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25A-084 (2) MAURICE MORIN AND SONS REMODELING Page No. _of Pages 30 Ambrose Street PROPOSAL CHICOPEE, MA 01020 MA Reg. #100774 Fed. I.D. #04-3071350 All home improvement contractors and subcontractors Phone (413) 592-2880 engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted �� r �� 1tL;�C the Commonwealth of Massachusetts. Inquiries about To: ....__.. ....... ..... j._... registration and status should be made to the Director, Horne Improvement Contract Registration,One,Ashburton ..... �..... Place, Room 1301, Boston, MA 02108 (617) 727-8598. O`� P Owners who secure their own construction related U �;r'� permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. /_Z_ 9'73Sh�t 3 � 3� -Aar -�� JOB NAME/NO. JOB LOCATION We hereby submit specifications and estimates for work to be performed and materials to be used: ........... ... ........ Get �. ...... . ....... ZL . ......... .......... ....................... ................................ ................................................................. .. .......... . ........ ................................ .._ ... ... .. .. ........ . ........ . .. ......... _`� '�� .......... ........... ........... .. .. ...... . ..................-.............................................................. _ ...._.... ....... ................. ................... t(+)6o.-oo 4-<'-00 ......_..... .__........ ........ ......... .... ... ... .... ....... ........... ............ .... .. ..... .......... ...... . . .... . . ............ ............. .. ......._ ...... _ ... . .... .......... . ... ........_..._....._.. .... . . . .. ..... ....... . . > Construction related permits: _.._._.._.._.-._.........-------___.__.....-_--.....,_. WORK SCHEDULE .......-............._...,....,........,.,.....................................................,..........._.......,.....,...,._,,,,,..,,,,,,.,.__,.........,...,......................................_................._..,.....,..,..............._....................... Contractor will of be in the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about Nt� (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by w 7<° %�•r. (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall 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 -U, r following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents,is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied, repaired,or replaced,such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor-complete in accordance with above specifications, for the sum of 1 cv� ��C ��r ��i���✓c-v1 ��� ��f C�,lC'6' dollars($ 1 t7 ),��� ). Pament to be made as follows: �j % ($) ) upon signing Contract; Name of Conlrac or/Designated Registrant % ($ ) upon completion of Sbeet AtIess % ($ ) upon completion of Crry/State ($35 ) shall be made forthwith upon completion of work under this contract. Ph Federal ID No, Notice: No agreement for home improvement contracting work shall require a >down payment (advance deposit)of more than one-third of the total contract price Name of Salesman or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and ulhodzed Signature equipment,whichever amount is greater. Note: This r p oposal may be withdrawn by us if not accepted within days. Acceptance Of Proposal -I have read both sides of this document and all attached documents 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, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. ��O/,NO�T SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 'Signatur 1%�Q/ _Date Signature �r Date IMPORTANT INFORMATION ON BACK ► o� O } "�" ' (rif of XiorflIallip toll 4 E qlasaachnsatta DEPARTMENT OP BUILDING INSPECTIONS _ 212 Alain Street ' Municipal Building Northampton, Mass. 01060 WOJUczlz s coi`�r1rs �zor�r >NSUx r�� �r<rx-DAVIT t -- \vlth a ptincipa] place of business/residencc at: (sn-c�t/ci t r/stalc�n p) do hereby certify, under the pairLS and penalties of perjury, th�r. 1 m an employe: providin the ioilowinc �ior�crJs cotnnensa ion cover^e for illy employees wor-�:irlg on this job (! :piraion Daic) ( ) I am a sole proprietor general contractor or homeowner (ci cie, one) ?id have hued the contractors liste-1 below who have the iollotivug worker's comnen&1- on policies: --(Name of Con.actorl --- - (InSUM11C Compan}'rPcGc; Nurnic:) (T-:puauo+t D;tc) (Name of Contractor) (Insurance Coman}vPoscy Number) (L\Ttralion Daic) (Name of Conuacto,) Qnsltranc; Compan}•/PoLcy Numbu) (Expiration Daic) (Name of Contractor) Om-uranc-- Company/Pobcy Number) (Expiration Date) (aaach adiitiom.l tact fncc zan to mcu uaforcuaon p�to rill oo�n�on) ( ) I am a sole proprietor and have no one working for me. ( } I am a home owner performing all the work myself. NOTE:plcrsc be aw-xnc tlut-bilo homcow who cxnplay pcsoas to do m.ojim, cc a 3z-,., loo cr rtpait work oo a d—cll-g of not mocc dum tbroo unru to winch the bom---, -r c=da oc oe the gouxidr xppurte= the w arc Doc ecoarolty ooandcrod to be employers under the—m ' cca2pcts-euon Act(131-152."1(5)�applintioo by a bomoowvcr for a liars--permit may cvidmoc the legal ctxius of an amptoyx under dro Wockoes Compomatioa Ad I undcstand tlsat a oopy of Chia mlcmcm may be foawwxi d to tlw Dcpartmco2 of lnds -J AoadcaN Offioo of InA-a 000 for the covcrlgc vcrif cstioo and that L•ihuc to aocurc OON"-ag uodcr%ccuon 25A of h(GL 152 can Irad to tha impos3ion of aimmil pcoalbcs oomistiag of a floc of up to S 1500.00 arW-�nprisommcn of up to coc ymr end civil pm hia in the foam of a Stop Word Ord-and a f1m 0(5 100.00 a day tpinst me For d r_•+**TM*'•t uac ooly Permit Numtcs Maprt Lot si abut:of crnuttcc e - CTION 8-CONSTRUCTION SERVICES 1 Licensed Construction Supervisor: Not Applicable ❑ ti Name of License Holder : M r4 t A. nz- 6 !e!AJ License Number 6pa c7fd 0e)-?� 56 2. Address Expiration Date © � Si tur Telephone ..,. Re,S EE`inz,""":E ,E-" ., .9n Not Applicable ❑ Company Name Registration Number 1 0 C)17 � Address Expiration Date 3 q L S" — Telephone"I 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. igned 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 buildine 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 M r ;mowCTION 5- DESCRfPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors' Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work:_LAJ5M : [. L. -7Z:7J RC1 L0CC/77 4- Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 6a. If NINE h tt .,€t", ttl0 f . 1 ; 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. Mascheck Energy Compliance form attached? 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 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. _igned under the pains and penalties of perjury. Pr t ame 41 ZJ 7 6 Signature of 0-74r/Agent Date 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: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 F- APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This secti'� �I,�ted by dffllc` 1.1 Property Address: 'O N��� Li Ri i7(`s= Msp d otf Or�I" / . WTI , Elxnt Srtct ,.. CB ttiICt- „ h SECTION 2- PROPERTY OWNERS HIP/AUTIORIZED AGENT 2.1 Owner of Record: Lame(Print) Current Mailing Address: Telephone Signature — 2.2 Authorized Agent: ' aR� a � s s� � ri,bLCO5c e(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only com feted by ermit applicant 1. Building (a) Building Permit Fee Ll 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 y- This Section For Official Use Only L_Building Permit Number: 15 PMz Date Issued: Signature: Building Commissioner/Inspector of Buildings Date 374 BRIDGE ST BP-2000-0944 GIS#: COMMONWEALTH OF MASSACHUSETTS , MV.Block: 25A-084 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: windows replaced BUILDING PERMIT Permit# BP-2000-0944 Project# JS-2000-1732 Est. Cost: $5248.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MAURICE MORIN & SONS 100774 Lot Sizes . ft. : 12980.88 Owner: HACUNDA PETER J&TERESA M Zoning:URB Applicant. MAURICE MORIN & SONS AT: 374 BRIDGE ST Applicant Address: Phone: Insurance: 30 AMBROSE ST (413) 592-2880 CHICOPEEMA01020 ISSUED ON.4/27/00 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. Inspector of Buildings Jnderground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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 4/27/00 0:00:00 4610 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo