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35-081 (2) S3 ads Troposaf Vinyl Siding Corbett Home Improvement w Roofing Northampton, MA 01060 Awors s (413) 584-6571 Canopies Gutters Shutters f HONl� � 7 DATE PNOPttiAL tiJBMr'E tiTKEE'r 1"7 7 / JOB NAME MY,STATE,ml ZIP CODE JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: /U w Jb CI'IA-4416tlT 2 4P S S 3 x f e-,n;vite.d IeO S�1-2 - s '1 r 37 3/ c3-7�aX !�2 cWe�1 opose hereby to furnish material and labor-complete in accordance with the above specifications,for the smu of: c Pars Payments to be made as follows: MdNCO All material is guaranteed to be ae specifie 1. All work to he complete+l in a work-like manner according Authorized to standard 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 and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our ummrd. 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 withdrawn by us if riot accepted witltil Q clays, ,keeeptanee of ,P1'opoSaf-The above prices,specifications are conditions are satisfactory and are hereby accepted.You are authorized to Signature A'� t do the work as specified. Payment will he niadj ac outliri .1 Date of Acceptance: Signature ttn>rpr FZO �C3:,q0y Ct � (rIf�l L7fT � fI}a11lJfOt.l 4 � E }Za3aRrf,rstrtis' _ d DEPARTXIE14T OP BUILDrNIG INSPEC'TiONS i 212 Train Street ' Municipal Building NTorthampton, Mass. 01OGO WORICCIZ'S COMPENSATION MSURA_NCE A .M: VI-l' ', (liccasxlperm;citx) -----_._. _.. ._._...__. .. ....._.._._-- %Vl h a principal plaec of business/residence at: 1 `7 '4422 none:: s»��t�/aatr�Dp> do hereby terrify, under t}ic punt and penalties of pc -ha l { O I am an employer providing the followine'workcr's comDcnsaoon covc=-c nor lily `I employees worUng on Lies job: I (I.o.sir-ancz Comm.') (P0U Numb'_-r) -- (a-pi don 1DaL-) O I am a sole proprietor, geoeral coorxactor or homeow"Der(CLet2 one) zno have hired the contractors listed below vvbo have the `clUo%vin¢ workers comb-nation policies: ON'arnC of Cont^cioi) Grin ranee CotnoSrt)•/PGUCy 1 _ (Name of Coolracior) (inssraocc Company/Polim, Nusnccr) �i-Diriion Datc) I - - 1 i (Name of Coaa-acid) (Insuranc; CompmyRob-q- Number) (ExpirtYoa Dal—C) 1 (Nmc of Contractor) (Lasurancc Comran-y/Poljcy Number) kTspiraoon Date). (aasr�ad�s3o 7! et.if ncCCia�•to c�e'ude iaformi�oa p—lain6 to.11 ooa7-_e..o-�) 1 XI am'a sore proprietor and have no one working for me. ( ) I am.a home owner perfon-=,o all the work myself NOTE:plea lx cveyrC tha �f le home.�vcrs ubo aaploy pcsons w car c,00 c rgat-Oric 00.d­_ of not wort tb a tf�ve tmrtr is u-laeb the b=oo wet raid. ,,oo the p-ouzxb z,,_pvnerirt[bean rz Cot aty oecrdaai to be C::bployt+s-y—' the a-=p--.r•oa Am(GLll52y l(5)1 appli=.00a by a bomoo4aa far:bcxx.e a Permit r=y nidencc th Icgar n, .-or an.xPloy.c uadcr d.W.A-c , ion A� I uo CrS%AZd tb+a a Copy of tbia mtooam:m.y b. tb.Dop.rtmoaa of Ind..=ricl Aaridomdy Opio.of L Pirwan roc tbo eovazsc raireaioa and ttu L"J=to s=nug)co"-T under-tuna 23 A of 1doL 151 can tad to the inxposition oraiminA pcaiW,= mosisin Of,.rice ofup to S1X00.00 an&cr 64ciy0=0C=J or up to ooc y=r end ckil pcoaria in the ronn ON Stop Work Ordcr Gm 0(3100.00 a dty tpja�a me For dgr.rtm-eJ u+a only _—--- /l r Permit Null bcr tf.-4 map: Lot Si�ntrc of Liascr/Pc a -- t �� oy g ,,•�Z I of X �jM111�J tItt - L a � �Tilassacll�LSetfs , DEPARTMENT OF BUILDI?`G INSPECTIONS :r v INSPECTOR '212 Main Street • Municipal Building Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups.--„ isor. The state defines "Homeowner” as, "-Person(s) who owns a parcel on which he/she resides or intends to be, a one"or isvo-ami y 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 inmection'(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 time 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 • r w f ` a.Tn;eu2IS-MmOamog •pa mouuy smEj I2.iauao suasngoesseWjo a;e;S pule sme-I 3uTuoZ IEoo7 pug a;inS`sooueuipio uoldumquoN 30 AIia apOD 2uipling a;emS oq;glim ootmildwoo 1oj 4ii gTsuodsal saumsse pule sagtllaa,,.taumoowoq„pou8islapun aq1, •liuuod sigl iopun noX ioj Niom uuojiad o;oiiq no t (s)uoslad lo3 algvq aq neui no `pomouuy smeg Ilelauao suisngaumW aEp jo(glgaQ uT 2uTllnsal Iou sounfuT lo3 sooXolduig o)sioAolduig jo A;i[igeiZ)£SI ioldgg7 pug (uoprsuadwoD siwpoA�)ZSI 1a4dggD of a3uaia3ai glim;gq;posinpe aq osly •ponssi si inuiad sig;gatgm 1o3)I1om ag13o uopoldwoa uodn pug guimp`a ull o;atup wo13 palinbal oq Ilim ails qof oqj uo oouasald 1nofi 3osle.ta nS uouan-t;suoj ffuilae sy -11tula ulplmq aq;3apuu pauuojjaa 31.1om Bans Ile ao;alglsuo saa aq hugs aqs/aq legj [E!c)gjo$uiP[Tng oqI of alge;daon uuo3 e uo 11malgo 8u7pling otp o;inugns Begs,,jaumoowoq„ganS •aaumoamoq a pajaplsuoa aq;ou[legs pouad.yea -om;a ul amoq auo ueq;atom s;an t;suoa oq,t uos to V•saanlatuls uue3 is/pue osn gons o;Qossaom samlOnlls pagaelap so pago=u`$ui[tamp Aliumj oml 10 auo a`oq of popualut si io`si magi gaTgm uo`apisal of spualui 10 sopisal ogs/aq goigm uo puel jo laond a unno oqm(s)uos.Tad:.taumoamog;o u041uyaQ i'S'£'80T 551155s uoulPa gIx.S 08L UNlo tosl,ua ns se siae laumo aq;;eq;pap[nol `asuaoq a ssassod lou saop oqm auq 1o3 IenpinipuT ug 2&g8u0 of laumoawoq gons molle o;pug saTt�=3(Z)omI 10 (I)0uo3o s u[llaAia par naao-aaumo opnloui of papua;xo sem„siaumoawoq„lo3 uoildwaxa;uatma aqZ ❑ --ON .......saA Pagoelld IlAepl};y Pau6IS -IluUad 6ulpllnq eql;o aouenssi aq;;o leluop eqI w ;lnsaj JIM IlnepLUe sly;apinold o;alnilej •uol;eolldde slgl gllm palllwgns pue pa;aldwoo aq Isnw;lnepL4e eouemsul uollesuadwoo siaMioM 19 i)-U—fAVC1 Jab 3 NbRIfISNI I�OI,LbSN3clWO�.S213 210N1-0L N01133S 7Z-go—/0-5,--auogd9la1 a;ea uogendx3 ssalppy _ uagwnN uo 1el;sl6a?j atueN ue tuo0 ❑ algeollddb ION m auogdalal ainjeu ft Sv/ a;ep uogejldx3 ssa�}p-pay � /-,7 O © /' 1 jagwnN 9sua011 YEW 1ap1 H a ua3l-1;o aweN ❑ alge011ddy;oN uoswe ng uol nAsuoo pasueorl i,•8 �' S3 A2I39M 11bin', SNOB SECTION"5�DESCRIP..TION*F>PRbPbSED WORK(check all¢agplicable) New House [] Addition [] Replacement�Windows Alteration(s) El Roofing F-1 Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [C] Siding[0] Other[C7] Brief Descri tioQ of Proposed 1 / � /► 1 5. Work: Jrn1 .2 V/IVU I ►�-+tntc C.�' (� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 2 .� �El Q Sitl $ Pi oWO fCt�' 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. 1. Septic Tank City Sewer Private well City water Supply SECTION lax;OaNERI'IiO�( TfO� 'TCBECOMPI:TED Wt[EPt OWNERS AGEITr OF t GDN TLRACTORPI��FOR BIDINGaPERMiT . x_s, w 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. ' Print Name a v 6 n4 Signature of Owner/Agent Date 1 Section 4. ZONING; All Informat+6h 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 Setbacks Front �— Side L:0 R:= L:r R:= I Rear C� Building Height- - Bldg.Square Footage 0 Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: i j(volume,&Location) A. Has a Special Perm it/Variance/Fi ding ever been issued for/on the site? NO ® DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT 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 0 DONT KNOW (�i YES Q 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 0 NO )S( a IF YES, describe size, type and location: i D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading.29ovation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ^ • � 4 City of Northampton Building Department 212 Main Street Room 100 Northampton; MA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION;1 SITH.:I�JFORMATION " ft�s;sec la aabec et � '�officex R � 1.1 Property Address: W� �"'pia W� t� SECTIOMI PROPERTYO,WNERSH10 ',,HpRIZEDA3 ..ENT . 1 2.1 Owner of Record: a &/qtlrkq, U Name(Prik) Current Mailing Address: ' Telephone Signature 2.2 Authorized Agent: Pei T C'o>Q,' '\y, ���c1 sf N 14•.) Name(Print) Current Mailing Address: Signature Telephone GTION-3^ ESTlMATER�`CONSTRUCTION�GOSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building .(a)'13dilding Permit Foe 2. Electrical (bY"Estimated Total..Oostof • s.Constn;iction from 8" 3. Plumbing :Building;Permitfee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Ob .Check Number ThW.Seciion.FoctOffcial`;Use Onl Buildin PernitNumber n'pater., g issued: J. Signature: r i Building Commissioner/Inspector of Buildings Date 1261 BURTS PIT RD BP-2007-0527 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -081 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-0527 Project# JS-2007-000768 Est.Cost: $2100.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 19166.40 Owner: LEQUIN RAYMOND A&HELEN P Zoning: SR Applicant: Ed Corbett Jr AT. 1261 BURTS PIT RD Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAM PTONMA01 060 ISSUED ON:111712006 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS 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 11/7/2006 0:00:00 $25.003275 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo