17D-075 (3) Main Office: I�U i i3rancn
1331 Grafton Street '
Worcester,MA 01604 Py / i �'�'1 ZZU -
(508)-792-9181 •(800)-300-7274 /� -
THIS CONTRACT made the _ day of r r in the year v oltween New England Sash, Inc. and
E OWNERS) HOME PHONE) (BUSINESS PHONE)
Of /7 ���- (STREET) OWN) (STATE) (ZIP CODE)
As used In this contract,the words we,us and our refer to New England Sash,Inc.and the words you and your refer to th ustomer.
We agree to furnish all labor and material necessary to Install the following described windows at: m�
r
Doubts H.P. �� Material:
Total Units: Glass Glass Grids:Y/N Window Color:
Double Hung Units- e oLdo-jiny painting or staining.' Installation:
�- We are not responsible for con itid one or circum-
Picture Units: stances beyond our control Including condensation Total Contract
resulting from or due to pre-existing conditions.Our
Hopper Units: limited warranty is herein incorporated by reference. Sales Tax
Sliding Units: 2-life: 3-lite: ....�
Awning Units: — 1-lite: ~ 2-I1te:
Casement Units: J IAite:" 2-lite: 3-lite:� 4-late:s Total �,
Bay/Bow Units:DH/CS 3-lite: ---- 4-11te: — 5:lite: Price: L7[ �J 7
Garden Windows: — 3-fits:' 4-lite: 5:11te: Deposit U O C
Exterior Finish: Roof Soffitt Total Projection: Knee brackets:Y/ N With Order: r n
Entry Doors: Steel Fiber Style: Add Deposit
Storm Doors: Alum W.Core Style: Due Date:
Sliding Glass Doors: # Color:
�- Balance Due �vY� 5
Capping: Y/N # on Delivery:
Additional Notes: y S _P
Gl 2 b
m V' l
DEPOSIT WITH ORDER I� Cash I_O heck# _ BALANCE DUE ash ❑ Finance
You agree to pay cash according to the terms shown above or,if your credit is approved,to sign a note provided by us for payment of the amount due.You also agree
to sign a completion certificate upon completion of the work. If you tail to make payments when they are due,then we may immediately stop work. We may choose
'to not start work again until you are current with the payments and we feel secure In obtaining the remaining payments. If there is any stoppage of work due to the
preceding,such delay shall automatically extend the date of substantial completion.
Payments due and unpaid under this agreement shall bear interest from the date payment is due at the annual rate of 181/0 or at the maximum legal rate,whichever
Is less:In the event that we incur costs or expenses in collecting such payments due and unpaid,you shall pay such costs and expenses including reasonable attorneys
fees.In addition,you understand that by failing to pay according to the above terms,the seller may have a claim against you which maybe enforced against your property
in accordance with the applicable liens 1 s. _ll
The installation will begin on or about and will be substantially completed on or about vL It Is understood by you that the
folowing contingencies could materially change the estimated completion date stated above:customer's inability to obtain or qualify for financing;inclement weather;
strikes or other labor disruption;non-availability of materials;acts of God.
We represent that we carry Workmen's Compensation and Public Liability Insurance in the amount of$100,00041,000,000.
ALL RESIDENTIAL CONTRACTORS AND SUBCONTRACTORS ARE REQUIRED TO BE REGISTERED WITH THE MASSACHUSETTS BOARD OF BUILDING
REGULATIONSAND STANDARDS,UNLESS SPECIFICALLY EXEMPT FROM REGISTRATION.INQUIRIES CONCERNING REGISTRATION lD BE DIRECTEDTO:
DIRECTOR HOME IMPROVEMENT CONTRACTOR REGISTRATION,ONE ASHBURTON PLACE,R�1.BOST MA 02018 617) 598.
CONTRACTOR OR SUBCONTRACTOR IS OBLIGED TO OBTAIN THE FOLLOWING PERMITS: r .IF WE DO
NOTOBTAIN THESE PERMITS.AND YOU OBTAIN THEM,OR IF WE ARE NOT REGISTERED WITH THE BOARD OF 9UILOING REGU TIO YOU WILL NOT
BE ENTITLED TO OBTAIN ANY BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 142A.
ANY DEPOSIT REQUIRED UNDER THIS AGREEMENT TO BE T'AID IN ADVANCE OF THE COMMENCEMENT OF WORK SHALL NOT EXCEED THE GREATER
OF ONE-THIRD OF THE TOTAL CONTRACT PRICE OR THE A;TUAL COST OF ANY MATERIAL OR EQUIPMENT WHICH HAS TO BE SPECIAL ORDERED OR
CUSTOM MADE,WHICH MUST BE ORDERED IN ADVANCE OF THE COMMENCEMENT OF THE WORK,IN ORDER TO ASSURE THE PROJECTWILL PROCEED
ON SGHEOULE. NO FINAL PAYMENT MAY BE DEMANDED;INTIL THE AGREEMENT IS COMPLETED TO THE SATISFACTION OF BOTH OF US.
YOU MAY CANCEL THIS AGREEMENT IF IT HAS B:EN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN ADDRESS
OF THE SELLER,WHICH MAY BE HIS MAIN OFFIC E OR BRANCH THEREOF,PROVIDED YOU NOTIFY THE SELLER IN WRITING
AT HIS MAIN OFFICE OR BRANCH BY ORDINAR" MAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NOT LATER THAN
MIDNIGHT OF THE THIRD BUSINESS DAY FOLLO NING THE SIGNING OF THIS AGREEMENT.
BY SIGNING BELOW,YOU ACKNOWLEDGE THAI YOU OWN THE ABOVE PROPERTY AND THAT YOU AGREE TO ALL OF THE
TERMS OF THIS CONTRACT. YOU ALSO ACKNC WLEDGE THAT YOU HAVE RECEIVED A FULLY COMPLETED COPY OF THIS
CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION AND THAT YOU HAVE BEEN ORALLY
INFORMED OF YOUR RIGHT TO CANCEL.
DO NOT SIGN THI CINTRACT IF THERE RE AN SP E
OF the areTunto si heir names this day of � . -G✓ n t r of IN WITNESS H RE p 9 Sid �A/)`�� � Signed r
MARKETING REPRESENTATIVE OWNER
Signed
Accepted:Nu-England Sash,Inc.
BY — — Signed
AUTHORIZED SIGNATURE TITLE OWNER
NOTICE OF CANCELLATION_ 3 �^p DATE(TODAY-S)
YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE
ABOVE DATE.
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY
LaIr amr.r,krcr,uv vat I Trull t RE RETI IANFn WITHIN 10 BUSINESS DAYS FOLLOWING RECEIPT BY THE
�f
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 104098
Type: Private Corporation
NEW ENGLAND SASH, INC Expiration: 7/13/2004
Kevin Wells --- - -------- ---- — ...
1331 Grafton Street
Worcester, MA 01604 —
Update Address and return card.Mark reason for change.
p n Address (-1 Renewal F-1 Employment Lost Card
�a ✓/ie iJOnt�novutsea�ll a���frada-c%uoe�d
Board of Buildipg Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 104098 Board of Building Regulations and Standards
Expiration: '7/13/2004 One Ashburton Place Rm 1301
Type: Private Corporation Boston,Ma.02108
NEW ENGLAND SASH,INC
j<evin Wells
1331 Grafton Street
Worcester,MA 01604 - -
Administrator Not valid without signature
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2003
A CORD 03/05/2003
PRODUCER (781)942-1111 FAX (7g1)g42-0662 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Bonacorso Insurance Agency HOLDER.THIS CERTIFICATE DOES NOTAMEND,EXTENDOR
80 Main Street ALTER THE COVERAGE AFFOD BY THE POLICIES BELOW.
P.O. Box 120 INSURERS AFFORDING COVERAGE
Reading, MA 01867
INSURED New England Sash, Inc. INSURER A: Penn-America Insurance Company
1331 Grafton Street INSURER B: Ace American Insurance Company
Worcester, MA 01604 INSURERC:
INSURER D:
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INtM LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY PAC6239491 03/10/2003 03/10/2004 EACH OCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000
CLAIMS MADE D OCCUR MED EXP(Any one person) $ 5,000
A PERSONAL&ADV INJURY $ 2,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Inc In GA
POLICYF_j PRO JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $ _ $
WORKERS COMPENSATIONAND 4WC43395713 04/29/2002 04/29/2003 TORYLIMITS ER
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000
B E.L.DISEASE-EA EMPLOYEE $ 500,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
or operations usual for the insured.
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Town of N o r t h b o r o BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ATTN: BUILDING DEPARTMENT
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
63 Main Street
AUTHORIZED REPRESENTATIVE
Nor t h b o r o, MA 01532
John Bonacorso
c
FAX: (508)792-4526
r
=CHL"JCO ;
1 ICJMLC:HC.t -r.
NPRC CORONA 4000 DOUBLE HUNG
SCH-M-016
VINYL FRAME * DOUBLE GLAZE
Natbnal Feneelratbn ARGON FILLED * LOW E 2 '
Rating Count
Energy savings will depend upon your specific climate,house,and lifestyle
• For more information,call 1.860.666.0505 or visit NFRC's web site at
www.nfro.org. ,
U Factor so 0,Host Go-n V olCI•
0.30 COITV�nt 0.371Tnn�m tcnu 0.48
• 0.330 0.371 0.42
NBrufacturer stipulates that these ratings conform to applicable Ni RC procedures for delermirl-
wrale product energy performance.NI K ratings are determined for a fixed set of onvironavrxa.
condltlons and specific product sires.
r0
CTz# of Wort 11aiiiVtor
$ 6 �assxclrusrtts ��
c �
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ! Municipal Building
INSPECTOR P�
Northampum, MA 010 60 .
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to
act ;,i�/her construction sup ::'.or. Tha state. defines "I�omeowner" as " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or nvo family
dfvelling, 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 backfrll),
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
Ll17 1111) LlIl
g j E ji�a3sxcflasrtis J -�, �
] tt
OF I3UIiDI1�C: iNSi EC;I'IOT15 l
212 Main Street Munidpd Buddinl;
Northampton, T1ass. 01060
NYOI:KEWS COMPI?NSA`I`ION INSURANCK , F IDANY T'
�.-ith a principal place of i���1� ncs�'r%;ilie;ICC ...
CEO fi I C t)� Cam;f l:j', '•!:,•' :d 1)C,tl .l li... )i !�)!'i�llll�,
��/ I a1i1 �Il I:III)i,.1V't O;J'.t I}:_ 1�;t�'.'.'1(',.' I.:--... .� Cl',IP.?�::�a' :�i: C(1\� �. :i'.'•'
CIl?pIoYCC.S WoI I[li{ oll liliS BOG
3 �b
j inn a SolC PYOPAUPY, or_ 1
the contractors Red Ho
(T`MUC of ( nvn
(Name of Connacwl [ Mtta.icz� C o; i cy N 111 -!r 1
(Name of C_onnamar) Coin. __.);Pcjhcy
( 1 Ill] �l :;OlC 110 till" f for i]1C.
(• ) I a,n a Rolle
t� II? pfc-a:lYawa:ctt: � �, . ..
col¢tcte tlt:❑three ctnhi i:;ui::dt::r.;:�-:',�:r.:v:rcr..i-�<.i ai!.`�-�-_._�.�:a��ur;r,_.:1 t_`x:dc c:c ox�c:rrah;v_•.:r:'.-:.7:�[c
API data;of an awkyu undo 0.C "WA coaax uw.Act
I uixdwnwd this>wTy K04 oatr,::n:cuy 1, to tin IYtw�taxiu ofh�3:ri�An��.�ti Otil ca o1 _.uu>_o for Use
covcra9c vcific"fioo and tl>-'t failt:rt to f�.:rc Coen& A cif?.{CiL 152 can Ic_d to ltxi
oomutatg of a fine of up to S 1.5�J.C✓J n:�"�r c::;r,�r�i�.-:1 01 up to cr:1-�r e:.j civil pciultia i�::e f,nn of n Ste-�,Wc;i�-Ch:-r zr,;1
fin^-of SIN.CO Idly i�ain�.t lDJ-
Pcrr.iit T,umtru -_
SECTION 8-:CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :_ ---- —
License Number
Address Expiration Date
Signature Telephone
� * a Not Applicable ❑
912egisteretl NortteImarovement Contractor ;,r ,,, ,.u ,_.',M ,.f ,.. ,. .. .> q
Company Name Registration Number
Address Expiration D to
A 6G Telephone -3 CID,7a7y �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...... ❑ _---__
. , 73orne , vc ner E em, OR
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 fame
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 fo-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=.DESC'RIPTION:OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors K
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: I�yS`�'All - Lt T�e S QQS
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll 0 - Sheet❑
f a..1f Neiv!Ahouse=andy'or'-°addition`.to existing housing, complete he follow"inj�:
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. Mascheck 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
I 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
OWNEkS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize _ to acr on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, LC u r.'Qij (N(.1GI� _ as Owper/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.
ff
Print
gO
41Na
Signa .4 wr/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T 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
No
IF-YES, describe size, type and location: --
e,
City of Northampton Shat s?of t' r tt `.
Bta.ilding Department b..urb 10 f/D
_212 Main Street ewee"'Septic ,Min
Room 100 W�aterlWefl l�vat a t.
N,tampton MA 01060 Two Sets tr c ura a s
ne 13-587-1240 Fax 413-587-1272 P!tYSite`'Plans
u x=
Other Speclfy��$���. � �
APPLICATI TO CO'N'STRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section jo be,compled fi
te by ofce
Map Lot Unit
&047114d A Ave
Zone Overlay,District
Elm'St.'District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Prin Current Mailina,A res
Telephone
Signature
222 Authorized Agent:
Name(Print) Current Mailing Address:
/ wv - 30-- 7A?1-/
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building #O� (j Cv (a) Building Permit Fee
- r o _
2. Electrical (b) E ,timated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Q UU Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings' Date
BP-2003-0863
Gl � COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0863
Project# IS-2003-1393
Est. Cost: $4048.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Group: NEW ENGLAND SASH INC 104098
Lot Size(sg. ft.): 17990.28 Owner: BENDER JOSEPH H JR.
Zoning.URB Applicant: NEW ENGLAND SASH INC
AT. 17 GARFIELD AVE
Applicant Address: Phone: Insurance:
1331 GRAFTON ST (800)300-7274 WC
WORCESTERMA01604 ISSUED ON.4110103 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 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:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 4/10/03 0:00:00 427 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo