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38A-089 r } 14 LAUREL ST BP-2007-0595 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A-089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-0595 Project# JS-2007-000881 Est. Cost: $592.00 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.): Owner: PARKER LESLEY A Zoning. URB Applicant: All Star Insulation & Siding Co Inc AT. 14 LAUREL ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:11/29/2006 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOW 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 11/29/2006 0:00:00 $25.0033800 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo U T J3ei�a h spr fialy� City of Nortpam.pton " Building Department s ' 212 Main Street i Room 100 Northampton; MA 01060 phone 413-587-1240 Fax 413-587-1272Io - APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION1.=SIT-ANFORMATION t $ 7hissection to be compl ted by office 1.1 Property Address: �A Ok C6© ne ; y aY'FD�slctct # It: nY x4 } � Y %� � yJ ✓ ', Im Sf District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 0 i 3 L) Dew Name(Print) Current Mailing Addre�� Telephone Signature 2.2 Authorized Agent: All Star Insulation & Siding Co., Inc. 56 Franklin Street - Easthampton, MA 01027 Name(Print) Current Mailing Address: 413-527-0044 Signature Telephone SECTION 3-'ESTIMATED C0NSTRUCTION'COSTS ' Item - Estimated Cost(Dollars)to be Official Use Only com leted by permit applicant 1. Building 'fiT5 (a)Building;Permit Fee 2. Electrical �I t" ,(b)Estimated Total Cost of Gonsfruction from 6. 3. Plumbing Building Permit Feer. 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number1-'?15F&0 p�, This Section For Official'.'Use Only Building Permit Number. :Issued: Signature: i Building<Commissioner/Inspector of Buildings Date Section 4. ZONING All Informati6h 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 I — Building Height Bldg.Square Footage f I 0'/- Open Open Space Footage �--� % (Lot area minus bldg&paved azkin ). #of Parking Spaces Fill: (volumes&.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 IF YES: enter Book ` i 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 obtainedObtained 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 0 NO 0 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 r NO l IF YES,then a Northampton Storm Water Management Permit from the DPW is required. + ti SECTION 5-DESCRIPTION OF.PROPOSED'6 K(checlratl am)Iic jblea New House ❑ Addition ❑ Replacemerdows Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks [M Siding[0] Other[IBJ Brief Description of Proposed Work: 1 [ LoI e d Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet $a : OUSe Am c i o. i exls o i usl o xi ete tlae o` [ion nl 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 TOB .COMPLETED:WHEN -6WNERS,AGEIiIT.OR CCtAI7RACTORAPPL�ES FOR BUILDING PERMIT- 1, 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 1, 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 the pains and penalties of perjury. r Ed Losacana, DiAmerlerpsident Print Name !!ll �w II Signature of O ner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone Rem eared omem em�notfrac`o `s . Not Applicablce�❑ All Star Insulation & Siding Co., Inc. Company Name Registration um er -- 56 Franklin Street `0 Address Expiration Date Easthampton, MA 01027 Telephone 413-527-0044 SECTION 10-VIfORKERS'COMPENSATION.INSURANCE'AFFIDAVIT(M.G.L.c.152,§;25G(6))' Workers Compensation Insurance affidavit must be completed and submitted with this application. f=ailure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Afficlavit 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.Akerson who constructs more than one home in a two-vear 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 Super-,Isor 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 Mode,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r Fac °yti (�iii Pf C'NTfrzf1jaittptoti - ~ I 41 ' E �iaaaxcSlasrlla' - — W DEPARTMENT OP BUILDrNG INSPECTION'S 212 Vain Street ' hfunicipal DUdding Northampton, Mass. 010GO _ ... WMCEI R'S CONI 1'-.t`SA A ION 1MSURA.J`C"i AF1'TASJ[V11'. I I I, All Star Insulation & Siding Co.. Inc. I (iiccns Pcrmitics) vw11Lh a prLIcipal place of busiaessfresidence at-. -- i 56 Franklin Street - Easthampton, MA 01027 (phone�')413-527-0044 t — (sa-�.ti ci ty/sial-crap) do hereby certify, under dic.ppins and penalties of pcgufy, :hat (X) I aiman employer providing the following workCr's comnensZ60P coverage for my etuplovees v%,orldng on tills job: (Lasurvn= Comp= ) (Polio:Numb-c r) (=.;-pinion D2r^_) ( ) I ama sole proprietor, geaeraJ contractor or homeovrner (title one) amd have hired i the conzractors fisted below wbo have the following, worker's compen_t2don policies= (Name of (_oRr::'-cior) Gnssu 3ncc Compwi)-Pi obci NuA hcz.) Datc) -- (Name of Conmaor) _ (Lns-dranc; Comoam-Nolim; N-Luminr) (-Exir.:tion Date) j (Name of Coaa-ael ,): (Laa.,m.nc: Compac)-/Poke}' Number) (Expiration Date) i (Name of Contractor) (Insurance Comcauy/Policy Numb r) (Expir000 Datc). {aa.a.��«�.!rbcd,if aces_-1-to a�ejve��mf«-aK�oa pcsn_iaa.ns ca.Sl mos-mon} ( ) I am;'a solC-proprietor and have no ane wot�og for me. ( } I am a home muncr perforr=' a all the work thyself. NOTE:ptosc be ew wt tt'.`u{ }c bemeov aen u-bo aapl oy pan o a w Sa r• �-zcu o cr rpeu-mri a's d­mW,«,of act more thea tbrw_marc is ui irh 6be bomoo--o r r=dc,or oo the Vvizwja z,purku r them ct we CC0-.11y oec:d_mi to be eiipioyco 1, a the o==p .+ca Aa(GL 1152 a 1(5)} :4Uatioa by s bomcoava fm a 6= _«pamit c=y Fid—the Ic l eta sss of aA erployw uodar rhe wockx'a C.ovs;romaiioa Ac4. [uoda es�ad dA x copy or th6 m.kmmxt o y be for>rnrd.ed to tba Depanm.eet of lad-rsid Aohd=&M_or Irr;ur—Jr-tb. covazg'c vaif'c=ioa»d lh:s Ealum to tcoj='oovcrose undo s C60a 25A of}.(OL 151 on Iad to the ion O oa of aimiml p-,Aw- ooaai':z of a fiat of up to's 1.500.00 Indror of up w ooc)v=aad ci va prnaltia is tSc form of a Stop work Ordcr aad. 4I f=of S 100.00 a d_y r.Pl a.aoc For dap=rca —only -� Permit htumbcr j"'(3pN!_ Lot j &i &ofLUi,=,ccll7crrnutut cc � � �assach�csrffe DEPARTMENT OF BUILDMIG INSPECTIONS INSPECTOR 212 Main Street i Municipal Building ' Northampton,MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to act as has/her construction supra:.,,,:sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or twofanu y -- 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 i`egulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfilI), 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 ateAddress of work location r • Vim' 0 _ INSULATION OCT2 7 2n,�c INc IL SIDING CO., INC. � _ 56 FRANKLIN STREET EASTHAMPTON, MASSAC 1 27 EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411 Contractors license #101858 Proposal Submitted to Phone Date Lesley Parker "Purchaser" 413-625-6797 Home October 13, 2006 Street Job Name 1038 Hawley Road 413-244-8645 Tenant's Cell (Jill) City,State and Zip Code Job Location Job Phone Ashfield, MA 01330 14 Laurel Street I Northampton, MA Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A VINYL REPLACEMENT WINDOW 1.We will rpmQve and cl*aposp of wood and c)r;;himinijnq windows if Px'stlng. 3. It will have double pane w'th �1111-1;rrepn4)Q'Qlo Voll bg Whl�-)&tbou -rgd )&or6. 4.&,will 'nStall fibProlasS 'nsulaflQn arQund window unit 'nstalled aad g[j loteLIQr al3d exlpr'Qr 6. 013doW Unit will have The[maflpct glass. Warranty". 1" LAV-2::t -hj;�?'✓1/ rte.•c. /►/ ifs �,'"..L.- ** ** x HOMLOWNER WILL DE U-�.F-Qai 3oi-F r7QR R U10KYA L OF Q' R a U5. U- c 4Z Q L ** A CERTIEICATE OF INSURANCE FOR WORKMAN'S Q0MPENS8TIQN AND LIABILIa WILL UE EQBWARUED UPOU REQUEST, T.P. DALEY INSURANCE AQLUCY OF WEST SPRINGFIELD. MA Is OUR AUNI, ** WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $592.00 -- dollars($ 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: Thls pro s be withdrawn b us if not accepted within THIRTY days. f Y p - - - Ed Losaceno, Owner 1ff "Contractor Salsman ' - - J L� uPi�tr cancel this agreement if it has been consummated by a party thereto ata lace oe�rt'�'an�In a�'�res o tTtie 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.