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J.D. Rivet & Co., Inc.
ROOFING a SNEETMETAL
1635 PAGE BOULEVARD,SPRINGFIELD,MA
P.O.BOX 51068,INDIAN ORCHARD.MA 01151
TEL.(413)543.5660
FAX(413)543-3373 r
PROPOSAL SUBMITTED T PHONE DINE
STREET ' r !` JOB NAME
� l
CITY, STATE AND ZIP CODE JOB LOCATION
ARCHITECT f J DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for: i
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Pe f rapow hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars (; 5 L L
Payment to be made as follows:
All material is guaranteed to be as specified. Any alteration or deviation from above
specifications involving extra costs will be executed only upon written orders, and will Authorized
become an extra charge over and above the atimate. All agreements contingent Signature
upon strikes, accidents or delays beyond our control. Owner to ca fire and other 9
necessary insurance. All accounts not paid within 30 days are subject to a late Note: This propose) may be
charge of Ir/z'/. per month on the unpaid balance. In the event that legal action is withdrawn b
instituted to collect m wins due under this agreement, the undersigned agrees to y us if not accepted within days.
pay all costs incurred including reasonable attorney's fees.
of r"usxi—The above prices,specifications
Signature
and conditions are satisfactory and are hereby eccepied.You are authorized
to do the work as specified. Payment will be made as *alined above. .
Signature
Data of Acceptance;
riion while cop
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 1 g Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 03 N-A\51 /J Lot No.
2. Owner's name v` a wh� Address b3J 4'�'s U�
3. Builder's name art C �h�" Q` h k, Address 't �� AuiL 41 S,� d
Mass.Construction Supervisor's License No. 4 U I Expiration Date 11 416
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines �^ p i
12. Type of roof b wg 7"�wT L�.rOlcic� w,It1 q"04"e
13. Siding house
14. Estimated cost:- �5(b
The under igned certifies that the above statements are true to the best of his, her
\ kn e and f.
Signature of responsible applicant
l
Remarks -111 P.,f,� t AC14,,
U
J
Date Filed S k 1� ` 00111-
0
File No.
—�T ZONING PERMIT APPLICATION (§10 . 2 )
1 . Name of Applica Xuj: ��. �„re� �► r, 4 �I�;v,,
Address : j RIV Telephone :
2 . owner of Property: CZe v,5",C�k
Address : ,� �-t- �� Telephone :
3 . Status of Applicant : Owner A _Co t- t Purchaser
Lessee Other (explain: E, CA.."fY4 0 )
4 , Parcel Identification : Zoning Map Sheet# -2-15L Parcel# 1 3c'
,
Zoning District (s) (include overly ) t t�
Street Address ,
Required
Existing Pro Dosed' by Zoning
kJse of Structure/Property
(if project is only interior work, skip to #6)
Building height 13` 3'
%Bldg , Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage -
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descri tion of Proposed Work/ roje t : (,Use additional Vets
if necessary) �u. "r „� r
1 µ 1i1
C ✓�G
7 . Attached Plans : h(' Sketch Plan Site Plan
8 . Certification : I —hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
Date : S�Zd �� Applicant Is Signature :
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ZApproved THIS SECTION FOR OFFICIAL USE ONLY:
as presented/based on information presented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required :
in ng Re it d : _ Variance Required: —
2
gnatu o Build ' ector D to
NOTE: Issuanco o a zoning,permit does not relieve an applicant's llrdn to comply with all zoning, requirements and obtain all required permits
from the Board of Health, Conservation Commission, Dopaitmont of Public Works and other applicable permit grantint7 nuthoritios,
City of Northampton REQUIRED INSPECTIONS
BUILDINGDEPARTMENT 2. Footings Structural Walls Components in Place*
3. Complete Building*
No. 354 Office of the Building Inspector
Zoning Form No. 001110 Date 5/21/93 Fee $40 Check# 22425
Page, 25C parcel 139 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERNM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J•n• Rivet/Robert Czelusniak before Building Inspections
Re-roof & replace screens & floor of porch on roof
has permission to Inspection on Site--Foundations
173 North Street
situated on Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU U PLA O THE PREMISES
Certificate of Occupancy
B spe -tor Gar
t
PERMIT APPLICATION CHECK LIST '
PAGE LOD 31 ZONE C /
E S NO DAT E
ZONTNQ FORM P C IO
2 , PERMIT APPLICATION �✓
3 OWNER OCCUPANT E 1� NOT C--'
4 3 SETS OF PLANS /PLOT PLAN
5 , NEW CONSTRUCTION
0 . CURB CUT
7 . WA19B I S
$, REMODELING INTERIOR
9 ADOTTION
i
10 , ACCESSORY STRUCTURE
1 , SIGN Z AWNING
2 , PERMTT FEE - CHEQK ONLY - ONFY ONE ORDER
V
13 , SPECIAL EERMTT REQUTRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 C R 780
18 FORM A
16 , FILL
COMMENTS : __