32C-127 (3) RC.1. RLLP
51B Holyoke Street
P.O.Box 309
Easthampton, MA 01027 Estimate Date
Phone(413)527-4775 10/28/2004
Fax(413)527-8469
Name/Address Job Location
Charlie Remas 38 Fruit Street- Rear
38 Fruit Street- Rear Northampton, MA
Northampton, MA 01060 Phone: 584-2971
Terms Rep
Estimate valid for 60 days Chris
Job Description Total
REVISED ESTIMATE 14,635.00
Estimate includes Main Roof, Middle Roof and Flat Roof.
Remove existing roofs.
Furnish& install 1/2"plywood over the existing decking.
Furnish& install aluminum drip edge,pipe flashing and chimney flashing.
Furnish& install ice and water barrier along eaves and valleys.
Furnish& install 15 lb. felt.
Furnish& install 30 year Tamko shingle.
Furnish& install ridge vent.
Furnish& install Versico rubber roof system on flat section.
All roofing related debris to be removed by R.C.I. Roofing.
5 year R.C.I.workmanship warranty included.
30 year Tamko material warranty included.
All related permits will be obtained by R.C.I. Roofing.
SPECIAL ITEMS NEEDED
Remove roof hatch.
Remove chimney.
WE LOOK FORWARD TO DOING BUSINESS WITH YOU.
Total $14,635.00
TERMS OF PAYMENT
30%Upon delivery of materials
70%Upon completion Customer Signature G'�jQ��X: 1[f,WQ f
Registration# 126235
Construction License#074334 Date
Insured by Hackworth Insurance(413)527-9907
0.�ttntr��, \
�o cF- oy
a E (riff of �\Tcr#IJUIII atoll —
o DEPARTMEbrT OP BUfLDr�\,C INSPECr101.'S
212 Main Strcct ' Municipal Building
Northampton, Mass. 01060
NN"O l CE R'S CO\'Q'E N S A TI O N Uri S UIZAN CF A l ID A VI-J'
(l,censcdpcTm�ttcc)
v�th a plvmcipal place of business/residence at:
51 Q HDI -3t--LEasM ofion MA OI D ate/ U hone:.) -X795
( �Iyrsla.t��ap)
do hereby certifjr, under the pins and penalties of pcgury, hai
(� I am a_n employer providing die following tt orl:cr s comocns��o 1 cove�ge 'or Ind
eroployccs worljng on'uiis job:
va._3�s �i7ia -oy ►o 05 _
Conn) (Polk: Nu_ r)
(r:plr�uor Dzt )
O I-a:m a sole prooricror, general contractor or homeowner (cu cEe one) zod have hired
the conSa(nors listed below wbo hive the following wocker's coopensadon policies:
(Name of Coy:'.actor) (InRranc C011103A)'/P 011c)
(N amc of Contractor) (inssranc; ComDanwPolim, Nttmc^.r) (-Lx-Di-,.Lion Datc)
(Name of Conn-acio;) (LaEuiaac: Compan)•/Poucy N;tstu) (Expir:000 Date)
(Name of Contractor) (In_suranc-- Comozay/Policy Number) (E��irtioo Date)
(.auk ad•!i:;ocal dc�ir000ciiry w fncucjc iafoXt oo pataiai.as w..0 oom--_con)
O I am a sole proprietor and bave no one working for me.
( ) I atn..a home owner perforrn.ing all the work myself.
NOTE:plwe be aw-arc ttve•tjjo bomco.vcn w•bo cxaploY➢ezom w da r ===-.e,00 r r;.ur work cz a d.•el--;of
not Mort lb--o ` tiO-prow wbicb the boraoowae rmdo or oo the -oun xppurte -th. a c.•c ox��a11y w,--r.d-,d is be
catployen ttn�c tSc�akda oc�x-,;ca pa(G,LI52.0 1(5)�zPPUC Doo try.bomoow=far c licyc or paTah m--y c.•ideooc the
Iegal—of.a w.gloyw uoder duo W.Al e.Coazpooa.y Arm
1 uodcYtand d"'a oopy of tbir c-L—o t m.y b.r,--,'.d to Lb. Lb.
COverabe--%GcAioo--id that L-ilLTe to toaue'oov�a&,under:oezioa 23 A of MOL 132=Icsd to the i=pa;L oa orai aiasl pcGAwc3
ooaussag or a rice of up to S 1 500.00.ztd/oc ixl ca of up to ooc year end 6%-j pca.tio io tSc form of a Stop Wort Order►nd.
fim of S 100.00+day.Pi=me
For dcp.nm:-s1 u.e aa1y
Pcrmit Number
1.•flp« Lot•"r
Sid W%of L � cc c to ,.
S�CT10N8 40N57RUC�TION;SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : (�1►'1 k TP'i 51 e, q Pl 33 J4
License Number
o as b oinn. Ya 0 10 04
Address +� Expiration Date
Signature Telephone
Reg s ere` orne mprovem'ent�y ontractor Not Applicable ❑
Comlany Name Registration Number
-I0 Mnin A•Zmtje) - 60 60X ,301 5 - 6 - +�to
Address Expiration Date
Telephone
SECT ON 10WOERS'xCOMPEN SAT ION INSURANCE AFFIDAVIT.:(M G:L:
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...... ❑
oln: 0r gym;_ ;n
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 they:
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 fo;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�(2tLaa6r
gTJ
5E ON SC PST O O K.H. 05ED�YORK the"ck alla laca'bl '
New House 0 Addition ❑ Replacement Windows Alterations) ❑ Roofing
Or Doors C3
Accessory Bldg. ❑ Demolition❑ New Signs Decks [ ] Siding[[ ] Other [ ]
Brief Description of Proposed Work: Riemrxe. e)OS1.11nna Z c�
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll O•Sheet 11
a, 'f w h "h or d trop to ez sting>housi`ng com`ple fh�e f6-11'M M
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. Mascheck 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
SET10 INNER JH(7`rIZ'AT10NTkO*BECONIPLETED WHEN
0111 [E O COhITORIAPPIIESFORBI=ILDING P1rRM1T' ' �x
as Owner of the subject property
hereby authorize (,MaXX Delisle, Ronfi na to act or,
my behalf, in all matters relative to work authorized by this building permit application.
emu # 11/ 15 1 o�-
Signature of Owner Date
as QL/ l2prl Cl aaent as Owner/Authorized Agent
hereby declare that the statements and information on the fdYkgoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print Name
i 11' 15IoLL
Signature of Owner/Agent/ Date
i
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
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 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property?YES _
No
IF-YES, describe size, type and location:
City of Northampton at
tom+<< r Building Department
�s 212 N�ain Street r i
i� a Ro m 100 a e
11_�rtAampt n, MA 01060
DES� on�' -8-&7-1 240 Fax 413.587.1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - S,ITE IN FOR MATIQN
sectio'tmbeTco pet dbyoff�cer
1.1 Property Address:
be
Map Lo
Zone Ove la, D strie
SECTION 2 -'P:ROPERTY OYVNERSHIP/AUTHORIZED AGENT
:..
2.1 Owner of Record:
0 haXLL'L. 'Remn s 38 (FLA wl Rea-
Name(Print) Current Mailing Address:
a _ n�,PA -_584 - °7I
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address: QI Qa/1
�- (-ql3) 527- gg75
Signature Telephone
SECT10N,3-- ESTfMA'TED CONSTRU6t,*.Q COSTS
Item Estimated Cost(Dollars) to be OffiC. I Use Only
completed by ermit applicant
1. Building Roo f'i n r b3 c�.oQ (a) Building Permit Fee
2. Elec,jical ,t 7 J (b) . timated Total'Cott.of
Construction.,from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Itij 635.00 Check_Number b
This Section:For Official Use Only
Building"Permit Number: Date.assued;
SI ignature: _
�: Building Commissioner%Inspector_.of Buildings Date"
38'FRUIT ST REAR BP-2005-0618
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-Block: 32C- 127 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
CateQoa: BUILDING PERMIT
Permit# BP-2005-0618
Project# JS-2005-0824
Est.Cost: $14635.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 074334
Lot Size(sg. ft.): 11107.80 Owner: REMAS CHARLIE
zoning:URC Applicant: RCI ROOFING
AT. 38 FRUIT ST REAR
Applicant Address: Phone: Insurance:
P O BOX 309 (413) 527-4775 Workers
Compensation
EASTHAMPTONMA01027-0309 ISSUED ON:11124104 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 Occuoang SiLynature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 11/24/04 0:00:00 6240 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo