18D-053 (2) 4. . ..5...„ \_, ' fr 9 -(7, ,r7 7:7 FT' \
' ', INSULATION e1 1 ��
SIDING CO., INC. r
EASTHAMPTON OFFICE 413- 527 -0044 CSL License #CS SL 99739 WESTFIELD OFFICE 413
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413- 527 -1222
Proposal Submitted to Phone Date
Thoma4, `', 4 ; t, .. i\ "Purchaser" 413- 586 -6214 Home August 16, 2010
Street Job Name
80 Damon Road #2305 River Run ‘ °:�; ; I A,.,;; ,)f .. . �T; -
City, State and Zip Code Job Location '' Job Phone
Northampton, MAr@ . �c()
Contractor hereby submits to Purchaser specifications and estimates for : INSTALLATION OF VINYL REPLACEMENT WINDOWS
AND A PATIO DOOR
VINYI RFPLACFMFNT WINDOWS
1. We will remove and dispose of wood and or aluminum windows if existing.
A I . 1 • 1• At - • .t• '11•• •t S • 1• • • :. -• .1 : -• • - 11 - 11 1'•••, a . 2 • - '•1. - . .
3. They will have double pane insulated glass with Half - Screens. Color will he White without grid work.
4. We will install fiberglass insulation around window units installed and seal with Silicone Caulking on interior and exterior.
5. Window Units will have Thermaflect glass with Argon Gas.
6. We will install aluminum coil stock material arrnlnd outside perimeter of window.
7. Vinyl Replacement Window Unit has a "Manufacturer's I ifetime Warranty" and the glass has a "20 -Year Warranty ".
PATIO DOOR
1. We will remove & dispose of existing patio door. i -
1 - , ' ' 5 . I - ■ • . A 1 - • . : . - • Iles • • • . • • • • A . I - - • • • A . •- A • - lee •. u. - - i• .
be 6'O X 6'8. 4
3. We will install fiberglass insulation around door unit installed and seal with Silicone Caulking on interirr and exterior.
4. Patin Door Unit will have Thermaflect glass with Argon Gas.
5. We will remove and reinstall wood trim.
6. We will install aluminum coil stock material around outside perimeter of patio door.
7. Homeowner will be responsible for any painting or staining.
** WINDOWS QI IAI IFY FOR THE $1.500.00 TAX CRFDIT.
i
�) ;.(fifty of Xortham t 1_ _ �' /
�'T� + % ,� �'� I lH3EAChusett8 •
' �$ "" DEPARTMENT OF BUILDING INSPECTIONS , _ l _- /:
INSPECTOR 212 Main Street • Municipal Buildin
Northampton, MA 01060 .
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Lis/her construction stapc: ,':sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the, home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection.: The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
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r yE (riff rif �aif liaiilptoii 1
A = wry E �ia aicchncrtler
- D OP BUILDING INSPECTIOI
212 Main Street ' Municipal Building
Northampton, ATass. 01060 r
WORKER'S COMIPENSA 11ON UNSURANCE AFFIDAVIT
I, All Star Insulation & Siding Co., Inc.
•.‘ (li ccnsx /permi tic c) —
with a principal place. of at: —
56 Franklin Street- Easthampton, MA 01027 (phonej=) - 527 - 0044
(sa —.c/ci t y /stair'2 i p )
do hereby certify, under tile pains and penalties of perjury, :hat
, (x) I am an employer providing the following ' worker's cornocnsation coverage for my .
•
ewpiovices worl6ng on this job: ‘)Ne3ce___‘-ito-1106k-t5 ISALL__, .
(Lasu.rac Coat = (Policy Number) (Expiration Dare.)
( ) I am a sole proprietor, general contractor or homeowner (cis ce one) and have hired
the contractors listed below wbo have the following worker's coopen_abon policies:
(Name o. Contractor) (1nRranc: Company i o ,- Nw l�(.:) (rz)i, Date.)
(Name of Contactor) (insurance Company /Folic -; Nu be.r) (Eknir<:iion Date)
(Name of Conmaeto,) (L surance. Company/Policy Namtu) (Expiration Date)
(Name of Contractor) (Lasurano Company/Policy Numbs) (Ex Date) .
0,.a... ..t.ridi�oc31 2xdifncccs.<:l-to mc?u& iafor*- ioc ; *_o to all wa7_cvr3) .
-j • ( ) 1 am a sole proprietor and have no one working for me.
( ) I arn.a home owner performing all the work myself.
NOTE: pies: be cw-yr tfi. v.�) bcmca<vcra wbo =play pccacs to (ID • :•- • •••^� = c rr sot oa . d " of
apt mote rhea 1 . , ..". =its in wbch the bocnoowocr read= or ca the c ouncb Wputco:_^_. the .o c.-c ox f=.- --Ily eoe:dcr d to be
cixployc3 „K''- the , -c S cem cm::: --.,iea Act (GUI. 52 1(5)). _,ppliabon by a boatcoava far : Gem _ or pc-mil zy n-i t occ the
1cp.1 rt of e..o c r loy.< under dso Works.". Coapot ,. oa Ad
1 undcst..ad that a oopy oI thi. mt mora may bo for,enrd- 4 to tbo Depnrtmcoa orloA veri d AccideMY Ott oo of lo:xo u>M for t°
eovea.ge vci6esioa and thnt L-ittac to scvrc'cove-rage,rr, --- soaioo 25 A of MC1L 152 as 1c4 to the impo. of ciminal peo.altio
oo¢si,: ,tag of a rimn of up to 51,500.00 arsN« iscaprisoama3l of up to o« ytnr r..od c pit pcaa7Si o is tx form of a Stop Work Ord and a
-
rua, o(SI00.00 s d_y cpiast a
I / F or dcp..r�rx. =� u,c only arkil _ Permit Number
AI 4I1 ______ 9114_ .
..:
Si gnats ofLio=tscriPcrmiticc e -- . l
SECTION 8 - `CONSTRUCTION SERVICES <'
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Edwin Losacano CS SL 99739
License N mber
128 Glendale Road - Southampton, MA 01073 �
Addrrj Expiration Date
�� `` (413) 527 -0044
Signature , ' Telephone
1•lomelmprovemeritEdnt:i"actoc 7 aMM,,„ ; RM�,�,,.,,pri Not Applicable ❑
All Star Insulation & Siding` Co., Inc.
Company Name Regist�� r —
56 Franklin Street
Address Expiration Date
Easthampton, MA 01027 Telephone 413 - 527 - 0044
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 No ❑
11 t _loihe O nerES %emplioii
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 su . ervisor. 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 -vear 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
l ••
•
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House n Addition n Replacemedows Alteration(s) n Roofing in
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [lam] Decks [0 Siding [o] Other [0]
Des ription Pr o e{ , n t ,, nn �; r
WBrief ork: 1� ... � �� V � C � �VII,Q n
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6a IfAYewIhou as "na -oraaaliio x to e t tmg: ho.usinq complete the #ollou nq:
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. Masscheck 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
SECTION 7a- OWNER AUTHORIZATION . TO BE COMPLETED WHEN
OWNERS 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 Date
All Star Insulation & Siding Co. . Inc.' , 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. '
I
4 1 . 11 C11' - .1 -1
Print Name /
Signatur;s 'er/ /Agent Date
Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size i ` -_ ` . =
: 1 I Frontage f i
Setbacks Front i j I i
Side L:' R: L:' R. __!
Rear �
Building Height I ; '
i ■
Bldg. Square Footage 1 1 I i ( i r
Open Space Footage
(Lot area minus bldg & paved ( # i I
parking)
# of Parking Spaces
Fill: -- - - -- — — — — —
(volumeBc Location) - - 1 - - 7
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0
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 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location: 1 j
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 ,- NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
.4 �,� De ®.aline se pnly
City,of NortPampton ''
\Q Building\Department Lr , ® .11V 4 c
(),' 212 Main Street Sewea}�e6 o r ®rl! 4 eg
j am,
f 5 RopM 100
North pton; MA 01060 Two e o ruc41r ans , � ,r
p hone 413- 587 -1240 Fax 413- 587 -1272 {? pl `��s a �
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: Thrs section to be completed byoffice
5ia �' �
t 1P Zon
�y� �erli�rict
Elm Sf Distract ° CB District . ,.
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
-- T V o ' C)C6
Name (Print) Current Mailin dress_
Telephone
Signature
2.2 Authorized Agent:
All Star Insulation & Siding Co.. Inc. 56 Franklin Street - Easthampton, MA 01027
Name
� in Current Mailing Address:
413 -527 -0044
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 3853' (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) p9 2), Check Number , 7 1, 3 d--
This <Section For "Official Use Only
Building Permit Number IDssued:
Signature:
Building Commissioner /Inspector of Buildings Date
L `
80 DAMON RD #2305 BP- 2011 -0261
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18D - 053 CITY OF NORTHAMPTON
Lot: -051 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP- 2011 -0261
Project # JS- 2011- 000434
Est. Cost: $2853.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): Owner: KRISTEK THOMAS
Zoning: GB /GI/SC/WP Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 80 DAMON RD #2305
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:9/22/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 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 - ° °' ° ° °"
Rough: Oil:
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NOT
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 9/22/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner