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23B-043 (4) 51 LOCUST ST BP-2016-1247 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23B-043 CITY OF NORTHAMPTON 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-2016-1247 Project# JS-2016-002141 Est. Cost: $1286.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOME DEPOT AT HOME SERVICES 99209 Lot Size(sq. ft.): Owner: KAMEL MOHAMED S&PAULA D zonim4:NB/URB Applicant: HOME DEPOT AT HOME SERVICES AT. 51 LOCUST ST Applicant Address: Phone: Insurance: 24 SUNRISE DR Workers Compensation PROVIDENCER102908 ISSUED ON.4/25/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOW 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 4/25/2016 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner ; =1V5Q Departmentuse only APR 2 5 2016 ity of Northampton status of Permit wilding Department Curb Gut/Driveway Permit nEF.v 212 Main Street SewerLSepticAvailability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans'' Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: ) Map Lot Unit IP Zone Overlay District Elm St.District CB.District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /""1 13-�►a'►'1 � -LAG Name(Print) Current Current Mailing Address: A �T—%% &!/y}� T phone f'!( P/,944 Signature 2.2 Authavized ent: Name(Print Current Mailing Address: Signatu Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building l7 !i v (a) Building Permit Fee 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) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspectorof Buildings 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..,. .. . R. .. L 1111­11111.111.. R: .. Rear Building Height Bldg.Square Footage % Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) ... I: A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 ........................................._.............................. IF YES, date issued:; _1111..__..._................ .. i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW Q YES 0 IF YES: enter Book ' Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued C. Do any signs exist on the property? YES 0 NO 0 ................. IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 1.111. .. . ..... .. ......... ....... . ._ IF YES, describe size, type and location. E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ..n SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement W' ows Alteration(s) ❑ Roofing F7Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks Siding[O] Other[E3] Brief Description f Prop d �,l Work: 9 V Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following': a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT PI, / ' '0 �"�m f-9 k� ,,,qZ_ as Owner of the subject property ) de ',,D ��9 hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, ��% 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 upldpr Xains and penaltigzxf perjury. Print Name Signat of wner/Agent fDDatte SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Sujperviiissor: Not Applicable £ Name of License Holder: // �/�. �/L ''v/ '11'//—Z^�� `%�✓ License Number Addres , ! � /yExpiration Date Signature Telephone 9.Registered Home Inniprovemenj Contractor Not Ap lic ble £ Company Name Registration Number AdidreLstion Date Telephong, - i/1; SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the 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 I I n Ile Comrzonweafth of Massaclir ser Deptarinzer_t of.IndusuzalActdexa- m - Office ofInvesikations 1 Coawess Street;Sine 100 3osssmr;,M4 0-M14_2017 Fi%or..wTs'Car.3aeusntian IesuranceAffidavit. Pbt Lw&W Name(Brsiuess/C.—gui7c onlF&riduei) P?e- 11w,04- tf T 1✓1�-�l9 r� Se---fl.-� � Address:– CI�y/�i'ic^aeI717:1 t`�S'v� ja-q -1 h� 01 ru �} FhOne,#�-: 1 a__re You an employer?Check tae a6ropriate bo.- Typo of project(required): ? I.Q I am aloyar wwtia - 1 mn a general contractor and I Q �` a_aieyaes(i+1r lorpari a}.= hw,'e hired the sub-contractor 6. New construction I a t_sole proprietor or partner- listed on the attached sheet 7. Q Remodeling ship and hwre no employees These sub-contract=hava g- ❑Demolition wor�g for me in any capacity. employees ad hate vtof care 9- ❑Building addition ' ['SIG i'Orsei�' COtnp. 'n'scseCe COME).nS-LTXMC6.= recessed_) S.[( Yore are a corporation mid its MCI Electzicalrepais oradtlitions 3.El I am a homeolvner doing aL vtoL', oIICers kava e:{ert ised tbsff 1LQ Plumbing repairs or additions =;wL-:. Flo weiker' comp_ of exemption per 1rIGL SLTanCe rcGIIi12��t t Un R c.152, §-(�,and we have no I3_ Ocher employees.E- 0 woe?-cars' comp.nraace required.) i :i�.1 soatieaot h2zcheck3 bar-,i o3tl Oso tilt otrethe s fiaabetow showingtbeir:ro,='comnensaduaQoticyinfa-mation. t uo�,eo:vtus wire snnautiais Ldavit iadisatiin=theyire dohg2H work wdthca bre outside mobuctummustsabmitaurw afndwkindiCaziDgamb. tConmecton-thatcheck ursbxmustatt_ch:damadditioaaisbeasaotaiagthen=eofthesob-coubactorandstatewhetherornotbuseentitiesh ie csptage;.':i the sail-co�beet cm&l Xcs,they must pio%idc their wwt:W comp.paUcyu=ber. I arta aiz er.ployer that it pr ovWvW tporkers'compensation hwtrwice far my employees �eZow Is the polZ�y anrF job sr#e int or�narion. n ,� Iastnance Company Name• - /1(L= 1� Policy'Sr ar Self-k&Lir.n— s �% 5757 `47 E?CpsetionDate: i f job Site Address: City/state/Vw: &ttaeh a copy of toe worlrers'compembon poucy declararion page(shozviag the policy a-MMber and expiradon date). catlins to secure coverage as required under Sectaon.?aA of MOL a.1572 can leadtp$e imposition of crmminial penalties of a fim e up to 31,S00.00 and/or orae-year imprisoameA as well as civil penaIties in the dim of a STOP WORM ORDER and a fine of uo to$250.00 a dap 8.9a_insi the violater. Be advised that a copy of this statmaeat maybe forwarded to the Office of fuvestigations of ft DTA.for insurance coverage verificadon. E I do herebyc 'ins p o erjiuythat the irforruationpravided above is true and aarreoL LlT .- Sirmait "? N'i'l✓ D e: Phone= 0-01 E 9r6 6— i t Offleiat use ordy. .Do not write in this area,to be completed by cuy or totr+n o,WaL f City or Town: PwmiitlLicense# Issuing Authoritg(circle oni): i i.Board of Health 7 Bur7ding Department I City/Toran Clerk 4.Rleet;ical Inspector 5.Plumbing Inspector G.Otber ContactPcrson: Phono#: i City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: The debris will be transported by: f'fm r The debris will be received by: Building permit number: Name of Permit Applicant I � dq-- pP � � Date Signature of Permit Applicant Apr 15 16 07:43a p,2 HOME IMPROVEMENT CONTRACT PLEASE READ THIS Sold,Famished and Installed by: Branch Name.Basten North&South Date-A-iiOUL TED At-Homy Services,Inc. fNb/b The Home Depot At-Rome Services Branch Number:31 and 33 908 Boston Turnpike,Unit I.Shrew3buiry,MA 01545 Toll Free 877-903-3768 Federal W '5-2698460,ME Lic 0 C 02439;Rl Coal.Lie#16427 CT Lie#HIC0653-11;M A Home Inipmveimmi Ccnw.ctar Reg.4 126843 Installation Address: _5� n(o City state Zip Purchaser(s): Work Phone. Flame Phone: Cell Phonet Home Address: L4,-0 villya)ce- (if differeqi from histallatior Address) City State Zip E-mail Address(tcrc.eivc orojeci communications and Home Depot updates): D I DO NOT wish to receive:trity marketing emaik from The Home Depot MmInformation: Undctrwgned f_'Custotner**),the owners of the property located at the above installation address.agrees to buy, ne Services,Inc.("The Home Depot")agrees to furnish,deliver and arrange for the installation("Installation")of all mauxtais described on the below and on the referenced Spec Shcet(s),all awhieb are incorporated into this Contract by this reference.along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): job C twim.,WA­' Products: S .Sbeetls)#i Proiect Amount ding XlWindow; 0 Insulation naunemC: icuv�ri ❑EntrymElors 1'3 ❑ R C] oDfing ElSiding L3 Windows El laialali'v-1 - nGtliLers1Covtrs ClEntryEDgx•s ❑ URoofing Li-siding El'Alirtcicm's 11 lrisuh_ifi�rw _]Rcinring L NVi"JCWSL1_1-L-;L1Uticn EIGuacrs f Cov-is ClUntry Doors L3 1%7irfinitim 25%DepcEdt iff Contract ATrouiiidue spun exectakin orthis contract. Total Contract Amount $ Maine Purchmers any not drpcLji more than ont-third of the Contr3dAmount. I Ctwomer agrees that,immediately upon completion of the work-for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to he jointly and severally obligated and liable hereunda.- The Home Depot rescrve,,,the right to isur a Change order or terminate this Contract or any individual Prcduco(s)included herein.at its discretion,if The Horne Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the borne,environmental hazar,1%such as mold,asbestos or lead paint-other safety concerns.pricing errors or because work required to complete the job was not included in the Contract. Payment SurrlmaEvL.: The Payment Summary# i 2_,6,nj 37 included as part of this Contract, sets forth the total Contract amount w-KI payments required for the&posits and final payments by Product(is applimble). NOTICE TO CUSTONIER You are entitled to a completely rifled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate(mite: there is one Completion Certificate for each listed Product as defined by indivIdtat Spec Sheets)before vrork an that Product is complete. In the event or termination of this,Contract,Customer agrees to pay The Dome Depot the costs of makriats,labor,expenses and services provided by The Home Depot or Authorized Service Provider thrmilh die date of termination,plus any other amounts set forth in this Agreement or allowed under applicable la-w. THE HOME DEPOT MAY V91THROLD AMOUNTS OWED TO THE HONIU DEPOT FROM THE DEPOSIT PAYINIENT OR OTHER PAYMENTS MADE, WITHOUT L12MITtNG THE HOME DEPOT'S OTHER REMEDIES FOR RECONIERY OF SUCH AMOUNTS. 1,ceeptr qnce and Authorization: Customer a- ,r greei and understands that chi; A cot is the entire agreement between Customer and The Rome De"with regard to the Products arid Inslallation servicesZ'' es all prior discussions and ugreements,either �"' It -Sc oral cr written,relating to mid Procacis xid lnitalhiiion,This Agrcenl.Tcann. igred or amended except by a writing&]plet] 'a""' "T o e by Customer itti(I'Me Home Depot.Gistorrzr acknowledges and agTCeS I iat C lit r'has read.understands,voluntarily accepts The C terms of aid has received a copy of this Agreement Ace pled by: Submitted X Z/ X7 t 4y/n 141 Dalt Salcx(f I's Signature Dale Customer',soig<- - �X Teicp & .1), Customer's Sicnoture Date Sales Consultant License No. C-,kNCf LLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OELK I BY DELITERING WRITTEN NOTICE TO THE L40NIE ]DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING MS AGREEMENT- STATE SUPPLEMENT ATTACHED HERETO CONNTALNS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN ; VI 1Q-lTA4r7Q?Q Simonton Windows 6500 VantagePointe R. r - � i. � ' s Argon Lovv-E.No Laminated Glass Dou�le Nang ��„/. 1,8 Cas g ka ',Nin Grids 'vent ara de dobia guillottna Vini!o 3.18 m m Vadrio-Arg6n Lo':-E Sin R r�raxr� viwr:o larninado Con rejillas CPD:SSP-A-44-21042-00002 07-75 DH ENERGY PERFORMANCE RATINGS EVALUACION DE RENDIMIENTO ENERGETICO U-Factor Solar Heat Gain Coeffident 0.29 1 .65 _ 0.24 ADDITIONAL PERFORMANCE RATINGS a EVALUACION SUPLEMENTARIA DE RENDIMIENTO Visible Transmittance 0.45 Marc'a:w:re:stp';'ves a^af lr�—a ratings cOnarrro:r.spc:i:ab:a.FRi;p:.-rad:,-Az;;r dalarr.-:n ny aticia pradw't paTJrr arca.',,FRC:aing ara det2r!r e (or a rxac set Iarnra,r.en%.;andr„aa acd a spA i,fc,r,cuots--3.'c FRC actin-ot re.:cr ms:n':any prrd,c and dc6s. of aarrart 7:a SCCasi!:ry-af zm_'c-ocu:(`cr aryspF Fc;:sa Cc-s4t xa^i,!a:h:ra!s`i:=�t;;re'cr aC-a-prad:�:'.par'c-rzr;a rrxzat:ar,.:r.,�:s^f:c arg -,..:'3C--..rta a95pu!a�U9 Va�J:ES:�''�G:a.._�..i�pf:r:2..T:2!:li's_. al^,v3;���:Ca,-a.antar'1;.•,..•.?.'9!',C:,Ti:e....:[:a. ai;,rod'.:..._a5 va±Ci a3 1':7-:.LLi'f nJ yaran32a CUa a!CrrCUt Saaad::UaCr 7a.eur.'JSir 5SCaC^.,::.Co.':SI:!la:on al f..IeW da:tab::C2n:d pa:a al ase a�fJp:adv Ca Unit qualifies for ENERGY STARe region(s):Northern, North Central,South Central, r Southern. STC:29 IND:Rein 00/Glass ProSolar/H-LC25 P.+.2 51-2 5 Tested Size:48”x 80” Florida Product Aporovai:FL5167 Applicable Test Standard(s): ANSI/AAAAA/NWWDA 101/I.S.2-97,AAMAMDMA/CSA 101A.S.2/A440-05,AAMAMIDMA/CSA 101/I.S.2/A440-08, A440S1-09 Canadian Suppl 8858790/01 g0333 HS Howard 6400094A r:eeo:-s ace;; ,css.o.e E%E:L S-A-^;91.eu! :ea:r-:re ZLa'de eS:a ettade:a E%ER3', AA?i£Pa-a rC.^.::,8;T.AS ac2r;a I cst v:S:p u`v4 Bnvr—s;ar gcv