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17A-091 (2) - lkoofing Vropaal - CT. REG.No,0621848 Page No, 1 of Pages MA REG.No.162058 QO Vista Ir HOME IMPROVEMENT 2003 RIVERDALE STREET WEST SPRINGFIELD,MA 01089 MMUffif ffite] Toll Free:1-888-597-2323-Local:413-382-0249 FAX:413-382-0241 Proposal Submitted To Homeowner Work To Be PsKofffildAt Name fa ic Name Street J� Street- city State l i ip city State Zip Date Telephone-1 Date— Telephone_.------------_—.— Vista Home Improvement agrees to do the followingi -ti'Acquire all permits for roofing work LJ Material Location •Shingle Over a-T--e.r Off 1j<ain House J darage Ll Shed �W-pply Dumpster-Location- • Inspect Docking for damage L4'R—eplace Decking @ Ly�,_per sheet liLfInstall all New Decking-Type C& _per sheet Rooting MFG Color—i- Style_.b i­r) _*19evhire/Brown drip edge J.PrIC' J F-5 ,FX09*Underlayment LJ#15Felt J*'Rhino Liner Ll tf Ice and water Barrier 'U T Ll 6' LA Full 1a Flash all valleys,penetrations,eaves and chimneys ILI'Supply and install pipe boot flashing [J'61upply and install ridge vent U Generic G Cobra Exhaust U supply and install soffit vents- Qty.. R&R Gutters U-1�al lob Clean-Up JfSupply and install 12 in.lead on chimney WARRANTY LJ Standard ��System Plus U Golden Pledge Attention Homeowners:Please cover all personal belongings in the attic,garage,or storage areas due to the possibility of roofing debris or dust coming throught the cracks of the wood.Vista Home Improvement will not be responsible for debris or dust In the areas mentioned.Also Vista is not responsible for gaps from siding on home and roof line due to multi layer strips. Lj Rolled/Rubber Roofing Type Color Location Other�___ Ze f 4 A. L _J 4 7 T r J, All material is guaranteed to be as specified.All worRI-o-Ee--completed in a workmanlike manner according to standard practices.Any ailr'Sabo-n TZ;�Fl or deviation from the above specifications must be made in writing on an Add-on/Modification of Contract form and may become an extra charge over and above the amount stated herein.This agreement is contingent upon delays beyond our control.Owners to carry fire,tornado and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance.Homeowner agrees to pay for all work as set forth below.If the homeowner defaults,homeowner agrees to pay all costs of collection,including reasonable attorneys fees,in addition to other damages incurred by contractor.An 18%per month service charge will be assessed for all payments not made within 10 days of due date per the schedule below: We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of A Said amoun"hall be paid as follows: Note:This proposal may be vAthdrown by us if not accepted within days. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTLrR THE DAY OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT.(SATURDAY IS A LEGAL BUSINESS DAY IN CONNECTICUT.)THIS SALE IS SUBJECT TO THE PROVISIONSoF.-THE HOME SOLICITATION SALES ACT AND THE HOME IMPROVEMENT ACT.THIS INSTRUMENT IS NOT NEGOTIABLE. Signature of Contractor or authorized representative:_ L have read the terms stated heron,they have been explained to(me/us),and(11we)find them to be satisfactory and fiereby accept them. Signature of Homeowner(s): X I- 7- M 4 G 0.2h j e'Re�,xi'z¢7^,-c �,�,�'p�,y, '�b'tit`�+K�`.�'�5 �_�i(�1'�'4en;it3b£� , . , �a4�4�e x'a�° {"'fit L'8 Y't"Y+-x L'y ��., r +, a r*'-li:. -!' `A��•...., _ � ..A...S.[11-L-3 "�1�.f �. .� .. wit Informati -Nease Print Ae 4\3 3P, _ w t i am za emptover with __..__ _ ve�vus�stxf3e rce�a? { E;32 piovees(full and'lo Tram ftrnal� have il,rk'£f Ole §, I tta3 at sc�4e rara>retri _ .. listed, on i `,tt]t)and i'7c3ilf?t3€1 e„;i5hT41res,Yar?c i i3eSe hnVe ,! Vdilrk.ae 'C::4'%Y1±a t'a3 aT?T, n :a<..,. x'41'.$'YAf"?v✓a?'C .J)e'$ fie#fir vai!r,.e,7` q 3 1'`(°t�rrer¢{;�i°c' y a�el`'3�'? ever;,rT.�,•�•� i}'F'!i 1� 1 4�W`t?are u t 2'fKl9 r. ,r .. _,. n �. r <• f 4,s_ k 1 ern F± rn� srr�dr r .°, .° rlka-i`i95i.g t ely irs o adoitions 3 .{..,..:= Roof rf hairs, e&� oers. 1 _ x• 't' 1 nk ..a. �;,� ,,�,, :.a,w.ar a�ei. erurkWel& c;ut°aegv"544tion puitcv intbrfnation. €in!xter+wssert,,v1ac k3af?., th. 4,-3*5 �,.., ry, tsA i. ura c,e_:v s s>,iawt subma a Acw ais lava indicatim such :Coottucturs that check this box meet attar>.heli in%ddi;in ry _, r 3ari_i,. tin ' a pic ies. it the sub-canixacaors have emplovees,thaw must nrovi,'J,�the m"n few k'midi i et .bemv A P w vidi g wvrAetw'£:tAd`Yo ensuriun tnsu8'ance t6r My 4u61 piovees. Oelow ft r.ikf pdJ'.fi1."i+owd X34. $'¢e.'' ii-lziurwice G(;1t3dSry iittt3(: �==t-? �._L".�..\� C gig. - .,.._v44 .7IaFd t141CI%'w`•i'La._.. /_.....}.. ,..._,....l�J..-.• !-°l.•....!.- _`� l_..�Y..J.. 07 1��'_.J� -_� • 1 Mt'a tk 34 4.`.4R99T 41tkl ias lvik�..*3 k':r,.swii�$'dr'ig Lass policy aunikoer and expiration date). Failure to see-ure co mgq s t it i>:.�i, r u +, . . i� „wt'i tCA6 scr,C i3ti'>4sSt11O1]02 CrUl'6inal peY'affies O d tine ur to S!.5f0,10 ardfor one .,a ?.,� tE5S Sse 01'1i o&Uil vvi OR,K Ukik',K at3O Y 2t, oe aol-war ded to iific 0 Tt1CP t� de Afer bt,cer1`t'4-A1►1der O pahfiv mmd r-,-.m&�...5 "^3 r yt_r �•s, r"c 4 3 a.se.r., sea xti#tie:0 es 'diii`.dg#`d i.w'rect, W r• ._ % ;lam 9 fS E ""' icitel€x e t nijt III"m write in Ififf arets.to ho,¢°afP/ft�Pkh'o vi 1hv €v i3 5 Cz�v or Town: msUHUTin Contuct Person: �"s SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: ���G� G�ly r ! ��, \ L" , -Ow r 1 License Number Address _T Expirati n Dafe 1 3E2 — 2` Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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...... ❑ 11. - Home Owner Exemption 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all ammlicable) New House F__] Addition [-1 Replacement Windows Alteration(s) ❑ Roofing Or Doors CI Accessory Bldg. ❑ Demolition ❑ New Signs [M] Decks [❑ Siding[p] Other[a Brief Description of Proposed 5 1Y7 Work: ��,,o -� CV vlf y)+-"-I- AClteeJra�15o es tfi9�lroom Yes No Adding new bedroom Yes No "� Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: 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-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,- C't-1[��C l '�� -_�� � � �1 Y i`C�� �Cc`C�C as Owner of the subject property �J hereby authorize-16\,-I CaK\ k-\,i' 6(�_` to act on my behalf, in all matters relative to work authorized by this building permit application. 1 /,4< S_ Signature of Owner Date y AiA, �15� ��. Y n 2y-o e Yeas Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are trbe and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. ` r� C'n �Q Prime SigAeure of Owner/Agent Date Section 4. ZONING All Information 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 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 0 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 DON7 KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained a , Date Issued: C. Do any signs exist on the property? YES O 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,txca or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only (� \� y of Northampton Status of Permit: 'Iding Department Curb Cut/Driveway Permit .AN 3 0 20i6 12 Main Street Sewer/Septic Availability. Room 100 Water/Well Availability mpton, MA 01060 Two Sets of Structural Plans mac.plumbing Gast - 7-1240 Fax 413-587-1272 Plot/Site Plans Northamp �► Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: D �-kY-) V el,+� -� Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: '(4i 0-An 6f)0'r ,A- tY1e 1 ---.�so, bur �AcAk of Names rint) Cu, nt Mailing Address: Telephone Signs ure 2.2 Authorized Agent: VI sArx \:�2alt� 03 R��r�°►��1�-.1 +. 1� 5 of d �1 Name(Print) I Current Mailing Address: SignaLUIV. 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 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) Check Number 1X31 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date 20 GRANDVIEW ST BP-2015-0771 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-091 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2015-0771 Project# JS-2015-001497 Est.Cost: $8715.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VISTA HOME IMPROVEMENT 106156 Lot Size(sq.ft.): 11630.52 Owner: BARILLARO MELISSA A&BRYAN K LEHR Zoning: RI(100)/URA(100)/W (0)/ Applicant: VISTA HOME IMPROVEMENT AT. 20 GRANDVIEW ST Applicant Address: Phone: Insurance: 2003 RIVERDALE ST (413) 382-0249 WC WEST SPRINGFIELDMA01089 ISSUED ON:113012015 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 1/30/2015 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner