05-060 407 AUDUBON RD BP- 2011 -1090
GIs #: COMMONWEALTH OF MASSACHUSETTS
MV.-Bloc 05 - 060 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv: roofing BUILDING PERMIT
Permit# BP- 2011 -1090
Project # JS- 2011- 001754
Est. Cost: $19900.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 760993.20 Owner: BRANCH LYNELL M
Zoning: RR(100) //WP/WSP Applicant. RCI ROOFING
AT. 407 AUDUBON RD
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527 -4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON :612312011 0:00:00
TO PERFORM THE FOLLOWING WORK.- & 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 6/23/20110:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner
I
r—EA—ZIG of Northampton S� ti'o1�
Uil 'ng Department
Curb ' C
E CttoNe 21 Main Street Sev►ar '
cwt ►�o� r oom 100 Wit
Northampton, MA 01060 Two
�.
413 -587 -1240 Fax 413- 587 -1272 Pint/
Othar
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APP. .'A 1;0N TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
-- - .. --- ---
This section to be comPfatod by oftice
,-� cJ -r\ zl C! Map _ Lot Un
1
Owrtay Dfatrfct
I
Elm St. Distrtct CS Dietrlct j
E. CTinN - ROPERTY OWNERSHIP /AUTHORIZED AGENT
�7wne
4n W' .o- n A . �- , Mo . ni b<-
Cu t Mailing Address:
Tel one --
.`aly'i1:lIL'rC
' Z Autho - ,ant.
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._ 2f_�. :�_>�'. - E1----- _.���'..Z. -� 1 _ __ bra.._ ,. �,�`�•_
C rranl Mailing A ddress:
Teleph
SECT <�N 3 - STIM:+tEC CONSTRUCTION COSTS
Estimated Cost (Dollars) to be I Official Use Only
completed by rmit applicant f
Bu g do (a) Building Permit Fee
ectnca! (b) Estimated Total Cost of
Construction from 6
P!um ink; ! Building Permit Fee
I
I
Fi re Prot
�� cd
T t �l = s a • 5; Check Number
- - - -1
This Sectlon For Official Use Only
Date +
Issued:
;signature:
Rt,uatnc Commtaaloner/lnspector of Buildings Do*
^taliOn gust Be Ccrno, eted, Permit Can Be Denied Due To incomplete Wormation
i�tut f'rDi�xiscd Required
column to be filled in by
Department
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is
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• a�, a Speciat Pe rm. it /Varia rice Finding ever beeTi issued for /on the site?
C DONT KNOW YES a
YES, date issued:'
F YES: was ,rie permit recorded at the Registry of Deeds?
!) C) DONT KNOW 0 YES O
IF YES "Hier Rook Page: and /or Document a
e; the Waite contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES
l� YES, teas a permit been or need to be obtained from the Conservation Commission?
'�eods to be obtained Obtained Date Issued:
exist on the property, YES 0 NO
YES, describe size, type and location: j
r ;Here any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
Ir" YE S, describe size, type and location:
the constinjction activity disturb (Gearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
(nai -vi;) oisiurt over 1 acre? YES C NO O
V. =c r. a Nonhamnton Storm 1Nater NIanagemen! Permit from the DPW is required.
i
S SON' 5• :!A SCRIPTION OF PROPOSED WORK (check all ap lip cable
�tise � dditlon Replacement Windows Alteratlon(s) Rooftn
Or rs
Gemolitjw' New Signs ;tom) Decks T Siding (0) Other
I
sc - attac - - - - -- - - - - -- -
i
Yes No A.cldulg new Uedroom - - Yes _ Na
;, Renci:ating unfinished basement Yes No
I f New i use and or addition to existing housing, complete the following:
Family Two Family _ Other
'.n each family unit Number of Bathrooms _
I
.� cos _ >c, ?'e footage of new construction --- __ -_ -- Dimensions
- Fireplaces or Woodstoves Number of each _� 1
p'lar,ce^ Masscheck Energy Compliance form attached?
i
wetlands? Yes No Is construction within 100 yr - floodpiain Yes No
er cellar floor below finished grade
;ne building and Toning regulations? _ Yes No
City Sewer �_— Private well City water Supply _—
SECTION 7a JWNER AUTHORIZATION - TO BE COMPLETED WHEN
VN RS AGE.' T OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject 1
al ens ative fc work authorized by tA uildmg permit application.
JJJ
I
.�ig'n2ture Jvrnar Date — � _____,
Uwmer /Authorized
gnat the statements and information on the foregoing a lication are true and accurate, to the beat of my krxrw40go
i
signed under pains and penalties of perjury.
ION .'ONSTRUCTION SERVICES
C, o. (I t isle'
ILL
cc! is Home improvement Contractor. Not Applicable 0
-�-L- -:1-- -/'R- - I 2A 235
Registration Number
Expiration Date
�s�nnw`o�mOnKE 3 COMPENS
v��:'` ��m.,ancva��a,:mun�:ocomp�/e�ano�o�nmonw`m/xio°pplic^/mn. Failure m provide this affidavit vWlmoun
n�nr � iNin �
------- � -------
No [3 '
Home Owner Exemption
or w*)(2)[wni1im
m@p&c an iodi.iJu"| k,, hi,, who does not pons000 |icon^n
Homeowner ijpci-visor. GNIR 780, Sixth Editivn Section 108.3.5.1.
)k of Pci-s (s) who own a parcel ofland on which hcJshe rc.sidcsor intcnds to res on which there
i:�coJcJ *hc.uonco,two 6mi|ydwcUio8. attached vr detached structures mzevm`/y000uch use and/or farm
pevson who conitructs mole than one honic in a two-year period shalt n9l �s con31dersd a homtQrocr.
`hvU ^ohmi/ u. the Building 00uiuioo a 6`rm occcpuh|cmUn UuUdivQUO5ci
imn.Nihic for all such Nvork performed undcr the buildinp- permit.
_
olisiruction Superviso y"v, p,ucoo"o mc\"o/i(c will h,,cy,.,cJ hvm vmcw hn�.uminxw� v�m
'�.: o���x' `~`r� �,, "�icx mi` rcnni/ ., i`^v,u�
`,x|`mc,m'z it) [xoytc/ |}_'(morkcn'C and Chapter |5}(Livbi\ityo[E.np\uyers,m
�o Dc^tk} "[lxc Nvvilcx^`uu Gmcm| Lu°^ Aonotvtcd, fon per3on�x)
,,:i`:^ m`/k !M vox vwJo this Pc,mk.
oniho and :nvn`u� responsibility lxr uvmp|i^ocu with the ;Late Building Code, City of
' �u/c:oJio�x|l'.nio�ixps^nJSut,o[�A000chumm6cncm|Luam�000um�. �
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1 l' (,ixv n wjJih of AlllssuchusMs
1) ivronettt
Off ice o f 'I n vesligat
wl
Mi
6 {Vuslringlon
'� :��,� ..v.��� 11� WW.III(IJJ.�'U►Yl1ll1
\�tlrl,cr�' l:t,nt(>rusution (tt.urartre :�ffiti;a��it: f3ut( tiers/ Cuntr�tett ►rs /h ;li�ctrici�ns /i'lun�bers
\_1tL'(i�al ;t I ttft)rtttit(it)n Please Print Leyibly
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('(ltlt}t✓ �i:
I .� t ' it co: k tItc a 1) l) rll pr 111 (C hoUv: T ype of project (required).
' � �� � � 7 � .111i a �C:ilcral ltrl ;lfaClUr a(Itl i I I t — ''vC
f J , w ct)nstnlcuun
,,1�� t:� , ;�� ;ui�, t , ,part- lintel.• ha;e hire.! the sui>- cuntractor� i
I'
l�artnrr Ilsted on tilt amiched sheet. Rellmdellfig
; .• ; � ;�� is �, .0 - _
(hose sub- ct7ntruc[0rs have f)cntoIiti()II
e,n l )io and hilve workers' I r
! �� Building addition
_ o:lw, ins,lral,ce comp. insurance.
i �L c arc a corporation and its ;
IO,
I � Electrical repairs or additiOlt'.
u(liCers hint e.xcrcised their {.❑ Numbing repairs or addititm
n) ;�. right t, cxcn)l)tiull l)er �11G(. � �. Zont repairs
have no �
-1.'�_ Ut)C
crni�loyecs. � tiu w orkers 1
�
comp. Insurance required.)
., , „ ti �.t,,.�t nls�� ;l'. �,ut ;hc zccuun hcloa sh,n.in� Ihc,r ��,xl:ct�� cutttpcns,uir ;e,lirq inrirrmutivn.
iher ,we ,luink all "'Irli urn1 then hire mmtsii)e cuntrlwl"rs muvt 5uhnlit n new uttittavit inJ,calme such
atnu:hcJ ,rn .�,1�Gt,�nml sheet shr j the name n' the Suh r(mtrocuIrs nn,l ante whNl�rr of nrrt those, entiucx have
„,,� „n� ila�c cn)piucce >. they MUNI pmv'IdC thcIr wuri ry' ��xnp. Iw1ic�� rtumbcl,
pr(widim; workelr.s c'ontpensuoon insurunc•c fur Int' emploYeeS. lie /nw is the policy ttnd%uh sire
�+J(•rrrlutiun.
-
:: Date:
. y n
workers' .ompensation polio' declaration page (showing the p( )licy number and expiration dbite).
rc�,uile,i undo Scction'1 A v! rti1( ;i. C. I> can lead to the Imposition of criminal pennitics u; a
it penaltic;s in the I id it STOP WORK ORDFIK and ll
.� _ •I •l ;i iJi il1C `. I,)ii1tU:_ He adt Iced lh;ti d1 :"p UI tll(ti stiltelllel)t niti �' hC ICI rAA't1rCICU to the l)I7lCC r`l
�iit ;,ill .. )i, . .(?r InStlrilllCC CUVCrilgc verlIlCattl>Il.
111eyain.v w(d penultie.+ of perjurY th(it tl)r irl /urntuliun provided above it true and correct_
rr'rlte (If this (IretJ, !U he cu trip leted h v citV or 11) wil Ofjic iij l
F'rrrtti(�(.1CCRSt' �
.Tijt-4-20-210 171 -4 L H 4 E I - L Fi hlC 4 1 = 8-4 F . CI 2
RC Ro o fi ng Date
S Estimate
Southampton, NU. M07.1 6/1 6120 1 1
llhon� (41,1) 527-477�
F 1 527 -8
Name Address Job Location
Alan Branch 407 Audubon Rd.
407 Audubon Rd. heeds, Ivia. () 1053
Leeds, Ma. 01053 (4 13) 53 7-9 162
7erm5 Rep
I'SlinlilIV valid for 30 days Dave
Description Total
Removc cxisiing rool's. 19,900,00
Furnish &, install aluminum drip edge, pipe rjasiiings, chin-inuv (lashings tend step litishings.
Furnish & install new ivaw counter (lashings.
'tall 6C 1 ,' - biaricr ;llmlg Q;ivQs and valleys. L' M77le
I urnish & in '
,, �rtaifl'ccd Winterguard ice , w a ter
F urnish and install - V11theliC LIIILICFI:l - VIIIUIlt 0Vcr existing dvt;k
Furnish mid install 30 year Ccrlzlil)]'CUd WOOLISCilpe SQrjcs
Furnish and Install Ccililill'TCCLI approved ridge vent.
Ali exterior tooling related debris to be removed by R.C.I. Roofing.
All work will he performed according to nlanufac(urevs' spccificahMls
All work will be performed according to new OSHA 6/1 5/2011 standards.
30 year CertainTeed material warranty included.
All related permits will be Qbtuined by R.C.1, Roofing,
Price lot Dormer only: $3,500.00 (no warranty will app) ' Y to Dormer only).
Add $2,50 per sq, I'L. for %ood decking reptiicemQm it iwcdcd,
Add: 52,250.00 I'Or Ccrutinleed Landmark Woodscapc iO y ear cai li%wikiw shingle.
A Certaintoed SUrcsian PILIN CXIVIILICJ VV',iirwity will be included with , I I of (5900.00)
S900J)0)
ahst)rhed by RCI Hooling il'signcd withill 'i LhYS. This CXICII&d warranty incaws that 20 of 0%
year warranty is covered lor Libor and material. The Iwo H) yv;w of dic 30 year Cerijititecd
wit(runiv Would he covered for mweri only. zzov Otz
'Notc* No additional cost for ice &. w.lter'hurrie'r on entire dormer, Owncr's decision
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A
WE LOOK FORWARD TO 001ING BUSINESS WITH You.
T ots 1 $19.900,00
TERM'S OF PAYMENT
3 I X, De 1) os i i
balUrllC UP011 COMpleli011 Customer Signature
Registration ;1 126233
Construction License ss 01,4334 Dille
Insurcd by bamis & Fickert
(413) 5-27-2700