25A-093 (2) '8 g".S iFl
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INSULATION s AUG 8 2007
& .�
SIDING CO., INC. � "
} I LSD
56 FRANKLIN STREET EASTHAMPTON, MASS'ACHUSETTS`01027-- -
EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411
Contractors license #10 1858
Proposal Submitted to Phone Date
Jennifer Brazenall "Purchaser" 413-584-0401 Home August 6, 2007
Street Job Name
22 Coolidge Avenue
City,State and Zip Code Job Location Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL REPLACEMENT WINDOWS
OPTION 1:VINYL REPLACEMENT WINDOWS
1.We will remove and dispose of wood and or aluminum windows if existing.
2.We will install(17) Double HungCertainTeed Devon Vinyl Replacement Window Units in designated areas.
3.They will have double pane insulated glass with Half-Screens. Color will be White without grid work.
4. We will install fiberglass ins ila ion around window units installed and seal with Silicone a ilking on interior and exterior.
5.We will blow Class One Cellulose in weight cavities around window units installed where needed.
6. Window Units will have Thermaflect glass.
7. CertainTeed Vinyl Replacement Window Unit has a "Manufacturer's Lifetime Warranty"and the glass has a "20-Year
Warrant
PRICE: $4.983.00
OPTION 2: GRID WORK
1. Window units will have Full grid work.
PRICE: $321.00 6
NOjEApproximate,_,sttart date will be 3-5 weeks from deposit date less inclement weather,
** PRODUCT& LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT.
HOMEOWNER WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMITS. _
** HOMEOWNER WILL BE RESPONSIBLE FOR REMOVAL OF CURTAINS, MINI BLINDS.AND SHELVES.
** A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST.
** T.P. DALEY INSURANCE AGENCY OF WEST SPRINGFIELD. MA IS OUR AGENT.
WE fr'RO • E to furnish fh*erlal abddabor, complete in 4cc6rdance with eboVe specifications,forthe sum of:
.. w I. ,
_.,... ollars($ 50% Down Balance Due-Upon - ) payment due upon receipt of invoice.
If payment late, interest at) 1/2% y be added. Completion of Job
NOTE:This proposal may:be withdrawn by us if not accepted within THIRTY days.
...... ---------------------------------------------- ------- ---- -
Ed Losacano, Owner
Contractor Salesman
Ac pt an e b Purch er,and le
,I�uBm�z��ficel this agreement if it has been consummated by a party thereto a�a place osier
Jent�iar>Yan acf'dsress ofT� e
seller, which may be his main office or a branch thereof, provided you notify the seller in writing at his main office or
branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day
following the signing of this agreement.
See the attached notice of cancellation form for an explanation of this right."
SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE.
p4`�tuMPTO
,.GrifLJ of Xart4aillp f an r
�HSSAC}jl[StttS -
-, DEPARTMENT OF BUILDIJtiG INSPECTIONS
INSPECTOR '212 Main Street • Municipal Building '
Northampton, MA 01060
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HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMEZ 108.3.4 to
act as his/her construction sup'--,isor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a orie or tW6 fame y ___'
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
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 oven 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
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(rii� ofl�rf(ja�li}�toll - —_ =
II jt ' 8 �ta�aitrflttscl[a'
r DEPARTMENT OP IIUILDrT(C INSPPCT1ON's
1 212 Main Street ' Municipal Building
Northampton, Mass. 010GO
WORSM,R'S CONUENSTTON MSURA-N CFA FTITD:NM'
1
I, All Star Insulation & Siding Co... Inc.
I (li ccnsx�permi lice)
v.9th a principal place of businessfresidence at: - -
56 Franklin Street_- Easthampton, MA 01027 (l hone')413-527-0044
(SII�-t/Ci f j'/1221 G�Zi�)
do hereby cerr--, under die ppins and penalties of perJury, ?-1121
(X) I am an employer providing the followine'tvorkcr`s cotnocnsadon covemsc for illy
eli3plovees wortng on tl)is job:
v _ -
(Ibsur-��
CO (Pelic:?cur) �:pirvor, L�zt~)
i
ti O I am a sole propretor, general contractor or homeoW-Der (circie one) end hcve hired
j the contra(:,ors listed below who h2ve the following worker's cor-pen_tadon policies:
(Namc Oi Cot-m-acior) Onstrancc CoTnpa i)•APoUci Numb--T) bate)
(Namc of Coomcaor) (lnsuta_nc:. Comoan-wPolic Numcrr) (t»ir lion Date)
i (Name of Conn-aco,) . Comra )• PoLc) Nurh,-r) (E x irdoo Dalc
)
i
j (Name of Contractor) (Insurance Comczny/Policy Numbcf) (ExpifaGoo
(naxcb-,6diZ:cc51�cC.ir ncc��•to infoc=,Moa p-vi--ns to.13
O I am a sore proprietor and have no one wor4dag for me.
( } I am..a home otuner performing all the work myseif.
NOTE:pl=-=be aorut tbx •la]
ve bcmr_o.-ov n ubo camploy pCrLorW to d3 m— • c,cjoo cr rcpza r wane ov c d..clt Z of
tux mote then tuo==ahj is%-bcb the homoo,wcr raid.or oa the gvu zp purtca.=tb=c•-n :r ax C^.. Ily--d-rd In be
cc6p1oyes u the--Oe --C=Pu=--+C,n An(GUI 52-=1(5)1 applicaDoc by a bommava fv c lice.=C(P-=rz.y c`16=cc LL-C
IcpJ n....,oft=cs,loy. nodcr dw Worjkc t Compemslioa AcL
I uo&rn od dwd a oopy oft b.6 macaws my be forwarded to tba Do[x„mmr of Iodstcsici A,6d..&oim–or ltz—r,,,,b,
aover><se v>Tfjoiioa aald aua riltae to ac=m)covcTa undc sociioa 25A of MOL 151 can led to the imp=-boa oraim:a P=-hi-
comLSmg ora riac orup to 51300.00 and/or 6=Prisoaax=i orup to ow yc,r,e.od ovil P=apua in tSc roan ora stop Wort;ad's and a
fits o(S 100.00 a day aptinst me
or
[mcap:d �••�u,c«ry
Pcrmit Numbcr —
Lot. R
j St�nattcyr otL miU,:4 e
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SECTIONS-CONSTRUCTION SERVICES •+,;
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
Not Applicable ❑
All Star Insulation & Siding Co., Inc. k D tares
Company Name Registration um er -- —
56 Franklin Street Lp—l[ps-
Address Expiration Date
Easthampton, MA 01027 Telephone 413-527-0044
SECTION 10-WORKERS'COMPENSATION iNSURANCE'AFFIDAVJT(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 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 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
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SECTION 5--DESCRIPTION:OF.PROPOSED V11.ORK(check all.apDlicable)
New House Addition ❑:- Replacement VAngows Alteration(s) Q Roofing
Or Doors (K) J
Accessory Bldg. ❑ Demolition ❑ New Signs [C31 Decks [0 Siding(01 Other[C7j
Brief Description of Proposed ` n
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
a- "Wfiduse'shl o-dcfif a fa existing�aouslna bb in"' WORM atlau In :
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
L 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 w OWNER AUTHORIZATION ,TO,BE COMPLETED WHEN.
OWNERS AGENT.OR CONTRAGTOR APPLIES FOR BUI LDING PERMIT
I, 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
All Star Insulation & Siding Co., Inca as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
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Print N�gefi
Signature of wner/Agent Date
_
Section 4. ZONING All Informat-j6h 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 %
Open Space Footage %
(Lot area minus bldg&paved
parking).
#of Parking Spaces
(volume*Location)
'
A. Has Special Permb/Vuhunue/Fnd - mxerbeen �suedfor/unthes�n?
' v�� �
xo k � DON'T KNOW 0 YES ��
|F YES, date issueU:
IF YES: Was the permit recorded ot the Registry ofDeeds?
�� xx
NO �� DON'T KNOW /ES
IF YES:� enter Book / Page and/or Document# |
J �
-
�� ��
D. Does the site contain o brook, body nf water orwetlands? NO �~��� DON'T KNOW v�� YES ��.
IF YES' has permit been or need to be obtained from the Conservation Commission?
Needs �~� Obto�ned /—\ Date- x�� \~�' ' '
C. Do any signs exist on the proporty �� ��� YES ��' NO v��
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre nrisd part ofo common plan
that will disturb/over1 acre? YES � - NO �
' �~ ' ~~
|F YES,then a Northampton Storm Water Management Permit from the DPW is required.
/
City of Northampton o
i�
Building Department a
212 Main Street eI•�
---__ Room 100
((77 Northampton; MA 01060
$'one 413=�87-1240 Fax 413-587-1272
( �IPPLtGATM'ONi��Qti�NSTR CT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -51TE:'INFORMATION
1.1 Property Address: This section to be completed byoffice
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(� �� �` lzot � x ` h�rUttt
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l►J� {/'��/'�� (/.� ftX T k
Zone n+ " 0.ver,WIDI sfrrct sr
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT:
2.1 Owner of Record:
Name(Print) Curre WMalling e
Telephone
Signature
2.2 Authorized Agent:
All Star Insulation & Sidings, Inc 56 Franklin Street - Easthampton. MA 01027
Name(Print) Current Mailing Address:
`l' _ 413-527-0044
Signature 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)Estimated Total Cost of
Construction from 6
3. Plumbing Building,Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) iJ Check Number
- This`Section For Official'.Use Onl
Building Permit Number Jis ued:
Signature:
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Building Commissionerlinspector of Buildings Date
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BP-2008-0207
GIs#: 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-2008-0207 3a�
Project# JS-2008-000308
Est. Cost: $5300.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 6664.68 Owner: BRAZENALL JENNIFER MULLINS
Zoning:URB Applicant: All Star Insulation & Siding Co Inc
AT. 22 COOLIDGE AVE
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:812712007 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS
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 8/27/2007 0:00:00 $25.0034686
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo