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Z 4�0 4 m n O z O rri 1 M G s 0 M c, O o y N 2 �Z � (A * O° m rn O NO n. d _. m V b O A O O ti ir V \ V 3 1 + 0 M ) \ C O p N LA 3 THE WORK TO CONSIST OF: Single Pane Glass: Insulated Glass: Enclosure Insulated Glass: Solarium Unheatable Enclosure d- (Customer Initials) (Customer Initials) (Customer Initials) 44 ,C,aa/ N,, :�D�l� ',� /V ', iS' �y, M cJll - /da r�fi�:tS/'�.�/a ar`-��^� �1z 'es 6- z r' c %�[(i F ' Q n�'Dfr� X •p l ��s�� . D yt' /4, / 9l% u/J S /,z r ->, ///�; t() ,��r C-C,dL; 66 , J to/I'/ (S X// G> 1"! S iJC t, :�1'l J v)'4' i G' aC' �1 ST" /16 7k 4/771,5 A: Sir ��= n).��t/:�4 Q ',5s i'Y'e D OK-4.,/ 1C A- t c��. i� 44" J �� /r'`z) Any inquiries about a contractor or subcontractor relating to a registration should be directed: Director—Home Improvement Contractor Registration—One Ashburton Place, Room 1301 —Boston,MA 02108 or call(617)727-8598. Seller agrees to furnish labor and materials at Buyer's request, and for the contract amount, to complete the work described above,subject to the terms and conditions which appear on the FACE and on the REVERSE side of this contract. Work to start approximately _weeks from the date of this contract and t pr i weeks after commencement if not delayed by building permit, delivery of at • ls�e t e Est ell fit er conditions beyond Seller's control. The completion date is not of the essence. j Buyer represents and warrants that legal title to the property,which is to i proved a�-in t�e')fopoQng dvu�er( ): 2.t _� NOTICES ,FC? 1FRl�t1,D1RtGINE���ON 1. Seller and/or all subcontractors, if any, who perform on this contrac and ZqQ zf.e,.`tlof a c aim against you which may be enforced against the property being improved in acd th the applicable lien laws. 2. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY OF THE TRANSACTION(THE DATE ON WHICH YOU SIGN THIS CONTRACT). SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. THIS RIGHT j IS IN ADDITION TO ANY RIGHT YOU OTHERWISE MAY HAVE TO REVOKE YOUR OFFER. WHERE REQUIRED HOMEOWNER TO GET PERMIT. Source of Sale: 3p Contract Price $ I �� 3,� THE DOWN PAYMENT IS AND SHALL BE A Down Payment: (1/3) $ % NONREFUNDABLE DEPOSIT AFTER THE LEGAL CANCELLATION PERIOD HAS EXPIRED. $ V 7 . THIS CONTRACT CONSTITUTES THE ENTIRE Upon Installation Balance Due 171 j �� UNDERSTANDING OF THE PARTIES. $ Customer acknowledges receipt of a copy of this contract,product warranty and duplicate notices of cancellation. DO NOT SIGN THIS C NTRACT IF THERE ARE ANY BLANK SPACES Date Down Payment ceiv (Customer Signature) By: ` (Signature of Salesperson) (Customer Signature) SEE REVERSE SIDE FOR IMPORTANT INFORMATION. ��_• iu. LUUL IU,4dAm j;;i-c,61-4191 k � -- N0. 7894—F. 1 N x � b a ° } 4 � - 3 4-5 il -- J • z r J z�3 Mq `yam z a w H C� \ \ w I q 2 rV, I+ c I m H 4 .X. W m d 3 p�j o Vu J m vu � o a 471S I 4 \ o 1 c �'J!. 10- 2002 10:49AM 3;, —poi-4297 N0, 1896 F, # It N r� err p ca �y 4 � � a ° 3 z I s `y vi _J z W �3 �3 W~ %� z W s v o —-� 526 d w -jo/ N ?— vu Cq =a ti-4 m I u�i 3 m H �Wy d ~" vu o a tl i w I c`_ 4�ttAMPT0 �O � e - �a3EA[{lttbf tlb DEPARTMENT OF BUILDMG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORICER'S COMPENSATION INSURANCE AFFIDAVIT (Ii:;enserJpelmittee) with a principal place of business/residence at: 36 e, ()(�J,°i �'I"b1 1P,�1' ' C7` QG q J W (phone#) (o35_-©`71 (0 (streeUcity/s�atelrip) do hereby certify, under the pains and penalties of perjury, that: XI am an employer providing the following worker's compensation coverage for my employees working on this job: (mince Company) (Policy Number) (Expiration Dale) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) r. (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (InsZtrance Compauyipolicy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (&Mach addidoail shcct if nvcussry to include infnnn,tioa pertaining to all ooatrad ) ( ) 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 v haUo homcownera who employ pexzoas to do m•;,,,,-•,�coos ruction or repair wont on a dwelling of not mote than ihrce unit-1 in which tlx IwmbOwncr rides or on the 9v nds appurtenant th=tn are Do(gcna-ally ooandcrcd to be employera under the worica`s oompcmatioa Act(GL152,ss 1(5)),application by a homeowner for a liccwc cc permit may evidcn=the legal crane of an employer undertEwWorkcezcompoosati Act I understand that a copy of this c2atcmcI may be forwarded to the Dtpartam2 of Dial Aead4n&office of[mxu—for the coverage verification bud that failure to azure covecago tinder section 25A of M0L 152 can lead to tho imposi ion of criminal pcnallies eomiiting of a fine of up to S 1,500.00 and/or of tip to one year and civil pcmltia in the form of a stop Work Order and a am of:3 100.00 a day against t oc For deputmtaal tuo poly permit Number Si Map={ Lot# ai-?t _ °f ermittee e k SECTION 8-Ca'NSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: �/� Not Applicable !❑ 7 Name of License Holder :��� 4Cl6 1/�V L Ac�� 0"? 0 Z(O I License Number 02-571 //L3 /)3 Address Expirati Date Signature Telephone urtien . n r. rtiE. Not Applicable ❑ ?frric-3 r-r-idIYUr "s _r�cl 11 7�5-6o5— Company Name Registration Number ,500 m 16 5 SzA N-D i s/4 (3 1vo la//!� Address I !l Expiratio D t 4 �Uh7T�j OZ 80 Telephone SECTION 10 WO,RKERS',CON PENSATION 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...... ❑ 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,von 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 2,x �qNY .,,; SECTION PROP.,OSED'�,WORK,R li`"ckal .;a 1ica6 1e New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ � New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: .r�ONfYl &:- " WX fQ! 3 5,645aN CXI54- ►!� Alteration of existing bedroom Yes ?�_ No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement -Yes No Plans Attached Roll ❑- Sheet❑ .a if,'MeW oh'dse b t o 5—ddit lyff.Uo"ezisti g"Fr using,:complete..the folio i ir�'g: 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? e �1 d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? N ONE Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? r h. Type of construction AJdA4tQ i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes Y__No j. Depth of basement or cellar floor below finished grade IVdN C." k. Will building conform to the Building and Zoning regulations? _)!� Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a ZOWNER AUTHORIZATION 70 BE COMPLETED" WHEN 0 1fNER5iiAGEI �Q C0 1TRACTOR AP',LI E S FOR BUILDING PERMIT 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 as Owner/Authorized Agent hereby declare that the statements ar#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 Date Signat a of Ow gent 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 , Z� Frontage Setbacks Front Gr � f Side L: R: L: 37R: � Rear q6 Building Height Bldg. Square Footage �f 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 t 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 X 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: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587.1240 Fax 413-587-12 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOV DE ISrH ONE OR TWO FAMILY DWELLING i 7 a i ' a` y 12P 5. SECTION 1- SITE INFORMATION4+ +t^' ' This-section be cam I"eted b face 1.1 Property Address: ., '76S �fi� f R1� Ma o' .� of nit cv��r C'1 fl n, A Zo�iri�e�,��"A � � �Ouerla Dist ict� � a s Elie St.:Dis#r�ct° _ � .. GCB DisCnct . SECTION 2?- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: q1:3 -7 Telephone Signature 2.2 Authorized Agent: P19T Ca Name(Print) Current Mailing Address: 360 - &3S"-O�Q Si natur Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building / �-3 (a) Building Permit Fee 2. Electrical W (b) Estimated Total C•..st of Construction from .6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) (p Check;Number This Section For Official Use Only Build,ng�.Permit'Number: Date Issued: 11 5`ignatur� " ' Bu►ld�t)g Corrirnissioner,., noecfor of Butldings Date; File#BP-2003-0154 APPLICANT/CONTACT PERSON PATIO ENCLOSURES INC ADDRESS/PHONE 30 SEBETHE DR (888)927-1966 PROPERTY LOCATION 788 BURTS PIT RD MAP 36 PARCEL 194 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 14 X 10 SUNROOM ON EXISTING DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 076261 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO,WqATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* 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 Commission Permit from CB Architecture Committee Permit from Elm Street Commiss' Z— 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. A AWBP-2003-0154 GIs#: COMMONWEALTH OF MASSACHUSETTS 4100—_ CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-0154 Project# JS-2003.0289 Est. Cost: $14630.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PATIO ENCLOSURES INC 076261 Lot Size(sq. ft.): 70567.20 Owner: STILES ELLEN T Zoning: SR Applicant: PATIO ENCLOSURES INC AT: 788 BURTS PIT RD Applicant Address: Phone: Insurance: 30 SEBETHE DR (888) 927-1966 WC CROMWELLCT06416 ISSUED ON.8114102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 14 X 10 S U N R00 M ON EXISTING DECK 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/14/02 0:00:00 2318 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo