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23D-032 (3) .., - -• .• - � �- �I, aarT9Yt�f.nrcan—rncan.gc.ca • '' _ � �• I J • , t f t 1 3 , ;'-Mw % • - QutJl,ltd asnov: fabei,aliV Mal Inrpeclion; SAVE for tuluro relerence �, WPalher Shield CPD1 cEO=A—S72 xFRC {lodel•6108'Double ;lung Dp�ralinq Alum clad Thermal inma • r��r�;.n 314 inch Glazing , r=frr;C�twly ZD—E .022 Low Argon r=ill Grille in Air Space ENERGY PERFORMANCE RATINGS U-4:11t Soli Y:� G Fn LP:II't;:nl 0.30 ( 1 .70 0.18 ADDITIONAL PERFORMANCE RATINGS Yl:lblt 1r'ISr;tllt:: L:'nd:ns�itn fttsislu.t: • 0,40 0 S'nuhtu nr "Fulitt hit hta ninpt=br.•n m ypne.kli NIA'-1`11114"n br I'"ry"np 'st'"pndttl►1t,T ptrvrrm:L HFRC nin31 to dtltnNn.d L1.4 al el.e rlrnnenw t,t91CnI en( ultt/lnd.cl errs. MFR:deu tot rcrerr`' i ^T Irkd rl a C(.ti All•tatel hi utuhicy of .'(Irvdatl b"*T gttllt un, :ecarll mtnuu:unl's turlun bt IRtt Induct ptrbnrw+tl Inbrrn.I nn, vvwr,ll lf'L.O , X.11t) or t:t.tLt 11.c_t„ C,f.[.. .ni LE.C.C, sir Inl,llr.11on R.ovlr.mints (D P) .f r,ro ,tatL td 37fSYl.i it.tlKNV PI f:JLS.!^!1 ICM I]ri ut'-:f 3' U•1 Y.ell$..rinrJ(.Ar�..,�/�.1,SV r_C ' �:.17-I.;_i_ � 1301S G211fY.SiD P.1 Jan 231510'36p HOME tMPROVE4IENT CONTRACT PLEASE[LEAD THIS Sold,Furnished and Installed by: Branch Name:Boston North&South Date:L1;�34-04— TIID At-Hone Services,Inc. d/Wa The Home Depot At-Home Services Branch Number:31 and 33 908 Boston Turnpike.Unit 1,Shrewsbury,MA 01545 Toll Free 877-903-3768 Federal ID#75-269ti460k ME Lic#C 02439;RI Cont.Lice"16427 t n,, C;Uc#HIC.0565522,MA Home kuprovveemenn�t Contractor Reg,#126393 Installation Address: t ;rt` �b� 1 L0k��-- t r 1 A r—>10&2— City State Zip Purchaser(s): Work Phone: Home Phone: Cell Phone: Horne Address: (If different from Installation Address) City State Zip E-mail Address Ito receive project commtmication-,and Home Depot updates): ❑I DO NOT wish to receive auy marketing emails from The Home Depot Prniect Infurumatitm: Undersigned("Customer"),the owners of the property located at the above installation address,agrees to buy, and THD At Home Services,Inc.("The Home Depot")agrees to fum sh,deliver and arrange for the installation("Installmioi')of all.materials described on the below and on the r4brenced Spec:Sheet(s), all of which are incorporated into this Contract by this feference,aloog with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): Job#.- It.m.wR�ronre' acts S Sheens # PmiectAmount Roofing Siding Winde+vs 0 tnscladat "i-7{ LIGuttersi Coven ❑Entry Doors ❑ �-]?(�j� $ �(� Ll Roofing :siding Windows FNnNulation [JGuitcn/Corers OEntryDoors0 ��3n. $ A-- Rtitterg Siding N'indoas Insulation❑Gutters/Covcvs [�nuy Dons❑ � ((( Rooring Siding Windows Insulation YO QGutter;ICovers[:]Entry Doors Cl S Minimtun25%Deposit orCortract Amount due upon owaAon or this contract ( ) MakwPurchasersurs not Total Contract Amount $ y deposit mare than euethirrl d dtc Conrad Anrtaatt. Customer agrees that; immediately upon completion of the work Cor each Product.Customer will execute a Completion Certificate L/ (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Produet(s)included herein,at its discretion,if The Httme Depot or its authorized service provider determines that it carmot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbesim or lead paint,other safety concerns,pricing erro%or because work required to complete the jeb was not included in the Contract. Payineut Summarv: The Payment Summary# R to t-�) included as part of this Contract, sets fort the lotai Contract amount and payments required for the deposits and final payments by Product tas applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy or the Contract at the time you sign. Do not sign a Completion Certificate(note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets)before work tun.that Product Is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAX WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MAIZE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUN'T'S. Acre lance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and he iiorrte Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agreement cans a 'gaed or amended except by a writing signed by Customer and'I'he Home Depot.Customer acknowledges and agrees that t er as read,understands,voluntarily accepts the terms of and has received a copy of this Agreement. Acc,gted by: 'f` bntrtte C1,00mer"s Signature Date J Sales C n• is Signature Date X Teiephone No, Customer's Signature Date Sates Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS °" plicaDt AGRE1r WNT WITHOUT PENALTY OR OBLIGATI01 r 2 BY DELIVERING W RITTFN NOTICE TO-TILE MOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLE4IEN17 ATTACIIED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN r°rr",nniru,-z CT,t'rt" City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as deT07)fined by MGL c 111, S 150A. Address of the work: )L The debris will be transported by: � The debris will be received by: �(��,���!'���� '}' Building permit number: Name of Permit Applicant/ 4�41 jL/f Date Signature of Permit Applicant \ yrtt: �.vrr�r,tvnr?curer! v� rt1t1J'J'1LCl1115'L'C1S / D°DQl'illf�lft OJ'.�1IdLC$tl'itZItlCCidPI:'j�'/" ' . • q_ �_,- OTtce of -1 eolf;rM Sh eQ :,- Uirs 100 3oston i.3 02111--20-77 .._ •�: �11IaSS.oOY�d1S • 'Workers' Comp!nsa�ion'Insmance�.i ida�-i�: BuiIder_;Cc ec: is:anslPIumbe-s Ai),:)licant Inform ation��� please FnntL�eti,-�ib`l�y Address: �SLf°Llp P, city On�— / %7. �/`• �� �� �•/ :Lre you zn':mt)1oycr? Cbcck the zupro_orizt:b . • Type of project(required}: 1. I art z e:n�loy:riti't 4: r z esacral dDnctor z-id I .' 1 hTzhv e:se'r i SL:'Dd-CthO '` c:. Niieew�ocoocnlsio�;j ct Da 7tmploy:- full s ltd on nc h -t Z a a s . I] have s:ip�d hav:no :-p1Dy�cs . ❑ D-noIition W0r):L-. ?Di-1--1-'1 2_11y t:$paDiry. .-:��?loy ees and hay wprl":S' : . 1V0 Worl»rS' r0nD:1?SUratCO CDIl7t). izs= zc::.t , „ e�LSed]. . 5. We ze a co: 10. tlecticsl r^z rs or additions oration z:-td its . 3, I :m a hD:L:DVrt cr doin; z11' ori_ o c:rs have'eXer cised their 11:�P1L ' .'.;rcgzi or additions 7yseli TFo word;ers'.eo:-gyp. . . : -�t of:r.c ition per MGL , . 1_1 of=1:7S' c• 152, §1(,); and.wo hivo no ' ' - • estplDyees. [?�o w'c-l:ers' . - "cofitti. irsurzn�e r:auir-d.] ` ,A.ny z:pii:z-It ti:.:d::�s'ocx-?:c t a„• flu out th'e z::ion baow show ag L:r wo:)- ccr p: z:ioa poll:y irio-urticn. r ao:ac:�:r.s who sub-i:::s zf idavit indi:aong they z:-:doing all w�.).and t2:n hi-_outsid::oar:-;o:s ust rib ait a n:w zadzvit Indic -; i Z. cd;thEs biz:Host=-a--h:3 zn adsi-je-.al sh::t showing the uz,.:of Uh sub-a ta-- and's=::wh::h:r or not thos::dtit have :-tploya. If t}:sub-:onczaors hav:ca:ploy:s;th:y must provid:th:ir wo;1•.z cooiP policy m=b-t. I tiri c,i n io _r fiat Lr roviaing workcrsr coniDenration il%Lran -' P Y P o .ce for my•ent,Dlayees. '3 Blow is'the polity and job,sae' 1:z ter_-C6 an 1_ b��' J �v �.;• ,'( Poiicy t!or Stl_`-i. Li:.y: w� �`��I ///Gi��• =xo-a 'on Datc: Job Si!:A6acss: Ci /StatJ�io Attach a cop of the work!--; _ :_.. _.. 1 '' c_ciz. on . . - d _ y [i page(showing the poiicy nurnbt, zc i?zil :to s::u:cDVCa,:as reoui-ed under _coon:r6 C :' i nz16 of I A of M L c, 152 cant l:ad tD the imposition of �_I pc._., u1c'up to S 1,5uu.00 and/or one-y:ar imor_sorm:nt, as'Will as civil p-nalti-s in th-form of a STOP WORT:OP-DER=d of up to 5250.00 a day a,atsst•th:violator. 3:advis:d that a _DDy - V _ :o- a-_:6 to the Om:_ of lZvcsrigations of L-:DL4 for irsuran:_covcra,:,v-incatio2^ ul ---- .-- - — I do h:,-coy c:ri^ : .;._ :}r3 crd c: cIr•�/�� a.Ij�Tv thct t.5c P:fornI Zli4n Drov sd cbove s n^lt c:td aer e:L r t L'se art!9. Do not IV,—.,If :.^. :ia ara= to be cor rplctea cy city or awn or)tci=L Ct:y or Tow:: ISS'Lg Authorlry(:L;)e o_:): zr 1.3cd of;_zl`h _, _t ? T_ for 6 J1To�tin Cle..: T_ sp:_ or S, lU. n sp-- O Conta:t?:rson: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: '/ Not Applica ble £ Name of License Holder: V ZL 5 L A*9 License Number 7j / Address ^ kalll) Mr" 0111d Expiration Date Signature Telephone 9.'Re istered Home. r 6r'6vement Contractor , - „ ; Not Applicable £ Company Name Registration Number dr s Expiration Date Telephone Zi 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 buildingp6rmit. 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 Official,that he/she shall be responsible for all such work performed under the buildinLy 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 W' dows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks Siding [01 Other[o] Brief Descriptio of Pro s d J� /'1 — ' ' Work: 1 N�9 y✓ orw'J ��l � / l Alteration of existing bedroom Yes No Adding new bedroom Yes No A ttached Narrative Renovating unfinished basement Yes No vv Lr' Plans Attached Roll -Sheet �f ) 6a:[f k ` house`and or'addition to'existinq 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 f,�/ Tp 7*e i�/ �G'� as Owner of the subject property hereby authorize to act on my behalf, in all mattersAative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the statements arfd information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed and"e pai . and penalties of pe ' J Print Name 1 Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information j Existing Proposed Required by Zoning This column to be filled in by Building;Department Lot Size . Frontage i Setbacks Front — Side L:'_ I R:'� LE—_1 R:{= .__._l Rear t— Building Height } Bldg. Square Footage l--_..__..._ ___._.__.__ % Open Space Footage % 71 -1 - --— (Lot area minus bldg&paved � � .. _ 4 parking) #of Parking Spaces Fill: i (volume&Location) — — �—--•''.—-- - _ _ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW O YES O IF YES, date issued:; __.-.-----.._......_._.._.......... _.:_... IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 _ IF YES: enter Book j Page ! and/or Document# E B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 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 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 0 IF YES, describe size, type and location: f...._._..__.._._..._._..... .-------...____.._..____.....__._.._.._.__._.._._._._........_........._... 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 O NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. s i �� 3 pepartment use onlx ty of Northampton Status of Permit S 7 ^ ilding Department Curb CuT/Drive+uay Perrrtt# s 12 Main Street SewerlSeptic,4uaitabtlrty pa Room 100 Water/1�kfeliA�ailablllty moo,plumbing&Gas Inspediom p ton,M�01060 N am ton, MA 01060 Twa Sets df Structu'ral Plans Northam u phone 413-587-1240 Fax 413-587-1272 Plot/Stte Plans HY Other Specify �:_ ; ' � APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to m be;co leted by office 1.1 Property Address: P Map Lot Unit. Overlay District Elm St District CB District SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: " qq K" (/%* � ©»6 Name(Print) T— C rrent Mailing Address: Telephone Signature 2.2 Auttwrized,Aqent, r �r. DK ZVI Al 'IT Name(P int) Curr nt Mailing Address: �'_�&rz Sig ture Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit a licant 1. Building (a)Building Permit Fee 2. Electrical I (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) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0787 APPLICANT/CONTACT PERSON HOME DEPOT AT HOME SERVICES ADDRESS/PHONE 24 SUNRISE DR PROVIDENCE02908 PROPERTY LOCATION 49 MILTON ST MAP 23D PARCEL 032 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvpeof Construction:_INSTALL REPLACEMENT WINDOWS,ENTRY DOOR&ATTIC INSULATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 106953 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 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 ion Delay 2 / 0 ' �/ nature Bm mg Offic►a 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 MILTON ST BP-2015-0787 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-032 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-0787 Project# JS-2015-001532 Est. Cost: $8694.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOME DEPOT AT HOME SERVICES 106953 Lot Size(sq. ft.): 6403.32 Owner: WILSON JOANNA Zoning: URB(100) Applicant: HOME DEPOT AT HOME SERVICES AT. 49 MILTON ST Applicant Address: Phone: Insurance: 24 SUNRISE DR Workers Compensation PROVIDENCER102908 ISSUED ON.•211112015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS,ENTRY DOOR & ATTIC 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 2/11/2015 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner