31A-228 (3) • Date
6 Line St. Est imate
Soutbkunpton, Ma. 01073 5/9/2012
Phone (413) 527 -4775
Fax (413)527-8469
Name / Address Job Location
CONSTRUCT ASSOCIATES 28 Harrison, Ave
.ATTN:Hobie 0 Northampton, Ma. 01060
36 Service Center Road
Northampton, MA 01060
Terms Rep
Estimate 'valid for 30 days Chris
1
Description Total
Remove existing roofs. 18,700.00
Furnish & install I /2" plywood over the existing decking.
Furnish & install aluminum drip edge, pipe flashings, chimney fleshings and step flashings.
Furnish & install new lead counter (lashings,
Furnish & install CertainTeed Winterguard ice and water barrier along eaves and valleys.
Furnish. & install synthetic underlayment.
Furnish & install 30 year CertainTeed Woodscape Series shingle.
Furnish & install CertainTeed approved ridge vent,
Furnish & install .045 re- inforced rubber roof system on flat roof section.
All exterior roofing related debris to be removed by R.C.I. Roofing,
30 year CertainTeed material warranty included.
All related permits will be obtained by R.C.I. 'Roofing. •
•
WE LOOK FORWARD TO DOING BUSINESS WITH YOU.
Total $18,700.00
T5RMS OF PAYMIyNT f
5% Deposit • -•�
Balance upon completion Customer Signature
Registration it 126235
Construction License 4 074334 „_.
T9 /T9 39bd SadIDOSSd ±Dfl 1SNOO 1705Lt8SET12 8T :ET ZI9Z /TE /L0
LI\ Office of Consumer Affairs & Business Regulation License or registration vane for inatviuut use only
`— •ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
� Office of Consumer Affairs and Business Regulation
egistration: 126235 Type:
,i " 10 Park Plaza - Suite 5170
e °`_' .� xpiration: 5/6/2014 Partnership Boston, MA 02116
R.C.I. ROOFING
MARK DELISLE
6 LINE ST �C - _
SOUTHAMPTON, MA 01073 Undersecretary Not valid without signature
•
COMMONWEAL MASSACHUSETTS -1 [ Massachusetts - Department of Public Safety
DIVISION OP' PR »LICENSUI1E- =BOA •f Board of Building Regulations and Standards
SHEET METAL. WORKERS COO t I'll ctiuii Supert,isur `1 .
AS A MASTER- UNRESTRICT D I License: CS -074334 1 '
• ISSUES THE ABOVE LICENSE TO �` ` t t `,S p,--,,
M ARK T DELIS
MARK T DEL ISLE i 33 FIRSTAV* :r`
c EASTHAMIFO'ON dFi t t 7, �,
33 FIRST AVE j ,
EASTHAMPTON MA 01027-1811 I J,,`,,,,, ....„6...., t ,,�, : ,
.; Commissioner Expiration
13276 05/28/14 ' 15588, I 05/03/2014
,' - ii10ENSE NO ' -?EXP RATIQN DATE ? 'SERIAL; NO4
Fold, Then Detach Along All Perforations H
SHA
U S. Department of Labor
OccupationalcSafdty and Health Administration
Mark T. Delisle
has successfully completed a 10-hour Occupational Safety and'Health
Training Course in
?Construction Safety & Health
.. et-ki C ) xi , - ft:E ' 111.910,7
(Trainer) - - (Date)
•
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: 1 Ic, Not Applicable ❑
Name of License Holder : M qY h De 1 i C J 77q 334
License Number
516 ) - Int olie St.- Easthampton Ma. n loali 5-03-14
Address Expiration Date
( 3) 52/- 1 1/ ?5
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
f .
C. I. 'Roof; n9 126235
Company Name Registration Number
51 B Nolyoke St ree.t - P. O. 'Box 301 5- ob - �.
Address 4775 5 Expiration Date
Easthampton Ma, 0102.1 Telephon�i1
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 'g No ❑
11. — Home Owner Exemption
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 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 atta
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [[] Siding [❑] Other [❑]
Brief Description of Proposed
Work:
Alteration of existing bedroom Yes No Adding new bedroom _ Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
,6a. If New house and or addition to existing housing, complete the following:
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
C .jr - t_ \ , as Owner of the subject
property
hereby authorize ti e ► � e of .C. I I . Roof' n
to act on my behalf, in all matters relative to work authorized by th uilding permit application.
t,t ache.d & - H2.
Signature of Owner Date
I, J k - Det; sl e. as al1 t fl()Y 71 a L , 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.
aNlark ti s� e.
Print Name
Signature of Owner /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
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear '
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
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 t/'
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 0 , Date Issued:
C. Do any signs exist on the property? YES C.) 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:
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
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
f ; % Department use only
f City of Northampton Status of Permit:
i 1 Building Department Curb Cut /Driveway Permit
AUG " I ale 212/Main Street Sewer /Septic Availability
L ! oom 100 Water/Well Availability
, °` `" r'
oa pton, MA 01060 Two Sets of Structural Plans
p :587 =1240 Fax 413- 587 -1272 Plot/Site Plans
Other Specify
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
2,(g 't t-,r; o . 0.4 Map Lot Unit
N0 V\-..cee A -e)V Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: \\ ,,`
CA Sk c .\- O� Ss 6C . 3t c ∎l'+L . t`_e��et L\ - AJor�1-,oav n .
Name (Print) Current Mailing Address: c()
a ttaelled (tit3\ . ‘ ry
=t
Telephone
Signature
2.2 Authorized Agent:
Mari e. ' le - 1/.0.1. Roof; _6 f, Soukam ton, Pia.
Name (Print) 9 Current M e ailing Address: >p 0107:
- e-- , -- ('1 ! 3) 521- 4 ?75
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building f oofi n 4 I 0 100,00 (a) Building Permit Fee
2. Electrical J (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) $ , `I 00 . O b Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature: " II' , 7-2-72
Building Commissioner /Inspector of Buildings Date
28 HARRISON AVE BP- 2013 -0129
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31A - 228 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation • BUILDING PERMIT
Permit # BP- 2013 -0129
Project # JS- 2013- 000158
Est. Cost: $18700.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq_ft.): 8973.36 Owner: MARGHERITA ANTHONY P & DEBORAH BERNARDINI
Zoning: URB(100)/ Applicant: RCI ROOFING
AT: 28 HARRISON AVE
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527 - 4775 Workers Compensation
SOUTHAMPTONMAO1073 ISSUED ON:8/3/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP,PLY & 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 8/3/2012 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner