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06-064 (6) NO 5NV1d and delivered as provided in this Section. Notices are deemed given when deposited, as described above, with the U.S. mail or in the overnight receptacle. Any such notice, if sent by the Customer to the Seller, shall be addressed as follows: SIGNATURES CONSTITUTE ACCEPTANCE OF THE TERMS AND CONDITIONS CONTAINED HEREIN SELLER: Chubb Fire & Security LLC. By: Printed Name: Steve Jaquith, Service Sales Rep. AGREED: CUSTOM By: Af t_ pwn Printed Name: Y � YiY1 Date: _52 J — / - P a g e 5 of 5 • interruption of any service to be performed hereunder, or in the performance of an obligation hereunder as a result of an event beyond its reasonable control, including, but not limited to, strikes, industrial disputes, fire, flood, acts of God, war, vandalism, riot, national emergency, acts of terrorism, embargoes or restraints, supplier default, supplier default, extreme weather or traffic conditions, order or other act of any governmental agency, and shall not be required to supply any service to the Customer while interruption of such service due to any such cause shall continue. Service charges shall cease until service is resumed. 10. WAIVER OF CONSEQUENTIAL DAMAGES: NOTWITHSTANDING ANYTHING ELSE IN THIS AGREEMENT, NEITHER PARTY SHALL BE LIABLE FOR ANY INDIRECT, LIQUIDATED, CONSEQUENTIAL, SPECIAL OR ECONOMIC LOSS, COST LIABILITY, DAMAGE OR EXPENSES HOWSOEVER ARISING, WHETHER OR NOT FORESEEABLE AND WHETHER OR NOT DUE TO NEGLIGENCE OF EITHER PARTY IN PART OR IN WHOLE. 11. LIMITATION OF LIABILITY: Notwithstanding anything to the contrary herein and to the extent permitted by law, the aggregate liability of Seller to the Customer, whether in contract, tort (including negligence), or otherwise will be limited to one (1) times the contract value, provided however the foregoing does not limit the liability of Seller for any injury to, or death of a person, caused by the gross negligence of Seller. 12. ENVIRONMENTAL: Customer agrees and acknowledges that Customer shall be solely responsible for all costs, expenses, damages, fines, penalties, claims, and liabilities associated with or incurred in connection with hazardous materials or substances upon, beneath, about, or inside Customer's equipment or property, and Customer shall be solely responsible for reporting the presence of said hazardous materials or substances to the proper governmental authorities. Customer further agrees and acknowledges that title to, ownership of, and legal responsibility and liability for any and all such hazardous materials and substances at all times shall remain with Customer and that Customer shall be solely responsible for the removal, handling, and disposal of all hazardous materials in accordance with all applicable governmental regulations. 13. EXPORT COMPLIANCE: Customer hereby represents and warrants that it will comply with the requirements of all applicable export laws and regulations, including but not limited to the U.S. Export Administration Regulations, in the performance of this Agreement and the treatment of Confidential Information herein. It is understood that countries outside the US may restrict the import or use of strong encryption products and may restrict exports, and Customer agrees that Customer shall be solely responsible for compliance with any such import or use restriction. Customer agrees to indemnify and hold harmless Seller from any costs, penalties, or other losses caused by, or related to, any violation or breach of the representations and warranties in this provision. This provision shall survive any termination or expiration of this Agreement. 14. FEDERAL ACQUISITION REGULATIONS: The components, equipment and services proposed by Seller are commercial items as defined by the Federal Acquisition Regulations ( "FAR ") and the prices in any resulting contract and in any change proposal are based on Seller's standard commercial accounting policies and practices which do not consider any special requirements of U.S. Government cost principles and do not meet the requirements of Part 31 of the FAR or any similar procurement regulations. Seller agrees only to perform a contract for the sale of a commercial item on a fixed -price basis. In addition, Seller will neither agree to submit or certify to any cost or pricing data nor to any requirements to establish price reasonableness under FAR Part 15 or such similar regulations. In stating its position, Seller refers to FAR Part 12 - "Acquisition of Commercial Items." 15. GENERAL: (a) This Agreement, and the Scope of Work, constitutes the entire Agreement between Customer and Seller and supersedes all prior written and oral agreements in relation to the work contemplated under this Agreement. (b) No amendments, modifications, or supplements to this Agreement shall be binding unless in writing and signed by both parties. It is agreed that for any alteration to or deviation from this Agreement involving extra work, the cost of material or labor will become an extra charge (fixed -price amount to be negotiated or on a time- and - material basis at Seller's prevailing rates then in effect) over the sum stated in this Agreement. (c) Any rejection of goods for being nonconforming under the requirements of this contract must be made by the Customer by sending written notification to Seller of the rejection within fifteen (15) days after their delivery. Such notification shall state the basis of the alleged nonconformity of the goods and the description of that portion of the shipment being rejected. (d) This Agreement shall not be in effect or binding upon Seller until signed by its duly authorized representative. (e) Customer may not assign its rights or delegate its duties hereunder without the specific, written consent of Seller. 16. GOVERNING LAW: This Agreement shall be interpreted in and governed by the laws of the State in which the work is to be performed including all matters of construction, validity, performance and enforcement. Attorneys' fees and other legal costs may be assessed. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original and of equal force and effect. 17. COSTS AND ATTORNEYS' FEES: In the event that it shall become necessary for Seller to employ a collection agency or attorney to collect unpaid charges or any other sums Customer may owe hereunder, Customer shall be liable to Seller for Seller's reasonable and necessary costs of collection and attorneys' fees incurred in such collection activities. In the event of any other legal proceeding related to this Agreement, the prevailing party in such proceeding shall be entitled to recover its costs and reasonable attorneys' fees from the other party. 18. SEVERABILITY: If any term, covenant, condition or provision of this Agreement, or the application thereof to any circumstance, shall, at any time or to any extent, be determined by a court of competent jurisdiction or an arbitrator to be invalid or unenforceable, the remainder of this Agreement, or the application thereof to circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby and each term, condition or provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. 19. SUBCONTRACTING: Seller shall have the right to subcontract, in whole or in part, any installations and /or services, including but not limited to, monitoring services and /or limited warranty /extended limited warranty services which Seller may perform. Customer acknowledges that this contract and particularly those paragraphs relating to Sellers limited liability, disclaimer of warranties, and third party indemnification, inure to the benefit of, and are applicable to, any assignees and /or subcontractors with the same force and effect as they bind customer to Seller. 20. NOTICES: All notices under this Agreement shall he in writing, signed, dated and sent by overnight courier or registered or certified U.S. mail, postage prepaid, return receipt requested, to the parties at the addresses shown below. All changes of address must be in writing Page 4 of 5 work to be performed outside normal business hours will be billed at Seller premium rates in effect at the time the work is performed. 4. INSTALLATION /SITE CONDITIONS: Seller will arrange for installation of the equipment in accordance with specifications, drawings and instructions provided by Customer, which specifications and drawings are considered a part of this Agreement. Customer shall provide Seller a safe working environment and unencumbered access to all areas where work is to be performed. Customer acknowledges that Seller's service personnel have been instructed not to perform any work in hazardous locations until working conditions have been made safe, as determined in the service personnel's sole discretion, and it is the responsibility of the Customer to take any measures necessary to eliminate such hazards before the work may proceed. Customer shall provide reasonably adequate lighting, heating, ventilation and other working conditions to permit safe and proper installation. Suitable foundations, wall openings, curbing holes, pits, tunnels, culvert piping, grouting, surrounding masonry and concrete, canopies and architectural enclosures, and sun screens shall be constructed by others at Customer's cost. Customer shall also provide at its own expense the power and lighting that is required for proper operation of the equipment. If, through no fault of Seller, Seller cannot proceed with the work within a reasonable time after delivery of the equipment and/or Seller's arrival at the work site, Customer shall pay Seller's actual expenses, including, but not limited to, additional service fees and any storage fees incurred by Seller in waiting to proceed or in returning to Customer's premises to perform the work. Customer shall notify Seller of any cancellations forty -eight (48) hours in advance of any scheduled service call. Failure to so notify will result in an additional service fee charged to Customer. Customer shall secure and pay for any required building permits and governmental fees, licenses, and inspection necessary for the proper execution and completion of the installation of the equipment which are legally required at the time that the installation is done. Customer shall give all notices and comply with all laws, ordinances, rules, regulations and lawful orders of any public authority bearing on the performance of the work. In the event that Seller is required, in connection with the installation of the equipment, to do additional work either because Customer did not prepare the job site, or because the drawings, wiring, or other work done by Customer or for Customer by others, was not properly represented in the drawing supplied to Seller, Seller shall have the option of doing the additional work required to complete the job, and will charge Customer at Seller's current prevailing rates for such work, or, of abandoning the installation and being paid in full by Customer upon demand therefore. Any additional amounts so charged shall be due within ten (10) days of receipt of invoice by Customer. Customer represents to Seller that it has an interest in the real estate on which the equipment is to be installed and that has the authority to and hereby authorizes Seller to do the work as provided in this Agreement. Further, Customer warrants that the job site at which the installation work to be done hereunder, complies with all applicable safety and work rules, OSHA regulations, and other governmental and contractual requirements as to working conditions. 5. TIME AND MATERIALS SERVICE WORK: In the event that Seller is asked by Customer to perform service work on a time and materials basis during the term of this Agreement, and such work is outside the scope of work contemplated herein, the Customer understands and agrees that any such time and materials work will be performed by Seller pursuant to the terms and conditions contained herein. 6. WARRANTIES: INSPECTION WARRANTY - Seller makes no warranty, express or implied, in connection with any inspections services provided hereunder. SERVICES WARRANTY - For all other services, including those provided on a time and materials basis, and excluding inspection services, Seller warrants that the services provided hereunder will be performed in accordance with generally accepted industry standards and practices. In the event that any services fail to comply with the foregoing standard within one (1) year from the date services are completed, Seller will re- perform the non - complying services at no additional charge. PRODUCTS/ REPLACEMENT PARTS WARRANTY - Any equipment or replacement parts provided by the Seller will be warranted for a period of one (1) year from the date the equipment or replacement parts are installed by Seller. In no event shall Seller have any obligation to make repairs, replacements or corrections required, in whole or in part, as the result of (i) normal wear and tear, (ii) accident, disaster or other event beyond the reasonable control or fault of Seller, (iii) misuse, fault or negligence of or by Customer, (iv) use of the equipment or replacement parts in a manner for which they were not designed, (v) causes external to the equipment or replacement parts such as, but not limited to, water damage, power failure or electrical power surges or (vi) use of the equipment or replacement parts supplied by the Seller in combination with equipment or software not supplied by the Seller. Any installation, maintenance, repair, service, relocation or alteration to or of, or other tampering with the equipment or replacement parts performed by any person or entity other than Seller without Seller's prior written approval, or any use of replacement parts not supplied by Seller, shall immediately void and cancel all warranties with respect to the affected products. THE FOREGOING WARRANTIES ARE THE SOLE AND EXCLUSIVE WARRANTIES GIVEN BY SELLER IN CONNECTION WITH THE SERVICES PERFORMED AND PRODUCTS PROVIDED HEREUNDER, AND ARE IN LIEU OF ALL OTHER WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WHICH ARE HEREBY DISCLAIMED AND EXCLUDED BY SELLER, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE. 7. INDEMNIFICATION: Seller agrees to indemnify the Customer for losses due to bodily injury, or property damage to the extent caused by Seller's negligent acts or omissions, or the negligent acts or omissions of its employees, agents and subcontractors during the performance of this contract, but not to the extent caused by others. 8. INSURANCE: Seller agrees to maintain the following insurance during the term of the Agreement with limits not exceeding the stated amounts: (a) Comprehensive General Liability insurance covering bodily injury and property damage with a limit of $1,000,000 per occurrence and $2,000,000 general aggregate, (b) Statutory workers' compensation and employer's liability insurance for a limit of $1,000,000 per occurrence, (c) Automobile liability covering bodily injury and property damage with a combined single limit of $1,000,000 per occurrence and (d) Excess /Umbrella Liability Insurance with a limit of $1,000,000 per occurrence and $2,000,000 general aggregate. If Seller is performing services on Customer's site, Customer will be named as additional insured under the Commercial General Liability policy only with respect to liability arising out of bodily injury or property damage but only to the extent resulting from the negligent acts or omissions of Seller or its willful misconduct arising out of the ongoing performance of its obligations under the contract. Seller does not otherwise name parties as additional insured or agree to waive its rights to subrogation. Seller does not provide copies of its policies, certified or otherwise nor does it provide endorsements. 9. FORCE MAJEURE: Seller shall not be liable for any failure to perform or delays in installing or repairing equipment or systems, or for any Page 3 of 5 e B. INCLUSIONS: 1. Permit fees 2. Comprehensive general liability insurance 3. Shop drawings 4. Water flow & tamper switches (wiring by others) 5. Hydraulic calculations 6. Approvals from the authority having jurisdiction. C. Exclusions: 1. Insulation 2. Utility or alarm company fees 3. Fire watch 4. Control wiring 5. Electrical wiring or alarm connections to a central monitoring station 6. Painting 7. Cutting or patching 8. Hose racks/ cabinets 9. Fire extinguishers 10. Sprinkler protection in any other area 11. Premium portion of overtime labor 12. Bond premium (available upon request) 13. Fireproofing/ firestopping 14. Excavation, backfill, dewatering or shoring 15. Thrust blocks 16. Equipment handling of underground pipe and fittings 17. Concrete work 18. Testing and flushing of underground piping installed by others 19. Fire pump & tanks 20. Exterior piping 21. Cutting of ceilings to accommodate sprinklers 22. Seismic bracing 23. Structural load bearing analysis Chubb Fire & Security, LLC. operates an open shop. We have figured this project at our usual rates for mechanics and will perform the work with our own people. This quotation is contingent upon a satisfactory credit check of the General Contractor, Owner, and /or the project funding. Due to the uncertainty of material prices we will be unable to honor this quotation after ten (10) days. SALES AND SERVICE AGREEMENT GENERAL TERMS AND CONDITIONS THE FOLLOWING TERMS AND CONDITIONS WILL GOVERN ALL TRANSACTIONS BETWEEN CUSTOMER AND SELLER FOR THE GOODS AND SERVICES THAT ARE THE SUBJECT OF THIS AGREEMENT. THESE TERMS AND CONDITIONS ARE INCORPORATED BY REFERENCE INTO ANY PURCHASE ORDER ISSUED BY CUSTOMER AS IF EXPRESSLY SET FORTH THEREIN. ANY ADDITIONAL OR DIFFERENT TERMS OR CONDITIONS CONTAINED IN CUSTOMER'S PURCHASE ORDER OR IN ANY OTHER DOCUMENT SHALL BE DEEMED OBJECTED TO BY Seller AND SHALL BE OF NO FORCE OR EFFECT. THE PARTIES EXPRESSLY AGREE THAT MONITORING SERVICES ARE SPECIFICALLY EXCLUDED FROM THE SCOPE OF THIS AGREEMENT. 1. PAYMENT: Customer will pay 30 % $1,905.00 upon contract signing, 30% upon shipment of equipment to Seller or Customer designated site, 30% upon substantial completion and 10% upon final acceptance by Customer. The Customer will promptly pay invoices within thirty (30) days of invoice date. Should a payment become thirty (30) days or more delinquent, Seller may stop all work under this Agreement without notice and /or cancel this Agreement, and the entire Agreement amount shall become due and payable immediately upon demand. A finance charge will be added to past due accounts at the rate of one and one -half percent (1.5 %) per month, or at the highest legal rate, whichever is less. Any standard goods that are either received at the Seller warehouse, or delivered to the Customer site, that are later canceled or returned by Customer are subject to a fifteen percent (15 %) restocking fee. Any custom orders are subject to a one hundred percent (100 %) restocking fee. 2. TAXES: The Customer shall be responsible for all taxes applicable to the work and /or materials hereunder. 3. WORK HOURS: Seller will perform all work during normal business hours: Monday through Friday, 7:00 a.m. to 3:30 p.m. Any requests for Page 2 of 5 RECEIVE®__ -., N. ZS Chubb Fire & Security LLC. 1 L_ 32 Char Drive pc, ° - Westfield, MA 01085 Tel 413 - 568 -4709 Fax 413 - 562 -7298 Chubb www.chubbfs.com MA SC #5864, CT FRP #0040818 -F1 RI FPM #374, MA FA #607C, RI FA #9065 CT ELC #105916 - L5 A UTC Fire & Security Company May 25, 2012 Bill To: Mark and Mary Penney 311 Chesterfield Rd Leeds, MA 01053 Attn: Mark & Mary Penney Re: Beaver Brook Estates site # 23 Chestnut Street Ext. Leeds, MA 01053 Subject: Automatic Fire Sprinkler Quotation Chubb, a UTC Fire & Security Company offers a full line of fire protection services. Installation and repairs of fire sprinkler & fire alarm systems, tenant fit -outs, design build projects, NFPA inspections and 24 -hour emergency service are all provided by Chubb. These services are available throughout the Southern New England region. We are pleased to offer our quotation in the amount of $6,350.00 (Six Thousand Three Hundred Fifty Dollars) to install the automatic fire sprinkler system at the above referenced project. A. Our quotation is based on the following scope of work: 1. Plans & Spec's as per AHMANN Design Inc. dated 04/04/2012 2. Adequate water supply 3. Residential sprinklers installed throughout. 5. Plans to be reviewed by local authority having jurisdiction. 6. All work and material will be in accordance with NFPA 13D, 2002 edition 7. Installing white concealed sprinklers on the first floor and recessed pendent sprinklers on exposed steel pipe in the basement. 8. Adequate heat in all areas containing sprinkler pipe. Page 1 of 5 - a 1 � t o I � SEE SHEET B EAVER BROOK � i ,6..I t 1 OOi 7109 PAGE 4 _ 31 I o I ` ED E S s° —A \ , Ev ✓ N N 0 30 HE IR S HELEN A. 4A 1500 .s PAVE EN• � (UNITS s ISS7D J 0' ____,.. �,u B N0� 1 411 HAMPSHIRE 18 c I N \ ". ) 33 E i \_,..„ , 1 - map, 3].9 9r. 9 I PROBATE N P07,3 I I y 0 9776.3 2 Ne1'JT'JS 19, � I Q— �_ io' wt R M = < PATRICK _ NIK TEE r , � 2A0 x m NM ie inN NOMINEE UST S S. W v L.,' `.581 . E NOMINEE iRU6i , J -t' 19 i I n „t BOOK 5669 PA E6 1 — B� _- 7, Z _ P � p (SEE ) _ g 24 °_ I _ I © E N ° AREA _ UN � , - 30,479 F i -�sez z � _t . -c�s � 'z8 w . 1 _ z __ I ' I . D O _l l of 3 9 s F.4 6 6x,6 WO II � � l/� '� 'I'II- _ la EXCLUSIVE } WE so 1 6�_ -- JA I , g SY- ' 4... \ -........: liI �� 6 l EXCLUSIVE I II R 'A A ° " ° PEA, PARTNERSHIP 8 00 J 1 N _ SEE 5. SO -.5 J 6 I� 25. _ - Y - G\ EXCLUSIVE UIMT A" J. PAGE 1, BOON P I ♦1. f.s m 8 PLAN BOU 54. > 6 }}w 6.26 5 D - --- JB i e � o F. s� g ... ALSO PUN' B7G B. : < eu ° .M, BOON. fl i PA - - 8 I ° • 71 rx �R NIT ¢ iC I lU ® UNIT \ m L 1 r 1.64e S. F.4 - 6 x _ " - I m 1 J7 S.E.4 s g, � J ° 1 — — - - W u r 1 1 ESTATES, NORTHAMPTON, u„ ruEN7 b"' - 'p p O it l O O 3 I mmo �. 3O Z L NOTES- , I ` I. FOR REFERENCE TO ENCLOSED PERIMETERS SEE BOOK 5493 PAGE 23 BOOK 5869. n 28 C ON O MINI R I CONDOMINIUM PAGE 9 BOOK 5917, G P 7, P BOOK PAGE iP} PLAN BOOK 12 (U T 5) j / n i UN BOOK 7B6 PAGF } 19p A P B GE 80. PUN BOOK O 15 2 Z — . _ - - -- . � `r EXCLUSivC UN � t PUN aL OO K 206, PAGE 1. B 2J PLW B OK AND PUN BOOK 220, PAGE 26 I ` 6Q a i 16 954 F "APPROVAL NOT RE U . P BRO INC., IN DATED OK n O I £1 c AREA = .3 I 5 B HERITAGE SaT z I AW / VERn BOO EASE-MEW K 966 E✓E 0 ] �I u61 ,6 }] E , y �3 AF£ ION NEW ENGLAND INC C. RECORDED 4 PAGE 25 (N5 BE RECORDED IN THE r. C(11.1N17 RE35STRY OF DEEDS) p3,9'x R C • L EX EXCLUSIVE 5 LI T EAS E E PUN FOR 20?, SPE77, • I _ x_ 69 0' 9 Ox .f._. I APRIL G SEE CO 7N BOOK 9 t1 E PREPARED OO 1... . • r -3-3 9 8 DES O 77 0 ' . >B ALSO SEC PLANNING I u I EX LU . I ` N rl I F • HORIZONTAL C B C SI - 3 SURVEY CONDUCTED UYS B VANE SSE H USTLIN. INC WITH SUPPORT ROM __ ON FEBRUARY A 2000_ 811 • • • 1' �"� ROAD - OE o de DEBRA = EV ERGREE D B oo 3652 P 315 HORIZONTAL SCALE 1" 40' of -_ my E = P MAN \ n e I wpM -- - -- SHEET 2 Or 4 O £ 1 ____----F � y I B C. 5 524 E 52 1 —. ✓E " ' R c PLAN SHOWING PROPOSED EXCLUSIVE UNITS PATRICK oe629, PARE 24 m I I ROW. I ' NORTHAMPTON BEAVER o o TA MASSACHUSETTS OWNER/DEVELOPER. REGISTRY OF DEEDS PATRICK J. MELNIK, TRUSTEE PRELIMINARY ___ HAMPSHIRE COUNTY THE BEAVER BROOK NOMINEE TRUST LEGEND 110 KING ST. 7X15 PLAN SHOWS THE PROPERTY LINES THAT ARE THE TEL PT 01 060 STONE BOUND FOUND STREETS W EXISTING OWNERSHIP. AND THE 4INES OF STREETS AND WAYS TS SHOWN TEL (413413 384 ) 6B4 -67 fi]50 DATE. JUNE 5, 2009 IRON PIP FOUND ARE THOSE OF PUBLIC PRIVATE STREETS OR WAYS ALREADY IRON R BOUND SET. 00 300 ESTABLISHED AND NO NEW LINES FOR 0100100 OF EXISTING OWNERSHIP PIPE i0 BE SET • OR FOR NEW 0 WAVE ARE SHOWN. FURTHERMORE, THIS SURVEY AND HERITAGE SURVEYS, INC. STONE WALL 1 PUN WERE PREPARED IN ACCORDANCE wlTll THE RULES AND REGULATIONS BARBED WIRE FENCE — — ■— •— ■— — I OF THE REGISTERS OF DEEDS, AND THE PROCEDURAL AND TECHNICAL PROFESSIONAL SURVEYORS AND ENGINEERS 0 0040 SURVEYING UN* LINE - — — — - STANDARDS FOR THE PRACTICE CE LAND SURYING IN THE COMMONWEALTH 241 COLLEGE HIGHWAY & CLARK STREET 0 E 0 6045 EASEMENT _ 1 OF MASSACHUSETTS. POST 07716E 405 1 RAILROAD SOUTHAMPTON, MASSACHUSETTS 01073 -0001 PERMANENT CONSERVATION , 1 (4t 3) 527-3600 E DATE REGISTERED LAND SURVEYOR .m , 3923 - 980831 188 C 352344055 144., E 3923 - 090605 COitj of Ni rtipmtrturt ltLnssttrt usrtts it il IR r x . ° DEPARTMENT OF BUILDING INSPECTIONS , c' 21 2 Main Street • Municipal Building 3 �a � Northampton, MA 01060 LO UCK BUILDING PERMIT FEES Phone: (413) 587 -1240 BUILDING COMMISSIONER Effective July 21, 2008 Fax: (413) 587 -1272 DEMOLITION $ 20.00 ACCESSORY STRUCTURE $ 35.00 PRINCIPAL BUILDING — Residential $200.00 PRINCIPAL BUILDING - Commercial 9 *NEW CONSTRUCTION $ .50 per square foot for 1 floor -0 OA c0 • S' .30 " " ` 2 floor _ �,/- i l� o l.g')(. o� .20 " " '/Y floors, attic, basement, garage ) Et1�'`''^""-' s > ) j) 1. STRUCTURAL ALTERATIONS IN ALL USE GROUPS ��� $6.00 per thousand dollars of estimated cost or fraction thereof, 41, 5 4 with a minimum fee of $55.00 — $25.00 WOODBURNING STOVE 5O *NEW ACCESSORY STRUCTURES one hundred twenty (120) square feet and over $ .20 per square foot with a minimum fee of $25.00 *NEW ACCESSORY STRUCTURES under one hundred twenty (120) square feet 1 ` $25.00 per inspection *SWIMMING POOLS $30.00 for above ground $60.00 for in- ground *SIGNS & AWNINGS $30.00 *DECKS $50.00 REPLACEMENT WINDOWS $35.00 SIDING & ROOFING Residential $35.00 per structure Commercial $55.00 min. per structure OR $6 /K of estimated cost TENTS $25.00 *ZONING REQUEST FORMS $15.00 (includes home occupation registration) REISSUE OF LOST PERMIT $25.00 CERTIFICATE OF ANNUAL INSP. $100.00 (minimum) Temporary Certificate of Occupancy $25.00 PERMITS REQUIRING ONLY 1 (1) INSPECTION WILL BE A MINIMUM OF $25.00; ALL OTHERS WILL HAVE A $50.00 MINIMUM. PERMIT FEES SHALL BE PAID TO THE ORDER OF THE City of Northampton AND SUBMITTED, WITH THE COMPLETED PERMIT APPLICATION, TO THE OFFICE OF THE BUILDING INSPECTOR. WORK STARTED WITHOUT PERMIT IS SUBJECT TO DOUBLE NORMAL FEE. !! NO CASH - CHECKS OR MONEY ORDERS ONLY !! * Filing deadline is 12:00 pm (noon) on Wednesday. MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: h or4 28 Evergreen Road, Unit # 23 Inquiry Made By: Pat Melnik 584 -6750 Date of Inquiry: 4/4/12 Number of Type of Single Family Apart. Type of Private X Units: 1 Unit(s): Multi- family Ownership: Condo Rental (Annlicant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: No X Size of Water Main: 8" Material: Ductile Iron Age: 2006 Approximate Static Street Flow Test Conducted: Yes: No: Pressure: 8" If done attach results Size of Service Connection 1" 3/ Suggested Meter Size: Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. \\ NO TRENCH CH '7- �T () N T I ( I \ E Q u /ec,1) T E S T I N G ) i f A I D l F / c 770J I /S Coy I LFr " • • . -sp. •ding water entra • - ee shall be paid prior to making any connection to the municipal water system. Arrange • nts of such'i s : • • • all be de with the Northampton Water Department with a minimum of 5 w• in ays oti ica ion. • ( All wor' s.con to North: a artment specifications. David Sparks, Superintendent of Water Dept. Water Entry $200.00 Meter$ 150.00 Radio $100.00 cc: Ned Huntley, Director cc: Louis Hasbrouck, Building Commissioner Note: If this availability is for a new construction it must be hand delivered to the Building Inspector. Y1aGalion \A, (l U ( MUNICIPAL SEWER/ AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 28 Evergreen Road, Unit #23 LCJT 33 Inquiry Made By: Pat Melnik 584 -6750 Date of Inquiry: 4/4/12 Reason for Connect into City Sewer Request: Municipal Sewer Main in Front of Location: Yes No Municipal Storm Drain Available: 5 1 /2 deep Yes No Size of Sewer Main: ( c> Material: ) y . L Age: Depth of Sewer Main: Size of Service Connection: Type of Service Connection: Tie -in to Sanitary Main Tie -in to Sanitary Stub Comments: , t t ii7 i fi T E / 1 4 N J 7 CF 7 - / ON/ IS CO VYJ Pi " Note: If this availibilitv is for new construction, this form must be hand delivered to Building Inspector. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. ,/ John Hall Sewer Department cc: Ned Huntley, Director DPW Louis Hasbrouck, Building Commissioner �M� Ic Y $' QUICK ANALYSIS REPORT Date: May 22, 2012 Rating No.: 5/22/12 Building Name: Penney residence Rating Org.• Power House Energy Consulting Owner's Name: Mary & Mark Penney Phone No. 413 -835 -5162 Property: 61 ChestnutAve Ext Rater's Name: Matt Turcotte Address: Northampton, MA01053 Hater's No.: 1497133 Builder's Name: Weather Site: Northampton, MA Rating Type: Based On Plans File Name: plans.blg Rating Date: 5/22/12 Codes Programs IECC 2009 Performance: Fails EPA ENERGY STAR 2.0 Fails IECC 2006 Performance: Passes EPA ENERGY STAR 2.5 Passes IECC 2004 Performance: Passes EPA ENERGY STAR 3.0 Fails IECC 2003 Performance: Passes Tax Credit Fails IECC 2001 Performance: Passes HERS Index 69 IECC 2000 Performance: Passes IECC 1998 Performance: Passes ECC of NY Performance: Passes ECC of NV Performance: Failt MEC 1995 Performance: Passes MEC 1993 Performance: Passes MEC 1992 Performance: Passes ASHRAE 90.2 Performance: Passes REM /Rate - Residential Energy Analysis and Rating Software v12.96 This information does not constitute any warranty of energy cost or savings. © 1985-2011 Architectural Energy Corporation, Boulder, Colorado. SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ pp Name of License Holder : Ed )a Z4 - C5 0500 7 / License Number skA I6 Leeds ,q/ oros 3 0y / Iy Address Expiration Date y(3- 222- t-Vi l O Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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 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 Ef Addition ❑ Replacement Windows Alteration(s) n Roofing in Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks ID Siding ID] Other [D] Brief Des riptio of Proposed ■ ' St Work: ma y , S � ' f irm' niinS I4,ow I"i.tv��j( rim s 4 yi i W,11)CAtot4 Alteration of ex i g bedro m ' Yes No Adding new Idroom Yes No Attached Narrative Renovating unfinished basement Yes No ici Plans Attached Roll - Sheet 6a. If New house and or additions to existing 'housing, complete the following: i a. Use of building : One Family Two Family Other ' b. Numb of rooms in each family unit: l0 Number of Bathrooms 3 `l c. Is there a garage attached? e, gi p. I C/ I d. Proposed Square footage of new construction. I p-0 p. Dimensions S x ` / e. Number of stories? I �01-4 f. Method of heating? f /� Fireplaces or Woodstoves Number of each), �it.s (etc g. Energy Conservation Compliance. I IA -- a- Masscheck Energy Compliance form attached? /VA- h. Type of construction wa V i. Is construction within 100 ft. of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes v No j. Depth of basement or cellar floor below finished grade 7 / k. Will building conform to the Building and Zoning regulations? ✓ Yes No . I. Septic Tank City Sewer v Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Aiti lit , as Owner of the subject property v (� hereby authorize /nbad a 1 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date i, / / re* , as Owner /Authorized Agent hereb declare that th8 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. /14> Pm Print N r a —) ) 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 . a5'Au-es ,tti )1 Frontage a.Sa FC as-t. At/- Setbacks Front', Side L: R: L: 0 R: 500 Rear Building Height 0 Bldg. Square Footage % /q8 I % Open Space Footage (Lot area minus bldg & paved .2o9 9110 parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW Q YES et IF YES, date issued: o l /05 IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW 0 YES ef IF YES: enter Book 14 ka Page 3 and /or Document #' B. Does the site contain a brook, body of water or wetlands? NO 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 Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO 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 (J IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exc vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only 1 City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit PAY - 2012 212 Main Street Sewer /Septic Availability L Room 100 WaterNVell Availability DEPT. OF BUILDING INSPECTIONS Northampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON,MAQ7p6D" -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 Pro �ertvAddress: � This section to be completed by office �O /' i�t,s -k- M+ Alt. tx . Map (4::$ Lot Unit ( c).3 E f , ( �'"� { `P - 1761- , G S Zone Overlay District �- 0 Elm St. District CB District SECTION 2 - P IMP 0 NER HIP /AUTHORIZED AGENT 2.1 Owner of Record: Aafk M' PO/N-11- 3)l Gikesfie -'cam lei. zt /ds ver.? 1 Name (Print) ( Current Mailing Address: ( , n.� 1( y l� -s3 7- a,irs Telephone Signa ur 2.2 Authorized Agent: EotLL mt 3 z,4∎40 1 s)p■lifds J4tJ teed cd s � )4» 01 o) Name (Pri Current Mailing Address: yl3 -tea - y9i0 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building / SD 00-0 (a) Building Permit Fee 2 Electrical (b) Estimated Total Cost of rip I e'6 Construction from (6) 3. Plumbing Building Permit Fee 1 Cre,0 4. Mechanical (HVAC) 5. Fire Protection / 0 8C 6. Total = (1 + 2 + 3 + 4 + 5) c 140 i peO Check Number 3 ef , s.. Z ?_v This Section For Official Use Only / Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date 1laLb File # BP- 2012- 0961��� tS�i APPLICANT /CONTACT PERSON ED JAZAB ADDRESS /PHONE 9 SHEPHERDS HOLLOW LEEDS (413) 222 -4910 Q PLAN gj*� E PROPERTY LOCATION UNIT 23 - 6�CHESTNUT AV EXT - 28 EVERGREEN RD 1 � MAP 06 PARCEL 064 000 ZONE �� �� THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out [� Fee Paid T 3 / ) sd 7 ) n Typeof Construction: CONSTRUCT SFH W /ATT GARAGE /DECK S Q J New Construction ri Sft i Non Structural interior renovations —�' Addition to Existing Accessory Structure n n Building Plans Included: P CA N 5 A Ng A r eg-ov 2 "� ✓ Owner/ Statement or License 050099 Plz40 p 16 ( V.5. f ( N 5 I'(cT d N 3 sets of Plans / Plot Plan / G THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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. +UNIT 23 - 62 CHESTNUT AVE EXT - 28 EVERGREEN RD BP- 2012 -0961 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 06 - 064 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: New Single Family House BUILDING PERMIT Permit # BP- 2012 -0961 Project # JS- 2012 - 001677 Est. Cost: $200000.00 Fee: $1507.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ED JAZAB 050099 Lot Size(sq. ft.): Owner: PENNEY MARK & MARY Zoning: Applicant: ED JAZAB AT: UNIT 23 - 62 CHESTNUT AVE EXT - 28 EVERGREEN RD Applicant Address: Phone: Insurance: 9 SHEPHERDS HOLLOW (413) 222 -4910 () LEEDSMA01053 ISSUED ON:6/1/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH W /ATT GARAGE /DECK; Sprinkler system required, plans and approval by Nton Fire Dept 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 6/1/2012 0:00:00 $1507.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner