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17A-118 (3) I.-­ J i •-•—�— -- — � 9rdHCh Cllicb �w',O I••'�`,, (t, 'T•s,a�i arv,V 019 ' ywf'MRatar,MA 4ra0a 50H,W-8161+15(70.330000-7^7< �.j i3 CCrfR I SGT—do thtl� � nR al_ n the Yee.Q _ SI—.New England Seth,Irc,urn; � - — (HOME QWNntiB) (PONE vHONE) tBU81W`.^S PHONE) fStATF.1 yFA (BTTiEFTi (TOT,NV! I7JP1 AE uBPp In thlb can+ra0t,the WdtlR WC•J6 O7 Our rt1M 0 New EnplMvn gash,Itt,Rn0 thR wMn»you and ynlr rnfnl fu 1hR cuz10MlY W@ Aggro 10 IUmlah all IC�,Rne+001 nne@csAry i, haiatl the rnilowlnp tldfrtroled wlndntNR R!.�''q N,.�.----•---- oaLlb�Ie .Total Unitsl' Glans GISTS Cir16a:Y �'� L { �'�+. Yro an,mt oh my bNnllnpnr tlrinlN. I In31e116t'�On' I Double 1NLn UnItB, J ---^•I 7 --'•*' ,� `� bl nm rof ml+mBbin,br mto*I o r, .'•r' I1• i Pl71VTRUrlte: INrN,onr.A,raNlcnonp.r�A Innrrm++e�!Tdnl_COnirsrt. n!tI to r[nn IM TA m filk r 6W IM I my IA 1410 9 IVAW0MIAIRrrn ,13LI N r Unlis: StleB.Tor SILIIS�UmS•. — I tare: a•Itfe, Ca�Bm�rx onus; M IhltR: z-nle P1a �-rIN Total 1 I Bay/EbATUnits:DI-0— `a-Ih5 a•Ine; 5•Iite; MCC: }�I¢n�—TIVM' r (SerienWirtlows; ,}I---__ 3-IIt9: 4-Ito _ litb', Deposit Ellterbr —I 1h: Ro01 Se}flB 'Toal?rb BCllOrY� Knoe Brack @lSY/N With Order: ntTU4� 'E T]oors• gtnnl Fihwr of Ie: Add Doposll r --- �t 51mm Doom Alum W^_C,7r I gtyl IR; �I Dtte LtI S'O)h Clots Doora: s _ Color:t!J1,Ij� Balance Duo ;079.t o _ In. N a J -!On Dolivery' ?!CASH ray {�1- ..._—.—.._.. �Aiili_pO\hfl_N�bt @9: L'�C.is^ �ro,.4..'_�4 '`�,�Dhd_�.Y�.��I"'+`-M 7M3�—.�f�.�t +,��i�••4r.�'?L� lJ _+-COKE.. n`L d•.•4,ter•:5 ,�.-.} p_ � t o,r_ . ..W S. DEPOSIT"TH 6RDEn*CASH ❑CHECK A BALANCE GIJ£VkCASH f-'FINANCE YA„.R—to Pny vaeh RemminR b Iho,NMa IIhDW{,It w OA If yew Quoll is appmrRd,fe srgc c,nrlM Mnvdae hT un fr IMY" t o}lhn 1 An I IAn.Ya,,MM Apmn 10 ODr1 A LnmpMlm aResnvrtb talon yr,l5pin11!Tt or inn rsrh.Ir you I IA m mnkn"""nln wAIw,.1ATF if l aua.Ihnn wN!!u!Y IMmneIMRN alnP w^'^.Wn mm c""m t nPl atnrt_4 jk1 rA4 V34 am(790091 WPn t1N pBNq;mrml4*—tw awu:l>pt wong nm mmnw•q POVANIn:a.If F-1-.Ay fAK*19n 0!114 610 to Iha OmOn01`10,1110 otnnY 140111 MA"Mril 11y rxland R1.ON.1 our jmliRl e,"IrMn FAyFAATW Ou0f rO,.rvd V•N,r W,n@ralrn rru NrMI bon,In1r,•ei I—AII Prfmml IR rI,IR At thn nnm.,n,frnA a 11V,,CIM Inn mrdlnu+r INN 9119.mA,nrnNRr D lam mlhr rvnni fAf11M IrrurCAR}n[r rtR1RR9RA IN oB1iOGerq pIM paYmUr r duo a-Inpmn,You d,-pry n,-1,f. n,A d r,prnnrn in,!,Jflll\P mMQMhln n11M11M,/'n fnm In,kHhleA,WU t(n TtlfF}-4 Sh Ri bV Nulno'e P'y nmm+al'o In the T IRnAx pro and N may noun A dA IN,INI InT V.I.wt�leh ,AV CR Or;!fih7T-Comm Vn1A pR pfiq 1,,rRr:rHnnrn 14th nI,nrrIkAUt Ilnnr Inver. to ItIfthtNr we blip on or ub0ut G.(., ..Yks 1r,O wiA nn n,RlAlnn,l Ity Mmrlw-o nn mn hnvl itK 4lf1 h1.UMnrNn,-rr7M WU My 11'R+Inrnwinq CmL gplOWr :b11M mnkAaltiy rnRnpa VIA mrlhrz,o relmillollon daft nn"Air eumamo!a I1n 11'T m ohtnh Or P'.nury rnr n17N,�x1p�,hcrnwnnl wnAlh.nr,419499 rr nx,nf 6-alnnlo8 narmlrhnp,ny nl maranRU;Pab rN C�rM. Wb mpin6oN 1h41 wA^-any Worlarc,C.I.II HAIon nod I umn LVhhlry Inaurnne0 it T,n wmn Ml of S!04.900 I nor,AnO. ALL REWr:NTU1L CONTPAOTOpS AI DUBCCN"r0 STS Pflr,nEOURED 7O OR tlPl9%TERED WITH Tt,pu MA45ACHUSeT75 rrAOD OF UUILC I.RF•At1LA7,I0N5 ANO BTANDhRI:S.UNLESS SPEVFICMA.Y EXEMPT FRI,M RVAIFTJAKnCnI.INOIIINn'A CONCEAN"I gCr.`.H:!'nAT ION S4?.9.D fir DIRCCiR7 T:1,DinSCTOR,HOME MPRCV[MeNT CONTA,ACTCF RFAISTRATION,ONE LSNBI p7TON PLACE,ROOM 1,1n1,BOSTON.�M,A(oEOl1 n Inl yi',:7•BSOB, CCNrRAGTCM 011 FaiSUCNTFACTOR l'O%LIDED Tr OBTAIN THI.;FOLLCLAMO MOVITA ,N_•{rs,_i 0 �+�1_-Pf- M I�-r+ _.T W9 DC tiOT OBTAIN THESE PERMITS ANTI YOU OBTAIN THEM.Ca IF WE ARE MT FEGIfITMEO WITH THE XIMID CP BUILDINO RTIUHLATICNU,YOU Wig 1,NOT SE EN77Lrl:Tn 02TAIN ANY a!NEF7TS FRMV THE CUAHANTEE EUNC IIST,L IUBNEL9 UNDER MA44ACNUBE?TS tENEM1 LAWS,GHAFTF.vt,nih. ANV CPPOSIT PEOUTRED UNDER THIS ASREEMENT rO BE PAID IN ACIOANCR OF THE CCMMENOR,Mh:NT CF WOM ihlAl,l NOT EXCG W TIY{:nF-ATER OF ONE•TH'.IM cr Mr TOTAL CONTRA Cr PCICC OR THE ACTUAL C 097 OF ANN MATERIALOR FOUIPNENT WHIGN NAS TO BE SPECIALORDI CF 4;J3TGf1 MACE,1VH1C4 vkIST BE ORPann IN A IVA Nt"OF tFIP CO MFENCEMEF T OF THE WORK.IN O CCA TO ASRURE THE Ppf)1rr,T WILL PROCEED ON.SCHEDULE.NO FINAL N'e%!&' AIRY BE DEMAWOEO UNTO..THE AGREEMEN 1 IB COMPLE ED TO THE SATISFACTION Of NOTH OF UB. YOU MAY CANCEL THIS AGREEMENT it IT H�IG BEEN FI(3NSb aY A PARTY THERETO AT A PI-Arc OCHER THAN AN ADDRESS OF THE WHICH MAY BE HIS MAIN OFFICE OR BRANCI I THEREOF,FRDVIDSD YOU NOTIFY THE SELLER IN W9ITIN4 AT HIS MAIN OFFICE OR 6RAN7H BY OW)INARY MAIL FpOTEO,BY TELEGRAM CC'IT OR BY DELIVERY.NCIT LATER THAN MIDNI61FT OP ThIE THIFO BLISMESS DAY FOi.LOYWNG THE SIONINO OF THIS AGREEMENT. BY$IfBN16 BELOW,YOU aCrANON1LE0C1`THAT YOU OWN THE ABOVE PROPERTY AND TI+Ar YOU nt3RS.6 TO ALL OF THE TERMS OF THIS CONTPAC,T,YOU ALSO ACKNOWLEb66 TWA r YOU HAVE RECEIVED A FUL.Y COMPLETED CCf Y OF THIS CONTRAC-ANb r,NO CCMPLF7F4 CRT'IEF OF THE NOTICE OFCAtICeLLATIONI,ND THATvOU HAVE BEENOnAIJ.Y INFORM6b OF YOUR RII70 GAI Do ND r ETON THIS CONTRACT IF THESE,ART:ANY BLANK SPACES. INl@ITNESS NM1rFRED IM h1V bu1100115 M+Iwlr nllMARInIR �p I� r __...-�—JRY 9I..1:•'.�`�} ._�1n.lnn YOnr oT a, _ p(EnNLi RRPRRRRNrA"N1 �Y gWkrrl — AWUPhr'II NMx EAp1aM 8aR1L 1110, , AVrRpaLG6 smRATVxt! !!it1RM m'LE t ys RER NOTICE OF CANC::!,ATION DATE McODAY'9t YOU MAY CANCEL THIS TRANSACTION,WITi IOUTANY PENALTY OR OBLIQATION,WITHIN THREE BuvNII OAYB FFIOM THE AGOVE IaATE. M YOU CANCEL,ANY PROPERTY TRADLC IN.ANY PAYMENTS MADE BY YOU UNDER THE CCUNTRACT 0tt yA4E,AND ANY NCGCT)AFV, INSTRUMENT e)rECVTBO BY YOU WILL I E FiETVRNED WITHIN tp OUGINESS DAYS FOLLOVViI RCCF-1PT RY THE 911 OF YOUR OANCEI.4A?IQN NOTICE,AND ANY BECUREC 114TIP EST ARISING OUT OF THE TRAN9Mi114N vvl%,I.BE CANCELED. TO CANCEL THIS TRANSACTION, MAIL CA DELIVER A AiGNED AND DATFD .OPY OF THG CANvEl_LAngN NOTICE OR f,WY CTHEM WRITTEN NOTICE OR SEND A T"ECRAM'0,NEW ENGLAND$ASH,INC..',331 ORAPTON'WFIFET,WORCE97En,MA D+944 NOT LATQp THAN MIDNI'DHT OF: Doff(BL'M:nrA A ReubAYe e,swoeb, I NERflOy CANCEL THIS TRAW9ACTICN. Y 'CHAMP'. �ASSACIj IIStttS - DEPARTMENT OF BUILDING INSPECTIONS / INSPECTOR 212 Main Street • Municipal Building '�>o Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as iris/her construction super,,i sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 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 regulations. 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. Date Address of work location .0 a (1,ii�r of �Nlt. r ljmlipf ml A � fiirsaxcflnsrtta' � =; DEPARTMENT OF LUILDI? G INSPECTIONS 212 Drain Street ' Municipal Building j Nlorthampton, Mass. 01060 WORKER'S COMTENSATION INSURANCE A FIFA IT NvIth a principal place of bitsiness/residenc� t: ------ (strce L/C,t Is7, :r;p) do hcrd)y C(--r'tlll'. 111)r! l' t11 C Twills ai)7 1)Ci]CiilC;; Oi 7egllry, ( ) I amn an empioyer providing the followint %vorr_ers cornpensar;on covera c for In), employees working on t is job: (Las=nG. Company) Ntmnbcr) (E.>_;..ir::ton Date) j I awl a sole proprietor, general con-=:77-or or homeolv-aer (C'i cle on-1) and Have hired the contractors listed belio -�til0 COulp°n-S�J !Orf (Name. of Contractor n- fE 7,:rar Dztc) Qn_.u-ancc Corn.,:�-rr,'1'clicJ Nusnbcr) _or. (Name of Cont?at ,o:) —fir— --Mina Date (Name of Contractor) (Insa oslc Com; n;;il'olic. Nun) t r) "Zi ,:t: Datc) - (Name of Cont•actcrj _- (Iasiranc Cotnryy)y Policy Numl;2-,) on Date)- (r.tLic$ad-!i;.ima1 sc._d......_.^.en ::�i:_...c ...-'<:..._„�. ,_.-...irt _ell�.<:ro...•.,-) ( 1 iUll a Stile 1?I'0}?I'1C Ji <!LU helve Il0 Z IIiIl �! 11011Ie 0}'.'?1Cr iiCi-I0�1I11I)�. �Il i!... 'ti'•. .„ iii' .'lt. b NOT.:plc-ac Lr ftwa:t tha!•xL:jc not uxce th n ttuoo uni's in t l dt LFU I:r.ti�.:ttr T=L'=or a:L`* •;:�zot rcr`r1 Lhcr o:c n t p yes un.:cs t}r� -._.i-n f.r((3LI Svs f(SQ,r.�:, ._a,:c-�l+y a hnt•iro«•rw`or z Gccu cr p:r.-.:::�: - . legal etatur of an a�loyer uaur tLo Wcu♦;c��t:o,�,,,r-ikon!.cL - I un8c-,a.nd th,l z copy of tt i ctatc:s'my bo fofwMCidf to tf»lY.t rt-xxri:of Ir.dzizri_1 Anzl.�t�OfLcw of it-.%�� =A for tfx covcrtgc Vaificlioo a.ad that f_ilurt to t c c cov r;u:-k-- 2SA al MG1.152 con lr_d to tlx ia:P—tio co<mixtin of a fur of up to S I.SC`C).Cu0 e:ta'ff i ;:r ut.�ti•:r• to rn: 3 - P -• .s::� - };a:a-.'I civil pcnzitia in'—c fix711 cf,a fir r-of S 100.00 a dsy ip r_in:.t m.. (/t� For cSq:�•VZniaf u.c«zSy S f t nacurc r cif I.icy t:aJprrn c-:. SECTION 8 CONSTRtlCTION SERVICES 7771 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone e e e z.'orn. m r . ::'en t. ntracto: Not Applicable ❑ Company Name Registration Number Address Expiration Date /lip 0 Telephone SECTION 10 WORKERS' COMPENSATION IN§WNCE-AFFI .AVIT(M;G.L c: 15:2, § 25;C(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...... ❑ 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 building permit As acting Construction Supervisor your presence on thejob 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 y k3` 'fvr ' �'•Ng �:1� " ch ORK # S GT'101 5X. PTFON OF PROPOSED Weck- III fa I+aab�le '.<..aA''... New House ❑ Addition ❑ Replacem_eyrWindows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding[ ] Other [ ] rief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0• Sheet 0 dBitrontoexistingio>asrnom" e 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. Mascheck 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 SECT©T�1 ljIINERLl�TFIORIZATION T,0°BE COMPLETED WHEN OaIVtJERS�A E OCONTRACTOR APPLIES;FOW.,BVILD1 NG 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 X ( r as Owner/.Authorized Agent here-, declar t t the st ments and information on the foregoing application are true and accurate, to the best of my knowledge and belief. S' d under the p ' d penalties of perjury. Print Name S'g ature of Owner/Agent Date Department use only (`� n of Northampton Status of Permit: (,,,J i ding Department Curb Cut/Driveway Permit 12 Main Street Sewer/Septic Availability JUL z O 2Q04 ROOM 100 Water/Well Availability ampton, MA 01060 Two Sets of Structural Plans phone 413- 87-1240 Fax 413-587-1272 Plot/SitePlans DE.�OF 9(PLDING IN.SpECTfONS Other'Specify NORtf+AM APPLICATI UCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office VIP �V Map Lot Unit oy—c nu-1 '` Zone Overlay District ► I Y l V� Q 3-7 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1�1 V) C[a ft a VC 1 omccf M Cj- Name(Pr t) nj/It nn esg: Telephone/ Signature 2.2 Authorized Agent: rjyz y( ) I��t r �l 1 1 C-►r r i� . U-)iPTr��-fi2Y, c� Name(Print) gurrSnt Mailing Address: Sig at re 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 t✓. 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) 0 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date 38 CLAIRE AVE BP-2005-0077 GIS#: COMMONWEALTH OF MASSACHUSETTS k; 17A-118 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-2005-0077 Project# JS-2005-0096 Est.Cost: $4060.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NEW ENGLAND SASH INC 104098 Lot Size(sa.ft.): 13372.92 Owner: BERNIER STEPHEN J&LINDA J Zoning:URA Applicant: NEW ENGLAND SASH INC AT. 38 CLAIRE AVE Applicant Address: Phone: Insurance: 1331 GRAFTON ST (800) 300-7274 WC WORCESTERMA01604 ISSUED ON.7/20/04 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• Receipt No: Date Paid: Check No: Amount: Building 7/20/04 0:00:00 191 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo