17A-118 (2) J&J HOME IMPROVEMENT& Estimate
REMODELING CONTRACTOR
PO BOX 307 DATE ESTIMATE#
WILLIAMSBURG MA, 01096 5/3/2005 451
Phone# Fax#
413-268-3504 413.268-7029
NAMEIADDRESS
LINDA BERNIER PROJECT
38 CLAIRE AVE
FLORENCE,MA 01062
DESCRIPTION QTY COST TOTAL
INSTALL MASTIC SIDING OVER WHOLE HOUSE WITH 318-BACKER,COVER ALL WfNDOWS 1 8,225.00 8,225.00
&DOORS WITH WHITE TRIM,COVER ALL SOFFIT&FASCIA WITH WHITE TRIM&SOFFIT.
COVER CAR PORT&FRONT PORCH CEILING WITH WHITE SOLID SOFFIT.
INSTALL NEW GABLE VENTS.
PAYMENTS AS FOLLOW:$2741.00 DOWN,S274 1.00 ON START,$2743.000N COMPLETION.
Additional information to this proposal
All materials arc guaranteed to be as specified as
discribed above.All work to be completed in a -?
professional manner,according to standard practices.Any
alterations or deviations from above specifications
involving extra cost will be 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,and other necessary insurance.Our ;r
workers are fully covered by workers compensation.
ACCEPTANCE OF PROPOSAL
Condition of Proposal
If payment isn't made in 5 days of completion,you will be
liable for all interest,penalties(10%of final payment late
fee),legal,lawY fees,court rd related costs.
Signature-
Date:
permits not included. Total $8,225.00
Thank you for your business.
Signature
I -d XH3 13rd3SUI dH WdOtb:E S002 90 I nr
p - 6 ��i<saachnsctta' ��
DEPARTMENT OP 133UIL-DING INSPECTIONS
212 Main Street ' Municipal Builditlf;
Northampton, Mass. 01060
NN'ORr�T',R'S COMPENSA'T'ION INSURANCE AFFIDAVIT
- (]ictinscrJicalittcc)
:'ith a principal place of business/residence t.
A-41 r c c L/c I t s-, I�,/ ------- I
CIO llel-cby GCI�Li�', 11I1C'e[" t 11C j)t:!ils 3ncl pcnaltics m pef jury)
I ai11 211 enlploycil prOVl(lln� the Iollowinf, "votr:erS cOIl1pC11S LUI] GOVe:2'.',C i0r III)'
enlployces wor4�-ill� on t�Iis jt�b:
.ZOO
(],I1Sl1T�3.:1C;. Colnh.�ny) (P Cc;NtuMer) (Expir-,i on Date)
O I ant a sole proulictor, :;eneral contractor or honleovmu (circle onc) znd 1 love hired
the contractors lasted beiov� �,-,,ho the f0Ilc l:n,� workers compens_tiorl eiIc1cs:
(blame of(=oat- cur) lnsu nc CoTi;�anl,Polic Nulr.'t ;) - iI:::-:ralic° Date)-
--- ---- --
(Nale of Date)
(Name of Con._-ctor) Jnsu,-an ,� (_omppnwPolicy NmnL---r) Late)
-------------------------
(Name of Contactor) (lnsul-mic-Z Comp:�-,ly;i'oticy Numtb^r) (E>:pi::aior;Date)
(e.I1ad1 ld"�1�CYla1 S1KG :•- - •z�:-. - a-'r;<::::ca n:i,x.�ta:m ci;'.;eil�-r:�ade,r�)
( 1
u I I <1 ;;OIC ;I op!1etUI .iiI, }lave I I o C)IIC v-o!k-1no for ille.
I aia <1 h011:c OW!l h�Ci:CrII]lIl all illC Ploir:
NOT,:p(cau tr a�+a c that.�',nic k�;<���zr_n��ao c: ploy Ir-s.: to
not riKvc th-n It rco tip i:ttlr t lr far_r.»,tiz r rui a x oa tlu .un�s urtcr r1 Lk do c:c tx(�c vislly c._;�i::_: :a h
cmploycs under[}x t cc rl� ,.ci(GLI52,ni 1(5)).z{ Ii_a oo by e hor. are xY far
legal etxtuc of nn acavloyx undo tLo Worktc't C-Ccmj nation Aa-
I Urla Ytand tlut A CO-fy of ll�ctit—n—1 auy bo forunrdod to tl»D-jS .-ncrs2 of l,dLL rid for tln
covcrigc vctificztioa aryl that L_iltrrc to tea c covctago tu•,3cr sccuo(1 25A Of MGM,152 can lc-d to tho imtxosition of cn:^.in l pctslt:cs
ooalistmg of a fux of up to S1.500.00 an'hx of up to on.)tar ntij civil pcnaltics i,,dK loan of ft Stc;>Wc,�Dr-61: -rA a
film 0(SI00.W a day it
F x dc;+air ral u.c xa�
0 � rmit Nttultxa _--
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SECTION 8-CONSTRUCTION SERVICES`
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
..:1 Not Applicable ❑
e m C i .trFb
Company Name --- Registration Number
30 LL
Address Expiration
Telephone
SECTION Q-.WdRKERSI COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... C3- - No...... ❑
OIri:° ® Il'E j�I 1)�1 r11:
The 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 building 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)
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 --
SECTIONi>3DESCRIPTIONOFPROPOSED WORK(check�all aaahcable)
t
"R
dxw s.ap
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[,J Other [ ]
e
Brief Description of Proposed Work: A-z d LL
Alteration of existing bedroom Yes___j/No Adding new bedroom Yes ✓ No
Attached Narrative❑ Renovating unfinished basement Yes I No
Plans Attached Roll ❑ - Sheet❑
64.7lf1NewI use" ari OWYAHition=62,"& liftki OILAihi4i!4 omplete tW461'lowing:
a. Use of building : One Family V Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes__No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? _ Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a OWNER AUTHORIZATION'-TO BE COMPLETED WHEN
�w_
OVHNERS,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
VW-1,���s �� as Owner/Authorized Agent
here y cleclAre 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.
�-e .� -
Print e
Si 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:
t
� 4th Of Northampton Sat P
Building Department ( r u
21 Main Street Se I y `
;� ' cC05 R tom 100 a e e
NortAamp on, MA 01060 ets o
�4 gl7sr1;�� , 7-1 40 Fax 413.587-1272 o / Ite 1? n
A PLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be m
copleted byx`offic'e
1.1 Property Address:
k f
3 ff l�.L✓a.lL+i. ✓ Map Lots r hits
Zone OverlayDistri�c# �
iwLt.4 C'
Elm St District CBTDistrtct..
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
k N&.* 9 C Nj i , ( L p� 'n L A Y 6 t U
rLc✓d c.t Y4'y>c Q�W L
Name(Print) Cy ent Mailing Address:
1 �If31 S�
_ __ Te�2 rove
Signature
2.2 Authorized Agent:
0 V
Name(Pri t) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
2. Elecirical (b) F<stimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) s{2 2 r Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature.
Building Commissioner/Inspector of Buildings Date'
38 CLAIRE AVE BP-2006-0013
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A- 118 CITY OF NORTHAMPTON
Lot:-001
Permit: BuildlnQ
Category: BUILDING PERMIT
Permit# BP-2006-0013
Project# JS-2006-0017
Est. Cost: $8225.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Jeffrey Cranston 101176
Lot Size(sa.ft.): 13372.92 Owner: BERNIER STEPHEN J&LINDA J
Zoning-:URA Apnlicant. Jeffrey Cranston
AT. 38 CLAIRE AVE
Applicant Address: Phone: Insurance:
P O Box 307 (413) 268-3504
WILLIAMSBURGMA01096 ISSUED ON:716105 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL SIDING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
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 Sienature:
FeeType: Date Paid: Amount:
Building 7/6/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo