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25C-227 (2) u Sit w � 5, Y J• INSULAT"N & SIDING CO, INC. 56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 01027 EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411 Contractors liccti�'(, 4 io i i58 Proposal Submitted to Phone 7t• 7 Steve Robinson "Purcho$er Street Job Name 4 Conz Street ag VIiI ri�it Stmt, lorthmr City, State and Zip Cod* Job Location ! MT1 t0r1' W, 01w PAGZ I of ...jJob Phone &t)1 Contractor hereby submits to Purchaser specifications and estimates for: 1. We vii'! I new Virlyl -,Y: al", cA'terj,,r vk i Ix= n a and brand rare. = UV 2. We will nail a'l siding approx. 16-24" on Center usfi1q al and ran nails so il rot rust w&erreath the siding. 200 • Wp will ins��all a 3/8" irsulatpd cl i vi�run' 4. 'Wood trim (33) V i rr 11 -e Wlrtiowsi'Ps will be trlmr�x,' gut wJtJ1 '*ill-e almiru�'. �t;x'k Vii I rarove existing ,Trmm v&t-vHr 'vv f. WOW '91m arourki t5) door's ,v'1 11 De rtcck rra xl trin sff f i t and fasc i a VJ';1-' 1-,1, f f 9. Wood rake fascia wil I Ixe covered with 41"'ite .al l snit wi -oil s-mck ;iclwriali. 1,G). Any caul k i nq that i*,cj rk ck-)r>P wi)1 x, done wi'6' '-J'1 i a)r'✓ k i i Ki, ccse wi 11 Any c!xistirK. j,'m that is 'A-�terioralw( L 1'). We Wife install (6) vinyl litL, i--locks ."Ir J.-I 14e vi i"I install. ('(-') dryer vents in desiat'Oti--N! a Tyea S 3.�5 4� wi I I install Vhifp tvlac;tir- r—hitfN, A PTO •� � C�ii� of r'az-f i7?:a1�t�to�, i ' ' �Y�iRrhncrll� DEPARTMENT OF BUILDrNC INSPECTIONS 212 Mam Street M nicipal Building Northampton, 'Mass. 01060 WQRKZR'S COMPENSATION U�SURANCE kFFMAVTT I, ED LOSACANO MFR OF ALL STAR INSULATION & SIDING CO. INC, i u censcrJ perm:tree) with a principal place of busnessiresideoce at. 56 FRANKLIN STREET, EAS7RWTON, MA (phone#) 413-527-0044 (smxrJci ry/sra., l:n p) do hereby certify, under the pains and penalces o� per;ury that. (X) I a.m an employer pro�Jd :�g },e el!ow�n5 vc r::crs compcn�.>auon coverage for my employees working on tt rob. (Lasu.=ce Co=Pay) (Folic}' Number) (ExpiraCloa Daic) O I am a sole proprietor, general con dor or ncmecwner ;cycle one) and have hired the contractors 'tined below wbo have �he fo��o ng worker s co©pe>;saaon policies: (Ne.me of Contractor) CLILS nee CoMpazry/?cli(-,7 NuJnbcT) (Expire(a oa Date) (Name of Conractor) 01"ra.ncc CA spa Jyr'Pol:cr Number) (Expimuon Date) (Name of Contra(nor) (Isxsuran� Com�aJa}IPo icy Number) (Bxpuadoo Dale) (NaLmc of Contrcor) (1rs . �c� �v , (Lxpirauoa Dare) (aclata 4414 J C CiU Lr1PG! J n cwu y to ux_u y� ctc�rr a a oo P�r -aLr4 'x u a curncwn j ( ) I am a sole proprietor and have no one wor�=g for me. ( ) X am a home owner performing all the work myself. NOTE'.picric be aware ttuµ;.'e be wocn ax r.Ira r, a ;arc ro c�oa ar repay Work oc Cwt ag o; nol more --iw ttc ':,. max:�. cX .Y; < o e�7x�caczelty aam.dercc x ccaploYm cc pane msy cy"dC c Uhc 1r$;w MU 44 o Y uaC-r�:Io w'wx. r Coa .-x 1 undezuaad t�a oopy olthii mlarsm m►y be lorwer<1ed b i:c Crper-;rn of l�a_unal nwdessc!Qffioo of ta3urwce fnr;2�0 coverage vaifi tali oo anG L'ut tr'W-�e w ica:.t��e"'e�-.:c :cam r:S�.rw''.S�''�. ';;1 �:.',�C w'moo u�>ti ca o f a-�c.u•� ;craiL cs oomis¢ 8 of t Ezx of u u S I-Sx G ��G'or ✓r y�c',cy o! y ore ya <;a-ti xr,, ca n",c corm oc a stop worti Ci - ind a fitao o!5 t A L my Lp-a�U a t F cx dcpuZmaYiJ use ooty . --, �/ Pcrrnit NuJnbeT Ma P4 Lot S i gnab.JZe o:L i oanserJP c rcni act __._ 1 1 'I �.. SE N a 01611S'TRUCTION SERVICES ,1 L IGenzed Construction Supervisor: Not Applicable ❑ Nam*91 License Holder ; License Number Address Expiration Date Signature Telephone / � 1" F►'noitil��ff�Oo"nr` cto>r�4 ", �',�;��.,, 'r �'`y' �� rPC ,`d� "+`'"1 Not Applicable ❑ Company rJAWe Registration Number %ALL .STAR INStJLATION & SIDING CO., INC. Address 56 FRANKLIN STREET, EASTPffTON, KA 01027 Expiration Date ; Telephone 413-527-0044 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 buildin g permit, Signed Affidavit Attached Yes,,..... ❑ No....., ❑ 11 Vf it J9 I�i {r t8 "Y i� 4'U, f{ TV,4,'}4C9Ti.�P1t�.W7. w iiefExehlwl 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 108,15,5 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 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 rr4 ECTION 5• DESCRIPTION OF PROPOSED WORK(check ail applicable) New House O Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors O Accessory Bldg, O DemolitionO New Signs [ J Decks [ ] Siding>A Other [ ) Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 r Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet 0 {+Ce I 6:a�*�f ywtlind`oraddition to4kisting housing, complete:the foil'dwhig: 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? Type of construction i, Is construction within 100 ft, of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Nc 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 • TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. as Owner of the subject property hereby authorize to act or my behalf, inall matters relative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the statements and nformation on thi foregoing application are tru and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury, �-7d yo i>1 (-0 Sac cli. f b Print Name C Signature of Owner/Agent Date 11 � 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 y L' R: L: R: Building Height Bldg. Square Footage Open Space Footage ova (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 V 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 ✓n 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 phone 413.587.1240 Fax 413.5871272 a . APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Y S�CT10NSITE INFORMATION Pl4R�Y This $ect l c9rllp..e9 hY 9 , 1.1 Property A dress: 19 e ���� Mapt �r . � ty _ Zone QvJyCll�trl�t -� i ' Elm St. District District____ SECTION 2 • PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �a b i��,n Lv z �}r� T; Nbf4h&M to IVA Name(Print) Current Mailing Address: ' 0 DUO '? Signature Telephone 6 - l C E 2.2 Autharized Agento ��: C �� ►� � ;l- � � ��lama Name(Print) r� Current Mailing Address' Signature Telephone SEC11ON 3 -ESTIMATED CONSTIR JCTION COQ 7 Item Estimated Cost (Dollars) to be I Official Use Only completed by permit appi.t cant_ 1. Building 4 3,p� . Budding 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) --heck Number This Section For Official Use Only Building Permit Number Cate issuea: _ Signature: Building Commissioner/Inspector of Buildings Date 49 WALNUT ST BP-2003-0959 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C-227 CITY OF NORTHAMPTON Lot: -001 Permit: Building Cate og ry: BUILDING PERMIT Permit# BP-2003-0959 Project# JS-2003-1547 Est. Cost: $10653.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: All Star Insulation & Siding Co Inc 101858 Lot Size(sa.ft.): 4878.72 Owner: ROBINSON STEPHEN Zoning:URC A-plicant• All Star Insulation & Siding Co Inc AT. 49 WALNUT ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON:516103 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 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: Feel e: Receipt No: Date Paid: Check No: Amount: Building 5/6/03 0:00:00 28336 $25.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo c'lr INSULATION & SIDING CO, INC. 56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 01027 EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411 Co ii t ra c t ors I i 10 1858 Proposal Submitted to Phone Date Steve Robinsrr "Pvrchoser" ficc I Street Job Nome 4 Conz Street 490;itr,;f North&r",,r. City, State and Zip Code Job Location Job Phone %rtlt5ritnn, VA OIC60 P AGZ I Contractor hereby submits to Purchaser specifications and estimates for: Vk- i 1l_Ni Vinvli and brand rkyre. We will nail all siding ar pprox. 16-24" on Ciariter usfixjahriiran nails so 11 rot r underneath tt* siding. U zUUj 14P 011 a 31/8" jj,ijj'IatA-d t 1 I'6'RC 4. 'Wcod trim a.,(Y)und (33) WirxiDAills will be tr"nwyJ ^;Ut Oth 'oPIiTe a"IminxF., b vi 1, 1 rerove ex if sti nq �-,t r,�c.ajl"k r. WVj tr'im 3�'oulyl k5) door,s �-J'i 'vko,' trim snfflt and fascia i,.1J1 Wccc rake f;)s,i a wi I I be cover Wi th --al lvi r '-,011 rtoca i a L0 Any caulking that "C) r)e d,)rXt' '91 11 (kiO? Wi ,01 k. '�J U11 l', 1 KI 11. Aryy existing, w-)od that 0j. Any Qxiszi n(j 15 C. tt . wi V 0. We ! i nsLJ 11 (6) vinyl .^j install (2) dryer vents in desigrotRl at-eas. ate wil i install 0-Ilte t�astir T7*li,,t&, j r Wc- wi 11 r,ri Ne and rv-i M.ti I I ex i sti rx4 qu tti�f.c, 1,-/, Only arms to be covered nn first arxj Seccod floor rlearox-n -I I f Fit white alurimn coil stock rmttrial. A"s to be coverM on first and se.,xi.ij fl(x.,,r, front i'I —,,Q f f i t a nd fas . _12 al u701 rgmii coi 1, stock inter A :ei I i 11 k, rj/ y "'i nl sof f ­X,X i-f..all�) "\!4 41-11 tk", a'j lin 1;r'�Jr,P I i 19. k)b Site of, 1-I be cleaned �_,por cmpl,?t-j()jj c'.j. 'k 20. Vinyl sidi;,q has a 'Mtrvf;1Cwr—er's Li_1:et4p,*e PRICE 10 6b:? k) OPTICN 2: WJ4-L �NW_AT;4` _2T SY 12-AINQ IX If rnf-All" Cur- (R-22 lnrztallp�, i� W_ _41 WE PROPOSE to furnish material and Labor, plete ip accordance with above specifications, for the sum of XV 1 IP A;c dollars (s rl JC payment due upon receipt of invoice If payment late, interest at 1 1/2%may be added NOTE: This proposal may be withdrawn by us� if not accepted .thin t-1:y days, Losaczno,�N��r Contractor Salesman Steve Rcbiris Acceptance by Purchaser, and Title 6 r; "You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the 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,