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29-073 (3) r ✓� ,_ INSULATION JUL 2 3 2003 T SIDING CO., INC. 56 FRANKLIN EASTHAMPTON, MASSAC EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411 (:onlriictors licensc:� # 101f3�ri Proposal Submitted to Phone Date Edna Hooa "Purchaser" !413-536-2949 Nora July 8, 2003 Street Job Name 38 Acre)rook Drive City, State and Tip Code Job location Job Phone Fla 4na_, frA U1062 sa,ik Contractor hereby submits to Purchaser specifications and estimates for: 1NSFALLJ1ON OF VINYL REPLACEMENT WINDOWS 1. We vri 11 •reTove and di spose of w:x arld ur al ur(ti riurii �,ri ndvws I- exi +d rte 2. hie vY,i 1 l install (10) Dcwl e Huric �ertai nteed A vcn Vinyl kep I aciaient �ti ndok is in cesi grated are-'as. 1-rxey will have: dc>o l e oars lass v,n til half screen: . :,Ol or will be White ,J tnout grid 4. tk v;i 11 j rlstal1 1 v 'u �s 0,DaLl le Pane i,7 ndaavr Unit in designated areas. Certai ntet.-d :1 4 ridav w411 vi nyl car trio i r and ::;t lri, ° and tie Mdersen ,M] be vmd interior ,4;u wi d to vinyl on exterior, `"i i'' wi 11 L)�-, responsible For any pai nti m or staining of tine "I)dersen t d ndcw. 5. 'r!e vii 11 i nst.al l fi ber gl ass i I isu 1 ati on ar(-Yjp,,j ,•ri nda i uni cs i nstal l ed and sal with Si 1 i cone Caulking on intLyior and exterior. b. i ie vrJ l l bl ar Class One Cel l u of s i r� �i t� c.;vi ti es a�uund, >-J ridcx i units installed rk�eded. 1. nuaw unit tivill �avc Therrtafl:��l a1ass,�ur mkil; ;�erfcrriiance glass. �. ;io kill rr.m)ve anc vi soon of Ul.i;; wxi st i n�( st -:, ,�i riuc,�5. Cert:�ira;..0 � nyl jnoovJ Urilt fb3s a 'iv'iarlufactl(rl?r's L.irel.li;>` 'rVar'ranty" and the q lass leas a "2i)-Ycw l!ar"r^anty" r10 k &/ 6 J * a lE;`.11lE�( ;dlLl_ '3E RESt�Cliv ISLE t���il ��"�Y FcES RE4ULttD FOI'Z L?i)ILDIIdG PuVIT IF NEEDED.� rUi 1'PE ;ti^,TIUh! f1NL' LIB>ILI iY ;;ILL U Fi4WftDED L'i=ijid REQUEST. kk T.P. Ui1LEY OF IEST SPRII•'1;FIEU, Is OUR kADiT1. r WE PROPOSE to furnish material anl labor com4 t r,in corr� pce with above specifications, for the sum of: J,Gi2. 7J dollars ($ �0' j';,> t�`'�Va L '- Q ill ), payment due upon receipt of invoice. If payment late, interest at 1 1/2% may be added )ju NOTE: This pjopos I m�ay1 bbee withdrawn by us if not accepted within /lilirt days. c Ewri ri Losacai a, O;mc Contractor Salesman Ll-a Acceptance by Purchaser, and Title "You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the seller, which may be his main office or a branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right." SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE. e Se u �yN. j ^, d!v 145 s� • V y ^ ° f rz o i � G, n 93 W y 4-1 O0 •.-� per; W Q r^ N .. a CIS e 40 C 4j CIO `� I�lit a � o°oOc$ I �5 �� ix•CAI , o V ' z Q a `J co L 'F"' N C W \ Z V c % W o � .p_. Z t be � ChpC �. p o Q J Y CL *5 E" ca M ~ Z N .. p 20 0 Q LU w _ Z IV) C cZ r ac�w �iw „ I tt, ��z k- '� e `e, Crz� of �'ax#f����l�totz �(� I►AaA � �ixyaarhnarlfa t DEPARTMENT QP BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass, 01060 WOPJ- ER'S COMPENSATION fNSURA-NCE AFMAVTT I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO., INC (1i ceased per ml(tlrc) with a principal place"of businessJresidence at: 56 FRANKLIN STREET, EASTKWTON, MA (phone#) 413-527-0044 (scr--v'ci ty/State,/;:p) do hereby certify, under the pains and penalties of y,erjury, that (X) X am an employer providing the follow-ing worse;s compensation coverage for my employees wo6dng on this job: iSQU2A nanae�nn .T P (LumxanQ�a�Com Y) If.� d (PoLc7 Nu.ml>er) (Expiratioa Date) _ Q( ) X am a sole proprietor, general contractor or hcmeowner (circle one) and have hired the contractors listed below who have the follovzg worker's compensation policies: (Name of Contractor) (insurance comnzyfpoucY Number) (Expimdoa Date) (Name of ContTIC10r) _ (IJ1SllIdI1GC C0MP3-11v/Policy Number) (Expiration Date) (Name of Contractor Qnsurance Compa>7y/Policy Number) (Expi.radoo Jute) (Name of Contractor) (I.nsurancc Compazy/PoEcy Number) (Expiration Date) (awoti additional zhcd vaoacuary to mcnsde zfr (;,a pa-4;a;ng to all az'Q acton) ( ) X am a sole proprietor and have no one work-ing for me. ( ) X am a home Ovmer performing all the work myself. NOTE:plaaaa ba awara clot wbila hoa=wtten wbo cr-ploy perw=w c10 MajzL�caimvcuoo or rGpac work oo A dwc ing of not Mara Haan throo u wj is';'bleu t kd bocaooaocr rack oe w Lhe �,-,,a3 x ttcgnu!tlaercCO arc not generally oaatid to ba «ap4oyera under tbo NWT*-C-e%coaPsatias Ali(GLI52ss i f 5! r. t,i ::or, a Fonuowxr xr a'_carer a pc�rtntl may rndreacc the legal ctatu�of an asployor utadtr the ;, Voe4 Cocs*OM.uion i I uad,:s d fiat a ropy of this ca4,L, xrat auy be forw,wllod to_,A Lop�'rxTx of IaCw riai Acad4-My OfBca of Inw-, t fvr tb caves c vaificuioo and t w fa:lurc to sea e a vcitsc vt cs k x ?5.4 ot'.{(i i. 152 can I cxd to Oho iz:>sitioa of r nivl p:-raliics cocui»g of a fmc of up to s 1 M-00 arY'.lor u�uoar c; c(,:, oar YM,Vxd c;,i7 pcwl is M[�x Cofm of a Stop`fir oTic Orda nod a find of SI00,W r day aPutut ax For 6gwv taY wo only Permit Ntunbex Map4 ___, Lot 4 Signahue of LiacriseclPcrmitix a 7 ±'�ONS"TRI�GT:ION"SERVICES � . 1 Licensed Construction Supervisor: Not Applicable O Nam!gf License,Holder License Number i. Address Expiration Date Signeture, Telephone Not Apph Cabe ❑ /0/L5�( Registration Number j 4+Sd6,Q Addeea .;; Expiration Date , .. —7 Telephone SECT[.ON:10-WORK RS' COMPENSATION INSURANCE AFFIDAVIT (KG.L, c, 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and subm tted with this application. Failure to provide this affidav will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes.,..... No....., O �5 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 pff c a' that he/she shall be res onsible for all such work performed under the build;na 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 (W'orkers' 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 personts) 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 v fc I f• s °MeTION 5• DESCRIPTION OF PROPOSED WORK (check all gp jjcable) New House ❑ Addition ❑ Replacement endows Alteration(s) Roofing ❑ Or Doors V Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding [ ] Other [ ] Brief Description of Proposed Work, 1Q (1Q)Dj-{ vin � �KM;�� t .S-C) �� VEVtU �Ltiv - Alteration of existing bedroom Yes No Adding new bedroom Yes No U Attached Narrative 0 r Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet 0 8:a� f N'ewihQUS'e and`or.`addition to existing housina, compete the following 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? Type of construction I. Is construction within 100 ft, of wetlands? Yes No is construction within 100 yr" floodplain Yes N 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 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT l --- --- as Owner of the subject property hereby authorize to act c my behalf, in�all matters relative to work authorized by this building permit application, Signature of Owner Date 1, CCd wIn L owano P S` it S i as Owner/Authorized Agent hereby declare that the statements and information on e foregoing knowledge and belief, application are t and accurate, to the best of my Signed under the pains and penalties of perjury, &i n Lorca no Print Name 11-1 1 Signature of Owner/Agent 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 E ' L: R: L. R: Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved arkin #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 Hook Page _ and/or Document # �r 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 ada bons of signs intended for the property ?YES _ No IF YES, describe size, type and location: City of Northampton ____ --- ing Department 2 Main Street r---- Room 100 N t mpton, MA 01060 ' P% ka 1 1240 Fax 413587 ?� �2 )X, App Fu r 4 I STRU T, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Y SY©11{ ITg{NFORMATION 1.1 Property Address; This sec�>?f a �Jyr//htpf� Q Q' Q^ ®��.., , , � •, 1�P�.Yi ).�.. �71f1,b1�V��lf! kY ,' ^I,L - I Zone �Qv�'J�y�;Dl�trigt �,."•. 15 z Elm St, District-- CB District_____ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner pf Record; Ong, �� �r ► c' riy T I0K Q P Name(Print) Current Mailing Addres1; qj qq E.�. Telephone Signature 2.2 Auulhorized Agent: ALL STAR INSU.ATION & SIDING CO., INC. E6 FRANKLIN STREET, EAS-KWON, VA 01027 Name(Print) Current Mailing Address: F_JW J2���_` 413-527-0044 Signature Telephone SECTION 3 - ESTIMATED QN_COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant _ 1. Building 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 Number This Section For Official Use Only Building Permit Number; Date ssued: Signature. Building Commissioner/inspector of Buildings Date BP-2004-0234 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Categ ry BUILDING PERMIT Permit# BP-2004-0234 Project# JS-2004-0338 Est. Cost: $5632.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: All Star Insulation & Siding Co Inc 101858 Lot Size(sq. ft.): 13460.04 Owner: HOWE THEODORE J At EDNA Zoning.URA Applicant: All Star Insulation & Siding Co Inc AT. 38 ACREBROOK DR Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON:8128103 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALIL 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 8/28/03 0:00:00 28879 $25.00 212 Main Street,Phone(413)587-1240,:Fax: (413)587-1272 Building Commissioner-Anthony Patillo