17A-118 ® PR. SAL
MA. Reg. # 147701
Al L MA. License # 031151
CT. Reg. # 606697
Home IMDrOvement
165 Saw MIA Road Springfield, MA 01118
413-519-0619 877-255-3435
Proposal Submitted To: Work To Be Performed At:
Date ' �/- �� Telephone s�S c/- 1
Name -� a �' ✓t.L�� Street
Street= J �� City State
City�'!�' State
The following work includes all labor and materials to complete your job in a professional workmanlike manner.
TOTAL SALE PRICE
DOWN PAYMENT
UPON START
UPON COMPLETION w �.
i
ACCEPTANCE OF PROPOSAL The Above prices,specifications and conditions are satisfactory and are hereby accepted.You
are authorized to do the work as specified. Payment will be as outlined above.
it is further agreed,that in the event the Final Payment is not paid upon completion by the Ownerl,to the Contractor.there shall be in
added to the amount due and owing interest at the rate of one and one half percent(1-12%)per month or part thereof from the
completion date until the date paid.
It is further agreed,between the two parties that in the event the Owner falls to pay any bill when due,and the Contractor thereafter is
required to turn over such bills to any attorney or agency for collection,then the Contractor shall be entitled to receive the full amount of
the outstanding bill plus any and all applicable service charges in connection with such bill,including,but not limited to filing fees.Sheriff
fees,and reasonable attorney's fees and/or collection agency fees.
WARRANTY:The Contractor warrants all work performed under this agreement to be free from defects in workmanship for a period of
years from the date of completion.All products will be covered by the warranties of the manufacturers.The Total Warranty
Period will begin on the completion date of installation.
This agreement may be modified only If the Owner and the Contractor sign a later agreement which sets forth the changes agreed to.
In witness whereof,we*have is�day of�.20 a/.made and signed this agreement.
To be known as Contractor: F , To be known as Owner by: j2s_-�'
Representative for AL Leger Home Im emento T-
413-519-0619 877-255-3435
Est. start date: Est. completion date: Phone: Home Work
NOTICE OF CANCELLATION :You may cancel this agreement if it has been signed by a party thereto at a place other than an
address of the seller which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch
by ordinary mail posted,by telegram sent or delivered,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.
I
AL Leger MA. Reg. # 147701
Home Improvement MA. License # 031151
Reg. # 606697
165 Sawmill Road Springfield,MA 01118 CT.
Name ► ' Date
Home Phone Cell
Streeter R i4 City ,- State Zip Code
Preparation:
ZCover house, shrubs and yard with appropriate protection
,/Obtain and post local permits
System:
:.,/Remove 1 layers of existing roofing material to the deck
inspect decking for rotten and deteriorated wood(Replaced at Solution#1
additional cost)$ Lf. $ ).-7 S' Sq. Ft.
-Z*Renail and secure existing decking
-,,.ffhoroughly clean roof decking to provide smooth nailing surface
_Install new decking over existing wood lats with wood shake removal
_Prepare existing roof shingles to receive new Retrofit System
Year Manufactures Warranty
Underlayment:
/Install fiberglass reinforced 15 lb. Felt moisture barrier over decking Year Full Labor warranty
Z/nstall rubberized leak barrier waterproof membrane in the following color
areas LEaves /Vent Pipes_Crickets_Skylights alley's
Sty l _`
Dormer walls Chimney_Low Slope
Total Investment$�,;�.�.
Flashings:
,,/Install 8" luminum drip edge to all rakes and eves
Color White—Brown—
�/Install new or rework base flashing at roof to wall junctions Solution #2
�nstall new soil stack flashing
ynsItall new step flashing around chimney
tall new lead counter flashing around chimney
Install new or rework flashing around existing skylights
Year Manufactures Warranty
Ven ilation:
stall Premium High Definition Ridge Ventilation �'4 LF —Year Full Labor Warranty
_Install Intake Sofit Vents LF Color
Clean Up: style
Provide continuous clean up Total Investment$
_ agnetically sweep job site
C,4ean out gutters
aul away all job related debris to an approved disposal facility
Fi spection With Home Owner:
nsure your complete satisfaction with all aspects of the project
Roofing Consultant: Al Leger Date
To Schedule Installation call: 877-255-3435 or cell # 413-519-0619
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northunpton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sup,": ••isor. The stale defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends 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
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 regulations. 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 /— - C)e
Address of work
location gam+ L
,� ?E Crif of �\To fIJUIIIPfoil
-qZ a s a R c h n r c t le' - —°
DEP/tRTME1dT OP BUILDf�G lNSPPC7I01dS —
212 Main Strcct Municipal Building
Northampton, Mass. 01060
r
W O RIC C R'S C O jAQ'EN SA'n0 N G S URAN CE A 1, VI-I'
01-ccvsxJpern-1i ttcc)
'Lh a principal place of business residence zt:
/�� S ��w'h?> >�_�.1�, �i✓/U. � ' � (phone')1//3- SigD� / �
(snc-(/�tylsZalcfap)
do hereby certify, under the pains and penalties of perjury,- hat
( ) I an an employer providing die follo.vine worker's coinocns-n6on cove-Sc For in),
elnplovecs worlDng on this job:
Lw �� o �La ,rfl�eN
--n=Conk,•) (Policy Numbccr) :ptrtior Dztc)
� I am a sole proprietor, general contractor or homeowner (ci cie one) amd have hirto
e contractors Gstec+ below wbo hive the 150bowiDS worker's cociinep_sadon alleles:
(-Naruc of Con maor) (Insuranc COtnoan}'f lrbc'i !,,ILI liJ Q? DatC)
- (NamC of CODmctor 1'
(Instuanc: Comoaa�•fPo�e; utncrr) (L Dir.:tto❑ Die)
(Name of Coun-acfa;) (Insuranez Compare)-/PoL-q- Numb j) (Expiraoo Date)
(Name of Contractor) (Losuralac; Compzuy/PoUcy Numty r) (Etpirddorl Date) .
(aasr3r addit:o=l 6Cd ifncc0 --v t,3 cnduct:inroraa:�o0 periniains to aU c0=-.tan)
I am a sole proprietor and bave no one worid.ng for me.
( ) I am,a home owner performing all the work myself.
NOTE:ply be extre rti,. t Je bcmeo.4acn ubo cap lay perooa to do_.•-.•,-.•• oss a oo c rras--oric ov.d..elLZ of
cot Mort tb-M Lbw -try is uiyob the bocnoowocr rt=d=oc oc the p-VKL t zppurtea.ara tb. e- a_-roe C.a -Dy—d--.d w Uc
®ploycs une--the-'Oz da O=Pc=yca Ars(GL.152ss 1(5)�:wU=L ioa by a bca=%-=rcr c 6c5 or permit rr=y--d—tl:c
'c!Pj etnau of a.n a,loyx under ttao Workda Coaapomat AeL
I undue-nand m,2 a Dopy of tb;.c=--=—y tx f«>.nn3.>d to tse D.cpe.nmm¢er lndti+ss;cJ Amde=i'orfi-or t.uu.00a tor Lb.
ooverisc re:iLc=l oc and Itu r_JL-M tc saurc Lovery�tn�dc waioa 25A of MOL 132 an tcd to the i posdioa of eimi pcc+w,=
coc=-L g of a rmc orup to s i-Soo.00 ar Nor Of up to ooc yrzr eod a%i7 p=jtjc3 is tY form or.Stop Work Ordc and a
rise of S 100.00 a d_y aPjctj me
only
pal rttLmtc.T
�b 1,/,z P�-_ t.Ot
Srpa--'L=-c of Li c cc �l e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Su)pervisorr:' Not Applicable ❑
Name of License Holder: `/ l L P (t ( 3 // SJ
License Number
Address // Expiration Date
Signature Telephone
9 6dt!tered'Horrie mor atracto Mt ._` +KK` a .; Not Applicable .D
/VL LP Pf— *1L° rM roil cY►frnJT /4 01u /
Company Nanii Registration Number
/G J/J 'J' Q—)
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCEAFFIDAVIT(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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding [0] Other[0]
of Deser�tion of Proposed-- // � p -
ork: %f�i�,,nL a-G Oyf 4e
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa:�IfNeti►irio�se�ndo�.a��%#�ar��ko� #istn .hnustin com fetethezfvllowm
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 c�
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-,DOWNER AUTHORIZATION-TO BE:COMP.LETED-WHEN
OWNERS AGENT OR`CONT RACTOR-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 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 the pains and penalties of perjury.
Print Name
Signature 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
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
(volume&Location)
A. Has a Special Parmit/Varonno/Fndi ever been issued for/on the site?
�� YES ����
NO ���� DON7 KNDKNOW v_�
IF YES, dote issued:
IF YES: Was the permit recorded atthe Registry nfDeeds? '
NO �� D
�~� uw / m"uw' 0 YES
IF YES: enter Book Page' and/or Document |
B. Does the site contain a brook, body of water orwetlands? NO 0 DON7ANOVV 0 YES
IF YES, has permit been or need tobm obtained from the Conservation Commission?
Needs tobeobtained v~��—� Obtained �~\~�� Date Issued:
' .
C. Do any signs exist on the property? YES 0 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,gradingexcavation,or filling)over 1 acre n,ioit part cio common plan
that will disturb over 1acre? YES ���l NO ���l
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
a
c, City of Northampton titatus'mtFze tw o
�_ . . .BUilding Department
1212 Main Street
SEP 2006
Sti
Nort
Room 100
hampton, MA 010601� ��
phone 4a 3-58 -1240 Fax 413-587-1272 � as
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address: W
This eatwn to be comp�e#ed b r
btfice z
Map
q
Zane OV-11 ay33astnc#
Elm St vitcnct` :CB D�stnct
SECTION 2'-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
3 7 Of rtii e/Z 38 C14 r�e-, ,Q�/�,•
Name(Printy Current Mailing Address:
Telephone
Signature
2.2 Authorized,Agent: Ylvo ,�,7j'jj
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3s-ESTIMATEDCONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
. Building x (a)Building.Permit Fee
2. Electrical c� (b)�'stimated Total Cost,of
Construction from 6
3. Plumbing sBuilding Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For`Official Use Only
-
Building Permit Number. Issued:
Signature:
Building Commissionerlinspectorof Buildings Date
BP-2007-0255
GIS#: COMMONWEALTH OF MASSACHUSETTS
.Rlock�I 7 1,4v CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0255
Project# JS-2007-000391
Est. Cost: $5830.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor., License:
Use Groin AL LEGER HOME IMPROVEMENT 147701
Lot Size(sq ft.): 13372.92 Owner: BERNIER STEPHEN J&LINDA J
Zoning. URA Applicant. AL LEGER HOME IMPROVEMENT
AT. 38 CLAIRE AVE
Applicant Address: Phone: Insurance:
165 SAWMILL RD (413) 519-0619 WC
SPRINGFIELDMA01118-1724ISSUED ON:91712006 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 9/7/2006 0:00:00 $25.001134
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo