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38D-030 (3) City, State and Zip Code Job Locatio n Job Otis, MA 01253 292 Sout Street Northampton, MA Contractor hereby submits to Purchaser specifications and estimates for: CLEAN GUTTERS & DOWNSPOUTS. INSTALLATION OF GUTTER GUARDS, AND A NEW ROOF _____ __—_- ' __—_—_ __ _', • , ' _ . OPTION 1:C| FAN GUTTERS &DOWNSPO(OS . A- ^ ' -~^'. ' •!: - °°*^w "* • uN _ ___ JUN i PRICE: $351{] - ` °°�v " ° 2012 . ~_ .' /,�� � ,,, ..,., ' �/ T — ~/�'.-- 1 � � a|u /^ 416 �� '�~�� / —�~—'Y/wv'~~^`�r`��r�'`''~ ' ^ . ~, / . � � -~�' ` �1- \ �7. P�C��88�0� '' " « � OPTION : ROOF FRONT & LEFT MANSARD 1. We will remove existing wood shake shingles and dispose of in a dumpster supplied by us. ^ - ^ • ~ . o - ^ • . • *^.4. • o'. o o, o ^"- ^ "-'~-" 3. We will install # 15 felt paper over entire stripped roof surface. 4. We will install new CertainTeed Landmark or Gaf/Ffk Timberline Architect shingles. They will have a "Manufacturer's Lifetime Limited Warranty'. Owner will have chnice of color. 5. All shingles will he nailed with at least (5) nails per shingle. 6. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas. *k HO[NFOVVNFRVVULRERFSPONSFUEFORC0VER|NGANYGT0RFDKTK8SANDF0RANYC|FANU m10v8/, \ | -�L�� / --- / ��7 PRICE: $9R3l0 1 , — I,. ^'~~ ~ . - *- '* - ~no' ^-~ ~' ^° AU STAR SFAMI FSS GI ITTERS IS NOT RESPONSIF3IF FOR WATFR I FAKING RFTWFFN FASCIA ROARD AND GUTTER DUE T0 IMPROPER( Y|NSTA |FD DRIP EDGE. +*uJ| STAR SFAMI ESS GlITTERS IS NOT RESPONSIRI F FOR BIRDS GETTING INTO GUTTERS AND BIIII DING NESTS. '' '' SEAM) FSS ALUMINUM GI ITTERS AND DOWNSPOUTS HAVE A "20-YEAR MANUFACTIIRER'S LIMITED WARRANTY". I AROR |S GUARANTEED FOR ^14EAR^ ICE DAMAGF IS NOT COVERED UNDER MATERIAL OR LABOR WARRANTY. ~°A|| STAR SEAMLESS GI ITTERS WII L NOT RF RFSPONSIBI F FOR REMOVING OR REINSTAI I ING HEATING CAR! ES IF EXISTING ^ STAR |S NOT RESPONSIBLE FOR ANY |FAKS THAT OCCUR |N EXISTING SKYLIGHTS (IF APP||C,AB\F). :'+N0 PRODUCT &|AR0RYVARRANT|FS_WIILBF ISSUED i)NT|| WE RECEIVE FINAL PAYMENT. . .** HOMEOWNER VVU RE RFSPONSIRLF FOR ANY FEES REQUIRED FOR BUILDING PERM1TS. ' A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABII !TY WII I RF FORWARDED i|P0NREQUEST. *'T P DAI EY INSURANCE AGENCYOF WEST SPRINGEIFI D. MA IS OUR AGENT. WE PROPOSE to furnish material and labor. complete in accordance with above specifications, m,mesum of: -14 it �� / //�]' L) _ dollars ($ ' 5 uN [Joy;x' galallua UUfl Up3i di I pmen1 due upon receipt of invoice If paym fate, inters at 1 1/2% may be added. of Job. NOTE: Th proposal may be Withdrawn if Adwm Uyus not accepted within THIRTY days. proposal . � Ed Owner �--�------� Contractor Salesman ShaU�P��otk�� ��—�----�—-����------�--� and Title *i. nxuy csmcei this agreement it it has been uowsffimmmted by a @axiy thereto wi a piece other than an address uw u "^` mBar, which may be his main office or a branch thereof, provided you notify the seller in writing at his main office m .Tmnoh by ordinary mail pmstad, by telegram sent or by delivery, not later than midnight of the third hoeime ��, ollowing the signing of this agreement. °° ph=ottmchednotire ofcmncaUm§onformu fmramexp|anmt\onofthimriAht ' SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE:: SRO' O¢it1AMp2O .. � � . $ Crzty of Northampton • i� — 1Ir Y /, J y7: 1 ri835Ach , fiit rtt ' _ ' . DEPARTMENT OF BUILDING INSPECTIONS , = � _i- t ,i INSPECTOR 212 Main Street • Municipal Building ' ,, % Northampton, MA 01060 ,~ so ` e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction sup :.' 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 tiegulations. 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 r 1 • . i • i - Vii[ x R� .� E f Northampton 1 = 4E .51c31itrllasrtle' - DEPARTMENT OP DUILDf}G INSPPCr1o1:S 212 Main Street_ - Municipal Building 1 ?Northampton, Mass. 01060 fi r s WOR.IQR'S COMTENSA "11ON ENSURAh�1 AI M:DAVI-1- i 1 I I, All Star Insulation & Siding Co., Inc, 1 (li ccnsx /permi ecc ) 'with a principal place of businessfresidence at: — -- 56 Franklin Street- Easthampton, MA 01027 (phone:= )413 -527 -0044 (srr Lfcit1 /slat.crzJp) do hereby certify, under the pains and penalties of perjury, thal (x) I am an employer providing the following'ti.'orkcr's comocnsadon covemgc For in • • employees worl6ng on this job: (Ln_n>_r;n Co (Policy Number) (._: Da.u.) ( ) I am a sole proprietor, general cone - actor or homeoarner (circe one) znd have hired the contractors listed below who have the Following worker's cnoDen- Cation policies: (l+otnc of Co:?!nc (In irancc Colnpany /PGUci N (t_>:piraion Dntc) - (Name of Contractor) Rosarancc Compa.n}i otic Numc-er) E. iion Dale) (Name of Contracio.) (lnsurancz Company/Poticy Nuxn x) (Expiraon Date) i (Name of Contractor) (liasurancc Compwy/Poliey Numbs) (Expiration Date) . (aaa.b adzzitiocal ttrec if nec.=r_tn• to ',00hs& informt6 oo pa - un,ioins to all a cc -or3) -1 •( ) I ano a sole proprietor and have no one workdng for me. I ( ) I ama , home owner performing all the work myself NOTE: plcs: be .wort tti hcmcov.-ncri u�j e¢aploy pc-Loos to do ..•-J cs.•r�ao c rmuu work on . d"ciL• =r. of tux mono t]_o 1.-v., =ia in u$ieh the bomooworr rrxd.= or oo the t:rowoal z,ppurtco_n the--o c_-c pot C=,r�ty co to tc eixployea „',— the w okor"; - ,c- -- ioa Act (G L1152= 1(5)). tppliaxon by et botnnoaaa fm a Go _ a pc-mit tz=y e.idm the legal rt_ou of en c=ploy.r under rho W0,-'. Goaap.om.iioa Act_ I unda th+i a Dopy of tbi+ mt■m.. co.) b. fore nid..d to tbo p.cp.sta o of 1•+. AmidaatY 0 of for tba j c, vc c v,ri6t33ioo and that L-iltn to srcurc to ro n uodc sxtioo 25A of MOL 157 na 1mol to the in: monition of c 1 txuiho i coos iag of a fine of up to 51 }00.00 and/or masnoomea7 of up to ooc yc_ar e.od dail peaa.ltio is the form of a Stop Work Order' ..ad . ft= of S100.00 t thy a©,inst t>K I For dq•rta�11 u.c only --- - • -._—_^ , Permit Number • i' ' --r�-- -- f Q - Z-S 7- 1 2-- 1,,f. _ Lot ° Sip= t a of LicroscrJPc rmiticc Ltete .... . . Amommanommenimmew SECTION 8 - CONSTRUCTION SERVICES +. 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Edwin Losacano CS SL 99739 License Number, 128 Glendale Road - Southampton, MA 01073 C9 Address Expiration Date ij ( 413) 527 -0044 Signature Telephone :-l. a, �.--. . radi p - Not A 9_- Registered` i�omeimprovemant o ttra�oc:���"��; ; �,;,; ; � „�, ,�,, �,:,�_..,�, pp licable ❑ All Star Insulation & Siding Co., Inc. Company Name - ame Regii u ber -- —_� _ ` 56 Franklin Street . 12 9 I R-_ 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 ❑ 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 supervisor. 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 -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that be /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 r SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House Addition n: Replacement Windows Alteration(s) fl Roofing Or Doors El t\ Accessory Bldg. n Demolition n New Signs [C7] Decks [p Siding [O] Other [0] Brief D- , iption of Proposed Work: \ • _. • • :016 ( j - J Alteration of existing bedroom Yes No Adding new be.' oom Yes Attached Narrative Renovating unfinished basement Yes No Plans Attached Roil - Sheet sa ( f'New harasea'nd >�raddttion to existing., housing ,:c'omptete_the.foilQriuiri : 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 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 1, 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. ' Ed Losacano, flwnPr /Pracirient Print Name rd Signature of wner /Agent Date Section 4. ZONING All Information 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 ..A.,,..- , gat Lot Size _ _ " — - f — Frontage — . ` ` Setbacks Front Side L: l R:`- L:' R ,—� r Rear ? Building Height ,.-- Bldg. Square Footage i I i Open Space Footage % �_ (Lot area minus bldg & paved j l i E parking) r # of Parking Spaces ' Fill: — —i — — _______ — — (volumeBc Location) I � - — -- A. Ha_ s a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES 0 IF YES: enter Book Page; and /or Document # ~� - B. Does the site contain a brook, body of water or wetlands? NO (,) DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? • Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: I 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: ' 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 Q - NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. A , r , t� iDerrotieh :irlse ctnly -i i -� City of Nortt��rnpton S Lt 'A"` Am , `A g , ,� r li t- Building Department = D , a d f 212 Main Street Serve .� *' 1. ' k i8 3/1 Room 100 r a : ` a Va � * ��� '� z s a i Northampton; MA 01060 8 e S ` s ® " u a ,$ la „. �� . ot: H A r e 413-587-1240 Fax 413- 587 -1272 Plat,Stt an ��"r � =k NOPTHAM�F :,AO 0.6 +Y .� O herSpec tr i � fi .. X } :,� APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office �a a . a i.N[ap; :� of Untt \3-___\.\L-4,0c),-\--1-:yr■,t. MPC - ::::::: - -y,:.,, , .:._:..,--- Zon - Overla District , ... Elm Sf: Distract . - . - , . CB D�stnct .. SECTION 2 - `PROPERTY OWNERSHIP /AUTHORIZED AG ENT 2.1 Owner of Record: k pb.e,--, --f)),-,,, cr>„g DF6 Nam (Print) Current ili Add Telephone Signature 2.2 Authorized Agent: All Star Insulation & Siding Co.. Inc. 56 Franklin Street - Eastharlpton, MA 01027 Name (Print) Current Mailing Address: � �--/ --- 413- 527 -0044 Signa 1 ur Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 4 1 7? } i (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) 1? , Check Number C� �3a 35 This Section For Official Use Only Building Permit Number. IIsssued: r Signature: i Building Commissioner /Inspector of Buildings Date 292 SOUTH ST BP- 2013 -0004 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38D - 030 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit # BP- 2013 -0004 Project # JS- 2013- 000005 Est. Cost: $1334.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(q. ft.): 10715.76 Owner: CHOWDHURY SHAILA Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 292 SOUTH ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527 -0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON: 7/2/2012 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 7/2/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck— Building Commissioner