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23D-104 (3) 17 NUTTING AVE BP-2007-1095 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 104 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-2007-1095 Project# JS-2007-001747 Est.Cost: $6900.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 8015.04 Owner: CALDANARO ANTHONY J JR Zoning:URB Applicant: Ed Corbett Jr AT: 17 NUT i I•i:;' AVE Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON:5/11/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF 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:OK 6/!J'.07�44 THIS PERMIT MAY BE REVOKED BY THE Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Si nature: FeeType: Date Paid: Amount: Building 5/11/2007 0:00:00 $25.003430 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 411111111111111. BP-2007-1095 ammi.GIs#: COMMONWEALTH OF MASSACHUSETTS 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-2007-1095 Project# JS-2007-001747 Est. Cost: $6900.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 8015.04 Owner: CALDANARO ANTHONY J JR Zoning:URB Applicant: Ed Corbett Jr AT: 17 NUTTING AVE Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON:5/11/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:STRI P & SHINGLE ROOF 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: Date Paid: Amount: Building 5/11/2007 0:00:00 $25.003430 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo `- `City of Northampton statuso -ee t -: -- - re n d \"B iilding Department _, cu fl;ewa,k-c �,w .. _ l� 21'2 Main Street Sewer ep `• air cIi t' i i -.. d''�' ma�yy`�`� �S Fesr: y C:i.. . oom 100 Vrtater e[ �aila.ili r. , MAY 1 p 20a71vortttaTmpton, MA 01060 T Seis-cAru-c rat P a" , ; - ,,) phone 413 7-1240 Fax 413-587-1272 P�ot�slt tans y _ CC •(•' L1�QhJ 1 t, R ,t ' '9" ,, ; , .ter7. -�i. .;. APIgGg7ION CT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO'FAMILY DWELLING SECTION 1 SITE INFORMATION -. Thissetmoiontobe com e 'sib oTc�e ^ :1.1 Property Address: , ,� H 1-,. 4 -c ri N°A A)CI.' Pir°se. .4 . «� + grw+ 4p. 1u A`/Lt Y ..••,� 'f, r Y'F fir- ir' £ Y t riwriot^k-' T4i4t ��• ya 1. p .a i �s 2, eIrtt�$7DtStf,ICt` rr r " s e 4`, Ctwedire�k�,r t SECTION:2,-PROPERTY OWNERSHIP/AUTHORIZED AGENT' - ' 2.1 Owner of Record: To/ C'Aldararo —,.sue-- Name(Print) Current Mailing Address: ' Telephone • [� Signature (. ;d? ) g , Sid 2.2 Authorized Agent: F2?1Ji R c) T CoR(5e.T ,yz y i -e-ed sic N '4o/.I Name(Print) Current Mailing Address: ( 8 1— (D5 7/ Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION:COSTS Item • Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a):Building Permit Fee 2. Electrical r.(b)Estimated Total Copt-of Construction rom(6) 3. Plumbing Building Permit Fee 4- Mechanical(HVAC) 5. Fire Protection 4-025-........ 6. Total=(1 +2+3+4+5) 6Q00 -- Check Number 3 ( This'SectioriFor-Official'Use Only :I'pate Building Permit Number. Issued: Signature: r Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Informatibh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department r Lot Size 1 I I I Frontage I II Setbacks Front I Side L: R:I 1 L:, R: Rear I I Building Height i I—T Bldg. Square Footage % f ! I Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces I I ,_____ I ' Fill: 1 fI I ! I (volumes&Location) A. Has a Special Permit/Variance/Fi ding ever been issued for/on the site? NO 0 DON'T KNOW 6 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book I Page: j and/or Document#I B. Does the site contain a brook, body of water or wetlands? NO © DON'T KNOW XYESIF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q Date Issued: C. Do any signs exist on the property? YES © NO 1)8( IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading ex ation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 r NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5 DESCRIPTION-OF:PROPOSEDWORK(check-aliapplicable) New House Addition [] Replacement Windows Alteration(s) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] . Siding[0] Other[01 Brief Description of Pr po _ Work: S l�) 1' ] �� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet g _ a _ 13_ a sin a a o no: 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. 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 grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION'Taly,:OW, B13.4 T 4411[Z"A0 ;TO BE COMI,'CETED-WHEN` + OWNERS`AGENT;ORCONTRACTORs-00Ei'SFOR I31J ING PERMIT 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, C /atz e J Coed ,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. Print Name Signature of Owner/Agent Date SECTION.8 CONMUC Q 1 SERVJES i 8.1 Licensed Construction Su ervisor: Not Applicable 0 ' Name of License Holder: W A( U Q/TT �� R V So License Number Li R e-ed S'-� Nv - kwr►, oiJ MA a I©6o ‘/-3-o Address Expiration Date �" 7 ,5-g y- Go57/ Signature Telephone ,,r•eq ere..;:o l D :me'',.,o . o- '',. Not Applicable 0 CI O IC 6 r' }-10rn6 -1.-,)7/,0 te-rnc,✓ --T //I 06 9 Company Name Registration Number -" — II ,''i ,/ s> ' ,uoi h A/ min o/o‘o 5' iS-os Address /_ Expiration Date �� - ��1 Telephone �g -f'o.57/ SECTION 10-WORKERS'COMPENSATIONCINSURANCE"AFFIDAVIT(M:GtL.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 0 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 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 ,- o.1�p7o ,y°$ ,..(rz oaf Northampton )^ Ei ! z _ `10 :s„��`-_drj. $lsasarlrasrtts • :=_-41 u p DEPARTMENT OF BUILDING INSPECTIONS = I= •: INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 sY.: 0' HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups:- 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 Ogulations. 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 r 1 /' . `�„ • 6i42, of .'.�a .tl}c111ptoll 1 ti___ 4 • ,,04 ditgl• • le—. t �� DEPARTMENT OP Bur LDrszC INSPECTIONS 212 Main Strcct ' l untctpal Budding ,74------- ...: Northampton, Mass. 01060 r • WORKER'S COMPENSATION G`iSURAIN CE AFFEDAArn �/ n I, &hjA .... l -- ._._._. .._ .__...._. .. ... ._._._-. (1i ccnsxipermi tics) i . with a principal place of-business/residence at: y / & b 66 Nd; d-1 e' ,� ,nig 4/O6Q (Phone) .S—�y 4S7) (st/ci ty/ 'ap) do hereby certify, under the pains and penalties of perjury, that ( ) I am an employer providing the following;worker's comocnsaoon coverage for my employees worldng on this job: . (Laura c Coca, cv) (PoLic: Nu.-abcr) (Expiration Dalt) • ( ) I am a sole proprietor, general contractor or homeowner(ciscie one) and have hired the coucactors listed below who have the following worker's compensation policies: • • • (Name of Con:^e.or) (In 1-3ncc Colnoany(ouec Num:^c:) c\pir.uon Date) • • • f (Name of Couo clot) (1ns-Jrancc Cfomoan1YP0Jcv Nuncrr) (Expiration Dale) • (Name of Connacio.-) (Lnsuranca Company/Policy N:tsbcJ) (Expirtioo Date) (Name of Contractor) (Insuranc Coraay/Policy Number) (Expiration Date) te) (aa.cb addiCoc,J bc'a.ir000ca.y to ase.hsec inform oo pertaining to.Ji oc -co:n) - I am a sole p-roprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:plea be conic th.'....bize bomcawvcra woo axiplvy pc--sons to do r. <-,,....• cc-=-.:e.,x c rear work.on I.ds-d1i g of no(more then throe trots is lot the bomoo+voc maid=oc on ibc groua6 apptu,cm c tbcr..o�•c o x cea-rlly cc€j od to be caiptoyc-s tine=the locates cozap -.,ion Act(GUI 52.n 1(5)).applieaoa by•bomcoava far•Iiczczic cc po'mis may csidmoc the Iegai ctanat or an as ploys uod.r tho W.:A.:et compoma&ion Act_ I tsodcn..ad that a copy of thio ms.emom may be for4.ard.4 to Lb.Dopanaamt of I..A..,riJ Acodeote Otto.of Im.xaooe for tb• oovcngc f a aoo and th:_t Earn,=to soauc'ovcrase code soezion 25A of MOL 152 esa lad to the imposition at-criminal pen altia 000s.is Cols or a floc or up to S 1.}00,00 and/or isoprisoasoctb of up to ooc yr.r cod ci i)poaattio in ex form of•Stop Wort Ordcc.ad. rim of 5100.00 a fitly cpuag tac. /' Forte u.e cell). • • ��=��� ,�� Permit Ntlmtxs '� -P 5 3'Q� map:_ Lot Signature of Lia�lscclPc l33Ce Y • !t oky TY'Oposal Vinyl Siding - • , Corbett Home Improvement Ro F gs . Northampton, MA 01060 Doors Awnins ~; I.L4f�1� (413) 584-6571 Canopies h �' / Niel4069 OS � y '� 7 � its PROPOSAL SUBMITTED TO W y C4/�n/0n j PW)NF�3/ 8/O DATE AM Q(7 �067 STREET I7 Aiiv6- Ave. - V 1OBNAME ' J CITY,STATE,and ZIP CODE'i"\AMP JOB LOCATION 4 ' s. DATE OF PLANS JOB PHONE tV1 We hereby submit specifications and estimates for: 9+ I) 54Kif AU- AS ),LJ 4,Ny 1s FeaM Jluvs .. J a 1)vS C.L �-wfs-ke 7A-e1 bieA,Ne e/✓ Pev,e s /3,Pov i d sky/ 141.s, 3 I-ELT ,A-cie o,J Re"sr Or' 1aor peck. 3 k ?�vvs ►CL ELk 3 a yde �4 .D-��N 17io.✓,S1 Nq4 Amy t?ohre 3 5 its -C.._ /fl ti/-e I/J'do- Zo.i s/y-t. goo. .../9 o.,i 0A ck. IN ierveR. g, b) ikkeW uP..1 - Pic e s Phiple , 7) g ,0vM„+1uA'- x'�.0 (4e wAdG ,Poo,-- kKi uc.. veAus ad ti*t plie_ 4Rks ado i�f^re� v�e.►�i�A-�d� , C+z �V cI ut1 J ire , ± 7��lS� �?�S� coot L. 4 1. 9,, 6 Oro/Am, er- neA)T "Pa/J 70 !J� NA,Ind„ Scum S.A. 1S Ore L,�-(�i.d o 1 4 LeAici- Lot 60g i 4,06 / ri‘919° LAW cropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: �/ Dollars(S �`� '— ) Payments to be made as follows: 113 .,f1 e Posir, giliA d ai trot.,/ 00,10 y� . fj �'JC I All material is guaranteed to he as specified. All work to he completed in a work-like manner according Authorized to standard practiczs. 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 c ntingent 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 Workmen's Compensation Insurance. withdrawn by us if not accepted within 3� days. Acceptance of(Proposal-me above prices,specificationsJI 01/VetAir............_ 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. Dale of Acceptance: OS.—aZ-0? Signature L