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11C-072 (4)
BP-2023-1297 112 FLORENCE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 11C-072-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1297 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2023 Contractor: License: Est. Cost: 18446 HOME DEPOT USA INC CSSL098785 Const.Class: Exp.Date: 04/27/2024 Use Group: Owner: BHARTI PATEL DILIP& Lot Size (sq.ft.) Zoning: URA Applicant: HOME DEPOT USA INC Applicant Address Phone: Insurance: 2455 PACES FERRY RD NW 860-952-41 12 WLRC50668058 ATLANTA, GA 30339 ISSUED ON: 10/05/2023 TO PERFORM THE FOLLOWING WORK: 16 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 � � 9-1i • f • 1 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / ' '? C ./v The Commonwealth of Massachusetts 1 Board of Building Regulations and Standards--_- I FOR Massachusetts State Building Code. 780'CMR' -� ICIPALITY W USE Building Permit Application To Construct,Repair.,Renovate Or Deaip!is jivs 'sed Mar 2011 One-or Two-Family Dwelling ~- --, This Section For Official Use Only BuildinJg�P rniit Number: `8°-3-3- 1 9 7 I Date : /0s l�// /D J1 oz3 Building Official(Print Name) Date SEC IlON 1:SITE INFORMATION 1.1 Property Address: IZ Assessors Map&Pared Numbers 1/2. Huroneec/ Le is NI 0/os3 I.la Is this an accepted street?yes ✓no Map Number Parcel Number 1.3 Zoning Information: IA Property Dimenaisr t Zoning District Proposed Use Lot Area(sl ft) Fro (ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(MGZ.c.40,f54) 1.7 Head Zane ass: 1.E Sewage Disposal System: Public 0 Private 0 Zone: — Onside Flood Zone? Municipal 0 On site disposal system 0 Check if yvs❑ SECTION Z± PROPERTY OWNERSHIP' 2.1 Owner'of Record; ?I lip aw d Ai .e . A keels- A,4 e/c63 Name(Print) J City,Stare zip j/z Plyrmee Sled 4(3- 4g7- br .0K C a 6 o 'i No.and Street Telephone Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(ebark all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 { Repairs(s) Cl 1 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units I Other pacify: F1(de.e/ye-, Brief Description of Proposed W 2 l / r%'... �. ge fl/g e AAA et 14.e AA4,e4e/.v✓1 /do - /'IGt. 7a- A ft.C_ ?PIA A) Sf a ..c Grr/,,,,e a A t,-• 01, 3 a SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Item Costs: Official Use Only (Labor and Materials) 1.Building $ 1 of/e .et I. Permit Fee:S Indicate how fee is determined: 7 '0 Standard City/Town Application Fee 2.Electrical S 0 Total Project Cost3(Item 6)x multiplier x 3.Numbing $ 2. Other Fees: $ 4. Mechanical (HVAC) S List: 5.Mechanical (Fire �j Suppression) $ pq Total All Fees:Ala Check No.416 $hnhe k Amount Cash Amount: 6.Total Project Cost S / gj 1(/Cf v- 0 Paid in Full 0 Outstanding Balance Due: ithr ra.mv,- i t U FA SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) D 9 ?5 tt. aSG (- ✓✓✓� License Number Expiration Date Nam of CSL Holder 72 S 1 /1� /� et 4 d List CSL Type(see below) WS No.and Street �U Type Description *all 30•r v/e s U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted la•2 Family Dwelling City/Town,State,ZIP M Masonry RC dow Covaid Sidg ing Window and Siding p� Solid Fuel Burning Appliances /.�Z- Wr Z ,o l lnsnlaation Telephone address / D Demolition 5.2 Home> ro tC.ntrsac o ((MC) f '2zizs �� P 1' ''I$4 yl - HIC Registration Number Expiration Date Coony or'HC Registrant Name lf _ .e0f, No :s• Street / �/ ,tonsil ,tet City/Town.State.ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.4 25C(6)) Workers Compensation Insurance affidavit must be wed and submitted with this Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? Yes [ No SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize to act on my behalf in all matte's relt a to work authorized by this btu permit application. Print Owner's Name(Electronic Signalise) Date SECTION 7b:OWNER'OR AUTHORI7ID AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that a8 of the information contained in this application is tine and aomaate to , best of ta 'ledge and umrlerstanding. ttiti L Cruner J� •�, � 9- - Z3 Print Owner's or Authorized Agent's Name(Electronic �,,• _''r (Date NOTES: 1. An Owner who obtains a building permit ter do his/her own work,or an owner who hires an unregisieral contractor (not registered in the Home hn rovemeitt Contractor(IBC)Program).will Nat 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.R) (fig 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 htalfibaths Type of healing system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center 2Avenue de Lafayette, Boston,MA 02111-1750 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name vidwml):Home Depot USA, Inc. Address:2455 Paces Ferry Road City/State/Zip:Atlanta GA 30339 Phone#1-860-952-4112 Are you an employer?Check the appropriate priate box: Type of project(required): 1.❑ I am a employer with 4- Mama general contractorand] employees(full and/or past-time).* have hired the sub-con racto1s 6_ ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship and have no employees These sub—contractors have 8. 0 Demolition working for me in any capacity. empbyees and have ems' 9. El Building addition [No workers'comp.insurance comp-insurance required] 5_❑ We are a corporation and its lo.❑Electrical repairs or additions 3.❑ I am a homeowner doing an work offices have exercised their 11 n Plumbing repairs or additions myself [No workers'comp. risk of a Per MG- 12.0 Roof repairs insurance )+ c 152,§1(4),and we have no Window replacement employees_[Noworkers' I3-�Other comp.insurance required] *Any applicant that ehenks has#1 nmst also 5H art the section bekw shooing theiraufress'common poficy information. t Homeowners who suteait this afrahnitiadicatingtbey are dung ate roam mad then hire outside an arsors mash skink a new affidavit nahading snob_ $Contractors that died:this bosinist ansokedas additiond sheet shaming tier m=of the and state whether or not donee entities have employees. If the Mors have employees,they must provide their workers'comp.i cy number. I am an employer that is proviting nars*etrs'comytensinion sae for sty employees Below is the parity and job site information. Insurance Company Nam_Indemnity Insurance Company of North America Policy#or Self-ins. Lie.#: -/ C Expiration�:3/1/2024 Job Site Address: /1Z 7 /o`eAA<C J e4 City/Statte/Zip: G'e'd$ MA a A'S? Attach a copy of tie wor3uers'compasatin paircy declamation page(sinning the poky monher and expiration date). Failure to secure coverage as required under Section 25A of MGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one—year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cestifr under the pain and penalties afpe*Ary tkmt tie iwferwsattion provided above is time and correct Si - 1�''- Z3 Phone#: 860-952-4112 Official use only. Do not mite la this antra,to be completed by rife or town Wrist City or Town: Perstit/License# Issuing Authority(check �and of Health �): 1Boildiog Hqsartament 3 l ty/To rn Clerk 413FJettrical Inspector 5Ekumbing Inspector 6.00ther Contact Person: Phone#: City of Northampton - � ,,, . s,.. , ti,.::y Massachusetts, _`�' w_ Cl�, # 14 Vic' Ai ,{ FY.'+ I OF BOZZDI' l� II TIMIS �' lei.. r' Ma-p' 212 in Street • Municipal Building Northampton, Li . ter»i Mil 01060 ry,P �('3 Pi a 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: ATE 9DQi L 7_2 Siia ko, 0A040/ ( .f 2 ie(d ( T oO 2 The debris will be transported by: Name of Hauler: JJa/tR25,6t7'5ié4y Signature of Applicant: Date: 1= /Z3 Clot Go Permits,LLC ER �+ 105 Buttonball Lane P;�A ��i7 Glastonbury, CT 06033 Scott Doughman Phone:860-952-4112 _:,; Fax.860-430-6719 soottdoughman@gopermits.org To Whom It May Concern, If you have any questions or require any further information for this building permit application, feel free to call us at your convenience and we would be happy to assist you. Once the permit is ready, please mail it in the provided envelope to the following address: Go Permits, LLC 105 Buttonball Ln Glastonbury, CT 06033 Thank you! David Anderson, Permit Expediter Go Permits, LLC Phone: 860-402-3293 Email: davidandersonegopermits.org G.Ferules,LLC 105 Iikittcrbal)1J G uy CT O6033 www.gopermits.org WINDOW SPECIFICATION SHEET - Spec.Sheet#: F35743829 Sheet: 1 of 2 Customer: DIlip Arid Brljash Patel Job#: F36743629 Consultant: Ronald Engelbrecht Date: 08/19/2023 New Window _ Existing Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening N of bars a of bars Cants,1 Pnl, use L,AorI , Gila. Misc Items Hardware Screens Cade For doom use Mull •8".stationary or Style Wraps p I g I 1 1 1 „v..operating- Room Floor Cods Y/N 8 e Code Sallee Cods 5 N trf STD,White, OlsssPack: CONV BS, 1 LIV 1st BYC46 Y OH 0100 WH WH 28 58 84 Standard WRAP C a , STb,White, OlsasPack: MULL, 2 LIV lit BYC46 Y PW 6100 WH WH 28 58 84 Standard WRAP C . , r . a . — , w STb,White, OlassPack: MULL, 3 LIV 1st BYC46 Y DH 6100 WH WH 26 66 84 Standard WRAP C STb,Whit., OlassPack: WRAP 4 OAR lit DH• Y OH 8100 WH WH 32 46 78 Standard ALDER .- r a I . STb,White, Olas.Pack: MULL R, 5 *ITCH lit C2-i- Y 2 PNL 8100 WH WH 39 39 78 Standard WRAP X 8 SIR STb,White,IMP:Full, WRAP 8 BATH lit DH Y DH 0100 WH WH 26 38 ee Glas,Pack:Standard ALDER STD,White, OlasaPack: WRAP 7 BED1 lit OH Y DH 8100 WH WH 38 60 Be Standard ALDER _ to-- STD,Whits, OleasPaok: WRAP 8 BED1 lit OH Y DH 0100 WH WH 38 50 SS Standard ALDER SPECIAL CONSIDERATIONS: 1;White,2:.White,3:Whits,4:White,6:Whits,B;White,7:White,6:White Wrap Color Interior Casing Type Bay or Bow window: 8eatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(OH,SH,or Cemnt) Top of window to soffit(Inches) If tied to soffit,color of soffit material I have reviewed snd agree with at the Job specifications above and the Construct Roof(Yes or No)* Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) I WINDOW SPECIFICATION SHEET - Spec.Sheet#: F38743829 Sheet: 2 of 2 Customer: Dilip And Brljash Patel Job#: F38743829 Consultant: Ronald Engelbracht Date: 08/19/2023 New Window Existing Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening 4 of bars 4 of bars Csmnts,1 Pni, use l,RorS Glass Misr Items Hardware Screens Coda Far doors use Mull ^g^.etetbnary or 2 Style Wraps ^X".operating t Room Floor Code SY/N) Style Code Series Cods 5 1-id 970,White, 0lsssPack: WRAP 9 FAM 1st OH- Y OH 0100 WH WI-I 38 54 90 Standard ALDER ... - . STb,White, OlassPack: WRAP 10 FAM 1st DH Y DH 8100 WH WH 3e 54 90 Standard ALDER STD,White, OlassPack: WRAP 11 13E01 2nd OH- Y DH 8100 WH WFI 38 50 88 Standard ALDER o STD,White,TMP:Full, WRAP 12 BATH 2nd OH- Y DH 8100 WH WH 28 38 88 0lassPack:Standard ALDER STD,White, OlassPack: WRAP 13 BED2 2nd OH- Y OH 8100 WH WH 38 50 88 Standard ALDER STD,White, OlassPack: WRAP 1 BED2 2nd DH- Y DH 8100 WH WH 28 50 88 Standard 4 ALDER _ STD,White, OlaauPsck: WRAP 15 B9MT Salem AWN Y 2 pNL 8100 WH WH 39 21 80 Standard X 9 ant ALDER • . .. 4 - - r STD,White, OlassPack: WRAP 18 89MT 8asem AWN- Y 2 PNL 8100 WH WH 39 21 80 Slanderd X 8 ant ALDER SPECIAL CONSIDERATIONS: 9:White,10:Whits,11:White,12:White,13:White,14:White,15:White,11:White Wrap Color Interior Casing Type Say or Bow window: Ssatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(OH,SH,or Csmnt) Top of window to soffit(Inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yee or No)' Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) xw-a+i IESINUSILVANGWVORIli Alliligiffilan-72:131ilife. nw¢-u-m at= 3anonsis d31.18LS8? 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DOOR SIZES s- MJ�IHTAXT RE O. UAf `RA 1N7GXIURE MMAHO.ANrTE',DTfIR_ l},DOOR ttNOCtt rR C7'fG-PS I7E �'MAIL. �..<Pr OR - - . imdEy � II IM( l - YrPll �ln, Single Met . Il;.r roomy It.:111.1 _._ wl Lai Side* Nat LIe.' • M2SA EKl'M1 _ III NOM �:w`'e;R.,C.iw[.'.•,,j .-u„ , NuN}Ibt), ,..,r.M.w..,...._ _ __ -_ - ._.0...-...;... lLMrl ypM .�... : _ ,. .-{.._: _ Fat Lha el ' sr Rd Full IA*1St. -,••-•,---. Mil asp 8K) SION 11RI606 1 Peril 3q 16e , m. 5/0 - _ ., •O - .,_.. _EY0 ..o.-.., L L. . »----*- �.....- w!IR aFlWe 1 Panel Y1 L(M 4LHL _ 2Pwej3l4uy 11/0 ' 5/0 yb $110 it/0 • Ea so(""": SO "010 , 10 , 2Panel314LW♦4/8L - _ ...,,.. 2 PanNTvAn W -..._ _..."... •0 _ .-_.._.. �.. ,,. .- -------- 2 Panel 344 Orel Os t1rG - _ IMO - WO ....,...,.„.-.„�. a Erg .,e.�-. ......,...-.� ....�... . - -..-. ..-..._, .,.w..� ,.�.... _. _.. 2 Face 12LNs --...V•o.-01,,.s"«-Q, NOM&ON WON -'µ.='.�.. ISOM MOM - ..,.�.. W0A1 6nOtM Iati _ .. __ - ..• .,-,.. e 3 Neel MIA 11. I � ..• .. �. ..._..� -ak ,_- --- ...._.__ l M ifrMM ^ .b. �H.,..r..v,..«. ..,..e.. ..., . .S t 2 Penh 121.Be AL F....•. M- -. ....,...s ....., ..., .,.•.�.._._..,.,.,.... _ .,, is 81084 6/QM NIQIA - 4O', E/OiM ltOlAll 2 P.he Twtn.l2 Lail..-- , -!E f �Y_ , a EanN ._ BCRt 1/OM SlOIM ..,,...�.�........_.� .ri )aco 2 heel Crelrnw 9b.. --...,.-- 11/0 NO 0 1 � ii,lv aPeMI C Amcor-t Tap • illr O/DM1,d0nl ..,�. ,..-:,u-.-.._ .,:.,..,,.,..b.,,..t,„�,. $1 dOMI 40M _...- .._-.-_ .._ .._._ v...�_-._.,.- .w-.e._ RAI 4 Peril Nan it • 0 r .._ - N__ _ .. ISEIN •_ NIaeT pang FIn 14 --._ • s 1 �� M — -� Q-.Penh . • m se • _,.,.. - .... ..-.. . lc $„ ,--a----...... _. ..,. 7Paule. r �. r �o z w _ -0 8 I So k On*Nat 2 ade•e4 a SIDE-LITE SIZES S.8 SMOOTH TEX TUNE. C)o("AY ORAIN TEXTURE M o MAHOGANY TEE.XTUPE I IPew Tranalan a viN,rta .✓Cher Woen l/o/s4 1DVn :KLAI 1. 1/4 &lortN 3roMn '.1/4 52� � - ' •oMl ,^✓OM1 51OM1 ;� 810T1 _ern _ - •Jty1+i' ;rcr' 111 lkiiltte Full Lg.at I _ _ ✓1 _S/oMt " W. I ull R•el T" ;a; - 8n01I CfLIf Yin :✓ :x) ✓D coo TO NO s o »k rr 2 •S RlRfe rlirtl -l� . TEw a t11060 WINM :AVM I NONI j NON .r„y , c«..-_ srcnet C../0/in •„ �.. f mow. . I D 1 D' .. --- < ---_r., r_..:� r.»�,p . - .. .. �:1 .. .- __,., m�x�.-:_.—--c:.?4- =,,,,:xo+--*s..?.. DoHMe 0. TTRANSOM SIZES -.SMOO'TH TE'1TURF. O•-C)AN;GRAIN 1 EXTURt M a MAHOGANY TEXTURE ..,, 1.111I.IR, ,��. l ,�. .,,� Riverwood Brentwood Non-Decorehve Berton Tillman __�.:�__,.-�.�.__•...- YES YE "ry .n �; ,;r .,n l;n a- g r, r•, fA5 Tl'tANSCrMS NOT A.VAIL.At1lK:WI1 H C E'tlll'.'rS�r?fa 1NUN�. _pM .. S YE2. � YBS ` Ellipse hureom•a - YES YES YES G5 _peer w/ •EepNM*set3o0IY 4V6Tielless!.sn$ EPOPS: 000835-252055 "******"""""**** **** NO PRICE COPY ********************* Page: 1 230804 1900 AIC1010 TRANSMITTED ORDER #16256002 10/04/2023 THD/NEW ENGLAND W Enfield Sim #: 007265 Accounts Payable B-12 Emp: Ashley S Asigbe Atlanta, GA 30339-4024 Entered: 9/22/2023 Phone: 508-736-6320 Xmitted: 9/22/2023 Fax: PO #: 11246235A Customer#: 007265 Job Name: Patel Home Owner: THD/NEW ENGLAND W-Enfield Project ID: Dilip Patel 72 Shaker Rd Suite 2 Location: 112 Florence Street THD Warehouse Lot#: Enfield, CT 06082 Model: Leeds, MA 01053-0000 Phone: Contact: (413)687-8760x Fax: Cust PO#: 11246235 Ln Qty Ord No O d Long Description 01 1 90 1/4" (T) X 54" (T) 6100 White Picture; Tip-to-Tip Combination; 2BOX; Pre-Mulled; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); 00 No Reinforcement; Head Expander; Sill Extender (UI=84"); DP:50; Test Number=C2272.01; U- Factor:.26; SHGC:.29; Unit certified for ENERGY STAR® region(s): Northern, North Central. -- 2 29 3/4" (T) X 54" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; Pre-Mulled; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Extruded Screen Mold; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander(UI=84"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central. 02 1 31 3/4" (T) X 45 1/4" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender(UI=77"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central.; Room ID: Garage L4 EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 2 230804 1900 AIC1010 TRANSMITTED ORDER #16256002 10/04/2023 THD/NEW ENGLAND W Enfield Sim #: 007265 Accounts Payable B-12 Emp: Ashley S Asigbe Atlanta, GA 30339-4024 Entered: 9/22/2023 Phone: 508-736-6320 Xmitted: 9/22/2023 Fax: PO#: 11246235A Customer#: 007265 Job Name: Patel Home Owner: THD/NEW ENGLAND W-Enfield Project ID: Dilip Patel 72 Shaker Rd Suite 2 Location: 112 Florence Street THD Warehouse Lot#: Enfield, CT 06082 Model: Leeds, MA 01053-0000 Phone: Contact: (413)687-8760x Fax: Cust PO#: 11246235 Ln Oty Long Description 0 No Ord 03 1 35 3/4" (T) X 49" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender(UI=85"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central.; Room ID: Bed1 L7 04 1 35 3/4" (T) X 49" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender(UI=85"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central; Room ID: Bed1 L8 05 1 35 3/4" (T) X 53" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender (UI=89"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central.; Room ID: Family L9 EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 3 230804 1900 AIC1010 TRANSMITTED ORDER #16256002 10/04/2023 THD/NEW ENGLAND W Enfield Sim #: 007265 Accounts Payable B-12 Emp: Ashley S Asigbe Atlanta, GA 30339-4024 Entered: 9/22/2023 Phone: 508-736-6320 Xmitted: 9/22/2023 Fax: PO #: 11246235A Customer#: 007265 Job Name: Patel Home Owner: THD/NEW ENGLAND W-Enfield Project ID: Dilip Patel 72 Shaker Rd Suite 2 Location: 112 Florence Street THD Warehouse Lot#: Enfield, CT 06082 Model: Leeds, MA 01053-0000 Phone: Contact: (413)687-8760x Fax: Cust PO#: 11246235 Ln City Long Description No Ord 06 1 35 3/4" (T) X 49" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender (UI=85"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR® region(s): North Central.; Room ID: Bed2 L13 07 1 35 3/4" (T) X 49" (T) 6100 White Double Hung; Tip-to-Tip; 2BOX; EnergiSaver; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Regular Strength; Half Screen Fiberglass Extruded Screen Mold; Foam Wrap; 00 No Reinforcement; Two Air Latches; Two White; Plain; Head Expander; Sill Extender(UI=85"); DP:20; Test Number=B6473.01; U-Factor:.29; SHGC:.28; Unit certified for ENERGY STAR®region(s): North Central.; Room ID: Bed2 L14 EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 4 230804 1900 AIC1010 TRANSMITTED ORDER #16256002 10/04/2023 THD/NEW ENGLAND W Enfield Sim #: 007265 Accounts Payable B-12 Emp: Ashley S Asigbe Atlanta, GA 30339-4024 Entered: 9/22/2023 Phone: 508-736-6320 Xmitted: 9/22/2023 Fax: PO #: 11246235A Customer#: 007265 Job Name: Patel Home Owner: THD/NEW ENGLAND W-Enfield Project ID: Dilip Patel 72 Shaker Rd Suite 2 Location: 112 Florence Street THD Warehouse Lot#: Enfield, CT 06082 Model: Leeds, MA 01053-0000 Phone: Contact: (413)687-8760x Fax: Cust PO#: 11246235 Ln Qty Long Description Ord No Ord 9 Total Qty Windows 7 Total Qty Units NOTES: <R-COM>ALL UNITS NEED TO HAVE U FACTOR OF.30 OR LESS.</R-COM> Submitted by: Accepted by: Date: 13110.2VP 11601111/11651111.111 an Oft PUB SUMO 01103V all WOW)52 avow 'PeA11111&/MeV inr •sioamodisoo maxi 214C1964 0 '''t, .14.‘"SIZ Yrldvga I acuaraarawal0312101MUW sacesmovioAznocagsaisaaymeoLow awe V9 YI,WW111, MI 03113/1130 311 1301. 33U011 4031131.1 31.WO NOUNEWIX3 Ma W-3 illOYIN mad mew srpo4 gm ZOOM COET1331111I3 IN aNN10.1 a3111.3100 WOK 3141 AO AIM 011101151 31'KO 4433 Neil NOUN 110.114‘..1 16101011 3.11/06111/S30 3DVINOW se 3:143:21,03 "wow*I survippoisumuum114 CM WIWI.exnexamtrmiXXV,$414 MOW"SE11311431‘,111111,WWXY1.111110W•113110 10 NEXAMIA930 1, ; 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E 3 MCC-+MC 00010 IM.2SC*C.tr W SC49Cw3S 00s000:1 umenrava .ate mom +g'? 7Cc5S*41 d13 ?CZ:Mr a , +d'3 CZ7% CCAMC 4.,r08143 tAY h.010, SV4pt-0131030 arnY1'it of'SSPrNs 1!7V` RAG+gorsF S 4"}pc' 'Jaipur-CO h r'Mr3'r..a0N O awl, -parug.up Laaesx3m srnisc f. iowPA p intrzylacra 1171i3,NNW cz 79i1r<MI IR1(M IOWA Wd3V 013111113108 V 1111 Mai 1711MEI 11VN011100v IIH1 • IDRIVVIERS 1VNOWOOV WO'S WV*g WORM c1:a VJ YINVrt4d y SZ"s`NtXs ra Ord l IEV S3:11ke a ,a iart0a 74ki Y5.7104373RGt+. 3^F 1r. YS;i-'2fY/f Cr31t 43Nt F w a red 311 l3S S)WYIi3?!1YNOWOGY 0C1 ,c v eluemy 0 301 69Q PSIO N =>,119110iti1 ?A7430Y THE COMMONWEALTH OF MASSACHUSETTS O1lice of Conskoner AffZ Busirsess Regulation 1000 W3stlwrly -Setle 710 ...�. Horne • . __ '''` anon fi w Two E.vporator .. ;1:785 HOME DEPOT tiaAMC vfa£f +. , aver P O BOX$C54h ,« t -=• ATTN LICENSEMGMTTEAM 7. ,1 ATLANTA[31n 3119i9 M 1 waftAiMese sad Retwh Cord, !NE comminineatTHos MASSACN ISETTS of CwmeM,Atl K*A awie wee Reg '* Rsgae Wen refit let 114.4111w0 UN,enll bebfs the MOW IEI gACtOR exFinaseanwlNe.N/twit news ta. Ottod Comrade's,An aka sad iluslneas tts Ashen 7(4.y►b4npler.$iRet•StA a 710 +13.5. ,MA arty HOME I3 4'O1 USA ) • 1 =1,01174F.XA MOM 1'4t<� ;,.. {$a AAA/WA.NA 3W�i1 ".«,t_e 4 C. .dw!lachelary Not void without 149nottero ACCPRIIP CERTIFICATE OF LIABILITY INSURANCE aRE natotyvvrn 10....-- , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ND RIGHTS UPON THE CERTWTCATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATWELX CIR NEGATIVELY MEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF MIMIRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE E OR PRODUCER,MID THE JITE HOLDER. I NPORTANT:fI the cerallicalle holder Ile as ADDRIOB6L INSURED,the pehoffeel west be e.dessed. R StIRIOIiATIONN IS WAIVED,srl6;ect to The terms and coadlBes=of the petit*,amain poleefes wrV require an tr doreeraeat. A stsHea ent on OW hen Me does not tourer rights to the certificate holder In lieu al arch eodorseiwerrisi. MOWER 01624-003 garT lock FNa cMI i Naorose Soviets.,L.0 3- G B r ARA in ter.., PO Sox 1115 Westedd,MA OREM . villisisavva hurries Couvr•sas sac a Ammo A• MAR*Charter bearienceCeetpeny VDAC 41326 IVANN KOSOBUTSKYY aint arterweer• LSI REEIODELMG Lsa—c- 72 STAFFORD ROAD tartan n: MONSON,MA 01057 slff• r rBlivIIIr s- — COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTFY THAT THE POICES OP INSLMANX USIE0 BELOW RAVE SEEN'WACO'10 THE 4NSCA'tED NM&O ABOVE FOR THE POLICY PERM° ROWED_ NOTYLTHSS'PANDINS ANY REOUIFIENENT. TERM OR COEDIT ON CF. ANY CONTRACT OR OTHER IX)CURENT WSTH RESPECT 10 WHICH THIS CERTIFICATE MAY RE ISSUED OR WAY PERTAIN, THE I MI E AFr•onow BY THE POl.K2ES CESCRMED HEREIN iS SUB:ECT 10 AU.THE TERNS. EXCLUSIONS AND CO JITIONS OF St3C9 ACLECIES.CANTS SHOWN MAY HAVE BEEN REDUCED BY PA[E MAW WOCLAR Si. VWN TYPO OFIMANCE SOUCYtll OOT '84.4 CO ERAL UABIUIY EA0I OCCURRENCE S — WWII/EACH&GENERAL usie&SEY . 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The Officlal'eVebsite of the Executrm Office of FOHED toe£N'esion of Professional Licensure and the Orvistch of Standards IMP: Ljii Public Safety , • - 4 ' ' -'' ' ' '''' '''', -`:1:, ,1"1 :ft Mass. 4 Licensee Details Demographic Information Full Name: IVAN KOSOBUTSKYY Owner Name: License Address Information ity: MONSON tate: MA ipcode: 01057 ountry: United States License Information 1i cense.No: i CSSL-098785 License Type: CSSL-WS-Windows and Siding rofession: Budding Licenses Date of Last Renewal: 4/21/2022 ssue Date: 4t102008 Expiration Date: 4127/2024 cense Status: Active Today's Date: 9119r2022 econdary License Type: oing Business As: tatus Charve Reason: License Renewal Prerequisite Information Licensee: KOSOBUTSKYY,IVAN Relationship: Attribute Of License No: CSSL-098785 — No Available Documents atleisure CS-013902 CS-9803 c.OOOOO CS-9804 CS-9805 Ivan 1,:kt,obutskyy CS-9806 , 1 CS-9807; • mAssAcArr,...st rrs COris rnucrsoeer SOP'ETT &On LCWS 6 HOUR Owl..rras.Corarlasulm;Erst...K.P.noN .-.Z•&14.4.°A•=4."4Z;44;•',1440•;. Ltblit41282121111 V&A- K0406tA authorize Go Permits 1.1 C to poll p4.rim CS License c ik g ;Ind V • MC Registration r 152 Am questions please call mc at. yiS - at— G130 .3 Installer Signature Pfre 6 Company Name "r.,S rg t VMSWITY.3.11414'3.14a*Mfilitoe, A ^ rho Is 104 rrtY1 Act k Nan.Kmsobutiiity'y c,1.4. Safe R. Surk.•nl,or Refresher • , •- t,ane p.m TNSTITUTE FOR ENVIRONMeN TA!, ETIV'CATION