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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 g Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 3'21 2 L•-Ai c C ST Lot No.
2. Owner's name 'Bol t3 wi-+r} 1 I T t, 2Q Address 1 9 j-,2 V L- .j
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration` i ,t� •o c
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
14. mated cost:- �' �� b6
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belie _
Signature of responsible app,icant
Remarks
R(Lt/V lP� p.. ,
0.���g ���7'X7� �LTZ���llt�lfDIt '• k
8 B t:5txChnotIIs
DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass.' 01060
WOMCER'S C.0,YWENSATT0N' MSUPAANCE A I ,, A.=
I,• �,chilli _� aj
(li�nscr/permi ucc)
\vAh a principal place of business/residence at:
�6o`F
t�T .�zoRs �cZ hP
(s-LTCt/city/stalrlap)
do hereby certify, under the pains and penalties of perJury dial:
O I am an employer providing the following worker's compensation coverage for my
employees wor—ng oa this job.
(Iaarancx Company) (Polio Numb-_r) (Expiration Date)
( ) I am a sole proprietor, general cootaactor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
t
(1\1 am of CCnSilCto CornpaayRoucy Nlul bcr) (xpit )i tion Date)
(i4ane of Coulfa ctor) -- - (ZPS :;nc Con1Da;iyfPollCr\ur_uer) (Expiration Date)
(Name of Contractor) (La a any Compauy/Pol,cy Numbu) (Expiratioa Daie)
(Name of Contractor) (Lasvrancz- Comoa-uyfPolicy Number) (Expiradoo Date)
(LILSC�t_-AdttioaA zhc-c(irnc�e to inehxk inreY'm+tien perttining to►11 coat-ae-4:s)
N"'I am a sole proprietor and have no one wor4dno for me.
( ) I am a home owner performing aU the work myself.
NOTE:Plasc be AY-M that avhilo homcoADm wbo ca=p lay perzow w do mi Y coosrauxioa'or r it avorSc oo i d,.clling of
not mote tin throo units is which the bom wwvcr rcaiaw oc oa the pfotrnds zpPuckn�,A tb,d arc oo(gmcnlYy cowidcrcd to be
c o*oya 3 under tho workcrY oompcnt4c.Act(GLl52-"1(5)),appliation by a bomeo%-D r for a lio=,w cc Permit msY evidence the
lcP 1 Ombm of an employer under tiro Wodccl.Compwo tioa A.eL
• I aadciLad tbv L x COPY of this m1c may be Corv.`ardnd tv the Dcy>rRno of Lodurtrid Aaad-&Offs—of Ir—for tb.
COW-Zc v-%C-iion and that failure to zcauc covaaso tw6cr scdioa 25A of MOL 152 can Ind to tbo imposxttoa of uimiD4 P-16- ;
000uxcmg of a•fine bf up to S I,300.00 andloc impr6o®cat of up to ooe ytmr nod avl7 pcmitia io the form of a Stop W txic Order wd a
fine oCS100.00 a day tlgr<iasi roe. ..
FordVWdow sl tiro only!
• Pcimit-NuipbeT .
Signabnt of Li crroddoc
tl.
i .. .."'�-":7C�,.J�".<.. �'t��'3`�k�.IC1C�..-'�._-. ._•.k�4'�`•,."`F.a'..�.J.m:,'. .- ..
1 ,
ACORD. CERTIFICATE OF LIABILITY INSURANCE '
98
PRODUCER TkIIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
COUNTRY INN INSURANCE AGENCY, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
217 MERRICK ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
: SUITE 212 NSURERS AFFORDING COVERAGE
AMITYVILLE, NY 11701
INSURED BIL—RAY .ALUMINUM SIDING CORP. INSURE]%-: HE I";SURANCE CORPORATION OF NY
134-10 ATLANTIC AVENUE INsuREaaCIGNA INSURANCE COMPANY
RICHMOND HILL, NEW YORK 11419 INsURERcREALM INSURANCE COMPANY
imsumO o.GUARD IAN INSURANCE COMPANY
INSURER E• • ~.•^••-,•^T!
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSVAEO NAMED ABOVE =0R THE POLICY PERIOD INDICATED.NOTWITHSTANDING
aNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE:PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO�LL THE TERMS;-EXCC'=ONB AND CONORIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF WBt7RANCE POUCY NUMBEK POLICY EFFECTIVE POLICY EXPIRATION LIMTrs
GMERAL UABUJ" EACH OCCURRENCE $1,000 , 000
X COMMERCIAL GENERAL LIABILITY ARE DAMAGE(Am one tiro) s 5 0 0 0 0
7 CLAIMS MADE OCCUR MEO EXP Wry one oaraan) s 5, 000
A IGLOO6886 05/14198 05/14/99 PERSONAL&AOV INJURY S1,000, 000
GENERAL AGGREGATE *2 ,000, 000
1
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/oP AGG s 1 0 0 O 0 0 0
POLICY o LOC �!
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT s
ANY AUTO (Ea aecidold
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (P-Ponori _ f
HIRED AUTOS
BODILY INJURY Y
NON•OWNEO AUTOS (par accident)
PROPERTY DAMAGE f
IPer accident)
/ARAGE UIBIUTY AUTO ONLY.EA ACCIDENT i
ANY AUTO EA ACC a
S OTHER THAN
AUTO ONLY;
AGO 8
EXCESS LIAAnX" EACH OCCURRENCE s3, 000,000
1 OCCUR a CLAIMS MADE AGGREGATE *3,000,000
B BINDER # 05/14/98 05:/14/99 s
DEDUCTIBLE CII 514 9 7 a
RETENnoly s s
WORKERS COMrVdSATION AND X WC STATU oTH-
C ammm'ow LIABILM BINDER # 05/14/98 0 5•/14/9 9 E.L.EACH ACCIDENT $5004000
/1
CII 514 9 8 E.L.DISEASE-EA EMPLOYEE 0 5 0 0 0 0 0
E.L.DISEASE-POUCY uMrT *500,000
OTHER
D DISABILITY BINDER # 06/01/98 UNTIL
C1151499 CANCELED
ommrmN OF OrsuTIONSAGCATIONSNEMCLEVE=UJWNS ADOOD sY 9400Er'UNIOffISPECULL P OVIXIOHS
R
CERTIFICATE HOLDER AMTIONAL INSURID;INSURIA LErr>x CANCELLATION
SHOULD AMY OF THE WOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE TH9S P.THE ISSUING INSUFM WILL ENDEAVOR TO M.ML 3 0 OAPs wm-"m
NOT=X TO THE COM wATE HOLD6L NAMED TO THE LEFT.Bur C.m"m To Do 8O SHALL
. IIMPOSE NO OBUCATInso OR LLANUTY OF ANY IDND UPON THE INSURER.Erb ACFNi6 OR
R@'R6iENTA ��\
Aungr� :y�vE�
i
New York: SERVICE/REPAIRS The Service Side of Sear NassauLc.rvo.me HI oww
Sears-
Suffolk Lic.No.2964HI
800-942-6111 PLEASE CALL Yonkers 654
r � Boston: 800-942-6111 SIDING Westchester WC 6131187
.�n 800 SEARS 31 New Jersey Lic.No.097578
CONTRACT Connecticut Department of
Springfield/Hartford: Consumer Affairs Lic.No.532774
800-SEARS-56 VT Lic.No.
RI Lic.^{Y1 G I f Fr-_0 DATEN�'
SOLD TO I�/I-rRL�2R-
'
ADDRESS -7317 l=/02 eN CC j2 PHONE(Home)(y43) -6S G
CITY 1VC(?T))f1Me70fJ STATE/LQ-ZIP 0/0(#Q, PHONE(Work) ( )
JOB SITE ADDRESS(if different)
APPLIED VINYL & ALUMINUM SIDING
Sold,Furnished 8 Installed by Bil-Ray Aluminum Siding Corp.of Queens.Inc.
18 Lyman St.,Suite Ml A Sears Authorized Contractor
Westborough,MA 01581 40 Elmonl Rd. Elmonl,NY 11003 C
General Description of Work at Above Adoress: Approx.Start Date: 7- C°3-7-7,c�
Type of House:E5"Frame ❑Masonry Approx.Completion Date: QJ cT£�
SPECIFICATIONS
Sears approved materials will be furnished and installed to these specifications:
YES NO PLEASE READ CAREFULLY:ONLY THE ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER.
1. ilk❑ SOLID VINYL SIDING-cover
onlylw-11 areas designated fo� hose areas designated below.Size ' 9 1' ChP�,11"
Color LA rd C Patter Package Zd K9 Custom corner posts color W
-/C
1A. Fj/❑
SIDING will be applied to the following areas only:
:1 Front Elevation ❑Right Elevation li Entire Details:
❑Rear Elevation ❑Left Elevation ❑Partial(SEE DETAILS)
/
El Other ❑(SEE DETAILS)
2. IH ❑ INSULATION-cover only flamall areas designated for siding with_ .3/R'_inch insulation.
3.EY El Use Sears approved GALVANIZED STEEL STARTER STRIP where contractor deems necessary.(Not available with Nailitti
4.❑ ❑ Siding to be applied over existing foundation.
5.F /O Use Sears approved PERMA TABS AND FINISH STRIP where contractor deems necessary in same color as siding.(Not available with Nailite.)
6. 1�❑ WI WOPENINGS
Custom wrap with Sears approved vinyl clad aluminum# Color
❑Jump over castings with siding and'J'channel# Color
❑Channel existing window only(eg.Andersen type or previously wrapped)# Color
Details
7.L ❑ CAULK-all sills with rubberized color co-ordinated caulking
8.tl❑ D ORS-custom wrap with SEARS approved VINYL CLAD ALUMINUM.#of Doors .Color W
9. ❑ GA RAGE DOOR FRAMES-custom wrap with SEARS approved VINYL CLAD ALUMINUM.Color
❑Single ❑Double With Mull [I Double No Mull J
i 0. "1"4r,F] FASCIA-custom wrap with SEARS approved VINYL CLAD ALUMINUM.Color N f 7 L
1.trr ❑ SOFFIT-(eaves/overhangs)cover with SEARS approved SOLID VINYL SOFFIT SYSTEM.Except area noted below.'hVented.Color
12.Its C ROTTEN WOOD-Will only be repaired or replaced where specified on line item#27 listed below.Any additional areas needing a repairwill be estimated upon
'/their discovery and priced accordingly.(Does not include wood studs,or exterior sheathing).
13.❑ J Remove existing material an exterior of house.
❑Vinyl ❑Aluminum ❑Wood Shingle ❑Wood Siding ❑Other
✓Does not include any asbestos removal. -�
14.❑ 'J7 PORCH CEILINGS-coverwith SEARS approved SOLID VINYLCEILING MATERIALin thefollowing areas
}
15.❑ f'BEAMS/COLUMNS-wrap with SEARS approved VINYLCLAD ALUMINUM(No circularorround columns).Color
16.09� ❑ GUTTERS/LEADERS-remove existing and replace with new custom seamless gutters and leaders.White Al Brown
17.❑ 2-SHUTTERS-provide and install pair SEARS approved polystyrene shutters.Color
18. �K❑ MASTER MOUNTS-provide and install for exterior light fixtures only.ColorLl No circular or triangle vents.
19. GABLE VENTS-provide and install vents.Color
20. � CLEAN UP property at completion of work. L r
21.�NSURANCE-all required WORKMANS COMP.and LIABILITY to be maintained. � All Discounts Have Been Applied.
22. ❑ ARRANTY-mail to customer after completion and lull payment is received.
23.❑ PAYMENTS-on NON-FINANCED orders installer is authorized to collect progressive payments, = Deterred Payment,interest Will Accrue.
2q. ❑ ALL DISCOUNTS APPLIED. ('f MOJC Ti•r�s Aar fi-z /3�i-i.v OF I-/o✓Se- Rv
25.M ❑ ADDIT�,IO7e NAL WORK,!-not specified above.
'-L /t /") I` ll (1/UYnC �•IOUSC�
Job Total$ III JI,3.,3 Less deposit 25% Balance a Start'/z
R-FINANCED$ I If as does not include i terest Completion'/z
11 financed,balance payable in IRP(JOt W+'Gmonthly installments of approximately S�_per month,payable by'Owner'to contractor
but if financed by Owner then Owner will pay said amount to the lending institution plus such interest and credit service charge of said lending institution payable directly
to the lending institution loaning such monies to'Owner'and will execute a Retail Installment obligation and any documents required by such lending institution in
connection with such loan.
26.❑ LSJ' WORK NOT to be done.
27.W ❑ Repair or replace the following woods -!2 OJ V-ii V
NOTICE a roan rd,any hole,,of this consume,cram comma n suxart m an claims and SALESMAN HAS NO AUTHORITY TO CHANGE ANY TERMS
a,fmses-,in a,mo,covLe asses ayan,sf ni sae,,of goods m sarvm obfainad OR MAKE ANY REPRESENTATIONS OTHER THAN CON-
penuam he,to a,warn the Wmae is hereof.Recover/by the debfo,shall rat eacead TAINED IN THIS AGREEMENT AND"OWNER"REPRESENTS
a a auraspaidbymedetnorhe,wndec THAT NONE HAVE BEEN MADE TO OR RELIED UPON BY
"OWNER REPRESENTS TO HAVE READ AND "OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED
RECEIVED A DUPLICATE ORIGINAL OF THIS IN DUPLICATE ORIGINAL OF THIS AGREEMENT.
AGREEMENT AND TO BE THE AUTHORIZED "YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT
AGENT OF ALL "OWNERS" OF THIS PROPERTY ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS
UPON WHICH THE WORK OR THE MATERIALS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ARE TO BE SUPPLIED. ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.ON ALL ORDERS CANCEL-
NOTICE TO THE HOME OWNER(S),GUARANTOR(S), LED AFTER THE RECISION PERIOD,CUSTOMERS WILL BE
LESSEE(S),CO-SIGNER(S). RESPONSIBLE FOR A 20% ADMINISTRATIVE AND Fli
STOCKING FEE.
Contractor, at the expense of owner, shall procure all permits THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED
required by law as follows: FROM
1. Owners who secure their own permits will be excluded from the IN AN ESCROW ACCOUNT AT CHASE MANHATTAN BANK
guaranty fund provisions of MSL Chapter 142A. #105-1-062089, WITHIN FIVE BUSINESS DAYS OF ITS
2. Any person who shall have co-signed,guaranteed or signed RECEIPT.
any credit application or note relating to this agreement hereby
accepts to be bound by this agreement. Date
3. Owner(s)represents that the contents on the back of this agree-
DO not sign this agreement before you read it or if
ment is a true part hereof and has been read and accepted by it contains any blank space or if it does not contain
Owner.
4. ALL INSTALLATION LABOR GUARANTEED 1 (ONE)YEAR. everything agreed upon.
Print E
Salesman's Name �LO�� NdfS���Signature ---
(Customer Si re)
Salesman .S?0 1 / _.
PERMIT REQUEST
OFFICE:
CUSTOMER NAME:
CUSTOMER ADDRESS: 7 3 5 1:'&7 f4lce
/Vbr lrnMo?drd
JOBSITE ADDRESS (IF DIFFERENT):
DATE SOLD: SOLD BY:
PRODUCT: W 0
PER-NL ET CITY / TOWN: f V o R f,��� z��✓
AMOUNT OF SALE:
` FIRST $1000:
OTHER $I000'S: F-lPla-7 /tf
TOTAL FEE: ?D
CHECK WHICH APPLIES:
CASH:
CK:
(number) (bank)
CUSTOMER WILL PAY AT START OF JOB.
Customer Signatur TOTAI„�;$ .
THIS NOTE IS LEGA1TENDER
ATE
D IV
LL E879,PUBLIC AN PR 7 4 5 6 6 0 6
i0R A 4 A 9 4
A9474 860 B
HOME IMAROVEffaT t011IR ;
Registration 12129,
TYPe - INDIVIDUAL
Expiration 04/25100
MICHAEL J VERDIMI.
MICHAEL J. VERDIHI
�O��s��BARCLAY STr
WORCES TER MA 01604
i
10" Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
I Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkingi
# of Parking Spaces
# (of Loading Docks
Fill:
-(Volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 11 ( ll APPLICANT's SIGNATURE -
NOTE: Is uanoe of at zoning permit does not relieve an apianaant's b rd n to oomply With all
zoning requirements and obtain all required permits from the Board 61 Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
File No. qqq
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:44c�\Vy�_
Address: 'Vg `BapLl j�! Wo dzc--k-S7F/- Telephone: "Z 7-7—`f 1 L{
2. Owner of Property: WA e—RR A - 1 t FFor-b
Address: '7 3 't F I o (Li—.-",j cc _Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): Sue Co vT,e�t c7o2
4. Job Location: A oaa '_,1Gf
Parcel Id: Zoning Map# Parcel# 7C.,_ District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UseMlork/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW_ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW_ YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO 11_� DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
Reference No: BP-1999-0488
Department: ...................................
Building, Electrical & Mechanical Permits
.........................................................................................
Fee Type.- Receipt No:
Vinyl siding I
REC-1999-001327
Paid By: ...•.......•••.• .....••.••......••.
Paid in Full On:
Michael Ve•dini Thu Nov 12,1998
.........................................................................................
Received By- .C.h.eck.No .........•....
Linda Lapointe 412
...............................................................................
.........I............................
DEPARTMENT'S COPY Amount- $20.00
--------------- ---------
DEPARTMENT FILE COPY 739 FLORENCE RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
12 Nov, 1998 BP-1999-0488 $20.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
7250 36 170 001 739 FLORENCE RD URB 15768.72
Contractor: License Type: Insurance:
Michael Verdini HIC
Address: License No.: Insurance No.:
48 Barclay St 121296
City: State: Zip Code: Phone:
WORCESTER MA 01604 (508) 797-4144
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0200 vinyl siding $11,223.00
Description of Work:
INSTALL VINYL SIDING
GeoTMS(D 1997 Des Lauriers&Associates,Inc. Signature: