35-173 oposa�
v;nyl s;ding
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Corbett Home Improvement Windows
!j
Roofing
Northampton, MA 01060 "nin !'
p C-7 AwnJngs
(41 3) 584-65 / 1 Canopies
C;utters
Shutters
YKnn�1.i.g1-."r Bml-F ED TU �) PHONE — -� ��� DATE
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JOB LOCATION ---
DATE OF PLANS lOB PHONE
We hereby submit specifications and estimate~ for:
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\vc I)rOpOSe hereby to furnish material and labor-complete in accordance with the above specifications,for the smu of:
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Dollars
Payutews to he made as follows:
A/Cl LJ/�/�! iL/-v
Ai: ;, enal is guaranteed to he as specified. All work n,he completed in a work-like manner according Authorized d
r r 11 turd practice~. Any altercnhuns or deviation Irnu above specifications involving extra nests will he Signature
exe ukd only upon written orders,and will become an extra charge over and above the eshuane All
al;rreutrnt.contingent upon strikes,accidents or delays beyond our control. Owner to curry fire, ornadu Note_ 111i.s protxrsal may he
alal,Auer necessary insurance. Our workers are fully covered by Worknten;s Compensation Insurance, withdraw❑by its if not accepted wilh;u days.
III—=
Acceptance of Troposaf-The ahuve prices,.specifications y
LOndiuons are.satisfactory and are hereby accepted.You are authorized to Signature
do,111e w(xk as.specified. Payment will he made as outlined ahuve-
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1 Jade ut Acceptance: // ,�2'' 2 L`Z/ Signature
'No f11allipftill
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rN K�assncfi11 srfle
DEf'AiF-MENY 01" 10?,",
21'' �.inul 0 Municipal I3uddull;
Northampton, Mass. 01060
��'ORILlI2'S C0i1,,IPYNSATfo N1 INSURANCE Al-'FED AVI'I'
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(Vf I aln a sole piopnc"ol ,�.n(1 have no one ale.
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SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
`,,dress Expiration Date
ignature Telephone
9. Reiel M66d'Home l nib`ro'"ki enienfContractor „t=;�„�, wa�r,�: tt,����w,� �, � ,��� Not Applicable ❑
A%�p 04/0, i
Company-Name Registration Number
Lam`t�r-!6 S fi T J's--C) -
,,�dress /- Expiration Date
a`AP-4 Telephone.5 2511-/-
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
.'Jorkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
result in the denial of the issuance of the building permit.
Ened Affidavit Attached Yes....... a No...... ❑
11 -'Home,OwnerExemption
fhe 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 buildinLy perrnit.
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
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:TION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
i House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
essory Bldg. 11 Demolition❑ New Signs [ ] Decks [ ] Siding Other [ ]
f Description of Proposed Work: /kil 1 �,✓ l�t� �o���'' �'�
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ration of existing bedroom _Yes No Adding new bedroom Yes No
I
ched Narrative;' Renovating unfinished basement Yes No
is Attached Roll -u - Sheet 0
If.New itioh5t76Fditt17hIt, i`d`f"gihp't 'Competet we,f011,6win
Use of building : One Family Two Family_ Other J
Number of rooms in each family unit: _ Number of Bathrooms___-_._ _
Is there a garage attached?
Proposed Square footage of new construction. Dimensions
Number of stories?
ethod of heating? _ Fireplaces or Woodstoves Number of each
Energy Conservation Compliance. Mascheck Energy Compliance form attached?
ype of construction
s construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Na
Depth of basement or cellar floor below finished grade
i
Will building conform to the Building and Zoning regulations? _Yes No .
Septic Tank City Sewer Private well City water Supply
'CTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
VNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
f
reby authorize to act nn
behalf, in all matters relative to work authorized by this building permit application.
gnature of Owner Date
I
as Owner/Authorized Agent
rreby declare that the statements and information on the foregoing application are true and accurate, to the best of my
iowledge and belief.
gned under he pains and penalties of perjury.
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ignature of Owner/Agent Date J
City of Northampton +
Building Department '
212 Main Street +'' f
Room 100
Northampton, MA 01062 ` s
phone 413.587-1240 Fax 413-587 127 2
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOV DEMOLISH A ONE OR AMILY DWELLING
JUL 1 LOW 6.w -
— p�vr"--�(lF BtJIlp1NG 1N�NS
rION 1 - SITE INFORMATION
n, o be completed,by office,
Iroperty Address n a
N�1 La Unit r
,, k.: ,
/ Zone' Overlay District
Elm St. District CB District
-'ON 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
Dwner of-Record:
Current Mailing Address:
---- ----- ---
-- -- -- Telephone �7t
Authorized Agent: G� 7
,ntl Current Mailing Address:
Telephone
:TION 3 - ESTIMATED CONSTRUCTION COSTS
Estimated Cost (Dollars) to be T Official Use Only
completed hy permit apphcant
(a) Building Permit Fee
al (b) Estimated Total Cost of
_i Construction from 6
n; Building Permit Fee
anical (HVAC)
Protection
nl = (1 + 2 + 3 + 4 + 5) 7000 Check Number
This Section For Official Use Only
.'ng Permit Number: Date Issued:
"afore:
Building Commissioner/Inspector of Buildings Date
• 7
.. BP-2002-0055
GiS#: COMMONWEALTH OF MASSACHUSETTS
li = CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:replacement windows/siding BUILDING PERMIT
Permit# BP-2002-0055
Project# JS-2002-0078
Est.Cost: $7000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Ed Corbett Jr 116069
Lot Size(sq ft.): 22912.56 Owner: KOTT CHARLES E&JOYCE A
Zoning: SR Applicant: Ed Corbett Jr
AT. 1383 BURTS PIT RD
Applicant Address: Phone: Insurance:
4 Reed Street (413)584-6571
NORTHAM PTO NMA01060 ISSUED ON:7116101 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING & BOW WINDOW
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/16/010:00:00 1301 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo