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31B-130 (8)
134 STATE ST 1 BP-2020-0246 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31B- 130 CITY OF NORTHAMPTON n Lot: -001 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-2020-0246 Proiect# JS-2020-000423 Est.Cost: $28103.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group RENEWAL BY ANDERSEN 090125 Lot size(sg..ft.): 4007.52 Owner: PARRISH CHRISTINE M&SUZANNE SMITH Zoning: UR6(100)1 Applicant: RENEWAL BY ANDERSEN AT: 134 STATE ST Applicant Address: Phone: Insurance: 30 FORBES RD 508 919-0900 P WC NORTH BOROMA01532 ISSUED ON.812812019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT 12 WINDOWS & 1 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 Debartment Fireplace/Chimney: Rough: Oil: Insulation: i X Final: Smoke: Final: h THIS PERMIT MAY BE REYOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES ANDDUGULATIONS. Certificate of Occupancy Signature: h , FeeT . e: ate Paid: Amount: Building 8/28/2 �19 0:00:00 $40.00 2 i2 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner � yy Department use only " Jty`of Northampton Status of Permit: B Wilding Department Curb CutlDriveway Permit �`✓ e�®`i� 2 Main Street SeweNSeptic Availability' �5 oom 100 VVaterMell Availability 1olo ampton, MA 01060 Two Sets-of Structural Plans 3-5'87-1240 Fax 413-587-1272 Plot/Site Plans Other Specify /KP TION1O CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1�-SITE INFORMATION �® UJ ` 1.1 Property Address: This section " be completed byoffice } 134 State St Northa pton, MA 01060 Map`. _ tot Unit. zone- Overlay District - Eln_St District CB District SECTION 2=PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Christine Parrish 134 State St., Northampton, MA 01060 Name(Print) Current Mailing Address: 413-320-1562 See Attached Contract Telephone Signature 2.2 Authorized Anent: JAIME MORIN 30 FORBES ROAD NORTHBORO,MA 01532 Name(Print) Current Mailing Address: 508-351-2277 Signature Telephone SECTION-&-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only " �'completed by permit applicant 1. Building -:(a)Building Permit Feed 128,103 2. Electrical (b)'EstimatedTotal Cost of- Construction from(6) <;- 3. Plumbing Building Permit Fee Mechanical V 4. ec apical(H AC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 2;8,103 Check Number This Section For Official Use Onl - Date Building Permit Numb r:" (I, _ . `Issued; 4. . -Signature:• I. �I, Zg_ ZOlye Building Commis loner/Inspector of,Buildings bate, 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:= C� Rear Q Building Height Bldg.Square Footage Open Space Footage % �--1 (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Pe mit/Variance/Findin ever been issued for/on the site? NO DON'T KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES 0 IF YES: enter Book �� Page and/or Document# B. Does the site conta h a brook, body of water or wetlands? NO 0 DONT KNOW YES IF YES, has a per nit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued: C. Do any signs exist 'n the property? YES NO ' 0 IF YES, describe ize, type and location: i D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe ize, 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 QT IF YES,then a Northampton Storm Water Management Permit from the DPW is required. If r f SECTION 5—DESCRIPTION OF PROPOSED WORK_(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing 0 Or Doors CEJ Accessory Bldg. ❑ Demolition ❑ New Signs [m] Decks [Q Siding[0] Other[0] Brief Description of Proposed Work: Replace 12 windows Ld 1 door Alteration of existing bedroom Yes No Adding new bedroom Yesp No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.N 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 Compliancy. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.ofw'tlands? 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-, Christine Parrish as Owner of the subject property hereby authorize JAIME MORIN to act on my behalf, in all matters relative to work authorized by this building permit application. SEE CONTRACT 8/23/2019 Signature of Owner Date I JAIME MORIN 1 , 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. JAIME MORIN ti Print Name 8/23/2019 p Signature of Owner/Agent Date j i v SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: :Not Applicable ❑ Name of License Holder: JAIME MORIN 4 90125 (License Number 30 Forbes Rd. , Northborough, MA 01532 110-06-20 Address Expiration Date 508-351-2277 Signature Telephone �9.Re istered Home Improve ent Contractor: ��j ;Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name ,Registration Number 30 FORBES ROAD NORTHBORO,MA 01532 12-22-19 Address Expiration Date Telephone508-351-2277 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) I 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 b�ujllding permit. Signed Affidavit Attached Yes....... . No...... ❑ 1 L.- Hohie er,Exemofibif Exe 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�ork 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 lwhich this permit is issued. Also be advised that with i)eference 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. j The undersigned"homeomber"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 i i w 1 f The Commonwealth of Massachusetts fo Am Department of Industrial Accidents I Congress Stree4 Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers i Compensation Insurance Affidevit:'Budders/Contractors/ElectriciansMlumbers. TO BE,FILED wiTH THE'PERmirnNG;AUTHORITv., Au4lieant In[g imation Please Print Legibly NarltQ(4usiness Otani i fidvAndividual):Renewal.by Andersen .Address:30 Forbes Rd. City./Sta.(e/Zip:Nor borough,MA 01532 Phone#:508-351-2277 Are you ae'empipy"I Chet!the appnprlete host: Type of proJt:ct(required): t,0 t.m.employerwith"��0��emp>oy frau onarocput ame).• 7. 0 New construction 2 Q l am a.sole proprietor o pattaershtp and hove no employees wwkioe for me in 8i Q Remodeling any capacity:ENO work '6omp,rasuraace sequiad] j 3:Olam a tiameowncr dour'all wnrk myself[No workers'comp..insurance required.]' 9.;0 Demolition I10�[•Building.addition <]l am a bomeowne sad i rill be hiring eonuacmrs to conduct all work Gamy property. 1 wll casme:dWAll'eontn eithwIave workers'compensation•insumme or we sole 1110 Electrical repairs or additions Proprietors with no crop oyft& IZ y Q Plumbing repairs.or additions S:Q 1 am a gcoad wanacto;and 1 have hired the sub-eosuructors listed on the attached sheet 1, • Roof r 3irs- These sub�oontracurs ht{�a employees and have wrotkers'comp.insurance. 6.D We ate a cwporatioa aud,ils officers dare exercised their right of cxemptioo per MGL 14!E)Othcr Replacement J S2,f l(4),nisd'4t have:rio employees..f No workers'comp:irisuranu iequirvq 'ilnyopplicanc•thatchccksboxdl:mum-also'fill.wxibeswdon:belotv,sboui thcir%%urkcrs' •iny compensation policy iafomkWion: i Homeownas Who a tihmil'tlusaffidovitindicating they are doing an work sad then hire,outside coratWton must suhniira new affidavit iddicatioy sash. ;coauaemw that cheek this box cnustatia ebcd cn addnioael shit showing the name of the subcontractors and state wbether or not those emities have -ployees.,If*sub-conVacwiF have employees,they roust provide dwic workers'camp:policy number. I am an employer'that.ispraildfug workers. compensadoninsurancefor.tay,employees Below is thepolley and job.*e informador. Insurance Company Namc Old-Republic Insurance Co. Policy-tor Self-ins.,Lic. I' MWC31431500• Expiration Date: 10/1/19 Job Site Addresst. 134 State St Ciry/State/Zip: Northampton,MA 01060 Attach a copy of tate workers'eompensatioapolicy declaration page:(;howing the policy;number and tWiration date). Failure.to secure coverage as required under MGL c.152;§25A is a criminal violation punishable by a fine up to 51;500.00 and/or ono-year unpnsonment,as well.as civil penalties in the fotm of a STOP WORK ORDER and a fine of up to 52'50,00 a day against.the violator,.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificat i Ido limb erdfy"an&r it A ains•andpenaides.of perjury that the information provided.above is true and correct sl I a 8/23/2019 Phonal{;• . =2277 O,B?clal ase only. Do riot iwr tai,this Brea,to be completed by My or town*,UWaL I City or Town: PermitaAcense q i Issuing Authority(clic a one): I..BoArd`of•Health 2.LeIlding Department 3.CitylTown.Clerk 4.Electrical Inspector 5.Plumbingluspector 6.Other,, �. Contact Person: I Phone#• i w Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MW2018Y) 10/02iU18 THIS CERTIFICATE IS ISSUED AS A'MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMAITIVELY 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 holdeIr is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 NAME: Willis of Minnesota, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd AIC No: P.O. Box 305191 E-MAIL SS: certificates@willis.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC III INSURERA: Old Republic Insurance Company 25147 INSURED INSURER B: Renewal by Andersen LLC 30 C Forbes Road INSURERC: Northborough, MA 01532 DSA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W8317748 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 MA`j 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MWDDIYYYY) (MWDDIYYYYI LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 AMAGE TO CLAIMS-MADE �OCCUR PREM SES(EaEoccurrence) 500,000 A MED EXP(Any one person) S 10,000 MWZY 314161 10/01/2018 10/01/2019 PERSONAL&ADV INJURY S 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 X POLICY E JECTPRI IF—]LOC PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COEa aMBccINident ED SINGLE LIMIT $ 5,000,000 ANY AUTO BODILY INJURY(Per person) $ SCHEDULED MWTB 314159 10/01/2018 10/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS OWNED HIRED NON-OWNED PROPERTY DAMAGE $ 1AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE ERS _ A ANYPROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED7111 1, 0 NIA MWC 314158 00 10/01/2018 10/01/2019 1,000,000 .(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descr be under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is requlred) This Voids and Replaces Previously Issued Certificate Dated 10/01/2018 WITH ID: W8291089. 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 A Evidence of Insurance 1W%• `tom ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID, 16836288 BUTCH: 892974 Renewal Agreement Document and Payment Terms 11 byAndersen. dba:Renewal by Aiidersen of Boston Christine Parrish ALACEMENT, Legal Name:Renewal by Andersen LLC 134 State St HIC#170810 Northampton,MA 01060 1:WINDO30 Forbes Road I No thborough,MA 01532 H:(413)320-1562 Phone:508-351-22CO I Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com Buyer(s)Name: Christine Parrish Contract Date: 08/01/19 Buyer(s)Street Address: 134 State St, Northampton, MA 01060 i Primary Telephone Number: (413)3210-1562 Secondary Telephone Number: Primary Email: smitparr@Comeast.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement")..Buyer(s)hereby agrees to sign a completion certificate after Contractor�as completed all work under this Agreement. Total Job Amount: $28,103 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: 0 Balance Due: $28,103 Estimated Start: Estimated Completion: Amount Financed: $28, 8 to 10 weeks 2 to 3 days 1 i3 Method of Payment: Finand Ig We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We mill communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: Gs plan 1/3 at sign $9361 1/3 at start$9366 1/3sub.eompletion$9366 Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between,the parties and that there are no verbal understandings changing or modifyin any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written cone t of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. - NOTICE TO BUYER:Do not sign th s contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 08/05/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Renewal by And rsen LLC dba:Renewal by e e oston Buyer(s) Signature of Sales Person Signature Signature Gerald Perron Christine Parrish Print Name of Sales Person Print Name Print Name UPDATED: 08/01/19 Page 2 / 26 A I I d Renewal Itemize : Order Receipt byAndersen. dba:Renewal byA ldersen of Boston christine Parrish Legal Name:Renew I by Andersen LLC 134 State St Hl C#170810 Northampton,MA 01060 WINDOW NE wcEMENr 30 Forbes Road I No thborough,MA 01532 H:(413)320-1562 Phone:508-351-22 0 1 Fax:(508)986-7072 1 rbabostonbooking@andersencorp,com ROOM: DETAILS: 0 All Misc: Misc- Exterior wraps , Wrap all exterior casings to match existing train as close as possible I 101 kitchen Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, Misc: None 102 kitchen Window: Gliding, Triple, 1:1:1, Full Frame, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Standard Color Hand Pull, Screen: Fiberglass, Grille Style: No Grille, Misc: None 103 kitchen Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, Misc: None 104 living room Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, Misc: None 105 living room Window: Gliding, Double, 1:1, Active/Passive, Full Frame, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Standard Color Hand Pull, Screen: Fiberglass, Grille Style: No Grille, Misc: None 106 living room Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, Misc: None i UPDATED: 08/01/19 Page 3 / 26 Renewal ItemizedOrder Receipt Andersen. dba Renewal by Ide'sen of Boston christine Parrish 4 Legal Name:Renewal'by Andersen LLC 134 State St HIC#170810 Northampton,MA 01060 WINRCNI RE LACEMENT 30 Forbes Road I No thborough,MA 01532 H:(413)320-1562 Phone:508-351-220P 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com I ' D • ROOM: 4 107 hall Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Active/ Stationary, Exterior White, Interior White, Glass: All Sash: Tempered High Perf. SmartSun Glass, Hardware:Tribeca®, White, Screen.: Gliding, Grille Style: No Grille, Misc: None 108 hall Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille,;Misc: None 109 hall Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille,;Misc: None 110 hall Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance Smarit,SUn Glass, No Pattern, Tempered Glass, Grille Style: No Grille,,Misc: None 111 hall Window: Double-Hung, 1:1, Full Frame Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware:White, Standard Color Hand Lift, Screen: Fiberglass, Grille Style: No Grille, Misc: None 112 office Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail, Exterior White, Interior White, Glass: Ail Sash: High Performance SmartSun Glass, No Pattern, Hardware:White, Standard Color Hand Lift, Screen: Fiberglass, Grille Style: No Grille, Misc: None y r UPDATED: 08/01/19 Page 4 / 26 i Renewal itemized Prder Receipt byAndersen. dba.Renewal by Andersen of Boston christine Parrish Legal Name:Renewa Eby Andersen LLC 134 State St HIC#170810 Northampton,MA 01060 WINDOW RE taCEMENT 30 Forbes Road I Northborough,MA 01532 H:(413)320-1562 Phone:508-351-220)l Fax:(508)986-7072 1 rbabostonbooking@andersencorp.com ; I D• ROOM: 113 office Window: Gliding, Double, 1:1, Active/"Passive, Full Frame, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Standard Color Hand Pull, Standard Color Extra Hand Pull, Screen: Fiberglass, Grille Style: No Grille, Misc: None WINDOWS: 12 PATIO DOORS:1 SPECIALTY,0 MISC:1 TOTAL $28,103 i Renewal by Andersen is committed to our customers'safety 6y (complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 08/01/19 Page 5 / 26 i �+ Corninonwpnith*Vmaassaehtasetts oivnsion of Professional#.'censure ` Board of Tauiieiirtg fSegialatians anti Standards Con 'ruction Supervisor a Unrestricted-Buildings of an use group which contain Cons?>�r t t 3 � rVisor e9__ , Y 9 P � less than 3..000 cubic feeY�(99:1 cubic meters)of enclosed ` CS4125; E,r,i iw D Q20 space. i W: } I I JAIME'LMORIN t ss6s`ARi]ihlFt Tiaa� - '' n a LY1 N'MA:019 6 , S.R 1 Failure to possess A current edition of the Massachusetts [' xlivrrtlsfslexter State Building Code is cause for,revocation of this license. r M �. R,_J Foton' ha r ninabout-this license Caii(B17j 727 3 00or vrsit www.,-m" ass.govidpi c; r. L� Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston', Massachusetts 02118 Home lmprovemegt Contractor Registration Type: Supplement Card RENEWAL BY ANDER ON LLC. Reglstradon: 170810 30 FORBES RD v E?zpiration: 1219V2019 NORTHBOROUGH,.MA,01532 Yr v---' Update Address and Return Card. SCA t G 20WOSa7 444 r, �P �M7.r720�1U.'G'tLLt d p .iJ/�CG.1r3¢lld8��1 Office of Consumer.Affairs&Businessl Regulatldn HOME IMPROVEMENT CONTRACTOR Registration valid forlindividual use only TYPE:,SuDplernentCard beforetiie expiration'date. if to6ii&return to: Registration. E ion Office of Consumer•-Affairs and Business Regulation 17Q810, 12J22/2019 1000 Washington Street:-Suite 71d RENEWAL BY .-�-sr`" ;.j �`�ot�tLc. Boston,cora 02118 � , xSyf fn` JAIME,MORIN 30 FORBES RD r R �/dGloiali' NORTHBOROUGH,MA"0'1532 Not valid Xfthout signaitui'e Undersecretary I i D o u b 1 e H ungeF � byderser: WJf(b0*'REPIArrmut RA AOdt[Lp{(;nplRtAf `, F& Waaftnyl COMPOWte IF DuiDm2%g Low E4 stumisun ,. 100.00473518-010 EliFRGY.PERFORf`LtICE'i;ATI.IIGS V-Factor S)A-P. 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I � . h-' x 1 1 �a r .� yp .`F. .._, City of iYortham ton 212 Main Street,Northampton,MA 01060 Solid Waste Disposal Affidavit In accordan of the provisions of MGL c 40, S54, I acknowledge that as a condition of -he 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 defined by MGL c 111, S 150A. Address of the work: 134 State ST.,Northampton,MA 01060 The debris will be transported by: Renewal by Andersen The debris will be received by: Renewal by Andersen Building permit number. Name of Permit Applicant Jaime Morin 8/23/2019 Date Signature of Permit Applicant