28-071 (2) KC-1. Roofin g, LLP
I . 0 , 1 0 1"��
51B Holyoke Street —
P.O. Box 309
Easthampton, i[A 01027
Estimate Date
Phone(413)527-4775 2/20/2006
Fax (413)527-8469
Name/Address Job Location
Eric Friedland 163 Sylvester Road
163 Sylvester Road f lorence, MA
Florence, MA 01062 586-4662
L
Terms Rep
Estimate valid for 60 days Mike
Job Description Total
Remove existing--oofs_ 6,800.00
Furnish & install :aluminum drip edge,pipe flashings and chimney flashings.
Furnish& install iew lead counter flashings.
Furnish& install ice&water barrier along eaves and valleys.
j Furnish and install 15 lb. felt over existing deck.
Furnish and install 30 year Tamko Heritage Series shingle.
Furnish and install Cor-A-Vent ridge vent.
All roofing related debris to be removed by R.C.I. Roofing.
All work will be performed according to manufacturers'specifications.
5 year R.C.I. workmanship warranty included.
30 year Tamko material warranty included.
All related permit;will be obtained by R.C.I. Roofing.
SPECIAL ITEMS NEEDED
Add S2.50 per sq. ft. for wood replacement it'needed.
i
I
WE LOOK FORW,\RD TO DOING BUSINF,SS WITII YOU IN THE LATE SPRING.
Total $6,800.00
TERMS OF PAY,vOF T
30 11'0 Upon delivery of materials
70%Upon completon Customer Signature
Registration# 126235
Construction Licen.c#074334 Date
Insured by Reynold.Barnes&Hebb,Inc.413-447-7376
��v y�� . C�if� x�f �az:tEi�lii}r�nit
Y
t
r� .' f3la�sachnsttta'
DEPARTMENT OF BUILDMG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
'�,VORIC?,R'S COMTENSATION INSURANCE &F MAVIT
(llccnscrJpcnntltcc)
;principal place of businessiresidenee at-.
SLnCUc ty
P)
creby certify, under the pailif, and penalties of penury, dint.
Ern an crnployci providing the following worker's compensation coverage for my
cmt�i�;�ecs Working on this job:
erLeanInt'1 Groin 6 81bblo 10/5 /0b
( asurancc Company) (Policy Number) (Expiration Date)
a sole proprietor, general contractor or homeowner (circle one) and have hired
the ;ontractom listed below who have the following worker's compensation policies:
N amc of Contractor) V (Insurance Company/Policy Number) (Expiratioa Date)
--Name of Contractor) -- (Insurance Compauy(Policy Number) (Expiration Date)
— (manic of Contractor) — (Insurance Company/Policy Numtxr) (Expiration Date)
Tame of Contractor) (Insurance Company/Policy Number) (Expiration Date)
tlKcct if n<C�SStry to inC1UdC informitioa pert&ining to all coatracton)
( i gun a sole proprietor and have no one working for me.
( ; Z am a 110MC owner performing all the work myself.
';OTE:ptc-.ac be awzm thtt v4 to ho meownm wbo employ pazow to do maiuienswc,oxxst vc600 or repair work on a dwrtling of
r.(-,.i:locc then flute units in which the bm wowncr reside or oo the grounds appttrknant tyecdn an not fatty ooasidtsrd to be
cv,,loyc:s unc'✓s the woe 4 c{s ccxi�tim Act application by a homwwocr for a llorase or permit may evidence the
of an omployec under ttio Wotkcet Compomaiion Jut.
i undc:und this.a copy of this uitcmmt may bo forwarded to the Dcywuncod of Iodtutrid Aoadw&OtSoo of EWIL oe for the
cc�r c valf'ication and that failure to s,==covctngo tender session 25A of MOL 132 cm Iced to tbo i ioa of aimioA penalties
«-isting of a rux of Up to S 1,500.00 a&r h7bomxnt of tip to am year end dvi pWIWts is the f0 m of a Stop WA Otdes find a '
f:w of--I M.00 a day agniusi try--
For d —O6ty
permit Number
Mapol Lot#
`. ?s.'�, ::gnaturc of 1-iccnscxlPcrmittcc .
SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : •is)-c
License Number
�a101027 -5 • - 0 8
Address Expiration Date
- --- --
Signature Telephone
i
rg.�•� -��.,� .--,n.,--
Co��
grs ere �Hiime rtiprovement ntractor °:" R W„allot Applicable ❑1: nfli in a. ) 2,16235
Com an Name Registration Number
D-fix 301 5- O b - 08
Address Expiration Date
h 1 (a.._-0jjJ-Zq—Telephon 7.5
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...... ❑
°1M1: omeOnerEempi 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 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 I,e 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 Cor you under this permit.
The undersigned"110111COVVner"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.
Ilomeowner Signature
SECTION 5-DESCRIPTIOWOF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors ❑
1 Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding [ ] Other [ ]
Brief Description of Proposed Work,__
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrat've ❑ Renovating unfinished basement Yes No
Plans Attached Roll 0 - Sheet[7
6a. lf'New'house,ancl`or atldition'fo°existing Housing, completes M16116wl ik:
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 Corservation 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 buildirg 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
Fxied 1 arm — --- as Owner of the subject property
hereby authorize Mark Deli slp, _ o7 •l.• L. to act or
I my behalf, in all matters relative to work authorized by this building permit application.
� ay�,ed 5�a�•od
' Signature of Owner Date
Mar el*Isle. CAS as Owner/Authorized Agent
hereby declar,: that the statements and information on the foregoin application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print Name
5- a�-ob
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 I,: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space rootage %
(Lot area minus bldg&paved
park-in.)
#of Parking Spaces
Fill:
volurr.e&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:
I City of Northampton
gilding Department
Main Street ;9-
{ ' Room 100 W
Norf�Impton, MA 01060 ets
phone 413.5871240 Fax 413-587.1272 P1;otlS
- QtlierSPec�fy
APPLICnT_IJ ( _ NST.RUDT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION ON 1 - SITE INFORMATION
1.1 Property Address: This section o be mpleCed fiC
� tPXU M?'p Lot��
�
Zone 0Verla bistrict'' '
Y
Elm St. District GCB District
SECTION 2 - PROPERTY OWN ERSHIPJAUTHORIZED AGENT
2.1 Owner of Record:
DJ
Name(Print)
] Cur r in re s:
_el ttaC �e� Telephone
Signature
2.2 Authorized A ent:
�M�Y�L�e.1 i 51�.— R_'.l P.U. x Am - Eastl an��fiwa
` Name(Print) Current Mailing Address: 01027
• WITS
1 Signature Telephone
I SECTION 3 - ESTIMATED CONSTRUCTION COSTS
1
i Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building Roof ing 10800.00 (a) Building Permit Fee
2 Electrical (b) Estimated Total Cost of
L Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
' 5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
Build n�g reP mit Number: Date Issued:
Signature:
Building Commissioner/inspector of Buildings Date
BP-2006-12
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category.j_ BUILDING PERMIT
Permit# BP-2006-1293
Project# JS-2006-1907
Est.Cost: $6800.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 126235
Lot Size(sq. ft.): 40249.44 Owner: FRIEDLAND ERIC
Zoning: Applicant: RCI ROOFING
AT. 163 SYLVESTER RD
Applicant Address: Phone: Insurance:
P O BOX 309 (413) 527-4775 Workers
Compensation
EASTHAMPTONMA01027-0309 ISSUED ON:513012006 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & 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:
FeeType: Date Paid: Amount:
Building 5/30/2006 0:00:00 $25.008736
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo