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Roofing
6 LineSt. Estimate Date
Southampton. Ma, HI P 3 5/20/2011
Phone (41 i) 527 -4775
I )ax 1413) 527 -4()))
Name / Address Job Location
Charles Mick 54 Washinoton Ave.
54 Washington Ave. Northampton. Ma. 01060
Northampton, Ma. 01060 (413) 586 -9662
Terms Rep
Estimate valid for 31) days Chris
Description Total
Remove existing roofs. 7,50(1.0(1
Furnish & install 1/2" plywood over existing decking.
Furnish & install aluminum drip edge, pipe (lashings. chimney (lashings and step (lashings.
Furnish & install new lead counter (lashings.
Furnish & install Certainl'eed Winterguard ice & water harrier along eaves and valleys.
Furnish and install synthetic underlavment.
Furnish and install 30 year CertainTeed Woodscape Series .shingle.
Furnish and install CertainTeed approved ridge vent.
All exterior roofing related debris to be removed by R.C.I. Roofing.
All work will be performed according to manufacturers' specifications.
All work will be performed according to new OSHA 6/15/20 I I standards.
3(1 year CertainTeed material warranty included.
All related permits will he obtained by R.C.I. Roofing.
Add: 5600.00 for Certainteed Landmark Woodscape 50 year premium shingle.
A Certainteed Surestart Plus extended warranty will he included with a fee of ($240.00)
absorbed d by RCI Roofing if signed within 7 days. This extended warranty means that 20 of the
3(1 year warranty IS covered for labor and material. The Iasi I D years of the 30 year Certainteed
warranty would be covered for material only.
Is fic � - t G4 Je r
o
WE LOOK FORWARD TO DOING BUSINESS WITH YOII.
Total $7.500.00
TERMS CI' I',AYMt f Cki
51 Deposit
Balance upon completion Customer Signature
Registration U 120235
Construction License nse N 074334 Date
Insured by t3anais & Fickert Ins.
(4131527-270(1
SECTION 3l S'RJC T (ON SERVICES
. License;; .ThnstrUCtion Supervisor:
Not Applicable 0
M r Ls e,
License Number
i
� �.� .`t • • 6.10 :. . • 5 - O 3
,,.sass
Expiration Data
Home Improvement Contractor: Not Applicable U
�
_ ._ (lo-r_1 n9 _ - 126235
Company ";;, -fie Registration Number
— — Expiration Date
MM n '- 7 ,r� �1 n
v.1 SJ L.2.1. ci l.n atO�. r _ J._.1a aLC 3 - T e Ie p ton 6134 .5,2 { ' 4 7 L "
SECTION IC- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
ensation insurance affidavit must be completed and submitted with this application Failure to provide this affidavit will result
:h. cter , :f •he issuance of the building permit a "r _ c Yes V No E.
1 1 . - Honte Owner Exemption
rr,t csentpt:on fc r " homeowners +vas e icndcd to include Owner- occupied Uwellirm of one (1) or two(2) families
such : nmcow - ler w engage an individual Iw hire who does not possess a license, prQylded that the owner Acta
�� .uhcr isor. R 780, Sixth Edition Section I08.3.5.I.
S r i ninon o r Homeowner: Person ( s ) who own a parcel a land on which he/she resides or intends to reside, on which there
1., intended to he, a one or two family dwelling, attached or detached structures accesstny to such use and / or farm
A person who constructs more than one home in a two -year period ;halt not by considered a hot
- homeowner— shall submit to the Building Official, on a form acceptable to the Building Official, that he/she Shall he
: ,_.o onsible for all such work performed under the buntline. permit.
�.. rclit�t; Construction Supervisor your presence on the job site will be required from time to time, during and upon
or the work•ttar which this permit is issued.
c advised ghat with reference to Chapter 152 ( Workers' Compensation) and Chapter 153 (Liability of Employers to
o ccs `ter injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be llabk for person(s)
:;, p cr +vork for you under this permit.
- homeowner - certifies and assumes responsibility for compliance with the State Building Code, City of
I:d :ranecs, State mmm:d /ooninu I.;tws and State of Massachusetts General Laws Annotated.
`I nrco+wncr Signature 5 . 2 . A .. 4 ._ 0 . 1 . : ► -
.!` r;, ■k.m
.
_____
. SEC7'ON �E.SCR|DT|ON OF PROPOSED WORK (check aUauUcah|8\ --- „-----
___
--' | ' ------
� »��om� � ! � Addition | | Replacement Alteration(s) �—1 Roofing =`�
-- �— O,Donrx [] | / / \»|
| | _—__
��c~``u� '
�^i � i Demolition 1 — . we,,,-; Sign, |[]] Decks i[] Siding Other '
__'.-_'__'
�`^�oo;� `�z"'opupcx ~l��_
,�,_�,��LLx�{` ri ----' )
'/u,v,'o`o, ".:v;.:j A!v'on:` Yes No Adding new bedroom _Yes _wv /
.acncc n,..^c
Rerrovatin unfinished basement Yes No
qo:sAxocn,.iaoi. Sheet
ao If New 1house and or addition to existinq housing, complete the following:
^ Con at One Family ______ Two Family _______Om�/ . _ _ .
r, x^.--its" . - :corns � e/ch family unit Number of Bathrooms
't
t /��n',: a
�,o�ca:acn�u7 . '
s
,t i`'/zn»"c �to=o *wa5c o/ new construction Dimensions
` m.mr vu",tv
• uu..o. nm^nct` p/vcp|onou or __ Number each
; e"e.G` � s,.,^ouc Compliance Masscheck Energy Compliance form attached?
: l ,oe z��nxvot/oo
I^opoc`:;n=txin 10C ft o/ wetlands? _ Yes ____No. Is construction thin 1 y floodplain Yes No
3^om of i onmenl or cellar floor below finished grade __
' \:-.1'x uv.ic':'.; conform to me Building and Zoning regulations? __Yes No
' Septic. ll^'^ C:y��w�/ Private Ci�
--'- ------ - --� ------
____-_ __�_________ _- ___ ___J
SECTION 7a "OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AG(wTOR CONTRACTOR APPLIES FOR BUILDING PERMIT
/
______ _____ __ �___________
,�
,~V ,S__ ___._ _ __ _ .*o Owner o{ the mubfect
�'opc'ly
'it ,c��.."c^`.` . ��_c-�� FM _-- ---
� az a^ ,..,.. �. -a// ., an me:om, vumonzcuurtmo pannxappooa`mn. |
~
(-�� '� �
- � —` -
s _____i
___
\Y � ��^� �� t 1 -� �� . as
'~^ `° -~ ^ statements and information the foregoing sc�|�aUnn are true and accurate, to the bm*o/nny hn�°km�e
~su". =.~, , ,�".= .~ .� ~., `~
^nuuui.o/ .
. Signed e pains and penalties of perjury.
i \ \ ��\����� '_ �_-��^"�"_^�- .�,�`~~
`
____
| \ ( `, - :1JC'|. 70 HWG �!|}n/0/m6|/oW Must {e rOQT|e{[d, Permit Can K» Denied Due T0 Incomplete |O|Orm0(|OD
. rhis Column to hc filled in by
■
ii:J,Ii„:, I lei:Olt , ,
� Has a Special Permit/Variance/Finding ever been issued for/on the site?
0 0 ��
/�O \_/ DON'T KNOW \~� YES \~�
IF YES, date issued:: !
IF YES: Was the permit recorded at the Registry of Deeds?
�� �� ��
NO DONT YES �� L� L�
|
IF YES enter Book Page: � and/of Document # |
H. . c� u �� �� ��
" the �ccon�a`n a brook, body of water :/ wc0 �� and�/ NO \~� DONT K�OKNOW � YES
IF YES, nos a permit been or need to he obtained from the Cooservation Commission?
Needs to be obtained /—� Obtained /—� Date Issued: ( -- --- - !
\`� \_/ ' �|
� Do any sins exist on the property? YES /—\ ' NO 0
I
iF YB, describe size. type and location: 1
� A'e there any proposed changes to or additions of signs intended for the property / YES 0 NO 0
!- ' -- ---- ----------'--------`
IF YB, describe size, type and location: _
the construcUon activity disturb (clearing, ring, gradingexcavation, or filling) over } acre u/ioit part o(a common plan
nat will disturb over 1 acre? YES 0 ) NO ( )
�� ��
�` ,:, ''n: Noitha:nton Storm Water Management Permit from the DPW is required,
CP
3 ‘15\4C' ,i Stror.v•tiso•• cr.trw, nv, 4, -or , . , ,, , ,
-
° .
ity of Northampton ,, 411 t .,
Stattis di - A t / ..,, . 4 . • I
0 ,.) .", ^, ' : wt.! ', ‘.;,'
CUrt '
AINI*•••) Building Department
0* -
coo
212 Main Street c,.... '''.' to .. t 'Pr .
%Amer • ( i '. ,/ i' ., - *
' ,.1
• '' ti I ' ^ r7: . i . "r" , ' ' . .
, 1 , • ,;, ,ii,,.k.,, • , ..
ROOM 100 WateOff t Vi ' r ' . . • .
..4.;•,A4! . : ....0.40,it 4 ••• :3 • ' . • •
Northampton, MA 01060 Twce4e. . it.;.....
.,,,4 ,•.: ,,,EI r
:;triOile 4 13-587-1240 Fax 413-587-1272 Plot/5Ite. it ,; 17 ,'-;..,;‘ . ,'• ,, 0,'
,- ( - .%•'I`i '.
Other S , 4 1,tto,,,,4rivri, t'!=4:'Iii , o , ' J • ,,. • PP i CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
1 ,
SECTION 1 - 'ATE INFORMATION
Proe :iciress This section to be completed by office
ert
5 9 wc,..s\-;--pC1 CV\)e_ - map _ i Lot Unit
Zone Overlay District
•
Elm St_ District _ CIS District !
;
EC HON I.: - - ROPERTY OWNERSHIP/AUTHORIZED AGENT I
.1.1 Owner ot -
OrNCLAs-e iV■. (3
---- 5q U,11 GUe 7
, - - nni) Current Mailing Addres:
s
c,,Lit3)
Telephone
Sioriaturii
— - ---
2.2 Authorize:1 Agent: I
. .
Matizi_ae.. ' l_e_d___:_-_W, • .
_ •■ • . • ... II • 1■116 llo •
\ Arne (Print t Current Mailing • ddress: 0 k O13
13) 5 21 - 4 11.5
T ele phone
SEClION 3 - ESTIMATED CONSTRUCTION COSTS I
Iicr. [ Estimated Cost (Dollars) to be Official Use Only
1 i
I completed by permit applicant , 0
, 00
17aTBuilding Permit Fee I
0 .
2 Eiecir,c.,1 , (b) Estimated Total Cost of
Construction from (6) _1
, Piurribinct, Building Permit Fe*
---
; 4. Mechanicz HVAC)
5.-Fire Protecr, — J
3 1 -g 00 Check Number illirlu;255-----j
This Section For Official Use Only —j
Date !
30i1cting Pe:itt, I ,Nt;mber. __ I Issued:
- ______ i
---
I _
—
I
t,1ignature. __
RillIdInc Commissioner/Inspector of BuadIngs Data 1
54 WASHINGTON AVE • BP- 2011 -1089
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31A - 198 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 -1089
Project # JS- 2011- 001753
Est. Cost: $7800.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 11238.48 Owner: MICK ANN F & CHARLES
Zoning: URB(100)/ Applicant: RCI ROOFING
AT: 54 WASHINGTON 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: STRI P &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 6/23/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner