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30C-034 37 1 �J CORBETT HOME EXTERIORS HIC# 413-665-2286.413-586-8712 CSL #77829829 7 38 Graves Street,South Deerfield,MA 01373 WINDOWS•SIDING•GUTTERS•ROOFING "Locally Owned and Trusted Since 1966" Serving the Entire Pioneer Valley CONTRACT Date )S w) 7 2Q 1'-1 This agreement, between ��1�R r e t�.0 .. (Owner) of T_�i1 ..i l t�l/� �'' �d ft C 8 C-t l'✓f� and (Address) JCORBETT HOME EXTERIORS: SOUTH DEERFIELD, MASSACHUSETTS Phone 4 al SPECIFICATIONS -Z:64) AtiL L cs,,� �► -_t �lN�' t/J'i1� �ai,�J' A��i Gin s.S d n P 17 on the premises located at o nA a total cost of Irk '• 0 0 With this order owner pays down the sum of$ V00, (:>a Owner agrees on completion of said work by the Contractor to pay the sum of S CI,,1 I to O dollars Owner agrees that in the event of any breach of this agreement by him after acceptance he will pay 70%of the total contract price because vinyl replacement windows are custom measured and made for owners home and will fit nowhere else. Performance of this agreement is made subject to labor strikes, fires,wars, acts of God,and the Contractor's ability to obtain material. This Contract constitutes the entire understanding of the parties, and no other understanding, collateral or otherwise shall be binding unless in writing signed by both parties. WINDOW GUARANTEE Manufacturer's glass is guaranteed for life from date above not to fog up between the panes of glass.All other parts will be supplied free of charge for life.Service will be free of charge for 1 year from date above.Guarantee does not cover broken or cracked glass after one year from date above or an damage resulting from neglect,abuse,or acts of God.Condensation build up on the glass is caused from high humidity levels and ventilation within the hom� lerefore there is o guarantee that this condition will not occur. In witness whereof, I ha hereunto d my name this '� day of 24 VI by ontr or o o— Agent (Owner) Joint VWnerT SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor:: / Not Applicable ❑ Name of License Holder:�j�y�/ ( n (�err License Number ' 192) 73 6 /6 Address J Expiration Date Si at Telephone 9 Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Addresss /t Expiration Date 3S' C�2 z YLL `c Jt eer" ✓73, Y l�.�nt'. i�/ Telephone 4/1, 6 Cu"• SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) 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...... 11. - Home Owner Exemption 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/or 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 buildinp_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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors A Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[C] Brief Description of Proposed Work ey.. iind Snt /r ,j LL VJ„vL CP ec 3 0 V-- ✓R ✓e Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: 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-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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 uthorized Agen hereby eclare that the statements and information on the foregoing application are true and accurate,to the best o my nowledge an elief. Signed under the pains and penalties of perjury. Print Name 7,z- sioatuof Owne Agent Date Section 4. ZONING All Information 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 Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding 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 © DONT KNOW 0 YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW ® YES 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 ® 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 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,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. Department use only r�� - City of Northampton Status of Permit: � 0 Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability ortham ton, MA 01060 Two Sets of Structural Plans p phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: %J n� Zz Ma!%i�„� 3'1'1 .Rvaa Name(Print) Current Mailing Address: 'V/'�! /' a t< Telephone Signature 2.2 Authorized Agent: =0H.%j DA- Name(Print) Current Mailing Address: Signat a Telephone SECTION 3-ESTIMATED CONSTRUCTION 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) S-a/, 00 Check Number AV OR c3 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date 399 BURTS PIT RD BP-2015-0299 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30C-034 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: windows replaced BUILDING PERMIT Permit# BP-2015-0299 Project# JS-2015-000566 Est. Cost: $2521.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JOHN J CORBETT JR 78297 Lot Size(sq. ft.): 40728.60 Owner: ST MARTIN SHANE Zoning: SR(100)/ Applicant. JOHN J CORBETT JR AT. 399 BURTS PIT RD Applicant Address: Phone: Insurance: 38 GRAVES ST (413) 665-2286 SOUTH DEERFIELDMA01373ISSUED ON.•911612014 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 9/16/2014 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner