31B-022 (3) --
Troposal
Vinyl Siding
Corbett Home Improvement Ro fps
Northampton, MA 01060 wnin
Awnings
(413) 584-6571 canopies
Gutters
Shutters
/1 II
7/ ' nnTT A)U,
vkI)r„sAl.srls�lrrna)it)��� f tW/V�t } 1 A , N ,,oNT 4 vV U-3
i
�SIHI,, SIC, Jo lt NAii ,�j /, U,�J ()6cle
I II IAII-.-"'d ZIP(1)I)t �/ l t)li l.)x'AI It)NN II
�it/t��/� ,9 -/�',� /f� �C
n IUBI"ONEI_5�,) j)l/
��. Il��lrh�� <uhnlil shiiilir�ditxl�,Intl r�aim,il�,< �ilr
�• ... i'. � i Il.,_!lA - !`�iN�jI;IJ� ,5/iYc" /�St'fX��, S
// / Q i.
1.LI410-C G .�Sf. r rJi/S '4 4,MrN✓wl I r1M 0/J 0/Z ILl
Pr'— rp 1”Z j< /L S i C�e t C U l `v,iU c'r J C`
r , I. S �lG Oi=
I
I
�j
s,
j \N7c ('J Yrop0$c hereby It)furuisll ulaleriul and lahor-eomPlelc i❑accordance witli the ahoy shecificaliotlt.for the suns of: 5�
Dollars(.5 7s
I'.i\11 Will I In he made ac lolluw�
-A r nnl I Lu Ir,urtrr,l It hr as l ciflc,l. All a ),t k,tuhl t 1 in a w rA likr tn:,tlut r Aulhofizcd - �
i ...r'.I r.I�lines Au}ullrtuit l�ns ur tle)iai l�I 'r,In it r nOu i(iculn�ns int��h'i nl!exit-)cI�Lti u�Ill he Signal ore• -���
ulwn wfilicn"nlcts ilwl ,Ili 1 ni .uI zlrl t'.c�rge�rvrr null;h��t-e Ilu•ralln.lc. All
., ,nl.Cunliuprpl lllx)f,IrIAt Lll'It qll ,i UItYp he}I,IL:
"Ur tUllirn1. Ou IIiT I, ,',flA IIR',IufIG�i n Nude Ilii,pr ln) al ulay Ix
�n-In.urun.c Our w,�rktT.�re n�li� „)trr�l h) Al'��rklnen',t�Inl)cu.;�tl��n lu.ur;�u�� "'Ididtawn by us it nul accepted wlllii11 Clays.
�cccpf l o f Cj)ro P l-rile ahovJ riees..prrlficatitMl ��I
r„u,lluons arc calislactt>ry alld are herrh} accepted. You are audwrize,l to Slguature
„Ilic work lL<specified Paynlrut will he ni:)de;1'outlIlwlI ahnvc.
)uic„(Arerhlallce. Slgunnla ��
of �\Torf11all)}1foil _-
Qt.�.nrh nGCfla
\ DEPARTME11T OP DUILDF7\C INSPECT1ol:'S { _�
212 Main Strect ' Muoicipal Buddinc
Northampton, 01060
,NO16CEIR'S CO)I UENSnTION U'SURANCE AhFUMV1T
4i4_07e C/
(l i ccus�Jpern1;(ta)
v.ritit principal place of business/residence at
(s> (y/stale/Z�p)
do hereby certify, under the palms and penalties of perjury, .hat
( ) I am an employer providing Oic following WO,-kCF'S COITIDCCSaJO,- Cove IBC for In�'
ernplovccs wori3ing on t}riS)c)b
(La=-- Coa (PCGC/ ?d nor) -- (rtipirz on Date)
( ) I am a sole propnetor, general coocr-acior or homtow-Der (ci;cie one) zod have hired
the coni actors Listed below who h2ve the foUo%vinQ worr.ers policies
('Namc of Corr-!C,O-) ComOI;�)/'cuc, NLI-M'r•_
(N:jc of Coorracor) -- (ULS,uzncz Comoaa`iPo,IcI' 11.111�csr) (—L`-Du (ion Date)
(Name of Coaaacio,) (L sura-nc; Compu)/Potic) N;rmb 1) (ExDiruoo Datc)
(Tzmc of Conn-actor) (Ins-uranc-- ComcwyiPoLicy Numb,,�s) Txpu-auoa Datc)
to.1J—a—,=. - )
I ara a sole proprietor and have no ooe worfdDg for me
( ) I ain a home owner performing aU the work myself.
NOTF:plc be n-ut Ltw vi Jc bcm, ,ubo xxplcry p,,w 6D - czz-c� o c rcaau••orx o� d••c11��of
an mocc h Ln?j in"inch the bo nootvc ra do or oo the prounF� utco r bc�n o-x r lJv crcrd�� o b
—tploy—unG:the••at rtz 0::a, ti cc Act(GLI 5 2 a 1(5) pgLca000 try , bo ncow�rcr c UC='f a pmnn y c 6r
IcpJ n�'uc of en a?toyer under clip Worfol.Comtwm Lt—A. -
r undo-.t.nd tha a Dopy of this a>tcmma—y be fo. .v<i.ed to tbo Dop.,�of I-d,v;J Acod—Ly Offs oe of lr--for the
ooverz-E�c vm C'1100 a-d th1 L--dL c t.o under soctioa 15A of MOL 151 ew Iczd to the iaxpoubca or aimid.l pcatwl
ooaux,iaB of•Goc o(up to S 1 X00.00 artdor or up to o year c�c j pcn+l'ua io cx(orm of,Stop Wort;OrdQ
f,mof5100.00.d_y.pmsiox-
F onl y
P LTIIll I N till)tX1
t.�3p:; _ Lot "
EMW
S i Ana turn crnSCCIP c rmi u cc --��c' , .- � F
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Sup rvi or: Not Applicable ❑
Name of License Holder: �P.��"��_ �, 0 a � --
License Number
Address Expiration Date
signature Telephone
9 . a `is a <Foniehiii`ro'veit+�e" Con ir, Not Applicable
,,<ee-jc—r— do—duL
Company Name Registration Number
q rQ sue- s is y
Address / Expiration Date
Telephone-5G P Y 65 71
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...... ❑
Jv i pff
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 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 Emplovers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated,you may be liable for persnn(s i
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,Citti cif
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 D Addition 0 Replacement Alteration(s) Roofing El
Windows Or Doors Y
Bidg. LD DemolitionO New Signs Decks Siding Other [
�^igjog bcdmon _____Ycs______ No Adding new bedroom Yes No
ma'move Renovating unfinished basement Yes No
'm... ojcncU Roll Sheet
na. It Newhquse:land or.addi.tioh:to�existirM�:hoUgi4lg;::Oomptete:�thL.:followiii
Duogmg : One Family Two Family Other
________
j� nmms in each family unit: Number ofBathrooms
a garage attached?
_______�
Square fou�ogcof new construction. Dimensmns_________
_)t stories?
ofocating Fireplaces orVVooUstones Number of each__�__.
�-ovscmaoox Compliance. Moscheck Energy Compliance form attached? __------------
construction
��cuuiw/ wkzm, io0k. u[wcUands7 _____ Yc� No, wth\x 100yr. Moodp|a(n _ vcc Nn
�)asemeMo/cellar floor below finished grade ______________
.� cmntonntu the Building and Zoning egulabons� Yes No
City Sewpr 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 subjec!
jeoaV, if aU matteo relative to work authorized ny this building permit application.
---------�— ��
Date
^ xge/'�
true and accurate, to the be�nfmy know�dgeano
.ory` /�umr that the "==".=" sand information on the '~^=~^'g `~~'--' are
^,uerrhe pains and penalties ofpeqory.
. .
Section 4'
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION
rXistino Proposed Required by Zoni
'11))s Column [o be filed III h.N
Hmldm�Department
Size
Snlbucks Front
Side R:
Real
Building Height
111111U,hidil
4 Has Special Pcrmit/Vanaoce/Rnding ever been issued for/on the site?
NO _________ DON'T KNOW YES _________
IF YES, dote issued: _
IF YES; Was the permit recorded at the Registry ofDeeds�
NO DON'T KNOW ------- __ YES
IF YES: enter Book Page Document #
Does the site contoinobrook, bndyofwote/ u/ vvedoxds? 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:—
� Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. A �hereany proposed changes tooraddiUonsof signs intended for the pnope�y ?YES
___
No ��_
'
IF YES' describe size, type and location:
� Department use opiy
City of Northampton status of ?ermit _k
K
s '4 �, '.
Building Department Curb CuDnveway �et+nttz -
212 Main Street Sew�r7Sep �Ava Ih
w
Room 100 Water/Nel' `i�ab � A r
Northampton, MA 01060wa�Se of�truciiralPlans `�
phone 413-587-1240 Fax 413-587-1272 Plot/Stte=�aans
n " w,;�'{' s oz x; .q r x i� tt-�r sn4 r*• t* r
APPLICATION TO CONSTRUCT,ALTER, REPAIR;RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION " r
1.1 Property Address: _ This section to be completed,by office
Map dot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
_ 1 aAIW
Name-Pnnt) Current Mailing Address:
Telephone
----
2.2 Authorized Agent:
!Name (Print) Current Mailing Address:
P G
+yna(,xe Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
seen, Estimated Cost (Dollars)to be Official Use Only
_ com leted by ermit applicant
_ Buiiding (a) Building Permit Fee
tAi ctmcai (b) Estimated Total Cost of
Construction from 6
3 ii;mbing Building Permit Fee
Mi�e.cnarncai (HVAC)
n r, r'rotection
2 + 3 + 4 + 5) '� Check Number
This Section For Official Use Only
3uildim Permit Number: Date Issued: ___
Signature:
Building Commissioner%Inspector of Buildings Date
t
20 ALDRICH ST BP-2004-0748
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 B-022 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Penn t# BP-2004-0748
Project# IS-2004-1088
Est. Cost: $1375.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin Ed Corbett Ir 116069
Lot Size(sq. ft.): 6229.08 Owner: CADETTE ANTHONY F&MARSHA E
Zoning: URC Applicant: Ed Corbett Ir
AT. 20 ALDRICH ST
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTON MAO 1060 ISSUED ON:1120104 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 1/20/04 0:00:00 2156 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
owd
dsrv � � nxn
20 ALDRICH ST BP-2004-0748
GIS#: COMMONWEALTH OF MASSACHUSETTS
MapBlock: 31B-022 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2004-0748
Project# JS-2004-1088
Est. Cost: $1375.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Ed Corbett Jr, 116069
Lot Size(sa. ft.): 6229.08 Owner: CADETTE ANTHONY F&MARSHA E
Zoning: URC Applicant: Ed Corbett Jr
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTON MAO 1060 ISSUED ON:1120104'0:00:00
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: e K ;Z- (I-O Af
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Si nature:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 1/20/04 0:00:00 2156 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo