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17A-264 (4) BP-2023-0666 72 OAK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-264-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTIiRED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-0666 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 24353 PEOPLE'S PRODUCTS INC 083587 Const.Class: Exp.Date: 11/13/2023 Use Group: Owner: GREENE WILFRID R Lot Size (sq.ft.) Zoning: URB Applicant: PEOPLE'S PRODUCTS INC Applicant Address Phone: Insurance: 252 HARTFORD AVE (800)354-7660 02WECAB8IXQ NEWINGTON, CT 06111 ISSUED ON: 05/23/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 13 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I 2 i � f Ti'I • Fees Paid: $40.00 212 Main Street Phone 413 587-1240 Fax (413)587-1272 Office of the Building Commissi i ner tio�t * A The Commonwealth of Massachusetts ,�0 'Q 4y '� f Board of Building Regulations and Standards ; % ,,' "^: : yl Massachusetts State Building Code, 780 CMR r' ,. cise ,>, e2„,,_, O B,tulding Permit Application To Construct,Repair,Renovate Or Demolish a 'o,r„ 4, 'r '^ One-or Two-Family Dwelling T � o n� r This Section For Official Use Only i � g Permit Number: �j/�— 3� t eL ' Date/ A plied: K.Eu,t.., �J�o� 1C//G- 5-z3-2. S Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers `7 i 014 t< S-‘-. 1.la Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zgne? Public i Private CI Municipal I]T"On site disposal system 0 Check if yes C�' SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownerl of Record: w;%cm.° &RE.0 ., )—/o1encl., m.A. o/oto a Name(Print) City,State,ZIP la On+Y: Sk- . yi3-6 9.5--S`'M aceerve,s m a_62.Co :e4.net No.and Street Telephone Vmail Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building lid Owner-Occupied 0 Repairs(s) 0 Alteration(s) li Addition 0 Demolition 0 Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work2: NecAo 4- TnSt'A L. y3 c1•rw DoJ66e, \' et t4J'.noo�S . ND S�ic 2A( cvnRiC be, r,(,PIp `. CJ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ a/353 0/ 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ s 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees $ Check No. 1�� Check Amount: Cash Amount: 6.Total Project Cost: $ a y-3 63.01 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C S- 083 s 81 nj 423 SV AW n c . ?t £ License Number Expiration Date Name of CSL Holder �� ��eIIQ List CSL Type(see below) u No.and Street a(1 Type Description E Epp!1 q /�1/.5 11 1 . O/03 D U Unrestricted 1 (Buildings up to 35,000 cu.ft.) c� R Restricted 1&2 Family Dwelling City/Town, e,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances y/3. a-17a4 xf z ed0 66 An tL• tom I Insulation Telephone EnYail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) p /58/9y /� /8 zoz3 P1 e 1p.5 `rock C1' Ln C. HIC Registration Number xp ation Date HIC Corn any Name orelIC Re istrant Name c 5 2 J llafp -4v , (q� fte o f,ks 0 ArnAil.torn No.and Street Ethail address nea.,CIy�?JI, �T. OCvll► /-S00-351- 7440 City/TMvn,State,ZIP Telephone SECTION 6: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 CI' No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIESS FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 5NRtvn tt1 i Rr�� to act on my behalf in all matters relative to work authorized by this building permit application. L, ccw CAe,enf- 57/8/01)93 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. .5/0/A n D. Pqa v/s a0a 3 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Year House Built 5( PEOPLES PRODUCTS,INC. HOME OF THE HR40 WINDOW oea_ www.PeoplesProductsWindows.com •• www.HR40.com 252 Hartford Avenue los MASSACHUSETTS AGREEMENT Newington,CT 06111 PRODUCTS cTLic#532341•MALic#158194 Thousands of Satisfied Customers ! 1-800-354.7 IIII NAME: )��i/•I14,A,, W' 11."4lv��tS�� Ac � `13 The undersigned Contractor agrees_tAirnish all material and/or labor necessar�y for the` work(specified below)o premises located at No. -77 (Daf( ` City �P�*t e State /A Zip c c2C 2 Specifications of Work: I�ep‘c .PI a,�t[+CAA'S z± rl�—�C �►(y_ 4LM GLct/F_ 4ddees4 wsZ'�-s � $J(c2w.n Cash Price s iCryi l {'1-a 0 wt,it _ five- �(�..L L. (�--441 it V�-Deposit $ l LI�O� 4 rr A/ Pre-Installation Inspection$ tt vLGs et Wt ;ts. OtJ�4rDer wUt�P C'calpvtA A , Payable on Completion s�� I Balance to be Financed se-It�tn 5da Total s2�{'r'"tc14C) (( It an amount financed,finance charges Specifications of Materials:(type,1 brand,an grade) tlO w+I✓tGC9wy. 10CP/ are disclosed in financing documents lJl�ty I, n eµ,_(l_.WI,rTer"+lCL1 K'rrii7t,t Cj ltsl�J r�t:Swt «I Sb �GctGINCP? 5railPut4,Lt one wtclr y f�c� L dVt>�r.l core `n�` th. 10,.:.c� a cy cbeJ t t `05'cc cY asp ce.rn� !;'�Ptr.{_ '}'rccK.P4L a,larrts�t co(.� 2� ✓Ir- ec,. YES ❑NO I would like to receive product updates and specials via email. email address: CtG4tL°.S`t Reconnecting of alarms,painting or staining is buyers responsibility. Start Da Completion Date: O( 27 Z=j Contractor Service Guaranteef Manufacturer Warranty Coverage ( - 44� It is further agreed that performance ofthissAAggr Agreement is sub to labor strikes,fires,wars,acts of God,ability to obtain matena or workforce and to any other circumstances not reasonably within the control of the Contractor. It is further agreed that this Agreement contains the entire agreement of the parties;that all prior negotiations,agreements and understandings have been merged in or superseded by this Agreement and that no representations,warranties or understandings of any kind shall be binding on either party unless incorporated in writing in this Agreement. NOTICE:ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF,RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Dated at .c=5' pitthis --77-4tA day of rt 20 BY • Duly,Authoriz d Owner Salesperson's Name: Le.,+e, Joint Owner Required Permits The following buidling permits are required. It is the obligat'ttp�r�y}'of C ractor to secure such permits as ner's agent:i(LiList required permits) ���t ij)aux r'P (Q Ott Ay r etC.)r.-t2 `1 P.rwirT'� NOTE:Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c.142A Year House Built PEOPLES PRODUCTS,INC. HOME OF THE HR40 WINDOW wwwJ'eoplesProductsWindows.com wrnoows www.HR40.com •a 252 Hartford Avenue on PRODUCTS MASSACHUSETTS AGREEMENT Newington,CT 06111 PRODUCTS r CT Lic#532341•MA Lic#158194 Thousands of Satisfied Cust me 1-800-354-7660 /� fH) A� NAME: ki, Gr et:E PHONE:wI t `� DATE: The undersigned Contractor agrees to furnish all material and/or labor necessary for theiwork(specified below)oQ premises located at No. 7 ek.A. t ( City ���.-�fr,Ic State }-1/{ Zip O Z Specifications_ of %i Work: /4�4�„IC'/.r.a-r T) : onon7j I f c 1 l'L'.c (f-(, C✓ -.. — c-- t i CCC�,t-. /_ (" K C ( }-�r Cash Price $DT • `-L 1-4 C >/ -t,� Deposit $ �u l.C'�.. ( r yr J [^ c S' Pre-Installation Inspection$ Air C Payable on Completion $ Balance to be Financed $ �—e. Total $ 1, � If an amount financed,finance charges Specifications of Materials:(type,brand,grade) are disclosed in financing documents ❑YES ❑NO I would like to receive product updates and specials via email. email address: Reconnecting of alarms,painting or staining is buyers responsibility. Start Date: Completion Date: Contractor Service Guarantee ..1 Year Manufacturer Warranty Coverage _..Year(s) It is further agreed that performance of this Agreement is subject to labor strikes,fires,wars,acts of God,ability to obtain material or workforce and to any other circumstances not reasonably within the control of the Contractor. It is further agreed that this Agreement contains the entire agreement of the parties;that all prior negotiations,agreements and understandings have been merged in or superseded by this Agreement and that no representations,warranties or understandings of any kind shall be binding on either party unless incorporated in writing in this Agreement. NOTICE:ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF,RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. qq Dated at _Y1 this l 5-1ti� day of BY " t DulyAythgrized ( j Owner Salesperson's Na e: 1`f c Litt c Le T�— Joint Owner Required Permits The following buidling permits are required. It is the obligation of Contractor to secure such permits as Owner's agent: (List required permits) NOTE:Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c.142A THE COMMONWEALTH OF MASACHUSETTS Office of Consumer Affai and Business Regulation 1000 Washingt,O r t- Suite 710 Boston; Massachusetts 02118 Home lmpprovernent ntractor Registration i s L.:A Type: Corporation PEOPLES PRODUCTS, INC.CTSINCjTE0° n: 12N8/2023 NEWINGTON,CT 06111 _, ' t . n� , r r/ .-- ;am..-, .t�.. :7' 1.•f- aW.,.. Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPEL-i oipotat1on Office of Consumer Affairs and Business Regulation Reaistrat( -EX, 1000 Washington Street -Suite 710 1581 442/18/2023 Boston,MA 02118 • PEOPLES PRODUCTS,1NC. , _s I,; Y ry H ��• , WILLtAM WILSON n 252 HARTFORD AVE. 7 . .. ` ,,,,ea 7..e6,..k -- N(WINt3TON.CT 06111 'jr,-7+v n,0„, Undersecretary No valid wi out signature i The Commonwealth of Massachusetts `; .- _t Department of Industrial Accidents I Congress Street.Suite 100 t:;=;1 Boston, MA 02114-2017 www tnass.gov/dia 11 oilers'( un,pensation Insurance Affidavit:Builders/('oniraefors/EkctricianstPlumber.. It)HI III I I)W fill 11W PERM I ITI,i(;Al'THOK1 Tl. f l)PIIcant Information Please Print I.ettibls Name 1 Bus mess(1rgam/anon[mils idual t. 5 NA In i?t gt Address: 0 rr3''i \<e 11 A)to _-_ City/State/Zip:1' tD'tnc \�llS,/l2A. 401030 Phone#: y/,3't2t!09-/7�40 Art pin aaea*byer"t heel the appropriate loot: Type of peeled(required) I a I am a etnpkrlsr with cmpiusers thud and in part-timed• 7. CI New construction :0 I am a suk pruprutur or partnership and hasc no%mirky...cm viurling fur rem in 14. dRer1106:1ing ans tapiocas I\o w.HLrs chart{.insurance mound l 9. ❑Dominion .KO 1 4111 a hrtnaovi lief atriniz all*0{t ml',CIi I\i)Nadirs sump.insurance tesputci j 10 0 Building addition 4.0 I am a hone.m net and u ill be hiring cvnilactor.to.onduct'all vital on m. pnprrts I utll, ensure that all swira.turs either base winder'c.mnp.nsatu)Il ulsuran r to arc salt 11.rj Electrical repairs ur additions pl uprletors w ith no.niplus r.s 12.0 Plumbing impairs or additions .; I and a idlalal coinastty and I have hind the soh-.unua.ttrn hated on the aftsched+heet I hese sub-cuntrxtuts lase cntplu,c.-.and liaise a misers'sump insurance • 1 30 Root repairs 1-t.El Other h.Q We an a..rrpuratum and its ofri.cn!use.s.rcised thou nght ofeseniption pet Mt]L c 12.41(At.and we brie no lmploscc. I\u utilisers'comp insurance required 1 •tins appllaant that.h.sls hit•t must al..till oul thy,e.taai!+low showing then autters'compensation pulwms Inl:anuti tl ' iL!111./)wAl,whto,u7rnl IJu,alll.lalit lndseatrny thes ate d.nng all woe►and then hoc uutat.k.uatra.l.a,must,uhtn,t a new atfldas il inh.ating sie.h :t untia.turs that cure./au.hos must atta.Ise.l an akhiiunai short shuumg the naive of the wb:tntira.tun and'tat.vihcthei w not those minim has. rinpluacrs It the,uh-siastractta•has.crrplosccs.they must prosaic Ilisu *tilers-tons{ pout) 1 urn an employer that is providing warLera'compensation insurance Jar my ployees. Below is the polies.and job site information. Insurance Company Nanse. -ill& CJ isrs1A\ ' ...1.-1)(:,. Policy fir or Self-ins.Lie.a: 02.W EGA B$I X(.. Expiration Date: /////94093 Job Site Address:1) OAK >}". City State Zip:-Io v Mel. 0/O(oa Attach a copy of the workers'compensation policy declaration page(showing the polies number and expiration date). Failure to secure cos crag':as required under SILL c. 152.;25A is a criminal sroLattun punishable by a tine up to S 1.500.00 and or one-sear imprisonment.as well as cisil penalties to the form of a STOP WORK ORDER and a line of up to S250.00 a dry against the s tolator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage senticatton. I do hereby certify nder pains d realties of perdrary the the lnfarrnatirrn provided above Ls tare and correct $,trrtatun. .o Dal.. /,20v?3 Phone:. 0,:3 -ca-11&69 ^ 011kbal vise only. Da not write in this urea.to he completed by city ur lawn official —11 ( its or Iown: Permit'I recent i Issuing.luthurits (circle one): 1. Board of Health 2.Building Department 3.('its:Town('Ierk 4. Electrical Inspector 5. Plumbing Inspector b.Other ('contact Person: Phone a: �-� PEOPPRO-01 KTETREAULT "%cORO CERTIFICATE OF LIABILITY INSURANCE P DA 1/3/2023 E Y) 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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: The Quintal Agency,Inc. ((A//CPHONE ,Exty(860)564-3315 FAX 127 Norwich Road (A/c,No1:(860)564-8253 Central Village,CT 06332 ADDRESS: INSURERISI AFFORDING COVERAGE NAIC I INSURER A:The Hartford 30104 INSURED INSURER B: Peoples Products,Inc. INSURER C: 252 Hartford Ave INSURER D: Newington,CT 06111 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 MAY 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI LMMIDD/YYYY1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 02SBAAK6229 1/25/2023 1/25/2024 DAMAGETORENTED 1,000,000 PREMISES IEa re,Irrencel $ X Hired/Nonowned Auto MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY r 1 j LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER EMPLOYMENT PRAC $ 50,000 AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea $ ANY AUTO BODILY INJURY(Per person) $- OWNED - SCHEDULED AUTOS ONLY AUTOS SSWNEp BODILY INJURY(Per accident) $ _ AUTOS ONLY _ OS ONLY PR acOcideRntDAMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION PER ER OTH- AND EMPLOYERS'LUABILITY Y/N 02WECAB8IXQ 11/1/2022 11/1/2023 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE [ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 500,000 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attk ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Northampton I ii•,,.P 12\ Massachusetts �t5'x. a.._ �'e m r L 1 DEPARTMENT OF BUILDING INSPECTIONS � '° en •� r :%•,. " 212 Main Street • Municipal Building yeti C* \ _ Northampton, MA 01060 '�J 0- CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 026c j'7 AU, /V F41i// %/1 c7• oe/// The debris will be transported by: Name of Hauler: 4,04-$ 4a)(7.1' -G_ Signature of Applic(nt: ., Date: /e0O 3 Licensee Details Demographic Information Full Name: SHAWN PIRNIE er Name: License Address Information City: Feeding Hills State: MA ipcode: 01030 ountry: United States License Information License No: CS-083587 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 1/21/2022 4ssue Date: 11/14/2006 Expiration Date: 11/13/2023 License Status: Active Today's Date: 5/16/2023 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents W40 E• Full Window HR40 Thermal Performance Window u-value r-value SHGC VT Type Double Hung 0.18 5.56 0.23 0.41 Slider 0.19 5.26 0.23 0.41 Casement I 0.17 5.88 0.19 0.34 Awning Picture 0.15 6.67 0.25 0.45 Window Casement PW 0.15 6.67 0.21 0.37 Casement Low 0.15 6.67 0.26 0.5 Porfile Sliding Patio 0.21 4.76 0.24 0.44 Door Swing Patio 0.22 4.55 0.23 0.42 Door