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DEPT OF BUILDING INSPECTIOU
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F°u.-.Ea•°'p0.CAN��•u°a'CwCL
PAGE THREE
CANCELLATION RIGHT
You may cancel this agreement if it has been signed by a party thereto at a
place other than the address of the seller, which may be his main office or a
branch thereof, provided that you notify the seller in writing at his main
office or branch thereof by ordinary mail posted, by telegram or delivery,
not later than midnight of the third business day following the signing of
this agreement. See the attached notice of cancellation form for an
explanation of this right.
DO NOT SIGN THIS CONTRA( IF Tilr4RE A mx�
BLANK SPACES.
Homeowner(s)
Contractor
-----------------------s-----------------------------------------------------------------------------
NOTE IN ADDITION TO THE HOMEOWNER'S RIGHTS BY THE LAW, THE CONTRACTOR CAN REQUEST
ARBITRATION TO RESOLVE DISPUTESMTH THE HOMEOWNER IF THAT IS AGREED TO BY BOTH
PARTIES IN THE CONTRACT. IF THE CONTRACTOR APPLIES FOR ARBITRATION, THE HOMEOWNER
MUST DELAY ANY COURT ACTION UNTIL AFTER THE ARBITRATION HEARING.
OPTIONAL CONTRACTOR ARBITRATION AGREEMENT
The contractor ando the homeowner hereby mutually agree in advance that in
the event that the ,contractor has a dispute concerning this contract, the
contractor may submit such dispute to a private arbitration service which has
been approved by the Secretary of the Executive Office of Consumer Affairs
and Business Regulations and the consumer shall be required t submit to
such arbitration as approved in MGL C.142A. / Y
r
Contractor
Homeowner
Notice: The signatures of the parties above apply only o the agreement of the
parties to alternate dispute settlement initiated by the contractor. The owner
may initiate alternative dispute resolution when this section is not signed by
the parties.
PAGE TWO
Materials Contractor Will Supply A `-�- �`'O F'/tg(Jrt- -P'Lo-o2
CL,kFr, '�t c-
Materials or Labor To Be Supplied By Homeowner(s) � rC2�� 7- Cry
IF CONTRACTOR IS DOING WORK FOR WHICH CONSTRUCTION-RELATED PERMITS ARE REQUIRED,
THE CONTRACTOR MUST OBTAIN THOSE PERMITS FOR THE HOMEOWNER. HOMEOWNERS WHO
OBTAIN THEIR OWN PERMITS FOR THAT WORK CANNOT MAKE CLAIMS TO THE GUARANTY FUND
OR BE ABLE TO OBLIGE THE CONTRACTOR TO GO TO ARBITRATION. THE HOMEOWNER IS
RESPONSIBLE FOR OBTAINING ANY SPECIAL PERMITS THAT MAY BE REQUIRED UNDER THE
ZONING BY-LAWS, CONSERVATION COMMISSION ORDERS, ETC.
Contractor will obtain the following permits:
Building Demolition
Plumbing Electrical
Gas Other (Describe)
Total Contract Price ( in dollar and written out in words)
Downpayment of S -3 clij 'must be paid by this date -
THE CONTRACTOR MAY NOT TAKE PAYMENT OF MORE THAN ONE- THIRD OF THE CONTRACT
PRICE BEFORE THE WORK STARTS UNLESS A GREATER AMOUNT IS NEEDED FOR THE ACTUAL
COST OF ANY SPECIAL ORDER OR CUSTOM MADE MATERIAL OR EQUIPMENT WHICH MUST BE
PAID FOR IN ADVANCE. DO NOT PAY IN FULL UNTIL THE WORK IS COMPLETED AND INSPECTED
Schedule of Remaining Payments:
Amount 19 20 al At What Point
Description of Any Warranties By Contractor:
Description Of Any Lien Or Secu:'ty Interest In The Residence As Part Of This Contract:
HOME OWNERS WHO DEAL WITH REGISTERED CONTRACTORS FOR WORK COVERED BY THE HOME
IMPROVEMENT LAW, MGL C. 142A, HAVE THE RIGHT TO REQUEST ARBITRATION OR TO SUE TO
RESOLVE DISPUTES WITH THOSE CONTRACTORS. THEY MAY ALSO MAKE CLAIMS TO THE
CONTRACTOR GUARANTY FUND FOR ACTUAL LOSES UP TO 510,000 IF THEY ARE UNABLE TO
COLLECT THOSE LOSES FROM THEIR CONTRACTORS. FOR INFORMATION ABOUT ARBITRATION
AND THE GUARANTY FUND, CONTACT THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS
(617) 727-7780
` /
(� -T j t J-
JUN 2 6 200{
IMPROVEMENT CONTRACT
This i lete a re me t between the contractor and the homeowner made on this
date -
Name of Contractor:
Address: 3 L• 3 e`Aj-j_/` 1 � -
( may not be a post office box) S y_
Telephone Number: `7` 7�-
Name of Salesperson (if any)
AS OF JULY 1, 1992, ALL HON4E IMPROVEMENT CONTRACTORS AND SUBCONTRACTORS
COVERED BY MGL CHAPTER 142A MUST BE REGISTERED WITH THE STATE TO CHECK ON A
REGISTRATION CONTACT THE DIRECTOR, HOME IMPROVEMENT CONTRACTOR
REGISTRATION, ONE ASHBURTON PLACE , ROOM 1301, BOSTON, MA 02108,
(617) 727-8598.
Contractor's Registration Number
HOMEOWNERS WHO DEAL WITH UNREGISTERED CONTRACTORS CANNOT OBLIGE THEM TO GO
TO ARBITRATION AND CANNOT MAKE CLAIMS TO THE GUARANTY FUND UNDER THE HOME
IMPROVEMENT LAW.
Name(s) of Homeowner(s) L
Address 3 ( G A 11/,L.; ) %' , -F LGr
Home Telephone: --5-2 t{ --Q1 ' Work Te(e phone:
Date Work Will Begin: 16, - e'
Date Work Will Be Substantially Completed: ;1 L)2_ 1 cz/
These dates may change because of delays in getting materials, permits, inspections,
weather conditions, subcontractors' schedules or other problems beyond the
subcontractor's control. The contractor agrees to let the homeowner know about any delays
immediately. Changes to dates, the work to be done, materials or price will be written and
then initialed by the contractor and the homeowner(s), and attached to this contract.
Description of Work by Contractor: iC-D - t4
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NORi HAMPTON,MA 01060
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WO {ER'S COMPENSATTON INSURANCE AFFIDAVIT
I,
(licensee/permitter)
with a principal place of business/residence at:
(phone#)
(street/city/stair/ap)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
a==a Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the cornyractars l;�red below who have the following worker's compensation policies:
(Nome of Contractor) (Insurance Cornpany/Poticy Number) (Expiration Date)
,,
(Name of Contractor) (Insurance Company/Pohcy Number) (Expiration Date)
(Na ..of-Contractor) (Insurance Company/Poficy Number) (ExTiratioa Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(atIaih-addibocW sheet ifnoccssary to mchide mfvrmitioa pertaining to all ooatradnrs)
I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that whilo homcowvaa who employ perso s to do mxm •*>,(:,,ox1st tioa or repair work on a dwelling of
not more than throe unite in wfrich the homeowner resides a on the Qouads appurtenant th=w arc Dot ga=A ly comidcrcd to be
employers it the wm-kc .cessation Act(GL152„ss 1(5)�application by a homcowncr for a licen=se or pclmd may evidcnoe the
legal swua of an employer under the Workeet Compomaiion AcL
I underatand that a oopy of thin statement WAY be forwarded to the Dc wwrt of Indium al Aceid—&OfSoo of luaiuwee for the
coverage verificatioa and that failure to aecure coverage under soaion 25A of MGL 152 can Iced to the impos oa of criminal pcnali:es
oomut mg of a fine of up to S1,500.00 andlor impris�of up to one year and civr7 penalties in the form of a Stop Work Order and a
fine of S 100.00 a day igninst me.
For dcputnxntnl—only
permit Number
Ad) Malt Lot#
Signature of UOMLSee/permittee
SECTION 8-;CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: /,J
Not Applicable ❑
Name of License Holder : t aq
License Number
Address n Expiration Date
17
Signature Telephone 12-db L_
1 24111 B"Sal redI o46 re i W f Co In-tr.actor., =, _, j „u,,, ,,,yN Not Applicable ❑
Company Name Registration Number
/ (1, 677
Address Expiration Da e
t" LdI� 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� H.ome Owner.EXem'pt 011
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 andAA Loa]Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature l� �-
SECTION.5. DESCMBTION°.:OF,�PROPOSED WORK check all a ` licab.1
�
-
New House ❑ Addition , Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks Siding[ ] Other [ ]
Brief Description of Proposed Work: CdrV `c t^°� � .ScI�C U12 C-7Y.
Alteration of existing bedroom Yes -' c, No Adding new bedroom Yes No
Attached Narrative ❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet
6 , If'IVew Yio ise and o"r addition'to ezis`tin tiousin ,°comp 1etdAh6,J611owiht
g;-
a. Use of building : One Family_� Two Family Other
b. Number of rooms in each family unit:__ Number of Bathrooms 2--
c. Is there a garage attached?
d. Proposed Square footage of new construction. Z Z Dimensions l e7-
e. Number of stories? N ('4-
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction_
i. Is construction within 100 ft. of wetlands? Yes --X1 No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade "J
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
-5 Gam`— C_G " (?PA-C 7 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
1 h(C- (�O 1 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.
Print Name
2 y" mo d-r/
Date
Signature of Owner/Agent
A - r
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T 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
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
it orthampton
r l I Department
ain Street
2 6 2001 om 100
Nor ham ton, MA 01060
DEPT OFBUi pE 87- '240 Fax 413-587 1272 fo Ite n _
NORTHAMPTON,MA 01060 S Ot#�er peG" "
: �,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION;
1.1 Property Address:
SECTION 2 PROPERTY OWNERSHIP/AUTI �'`
2.1 Owner of Record: _
Lt:ON+4,rela •-r
Name(Print)
s Cd Z.c.C .4
Signature v� /� �� Sv`�'l Cc�N�
2.2 Authorized Agent:
Name(Print) 01
Signature
SECTION 3.- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building p—d' vv (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) / (�7i'Zt, Check Number
This, ection For Official Use Only
Building Permit Number: Date Issued:
Signature �!
ctor
Buildirig Commissioper�Jnsge o dings
f Buil
e
File#BP-2001-1109
A%
APPLICANT/CONTAC,T PERSON Richard Finn
ADDRESS/PHONE 29 Hickory Drive (413)584-4172
PROPERTY LOCATION 36 BEATTIE DR
MAP 29 PARCEL 218 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Typeof Construction: CONVERT EXISTING DECK TO(3)SEASON PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building-Plans Included:
Owner/Statement or License 050848
3 sets of Plans/Plot Plan
THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § _w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Co ssion Permit from CB Architecture Committee
a�
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.
At
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36 BEATTIE DR BP-2001-1109 -
GIS#: COMMONWEALTH OF MASSACHUSE'T'TS
Map:Block:29-218 CITY OF NORTHAMPTON
Lot:-001
Permit Building {{�
T T f
Category:Non structural interior renovations BUILDING ILDIN`,j(`� PERMIT
Permit# BP-2001-1109
Project# JS-2001-1950
Est.Cost:$14000.00
Fee:$70.00 PERMISSION IS HEREBY GRANTED TO:.
Const.Class: Contractor: License:
Use Group: Richard Finn 050848
Lot S' sy.ft. 13982.76 Owner: MAGGIOLINO LEONARD A&PHYLLIS
zoning_URA Applicant: Richard Finn
AT: 36 B€ATTIE DR
Any dicantAddress: Phone: Insurance:
29 Hickory Drive (413) 584-4172
FLORENCEMA01062 ISSEED ON.-7191010:0 0
TO PERFORM THE FOLLOffTNG WORK.-CONVERT EXISTING DECK TO (3) SEASON
PORCH
POST THIS CARD SO IT IS VISLVLE FRQM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: - Service: Meter:
Footings:
Rough: Rough:0�fry House# Foundation.
Final: Final:
f(� re-
Alf I Rough Frame:pfP 9 3 -&1 tf
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: O/( /O-,4/-o(4�4
S7w� j
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occur)
nc Siang
Fee Tune: Receipt No: Date Paid: Check No! Amount:
Building 7/9/010:00:00 2716 $70.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo