25A-050 (3) Proposal Page No. of Pages
BATTISTONI CONTRACTING, INC.
534 Market Hill Road
AMHERST, MASSACHUSETTS 01002
(413)549-2693
PROPOSAL SUBMITTED TO: PHONE DATE
Mr.Mark Dion 787-5062 Cell: 250-4016 July 4,2006
STREEf JOB NAME
22 Gs'kv Avenue Same
MY,STATE AND ZIP CODE JOB LOCATION
Northampton,MA 01060 Same
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
Remove porch roofing material and wall flashing. install of I"ISO insulation over laundry room to peak of roof.
Install white Duro-Last roofing system and flashings.
Price: $2,500.00
............. ....................—.—...........................
..................................I............................................-1............................................
Replace north west comer post with 6"x 6"pressure treated timber post Install additional post in center of west wall.
Price: $150.00 to$175.00
...................................................................................................................................
Note: If any decay is discovered it will be replaced at an additional charge of materials and labor,
....................................................................................................................................... ...........
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............................................................................ .......................................................................... -------
Ve—propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of-
Payment to be made as follows: dollars($
One half deposit,remainder due upon completion
1-2
All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized
manner according to standard practices. Any alteration or deviation from above specifications Signature
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents or No This prop sal maybe
delays beyond our control. Owner to carry fire,tomado and other necessary insurance. Our
workers are fully covered by Workman's Compensation Insurance. Withdrawn by us if not accepted within 15 da}s.
Acceptance of Proposal — The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are Signature
authorized to do the work as specified. Payment will be made as outlined
above, -vPntnnrP-
1).9te of At Signature'
z
�llll i[SSAC}tliStttB � _
t
DEPARTMENT OF BUILDD�G INSPECTIONS /=
INSPECTOR 212 Main Street • Municip,al Building
s •`
North,rripton,MA 01060 .
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 , sor. 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 structtres. 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 own 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 backfill),
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
GZf-1 of �,Tortllai)t toll _ _-
A J E 1x3%arhntrlle" —
DEP:IRTMENT OP BUILDr,\ INSPECTIONS
212 Main Strcct Afunicipal Building
Northampt.on, Mass. 01060
«rOR]4:R'S CON'CPENSATTON MSURAI�CE rkI=r VIT
� (li ccvsxlpcTmi tfcc)
,%riLb z principal plaec. of business/residence at:
is
(str�t/ci iy/Stalt�a p)
do hereby ceFdi --, under the p?-ins and penalties of perjury, 121
i
( ""an employer providing the folloNvine worl;cr's comocnszao, cove 2�c nor lnv
t
eluplovecs worbrig on diis job:
j 0.as az=Comr=,) (Poitc: Kumbcr) (r;-pinion Dzr`)
i
O I am a sole proprteior, general contractor or homeowner (ci ciz one) and have hitea
! the contractors listed below wbo have the followv og worker's ca=—pt s2hon policies:
,r
(i+aID: of Conrncior) (ln urancz Coinpa 1)Yi obc-Y Numhh::) C)liJ ^n 1�1iC)
j
I (Nzmc of Contractor) (bnssrancz CompazwPolie Numinr) (E��trtlion Die)
i
(Name of Co=aaa,) (Lase aacc Compan)•fPolic)- Nambz.r) (Exointion Datc)
(Name of Contractor) (Insurance CompanyfPoliey Numb:-r) ()✓xpiruoo Datc).
<aaach dli ioc�1 v'ca.ilncxs«-to cjc?v3c iafo��oo pertniaias W.11
i
{ ) I am a sole proprietor and have no one wor dng for me.
( ) I am,a home owner perfon=-a all the work myself.
NOTE:plr_sc be aw-Art tti,••kjijI bcac;O z v.-bo cID910y poll 1 LA dJ C S1�•v. �;a oo c rcpau work ao.d..r1L of
aot taocc the tk:rM=rj in ulacb the bomoovV r=do or oa the Crouj rA putt a r tbecn s c Doe doe-.Uy Deer C d to be
--plot--s unl a the xP=r-:uoa Aa(G Li52=i(S)) =ppli=6cm try n bomno-=fta a li __a perms=1 c idcncc tL•e
Icga.7 m-l"of ca-=Ployar un&r iho W«i ,C.o�eay.tioa�_
1 uadastnad tha a Dopy of this¢atcmc 1 essay bo for carded to tho Dapnruacor of ln&+sricl nscdcm� om—of tr—for th.
ooveatsc V=ircaioa and ai-i L-.iltac to scorn:)co%cr %Mdcr r.oc.•tioa 23 A of MGL 112 des lad to tba=POS.60a of auaia-u pca+llio
coast trig of of t�to 51300.00 arldl oCup to one yc3r rid aril pauhia in be form of.Stop Work Orde sad a
fisx of S t .00. y�ptiust tDc
only
Pcrmit Numbc-
hfap=—_ Lot
SiinAwrcof tct�lPcrmiucc �� f
SECTION 8-CONSTRUCTION'SERVICES
8.1 Licensed Construction Su isor: Not Applicable 13 t�
Name of License Holder: C/031 7
License Number
A ress Expiration Date
Sign ure Telephone
ej �a z'S�m r omen.:t'-�:^:a�sa r _ .as"i :u.pr a;.' �, u :,..'.
9eaist Floe�xn roernentCaatracto 1 a , ry Not Applicable .❑
D fhoe
Comany ame Registration Number
p
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE-AFFIDAVIT(M.G`.L.c.452,§12SC(6))
Workers Compensation Insurance affidavitpdst be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the buildi permit.
Signed Affidavit Attached Yes....... No...... ❑
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 buildine 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 5-DESCRIPTION OF PROPOSED`WORK-(check-all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[O] Other[E]
Brief Description of ProposedF 9
Work: //Gl i�rJ
Alteration of existing bedroom Yes No Adding new b droom Yes No Pay
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
s� w arse aid oe' r i S exlstir oii g:� arcrrp eta " �o awls r g:
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. 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 floorbelow finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-"OWNERAUTHORl7JkTI011 TO BE COMPLETED .WHEN
OWNERS,AGENT'OR'CONTRACT, APPLIES FOR BUIL:DING"PERNIIT
j a^ V 42 z>S j4 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
I,
1: W� +'�j` as Owner/A razed
Agent hereby declard that the statements nd information on the foregoing application are true and accurate,to the best of m ge
and belief.
Signed under the pains and penalties of perjury.
Pri Name
Signature wne gent' ' Date
'
Section 4. ZONING All Information 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
Frontage
Setbacks Front
Rear
Building Height
Bldg. Square Footage % r-
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
(volume&Location)
A. Has a Special Perm it/Vuhunoe/Findi ng ever been issued for/on the site?
�� ����
NO �~��� DON7 UV �~�KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
'
NO k } DON7KNOW 0 YES
IF YES: enter Book Page' and/or Dnoumant#'
'
B. Does the site contain a brook, body ofwater or wetlands? NO 0 [0NTKN0N 0
YES
IF YES, has permit been or need to be obtained from the Conservation Commission?
Needs tobeobtoined Obta�ned «�� Date
�_v ' '
0
C. Dn any signs exist on the propert �� ��y? Y[5 �_� 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 0
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre n,ioit part ofo common plan
that will disturb over 1 acre? YES NO ��� �
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
. � �
„s w ,
�. City of Northampton `
`wilding Department _
n 1 212 Main Street
i Room 100
i LQC'o Irthampton, MA 01060
phone 413-5�7-1240 Fax 413-587-1272 {
Ao,P,I:ICATl01 -i'£-6 TRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
Thh"d' ion to beycompleted bX office,
Otte c €u Oale61 D" Ictf.
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
( �
Nam ) Current Mailind Address:
Signat a Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)EstimatedTotal Cost of
Construction"from 6
3. Plumbing Building Permit Fee.
4. Mechanical(HVAC)
5.Fire Protection
6. Total=(1 +2+3+4+5) =' Check Number �p� 05-
This Section For Official Use Only
-Date :.
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
BP-2007-0074
GIS#: COMMONWEALTH OF MASSACHUSETTS
,W CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0074
Project# JS-2007-0118
Est.Cost: $2675.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Eugene Battistoni 104608
Lot Size(sq. ft.): 19384.20 Owner: DION MARK W&CAROLYN R
Zoning:URB Applicant: Eugene Battistoni
AT. 22 CROSBY ST
Applicant Address: Phone: Insurance:
534 Market Hill Rd (413) 549-2693 Workers
Compensation
AMHERSTMA01002 ISSUED ON.712112006 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE PORCH 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 7/21/2006 0:00:00 $25.0019027
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo