17A-133 (2) �roposa!
Vinyl Siding I
Corbett Home Improvement Wind°u`
Roofin,
Northampton, MA 01060 r>
Awnings
(413) 584-6571 Canopies
Gutter
/l!(/Cf� L - C Shutters
PROl`OSALSTIBM=r)To 0LA A (_ PHONE -Q9,01 DATE
STREET !
CITY,STATE,awl ZIP CODE JOB LOCATION
DATE OF PLANS JOB PHONE
I,
We hereby submit specifications and estimates for:
R►� �I� ss �es� s .mss iA,
S -
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we J)ropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of:
Dollars
Payments to he made as follows. �1
All ntatrrial is guaranteed to he as specified. All work to he completed in a work-like manner according Auduxized
to standard practices. Any altercations or deviation from above specifications involving extra costs will he 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 heyond our control. Owner to carry fire,tornado Note: This proposal may be
and other necessary insurance. Our workers are fully covered by Workinen's Cmupensatiun Insurance, withdrawn by us if riot accepted within day.e. j
i
Acceptance of Troposaf-The 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: �,7� y ( Signature
- - f
OP sa
I
Vinyl Siding
dows
Corbett Home Improvement Roofing
Northampton, MA 01060 s
Awnings
(413) 584-6571 Canopies
Gutters
Shutters
fJ
PROPOSAL SUBMITTED TO `A RA L 1 PHONE - �f9 DATE jCeVe
STREET e! C MIN AME 8V —3•c /
Crl'Y,STATE,and ZIP CODE � JOB LOCATION
DATE OF PLANS IUB PHONE
We hereby submit Specifications and estimates for:
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CWf CprOpOS2 hereby to furnish material and labor-complete in accordance with the above specifications,for the sutra of:
"' / / Dollars )
Payments to lie trade as follows A td lndAf�' / &./fit/ /}�C�- j�j�(j�/ L 0P ds
All tuaterial is guaranteed to be as specified. All work to be completed in a work-like manner acconling Authorized
to standard practices. Any altercation,;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 control. Owner to carry fire,tornado Note: This proposal may he
and other necessary insurance. Our workers are fully covered by Workutenk Compensation Insurance. withdrawn by its if not accepted within days.
Acceptance of 9Proposa(-The alx)ve prices,specifications
are conditions are satisfactory and are hereby accepter.You are authorized to Signature
do the work as specified. Payment will be made as outlined above..
Date of Acceptance: �/ Signature
V K�a Ion(
MENT 01: INSPD71IONS
212 Alain Street Municipal BuiWing
"'Orthamptc)n, A,11F,s. 01060
,. tl: .. I�nncip�l plrc� ;�t busillrs�;�resi<lencr at
I .'.I:� _'? � ?� l)V'l_: `It)�1(r.(l� 'ri_ 1Ci.l)AVlllt' ,.( �C'. (�<�� �1:�_.:!l):• �,C'vt � is .. .
� ,.;11 .. .`��C`�C: 'iOrl'7'.�t,)i (�.•,�:�'_! C(lr',t(�.CLI)r �_'( :?Clii�,('t�A%.'1i'.. ((1_.,C' OP.C� ,-..., :, 'C R1i'`'�
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!�l„iiiC Ui (..C.i:-iI�`.�:`>(I ( -Jf.i:It" �•i)itll .'(i�l ��I:i.i:.'" \l. i::u ),' tic(��
. !17te o( ( .�.,(..:C,c�;; ( t,�(,,?n�_ (�ofnl,_1..� I'on�, TJ,lii �•':l �;:ir.:U , 1) �,°1
(Wale Of lD ii ClJ:) (In.l11anC: ��01111 !1}'�i'411c}' ll1i1K;) �L1.FIf:.(I_:1 1�RtC)
(eu_ti?t .vyj:�cxa t.'xct,f r.cce->i to ��h(�4 (_.�r:-ta'i�xi l.r:tnl:artF;to ell_<..:_raCO��)
i( I a:n a sole: propl-ism aid have no cane wolkinq for me
1 am a Immu Owner perfol min,; all the wol k niyscl
N()I1:_plc sc Ix ea>n tt:a:was!xilrMwvci-. to
ncx❑>,xc tli.n Ll c t:l�a1r.r_'t U. mm&,or cw dw g"mi,a�;+(utclurl i1r_-c:n�.:c(>x�cncralry ocx�:(krc.:to IY
-II!)1oy;-11 tI l r tlr,«�-Ni rf” I:(Al i1i:(GI,I S?_n I(5)�a by or Fcmu:mey�nkrrs t.'K
Icg>l clan.of rtn—,;)10•:K uod,dio Act-
I u.ur>lL-rd tf>.:a c.-'v of th:.ct>t-1'c 1 -1 t�0- D'j-, .:,c=u of 1r.S(inJ'.c>-:.;�i'O:Loo oFL-.. --ror t6a
vraTic11100 a:u1 ttt t L_Jtsc to sct:.uc(t�--n�m1kr ws.ml:5A cI MOL 152 car,lmd to tx mp> 'Lion of mmi t_I 1timw"
lux of t:;)to S I,',00 00 n Vx r.:;rr,tux nrr.t of up to rnr -r r.a1 aril p, 2jcj to dx f xln of n Stop Wli(( nrul e
e of S l00 0(-)>(tv rc.�un!rx
`�ii'nahuc t�f 1 ic�'l�,cr/I'�.rnl,ttrr 1111� �
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
address Expiration Date
,gnature Telephone
,:
. - ....�
9. Registgred'Home tmr�rovement'Contractor. -, „ , ,,r�,a�Fi ,w. fr h'� y�� Not Applicable ❑
Company Name Registration Number
L�----A-d s /V° yam S°/S-a
-,-:aress Expiration Date
Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6))
"orkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
,,. l result in the denial of the issuance of the building permit.
geed Affidavit Attached Yes....... ❑ No...... ❑
11 Home:Owner Exemption'
"]fie current exemption for"homeowners" was extended to include Owner-occupied Dwcllin2s of one(1) or two(2) families
and to allow such homeowner to enaabe 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 buildinLy 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)
}ou 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.
I omeowner Signature — _
ECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable
ew House ❑ Addition ❑ Replacement endows Alteration(s) El Roofing ❑
Or Doors
ccessory Bldg. El Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
rief Description of Proposed Work:2�vS} j,L 3
Iteration of existing bedroom Yes No Adding new bedroom Yes / No
ttached Narrative Renovating unfinished basement Yes No
tans Attached Roll I Sheet❑
a. If New house and o"r addition to ezistili �otisirig "completei'tti foll'owin :
Use of building : One Family Two Family Other
Number of rooms in each family unit: Number of Bathrooms__
Is there a garage attached?
Proposed Square footage of new construction. Dimensions
Number of stories?
Method of heating? Fireplaces or Woodstoves Number of each
Energy Conservation Compliance. ____ Mascheck Energy Compliance form attached?
ype of construction .
Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes
I
Depth of basement or cellar floor below finished grade
Will building conform to the Building and Zoning regulations? Yes No .
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/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.
J x
Print N e
Signature of Owner/Agent Date _�
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page _ and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T 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
IF YES, describe size, type and location:
City of Northampton R
Building Department
212 Main Street
Room 100
Northampton, MA 01062
phone 413587.1240 Fax 413-5871272 tee'
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING _J
SECTION 1 - SITE INFORMATION
This se,
tionito be comp�leteq,by office
L1 Property Address'.
Map`'` Lot
/�1 CA i- /Z/ `�dt r � �
Z664,' Overlay Dlstrtct �
Elni St. District' CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Ael
,;3rne (Print) Current Mailing Add ess:
Telephone
gnature —-a
2.2 Authorized Agent:
l
Marne Print) Current Mailing Address:
i,
signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
com feted by ermit applicant
1. Building (a) Building Permit Fee
:' �ectrical (b) Estimated Total Cost of
Construction from (6).
3 Plumbing Building Permit Fee
1. Mechanical (HVAC)
Fire Protection
Total = (1 + 2 + 3 + 4 + 5) 2 3 Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
�;
:. , ..
k
373 BRIDGE RD BP-2001-0745
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map.Block: 17A 133 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Cate&M:3j ylsiding BUILDING PERMIT
Permit# BP-2001-0745
Project# JS-2401-1401
Est.Cost:$2937.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Group: Ed Corbett Jr 116069
Lot Ss�L-ft.l: 111-51 36 Owner: LI CLARA
Zoning:uxA . Applicant: Ed Corbett Jr
AT: 373 BRIDGE RD
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTONMA01060 ISSUED ON.3122 1010:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL REPLACEMENT WINDOWS &
VINYL SIDING ON BACK ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET,
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough:, House#:: Foundation:
Final: Final:
Rough Frame:
Gas Fire D- ep Ltment Fireplace/Chimney:
Rough Oil: Insulation:
Final: Smoke: Final: 0 ft L{-17 -O
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI N OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 3/22/010:00:00 1174 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo