Loading...
18D-009 „ u. nee nurri uerects in materials and workmanship for a period ofc following completion and shall comply rirements of this Agreement. in the event any defect in workmanship or materials, or damage caused by the Contractor, its sub tractors, employees or agents, is discovered ation of any job, Including cleanup, the Contractor shall, at its own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed -upon work. agrees to perform the work, furnish the material and labor specified above for the total sum of: INEMEN ($ W V ) upon signing contract; Name of Representative �' Authorized Signature � % ($ ) upon completion of ,� C ' % ($ �L` I ) upon completion of .. i f f Notice: No agreement for home improvement contracting work shall require a down payment (advance J ) S h a l l be made forthwith upon 3 c � ($ S— /C ` deposit) of more than one -third of the total contract price or the total amount of at deposits or payments which the contractor must make, in advance. to order and/or otherwise obtain delivery of special order completion of work under this contract, materials and equipment, whichever arnount is greater. Acceptance of Proposal 1 have read both sides of this document and accept the prices, specifications 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 may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller, which may be his main office or branch thereof, provided you notify the Seller 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. Please refer to the Notice of Cancellation below contents of which are referred to above and incorporated herein by reference. _ DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. r q ` Signature Date Signatu -- " _ _ _PL . D ate g NOTICE OF CANCELLATION DATE OF TRANSACTION YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: YANKEE HOME IMPROVEMENT, INC., 82 INDUSTRIAL DR., NORTHA PTO , MA 01060 NOT LATER THAN MIDNIGHT OF 0 - --- I HEREBY CANCEL THIS TRANSACTION _ (Date. Sund s an h s excluded) BUYERS SIGNATURE D ATE Buyer(s) acknowledge r • ceipt of two completely filled in copies of this notice on the date first above written hereof. Buyer's Signature A _ , . �_ Buyer's Signature Roofing /Gutters /Attic Barrier Agreement 1 1 I i Thousands of Satisfied Clients! YANKEE 1 '0 82 Industrial Drive MA Lic# 160584 225 Cedar Hill St, Suite 200 1 Northampton, MA 01060 CT Lic# 0673924 Marlborough, MA 01752 1-10 ME I M P R O V E M E N T 413 341 -5259 RI Lic # 33382 877 88- YANKEE The MOST Referred Contractor All home improvement contractors and subcontractors must be registered and any inquiries in New England about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 www.YankeeHomelnc.com Boston, MA 02116 Phone: (617) 973 -8700 Homeowner lnnform tion Name A fl 11€. e2, X � Street Address pg 8r,'0 l City Wor4.11 Stateismzip C /6YeV Home Phone ,_51 76, Work Phone iyA- Cell Phone ii / - E - Mail _ NIA- Mailing Address (If different) The Contractor agrees to do the following work for the Homeowner. ROOFING Type , Color y .L £ tek Style CAAA6Pi c4 1 Removal of Existing Roofing 1�`t es ❑No Ice and Wat Barrier Full ❑ Partia Pii Removal of Garage Roofing nP es ❑No Ridge Vents IW es ■ o Dumpster f es ❑No Replace Sheathing ❑Yes l Meets Incl. C Main House Roof es ❑No Price per sheet _' ( as needed ) Garage Roof �I:. es ❑No Rolled /Low Slope ❑Yes t o Front Porch Roof C`' es • o Location Rear Porch Roof ❑Yes �' 'O Fleshings ` es ❑No Drip Edge es ❑No Color U-' Location Air C pd /...e./ GUTTERS Color _ Downspouts Color Layout Attached ❑Yes ❑No ❑ Residential Sin ❑ Co ercial bin Gutt rotection ❑Yes ❑No Downspout ❑ Residential ommercial ype Garage ❑Yes ❑No Location Porch ❑Yes ❑No Color IATTIC ENERGY BARRIER BLOWN -IN INSULATION ❑ Rafter Install ❑ Floor Install ❑ O Attic Blow Wall ❑Yes DNo Kneewall ❑Yes ❑No ❑ et Blow Area to be cleared by homeowner ❑Yes ❑No Kneewall ❑Yes ❑No ype of exterior Cladding Special Instructions iI CJ./tK111�' . f �i , ' I re 11 '10 iv. . 4, av7 Car "4 f & P s 1 - M_ d 1-- •fILa1Rn7t , ' . C ja a. t. C */ . r "``5 s 1 f d` , , WORK 7_1-1 ULE Co ra I of begin the work or order the materials before the third day following the signing of this Agreement, unless spe i in Contractor will begin the work on or about �� (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by t /1. (date). The Owner hereby acknowledges and ree that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including, [[but n t limited to strikes, Acts of God, shortages of materials, accidents, and all other delays beyond its control, shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work fumished hereunder shall be free from defects in materials and workmanship for a period of , , following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, its sub tractors, employees or agents, is discovered alter completion of any job, Including cleanup, the Contractor shall, at Its own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed - upon work. YHI agrees to perform the work, furnish the material and labor specified above for the total sum of: ' a el l 6 ( ev ) upon signing contract; Name of Representative +�C�i _____-_ , nerello W http aste ://itinnerellovkaste.com --- • ilt)me • About Us • ( triers • Contact L s . is ce • Customer Loot s Fast & Reliable la Waste Removal Serv 455..1672 FOR FAST SERVICE CALL o f I , .. a E 11'0 E a Serv - , - ,,,,,,„ :: , j 1 a a a T E vRol tor Service , * 14 11 a' , i a ii 1 i_off and Recycling V comPac Psters Aelos IFflif‘ V 15 yard and 30 v' Quick response . yard dum ' •. - ,411 1 11 2 °I a V Com ,, ,, s - <,_ ::. r; , -n:1: petitive pricing _ 44 , A 30 YEARS PARS EXPERIENCE 1 la ste.ram i lira i nnere- - kvivivvt.tif Local Weather °F ( ° F) \ k eat he data pt tt_,,ct by tt, eathei L.ot it Our Address -DUMF:' — .'::<,r) . . J. Tinnerello Waste ." I 13 3C-5 17.4\i 32 century Street L c)7 '; A MA 01001 ) Phone & E-mail 3/21/2012 9.48 AM 455-1672 Local (413) 455- ) - Q/. Vo/ • - / iktaWom iplm Office of Consumer Affairs and Business Regulation a° 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 • Home Improvement Contractor Registration Registration: 160584 Type: Private Corporation Expiration: 8/7/2014 Tr# 228954 YANKEE HOME IMPROVEMENT INC GERARD RONAN 82 INDUSTRIAL DRIVE UNIT 2 NORTHAMPTON, MA 01060 Update Address and return card. Mark reason for change. ❑ Address ❑ Renewal Ei Employment CI Lost Card SCA 1 0 20M -05/11 Q/12,e a /QAczo ri-o /uctea3 \ Office of Consumer Affairs & Business Regulation License or registration valid for individul use only =_'— • ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ` Office of Consumer Affairs and Business Regulation egistration: 160584 Type: g 10 Park Plaza - Suite 5170 ll d xpiration: 8/7/2014 Private Corporation Boston, MA 02116 YANKEE HOME IMPROVEMENT ING GERARD RONAN f 82 INDUSTRIAL DRIVE. UNIT 2 NORTHAMPTON, MA 01060 Undersecretary Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents ,.110i= Office of Investigations _ ���''= 600 Washington Street or Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): YAXJKE,E € 174 E T Address: 82 INDUS-TRIAL DPNE City /State /Zip: 41, MI4 . 2iC 60 Phone #: !3 - 39. f — S2 S 9 Are ou an employer? Check the appropriate box: Type of project (required): 1. E I am a employer with -30 4. ❑ I am a general contractor and I 6. ❑ 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. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.(� Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.11] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.111 Other *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. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 618 t E 5 TATE „IN 511 R AA, A/C "E" '"" - Policy # or Self -ins. Lic. #: W C 009 9 4.3 6 3 / Expiration Date: AO ° 2 - Job Site Address: "3 1312 10 &E /OAP City /State /Zip: NQRT%-k FO k! , Iv1A Ol © 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 of , er' • ' , r ' in provided above is true and correct Si g ature: Date: Phone #: t i--/ 3 - f Y'- / - Z 6 (3 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 5- DESCRIPTION OF PROPOSED WORK (check all .applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Fl Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [(] Siding [0] Other [O] Brief Description of Proposed Work: iZEMD/E OLD R O O F SKINGLE S AKID Pt.DD NEW Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes JC No Plans Attached Roll - Sheet ±6a .1f ew laouse.an'dtor acldit o1 i to exists houslnq ucorr P e. e.#he 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 1 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 OWNERAUTHORIZATION -TO BECOMPLETEDNHENS .OWNERS AGENTO CONTRACTOR APPLIES FOR BUILDING P ERMIT u `, ,.,, A 13 t '1 Y , as Owner of the subject property hereby authorize YANtZEE HOME TMPROU S'4ELiT to act on my behalf, in all matters relative to work authorized by this building permit application. cikl CC3NTPAC T Signature of Owner Date YA kJ ft: EE 1.1D ME 1.M PROVE MEMT GCPAPJ RLJUAIIJ 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. G EIZAi D �nL.t LOLL Print Name ile Signature of Owner /Agent Date SECTION 8= CONSTRUCTION SERVICES . 8.1 Licensed Construction Supervisor: Not Appl ❑ Name of License Holder: L ;ERARD ZON AILI 1 5 L39 -4-Z. License Number �2 IA1Dvs r IAL DR, NORTUAMPT»J OIO6O 3 - 19 - 261 1 4- Address Expiration Date '44 3 — 5 2. g 9 Signature Telephone egar fered; . ome mp civementnContractor w r x ; A , � F � Y Not Applicable ❑ Y,AlJ IEEE 140ME = ! CSC) .s Company Name Registration Number 5S2 rAIVii. 7"K'!AL. DR- ILIDR77 410 i1ik! ,.MA . 0'066 8 - 2014- Address Expiration Date Telephone 413 - 341 - 5'259 z 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 ler 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 1083.5.1. 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 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 ■ ! ! t Frontage Setbacks Front i Side L:' R: L:: ----1 R i i x Rear L_____2 Building Height i . Bldg. Square Footage g % i i i Open Space Footage % (Lot area minus bldg & paved '; 1 € 1 1 1 i parking) # of Parking Spaces ` Fill: � �. _ ..........m_..__. . � � ._ ...__ � (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW .40 YES 0 IF YES, date issued:! I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book I Page. and /or Document #1 I B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW AN YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 4 . 4 I I 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: i 1 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 0 NO {r� IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton S a u o P e ' i Building Department n i' e y t �'' ��� V` �. \�� 2 Main Street Se erept Va •�� \-- Room 100 , et bi i � � � ' '' 6� o rthampton, MA 01060 • • ' A e 413- 587 -1240 Fax 413- 587 -1272 . '- t /c �� 10'),S.:,-:, et pecify tt „'' . 4 LIGATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DMOISH A ONE OR TWO FAMILY DWELLING SECTION 1.-" SITE INFORMATION "� This act to be completed by office , 1.1 Property Address: �A # 908 13 t DG E ROAD Map 4 7 s� ` Lot 4. Unl VA-1'i t. _ a 'i �"'a z � a �l � � , *' '- ND RTN A Nl P T13 t�1 , Mt A t.) I 0 & D Overlay Di stra c t 7� one xr _ EIm St. District CB District S ECT I ON 2 P R OPE RTY OWNERSHIP /AUTHORIZED A 2.1 Owner of Record: nio&oc) ANNE B1X13`1 BUY C3�1DG ilin ROAD ROAD t�(Ol2TUAMPTbkJ MA Name (Print) Current Mag Address: �t-i3 �S4-- -33 ON C©t.ITZACT Telephone Signature . 2.2 Authorized Agent: 01Ofan N/Ah1KEE I�DME Mt+'1PRDVENIEI,1 T L;23.- �i Dt�S TIAL DR. NDiZm Ai✓iP761.1, MA Name (Print) Current Mailing Address: t'S' 57ci9 Signature Telephone ' SECTION 3 -- ESTIMATED CONSTRUCTION COSTS, Item Estimated Cost (Dollars) to be Official U nty completed by permit applicant 1. Building i i 3 . Lr, 3 6 , (3° (a) Building Permit Fee '' 2. Electrical (b) Estimated Total of Construction from (6) . 3. Plumbing Building Permit Fee; 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 'i 3 i C 3 z5. 00 Check Number ' This Section For Official Use Only Buildin Permit Numbe g ," Iss>aed. � .. ,� � : Signature . .Building "Commissioner /Inspector of Buildings _ ` Date 908 BRIDGE RD BP- 2013 -0263 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D - 009 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit # B P- 2013 -0263 Project # JS- 2013- 000426 Est. Cost: $13638.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): 16509.24 Owner: BIXBY ROBERT J & ANNE L Zoning: SR(100)/ Applicant: YANKEE HOME IMPROVEMENT INC AT: 908 BRIDGE RD Applicant Address: Phone: Insurance: 82 INDUSTRIAL DR, UNIT 2 (413) 584 -8318 WC NORTHAMPTONMA01060 ISSUED ON:9/7/2012 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 9/7/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner