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One Ashburton Place - Room 1301 'T._ „ .. Boston. Mass chusetts 02108 Home Improvemer tractor Registration - = � Registration: 137000 .� Type: Ltd Liability Corpor 7 Expiration: 9/25/2010 Tr# 273798 RENOVATION CONSULTANTS 1'_ =' ( = �, MICHAEL GASTEYER = W 1 15 RAILROAD AVE. '\ ^A� ,_, - / _ WILBRAHAM, MA 01095 r s \ - < . ::,/ /, / Update Address and return card, Mark reason for change. - -I _ %,, I Address Renewal Employment Lost Card OPS-CA1 0 501.1 -07 /07•PC8490 BAsoftlittatArRtatal644494wiRiokfill License or registration valid for Individul use only • f� HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: w' Registrattlo 137000 Board of Building Regulations and Standards Iii p 925/2010 Tr# 273798 Ex iratloth• One Ashburton Place Rm 1301 r -� _ Boston, Ma. 02108 , t . lability Corpor RENOVATION COtp$ CFA If 7 C. MICHAEL GASTEI '? gfr 4) 15 RAILROAD AVk \'tit / // WILBRAHAM, MA O194.._J Administrator Not valid withos signa ilb 0/ Tlae 6 -nvmoluveala al,./i(awaciw.40e4 Board of Building Regulations and Standards s.> Construction Supervisor License License: CS 64950 Expiration: 5/22/2010 Tr# 23856 , . ",` • Restriction: 00 MICHAEL A GASTEYER 15 RAILROAD AVE " WILBRAHAM, MA 01095 Commissioner *Ns'•NO Th% .1 :\ ''. A \-\1(..,...__ (RENi:Aj1ON 15 Railroad Ave. Wilbraham, MA 01095 (413) 596 -2919 Fax 596 -6560 consultants Work Contract Renovation Consultants, LLC proposes to furnish materials and labor; in accordance with the attached quote numbered EPSTEIN 002 -2 totaling Thirty five thousand one hundred thirty -three and 12/100 ($35,133.12) Both parties agree that the total cost of the work will be in accordance with the original estimate. The Owner and Renovation Consultants, LLC must approve any changes. Any alteration or deviation from the original estimate involving extra costs will be executed only upon written consent and will become an extra charge over and above the original estimate (all change /add orders will be assessed at 25% above our cost, the charge is payable upon signed approval for work to be performed). Payment Terms: Upon signing of the contract ($10,000.001, 2nd payment upon delivery of cabinets ($24,133.12) and the final payment upon completion of work ($1,000.00) please note if there is a specific manufacturer delay or replacement order you may with hold double the value of the replacement parts. 1 '/2 % interest per month charged to all overdue balances until paid. It is agreed that any payment not made in accordance with this payment schedule shall be considered delinquent after 10 days. Legal fees accrued in the collection of any outstanding balance will be charged to customer. All materials are guaranteed to be as specified. All work completed in a workmanlike manner according to standard practices. All schedules and agreements are contingent upon delays beyond our control i.e. weather, delivery of materials by suppliers, dealer delay on special order items, etc. Our workers are fully covered by Workman's Compensation Insurance and Liability Insurance. Renovation Consultants, LLC guarantees all workmanship for a period of one year from the date of completion. All materials are covered by the normal guarantees, if any provided by the manufacturers or suppliers. This guarantee is void if payment is not made as to the terms of this contract. All home improvement contractors and subcontractors shall be registered and any inquiries about the contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ash Burton Place, Room 1301, Boston, MA 02108 Telephone: (617) 727 -8598. Acceptance of proposal: The listed prices, specifications and conditions are satisfactory and are hereby accepted. Renovation Consultants, LLC is authorized to do the ork as specified. Payments will be made as outlined above. This updated contract supersedes any and all others. Authorized Signature: ` �j�lg � U # sate: August 28, 2009 4' 1 nn y( Job Name: DEB & KEVIN EPSTEIN Date of Acceptance: Job Location: 168 MAPLE RIDGE ROAD Signature: /0/ 1 ,„ r /� /, - ,r ,/ i FLORENCE, MA 01062 . �� Phone: 413.584.0590 Signature: _` d I Mondays & Evenings By Appointment Tuesday thru Friday 10 a.m. to 5 p.m. Saturday 9 a.m. to 1 p.m. The Commonwealth of Massachusetts n Department of Industrial Accidents ',-, F - ' ' '?'" Office of Investigations ' 600 Washington Street Boston, MA 02111 , ,,.. www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization /Individual): ? -';t�.i Ja, t ■ c) ( )v`> >y u- i -11:\ r- i ( LL C Address: IS t KA,1.- -y N J 1 City /State /Zip:L)11✓1'3 0414. ANA 0 e `\ 5 Phone #: i b - 'L 1 1 cl 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 employees (full and /or part-time).* have hired the sub contractors 6. ❑ New construction listed on the attached sheet. .f."1:1 Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.i required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised 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' l3.0 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_L.n,,s L.• >c.'o C ^ o .- o r ,f..)nt 'C - 4( -- ,s, - ... 0 Policy # or Self -ins. Lic. #: L_ y I. 1.... G 1 Expiration Date: 16 'L I Z. C.), i (-;,', Job Site Address: I (Ii M A t-1 70 bLE) i -A r 3 City /State /Zip: ' Lea ri. Y C-'b S\ ,, A 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 certi ' and r 11 ' pains ' ' penalties f : - jury that the information provided abov' is tr e and correct. Si mature: Date: tQ / 4. ■ Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit /License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / Not Applicable ❑ Name of License Holder : I L.rl.,�, t L C? A', \7 y t 2 c Ct l r ,,© z License Number t La -fi�7 v fir.) ` L:?Z.r1Al � f'� 5( L-LI 2.t:) IG� Addre Expiration Date ignature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ ' C.) „.;-%.7 s t-1.L 1 3 . E o6 Company Name Registration Number 2c -N. `) ,; t Li3 va t -t-"M /x-vi e' 2 (2 ci e0 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 fr SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) 1 Roofing Or Doors CI Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [Q Siding [D] Other [D] Brief Description of Propasqd Work: C'i i- 'c,a,i0 i«pvts,.;... , n..) -3 ..s CAz.,t.,a cS Cc.,, -;; 1`tSf „ -,« "tiK -»i5 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Om 1, 14CLii i': , as Owner of the subject property hereby authorize to act on my be , i al matters relative to work authorized by this building permit application. Signature of 0 ner Date I, (\ ' C N "t, L A 6 A,5 7 k V 1.2 , as Owner Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my and belief. Signed under the pains and penalties of perjury. k I '. L A. (9a0 -eel Z Print Name .I , Al / 1 /, mature of 0 '' gent WV . II. Date Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 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 fY1tA�� 1 b('4, mac; Map Lot Unit e L Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Igo k'` i/,✓1/ / /sue 5 A774 1 " sOS �j'� /c� Name (Print) Current Mailing Ad re s: Telephone Signature 2.2 Authoriz Agent: !`r\ � rt`a, L o-c U +- Ozir1.AKi t C%“' \ Name (Print) Current Mailing Address: - L t c\ Signature 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. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection .y� 6. Total = (1 + 2 + 3 + 4 + 5) � r t "�y'3 Check Number g0 l�61/Qr6° This Section For Official Use Only J Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0406 APPLICANT /CONTACT PERSON RENOVATION CONSULTANTS LLC ADDRESS /PHONE 15 RAILROAD AVE WILBRAHAM (413) 596 -2919 PROPERTY LOCATION 168 MAPLE RIDGE RD MAP 36 PARCEL 271 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 0 $0//0.69 Typeof Construction: REPLACE KITCHEN CABINETS /COUNTERS, FLOORING & SKYLIGHTS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 064950 3 sets of Plans / Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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. If,II+ BP- 2010 -0406 GIS #: COMMONWEALTH OF MASSACHUSETTS iocic. 7 i 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 -0406 Project # JS- 2010 - 000553 Est. Cost: $35133.00 Fee: $210.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENOVATION CONSULTANTS LLC 064950 Lot Size(sq. ft.): 94089.60 Owner: EPSTEIN KEVIN G & DEBORAH L FEEN - EPSTEIN Zoning: SR(100)/ Applicant: RENOVATION CONSULTANTS LLC AT: 168 MAPLE RIDGE RD Applicant Address: Phone: Insurance: 15 RAILROAD AVE (413) 596 -2919 WC WI LBRAHAMMA01095 ISSUED ON:10/19/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE KITCHEN CABINETS /COUNTERS, FLOORING & SKYLIGHTS 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 10/19/2009 0:00:00 $210.60 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo