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23D-003 (2) BP-2006-0846 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0846 Project# JS-2006-1305 Est. Cost: $6853.00 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.): 12806.64 Owner: COUNTER ROBERT&JULIE Zoning: URB Applicant: All Star Insulation & Siding Co Inc AT: 23 NONOTUCK ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMAO1027 ISSUED ON:2/28/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING 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 2/28/2006 0:00:00 $25.00M0 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo w M City of Northampton Building Department 212 Main Street eyir31, �sy ' Room 100 Northampton; MA 01060 phone 413-587-1240 Fax 413-587-1272 l .M cam„ APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE:::INFORMATION compte bof fce a s lt 1.1 Property Address: At i ,- V 4- T Ma0 l " 4t cs�Lot 4 11- $46 ni v F23 Nonotuck Street , M Florence, MA 01062 Zone* yix * #1.• *riwOverl*Distrigct rrA rk ' 9 ° 1 t k EIm S Distract �r <. CB-Disinct t t w.: SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED-AGENT. 2.1 Owner of Record: Robert & Julie Counter 23 Nonni-lick StreFt - Florence, MA 01062 Name(Print) Current Mailing Address: 413-586-3950 Telephone Signature 2.2 Authorized Agent: All Star Insulation & Siding Co., Inc. 56 Franklin Street - Easthampton, MA 01027 Na Pr' t)�°��'� fi, Current Mailing Address: fj.J\ j 413-527-0044 '� ll Signature J Telephone SECTION 3r-ESTIMATED-CONSTRUCTION'COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)•Building Permit'Fee $6,853.00 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) $6,853.00 Check Number This'Section For Official"Use'Only Date Building Permit`Number. issued: Signature: Building Commissioner/Inspector of Buildings Date . M T v Section 4. ZONING All Informatibh 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 I l i Frontage i� i Setbacks Front i i Side L:' 1 R:I 1 'L: R:i I I l L i Rear I I 1 } Building Height !a..._- ! i ..1 r- - -..._ Bldg.Square Footage ! 1 I I % d i i i Open Space Footage % �--- (Lot area minus bldg&paved J I I i I j parking). . #of Parking Spaces I I i L I Fill: ' 11 _ i (volume*Location) I 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 issueda IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book I 7 Page; ; and/or Document# y 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: : C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: i D. Are there any ro osed changes to or additions of signs intended for the property? YES 0 NO 0 IF YtS, describe size, type and location: I 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 r NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF-PROPOSED WORK(checkcall applicable) New House ❑ Addition ❑:;: Replacement Windows Alteration(s) © Roofing ❑ Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [CJ , Decks [p Siding ix] Other[ln] Brief Description of Proposed Work: Installation of Vinyl Siding. Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet -,� +"tx'-�s��'+s r.�.r� fi� '*4.`::iiF ezv�t'°.*.,,< .�'^r; '�s._+'r .r:,,�p';� °^„+F�OF-�3? a tfNeWrho ase�n eadd is toV fiiWh silfEi o if a ar e=�f�tiowilnrl: 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 stones? 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 BuIILDINGuPERMIT= ,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. r Ed Losaca 9, Owner/President Print me ohs 1! January 30, 2006 Signature of 0 • er/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone ReA s e`:ome_.trui a Bill #Fa'ato' +si y. 'r 7,, Ph' # .! Not Applicable ❑ All Star Insulation & Siding Co., Inc. 101858 Company Name Registration Number - 56 Franklin Street - Easthanpton, MA 01027 6/06 Addre Expiration Date rb v Ol�X -0-I"L 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 VI No ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellinus 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.E 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 •erson who constructs more than one home in a two- ear I eriod 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,von 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 , 1 w • • • ¢tiWfn, r• //�� oy Z �7 crr f 1 j dl toll • � j_ .61olccSnsrtle' • j =_= DEPARTMENT OP BUILDING INSPECTIONS 212 Main Strcct Municipal Building Northampton, Mass. 01060 • WORKER'S COMPENSATION •D4SUTANC.r_ AFFIDAVIT • I, All Star Insulat�iQn & Siding Co., Inc. ____._...._. .._ _�....._ .. -...._.._.__. - (li ccus•Xipermi Itcc) with a principal place of businessfresidence at: 56 Franklin Street Easthampton, MA 01027 (phoneI')413-527-0044 (sa-=.Uci t J/slatda p) do hereby certify, under tbe.pains and penalties of perjury, _ha] • • (y I am an employer providing the following worker's compcnsadon coverage for my etnployces wort ng on this job: • T. P. Daley • WC 930-12-87 8/13/06 • (Insure Company) (Policy Number) (Expiration Dom) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the connactors listed below who have the following worker's compen_sadon policies: (i+BID: of Contractor) (IIIRrant Coinoan}'/?oUCi N -cr) -- F.N:pirauon Datc) (Name of Contranor) (Insurance Company/Policy Nuin r) (EXoiration Date) • (Name of CooIIactor) (Lnsuranc;. Comlun)'/PoOcy Nusbcf) (Expiration Datc) I _ (Nzmc of Contractor) (Lasuranc Company/Policy Nun IY r) (Expiration Date) (a1u3 zdditiocal elect ifocC er-to inc!u&iaforto.aoo pcta:n ac to all ooccr-_c.on) ( ) I a- a sole-proprietor and have no one wort .ng for me. I a.r-t,a home owner performing all the work myself. NOTE:plea be ewart Lfii .} Je bowCC;ver..abo employ pc--tom w do •• cr.:c.+ao c repair'eric an.cls,ellint.of oot mote the o l a-•tat,is u$ieh the b0000woc read.=or co the c ou.ocs zppurtooro.tbceo r_-r we rrliy ooe:Q�ai to be echployt s uev's--the...;o rr—k---,'oa An(01152=1(5)),:pptisioo by a bomwo:pa fcs a ttcxv_a peznit tz y evid=orx the legs]namac of as coployer under the Workalr Coo pemaiioa Ae'_ I.aadcn.ad tbn a copy of thi,c temua may be fora. —j.4 to the pepertmocd of I0" eJ Acvdcau'Oboe of Iraur'e' for the oovcts.6'e vci(eaioo aOd th:t L•ihom to cxvzt`coverage tzodc soy Joa 25 A of MC1L 152 nn icd to the iaposuioa of mmialt p'•I';o coostain of a floe of up to S 1300.00 anclfor ittxpriyoame 1 of up to ooc yur z,ad d.il pondlio ie the form of a Stop Work Order and■ Chin 0(5100.00 a lily aptieti tnc. F«dcpanmrr�u.e oaf y - . • r\ Permit Numtx_1 r1` Ai. ,1 1/30/06 M,p•"• Lot ° 'I S i gnat of L'•- •c tZrti tics L) to _. . I ' 4:) 44 9 ;,.(rxt of Northampton • . 1= #__ / X DEPARTMENT OF BUILDING INSPECTIONS ', __J f. INSPECTOR 212 Main.Street • Municipal Building -o Northampton,MA 01060 ,~ 5 .` 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 super•.'i a.m.. 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 ovn construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfiIl), 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\` �l/' \�~6, /�~-- /^ V /�/�\ "` �,� ru*` `' / �� �� J �° �/� � ' �� , �/2r L�� '� �//J� ' 7- `^/ ° 'e-T .':.' ' � r " - ~ 'Kf��'�/,:-.»/ �—ii::::. ...-.4.1,,), r ,../, ("-:::,...c V n / � ' � - ' ' - `~ , ,' iC� '�1� 1 ( v& f'4 Tiw�* ��• sL \ INSULATION /'~- & � ! ' � ` . ,~ CO / / � `~ SIDING ~�'~-^� INC�����. �^ , -' -- 56 EASTHAMPTON, MASSACHUSETTS 01027 � . . EASTHAMPTON OFFICE:527-0044 WESTFIELD OFFICE: 568-641 l Contractors license #l01858 :1"- n 'Date �l Proposal s"^m "om Phone ' ~ �l^ Julie Counter "Purchaser" 413-586-3950 Home 11/14/05 Street Job Name 44~--- �'O \ ] ~ : J x ` 23 Nonotuck Street i. _/:� \ (b�{}��^- ��0€7_ / \,' � �~ u/�'�a�and Zip Code Job Location Job P Florence, MA CA' -�4- ` Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL SIDlP '.... 114)Iti MAIN HOUSE 1.We will install new Vinyl Siding on all exterior walls. Homeowner will have choice of color.style.and brand name. 2.We will nail all siding approximately 16-24"on center using aluminum nails so they will not rust underneath the siding. 3 We_will install a 3/8'insulated Styrofoam backer behind the siding. 4. Wood trim around windows and doors will be covered with White aluminum coil stock mutaria|;�- )� ' UE�� /ll,:; U ��- �----- l 5.Windowsills wiUbe trimmed out with Vhhealuminum coil stock material -- 6. Wood trim soffit and fascia will be covered with aluminum coil stock and vinyl soffit material. / � | 7.Wood rake f8uo� wiUbe covered with White aluminum coil stock mator�i Ili NOV 2 3 2005 111 il �A�m��ng����n�����Ube��w����Ca��r� � '| / \ � \ / � |c- ' 9.Any existing wood that is loose will be renailed. V' 7/A�0.D° ____ 10.We will install vinyl lite blocks behind light fixtures where needed. ^ ' ^. n - "u - 'o A 1- - 1-..1 1-° __ � ^ ' ^ '' o, � ' -o" "* ^ n �* � / r ."Ii. _1 m, ). � - � ' ' ' . 14. We will remove and reinstall existing,shutters. 15 lob site will he cleaned upon completion of job. 16.Vinyl Siding has a "Manufacturer's Lifetime Warranty". NOTE:Approximate start date will be December or January less inclimate weather. v2 |c}/� C� � , /` /) �l���\J ��(�) ^ (-`� \ /illt PRICE: $6.853.00 ** HOMEOWNER WILL BF RESPONSIBI F FOR ANY FFFS REQUIRFD FOR BUIL DING PERMITS. *+ HOMFOVVNERVV|LLBERESU,0NS|BLFF[RANY&.ALL BFCTR(CAL8R PLUMBING FEES THAT MAY 8E|NEE]DED. ^^ **ACFRD8CATEOF INSURANCE FOR VVORKK&4NS | |TYU0|] BFFORWARDED UPON REQUEST. Q / ++ T.P. DALEY1NSURANCEAGENCY0F WEST SPR G MA IS OUR AGENT. WE PROPOSE to furnish mateiaI and labor,complete in accordance with above specifications,for the sum of: u0.853.00 dollars($ 50% Down, Balance Due Upon _` ), payment due upon receipt of invoice. N If payment late, interest at 1 1/2%may be added. Completion of Job NOTE;This?propOsalsoay,be,withdrawn by us it pot-accepted within THUTTy___ ___ umvs Ed Owner � �� �- ' � y -------- Contractor Salesman .�, ` ' '/ �� L .� j[_��/, __ Ju/m Counter ~^ \ Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto at a 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 mail pmmtmd, by telegram sent or by delivery, not later than midnight of the third business day �l following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right." SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE.