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17C-251 (9)
RCI Roofin g, LLP 51B Holyoke Street P.O.Box 309 Easthampton, MA 01027 Estimate Date Phone (413)527-4775 5/13/2005 Fax (413)527-8469 Name/Address Job Location Elsa Vitolas Barn Roof 216 Federal Street 41 North Main Street Florence, MA 01062 Florence, MA 584-5669 Terms Rep Estimate valid for 60 days Mike Job Description Total Remove existing roofs including plywood on front lower section. 6,760.00 Furnish& install 1i2" plywood over existing decking on lower and upper front sections of barn. Furnish&install aluminum drip edge. Furnish& install ice&water barrier along eaves and valleys. Furnish and install 15 lb. felt. Furnish and install 30 year Tamko Heritage Series shingle. Furnish and install Cor-A-Vent ridge vent. All roofing related debris to 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 Carpentry work to be charged on a time and material basis. WE LOOK FORWARD TO DOING BUSINESS WITH YOU. Total $6,760.00 TERMS OF PAYMENT 30%Upon delivery of materials 70%Upon completion Customer Signature Registration# 126235 Construction License 4 074334 Date / P a� Insured by Hackworth Insurance(413)527-9907 � 0.�Iwfp F E Crii-�) of portljal)tptoll ~ E 3193.achnstIfic - i — Q DEPARTMENT OP BUILDr1\)C INSPEG?101.'S 212 Train Strect ' Municipal Building Northampton, Mass. 01060 ZVORIMZ'S COIYQ'ENSA'TTON LNSURA-NCE A (li cc-ascvpermi ttcc) J tVith a principal plaec of business/residence at: 5113 HDIiin 3t. lEasibampton MA 610a,07 Uhone.) -�f795 ( ci ty/statcrzi p) do hereby certify, under Lh.c.pains and penalties of pcdury, hal (V) I 'ten an employer providing the followine ivorkcr's compens:don cove ale for my ewplovees wortong on tills job: � ��t�lQ► va�-3�s=3i�1a -044 10 05 �cc Coop=- -,,) (Pobc-.Nu--,Lb,-r) tr.•uor, Dza:) ( ) I.am a sole proprietor, general contractor or homeowner (ciuc;e one) 2-Od have hired the contactors listed below who have the following worker's coopensation policies: (NamC of Co.^.!::cior) On Lranc^. Coinpa i nt oUc, ),\,Um,-r, ) f t\J1iJC Qn D 11C) (Name of Coatracaor) (U Samna Comoaaw?o6n, Nuocrr) (LkDir,..6on Date) (Name of Coarmc-lo,) Qmurancc ComPany/Policy Nulmbu) (Expiration Mac) (Name of Coatraetor) (In_tttrancc Comcany/PoUcy Numbu) (Ea�iratioa Dau). (attsch Additioear boo ir000es.ry l0 iiKlude infor+,...;�p°rE a17 oe�acto;-.) O I am a sole proprietor and have no one working for me. ( ) I am,a home Owner performing all the work myself. NOTE:plese be txlre tt1g 41,.70 beaaea4vera..bo employ pezom w tip - ec�-c�00 r rcpair work otr a d%%c -g of not more th:a 1-1 o L--x?u in-Wch the bomoowocr reido or oo the DvuGez zppu�tbeae c.•c oa�e�ea!!y mcar =-cd ru be employes undo the w-k='%o=P=s toa Acs(GL152ss 1(5))�applimaoo by a bomoowoa far c tic==cc pam;l ra:y evid=cc Lbc Icgil"A—of as-Ploys under tiro Wockoeg coopemas•ipo A,d 1—d——4 tba a oopy of thu=xL=-t may be r"--"-d w the Degnctmeoa of In.duvial Aeedowy oT,-or 4ra+r.00e ror tb. (iliac to sensre borer abe uadct soetion 23 w of AtOL 152 na lod b the iitiaa of aimiaJ peatllio oofigir of a fiat of aW to 31-300-00 andror impriwaab� of up to 00o ycv tod civil pmatio in 6c corm ora Stop Work order and a Gm 0(5100.00 a day apj=me • ror dewy--ai u,e only Pcrmit Numbc-r -- l.cap:7 Lot Sicnatur of Liccisc c/Pcrmivac Date � SO1 JAN CQ 040. SERVIC..ES - _.. 8.1 Licensed Construction Supervisor: Not App.liiic1a�ble ❑ I L Name of License Holder :_� �. �P�;S' / /'7 33—T License Number 7 5 - , 3 - 04 Address I I Expiration Date ' 7'15 Signature Telephon .m MR U Mira ne Not Applicable ❑ R. C • 2. Rrnf� no 12b � 35 Company Name Registration Number Jq o Mai n .A\1w1ie, - R6. 6ax .3o q 5 - b - O!o Address Expiration Date Telephone I3 -J4 77); ,SE 0 0 0' RSCOMP:.ENSATION 1N�RANGEAFFIDAVIT(MG L c 152, § 25 (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)fami!ies 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 acccptable 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 at _cu 6eq i 1 00 KURI SEE)�N E2 Fl _ New House 10 Addition ❑ Replacement Windows Alterations) ❑ 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 0 Renovating unfinished basement Yes No Plans Attached Roll 0- Sheet 0 6�,. :f 'ewha o ai<tr"o"' to ex�sti�:o ng, comp�ef;e'" fFiefol�l.owrng; 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. bimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck 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 SECt 0 F �: 0 1Zi4 ON ` T0BE1COMPLE1ED WHEN 0 © 0 RAC,TO PkI�ES�FOR B J�LDIt G PERAIT V 1 to 5 as Owner of the subject property hereby authorize 'Dei I S + �l te, 0- . C. _J.. • 00 I no to act on my behalf, in all matters relative to work authorized by this building permit appl cation. iian6 -} 1.1 2910.5 Signature of Owner Oate a QU Lb on zed agmf- as Owner/.Authorized Agent hereby declare that the statements and information on the fd going application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name 4 Wacl o 5 Signature of Owner/Agent 6ate Section 4. 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: f Northampton 1 ding Department r -- ;2 Main Street }room 100 JUN 3 0 2005Nor`t1"",W pton, MA 01060 e phone 413c.87- 240 Fax 413-587.1272 t �nC �J�pl jfl«iii Fly ffJjl%;�IJ r ems: .n — A-PPUCATION 70'CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE fNFOi?MATION r secti`o"" 1.1 Property Address: t Jul n. _M a"�n �-t'• a !o rlcl RI SECTION 2- PROPERTY 01NNER$1ilPlAUTHO6lZED AGENT. 2.1 Owner of Record: FIsa Vi cols &-deraI_t I Name(Print) 1 I Cur j�t Ma _ il g5d rtes�: Q _ -, 7eA Telephone Signature (o'� Signature 2.2 Authorized Agent: I ri EQSi hQmn in NA Name(Print} Current Mailing Address: (-q 13) 527- j-),q q5 Signature Telephone SECTION 3.- ESTIMATED CONSTU'C�TI R & CbSTS�. Item Estimated Cost(Dollars) to be Offidial Use Qnly completed by ermit applicant 1. Building (a) Building Permit Fee Roof n 00 2. Elec,rical (b) L:Stimated Total Cost of Construction frank`. 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) 6 6 Check Number This Section For.Official Use O.nl . BulldingPermit Number: - Date_'Issued; S,lgnature: Building Commissioner/Inspector'of Buildings Date 41 NORTH MAIN ST BP-2006-0002 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-251 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category_ BUILDING PERMIT Permit# BP-2006-0002 Project# ]S-2006-0003 Est.Cost: $6760.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group. RCI ROOFING 126235 Lot Size(sq ft.): 29969.28 Owner: VITOLS ELSA C Zoning:URB Applicant: RCI ROOFING AT. 41 NORTH MAIN ST Applicant Address: Phone: Insurance: P O BOX 309 (413) 527-4775 Workers Compensation EASTHAMPTON MAO 1027-0309 ISSUED ON.715105 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP, PLY & 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 7/5/05 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo