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32C-163 �, .al/a c, / 44 / 4 '/I Foard of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration • Registration: 160584 Type: Private Corporation Expiration: 8/7/2010 Tr# 272291 YANKEE HOME IMPROVEMENT INC GERARD RONAN - - - - -- 82 INDUSTRIAL DRIVE UNIT 2 NORTHAMPTON, MA 01060 -- - - Update Address and return card. Mark reason for change. i0M- 08 /08- DBSLIFORMCA 1 082 1 2008 El Address 11 Renewal � Employment ; Lost Card ✓/e (cm,nr neveal4- of...-- z Jucae tl Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 160584 Board of Building Regulations and Standards Expiration: 8/7/2010 Tr# 272291 One Ashburton Place Rm 1301 Type: Private Corporation Boston, Ma. 02108 E HOME IMPROVEMENT INC �,. -�'"2 ;D RONAN i JSTRIAL DRIVE UNIT 2 �p2.t,..4CZr......,_ --1_ IAMPTON, MA 01060 Administrator Not valid without signature BoYrtf1,14 NifSif `tliihi ion and` iand �` � Construction Supervisor License License: CS 89442 Expiration: 3 /19/2010 Tr# 20968 r Restriction: 00 GERARD J RONAN PO BOX 675 ..."7. -- — -- EASTHAMPTON, MA 01027 Commissi E MME IMPROVE 3 4 - n any SV ? 8� l r Te1:413- 341 -5259 nciistria! Drive Fax 413 -341 -5269 Northampton, MA 010 Toll-Free: 877-88- Lic in MA, CT NH,VT www.yankeehomeimprovementcom YANKEE HOME IMPROVEMENT, INC. AR home improvement contractors and subcontractors MA# 160584 CT# 0673924 CSL# 089442 engaged in home improvement contracdng, unless specifi- 82 INDUSTRIAL DRIVE, NORTHAMPTON MA 01060 Gaily exempt from registration by Provisions of Chapter 142A 1. 4877- 88YANKEE 1-877-889-2653 of the general laws, must be registered with the 413 - 341 -5259 Commonwealth of Massachusetts. Inquiries about registra- tion and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Submitted .- ff t Room 1301, Boston, MA 02108 (617) 727 -8598 To: t '// 4/415 - 7 / . - - / 4 O3' G/d4, / AiloriAalY14 r4A o io EMAIL AIL 6f / " � ( 4 C PHONE r , r DATE / ‘ 515#' 3 f fir f J 2/ l . CAL PHONE 32 tJ 3 0 We hereby submit Mona and estimates for work to be performed and maw to be used: . !/ 4a4 ' % ,,.,- e_,- ,� " ; 5 - (/V ice �= 6-+' cam` ---- , S r io 0 6 P I / j iv2. . r v ?� letit"/AiAti r fi 00 .. #e"A.C4 ci.t...4-r A.,,,... 067-5,c4A . , t ‘-LK `I- f>v5t -rC � . .s —c . -- 06-60,(e.,5 e. WORK SCHEDULE Contras r F ngt begin the work or order the materials before the derd day folloaring the fining of the Agreement, unless sped rector wW begin the cods on or about (date). caning delay caused by circumstances beyond Contractor's contnd, the work will be completed by te). The Owner hereby acknowledges and a fire that the scheduling dates are approximate and that such delays that are not avddabi, try to Contractor inducting, but to strikes, Acts of God, shortages of matedi- als,aatdents. and all other delays beyond is control, stall not be considered as violations of this Agreement .. WARRANTY The Contractor warrants tat the work tumefied hereunder shat be free from defects In malodors and workmanship for a period of c. following completion and shall comply with the requirements of this Agreement. M the event any defect in workmanship or msmdaia, or damage caused by the Contractor, its subcontractors, employees or agents, is discovered after completion of any job, including cleanup, the Contractor shall, a t is own expense, forthwlit r e m e d y , repair, correct, apiece, or cause to be remedied, repaired or replaced, ouch dam , , - or such defect in .,_ , , and , : . � „ w a • ; 1 .tea,: r, .i._ • . .. ut:. In .. ... .-, Wi h , '1,-,-2-r-' work. e Pfopo hereby to furnish material and Tabor - complete in accordance with above , for the sum of: 97 jC rig 16 V 6 /42/14-1)/4:."0 C /6 ff'1 - ' / ' , donors ($ 6. J. ). Payment to be made as follows: / r (6 „s � / ) upon NNam of HOME IMPROVEMENT, � INC. 7 % ($ ) upon completion of 82 INDUST DRIVE_ Street Address % ($ f ) upon completion of _. NORTHAMPTON, MA (11060 413 -341 -5259 ` City/State y/State Phone //. % (S .2 t P4 ) shall be made forthwith upon 160584 completion of work under this contract. Regietraton No. 4 Notice: No agreement for home improvement contracting work shall recce a down Name of Salesman v.44 payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, Authorized Signature to order anchor ahanese obtain delivery of special order materials and equipment, Acceptance of Proposal I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon Young, this becomes binding tract. You are authorized to do the work as specified. Payment wilt be made as outlined above. agreement if signed by a parry thereto at a place other than an address of the Seller, which may be his main office or branch thereof, provided you notify the Seiler in writing at his main office or branch by ordinary mall( 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 that accompanies this contract; con- tents of which are referred to above and incorporated herein by reference. DO NOT SKIN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature _ � � /v' - . — f 7 i r.. Date f 1 > : � ��A 4--9-e . . • , The Commonwealth ofil(assachusetts =. — Departmerzt ofindustrial Accidents . ,,•,—,=-..- Office of Investigations , 600 Washington Street' Huston, MA 02111 ..,.., .......!= . . . www.mass.go . . 'Workers' Compensation insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information • Please Print Licriblv Name (Basiness/Organimtionanclividttal): 1 al - 0 Me. 010 IT - 66-4 (1 -A - 1/4N PP r Address: ql.)"2- Iv.1(Sv rr?....1 Pr c_ 6 /2-- , , • • - _ City/State/Zip: No /LT i 0 r / 1)14 01060 Phone .#:, 113 --.. 1- 5 __ Are you an employer? Check the appropriatelox: . - . Type of project (required): . / , 1. ErIarn a err)ployer with (A 4. CI 1 am a general contractor and I 6. 0 New construetion have hirod the sub-contactors employees (full and/or part-time).* listed on the attached sheet. 7. Etoodeling 2. 0 I ani a Sole proprietor or partner- These sab-Contractors have ship and have na eatployees S. 0 Dercolition worldng for me in any capacity. atf:OPYeg; X14 have wor/ters' _ 9 0 Etiildini additn No workers' con. Mama= - comp. insurance.. , . , re-T- • . . 5. 0 We are a cazzotation and its 10 .0 El.-ectrical rePai or additions S. LJ I am a homeowner doing all work . °facers haVeSx.crcisecl their , 11.0 Phanbing 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 einployees. fNo work'. Il ikre't he -Lid_..62u: 5 t 1)Q xi- . . comp. insirmace reqUited-] , . . . • • -- *Any applicant than checks box #1 also fill out du section below showing their %writers' compound= policy information_ t Homeownera Itithe submit thii afbdcvit inckalini they arc =kcafl work arid then hire =side contraCtors must submit 4i new affidavit indicating such. Igo:exactors tat check this box mOrtattacied ton adffitics321 4:teethe:wing du =Zoe of the sakonn and sme 144er or nottose entities luive employees. If the sub-contraMorshalie employees; they maa their 174 comp. policy number_ ' . an employer that &providing workers' compensation insurance for my einpinyeas. .5elmv is ate policy andjob site information. . , Insurance Company Name:__LL L ______ Policy # or Self-ins. Lie. #: jA ) c._ F3 1 '2,1 ict Expiration Date 5/30 2- . • • Job Site Address: 2-S P-A.N bcts...... city/statrizip:' 1\10/ 41 A 01 0( ,t, Attach a copy of the worker sr compensation policy declaration page - (showing the policy natnhei and:expiration date). Failure to secure coverala required Mid& Secti6ii.`25A MGL C: 152 lead the iirvoeifitin Of' Crintinal pettaities of a fine up to $1;500.00 an.d/or one-year ireprisonment as well as d penalzies in the form of a STOP TATPIT ORDER and a fate of up to $250.00 a day against the violator: Be advived. Oat a copy of 020 statement may bc forwarded to the OfaCe of Weal atieiiii of tb11 ins curai e enlieiaRitheatin. _:,._,_. fili hereby ;ern & under •and iinairies ofperjazielitririze inAnnaiiOniroyttiiiii6644 i,s _i_..... • ..-- c.-----;----:----- . Dath i ...._ 20 • . , _ P yne it: 4 -:... I - 7 )-S - 4. - • . . - . . - . • Offidel use only. Do not write in rizitezt,51eirtti city ill- rewnajficiaL ' . City or Town; - . Permit/License # • ' Issuing Authority (circle one): • 1. Board of Health 2. Building Department 3. City/Town Clerk 4. tlectricalpispector 5. Plunking Inspector 6. Other . . Contact Person: Phone #: gLZ XV,1 St:60 OTOZ/ST/TO D)02] SECTION 8 - CONSTRUCTION SERVICES 8. LEI gpted Construction Supervisor: Not Applicable 0 ;Varna of Menge Holder: 6 E-4-PrRZ FiJ t4Pr y ( A -S F.3442_. n � License Number I LTVST/ A t_ Oic.. - t W loa "P 3 f I`i t 2.vI o Address --- / Expiration Data --, `� y I —5s Si re Telephone !Re Ia Home irttarovement Contractor: . Not Applicable 0 A-A oth6, I mP ti — 1 64 Company Name Registration Number 0 12-- . f t At. t £ . 5tl1L0►t� Address !IOM' 1 bt-a, f 1P • ! t y a C3 Telephone,, t'--S 1 c� Expiration at SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c.'162, § 28C(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 0 No D '1.1 - .Home Cawner Exe1 ptiofl: The current exemption for "homeowners" was extended to include Owner - occupied Dwelling ofone (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 108.3.54. Definition of Hoin owuet;: 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 fatnily 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 buildine ECrpllit. As acting Construction Supervisoi your presence on the job site wilI 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 thc Massachusetts General Laws Annotated, you nmav 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 1700 L ZLZTLS2CTi7 XHd 817:60 OTOZ /5T /TO SECT O b- DESCRIP . IP N OF PROP e • ED WOR i -� k aII a . 11c New House © Addition [J Replacement W]gdcws Alteration(s) © Roofing El Or Doors L I Accessory Bldg. ❑ Demolition ❑ New Signs I❑] Docks [CI Siding [Di Other [p] Brief Description of Propo i) (� Work: ri`irit4 -._ J 1 _____ /Ir � (-- ft.. 4r��US + (__r+ Cht �c Alteration of existing bedroom .__ Yes No Adding new bedroom Yes _ v --- No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll - Sheet 6a. New F „� '4Se and orad.` iolntoeXi' .� ,:..,, �Itu7 htius�r.Ta cwrtpltits.t]'Ce;,,falldwl#Tig 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. Masacheck 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 SE. COMPLETED WHEN .. . OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize — to act on my behalf, In all matters relative to work authorized by this building permit application. 014 CrIv41 - SIgna. hu Owner Date 1 WAN , as Owner /Authorized Agent hereby dad- e that the si-= tements and Information on the foregoing application are true and accurate, to the best of my knowledge and belief. Sign - 1 rider thc. sins { and penalties of perjury, � Z 1 4 .6..-.. J Print, ern- i . ail. I — 1 $ign.ture of own° /A! ,n1 '0a C00 ZLZTL85CTfi XV3 8b :60 0T0Z /2T /T0 * ' Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete information _ . . Existing Proposed Required by Zoning This column to be filled in by Buildirig Department Lot Size L__ i i Frontac ,____.., Setbacks Front _. ---- ,, . , . , • . , ,. ....... .........., ,. Side L: '. F.!: : L:! ' ii.:' ...... ----- Rear 1 ' .„,_.„,.. . .., .. Building Height ..,., ..,. — Bldg. Square — uare Footage 1 i ,„.„„ ............, . K ■ I . . Open Space Footage — % _ ....., (Lot arca minim bldg SL paved ; Parkin) # of Parkin Spaces i .,.. . - .. _. . . .... Fill: , . , , ,' ■ (volume & Location) ' : . . A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW e --- YES 0 IF YES, date issued:, ; IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON1" KNOW er YES 0 IF YES: enter Book , Page: and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW & YES 0 IF YES, has a perrnit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued:. C. Do any signs exist on the property? YES 0 NO a 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 ey - ______.. IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, xcjytion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Z 00 2] ZLZTL85C XVd St:60 OTOZ/2T/TO _... r _ C7�pttriryri# use only . City of Northampton Status of Permit' Building Department curb c ianuQwa it 212 Main Street Sewer /SOptatAWallability - - 1 :\1 �U1 Room 100 Ir�tat�rlUllait AK �(aktil�ty Northampton, MA 01060 Two sets bf �utrtctulllirr phone 413- 5671240 Fax 413 -587 -1272 Pldtl It Plaits dui& Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Prpperty Address: This section to be completed by office 22, P -Ank6c t. Pfli L J�C d=t Z I ® mop_ Lot Unit Zone Overlay District e-TI- }sink orl - o)0t Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: C F N .C--5 ►lift! Name (Print) � Current Mailing Address: t ,4 (nnl 1 f Telephone Signature 2.2 Authorized Agent: ►4 Z(rl Otii4tr4c — b I•o(ti4ri Name (Print) 9 Current Map Address: Signatur- Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building S ? OR (a) Building Permit Fee 1N S1--6d e , 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) S ' . G►(, Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: , Building Commissioner /inspector of Buildings Date T002) ZLZTLB5CT6 XXd St:60 OTOZ /9T /TO 23 alb B P- 2010 -0680 GIS #: C OMMONWEALTH OF MASSACHUSETTS r _ 32c - 163 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0680 Project # JS- 2010 - 000992 Est. Cost: $6584.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): Owner: FINKLESTEIN ELLEN A Zoning: Applicant: YANKEE HOME IMPROVEMENT INC AT: 23 RANDOLPH PL a/o Applicant Address: Phone: Insurance: 82 INDUSTRIAL DR, UNIT 2 (413) 584 -8318 WC N O RT HAM PTO N MA01060 ISSUED ON:1/20/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 5 REPLACEMENT WINDOWS & DOOR 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 1/20/2010 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo