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25C-166 (15) Alexander Konheim 07/29/14 26 Orchard Street Northampton Ma. 01060 To: The Building Department of the city of Northampton, I (Alexander Konheim owner of 24-26 Orchard Street, Northampton Ma. 01060) am firing Prospect Builders of 147 Shaker Rd, East Longmeadow, Ma. from the job at my residence 24-26 Orchard Street, and I am hiring Finn Builders of 29 Hickory Drive, Florence Ma. Thank you, Sincerely Alexander Konheim l ' Signed ate j ALEX'KONNEIM 2570 26 ORCHARD ST 53a168ren8 NORTHAMPTON,MA 01060 L Date Pay to the Order of (� d Dollar o Book. FLORENCE SAVINGS BANK 85 MAIN STREET,FLORENCE,MA 01082 1 For Ap 1: 2 1 18 7 1 688 : 19 8 1' 2 10 20 Stl' 2S 0 2 � P, �e Ct ji r i elf- Ja - j f 4 Ole Y-6 3— 2x2 R S r� k THE FOLLOWING NOTICE OF CANCELLATION MUST BE IN DUPUCATI,ATTACHED TO THE CONTRACT, FOR ANY SALE OVER$25 THAT TAKES PLACE AT THE CONSUMER'S HOME OR SOMEWHERE OTHER THAN THE BUSINESS LOCATION. THE WORDING IS SPECIFIED IN AiGL C. 93 Section 48. A SIMILAR CANCELLATION NOTICE IS IS REQJJIRED IF THE CONSUMER'S HOME IS BEING USED AS SECURITY IN THE CONTRACT.SEE CHAPTER 140D SECTION 10 THE NOTICE MUST BE IN TEN POINT BOLD FACE TYPE NOTICE OF CANCELLATION date of transaction You may cancel this transaction, without any penalty or obligation, within three days .of the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods.. delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain' or dispose of the goods without further obligation. If you fail to make the goods availableto the seller, or if you agree to return the goods to the seller and 'fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signets and dated copy of this cancellation notice or any other written notice, or send a telegram to (name of seller) at (address of. seller's place of business) not later than midnight of (date). I hereby cancel this transaction (date) buyer's signature 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 Ti DO SIGN T IS C N IF THERE ARE ANY BLANK SPACES. 17 Homeowne Ot Contracto ---------------------------------------------------------------------------------------------------- NOTE IN ADDITION TO THE HOMEOWNER'S RIGHTS BY THE LAW,THE CON"T"RACTOR CAN REQ_U0TI_ ARBITRATION TO RESOLVE DISPU ESWMi THE HOMEOWNER IF THAT IS AGREED TO BY BOTH PARTIES IN THE fiONTRACT. IF THE CONTRACTOR APPLIE=S FOR ARBITRATION, THE H01IEOWN19Z MUST DEIAY ANY COURT ACTION UNTIL AFTER THE ARBITRATION HEARING. OPTIONAL CONTRACTOR ARBITRATION AGREEMENT The contractor and 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 Cons er Affairs and Business Reg ations and the consumer shall be requir u it to such arbitration approved in MGL C.142A. Contractor Homeowne Notice: The i natures of the parties above apply o to th greement of the . parties to ternate 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 6 Materials or Lgbor To Be d Home y ow r(s) Q w S ke fs e Cer IF CONTRACTOR IS DOING WORK FOR WHICH CONSTRUCTION-REIATID PERMITS ARE REQUIRED, THE CONTRACTOR MUST OBTAIN THOSE PERMITS FOR THE HOMIDWNE:R. HOMEOWNERS WHO OBTAIN THOR OWN PERMITS FOR THAT WORK CANNOT MAKE CLAIMS TO THE GUARANTY RJNC 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 obtaE the following permits: Building Demolition Plumbing Electrical Gas Other_(Describe) Total Contact Price { in dollars and written out in words) +k Do%vnpa}•ment Qf$ © must be pai�1%v hi s date H + 7-D 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 2 Schedule of Remaining Payments: Amount At What Point -- _y 33? -7 G 3 g -e Description of Any Warranties By Contractor. Description Of Any Lien Or Security Interest In The Residence As Pare 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 S10,000 IF THEY ARE UNABLE TO COLLECT THOSE LOSES FROM TH13R CONTRACTORS.FOR INFORMATION ABOUT ARBITRATION AND THE GUARANTY FUND,CONTACT THE EKECUTIVE OFFICE OF CONSUMER AFFAIRS (617) 727-7780 HOME IMPROVEMENT CONTRACT This is th mplete agreement between the contractor and the homeowner made on this date '9 261�( Name of Cont r ctor: �� C Foe? Address% i_'I /k<-- ( may not be a post office box) Telephone Number. Name of Salesperson (if any) -- CG r�� r'1 k1n AS OF JULY 1, 1992, AIL HOME 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 �yc�� d C a 01(f i1a I ��1 IIOMIEOWNERs WHO DEAL WITH UNREGISTERED CONTRACTORS CANNOT OBLIGETHENI TO GO TO ARBITRATION AND CANNOT MAKE CLAIMS TO THE GUARANTY FUND UNDER THE HOME IMPROVEMENT LAW. Names) of Homeowners) 1 2 a�, - UK k 10,y Vvi Address -Z G t ac- n Home Telephone:` Work Telephone: Date Work Will Begin: 9 22 Date Work Will Be Substantially Completed: I0 :,o .,. 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 del;}•s 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. Descri tion pf Work byContra ctor: �i i t i h h �� ��•. v i is � I '' CMG" • h rir w nex— owe rl u J r a �dg r • :• a � � nti r Q,44 d %a c- eu G Prxrd :r C, 1 cc JASi rurt . J } City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: r� cjj Ak The debris will be transported by: The debris will be received by: l A Building permit number: Name of Permit Applicant Date Signature of Permit Applicant City of Northampton K' 7 Sss Massachusetts .�`': " 41 DEPARTMENT OF BUILDING INSPECTIONSy ; 212 Main Street • Municipal Building Jf 'bti Northampton, MA 01060 ss�ryYL�� INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 2 ' Please Print Legibly Name (Business/Organization/Indivi dual): Address:_ dL .�Y 17J 1) I� A ��• � )0� /�� p)o6 D City/State/Zip: Phone #: 1 j r Are you an employer? Check the appropriate box: Type of project(required): 1.El I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time),* have hired the sub-contractors 6 E]New construction 2'.'�I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' insurance. 9. E] Building addition comp.[No workers' comp. insurance required.] 5. ❑ We are:a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. � ' per MGL o workers comp. right of exemption p y p 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify uvwer the and penalties ofperjury that the information provided above is tr a and correct. Signature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder License Number Address Expiration Date Signature Telephone Not Applicable £ 9 Re istered Home Im'Fovement Contractor. __ „.._ Company Name Registration Number Address Expiration Date 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:-'Ho-me Owner;Egemption 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 and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing EJ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [[--3] Decks Siding [0] Other[[3] Brief Description of Proposed d S L f Work: C A tS T Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa.'If Newhouse and or addition fo existing housing, complete the following: 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 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 f�- l-e "n A/J rre J �f� as Owner of the subject property hereby authorize Tc- F, ^V1 to a n y behalf, in all atters a ti a to w rk authorized by this building permit application. Si ture of Ow r' t I /ri A/ 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 ner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To'tncomplete Information 1} ' Existing Proposed Required by Zo g:' } Thisrctlumn to bg' 17t by 1 Buil 'ng DIpartment 11 Lot Size I ' li Frontage __._�----- Setbacks Front Side L:= R:= L:= R:= i Rear ___... Building Height Bldg.Square Footage Open Space Footage % (Lot area minus bIdg&paved � parking) #of Parking Spaces Fill: sf (volume&Location) ! - A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW Q YES IF YES, date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES 0 IF YES: enter Book Page I and/or Document#E i B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: ! 1 D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type and location: 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. D J� '� r Department use only '� of Northampton S#atus,ofRrmrt " ing DepartmentEP 12 22 Main Street SewerlSepticAvaifabll�ty Room 100 bing mpton, MA 01060 Twa Sets Northam ", 7-1240 Fax 413-587-1272 P[of/Site Plans 1 . Other:.Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed byo ffice v�� �� Map Lot Unit /I/`-t 01060 zone overlay Disfrrct Elm St,;Distnct:! CB::Distnct = - SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name Print) Current Mailing Address: Telephone Sig ture 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant j 1. Building ,t� f0 0 (a) Building Permit Fee l 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 (p This Section For Official'Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspec tor'of Buildings Date File#BP-2015-0332 APPLICANT/CONTACT PERSON JAMES FINN ADDRESS/PHONE 21 HENRY ST NORTHAMPTON (413)584-4566 Q PROPERTY LOCATION 24-26 ORCHARD ST MAP 25C PARCEL 166 001 ZONE URB(100)/ .� THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid A AD Typeof Construction: FINISH DECK&STIARS New Construction Non Structural interior renovations Addition to Existing ' Accesso1y Structure Buildine Plans Included: Owner/Statement or License 88014 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR TION PRESENTED: pproved 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 Commission Permit DPW Storm Water Management olition Delay Sig re 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. 24 -26 ORCHARD ST BP-2015-0332 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C- 166 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-0332 Project# JS-2013-001538 Est. Cost: $19500.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES FINN 88014 Lot Size(sq. ft.): 8581.32 Owner: KONHEIM ALEXANDER CARL Zoning: URB(100)/ Applicant. JAMES FINN AT. 24 - 26 ORCHARD ST Applicant Address: Phone: Insurance: 21 HENRY ST (413) 584-4566 () NORTHAMPTON MA01 060 ISSUED ON:912412014 0:00:00 TO PERFORM THE FOLLOWING WORK:FINISH DECK & STIARS(cable rail per manufacturer specs 4" sphere rule applies) 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• Date Paid: Amount: Building 9/24/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner