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36-170 (2) • > o M �o 'v -»� a 3 0 Zm .. ., z Z 3 EO Z m M I 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: