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31B-312 (7) 26 CRESCENT ST BP-2017-1242 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31B-312 CITY OF NORTHAMPTON Lot: -000 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-2017-1242 Project# JS-2017-002081 Est.Cost: $20594.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grouo: HOME DEPOT AT HOME SERVICES 99209 Lot Size(sq. ft.): Owner: TAYLOR PAT Zoning: URC(IoO)/ Applicant: HOME DEPOT AT HOME SERVICES AT: 26 CRESCENT ST Applicant Address: Phone: Insurance: 5 RIVERVIEW DR (401)935-2633 O Workers Compensation NORTH PROVIDENCERI02904 ISSUED ON:5/5/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACEMENT WINDOWS - UNIT G4 - 5 WINDOWS, #104 -4, #106 -2, #103 - 3, #200 -6 **ENERGY STAR WINDOWS, TEMPERED WHERE REQUIRED 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: FeeTvne: Date Paid: Amount: Building 5/5/2017 0:00:00 $40.00 212 Main Street.Phone(413)587-I240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability APR 2 6 -- : iRoom 100 Water/Well Availability J Northampton, MA 01060 Two Sets of Structural Plans 4 pttoite Th 3-887-1240 Fax 413-587-1272 Plot/Site Plans cm-.-- Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 6P 7 is V.?' 1.1 Properly Address: Th is section to be completed by office 1/ �� T-� Map �[ Ii% Lot 01 Unit /�/{v//� r1 �I2 • Zone Overlay District /10 t "i (V 3 Elm SL District CB District SE *9 2-PROP. '�•0 RSHh STH' FDAGENT old- Q�vV�' swen dow-51Un,t tOU-2wi4toe�3- U fp't - q II '' 193 -3 'I el acn-(' II 2.1 Owner of Record: far Tl.2/2-- 21' 62z-- (4,7— Name(Print) /�/,� ler Current n/wallln A es- p�y� /T� ernf Telephone p/VO r'�J71 �Y'/ /� Signature y�--.0, 6poi 2.2 Authorized Agent: /) �1 y� -�^ cc " ! a# c ' n-N .� Name(P _AZ � � Current Mailin• Address: AM-- 4 -2 Signature Telephone /9940/—f4j )-30S>._SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant _ 1. Building . 1.1' 7'J (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) a Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) 7iA709G/ hrJ Check Number ,a,2 /413 `f0 This Section For Official Use Only Building Permit Numb Issu IP" ssed: Signature: w �V7 agir. - Building Commissioner/Inspector of Buildings Date /t/ ricer -- /f U tvic`ss/ /E,:yeaee / pDaeecIfi'quAttr ,/ 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 Depanmem Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage rn (Lot arca minus bldg&pared parking) of Parking Spaces • Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW 0 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW Q 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 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® , Date Issued: C. Do any signs exist on the property? YES O NO Q 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(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 O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement W Bows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. D Demolition ❑ New Signs [0] Decks Ili Siding[p] Other[p] Brief Descriptio o p Work: cc/6 ,�o� dcTw>�lx o ' e6 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. 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 Ta -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT ORyCONTRACTOR APPLIES �FOR BUILDING PERMIT I. F'/ 1 / (tfj[..-_ , as Owner of the subject property rfn,�J ' (y��'7 ,�, � pp\\ /{"'y��,.' ) �_ Tom,.. ----- hereby hereby authorize 1?)/ X, V'V l'+�// L1} - ED7-n D to act on my behalf, in all matters relative to work authorized by this building permit application. e- G 7- ,at 4/-2 -/ 7 Signature of Owner Date / y� I, 2 IA/ 0 /-7,//l/ ,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 p s and eenalties✓Y /X o�of perjury.y� ., IP — Print �' Print Name Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction1SupervisoSupervisor ,/�'/f Not Applicable 0 VG¢ Name of License Holder: A/ P1")Kn- i/ y9 �ji) " ./ //�f/� License Number ) i70 0v,21iA%-Tvl mit_ /v -97 Address � Expiration Date Fs45s'6 ))/h )r * C )D- Signature Telephone 9.Registered Home Improvement Con rector: Not Applicable 0 rriOr Company Name ✓ Registration Number 9/2‘ A4B X • Address Expiration Expiration Date �) i %1/a-1 ire g)6%�elephon - 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 buildi permit. Signed Affidavit Attached Yes No ❑ 11. - Home Owner Exemption The current exemption for-homeowners"was extended to include Owner-occupied Dwellings of one(I1 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 he required from time to time, during and upon completion of the work fir 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 persons) 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 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,y,as defined by MGL c 111 , S 150A. Address of the work: 7b (�1Ze64/11 — 07-r—/ The debris will be transported by: /V 2J, IJi The debris will be received by: Lt4JZ , )ii Building permit number: // Name of Permit Applicant �/ ,;ri' Milo / } / - l' tatefr- Date Signature of Permit Applicant I Home Depot Contractor License Numbers: MA Home Improvement Contractor Reg.#126893 Salesperson Name and Registration Number: Timothy Drost : HIS 0553710, R-R-073-15-00005 Home Improvement Agreement Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. Customer Information: Pat Taylor Boston North 9832652 First Name Last Name Branch Name Lead It 26 Crescent St. (NORTHAMPTON MA 01060 Customer Address iry tate Zip (413) 650-6018 Home Phoned Work Phone# Cell Phoned timothy_drost@homedepot.com Customer E-mail Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 Address Cityata to Zip or Email CustomerCancellationNorthEast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: X 02/23/2017 Customrs sgn„n oats 1 Contract Price and Payment Schedule: Payment of the Contract Price is due upon completion unless a different payment schedule is specified in the State Supplement. 20594.00 Includes all applicable discounts, rebates, and , taxes. Contract Price $ Excludes finance charges.* Minimum %deposit$ Due Immediately Remaining balance $ Due upon completion Finance Charges 'Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payment(s) made payable to The Home Depot. Insurance proceeds will will not r be used to pay some or all of the total amount of sale. Description of Work to be Performed: Installation of Windows A more detailed description of the work to be performed is included in the section entitled Scope of Work which appears on page 3 of this Agreement. Anticipated Delivery Date/ Installation Schedule Approximate Start Date: 04/20/2017 Approximate Finish Date: 05/18/2017 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization: You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. By initialing this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service Provider to perform Installation and/or(b)order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made,as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's/permitting information may need to be provided to You later.) By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety, including the General Terms and Conditions and State Supplement, if any. You further acknowledge receiving a complete copy of this Agreement. Keep it to protect your legal rights. Xr-- 02/23/2017 Customers Signature Date X Co-Signer it applicable) Date X 02/23/2017 Saks Consunmrs Signature Dae License number(s) held by or on behalf of the Home Depot: 2 Andersen Wood SPEC SHEET SC: Timothy Drosl Measure Tech: INSTALLER: Srv[x name Peamn North SOL v. 9032552 NOWISE ay. ISM: SPEC (SPE SNP To Locerbrt customer Name. Pat Taylor Date 02123/90/7 Page I et 5 SHEET HEEEY mv_mx1sN rAlp yyrgNEW WINDOW UNIT FULL out 130101 Eyerano SEMI La1 i•ewe ense LABOR Wrb.TmE [own** so sea sous The MEASUREONLY ONLYRMCrxmeruM4• Ns I W ry FAPXYPf 40 total_ RILE'S, MIM9 WPWU onN»B Local., (WSW( amu a MISC WindOw Type Slyle COW Cobr Lner See AW y „Ey WALL wa 440, „44 lam so444 yype 044 HI4. „„,4, ,e, 00e, Lwew we we( „won wwwe wow Ems, 4 n 44 wpw awe Ds° Code CODE CODE Cron E ttnr Cope "IP winr HEIGHT am DEED-ANGLE spa venting/xanap9 Slaae CODE qw.. CODE mW Colo( CODE wee 0060 CODE Sash( Sams CODE CODE LODE Type CODE Type CODE CODES I I W Ie OH 000 DH I TR WH at OC 0600 87 TR WH STD me SID WH WRAP , w 2 LW 16 OH WO 011 I TR WH 4104 4600 87 TR ny a WH STD WO STD WH WRAP . a LIV Ie DI4 400 DR I TR am et a 40 Xi aa TR owe WH STD WH STD WH WRAP p 4 4,4 „( „ 400 „ i To WH WOL WOO 87 TR so e WH STO WH STD Wfri wn tto Imwteriremr rGYLIwnSM6..LwL.w.MrM4rw W.aaL E..aMll.rrstreTmr WY.p yyp'r MrW .Lyn. ma „tat .t 006/6411060(i iws e NE e L se+aamnse Mown maw's xaly sola mops CHaPEMEnURE FulOmy mra.aemMtaw' m+wn �WEee:+eYaampaw PO TOTAL 1200 kW* „smart „tem DGO i Inswing PO PD Chang " 000 6 CHOW Senn EXtorlw Wish Wanda.. (WIDTH rw smut °PPP (C44116( r 'tat Nd Code CODE CODE CODE CODE COW WWI„,d MIGHT WW1„.x TIP SW woenw CODE LOW COE, CODWY Woe( SOW Colo Cob SW PM 40 Jamb( Jamb Twe GEE Gri4 ESash 5005 Sal CODE CODE OUT Parma„Ong„minx enol Type and LOW, SHWA! Na& macLamr item CODES www. No Not NO wow.] I slWoe.Pat Taylor t a Home Owner Andersen Wood SPEC SHEET SC: Timothy Orost Measure Tech: INSTALLER: an.cn Nawa fosw,Poen Looe. 983264 Prepared a. ISM: sny To Location Customs,Name. Pal Dale orzlxa¢oP Pageal SPEC REPa 2 5 sHEET♦ NEW wnocw uaT KNrsaMl� fa.an 1 .. lean IRMO Pier • n >, w» FULL OP m.n* naaa. ew £8 *Aw MYmn aI fan wa ea n« a ter' Newt uea iw xfefnTf C.tSIW xeWmJOn MEASURE ONLY Q"tV' — tu•NemiYaas drvA. Nut . aw oI8WPs aSAMwCMo) Once OTONS wW1 cer1019 iL ., seht,at (WIDTHwetHer mars em Fp. CODE CODE�D E wCo,e wam.a I.�.r 9N CODED Venting e.a a CODE a;Haw Boss CODER. OW ColorCYO CODER4444 �at Ben �,(NT CODE �lmars eery CODE CODE CODE a CO CODET4244 D DL 5 LIV 19 DIP 100 CH I TR WH 41 m gem 07 TR [pry We STD we STD WII WRAP 6 LP/ ISI DX Ha aa i IR WH 41 00 46 00 67 TR none W2 STD MI 440 2.24 WRAP 7 L22 42 041 424 °41 ' TR WH 4102 moo 87 TR moo we STD WH SID WH WRAP n.,,f.a.� .n.e.._n..,w_ ...ae.a�.. - .. -.�. 51_3 :wa, . .a. NEW DOOR DNi MU Prr Soto les PeleeDeey nTEM, WY TYPE of Hal ac Eire SOW("Matti TECH LAEELLoMy as comas wa aweneww Polo MUTAa *OSS w ea,m wml. wectjaox w+.. 442 Humor 1220 „�oT Hinged Existing Banes aloft. Finish Tagged wa5Ta 2'2' 4 242422 4'444 Flop C OS CODE COCODE CODE Cod. wan men 111-102.1111-102.1ware .. H.NT TIP a . ��EaTei Tee Tn. COWo,� CODE , COW gash,SR,. CODE CODE OUT Pan..Handing HendryH. .y aT.a.? m f4.444COw mWE ai hDWR 4142444 I . saw LOWa..CODES Ran n .,.,,. ea Pees • tie Peer e,p„., ...w,.Pat Taylor ,.. Home Owner Andersen Wood SPEC SHEET SC: Timothy Orosi Measure Tech: INSTALLER: franc Name 8091019 North .Nob r. 9832652 prepare('By ISM: Ship To 3/09133/ Customer Name. Pe Taylor oat. 02123/2097 Page 3 Ot 5 SHEET* aeaeeaF9 ''1 SEW WINDOW OBIT 83.19 tseilaN Us*,Winker FULL hymen ir rye FRAM IRSER1w SI r New aaVE ✓iSMEASUREONLY way Mus eawr wu9Gmw C4ItWV FtMwmOsak 841" saRiVt SASEerSWOP wist Como des saw OFTIONSl 8.11016 TOTAL B"6311 isbn Ser es we sm..'Et:Lel:SSClandar U1 Sao end E.(mentor •Boe I Barr ysn Her 9 YEWS 919.91 9,9 Roo Pallern M1CC Lebo "Temp &nen Type OW Gm ((woo (per Lowe.(ow (Per Location Oescore porn Dog Finish liem Rom Cel Cody CODE COndex Type D CODE CODE Cow.Cone war w WWII Wath Height CODEe Color Color LEei Sine AW DEW ANGLE eon vmre r H.odiog s� cope edam c aim serer CODE .act „erg Dow sum sum swig „DE CODE yyp. coot r e wE CODES 9 LIE 1st DIE COD OH I TR MY 41 OE 46 00 87 TR DEO 9011 STD 491-1 STD WEI WRAP II Lig 90 OH we on I PR WI 41 oc 46 00 37 TR we GI i.6813 G11 6118 3115 WRAP IYA. : .. wrw:rover....intw•Err dalwr.w.wiwMar+w+'t n.. owner.ventwerni .y/b..wwy w���,.e� + at.. aOM1a o.}0e=ra.a..e.+.".'a" T p bWe Arrr wGa.Wan Dar. e.avDE99100099 UNIT ;ta . I , Mk/SUM / Sr3/SS a W Tin (an 'Weft Door rte 06nreeS eommem SC WE con MMoto/PITECH S:E co . war.(PEP cox ow»a .cromp a+aSdp4En Sad Ow Duan m0,110.40,110.4wr Name OMSC on bpFe AT e ow I FD Assembl Es TOTAL MOO we Wellem Series Sow Wish Wenriatri IWIDTH EPP 26 EGG., Gal SW 0 11166 EDE°EaEl Door Doer A se, Lem, too (woo °""''. mow Deer Type Style Seim Color Sue AW to Jambe lamb Goo Gro Cria Earle, r rink,a r-Arrreur e sue. IN Or r Venting lien,ny 9191D9 Hietwe HADWF Keyed Meow Dry.9.yi r....97 rye, Ropy Flay Code CODD COVE CODE CODE Code DECO Hvigh HEIGHT wan Hugh TIP L es Lwow CODE Color Color CODE bAse barn CODE CODE OUT Pence Has ars Hendee enter Type Frew Lock Macaws Hetes MiSC Law heal CODES En y re No tbir a Nor Ewes DEE OD r.3/No. Pat Taylor r•n Home Owner Andesen Wood SPEC SKEET SC: Timothy post Measure Tech: INSTALLER: etanen name: Boston Nona Jobe 913.124E0 rrepnn"By ISM: SPEC SPR Ship ToF aeon. cnsvrot Name: Pat TOPPI mm. 02rz3/2017 Page 4 of 5 SHEET REF PI ervwwornv n X fM Y 19.Wn , S td aa. ,,,r. h„T Tsun 1ai urG au „Se Swan bw2 won sd. aw.TTvs wwM SCSiaS a {wevrywmPar* ew®wwsayw. amw. Pee Os.O lI w? SASH ammnl vne. MOS mrara PIS Way) mvx Oa lir SO U .. EP"s Jon rWID 000C area w WITTSPED Hogg o„, iiHogi Doon ow„ Loan D o. oo ao. wiae xaipn,HEio.T Width x DEPTHµ01.n Spin ymeg Www„ +m. 000E owys CODE Cow, CODE wont sash) 000E gal)) sash) CODE w CODE TWO DOLE Typo OCCE COOPS IT To Di DTI °T0 OD F To WIT 41 DT PDF "T ITTI none WTI STD WTI DTD WIT WWW W T_ ,. DD CO ter-r=P WE r.a wma V -e a .e: sn we _TL WHO POP° n ee 100 w.t m WH a waaos w 1 TB Woe COR STD WH STD WB WRAP re .r IS co we on.I TO m lire.rem n E i _ WI Sox DV IOW WH Sro PDF woos I 0401.11000 . -- „...,commgm.g.„...isineionoso.alowe .0 tr,.W4.n.a.p .W'"41wwHe.I..r.e.m,Yr ween.) .ww q.,.srmr OD Ea-Tow. +U$e 14* . m,..P.no=n m. -rra..wew_w r NEW DOOR TAP 11111 11111111. FuL eaaem'Ws 0,15 1WEEI mwaei xsimeanrlwu*% +Eus Et wry awArRaSsW yea Mere apaaaro rrbOos WW+ anrtw rueceuw COMB 1 "wagonPO r°°L 12R0 mwm 1.5+ Dwww SP”Eno rem woe ca." 0 PDT, DEW &re w aFTInw �Ppe t FARO.Or xaowP ar Door DOW A Per Loa Look °p Hem Flw Cie ewe 0000 coIP Doan Cos w.ne„or, eiaxT wimr x.ny. 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Gro Geld Pallern (OS (pe4 Local.IPer {PLocal.,ObsCure son, Flier An h hem COCA TT:, ow, cooe DE CODE Cao Cmc Twe win, nem HEIGHTa ,TT9T DELT,ANGLE spin Vanuiq m.w n Mie CODE cgmnccoc opT, wnr CODE ag omi CODE sen, 64,01 CODE °ODE coos Type CODE Type ccoe Topes 17 ITV 1st OH 4D0 DH 1 TR WM 41 X 4800 87 TR bore WTI STD WH TOD WIT WRAP la UV 1St OH alle OH 1 TR WH 61 Of 46 00 87 TR none WH STD WTI STD Wei WRAP 19 MT Ill Dl 4CD DI 1 TDI WH DI CD 31°D TT S TB none WH DDD WD STD " WRAF. CM CH WHAP *0y'lc aµ.. vrYC�e'iww r.urrraawiw�ar�r�.u.waa i�+bLiawn iAmuw�aNwva+i� r NEWDOORUM- S IYMMr ewe s•teHaree Murrt Www seisms ee.a Ooe*ne aa-TYPE aMMw eoaizaowmo.rml TECH DaONLY `LMhOg sSMPWWWWeler OMIR 001010100 Mheewa MMeomp&M M110.4 NHC440a la rye. 'a.as ore Laoedn liTS4 nwT 40000 Emeiing Series UNIerba Finial Slandea MOTH TIP Eal E nen.), Gad ETLeriv I ILTrIO . town. ider$Tams Dear Door Dom Twe WO Color Cele! Sae AW io Jamb, Jamb Two Grei TN we,tlP :oIrbsol`50 Ter az.w H Room Add Cod. COOT CODE CODE CODE Code well Heron HEIGHT won Heem TIP Size Leea,iw 0000 On Color CODEC OUT Panels Fla wd�ra nm Type nnw, LoTn socked Notes MICLab.nmCOLICS Ea. Naynn <rmw:, rer NT,„a Pial w,.Pat Taylor ..e Home Owner 1.1",..-1'.4,4•kit -• :i.• -., e .e.• --•.'44';4 :21:- ::,..,-. ' '' w$7.;, '''',, 4::;*". , ..,•3••!..T.s'7,'147--!4;:..214.•..yea,, - ' ' . ..... ;Le . $ 1V [l?,$‘7,;$1.1$$$$$$.$4. $4$$.1. '• . '$...4.4 ',2.:‘37-'` 1•01-\ ' . ... . ' • ---' 1p.. . ?e-- ,:2-.•••41",5:s-Y- -?.•;7-tr-,:es•s•4•4'%•ct' • • :-''-;i ' t IV I SI, ' "-< . - . - p “/ Safetyoti '4 [.14: Standard' s , Licett ,:- ,„ , 11,.., . KA:a. smv , . - -- - - -- , ,, i. ,: ' .: , '. .$ < imaricgti i - - . 0 ' t' '''' ' .:4.' . —:-;'-'•(i.c.*;i4t.----,4,31,rit-LvYies.,fit,.... ..;.-;42-cf:e?-ie. '.. e:. : ',....-:.. , . . , e A O CERTIFICATE OF LIABILITY INSURANCE OATS VAIAIDWYYTO 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: It the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 endorsements). PROWLER ER RENEWER,INC. —' rA TWO ALLIANCE CENTER AREA qe FHt j WO,xoy. 3590 LENOX ROAD,SURE 2400 THAT ATLANTA,GA 39225 ADDRESS: L'' INSURERISI AFFORDING COVERAGE NMCI 100492.HOme-GAW'.I7.18 INSURER A:Od REANMC Insurance Co 124142 INSURED INSURER a:AO Gero19:LANIN eCompwy +4215Y SHE ACNE CEPOT,INC. CME CEPOT U.S A,,NO ,INSURER c:NEW Hamcs2Ma ma Co j23841 2455 PACES FERRY ROAR Jai BUILDING 020 -- ATLANTA,DA 39339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: AYL00374€3SI/11 REVISION NUMBER:2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TRE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYPTHSTANDING ANY REQUIREMENT, TERM OR CONDFYIGN Or ANY CONTRACT OR OTHER DOCUMENT WTSH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED SY 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, 50.I nP AOOLIWpDI pIB NICOttYf'fl IPOLICY S�EPI 4➢4n3 SRTOE OFINYIIRANCE IINYG:VIED' POLITE Rumen A 1 X ccwaeRGAL GENERAL LIABILITY IMW2Y110022 SMITE/ °SPIRO'S suclorcuRRENcs BOCC,001 CIA MFMADE X OCCUR I +9iMN3 TO a'NYW, teea000 I1— UNITE MITE OF PCLICY XS MED VP{Any we Rerun) EXCLUDED I OF SIR: M PER CCC PERSONAL&AW INJURY 9.000.000 GEHL AGGREGATE LOA eP?UES PER I f GENERAL AGGREGATE 9,000,000 x l POLIO pz_ _ LGC 1 I LGoUCraa-COMP/0R AGO 9AID&W 1 IOT-HER A UTTOMORILE LIABILITY MWTECCO21 MIME 03.61/2010f CLCNaa ulraE LAW tc99,D99 X ANY AUTO moms SWAY Per PMHMI ,ALL OWNED i—I SACHEWLO SELF INSURED AUTO PHY CMG DOLILY INNRY(Ppavo&n} LTIGS HIPPOSAUTOS �I NON'OWNED +Pam MA I 1 . I UMBRELLA use OCCUR EACH OCCURRENCE EXCESS OAR ■ CLAIMS-MADE AGGREGATE I I 10ET I RETENTIONS I L I B IWGRKCTSGOMPENYADON I WIRCAR EWERS IOPOIFLOI1 IO310V2201B X I51a4iE ION AND SEPLOYEI6'LVA&RT i 0 App PROPR1ETO PRTNERrEXECUTIE 11 NI WC923192t20(AK.NHNJ Vii O201t2017 ENITAS1B FL EXN ACLi;YO.LAI CFFICERJMEMDER EXCLUOEOJ IOENr S IMandaory In NH) 1NC 0Z31024241W8 03101/204 1010112018 FL DISEASE-EAEMPLOTEXe 5 I,004000 IICESCAPTON QF OPERATIONS PCPs Konlinved on Ad/ibinal Page EL DISEASE-POLICY VMIT I5 1C00 OW I 1 I DESCRIPTION OP OPERAPONS I LOCATORSI VEHICLES IACORO 01,AddItIone1Remarke Sc .Cute,mY be atoned I/mon apace is nyuNd) EVIDENCE CF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME CEPOT USA,NC SHOULD ANY OF THE ABOVE DESCRIED POLICIES BE CANCELLED BEFORE 243 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATLANTA,(IA 30339 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Of Maras USA C. I Manashi Mukhetee .Mauaae-. „g4.uu_...A va. 101988-2014 ACORO CORPORATION. All rights reserved. ACORD 25(2010/01) The ACORD name and logo are registered marks of ACORD A3=-:ICY cUS1OMEER for ?:Cala LOC R: Manta A CORD ADDITIONAL REMARKS SCHEDULE Page 2 of AUEKr Vammaisuma ACHE:ant- _3 1.'IC i 'ASA -Ct MLCVWlMBEA 14A5 3 E'S'11PAnRCAp manna SA ?an CAT RIR i:CCE ' }iF C17VE ii(31 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO CORD FORM, FORM NUMSER: 25 FORM TITLE: CaMficats of Liability Insurance _ Women lEmen.wUn:0 mLwee: Cem e nftemno.nsunnce Camcany 11'OM Atercx Pv1c•Iluneee ma:1311ma,aLannr„in AM AV-A MS Sr IEAM.IID SX CAC NV W1; Eft t e Oae.)S tiC1r EAsaaNA bre:l"2M4O1a ,(El Ural:SI*CO CAN Cows:Sew' mn,ay.rxaa Comps Plc,v'm't r NC 123102 A22 CC.CEINI M.M -IAN.9TSI,N EI'ecwo Owe/0241i1017 Ewe2r,Dae sv91C13 it is OX ar.'CZ±merwan'nsurrrca Comvaq AIL/Ntocer ACV CAW 1232.cSiUA$CA 1:IG.JRVA•W Aired/NI:at 0101/2517 Eapnlen Cale:O1OI1O'8 L'<m.L SI SCO.'C0 IN CI:CO COG 9.1'n:N_:etss NA2.^..G1;lL..N,AWA Carr'.national Kion Are lnwnnca Comply Poky'kmwr WAC e3aa144 a/S4 SCO,CTOA.MEW.NVDU'.Uq Swim Owe:53AIIi2LIA &nrnwn Ore:ONOe2OIS IE )Lmt SI p0O,N0 SI COIXO31R M We Ewes/NCO MENIAMI.ON.A&UT S.SO.000SIR'mr ne;.eteutCAA MO.=SIR bum nae of CT Grua'ANNANUnan Fre inv./NAG Cvmoan E,Ic,gamer PAC E83:43,CSIi I ) ner,.b:e:ITOAWn 'vonaan)aralIn.?si tEE:Mt XO IO 'R3.$o.Ico f<cmno*t xuaCannn _arerlor ez'ymn natnnca:omear imp*rater SAS CldSU2E;'x1 Eimmenataltaan -,"man)m:110b2013 Ela p rtt P.O'KO,IDO an,l!ann LEO A CORD WI (2008101{ D 2OOA ACORD CORPORATION. All rights reserved. The CORD name and logo are registered marks of ACORO +aogd :ua n , 1JY{pmt �. _ .1x1110 '9 swaadsUT oe[gmnM'c .rop dsuilup!I aat317i2s1.)Imo i?CUD T 11mallutIJ(I uini!nSi-1 Ipiooxldo p.ICOSI tit :OHO oiaJj )tiiPOInny nalnssi 1 ri:KtldaiZ}, d 1 J Malik ennoi.ro.i:ra.frl paiapimua o¢m 'onn mnp 1u;rn.e.r1 mu nr/ Pifint as"pn;,ut0u �.yi lif _fi�7� fr M1,.., 1` ItticlNtS .„, 111118t{J Siata fl itii4 Hi:m .1 nil Unfit an,c Fn.—fain giiia 1 _ Q 1 l f ) l t } .Lr op/ .m._ 'Ilpp tlil 14`11%4Q1 anamsm n'?V la '4110 11110411411D0'III Jo x11111)DDI m 1).11)141 A MI.Da XUIU J>an.elc sn11.p tion.V".10]11101 114111DID i.en 1100 UCp$of ch. . .-CUD pm:)pt(ppo P1il/\ lois l: 0111.1 ,p w pprllraod scc pat.s1 11 unaaidm I ,nn ul IDID f(fOD9D/n ul Cn nuu a,"et o} lvynmd uugekl. ntitinn,>1-s tS��'tci-•' non diniti pnnnadi srtiny Etis. >lrlfel u (7 (710 a;op sour dsa pun.Jac;umu tallod alp Rnuings)a&id impuluoap Sal;od tioriesnatituoa s nrymat atf to WO? 111u.mr ...“et.�� d, { 9.7' W ,114, qpi (JJ I tee- - i u I l incix 3 /�f(4 /"y � .� p t� r l PL"-.11 ti 1 doi,1°d 4-471-77. / '" I i �' rfc7 aa¢a nu duTo pwr,:rti ui ��-.� -r / ."V- -uulnnm101P Jpc clo(prro,iie/ud dql+(molal) soalu/c/im 0I.m .7,UP Ins tit uo1/PSII u00 td prm(:iuynvlid Si 1nyl.I.J.to iUA ten ✓ i, I z i .� t`" . p..w gym) i r - .0 y.= 1 1 > 1 k I nt daldaollE1 tintinn -TO Sr-Ulla/iHInul94.1❑ „t D144.1141pID uI 111141IC1Dt 11.u>:a01 0 us i ppt urylnq ft . . tulauud 4 6 _p�111.1.0 .i... n .� �, ('lu ppulllav LJ S °.nlr DDT DID'.i t "l1 np ip ,ll:ti1111 rtt 111x , o-l.� ua.1116a.1) PAfald,j0 1eNa1 l Ll:rundid. rivl EL h to >. ill t „ ) ___Lej{ 2C 4v V fT "I Llm o,• 0 J111[n, Ins_ -nn41- sCa1T 1[m11 ojo lucph.thp. ,ipt{onq.i/snmlluaaiy2lope.0 Oslapimd 11tpji"aaul nsu to nsuadttm %..-rp1nV\ nlp/a0i'Mili nm 4 ! ZOr i t ico trfrf ',flu/sow Our a)t F_ Vad S c Ft ai_082,14 S seclarua.7D 1111 simui fo lanlrrd.l11d:(r =- `i_ 1- - stldsue/;icssv[ fo Lfff✓d tesoOL1110) alfa _ — Office of Consumer Affairs and Business Regulation 10 Park P'aza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 126893 Type: Supplement Card Expiration: 8/3/2018 THD AT HOME SERVICES, INC. RICHARD TROIA 2455 PACES FERRY ROAD, HSC C-11 ATLANTA, GA 30339 Update Address and return card. Mark reason for change. Address Renewal Employment I Lost Card Office of Consumer Affairs& Business Regulation License or registration valid for individual use only HOME iMPF1OVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 126893 Type: 10 Park Plaza -Suite 5170 Expiration: 8/3/2018 Supplement Card Boston,MA 02116 THD AT HOME SERVICES, INC. 'rHE HOME DEPOT AT HOME SERVICES 1 RICHARD TROIA 2455 PACES FERRY ROAD, HSC - - C i tAiT ANITA, 3A 30339 "'y Lei Undersecretary I = of valid without Sinnafnre I _j i ! t I , i i • i i 4,-4=24,44, iia Va"„i, _ Imo.-4 _, idles Su`+Mcti IDTpiS311p1:3 .'t1:S' t 6useil_. . -. I maps •_ ate,=A. .4 u+ounnszs�otr voeuauao Uesuv up 'RI .9 . -t - ;rte 1.t« =-tt-"Mt j =,, Et, -- iI aouv*.pusuu 1 egis 59Nifed _D;,VUOa d 1WNGWOOH - ! 1 {SFJ=!-0=Y<) id-U5'{1) il7 �nn I Itleioaler0 urED 1'H 1°!oS 1 .10.13-24-f _ .. Odd AJc3itr3 Surly s!gnou =df.i;uanc^_o c unGemS b3^t�l uocra Irmo - �� �' ti 4 z'isoowop!ALA/pooh, ! .r.--!!, . D!,--NI-CIN. I u;- r9Rz50t. Sf . •t� a19Ms+WnYroaNBllpe 2 _ i Bm '_ T. c b 3. • - -- ::; off a I " r '"=ands sal. Qa„ .m"J'" k C 0 I r ' � 4 -aaUR1a+? mapoi R9Ei ens-'unpacmtapm{nug jgun awonnOU an May 051708 37a richard Troia 4013532517 May 05 1708:37a richard Troia 4013532517 p.2 Home Depot Contractor License Numbers: MA Home'mDrovement-:onuador Rog.k 125893 Salesperson Name and Registration Number: Timothy Drost: HIS 0553710. R-R-073-15-00005 Home Improvement Agreement Hone Depot U.SA., Inc.(Home Depot")or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. costume rntormnnnm Pat Taylor Boston North ;98326552 Fry Hare Last .cme 6'agh Name Lends _.—....—. - 26 Crescent St. ',NORTHAMPTON P,tA , F01080 [113) 5'50-6018 .. _ He t*r sF' 'NovP zon •.—_. 7,Le14 _--.... —. timothy_drost@hometlepot,com rrea'm(Ftll,rre&3 NOTICE OF (TIGHT_TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 • or Email CustomerC,anceilationNorthEast©homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOTS RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. • THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Arkn wud••dby: XA01, moi/• .% f %� 02'232017 1 May 051708',37a collard Troia 4013532517 p 3 lX Pre-Renovation Form NAT-15276Dale: 0209,2017 _ This form is used to document compliance with the reouirements of the Federal .. Lead-eased Paint Renovation, Repair and Paingng Program after April 2010. Customer Address Job Numher(s) 26 Crescent St. 9832652 NORTHAMPTON .. . AAA 01060 OCCUPANT CONFIRMATION Pamphlet Receipt I have received a copy of tie lead hazard information pamphlet informing me of the potental risk cf the'cad ✓ hazard exposure from renovation activity to be performed in my dwa lino unit.t received this pamphlet before work vegan_ _ Home Year Built 1969 Enter Pe year my home was b„91t. 1 he year youhome was bit l is Pre-1978,all wary wit Le done In lowing Lead Safe Work Pracices. Pat Taylor Printer Nemo of Ownerroccuoat ../1 ; e�nr Sr.ig ^e of owner- Pant ?grgoaiu'e of Prue Gatrync Lead Pamphlet Del.very