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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 _-- 1 c - ---- `� J Si t of i Sec:: JPcrnt .tcc - ' ?S< 1 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