25C-044 . .
Roofing Estimate --�
• Date
South Ma. L i ((73 3/31 2.01 I
l b'rne (d 131 >27 - 4775
k'a (4I:+` 527-84(0
Name / Aderess Job Location
Dorothy Smarz ; 34 Woodbine Ave.
1 Primrose Path Northampton, Ma. 01(160
Hatfield, Ma. 1)1038 (41 3) 247-5043
Terms I Rep
Estimate valid for 3(1 days Dave
Description Total —�
Remove existing rook. 13,300LO0
Furnish & install 1/2" plywood over existing decking.
Furnish & install aluminum drip edge, pipe chimney (lashings and step Lashings.
I b' P I g= y g� ( b�
Furnish & install new lead counter (lashings.
Ff. nish CertainTeed Winterguard ice & water barrier along eaves and valleys.
Furnish and install Synthetic underlayment.
Ler and instal.' 30 veal CcrtainTeed Woodscape Series shingle.
buor sh and install trr(ain teed approved ridge vent.
AP c.Nte1 rug due ��'Ia;ed dchris to he removed hV
.li votk w ilt he ,. erlurined according to nr;
30 vi_ ,r C'ct tain' feed nt;ticrial warranty included.
All ccl;'tcd permits will hr obtained by R.C.I. Ruufin�g. '
Add: SI,I■0.(h) for Ccrtainteed Landmark Woodscape 51) year premium shingle.
.\ Cettainteed Surestart Plus extended warranty will he included with a fee of (54k).00)
aosoroed by RCI Rooting if signed within 7 days. This extended warranty means that 20 of the
(1 vc;n wuilant is ■:', for labor and material.' the last I0 vc;irs of the 3)t year (_
w; would Na covered for material only.
l .ahec & Materials r75O.00
WE LOOK IA IRW,‘!ZO )o DOING l3USINESS WIT 11 YOU -
Total 14.2 >O Itt,
I A . ... N _.�
is dim: uI stn eom)) ctb,n Customer Signature
i2Ni mit,n eJ
(ottstruct (.teens,: +I ;;74334
Die
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(41 +) ='27-2.-/00
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SECTION S - ;ONSTRUCTION SERVICES
L. 1 License(. , onstruction Supervisor: Not Applicable ❑
- — - ...1.7_12.1324 _.
License Number
(1 - L. . 0 - c ,fT (N,
V a. n t o i 5 - i z Expiration Date
�r' c�cpr,unn
^:egiste u:1 Home Improvement Contractor: Not Applicable 0
1- (
.. • Ca._:. -. . a:211139._ ___
ompany •
` arne -- --_ Registration Number
1 ' •> Tr
,,,, Expiration Date
1- d1.nDQb r _.Q._LQ:7_— — Telephoneli ) 5 7 1
-
---
. E __- P E NS � ( §— — __
SECTION - vV�r�KE =RS' COMPENSATION INSURANCE AFFIDAVIT M.G.L. c. 152, 26C(6)) �
... +;« insurance affidavit must be completed and submitted with this application Failure to provide this affidavit will result
.;e r .:- fnt I ss, a, ce of the building permit J
—
�,, , ■ ttacnel Yes_ No EI — — — I
H i . - 1-Ionie Owner Exemption
.;u;cnt exemption for "homeowners was extended to include Owner occupied Dwelllnts of one (1) or two(2) families
to allo■c such homeowner to engage an individual for hire who does not possess a license, pravlded that the owner acts
upervisor. CM R 780, Sixth Edition Section 108.3,5.1.
i)clinition of t tom cowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there
kris intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
, (c; A Berson who constructs more than one home in a two - year period shall not be considered , homtvrtatr.
"t m r , hill submit to the Building Official, on a form acceptable to the Building Official, that kelthe )heU b �
iruisiblc for all such work performed under the building, permit.
,,;; Construction Supervisor your presence on the job site will be required Iron tin to time, during and upon
. ,i , cti,v1 01 the work fbr which this permit is issued.
he acct that with reference to Chapter 152 ( Workers' Compensation) and Chapter 153 (Liability of Employers to
:).'; mcs or Injuries not resulting in Death) of the Massachusetts (;eneral Laws Annotated, you maybe liable for peraon(s)
... Cl u perform work for you under this permit.
„:cfsi._ned homeowner' certifies and assumes responsibility for compliance with the `hate Building Code, City of
Or.' (1;uicc State and Local Zoning laws and State of Massachusetts General Laws Annotated.
s
omeo‘n .
cr Signature - t.a - abed .
, , , '..,- tw4' ; ' :: Astit— - .
— --- PROPOSED WORK (check = applicable)
- ----------------` ------ —_--__ 1
"T-TT' Addition Replacement Windows Alteration(s) --` RopOng
' Or Doors El
Demolition F —1 New ([]] Decks [] Siding
_ Domo|i
�� c o ( (0) Other [OF '
: Po»oscn
-
--- ---- -' --
YcS Adding new oeo wn
Ruonvaxngunhn�henbasement —��� No
o a
�/^ps �ac� yu/' Sheet
--
63
If New h:mse and or addition to existInq housinq, complete the foIlow
`)ca/�..��x.� �xcranoy Two Family Other . _ _'
''.. .h,� �� '.`r'x` "` o^cn family unit Number of Bathrooms
� u acx o p'p5c anacxcd7
,t :;nw/c footage of new construction Dimensions
u^x^� , ' �w."p` Fireplaces or Woodstoves Number of each
Compo^ncc Masscheck Energy Compliance form attached?
yPe
`nm.n 100 ft of wetlands? Yes No Is construc thin 100 y 8ocm»uin Yes No
3cp*usement or cellar floor below flnished grade —
' •me Building and Zoning regulations' Yex ______wo
sec.;; ".:= City Sewer Private weir City water Supply _
SECTION 7a JvvwER AUTHORIZATION 'TO BE COMPLETED WHEN
GWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
_ ________ S. . . ww Owner o(the wuu;mct |
1 .
.� � � ���''c' �ak_ x ^- ,iz�� ' ---- !
\- � /
Date --/ }
. w*Owm*r/Awthortzed
.�—�— ;c:arc that the statements and information on the foregoing |icahon are true and accurate, to the best 01 my knedQe
b^*/
6.gncg under � p^/:o and penalties of penury
Aay ")elLsle_,
St n 'GNING AU I nformation Must Be Completed. Permit Can Be Denied Due To Incomplete Inlormatlon
LNislint Proposed Required by Zoning
This column to be filled in by
Building t)epartmenr
I
l t 1
,
1
Side I. R: I i. R::
hear ' I
I _ I
� ! I1!nE.'lcigh•__
. ;r arc 1 c otasze °, ,
i
haccloouae 94,
..,,:a ;n,:tw. Mdg 1 p;n'ad
— --
i
Has a Special Permit /Variance /Finding ever been issued for /on the site?
NC) 0 DONT KNOW 0 YES 0
iF 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 ! g and/or Document tt
;<,es 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?
O
+c r_ds to be obtained Obtained
O Date Issued:
. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
- -
Are tnere any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location:
Wit the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it pad of a common plan
that will disturb over 1 acre? YES 0 NO C
4
, •
i■ .■ ' v rolpo ilt. ,,,, ,„1, , , , , :
4 , li i i;,. It 0 l e 4 4 ■• .11: , i,
F 1, 7
V ED ,,Ity of Northampton Status or , , .,,, •
Building Department CuC
- rt • ', ,"0',4, ,,, , .':!:.,..', , - '.', ,
Wil ,.: 0 e is 6.;70pi :.'• i v '.-- v,-: . '
212 Main Street &Iwo r. 1 .11, , ', , t. , 4 • . . . A
' ' ') .1• W s ,, ii. I 44 r I P '.. ';' . j . . , •
Room 100 v),I.,!ktoxy.:.)-„vi.;....tis..:.,.....
..,......,, -- Northampton, MA 01060 * Two1 '1' ." . • --:"• :' - ' ..
,, .—A- .-.--r ' • ),
W•Ione 413-587-1240 Fax 413-587-1272 Piciti$J,(a -4 ' .,4)69, 61 '. , ,.0 „ ,‘, • .,... ' , ' '
vy 1
Other S. .. fegi.2.0, 40.:.%:••,;.,ip . 1
APE': ,CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SEC 710t 1 - - -,ITE INFORMATION I
This section to be comptorted by once
I
34.k u300•?1&'% rNE_. 0...Q Q...- -
Map ‘ Lot Uni
)00c \
1
Zone Overlay District
1 i
Elm St. District _ CB District
' TION 2 . OPERTY OWNERSHIP/AUTHORIZED AGENT
1
Owner of r-:ecord:
'4; 0 (‘ O___V V.1 - S An 0 - ( 1 ?c- (y■ , Q.....\-\-, _ 1 \-N.1,cf ■ . fvvx. o■o3
^:amv 'Print Current Mailing Address:
,
ph c ( -11) 2-Li 1 -,5
ttic:le...ca. Tele
I
Signature :1
2.2 Authorize:i. Agent: I
.... a • 14 • • - ;
' 'Pfinr ,, Current Mailing • ddress:
0 ■ On3 I
13) _52.1 4 115
4... .
,,;natu Telephone
___ 1---- ------
SECTION 3 ESTIMATED CONSTRUCTION COSTS I
-1
Estimated Cost (Dollars) to be 1 Official Use Only
I I
t
l
I completed by permit applicant
., _
,
Eicilld!nc; 00. (a) Building Permit Fee r.v. . 4 .5 ... 0 0 0
Electrical .. I (b) Estimated Total Coat of
Construction from (6)
'
----------
3. Plumbing Building Permit Fe*
4. Mecnanica. ,HVAC)
5. Fire Proteclic)r, ----I
Total 5) $ 1 Lk 2,50 , 0O ■ Check Number
I
This Section For Official Use Only _
I Date
30ilcimq Pei: : Niumber, _ I
----- ------- I Issued:
i -......1
Signature
Data
34 WOODBINE AVE BP- 2011 -0918
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C - 044 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 -0918
Project # JS- 2011- 001498
Est. Cost: $14250.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 4007.52 Owner: SMARZ GEORGE A SR TRUSTEE
Zoning: URB(100)/ Applicant: RCI ROOFING
AT: 34 WOODBINE AVE
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527 -4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON:5/9/2011 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 5/9/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner