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32C-146 (7) '" Northampton, MA 01060 Awnings (413) 5$4-6571 canopies Ate /�� Gutters Shutters PFtOPOSALsuBMRTEDTo PH NE DATE /JV O`er MEET L JOB NAME CITY,STATE,m.l ZIP CODE JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: a i J -a 0,9 YaX Y2_ 0 (We TNopose hereby to furnish material and labor-complete in accordance with the above specifications,for the suet of: Dollars $ ) Payments to he made as follows: / All material it guaranteett to be as specified. All work to he completed in a work-like manner according Authori to standard practices. Any altercations or deviation from above specifications involving extra costs will he Signatu executed only upon written orders,and will becoute.an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our amtr 1. Owner to carry fire,tornado Note:4)y pos ay be and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. withdr us' not accepted within days. Acceptance of TropoSQL-The antve prices,specifications are conditions are satisfactory and are her by acce [ed.You are.authorized to Signature do the work as specified. Payment will r Fad twit' ed alxrve. Date of Acceptance: Signature / �('I"V�lVJLIi Vinyl Siding Corb tt Hgme Improvement windows Roo � Q Roofing NoRfi m fon, MA 01060 w Doors p Awnings (413) 584-6571 Canopies Gutters 1 v cs L d�7 `/ o Shutters PROPOSAL SUBMITTED TU p P ON -70 7 DATE IVIAV / O s—� S'fTtEET �,` Ave- JOB NAME MY,STATE,ml ZIP CODE /v �' ojd6o I JOB LOCATION S/"Me— DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Covee ©um i4oul-w' iw 3/9 " �rh iUSv a•J eo,'LY4-;, . ALL L-;,C evL Vjwj1 —S s is -}- g--Ni m awi,-d j 1" 4 wt o CS-1r)c l v,41 U, 15)ocKS R L, 7 JA4.a- AS Iveec%/; L/Q,rrs DP e..- �s Sic '6)o(-K s R� clJ�s Rr�t, sus AIo K -4-v uvse o o s I coo � L A less �-1u „� �rS -► b(,��1 DrlTs �)a,� or' , ON& tsoi a�VcLu ry G d6d (We Tropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: /J i Dollars(/$�.��� /�`�"' ) Payments to be made as follows: il� 71_a—IT � •mil H9� I 1gP')A'?t/� 0 Pori 0/" All material is guaranteed to be as specified. All work to he completed in a work like manner according Authorized to'tandard practices. Any altercations or deviation from above specifications involving extra costs will be Signature executed only upon written orders,and will become an extra charge over anti above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado Note: This proposal may be and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by ms if not accepte tun days. 'kcceptance Of 'P1'OpOSAf-The alxive paces,specifications are conditions are satisfactory and are hereby accepted.You are authorized to Signature do the work as specified. Payment will be wade as outlined above. ., Date of Acceptance: Signature a)P; r - {opt ttn�r nJ0 cox. y a e (rifffppI>�� 1��341crh riL[116 o DEPARTMENT OP DUIL.D(I\:C INSPPCTIOI:S ' 212 Main Strcct Municipal Building Northampton, Mass. 01060 WOMCCR'S CONUENSATION MSURA--NCE AJ=- AATIT G principal place- of businessfresidcncc at: ---- - y R6Zs�1 In,4 stmt/c�ty/na r-/Zi P) do hereby certify, under thc..pzir]s and penalties of perjury:, ha] ( ) I am an employer providing ehe followint,workcr-s comocnsadon cove2ge for Iny ctuplovecs worming on uus job: (Incur-� Conp ) (Pelic: Ntu-ter) -- (r :pirtior, D2t--) O I am a sole proorctor, geoeral cooiractor or homeowner (citcie one) and have hired the cooiractor-s listed below wbo have the foUo«ring worker's coco°rl_sacion pckies: ( +1r13C 0; Con!raaor) (Irlsuranc.. Coinp3r])`Oo c-y ?,,rllS7lh-C:) ?:Jt d 00 011c) - (N me of C000-aczor) Oils-urzncc Comoa.a}-rPolim Nu-m6:r) (—E»ir-6on Date) (Name of COaC72C d.) Raasaoc; Compao)-/PoL-cy Nwm r) (Expirdoo Date) (I�ame of Contractor) (Insurancz— Compaay/PoUcy Numb`r) �Txpirat;oo Date). (aai.3:d.'s�oc5.1 bcc,ifaccai�•to c,cudc inrorta.aoo pc,"�in.iJ ooa�--LO.3) I am a sole- proprietor and Lave no one work-jog for me. ( ) I am-t,a home owner perforrni.ng all the work rnyseff. NOTE:plo be cchrc it"- ]a hcmA+va3 vtio ctaplay pctoas to dD c,00 c-rcpair Boric oa.d—U--ni:of ant zxre th n ' _�r�is S idi the bomoo.�ac rcada or ca ehc Qoua i, psnca tbern�z ox C=rl1y arrd.-ro9 to be ritployc3 un�r the.ui o z oc� m Aa{GLIl52n 1 CS)�:p U..ca by.bomeoa-oa fcr a lie==a pcma ra.:r a ideooc LLe Ic7,.lna-uorn —Ploy-underdroWor] o1,compomatioaAct- [uoda mead th+t a ooyy of thi. my b.fo—. J.d to the DeQ.rtmooi of led ,j Aeadeat3'OfG—or loz�u+noe for th. co�vr;cxuoa and tltu L-hae to L==yx,,,craZ ,m)d=lc;(,c 23A of 1,i4L 152 can Ied to the izpmi6ca arai aial1 pca w,= oo¢ai:.ag of a rwc of trp to S 1-0 Oo.�N« or up tv ooc y,rod o�i]pca.tio is 6c focm of a Stop Work 0%,&=and C=orS100.00rdeyapia't - ., For dry.rtrxa:.�1 v.c onty Pcrmrt humL--r Lot S i glaacvrr of Lia=>_saJPc e ,,(rifp of Warf 1 amptor z I�Aff Athilf tttf ^ s _ DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR '212 Main Street • Municipal Building Northampton,MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to act as his/her construction super•,,isor. The state defines "Homeowner" as, ""Person(s) who owns a parcel on which he/she resides or intends to be, a oiie"or"twoJam�'- -- 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 any 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 fegulations. 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 t.;M-- as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location SECTION 8-CONSTgIQTSER1yS r 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: 6(9) 4-1S-() License Number L4 R-e-ed (S-� &R o6J m r� o 1 oho 6�-3-o6 Address Expiration Date Signature Telephone e Not Applicable ❑ CQ K ee= ,J-J0M,5 _L„rh.Gi�ov��iei✓T” l/G, 0 6 9 Company Name Registration um er Address Expiration Date _ Telephone_c��y—tCJs7� SECTION lo=WORKERS't MPEKTI,T101101,INS URRNCE�WFIDAVIT(M�Cr L C I52,§ 5C(6Jf 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...... ❑ 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/of 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 r SECTION'5-DESCRIP-.TIONiO: O'kOP.OSED WORK(check7aift r3licable) New House [__J Addition [],, Replacement VJindows Alteration(s) Q Roofing Or Doors [&1 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding ] Other(C]] Brief D scriptign of Propos_gd I /if ,,,,/o ff,, �/L04J— i ,Lws5 y rV 4 W ork:� �s�.u ��--�Ii—n14+ 6t, /�K � Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6 ew ott co extstn o'sl rrrp e y he 'otlouraang 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 0VVNE R.AOTHORIZATIP PTO BECOMPCETED WHEN OWNERS.AGEtTOR`CONTR;k OR.APPLIESFOR:BUILUINGPERMIT 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 (Sir 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 Name Date Signature of Owner/Agent Section 4. ZONING All Informatl6h 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 r Lot Size Frontage ry � Setbacks Front Side L:0 R:= L= R= r� Rear Building Height - Bldg.Square Footage 0 Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces 0 U Fill: volume,&Location A. Ha_s a Special Perm it/Variance/Fi ding ever been issued for/on the site? NO © DONT KNOW YES IF YES, date issued:, IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW Q YES 0 IF YES: enter Book Page and/or Document# �I B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW X YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Q Date Issued: C. Do any signs exist on the property? YES 0 NO )2� 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,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 i IF YES,then a Northampton Storm Water Management Permit from the DPW is required. b ; of Northampton Building Department .W Main Street v� Room 100 Northampton; MA 01060 axone`41 ` 87-1_240 Fax 413-587-1272 AP-P-LICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION,1 'SITE INFORMATION 4 r d This sectlon�to be c to`"feted b 'offices,- � 1.1 Property Address: / � 1.//!-' tir', ,�...E, t�3t• °,� �.•. SECTION 2-PROPERTY OWNERSHIPlAUT,;HORIZED AGPNT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone / �� `7� Signature 2.2 Authorized Agent: F LJra Rcl T CloReZe T-- Name(Print) Current Mailing Address: Signature Telephone SEGT'ION 3�-ESTIMATED�CONSTRUCTION=CO§TS• Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (ay,BbildingPerrrfit°Fee 2. Electrical (b)Estimated Tgtal,Gost of Constnicfion:-fro'm.(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5,Fire Protection 6. Total=(1 +2+3+4+5) zy 7d14? Chedk-Number This Section For . Dfficial'tJse'Ont o� Building Permit Number Issued: Signature: Building,Commissionedinspector oEBuildings Date 19 MICHELMAN AVE BP-2006-0302 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 146 CITY OF NORTHAMPTON Lot:-001 Permit: Buildinq Category: BUILDING PERMIT Permit# BP-2006-0302 Project# JS-2006-0443 Est.Cost:$18740.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 6403.32 Owner. EAGER MARPA Zoning:URC Applicant. Ed Corbett Jr AT. 19 MICHELMAN AVE Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTON MAO 1060 ISSUED ON:911912005 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS & 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: 0 K B5 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION or Certificate of Occupancy Si nature: •�'� FeeType: Date Paid: Amount: Building 9/19/2005 0:00:00 $25.00 211 t. e:.;Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo