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22D-102 (2) 82 Industrial Drive Northampton,MA 01060 Addendum if s Tel: (413)341-5259 YANKEE `; Fax:(41.3)341-5269 N 0M f M P R O V M N T Toll Free:877-88-Yankee tO Contract G-tonaysoluf www.YanleeHometnc.com Date of Original Contract: V'" %_i Buyer(s)Name(s): c & 4 r B +v 4$l Phones: Hume: fle l: _ Other: " it'Buverfsl Address: /V7 d et J State: / Zit _7'72 °/V __r- -1741,/- C C4) 4/:-' ____________________ ____________ ________ Contract Price eb nifferene6 / w._ New Contract Total:, $ /' r jM i Signa yer) Date j Yankee ome Improvement _— —�^ Signature(buyer) Date with the requirements or mis ragreernent.H I ure CVGi L«,iy ucic�,,,,..,,,,.,,.,....,..,,.,.. ...`•_.._._,_. after completion of any job,Including cleanup,the Contractor shall,at its own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired or replaced,such damage or such defect in materials and workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: `/// ir/O 1.3%($ 3 ," 3� )upon signing contract; Name of Representative �S U&.' MO.-2L1&_T r G ' Authorized Si.nature _/ .<1''. , ,CGe` %($ )upon completion of M" /3%($ 3/ 3 7 )upon completion of �� Notice:No agreement for home improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price or the total amount of all deposits or payments yr%($ 3 5 3 y )shall be made forthwith upon which the contractor must make,in advance,to orderand/or otherwise obtain delivery of special order completion of work under this contract. materials and equipment,whichever amount is greater.. Acceptance of Proposal I have read both sides of this document and accept the prices,specifications and conditions stated. I understand that upo signing,this proposal becomes a binding contract.You are authorized to do the work as specified. Payment will be made as outlined above. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller, which may be his main office c 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 thar midnight of the third business day following the signing of this agreement. Please refer to the Notice of Cancellation below contents of which are referre to above and inco a d herei• , reference. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. •. A ✓� x/7". Signature .. Date /`^ ii Signature �RLLv��— Date NOTICE OF CANCELLATION DATE OF TRANSACTION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEI ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WIL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTERES ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THI CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: YANKEE HOME IMPROVEMENT, INC., 82 INDUSTRIAL DF NORTHA PP ON,MA 01060 NOT LATER THAN MIDNIGHT OF — �S; '''"��/ �d I HEREBY CANCEL THIS TRANSACTION -1'*-t°°`_' e (Date.Sundays and lidays excluded) ---� BUYERS SIGNATURE DA1 Buyer(s)acknowledge rece' t of two com let y filled in copies of this notice on the date first above written hereof. Buyer's Signature . /7. ., Buyer's Signature (:& =-z- L 0 3ti G Siding Agreement I 1 l j Thousands of Satisfied Clients! YANKEE f N 82 Industrial Drive MA Lic#160584 225 Cedar Hill St, Suite 200 Northampton, MA 01060 CT Lic#0673924 Marlborough, MA 01752 HC> MG l MPROVGJMSN T 413 341-5259 RILic#33382 87788-YANKEE The MOST Referred Contractor All home improvement contractors and subcontractors must be registered and any inquiries in New England about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 www.YankeeHomelnc.com Boston,MA 02116 Phone:(617)973-8700 i I CdtRR/O - 6l,YLf/9" Homeowner Information Name cii//� ,4/,BT/T" Street Address / 9 f 4-A) "CO City ef vjp-A)Ce State/t^ C1 fob 2 Home PhoYe3l,S�r7 - a n 6® Work Phone Cell Phone ,//4 _ E-Mail CS R-P,' e_ -s ca Mailing Address (If different) a-d 4 c-rr) The Contractor agrees to do the following work for the Homeowner: SIDING Type V -iDiS Color Style-- io 4 3ArjX Removal of Existing Siding ❑Yes to 6,1-24-41 Yankee Intl. Sealant Yes ONo Removal of Garage Siding A/es ONo 0/111-y New Gutters ❑Yes 4Ngi, Color Dumpster Nfes ❑No New Downspouts [Wes ANo Color Window Trim ❑3 sided X4 Sided Old Gutters El Remove/Re-insta xisting Cl Dispose /IoM Coil ZPVC 0-Flat Color P,, .L. Gutter protection ❑Yes o Gable Vents .` Yes ONo Attic Energy Barrier ❑Yes o J-Blocks Wes ONo (P.) ❑ Rafter Install ❑ Floor Install Soffit Covered ❑Yes go Color / Storm Door ❑Yes , to Soffit Vented , Yes ONo A/tc) SOFA77 free 7S # Type of r Entry Door Fascia Covered ,1S'es ❑No Color_1 Entry Door ❑Yes alo Rakes Covered �'es ❑No Color # Type olor Contrasting Corners �S'es ON Color PAL Shutters ❑Yes to Repair Rotted wood (not sheathing) Yes ONo #Pairs ❑ Rais d Panel ❑ Louvered Location «C d 142 iolg-A7r Porch Ceiling ❑Yes , o Color Porch Inside Walls ❑Yes o Color Windows Glass Screens A Color GRIDS A Fixture Qty. Brand IIEMPFan 3 Pane 1111Mion. Half Wrill Inside port Layout EEC Special Instructions f3/24 pt- 5-igitiV /s .R I 124 D h 5 1- 2 6 r- 1e ID frf)1.-- (O~73- f JC -xi4.ci< , )(xi fl--a“-d--k) --e_ ::-- Do Not Do 714-/4/ d 2S are. s 0411-SP We do not do any painting or staining) WORK SCHEDULE Co tra, for II of begin the work or order the materials before the third day following the signing of this Agreement,unless specifi lei .Contractor will begin the work on or about // (date).Barring delay caused by circumstances beyond Contractor's control,the work will be completed by 6p / ate).The Owner hereby acknowledges d ag s the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including,btittt t li ed to strikes,Acts of God,shortages of materials,accidents,and all other delays beyond its control,shall not be considered as violations of this Agreement. r- q C v WARRANTY � XX 1j�,, �1. - i /C4-t- -CF�-/ZAgL The Contractor warrants that the work furnished hereunder shall be free from defects in materials and �Orkfn�n'Sfii,for a peridd of " A following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the Contractor,its su(Aontractors,employees or agents,is discovered after completion of any job,Including cleanup,the Contractor shall,at its own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired or replaced,such damage or such defect in materials and workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: [*/'% &/Q 1 o(s 3 3, )upon signing contract; Name of Representative c S'7 WI 4S- /14-2-ti&-5 r http://jtinnerellowaste.conl ..--- • Home • About Us • Coptajner-, • Contact Us • Customer Login Reliable Fast & . Waste Rem _ _ i i 1,1 ii , , Y , _o-- _ff , i el § i .- jr A i -- ^' r e... r.111K-Ar,,11.V:...'S—g-- .;j:/F71:7;-:,..;'_-:14?1,7----'-' -';- -- ''' -:.•"1. i T SERVICE CALL: FOR FAS oval Services _. — -----------7---247 ''--1 (4 13) 455-1672 , , ; I ,. -.- II - 1 .., .•,,,,,,,,-„..,,, ,,_,,...„.,..,.... \,1 inF7 e i , i., Bs ,,,,-. -----. .=----:::i.„4-t,-;„ ----- i„„ ai,z.,?,,,, .,,,....-.,-, ..-..,,,, .:::•...?„,,,,17-‘,...„,,,,,,,,,„-,!,-;„ , , - als Z - IL" ,..-. W-;,- .1-z,',.-..,,,,-,-t-,,,,,-,..,-....• .,, . --- 4-1::: :'6`.--..'7 tit IL u .,...,,,,,,,..1.,,„:„„:,,,,...,: iris. , _,..,..,.,-.._„...-____.: N jR 1 , V Roll-off and Rec./dng Service „:„,:.-3t: -I-if I Iii ; "I .?,•::-.,- mei V E V COMPaCtOr SerViCe ,,,,7,,,,, ings , - -iii it 2_ i UMPSterS'744 '' V 15 yard and 30 yard d V Quick response, . V Comptitive pricing .-:::--1-1_ s - -- -7;.,3-----zg . 0 YEARS EXPER1EfICE on czc d R3de:5 iail d -. ne = 1.,t antr - _ .„-e 9.,,,v;:-..,Sp;Ingfieic Are ' - - „ ,.,..,,,:. - , ',...4 0...e ser,,rog...f w ” zzemileitra site.CUM kliVirilititin • Local Weather °F ( °F) Weathe .iala OrC,Icl.:i by.tarhei conk Our Address T,2/UM P L OC_,4MC ki J.Tinnerello Waste 32 Century Street Agawam, MA 01001 IA:..'L F.: :T-r- •,:-.:.4 1.--1 ivi A Phone & E-mail (413)455-1672 Local 3/710012 9:48 AM -;,.. __________ Qiie,e C690-..;11/m/c244,,e)add ol77/6414(7,olue/Je/M, may= =;r_ ; Office of Consumer Affairs and Business Regulation -m - 10 Park Plaza - Suite 5170 �' Boston, Massachusetts s s 02116 . Home Improvement Contractor Registration Registration: 160584 Type: Private Corporation Expiration: 8/7/2014 Tr# 228954 YANKEE HOME IMPROVEMENT INC GERARD RONAN 82 INDUSTRIAL DRIVE UNIT 2 NORTHAMPTON, MA 01060 Update Address and return card.Mark reason for change. Ell Address O Renewal 0 Employment ti Lost Card SCA I • 20M-05/11 // �j /J�/�� �JLe l(.'dIYGm u a/I dL UvLGiuJ`G Office of Consumer Affairs&Business Regulation License or registration valid for individuI use only _ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _= 5,Vii_ egmtration: 160584 Type: Office of Consumer Affairs and Business Regulation piration: 81712014 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 YANKEE HOME IMPROVEMENT INC GERARD RONAN i�� 82 INDUSTRIAL DRIVE UNIT 2 . ;'...../--..-7<E53.=. _ .------"'..- NORTHAMPTON,MA 01060 Undersecretary „..„„/”. Not valid without signature 6 • • P CS-089442 GERARD J RONAN PO BOX 675 EASTHAMPiON MA 01027 f.72- 03/1912014 10/11/2012 THU 11:00 FAX (?2006/007 Client#:17700 YA.NKE3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE( ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King&Cushman,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE King&Finn Streets HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 447 Northampton,MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER AI Hermitage insurance Company Yankee Home Improvement,Inc. INSURER B: The Travelers Insurance Company 82 industrial Drive Northampton,MA 01060 iNSURERa INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL NE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR WIRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDITY1 DATE(MMIODIYY1 LIMITS A GENERAL LIABILITY GL3726902 08114/12 08/14/13 EACH OCCURRENCE 51,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED s50,000 PREMISES(Ea'CLAIMS MADE �'^'OCCUR - MEDEXP(ny ,nepe eel MEDEXP(Arryonaperson) $5,000 ._� PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S2,000,000 TPOUCYfl t ILOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acadenD $ ALL OWNED AUTOS BODILY INJURY $ _ SCHEDULED AUTOS (PIN person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per=Went) PROPERTY DAMAGE per accident) GARAGE M'SUD. AUTO ONLY-EA ACCIDENT S H ANY AUTO 011ERTHAN EA ACC $ AUTO ONLY: AGE $ — EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ _ IOCCUR ri CLAIMS MADE AGGREGATE $ _ S DEDUCTIBLE $ RETENTION $ 'S B WORKERS COMPENSATION AND 6KUB5B50745412 10/02/12 10/02/13 I I WC STATU- IoTH- TORY UMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $1,000,000 ANY PROPRIETOWPARTNER/FXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE$1,000,900 Eyes,describe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $1,000,000 OTHER • DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYS WRI1TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NC)OBLIGATION OR UABRrTY OF ANY HIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES AUTHORIZED ENT /l ACORD 25(2001/08)1 of 2 #12054 SMF 0 ACORD CORPORATION 1988 I The Commonwealth of Massachusetts Department of i`rdustreat Accidents '"'•• `,r,=f/ Office of Investigations 3 _ 600 Washington Streei . =after I .71ostorz,MA.02777 wvn_mass.govldia Workers' Compensation Insurance Affidavit:Bnilders/Contractors/EIec#rieiaus/Piumbers Ap€iicant Information Please Print Legibly Name(BusinessfOrganizaiioni individual): YAK/ E 14OME ./-7‘e2t�+QJNta_i✓tgR.t T Address: 2 m;LLD 115-Me I p.,L ID t?0 VET City/State/Zip_ h gTi-64 `4F-770 Pa-,i'iA. 010 ED Phone#: 4-/.3-3,4-i —52.59 Are you an enarp!Over?Check the appropriate box: I ; .gs' I I are a general contractor and I t Type of project(required): I I am a employer with �G7 - 0 tz_ 0 New construction employees(tall aud/or parztime).* _ have hired the sub-contractors I '_ I aria a sale proprietor or pater listed on the attached sheet. pg Renuodelhmg i slum and have no employees These sub contractors have 8. 0 Demolition workbag for me in capacit employees and have workers' - 'y. 9. 0 Building addition No workers'cones_insurance imp-insurance required.] • 5.0 We are a corporation and its 10-0 Electrical repels or ad ors 3.D I and a homeowner doing all work officers have exercised their 11.0 ping repairs or additions I myself[No workers'comp. • right of exemption per MGI., j I2_0 Roof repairs i insurance rued.]1 c.152,§1(4),and we have no employees.[No wor ts' 13.0 Otter comp.insurance required.] i 'Any appliaht that checks box#1 emstabso an out the section below showing their workers'compensation policy informantcn. Homeowners who submit this affidavit intEcating they are doing all work and th=Item onside conttactuu must sl bmit a new affidavit mdiraxing scab_ ;Contractors that cheek this box rctimt attached au additional rcl showing the name of the sab-comearions and state whether ornot those mattes have ernployees. If the sub-contractors have employees:,they must 0cwide bar ono trees°camp.policy number. _tam en employer that is provsidatg workers'cornpens an insurance for ray employees. Below is the policy ant job site information_ Insurance Company Name: G.�AA111 'S7—1A 7 =U S7.i.04A.0 fJAAIY Policy 4 or Self-ins.Lic.T 6 1'B—5B50T4a5--"4"- i2 Expiration Date: k92- 2013 Job Site Address: /ii 9 /PYA/.l RD.4D City/State/Zip:PLO,WXJCE,644, atah.a Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sec=coverage as required under Seccon 25A of MGi,c.152 can lead to the imposition of criminal penalties of a e up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of tr to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of invesrigatiorts of the DIA for insurance eoverase ver ication. Ida hereby certify it tk s and p penalties of perjacry'that the information provided above' true and correct Signature: { 2>l� Date- e ,/`7// Phone T: `t-13 °3tff-5Z1a9 f (, Official use only. Do not write in this area,to be counpli4Pd by city or town officiaL It 8 i fo City or Town: _Permit/L.icense# j Issuing Authority(circle one): ii 1..Roane ofize.alth 2.DI:Hafrig Department 3.Cltylrown Clerk 4,Electrical Inspector 5.Plumbing inspector p b_Other it it , f1 o Contact Person: Phone#: t SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Holder: l L-„G rCART3 72101VA Al C 5 2 License Number r.Z-It1DU5 7 6?L `3F7 /ldR7 cMP7oAf M455- O/L)i D 3 /9 — 2v/z+ Address Expiration Date Signature Telephone 9.Registered Home Improvement Contractor- Not Applicable ❑ 'YANKEE. 1-101,1L- se61 f"Terv-r TOa58,-i Company Name Registration Number SZ IWDUSTRIA L wRT7-1AMPT04.1 , MASS - 0113(..0 P - 7- 2.0 P-1 Address Expiration Date c%�i��2•t`'C.- Telephone 1-113 301-5 25 9 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 ❑ i 1. home Owner:Exemption 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 [j Addition D Replacement Windows Alteration(s) t l Roofing ED Or Doors 0 Accessory Bldg. ED Demolition Li New Signs [p] Decks [ ] Siding[)41 Other[0] Dscri tion of os Work:Brief e MIJ 1!E ed Pro PR PRESENT 1 T SID/A!G A AJ D ADD IVEfn./57k'IPPRE5EaCT 4 k D ADD NEhl T;2 Alteration of existing bedroom Yes X No Adding new bedroom Yes X ' No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet 6a. if New house and or addition to existing housing,complete the followlnc-. 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-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I 1:7C14".42D GLOe/A 5 UPR&A/44 Af 7- , as Owner of the subject property hereby authorize %ANKEG '4F'zOVE N1 t='&(?' to act on my behalf, in all matters relative to work authorized by this building permit application. 0/L/ £zMM/77 ACY Signature of Owner Date i, YANKEE" I-1©ME MPRnVE7+7E/IJ 7 & 4 ED 77Aram ,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. E .4.&--11 Print Name .14-e Signature .t• er/;gent Dat • Section 4. ZONING Atl 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 DONT KNOW YES 0 IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES C) IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW '►. YES C) IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO O 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 pi, IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or fining)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. „__ _ Department use only. Ci of Northampton Status of p'etrrrtt MAY 2 3 2013 Bu► ing Department Curb Gt 7rhveway Permit 12 Main Street Sev er//ept c Auarfabt1 y OWL OF BU11DJNG INSPECTIO Room 100 1NaterlWeIl A3raiIabtlity NORTHAMPTON'+Naotoeo or# ampton, MA 01060 Twa Sets of Strtic rai Plains:- phone 413-587-1240 Fax 413-587-1272 PIotlSite;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 of 4r�J RYA N 7e6 AD Map Lot Unit FLO RENC E`; MA. O i 06. a Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: RICN/t1�D # GLDRfA SUPK>~AI 11t T 141( RYAS'RD.. ELak'Et1r)=.MA - 6166 Name(Print) Current Mailing Address: -J3�3'/ / _SE�F <z 160 D A/ CO/ti TIE ACT Telephone Signature 2.2 Authorized Aaent: 7EAE'1 'TV:DNAN YANKCCll E IMP'/ZOVEME7L1T 8217 t0V5Tk'/ALDR NOPTF1-3iMPTG.N./"1 OUXD Name(Print) i Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1 Building i1 8 1� dr, (a)Building Permit Fee 2. Electrical fF (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) /l y S/� Check Number d This Section For Official Use Only Building Permit Number: Date }sued: Signature: Building Commissioner/inspector of Buildings Date Affk 149 RYAN RD BP-2013-1130 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22D- 102 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ROOFING/SIDING BUILDING PERMIT Permit# BP-2013-1130 Project# JS-2013-001856 Est. Cost: $17810.00 Fee: $70.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): 36329.04 Owner: SUPRENANT RICHARD D JR&GLORI Zoning:URA(100)/WSP(100)/ Applicant: YANKEE HOME IMPROVEMENT INC AT: 149 RYAN RD Applicant Address: Phone: Insurance: 82 INDUSTRIAL DR,UNIT 2 (413) 584-8318 Liability NORTHAMPTONMA01060 ISSUED ON:5/23/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE SIDING & STRIP & 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 5/23/2013 0:00:00 $70.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner