Loading...
29-233 O -UP 0 = SMOKE DETECTERS BASEMENT 00 = C.M. DETECTER f � BEDROOM O 0 LIVINGROOM BATH BATH BEDROOM O O O 0 EXISTING GARAGE - --- KITCHEN - -- - BEDROOM BEDROOM O= SMOKE DETECTERS FIRST FLOOR 00 =C.M. DETECTER '4&ae-c 00 ,mow` I EXISTING WINDOW ANDERSEN 24310 U N IT 2' 5 5/8" X 4' 1 1 /4" `y - 27 NEW ANDERSEN 3046 U N IT 3' 1 5/8" X 4' 9 1 /4" 4' I F-I 00 17' N 2'7 4' FORM INTENDED TO COMPLY WITH LAW The Contractor and Owner acknowledge that the form, substance, content and notices contained in this Agreement are intended to comply with the applicable portions of Massachusetts General Laws Chapter 142A,and regulations promul- gated thereunder. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this Agreement shall be in full force and effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and applicable regulations. RIGHTS TO CANCEL The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof,provided that the owner notifies the contractor 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 attached Notice of Cancellation. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. ner's Signature Date Signed Owner's Signature Date Signed n 7 (kontractor's Signature Date Signed VIII. CONSTRUCTION-RELATED PERMITS The following construction-related permits will be necessary in order to complete the scope of work included in this Agreement: The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction-related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory,permit granting or inspectional agencies,authorities or individuals. Notice: If the homeowner obtains his own construction-related permits for the work described under this Agreement, the homeowner is hereby advised that in the event of a dispute,judgement and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A,M.G.L. IX. MODIFICATION This Agreement,including the provisions relating to price(Section II)and payment schedule(Section III)cannot be changed except by a written statement signed by both Contractor and Owner. However,cancellation by Owner is allowed in accordance with the Notice of Cancellation(annexed). X. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 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,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced,such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers'warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under Massachusetts law,sales of goods carry an implied warranty of merchantability and fitness for a particular purpose. During the stated warranty period the Contractor shall be responsible for service for repair or adjustment BUT the Contractor shall NOT be responsible for normal maintenance,repair due to abuse or misuse,and normal wear and tear,which shall be the responsibility of the Owner. In the case of service by the Contractor under the warranty provision,the choice of repair or replacements shall be at the discretion of the Contractor. XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted or not applicable,and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate,and an original signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the owner of a copy thereof. II. PRICE Contractor agrees to do all work described in Section I for the total price of$ III. PAYMENT Payment will be made as follows: 33 1/3% $ e0• upon signing contract: 3 0/0 $ i OCR ° upon start of '/a upon start of vri fJ1 71—a"2" $ upon start of and the remaining S %($ 1 S/S. `0• )upon verification of the work by Owner and Contractor as having been satisfactorily completed, which verification shall take place promptly after completion. 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 which the contactor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK Hidden conditions may require adjustment in the overall price of the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and where necessary a written amendment of this Agreement will be negotiated and executed by the Contractor and Owner. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about Ti �,; r�,�s1 7. --Ja0P2 (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by Fy bc;a v-a Ai�em>S3 (date). The Owner hereby acknowledges and a agrees that the scheduling dates are approximate and that such delays that not avoidable by the Contractor shall not be considered as violations of this Agreement. V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III(Payment)above for the reason that he deems himself or the payments to be insecure. If,however, he deems himself to be insecure,he may require, as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in the control of the Owner,shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. Accounts not paid within 30 days are subject to a finance charge of 1 1/2%per month. This is an annual percentage rate of 18%. VI. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself,his employees or his subcontractors in the performance of,or as a result of,the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII. SUBCONTRACTING Contractor agrees that,notwithstanding any agreements for materials and/or labor between Contractor and third party,Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. r ~; S.E. Sulenski ROOFING & SIDING CO. INC. 103 South.St., Holyoke, MA 01040 413-532-3630 Fax 413-536-8354 MA Reg. # 101718 ----- RESIDENTIAL CONTRACTING AGREEMENT ----- Read this agreement and make sure you understand it before signing it. This agreement has legal force and effect and binds those who sign it. --------------------------- Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by provisions of Chapter 142A of the general laws,mustbe registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration,One Ashburton Place,Room 1301,Boston,MA 02108. Company Name: S.E. Sulenski Co., Inc. Designated Registrant's Name: John R. Rigalls, Pres. Registration Number. 101718 Salesperson's Name: Zfr -) r.., t f AaceL This agreement is made on /-I//a / � -a between S.E. Sulenski Co., Inc. (DATE) (CONTRACTOR) of 103 South Street Holyoke, MA 01040 (413) 532-3630 (PHONE NUMBER) hereinafter called"Contractor"and i<q 1n) dlo,'Ari (OWNER) of L k oo vi) 4Tr^mot (ADDRESS) (PHONE NUMBER) hereinafter called"Owner". hh ZOt7 a,r. 1 a(, S P R i,t.>Gt— a tli Froe- r'9 LPL 1'sta n^97-0iZ "'J"CL, 1. DETAILED DESCRIPTION OF WORK TO BE PERFORMED AND DETAILED DESCRIPTION OF MATERIALS TO BE USED The Contractor and Owner agree that the following additional documents,plans specifications and change orders are attached hereto and incorporated by reference into this Agreement: O Specification Sheets 0 Pages O Kitchen Design Pages 13 Plans Pages O Materials List Pages Quality Since 1947 103 South St. Holyoke, MA 01040 PROPOSALA S.E. SULENSKI 413-532-3630 CO. INC. Fax 413-536-8354 MA Peg. # 101718 www.sulenski.com SPECIFICATIONS RESIDENTIAL&COMMERCIAL IMPROVEMENTS TO PHONE DATE Ryan Harrington 320-3472 10/4/2007 6 Lyman Street JOB NAME/LOCATION W. Springfield MA 01089 garage remodel/126 spruce hill ave. JOB NUMBER JOBPHONE We hereby submit specifications and estimates for: Gut existing garage walls to open framing and remove all debris from premises. Remove existing overhead door from house and frame in opening using 2"x4" stock 16" on center. Supply and install 1/2" plywood over new framing. Supply and install 1 white vinyl window in area of new wall framing. Frame new floor over existing concrete using 2"x6" stock 16" on center. Supply and install 3/4" plywood over new framing. Frame interior walls using 2"x4" stock 16" on center (SEE PLAN) . Run new heat ducts into new room off existing heating system. Supply labor and materials for rough electrical work: outlets, switches, light boxes, cable, and phone. Supply and install fiberglass insulation in all walls, ceiling, and floor. Supply and install 1/2" sheet rock on all walls and ceiling. Fix exterior siding as needed. Supply and install 2 closet doors and 1 bedroom door into new openings. Supply and install prefinished hardwood flooring in new room. Supply and install window, door, and base trim to finish. Remove existing bedroom door and install new pocket door. ***ALL DEBRIS WILL BE CLEANED FROM PREMISES*** ***PRICE INCLUDES ALL TAXES AND PERMIT*** ***ALL PAINTING TO BE DONE BY OWNER*** We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of: Twenty Four Thousand Eight Hundred Ninety Eight and 00/100 Dollars dollars($ 24, 898.00 --------- ---------------__— --------------- Payment to be made as follows: SEE CONTRACT All material is guaranteed to be as specified.All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above Signature specifications involving extra costs will be executed only upon strikes, accidents or r delays beyond our control. Owner to carry fire, tornado and other necessary ote:This proposal may be insurance.Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within 30 days. n Acceptance of Proposal -The above prices, specifications and conditions Signature are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payment will be made as outlined above. Serves as contract if under$1,000.00 l Signature Date of Acceptance: 2�.� J- .----------- ------ —-------— ---- -- - — ----- 0// Board of Building Regulat01ns s One Ashburton Place, Rm 13 Boston, Ma 02108-1618 Birthdate: 06/22/1945 License: CONSTRUCTION SUPERVISOR LICENSE Restricted To: 00 Number: CS 022840 Expires:06/22/2008 JOHN R RIGALIS 103 SOUTH STREET HOLYOKE, MA 01040 Tr.no: 23480 Keep top for receipt and change of address notification. DPS-CA1 a SOM-04/05-PC8698 y Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 101718 Type: Private Corporation Expiration: 6/29/2008 S.E. SULENSKI ROOFING & SIDING, CO _.. John Rigalis South St ----- - - -- ----- Holyoke, MA 01040 ---- -- . - - . Update Address and return card.Mark reason for change. DPS CAI Co 50M-04/05-PC8698 (� Address [�] Renewal Employment Lost Card _ Board of Building Regulations and Standards License or registration valid for individul use only y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 1,01718 Board of Building Regulations and Standards Expiration: 6/29/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 S.E.SULENSKI ROOFING 8 SIDING,CO John Rigalis 103 South St Holyoke,MA 01040 Deputy Administrator Not valid without signature ACORD TM CERTIFICATE OF LIABILITY INSURANCE 12/31/2007 PRODUCER (413)536-0804 FAX (413)534-7874 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Martin 1. Clayton Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1649 Northampton Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 989 Holyoke, MA 01041-0989 INSURERS AFFORDING COVERAGE NAIC# INSURED S.E. Sulenski Roofing & Siding INSURERA: H.T. Bailey Insurance Agency 103 South Street INSURERB: Safety Insurance Company 0014 Holyoke, MA 01040 INSURERC: INSURANCE CO OF THE STATE OF PA INSURER D: 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DDIYYI GENERAL LIABILITY NPP971670 06/04/2007 06/04/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 i A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO JECT LOC AUTOMOBILE LIABILITY 1610306 0110112008 01/01/2009 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC8932443 12/31/2007 12/31/2008 1 WC STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1 /11 Harold Clayton Jr./MEG �yy ACORD 25(2001108) ©ACORD CORPORATION 1988 ('r,it-g of Nart4ampton aL �iitaesac3�usrt2s DEPARTMENT OF BUIL)WG INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supc.: ,•i-sor. The stare defines "Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends 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 that one home in a two-year period shall not be considered 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 foundation/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 Y F f �yI(�I Of parflli3111pfoil _ �: �lasawrtlrtcrlla — DEPARTMENT OP BUILDD\IC (NSPECr ION's 212 1<lain Street IN-funicipal Building Northampton, Mass. OIOGO WOPICER'S COINIT✓NSA T'TON GgSUR CE AI=A1 17 —, Cr1w Ig. Ri9c�ca S•f Su1,2",,-S k�__.`t�na04-91 s Id1d5 (lic�nsa-Jpertnittcx) . a pr-il-tcipal plat: ofbusiness/residencc at: j:< l0� it ti1 .ttt 6r 6 LY0 ki_ h•,a, 0 Di-/d (phone') 4/3 -53-a-ads o c3 ty/sl alga p) do hereby ce 7'. under t)c. gins and PC13216CS of e �Y, h2 t ( ) I am an employer providing the following «'orkcr's comoens-:10n cove ale (or my employees xvor>ang on Lllis job: C0 Eay (Lns11r��Corr:Lv) (Pelie:Nt� r) — :piraor. Dzt`} ( ) I am a sole proprietor, genera.] contractor or homeowner(c c:e one) and bave hired the contractors listed below vgbo have the `oUotvinQ worker's cac-2oeita;son policies: f (Name of Co __--nctor) (In5ur3nt Colnoaslyt�eue, Nulnic:) :pi,-deb Datc) (N me of Conmctor) (InStU'ap CJmDc.1ti/PO17Ci \unc.r) (i:i3irarioo Dae) (Name of Cotltracttir) (In$urdnC` Compalry/PoLcy Ni Lmbcr) (E-xpimaoo Datc) (Natnc of Contractor) (lnsutancz— Comrauy/Policy Numbs) (Expiraaoa Dat`)- ! (nIIa�sd:roCal L`�oa.ilaec�-...y.�a�ctuc�iaTorcu3oa pc�saiaia.s to cil ooh-r�-s) i O I am a sole proprietor and bave no one working for me. ( } I am:a home owner performing all Lhe work myself. NQ_1E:plea be cwNC[hC ltz}a bo11 ub. o==-:vao c rc,Taa—rx cn ont awct i 1`3oe tmi•,,in--Sids kbc bomoowoc-rrsdca of oo the VvuaFs z�pune�:s7 tbeeo�z not Ca_I1y oec.C.-oi ro be ctployer u�c'be Qirtt e Y cu AG(GLlS2--1(S)1=wucaaoo by c bomao=ve fa_b�.or p=mi,any e46cooc trr lcp,t e._,.,of na�loy.r under duo Wolf oar Compomelion Act r +ad tbst i ooPY of tLi.mr�cm m+y by f---,ded to the popenmeno of lo�asriJ nc.�d�OIL—of lmanaoo for ih� oorcab a"ei(coon,ud tlLt f iltat w conuc koreracu=ter sorSion 23 w of}(QL 152 m ksd to the ^�asi23oa of ciminal pealtia O°o aE of c fiat of ttp b S 1500-00.ndlor oC uy to one yesr end oil pmcltio in 6-form of I Stop wolf Orda.od c r=oCSIOo.w a day cpj=CD,_- For dep�—only . Pcrmit Number 1 -p•"• — L01 S'f�ouz of Liouz_sc/permiu= - j SECTION 8-CONSTRUCTIOw3ERCEiCES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: 0.2a 410 License Number 10 3 Szzk StruC Address Expiration Date 01040 Sign Lure Telephone Not Applicable.❑ S. E . Co - IC1710 Company Name Registration Number 103 S c alk <-M--e -t- Address Expiration Date 6e k�iz K e- 11-1 a., ©%,o q0 Telephone H13 SECTI.ON 10,:WDW—MERT COMP-101 A'F:1O"SFJ C ID�4 11. L.c.1a 5C�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....... UK 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 1083.5-1. Definition of Homeowner:Person(s)who own a parcel of land on whieh 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-WORK4-check.;ait.aaDlicabI New House ❑ Addition E] Replacement Windows Alteration(s) Roofing ❑ Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[Ell Other[p] Brief Description of Proposed Work: Rv As ( a Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet -._;? -.L;:szsr--w.�,^. '7^y 6aIyVOeRE�10EitQ7ctt�ldGMoeo1 �OCtit4 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 build i rig,conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECZION 7 01L kff-.AQ iOR 4�[b[t QM�LE���1-W OSIERS 7CGEN�Q�C�OI��iAC�.Qi���L1E-S' .QFktli�f,��.E�lll��-, ri j h4T'l4L as Owner of the subject property hereby authorize `zit SkLew)SKi. ,00 F1 W S1 di wri (D to act on my behalf,in all matters railative to work authorized by this building permit application. ;2 ?� u Signaty�e-of Owner _ __ Date 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. Print Name Signature of Owner/Agent 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 I Frontage Setbacks Front Side L:` R:': L:I R:i .Rear Building Height ; I Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW 0 YES Q IF YES, date issued:! ' IF YES: Was the permit recorded at the.:Registry of Deeds? NO 0 DON'T KNOW .0 YES Q IF YES: enter Book Page' and/or Document# B. Does the site contain a brook, body of water or.wetlands? NO Q DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: i C. Do any signs exist on the property? YES 0 NO 0 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 O IF YES, 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 NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Aig _ City of Northampton 7 2008 wilding Department .212 Main Street � ` . _ Room 100 ,SNorth mpton, MA 01060 J-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SEG7(ON:'F S1�INfORMA�ION- l- ` 1.1 Pro oertvAddress: — >� � � stkQ MPlefedo>rface " ^v' N .yocyM'(vJh SAN n`=g .� �vvi P Ili *01Xe1- lStOG� c.+ SECTION 2, PROPE!,Z,- OWNfRS(lIP/AU FIORIZfDAGENT 2.1 Owner of Record: I CiU b kg yiiuy Tr1L WasT Name(Print) Current Mailing Address: Telephone Sign ym 2.2 Authorized Aaent: S.0 �u1�rySKt �eorlrU3 v� Slci?�rtJa C'c J1).3 -C�':dA sr. diel.yj)kj Nam (Print) Current Mailing Address: yl3- Si n ture Telephone :SECTION 3�-ESTIl111h�TED:C'OKfS7'RC�C.TION�GAS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (aj Buddrrag>Percnit�Fee 2_ Electrical b sttr aced FotaT%Cost of` <Co�stiQic�or��roirf 3. PlumbingBuiCdirlg Permi[t Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3 [.Check Number 17 13 ik aiZ This 'en,150K fJseU:nl _ Buildmg;P...ennit:Number: .-Issued: Signature: Building Commissionerllnspector o£Buildings Date owl y,40 File#BP-2008-0628 APPLICANT/CONTACT PERSON S E Sulenski ADDRESS/PHONE 103 South Street HOLYOKE (413)532-3630 PROPERTY LOCATION 126 SPRUCE HILL AVE MAP 29 PARCEL 233 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: REMODEL GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 022840 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN O ATION PRESENTED: Approved 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 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 __//i4 11-1-0061 Signature of Building Official 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. 126 SPRUCE HILL AVE BP-2008-0628 (if IS _ COMMONWEALTH OF MASSACHUSETTS Map:Block: 29 -233 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Te UI�,1�ING PERMIT Permit# BP-2_008-0628 Project# JS-2008-000956 Est. Cost: $24898.00 Fee: $125.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group.- S E Sulenski 022840 _'189_08_.04 Owner: HARRINGTON RYAN Zoning: UI:A Applicant: S E Sulenski AT.• 126 SPRUCE HILL AVE_ Appliewit Addres s: --------!':f vrr 103 South Street (413) 532-3630 �Workers Coniptrnsation HOLYOK.EIIMA01040 ISSUED ON.111812008 0:00:00 fo THE FOLLOWING WORK.REMODEL GARAGE 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: l:uLi;ti: Roug1:v���p S tm ~louse# Foundation: Driveway Final: Final: Final: Rouh Frame: j 3 g -G j 1b D g Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 6 K Final: Smoke: Final: TI-1 IS PEW41'I' MAY BE REVOKED BY THE ITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS Certificate of Occupancy /h Si nature: !' _ FeeType: Date Paid: Amount: i?uilcGr,:� 1/18/2008 0:00:00 5125.0017136 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Conunissioner-Anthony Patillo