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17A-120
Troposaf , Cut L)�,LL I Ionic, Impi-ovcinent k' f-!If '4 North anq65h 15 ti4 A 01060 Awnings 5X4,6571 i f,ROv()sAi,sI'BmrrMr)rO fly\ JOB NAVE SQ CFFY STATE-,Id ZIP CODE JOB LOCATION DATE OF PLANS 1 JOB PHONT "It, herchysuhunit specifications and estimates for: I to-'_ l e ----------- J 1,0c/l)c A 2�3q C L j. (W' C TrOPOSI? hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of. Dollars($ 11 Pio,'ment,to he made as follows /V4) IY61 W<5 All miaemil is Vuaranteed lobe as specified. All work to he CollIplett'd in work-like manner according Au(li(,rizx,,l Any altercations or deviation from ah,vt specificalions involving extra costs will be Signature �xt,uted,nlv ursin written orders,and will become art extra charge tiver und ah,ve the estimate. All tlgeclolflts I ontillgent Upon strikes,accidents or(lelay.s beyond our control Owner Io carry fire,tornado Note: 'fluis proposal may he amt other nect-ssiiry Insurance. Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us if not accepted within X Acceritatice of Troposal-Tlie above prices,specifications are conditions are satisfactory and are hereby accepted.You are authorized to Signature 1,do the'Alock as specified. Payment will be made L outlined above. .. 1�U1'1J17� 1 UC1('l i)ai 1 1 A I,�-ID,kv;�l, ED , r n.�arty J •' a t r 1 v F� � t. �. ,- a tad piu a� .. I o r '. � (.X`a j'1. 1!L•:( )t,r:t to i M nr•.I..,f In i;M -. u .. �4 Iii tyFf.tr-�, ftt ilfr^r�_. J' :Cr/f'cr x SECTION 8 - CONSTRUCTION SERVICES 3 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Expiration Date I!ure Telephone 9. Registered Home lrnprovernent'Contra'ctor."; ' e�r� �:ct, �rt t r y Not Applicable ❑ Company_-Name Registration Number t j _ �� 5 y 5' /,s -0 Z - Expiration Date Telephones ' &5 7,1 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) 7-orrpensation Insurance affidavit must be completed and submitted with this application. Failure to provide this a" cr in the denial of the issuance of the building permit. Af�:-ia-- Attached Yes.. .. . a No...... ❑ 11: Horne Owner iemption I he current exemption for"homeowners" was extended to include Owner-occupied Dwellings of one (1) or two(2) fan',il:: and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner mlt 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 then, s. 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 eriod shall not be considered a homeowner >uch "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall he responsible for all such work performed under the buildini, 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 l:;nployees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you [nay be liable for person sou hire to perform work for you under this permit. �hhe undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code, City of `:orthampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Sihnaturc _DE CRIPTION OF PROPOSED WORK (check all a plicabUe Addition ❑ Replacement Windows ! Alteration(s) ❑ Roofing r Or Doors ❑ DerTiolition❑ New Signs [ ) Decks ( Siding 1 Other :�osed Work 5%Y—I( hVt r,)roc r -Yes _ No Adding new bedroom_-- _ Yes No Renovating unfinished basement Yes sheet New house,and�br'�additionlfo°ezistiHRg Kousing; completeiMe following. e Family Two Family _ Other .. nPr17 ,;)r„Ige of oew construction. Dimension ce h^as.��e�K Energy oin; !iar,ce `c,., attacnee` iD 0 ft of wetlands? Yes _ No. Is construction within 100 yr. fl cod plain Yap cellar floor below finished grade to the Building and Zoning regu'ations? _ Yes No . "!ty Sewer _ Private well City water Supply OIMNER AUTHORIZATION - TO BE COMPLETED WHEN k_ °� EN OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of r'ne st,ble i, �9 ., work auttru ir: I , er n,t �.p r.:' _r Da'e t�if rne� t5 and informatiuri on the foreguing application are true and accurate, to the best ci ^d oenait!es of perjury cf Date P, 1, ;t , orthampton r JUN B I Department ' 2001 ain Street3 R om 10-0 K IDEPT Of BUILDING INSPE ham ton, MA 01062 F " ORTHAM MB- 587 240 Fax 413-587-1272 P 4 y,if f APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION -1 Property Address: µ This sectionrto be completed by office, Y Map �. ,� Lof f Urilt ' Zone Overlay Dlstricf Elm St. District C6 District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT ?.1 Owner of Record: Marne ;Print) Current Mailing Address: Telephone Signature 2.2_Authorized Agent: , A Name (Print) Current Mailing Address: S ture Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS complete by permnit aso7tobe, Official Use Only - — 1. Building (a) Building Permit Fee , 2. Electrical (b) Estimated Total Cost of Construction from 6 plumbing Building Permit Fee d. )Jlechanical (HVAC) Fire Protection j ~_ Total = (1 + 2 + 3 + 4 + 5) yam` Check Number i _. This Section For Official Use Only Building Permit Number: Date Issued: I { Signature: Building Commissioner/Inspector of Buildings Date J a Y BP-2001-0993 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2001-0993 Project# JS-2001-1786 Est.Cost: $4000.00 Fee: $25.0 0 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 9801 .00 Owner: FAIRBANKS PATRICIA A Zoning:URA Applicant: Ed Corbett Jr AT.• 50 CLAIRE AVE Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON.•611 1010:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF 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 Tyne: Receipt No: Date Paid: Check No: Amount: Building 6111010:00:00 1251 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 50 CLAIRE AVE 13P-2001-0993 QIS#: COMMONWEALTH OF MASSACHUSETTS Ma .01o& 17A- 120 CITY OF NORTHAMPTON Lot:-401 Permit Building CAgm.rooms BUILDING PERMIT Permit,# BP-2001-0993` Project# JS-2001-1786` Est.Cost:$4000.00 Fee:SL5.00 PERMISSION I5 HEREBY GRANTED TO Const,Class: Contractor: License: Use Group: Ed Corbett Jr 116459 Lot Sig ft j: 9801 OU (M► f: PAR914W WRIQIA A zoning:U1tA Apo t icsnt Ed-Corbett Jr AT.- 50 CLAIRE AVE ApplicantAddress Phone: Insurance: 4 Reed Street (4131584-657T NORTHAM'PTONMA01060 ISSUED ON-.6111 01 Q QO:QO TO PERFOR I THE FOLLOWING WORK:STRIP & SHI W AOOP PAST THIS CA,12D SO IT IS VISIBLE FROM,TT E STREET Inspector of Plumbing Inspector of'aViring D.P.W. Inspector of Buildings Underground: Service: Meter: Footingsz Rough: Rough:. House# Foundation: Final: Final: Rough Frame: ` Gas Fire Department Fireplace/Chimney: Rough; Oil: Insulation: Final: Smo e• Final:0 K (-/8.'el � + THIS PERMIT MAY BE REVOKED BY THE CIT F NORTHAMPTON UPON VIOLATIO OF ANY OF ITS RULES AND REGULATIONS. I I �r Certificate of Occupanc Fee Type: Receipt No: Date-Ppid: Check No: Am©unt: Building 6/i/010:00:00 1251 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony PatilIo