30B-074 (4) ** e.
V
MISTARKA HOME IMPROVEMENTS
P. O. BOX 205
NORTHAMPTON, MA 01060
(413) 575 -1271
CONTRACT
I Ronald Mistarka, dba Mistarka Home Improvement, agree to install vinyl
siding on three sides of the property owned by Peter Pacosa located at 152-
154 Federal Street, Northampton, MA.
Peter Pacosa agrees to pay the amount of $5,100.00 in total.
Peter Pacosa agrees to pay $1,000.00 as a down payment prior to beginning
the project and the balance of $4,100.00 on the last day of April 30, 2003.
Iti the event that payment is not received as stated above, Peter Pascosa shall
be responsible for any and all legal fees incurred by both parties should
litigation be necessary to insure payment in full.
Ronald L. Mistarka Peter Pascosa ; !�
Mistarka Home Improvement Northampton, MA 01060
Date: - 4 - Date: / _ ,
AP R. 0 ►
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��,� : �� (rz tyr of Northampton .. - = Y
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DEPARTMENT OF BUILDING INSPECTIONS _' Q:
212 Main Street * Municipal Building, - - /.;'-'/
INSPECTOR INSPECTOR 1 '` �„ %-
Northampton, MA 0106(1 .
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HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as i.1:-./ per construction sup .:.ior. The stale 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 than 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
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SECTION 8 - ':CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
i6 _ - c
Name of License Holder :_ (Q � � _ � G •••• C%I � `_it.__ ___ !/ (
License Number
L /e--y �j ///_0,-.7 _____ _
ddress Expiration Date
c? 5/ 2 77/
/Sig re( Telephone
49 Registered NomeImprovement Contractor g ,,qK ?,,' Y, ,, „y Not Applicable ❑
om an Name / Registration Num er
ddress Ex ration Date
Telephone >< J. '`2. 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 pro■de this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ❑ No ❑
°11:Home®
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
• 'r
SECTION 5= DESCRIPTIONI,OFPROPOSED WORK (check all applicable) -
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding,f -- Other [ ] 101111 /
Brief Description of Proposed Work: k i/�� — / �/
Alteration of existing bedroom Yes Nc Adding new bedroom , Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 • Sheet D
6a: lf-1∎1 w)hot and;or..'addition'to "exist g housing, complete <_the:folloWing:
a. Use of building : One Family Two f amity Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? _ Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
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 finish .d grade
k. Will building conform to the Building and Zon ng regulations? Yes No .
I. Septic Tank City Sewer F-ivate 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 ac; on
my behalf, in all matters relative to work authorizr3d by this pudding permit application.
Signature of Owner Date
s .
1, ,� er v w/ C,, (.4 '7/ � �� ��'"� �, , as Owner/Authorized Agent
hereby declare that the statements and i frt ormat on on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Sign d under the pains and penalties of perjury.
C c i 17 /5/e — -- -- Print Name
S • na re of 0 er /Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existin ; 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 /Varian :e /Finding ever been issued for /on the site?
NO DON'T KNOW YES
IF YES, date issued: _
IF YES: Was the permit recorded a: the Registry of Deeds?
NO DON'T KNOW f` YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a.brook, body of water or wetlands? NO DON'T KNOW _
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained _ Obtained , Date Issued:
C. Do any signs exist on the property? YES NO �µF
IF YES, describe size, type and location:
D. Are there any proposed c ranges to or additions of signs intended for the property ?YES
No
IF YES, describe size, type ar d location:
a
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City of Northampton StafusO ae �t { ` � � $ �� �
_I � t , Building Department Curalic-VD v � g'
- �� 212 Main Street S'e�werl,Sepic�Aatl '�4:��� Rte
Room 100 Wa "terlWeil$Avat as t :: <, � � ° .:
N1 " Ahhampton, MA 01060 Two °Sets o Str e ral Pan x x
phone 413- 587 -1240 Fax 413- 587 -1272 Plot %Site RiarisG
Other S pecify,. .., . `. . ;.
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
,,,, — l5�y fI , L Map � Lo t � ` U it e -
Zone Overlay Di stract
/icy.,/-1 J tit f'' i
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: f/' 4 C-05.1 / q 4 , co, jf -__'---/ /t/Ti
,/ ...._
F NaVhe (Print) Cdrrent Mailing Address:
-- — Telephone — Signature
2.2 uthorized A ent:
17 i 'r t /C /Z '7' -k /.
arne (Print) Current Mailing Address:
5 73" 7 7-/
g r _�. Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2 Elec °;iica( (b) .= t ma ted Total of
Constr uction from Cost (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number /8� ^
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
ire.
152 ST. `''" BP- 2003 -0864
GIS #: COMMONWEALTH OF MASSACHUSETTS
y CITY OF NORTHAMPTON
Lot: -001
Permit: Buildina
Category: BUILDING PERMIT
Permit # BP- 2003 -0864
Project # JS- 2003 -1396
Est. Cost: $5100.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Ronald Mistarka 118693
Lot Size(sq. ft.): 8494.20 Owner: PASCOSA PETER
Zoning: URB Applicant: Ronald Mistarka
AT: 152 FEDERAL ST
Applicant Address: Phone: Insurance:
P 0 Box 205 (413) 575 -1271
NORTHAM PTON MA01061 ISSUED ON: 4/10/03 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL SIDING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Sienature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 4/10/03 0:00:00 1385 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo