32C-163 (2) YANKEE HOME IMPROVEMENT, INC. All home improvement contractors and subcontractors
MA# 160584 CT# 0673924 CSL# 089442 engaged in home improvement contracting, unless specifi-
82 INDUSTRIAL DRIVE, NORTHAMPTON MA 01060 cally exempt from registration by Provisions of Chapter 142A
1- 877- 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 • �°' � ,_ � Room 1301, Boston, MA 02108 (617) 727 -8598
To: s ( 0/44 -
' 1 ' 72 i / ' 3 itli4i > a.-!0y ,
(PHON EMAIL
�� �g rz - DATE j 2, 0 CELL PHONE
We hereby performed by submit specifications and estimates for work to be perform and materials to be used:
/�'-" 0 /D 2- t
.tea 77 ie) / -- ''`'Gi- -' •i --( - iE - K(
f i - Le.)(:) __:— z 6
WORKS . SCHEDULE
contra II not begin the work or order the materials before the third day following the signing of this Agreement, unless specified Contractor will begin the work on or about -
sC (date). Baiting daisy mused by c,rxunstances beyond Contractors control, the work will be completed by / ( (date). The Owner hereby acknowledges
and ag t hat the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including, but Baited to Mites, Acts of God, shortages of mated -
als,acadents, and all other delays beyond its control, shag not be considered as violations of this Agreement.
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of t./E following completion and shall comply
with the requirements of this Agreement In the event any defect m workmanship or materials, or damage caused by the Contractor, its subcontractors. employees or agents, is discovered
after completion of any job, including cleanup, the Contractor shall, at is own expense, fodNhwilh remedy. repair, correct, replace, or cause to be remedied, repaired or replaced, such dam-
age or such defect in materials and worlonanship. The foregoing warranties shah st,vive any inspection pedomaed in connection with the aareed -upon work.
We Propose hereby to furnish material and labor - complete in with above spec• ns, for the sum of: _
r '"
°� Jj c ' , f fg�j P'7 f�„�C 4-6.7.p �i dollars (s 7? ...4. G3 c/ ).
Payment to be made as follows:
% ($ ) upon signing contract; YANKEE HOME IMPROVEMENT, INC.
Name of Contractor/Designated Registrant
% ($ ) upon completion of 82 INDUSTRIAL DRIVE
Street Address
% ($ ) upon completion of NORTHAMPTON, MA 01060 413 -341 -5259
0 � 4 City/State Phone
% ($ ) shag be made forthwith loon 160584
completion of work under this contract. Registration No.
Notice: No agreement for home improvement contracting work shall require a down Name of Salesman ) �.
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 rust make, in advance, Authorized Signature
to order and/or otherwise obtain delivery of special order materials and equipment,
whichever amount 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 el 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 , ; , : ,,&,.,..0-, ; ; =. • that accompanies this contract; con-
tents of which are referred to above and incorporated herein by reference. 0 . 11(
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY = LANK SPACE
9 4" r
Signatu � ,6 Date Z � ~ u � Signature Date
Bo p f ie fig iori8 ana Ta n`d`a
Construction Supervisor License
License: CS 89442
Expiration: 3 /19/2010 Tr# 20968
Restriction: 00
GERARD J RONAN
PO BOX 675
EASTHAMPTON, MA 01027
Commissioner
HOME
/MemcoVEMENT
8
Tel. 13- 341�S3S9 2' ndusstrial Drive
Fax 413- 341 -5269 Northampton, MA 01060
Toll -Free 877 -88- YANKEE Lic. in MA CT, NH,VT
www.yankeehomeimprovementcom
.�k -
�►r Board of Building Regula ons and Standards
-`` One Ashburton Place - Room 1301
f_
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.
Address ❑ Renewal L 1 Employment -1 Lost Card
3 -CA1 Co 40M- 08!08- DBSLIFORMCA
4
:J /re 6o /ttmoottoeala o� /47,1Jac/..iein
Board of Building Regulations and Standards License or registration valid for individul use only
t G
l i1iit ; HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to
1� i Board of Building Regulations and Standards
Q - R Registration: 160584 One Ashburton Place Rm 1301
Expiration: 8/7/2010 Tr# 272291 Boston, Ma. 02108
Type: Private Corporation
YANKEE HOME IMPROVEMENT INC
GERARD RONAN
A J
82 INDUSTRIAL DRIVE UNIT 2 ( 2 .c,,.aQ..r.,..�
NORTHAMPTON, MA 01060 Administrator Not valid without signature
•
ACRD CERTIFICATE OF LIABILITY INSURANCE wan im °°,'"11"
9/3/09
hou0ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
uuaady and Associatan InsurcanCe Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
149 Alien $t • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_
)ringtield, aA 01118
INSURERS AFFORDING COVERAGE NAIC #
KIM) ...sum MAX SPECIALTY INSONNACE COMPANY J
E 11CME I2lPROt1ElM8NT, IOC_ INSURERS: GRANITE STATE INSURANCE CO_
INDUSTRIAL AVENUE - UNIT 2 Irlaulme
)8SEAMPTCTAT MA 01060 INSURERD:
INSURER E:
VERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, T1:R OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDIn0N$ OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
...,.
INBRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE MONO LIMITS
GENERAL UABILRY I EACH OOCURRENCE 131,000,000
coVmsiCIAL GENERAL UAWIU NY l � p U�, KEN I ED
$ 100,000
I cLAIMSMADE k I Doan WA.7101370000041S 18/14/09 8/14/2010 aLEDEXV (Anyone person) s 5,000
FERBONALaADV INJURY 31,000,000
GENERALAc0REOATE ,s2,000,000
3ENL AGGREGATE U►c7 APPLES PER: PRODUCT'S - COMP/OP ADC 31, 000,000
POLICY z7 ri LOC j I
I AtITUMOBII.E UATiA.11Y CONI0INED SINGLE LIMIT
1 ANY AUTO (Es Sodden)
ALL ON'+NED AUTOS BODILY INJURY
1 0I DUD AUTOS I (Par Prove)
1 HIRED AUTOS I ~
BODILY INJURY S
I'm- MM AUTOS 6Q av ddsnt)
— I PROPERTY DAMAGE
(Fer aeeide.Jy
GARAGE LIAENTY AUTO ONLY -CA ACCIDENT $
` r
ANY AUTO OTHER. THAN EA ACC 8
AUTO ONLY: AGO S
�
EXCES$NMBRELLA UABRJTY EACH OCCURRENCE
OCCUR CLAIMS WOE 1i AGGREGATE 3
$
CEtUCTIBLF
RETENTION o r 3
O
`
I WORKERS COMPENSATION AND X ( ToRYUMITS I I ER
EMPLOYERS'
P A N WC873419 8/31/09 8/31/10 E.LEACHACCIDENT 1100,000
ANY PROPRJETORPARTNM XECUTIVL"
OFFICERNEME EXQUDED? EL DISEASE - EAEMPLOYEE s 500,000
` n yas. desorIca Ilndcr
SPECIAL. PROVISION$ belts E.L DISEASE - POLICY UMR s 100,000
OTHER
ETON OF OPERATIONS / LOFATION$ I I$ $0 .EB I EXCURIONS ADDED HY ENDOR8 ENT / SPECIAL PROVISIONS
•
1TIFICATE HOLDER CANCELLATION
—
EHOULO ANY ao YTIE ABOVE DESCRIBED PouclEE BE CANCELLED errant THE EXPIRATION
DATE THEREOF. THE ISSUING INEuRFI) WILL ENDEAVOR TO MAX DAYS WRSTIEN
NOTICE TO THE CERTIFICATE HOLDER MANED TO TEE LEFT, BUT FAILURE TO 00 3O $HALL
INVOSE NO OBUOATKNI OR UABILITY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR
REPRESENTATIVE$,. •
' AUTHORIZED T
/110 Iffl
'R 2b (2001 ) AC 0' le CORPORATION 1988
I0 3Jt7d 0 S31VIOOSSV AQ3NN3A OTS6Z8LETP LZ :b" 6006/60/60
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. Not Applicable ❑0
Name of License Holder : ' Z , �--f /2 i9+d, C 5 e?;/
42_
License Number
d'c 7.-v 06, .3/10
Address Expiration Date
/5 ( S2S '/
Signature Telephone
9. Registered Home Improvement Contractor. Not Applicable ❑
Company Name Registration Number
Address Expiration Date
/1/94
�`� - r - Telephone . xf -
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 El Addition ❑ Replacement Wi ows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [0]
Brief Description of Proposed
Work: / ✓ ) . -1L .5 L- C'Lle'w 7-- 1,..i u - , Pc cu
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 (-o 0 u
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, , 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.
Signature of Owner Date
I, f E,Q,4 , 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 and e pains and penalties rjury.
Print Name
(�( Signature of ner /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
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW ® YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , Date Issued:
C. Do any signs exist on the property? YES ® NO 0
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_
IF YES, describe size, type and location:
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 ® NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
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
R.t r — ', Northampton, MA 01060 Two Sets of Structural Plans
phone;413 - $87 - 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 b 1(0 e completed by office /
// 2. 3 14` Q P vik Map 3g �` L ot 3 Unit
�� ( �- Zone Overlay Dis /90
4 /Q1 _ ,�' 7-4 & 6 ter' /1 Elm St. District CB District __
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
77 0 f CMS � ,11,2 y -2 5 /(. H t /a7
Name (Print) Current Mailing Address:
6 ' 6' o
Telephone
Signature
2.2 Authorized Agent:
f
L " A ..i Arl g,.2 /rs, o v.i ;-yc. ± fl . 491;x. -t,r&,J
Name (Print) Current Mailing Address:
(9/3) 34( 5 5 1
Signature Telephone
SE 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
•
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) _ Check Number /'5'
This Section For Official Use Only
Building Permit Number: Date
ISSUed:
Signature:
Building Commissioner /Inspector of Buildings Date
•
BP- 2010 -0503
GIs #: COMMONWEALTH OF MASSACHUSETTS
32C- I6 CITY OF NORTHAMPTON
Lot: -025 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0503
Project # JS- 2010- 000695
Est. Cost: $3284.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: YANKEE HOME IMPROVEMENT INC 89442
Lot Size(sq. ft.): Owner: DITOMASSO JOHN
Zoning : CBIURC /WP Applicant: YANKEE HOME IMPROVEMENT INC
AT: 23 RANDOLPH PL #211
Applicant Address: Phone: Insurance:
82 INDUSTRIAL DR, UNIT 2 (413) 584 - 8318 WC
NORTHAMPTONMAO1060 ISSUED ON:11/6/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
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 11/6/2009 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo