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25C-047 (2) p `\Yxa.-;la INSULATION ;!_ `, OCT 2 8 200 s P S t SIDING CO., INC. I¢¢ 56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS-0-102'x------­--- EASTHAMPTON OFFICE:527-0044 WESTFIELD OFFICE:568-6411 Contractors license #101858 Proposal Submitted to Phone Date Steve Robinson c/o Robinson Real Estate "Purchaser" 413-586-2327 Home October 24, 2005 Street Job Name 4 Conz Street 413-584-9011 Work; 413-219-2106 Cell City,State and Zip Code Job Location Job Phone Northampton, MA 01060 218 North Street I Northampton,MA Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL REPLACEMENT WINDOWS I.We will remove and dispose of wood and or aluminum windows if existing, 2.We will install (21)Double Hung and(2)Picture('Prta*nTeed Devon Vinyl Replacement Window Units In designated areas. 3-They will have double pane insulated glass with Half_Srrfeens Color will be White without grid work_ 4-We will install fiberglass insulation around window units installed and seal with Silicone Caulking on interior and exterior. 5-WV,wail blow Clasa One Cellulose On weight cavatiQs around window units installed where i3eeded, 6.Window Units will have Thermaflect glass. 7,.CertainTeed Vinyl Replacement Windy unit has a "Manufacturer's Lifetime Warranty"and the glass has a"20-Year Warranty PRICE:$6,583.00 ** HOMEOWNER WILL BE RESPONSIBI E FOR ANY FEES REQUIRED FOR BUILDING PERMITS, **ti MEOWNER W11 BE RESPONSIBLE FOR REMOVAL LDFCI IRTntnlc MINI nl INDS AND SHELVES. **A CERTIEI ATE OF INSURANCE FOR WORKMAN'S C'OMPENSATIQN AND LIABILITY WILL BE FORWARDED UPOU ELQUEST **T P DALEY INSURANCE AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of: $6,583.00_ dollars{$ 50% Down, Balance Due Upon_ ) payment due upon receipt of invoice. If payment late,interest at 1 1!2%may be added. Completion Of NOTE:This proposal may be withdrawn by us if not accepted within THIRTY __ _ days. Ed Losacano,-Owner �-,— - Contractor Salesman Steve Robinson c/o Robi son Real Estate ` Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto t a place other than an address of the seller, which maybe 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. 4St1AMp�, $ t..Gity of Wort ampt>1n Z � 8 j�risssRCftusetts xs. DEPARTMENT OF BUILDIJ,,TG INSPECTIONS /= INSPECTOR '212 Main Street 9 Municipal Building Northampton,MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as }.is/her construction sups:%,•:;or. The state defines"Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends to be,a one or w6fami 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 considirred 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 found4tion/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 Address of work location r r i of 2 ,R E �Ql:fl i3111�1f01.1 a3 a Rch nSclle' w o DEPARTMENT OP BUILD0\1C INSPECT1o1.'S ; 212 Main Strcct Municipal Building Northampton, ATass. 010GO i ?;OR1Q I IS COI TENSATTO.Tq CNSURANCF AFFMA.Arl-1 j (li cMns�Jperml tfcc) \%,I Lh a principal place of businessfresidence at: - -- - i -- ww1144 (sin t/dtr/sZa Z:ip) do hereby certify, under the.p?x' s and penalties of pc9ury, I am an employer providing die follcwine!%vorkci's comocnsZtIon covcmgc for Illy emplovecs wortang on tills job: (issur-Dc C - ;) (PoLc:Nu_arr_r) (;•pirzL on Dom--) O I am a sole proprietor, general contractor or homeowner (cu cie one) and have hired the consactors listed below wba have the follo%ving worker's connerl_tzaon policies: I - i l`+IIID: OT COn'.^CiOr) (1nRlr3nc^. Compa+n)-ili obC-i 1111c) (Namc of Concraczor) (lnsaranc Compaa}vPo!iey `ulslcrr) (-E»ii-z66n Date) (Name of C011lydClO;) (�stiraacc- Comrany!PoUcy Nwnbu) (Expijz6oa Datc) I (Name of Cootractar) (IoSuran�Comoany/Policy Numb•`r) (aspiration Date) (--� —�di-'ocal exc.irnccc --,to a,dU&•info Mt :ioa pn-i�to.11 O I am a sole proprietor and have no one worldDg for me. I ?-t:a home owner perfornung all the %vork myself. NOTE:plc=be ea-xrc tf •.'tale bcm-. -Dcn-t>0 e=ploy pcloaa to do r.•,ter+• � ao c rt zc work o-2.d—LL of oot tvoct tin ilbve L-aru in wbrb tt,c bomoo�*vcr rtaada ,,oo the jTou x�zppurir^,^'thee,�z oo(C--a—ny a.�:derod to be eixplayes unGc the kaS c c=am----,'en An(GUI 52-=1(5)).=ppUz=6oe by a bomcoava fv a Gem cc pcmit r=y e,-id—tre 4Ss cuaac of as<=:ployer wdar dw Work--,Comp omiyioa Aa_ t uadcnaad th+a a copy of this mtemcai m.y be foi-ourded to the papertmea¢of Induv;cl Atcde�i'Off o0 of I+s,Y•ooe foc th. oove�.sc„criratioa rttd[lu L-i]tat to so�rz�ooverase uorSc saaioa 23 A of hSdL 1 S7 t3a led to the izzpas3ioa of c-imia+l p�ltics 00=Z�of a fine ortp to S 1300.00 andlor maprLOamcyt of up to ooc ya rzd civil penikJc to t5c form or.Slop Work order and. Gno of S 100.00 a dsy tpriaa me For-tk—y,-_^^+�•t u,e oa7y PcTm1l Numbcr -- Y Siaaatun of L c=iisrc/Pccmiucz e J I - �l m SECTION 8-CONSTRUCTION SERVICES i 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone �� _ x' Not Applicable ❑ a ere ~ :oar _ rarremetitCcfntraco ^^11 t�t __ ompa a y me Registration um be ,51Q - i n ��,� Address Expiration Date � - ` TTelephon 'lam✓ ! SECTION 10 WORKERS'C`OMPENSATION INSUkANCE:AFFIDAVIT(M.G.L c..f52,`§25C(g1 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.......``9 No...... ❑ ri=�' t 6 .": r,. �NX •rte- RJR 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 1083.5.1. 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 r SECTION 5-DESCRIPTION;.-OF,--PROP OSED WORK(check all.applicable) New House F-1 Addition ❑ Replacement Vyindows Alteration(s) Roofing Or Doors ESL Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding[0] Other[C7] Brief Description of Proposed��_ i� I � �! U) nLY�� Work: ��, V l Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet a 1€I ew ho><as an l r �t 7 toxr# e NOWISE cbpe� �ltuari�rnu: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit:i Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions i 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 TO BE COMPLETED WHEN;` _. _ ... OWNERS.AGENT:OR CONTRACTOR APPL'fES FOR BUILtNG'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 l as Owner/Authorized Agent hereby declare that the statements and information o the regoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Y to Print Name -A—A 46 Signature of Owner/Agent Date Section 4. ZONING All Informati6tl 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 (=I Side L:, R:` R:' Rear Building Height Bldg.Square Footage (—'� % F-1 Open Space Footage % (Lot area minus bldg&paved L! arkin #of Parking Spaces Fill: r w I I (volume,&Location) I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW 0 YES 0 IF YES, date issued:!" IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book 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 obtained Obtained Date Issued: C. Do any signs exist on the property? YES 0 NO 0 I l IF YES, describe size, type and location: j D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO i IF YtS, 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 i IF YES,then a Northampton Storm Water Management Permit from the DPW is required. City of Nortfaampton Building Department 212 Main Street Room 100 Northampton,, MA 01060 r phone 41387-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 =SITE INFORMATION : Ttais section to be completed bya�ffice z i f 1.1 Property Address: iM. 0 pia f y� '/' ,^/ Zne m"* + o �OYerlajF�Dlst-r'(ct s3 i �..r �'f 0— ©0b 1 E,ImYaDist[�ct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZEDAGENT 2.1 Owner of Record: Name(Print) Current MailingAd e� s: Telephone Signature 2.2 Authorized Agent: Name(Print �— Current Mailing Address: Sign 4A Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building Building Permit Fee 2. Electrical U (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) Check Number Thiis.Section FbrO`fficial'Use Onl Date Building PermifNumber Issued: Signature: ' i Building Commissioner/Inspectorof Buildings- Date 218 NORTH ST BP-2006-0671 GlS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C-047 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0671 Project# JS-2006-0987 Est. Cost: $6583.00 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.): 5706.36 Owner: ROBINSON STEPHEN Zoning: URB Applicant: All Star Insulation & Siding Co Inc AT. 218 NORTH ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.1212012005 0:00:00 TO PERFORM THE FOLLOWING WORK.-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 12/20/2005 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo