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17A-133 (2) �roposa! Vinyl Siding I Corbett Home Improvement Wind°u` Roofin, Northampton, MA 01060 r> Awnings (413) 584-6571 Canopies Gutter /l!(/Cf� L - C Shutters PROl`OSALSTIBM=r)To 0LA A (_ PHONE -Q9,01 DATE STREET ! CITY,STATE,awl ZIP CODE JOB LOCATION DATE OF PLANS JOB PHONE I, We hereby submit specifications and estimates for: R►� �I� ss �es� s .mss iA, S - :Z3 1 " -3 �I we J)ropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: Dollars Payments to he made as follows. �1 All ntatrrial is guaranteed to he as specified. All work to he completed in a work-like manner according Auduxized 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 heyond our control. Owner to carry fire,tornado Note: This proposal may be and other necessary insurance. Our workers are fully covered by Workinen's Cmupensatiun Insurance, withdrawn by us if riot accepted within day.e. j i Acceptance of Troposaf-The above.prices,.specifications are conditions are satisfactory and are hereby accepted.You are authorized to Signature do the work as specified. Payment will be made as outlined above. Date of Acceptance: �,7� y ( Signature - - f OP sa I Vinyl Siding dows Corbett Home Improvement Roofing Northampton, MA 01060 s Awnings (413) 584-6571 Canopies Gutters Shutters fJ PROPOSAL SUBMITTED TO `A RA L 1 PHONE - �f9 DATE jCeVe STREET e! C MIN AME 8V —3•c / Crl'Y,STATE,and ZIP CODE � JOB LOCATION DATE OF PLANS IUB PHONE We hereby submit Specifications and estimates for: �) MiJ • ,,��1 MM c /It L V /✓ Al4-1 z --t- 4 !✓ / ' /� /C- T` J/✓� O�'.! •�" 'G / SSA ' SGi-t`�OL+�/ S D 2 /4-a- e �� i�,,,t,, ��✓� El/ l/tvia / cjq'� tj w 14—cam V;--5j RIGS c�� S C: � � �'r3-S�t 1 s as AA a S3/ X S i CWf CprOpOS2 hereby to furnish material and labor-complete in accordance with the above specifications,for the sutra of: "' / / Dollars ) Payments to lie trade as follows A td lndAf�' / &./fit/ /}�C�- j�j�(j�/ L 0P ds All tuaterial is guaranteed to be as specified. All work to be completed in a work-like manner acconling Authorized to standard practices. Any altercation,;or deviation from above specifications involving extra costs will be 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 control. Owner to carry fire,tornado Note: This proposal may he and other necessary insurance. Our workers are fully covered by Workutenk Compensation Insurance. withdrawn by its if not accepted within days. Acceptance of 9Proposa(-The alx)ve prices,specifications are conditions are satisfactory and are hereby accepter.You are authorized to Signature do the work as specified. Payment will be made as outlined above.. Date of Acceptance: �/ Signature V K�a Ion( MENT 01: INSPD71IONS 212 Alain Street Municipal BuiWing "'Orthamptc)n, A,11F,s. 01060 ,. tl: .. I�nncip�l plrc� ;�t busillrs�;�resi<lencr at I .'.I:� _'? � ?� l)V'l_: `It)�1(r.(l� 'ri_ 1Ci.l)AVlllt' ,.( �C'. (�<�� �1:�_.:!l):• �,C'vt � is .. . � ,.;11 .. .`��C`�C: 'iOrl'7'.�t,)i (�.•,�:�'_! C(lr',t(�.CLI)r �_'( :?Clii�,('t�A%.'1i'.. ((1_.,C' OP.C� ,-..., :, 'C R1i'`'� n l' t, L !�l„iiiC Ui (..C.i:-iI�`.�:`>(I ( -Jf.i:It" �•i)itll .'(i�l ��I:i.i:.'" \l. i::u ),' tic(�� . !17te o( ( .�.,(..:C,c�;; ( t,�(,,?n�_ (�ofnl,_1..� I'on�, TJ,lii �•':l �;:ir.:U , 1) �,°1 (Wale Of lD ii ClJ:) (In.l11anC: ��01111 !1}'�i'411c}' ll1i1K;) �L1.FIf:.(I_:1 1�RtC) (eu_ti?t .vyj:�cxa t.'xct,f r.cce->i to ��h(�4 (_.�r:-ta'i�xi l.r:tnl:artF;to ell_<..:_raCO��) i( I a:n a sole: propl-ism aid have no cane wolkinq for me 1 am a Immu Owner perfol min,; all the wol k niyscl N()I1:_plc sc Ix ea>n tt:a:was!xilrMwvci-. to ncx❑>,xc tli.n Ll c t:l�a1r.r_'t U. mm&,or cw dw g"mi,a�;+(utclurl i1r_-c:n�.:c(>x�cncralry ocx�:(krc.:to IY -II!)1oy;-11 tI l r tlr,«�-Ni rf” I:(Al i1i:(GI,I S?_n I(5)�a by or Fcmu:mey�nkrrs t.'K Icg>l clan.of rtn—,;)10•:K uod,dio Act- I u.ur>lL-rd tf>.:a c.-'v of th:.ct>t-1'c 1 -1 t�0- D'j-, .:,c=u of 1r.S(inJ'.c>-:.;�i'O:Loo oFL-.. --ror t6a vraTic11100 a:u1 ttt t L_Jtsc to sct:.uc(t�--n�m1kr ws.ml:5A cI MOL 152 car,lmd to tx mp> 'Lion of mmi t_I 1timw" lux of t:;)to S I,',00 00 n Vx r.:;rr,tux nrr.t of up to rnr -r r.a1 aril p, 2jcj to dx f xln of n Stop Wli(( nrul e e of S l00 0(-)>(tv rc.�un!rx `�ii'nahuc t�f 1 ic�'l�,cr/I'�.rnl,ttrr 1111� � SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number address Expiration Date ,gnature Telephone ,: . - ....� 9. Registgred'Home tmr�rovement'Contractor. -, „ , ,,r�,a�Fi ,w. fr h'� y�� Not Applicable ❑ Company Name Registration Number L�----A-d s /V° yam S°/S-a -,-:aress Expiration Date Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6)) "orkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit ,,. l result in the denial of the issuance of the building permit. geed Affidavit Attached Yes....... ❑ No...... ❑ 11 Home:Owner Exemption' "]fie current exemption for"homeowners" was extended to include Owner-occupied Dwcllin2s of one(1) or two(2) families and to allow such homeowner to enaabe 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 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) }ou 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. I omeowner Signature — _ ECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable ew House ❑ Addition ❑ Replacement endows Alteration(s) El Roofing ❑ Or Doors ccessory Bldg. El Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] rief Description of Proposed Work:2�vS} j,L 3 Iteration of existing bedroom Yes No Adding new bedroom Yes / No ttached Narrative Renovating unfinished basement Yes No tans Attached Roll I Sheet❑ a. If New house and o"r addition to ezistili �otisirig "completei'tti foll'owin : Use of building : One Family Two Family Other 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? Method of heating? Fireplaces or Woodstoves Number of each Energy Conservation Compliance. ____ Mascheck Energy Compliance form attached? ype of construction . Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes I Depth of basement or cellar floor below finished grade Will building conform to the Building and Zoning regulations? Yes No . 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 as 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 _ 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 under the pains and penalties of perjury. J x Print N e Signature of Owner/Agent Date _� Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved parking) # of Parking Spaces Fill: (volume&Location A. Has a Special Permit/Variance/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 # B. Does the site contain a brook, body of water or wetlands? NO 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: City of Northampton R Building Department 212 Main Street Room 100 Northampton, MA 01062 phone 413587.1240 Fax 413-5871272 tee' APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING _J SECTION 1 - SITE INFORMATION This se, tionito be comp�leteq,by office L1 Property Address'. Map`'` Lot /�1 CA i- /Z/ `�dt r � � Z664,' Overlay Dlstrtct � Elni St. District' CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ael ,;3rne (Print) Current Mailing Add ess: Telephone gnature —-a 2.2 Authorized Agent: l Marne Print) Current Mailing Address: i, signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only com feted by ermit applicant 1. Building (a) Building Permit Fee :' �ectrical (b) Estimated Total Cost of Construction from (6). 3 Plumbing Building Permit Fee 1. Mechanical (HVAC) Fire Protection Total = (1 + 2 + 3 + 4 + 5) 2 3 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date �; :. , .. k 373 BRIDGE RD BP-2001-0745 GIS#: COMMONWEALTH OF MASSACHUSETTS Map.Block: 17A 133 CITY OF NORTHAMPTON Lot:-001 Permit: Building Cate&M:3j ylsiding BUILDING PERMIT Permit# BP-2001-0745 Project# JS-2401-1401 Est.Cost:$2937.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Ss�L-ft.l: 111-51 36 Owner: LI CLARA Zoning:uxA . Applicant: Ed Corbett Jr AT: 373 BRIDGE RD Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON.3122 1010:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL REPLACEMENT WINDOWS & VINYL SIDING ON BACK ROOM 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 D- ep Ltment Fireplace/Chimney: Rough Oil: Insulation: Final: Smoke: Final: 0 ft L{-17 -O THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI N OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/22/010:00:00 1174 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo