31B-147 OMSVer.0001.17.00(Current) RAINBOW HOME
Product availability and pricing subject to change. BUZUVIS-GILLARD
Quote Number:MGK8KNC
LINE ITEM QUOTES
The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item
Quotes. Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit.
Line#2 Unit: Net Price: 1,542.8 Mark t : 1 Ext. Net Price:
i}� Stone White Exterior
White Interior
3W1H- 45 Degree Angle Bay
8;110 tc p-3""'---- Assembly Rough Opening
74 39/64"X 61 11/16"
16 35/64"Projection
Head and Seat Board
I
I, Bow/Bay Setup Charge
5:
1 Unit:Al
Integrity Traditional Double Hung
Wood-Ultrex
As V-,.1 F-The&teier CN 2260
RO 74 39/64"X 61 1.1/16" Rough Opening 22 1.12"X 60 1/4"
Top Sash
IG-1 Lite
LoE 272 w/Argon
Bottom Sash
IG-1 Lite
LoE 272 w/Argon
White Sash Lock
Exterior Aluminum Screen
Stone White Surround
Charcoal Fiberglass Mesh
Unit:A2
Integrity Traditional Double Hung
Wood-Ultrex
CN 3860
Rough Opening 38 1/2"X 60 1/4"
Top Sash
IG-1 Lite
LoE 272 w/Argon
7/8"SDL-With Spacer Bar
Rectangular-Standard Cut 2W1H
Stone White Ext-White Int
Bottom Sash
IG-1 Lite
LoE 272 w/Argon
7/8"SDL-With Spacer Bar
Rectangular-Standard Cut 2W'H
Stone White Ext-White Int
White Sash Lock
Exterior Aluminum Screen
Stone White Surround
Charcoal Fiberglass Mesh
Unit:A3
Integrity Traditional Double Bung
Wood-Ultrex
CN 2260
Rough Opening 22 1/2"X 60 1/4"
Top Sash
IG-1 Lite
LoE 272 w/Argon
Bottom Sash
IG-1 Lite
LoE 272 w/Argon
White Sash Lock
Exterior Aluminum Screen
Stone White Surround
Charcoal Fiberglass Mesh
4 9/16"Jambs
Nailing Fin
OMS Ver.0001.17.00(Current) Processed on:4/24/2014 1:47:19 PM Page 3 of 6
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction
--Supervisor: Not Applicable ❑
Name of License Holder: MSS MA'L—p.r�/e� 6-S -- 0 G Z -3 lo
License Number
_ I ?�U ��.► a v,
-ID M 4 01 D h Z
Address Expiration Date—T,
Signature Telephone
9.Registered Home Improvement Contractor. Not Applicable ❑
177 G , S
Company Name Registration Number
Addressr,� Expiration Date
2 U 2u
AM 1=/, Telephone I -3 b3
SECTION 10-WORKERS'COMPENSATION INSURANCE 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...... ❑
11. - Home Owner Exemdon
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 [M Siding [O] Other[kJ
Brief Description of Proposed /
Work:KL)-*am yem o yot4701V re1211At win tot O f' O i SjL I e,
Alteration of existing bedroom Yes_�No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housing, complete the following:
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 .
1. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Iff h 1'J 1A Z,tA V 1 S as Owner of the subject
property I
hereby authorize fi0 M MA l 0 Nd - P_A I In 60 W �"p M� I M pyoVeW&It
to act on my b half, in all matters relative to work authorized by this building erm t application.
f
Sure o er D to
I, TD M M Ar Lo►y 2 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.
`ro nn M N e. - R-A-1 N F3 o w RIP tA 3F, I M n P-o Va-w"-&-*
Print Name
Si ature wner/A 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
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 0 DON'T KNOW � YES Q
IF YES, date issued:`
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW Q YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , 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 Q NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,ex avation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
` .
City of Northampton Status of Permit: Department use only
14AY 'Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Elec 1060
rthampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify_
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Mov4loAA44P IWIV Zone Overlay District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
Name r Current Mailing Address:
1/, ?ZL� (Alf I?
Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS I
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (6 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from (6)
3. Plumbing -7 00 Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
This Section For Official Use Only
Building Permit Number: Date
Building Commissioner/inspector of Buildings Date
File#BP-2014-1191
APPLICANT/CONTACT PERSON THOMAS MALONE
ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038
PROPERTY LOCATION 131 A STATE ST
MAP 31 B PARCEL 147 000 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: RENOVATE KITCHEN&INSTALL REPLACEMENT WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 055236
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding I Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
_4
Signature of Bu di g O icial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
131A STATE ST BP-2014-1191
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B- 147 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-1191
Project# JS-2014-002016
Est. Cost: $17389.00
Fee: $103.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS MALONE 055236
Lot Size(sq. ft.): Owner: BUZUVIS ERIN E
Zoning: URC(100)/ Applicant: THOMAS MALONE
AT. 131 A STATE ST
Applicant Address: Phone: Insurance:
128 RYAN RD (413) 885-9038 WC
FLORENCEMA01062 ISSUED ON.511412014 0:00:00
TO PERFORM THE FOLLOWING WORK.RENOVATE KITCHEN & 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 5/14/2014 0:00:00 $103.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner