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25A-128 (8) /WX"dorB uo/il d in�gR egii I a ons and Standards... One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration ReplstraUon: 142279 Type: Priwte Corporation E=Obon: 3/2412000 PELLA PRODUCTS, INC. GARY SHERMAN 155 MAIN STREET GREENFIELD, MA 01301 Update Address and return card.Mark reason for cbsog Address (3 Renewal (3 Employment Lost Card So rd o or t;�uaia=Ad aj&ad 34A@dardi License or registration rslld for ladiridul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. U found return to: Board of Building Regulations and Standards Rogwtratlon: 142279 One Asbburtoo Place Rm 1301 Exptratlon: 3/2412006 Boston,Ma.02108 Type: prtws Corycrabon _'...A PRODUCTS,INC. ,RY SHERMAN s "IN STREET �,-+ryCf�'✓ ?EENFIELD,IAA 01301 Admlalstntor '� Not lid w bout signature t Proposal P 2/9/2005 f� Installers Inc. (Pella Windows) 69 Ashley Ave. VIEWED TO BE THE BEST® West Springfield, MA 01089 (413) 736-9239 Proposal Submitted To: Work to be performed at: Name: Mrs. Ellen Nigrosh Street: 21 Bates Street Street: SAME City: Northampton State: MA City: State: Phone: 413-584-5537 Proposal#:7392AM20 Sales Branch: 52 We hereby propose to furnish the materials and perform the necessary labor for the completion of: (2) Pella Architect Series Precision Fit Window(SE) Model 3 White clad exterior @ Double Hungs InsulShield (Low E Argon/Insulated) Glass White Ma f screens -T:�,/1 5)fVNS Champagne interior hardware Insulation of window pockets Silicon Caulk exterior voids Wrap exterior with white aluminum break metal Interior of all windows will be left unfinished and ready for stain or paint. Includes all applicable taxes and removal/disposal fees. All windows professionally installed by Pella representatives. Notes: I�7 Material Total: Vj 16@ (s IDO 4! /l y � 7 l q& LaborTotal: X 7 Finish Total: - State Sales Tax: $ Proposal Total: $1,362.94 Alternate Prices: Alternate " 1: Add: Alternate 2: Add: Alternate 3: Add: Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent on strikes,accidents or delays beyond our control. owner to carry fire,tornado and other necessary insurance upon above work. Respectfully Submitted: This proposal may be withdrawn by us if not accepted within fifteen(15)days The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as Signature. 2 ( specified. Payment to be made as outlined above. Date: Signature: C Page 1 of 1 �'C1iAMP�. i GritV of Xort4ainpton L � � � jliltassacl�usettn s DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,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 sups-,•isor. 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 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 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 o�•Stt1�H!>TO � ?�� { (-jill L1f C\1L7rtlJcil]T�I LIlI z 6 hlaesac4lnsctls' � 111 m DEIIIIJ 1IENU OF EUILDDl G INSPECTIONS M MaiI1 Street ' Municipal Bultding 2-,Torthampton, Mass. 01060 WOP..I{ER'S CONITENSATION INSURANCE AI~M)AVI.T v"Ith a principal place of businessJre;s Celle t: cti r Ii�I1C.- do ki-cby ccruf,' ili dt--.f Lllc pa ins ;:i1n pCil t-c U1 p!:1)U1_y, crllpioyei py IC�lIlj tliC iO�lO'Vii]t '.:OI't:CrS COII1pC;1SaL10I1 GOVCI":v i0?• IIly clilplOVCGS Working on 1.115 job: _ J (I.rls.ISanca: Comm') cucr Ntu_nber) (E_gpiration Date) j 1 `cl a sole prounictor, gellt;ral c.=:)n.,Tac-er 1?oalefl},-'0er "Curie oLle) and, "t':ave Tared the cont`iactOrS lISted tbe10'lii 1'si}0 ill: iO�G" tii/OrKP S COi?p°f1 lOil )^11L'. 5: (Na-Mc of Conn- ctc)r) Cn_L'mnc Daic) (Name of Contn.C<or) -- (�1]SI uI G COm� :l;/�G(lCi N i Cf i) (1 ?:Dir i10 Daft) (Name of Coatraelor) (lI1SdrdIc; Cool fall /Poke- ibc. Dale) - Name of Cont�lctcr — r�_ .-- {____.. Date)- �JJ ) (Ti]SCI II1C Cos.. �,y,l olicy Nlurnb�) (. ( 1 iLTI c. OIC prOl?T.1CL0i <iil;l I avc 110 olio , .`% 1 ii` loi -.11". 11}Il < 1:01110 NOTFF plcasC be nwh zc tls: .ln}c h<,-�o«Zr : .-o c.:;pl^ cr not uxet than three uni+t3 in}c{ dt he 1> .}v.lzr rc: u<a;'�: _:.�xot•r crux'Lhce o e e r{Cc rsall ccr.::;;::; :v t� =Iployc;3 undce the}vari;_Ys cc::: icn r (GI, 1.52-:z (5);,-.t:Lca:icr.6y a hntacn}act fcr e Larx c*p'r vt:: cr,c legal etatur of an csplo}'a un�:er L`:n Wcv'ecf+Co.-L�;asition?.cL I I undci:ttnd this a Copy of th:.CISLGI:S_'.City lip forw itdt J to tl' [Y{xirLZr+}t of Itldauricl for>1x coverage vcr-LGclion and that Lil uc to: 2 5 A of 1.1GL 152 can Iui to the i:n;czitim o;c irrl Qcta - cocnisting oCa flat oCup to S1,500,00 ant�'ct )-,Zr r.:.1 civil perultia in 3c fonn o•f n Ste" `ni.Ch=t:_A a f rn of S 100.00 a day agzitri m.. - COC t{ri;u LIZ1�CSI It le Ct 1I}' permit Nuultx;r -____-- ��� Z �/YP_ _ Slt;naturc cif I.ict;n_:c:1I'crntia�_-• _ ,SECTION,8 .xCONSTRUCT110N SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone 'e" "e"r" de rn r uemeri: .Contracto Not Applicable ❑ 143C-)7q COMDanv Name Registr tion Nu ber dress Expir tion Dat OI Telephon -� SECTION 10 :WORKERS'fGOMPENSATION INSURANCE=AFFIDAVIT(M:G1.-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 them 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"homeo,,vner" shall submit to the Building Official,on a form acecptable 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 5ECTiON� D S R P�O`�NaFPR�OPOSED�WOF2K checkall�'a licable = ,�� New House ❑ Addition ❑ Replacement#iffdows [Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ) Other[ ) Brief Description of Proposed Work: ) 11-161e,, Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative D Renovating unfinished basement Yes No Plans Attached Roll 0• Sheet 0 a f. evv o d`o dition to ex stirig,housi!ff comple oM e f 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 . 1. Septic Tank City Sewer Private well City water Supply SEC�ION,���OINNER AUT,yORIZATION TO BE COMPLETED YYHEN OWNERSAGENT�OR�CONTRACTOR APPLIES FOR BUILDING PERMIT x .... I, LL as Owner of the subject property hereby authorize to ac.. on m ehalf, i"ll matters relati work authorized by thi b lui ding permit application. Signature of iwn Date 1 I, as Owner/Authorized Agent hereby declare that the statements and inf rmition on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 2 Print Nalne l� Signature of caner/Agent Date s Section 4. i 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 DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT 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 � 212 Main Street Room 100 Northampton, MA 01060 n phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH d©, TWO FAMILY WELLIdlG SECTION 1 SITE INFORMATION This sects rk to be o WOW! office 1.1 Pro a Address: av � I r 3 r TN's •1 y, f j n°f i Tk �� r r Map ' Late xrT11t I11 ! � ���f�� Zon ' cerlaD�str�c ' T x , i�itl Sit"DlstrlCt SECTION 2-PROPERTY OWNERSHIPJAUTHORIZED AGEht 2.1 Owner of Record: I - e(Print C e e7 n)Addr2sss, f r Telephone ignature Authoriz ent• LID4 J c lra� �1 ame(Print) Current Mailing Address: Signa r - 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 Al- 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) Check Number C, This Section,For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date 21 BATES ST BP-2005-0821 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A- 128 CITY OF NORTHAMPTON Lot: -001 Permit: Buildina Category: windows replaced BUILDING PERMIT Permit# BP-2005-0821 Project# JS-2005-1108 Est. Cost: $1363.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 142279 Lot Size(sq. ft.): 19209.96 Owner: NIGROSH BARRY J&ELLEN EMERSO Zoning URB Applicant. PELLA PRODUCTS, INC AT. 21 BATES ST Applicant Address: Phone: Insurance: 155 MAIN ST (413) 772-0153 WC GREENFIELDMA01301 ISSUED ON:312105 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 3/2/05 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo