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32A-202 (7) - V 1 CLARCUIROG k 0 OCCUR 1 ! GEWAGORECRIELORTAPPUMPat POUCY ri M. n toc AuToROINtatiAnIrt • I 1 . I i i i 1 - IdEr; ''''----..-----T Ert vey_ _ _cm pouts i i : PEREDNAt. &ADM NNW l $ I ; OSUWASACMIEORIE ' I S PRODUCIS-CORPOOP ASS I St 1 CONON= ENGLE urn 1 . 1 111 efAUTO I 1 1 1 Mammals 4 . 000LYSUR11611Psrousas, 1 1 • ALL 0 AVMs 1 , sOORT;Kluftnrsrausdiino i i 111 SCHEDIR.ED AUTOS ! I, PpoRaspa1PiahOE I nem; AVM ! I I ; frawscaelsto t 1101KORTEDALROB 1111 r 111 uomeRsAmos; occ ! EACH OCciniescE i III MOOR" i cuasarmagi . :1 1 i PAGROOME $ . 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AN rights roaarvad- AGORD 25 t2009/01, The ACORD nano and logo aro roolalsood mod= at , • - , • — --- — ----- ---- - - Ibises* , - i Aniferrikr . ailliPellakseleifral l iateri l fraNa lgalr P nwaltatailmleitliarallidwrirrf:a iga - - 1 ... - / 1 ph / -- -- — E . Offichilaseasip. Dostataadiriggibinfil“Phem i . , Pendlaticeaself • , . ' ISSN)* al la hil eil ar O ldie all.* - 0 . 1.. Beard °Mak ZlialikgnelParbselat 3 a l a f r all m iamt Linedlielniw 5. nimithiligitesPedsr i 6- Other i Comiset Perm= _ awe* - — SECTION 8= CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 0 k '1 ' ' rt.( ' Z 3 O e License Number 6, (e ru-' -j C at .. � MKt v / u_ t ) / /ar /r.3 Address Expiration Date / Signatur• Telephone -' asks . y, _� `e e:e:•. orm'-': m•r` +wemen ontractor..p -_� �-�� ��� � � Not Applicable ❑ `. -• , 1 L 1 KG 5~3 Company Name R ?gistration Number 3 3 „ f * @ . $IRF !,/W ' 7 ter t '9T1i 1l R9!?At# ,, f- �- �. � V l Y 1 3 Address Expiration Date frt4 t O t 2 5 - 6 Telephone � 7,� - 37 � 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. Signed Affidavit Attached Yes No ❑ l 0111) WIt •l+a „III 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 o _. 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 .4 , A 4A't�+i w:s + ''' h '"#"�"m e ,�"> t - .,. :suer, ti rr' y • SECTIO D S R PTCO ©R RQPOSE WORK (c a pplica b le or mom,,„„ a sao < �t' '^a�a ' i my* '. emu, ^a� .s§s' '3- .ti:' s, .gwe. �"' s,_ '" ,.fotc-rz� ix"'=ua kt.a. t —i . a .. fir . wre w "°F.'"" a ': New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ Other [ ] Brief Description of Proposed Work: /J P ii V,%.t.� 1 5 •s"..11:,‘ Alteration of existing bedroom Yes `-'- No Adding new bedroom Yes L No Attached Narrative 0 Renovating unfinished basement Yes L Plans Attached Roll 0 - Sheet 0 sa: f ..e ou "e • or*altldition to_,:ezistm ::housing; co te. e- he following: a. Use of building: One Family 1 .-` 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 S,ECT,Iigte x 'OWNER A TF 0RIZAT, QN "TO BE`COMPLE TED x OWNEI� �'la�t 0 CONTRACTOR'�,APPLIES FOR BUILDING PERMIT- I ' , as Owner of the subject property hereby authorize to ac; on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1 .. 5 ' I, c) (et A. Ii1i .-:.-L. (--e° , as Owner /.Authorized Agent hereby declare 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. Print Nam 41 of Owne n Date • • • e 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 is by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R Rear Building Height Bldg. Square Footage Open Space Footage (Lot area mime 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 c- 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 L ' — IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No i-- IF - YES, describe size, type and location: �s t' = City of Northampton L F ------------- RECEIVED— _ y Building Department _ 212 Main Street Y ',', 2012 Room 100 - - = L . Northampton, MA 01060 _— _ _ _ f DEPT.OrR <htle 13-587-1240 Fax 413 - 587 -1272 ? F;� _ NORTHAM,PTO v t ∎ - ai_ c7� : APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SEtT10N 1- SI7W -I f . -- --[ IOC!l _ r 1.1 Property Address::," s 1 .a C k G a3 4 Y Ai . E•1 _ :, . .1.1 tra _ __ � _ _.— 1k ETl 2 `PROP ah1�lE S ti 1 7T da ( � -D ENT SE 2.1 Owner of Record: [> 4r l n -e, 4 A a i ta ! -e--- 1_ ,, iK 1 j �l P1 ., I, / , S I c€ c Le Name (Print) Current Mailing Address: 0 iv c e Y - ' - Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone S r E 0 ES�T(MAT•FDCbNrS`T Clz IVi `S_ Item Estimated Cost (Dollars) to be - - - _Jaffiblar Use gOty completed by permit applicant 1. Building (a) Bu Permit ermit Fee 2. Electrical (b) Estimated Total-Cost of ConstructtonfrOn ) . - - - S _ l ` l S'. cv 0 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) [ Check Number _, _ This Section -For. Official Use-Only - B gPermit-Number: Date Lssued n - Building Commissions llnspe_ctor of Burldmgs_ Date 59 PHILLIPS PL BP- 2013 -0662 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A - 202 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: vinyl siding BUILDING PERMIT Permit # BP- 2013 -0662 Project # JS -2013- 001097 Est. Cost: $36795.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN WALZ 060612 Lot Size(sq. ft.): 15420.24 Owner: LULA ARLINE L & NATALIE E LULA Zoning: URC(100)/ Applicant: JOHN WALZ AT: 59 PHILLIPS PL Applicant Address: Phone: Insurance: 66 Bray Street (413) 592 -2376 Workers Compensation CHICOPEEMA01020 ISSUED ON:12/19/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL 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 Signature: FeeType: Date Paid: Amount: Building 12/19/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner . IFAL Page No. ----- _._ Pages IMMO D ND}ICE 0 OW roc. PROPOSAL 33 Grattan Street All home improvement contractors and subcontractors � MA 01020 engaged In home Improvement contracting, unless {41 582.2376 specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with Submitted A.rlire & Natalie Lulu the Commonwealth of Massachusetts. Inquiries about To; registration and status should be made to the Director, 59 Pi filips Place Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (817) 727 -8598 Owners who secure their own construction related Nnr t.►amptan, MA 01060 permits or deal with unregistered contractors will be excluded from the Guaranty fund Provision of MGL c. 142A. Nlicret R8018714ATION NO. . 112653 CT - REG. N0. 0051540 413 -+84 -1224 i 8-2.4-12 LICENSE NO. - 060612 JOB NAME TN-0. JOB took ION We hereby s ubmit si let;ifleegc, ne Eric:: estimates h'r work to b., p ,'caned and Mittens to be used: ~— ,.�___.._.________— ^— I . instal 3/8' t unladen as a backer. 2. Vinyl side tyro houses using Mastic, Carvcdwood triple 3" - White vinyl siding, Lifetime Warranty. 3. Install 6 "' Trtdtinnal corner posts. 4. J- Blocks for all light fixture faucets, & dryer vents. 5. Install one white octagon gable vents. 6. Wrap all fac is (trim) in white aluminum coil. 7. Wrap all wn ,dows & doors hi Evergreen aluminum col, Anderson Bend. 8. Use white center -vent soffit under all overhangs. i 9. Remove & r,- install all glitters & downspouts. 10. Install twelve pair Girardin Green louvered shutters, 11. Use white solid soffit under front two porches of each house, and vortical', on bottom of two bay window areas. 12. Wrap f eezi : on top of mein house & in main house gable only in white aluminum coil & install dentil molding, _ . 13. Wrap beach, on two front porches of each house in white aiurniritr:n coil and install dentil tnolding. 14. Wrap freezr, board on side .if main house only and top of bay window area in :vhitc aluminum coil & install dentil molding. WORK SCHE4t LE - C0ntrector will not bsgli5 the wdrk'cor the Materials bet©ie the 1hlr5 {day t�^itayal g the sic:ring ct this Agreement. t:nlees tipacht herein wilting' Centre wiftbegrri ate work on or about 8 months trop date of signing. Parting dale/ caused by rtrcumsttmc9S beyond t;orlttscr: > : control trio work wiii be completed with. , it year iron date: of signing The Owner hereby acknowledges ands pines that the v .lraduting dates are approximate and shpt sod delays that ore not avoidot±s by the coniractur shalt not be cc "•ildered se violations of this Agreement. WARPANTY The Contteolcr ?fun tilts that the work tarnished hereunder !-,hail be, fres nom defects t ri C and workmanship for a pe „tnd of one year fol owing comVetine and shell cor' ply with ti' , ' requirements r'f this .Agreanent. In the 63 + zrwty . etE6i in worknsriGhlp or materials or damage ch sad by th; Contrector, his r;ubcrntracto s. employees of :cools, la discovered withal onr, vasr actor comp etion of any job. including i.ilear up, the ti.ontresi iii,hiciiii, at nis own expense. h.tth'rrlth remedy, repair r:orrecl, replace, or cause In L9 rerredieJ rope rr'.d, or replecsd. Such damage o< sr:6:1 d efect in ,octane's r,r Nerk;-an' hlp The foreeccing warranties a l survive a to ^ cal no steto Inspection. -_ _ _ We or po ;e hereby to furnish material and Tabor - complete in accordance with above specifications, tor the sum of: Thirty - six thousand seven hundred and ninety - five dollars and 00 /100. 36,795.00 _ .. dollars ($._ _ -_.__ _..�.____. Paytrnent to he rrado es follows: A flnhnce charge of 1 per month ( f 43% per annum) will be char Bert on unpaid _ baIArioes. in additional the 'ate, in inc event Chet this ;nritler is piacod in the hands of an attorney or collection agency, the owner herein shall be responsible fen reasonable attori tey''s tees, collection costs, court costs, and other cost rSr tees SSSOCIeteo ,i.flth the collection of any outstanding balances here 33 1: ,0110, John W. Wel: / FInyI Vinyl Inc --- d/ (n _ _ . upon Sig. - ,iny Contract; Nare of Gorrract IDesianoted R eg,siren ?: 33 1 :.,000.00 arrival of materials. . 33 Grattan Street , ._______°/0 °' {$ n __ - }upon completion _.._ - _.__ r _,_ _._.__ _ ._ - ... __ _..- _ Street hddrsea N/A Chicopee, MA OI±y20 0 _ `y, (S 0 _.) upon completion of ._._._. __ _ -__._ ._ ; ,Melt 14 t ::,795.00 shall be made forewith upon (413) 592 - 2316 65.1215510 John W. Weir y y � _.—__ -- - 1 comp o f wo rk under this contr�tcrr. �r,or }r Time J. W or„ Terry L. treks_ + _ _. - - --- I - - - - ill ,.frig �P[90n down No a ven a ment ii advance deposit) of more than one - third at the * shah ! raci price a lam: c' sal )� - �ale n ment for me t to "rt:rovemertt contracting work r payment � tats f�rn'fact pP, r f �, / r �_ __ ..... or the total amo Ant of ail doposits or payments whict•t the contractor meat make, in ntaho5,d ,Q > t advance, to ord 3r and /or otherwise obtain dewory of special order materials and equip t r 1t 1o 8tlOn 5 no at and -- . ment, �I1 if34� !@L.�125N�r�1`�S1L+;�_atQL� huts Th:y n•orrasal inn R r try us H y �x conditions stated. I under l�1nc! Acceptance of Proposal I have read boll, skies of this doct:rrent an accep the prices, . that upon signlig. this proposal becomes a bindi:lg contract. You are authorized to do the work as specified. Payment will be made as outlined abt You, the &Ayer, may cancel this transaction at any time prior to midnight of the third business day after the date of thlll transactlon..0 flcell;; must be done In writing. 1 DO NQ1 GN HIp CONTRACT IF THERE ARE �Y BLANK S ' C S. ( ) ts. , ,,. l''f 1 srta S : —r _ L ✓ �T� 9iA <,iurn� ..__ �.G_ -__ Oats _ . L s r. sa;�,nwre _ _ / — � c' " I I ORTANT INFORMATION ON BACK"