17A-138 'IrAUG 1 0 2005
INSULATION I I
& j L. 8 c
SIDING CO., INC.
56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 01027
EASTHAMPTON OFFICE:527-0044 WESTFIELD OFFICE:568-6411
Contractors license #101858
Proposal Submitted to Phone Date
Dorothy Jones "Purchaser" 413-584-4251 Home August 4,2005
Street Job Name
225 Chestnut Street
City,State and Zip Code Job Location Job Phone
Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL REPLACEMENT WINDOWS
OPTION 1:VINYL REPLACEMENT WINDOWS
1.We will remove and dispose of wood and or aluminum windows if existing,
2.We will install (?O)Double Hung CertainTeed Devon Vinyl Replacement Window nits in designated areas.
3.They will have double pane insulated glass with Half-Screens.Color will be White without grid work.
4.We will install fiberglass insulation around window units installed and seal with Silicone Caulking on interior and exterior.
5_ W2 will blow Class One Cellulose in weight cavities around window units installed where needed.
6.Window Units will have Thermaflect glass.
7.We will remove&dispose of existing storm windows
__R_Qprta"nTeed Vinyl Replacement Window Unit has;a 'Manufacturer's Lifetime Warranly"and the glass has a"20-Year
Warranty".
PRICE: $6.532.00
OPTION 2:TRIM
1.We will install aluminum coil stock ma .real around oUtsOe perimeter of window.
PRICE: $831.00
** HOMEOWNER WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMITS.
** HOMEOWNER WILL BE RESPONSIBLE FOR REMOVAL OF CURTAINS. MINI BLINDS AND SHELVES.
**A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST.
** T_P. DALEY INSURANCE AGENCY OF WEST SPRINGFIELD. MA IS OUR AGENT.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
c,' /__ _- ��� i'�' .__9 Q dollars($ _50% Down,Balance Due Upon _ ), payment due upon receipt of invoice.
If payment late,interest at 1 1/2%may be added. Completion of Job
NOTE:This proposal may be withdrawn by us if not accepted within THIRTY i _ days.
Ed Losacano,Owner
� Contractor Salesman
----- = = --- --- - --- - �y '� = � -- --- --—-
Doroth y es acceptance by Purchaser,and Title
You may cancel this a ee ent 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.
4.Ct�1►MP�.
sits sIVC411setts
DEPARTMENT OF BUILDI]TG INSPECTIONS
INSPECTOR ,
212 Main Street • Municipal Building �=a,44
Northampton,MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sups. •,,i 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 fami -'
dwelling, attached or detachd structures accessory to such use and/or farm stru ctures. 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 own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and fegulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfll),
sonotube holes (before pour), a roup-h 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
L-
O¢Z 1lA1f PLO ,i•. - /
F E Cyif� .Pf �QTC J: lji3111pto11 - _-
� A� 6 �icnsRrllnsrlle' - -..-
d DEPARTMENT OP BU1LDDNC INSPECTiol"S
212 Alain Street ' Municipal Building
Northampton, ATass. 01060
woMC I R,S COi\CPENSr?'nO.N MSURA..NCF A1,M, A.Aq
All Star Insulation & Siding Co., Inca
�i (li crns�Jperml tfcc)
%vith a principal place of•businessfresidence at: -
i 56 Franklin Street - Easthmpton, MA 01027 (phone')413-527-0044
(SO-C--t1Ci ty/st=,Z),P)
do hereby certify, under tic.pains and penalties of pcdw-y., hat
(X) I am an employer providing the iollowine,workcr�s comocasadon covemge for Inv
emplovees Nvorlang on this job:
T.P. Daley WC 930-12-87. 8/13/06
Qmcur---n=Comr, ) (Polio:Nunabccr) pir�noa t7zt }
O I am a sole proprietor, general coo=-Lor or homeowner (ci:c:e oi?e) znd have hired
the contractors liste-d below wbo have the `olio%ving worker's cocpernsadon pe!icies.-
(i+tune Oi C0:,'TzcwO ) Gnsvranc-- Comoa l)-/Poucy ?"tunli'Cr) (Y?:71id 3Qn bate)
(N:.mc of Coomaor) (Lasw-ancz ComnazvRo!ic; Numcrr) (Ex i—r.6on Dee)
(Name of Connacto,) (Lnsuranc: Compao)-IPoUcy Ntimbcr) (Exairoeo Datc)
(Name of Contractor) (Lasuran-m Comazay/Policy Numb'--r) (Expira6oa Da1L).
(an, a6di':-0..1^ l dc�.ilncccz�l•to a�cud:iaformiioa PcIt Lnisss to.11 C0=--,=-3) .
O I am-a sole proprietor and have no one worl,3og for me.
I am,a home owner performing all the work myself.
NOTE:plcse be etrue Lh-kyle bcm. avm ub,a aaPloy pcwm w do n= rcpair work oa a d,,-IL---C of
DO(meet then LFso tmij is u$iCb the bomoov• resid,=or oa the pvuo6 ?part o.= no(C=�. ,Uy occ=idacd to tY
eixptoye�unc,e Lbc c==p�m Act(G[21152-=1(5)1=pplinSon by a homco--=far n 6c=-.x or pc-mit n_y--id—the
lop.]rt=u of nn-=Ployx under it-Work-e.compom.yioa
I undazt.+ad the 1 Dopy o(lhu mt.cm�=play be focornrded to tbo I,Scpeitmrn¢of lodutricl Madmb'OiG of Lm xr -for lhs
coveabc veiratioa.nd t!u LiJtac to soyrc cove y y on 23A of h(OL 15-1 esa led to the imp=ition of eimim,l PC-16c
oo¢sismg of a tine of up to S 1300.00-Woe 6=prj pct of up to Doc yr� nad a%i1 pca+hua in tSc form of.Stop Work;Ordc and.
Cil=of S 100.00.d_y Lplast trio
- For dcp.rta.1�-1i u.c only .
., PeT='t Numtrs _
8/29/05 r,(�r,: Lot.'
Sigaaturr of LicUiscdPcrrniucc J
SECTION1 CONSTRUCTION SER1/ICES +.
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
Jeois`elomem'n sc�rem n `-ice taco ' ` _ Not Applicable ❑
.. ,
All Star Insulation & Siding Co., Inc: 101858
Company Name Registiatwn um er
56 Franklin Street 6/06
Address Expiration Date
Easthampton, MA 01027 Telephone413-527-0044
SECTION 1D-WORKERS'COMBENSATION INSURANCE"AFF,IDAIJJT
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...... ❑
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
r
i
tea. •
SECTION 5-.DESCRIPTION OF=PROPOSED WVORK(ch6dkWI 10011cabl e)
New House Addition ❑:;. Replacement Windows Alteration(s) ❑ Roofing 0
Or Doors co I
Accessory Bldg. ❑ Demolition ❑ New Signs [n] Decks [Q Siding[C7] Other[0]
Work: escriptignSLdM!Vion of (20) Vinyl Replacement Windows.
Alteration of existing bedroom Yes No Adding new bedroom Yes No .
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
a,I#lV W IIOias ni�a`i�cI di o c x cl ioi sl amp1 tithe IfQ�Vlat :
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.OFL CONTRACTOR APPLIES FOR BUItDfNG'PERM(T
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 All Star"Insulation & Siding Co., Inc: 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 t pains and penalties of perjury.
Print Name
Ed Losacano, Owner/President 8/29/05
Signature of Owner/Agent Date
Section 4. ZONING All Informati6tl Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
i.
Building Department
Lot Size i
Frontage
Setbacks Front
Side L: R L i L:' I R:' ;
i
R �
Rear
Building Height ;
Bldg.Square Footage (� % (--
Open Space Footage �j � %
(Lot area minus bldg&paved
parking).
#of Parking Spaces
Fill: -- i �
(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 0 DON'T KNOW 0 YES 0
IF YES: enter Book �— ! Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained
t11% Obtained 0 Date Issued: i I
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: s
D. Are there
any proposed changes to or additions of signs intended for the property? YES I NO I
IF YtS, 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
i
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
I qty of Nor0ampton
l
t� l�, Building Department
212 Main Street ti
^r)4, Room 100 {
� N64hr mpton;-MA 01060 _
phone 41V7-1240 Fax 413-587-1272 tat
�ii.l
APPLICATIOWTG' NSTRUC'f,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 =SITE INFORMATION' '
' - � � ��"�'htssectton to be�omp1etedtib office r �,��
1.1 Property Address: s¢ y 6�K r v tx wr � M Skyt $ r
w
225 Chestnut Street � -
tlFy
Florence, MA 01062 �Zoni^ � iay<a " Ovellay;Dlstctct pba
tlw, tyyi-;t k 5sra im, _ sae°f `i Lk"1'r x rt
4EI'rn��District 't s Mr ' 4,CB Dtstnct �
- r
SECTION;2'�PROPERTY OWNERSHIP/AUTHORIZED AGENT:;
2.1 Owner of Record:
Dorothy Jones` 225 Chestnut Street - Florence, MA 01062
Name(Print) Cyr nt0inbAddress:
4 }}
Telephone
Signature
2.2 Authorized Agent:
_ All Star Insulation & Siding Co., Inc. 56 Franklin Street - EasthaWton, MA 01027
N e Print) Current Mailing Address:
413-527-0044
Signature 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
$7,363.00
2. Electrical (6)Estimated Total Cost of
Consfructiori m
fro '6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
6. Total=(1 +2+3+4+5) $7,363.00 Check.Number
This;Section Fpr Official'Use`Onl
Date::
Building Perm—1 Urn a I's"sued:
Signature:
i
Building Commissionerllnspectorof Buildings Date
225 CHESTNUT ST BP-2006-0232
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A- 138 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category BUILDING PERMIT
Permit# BP-2006-0232
Project# JS-2006-0337
Est.Cost: $7363.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq.ft.): 17816.04 Owner: JONES JOHN J&DOROTHY J
Zoning:URA Applicant: All Star Insulation & Siding Co Inc
AT. 225 CHESTNUT ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTON MAO 1027 ISSUED ON:813112005 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS
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 8/31/2005 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo