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36-108 (4) Do not remove until final rude Inspentlon. Save label forfuture reference. ' 8 rr r aware aaao 03 w o m LM 1 d v w y LL IE.u. I M7e7-7W7 � .m'v/.eaeCw ' m 2 Renewal byAndersen anrbow ■SPLAC8YQM7 a.Anda L-.nM" ty5ra rwi AND-N-102 I�AIhpCHtu3¢: WaodMnyl Compostte Dual Argon . Low-E4 Product Type: Casement ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0.29 1 .65 0.28 U.S.A-P Metricl5l ADDITIONAL 'PERFORMANCE RATINGS Visible Transmittance 0 .48 pan W- ' - M61MmaV agPulax+•1•rfivaa ualry•mM•n•b•pP4aal•IIP1iC pmpNUaalvtla04�eW,ryW11.1•pmuu: P•Nmnnfnw•NFRC r•RRamdammlrM bra Rntl aatWnM•ern•'dr mitl•em aM aapegly p,aWe[a� xPNC m.?menvammmq.rt/mnueeana ao.a notM.rt.caa aune6ly etan/Pmucmr.ry an.ene ua.. C•mucmwMma•r]amri•a bre•rrp'•axtpabmr.aa Yd•mMa4t wawmw� ersen C ona an;RhA Casement eomarm• Slandard RaBng NArs Q o AWWWOWMM 101A.S-UV40 35 DP psr DP35 `t .. ya+$ERI Tb•ptmwctma•u �.m••nnArn es oow.ero.�.m 'a�q.lnaM•M+t• . . � ��ne•ert.•••m•en ��Jab1.4 p•�•�Yaq,n ' QF��1t audhs.�W 100-OZ1513972-001 . � Mw ereaama MEC.,CBC,ttEC,C.AY•NtraEm rtµOenaYa WCIMNMInaN tCaImCRI PICgIOn. ."T Go nut remove unto and code Inspedlon.fte labd forlitilm Tdmcl. 13 � .wrmaUR�ran- tvv cm C co.a Lm U � Y Renewal •IryNOYM R�r�eeNpll nMdYYCa'}q AND-N-35 ••. Woad/Vinyl Compcmta FF Huai Argon Low-E4SmartSun ProduatType: Glider ENERGY PERFORMANCE RATINGS U Factor Solar Heat Galn Coefficient 0.29 1 1.65 0.21 U,SJI-P etric151 ADDITIONAL PERFORMANCE RATINGS Visible Transmttiance 0.49 Nr.Y,u.v+�4��tf.�n�N.b1.ain� h•IfRG inmrre..xrtm�.Yq,a.rmMwtra�rr.Nd�MS.�e�mrn�raaryueAmca� .a nct�mm�N�nrl�Qarsrnswrnn�rNM��nrr���+�nw��N� Ci W�I.�n iv�M 7rf mat MNA1.�.NIrN.\ _ 1111aa1Ci� An arc CAN VYInMm . evamiwN. Standen! RaIn9 - KAMM.rAWWM,wan•wus=ewo •-DPPsFHS-Cd6- - 70D-a0617J736-015 � �� �! �� / �! � ■ ƒ� ff$ f\� 7l�. �}f . } } � � �* ��: \ Z . *< 7 Renewal r- Renewal bV Andersen Corporation MA Horne Improvement Contractor [-Andersen 30 Forbes to Northborough,MA 01532 License#170810 (Expires 12/23/2015) win oow nrecnc erne... (508)351.2200 Fax,(508)-988-7072 Federal ID#41-1918413 Window Specification Sheet burr. Auto, Dal,of :1,,�rrrturnl MATTHEW E MICKIEWICZ NOREEN MICKIEWICZ THU. AUG 6, 2015 i ti4 I'll,,I . IITI,',I ihov, 1111.1.1 lui ok .full lU pill,!,,I,, I Ili 1,and'.1 1-rl1,, II'tv'l hch'Ne.fll,tl', Ild"114 c 4,1111 IIIc In 1,c"Bald 1,1In,d—i I lltt,I ,ul1h.'vl",it It'll i,ulslurlau,iIIo 11"1it.0 Iii lh, r,l,-I"-..l11I, .u.,nr it,.,n+.iuo ('tSIt)\MINI 11\.ANI I1(1()KhI.A It.)I)IA.1N(;-AGKI a1AII:A'l:,ifltilI,I 1111 Sp-,Ili,eitinu S61,1 i.It I1. WINDOW&DOOR DEMULS t., At AI L,. j C t or.'Interor C)I 1111 ar. r1« i 11111 t o G 1 lie U.1- I GIaflS Rwln z rn neiyn u l vVindow Door Style Uetaf r-a alo .E t I'll ; ul '.trl ,ar; . Gnlles Sasr+t.3 5ast - Lifts I Options Room_. hlst 3ed lit+? III I„ 1621 G full frame 121 InVExt MF 9081WHIN Stone Istandardi FFG naris, N,11 12 1 ;,1 W 48 4 GVl'full frame laic _— 1 InVExt MF 908 JWH V N Stone IStandaru FFG marts, r No� {7 l I i i Total 3 —T� BAY,BOW'&BUILD OUT DETAILS i I ^�ppru^ i i Y ------°-�--- Stylu D all r idt t, App"',_ Nu l y i F al a rvin uw L LcY"W Low[ Roof, Hardwaw Roam C'OUnf $tYe rInkr: ,� ht C-.-n;I.Y 1n I,Fl 1 Lt %Inc-or i[ vinl C710-1 !' 53 has adShp$ Sorenty cJrt'.a115Uri Soffit ';0101 .--""3----- M15t Sed ! >i Sow ALL CS Int'Ext 20 25 B rch i 1VH'I'N mile FFG SmartSun Me+au Stone Y- i SPECIALTY WINDOW DETAILS —. l BAY/BOW ADDITIONAL WORK NOTES FUII ,,#par F P '.:+It} -- I Roar : U—T 111 Stsic :�ns,', UPI. r��' Gr Iles Gri'1�Styl° ¢ G t'I It Ca ur ADDITIONAL WORK DETrULS: aliirniniirri wrap exterior trim-with canvas color to match existingif trim.take down and reinstall extehdor shutters.take down c•urtairis but do not/rut back up No Contractor will wrap exterior casings with coil stock color of Owneris aware that Contractordoes not do any painting/staining or removakinstatlatiorr of alarm systern or window treatments./hardware.it is the responsibility of the homeowner to have the alarm system and window treatments/hardware removed prior to installation. We make no guarantee as to whether alarms or window treatmentsmardware will ht after replacement Customer is also aware In some cases there wilt be glass loss. It there is,the amount will be dependent on the type of existing windows.type of installation and window style.We make no guarantee as to the amount of glass loss.Customer is aware and understands any and all 'unseen rot is not included in this contract_Should any rot be found there will be an adartional charge for time and materials unless so stated in this contract. Ye, Contractor will Insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris. windows,doors.storm windows and vacuum nightly Included, tlpon completion of the lob and payment in full.a 5mrted warranty shall be issued. 1 Yes Builctng Pemnt--Contractor will secure any and all necessary perinits. The fee for the perrnit(s;is Included ul the total contract price. Yes All discounts have been applied to this agreement. Owner agrees to be present on the final day of Installation for final Inspection and to deliver final payment/finance form(s) SL,,l ..t..u, ..d..i., ( t ti lI Y111�IS11,)1C \,AU t!(ri iii lil.Vt lltla.l,AG v1�ILhF.A11.A1., .r,.,n-,d.,c-ntim u.ule,•i u.=. ,,, . h,-1.... .vdih,:� ., ., .,,LJ .. h. a,i..... rtr r.. ,., ,1 :h� .. .�, 1-h1-"In, ..,.,..S. ,. .., ,r I., ,,d ,it,I--, .u,.,,; ud. ,u. f n.., . r .nno:.-,-.I . n=, >,I,,,• r., U n ., .,,nr t l , Ito.,,- t r... Ar., I„f., .:rl F.. .. Is.:. 1 Ilm.AI ,on.,I r...1tu+l Renewal by Andersen Corporationr1,1 It..,.. Signature of Consultant Signature Signature GERALD PERRON MATTHEW E MICKIEWICZ NOREEN MICKIEWICZ Print Name of Consultant Print Name Print Name Renewal _I r MA Home Improvement Contractor Andersen Renewal b Andersen Corporation License X decal (Expires 12!2312015) �' P Federal Tax ID#41-1918413 N hOpW aEP[�CEMEhi . 30 Forbes Rd. Northborough,MA 01532 (508)351.2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date. MATTHEW E MICKIEWICZ - NOREEN MICKIEWICZ AUGUST 6. 2015 Buyer(s)Street Address City State Zip Code 247 BROOKSIDE CIRCLE FLORENCE MA 01062 Email Address Home Telephone Number Work/Cell Telephone Number ( BROWNSWIGGLE@COMCAST.NET (413) 586-1839 (413) 219-5573 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor'),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has Completed all work under this Agreement. Est.Start Date Method of Payment Total Job Amount S 12,798 mount Fnanced Deposit Received f331,1 S 4.266.00 Dep—it.0 ti,G_. S 0.00 ✓ CheeW°Cash &-f0 weeks Balance Stan of Job(331.f S 4.266.00 Chuck a 769 Baiance on Substantial AI Est.Install Time Credit Card stic�:�"„�: Completion of Job(331x)S 4.266.00 «re .,S 0.00 1-2 days if credit card is selected,please ba m�i-ace sssn.Ce aeman c - - see Credit Card Payment form Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent of both 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. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyer Buyer(s) Signature of Consultant Signature T Sgnature X GERALD PERRON MATTHEW E MICKIEWICZ NOREEN MICKIEWICZ Printed Nam:of Consultant PnilcYd Name Printed Name YOU.THE BUYER(S),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 FORMS FOR AN EXPLANATION OF THIS RIGHT. ____ _______________________________ __________________________________ __ I NOTICE OF CANCELL1.110S _NOTICE OF C:ANCELLCTION Date uC Transartioa You <r..—I this Date of Transaction You may cancel this transaction,without any penalty or obligati..,within threerbuim—dais from the transaction,without any penalty or obligation,within three business days from the .I--date,tf you cancel,any property traded in,any Pat norm.made by you under I above date.If you camel,any property traded ia,any payments[Wade by wu under the Contract of Sah.and any nefit [iablr instrutaem ex.cuted by you wilt Tx ehr Contract of Sale,and any negotiable instrunaen[rsecuted by you will be returned Evitluin 10 days Collowin¢receipt by the Cunt:actor i"2+rllrr"` of your i re[urued within 10 dos.(ullowin¢receipt by[lae Contractor{"Seller of your cancellation noLixt,and any security imerest arising out of the transaction will be I cancellation notice.and any security interest arising out of the transaction will be canceled. 1f you cancel,you must.aakr available[u the Serer at your re+idence,in i canceled. [f you cancel,you mue.t tnahe available to the SeAer at ytaar rrtsidrncr,in .."m.tialty as good condition as when received,any roods delivered to you under I sutraamially as Rood condition as when received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the instructions of the I this Contract or Sale;or you inay,if you wish,comply with the instructions of the Seller reg—ding the return shipment of the goods a[the Seller's eapensr and risk. I Seller regardiag the return shipment of the goods at the Seller's expense and risk. If you do snake the goods available to the Seller and the Seller does not pick them up I If you do make the goods Available to the Seller and the Seller does not pick there up within 20 days of the date of your Notice cif Cancellation,you may rain—dispose I within 20 days of the date of your Notice of Caneella[ion,you may retain or dispose of the¢Dods widtuut a�further ubligatioa. If yar fan a.make ehr gc[ods available I of the¢aids without any further obligation. if yea fail to make the goofs available to the Seller,or if you agree to return the goods to the Seller and Can to do so,then I to the S.n i.or if y[w agree to return the good..to the Seller and fail to do so,then you remain liable for performance of all obligations under the C owt-act. To cancel i you remain Liable for performaner of all obligations under the Contract. "fa cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice I this transaction,.nail or deliver a signed and dated copy of this cancellation notice or any other written antic..or send A[./,grain to Contractor: Rrnew Al by Andersen.I or any other written notice.or send a t.trgra.a to Contractor Renewal by Andersen, 30 furbes Rd. Northborough.SL101i32. 1 30(Forbes Rd.Northbo--gb,NA 01112. 1 IIERERY CANCEL THIS TrLSNSACTION, I 1 HEREBY CANCEL THIS TRSNSACTION. I The l"ommouwesUh of Massie hme& .Dap t nt of lndn r d AceWnts Opke of Invealke& 60n '�ir�alt wwlo�,�lat�ti Worken' Compenution Insure, ice Aff dsyk:Builder&/ ontmetorWEle tri ci,andolumbers ARgficant • n Ughly Name{&tsiitesatOrganixatieant individual}: RENEWAL BY ANDERSEN Addy 30 FORBES ROAD City/Statr ,ip: NORTHBORO,MA 01532 Phone 508-351-2200 Are ou an eng6yerl Check the appropriate boa: Type or project(required). l.'9 1 ain a employer with 30_ 4. ❑ 1 stn a general mar and 1 6. New wmhwtion employees(fall and/or part-time).* have hirer/the-qui)-contractors 2.0 1 am a sole proprietor or partner listed on the attacked sheet,x 7. ri Remodeling sbip and have no employees These sub-contraclors have 8. Demolition working forme in arry oalaacity. workers'cotnp. innsurance. 9. ❑Building addition [No workers'comp.innurattce $. ❑ We are a corporation and its required.] offica s i:ave exe raise d thtrlr 10, ]Flextrit�al repairs e>;additions 3.0 I am a homeou-M doing all work right ufssxwuption per.MaL I l.[]Plumbing repairs or additions myself,[No workers'comp. c. 15Z,11(41,oxi wt have no 1 n Roofxepa rs insi mice requhvd,J t eniplWeas.[loo workers' 13,(3 oomp.insurance nquiired„j -- '"Any applicant that checks box#I must a w All out the station Oda*showing dw*work='atxnponaeioa powy intbrmaML t Homes nen wlw submit thin affidavit indic"S dre4 ors doing 41 work and dM hire outside cuntrau M must SWUldt a nM at'lidXM Witaijig sMh -Contractors that cue-A this boat must Ct =additioad itlW show4 the now tesesilt oosirmwo and tip'workers`*MV poles+infinidion. I ant an emq*ysr drat h providing workers'csnrrrpensadon irnsrrrance>/err egg w pruyeex &&w is tk r pWky mrd joo,rte WPM Insuranoe f,mrtpany Name: OLD REPUBLIC INS. CO. Policy#or Self ins.Lie.#- MWQ 30&3,70Q„_,��, _ L;xpiration Date: 10-01-16 . .lob Site Address: . ..City/5�,�ip; 247 BROOKSIDE CIR FLORENCE, MA 01062 Attach a copy of the workers'compensation policy declaration page(showing the pansy number and expiration data. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crim-Mal p+wkW of a fine up to$1,500.00 and/or one-year imprisonment,as well as eiv,it penalties in the form of 'STOP WORK 016ER and a fine* of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fexyvarded to the Offices of Investigations of the D1A for insurance coverage verification. I do herby 7r pains and penastdcs o.f 9dury that the Worm Mom prcrt+irt'ed above fs twee and correct. .. ... 10/13/15 Phone 4: 50 8-351-2200 01*iel use 044k Do not write in this area,to be eonVeled by cif or town oJ,j'FciaL City or Tows: Per mitlLleense# Issuing Authority(chyle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.numbing inspector 6.Other Contact Person: Pbo ae#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 86 GARDIK R ST LYNN, MA 01905 10/06/16 Address Expiration Date 617-966-0412 Telephone 9.Rersls#ered Home Imarovem at.Contractor: Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FOR S R NORTHBORO,MA 01532 12-23-15 Address Expiration Date Telephone 508-351-2214 SE TION 10..WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25G(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 11. Home Owner Exemption 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 work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION ] N OF'P II applicible New House ❑ Addition ❑ ReplacemenLyndows Alteration(s) ❑ Roofing ID Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding [0] Other[E J Brief Description of Proposed Work: REPLACE 4 WINDOWS - NO STRUCTURAL CHANGE Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 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 REPLACEMENT 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 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, MATTHEW& NOREEN MICKIEWICZ 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. Signature of Owner Date I, JAIME MORIN 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 enalties of perjury. JAIME MORIN Print Name �� 'Z__ 10/13/15 Signature of Owner/ a Date 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:L- . ._.J R: L:L_..............._i R:i,,,,,,,,,,,,,,,,,,,,? Rear Building Height "-'°° Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved P ....._. ..1 ......_.,.w.., i,......_. parking) #of Parking Spaces -_ ` - Fill: volume&Location) A. Has a Special Permit/Variance/Findi ever been issued for/on the site? NO 0 DON'T KNOW YES IF YES, date issued: L_.. ..____ __w_..__,,, IF YES: Was the permit recorded at the Registry of Deeds? NO ® DON'T KNOW ® YES _....... ...... _._._ ...___._.. ._ .............. ...__ IF YES: enter Book Page; and/or Document#, B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Qr YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: { C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: f E. Will the construction activity disturb(clearing,grading,ex avation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. EIV D City of Northampton Building Department VT 5 mis 212 Main Street Room 100 Northampton, MA 01060 DEFT.r;c� T, , y" 'phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 247 BROOKSIDE CIRCLE Zone Fr SECTION 2-PROPERTY OWNERSHIPIAUTHORI,ZED AGENT 2.1 Owner of Record: MATTHEW& NOREEN MICKIEWICZ 247 BROOKSIDE CIRCLE FLORENCE, MA 01062 Name(Print) Current Mailing Address: 413-586-1839 Telephone Signature 2.2 Authorized Anent: JAIME 094�_� 30 FORBES RD NORTHBORO,MA 01532 Name(Print) Current Mailing Address: 508-351-2214 Signature Telephone SEC N3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)Building Permit Fee . 12,798.00 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =(1 +2+3+4+5) 12,798.00 Check Number This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date 247 BROOKSIDE CIR BP-2016-0506 G1S#: COMMONWEALTH OF MASSACHUSETTS Map-.Block: 36- 108 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: windows replaced BUILDING PERMIT Permit# BP-2016-0506 Project# JS-2016-000844 Est. Cost: $12798.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 090125 Lot Size(sq. ft.): 20647.44 Owner: MICKIEWICZ MATTHEW E&NOREEN Zonine: Applicant. RENEWAL BY ANDERSEN AT. 247 BROOKSIDE CIR Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTH BOROMA01 532 ISSUED ON.1011512015 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 4 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/15/2015 0:00:00 $35.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner