32C-278 (2) OWAL
Roofing, Siding & Replacement Windows
13 Redden Road
Springfield, Mass. 01119
(413) 782-2656 Cell phone 575-1105
HIC Lic #124626- HIC#103802 - Ma Cntr'.s Lic #01=1371
ESTIMATE.,. .. m�. _ ._. . _ __._ .. �... - .�.. . .. .... . . .... . . -_. .. .
Customer Name: y lams 1 (F4/O—'
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Street: 90 \V illiams St.
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City,State and Zip Code: Northampton, ?'lass.
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Phone: 545-6450
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Re:
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1.) We will strip the roof of the house and dispose of all the material.
2.) We will apply Ice and Water 3 feet up and in the valleys.
3.) We will apply 15 LB felt paper on the rest of the roof.
4.) We will install new drip edge.
5.) We will install a new boot for the vent pipe.
6) We will install the appropriate length of ridge vent on to the house.
7.) We will apply 112 inch plywood on to the roof.
We will apply 30 year architect Tampco shingle .
I will apply for the permit.
Labor and Material $ 6,240.00
All material is guaranteed to be as specified. All work to be completed in a.work man like manner
according to standard practices.
Any alteration or deviation from the above specifications involving extra costs will be done only upon
a written change order. The costs will become an extra charge over and above the estimate. This is
to include, but is not to limited to,hidden damages that are uncovered during the course of the job and
additional work required by local building inspectors.
All elements of this agreement are contingent upon delays beyond our control. The estimate does not
include material price increases, or additional labor and materials which may be required should
unforeseen problems arise after the work has started.
You,the buyer,may cancel this transaction at anytime prior to midnight of the third business day
after the date of this transaction. Cancellation must be done in writing.
Acceptance of Proposal: The above prices,specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified. Payment will be made half
down when material is delivered and the labor is started, quarter payment due when half way through
and remaining balance due when job is completed. —
(Please do not hesitate to call me if you have any questions at the above numbe
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8 6 �assxr}Insrtte'
e
m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 '
WOIZICER'S COMPENSATION INSURANCE AFFMAVIT
(li�nscr/permitter} --------------------
with a principal place of businesslresidence at-.e� �'� _(phone#}_ � 'p `
(stn;t/city/statr/ri p)
do hereby certify, under the pains and penalties of perl'tlry, that
( ) I am an employer providing the following worker's compensation coverage for my
employees wor4 ng on this jab:
(Iaa=oti Company) olicy Number) (Expiration Date)
( ) I am a sole proprietor, general contactor or homeowner (circle one) and have hired
the contractors listed below who have the following workers compensation policies,
(Name of Contactor) Gnsurancc Company/Poticy Number) (Expiration Date)
(Name of Contractor) (1nsur-anc: Compauy/Policy Number) (Expiation Date)
(Name of Contractor) (1nSUa11CC Coml;211}11)okcy Numl-xr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Nrunber) (Expimtion Date)
(attach additional vxci if ncrca. to ioduc,infocmit'ion pertaining to all o'dracttm)
O I am it sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plcasc be nwzrc tl:at wink bancownxn�NLuo a-.;play pram to da ca nicaiac{co:n nx ion c:r tcpair�rmk on a d«tlling of
not axorc tli:n throo units in ttivett tlae ho xowncr r=ides o<a;the pour appurtcnan!thcrcto a:c rxt generally oavicktr to be
anployas under tho tmckct'a ax _-,atim Act(GL152,i1(5)�rppti a cn by n hotnoowna for a Uccwc cc per nit n,--y evidence the
legal ciatus of an amp loyer under tin wo(koet cc mL m Lion AcL
I und�d th.t a copy of thi.ctatcaxat may bo forwards d to tbo Dcpwtaz of Ir-&utrid AzcvA nth Offioo of I r .nco for Ul
covcntgc verification and that failure to a:uc covcrago urdx stoic=25A of MIL 152 can Ird to tho irap ition of criminal penalties
oauisti of n Line of up to S 1,500.00 aal'or itirprisorutxrit of up to ow)tar and civil paultics in dc f—of a Ste?Wed onic and s
lino of 5100.00 t day t&&in:t me
LPcrniit tal uao only
mber G- L ot 4
Sig aturc of Li ermittcc e
' P
SECTION 1.-::CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
;9Re istered NomeIrri rovement Confractor 's6 + ° xfa!' r"� 'f
Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone ! 0
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.GL. 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....... E�l No...... ❑
1 MME ®caner empi `on
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 fe- 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
SECTION1,5 rDESCRIPTION'6OF PROPOSED WORK-(check,all applicable) -
9
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Ae? -
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: I�A,G��/ /Z--
11 - . p � ����
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative ❑ Renovating unfinished basement Yes 10
Plans Attached Roll ❑ - Sheet❑
sa JMeW rb0 and or addition'-fo"existin tiousin p the-.6611 wing_
g g,,corrm lete
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
SECTION 7a!-OWNER AUTHORIZATION TO BE COMPLETED WHEN
0WNERS.AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
hereby authorize COQ° 17 r1 f�G��t� to ac: on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the hest of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Prin- t�'Jame �
Signature of Owner/Agent Date
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 Parkin 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 Sfa�tusoYf`F'er-
�Uilding`Department Curb
.`.2,1 2 Main Street Sewer%Sell.
Room 100 WaerWe va
J,�Wthairn.pton, MA 01060
DE
TwaSe s o r a
C
hone 41 -587-x'240 Fax 413-587-1272 Plot/Site°Pa `
APPLICATION.TC'C0N.�TWUGT., ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be cn office
1.1 Proper Address-
nit Lot
.
tF
Zone Overlay Dist rict .
7'01? /7a
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) C.:rrent %'alling Address:
T elephone
Signature _
2.2 Authorized Agent: O
Name (Print) Current hlailingAddress:
I '
Signature Telephone _
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
-- -1 -- - - - --
Item Estimated Cost (Dollars) to be Official Use Only
com feted by permit aGplicam
1. Building �VV (a) Building Permit Fee
2 Elec.rica! (b) timated Total Cost of
Instruction from (6)
�3 ,ambirg - _-- - - - Building Permit Fee
4 Mechanical (HVAC)
5. Fire Protection
6. Total - (1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
Building Permit Number: Date Issued: _—
LSignature: ---- -- - __
Building Commissioner/Inspector of Buildings Date
r
BP-2003-0570
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category_ BUILDING PERMIT
Permit# BP-2003-0570
Project# JS-2003-0938
Est. Cost: $6240.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WALT KOWAL 124626
Lot Size(ss . ft.): 8581.32 Owner: HARRIS MARK
Zoning URC Applicant. WALT KOWAL
AT. 90 WILLIAMS ST
Applicant Address: Phone: Insurance:
13 REDDEN RD (413) 782-2656 O Workers
Compensation
SPRINGFFIELDMA01119 ISSUED ON:12112102 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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/12/02 0:00:00 Mo $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Cornmissioner-Anthony Patillo