e h ? it,; Unit Noe l�&..f��( fN1'!1 . ��©(, (� Zone Overla Oistcict Y EIInSt.T1l5t[lCt, � CI3.Dlsirlct ._ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: T� �[`Ce rsr 1e�(�w1c 'L x,26 0170Kn� I( �/ tr I U-C Name(Print) Current Mailing Ad ress: X 13 -5 2 - -I Telephone Signature 2.2 Authorized Agent: 1la on ( 55 c�i� 5,�, G�crn-'irl10l aI Name(P- t) Current Mailing Address: 1-113 - 7'7Xo 15 3 Signa re Telephone-F SECTION 3-ESTIMATED CONSTRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ��©� (0-C (aj BuBding.Permft 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) d Ole) Check Number This:Section For Official Use Only Date - Building Permit Number Issued: Signature: Building Commissioner/inspector of Buildings Date BP-2006-1400 GIs#: COMMONWEALTH OF MASSACHUSETTS IT CITY OF NORTHAMPTON >`Jot: -001 Permit: Buildinq Category: BUILDING PERMIT Permit# BP-2006-1400 Project# JS-2006-2074 Est. Cost: $2800.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 142279 Lot Size(sq_ft.): 17946.72 Owner: KIELBOWICZ ALICE Zoning: SR Applicant: PELLA PRODUCTS, INC AT. 26 O'DONNELL DR Applicant Address: Phone: Insurance: 155 MAIN ST (413) 772-0153 WC GREENFIELDMA01301 ISSUED ON.612612006 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS/DOOR 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 6/26/2006 0:00:00 $25.00195 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo