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30B-073 (19) 227 SOUTH ST BP-2007-1024 GIS it COMMONWEALTH OF MASSACHUSETTS Mao:Block: 38B-073 CITY OF NORTHAMPTON Lot: -901 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Penne Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) category, BUILDING PERMIT Permit 4 BP-2007-1024 Project n JS-2007-001653 Est.Cost: 51500.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(5e. eh 23217.48 Owner: Northanoton Veterinary Clinic Zoninr_U Applicant: Ed Corbett Jr An 227 Sf11 ITN.CT Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAM PTONMA01060 ISSUED ON:4/30/2007 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: Rouse it Foundation: Driveway Final: Final: Final: Rough Frame: Cu: Fire Department Fireplace/Chimney: Rough: on Insulation: Final: Smoke: Final:a/c 5-7. a7 THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPONV OLA�F ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTvpe: Date Paid: Amount: Building 4/30/2007 0:00:00 $25.003427 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo City of Nor ampton Building Department 212Main Street Room 100 • Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 • APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.1 -SITE INFORMATION 1.1 Property Address: < tu514 , ^ E"^ . E _` c9.a7 Jou-n-1 r= , maa 'i5 Loses. „+EL l s :*e6$' 4 SECTION.2-PROPERTY OWNERSHIP/AUTN,ORRED AGENT ' 2.1 Owner of Record: J +, tZ LLte SAeLCWrNC ____ 2.a� 7i3-vizX..! Sr Name(Print) Current Malting Address. _... Telephone sU 9_680/ &valuta 2.2 Authorized Agent: raRr) T t t •j�z q %'eiod sf nu '4o4 Name(Print) Current Mailing Address: .� ., < 6&V- (967/ Signature Telephone SECTION 3-.ESTIMATED-CONSTRUCT1ONtCOSTS . Item ` Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a}tauilding:Permit Fee 2 Electrical (b)Estimated Total.Cast of Constnlction'frpm:(6) 3. Plumbing ..Building Permit:Fee 4. Mechanical(HVAC) 5. Fire Protection y�� 6. Totalt(I +2+3+4+5) IIS Cheek Number 3f27 ft? This SectloreFer Ogicial'Use Only Building Penni(Number -Pate. -. . '..Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING AU Infornatibn Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning • This colmnn to be filled in by Building Department Lot Size I. I I I I Frontage I 1 Setbacks Front ^I j lI f Side L: =R: l L:�� R'i �� � . Rear 1 I I • Building.Height . rte_. _ . Bldg.Square Footage j 1 % I m Open Space Footage (Lot area minus bldg&paved taking). a of Parking Spaces I `� Fill: �-- I r (vol: / Location) A. Has a Special Permit/Variance/Fi ding ever been issued for/on the site? NO 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES O IF YES: enter Book I I Pagel t and/or Document it B. Does the site contain a brook, body of water or wetlands? NO © DONT KNOW lX! YES O IF YES, has a permit been or need to be obtained from the Conservation Commission?/"\ Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES © NO \M IF YES, describe size, type and location: I D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing.grading ex ation,or filling)overt acre or is it part of a common plan that will disturb over 1 acre? YES O . NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-EISIRCRIPTIONQF PROPOSEDI ORK(checRe*Fapollcable) New House O Addition 0,,.. Reps ement�ry endows Alteradon(s) C Roofing ri Or Doors p Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [LJ - Siding [0] Other[0] Brief Description of Proposed-1,, Work. s- V/Kl j �/N d nN� A/IWW '' Obi-ss - S Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet al .�.fkn Mi o rr--R. .':,,_';trfi ' • rtn49.--,71, : a. Use of building:One Family Two Family Other 4. 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 wade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer Private well City water Supply SECTIONSaGnna sP4 a,t '14.,/srIS.r 9, '... -4 OWNER5AGE AIS,.•t I, „^ __,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 i.- / /q CJCO_Yit �1 Lir ,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/ nder the pains and penalties of perjury. <r07- / 00' S .,r c Rini Name Fretyete -07 Signawre / of OwnerlFlgent Pate $ECst6N.s cg svat. YO$ ' ,rs Si Licensed Construction Suir rvisor. /'yb1�BNo � Not Ap_plicableO Name ofL License Nmr- �ClLJ dele3R C T-- �,rr' �}'� w, 41S—O ._ License Number Address Expiration Date ( ' ,ss/2 ® S81/—(p571 Signature Telephone ,x,:Ta•rr:;r n, r .. ...- 7, +:.r�vl ritT' _ _ Not Applicable ❑ &i teen— Foinb ijmia?Ovtmeni/ Q e ' _ Company Namg / Registration 'urns-r — Li g-etaf St' ,W4Y%t t/ nig c71/4rod 5- IS-o8 Address �j9' / /_ Expiration Date r ¶p Telephones -cas7J SECTION 1U-WORHERs'Go 9}?EnsanoN"msuRANCF.AF€lbAlIr'(M a e.ftz,illSei6)) 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 Jll'i No Q 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 The. Sixth Edition Section 108.3.5.1. pefinition 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-veal'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 Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liablg for persons) 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 iron , 1,; , ztp of Tarthantrimt 9-� , Vi 1 itava=h�artt ettirfl fl- ��. DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her constmction supe: ,sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be,a oar&rwo;amd* 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 untilthe 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 1, 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 • • oallusr>TQ ,r.. (rilpp of Northamptonppp tic A♦ 4:at - s=why._ 9EF pd _ 3(.a...go.rt1.' � DEPARTMENT OP DVILDfNC INSPECTIONS T. ' 212 Maio Street Municipal 1:Wldingrs'— Northampton, Mass. 01060 - - - WORKER'S COMTENSATION DISUR&NCE AITmAVIT fit s/ ,hie«) �wiith a principal place of busiines[sfrresidence at: -- - - 7 R6 D St NCf/2#'ly9il jY113 &/iil60 (phone#) 53V 45-7f mrnlcilytna tzip) do hereby certify, under the pains and penalties of perjury, than ( ) I am an employer providing the following corker's colnoens_cian coverage For my employees worting on this job: {thsunn'C Cnrnr rv) (policy Nr-hcr) (`_xpirtian Dam) () I am a sole proprietor, general contractor or homeowner(tide one) and have hind the coomaacrs listed below who have the following worker's compensadon pobcies: (Name Ca patron= Company/Eerie; Nunt:) (F'_?oirauon Date) (Name of Colic-natio (hiswanc Compaayrl'otier Nat() (Expiration Dale) (Name of Corirdaor) (Insurance Compaoy/Poticy Numbeo (Espirciee Dale) (Name of Cooaaaor) (Insuraic Company/Policy Number (Expirdoa Daze) <wd(edt»I--fa y w wawa('uf' c paaiine a=a wan-raw) >CI am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself boat lbeyt x eswet tAjJc btabaowten woo cavas pclena to _.:.- -...v c Nair—w.t..w_c e( cm wow Can throe(Wu a and=We 6yrom"oe rvdc=«ea gri=t around=4ppariccazn Waco wi ac< llyavdaof u be mmlerce ude wa amzra� .r (Pia An(Gig 52.0 I(5)).awl", 00 by•boamaoa abi a M.roa,=Y e.idatt¢t legit m."t or la=Oily(Wader as Werkes Catapaskation A.c (vodc.tnd Cuta.co.-net 4 O»e>.tmaa sal b.(0.•(=abwriawb=its.5)rp.,uyar Se6vxi3 bat 42u et(amu+rc Wa areCMCC velGad<4cad to Uwe w amucmento wag=wipe)5 h of MOL 151ea 4W a S.anamae ataimmi newbie wmu".mgof•gee etc a SI.S03,00 yvYn ipisOcte y of up to oat',car ed civil praatio io6e(*I' SUPWok Onice ad• ane o13100.00 a day angina ac Fv d3u.¢.'yua 4000" jj-39Eig? Elmicnotip:ilunotior Lot .. Signature of Licossslpc r .. . TroposaC Vinyl Siding 1 Windows Corbett Home Improvement Roofing -•� Northampton, MA 01060 AwningsDs •••• I.L{Itl� (413) 584-6571 Canopies ers Hic t //GQ19 hatter .- I /] / �,yR) {�/�/ Shutters PROPoSALlirllBMTnstrro 1/14/ S J wA cy / /M r RHONE ef89-1,36 2 DATE / a.e) , 5 O> TBF£r 2n salHh JT JOB NAME crY,)TAW;wl ZIP CODE Nliad Mg Nn LOCATfN DATE(F PLANS JOB PHONE We hereby submit specifications and estimates tor: —1)461)3(.1. 6 MAJ.1 kijokfliI auk.- l<lf/J,Ia✓d. / w-d //ass lie 61td. (blurt. Ott h .. Alurm,uurn obAG/c do/e isba /9 %8x3o'la, 1 jq 'lgx30 % / .21/91ix 30 901- t 19"/$ x ayYa ,t 74h6U- Co Nu3 u),,( Aug- Wj,ccr. . M ski as ig /ACASAde"- ergeh D,s whit }- genic- 4a$44 f We(,Propose hereby In furnish inaedal and labor-complete in accordance with the above specifications.for the SUM of Dollars(S l Scat Paytuelits to he untie as follows:mai ,nafe (006/A7 W LRI// All tmterial is guarantor'In he a specified. All work to be completed In a work-like nwnlitt w:umling Audariul n Nm andanl practices. Any altercations Ileviatien(run above specifications cations involving wrtawill be Signature ' tat only uvm wr Ire r@ea,awl will NunM an extra Gwrgeover and above Ine est'note. All agreements contingent upon strikes,accidents or delays beynd our arntml. Owner o party(ire.tornado hfoI Thin prq.real may be and other nuuuy inaluwe. Out wit Ion are may covered by Wireneax Compensation Insurance. withdrawn by to if not accepted within days. Acceptance of<proposa[-nleabove prilc.cr ficatians are condition);are ntiafaciray and are hereby accepted You are authorized to Signature Ila the work as specified. Payment will be made as outlined above.. Dare of Acceptance: LkV 1 n`1 Signature