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Rhode Ha-l: License N 20283
HOME IMPROVEMENT SALE AND INSTALLATION'AGREEMENT'``
The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,irr,accordance with the prices and teens described on
he fort and th crse f tI is Ag ree i a l Bus i 1 r.- e. I t,d that s Ir h goods or services be in tall d oI pin I led at Buyers address listed above. FJB
A s kites LLC(C ntlart I ) I a ohy am t h s 61i n a.. to b Instal'ed th,Products or services listed n thi,Aawen ent. Buyer(.)agree to sen a completion
f sate iii, J,Tti 1{th I,tall rt n I they o) 1 h Buyer(s)a�ree to pay purchase price as described blow. Descriptions for siding and roofing orders are
tamed tl r rro:r t I hn<r r it,,,Ao The B r s)may request Contractor to try and obtain f!nanc n er the Buyyer's ppurchase An financing
-its fr the p1rdr wl be unta rd n s^�a a r financingg�or,Inlents THIS IS ANON-NEGOTIABLE CONSUMER NOTE. 1HIS INSIRUMENTyIS BASED '
UPON A HOME SOLICITATION SALE,AND IN C)NNECTICUT TIHIS SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT.THIS
NSTRUMENT IS NOT NEGOTIABLE.
INSUL•SASH PREMIUM REINFORCED VINYL REPLACEMENT WINDOWS
All windows will be Triple Glass,DOL6 e Low-E with(che(k one) J Krypton Gas -J Argon Gas J Other(See Addendum)
Wnnc1v.M. Yr To 5 --rs w Nn. M Nrw T- INSO O rsO D TvrE OP
ra""IrrR Uri /r rlr C -,N CAI Ce�r oR RtMr Sr�Tr DooR MOOED U-i F isr nNSNE RFNSr,rr I.oerc SET
T-AL Winnow PAINT ING,STAINING oR DECORATING is NOT A PART To IAN D(1-
Vo R CONTRACT Uuns
•PURCHASE PRICE Y' r ES7IMATEO /
..DOWN PAYMENT .:ESTIMATED
COMP.0 LETION DATE
A - �.. stx:n r'.PA1rM&'NPi'll'PE'°.. "rtl1Y
BALANC15bi UPON s .it Ci rr�F`+f^!�;qAS) z
rr a',a+'�'IDELIYSRY-. ,�•r,1,7:�lkdP w.. CASH
' BALANCE DUE ON la
-,EANAL.INSTALL 1 t_.,CREDIT
It is agreed and understood by and between the parties that this Agreement,front and back,constitutes the entire understanding between the parties,
and there are no verbal understandings,changing or modifying any of the terms of this Agreement. This contract may not be changed or its terms
modified or varied in any way unless such changes are in writing and signed by both the Buyerls)and the Contractor. Buyerl)hereby acknowledged
that Buyer(s)has read the front and the reverse of this Agreement and has received a completed,signed and dated copy of this Agreement,including
the two attached Notice of Cancellation forms,on the date first written above. Buyerls)also acknowledged that they were orally informed of their
right to cancel this transaction.
Notice to Owner of Deposit:If we receive payment under this contract from you prior to the substantial completion of work,as required by lien law
section 71-A(4),we will deposit such payment in an escrow account with in five business days,and we will use the deposits for the purposes of this
contract and for other purposes permitted by law.You are hereby advised that the name of the depository where the funds will be placed is FLEET
BANK,New York.
Notice to Buyer:(1)Do not sign this agreement if any of the spaces intended for the agreed terms to the extent of then available information are left
blank.(2)You are entitled to a copy of this agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this
agreement,and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges.(4)The seller has no right to enter
unlawfully your premises or commit any breach of the peace to repossess goods purchased under this agreement.(5)You may cancel this agreement if
it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his main office or branch office shown in the
agreement by registered or certified mail,whicth shall be posted not later than midnight of the third calendar day after the day on which the buyer signs
the agreement,excluding Sunday and any h liday on which regular mail deliveries are not made.See the attached notice of cancellation form for an
explanation of buyer's rights.
FJB Associates LLC By: _'_[I `_>/ f _-_ - --_._.._License No.
Buyerls): �' Buyerls): ('/
rT
Siynatu re - rz -. _ Date__ Signature l `Date
xIntName Pant Name It i` 1
Pr
You,the Buyerls),may cancel this transaction at any time prior to midnight of the third business,day after the date of
his transaction.See the attached Notice of Cancellation form for an explanation of this right.
>i---------- -- ----- - --------- -- ---------- ----------- ----- --- ----- --------
NOTICE OF C LLATION NOTICE OF ! A ELF TION
Date of Transaction ---_- _11 - I_°I _-. _ _ Date of Transaction
You may cancel this transaction, without any penalty or You may cancel this transaction, without any penalty or
obligation,within three business days,from the above date. If obligation,within three business days,from the above date.If
you cancel,any property traded in,any payments made by you you cancel,any property traded in,any payments made by you
under the Contract or Sale, and any negotiable instrument under the Contract or Sale, and any negotiable instrument
executed by you will be returned within 10 days following receipt executed by you will be returned within 10 days following receipt
by the Seller of your cancellation notice,and any security interest by the Seller of your cancellation notice,and any security interest
arising out of the transaction will be cancelled.If you cancel,you arising out of the transaction will be cancelled.If you cancel,you
must make available to the Seller at your residence, in must make available to the Seller at your residence, in
substantially as good condition as when received, any goods substantially as good condition as when received, any goods
delivered to you under this Contract or Sale;or you may,if you delivered to you under this Contract or Sale;or you may,if you
wish, comply with the instructions of the Seller regarding the wish, comply with the instructions of the Seller regarding the
return shipment of the goods at the Sellers expense and risk.If return shipment of the goods at the Sellers expense and risk.If
you do make the goods available to the Seller and the Seller you do make the goods available to the Seller and the Seller
does not pick them up within 20 days of the date of your Notice does not pick them up within 20 days of the date of your Notice
of Cancellation,you may retain or dispose of the goods without of Cancellation,you may retain or dispose of the goods without
any further obligation.If you fail to make the goods available to any further obligation.If you fail to make the goods available to
the Seller,of if you agree to return the goods to the Seller and the Seller,of if you agree to return the goods to the Seller and
fail to do so, then you remain liable for performance of all fail to do so, then you remain liable for performance of all
obligations under the Contract.To cancel this transaction,mail or obligations under the Contract.To cancel this transaction,mail or
deliver a signed and dated copy of this cancellation notice or any deliver a signed and dated copy of this cancellation notice or any
other written notice or send a telegram,to FJB Associates LLC, other written notice or send a telegram,to FJB Associates LLC,
55 Town Line Road, Wethersfield, Connecticut, 06109, NOT 55 Town Line Road, Wethersfield, Connecticut, 06109, NOT
LATER THAN MIDNIGHT OF _ LATER THAN MIDNIGHT OF - 'i .
n nrh nnir)
I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION.
. n - P,, r,, - .
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DEPARTMENT OF BUILDrXIG INSPECTIONS /
INSPECTOR '212 Main Street • Municipal Building
Northampton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as l.is/her construction super .sor. The state defines "Homeowner" as, "'Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two fami -
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
home owner."
The building department for the City of Northampton wants any person(s)who seek to
use the,home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a rough building inspection(before work is
concealed), insulation inspection (if required) and a final building inspection.;The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
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F E ?f�l Pf �,To flji3111pjoll -
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DEPARTMENU OP BUILD0\10 INSPECTIOt.'S
212 Alain Strcct Afunicipal Building
I Northampton, Mass. 01060
_ wOU4:R'S CONIOENSATION ONS CE AF T M,, VIA"
\1111 th a principal place of business residence ai:
cv `w� (�cJ ( 'CS �,`e�c l C (phone::')
(sQ�t/ci t`r/stab/zip)
do hereby certify, under thc.pains and penalties of perjury, :hat
( ) I am an employer providing the follo%vine!workcr's coinocnsaoo, covervge for Im
emplovees ivotiang on this job:
(tnsur-:D= Comr �) (Policy Ntmzhcr) (r:pir do Da,)
i
O I am a sole proorietor, general contractor or homeowner (ci cie one) and have hired
the Conn-actors listed below wbo hive the following worker's comoen_saaon policies:
i
(Nam: Oi Co:'=aor) (1[1Rr3nl:^ Cornpany/l�GUC'i !gU.Il*C:)
(Name of Conclmor) (Inisuzncc Comoanv/701im, Numcrr) (—E.,D r Lion Date)
(Name of Connam&) (insurance Compan)-/Pot-q- Number) (ENpiraaeo Date)
I
(Name of Contractor) (Insuraacc Comrai y/Poticy Numb-zr) (E.xp f-,ioa Date).
(auab adiii:ocal bca,ifnct�xi�-to mcuc�iaforma=j oa p,-iaius to.0 coa=-ten z)
i -
O I am'a sole proprietor and have no one working for me.
( ) I am.-a home owner performing all the work myself.
NOTE:ply tx eurtr< +t }e 6emeora uba erapiay pczoas w Qi c a -• cs uao a rc,au u-orx on a d-11=z of
oo(mere tbra t'-.rw-tai's in u',aeh the bomool rtsida or ca the pound3 zppurtenrs the-cio r r ooe a^x_tty a.�:d---Md to Lc
citplaycs ttn,c the..v i d c=p -%ica Aa(GOI52.a I(5)1.:pptiatioa by a bomooa�fcr c bc= _or pcsmiI r=7 n id-voc Lhc
lt-gal craw of=e.PIoyx under dio Wock: -a Coa*oona Ad
. I yndcr..aod dLd a copy of tbi•mt.=zci a y be for-..wxded to the Dcp,t of Iadutsiel Aecideaty Mo•of laa+r•oee for the
ooverxsc veilmica And that L-iliac to tndcr soaioa 25 A of h(GL 152 eaa Ia d to the inzpc oa of aimiaal peaaltic
coosi4mg of a fiat orup to S l}00.00■nd/or impriaoa==of up to oar ycir sad 6,i1 pas.ltia is the form of.Stop Wort Ordc•ad
f=o(S 100.00 a day apinA me
t
- - - For dcwrts�u.c only
i
Pcrmit Numb= --
N43p--- Lot e
i S1 Liacnscc/Pcrmiucr- —�� 1
SECTION 8-CONSTRUCTION SERVICES t
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
2eausterec}�oemvmvemenortfa+ � Not Applicable ❑
Company Name Registration Nm—u�e�-- �- --
Address / Expiration Date
�7 O✓�r h h°►^� iit/e? 1� 1 �f/ �� Telephone_
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G:L,c.--1'-52,i-§2' 5C(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...... ❑
-
_-
�
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-vear 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
.. ).4.
SECTION-5--DESCRIPTION OF PROPOSED WORK(check a0°applicable)''
New House [] Addition [] Replacement Windows Alteration(s) Roofing
Or Doors M
Accessory Bldg. ❑ Demolition ❑ New Signs [[3] Decks [M Siding 19ir Other[❑]
Brief Description of Proposed
Work: - h5 �� hty V i 1ti L i 1
Alteration of existing bedroom Yes ! No Adding new bedroom Yes 41---No
Attached Narrative Renovating unfinished basement Yes .. No
Plans Attached Roll -Sheet
-�. ��, �,,- r. � �+�va=^ .y. �,'� �.,. :`.�*" Mfr e*-:�.
sa f:-, d , oft6b.nd i cl.i ior�. a �ctst�nc iaits>na:=corn efi =tG-I QV�rinq
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 confomt to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-:OWNER AUTHORIZE1TtON-TO'BE.GOMPLETED'WHEN
OWNERS AGENT_OR.GONTRACTOR"APPLIES FOR BUILDING;PERMIT
t, 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 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
Signature of Owner/Agent Date
Section ZONING All Informatioh 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 tze
Frontage
Setbacks Front E P t
Side L:' R: L:l
Rear �-
Building Height
Bldg.Square Footage % (---
Open Space Footage %
(Lot area minus bldg&paved I
parking)
7—
E
#of Parking Spaces
Fill:
volume,&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW 0 YES
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter Book Page` and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 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 0 NO 0
IF YES, describe size, type and location: j
D. Are there any proposed changes to or additions of signs intended for the property? YES NO 0
IF YES, describe size, type and location: s
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 Q , NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Nortf ampton
N
Building Department
212 Main Street ti
Room 100
Northampton; MA 01060 e
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION,1 =SITE INFORMATION
This secttort to be completed W nice
1.1 Property Address: Y
Unit -
Zone Overlay D�stnct
=Elm S�Distract ' �: � GBDistnct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
vt,I_ l}-rr�6 u�a-t v —
Name(Print) Current Mailing Address:
Telephone
Signature r
2.2 Authorized Agent:
flAy
Name(Print) t fSfia(l , VK Y Current Mailing Address:
S66 o 1- 0 5.
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS` 77F
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)EstimatedTotal Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
6. Total=0 +2+3.+4+5) 1,,dheck Number
This Section For Oftiicial'Use Onl
Date
Building Permit Number. Issued:
Signature: '
i
Building Commissionerlinspector of Buildings Date
134 CLEMENT ST BP-2005-0469
GIs#: COMMONWEALTH OF MASSACHUSETTS
MU:Block:30C-084 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-2005-0469
Project# IS-2005-0619
Est.Cost: $19452.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: F I B ASSOCIATES LLC 132093
Lot Size(sg.ft.): 43342.20 Owner: CARDINAL CRAIG S&CHERYL L
Zoning: SR Applicant: F J B ASSOCIATES LLC
AT. 134 CLEMENT ST
Applicant Address: Phone: Insurance:
55 TOWN LINE RD (800) 506-9477 Workers
Compensation
WETHERSFIELDCT06109 ISSUED ON:10119104 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL VINYL SIDING
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• Receipt No: Date Paid: Check No: Amount:
Building 10/19/04 0:00:00 16977 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo