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17A-251 J/( i i 1 t-)�.1-%tC C, G GG f- - .5 r`-1 56 FRANKLIN MASSACHUSETTS 01027 EASTHAMPTON OFFICE: WESTFIELD OFFICE: 568-6411 185/8_t j� roposal SVbmitted to one dv1` 7"4L.a.i r+V7 a'Don-AhY Shimel "Purchaser" 413-584-171 °H Street Job Nome 114 Lake Stmt City, state and Zip Cade Job location PAW 1 of 2 on (� 1 012,9 Contractor hereby submits to Purchoser specifications and estimates for; INSTALLATION U7 VINY- SIDING 1 Qa 1, We wi 11 r'a iye exi s•ti no rmsoni to si din, from extp.rior val 15 and di sDose of in chrmster gt4)Dl ipd US. 2 We will �i netal 1 ter Mastic Dv .t Vinyl Mdi M ar >1 l extPriar w1 h howc� kd l l have choice of color. ----— __ -- _--� --- -- ------- ---- 3. 'tie will nail all .s eli n`fg ctt IiRas y r; ? 'i '' } 'yi r (,Sl lc n k.gr rqn la?l� SC tbpy V41 i i'Ot rust; ur )atrl tits sidincl> 4. We will inst�a I a 3,18" st rf)r i,-cwr ' ' K£?' benirKi r`cw sic irlr,. • .ie-N-:�t rr i+{"1i-r .l;"_-i ur! f_ r i tayti't a1 �, f1Yt s' � t� !`--x- � -j'.l' `i1i,,f L'%i L"l �,. Wbiod, trim arY! I,r' 1 C J bay I h?r 'i,_:z,21 c13*A tL-�iiin?tff-:_.��.-1- 8. 'Wood. trim soy Fit and fascia +hell b(, rover xi with Wto altmiruri coil stack aril perforated vinyl Soffit We vii 11 til^i' I Qt1'�. yxx✓1 SOY'fi1, cmeas tr} iru:; ease a-tic, yerlti1at1oc. is "di:t° t ; p. wf t 1 i,<'• „" .; r; Tt'r; . i t,r.;} � z„• n '' � - ,l-+• `P A {� ti t r. � h,.. '10. tiny. rrt�ill i�� :t.ti1Cl,. :'�`( }�� L� 11. Arty existing ywd Ufa t is se he r ti l ec . 12. Any existing + that i s deleri orated 6hi ch rft.As to be rwl aced so that %A e ca fam Our WC4 viii be r ,1ta,. ;ltis r'a.s ict -;,nr IEOCiE any stncturI r _.rii!? .n-r ,r��Ilt� � 1. 13. We wlll iristal =.mile Gist"' 1 �Sg4;t �`'t" / JGI(�lLrI19� ✓ 3 ff� ,_ � , 14, We lid II irstt)l1 l31 0ritl 1 i tfi tlrnkS h*-t-irr 1ioloYi ��;r'i*°� _ 'r° —15. °JE' w1 l l f nsta l l vhf i to I`'�isti r, i I i -f d or Tr;" i ti- C^vfxa". e s�S ".t'--1- nk NC 1 ,� 1.6. Vie V l and c sny)Sc ff J rif atf 1 r04 r e? .f t .. 4 -74 "• lft h r:f ( Pit r rF Ililrll.lP', C1 LtE �,:�,? a I.' if 0t ,:1 it { �^ ?fit (._ .a t 'ii�Jl�s rr€i r , r�, .� 7 fi� r.t�a a�rr}•;�.'� !t. ,. % . . r. .'- � ' � f.d l' r � (,�� t`f ��- r(1 f� J = t at - ,Y' 7cr°n •,. , r �., ti fq., . .'i ! ^e a}i 'Jf f'riL�tl IJU{.Y +^cWa t • �'t,. t•, t , .h y I '� 11 I i? " 1 I r L` 1 i ��'^'�I -`Ci .a: � V 1 — r, G.J. V}tly i .,,ir`.i 'rk35 a `7�3lo�av CINTimum WE PROPOSE to furnish material arW, lapor, co p ete in accordance with above specifications, for the sum of: dollars (3 _— f', "�+ 3rd DW I. payment due upon receipt of invoice. It payment late, interest at 1 1/2% may be added 11})n (;wpletion of NOTE: This proposal may be withdrawn by us if not accepted within 11111`t.Y days. ;, Contractor Salesman , ,E 'r"ams :dtcDmild, Salesman f,, i"t7ttlyilifi�rs" Acceptance by Purchaser, and Title "You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the 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. O �\ 9 6 jlcexathno to DEPARTMENT OP BUII..DNO INSPECTIONS 212 Main Street ' Municipal Building Northampton, Muss. 01060 v WORIER'S COMPENSATION LNSURA.NCE A.FMAVrr I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO. , INC. (liccnsx/permittce) with a principal place of busi.ness/residence at'. A 56 FRANKLIN STREET, EASTHAPPTON, MA (phone#) 413-527-0044 lsa•ccv ci ry/sta;.cJ a p) do hereby certify, under the p?-'J:s and penahes of pcf�u ", chat. (� I am an employer providing the fotlowing woTkees compensation coverage for my employees working on this )ob, 4 .—) C- (Lasur,nca Compauy) (Policj Number) (Expiration Date) ��fLQ,ttiiCi9�n c �,�c�iQ� �t•P. ( ) I am a sole proprietor, ge eral contractor or homeowner (circle one) and have hired the contractors listed be!o'x who have the foiio7rng worker's compensation policies: (Name of Contractor) iLlsurana Cor rpany/Pclicy Ntunbcr) (Expiraaoa Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) �'Lnsl;razcs COMnP�/Palicy Number) (Expiration Dale) (Name of Contra(ztor) (Insw-a lcc Companyfpolicy Number) (Expiration Date) (sUach Uidttiooal ttkd Jnoocswy to uxluda nformaAOC pata.inicg W a.11 oo=r rl) ( ) I am a sole proprietor and have no one woT�. g for me. ( ) I am a home owner performing all the work myself. r NOTE'.please be aurae dw VA i O bomeowacn wbo alloy mom ta do iv a�aace,cocisu�et on or try0.R work oa►ct.yelliag of W Moro thta tTe uniu in which the k> e- rcr'cam oe x t5e rr-�-.Cz a,7kj-Ms LSaYto e.-c oot Gcxatky cowidaro to be employers u.nda the twrkrs`s O=P=ssLca Act(GL15�-=s :(5); w p'•:a io try a h==w=for a lioave cc petal may cv1dcnoe tho legx!stxtw of on arsployet coder da wwiczes Cox'—Oa"Loa'A ,_-- A I undcMaxod that a 007y of thin c atci axt zay bo Amdcate Offioc of raunvooe for t}se corm Be Yetnfi=oa and thst 2 5 A c:f?.(GL 152 car.':ac 14 Lao of awemnl pcmartica of x five orup to S1,5OO.N ar4lcr c - of uq 'j OM ycar ea4 avi:;xm:'-era w to form 011L SWp wor't Order anti a fine of 5100,00 x C4 Lpni Me. For depaIIaatil taco oa►Y Pcrmit Number Map'�1 Signature of Liocnse'- PC rn.itIct a e 5' j QNTRUCT.ION SERVICES 1 Licensed Construction Supervisor; Not Applicable O Name 2f License Holder; License Number Address Expiration Date i Signature Telephone ti w -t , ,.s ^ , .a .tallitI� „t' ', Not Applicable O S%ornpa Registration Number 2Ad ress t Expiration Date ' Telephone 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 o he building permit, Signed Affidavit Attached Yes....... No...... O fil $k NMI��ffljfeMRWOI:b The current exemption for"homeowners" was extended to include Owner-occupied Dwellings of one (]) 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 ,Z X tr. Aw, ,CTI,ON 5. DESCRIPTION OF PROPOSED WORK(cJjeck all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s)lb/ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ J Siding Other [ ] Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 r Renovating unfinished basement Yes No Plans Attached Roll C • Sheet C t4N�irttt his' and or.*a_d�on to,existift housing, completw,the folI'o lz a. Use of building : One Family_._3� 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? 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 APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act or my behalf, in bll matters relative to work authorized by this building permit application. Signature of Owner Date I, ItV i as Owner/Authorized Agent hereby eclare that the statements n information o the foregoing application are true and accurate, to the best of my knowledge and belief. Sind under the pains and penalties of perjury. Pmo Signature of Owner/ gent 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 Fronta e Setbacks y 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 v' 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 # i 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: City of Northam Y ton p Building Department 212 Main Street t r Room 100 or,Y�iampton, MA 006 ^ � _-- „e1I:8'7 1240 Fax 41 s �;� E : ! LAPP TIO T CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 3 01W Z�SITE INFORMATION 1.1 Property Address: This 58c�tiQ y; s cQtjtp.{gGy of �� , ,. n W S�. r Map �. _.� ---- �! : n Y�{strict Zone �- ,4��,t� Elm St. District CB District_____ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Own2r.of Record: (30d-i__h,0aA(j Name(Print) Current Mailing Address: ' (� �}�J O y 5S ! ��J Signature Telephone 2,2 Authorized Agent: _ Name(Print) j Current Mailing Address: d rl Signature Telephone =Q1 QK3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to oe Official Use Only completed by ermit ap ! can*, 1. Building ,po ;a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 T 2 + 3 * + 5) Check Number _ This Section For Official Use Only Building Permit Number, Date ssued: Signature: Building Commissioner/Inspector of Buildings Date BP-2003-1126 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-1126 Project# ]S-2003-1777 Est.Cost: $9363.00 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.): 17511.12 Owner: SHIMEL BRAD A&DOROTHY A Zoning_URB Applicant: All Star Insulation & Siding Co Inc AT. 114 LAKE ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON:6110103 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL SIDING 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 SiLynature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 6/10/03 0:00:00 28492 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo