43-135 NOTICE OF SCHEDULE CHANGES
The contractor agrees that when delays become known to the Contractor,the Contractor will advise the Owner as soon as reasonable.
DELAYS IN THE COMPLETION DUE TO HIDDEN CONDITIONS
The Owner hereby acknowledges and agrees that in certain remodeling work, the demolition of portions of the pre-existing structure may reveal
additional defects,conditions or the need for additional work,which must be repaired,altered or carried out in order to commence or complete the work
described under the contract.In such case(s),the Owner agrees that the duration of the work and the scheduled date of completion may differ from the
date on the front,and that such variation which is not avoidable by the Contractor shall not be considered to be a violation of the contract.
ADDITIONAL WARRANTY INFORMATION
All warranties for equipment supplied by the Contract 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 manufacturer's 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 warranty gives the Owner specific legal rights,and Owner may also have other rights which vary from state to state.Under Massachusetts law,sale
of goods carry an implied warranty of merchantability and fitness for a certain purpose.All material is guaranteed to be as specified.All work shall be
completed in a workmanlike manner,according to standard practices.Any alteration or deviation from above specifications involving extra costs will
he executed only upon written orders and will become an extra charge over estimate.All agreements are contingent upon strikes,accidents or delays
beyond our control.
SUBCONTRACTING
Contractor agrees that, notwithstanding any agreement 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.
NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
The Contractor may not require payments to be made in advance of the times specified in the Payment Section(front)for the reasons 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 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.
You agree to pay cash according to the terms shown above or,if we approve your credit,to sign a note provided by us for payment of the amount due.
You also agree to sign a completion certificate upon completion of the work. If you fail to pay according to the above terms and have not signed our
note,the entire unpaid amount becomes immediately due,and you must pay a collection cost equal to our actual collection costs up to 15%of the total
amount you owe,plus attorney's fees and court costs.In addition,you understand that by failing to pay according to the above terms,the Contractor
may have a claim against you which may be enforced against your property in accordance with the applicable lien-laws.
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.
The Contractor recognizes his obligation to maintain a workers'compensation insurance policy to cover his employees.Contractor further recognizes
the obligation of any and all subcontractor to maintain a workers'compensation policy to cover their employees.
Contractor maintains a liability insurance policy with minimum coverage limits of one million dollars($1,000,000.00)
CONSTRUCTION RELATED PERMIT ACQUISITION
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.
MODIFICATION
This Agreement including the provisions relating to price and payment schedule cannot be changed except by a written statement signed by both the
Contractor and the Owner.However,cancellation by Owner is allowed in accordance with the Notice of Cancellation.
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.
COPY OF AGREEMENT TO BE GIVEN TO OWNER
The Laws of Massachusetts shall govern this Agreement. It must be executed in duplicate,and an original,signed copy hereof shall be given to the
Owner at time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner a copy
thereof.
ARBITRATION
In the event the Owner and Contractor have a dispute regarding any of the terms,conditions,provisions or performance of this contract,the parties agree
to place the matter into arbitration before an independent arbitrator assigned by the American Arbitration Association to resolve their dispute.Owners
acknowledgement of arbitration clause
CANCELLATION
Owner may cancel this contract within three business days of executing this document. Such cancellation must be in writing and delivered to the
Contractor. Contractor reserves the right to cancel this contract at any time within thirty days of the date of this contract. If we cancel you will
be promptly notified in writing by an authorized officer of N.P. Hoare Improvements Inc.If we cancel, we will promptly return any down
payment(s)you have made.
N. P. HOME IMPROVEMENT INC.
MIMMEM 575 Granby Road * South Hadley, MA 01075
CSSL#100481 Office:413-532-7603 fax: 413-532-6435
MA Reg#143099 Email: NPHIgVerizon.net ggBi..
CT Reg#.0673197 NPIB Member
Name: �1 �� Date: �'
Street Address- r) � � � 1 ��� �� City I y St Zip
Telephone: ;1/ -� �' Cell: ��{, email: ,(�w1 (�t 2 `I. (a.Uu1'►��I i .GDrrl
PROPOSAL FOR:
of A7U4 *Specifics*
GE OTHER) � �� _ `
RE-ROOF TEAR-04 GUTTER w , NQw� ��{�'• Gw Rgck Orr
Layers: 1 2 3 4 Plywood: Yes or No
COMPLETE ROOF PROTECTION SYSTEMS: � CABS a�
❑ All proper permits shall be obtained .eC S�
❑ Certificates of insurance provided upon request ��Q-
❑ Proper measurements will be taken to protect home vJl5' G�
and property
❑ NPHI will remove old roof system to wood decking Pipy t4U-j5e
❑ Provide home owner with full exterior inspection
O Any unsafe or decayed deck boards or plywood will be 3�c GIB wc<,A :,L".
replaced at $3.25 per sq. foot (with customer approval)
❑ NPHI will leave the homeowner with a safe and clean
environment at the end of each work day
• NPHI will perform a final clean up with a roll magnet to remove any nails left behind r
•All project waste shall be removed by dumpster(dumpster for contractor use only)
ROOF SYSTEM Q—too TGu( GG irk f
❑ Install ice and water shield 3' / 6' according to MA code requirements /
❑ Install ice water shield around penetrations, chimneys, and in all valleys
❑ 5" /� white or brown drip edge will be installed on rakes and eaves
❑ Install precut starter strip shingle on rakes and eaves. Synthetic or 151b underlayment installed
❑ Install ridge vent - Snowcountry or Roll vent
❑ Install soffit vents
❑ Step flashing will be installed in all necessary areas
❑ Install Lead counter flashing on chimney
SHINGLES f �'
Lifetime _Ultra Lifetime _GAF Ridge Cap Shingle Colors
WARRANTY: NP Home Improvement Incorporated will provide the above stated homeowner with a 7 year workmanship
warranty. This estimate is valid for 15 days.
0 Extended warranty $275. per year yr (max 20 yr total)
We Propose hereby to furnish materials a d labor-
comp e in accordance with above
specifications for the sum of:
Total Sale: $ 19 Dow, Payment $ CT C) '-- Balance Upon
Completion$ JZ
\,��09 5
Acceptance: The above price, specifications and condition are satisfactory and are hereby accepted.
Payment will be 1/3 down upon signing, and balance due upon completion. Unpaid balances shall accrue
with interest at 18% per annum. Purchaser(s) will pay for all costs, expenses and reasonable attorney's
fees incurred by N.P. Home Improvement Inc. To recover any sums due under this contract.
Signature >>tr 1. T'1 Datell a' 5
Estimator Signature /V;e-k P,%On- Date: J Phone:
ATTENTION: Please cover all personal belongings in attic, garage or storage areas due to the possibility of roofing debris or dust
coming through cracks of wood decking. N.P. Home Improvement Inc. Will NOT be responsible for debris or dust in the attic or
storage areas.
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150A.
Address of the work: 45 Long 4,ll & . Vibrence-
The debris will be transported by: OOMp P' j I , "..,A
The debris will be received by: �Omlplk hiSPOSA
Building permit number:
Name of Permit Applicant N • fi0rnt I nj pry eo Inc
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industriat Accidents
Office of Investigations
600 Washington Street
k1li Poston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Auulicaut Information 1 Please Print Lezibly
Name(Business/Organizatioriftdividual): ��. WQCT IDMMEML_ 1— -
Address: Y15 G RAnhLt Rd -
City/State/Zip: A Phone_#: 41 J-55a'7100;,?
Are you an employer?Check the appropriate box. Type of project(required):
17.I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part time).* have hired the sub-contractors 6. []New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have 9. ❑Demolition
working for me in any capacity, employees and have workers' 9. Building addition
[No workers'comp.insurance comp. insurance t ❑
required.] 5. ❑ We are a corporation and its 10.[]Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑Other
camp,insurance required.]
*Any applicant that checks box#1 nest also fin out the section below showing their work='compensation policy information.
t Homeownas who submit this affidavit indicating they are doing an work and then hire outside contractors must submit a new affidavit indicating such.
tComactors Qcat check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. S the sub-coniractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. _
Insurance Company Name: -Insi.l ran C e Inc _
Policy#or Self-ins.Lic.#: �� g�') ! - i y Expiration Date:
Job Site Address: y 5 CbnQ�e 1160 ts, City/State/Zip: Flof Z(11 HA MW), . .
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investi¢ations of the DIA for insurance coveraze verification.
I do hereby certify and r e pains andpenaldes ofperjury that the information provided above is true and correct.
Si ture: Date: q1 4 is,
Phone#. U 1 - 5AA -MR D3
O tciai use only. Do not write in this area,to be completed by city or town official,
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES_7
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: N I chops ��
License Number
595 Qp--ot,64 Ve4 ,HA CtC75" gi 1411
Address o Exptatioh Date
f 1
531::� A903
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
6-is 6enn6 RO., S,0QJJ% MA 0105 AMidih 0I Ic0
Addr Date
T elephoner1 J -7
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 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 10835.1.
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 F-1 Addition ❑ Replacement Windows Alteration(s) Roofing VX
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs gZ� Decks [0 Siding Other[Q
Brief Descript' n of Proposed .
Work: i1 D KO(?� Try F l��i�lc� PCIC1f)G - Ln4ctl) nn?.Lp em QCC- b Wde
Alteration of existing bedroom Yes 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 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 .
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, CPI?—O L L G Q Rl h as Owner of the subject
property
hereby authorize uoM E Tm Mel)4 :C(-)L
to act on my behalf, in all matters relative tow rk authorized by this building permit application.
C o rod-- 4I 91 1 i 5
Signature be Owner Date
I, M-P kmc Imybye m en� 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 N
ar r s-
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
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 O DON'T KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'T KNOW ?VIA YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O 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 O 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 O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
- Department use only
y of Northampton Status of Permit:
�� rl ilding Department Curb Cut/Driveway Permit
u 2 $ Cif 12 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
88WIC,Plumbing Gas l i ampton, MA 01060 Two Sets of Structural Plans
'a 1 7-1240 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 Proaerty Address:
This section to be completed by office
q rJ Lange 11 Map Lot Unit
F-16 renee, HA oto(o2
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
CAR01 Mi✓ Rte° h q5 L)qQ:fij1QW r e HA Nok�-�
Name(Print) Current Maili Ad ress:
%2)-3 --32 01
_5 we ray Telephone
Signature
2.2 Authorized Agent:
N.P. 0MC lmgcoyUmE 4 Joe- - 6"nLA Rd , S N�c�lev, MA 0105-
(Print) Current Mailing Addre :
X113-63a - `7(n03
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (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 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
45 LONGFELLOW DR BP-2016-0426
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:43 - 135 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category ROOF BUILDING PERMIT
Permit# BP-2016-0426
Project# JS-2016-000679
Est. Cost: $18000.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: N P HOME IMPROVEMENTS INC 100481
Lot Size(ss . ft.): 32539.32 Owner: MCGRATH JOHN H&CAROL D
Zoning-: Applicant: N P HOME IMPROVEMENTS INC
AT. 45 LONGFELLOW DR
Applicant Address: Phone: Insurance:
575 GRANBY RD (413) 532-7603 WC
SOUTH HADLEYMA01075 ISSUED ON.912812015 0:00:00
TO PERFORM THE FOLLOWING WORK: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 9/28/2015 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner