35-284 (4) JOB LOCATION
We hereby submit specifications and estimates for work to be performed and materials to be used:
1. Install NO insulation as a backer. (Replace Tyvec as needed.)
2. Vinyl side house using Mastic Carvedwood D5"-English Wedgwood vinyl siding,Lifetime Warranty..
3. Install regular Victorian Gray corner posts.
4. J-Blocks for all light fixtures,faucets,&dryer vents_ 5. No gable vents.
6. Wrap all facia(trim)in Victorian Gray aluminum coil,and front porch top beam in white aluminum coil.
7. Wrap one octagon window&all doors in Victorian Gray aluminum coil,Anderson Bend
8. Use Victorian Gray center-vent soffit under all overhangs. (Does not include front porch ceiling soffit,keep existing soffit.)
9. Install all new gray seamless gutters&downspouts.
10. Install fifteen pair of Girardin Black straight top louvered shutters.
IL Strip house&dispose of waste by truck or dumpster.
12. Install Exteria Lewiston Crest stacked stone on front orch only, main wall and side 6ft.wal.
13. Remove window cap over back twin casement and re-install.
14. Go over roof on sunroom only using plywood, Cteed Georgtown Gray Archt, shingles,ice&water barrier,white drip&rake edge.
(Note: No siding to sunroom or inside of sunroom.)
WORK SCHEDULE
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement.unless specified herein writing.Contractor will begin the work on<
about 8 months from date of signing.Barring delay caused by circumstances beyond Contractor's control,the work wilt be completed within 1 year from date of signing. The Owner hereb
acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not be considered as violations of this Agreement,
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free irom defects in material and vvorkrnanship for a period of one year following completion and shall romps t voth the
requirements of this Agreement.In the event any defect In v,,orklnanship or materials,or damage caused by the Contractor.his subcontractors,employees or agents. is disccvered vothin
cue er cr�.; p,etton of any;ob.including clean up.the Contractor shall,at his own expense,forthGvith remedy.repair.correct:eplaca.or cause to be remedied.repai c,os replaced.
Such damage or such defect in.m,aterinis o� .vor . a,snip T hn:ol eqo v.at,,m.t s sh3 LI .i,c a Tcc i 01 rr r-cn n,
Fria ro G)Se hereby to furnish material and labor —complete in accordance with above specifications, for the sum of:
Seventeen thousand five hundred and ninety-five dollars and 00!100. 17595.00
Payment to be made as follows:A finance charge of 1,/z°o per month 18 dollars{$
g ' p { °6 per annum)will be charged on unpaid balances. `
In additional thereto. in the event that this matter is placed in the hands of an attorney or collection agency, the owner herein shall be responsible for
reasonable attorney's fees,collection costs,court costs,and other cost or fees associated with the collection of any outstanding balances here.
33 % 5608.00
{$ )upon signing Contract; John W.Waiz/Finyl Vinyl Inc
Name of ConracioriDesignated Registrant y
33 �o { 5608.00 i upon completion of arrival of materials. 33 Grattan Street
Street Address
0 % ($0 ) upon completion of N/A Chicopee, MA 010211
City;State
34 {55983.00 i shall be made forewith upon (413)592-2376 65-1215510
completion of Work under this contract. Phone Federal ID No. t'
Notice: No agreement for home improvement contracting work shall require a John W.Walz.i' or Timothy J.Walz or Terry L. Messier
me
down payment(advance deposit)of more than one-third of the total contract price Name of salesperson Naaof salt' ,Cson r Name of salesperson j
or the total amount of all deposits or payments which the contractor must make,in
advance,to order and/or otherwise obtain delivery of special order materials and Authorized Sign ure H%
equipment,whichever amount 1S greater Note:This proposal may be wit{drawn by us if not acc led within days.
Acceptance of Proposal I have read both sides of this document and accept the prices, p cifications and conditions stated. I understand {{
that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the
date of this transaction. C4ceilation must be done in writing,
r
N�OTIGNTHIS CONTRACT IF THERE ARE AV RB.�XIilK sPAC.ES:�
,.
DateS r"
Signature /t
IMPORT NF,6RMAT N ^"' ""
7
Page No. of Pages
PROPOSAL
33 Grattan Street All home improvement contractors and subcontractors"
CHICOPEE, MA 01020 engaged in home improvement contracting, unless
(413) 592-2376 specifically exempt from registration by Provisions of
Chapter 142A of the general laws,must be registered with
Submitted the Commonwealth of Massachusetts. Inquiries about
To: Eric Newton registration and status should be made to the Director,
Home Improvement Contract Registration,One Ashburton
20 Sylvan Lane Place,Room 1301,Boston,MA 02108 (617)727-8598
Owners who secure their own construction related
Florence,MA 01062 permits or deal with unregistered contractors will
be excluded from the Guaranty fund Provision of
MGL c. 142A.
PHONE DATE REGISTRATION 140. - 112653 CT-REG. NO. 0051540
— 413-320-7678 LICENSE NO. -060612
JOB NAME/NO. JOB LOCATION
We hereby submit specifications and estimates for work to be performed and materials to be used:
1. Install NO insulation as a backer. (Replace Tyvec as needed.)
2. Vinyl side house,using Mastic Carvedwood.D5"-English Wedgwood vinyl.siding,Lifetime Warranty-
3. Install regular Victorian Gray comer posts.
4. J-Blocks for all light fixtures,faucets,&dryer vents. 5. No gable vents.
6. Wrap all facia(trim)in Victorian Gray aluminum coil,and front porch top beam in white aluminum coil.
7. Wrap one octagon window&all doors in Victorian Gray aluminum coil, Anderson Bend.
8. Use Victorian Gray center-vent soffit under all overhangs. (Does not include front porch ceiling soffit,keep existing soffit.)
9. Install all new gray seamless gutters&downspouts.
10. Install fifteen pair of Girardin Black straight top louvered shutters.
11. Strip house&dispose of waste by truck or dumpster.
12. Install Exteria Lewiston Crest stacked stone on front orch only, main wall and side 6ft-wal.
13. Remove window cap over back twin casement and re-install.
14. Go over roof on sunroom only using plywood, Cteed Georgtown Gray Archt. shingles,ice&water barrier,white drip&rake edge.
(Note: No siding to sunroom or inside of sunroom.)
WORK SCHEDULE
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified herein writing.Contractor will begin the work on or
ijabout 8 months from date of signing.Barring delay caused by circumstances beyond Contractor's control,the work will be completed within 1 year from date of signing. The Owner hereby
acknowledges k,nowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not be considered as violations of this Agreement
VVARRANTY
The Contractor warrants that the work furnished hereunder shall be free kom defects in material and-workmanship for a period of one year following completion and shall comply with the
of 11his Aare entent,in the event an,,,defect in v.orkmanshp or materials,or damage caused by the Contractor.his subcontractors.employees or agents, is discovered within one year after completion at any job,mclumng clo--�it Cc: s:�a!] e�!his c%%r
o", or Ca�sl to he renrecdie-,repa ed.or replaced.
Such damage or such defect in materials or workmanship.The foregoing warranties shall survive a local or State inbpet.iio-
rOPOS-- hereby to furnish material and labor –complete in accordance with above specifications, for the sum of:
is
Seventeen thousand five hundred and ninety-five dollars and 00/100.
dollars 17595-00
Payment to be made as follows:A finance charge of 1'h_°'b per month (18%per annum)will be charged on unpaid balances.
!,I additional thereto, in the event that this matter is placed in the hands of an attorney or collection agency, the owner herein shall be responsible for
reasonable attorney's fees,collection costs,court costs,and other cost or fees associated with the collection of any outstanding balances here.
33 %
($5608.00 upon signing Contract; John W.Walz/Finyl Vinyl Inc
Name of Contractor/Designated Registrant
33 Street mnn 3 5608.00 _f
arrival of materials 33 Grattan 5, -,P.t
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:
The debris will be transported by:
. c 4
The debris will be received by:
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
'`c_m/ Boston,MA 02111
t z� www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le2ibl_y
Name(Business/Organization/Individuat): FINYL VINYL INC.
TTAN ST.
Address: CHICOPEE MA 01020-1327
City/State/Zip: Phone#: %/3 5.;L
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ® I am a general contractor and I 6. Q New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. Q Demolition
working for me in any capacity. workers'comp.insurance. g, Q Building addition
[No workers' comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.Q Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions
myself. [No workers'comp. c. 152,§1(4),and we have no 12.Q Roof repairs
insurance required.]t employees.[No workers' .1 I- k0d�t
comp.insurance required.] 13.[�Other z� �s
•Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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$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
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct.
Si mature: Date:
Phone#:
Official use only. Do not write to 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
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: c��� �.� L✓Gt 1 -7—
License Number
(� r✓, f`c=t �. C- LL t. ,fc -c Cp! i / /.� `l l r 7
Address Expiration p
Sig lure tl Telephone
9._Reciistered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
� C . _ C)-)e Y_ � f
Address I Expiration Date
Telephone tf/3 Z23V
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§26C(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 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 ❑ Addition ❑ Replacement Windows Alteration(s) Rooting
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [Of Decks [M Siding[[b Other[O]
Brief Description of Pr posed c r .e�
t_1
Work: ���h4( �� =c J S L)(:)7(i1( In
Alteration of existing bedroom Yes No Adding new bedroom Yes -- No
Attached Narrative Renovating unfinished basement Yes L 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? I
d. Proposed Square footage of new const ction. Dimensions ✓
e. Number of stories?
f. Method of heating? Fireplaces or Woo 's Number of each
d
g. Energy Conservation Compliance/ Masscheck Energy Compliance f attached?
r p
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes No. Is conttruction within 100 r. 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 on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
L') C'_ 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
A- %v /
Signature Owner/Age 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 1.
{
Side L: ! L: R:
Rear
f`
Building Height
Bldg. Square Footage % 3
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 DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 0 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 O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
t
,»�.w...,.,.� .w.
x p .
�.
Department use only
City of Northampton Status of Permit:
015 Building Department Curb Cut/Driveway Permit
} � 212 Main Street Sewer/Septic Availability
Room 100 WaterMell Availability
Northampton, MA 01060 Two Sets of Structural Plans
e 413-587-1240 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 Property Address:
This section to be completed by office
Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
(`,` G t?v✓
Name(Print) Current Mailing Ad ress:
Telephone
Signature
2.2 Authorized Aaent:
f
_ t��1>n Gtie �J`, lz ^;�r4y� ►y ( ,�« _ �f , � � Grit+� s�
Name(Print) Current Mailing Address:c--[,. ,c...,- e
jA 5'� /- �j6-� 52,5. --2 -3
Signatur 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 (J 0
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/inspector of Buildings Date
20 SYLVAN LN BP-2016-0532
GIs#: COMMONWEALTH OF MASSACHUSETTS
M":Block: 35-284 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: vinyl siding BUILDING PERMIT
Permit# BP-2016-0532
Proiect# JS-2016-000888
Est.Cost: $17595.00
Fee: $70.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JOHN WALZ 060612
Lot Size(sq. ft.): 32539.32 Owner: NEWTON ERIC B&MELODY M
Zoning: Applicant. JOHN WALZ
AT: 20 SYLVAN LN
Applicant Address: Phone: Insurance:
66 Bray Street (413) 592-2376 Workers Compensation
CHICOPEEMA01020 ISSUED ON.1012012015 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL VINYL SIDING & NEW SUNROOM
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 10/20/2015 0:00:00 $70.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner