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INSULATION I
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> SIDI- G CO., INC.
56 FRANKLIN STREET EA THAMPTON, MASSACHUSETTS 01027
EASTHAMPTON OFFICE:527-0044 WESTFIELD OFFICE:568-6411
Contractors license #101858
Proposal Submitted to Phone Date
Steve Simurda "Purchaser" 413-585-8496 Home April 7,2005
Street Job Name
972 Ryan Road 413-219-5335 Cell
City,State and Zip Code Job Location Job Phone
Florence, MA 01062 12 Warren Street Florence, MA
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL SIDING
MAIN HOUSE
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We will install new Vinyl Siding on all exterior walls- Homeowner will have hoiQe of color styl and brand name.
2.We will nail all siding approximately 16-24"on center using aluminum nails so they will not ri st underneath the siding
3.We will install a 3/8"insulated Styrofoam backer behind the-qiding
4 Wood trim around (15)windows will be covered with White aluminium roil stork material -_
r Windowsills will be trimmed out with White aluminum coil stork material
O Wood`rim around(B)doors will b ith White aluminum roil stork material
7-Wood trim soffit and fascia will b e covered with aluminum oil stock and vinyl soffit material We will drill out
wood soffit areas to inCrPase attic ventilation
S.Wood 1 fascia in be covered with White aluminum coil stork material -_
9-Any caulking that needs t„be done will be Anne with Silicone Caulking
1-Q.Any "XI Ing wood that is loose will he renailed
11.Any existing wood that is d riorat^d which need°tQ be replaced so that we ran perform our work will be replaced.
This does not include env stn Intl Iral or dimensional lumber,
12 We will install Q)gable end low rs in designated areas -
1-3.We,will install(4)vinyl lie blocks behind light fixtures.
14 We will install (2)dryer vents ir- deSJgnated areas We will install White Mastic Fluted or Traditional corner posts on all corners-
1-6.We will remove and reinstall existing glitters and downspouts
17 Areas 'o be over d on Ist 1 s floor Driveway side Porch ill he as follows• clothing interior exterior where Possible
18-Areas to bra _ •-red on 1st floor Front Right side Porch will be as follows, Interior Main Hot use walls•exterior where
19, Homeowner will remove Rear Wond Shed.
9Qm Job.9itp will be cleaned upon completion of job-
C�a
"Manufacturer's Warranj)I'. APR 22 0 2005-
PEICEN $7-65.100
** HOMEOWNER WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMITS
** HOMEOWNER Wil I BF RESPONSIBLE E FOR ANY ° ALL ELECTRICAL OR PLUMBING IMBING WORK THAT MAY R1- NEEDED
**A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY ITV Mill I RF FORWARDED UPON R ) FST
**P INSURANCE AGENCY OF WEST SPRINGFIELD-MA IS OUR AGENT
-
WEIIV 7IIrtH1Yl AGENCY VI
WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the suln of:
$7,653.00 dollars($ .50%-Down, Balance flue Upon - - payment due upon receipt of invoice.
If payment late,interest at 11/2%may be added. Completion of Job
NOTE:This proposal may be withdrawn by us if not accepted within THIRTY days.
Ed Losacano, Owner
—_- --t--a Contractor Salesman
SbeveSl Acceptance by Purchaser,an Title
"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.
'CHpMPj, _� J
f ;,.Gzfy of Xarthainptan z
� � �1Glassac}tuseffs -
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 }:is/her construction sups- :;;sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be,a one or two fdm -
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 f egulations. 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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DEPARTVENT OP BUILDp-IC INSPPCrt01.'S
j 212 Main Strcct Municipal Building
Northampton, Mass. 01060
«'ORICER'S CONITENSA77ON GNSURANCE A=AVj-j'
(li ccnsxJperm;titx)
with a principal place of businessfresidence at: - — --
CQr fl '1 t'fdione`!) �=
(sar...t/c,rj/sialL/a p)
do hereby certify, under tbe.pz.in.s and penaities of penury, --hai
�I :m an employer providing the followine!worl:cr's comocas�don cove 2;c for Ins
eivployees Nvorong on this job:
(Lanu-:n=Cone (Polic:t:u-air) (c:pir�aon DzL)
i
O I am a sole proprietor, general contractor or homeowner (title one) and hwe hired
the coauaciors listed below rgbo have the follo�v'g worker's co nep—,2ion peGcies:
j
(i+amc o. Con'.::?cior) (In umnc: Coinpai -IPoUC, ?'u1nL_. r `: i,aL•_n
s .
I
(M—ne of Contrcior) (Laurance ComoanytPoUcc: Numb-zo (E-,D anion Da[e)
j
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(N.me of Conlraao,) (Laurance. Compan)'/PoUC)- N:imbu) (Expiraen Daic)
I -
(Na-me of Conaactor) (Lnsuranc-- Comcauy/PoUcy Numbs) (Expim on Dau).
(ally cb �ocj r3oC,if nc<xa--v w iacud=inform-7 oo pcu,i: s to.11 ccvso�)
I
O I am a sole pr-opn'etor and have no one woridDg for me.
am.a home owner perfon-n;ng all the work myself.
I NOTE:plesc tx acrue { Jc bcmeovvcn-bo cmpt°y Pcno=to Lio c -• c=. zcjcc c rcpzir—orz on a d%-e[-Z of
act tnoce th a t'rrr tmi�ism the bomoawoc raido or oa the av»u+ zpyir1cu11 the Cn r we�:.iiy ocrsdcrti�i m be
cnploY=-'une.=the"�ict - — . on Art(GU452-=1(5)1 epptivaoo by.bomco--=far_!ice-oc permit r=y--rd—ti:c
jIeg3 ctaarc oC en e.>�loyx wader iho Wortida Coa�p.eoaalioa AoL
1 undass+o`d tha a copy of this mt.®w may be f,,,fed to tbo Dn cp .t a of ir>�.+.tiiJ Accdc�'Office of Iru+f�nce for the
cove<Sc vaiCmiou,md Ihat Ciltac to socluc bovcrn U061=r so Q-Q 23 A of MOL 152 can Icd to the ia�asitioa of c miaz!pcatilIic
comisi tg of a riot or up to S 1 500.00.ndfor iatPriyoamc=of up to ooc yr3r and a%i]pm.hia in tSc forte of s Stop Work Ordc nod a
Gm of 5100.00 r d_y&Fpinn tnc.
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_ Permit Numbcr
Iviap-, Lot
1 Sigaatun of Lic�scclPcrmittcc Date )
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SECTION 8-CONSTRUCTION SERVICES "I
81 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
pp
Not Applicable El''9.�Re�°�msi<'ered°1•Nom mpresvemer>�od racto -
Company Name
Registration um er - --
Address rN
Expiration iDate
�1 - Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE"AFFIDAYIT'(M.G.L.c.iS2,§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...... ❑
Ra
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 perfonn 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 WORK(checkall applicable)
New House Addition []:; Replacement Windows Alteration(s) Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [q Siding Other[El
Brief Descriptio of Prop ed ^ q�
Work: 11�X 1 1
Alteration of existing bedroom Yes No Adding new edroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
s # ee X Slas a %i x tines- aus� cr; o n e h` a loan m a:
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
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.-OWNERAUTHORIZATION:-TO COMPLETED WHEN
OWNERS-AGENT':OR CONTRACTOR APPLIES FOR`BUILDING 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
I, U as Owner/Authorized
Agent here y declare that the statements and information on the foregding Applicatioh are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
EA Ln-- �li�Y 1 PAS
Print Nam
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Signature of O QlAli4LD Date
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Section 4. ZONING All Informati(ih 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 t
Frontage
Setbacks Front I
t
Side L:' ' R:` L: R:' `
Rear 1_
Building Height
Bldg.Square Footage —� %
Open Space Footage %
(Lot area minus bldg&paved I I p
parking),
#of Parking S aces
Fill:
(volume,&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued::`
IF YES: Was the permit recorded at the Registry of Deeds?
NO e-N DONT KNOW 0 YES 0
IF YES: enter Book 3 Page; i and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 0 NO 0
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 0 NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
c'
City of Northampton
Building Department
212 Main Street
i� Room 100
Northampton; MA 01060 .
F kigge 413-587-1240 Fax 413-587-1272
APPLIC4TiON.TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE-jk0ORMATION
1.1 Property Address: Thrs section to be comteted by aftrce
i M
�Aap'„
"2
Y\A Zone' , �- Overlayr'Distnct ,
"IZN.
3{
4 Ehn Sf Distnc CBD�stnck' .
,SECTION 2:-PROPERTY OWNERSHIP/AUTHORIZED AGENT ,
2.1 Owner of Record:
Name � � Current Mailing Ad es
Mailing d LQ
Telep one
Signature
2.2 Authorized Agent:
� 1An 6A
Name nnt) Current Mailing Address: �^
Signatur Telephone
SECTION 3-:ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com leted by ermit applicant
1. Building C -(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) Check Number
This Section For'OfficiaFUse Only
Building Permit Number te,
r.
Issued:
Signature: t
t
Building Commissioner/Inspector of Buildings Date
12 WARREN ST BP-2005-1154
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV:Block: 17C-007 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: vinyl siding BUILDING PERMIT
Permit# BP-2005-1154
Project# JS-2005-0977
Est.Cost: $7653.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 6011.28 Owner: SIMURDA STEPHEN J
zoning URB Applicant- All Star Insulation & Siding Co Inc
AT. 12 WARREN ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON.5118105 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL 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 5/18/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo