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29-150 ft,9 15 '01 1 0:39 Jl1BB CO; GFLD,MA FROM P. 3 r Pao*No. 1 or 1 Pages. I THE;AWS CO..INC.d.b.a. N PR E-AMO O PROPOSAL 7 Detiene 5toeet 18 t+bt0t Hatfield Fioeid I{ PO1 Bo7c at2$ Hatlleld.MA 01038 drranMaid+lifA x .042$ MA-Ro&WOn 100001 (413)`7728217 Nortnatnpton,MA MA Cons.$up.tic.659313 (413)664-3716 PHONE DATE TO O'Brien Michael Mr. & Mrs. A.?_ 1245 Blurts Pitt Road JOB NAME/LOCATtON 1 Florence, Ma . 01,062 ROOF WORK 1245 Burts Pitt Road VP F lore nee, Ma . 0-1062 >os Nt,>w.t-li �i �afs>r,oNi We hereby submit apeciflcatione and estimates tor: —SUPPLY & INSTALL CHATEAU ULTRA SfiAD 30 YEAR ORGANIC ROOF SHINGLES -choice of color=( IK 1410-ro fl f/V -rerooft over existing roofing. -supply & install new aluminum step flashing at all intersecting gable wails & chimneys. -rake and broom- cleat job site daily at end of each working day, -shingle guarantee as described -above by maeuf-acture. -labor guarantee as re-quired by MA contractors registration regulation. U' 60"' G SERVICE FEE= $125.00 ( includes permit & disposal of all, .lob related refuse). {sfarvic'e fee not included in total At bottom & is to be billed as separate) . W'8 1PT%J Dffi13%hereby to furnish material and labor—complete in accordance witri the above opedlicpilons,for the sure of: r nlAnd 00/100 Cso 1 j a r�,�._. dauar�is 392()-00 t. Payment to be made As follows: $500.00 DEPOSIT UPON ACCEPTANCE. INVOICES ARE DUE UPON RECEIPT! An interest charge bf 2% per month (24% per annum) on past due balances, Plug all costs, includiins reasonable attorney's fees, IncuT-rerd in collecting any sums owed. Aa mst*rret to gusrowA"to be to apse+ned "wart,to be sompietsd to a protesstonai mtauter 000OF014 to dandard Prook". Any alteration of d*wlaltort from above aPeeWtl- A mmized , time frwow"♦afro coats WM be*"Cute#only upon wdnen owers,and will became an C,t{W*O* ., *Nice chaVa.aratandabor w aaslMate--AY eWparnwn watbrg nt upon-odkw-mcldams or . de"beyond stir oonPOl. Owner to earry tits,tornado,and otMf necessary Mlifenee.our Noe:TAleproposal may be waken are tullyiov*reo by Wwur'a Cofnpaneallon lfduranoe. Iwithdrawn by ze H rrol acoaptad wttrtm 30 says. Acc& = of 1PuaDyD�O�ll —The doovr prkea,apeeuicattans and are.sadsfaelery and are lttsrsby°accapivA. VoN are Atdtlorliod Slgnewra ..6�1i.�� to d,71 specNiad. Payment will be me"as outlined above. sionaldfa _- Date of cs; 4�ttAMPT O O I'll WN WW 9 d �iassnclint;ttta � �� DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORRER'S COMPENSATION INSURANCE AFFIDAVIT L (Iic�nser/permittee} with a principal place of business/residence at: (phone-#) (street city/swdzip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: %(Insurance Copy) (Policy Number) (Expiration Dale) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml shod ifnecessayto inch%&infornudon pataiaing to all 000tradocz) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing alt the work myself. NOTE:please be aware that whilo homeowners who employ persons to do makdm no consbvction or repair work on a dweAiag of not more thaw throe units in which the homeowner resides oc on the grounds appurtenant thereto arc not gcoeralty 000sidacd to be employem under the wor=lz compensation Act(GL152,ss 1(5)�application by a homeowner for a license or pffmit may evidence the legal status of an employer under the Wockcet Compemation AcL I undastaad that a copy of this etatemmt may be fa wrrrded to the Deput=c 2 of Lukatrial Ac idw&OlEoe of Imsusmos for the oovrsxge vetificdian sad that failtmt:to secure covtaage=doe section 25A of MGL 152 can lead to the imposition of criminal peenities consisting of a&ne of up to 51,300.00 wNct itttp�risooa» of up to one year and civil penalties is the form of a Stop Wodt Order cad a, '1 fim Of S100.09 a dry agttitist tt= For dgratm�vie only Pcmit Nu>;nber y Mai# Lit'# Si=of 1 icensedPermit tee .r. r,4 1 z -f: v { �- 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address -� Expiration Date Signature Telephone Not Applicablle! ❑ LO Company Name Registration Number Address Expiration Date Telephone �� !� %�' m%0, W? �,l p, l�+ Ift 21WO OM mmm "AI V%W7m,7 . ,.. 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....... U,� No...... ❑ ;,> 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 i ; f E T ON.n5 .D SL I T t) .j . O.i?05 '. u� "` (z'...wicable' New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: `AI R�:k i Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 'Renovating unfinished basement Yes No Plans Attached Roll ❑- Sheet❑ ft° ri" 61 ..1 4 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. Mascheck 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 E WIN 7a:„ OWNER AOTO OF�IX/��ON ,,�©� ,E COMPLETED„WHEN } ItN1=RS ...AE1TAi GONACT APPI:[ Sr� � �'LO� ,G-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 Date l L ✓ �U � �C> _ '� as Owner/Authorized Agent hereby cleclard 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. 6'0—F 2!' J 3,.A,^ r i�i.t. i�s'.t•,`.�� /'�..a �tl`J' '.i f,: C. ' Print Name �- X ,' f Signs ure of Owner/A nt f Date • 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: f , H pton Building tment `y 1 4 4,9 M i t eet l! Roo 10 M 01060 0 Fa 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: This secfi�n to be cpmple ed Yftce ft Tap Lot �� k y F O""I ay Di r NU ppp � s 3 X'7,,`,` �i rr t Elrri"St Dts#C�3ct SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Sig re —f Telephone SECTION 3'-"EST'll MATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit 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) Check.Nomber This 5ectid,Tor Official Use`Onl Building Permit Number. Date Issued: Signature: Building,Commissioner/Inspector of Buildings Date 'OILL AVE' BP-2001-0915 GIS#: COMMONWEALTH OF MASSACHUSETTS : 29- 150 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2001-0915 Project# JS-2001-1650 Est.Cost: $5304.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 100001 Lot Size(sq.ft.): 10802.88 Owner: STILES MICHAEL&JEN' Zoning.URA Applicant. THE J U B B CO INC AT: 104 SPRUCE HILL AVE Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREENFIELDMA01302 ISSUED ON.51151010:00:00 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. 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: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5115 1010:00:00 4881 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo