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29-286 (2) �roposat Vinyl Siding Corbett Home Improvement in g r Northampton, MA 01060 Awnings // (413) 58/4-6571 Canopies II rC r�3 moo 1 .�SL X107 hucters PKOPC.ISALSIIBMrrMDTO� A VetJ 0— PHONE ,,Rt,—,,X8 PATE QJ�� T JOB NAME — S"MEE S L . CrrY,STATE,awl ZIP CODE 6 JOB LOCATION DATE OF PLANS FOB PHONE --" We hereby submit specifications and estimates for: Loa- !,/ `i/ ,c1 S. iW `IfSs. 4G SL r e,,.f S. Odle a/< < z� - / r M ) �7Ns �J h W)AM x 3/ ©`t (W, e TrOPOSe hereby to furnish material and labor-complete in accordance with the above specifications,for the suit of: Dollars($"��"�J b ) Payments to be made as follows: /Z,/O or All material is guaranteed to be as specified. All work to he completed in a work-like manner according Authorized to standard practices. Any altercations or deviation from above specifications involving extra costs will he Signature executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our antmd. Owner to carry fire,tornado Note: 71tis proposal stay be and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if riot accepted widti to days. ,acceptance of TropoSar-The above prices,specifications are conditions,are satisfactory and are hereby accepted.You are authorized to Sign are du the work as specified. Pa ent w 1 be made as outlined above. Date of Acceptance: : � !TLL_ Signature • 1 uoc1Eool �JOM JO ssa.ippv a�Q •aui o} panssi liuuad Suipl►nq agl loj kmssaoau suoiloadsui Suiplinq palrnbai IlE alnpagos of IIro IlyA I (uogduiaxa Sutlsanba i a.injuuSgs s,Iuap sa.i/.caunno auiol) 'anogE aqj puvis.iapun `I apvul alE suoi}oodsui put, siiuuod iadoid aqj sE awil dons I!Iun loofo.id aqj AV la(I u-eo pannbai sE suoiloodsui put, sjiui.iad aql ainoas ol sapEll ILnpinipui aq��o amgre3 •suopaadsui pa iinba i.igaqi laS ,Cagl jugj put `panssi jiwnd SuiPl!nq aqj of uoijounfuoo ui siiuuad sadoid nail}amoas pa.nq sapES1 aql IMP ams wj ui of algisuodsoi oq Ipm numoamiq aigj (sES a8 Suiquinld `IEouloola)�jom uuojjad of sopLm laipo swill laumoauioi q aq}ji -pajaa sui aq uva 3155m aqj igun auti nano jo aiva!j!Paa u uiu}go of a.inliu3 ut 4Insa.i uua suoi�aa sui asaqj a.inaas of aanl!uj `pal'eaouoo si�Ilom ag1 aiojaq suoiloadsm asaill swinbai luouiIndap guiplinq Qiq,L,-uoljaa sui uiplinq luuy W puu pa.nn a.i 31 umpa sui uoiltilnsul paluaauoa sI q.iom 5a53aq uogaa sui ulplinq q no.i u (Inod a.iojag saloq agnjouos jl> lauq a.io,}aq s u�oo,}/vouupunoj apnloui goigrn `sa Els snoi ren I�aIlonn adsut oi pollvo aq juawvvdap Suiplinq oq}imp saimba.i ssaooid uoiloadsui oqt -suoiluln230 put sapoa Suippnq a;ins qjtA%aauuilduroa.io3 algisuodsa.i auioaaq no,c os Suiop Aq Ivill anms aq of `losin.iadns uoipiu}suoo unno.iiaigl sE Ive of `uoilduiaxa iaumo auioig aqj asn of Maas oqm (s)uosiod Sm, sjut-m uojdumiq:pojgjo KiiO aq}.Ioj luawlmdop Suipl!nq agZ «,Iaumo auioq E paiaprsuoo aq jou IgEgs pouad n:a�i-oiAi E ui owoq Quo uEgj a soul sloni�suoo ogm uos iad V •sa.inioruls wnj.io/pue asn qons o1 fjossaoot, sa.in-joiuis pagomop so pagoEUL `gurllanlp ,f jrtuvf gAq,4o_auo i_`oq of spuaiui io sopisa.i ags/aq gaiT4m uo looltd E sumo ognn (S)uOSIa,I „ `SB «1auMOaLLIOH„ SaL13aP aiPIS 2Lg� 'IOS ,`,.::,dnS uoi;oiLl�SUOO iaLl/SILL SE DoE 01 t7T80I UND08L.iapun jgSu ails.iaumoawoq aqj sneolly sjjasngoEss wjo alvIS aqs .iNaWajD(jarjMON jDV uolsaj/Ntaxa HaNAXO aWOH 09010 dW `UO)dUnipli>N gm m t-)can o iaasl un� dOjD3dSNI PI S I� W S W ZIZ, sxoiLze7dsxi omimi lq do .L!`IgwLuvd3G a' I • O�diy. Ii FAO ti 01- IIf TtYl f a7ll}Jf011 A ' E �IIa3.itch rtrctla' _ DEPARTMEIJT OP DUILDD\'G INSPECTION'S I � 212 Tfain Strect ' Municipal Building Northampton, Mass. 01060 «.cO-mc-I ,S C O IYT EN S A z');O N M S URAh CE A FFM A VIT \%IlLh a principal place of businessfresidence at: - - , I n `7 (ph one:=) do hereby certif),-, under tbe.pi'.tns and penalties of Pc9ury, _hat t ( ) I ern an employer providing die followine l«,orker 5 compcnsaoo, coverage for Iny eluployees NvorUng on taus jib: l (I>ZnLr-��Conr�v) (Pcbc-,Numb--T) -- (T=;-piratior,Dom.^.) O I am a sole prooretor, general contractor or homeowner(c cie one) 2nd have hired i the contractors listed below vyho have the foOo%,vUg worker's coLoenszdon policies: i ONOMC Of Conlmcwr) (1nR!r�nt,:. CotTlpltl}'/t�GUCi ?�rt1ST1=C;) `1-�.JllJ::Qn 1111c) (Name of COBG-2C or) (Insuranc; Como zN-i?o!.im• \umc_r) (Eipir.aon Date) i (Name of Coan-aelo,-) (Insura.nc: Compa.n)-/Pouin' Number) (Expirz600 Date) (Name of Contramor) (Insurancz Compz.ay/PoEcy Numb r) (Expiration Date). (ariaeh:.d�iCOCal rSca irmocc=._-p w c�e.'vde�iaform�oo per" to.11 XI am a sole proprietor and bave no one woriang for me. 1 ( ) I am..a home OwDer performing all the work myself. NOTE:plesc be cw-ire aw vt-je ubo cmplay pc or=w of ant mote th=tt,eft is%V4M6 the bomoovvoa'mmdo cc oa the p-wnc,>• purtca_n tbeeo c.-c oot Ca=-Z11y O:,,=dcrd to be caxploy=11 the wVrk—rtz o=pc-_lion Ace(GOI52.n 1(5)�sppliaboo by.bomcoQaa fct a GC=---or PCr=r=y a IdCD=tl:e 1 IC-PI rta-tu or cr;)toy.r under dl Wohor.Compom.t;oa Act I uada-.t.ad tha a copy orthi. ==o..t may b.roc---id to tb<Dop.,tmeox orinduts.!A.ad..vy oil—or tru+r.-roe tb. oovar� vcriLC=ioa ead 11"L-i1=c to some bovertgc,=dCr sxzioa 23,1 or}.tQL 13-1 na lad to the im,=itioa o(aimia P—I-W- ooasististg or Ciao orup to S13oo.00 arwoc 6mprisoamu=:d oru to ooc �p p yr�r end aril pcnat�a in tSc(cent o(a Woei Order.ad rl=orStoo.oa.d.xy Lpiast tzw only PCrmlt NUIDtX7 ��-2.-�� �S,ps Lot sib wrt of LictascJ- Pc e SECTION-5.:DESCRIP t1ONt'OF>fR'OP:OSED•1'(LO K,:(rchdck-all�ap01icabie) New House ❑ Addition FT; Replacement Win Alteration(s) ❑ Roofing Or Doors L'xf Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks, Siding[tom] Other[El WorfkDescription of Proposed S irV .l W iillAifS t`�I iJ�E d4 Alteration of existing bedroom Yes No Adding new bedroom Yes No . Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6 X15 � FD iS El D Si O L7C� 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 ;0 �F LpT 0 -T� NIP - as O�ViPLETEdWHEt�� r' OWNERS AGEN,TTAi �O 4 f'TO r PL Bfl�l1'ERMI'F l Owner of the subject property hereby authorize to act on my behalf, in all matters_relative to work authorized by this building permit application. Signature of Owner Date I, CC/li/�jQCI T �Q2[JQ C 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 nder the pains and penalties of perjury. c`��i�/ Print Name 2—t3� Signature of Owner/Agent Date SECTION..8-CONSTRUCT101 SERVICES_ t 8.1 Licensed Construction Supervisor- ' Not A(p�plicable ❑ Name of License Holder: v 0 � 4/S50 License Number L4 s-� N 61060 y- 3- 06 Address Expiration Date Signature Telephone NReais ere " o Rlp me ton o Not Applicable ❑ (240gee '1" tl� _ .or?a�rnewT� IJ4069 ---- Company Name Registration um er - Address Expiration Date Telephone 6S-9 (0571 SECTION 10-WORKERS'COMRENS'A1 ION`INSURI�NCEAFFIDAV(T(W.G.L.a 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...... ❑ 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 r i i •pannbaj s!Mda ay;wa;;!wJad;uawa6eueIAl Ja;eM LwolS uoldweyl ON a uayl'S3.131 i ON ` 0 S3A LaJoe nano qjn;sip III^^leyl ueld uowwoo a to lied l!sl jo One �JOAO(6ulpg JO'uol;e xa buipej6'6uuealo)gm;s!p A;!Alloe uogorulsuoo ayl II!M -3 :uolleool pue adK1 'azls aquosap 'S3A.31 © ON O S3), i K:wado-id ay1 jol popualul su61s;o suolllppe ao of sa6uego pesodo.ld Cue aj-ayl :uo!leaol pue ads j 'azis aquosap 'S3A 31 ON 0 S3A LXluado.id aqi uo lslxa su6!s Aue op .0 i :panssl aleQ ' peule;q0 poulelgo aq 01 spaaN luolsslwwo0 uo!lenaasuo0 ayl wojl paulelgo aq of peau jo uaaq 1!wjad a seq 'S3A 31 S3A x MON)l LNOQ 0 ON ispuelleM jo jalem jo Xpoq 'iloo.lq a u!eluoo al!s ayl saoa •8 _ +#luawnoop jo/pue ja6ed I �joo8 Jalua :S3A Al © S3A Q MON)i LN00 © ON lspaaa;o(ils!698 ay1le papjooai 11wiad ayl seM :S3A 31 I:panssi alep 'S3A Al Q S3A L MO—N�LN04 ® ON jal!s ayl uo/aol panss! uaaq.Lana Gulp !d/aoueueA/1!waad le!oadS a seH y uo[ieao'l*awnloA 7 7-7 sao2 s uTx�zd�o# opine I� paAed V SPIq-unn z-10 ) a22loo3 aoedS uod0 0 % 22zloo3 omnbS'$pig lgS!ag 2ulpl!ng 0 luoid MoEglaS a Eluoi3 —� ails JO'I luaupnedaa Sutppe Xq u!pair oq of—loa s!y I SuiuoZ Aq pai!nba-j posodold Sulls!xg uoneuuolul alaldwooul of an0 paluap ag ueO IP-10d •pololdwoo aq Ispw ugnLUuo ul[IV JNINOZ Ai U01109S r City of Noqam,pton Building Department 212 Main Street Room 100 Northampton; MA 01060 _pbone-411-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1=SITE_INFORMATION:,,.' MTh}s;sectaon4toe c tit et d by oifce.�;," _ 1.1 Pro a Address: .t Y°£z �»Ix' y x° tai'�u'�"�i�fi� T Elm piStr Cl t5`v ��f+'�.+ NNW 1_131M Mi—i4" SECTION2-PROPERTY QWNERSHlPIAt7THORIZEDAGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone ,�• i ��� Signature Se( to�4 J 2.2 Authorized Agent: Name(Print) Current Matting Address: Signature Telephone SECTION:3=ESTIMATED`"CONSTRUCTIONxCOSTS Item Estimated Cost(Dollars)to be Official Use Only com leted b ermit a licant 1. Building ( ;^:Building Permit Fee a) 2. Electrical (b}":Estimated Total�ostof Construction:frOm 6 3. Plumhina Building PennitFee: 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This�Section Fortrc?OffdidWse'OIn lyr Date. Building.Per mit Nuhl-er h-Issued: Signature: Building;Commissioner/Inspector of Buildings 'Date 28 PENCASAL DR BP-2006-0505 GIS#: COMMONI'VEALTH OF MASSACHUSETTS Mag:Block:29-286 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0505 Project# JS-2006-0752 Est.Cost: $5450.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq_ft.): 10715.76 Owner: VENNE THOMAS Zoning: URA ppl[ca:tt: Ed ;Drbci`i Jr AT. 28 PENCASAL DR Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTON MAO 1060 ISSUED ON:111712005 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 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: Gil: Insulation: Final: Smoke: Final: C�(� 1�69�oSi�lt 5 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION . Certificate of Occu anc Si nature: FeeType• Date Paid: Amount: Building 11/7/2005 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo