25C-241 (3) RC.I.--R ' fin
O O g, LLP
51B Holyoke Street
P.O. Box 309
Easthampton, MA 01027 Estimate Date
Phone (413)527-4775 10/24/2005
Fax (413)527-8459
Name/Address�! Job Location
Will Weber 235-237 Bridge Street
X73 State Street Northampton, MA
Northampton, MA 01060 584-1852
Terms Rep
Estimate valid for 60 days Mike
Job Description Total
Remove existing roofs. 9,200.00
Furnish&install aluminum drip edge,pipe flashings and chimney flashings.
Furnish& install new lead counter flashings.
Furnish& install ice &water barrier along eaves and valleys.
Furnish and install 15 lb. felt over existing deck.
Furnish and install 30 year Tamko Heritage Series shingle.
Furnish and insta!i Cor-A-Vent ridge vent.
All roofing relateu debris (o be removed by R.C.I. Roofing.
All work will be performed according to manufacturers'specifications.
5 year R.C.I. workmanship warranty included.
30 year Tamko material warranty included.
All related permits will be obtained by R.C.I. Roofing.
SPECIAL ITEMS NEEDED
Add$2.50 per sq. ft. for wood replacement if needed.
WE LOOK FORWARD TO DOING BUSINESS WITH YOU.
Total $9,200.00
TERMS OF PAYMENT
30%Upon deliver} of materials
70%Upon completion Customer Signature
Registration# 126235 1�ael
Construction Licen.e#074334 Date
Insured by Hackworth Insurance(413)527-9907 ��e
0 0 yu eZ4e.N
Crxf Of Warfilttmptall
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�lassachnsttta'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSAITON rNSURANCE AFFIDAVIT
(licensec/permi�ice)
with a principal place of businessJresidence at:
sorer/ ty/statr/ap)
do h(_reby certify, under the pains and penalties of perjury, that:
(1� = am an employer providing the following worker's compensation coverage for my
employees working on this job:
Amaly-an`Int'l Goo jr) 6816bI0 10/5 /Ob
(lnsurancc Company) (Policy Number) (Expiration Date)
a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
,Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attaC:A3ditiocul tbcet if neccss to include infonnziioa perudniog to all cocradots)
( X am a sole proprietor and have no one work-ing for me.
( ` I am a home owner performing all the work myself.
NOTE:please be aware that wkOa homeowum who ealpto y pessom to do maiatea=eer cotntructioa or repair worn on a dwelling of J
not mere than throe units is winch the homoovvaa•resides oc oa the grounds>cpvidtaaat thereto are oa generally oomidered to be
carp!oycn under tho worker's coaVcnss4csx Ad(GL1 52.=1(5)),application by a homeowner for a Geese or pennh may evidence tha
lcg�i status of an employe under tho Wocicees Compeosstion Act
?undcnund that a copy of this eutemagd may ba forwardod to the Depaitmccd of In&xstrid Aoridexx&Offioe of Insunner ford*
-vatic vaifi cation and that fai vm to more coveraga under saWoa 25A of MOL 152 an lard to the ion as of aialbal pea wfA
00-is4 ottt f=ot'up to S 1,300.00&Woe WVVb0 0Cd of tiq to rtes year trod dva p=Wts 6 the Poem of it Ito Wads Order led a
fir-of S 100.00 a day lvitui the
For dVut=W we OWY
Pcrmit Number
Map# Lot#
` y t, Signature of LiccnSwjpermittee
SECTION 8-tCONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : . maY� S 1 / 4 334
License Number
51 A tot - 027 5 -03 - ob
Address t Expiration Date
(.q13)
Signature Telephone
lk`Z "i`g Fend a m n °ontractor Not Applicable ❑
R-0- 1. oof� a I It 235
Com anyName Registration Number
,5113 Stril?L°t - P.n. 3m 3o9 5- 0b - CIL
Address J Expiration Date
Telephon 'l5
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 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� taehp
SECTION 5-DESCRIPTIONiOF PROPOSED WORK(check=all'aaalicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
6a 'IfIN"iMIK60Se,J d 0WMditionAo existing h"o'rusinfr combte`fi"e thb fflt`I I`M
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?
In. 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 .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER'AUTHORIZATION -TO BE COMPLETED WHEN
OWNER&AGEN7 01 W ONTRACTOR APPLIES FOR BUILDING PERMIT
),4e 6dc as Owner of the subject property
hereby authorize Nark 6 S P o 00 fiYld to act on
my behalf, in all matters relative to work authorized by this building permit application.
attw.11�d 3- -,)q- Db
Signature of Owner Date
I, Mares A S'L as eA as t as Owner/Authorized Agent
hereby declare that the statements and information on the foregoin application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
=Name
Print
3- a9-06
Signature of Owner/Agent Date
Section 4. r
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 DON'T KNOW 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
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 413.587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ON T LY4WtL
SECTION 1 - SITE INFORMATION
1.1 Property Address: " x This s c i
;235 237 ae; st. p
Zone �Ovrlay, �� c
r
Elm St.'District CB`Drst?ct,-
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Will Aeber 273 "Std-r& St Kee Al `4n
Name(Print) Curre icing A�t5-
AttacheJ Telephone +t J a
Signature
2.2 Authorized Agent:
arh`)el i51e-.—9. e. ED. &x 9 - EaAt araotw- Ma
Name(Print) Current Mailing Address:
13 5T - -4 TIS
Sig ature Telephone
SECTION 3 -"ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building Roof A -! zW-Vv MM (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) ClIZ00,00 Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
3.
g re:
Building Commissioner/Inspector of Buildings Date.,
fwwl BP-2006-1044
Al
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Cate og ry: BUILDING PERMIT
Permit# BP-2006-1044
Project# JS-2006-1546
Est. Cost: $9200.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 126235
Lot Size(sc.Al 7056.72 Owner: WEBER WILLIAM R
Zoning: URB Applicant. RCI ROOFING
AT. 235 BRIDGE ST
Applicant Address: Phone: Insurance:
P O BOX 309 (413)527-4775 Workers
Compensation
EASTHAMPTONMA01027-0309 ISSUED ON.41412006 0.00:00
TO PERFORM THE FOLLOWING WORK.-STRIP SHINGLE 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 4/4/2006 0:00:00 $25.008477
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo