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24A-186 �..aa.arVl tvwn, IV11t 01007 • (413) 323 -5629 Fully Insured (Pt it aot� c',e ,v Free Estimates 2 3 5$ f/ rA its 4 tow Proposal to (e (Oti ' tekik A. 6Cq Phone 3'7- 7032Date 7 fR 0? Street 5 / (/yg r',k 4 w job Name City, State and Zip Code J40442p /VA, Job Location fleai e ' c2i 6o We hereby submit specifications and estimates for. P7 b � �e We propose hereby to furnish material and labor - corn .fete in accordance with above specifications, for the sum ao of: - °' - dollars ( ) Payment to be made as follows: Tr t �� Deposit to be returned with contract copy: �/ C 4' Balance Due Day of job Completion: 2•0 ®r • Customer responsible for building permits if required, also to in- form Jay's Fencing of any special town restriction before installa- Authorized tion of any fence. signature: CONDITIONS & TERMS; All work will be performed in accordance with standard practices_ Property lines must be marked by Note: This proposal may be withdrawn by us purchaser and seller assumes no responsibility for location of property lines. All agreements between purchaser and estimator must be in writing before and approved by sellers main office before work if not accepted within days commences. Failure to pay, as agreed, will void all guaranties and or warranties, and further, seller shall have the right to dismantle and remove off purchasers property, without notice, atl fencing installed by virtue of this order. Purchaser shall pay seller in full unless otherwise provided in writing. 11/29b shall be charged on delinquent accounts Should fencing be removed for lack of payment then all prior payments Signature A - a Ili r �—�- made by customer shall be forfeit and be applied as liquidating damages. Purchaser is await and agrees that underlying rock, concrete, shale, hardpan, hidden pipe, electrical wiring. or other substance that will require jack - hammering, blasting, drilling, or if any other unique condition u unknown to die seller involving extra labor or costs, will result in additional charges apart from this agreement. Seller shall Date: _ honor rescission by purchaser under such Stare or Federal laws pertaining to such action if taken by purchaser. Guaranties or warranties shall be honored by seller only if in written form or certified. No assurance of guaranties and warranties shall have any validity at any time :.ASE SIGN AND RETURN ONE COPY, THANK YOU ! - 3 p a n 5 W./r7 1 Tie 4 .r,/ / /�-�,�e1 *1149 ace t./ t ac/ ,, • : _ R. z k s 0 1 a o e t bp, gc 1 o " h • R x i aa° i < ; QQ 3 . �. Vim i g , i f �' _ 1 f : a5f 1 J _ p f Co k ''-! ti NC-`CSC A . J . THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT ' TO 'BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED 49 .31 't ,■1")- BOOK 8528, : I PAGE 4 N to ri PARCEL 2 w NOTE: 0 o SUBJECT TO EASEMENTS AND I+ RIGHTS OF WAYS OF RECORD. 54.05'± BOOK 8528, PAGE 4 0 L00 O p."+. �� a C� Y, t►✓ 60'± JACKSON STREET TO: BANK OF AMERICA, N.A. AND CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 -NOTE - SURVEYOR: CZANA- 1Q. T. -I-31N THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY �� , - MORTGAGE LOAN INSPECTION PLAT - NORTHAMPTON, MASSACHUSETTS RAN ' ` PREPARED FOR E. 35032 " E MILY K. BOWDEN & MELANIE KOURBAGE SCALE: 1"=40' JUNE 19, 2008 (4 e °� HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS ° 235 RUSSELL STREET - HADLEY - MASSACHUSETTS ;Jlze Vi ovnwzalz dealt% ;'LZ- adutekiaeat Board of Building Regulations and Standards License or registration valid for individul use only �1 Qt HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 140064 One Ashburton Place Rm 1301 Expiration: 9/16/2009 Tr# 133503 Boston, Ma. 02108 Type: Individual JOSEPH J PATRUNO JOSEPH PATRUNO 155 JACKSON ST BELCHERTOWN, MA 01007 Administrator Not va ithout signature . . - -� • U:1! U17 GC., VJ 11. JV . -• ... ......... ... -.. } .- AQRPM. CERTIFICATE OF LIABILITY INSURANCE 05/01/2009 C PRODUCER (413) 586 -5011 FAX (413) 586 -7973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alexander W. Borowski , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 88 King Street, Suite B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060-3257 INSURERS AFFORDING COVERAGE NAIC # INSURED Hadley Fence Company LLC INSURER A: National Grange Mutual 14788 P 0 Box 258 INSURERS; Associated Employers Ins. Co. 243 Russell Street INSURER C; Hadley, MA 01035 INSURER D: • INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR • Dl TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS , c • GENERAL LIABILITY MP053918 03/24/2009 03/24/2010 EACH OCCURRENCE 5 1,000, 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO R 500 000 EM pRISP (Fn erai nnai S 7 CLAIMS MADE © OCCUR MED EXP (Any one person) 5 10,000 A PERSONAL & ADV INJURY 5 1,000,000 -- GENERAL AGGREGATE S 2,000,000 GENIC AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG S 1,000,000 X POLICY PROCT - LOC JE AUTOMOaILe LIABILITY M90539],8 03/24/2009 03/24/2010 COMBINED SINGLE LIMIT —_ ANY AUTO (ED Bcddrnt) $ 1, 000, 000 f . ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) 5 A — X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per Pc ;Idant) PROPERTY DAMAGE 5 (Per accident) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY 00053918 03/24/2009 03 24/2010 EACH OCCURRENCE $ 1,000,000 OCCUR n CLAIMS MADE AGGREGATE _ 5 1,000,000 A 5 DEDUCTIBLE $ X RETENTION $ 10,000 S WORKERS COMPENSATION AND WCC5008159012009 04/17/2009 04/17/2010 WC STAT OT EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100, 000 OFPICERJMEMBER EXCLUDED? E,L, DISEASE • EA EMPLOYEE 5 100,000 If E PP O VISIONS below under SPECIAL E.L. DISEASE - POLICY LIMIT $ 500,000 � AL PRO OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 'VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS , 1_ 11 _ _ C;,. • ► SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. For Insurance Purposes Only AUTHORIZED REPRESENTATIVE �ill�Fw!^ +.G Robert Borawski /BORGCl ACORD 25 (2001/08) @ACORD CORPORATION 1988 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: // Not Applicable ❑ Name of License Holder : _rsS 9e9h J� %T /'"U/l> ref #/ 61 7;1/ /A/ 3 Licknse Number /5S _..,/a 65'7 � / G G i -, - � ii),7 ii' d 0/4' 7 / `9 Address Expiration Date ►AI l V/3 -.58 - 31 Signature Telephone 9. R rtered Home Im • r • vement Contractor: Not Applicable l A./.4/ f;,iee Company Nfime Registration Number 4 5 * , < r ° / / ( S . " N Q / t / / e j / Q / � 5 Address Expiration Date Telephone -5//,9 -3'.F/ /0? 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 buildi permit. Signed Affidavit Attached Yes No ❑ 11. - Home Owner Exemption 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) I I Roofing D Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks JZ Siding [0] Other [0] Brief Description of Proposed t Work: enAl t? BAR-- clo 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 or addition to existing housing, complete the following: 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 stories? 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 BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ■'L \a *■ �e �' V \o e- , 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, JZ, 4 v\ % e. 4 b ucom_* .. , as Owner /Authorized Agent hereby declare that th statements d 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. Print Nam; 77 4Z01 - Signature of Owner /Agent GS Date • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department ow a Lot Size 000� Frontage (v 0 Setbacks Front c; 6 0 i Side L: 43 R: L: Rear 2G3 Building Height i/ /a 5Arl,21 ■• Bldg. Square Footage . 7 % Open Space Footage c % (Lot area minus bldg & paved , 5 G g O 1 parking) # of Parking Spaces 1 / I Fill: (v & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW fa YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO kr DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained I , Date Issued: C. Do any signs exist on the property? YES Q 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, ex ation, 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. • Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability �' _. - j 09 Northampton, MA 01060 Two Sets of Structural Plans r v' phone 413 -587 -1240 Fax 413 - 587 -1272 Plot/Site Plans - Other Specify APPLICATIQN. TRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office Sl TAC.Kto St• Map Lot Unit /V or tt,,..4 ^i 1`^A Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 1 5 I Ja, t�.son St.. l�or ,e,,. Mh Name (Pri t) �) Current Mailing Address: O(00 / N 13 Al/ Telephone Signature ' 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant _ 1. Building (a) Building Permit Fee (p SO C> 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing _ Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+3+4+5) I Co Soo , Check Number Vi Al29 r This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date f File # BP- 2010 -0139 APPLICANT /CONTACT PERSON JOSEPH J PATRUNO ADDRESS/PHONE 155 JACKSON ST BELCHERTOWN (413) 584 -3107 PROPERTY LOCATION 51 JACKSON ST MAP 24A PARCEL 186 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 14 X 20 DECK 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION PRESENTED: A pproved 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 Demolition Delay t7 e..'„/ 8/47 Signature of Building Official Date 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. } { BP- 2010 -0139 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: Deck BUILDING PERMIT Permit # BP- 2010 -0139 Project # JS- 2010- 000166 Est. Cost: $6500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOSEPH J PATRUNO Lot Size(sq. ft.): 6011.28 Owner: KOURBAGE MELANIE Zoning: URB(100)/ Applicant: JOSEPH J PATRUNO AT: 51 JACKSON ST Applicant Address: Phone: Insurance: 155 JACKSON ST (413) 584 -3107 WC BELCHERTOWNMA01007 ISSUED ON:8/7/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 14 X 20 DECK 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 8/7/2009 0:00:00 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo