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Xx 16 Highwall Bam-Display Model- Skips Outdoor Accents- 1-800-822-7547 Page 1 of 2
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Home >> Clearance Items o Clearance Sheds >>
fGeneral !Images! _ I
Regular: 14,166.00
c
X 16 Highwall Barn - Display ,295.00
Model
Body: Clay
Trim: White
Shutters: White .
Roof: Black
18 x 36 Windows
1 Pressure Treated Floor System
5' Double Door VIEW t.A�tc�t i, ai VIEW MORE trnots
Loft
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Price
Quantity: 1
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Price I374IR FO0 v2 6 °�' I<tc use✓
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Tax --- Login to calculate ---
Total Not Including Tax $3,295.00 c It✓e+ - I
Ada i t (sir t Bu) Nost t
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ABOUT SKIP'S QUICK LINKS LOCATION
About Skip's Skip's Clearance Items 1265 Suffield Street
Contact Us Sheds Agawam, MA 01001
Delivery Area In-Stack Sheds toll free: 800-822-7547
In Horne Consultation Gazebos local: 413-786-0990
Privacy Policy In-Stock Gazebos And we have other
Shed Buyer's Guide Swing Sets
Shed Color Chart Playhouses locations too!
Site Preparation Outdoor Furniture
Terms & Conditions Adirondack Chairs SPRING/SUMMER HOURS
Testimonials Brazilian Cherry Furniture
Lawn Swings Mon-Fri: 9:30am-5:30pm
Yard & Garden Sat: 10am-5pm
Arbors & Trellis
http://www.skipsonline.com/product-2588-399.html 6/16/2008
1265 Suffield Street
Agawam, Ma 01001
(413)786-0990
Site Preparation Form
Name:—iv/,L Date:
Address: ,:-K
Phone:
Size of Building:—/('.- X A Size of Prep:
Building Prep: L
Delivery: Method of Payment:
Tax: (CT) Check Cash Only
Total:
Price Includes: travel within 10 miles of Skip's Agawam Store additional 2 feet of length and
width, leveling of ground up to 6 inches out of level, excavation of Grass/Soil up to 6"deep
(material left on site), Backfill of crushed stone.
Note: We require access with a Bobcat(skid steer) in order to prepare your site.
Cancellations: In the event you need to cancel your scheduled site preparation, we require 48
hours notice and must receive your cancellation during store hours.
*Site preparation does not include removal of stumps, large roots, large stones, trees, tree limbs,
etc. If additional work is required please let us know in advance and we can quote a reasonable
fee for the additional work.
**A$75.00 transportation fee is charged if we are unable to prepare your site on the scheduled
day due to grade issues, accessibility issues, no one is home or any other reason that would
cause us not to be able to perform the site work and the scheduled site preparation was not
cancelled 48 hours prior to our arrival. This fee helps to offset the transportation cost of our
equipment and stone.
***The first 10 miles of travel are included in the above pricing. $5 per mile one way is charged
for each additional mile and will be calculated at the time you place your site preparation order.
Customer Signature: Date:
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulations. The inspection process requires that the building department be called to
inspect work at various stages, which include foundation/footings (before backfill).
sonotube holes (before pour) a rough building inspection (before work is
concealed) insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home own e /resident' signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date �/Z�'/ ,
Address of work l %
location g //� rI�E',04i,o 0 '
iise C'o.nmonwealth of 1assachizser s
Devarzrnzen! of I.rlditst;ial_4ccidertrs
e oflnvesni arions
600 ff ashinQton Sr,eet
Boston, 414 02111
www.mass.-0 v1dia
«Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians,Tiumbers
Applicant Information Please Print LeLyibly
N=e (Business/Organizario v'Individual): _
Address:
Citti!State,/Zip: Phone_:
Are you an employer? Check the appropriate box: F6. [_1 project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
Y ew construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or pa tner- listed on the attached sheet. emodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. employees and have workers' 9 ❑Building addition
[No workers' comp. insurance comp. insurance.-
required-] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.�I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [-No workers' coma. right of exemption per MGL 12.❑Roof repairs
insurance required.] t c. 1�2, §1(4),and we have no
employees. [No workers' 13.7 Other
comp. insurance required.]
"Any applicant that checks box=i must aiso fill out the section below showing their workers'compensation policy infon^ation.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employes,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name: —
Policy or Seif-ins. Lic. Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 1,500.00 and/or one-year imprisoriment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S2 0.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Ofrice of
Investigations of the DLk for insurance coverage verification.
I do hereby certify under thepains and penalties ofperjury that the information provided above is true and correct.
S isrtature: Date:
Phone
Official use only. Do not write in this area, to be completed by city or town offtciaL
Citv or Town: Permit/License
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector Plumbing Inspector
6. Other
i Contact Person: Phone :
� M
SECTION 8 -CONSTRUCTION SERVICES
E.1 Licensed Construction Suoerrisor: Not Applicable G
I
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
9.Registered Home Improvement Gontractor."r„ . � Not Applicable 11
Companv Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'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.
Sianed Affidavit Attached Yes....... ❑ No...... ❑
11. bme: , wnerEgemptivn
The current exemption for"homeowners”was extended to include Owner-occupied DweIlines 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-vear 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 buildins 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
t �
c:^riON 5-DESCRIPTION OF PROPOSED WORK Icheck all armlicabie)
New House Addition Replacement Windows Alterations) Roofing
Or Doors
Accessory Bldg. ZT1, Demolition ❑ New Signs [p] Decks [Q Siding 1=1 Other[pl
Brief Description of Proposed
Work: S �C . "C/P
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house and ar'addition to existing housina. complete the fo[Fowincl:
a. Use of building : One Family 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 stones?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck 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.!13E.-COMPLETEU:WHENT.
OWNERS AGENT OR CONTRACTOR APPLIES FOR.13VILD—INGt PERMIT
1 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
i �b,,t uthonzed
Agent hereb declare that` statements and information on the foregoing application are true and accurate, to thy knowledge
and belief".
Signed under the pains and penalties of pedury.
Print Name
Signature of Owner'Agent Date
Section 4. ZONING I Att information Must Be Completed. Permit Can Be Denied Due To Incomplete Inform,ation
j ExisCng Proposed Required by Zoning
This column to be filled in b�
Building Department
Lot Size
Frontage _. _ .__.. _ ..._. _...,.. ml .. 0 �/., ...._.....
Setbacks Front
Side L .._,... R _....._._. R:-940
Rear --
Building Height
Bldg. Square Footage _._._.._ .._ %
Open Space Footage _ %
(Lot area minus bldg&paved
oarkine)
+of Parking Spaces
Fill:
(volume&Location) -- -
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 0 YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0. YES mmW
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO (!� DON'T KNOW 0 YES C
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, vation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
�,...r
Department use only
City of Northampton Status of Permit_
"2�i1 ijnC I�l�rrar ??ter: CU117 [?V far 4
212 Main Strut Sewer/' e
Room 100 wateritl ltAva7ability t '
Northampton, MA 01060 Two Seth €Stns Pine { E
phone 413-587-1240 Fax 413-587-1272 Plot/S� P'ns
Tr
i
Other peaf
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMO 1SH A OIErOR'TWO FAI*IL0rDWELLI G
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map Lot Unit
O( zone Overlay District
Ehn'St District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZZED AGENT
2.1 Owner of Record: / ,p
�r(�/ &eW Q"Z hcnni Bev _i^ ��-6
Name(Print)
�aLC d/ Current2a ilin2dress_:
y � fL t
Telephone y
Signatuik
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item I Estimated Cost(Dollars)to be officiaf Use Only
completed by permit aoolicant
1. Building (a)Building Permit Fee
U a o c7
2. Electrical (b)'Estimated'Total Ccst of
¢ Construction from(6)
3. Plumbing Building Permit Fee
4_ Mechanical(HVAC)
5. Fire Protection a,
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number Issued:
Signature:
Building,Commissioner/Inspec or or w pings Date
File#BP-2008-1154
APPLICANT/CONTACT PERSON REYOR WILFRED J&BONNIE A
ADDRESS/PHONE 268 ACREBROOK DR FLORENCE (413)586-5478 Q
PROPERTY LOCATION 268 ACREBROOK DR
MAP 29 PARCEL 332 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid of 417
Typeof Construction: ERECT 10 X 16 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN1F'O ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Dem ft' Delay
Signature of Building Official a
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
rt�rbr
BP-2008-1154
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-1154
Project# JS-2008-001703
Est. Cost: $3200.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 10497.96 Owner: REYOR WILFRED J&BONNIE A
Zoning.URA Applicant: REYOR WILFRED J & BONNIE A
AT. 268 ACREBROOK DR
Applicant Address: Phone: Insurance:
268 ACREBROOK DR (413) 586-5478 O
FLORENCEMA01062 ISSUED ON:613012008 0:00:00
TO PERFORM THE FOLLOWING WORK:ERECT 10 X 16 SHED
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 Signature:
FeeType• Date Paid: Amount:
Building 6/30/2008 0:00:00 $25.002719
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo