11C-003 (4) 12/20/2005 12:23 FAX 1 413 527 1222 ALL STAR Z 001
r ' ,
---
r- __,.i v" N> tom` S7 '
;f ,��
l 1 4- - 5 .,h;...� ` /-'f\, //- Ll - `a �,c.-Ai ;
t,,) � t s INSULATION :. =
SIDING CO, INC.
i- L
56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 0102'1
EASTHAMPTON OFPICE:527-0044 WESTFIELD OFFICE:568-6411
Contractors license#101858
Proposal Submitted to Phone 'Date
Mishaela Brennan "Purchaser" 413-665-3890 Home October 24.2005
Street Job Name
72 Matthews Road 508-496-6094 Cell-
City,State and Zip Code Job Location Job Phone
i Conway,MA 01341 118 Florence Street Leeds, MA
Contractor hereb t submits to Purchaser specifications and estimates tor: INSTALLATION OF VINYL REPLACEMENT WINDOWS
r - , -u.. - ;.. . .. - . . ... .r• . , II a , ... , _ .-
► - .' 'i • a. • - • - .,t! • :l-- 1-1;1 -:,a t i. .8 'a :"1 . -t a-. ► 'a t., a' . a- ' r. •
„leas
1 I• r- - .. . - ...- . - -.,. . . I •- - ..I i I- .• • r • .t. -1111--14-°r 1. •
f Three-J jte Gliderylyt Color will be White w`ithouf grid work'.We will blow Cla One Cellulo e__n fi ght cavi i . i i Window 1Jnijswill have Ibermaflect glass.
Ode 7. Wp will ins all wood'around h Re r Batter,ism window Mme and cave!wi h Aluminum coil s eeR ma ri I
$..QertainTeed Vinyl Replacement Window Unit has a"Manufacturer's lifetime Warranty - m. $rga95: ow 1P 1
Warranty" __ 11�'I,,.. . Lf �'J L�
11_ , , —., . -mituii_
— PRICE SI 98300 ' f -;'j4)O
** HOMEOWNEff WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMI
** HOM OWNER W► r RE R SPO 4iB FOR FMOVpL OF CURTAINS-MINI BLINDS A D SH YES
"."A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST
*.► T P,DALEY ItiSURANCE AGENCY OF_WEST SPRINGFIELD;MA IS OUR AGENT_
WE PROPOSE to furnish material and labor,complete In accordance with above specifications,for the sum of:
-$1,983.00 _ _ _ dollars($ 50%Down`Balance Due Upon ),payment due upon receipt of invoice.
if payment late.Interest at t 1/2%may be added. Completion of Job.
NOTE:This proposal may be withdrawn by us if not accepted within THIRTY days.
(- �
__ ! Ed Losacano,Ow — >,
I —mil 1 — — Contractor Salesm
Mishaela Brennan 6,4_ ` Acceptance by Purchaser,and Title
"You may cancel this agreement if it has been consummated by a party thereto at place other than an address of the
seller,which may be his main office or a branch thereof,provided you notify the seller in writing at his main office or
branch by ordinary mall posted, by telegram sent or by delivery. not later than midnight of the third business day
following the signing of this agreement.
See the attached notice of cancellation form for an explanation of this right."
SUBJECT TO TERMS ANC) CONDITIONS PAINTED ON REVERSE SIDE.
, r
¢Tt1AMPi.
÷0 '��e ,,.Qxt r of 'ortlj&ntpton _ _# 1.
$ / 1�:� ilassacf1usctfs _- 1_
ftz —'�_ —
DEPARTMENT OF BUILDING INSPECTIONS _ _r /_
,
INSPECTOR 212 Main Street • Municipal Building -0,y—s`•,-
Northampton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sups:•.•is r. 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 oven construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and eegulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill)z
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
t
ti
•
4{tt/.,r PLO r •
� E (riff of .�orflia111pfoii 1
14■Ertir,r4
1'
��anyt' DEPARTMENT OP nuILDr>c INSPECTiol.'s ,�'
212 Main Street Municipal Building
Northampton, Mass. 01060 r` „
A.: OR ER'S COi1TPENSn'1ION ONSURA.NCE, AlTiMA.V11.'
Till_3_) AfIS' 1Ja,liDr) S op-
(licea.. ./permittcc) Y
with a principal place of business/residence at:
h ► n '4— F.5S4 h Q,tr1 - D eg ones=)o 1_ y
(sa (/city/nalc/a p>)
do hereby certify, under thc.pains and penalties of perjury, that
am an employer providing the following worker's compensation coverage for my
el plovees working on-uns job:
• CT._ -19,... E „,
Qnsurnm Comp:Lay (Policy Number) (Expire on Date)
( ) I am a sole proprietor, general contractor or homeowner (cu cie one) and have hired
the cone actors listed below who have the following worker's cornnensadon policies:
(Name of Con:mcior) (lnntranc; Company/Policy NuII 1.-cl Datc)
(Name of Contrnor) (insurance Comoan}vPo!im Nunc_r) (F.i-oir,:tion Date)
•
•
•
(Name of Conn-and,) (Insul-anc Company/PoUcy Number) (Expiration Date)
•
(Name of Contracior) (Ln.sutanc Company/Policy Numb`r) (Expiration Daie.).
(.nactt i�od c'scC,if nccac- to ndud_inforroa eo pctn;ning to.11 coos--_ )
= ( ) I am:a sole-proprietor and have no one woridng for me.
I ai-1..a home owner performing all the work myself.
NOTE:pIr be ewarc t bcmcowvcra Kl>p rosplcy pc-IOII3 to do .•4_,170 a rruu work on.dwailin`of
not meet than t(so-_tai's in which the bomoo+rner r0ada or CO the 17011043 zppurtca:rl thc.o,r oat c-m.-Jly cc •; -ed to be
=:ployc-r s,r�dc the'.ai:ce;cca:9,--.tion Ara(G0152_3=1(5)).
:pplintion by n bomcxiavc far:Gczaze or pcxait(may nick=the
kip./rum.or en cr,loy.r cods ho Worirol.Coc ,or ..lioa Ae_
I undo-n.414 Etta a copy of this mlemon may b.ford orded to tbo Dcp,utmme of 1.+.+.*'•id Accidents'Orr,o.of Gn++r+oo,for th.
oovcrzsc vaif caroo L-il.zc to gozure'covccast r tidy•section 25A of MOL 152 can Icd to tho inepositioet of cimiaal pr^,hia
eoesisiag or i rate or up to S1.3.00.00.rid/or imprboozoczn of up to one)CO r e.ad civil pmzttia in be form of.Stop Work Ord=.od
fu o(S 1 00.00.city tptiaA try
For dcp.ntr I use only •
- _ g , - _/ Permit Ntttnbc-
, A�► S /op, ., ��n:__ Lot
Siga a. - o Li JPctnniucc -- -�
I '
SECTION.8-CONSTRUcTION SERVICES ,t
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
z„��,-_ <arr - `� Not Applicable ❑
.9+..�Regws eyed' arn��.mprovemdr�ttFacl<ot•. ,.. ,- ��..� �° `: .�: � ,�„� .���' PP
C m�t cur \ Qc - i;n -- SA- .1 a), toe 101 5 -- ,
any Name Registration Number
t 4 D-n ai.✓1 E Cam-- IUD
dress '
4. Expiration Date
Ail' &A ms a Ina Telephon@ . 'f—DVy
SECTION 10-WORKERS'COMPENSATION.INSURANCE"AFFIDAVJT(M OIL 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 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 lNipdows Alteration(s) n Roofing n
Or Doors $\ J
Accessory Bldg. El Demolition ❑ New Signs [DI , Decks [Ej Siding[CD] Other[C1]
Brief Description of Pro os d (� �
Work: p p 1,,� \�E' \.1
-
Alteration of existing bedroom Yes No Adding new bedro Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
;�"" 'ar"t e3�"�it,:"�;sx,...c�,}cg�tet�� .Fis.f'rc,.'�:gi.+"�'�4 .e-'.akr.-'�nz"�°"" �::;.c�,tie."C=;c'^ `� F.�.�.'�v'
ax New o gVta" ttl ractdtei ain iotr ra rtai f th'a rolowrnq:
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_ T 'B
OE COMPLETED.WHEN-
OWNERS AGENT OR'CONTRACTOR'APPL IES'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
11 1l�lh ! l��� l Jt OD• ` i ,as Owner/Authorized
Agent herebydecla a that the statements andinformation on the f of application are e true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Locano oy-Qx- if3(00
Pri N.me
IBC ► it. 4 : .I 9 - 1lQ
Signature o owner/Agent Date
I .
Section 4. ZONING All Informatibtl 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 t ------
Ii z
Frontage
Setbacks Front i I : I
Side L:i ;. R:' ! 'L:1 1 R:i I `' I
L;
Rear
L 4 i
Building Height I • r-: =C ---.
Bldg.Square Footage i i ( ; % I-1 ! E ; {
Open Space Footage %
(Lot area minus bldg&paved I I i I i r---i
1 I
.
parking)
#of Parking Spaces p_--1 , 1
_ 1, t
Fill: r
(volume-&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® 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 0 YES 0
IF YES: enter Book I ; Page! ! and/or Document#1 j
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 Date Issued: s i
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: j,
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
IF YtS, describe size, type and location: 1
1
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
i
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
•
s
k
City of Northampton _ Y _® 2, �' '
Building Department ; ` ' `' f� ��,, . ,,;
212 Main Street '� I '�g.:W g. ` - .♦ ff _
`' 6 a eS 1 '' i s •a. _ i.
Room 100 , , � '. h� f,
Northampton; MA 01060 .�� ® � � .. $
phone 413-587-1240 Fax 413-587-1272 . a 'I ". av ; " ,ii i- Ak
3 .may "-- 9. 'l ,-;
— ' £.:
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE ORDI4M9LISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION
- ' Th is section to be cmplete d by office
,
1.1 Property Address: s-, m*1 �" .1 mo 5 " p`4_
c ���� \-n]7{� �'3 i 6 x y as 5— F i 5 � t i
l... ," k .„,„ s
a
�1.
�(� f 4$ fi F 4pje •r Y t
Ln 1\ 1 t Zone s , (overlay Distiict . 'T
`�._ ie�� ;"R6 �,j�3 �sri� � _ro�'e f m 1�r t.,, Ear @ �uy kir 4r ?i oa i
s ��,K^' �. Fes{ q L 4 "4y Lk � '�.
Elm St.District t•, -- 4 rCB- istnct .
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
lJ 1 3,1
may Qek c,o-nr\ok,� '` " t_ f nP
Name(Print) ur ent Mailing A r 1
. Telephane
Signature
2.2 Authorized Agent: ® �
1 :`..a _ Is. Lit MI s 1 •• G. I. •• Int. ��_ii -- _I a t a . ii n fl:
Name('rint Current Mailing Address: _
AO OA 2-ii.-'211 _c...41,q--U)-1y
Signature Telephone
SECTION 3-ETIMATEDZONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 410 9a— (a)Building Pert
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) I1 S- Check-Number
This'Section For Official':Use:Only
Building Permit Number. ' Date
9 Issued:
Signature: '
1
Building Commissioner/Inspector of Buildings' Date
118 FLORENCE ST BP-2006-0670
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 11C-003 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0670
Project# JS-2006-0986
Est. Cost: $1983.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 8450.64 Owner: BRENNAN WILLIS P&
Zoning:URA Applicant: All Star Insulation & Siding Co Inc
AT: 118 FLORENCE ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:12/20/2005 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
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 12/20/2005 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo