38D-065 . • .
ItC • I Est Date
() Line fit.
Southampton. Iota. (11(17; 5/31/2011
('hone t.412i l 527 -)72
kix 14 I 3) 527 -S-iGV
Name / Address Job Location
Larry Bee& 64 Revell Ave.
64 Revell Ave. Northampton. Ma. 01060
Northampton, Ma. (0060 (413) 584 -2950
Terms Rep
t?stimate valid lor 30 days Dine
Description Total
Remove existing Garage rails onl). 3.50(400
Furnish install 1/2" plywood over existing decking.
Furnish & install aluminum drip edge.
Furnish & install new lead counter flashings.
Furnish &install Certain AV interenard ice & water harrier along eaves
Furnish and install synthetic underlavment.
Furnish and install CertainTeed approved ridge vent.
All exterior rooting related debris to be removed by R.C.I. Rool ire.
All work will be performed according to manufacturers' specifications.
All work will be performed according to new OSHA 6/15/201 I standards.
All related permits will be obtained by R.C.I. Rooting.
WL I..00K FORWARD TO DOING BUSINFSS WITII YOU. Total
$3,500.00
I I R,y1.; OF I'.AY:ti1I:NT
5'4 Deposit
It,�laner
upon completion Customer Signatu
Krgisuration N 126235
Construction License ti 074334
Darr - � ._ '7 -�-_
Insured by lianas A f ieken 013)527-2700
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SECTION 5.1ONSTRUCTION SERVICES
License_; onstruction Supervisor: Not Applicable 0
M ;71..1,1:: - - Delis e, 3_3 4
r I
License Number:
w_ � ��� , Ma. (1 o � 3 5 n3-12 -_
= daress Expiration Data
41 c repe one
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Registere,; Home Improvement Contractor: Not Applicable 0
n � -_ ._ s___ ao1� — - — - — — — — 126235
comp„, r:ne J Registration Number
Expiration Date — - -�
CII.TUDTOn r D_1 a J 1 c ephon613)5.r_1'
SECTION IC. WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
,ens,-1;o ,ens, insurance affidavit must be completed and submitted with this application Failure to provide this affidavit will result r
ne issuance of the building permit
<ic c Yr.. No t)
1 1. — Home Owner Exemption
cot exemption for "homeowners" was extended to include Qwner- occupied DwcJUntcs of one (I) or two(2) families
c such homeowner to engage an individual for hire who does not possess a license, prpyt4cd that the ormer acts
uperx isor. C;\lR 780, Sixth Edition Section 108.3.5.1.
i rc of homeowner: Person ( s) who own a parcel of land on which he/she resides or intends to reside, on which there
intended to he, a one or two family dwelling, attached or detached structures acccssoiy to such use and/ or fatTn
.;cc:.. A lr,crson who constructs more than one home in a two -year period shalt not,be considered a horac9rt
hum.cr shall submit to the Building Official, on a form acceptable to the Building Official, that I;Ithht )hall bt
c •oonsibte for all such work performed under the buildin;; permit.
.;c ;i;n: Construction Supervisor your presence on the job site will be required from time to time, during and ulmn
of the work•;br which this permit is issued.
xr
Advised :hat with reference to Chapter 152 (Workers• Compensation ) and Chapter 153 (Liability of Employers to
(o: injuries not resulting in Death) of the N-lassachusetts General Laws Annotated, you may bt Ilahk for person(s)
.0 per form work for you under this permit.
,; :der signed "homeowner' certifies and assumes responsibility tor compliance with the State Building Code, City of
or:.unrpron Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
t nrcowncr Signature 1.t,aahed
I I �r v,. f ,►�"�' w
r1�'•r
r T'�N' ] c S 7 R |DT/ O N OF D ROPOSEDUUORK/Ck8ckJl|&UDUCXk|8\ - ------------
N'w6oua � Addition � Replacement Windows A|(nrxUoo(u) --` Roofing
5
Or Doors
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DomoNinn �� � New Signs ([]] Decks |[] Siding V]) Other [Ely '
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'-~ _____-
No az�x�� ne"und'o"n` Yes w
`;vc�ca xo'z.v� *uoovat g "nnn�ncuoase�e� -- Yes — No
Sxuc/
a If Wem hy, - )use and or addition to existing housing, complete the following:
^ u^a n/ One Family _____ Two Family [xxo,
." ,no,zs in each family unit Number of Bathrooms__________
� .
is txc,, n ;a'vgo oxachrd?
r/n;)oScc 600^,r footage of new construction Dimensions
N..mcr voxu��
• , � �m..`/` r.,,ouce^ or vvoougovca_ _ Number uf each
cnmpxa:cc ua`ocxecx Energy Compliance (orn attached?
'.mvc:on
w�o:x�z zx mJn n/weVeouo?_Yes No. Is construction thin 100 yr oongp|min Yes No
m o m e n t cellar floor below finished grade
vv: c:"c',; conform /o and Zoning regulations? Yes No
Scvoc ro'`. City Sewer _____ Private well City water Supply
---/
i SECTION 7a OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
. ^,{Wm*,o/ muuw,ct
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matters riative IC wor authorized by this uilding permit application | |
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. � �\ - . msO�w/�u�o��
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~~ he ��� � me��� � d Tn the foregoing ac�Ucahon are true and accurate, to the best of my knowledge
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Signed under tee pains and penalties of perjury
t
1" �,n Lu" iNC ,sii In,'o rmation Must Be t,;,rvete'. permit Can Be Denied Due To Incomplete Inlormatlon
i:�isun proposed Required by Zoning
I This column to tic (lied in by
nuilrling 1>epartmeru
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ed :n ii i' 1 . Nved 1 t ,
1,. 1
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Has a Special Permit/ Variance /Finding ever been issued for /on the site?
j0 0 DONT KNOW 0 YES O
F YES. date issued:'
iF YES: was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page, ! and /or Document #i
;fines the site contain a brook, body of water or wetlands? NO 0 DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued: 1 ■
S. Do any signs exist on the property? YES 0 NO 0
J I
IF YES, describe size, type and location:
Ai e there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location: . I
ir ......... ..
vvlii the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over I acre" YES Q NO 0
, - c_ S 'n rn a Northampton Storm Water Management Permit from the DPW is required
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MIMI.° VPlu.h. rtit*Ore V. 4 *tit , . ■ , ,
oW ' "c4) 0
\445 ,-, , 404,1 t 1 ",r) •i 4 , , , , . .
li,^ , i 4, ..‘,):,. el, ., I II. 4 4 .,• .i„
, - 4 , '4 , — :lit 4 ,‘ ' • : .
t L,Ity o f Northampton Stattli"of
- - , • -,*, w'" , '1, ' f ,. if ,v,
cro 409. Building Department Curb C
t i, ..4.1^ , -; IT
22 Main Street , 1. , T. a .
SOW ' 4 .1,1 1 '. i .) .
Room 100 Wite4Nti'Vi ' `,1;‘ • . . .
It,t,..154.' :, }1 . *:: ., : :::: : I; - •
Northampton, MA 01060 p r o t
ole 413-587-1240 Fax 413-587-1272
^ ,' 5 1 , re•AI i ' - ' - '.-% :• % '.
1 44 \ 1
Oth er S. — , i1ei3 • ' +• *C., •• i ' . ' ' • • I • : 4.. A
, `- Nr•r".4,;.••■•mro$1 "' • :' ' ‘ 4. ,;', :.' , ■• § ..• , • .4..,•
A' PP :,CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1
_ -----,
SECTION 1 - -,ITE INFORMATION
This section to be completed by office
CILV L " ' Map __ , Lot Unit
N o( W.a.,0 fi?\ -or) Zone Overlay District —
Eim St Dlotrict CB District
EC HON : - -kOPERTY OWNERSHIP/AUTHORIZED AGENT 1
[
1.1 Owner at °cord:
(o 4 Ke-qe-k ae,-
.. 'Prin1) Current Mailing Address:
' AttaC1d.C. Telephone _
Signa lure
2.2 Authorize,1 Agent:
. ,
Mak. D.e...sie, --__AX.LLI.._ • . - -
,
____ . _ • . . • ... • 0 MI 0 • —___—,
Current Mailing • ddress:
o
5 21 - 4 T/S
‘,;n,w,r■ I eie phorve
SECTION 3 - F STIMA TED CONSTRUCTION COSTS I
I _
Estimated Cost (Dollars) to be Official Use Only
i completed by permit applicant
I
' ButIdlni, t, 0 f. i 4 3 00 . o c,
i o) i y11_4 „ __ (a) Building Permit Fee
....._____
2 Electnca (b) Estimated Total Cost of
Construction from ()
_ 6
3 Plurnbin I Building Permit Fe*
;.-,
1 _ .
I
■ 4, mechanicz' :HVAC)
,
5. Fire Protect:on ....., . II ..,....i
• ,
00
C heck Number
i i
ber
This Section For Official Use Only
Scilding Pe,: N ____________ _ I i
I.,;ignaturu.
Rutioinc CommIssloner/Inspecto/ of BulidIngs Date
64 REVELL AVE - R BP- 2011 -1087
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38D - 065 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: roofing BUILDING PERMIT
Permit # BP- 2011 -1087
Project # JS- 2011- 001751
Est. Cost: $3500.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 18120.96 Owner: BEEDE LAURENCE I & ELIZABETH R
Zoning: URB(100)/ Applicant: RCI ROOFING
AT: 64 REVELL AVE
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527 -4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON: 6/23/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: STRIP & SHINGLE GARAGE 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 6/23/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner