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17C-035 (3) 13. COWENSATION. That for the consideration named herein, the CONTRACTOR proposes to furnish all the materials and do all the work described in, and in accordance with, this Contract for the sum of Two Thousand Eight Hundred Seventy Five Dollars and no cents($2.875.00) Upon completion of this agreement, the PROGRAM will provide a DPL not in excess of $2,875.00 be applied as final payment for the completed rehabilition work. The balance of 0.00 shall be paid by the OWNERS) to the CONTRACTOR. 14. EFFECTIVE DATE OFAGREEMENT. This AGREEMENT shall not become a Contract binding upon the parties connected until these parties have properly signed this AGREEMENT and the CONTRACTOR for the respective grant has received authorization to proceed. 15. All contract prices are final. They are firm quotes, not estimates. No changes will be allowed on the work as bid unless authorized by the PROGRAM. 16 ALL CONTRACTORS agree to abide by the Material and Performance Standards. 17. This project shall be completed in a time frame of 90 days. Due to the nature of this work, repairing a roof, the weather is a factor to be considered. Q° L �-. / - fir) C) Owner's Signature Date O W �u= Contractor's Signature Date Director—Council on Aging Date That all amounts due and payable by the OWNER to the CONTRACTOR for the work performed shall be payable within a reasonable period of time after the work is satisfactorily completed, inspected and approved by the OWNER and the PROGRAM. As a condition to receiving final payment hereunder the CONTRACTOR shall deliver to the OWNER a warranty covering all work performed hereunder to the effect that such work shall be free from defects arising from the workmanship of the CONTRACTOR or any subcontractor and as to the specified quality of materials used therein,for a one-year period commencing upon completion of this contract. 8. CHANGES. It is agreed by the parties hereto that, after the Contract signing, no changes can be made to the work listed in the Cost Estimate or in any addendum unless approved by an amendment to the contract and endorsed by the OWNER, CONTRACTOR, and the PROGRAM. Any agreement or amendment not signed as heretofore indicated shall be considered null and void. 9. COOPERATION. That the OWNER(S) shall cooperate with the CONTRACTOR to facilitate the performance of the work. The CONTRACTOR shall keep the premises clean and orderly during the course of the work and remove all debris upon completion of the work. Materials and equipment that have been removed or replaced as part of the work shall belong to the CONTRACTOR. 10. The CONTRACTOR shall indemnify and save harmless the OWNER(S)from any and all liability for any injury or damages to persons or property resulting from the prosecution of work under this CONTRACT. The undersigned shall have no claim against the Department of Housing and Urban Development, the city of Northampton or any person acting on behalf of them,for any action taken pursuant hereto to the completion of this contract. However, nothing herein shall be deemed to affect such rights of the aforementioned to lay claim against any CONTRACTOR for breach of contract of for actions otherwise connected with such rehabilitation work. 11. DISPUTES. The PROGRAM shall, within a reasonable time, make decisions on all claims of the OWNER and CONTRACTOR and on all other matters relating to the execution and progress of the work or the interpretation of the Contract Documents. The Program retains the right to interpret contract documents and disputes arising therefrom. All decisions rendered by the PROGRAM hereby shall be final and binding on the OWNER(S) and the CONTRACTOR(S). 12. WORKMANSHIP. The work hereunder by the CONTRACTOR shall be executed as directed by the proposed work items and materials and performance standards in the most sound, workmanlike manner. All materials shall be new unless otherwise expressly set forth in the work specifications. 4� NORTHAMPTONVOM,9 F GING. HOME REPAIR PROGRAMAGREEMENT By and between Marion E. Gannon(Owner) and Ron Mistarka,Mistarka Home Lm provements(Contractor) Whereas the OWNERS)desire to engage the CONTRACTOR to perform certain repair work on the OWNER'S premises, the CONTRACTOR, OWNER, and PROGRAM,for the consideration hereinafter named, agree as follows: 1. LABOR AND MATERIALS The CONTRACTOR agrees to protect, defend, and indemnify the OWNER from any claims for unpaid work, labor, or materials with respect to the Contractor's performance. 2. PERMITS AND CODES. The CONTRACTOR agrees to secure, and pay for all necessary permits and licenses required for Contractor's performance with applicable local codes and requirements, whether or not covered by the specifications and drawings for the work. 3. EQUAL OPPORTUNITY. The CONTRACTOR agrees to provide equal opportunity to all persons, without discrimination as to race, color, creed, religion, national origin, sex, sexual preference, marital status, age and status with regard to public assistance or disability. 4. UNACCEPTABLE RISK. The CONTRACTOR represents that at the time of execution hereof, it is not listed on the Disbarred and Suspendable Contractors list of the U.S. Department of Housing and Urban Development. S_ LIST OFIMPROVF.MF,NTS. The CONTRACTOR acknowledges that he has reviewed the list of the Proposed Work Items (attached herein)and that such list is accurate and consistent as to scope of work, Contractor's proposal and the work which the Contractor will undertake. b. SUBCONTRACTORS. The CONTRACTOR agrees that all the warranties contained herein shall apply to all work performed under the Contract including that performed by subcontractors. 7. METHOD OFPAYMENT. The CONTRACTOR may make application for payment as soon as work has been completed. Final payment shall include the releases of any liens by subcontractors, laborers, and/or material suppliers. Upon approval of the completed rehabilitation by the OWNER and the PROGRAM, the contract shall be paid in full, except for an amount equal to 10%of which will be held for 30 days after completion of the work unless waived by the PROGRAM. Acceptance offinal payment by the CONTRACTOR shall constitute warranty by the said contractor that any and all mechanic's liens arising from this contract have been released. ��tiAMp O B �a53ACl(tI5[tt6, e DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 ' WORKER'S COMPENSATION INSURANCE 'MAVIT (licenserJpermittee) with a principal place of business/residence at: O Old Off_ — ���`1 {phon # e ) _f 71 (street/ci ty/stakJa p) do hereby certify, under the pains and penalties of pegury, that: O I am an employer providing the following worker's compensation coverage for my employees working on this job. (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hire the contractors fisted below who have the following worker's compensation policies: (Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date) *r. (Name of Contractor) (Insurance Compairy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Dale) (Name of Contractor) (Lnsuraace Company/Policy Number) (Expiration Date) (attach additiccal shoot ifmcuzrry to include information paYnining to all contractors) 0+4 am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be await that while hoaxownctz who employ pusom to do msiatmnncS c=str=oa or repair work on a dwelling of not moon than throo units in N t ch the homoowucr rc=d,=or on the grouad3 appurtenant thacw arc not genwally ooandcrcd to be cmploy+cra under the wnr(ccts a mperos4oa Ad(GL152,a 1(5)�application by n homcowns for a liccnsc o[PaIdd may cvidcnoc the legal dnhu of an employer under the Workcet Compomaiioa Aci I uadadand tmai a copy of thu rim temcw may be forwarded to the De.A...i of bodzuhial A'C6&.&Of5oo of Inaurznoo for tho coverage vaificatioa and that fad=to aeattt coverage under scctioa 25A of MOL 152 can lead to tba imposition of criminal patalties oomistmg of a fmc of up to S 1,500.00 and/or imprisoamcnt of up to one year and civil pemltia is the form of a Stop Work Order and a fim of 5100.00 a day against mw For dgtrstX'WW uao only Permit Number "C T&P,y Lot# 0 8.1 Licensed Construction//Su ervisor, Not Applicable ❑ Name of License Holder : l�d AA ell License Num r If/10cg-.,( ,-T C9 A ress Expiration Date n& S' nature Telephone Re a:e om ' m r' .emen .0 ntractor R . Not Applicable ❑ u CO pan Name Registration Number Fr_��_ev, A-/ �p�� LP Address Exp r tion Date Telephone 5 7 `J �2 f SECTION 10 WORKERS',COMPENSA,TION 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 of 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)fan and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner 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 th 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 homeowne Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall 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 t, Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for pers 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 { TTON - SC, PT10 :10PR'OPOSED c c I ica New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing h- Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: �r s7 z Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑- Sheet D s� 1f Vep+w" hou e or adtlitORM-0- RAM—RU ous'in>?compl:et-e th-effo lowing: 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? 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_ 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 ECTONaWNEf? U #IORIZATfON TOBE COMPETED WHEN M1IN'ERS ENTOt CONRACT�RAPPLI�� FQRBU]Lbl1G:PEf2M1T as Owner of the subject prc hereby authorize to my behalf, in all matters relative to work authorized by this building permit application. "Signalurener Date as Owner/Authorized Agen 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. ✓(/©� Z Print Name 3�gnatur 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 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 t 212 Main Street e r -efaj Room 100 a °e Northampton, MA 01060 phone 413.587.1240 Fax 413-587-1272 " ,'e APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING .......__.................. ....... . .. .. . .. SECTION51-SITE LNF;ORMATION This section�tobe completed by�off►ce 1.1 Pro ert A re ' Map ° 3 Loota UnSt °� r0verlay`DIstrict a �� Elm•St. District CB District SECTION,2 -PROPERTY OWNERS HIPIAUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Am a&1 11 � � jam-e�' A/ Name(Print) �) Current Mailing Address: nature Telephone SECTION 3 - EST(MATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Qnly completed by ermit applicant 1. Building (a) Building Permit t4 2. Electrical . (b) Estimated Total Cost of Constructidn,fro =, 6 m 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) Check,Number This Section For Official UseDi7l 13uticltng=PeCmtt�ltzmber Datelssued S� nature Bullding,"om issionerJlnspector of Bu.ild�ngs.:' bate •, NORTH MAPLE.ST .qr BP-2002-0663 GIs#: COMMONWEALTH OF MASSACHUSETTS a :Bioch: 17C-035 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category roofing BUILDING PERMIT Permit# BP-2002.0663 Project# JS-2002-1035 Est. Cost: $2875.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ronald Mistarka 118693 Lot Size(sa. ft.): 65340.00 Owner: GAGNON MARION E Zoning:URA Applicant: Ronald Mistarka AT. 109 NORTH MAPLE ST Applicant Address: Phone: Insurance: P O Box 205 (413) 575-1271 NORTHAMPTON MAO 1061 ISSUED ON:1122102 0:00:00 TO PERFORM THE FOLLOWING WORK:ST R I P & SHINGLE ROOF 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 1/22/02 0:00:00 972 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo