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42-053 . HOIAE IIAPROVEkv9EhT "No SLi ) tituitE -6=1.r C ullitrr" 459 MAIN STREET—P.O.BOX 51033—SPRINGFIELD,MA 01151 MA.REG#151711 CT.REG#601525 877-3STURDY FAX 413-543-3200 W W W.STURDYHOME.COM DUMPSTER DISCLOSURE • Sturdy Home Improvement,Inc., will be delivering a dumpster to the property located at: SC3 t,/cri4r, '' F'/,ECM cc_ riit . • The dumpster is for the use of disposing of construction related debris from the job contracted. • This dumpster is designed to dispose of construction materials only. No other household materials or trash will be accepted by the dumpster company. Please understand that the dumpster company strictly enforces these restrictions and that we must adhere to their guidelines. • Any additional fees Sturdy Home Improvement,Inc., incurs due to unauthorized or improper dumping will be passed to the customer. • Dumpsters delivered to the site will be done by others, unless stated on the contract. Sturdy Home Improvement,Inc., will not be held responsible for any damage to driveway,lawns, landscaping, curbing, fencing, etc. The existing driveway must be able to withstand the capacity of a truck with a fully loaded container. Sturdy Home Imp. Inc., can not be held responsible for previous damage to existing driveways (cracks, dips, scratches, or unforeseen conditions.) The contractor will not be held liable for any damage that may occur from the curb into the property with the delivery/removal of trash containers by the contractors sub or employee of Sturdy Home improvement, Inc. (- /°/ , /7 3 Cus mer Signature Date • siTU HOME IMPROVEMENT "No Substitute for Quality" WORCESTER SPRINGFIELD HARTFORD 459 MAIN STREET-P.O.BOX 51033-SPRINGFIELD,MA 01151 MA.REG#151711 CT.REG#601525 877-3STURDY FAX 413-543-3200 W W W.STURDYHOME.COM OWNER PERMIT AUTHORIZATION Name: � u Cr q� Address: 5-6 3 City/State/Zip: rib 1/1117 I �a►�► e5 (owner), of the property located at: SG 7 vr.r,i. 4 authorize Sturdy Home Improvement, Inc. To act as my agent for the construction project taking place at the above address. I also, authorize Sturdy Home Improvement,Inc to obtain a building permit for this project. I understand and accept responsibility to comply with all regulations and required inspections. /0// 4//_.? S ature of Owner Date Signature of Owner Date STURDY HOME IMPROVEMENT, INC. ACCEPTANCE PAGE MA REG. #151711 r CT REG. #601525 ANY WORK NOT STATED ON PREVIOUS PAGES IS EXCLUDED The following schedule will be adhered to unless circumstances beyond the contractor's control arise: Work scheduled to begin the week of ___/____/____. Expected completion date /____/____Weather permitting. The cash price for labor and material as described above is: 1st payment 2nd payment 3rd payment 4th payment Contract Total (upon signing) 5-74.,r� /20. sfr/'P' 1 Roof $ /2. 325 G✓or 11 Jh n/k .5;1e-,r/ 61'7f4,4-i,ci Ventilation $ /41 00 • Other work $ Roofing total $ 13, 75. $ i,3-7� s° $.$; fr° SS:7N. 66 $ /37.2.s' P d. ck F+ Siding $ $ $ $ $ Windows $ $ $ $ $ Special orders $ $ $ $ $ Other $ $ $ $ $ Tot $ $ $ $ $ Terms: Cash Finance Credit Card:#— — — - — — — - — — - — Exp.date____ / ____Code— — — Payment schedule: Any balance not paid in full within thirty days, will be charged 1.8%interest per month. In order to meet the completion schedule, the following material/equipment must be SPECIAL ORDERED before the contracted work begins. (Law requires that any deposit or down-payment required by the contractor before work begins,may not exceed the greater of(a.)one-third of the total contract price or(b.)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule) . $ to be paid for $---------- to be paid for Any additional work orders are to be paid for once accepted and approved by purchaser. Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this contract. Additional provisions are stated onJeverse side and are part of this contract. In witness whereof Purchaser(s) has/have hereunto signed their names this IV `i day of De 7t,ec∎ 20/3) and acknowledge receipt of a true copy of this contract. UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD T AT THE OWNER IS READY FOR THE WORK TO BEGIN. THE PURCHASE PRICE QUOTED ABOVE WILL BE HONORED ONLY UNTIL ///V /Lf (Date). You the Purchaser(s)may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See notice of cancella- tion form for an explanation of this right. Signature affixed below also acts as receipt that Purchaser(s)received separate cancellation forms. The following is a requirement by Massachusetts General Law,Home Improvement Contractor Law MGL c 142A: 'The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to uch ar i ation as provided in MGL c 142A. X Representative: Owner: 04/ 0 AA.,`.-- Owner: NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties" Do not sign this contract if there are any blank spaces Submitted ( Accepted Ol e x/p l� /3 by: -- by: Representative Purchaser ate Accepted Accepte by: by: 4 STURDY HOME IMPROVEMENT, INC. MA REG. #151711 e Page 3 VENTILATION CT REG. #601525 Ventilation is a system of intake and exhaust: In order to achieve the correct amount,an equal amount of intake must meet the exhaust ventilation and those totals must meet the minimum standard for the type of attic. Your consultant will insure that these numbers are met,how- ever,please refer to warranty terms and conditions. Yes No ❑ Does the ventilation meet the manufacturer's specifications? The following accessories shall be installed. See Ventilation Plan Page 4 INTAKE (Installed in soffit/overhang) ❑ 0 Install soffit vents in overhang. These screened aluminum vents are available in the following sizes: ❑ 16"x 4"provides 28 square inches of net free area per piece. Quantity ❑ 16"x 8"provides 56 square inches of net free area per piece. Quantity Color:White Mill Brown Note:Soffit vent color should match drip edge color. ❑ Vented drip edge at eaves (18 square inches of net free area per LF):Total LF Color:White Mill Brown ❑ Continuous metal soffit vents, including new wood soffit(primed) (18 square inches of net free area per LF):Total LF Li Replace existing soffit panel with the following: A. T4 vented vinyl soffit panel:Total LF Color B. D5 vented vinyl soffit panel:Total LF Color C. Replace existing aluminum soffit and fascia with new,vented vinyl soffit and aluminum fascia wrap: LF Color ❑ UKt.iminum wrap: LF Color at the following location(s): ❑At Fascia ❑At Rakes ❑ Soffit vents exist. No soffit venting is needed at this time. Please note: Sturdy Home Improvement, Inc.will not be held responsible for products improperly installed by others. EXHAUST (At or near peak) �❑ Shingle Vent 11 ridge vent(18 square inches of net free area per LF):Total LF �� ❑ ❑ Air Vent ll power ventilator(will vent up to 1500 CFM): Model number Color (black,weathered wood) ❑ ❑ Flash Filter Vent(18 square inches of net free area per LF):Total LF Li ❑ Roof line louver 856(black) (50 square inches of net free area per piece): Quantity ❑ ❑ Peak Filter Vent(18 square inches of net free area per LF):Total LF q 1 ❑ Custef Ut�nf(18 square inches of net free area per LF):Total LF 92 5c Vc-frt' SPECIAL MODIFICATIONS The)ollowing work is necessary in order to correct or enhance the current ventilation system: ❑ Close gable vents from the inside with plywood,accessed through the roof deck. [4;J ❑ Permanently remove existing roof-line louvers: 3 total. Cover void area with wood to match existing deck board thickness ❑ ❑'ermanently remove power fan/vent(Note:Disconnection of power source by others) II Li Install proper vents above vaulted ceilings. Deck boards shall be removed in two(2)ft. sections across the length of the slope(s). See ventilation plan for approximate locations of board removal. ❑ I�'Drill holes in soffit,above vented vinyl soffit panels. Panels shall be removed first,then reinstalled upon completion: Quantity Other Considerations For homes with skylights:Based upon design,skylights restrict air movement above and below the rafter bay in which they are located. Therefore,ventilation in this area will not comply with normal standards or requirements. Insulation:The introduction of cold air into a previously non-vented attic may affect certain insulation deficiencies. The homeowner is respon- sible for verifying the need and upgrading insulation if necessary. • Addendum (A) OTHER WORK sk" t 1 � �J- -V��,� ^7 AC.� , n a.�,,,�.--i,r n.�' roC�-F 5711.#110 L^-71 f c-r S s r ) Ovcr �( r/J C GEC. L(/1c�Gr W '' / AU" .T-11//0 c✓ f�Ce S ,, G 7`�, c , Initials Initials S°Z Initials ro CZ) -1 n 70 CD D d m � _ o 0 CD m FO g -_ l R-__., — W (D ° 0 a/ O C 0 • .+ cn R, m O (� t,„, m O 0 Z 6• Z p 11 ■ = D 0 0 , _■ a) C-13 \ - • ° . 0 - \ . 0 o L y & y 5' i 0 c I o E c p ' - +- \ . Q- Q % - , -u cr) – O 0 _ m z 3 F �� N 0 0 I -- 0 C -0 Ci) r m Z Z z H ti 1 u n N A \ Z Z r H u - I o _ DE...._\,.„,,,,, , Mm 4t rn " o („ C J N -. CA J c c "0 jam X' 0 S et g U) Cl) Cl) -' Cn = O O (D < CD I CD CD it) 7 D. O �CD (n CD `< I Cl -1 -3 5' E n. co AIIMPIIIIIIIIIIIIIMINIMP 459 Main Street Tol:c ;;rd F (877)378-8739 Indian Orchard, MA 01151 . 8)El 600 EmaiHR@SturdyHomm (413) 906 s 118 HOME IMPROVEMENT, INC. Fax (413)543-3200 WINDOWS • SIDING • ROOFING • ADDITIONS MA REG.#151711 CT REG. #601525 - Name Home Phone Business Phone =0•rnc5 2y�n Re()- 33► -vsa5 Jai Address SG / , Cell Phone Other l�C 5�1ia,�p{'o/1 �� Town/City Representative Date Ior c.c- �Mf �l�f-r -8-/3 I/we the owner(s)of the premises described hereinafter, referred to as Owner, offer to contract with Sturdy Home Improvement, Inc. hereinafter referred to as Contractor,to furnish, deliver and arrange for installation of all materials to improve the premises as described below. Yes No ROOFING SCOPE OF WORK: Yes/ Li 1. Contractor to obtain required building permit(see attached permit authorization form) 1 2 3_ Family home. • ❑ 2. Provide certificate of insurance for workers compensation,general liability. (see attached certificates). ❑' ❑ 3. Provide job site dumpster, set on planks,to remove job related debris only. Please Note:dumpster for contractor's use only. (see dumpster clause). E ❑ 4. Prior to stripping roof,tarp sides of house beneath work area,from roof edge to bottom of wall. (see additional protection clause on back). IB❑ 5. Keep job site in a clean and orderly manner. Rake work areas at end of job. Use magnetic sweep to pick up nails. Er ❑ 6. Provide OSHA approved staging to safely perform work. Ur Li 7. Work consecutive days excluding inclement weather. (rain, snow, high winds, high heat,thunder showers, etc). Er Li 8. Staff project with qualified mech nics experienced in residential asphalt roofing. ❑� ❑ 9. Strip existing 1_ 2_ 3 d layers of asphalt roofing(see roof plan, page 2). Number of squares c:2.7 A. - one layer cedar removal. Number of squares B.---- one layer slate removal. Number of squares Li 10.Inspect roof deck prior to re-roofing. Renail loose boards: A. Replace rotted or cracked boards at$ per linear foot. B. Install new plywood at$ 4.5%°`? per sheet. �2 C. Number of sheets of plywood included into this estimate: Quantity 41 a.(see unit cost above for additional sheets). Cr,�-, ❑11. Furnish and install C� .,'- '{c-L y � r 4 , shingles. Color ❑12. Furnish and install 8"aluminum drip edge around roof perimeter.White ✓ Mill Brown ❑ [r13. Install cedar drip edge at eaves under aluminum drip edge. Linear ft 1117- ❑14. Furnish and install ice/water shield at eaves 3' L 6' other. Three feet in valleys and around all roof penetrations. Ii' ❑15.Furnish and install underlayment to entire roof. Roofer select ,--"--Diamond Deck IY ❑16.Furnish and install starter course shingles,eaves& rake. ❑17.Furnish and install hip and ridge. a- ❑18. Furnish and install new neoprene roof boots at soil pipes up to 4"in diameter. Quantity 3 Size I -a (boots at electrical mast to be reused). IB" Li 19. Reuse stove pipe flashing kits. (� ❑20. Reuse existing step flashing at roof/wall intersections. ❑ U'21. Furnish and install new aluminum copper step flashing at roof/wall intersections. Linear feet . If siding work is needed, a cost assessment will be made at that time. ❑� ❑22. Reuse existing wall flashing at roof/wall intersection. ❑ . Furnish and install new aluminum wall flashing at roof/wall intersections. Linear feet . If siding work is needed, a cost assessment will be made,,that time. [ ❑24. Furnish and install new aluminum copper step flashing at base of chimney under existing lead counter flashing. ❑p,Replace chimney lead counter flashing. 1 flue ✓ 2 flues 3 flues other ❑ ❑26. Install new roof hood to vent bathroom(s)with insulated flexible tube. Remove roof deck to gain access into attic. Color: black only. ❑ I3 . Gutter Helmets to be removed and reinstalled by others. ❑ ❑'28. Remove and dispose of gutters attached with spike and ferrule. Er ❑29. Remove and reinstall existing gutters strapped to roof. Install straps under shingle ✓over shingles ❑ (ZOO. Remove and reinstall existing gutters with hidden hangers. Linear feet ❑ 12131. Reuse skylight flashing kits Replace skylight flashing kits Quantity (Velux models, stock only). ❑ 12132.Remove and dispose of the following:Antenna Snow/Ice Wires Snow Guards/Ice belts Solar panels ❑ Er33. Remove Satellite Dish up to 24'in diameter. Alignment and installation by others. I]' ❑34. Page Two= ROOF PLAN. • ❑35.Page Three=VENTILATION. ❑ 12r36.Page Four=VENTILATION PLAN. ❑ a37. Addendum (A) =OTHER WORK. ❑ 1-j'18. Addendum (B)= LOW SLOPE ROOFING. The Commonwealth of Massachusetts { Department of Industrial Accidents t Office of Investigations L 4 $�. 600 Washington Street Boston,MA. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name(Business/Organization/Individual): �1�.:" k \rn cx\ f+ _ Address: 4521 rno c a. City/State/Zip:\, ctip'O' ,flt.A o.r Phone#:Ct{1 )s-(3"55 LX0 Are y an employer?Check the appropriate box: Type of project(required): 1. I am a Y em p to er with '3 4. LI I am a general contractor and I 6. [1]New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp.insurance comp.insurance.t required.] 5. LI We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work g P myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -Tr(_A94 6}/' 1�kS�Cf c\ "�-- Policy#or Self-ins.Lic.#: UJCa C)u5 Th 42- �-1 5-1 2_, Expiration Date: `7/2 1//q Job Site Address: i 71/.�ftf�l ,1 ._ City/State/Zip: 1pr r_rs(e ('(\„A()I 0(0 2_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif under the pains and penalties of perjury that the information provided above is true and correct. Signature: V 'C Date: I / I s of r Phone#: /, 04 3 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ^;� Not Applicable ❑ Name of License Holder: l %et J I (V2.._ 2. License Number 051 Mat ncs-. Ircttan cc - -e( rniq OticJ / 7 /CS Ad. -- Expiration Date /II 'Z.1 - Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 1c..C, 11/1.)2 1 m cpfO Company Name) Registration Number L Ce7 rnCLCO _St. lnal'ar, Ocecrrvc0 ( l-4 L1 (S-1 to r Zt�/ <<-P Address / Expiration Date Telephone(Lf L3�ej 13 c0(L 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 El 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) l ! Roofing V Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [p Siding[0] Other[0] Brief Description of Proposed Work: V-eota_ _f (Ans.Ct Qi 2e SCj(Art t-e n .1-466,11-k (a tC irCu-� C(O1nv'Cj. Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes 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 , 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 I, --) J4_; k �C�� , as Owner/Authorized Age#hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knoWIBdge and belief. Signed under the pains and penalties of perjury. `7i Cu ;OA tC.Z Print - �i� 10/( /l.3 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 Q YES 0 IF YES: enter Book Page, and/or Document# 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 Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q 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 Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. \.'. Department use only �� t� 'bit' of Northampton Status of Permit: Vtr� , 2� Bth• ng Department Curb Cut/Driveway Permit 21 : Main Street Sewer/Septic Availability has Gr 14'4 oom 100 Water/Well Availability ctr,c ptumb'r' tn�4;3.-587-1 ampton, MA 01060 Two Sets of Structural Plans E1e tyocth2R one 240 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 10` -V∎CiArl O rl t Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: )CuW 5 .0 r� `5L 3 U Ce dress: rr1p 2F 1occnC i �{r A Z Name(Print) nt L B -t Telephone Signature 2.2 Authorized Agent: --10L)()ka %C,L `-iSc? t'YLe.tn::5If. Ih( t n ( Qhar M0-1 (DI t1 Name(Pr t) Current Mailing Address: i' � eta)"Zt --�3Oz Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (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) ��i )Zs. ( Check Number 3 L1 t( zlgCo� This Section For Official Use Only Building Permit Number: Date Issued: Signature: Date Building Commissioner/Inspector of Buildings 563 WESTHAMPTON RD BP-2014-0481 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:42-053 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-2014-0481 Project# JS-2014-000824 Est. Cost: $13725.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STURDY HOME IMPROVEMENT 093603 Lot Size(sq. ft.): 66646.80 Owner: RYAN JAMES P&MARYANN C Zoning: Applicant: STURDY HOME IMPROVEMENT AT: 563 WESTHAMPTON RD Applicant Address: Phone: Insurance: P O BOX 51033 (413) 543-5906 WC INDIAN ORCHARDMA01151 ISSUED ON:10/18/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 29 SQUARE 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 10/18/2013 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner