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30B-015 (2) Cary Palulis/Alberta Tabony Millie: 584-5156 Cary:860-675-5912 6/23/2014 Alberta:774-3004 26 Hinckley Street Northam pton,Ma.01060 Estimate for the following work at the above listed address for windows,siding,gutters for the house&garage.. #1) replace 2 garage windows,front picture window and 2-side windows and kitchen dbl casement. Use white, Low a insulated glass, 1/2 screens(like other new ones) Regular price: $2,975.00 Discounted price: $2,628.42 #2) Remove gutters and downspouts,strip and dispose all siding, install house wrap, install white aluminum coil stock for windows,doors and trim, provide and install new double 4"siding,color the customers choice, new vinyl soffits under the overhangs, install new gable vents,includes 10 year workmanship warranty. Regular Price:$28,574.00 Discounted Price: $25,245.13 #3)Install new gutters and downspouts in white for house and garage, Leaf Pro: Regular Price:$2,440.00 Discounted Price: $2,147.20 #4)Remove the existing driveway,same dimensions and 40"sidewalk,all prep 8"compacted gravel,& 1 1/2"base and 1 1/2"top coat Regular Price:$8,820.00 Discounted Price:$7,800.00 Add for the Northampton Building permit,we will get. All rubbish removal and clean up is included Regular price: $42,809.00 Discounted Price:$37,670.00 MASS.HOME IMPROVEMENT Contractor's Registration#100364 ex.06/16/16 Mass. Construction Supervisor's License#053221, ex. 05/23/15 E-mail address—TCMGCI @ AOL.com Thirty Seven Thousand Six Hundred Seventy and xx/100---------------------------------- $37,670.00 70%Down for order and scheduling:$26,369.00 30%Upon Completion:$11,307.00 45 The Commonwealth of Massachusetts ref Isd orial Accidents Office Of.irrt►est 41 ons 680 WaskhWon Street k1V Boston,MA 02111 wwwn&amgvY1dia Workers' Cumpelasation Insurance Affidavit:Bu diers/Contrnet hers wAnlQlitnt Information l ,yam /� / Please Print Legibly Name(Busine35�f�117�t1mudivlduzay /T 4 g4ft 4 S (7r l'L a C. A W�i,�J ��Y1 E"/�'Gf � �(� t�iL1A p ,.1 .�....� �T"�`��'f C Are you an employer?Check the tsppropriate bol<: 1. I mm a 1 with 41 4. � I am a general contractor grad I �`�'� p��� )� .coustruction employees(full and/or part-time).` have hired the sub-contractors ti. n New 2.0 I am a stole proprietor or partner - listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g- Demolition working for me in any capacity. employees and have workers' 9. F1 Building addition t [No workers' comp.insurance comp•jusurawej require&] 5. M We are a corporation and its IU_Q Electrical rgWn or additions 3.n I am a homeowner doing all work officers have exerci Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No Q SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, C Alf I Y,� I,L) � y 1 as Owner of the subject property hereby authorize / 4,hy 4-S to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date l �/ � l `/ %� ,y 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. 7A s 6, /4 c Cam' I'tt y Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not,Aspplica`bble�ry❑ Name of License Holder: AAA*-5 License Number Addres Expiration Date 2 Signature Telephone SECTION 13 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§26C(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 0 No Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor y � Not Applicable ❑ Company Name: C', e Responsible ,�In Charge of Construction 18 :Jut c�e 4 -5 Y. > 1 S 'mil G'LIi�r Gt ld 1 Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONIRZ—] 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 O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O 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 O 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: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other 19- Brief Description Enter a brief description here. 5-4'/ w P"' fit°®19 e r '`"�'� '` -"'` Of Proposed Work: 5.7 �rJ S 9 "1+�� �u 5 4r 1 Kl e us L"' <,i cl le . V-1 e t SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential 92 R-1 ® R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 1st st 2nd 2nd 3rd 3rd 4th 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system[:] z r � Version 1.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: �j Building Department Curb Cut/Driveway Permit - 2 8 SOU I! 212 Main Street Sewer/Septic Availability Room 100 WaterMell Availability lectric,Plumbing$Gas Ins ections orthampton, MA 01060 Two Sets of Structural Plans Northampton, MA o1 ne 13-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office /IV i�'ltV �V'r Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: C"7 I tM)tt 1'e r4�N��'$� 41 ejk Ta k"y Name(Print) L. Current Mailing Address: Signature Telephone 2.2 Authorized Agent: l 4-M igs C. im C C14'e y CC4 f 7kA'')"V u,, ILI4,01'01> Name(Print) Current Mailing Address: /� Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 3 (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=0 +2+3+4+5) (F'>d ®o Check Number r This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date 26 HINCKLEY ST BP-2015-0116 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30B-015 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:replacement windows/siding BUILDING PERMIT Permit# BP-2015-0116 Project# JS-2015-000207 Est.Cost: $36670.00 Fee: $226.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group THOMAS C MCCARTHY 053221 Lot Size(sq. ft.): 43995.60 Owner: PALULIS MILDRED&ALBERTA TABONY&CARY PALULIS Zoning: URB(100)/ Applicant: THOMAS C MCCARTHY AT. 26 HINCKLEY ST Applicant Address: Phone: Insurance: 3 BRODERICK ST (413) 527-5141 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.712812014 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS & REPLACE SIDING 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 7/28/2014 0:00:00 $226.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner