36-047 RCI R LLP
51B Holyoke Street
P.O.Box 309
Easthampton, MA 01027 Estimate Date
Phone(413)527-4775 5/11/2005
Fax (413)527-8469
Name/Address Job Location
Ralph Carpenter 20 Winchester Terrace
20 Winchester Terrace Florence, MA
Florence, MA 01062 586-3933
Terms Rep
Estimate valid for 60 days Mike
Job Description Total
REVISED ESTIMATE 4,900.00
Remove existing roofs.
Furnish& install aluminum drip edge,pipe flashings and chimney flashings.
Furnish& install ice&water barrier along eaves and valleys.
Furnish and install 15 lb.felt over existing deck.
Furnish and install 30 year Tamko shingle.
Furnish and install 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
Add$2.50 per sq. ft. for wood replacement if needed.
Remove existing plywood on front portion of house only and replace with 1/2"CDX. ADD........$1,250.00
Cut hole in plywood and install bathroom exhaust vent cover. Confirm placement of vent with customer.
WE LOOK FORWARD TO DOING BUSINESS WITH YOU. Total $4,900.00
TERMS OF PAYMENT
30%Upon delivery of materials
70%Upon completion Customer Signature xz
Registration# 126235
Construction License#074334 e'
Insured by Hackworth Insurance(413)527-9907 Date
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R•(llA1•fAT _ (� \
F E (rite of Tortlialli ptotl
�ZastnrhntrUa' - —
c✓ DEPARTMENT OP BUILD0\10 iNSPECT101.'S —;
212 Main Strcct ' Municipal Building
Northampt.on, Maas. O)OGO
WOR1Q?R'S CO'Pv2ENSA7ION LNSURA.NCE AFTMAVIT
(l1ccn5a PMM3jaoc) 9
�>�th a principaJ place of business residence at:
5lQ HD� ���, nfdYl MA OIOX/ Uhone.) L3• .5�27_ `I`�5
do hereby certify, under dic pains and penalties of perjury, h?.I
an employer providing die followine worker's coinocnsn don coverage for my
etuployces worUng on'tilis job:
r110JI-044 10 0.5
aas4ancc Conr:n.) (p0Uc:NU_mb_r) (EX0,irnor, Dzt )-
( ) I.ann a sole propr;clor, general contractor or homeowner (ci;c:e one) and have hired
the contractors bsted below cvbo have the following workers compe,Ztztion policies:
`Namc Oi Contmcwr) (1nsur311cc Colnpan)•fi'GUCi �tt1IIt!C) (Y?:aliJG4� Detc)
(Name of COGG-.1 Or) 02_7w-ancz CompanyiPolim, Number) t ExDir,:aon Date)
(Name of COnuaetor) (Inswaac; Compan)•/Policq' Nwnkr) (Eapu'2600 Datc)
(Name of Contnaor) (Insulaacc Compaay/Pobcy NumbJ) ('Expiration Date).
(&mach adiitiocal 6CCL irnoo=a.uy to caduds iaforta&�oa p<ztaiaias to aL oo@aCOn)
O I am a sole proprietor and bave no one wor4dng for me.
( ) I am..a home owner performing all the work myself.
NOT]::plese be awvc a14 M•biJo bomoo,4mm wbo cmploy prow Lo d.,=- ir,�C===jAo C rcpair work oo a d..c1L:b of
not ta=rt'L--D erne Lira is ubich Lbc borowwocr raid=or oo tlac Qvuaac`a a�purtcnst tbe-,�-c ox oeeaid.7td Lo t c
etaploy-)bade the wak=Az o=Pc=Liioa Acs(GL157-=1(5)�applimaon by a bomoowva ry.Gcr-c or permit rney-id—the
legal eLaIIU of Ln"'Ployee under dso Wockoeg Compoo*A;oa Amt_
1 uodaAAad Lh.a a copy of tlua mtemem=say be forword.sd to tbo Dcp>noa w of 1nd.azri,1 Aeodaosa'Moo or knob.===for tb.
- wage vc iLeaioo a_•Ld Ow r_iltae t4 u=mc)cova,,g,:undo soet.ioa 23 A of I.tOL 132 can tc d to the imposidoo of aiminal pe Wes
oomi.4sag of a hoc of up to S 1.300.00 and/or¢»pojaoaW=orup to ooc yor and civil pcaatio is a v.form ora Slop Work Crdcr Lod a
rsm o(5100-00 a day Lp i=Lac
For dcp..rtac— uae only
Permit NumbCs `
Y
Lot
S' �or L=ZCjFC miucc -� J .>.
�e
S �0 °1157 [ON SERVICES � 'U .
I
8.1 Licensed Construction Supervisor:f Not Applicable
2 ❑
Name of License Holder : �v�"� ---*`P.11 SI C. / /'7 33 J
License Number
7 5 , � - o4
Address Expiration Date
I775
Signature Telephon
Not Applicable ❑
l a b 2 3,1
Company Name .�— Registration Number
.q f) Ma;n A�IWI,ej - P.a o oX .�Oq 5 - 6 - 0(c
Address Expiration Date
. u
Telephone 3 - y77Jr
�S�Cx- 1�0 �0' ERS�COMPENSA;TI01�fNIRANGE 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...... ❑
}
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 fo-r 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 (� "(X ft
P6 I'D 6 J, ch.
New House O Addition ❑ Replacement Windows Alterations) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ } Decks [ ) Siding[ ) Other [ )
Brief Description of Proposed Work: a:uA yle j
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
Ga" 1= :.e o. orliYro"nto exrstingtihous�=ng. compl`efe"t�e`fal.lowrn
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. 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
ETEDYIIHEN
SSE TJOC } ION�BE�COMPL
E 0RgCTOFAPPt. E rORRGrJLDI GPI=RM1�'�
F.
x ;
I, Ra C�aV y1p V,+�p r + /C as Owner of the subject property
hereby authorize (ManX Del l Sle, b7 R. - T Tl 00 i 17Q to act on
my behalf, in all matters relative to work authorized by this building permit ap icp ation.
a f.+an6A ?•+,05
Signature of Owner Date
I, nxk_ 'De-lisle, as Qu�bori zed aae-a - as Owner/Authorized Agent
hereby declare that the statements and information on the fo going 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.
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 %
(LA 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:
ifs of Northampton
�,Pding Department
i Main Street
C ~, oom 100
r� 2p0
- Nor ham ton, MA 01060 e
phone-4J. 87.1 40 Fax 413-587-1272
4PPL'PE��?Ib VnTdCONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE fNF013MATIoN
;tea . ,
1.1 Property Address: Th �sectrp. is -.
AW
20 WI1 &Esley IP1(yaL'P
A r
AEI`St •District CBDistrtct '
SECTION 2-'PROPERTY OVYNERSHtP/AU.THO, IZED AGENT
..:
2.1 Owner of Record:
�alnh Cam en-ter , lnl p �fipr �►r. I Fjaremce.,
Name(( rint) Curre ding A d� :3
ai-tap PA Telephone bb
Signature
2.2 Authorized Agent:
TebsIf, - . C'. Z oofi no x s09 - Easlhamphon .NIA
Name(Print} �� Current Mailing Address:
Signature Telephone _
SECTfON 3 - {y, E �
ESTIMAIED COR OT
OTS=
Item Estimated Cost(Dollars)to be Official Use Only -
completed by ermit applicant
ow
1. Building Roo1 n X900 OO (a) Building Permit" Fee
�1
2. Electrical (b) Estimated Total Cost of
Construction from., 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) , O Check Number
This Section For Official Use Only.
Building Permit Number: Date:'Issued
Signature:
Building Co.rmissioner%Inspector of Buildings Da"te"
r
20 WINCHESTER TERR BP-2006-0138
GIS#: COMMONWEALTH OF MASSACHUSETTS
MU:Block: 36-047 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0138
Project# JS-2006-0212
Est.Cost: $4900.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 074334
Lot Size(sq. ft.): 10018.80 Owner: CARPENTER RALPH E&ANN U
Zoning.URA Applicant: RCI ROOFING
AT. 20 WINCHESTER TERR
Applicant Address: Phone: Insurance:
P O BOX 309 (413) 527-4775 Workers
Compensation
EASTHAMPTON MAO 1027-0309 ISSUED ON:815105 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 8/5/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo