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29-086 Tropos �I -- Vinyl Siding ^ Windows Corbett Home Improvement Roofing Doors Northampton, MA 01060 Awnin wnin gs (413) 584-6571 Canopies Gutters �/4'0� Shutters PROPOSALSUBMn'iEDTO area PHONE DA"IT "V 6V STREET /v 1" Q 1013 NAME �'"—'•� CrrY,STATE,atwl ZIP CODE Plo JOB LOCATION IDATEOFPLANS JOB PHONE We hereby submit specifications and estimates for: VC -ITI tX Zop' QA—Ss— 1 L. —2�-f- If b �s lGs�f, O. r}id-b�/ 0 1LL�J 1 e Z31g,K 5' -/ cWe 9 1ropose hereby to furnish material and labor-complete in accordance with the above sjwcificanons,for the Nunn of: 11ollacs(.b Payments to be mach as follows:Mo V .� 'L/ /1 All nraterial is guaranteed to be as specific+l. All work to be complete+l in a work-like manner accarrtting Aulhori .(I to standanl practirxs. Any altercatioaa or deviation from ahuve specificatinas involving extra costs will he tiiguahtre executed only upon written orders,and will become an extra charge over and above the estiulate. All agreements contingent ur)n strikes,accidents ur delays heyond our txrntrol. Owner to carry fire,tornado Note: This pror)," may he and other nrcmarY insurance. Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us if not accepted within days. ,keeeptanee of �roposaf-T1Le atxwe prices,specifications are conditions are satisfactory and are hereby accepted.You are authonzed to Signature do the wtxk as specified. Paynwril will be tirade as outlined above. Date of Acceptance: �' L Z UC, Signature F E (rrf� OfTcrrfllajlt:ptol.i - — r ' Q DEPi1RTMENT OP BUILDf>\'C INSPPC TOES ti 212 Tfain Strcct Municipals Dailding Northampton, Hass. 01060 WOR ICEws CO1'TZNSAg7O.N G`ISURANCE Al=- AVIT � (li ct usrclper•m�tt'tx) %,,,,tb a principal place of bUS;DeSsfreSIdcnce at: - i `7 R&2r> 66 Nd' D (!:hone") � s�tici tylsta.tcla p) do hereby ccrdi -, under die puns and penalties of perjury., :hat O I un an employer providing the followine'workcr-s coinDens2601) cove 2ge for 111y elnplovecs worUng on d is job: (Insus-an=Comrm-) (Folic: Nu_ r) (Expirruon Dzl.:) i O I am a sole proprietor, geaeral contraaor or homeowner (c cie one) and hive hired the coDSactors listed below wbo have the follo�vwi g workers compensZdon pdicies: (NarDC Of Con'naor) (Inver zinc CojnOajI)"PGIICi NuIIlrC) (1E`:J1id0on bate) (Name of Coucraczor) (bns'ura.nc°. Comoazy/?oum- `urnc_f) (E»irtion Dztc) (Name of Conrractor) (Lnnu-anc:. CompaD)-fPol;q• N;tlnber) (Ezpim6oa Date) f (Name of Conaac100 GMsUranCC Compa¢y/Pol;cy Numb=s) 'Eapirtion Daft). I (ats��:d;itoeaJ deC.if¢eocata.••y tc mel�de"iarort oa P-%.iains to aU - . i 'WI am a sale proprietor and have no one wort Dg for me. ! ( } I am.a home owner perfora-mg all Lbe work myself. NOTE: le�c be eve tre + •.,- P t.s. t..la bom-AV.vcrs Ntio cmylay Pcwm to ct�c..s��-,••,•'• �--.;c.,ao c rs,-na+writ oa a d..c1LC,of Uzi Mort Lb-Z Lh—=rIJ La tcbiCb the bomoo mer nxdo IX oo th.pv od spputtcvse!tbereto LT Doc C==Dy om:daod to K eutPloycs uoCc the%—i'-=`z—=p--.,'on ACS(Glut 52-=1(5)),appUciEoa by.bomcoa-na fcr c lice=or P=Mh zy cvidmcc LLc Icgpl rte^.•of am cgloyec uode die work4es compao�atioa Acc. ' [uadazuad tb¢a dopy of tbr.mt®c:a ov.y be for-+.ard.d to tba pop.itmcot of 1nd,+xriJ Acu&W O(fioe of 4aw+noe fcr t6. I oovcrasc�ai('atioo and itL.t L-illae to socwc rcovcrasc Landcr loaioa 2S A of I.tdL 1 S1 an Ia.d m Lbe iZSpasitiaa of aimiw!pca+ltic of a fix or to S 1.00.00—&or °°a'ls'm8 uP •� mmFa*soamen o(up to ooc ycnr e.od a%ii pcaahua io t'x Corm oC.Stop worQ Order aad a run o(S 100.00 1 dly tpiala tae .. Ford •••1•�ux orily ------ l PcrmII t Numb--r _ p2/I I ' ' 1.fap"-- Lot° f Signactuc otLia=isccIPc te R 4���Plp •�O e $ � �laasaclTusetts ; <L 0 - DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building iQ,y 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 supc-vjisor. The state defines "Homeowner" as, ".Person(s) who owns a parcel on which he/she resides or intends to be,a orie or t►vo RnuP_ 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 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. 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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 Bach 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 lax$O.aN,.KER�UTHO,�F21 "4TI0 ST BE�COM1I??CEl ED Wf(ENS OFt�CONTftACTOR" t FOR'B�JIVD.0t I?ERMIl OWNERS AGE[ T f I 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 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 rider the pains and penalties of perjury. f w� 7`"�?Owea-�r - r 0 Print Name Signature of Owner/Agent Date a F � Section 4. ZONING All Informati6h 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 I it I Frontage Setbacks Front 0 Side L:0 R:= L:11 R:= �—I Rear Building Height Bldg.Square Footage 010 Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: ( I volume&Location A. Has a Special Permit/Varianc /FirIdding ever been issued for/on the site? NO © DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW Q YES 0 IF YES: enter Book �_ Pase and/or Document#C B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW �Q YES (� IF YES, has a permit been or need to be obtained from the Conservation Commission/? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES Q 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,,25avation,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. w. A 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 r. SECTION 1 SITE INFORMATION t h���Th�sectiat�to<b�e�c, m 1'etedab ,offic��,�� �� 1.1 Property Address: 'y� �rx Yrl:9si'�7":!'Jk• � c'eLSE'Y£� (�l "'r' _ 1 �h H. t 0011 ON{'kx.Sww� '.W�xu�, EIm�S Dls��ct�'� SECTION'-2:.,!PROPERTI(QWNERSHIPIAUTH.ORIZED AGENT; 2.1 Owner of Record: XCkre,4 K(Lr4yS-� Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: iReJ 7 CC AV, Name(Print) Current Mailing Address: Signature Telephone SECTION 3.-ESTIMATEp CONSTRUCTION Estimated="COSTS Item - Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a):Bbilding Permit Fee 2. Electrical (.15Y-Estimated Total Gost'of .Construction-from 6 3. Plumbing Building Permit Fee- 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) Check Number o This Section Foi official"Use"Onl Building PermitNumb" Issued: Signature: i Building.Commissioner/inspector of Buildings° Date 410 RYAN RD BP-2007-0639 GIs#: COMMONWEALTH OF MASSACHUSETTS Map.-Block: 29-086 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate og ry: BUILDING PERMIT Permit# BP-2007-0639 Project# JS-2007-000964 Est. Cost: $1300.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 12501.72 Owner: KRAUSE GREGORY J Zoning:URA Applicant: Ed Corbett Jr AT. 410 RYAN RD Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON:1211212006 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE TRIPLE WINDOW UNIT 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 12/12/2006 0:00:00 $25.003305 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo