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25C-230 (4) Reg.9128482 WILLIAMSBURG HOME IMPROVEMENT Lic.#034841 P.O.Box 535 + Williamsburg,MA 01096 (413)268-3553 ' . i ,20 0 4,between r t' L;�- d r This Agreement is entered into on the_day of ' °� s r= te ("Owner") and Williamsburg Home Improvement("Contractor"),and concerns property located at The Owner and the Contractor agree as follows: All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner will carry necessary insurance. ARTICLEI —THE WORK `7 ?ttu'M —. 'i' tu` `iL/! ifr r% r r K ;. ' C� L;k-/1 A,117v � VL 1r7 �.' ✓ ���C=�( ci {t t !�,�`�'G ;21 1 u C"c 1� o C N'.` t 1.�.�4%L tXs� i/-''`7T A � 'A./ �� �+� ,���_. c?✓'��;}��; � f'1;{L? :t/s 1 G�, j >AJ-57-A. IL s,n;`d�'✓ c�di C 1,'° 'i'lam. (—(v R A-, � c' r= — t -t`l Ar v."i t/f Jt/ $R. C-0 I t r 3 lrp d �A/ r�i�C >� 7^�,rve p6 C� ?n*4 C� �r +.I✓t� ��. Owner may order changes in the work(additions, deletions, or modifications)with the contract sum and the contract time being adjusted accordingly. All changes shall be authorized Py written Change Order, describing with specificity the nature of the Work to be undertaken,and shall be signed by Owner. CJ L.- PA t_ 0 1,-V Al tF R ARTICLE 2—COMMENCEMENT AND ESTIMATED DATE OF COMPLETION The work shall be commenced after delivery of a fully executed copy of this Contract to Owner, and after payment by Owner of the First Payment. It is estimated that substantial completion will be achieved on or about/'A.e .Y 15 subject to change orders,weather, and availability and delivery of materials. ARTICLE 3 — CONTRACT PRICE and PROGRESS PAYMENTS Ile Owner shall pay to Contractor, subject to additions or deductions by written Change Orders,the Contract Sum of$ 031`.� No work shall begin prior to execution of the contract. The Owner agrees to and shall make progress payments to the Contractor on account of the Contract Sum as follows: UPON SIGNING OF THE CONTRACT $ & 00 0 j Final payment, constituting the entire unpaid balance of the Contract Price plus any Change Orders and costs of materials shall be paid to Contractor upon substantial completion of work. If payments are not made in accordance with above schedule, Contractor may stop work until payments are made. ARTICLE 4 - PERMITS, ETC. Owner shall pay for all necessary approvals, building permits, governmental fees, licenses and mspecrions, assessments and charges required for the construction,use,or occupancy, and Contractor agrees to obtain such permits, etc., as Owner's agent. Owners who secure their own construction-related permits or who deal with unregistered contractors will be excluded from the guaranty fund provisions of M.G.L.c. 142A. ARTICLE 5—TERMINATION OF CONTRACT If Owner fails to pay within twenty days of the date set in this contract, Contractor may terminate the Contract, and Owner shall pay for all Work done and for all materials, including reasonable profit and damages. If Contractor persistently fails to perform any material provision of the Contract, Owner may cancel the Contract after five days' written notice to Contractor. However,Owner shall provide Contractor with reasonable time in which to commence the corrective work. ARTICLE 6—MISCELLANEOUS 6.1 Owner has the right to cancel this contract within three,days after signing under M.G.L. c.93§48; M.G.L. c.140D§10; or M.G.L. c.255D§14, as may be applicable. 6.2 All warranties and owner's rights are set forth in provisions of 780 CMR R6 and M.G.L. c.142A. 6.3 There is no lien or security interest on the residence as a consequence of this Contract. 6.4 The Contract shall be governed by the law of the Commonwealth of Massachusetts. ,ARTICLE 7— DISPUTE RESOLUTION THE CONTRACTOR AND OWNER HEREBY MUTUALLY AGREE THAT IN THE EVENT THAT THE CONTACTOR 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 F.XF.Ci1TIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED <1 T_6 14"L 1_1 K �Lf I '_1 C)M t "V AJ 4AJ 7 '2, IL/ l.''4* OLT A T F- I Al 15 T_ 10 1/V b AA �'Oo 's PC RC -!l CZ f i A '5 VIVI 7 /VG' jjk f4,t Ce iq Owner may order changes in the work(additions,deletions, or modifications)with the contract sum and the contract time being adjusted accordingly. All changes shall be authorized y written Change Order, describing with specificity the nature of the Work to be undertaken, and shall be signed by Owner. �C_TQ I CA-t— NO AVI G_ 0 W A/ IFR ARTICLE 2—COMMENCEMENT AND ESTIMATED DATE OF COMPLETION The work shall be commenced after delivery of a fully executed copy of this Contract to Owner, d after payment by Owner of the First Payment. It is estimated that substantial completion will be achieved on or about IV14Y /? , subject to change orders, weather, and availability and delivery of materials. ARTICLE 3 — CONTRACT PRICE and PROGRESS PAYMENTS Tie Owner shall pay to Contractor, subject to additions or deductions by written Change Orders,the Contract Sum of$ 1 __,Q 1 . No work shall begin prior to execution of the contract. The Owner agrees to and shall make progress payments to the Contractor on account of the Contract Sum as follows: UPON SIGNING OF THE CONTRACT $ & 6>00 v./ 4 6-1,1 r-- i IV i z7 $ gla 0 7�- W, Final payment, constituting the entire unpaid balance of the Contract Price plus any Change Orders and costs of materials shall be paid to Contractor upon substantial completion of work. If payments are not made in accordance with above schedule, Contractor may stop work until payments are made. PERMITS, ETC. Owner shall pay for all necessary approvals, building permits, governmental fees, licenses and �RT i�CLE,4 J. F, i,assessments inspections, assessments and charges required for the construction,use, or occupancy, and Contractor agrees to obtain such permits, etc., as Owner's agent. Owners who secure their own construction-related permits or who deal with unregistered contractors will be excluded from the guaranty fund provisions of M.G.L. c. 142A. ARTICLE 5—TERMINATION OF CONTRACT If Owner fails to pay within twenty days of the date set in this contract, Contractor may terminate the Contract, and Owner shall pay for all Work done and for all materials, including reasonable prof-it and damages. If Contractor persistently fails to perform any material provision of the Contract, Owner may cancel the Contract after five days' written notice to Contractor. However, Owner shall provide Contractor with reasonable time in which to commence the corrective work. ARTICLE 6—MISCELLANEOUS 6.1 Owner has the right to cancel this contract within three days after signing under M.G.L. c.93§48; M.G.L. c.140D§10; or M.G.L. c.255D§14,as may be applicable. 6.2 All warranties and owner's rights are set forth in provisions of 780 CMR R6 and M.G.L. c.142A. 6.3 There is no lien or security interest on the residence as a consequence of this Contract. 6.4 The Contract shall be governed by the law of the Commonwealth of Massachusetts. ARTICLE 7— DISPUTE RESOLUTION THE CONTRACTOR AND OWNER HEREBY MUTUALLY AGREE THAT IN THE EVENT THAT THE CONTACTOR 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 OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN MASSAQ111--�SETTS GENERAL LAWS. CONTRACTOlf OWNER NOTICE: The sienatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the Contractor. The owner may initiate alternative dispute resolution even where this section is not signed by both parties. All home improvement contractors and subcontractors shall be registered, and any inquiries about a contractor or subcontractor relating to registration should be directed to: Director, Home Improvement Contractor Registration; One Ashburton Place, Room 1301; Boston, MA 02108; (617) 727-8598. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. OWNER DATE CONTRACTOR; / DATE O O (rzty of Wart4aluptan VIZI $ � �assachusctfs is DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street 9 Municipal Building ' Northampton, MA 01060 ,a�4 s •° HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as 1.is/her construction supc:-,,isor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 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 1 -.N J>TO - � - (1,zftl of NTa rtljamptoll 11 6 ��[1lRCII116Ct11 m DEPARTMENFF OI' £UILDI?�G INSPECTIONS 212 Alain Street ' Municipal building North amp toil, Mass. 01060 WORKER'S CO-MTENSATTON 1NSUIZANCE ASMAVIT v"I"11 a principal place of busiresslresidenc t - CIO 11Creby M-Lll} UII^:;1- dic 1)::!i1S anij pCfl 1iICS C)I pc;fjllf-r, illi11. ( ) I am an employer provi('ing the rollo.vitic, .:ori_crs colrlf)ensatioll GO"TI-e." or my employces working on this job: Jns-=cG Comprm,) (`rlpir.:acn Datc) I am a sole proprier_or, genera c-:)tl c-or I1ollieO% der (Cl cle one) md, 'gave hired the contractors listed below w o ;; the i1c , L: v • eI's -^;_ `o .tors cot. �en��on �.:� (Name of ConL—actor) �IlcL'.'1C CCIP.^:.:i'jiPG�iCj rtllSIl i) iT <<.1CG ?.tC) (Name of Cont?aciG') (1.I1Sdr PCB Ccm1Ja;i1'/Pc.hci Nlmlb,-r) (l x✓'lr ilOn Date) (Name of Contractor - (Ins.slc� Cou;;•�n.;/PGlic. NuJr_txr) -.x �Ir.. l;atc) - (Name of Contractor) — (Insranc� Cotnr„�;}/II0Lcy Numb=*) (1,::1.;-::iG Date) .....-...�... ......Y:':a::.r:t•._:::'.t:i-.:Ali^:C ._:�;:") tLll tt sole l?IUpilCtJi 2:11 it ?V t10 OaC c� ( ?i11 -L home OWtICi i)Ci?CiIIlII'� �Il i?. �', ii '� lt� 0 NOTE:please be a:ra:c ti-It•.vLilc Ix rco r "Crz>a-pi.C:;>. ;n dD nc a.=r�c c cr:ci;a Ir 11 :«el! nOt uncc th.a thr-co mull 1.^.lt{::Gal•�Y 1:�z-.;•.tz,�rr�:::.;_s c<-oc;`,c�;,;.�_:,�z.t-�cr s.It_hcC.o�:c cr�t�cvsally ccr::r-:::o h: cu'.ployc3 urr�the%w:Ckcfs ry to c he cmcou-W for a Lce c c<p-f legal rtatas of an amp loyer and r tLn WCrk a t:otL,�r_-_.tion!CL I ut>dc-zt. d di 4 a copy of tFua aatc:-s_'cuy bo to tin IY.txirta>cau of It>dz3stri:.l Arci&a f Citioo of;; for tlx covca&c vailiclioa artd that failure to v:auc mrtr g ul--k zc"ic 25A of MLCL 152 can Icad to the pecltU cs c`omuti g of a fur_of up to S 1.500.00 arw-"c r of up to cr--}- e-.i civil,-naltia in tc fcnn of n Stc',:`Vcri'-()va_r.d a Gam or:;I 0'0AO a day JJJ��n -- Fcx-dr�;uu;rltal u.o uil y i Pcjinit NttII1tx:.r - Si uaturc t�f i.iccn c°/f'crmi:tc+, SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Su/ /�pervisor:: Not Applicable ❑ Name of License Holder : A& �" j8 A,- License Number 0 3 Address Expiration Date Signature Telephone Reg sfi"'a e" omei'miemenY4Contracto Not Applicable ❑ Company Name Registration Number �Address Expiration Date -;,0 U� � O j�� � Telephone oZkD SECTION 10 :WORKERS' COMPENSATION INSURANCE AFFIDAVIT(MG: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 Dwelling's 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 acecptable 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 Et SECTFIOIa =D S•RIP7#ONOF�PROPOSEU WORK check a�I a livable � ��� �, .,K:� a� : ''.'�'3.'�`,.+t>,».�_,.; � ..::, ,a ,.,• :_ ,..,�giros�° ,-°"..: *.:°.fi;% a'`-.;', �,f`, Roofing ❑ New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding Other[ ] Brief Description of Proposed Work: V PAZ !!f C" 7 f� C�r- � ��M �f/V�/►� fC � /�'"( Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet 0 ,6a�lf eve. ou e n orWddition to exis' ffj ZZ uo s ng�cample a ftie fo�towi.n 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? 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 SECTIOK a�O�Vf[UER IM- ORIZATION TO.BE COMPLETED WHEN OWPJEFtS A�ENT�02�CONTRACTOR APPLIES fOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to ac;. on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, /V d A/!!!� z! as Owner/.Authorized Agent hereby declare that the statements and information on the foregoing app ication 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 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 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES 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 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 ark` Building Department 212 Main Street Room 100 Northampton, MA 01060 ri phone 413-587-1240 Fax 413-587-1272 w APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION This section,to be completed b' office 1.1 Property Address: 1 45. b v gY . Unit c r Map , �IS7 � 77,45x L / 3 7 air') -7-/(14N 01k 0 7 6"AV done Overtay Drstr�c ' x Etm S D�stnct 7N CB D�sl rict v_ SECTION 2-P.ROPERTY OWNERSHIP/AUTHORIZED-AGENT 2.1 Owner of Record: Name(Print) Current Mailin Ad ress Telephone Signature p 0 2.2 Authorized Agent: Name(Print) Current Mailing Address: U i pCI (� Signature Telephone SECTION 3--ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit 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) Z S. Fire Protection 6. Total = (1 + 2+ 3+4 + 5) / -7 5 Check Number n This See,cation For Official Use-Only Building Permit Number: /�/''Z°O� — © < / Date Issued: Signature: Date Building Commissioner/Inspector of Buildings 153 BRIDGE ST BP-2004-0997 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C-230 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Siding BUILDING PERMIT Permit# BP-2004-0997 Project# JS-2003-1043 Est.Cost: $12075.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NORMAN ZALESKY 034841 Lot Size(sa.ft.): 6098.40 Owner: SHAUGHNESSY HANNAH&MICHAEL Zoning:URB Applicant: NORMAN ZALESKY AT. 153 BRIDGE ST Applicant Address: Phone: Insurance: P O BOX 53 (413) 268-3553 WILLIAMSBURGMA01096-0535 ISSUED ON:4113104 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING ALUMINUM TRIM 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 4/13/04 0:00:00 0987 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo