24C-146 sho(dwarka Inal
Customized Quality Constructed Sheds, Garages and Storage Buildings
CONTRACT
DATE: REFERRAL:
CUSTOMER NAME:
ADDRESS:
WORK SITE ADDRESS (if different):
HOME PHONE:. WORK PHONE:
SITE DIFFICULTIES (fences,gates,stairways,low wires,etc.)
LOADING INSTRUCTIONS:
TYPE OF WORK TO BE DONE/SERVICES RENDERED:
CUSTOMER RESPONSIBILITIES AND SITE REQUIREMENTS: (please read carefully)
-removal of obstructions-branches,trees,rocks,stumps,etc.(3'around shed needed for staging and working area)
-clear access to shed site-please inform us prior to delivery of any site difficulties such as fences,gates,stairways,etc*
-an electric outlet within reasonable reach of site
-customer must be home during installation
-stone base or leveling blocks
-mark shed/building location
-permit by customer
-sheds come unfinished-painting/staining by customer within 30 days of delivery
-disposal of any construction remnants(I trash bag+or-)
-arrangements for final payment AT TIME OF DELIVERY OR COMPLETION
*NOTE-there will be an extra charge if we cannot get our vehicle up to the site,or for any conditions which result
in delays at the job,including releveling of stone.
APPROXIMATE DELIVERY DATE:
(weather,order changes &other conditions can alter delivery schedules) COST: $
You may cancel this agreement if it has been TAX: +
signed by a party thereto at a place other 'r TOTAL: $
than an address of the seller, which may be DATE CK# DEPOSIT:
his main office or branch thereof, provided BALANCE: $
you notify the seller in writing at his main SITE ASSEMBLY CHARGE: +
office or branch by ordinary mail posted,by BEYOND 20 MILE DELIVERY CHARGE: +
telegram sent or by delivery, not later than
midnight of the third business day following ADDITIONAL CHARGES: +
the signing of this agreement. ADDITIONAL TAX: +
TOTAL DUE: $
------------------------------------------------------------------------------------------------------------
WORK ACCEPTED AND COMPLETED AS AGREED:
DATE PAID IN FULL CK#
CUSTOMER SIGNATURE
WAYNE L.BUXTON HIC#122423/CS#017536
6 Third Street • Palmer Industrial Park • Palmer, MA 01069 • Phone (413)284-1600 • Fax (413) 284-1900
Display • Rte 202 • Belchertown, MA
SHEDWORKS CONTRACT WORKSHEET
Size -
Windows -Aluminum, 18" x 27"_ 18" x 36" _ 24" x 36" Brown_ White/
Wood 24" x 24" 24" x 30"
Doors -
Shingle Color
Drip Edge Color -
f
Roof Type/Shape -
Siding - r'.. .rf ..✓ ;,-. 4. �'
Pressure Treated Floor Frame - Std.
3/4" Smooth Plyscore Flooring - Std.
Wall Height -
Miratec Trim - Std.
Window Design - Standard Crown ' "°�
Shutter Design - Standard Angle Double Angle
OPTIONS: f (�
Ramp - 3' 4' 5'
Low Loft Plywood
Overhang r
Screens
i
Ridge Vent - �-
Black Hardware ����`' ,,,c, ✓�� i"'3 ______. f ,_.�''�
`✓% .r .
Keyed Door Lock
Slide Bolt
CUSTOMER SIGNATURE DATE
9. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
This column to be filled in by
the Building Department
Existing Proposed Required by
Zoning
Lot Size
Frontage N/A NIA_ NIA
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Height
%Open Space:
(Lot area minus bldg and
Paved parking)
10. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
SATE: J, �
APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission,Department of Public Works and other
applicable permit granting authorities.
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Massachusetts '
DEPARTMENT OF BUILDING INSPECTIONS j
212 Main Street • Municipal Building
,,. .. Northampton, MA 01060
INSPECTOR
-- -----n ACCESSORY STRUCTURE PERMIT APPLICATION
TO
freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Permit Fee: $25.00 Check # 3
�r i=
� C
`J
r o PLEASE TYPE OR PRINT ALL INFORMATION
Name of Applicant: �� f✓1 PkiN
Address: /�' i/2 W roN T-r Telephone: 5_9y- S/
2. Owner of Property: ✓1/0 r' k CE- �v&k,,,)
Address: M4C &T, ", IT, /� Telephone:
3. Status of Applicant: Y Owner Contractor
4. Structure Location:
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family:_ Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq. ft.: X Freestanding Deck under 200 sq. ft., less than 30" above grade:
Other(describe): )� 1 0
7. Attached Plans: Sketch Plan Site Plan Plot Plan
8. 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
CONTINUED ON NEXT PAGE
File#MP-2015-0082
APPLICANT/CONTACT PERSON O
ADDRESS/PHONE 17 ARLINGTON ST I DAVID &GRACE D
(413)584_gl 1
PROPERTY LOCATION 17 ARLINGTON ST
MAP 24C PARCEL 146 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out If(Jr
Fee Paid
Typeof Construction: ERECT 8 X 10 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO MATION PRESENTED:
proved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER : §
Intermediate Project : Site Plan AND/OR Special Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of
Planning&Development for more information.
17 ARLINGTON ST MP-2015-0082
COMMONWEALTH OF MASSACHUSETTS
#: W_
CITY OF NORTHAMPTON
GIS 3821
Map - 24C ,1
;Block.-- 14 ZONING PERMIT
Lot: 00 r ..
Permit:_ ZONING PERMIT APPLI N APPLICATION PERMIT
Category: shed
�Permit# MP-2015,0482 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2015-002119
Est.Cost: Contractor: License: Expires:
Fee Charged:$25.00 Homeowner as Contractor
Balance Due:$.00 Owner: POPKIN DAVID E&GRACE D
of Fixtures_ Applicant: POPKIN DAVID E&GRACE D
DigSafe# _ _� iAT. 17 ARLINGTON ST
UseGroup
ConstClass
ISSUED ON. 26-May-2015 AMENDED ON: EXPIRES ON.
TO PERFORM THE FOLLOWING WORK:
ERECT 8 X 10 SHED
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
shed REC-2015-006237 18-May-15 5345 $25.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhashrouck @ northamptonma.gov
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.