25C-157 TOM QUINLAN
GENERAL CONTRACTOR
12 BAYBERRY — LANE • HADLEY. MASS. 01035
TELEPHONE (413) 549 -5474
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: Ml home improvement contractors and subcontractors engaged In home Improvement contracting, unless specllcally
exempt from registration byprovlslons of Chapter 142a of the general laws, must be registered With the Commonwealth
of Massachusetts. inquiries about registratiod and statue should be made to the Director, Home Improvement
Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108.
Designated Registrut Thomas F. Quinlan
Registration Number. 101707
Salesperson's Name: Thomas Ouin1an
This agreement is made on between Thomas Quinlan
CDMII (COMnACTOR)
el 12 Bayberry Lane , Hadley, MA 01035 549 -5474
(ADDRaas) (PHONE NUMBER)
hereinafter called "Contractor' and Duffy a Front end h.4
tOwP[R)
o f 200 Bridge St., Northampton, MA 01060 584 -3815
(ADORr3S) (MONO NUNS ER)
hereinafter called "Owner ".
DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to pa foam in a good and workmanlike manner all work detailed below, Such work eorutsu of the following:
goo AttarhmentA
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DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in performing the above described work consist of the following:
San Arrnehmant A
II. PRICE 5,900.00
Contractor agrees to do all work described in Section I for the total price of
LE. PAYMENT
Payment will be made as follows:
J331/31% (S 1 , 967.00 ) upon signing Contract;
* 2/3 % (5 3,933 • ) upon completion of °b *.
XXXXHAISXXXXXXXXXXHWZMWQMp(XXXX
and tharemaWng 90 (3 * ) upon verification of the work by Owner
and Contractor :shaving been satisfactorily completed. which verification shall take
place promptly after completion.
Notice: No eareement for home improvement contracting work shall require • down payment (advance deposit) of more than
one•thlyd of the total contract price or the total amount of all deposits or payments which the contractor must make
la advance to order and/or otherwise obtain delivery of special order materials and equipment, whichever mmnun t It
greater.
IV. COMMENCEMENT AND COMPLETION OF WORK
Contrector will not begin the work or order the materials before the thud day following the signing of this Agreement. unless specified here in writing.
Contractor will begin the work on or about (date). Barring delay caused by circumstances beyond Contractor's control the work
will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such
delays that ate not avoidable by the Contractor shall not be considered as violations of this Agreement
rA
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iO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED
Contractor may not require payments to be made in advance of the tithes specified in Section ill (Payment) above for thermion that he diems himself
e payments to be insecure. If, however, he deems hit5self to be insecure. he may require, as a prerequisite to continuing the wort described herein.
the balance oldie payments under this contract that arc in the control of the Owner, shall hePie:ed in a jointescrow a xmmithatrequiresthe signenre
hdn the Contractor and the Owner for withdrawal.
INSURANCE
tractor will beresponstble to Owner or any third party for any property damage or bodily injury caused by himself. his employees orhis subcontractors
e performance of. or as a result of, the work under this Agreement Contractor agrees to carry insurance to cover such damage or injury.
SUBCONTRACTING
tractor agrees that. notwithstanding any agreenent formarerials and/or labor between Contractor and third parry, Contractor is responsible to Owner
ompletion of all work described in a timely and workmanliite manner.
CONSTRUCTION- RELATED PERMITS
following construction - related permits will be necessary in order to complete the scope of work included in this Agreement
Building Permit
Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction- related pamits. The Connector
1 not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies.
andes or individuals.
Ice: 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, judgment and nonpayment of the contractor, the
homeowner will not be endded to make a claim to or collect from the guaranty fund established by Chapter 14
M.G.L
MODIFICATION
s Agreement including the provisions relating to price (Section II) and payment schedule(SectionIll) cannot be changed exeeptby awritten statement
led by both Contractor and Owner. However. cancellation by Owner is allowed in occosdasce with the Notice of Cancellation (annexed).
WARRANTIES
: Con¢ netorwacrantsthattheworkftnnis hed heremdershall befreefiom following
rpletion and shall comply with the requirements of this Agreement In the event any defect in workmanship or maaiats, or damage caused by the
tractor, his subcontractors, employees or agents. is discovered within one year alter completion of any job, including cleanup, the Contractor shall.
is own expense, fonhwith remedy. repair. correct. replace, or cause to be remedied repaired, or replaced. such dsnage such defect i n nutetisis
*rnaship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacoaers of such equipment. which shall
nd are herebypassed through directly to the Owner. Undersutohmanufacnaeri warranties, the Ownermaybere quiredto register ormaf in awarranty
i or otter evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such
umentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment
s westerly gives the owner specific legal rights, and owner may also have other rights which very from stamto state. Under Massachusetts law, sales
roods carry an implied warranty of merchantability and fitness for a particular purpose.
COMPLETENESS OF AGREEMENT FOR EXECUTION
Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have beat filled in or naked u void deleted or
applicable, gad until all exhibits and related or referenced documents that are incorporated herein are attached hereto.
. COPY OF AGREEMENT TO BE GIVEN TO OWNER
c
Agreement is governed by the Laws of Massachusetts. It must be executed in duplicae. and an original signed copy hereof given to the Owner at
time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and trentenival to the owner of a copy thereof.
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.
'1
HOMEOWNER: /
DO NOT SIGN THIS CONTRACT IF THERE= BLANK SPACES. ` ;�
Owner' Signa DaiSigned
C -3o
Contractor's Signature Daze Signed
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state 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 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
Oermits 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 tome.
Date
Address of work
location
7
1
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The Commonwealth of Massachusetts
Department of Industrial Accidents
p , -- `.....t..■"T.-=.:7 A
Office of Investigations •
600 Washington Street
Boston, MA 02111
www.mass Grovidia .
' t, _.
-Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeiblv
Name o Mndividmil) ?A D A 1, C2,
Address: 7 ic- ,--fr 4 /74,P6 , . i
city/state/zip: ,,„---,,,,,,, 0,„..„.„-- phone.#: ..3 ti 2 f
,..,
Are you an employer? Check the appropriate box: Type of pi-oject (required): 7
1. I am a employer with 4. 0 I am a general contractor and I
6. 0 New construction
have hired the sub-contractors
iz.. .niployees (full and/or part-time).*
listed on the attached sheet. 7. 0 Remodelino-
2. I am a sole proprietor or partner-
ship amyl have nn elloyees These sub-contractors have . 8. [J Demolition
eggiloyees andhave workers' .,--,. ...,. . ___
working for me in any capacity. 9 - ll Buildin 4dr
g ahon
[No workers con p-. insurance
required.] 2 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3. 0 I am a homeowner doing all work officers have4xercised their . 11.0 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' 13.11 Other
comp. insurance required.]
*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 an doing all work and then hire outside contractors must submit a new affidavit indicting such.
1 Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whetheror not those entities have
employees. If the sub-contractees have employees, they must provide their workers comp policy number. .
lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information. •
•
Insurance Company Name:
Policy # or Self-ins. Lic. #: Expiration Date:
Job Site Address: City/Stite/Zip:' • ' - .
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
•
Failure to secure coverage . as required raider Sectiiiii25A OfMG-L c. 152 can lead to the impositiOn of Miming penalties of a
fme up to $1,500.00 and/or one-year imprisonmen4 as well as civil penalties in the form of a STOP WOBIC- 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 (lace of
feititions Of the DIA for insurance ecveraieVerifieiliOn : . . - . ,.. _ _ _. _
_____ _ _ ____ _
_ I do hereby_ce :57 under the pains and penalties of perjury that the information providediabomisinie.and_correct
.
Si tore: Da.: 6 20,0 ,
Phone #: fY 9 -s 2
Official use only. Do not write in this. area, to be completed by city or townOfficiaL
City or Town: ' Permit/Llcense #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electricalinspector 5. Plumbing Inspector
6. Other & - .
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
• /�d,� l
Name of License Holder : /7 i4,, 6 ,r d 59`
License Number
/(S r . � « ,0469 a le 9A)
Address A Expiration Date
5 yQ S I' 9C
Signature Telephone
S:`R q#ster tl ltiitii _.lmgr vdttleitt +d tractor` , ;liar ', .;,. -1 am == =h Not Applicable ❑
T /� d o /7arl
Company Name Registration Number
g AL ors, , �c
Address Expirati Date
> 1 / �y
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
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) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [p Siding [E] Other [D]
Brief ii
Descrip 'o of Proposed A /-
Work: j t -, P r-n a f J o ua N I J 7 kiia i 1—,,, 4 /7 30y r-,3 1 4 fiu-s ta// r j$Z ld 'e Al
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
00 1iirnr< iElid* lc +i iiiiiiii: xi,` i Ip MiiTh aiipl i.the it6iii ra:
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, � �rt,1(J q as Owner of the subject
prope J
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I by:, U , as-Owner /Authorized
Agent hereby declare that th s tatements 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.
4 6144 ‘01- e F 1-- /N fly-- ✓
Print Name 4 t c/ L
re of Owner /AgDate
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 to !
Frontage } 1 .1 : _ . '
Setbacks Front i
Side L:s = R:` L: R:' ! ? I
Rear = E i
Building Height i I
Bldg. Square Footage 1 r i% r j I
Open Space Footage 1 %
(Lot area minus bldg & paved _
L___, 3
parking)
# of Parking Spaces s ' 1. _,
Fill:
Fill:
(volume & Location) f
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO Q DONT KNOW Q YES 0
IF YES, date issued:; I
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW Q YES 0
IF YES: enter Book 1 1 Page ? and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained Q , Date Issued
C. Do any signs exist on the property? YES Q NO Q
—
IF YES, describe size, type and location: I
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q
IF YES, describe size, type and location:
E. WiII 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 Q NO Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
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, City of Northampton 4 g *
Building Department , =
212 Main Street
oom 100
r
•� A Ntrtha ton, MA 01060
V phone 4135-587-1 40 Fax 413-587-1272
APJ 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
a 00 8w.Ase �f
Zone Overlay District
Irrt s't. District -_ . CB . District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Name (Print) O� Current Mailing Address:
y -3P
Telephone
Signature
2.2 Authorized Agent: � / //
7 p`; /f :de P
Name ( nt Current Mailing Address:
c7/4 sus s y2y
Signs re
Tel
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. 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 �,/ r
This Section For Official Use Only
y�T
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
BP-2010-1216
GIS #: COMMONWEALTH OF MASSACHUSETTS
:Block: 25C I5/.: °} CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -1216
Project # JS- 2010- 001771
Est. Cost: $5900.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: QUINLAN BUILDERS 011289
Lot Size(sq. ft.): 7884.36 Owner: DUFFY HAROLD F JR
Zoning: URB(100)/ Applicant: QUINLAN BUILDERS
AT: 200 BRIDGE ST
Applicant Address: Phone: Insurance:
9 HILLSIDE DR (413) 549 -5474 0
HADLEYMA01035 ISSUED ON:6/30/2010 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 6/30/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo