35-210 (2) RC.1. R LLP
51B Holyoke Street
P.O.Box 309
Easthampton, MA 01027 Estimate Date
Phone(413)527-4775 6/13/2006
Fax(413)527-8469
Name/Address Job Location
James Guggina 908 Ryan Road
908 Ryan Road Florence, MA
Florence, MA 01062 Home: 587-9410
Cell: 320-9077
Terms Rep
Estimate valid for 60 days Mike
Job Description Total
Remove existing roofs. 10,500.00
Furnish&install aluminum drip edge,pipe flashing and chimney flashing.
Furnish& install new lead counter flashings.
Furnish&install ice&water barrier along eaves and valleys.
Furnish&install 15 lb.felt over existing deck.
Furnish&install 40 year GAF Timberline architectural shingle. (Weathered Wood)
Furnish&install Cor-A-Vent ridge vent.
Furnish&install Versico rubber roof system on flat roof section.
All roofmg related debris to be removed by R.C.I. Roofing.
All work to be performed according to manufacturers'specifications.
5 year R.C.I.workmanship warranty included.
40 year GAF material warranty included.
All related permits will be obtained by R.C.I. Roofing.
SPECIAL ITEMS NEEDED
Add$2.50 per square foot for wood replacement if needed.
ADD.......$300.00......To replace approximately 32'of rotted fascia on back section of house.
WE LOOK FORWARD TO DOING BUSINESS WITH YOU THIS FALL.
Total $10,500.00
TERMS OF PAYMENT
30%Upon delivery of materials
70%Upon completion Customer Signature
Registration# 126235
Construction License#074334 Da
Insured by Reynolds,Barnes&Hebb,Inc.413-447-7376
O 0
Crz i laf 'N aZr#ijaillpf fail t
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' DEPARTMENT OF BUILDING INSPECTIONs
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMTENSATION INSURANCE AFTEDAVTT
(licens't&PMrnittec)
ith a principal place of business/residence at:
5 (phone#)WI -li7?Jr
strtiet/ ty/stalrlap)
':o hereby certify, under the pains and penalties of perjury, that:
I a n an employer providing the following worker's compensation coverage for my
'mployces wonting on this job:
keiican Horne AssuYane- _ WC$9 b6►f 1 0
(Insurance Company) (Policy Number) ira on Date)
; ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
he contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
r
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioaar sheet if necessary to ineruda information pertaining to all ooahadon)
( ) I am a sole proprietor and have no one wort ng for me.
( ) X am a home owner performing all the work myself.
NOTE:plcaae bo aware thsd whilo homcowvcn who employ pcnom to do mx ca=cc�omsul oo or repair work on a dwelling of
not mote than throe units in which the homoowar raids oe oa the grounds zppuitenvA thereto azc not Cw any ooaridaod to be
employers ands the woeK&s ooaVcns4oa Ad(GLI52,ss 1(5))�application by a homeowner for a Haase a pumi2 may a kk=tho
Itpi rtatus of an omployoc under the workees Compamatioa Ad.
I uodastand that a copy of Chia mumeal may be fwwardad to the Dgwtrnoat of Iodustritl Aoeida gY Offios of lanuaboe foe tlaa
coym9c vaificstioa And that kdwt to&came oowraga udder soetion 25A of MIL 152 can lead to the impasitioa of a ia+l pwalties
oopsisiiag of a fine of up to S 1,300.00-Noe kTrisomrad of up to one year and civil pmahia in Cho form of a stop Wort Order and a
Cum of 5109.00 a day against me-
For dgmu eclat taco oaty
permit Number
Lot
Si gna am of Licenseelpermitix
SECTION`8-.CONSTRUCTION SERVICES
8.1 Licensed Constructions Supervisor: Not�1 A-}// "�
Applicable ❑j,�
Name of License Holder :yl"la Y�1 J����S e.
j 33 "I
License Number
ov 5 -03 - 08
Address Expiration Date
(q13) 527- H US
Signature Telephone
Not Applicable ❑
ta.6 2.35
Com any Nam J Registration Number
519 & 1 oK e, Streit - P.p. Box 301 5- 0 b - O8
Address J Expiration Date
Telephon
'15
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...... ❑
The :urrent 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 3 DESCRIPTIONf0,'F-,PROPOSE VQ Ki(chec "call applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: attaE6PA 1 S
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll D - Sheet D
-a:I-f New F'ouSe.:�i'd o aid"dition to�existing li sing, con°pl'e e' th MUM,ail :
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 -'TOrBErrCO MPLETED WHEN
OWNERSAGENT'OR CON7R'pCT,OR'APPLIES FOR BUILDING PERMIT
�149 rw_s 6),U a I nna, (+ c as Owner of the subject property
hereby authorize Auk De i slp� �7 R.C. than to act on
my behalf, in all matters relative to work authorized by this building permit applicationj
att aelhed 6/13/01
Signature of Owner Date
I, Mar1� �el'tsl�.�s �Ul agent- as Owner/Authorized Agent
hereby declare 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.
PriVe-1*1
q1310q
Signature of Owner/Agent Date
s
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
_Building Department
x'212 Main Street
Room 100
Northampton, MA 01060
phcfi;x;'413;.587.1240 Fax 413.587-1272
LAPf, -JCATIOJ.TO',,CQI STRU T, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
P his sec
1.1 Property Address: ,
�1JSuan woad
Ma
Zone
Elm S . District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
dames Guqqiina 9og Ruan'1)J. ny'" l
Name(Print)I� Current t�+rq AVdr ss:
taChej Telephone `7��/
Signature
2.2 Authorized Agent:
Mark]Deli5lt - Re.l Roof ono P-8- &x 312.9 - Emthamcl Ma
Name(Print) Current Mailing Address:
1 5�.?-
Sig rature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building Roof i V13 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from- 6
3. Plumbing _ Building Permit Fee
4. Mechanicai (HVAC)
5. Fire Protection
6. Total = (1 - 2 + 3 +4 + 5) t1 rjbQ.�Q Check Number 11Q 4
This Section For Official Use Only
Building Permit Number: TDate Issued:
r,.
bnature:'
Building Commissioner/Inspector of Buildings Dates,
a` BP-2007-1219
CIS#: COMMONWEALTH OF MASSACHUSETTS
" \ CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2007-1219
Project# JS-2007-001946
Est. Cost: $10500.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 126235
Lot Size(sa.ft.): 43995.60 Owner: GUGGINA JAMES&FRED E CRISP
Zoning: SR Applicant: RCI ROOFING
AT. 908 RYAN RD
Applicant Address: Phone: Insurance:
P O BOX 309 (413)527-4775 Workers
Compensation
EASTHAM PTO N MAO 1027-0309 ISSUED ON.611512007 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 Sip-nature:
FeeType: Date Paid: Amount:
Building 6/15/2007 0:00:00 $25.0010442
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo