29-463 (4) roposaf Vinyl Siding
Corbett Home Improvement Roof s
8
Northampton, MA 01060 Doors
,t p Awnings
(41 3) 584-6571 Canopies
Gutters
t/ 0&4 7 7 SO Shutters
PROPOSAL SUBMrriED TC> 1`��(, S' /A) PHONE '7 J DATE
,'-WIT3g Crc j �/iew 09 JOB NAME
C!I'Y,STATE,arxl ZIP CODE /����� � Q/O ICJ a JOB LOCATION
DATE OF PLANS lOB PHONE We hereby hereby submit specifications and estimates for:
7 t .4K
plCc. yc6 ,S
'We Tropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of:
ll/ (3 3 7� )
Payments to be made as follows: Dollars/H�w2 y �a✓� /� / �di✓
All nwterial is guaranteed to he as specified. All work to be cnupleteol in a work-like manner according Authorized
to standard practices. Any altercations or deviation from above specifications involving extra ousts will he Signature
executed only upon written orders,and will become an extra charge over and above the estiutate. All
agreements contingent upon strikes,accidents or delays heyond our control. Owner to carry fire,tornado Note: This proposal may be
and ether necessary insurance. Our workers are fully covered by Workmen's Congoensation Insurance.. withdrawn by us if not accepled witlun days.
Acceptance of qProposaf-The above prices,specifications
are condilions are satisfactory and are hereby accepted.You are authorized to Siguature
do the work as specified. Payment will be mad as outlined atxve.
Date of Acceptance:
��� Signature
A{o oyti �It� �f �\10rf1lzilli toil _
.1.KC h nr C II S. _
w OEPnRTMENT OP 13UILDr?,,10 INSPPCTIONIS -
212 Main Strcct ' ?\Tuoicipn! Budding
Northampton, 1\ ass. O]OGO
i
Wo Ma, R'S CON'TENSn'nON MSURAhCF A1TD)/iVjT
(l;c.�-us-crJpc-l-m)rice)
\%rlLlt a principal place of bllSlntSSfFcsIdcl7Cc zt: --- - —
do hereby certify, under dic puns and penalties of perJury, hai
( ) I am an employer providing flit fOHOWIMI, %,oricef-'s comocnsado, cove 2ge for Illy
eluplovecs working on diis job.
(Igsut-nc-- Cons) (Pc Li c: N r) (-:piroor, D P i
( ) I an a sole propritior, general contractor or homeowner (c cie one) and Lave hired
the cootrac,ors listed below cyho have the ,`ollo� inQ worker's c00nen_sadon pokles,
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(Name of Coaaaetor-) !I.csuraowz Ccmpa,;y/Poiicy NaO-beri (Explraoo Dalc)
_
(Name of Contractor) (Lasuran(-- Com /Poll Numbs) (Espis-z�oo Dat`)
rz-a}' cy
I am a sole proprietor and bave no one wording for me.
( ) I am,a home owner performing all the xvork rnyseif.
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SECTION 5-.DESCRIPTION--OF:PROPOSED WIORK(check-all-applicable)
New House Addition Replacement Windows Alteration(s) Roofing
Or Doors F-1 7�
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [[] Siding[0] Other[C1j
Brief Descri ti n o,(rk: Propped ��/�� /
6
Wo �° ot3 T_W _,�����
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa ff thew oos n a torah W-exis In o 'slng,coiYrgtete tl�e o Imo mg
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 OWKER AUTHORIZATION TO BE'COMPLETED WHEN
OWNERS AGENTAR CONE W6,R APPLIES'FOR BUILDING PERMIT"
I 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
T � �� J 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. '
Z7~ �O/2/�Pte?— 1 �2
�
Print Name
Signature of Owner/Agent Date
tote.. ..
Section 4. ZONING All Informati6tt 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
Lot Size
Frontage -- — — --
Setbacks Front F—
Side L: R:I ! L:' Ra
Rear
Building Height ( —' --
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved —7 —�
arkin
#of Parking Spaces --
Fill: —
!
(volume,&Location)
A. Has a Special Perm it/Variance/Fi ding ever been issued for/on the site?
NO Q DON'T KNOW YES Q
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW 0 YES Q —
IF YES: enter Book Page; and/or Document#'
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained Q 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 Q NO O
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,gradingex9pvation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
Building Department
212 Main Street I
APR I I �20 0 5 Room 100
Northampton; MA 01060
I- -Rhone 413-587}1240 Fax 413-587-1272
1
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1.-SITE.INFO,RMATIdN
Via;.�;.�< , This sectton�to<be comp let d}by office
1.1 Propertv Address: w
'� 4:.,syr� x ,s -�15.,,�'�'" •'J a�w z S�'P4i ;§u ��ie�a � }3
3/�///� ///!�/ ��//�//�� // '�/\/
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tnct:�� �`�,� `�'�+'�"l�krr.,� �C�,pIs#ricf rt
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT,
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone S
t
Signature /
2.2 Authorized Agent:
F [�lraRcJ T OORUU AR
Name(Print) Current Mailing Address:
� w , � 4!;�g y-- Co 5-71
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTIONCOSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a)'.Building Permit Foe
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) 37 Check Number
This`Section?ForOfficial'Use Only
"Date
Building Permit Number,
umber Issued:
Signature: '
Building Commissioner/Inspector of Buildings Date
39 CRESTVIEW BP-2005-0976
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map.Block:29-463 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildina
Category BUILDING PERMIT
Permit# BP-2005-0976
Project# JS-2005-1350
Est.Cost: $4375.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Ed Corbett Jr 116069
Lot Size(sq. ft.): 10018.80 Owner: STEIN LESLIE B
Zoning:URA Applicant: Ed Corbett Jr
AT. 39 CRESTVIEW DR
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTONMA01060 ISSUED ON:4112105 0:00:00
TO PERFORM THE FOLLOWING WORK.STRIP & SHINGLE ROOF
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 4/12/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo