24D-295 • . •
R.c�► o fin • '7 Esti mate
Southampton, Ma. 01073 3/31/2111 I
Phone (4I3) 527_477;
t',ix (413)527-K469
Name / Address Job Location
Saul Scheer
138 Crescent St.
Northampton, Ma. 010(()
Terms Rep 1
Estimate valid for 30 days Dave 1
Description Total
.._: .. i . i ._ _
Remove existing roots. 14,7001)0
Furnish & install 1/2" plywood over existing decking on Main roof only.
Furnish & install aluminum drip edge, pipe (lashings, chimney (lashings and step tlashings.
Furnish & install new lead counter (lashings.
Furnish & install CertainTeed Winterguard ice & water harrier along eaves and valleys.
Furnish and install synthetic underlaymcnt.
Furnish and install 30 year CertainTeed Woodscape Series shingle.
Furnish r and install (lerta;nTeed approved ridge vent.
Furnish and install new box vents.
1 Ail exterior routing related debris to he removed by R.C.1. Roofing.
All work will he performed according to manufacturers' specifications.
_t0 year CertainTeed material warranty included.
Ail related permits will he obtained by R.C.I. Roofing.
Add: $ 1,100.00 for Certainteed Landmark Woodscape 50 year premium shingle.
A Certaintced Surestart Pius extended warranty will he included with a fee of ($440.00)
(sort=ed by RCI Roofing if signed within 7 days. This extended warranty means that 20 of the
3(1 v .;tr warranty is covered for labor and material. The last 10 years of the 30 year Certaintced
warranty would be covered for material only.
1
L _.._
WE LOOK FORWA1t1) "11) DOING BUSINESS WITH YOU.
Total $14,700.(1(1
TERMS )I= I',AYMCNl'
b 13cliri> ! g �
ii a;;urr up can Ii Customer Signature w. ..� t,
Iregktration 1262:5 •
Cunslrueliun Liiensc It 074334 Date /or_ ,
C //
Insured by Banal & I i.kert Ins.
(41 3) 527 - 271)(1
• o f
,4
(.orn)nolig,yoilh of iY1iluachusells
A‘, • •
e Par tinall Indiwrial Accidents
Office of Inve,vngattons
600 li Street
BOSIOii, 02111
*--
14 w. //111.S i l'/(110
\\ 011..et'S Compensation Insurance ,Affidavit: Builders/ContractorstElectricians/Plunthers
. \pplieant Information Please Print LeEiblv
• T -
c\c?
\
— - - ------
,
• `•-•,, • • •
115
_
, 1 . 101 ;Ili 1.'01/111/■er? Cllet :k the appropriate box:
Type of project (required):
Ho10.er . ri ;tin ,eneriti contractor and
6. El New construction
ees (uH and;or part-time).* have lured (he sub-contractors
the ;mac:fled shee(. 7. 1 R emodeling,
employees Thec suh-contractors have 8. ( D emolition
w any capacity employees and have workers'
(). 111) 13uilding addition
comp. inStirilllee comp. insurance..
corporation and t
10,ri Electrical repairs or additicns
5. I We are a is
eo \\ all work officers have exercised their 1 Plumbing repairs or adtilt
right of exemption per tv1(il.
o'orkers' comp. I 2.[21./ oof repairs
c. 152, §1(4), and we have no
de
emplo .; .F (ilr
yees. (No workers'
comp. insurance required.]
,1 1 must also 11H ow the section beloy stio■sing their workers' compensation pkdicy information.
.11f Idiom Indicating the:, arc doing all work and !two tore outside comtricdors intim submit II new ritlidavri mdicriting suct;
::)+) \ ■Illadiell tIthlill(q111) Sheet ShOWInk; 111C 113/11C 01 Ole Sllb-coritructors and suite whether or mit those cmitics havc
(la,: employees. they most provide 1.11C11 W06 C.0111p. policy 11U1111Yel.
o is p workers' compensation insurance for my employees. Belo 14 iv the ludic) and job
" C4 58 Expiration ()ate: j 0 - .1 Q._
‘t-
I c , Aka.otizioso
(.4 .-tt „I the ■■ta compensation policy declaration page (showing the policy another and expiration date).
to co,'etc as required under Section 25A of MOl. c. 52 can lead to the imposition of criminal penalties of a
one-vear imprisonment, as well as ci il penalties in the i ot STOP WORK ORDER and a
ao,iiiiist the violator. Be advised that a copy of this statement !nay he forwarded to the Office of
csti■ [)1..1 for insurance coverage verification.
under um/penalties of perjury that the information provided above is (rut and correct.
_
____________
nril Write in this area, to he completed by city or town official.
Permit/Lieease
•
SECTION S -CONSTRUCTION SERVICES
icenser :onstruction Supervisor; Not Applicable ❑
M-aY Q
License Number
C I • O3- i2,
Expiration Dale
. r.. Telephone
Rec�isterer; Home Improvement Contractor: Not Applicable ❑
A_ B elo_ — -- • 126235
Company Name Registration Number
5 - am - /2,
Expiration Date •
lainprola Q 1 Telephon,01 31527- 477"
SECTION 1C- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
c s soh ititisurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
nc issuance of the building permit
it 2 ,ttacihed Yes. crI No... ❑ !
1. - 1-Iome Owner Exemption
u; cot cycmption cur "homeowners" was extended to include Owner- occupied DweUUnts ofonc (I) or (wo(2) families
.: to ally cc such homeowner to engage an individual for hire who does not possess a license, provided that the owner act;
supervisor. CN1R 780, Sixth Edition Section 108.3.5.1.
i)ciinition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there
is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
person who constructs more than one home in a two -year period shall not,be considered a homeowner.
• ! soo ner' shall submit to the Building 011ici on a form acceptable to the Building Official, that he/llho !hall tre
,,onsihle for all such work performed under the building permit.
'oust ruction Supervisor your presence on the job site will be required from time to time, during and utx>n
work•for which this permit is issued.
advised that with reference u Chapter 152 ( Workers' Compensation) and Chapter 153 (Liability of Employers to
�'.n ;• c (or lnjurie not resulting in Death) of the Massachusetts General Laws Annotated, YOU 1n11Y be llabk for person(s)
perform work for you under this permit.
" homeowner" certilles and assumes responsibility for compliance with the State Building Code, City of
State and Local /oning Laws and State of Massachusetts General Laws A
mco�� ner Signature _ t.ta —bed
•
.
.
7 —__________
SECTION 5- )ES PROPOSED WORK (check aI appllcabie) ------_ --- — _____ _ |
— l
�e�Hoan ' , Addition 1 ! / Replacement Alteration(s) - Roofing ~��
Or Doors E ' ' ' '
_' | ( ( -]
�
.ccmur = y�
...
—/ Demolition �� [E] . New i[]] Decks � . Skj|ng f]J Other [OF • |
- - _-_- _
:: '', z�'�7oSc« .)�4 — . {
�/n�___��/ L[`y�/�']
..u C c..xw mumoin Yes No Adding new bedroom Yes No
'i.p
��cncv vv, ``u . -----' ----- Renovating unfinished basement Yes No
"/o ii;o~,:x,.i �c/' Sn^c(
_____ _______ _
u" |f New house and or addition Uz existing housing, complete the fm|lmwinQ�
z us�a/y".,mmo One Family Two Other
- . — -.
:. w..mte'' • rooms in each family unit. Number of Bathrooms ~
- 1
. z. u fhc: o ;v,ni;c axpcxed? .
u ''oPn` ':1vv,ye/com5co/ new construction Dimensions |
-- (
. x*�ro' ,'o"�^`
` ,I
Fireplaces o/vvpodsmw:p Numbn,m each___
; u ,.s. s": ^`on Compliance Maoorxncm Energy Compliance form attached?
__
: r/��n -, :o. , :c. n^ _____
'^ T.cou;:, x;Dn,xn.� 100 ft of wetlands? Yes mo. s construction thin 100 yr. 800Up|m|n Yes No
:.:epm ^/ t. /oo men; n/ cellar floor below finished grade
. vvi.| :u/ic',,.: conform ln Building and Zoning regulations? Yes No
. 3cpt.�I ii __ _ City Sewer Private well _ City water Supply
-
��_ _____________ ____ ������
3EcT0m7^ JvVwER AUTHORtZ.ATION - TO BE COMPLETED WHEN
QWNERS AGET OR CONTRACTOR APPLIES FOR BUILDING PERMIT
_-_ ___�_____-_ ____ 1
�
_=~�� ____ __ . *, Owner o( the subject ■
. �,r,orn} ^
'`�,��/ ^'n:'' ` _c -T��� ' � • , . 7~ I. Roof! �� _____
•,.: ` c: ,r :., z. �x c ax �m�c�n�xhwc1owomamor�zodbymis •vi�ing permit application. )
�
L' • • {J / —/
/ _—_
(
S-----' ---�
-__�_- ___--
\ \
�\Y �v� \\e\\'�i�^_~��� �� T � � t . mw
�� �� ^-- ���" � mc'sta/omentsand information on the foregoing 41icahon are true and accurate, to tha best 01 my know4ede
;:x�
Signed under o.e pains and penalties ofperjury. |
sit, �
| .,^�~. -----
Print Name _~^, ~~~
a
•
I S t'. N Ai; Information ,trust Be Completed, Permit Can Be Denied Due To Incomplete Information
I;.rstIR Proposed Required by Zoning 1
This column to be filled in b
Building Department
- 1 - --
I ,,
, i.:.tn' „tic . , i :hacks Front ,
tiicJr i: R: I. it: 1 i
Rear i
`).; ire ) to
L.
i
l'ttt
Sic
ias 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 it
Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained O , Date Issued: 1
C Do any signs exist on the property? YES O NO 0
IF YES, describe size, type and location: I
there any proposed changes to or additions of signs intended for the property 1 YES O NO 0
I YES, describe size, type and location. 1
',VII sr,e construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a cot - nmon plan
that will disturb over 1 acre? YES 0 NO 0
ir YES :nen a Northarnoton Storm Water Management Permit from the DPW is required.
•
. 14- RECEIVED • „.„.....,,,,,„......,,„„..,..,"., t „, ,
„ .., v. i "; . • , ' ' 1
A LL 21 if $ , i • • •
t Citi of Northampton Otlitalgi'` 1 4 , , t
I 10 2 1 2011
. I Bu cfin4, Department Curt C
T 'llrt\iN i i''' — 'V'," ", ' 'i• . •
1 . OF BUILDING INSFEZ177:412 ilain Street $ew ' ,,y.t. I , •
NoRTHamer • MAIM) _ _. _ •
,1 ' • , , . ,, 1
. i Room 100
Northampton, MA 01060
one 413-587-1240 Fax 413-587-1272 0;lo i'''''''(■;h:":', .'''. l. .. (,. .,''..,-. - ,` e,
,' p al'vq'....,„7v . , 4 .,:o .,\
Other S 001-1/4.1.'' , - - , ' . .-; ' ,.'' 1 .
‘-..''‘,,." '' ‘'t ' " +'
App, CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
-- ---- - i
c 7 I DN . -, TI.: 1 !“ ORMATION
This section to be completed by office ------
1 . LertA '..,:c.jres•.,,
3 C.ce:c_t....\‘‘\- ,S--, Map . Lot Unit
Zone Overlay District
Elm St. District CB District I
.. _
- 'EC no N •.' • ROPERTY OWNERSHIP/AUTHORIZED AGENT
_
----- . i
Owner c• -'ec
_...a_.P.8 . . . _C---(_ _ . e ( c r- \ \- 3\- __
Cu( ent Mkiling Address: .
qt . 7)) ....5 - 37 I a
Telephone
' 5tg-litur •
:7,2 Antnc rize - _,.....91.1nt . .
')c‘Lkell
.L.' ._ed___ ' ____ . • - -
. • • .
_ .
• • • • tilk 10 1
Current Mailing . .dress:
--,-- ,
L13) 521- 4/15
Telephone
• _
:C 3 - - STI, A ATED CONSTRZTION COSTS
Iler Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant -__.
r". 7 OC (a) Building Permit Fee
tuilling 1
. itOOt'i nz; 4 1 ( -) " ,
"2. Electnc,i. , (b) Estimated Total Cost of
Construdion from (81. _. ........__..
- --
-.) Plc■r,b.nr.: Building Permit Fee
1 4 `...tectianic.„1 :riVAC.'
._ .......... . .
0 4b Check Number / 7g 9
$ I H -Tr 0 0 ,
This Section For Official Use Only ________)
Date
Badinv l'‘.., -,. ,',1,,
- Issued:
Signature ._
3uildIng Cc>rnmIssioner/inspector of Buildings Date J
N.*.
- -
138 CRESCENT ST • BP- 2011 -0866
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D - 295 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 -0866
Project # JS- 2011- 001424
Est. Cost: $14700.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(scq ft.): 4965.84 Owner: COHEN ROSETTA & SAMUEL SCHEER
Zoning: URB(100)/ Applicant: RCI ROOFING
AT: 138 CRESCENT ST
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527 -4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON:4/29/2011 0:00:00
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. 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 4/29/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner