Loading...
` 55 TERRACE LANE BP-2001-0942 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-008 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2001-0942 Project# JS-2001-1698 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.): 16639.92 Owner: SUCHECKI CAROLINE A Zoning: URB Applicant: Ed Corbett Jr AT: 55 TERRACE LANE Applicant Address: Phone: Insurance: 4 Reed Street (413) 584-6571 NORTHAMPTONMA01060 ISSUED ON:5/21/01 0:00:00 TO PERFORM THE FOLLOWING WORK:STR I P & SHINGLE ROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: O k to- 4/.d" THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/21/01 0:00:00 1242 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • E c E U 9NorthamPtor �� r D pa tide ;rP�e only" r �z ,� .'n p � ,. Department •t+� � ....ra,„4„ �,r. �� '. , ni\., M AY 1 7 2001 • ain Street `' _ 4 tit, R„om 100 r1a er li r��, 'li�+ y 4* ., A;f' ;!• j am►�ton, MA 01062 �. 4`*'tso, St .77,. 'I�a1�0.f "y �11.:4 r3.,.K• OEPTOFBt�k,B{D ASP N�87 1 '40 Fax 413 587 1272 - . ;tePans'„"'" ` ', .ti 7, . x^ � ��J "' NORTHA O �� <.ioi, , , Py, 1• APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ECTION 1 - SITE INFORMATION This section,to be completed by office,. .1 Property Address: ' , .,f. �.� J�c-i1 6nj Map % • Lot v : , Unit • Zone` ` , Overlay District Elm St. District • CB District iECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT !.1 Owner of Record: I s T2 4 e.y S& c j- c SS- T e-cT- LAI Jame(Print) Current Mailing Address: Telephone ,/ >ignature �g 7_ Li 71C� ?.2 Authorized Agent: co/ ca, d Cs- 2 V of sl— Vame(Print) / Current Mailing Address: �� — -SW-G.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 (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) 6900 -- Check Number k ?-`< '' "L0 j This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/inspector of Buildings Date t c Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: ECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) ew House ❑ Addition 0 Replacement Windows Alteration(s) 0 Roofing B Or Doors 0 ccessory Bldg. ❑ Demolition❑ New Signs[ ] Decks [ ] Siding [ ] Other ( ] /r( rief Description of Proposed Work: 77?if' ," e- - 54f Iteration of existing bedroom Yes No Adding new bedroom Yes No ttached Narrative O. Renovating unfinished basement Yes No lans Attached Roll 0 . Sheet 0 a: If.Nev house::and,"or?additiblicrt'ezistib ti"ousing;'completei'ttie fol row il g: . Use of building : One Family Two Family Other . Number of rooms in each family unit: Number of Bathrooms_ . Is there a garage attached? . Proposed Square footage of new construction. Dimensions . Number of stories? Method of heating? Fireplaces or Woodstoves Number of each . Energy Conservation Compliance. Mascheck Energy Compliance form attached? I. Type of construction Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No . Depth of basement or cellar floor below finished grade Will building conform to the Building and Zoning regulations? Yes No . . Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN DWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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 Dare I. co./ 6.6a , 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. (b,(6e- 1 Print Name /1?/ / ) 0/ Signature of Owner/Agent Date • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder : License Number Address Expiration Date Signature Telephone 9. Registered Home lmproveriie'Li3'_Contr ctor:" fir, ' a e t �, :", Not Applicable 0 Company Name Registration Number 7 44ST 5_I o 2, Address �/ / Expiration Date Telephone . 'f -t!671 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 0 No 0 11. - Home Owner. Exemption 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 .- • 1tw l ; L 4 Q E ;;� ,f `` Olin) of Northampton ilalanrhnarrle DEPARTMENT UP BUILDING INSPECTIONS F='- t ==j _ r_ - 1 ==i ~ ,_212 Main Street e Municipal Building Northampton, Mass. 01060 \r , WORhCEI2'S COMPENSATION INSURANCE Al HJ)AVIT I, zO, C 0/;� (1i clsceJperrn i ttee) with a principal place of-business/residence at. Lf i1$ .. - ` d'A= 1 -$ ehoCo' (phone ) 5.768/ SA/ (snzct/cii /y1;;;c)np) do hereby certify, un(ici the pains and penalties of perJuly, :i:.i: ( ) I am ;in e:Ilil!ove: i)i ovidrfl:; the !ollo\arum' \V 'i kci k_:olilne n!t..non coveta:,C {Oi illy c•,;:;'i(e.ee; \voi'.•.itiy, oa this jOh (il:.ai;.rncr• !'umr.':;y) (I)( !ic-: Nuallx•r) (1_tip:raion h::r.) ( ) I ;::11 a sole {)rOt)rictOl, I,Clelat contractor Or homeowOC: (c cie uric) and lla\'e hxietl the contractors liste-d below who have the followln worker's cO ii)en adore policies -— (finale of Co.^.!:.c o i '--- (I:15liraticc ( oirloany/1 rill:'•• Numb::) (ExpiInIUon Date) (Name of Contractor) (I.rncilnmcc. (..ouii;; ;l\-/Police' N'uini:rr) (L«lifa uon Dale) (Name of Contractor) (Iilslirafli:c Comp:illy/Pol;c N;iir'lk'.r) (Expi noa Dale) (Name of Contractor) (insurance (:otuuan 'n olicv Number) (Expiration Date) (aua:h Atidi'u on al thcct:f ncrc-,t1 ry In tn.:'u.k t:tftelnanon pcatarr.tag to all axr.rec-to!s) (6/I am a sole propnetot and have no One WOt king for me ( ) I am a home owner performing ing all the work myself. NO FE.please ix aware that wtn to hen eo.vnere..txo c mIcry pettone to do(ca•rtre-t.nr'c,ctxtc-oaron Cr rt7arr work oo a dwdh tg of not more then throe unite in tainch he botnoeuner rreidm or on the g ounide appurtenant thccto art not etnrrally oomidcroi to be employe,under the worker's crx:Tettation Art(Gt_152.ts I(S)),application by a honicou;rt fur a Beene or Kraut may cvidrnoc thx Icgal mina of an ernnloyer under die Weaker'.Compcuaalxn Act 1 undcrnansd that a copy of rhia etatcnxni may be foreMled to the l>cpeutn.mt of In.br-rtel Anodcas-OfLoo of lantannoo for the ("OVeil,'c Vuiftcatioo and that fnilmc to acatrc cotcrage under soxion 2SA of MOL 152 tin lead to the in Mion of mtainal P-ailtics ooauxirrg of a fur of up to S 1,500.00 and/or intpriton,nc a of up to one year and civil pczul'.ia in die form of a Slop Work Ortiz and a in:of 5I00.00 a thy agaut:t me F Cr c4;,u tat-real uac onll._._ I . Perrin Nttmtr.J r .)irmatluc. of I.tcrmscc/Pr.t•tntlter. 11-i1-i, C -1/4k- 7 e ' ... r Proposal Vinyl Siding 1 Corbett Home Improvement "'i"ti ng _it __ $ ngAA Rooting —al. � Northampton, MA 01060 h - (413) 584-6571 L if101))ts �) Gutters WIC, //d1 , 9 (15L # 06 7V a Shutters 1 PKUPI)SAL SUBMITTED TO S� A. 1e'y S u)c i xl PHONE _5---er V?e.) DATE /7 V., U .2(9Z)e, ,,s IREET 5 -- .TP tee A.CL )_Ax.i-t.. JOB NAME I ^I crrv.STATE,and ZIP CODE A c(_-�'k>,a,n. ,47 r/ ©/o6V JOB LOCATION DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: I i 5 1P iJAt;u ieCX)r A/C 14,-.0ifiL/ -1,,,, .‘_5 ,e II Z ) c rl } ts.)n a LA--(--el 0 a.,.E, s; G' r- vi4i/e y A+e1 v/ c2 :,riive7 ���( NOv t.iit,.313- 14Iii,r,J,(,.,, Den(-ec < w A4LA kc�f-- r� „�u j /.'),a ,44/6.P or- ,00,- 4�ecK _ft 4.cr�'ue_ r'�_r 3 f}p Ii Fri AI L L 1 7/4/vie S • !• 7 j( d : � d /��AN .il xse, 6; 1,#)i CIULZ'J )f>v 4 ,.s�d3ig L "t /girt. 1'S, i ! 1 I , E(3oAJ Y SJcoc 1;' I, I ! I (We Tropose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: 1 Dollars($ �'goo _ ) hymens to lee made as follows:NO Oe 6.; ! / D�/R , /f / IV C� (� /✓ (o),frie..915d/1i / 7 All nuterial is guaranteed to he as specified. All work to he completed in a work-like manner according Authorized " / .`—y_`� t,.standard practices. 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 contingent upon strikes,accidents or delays beyond our antrol. Owner to carry fire,tornado Note: This proposal may he i 1 awl other necessary insurance. Our workers are fully covered by Workmen's C'onvensation Insurance. withdrawn by us if not accepted within (lays. Acceptance of Troposa[-me above prices,specifications arc conditions /are satisfactory and are hereby accepted.You are authorized to Signature l Pl a'7,'14(_/. do the work as specified. Payment will be made as outlined above. 1 j I( Date of Acceptance: (P— ,1 0 r;do 0 Signature �o