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32C-289 (6) Troposaf Vinyl Siding - 451,we g�w/ Window Corbett Home Improvement Roofing s"' Northampton, MA 01060 Awnings (413) 584-6571 Canopies Gutters Shutters PROPOSAL SITBMITMD TO iE'� �r{�,$f PHONE �' Q DATE J� D SM11T S C �� JOB NAME CTTY,STATE,atxl ZIP CODE 1 01 P, Q JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates tor: L) sjwllo AM-1: 3 L) E'r /UL es Fwd t -e �S:' l/ /hI lI / f- s s —ate M�' «t �Js f Glc,�. ,,.• ,P1�o ri fWe cpropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: Dollars( / J 0 ) Payments to be made as follows NQ 1h6#e-N LJ)QWiJ 6PfPjr.'U r if All nxiterial is guarantee4l to be as specified. All work to he complete4l in a work-like manner according Authorized to standard practices. Any altercations or deviation from above specifications involving extra costs will he Signature executed only urnn written orders,and will become an extra charge over and ahove the extiulate. All agreements contingent upon strikes,accidents or delays heynnd our control, (honer to carry fire,tornado Note: 'Lis proposal may he and other necessary insurance, Our workers are fully covered by Workien's Compensation Insurance. withdrawn by us if not accepted within days. Acceptance of Troposaklte above prices,specifications are conditions are satisfactory and are hereby accepted.You are authorized to Signature do the work as specified. Payment will be made as outlined above. Date of Acceptance: 1Z i n,�� Signature i i 4Ytv.}rnT 1. 1� G is 0 R ti 0- '5 3 of '.TRZ-tl2allI toll - A l f .r1ic��tee}}ncel(a' - � w p 0EPARTME1JT OP DU1LDr.\)C 1NSPECT701 S 212 Main Strcct Municipal DuddinC j Northampton, Mass. 01060 W0RI(3EIZ'S CONfPENSATZON G 'SURA CF Al=A`I - v,rlth a principal place of busiaessfresidenc-c ar. --- - S6• lid s07=-tici ty/sta 1L1zi P) do hereby certify, under die paint and penalties of penury, -hat ( ) I am an employer providing Ule followine \,,(Drkcr's cotnDCnsa:Jo!I. COVCrvSc for my etnplovecs wrorUng on uus job: Coo.=-,) (Petit; Nu-ni-r_r) (T=:vir tior, D=) ( ) I am a sole propricior, geaeral contractor or homeowner (wcit oct) a-'3d have hired the con-actors listed below vybo have the following worker's compta anon policies: (dame ofCon�mc,o-) (In2ranr Colnoi��li'cuc, Numcc:) ->::)i;-icon Datc) (Namc of CooTac-ror) (-Expu:iion D21C) (lY_me of Coc mete,) (L�^u anw ism arr}iPol c� tv;usb�) (ExPir�iaeo Datc) (i�ame of Contractor) (Insurancz Comczny/Pobcy Number) (Expirtaoa Dae) di�local iafvnm mco XI am a sole proprietor ana Kaye no one wort, g for me. ( ) I am.a home owner perforTning all the work myself. NOTE:ple be ccrarc tN,• i .le 6om -ocrn wt a�ploy pc"z w&D=_i_ — --.ruao c repair-ark dl-,Ii,--z of arx mete ah_a tbsv uanj is u'seh the c.d� ,,00 the P-Ouod, a7purtc _tse-en"we S—.rJ1y io t- ezzptoye�ua�_e the..•a-I;e,'z oo!Lea A,=(G Ul S2ss I(S)�:--pttCa.r try.b ©Qaa fc -bey=or pc mii ray e dmcx Ltie l,-Pj L-a of nn es-Mayor under d-Worca(a Coon n.y=oa nv [undcnand th.t a Dopy of thi.mtcmc a ovy be fog-..vda:f to the pcq�tmmx of lnd+.xiic!.�ccd cry 6tL oo of 4��ooe for th. mvcnbc Leif anon and ttu:t riltire to soorrc`covrrn{c under sow on 2 S A of h4Q L 151 t=n lad to the�itiw of t�imiasl petv]Sio cooa.Lr,a ora fine orup b S1}00.00.ndlor 6rW-ua=a nj ofup Lo Doc yr=r e.od aril pcn+l-ji w dx rcxm or.`clop Wory order.rid rim or S 100.00 i CL y'PiaA tnc For PCTIILI NuML--r _ Lot Si W_of Lia�saJPc —�� J aJnlnu2TS.iaumoamog -palElouU-V smirl jEJauaD sl;asngoussEln[jo oms put;swe-j 2uluoZ[EOO'I pup,,alElS`soouEUlpip uolduiEgl.io,N4 30 ill `apoD Swp[mg alEls agl gllm aouEgdwoo so3 Cl?jiglsuodsa.i sawnssE pus sagluao ,.ioumoawoq,,paugisJapun og j '1luuad sill Japun noX Jo3 j iom wJo3Jad of aJtq no,C (s)uosiod Jo3 aigsq aq Am non`palElouuy smu-1 [EJauaq suasngoessujN agl3o(glEaQ ui$up[nsol lou sotinfw Jo3 saoxo[dw3 of sJaXoldwg jo/Cli[tgEij)psi ioldlcgD pue (uomsuodwoD,s=jloM)Zgl ialdlogo of aoualajaJ g1Tm Imll pasiApE aq os[d -panssi si liuuad sTgl golgm io3�Jom aql jo uoila[dwoo uodn pup, 3ulmp`awq of owil wo-g poitnbaJ aq jpm alis goCagi uo oouosaid Jno C jospua ns uollangsuoZ)OuiloE sV •lluila Dulpiinq aq;Japun patuJollact 4.10M Bans iiu Joi aigtsuo saJ aq(lugs ags/aq legl'[uiogjo$uip[Ing ag1 of olgEld000E uuo3 E uo`[Etogo Ouippng oql of limgns[[Eqs ,i,)umoowoq,,gonS -Bamoamoq v paJaplsuoa aq lou hugs poilau JEaTU4 C ui auloq auo uegl aJow s;anl;suoa oqm uosla d'saJnlonJls uLmj Jo/puE osn Bons of tiossaon saJnlongls pagoujop io pogoruE`0ul[[aenp XI!UM3 oml to auo E`aq 01 papualui si Jo`sl aiagl gotgm uo apisoj of spuolui io saptsaJ ags/aq gotgm uo puei jo[aond E umo ogm(s)uosiad:iaumoawoH 3o uolllui;au -['S'£'80[uoilaaS uollipa g1x!S 08L HWD ioslua ns sE sin Jaumo aql lEgl papinoJ `asuaot[ E ssassod 1ou saop oqm anq ioj IEnp!Alpul we af?E2uo of Jaumoowoq tons mollu of pur. sa:[iius3(Z)onu Jo ([)auo3o sauiIIa^AQ pal nano-Jaump opn[oui of popualxa sum ,slaumoowoq,,io3 uoildwoxo luavno aq j uo 3�an� iuosTT MET _ ❑ ......ON Sa,k PagOeud 1lAepi};y pau6lg •11wiad bulpllnq aql jo aouenssl ayl;o leivap aql w llnsei llim liAepq;e slgl aplAoid of ainlle3 uotleolldde sill gl!m pal;lwgns pue paleldwoo aq;snw 31Aep!4e aoueJnsul uol;esuadwoo sieNioAA ((g)OSZ§ M'a'TJ'W)llAV0lJ"-.30NvdnSNl-NOI1dSN3dWOO,S213)4H0M-04 N011o3S auogdalal a;eQ uoileJldx3 ssaippy uol;eJ;slum{ aw`eN❑Cue wO5 ❑ algeo!Iddd ION ` a,. : 5 o;�eJ; oauaw�noJ wawoy paJa;si abLL g' mm auoydele ainleu6lg aleo uoi}endx3 ssaippy To - - iagwnN asuaoll JapIOH osua3l110 aweN ❑ algeoilddy ION :JOSIAJa nS uol;onilsuoo pasuaorl Vs ��i'' S3�IA2�3S NOilOfkflSNO�-8'N01103S 4 f•. SECTION 5-DESCRIPTION.OP PROPOSED W.ORK(check-all-applicablei New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks (M Siding [0] Other[t:] Brief Descrigtii n Prr pose Work: Slx// ,�toyx $�f'.✓ C� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa 1 ew: oras eon aexlstin_ o s� .:cai"I'll') heft : 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; OWNERMTHORi±ATION TO BE'COMOLETED WHEN OWNERS AGENT-DR-CONTRACTOR APPUES`FOR BOIL' ING?PERMIT 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 ,/ 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. C� 25h� 7✓ �?016eYeJ7` rz Print Name Signature of Owner/Agent Date r ' Section 4. ZONING All Informatibh 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 --i -- Side L:' R:'-- L:! R:— -- Rear Building Height Bldg. Square Footage % Open Space Footage _ % (Lot area minus bldg&paved parking) #of Parking Spaces — (volume&Location) A. Has a Special Permit/Variance/Fi ding ever been issued for/on the site? NO Q DONT KNOW YES O IF YES, date issued:: I IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES 0 IF YES: enter Book i Page, j 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 Q Obtained Q Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: _D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size, type and location: j E. Will the construction activity disturb(clearing,grading exqpvation,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. I City Of Nort0ampton $Uikd g Department 21 2 Main Street a APR 1 Room 100 LC�iorthampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 , APPLICATION TO CONSTRUCT,, LTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.1.-SITE.INF6RMATION This secbon$tobe completed`b of"Ic, 1.1 Property Address: . Mar�, Y.:��.;•.�:��. �"o��4��';'�-,. �>:��17nt1� Zorie�° , Overlay Distr�ctF rt,�.�`�:,,�x p�,Nr �'" a�x�t�b a a --�'�s w•�z�.,� r �_'r �Elm'S�,Dlstr�ct 'wt�-�TM� �._ >x{�+a�sC6 D�stnct F. SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone 94 Signature �-J� 7D�'S 2.2 Authorized Agent: Name(Print) Current Mailing Address: CoS71 Signature Telephone SECTION 3-ESTIMATED'CONST.RUCTION;COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)'.Building Permit Fee 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) Check Number This Section for Official'Use Only . Date: Building Permit Number Issued: Signature: ' Building Commissioner/Inspector of Buildings Date 52 PENCASAL DR BP-2005-0977 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-289 CITY OF NORTHAMPTON Lot:-001 Permit: Buiidina CategM. BUILDING PERMIT Permit# BP-2005-0977 Project# JS-2005-1351 Est. Cost: $4500.00 Fee: $25.0 0 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sa. ft.): 11020.68 Owner: CREST JOHN C&THERESA L Inn m.fi P..A Aq`�)llCa7lt; Fri C'OrhE?1# Jr AT. 52 PENCASAL 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 Deuartment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 0 THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. f . Certificate of OccuNanc si nature: _ v FeeType: Date Paid: Amount: Building 4/12/05 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Buuild ng Commissioner-Anthony Patillo