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17C-023 (4)
May, 5. 2015 HIM Eagle Crest Property W. No. 269*2 Y. I FlnylVinyl,Ino. 413-592-2338 p.2 # A=Aff HIM WrO Page Na. .J- of ' � Pages CHOICE wArAff" WNW � PROPOSAL MINER 33 Gratten Simi: All home improvement co►7ifaclors and subcon'traclors CHICOPEE,MAD]020 engaged In home Improvement contracting, unless IRS)952-2376 specifleally exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with Submitted the Commonwealth of Mosse6huretts. Inqulrlae about Ta Peter Shebf k-owner- 0013igle Crest reglatrotlon and atafue should be fltade to the director, Home Improvement Contract Registraaoft,One Ashburton 'Eagio Rest.1!mPeTtyMtutagemant Place,Room 1301,Boston,MA 02108 (8117)72?-8$98 ownem who secure their own conatrucllon related permits or deal with unreglatorad contractors will be excluded from the Guaranty fund Provision of Attu.Katie Greene MOIL a.142A. F"ONfr DATE 1101111 AMONNOL -119653 CT-REG.N0.0061S40 413-256-3442 5/4(15 UCrNSE N0. -0W12 Jpg 1'"RIC!NQ Joe LOMION flex 413-253-0799 1-3 XK ng q yo�Northemtoa Ma 01061 wt hcreby subma apecgcae m and eadalelu lertwric to be parlormed end metaflett to be used:?,M/— L Install 3/$pealboud xplig insulation es a backer. 2, vinyl Ade house thing Mastic ovation victorlan gmy D4 vinyl siding,Lifetime Warranty. 3, Insrall while trsditiocat and regular corner post& 4. J-Blocks for all lilt fixhues,faucet%6l dryar vents, 5, No gable vents. 6. Wrap all firers QLiW)JD vW"wn1nuo l cell. 7. Wrap all windows doors in white aluminum coil,Anderson Head. 8. Use white center-vent soffit under all overhangs, 9. White gutters&downspouts. 10. No shutters, I I Strip sbake ealy off of hollse using a duropster on lbe jobsite, 12.Install two*nine SlmoatoaAs=white double bung vplyl replacement windows as fbilows:Lifetime Warranty Low-a gloss,argon gas,half screens, 13.Iuslall seven Mercury two late white sliding basament wfndo►vo-Lifuumo waaranty 14.Instal)five Thema tzu 6 parml fitrergtass doors with nichael locks and doabolm WURK SCHEDULE .._ .._.. ... . Conlrschie w'd nai bogh Ike wok of o►der ale nt9Ndals lalole lha I10fd coy tdbvdop the slgnino of We 47eeetotlt,VFJMC spaued heron nlPdng-ContmW vtt begin Iho wadi m or shout a w*Vnb from datool alrning eating dalay cawed by dreu,YttaMea beyOrW Co*1aelaf$c AVQk ere wok eNtbe zvmpleled vew 1 veal holm data ol:TgNne.the ownw hwebr eeKnwrtadaoa and ayts"Ost the am"" are apptwUm10 and n1al3uth Ours ettt arerpisvddabte OV ihewnuab'sh7pnq be corgldoad ea vbgJons of It"Agteefnenl. WARRANTY The COn7e0I&e6rtanls gist Ore wn t Nmished hereurdae shall be fee kern deleclt In nregttai end%z*mensNp far a peeled el eM rasr.1 bokrp cmnpletlan and stray a w0y aria the requ4omenia d Inla AgmirraM,in The event any Oared tr wederoanchip or Malefial3.or damapa abused by*a Ca traeW Na euUmrkadam employees et.genik it dlceovered i0th ens yos-altor co"1411en of any lee.indedno clean*the Contecter seat of his win expanse,blhoith mmody repay,toned,esplaoe,ofceuae to be rerm"act leesired,or rep head. such damage a tish doled n molonats at narltmandra.7110 lefegd ap Ma mOuS eeeasurafva a fecal of slate VAPeetlob We PropoSa hereby to furt,lsh material and labor,complete to accordance with above.spedtloatlons,for the sum of Tbfrty Nine Thousand Etgb Rundred and Twenty and 001100 donors($ 39820.00 ) P4ment to be made at=felows;A Ifnanoe Outgo of 1'h%per month(1876 per annum)will be t halpad on U*a d 5alanc6& In sddlllonal Ihersto.In the evens that IN*matter is placed in the hands of an aaomay or collection agency,the gwner hersln shall be m6pon6lble for reasonable attorneys lees,oogodlen cools,owd costa,and other Cost or lees assodated rATh the eeasoven of any mAdaTding balampa hero. (a� May. 5. 2015 11 : 31AM Eagle Crest Property Mgt. No. 2692 P. 2 Pane No, a o 'a`Z —2-0/- ($13110.11)Upon stgriing Contract; John W.Wait IFtnyf Vinyl Inc. (2) HOPI:I CGdwckOOjiaaWd N OW MAI 33 upon oormleilon otfiaterials delivered 33 Grattan street Beal[6N6{D (e10 )upon Compiolion o10 Chicopee,MA 03020 oty/S;aN 14 ($13S40.001 shall be made brevAth upon lolal 692437r, 46.1216510 completion of work under this coniracl. Phone reoerolior� Nollco, No agreement for home Improvement DDAIWOng Work 61181 require a John W. alz or Timothy A Welz or Tayry L Messier down pa9mtont(adwnoe depoait)of more than one-third of the total eoatmet ptloe NMN°or %r M+n.pis:as;Nwn 8rM°e1 satiWi!oon orthe total amount of at daposiis oT payments%vhioh the contrwor must make.In t wrs advance,to order and/or otherwise obtain ddvwy of spedat osier materials and equtpms").MNdW0Lemeura]a rgemg KV.1h16 pro vc°°I6v/beeWatberrl L2IiAawwWWA6 aq . Acceptance of Proposal I have read both srdeo of this document and accept the Woes,speciricapona and conditions stated.I understand Ofil upon signing,this proposal becomes a binding conirect.You are authorized to do the worts as spedried. Pent will be mrde as outtlned above. You,ttte Ruyer,may camel this tratls&ctiatl at tiny time prior to Imldnight of the thlvd bualnoas day sitter the date of this transaction.Cancellation must be done in writing, 00 NOT�S/I(G[N�iTTHIS CONTRACT IF THERE ARE ANY BLANK SPACES. oil* IMPORTANT INFORMATION ON SACK i ZbA The CO ra atteIW2rN a, 'Mauro IIJIUM ofLwbMMWAc QOke ofbrgm%wdpw bW W=kAiStb�freet fox,MA 92111 wfa�ma�,�/aria A Vorkers' Compensnft u Im«rance Affidsvift BuddenfContractaa 0%eb idEawiPl umbers AA. g.l MM Igformstioa > Print Le ibiY Name Ad&ew: 3-5- G-rdlu St.— Cityl8tate%Tip: C ifQONQ, M A 01 020 Phone#. 1413— -59Z- 4�7 Y A—W Ka Boa emplo"rT Ch"k tow Type of preimt(required): � 1.j `i I am a Maya with 4.XJ I am a V=ral eou =*x and I 6. [�New coaftictim C mpiayees(fill=War pert-tie}" �otve lead sire sub-c�4ta�ots 2.Q,I am solo pr a r o potoer Iited on the Madaed abed.s T. ❑Rawde tig s hip and lave no employees Tbew ,rettacw s,hum S. Q Demolition v raddng tier me in any capac4. -Markew camp.i80KNI . 9. qo wadwM' k aarawe S. ❑ we are a oarp�me- and ks r .� o$iuets bars aaoet+eised their 10.0 Elec6riral rqsrs or additions 3.0 I am a bnmwwner daing ala wank 11.0 Plamabng tgaa rs ar additions n tyseaf[No wodc+ers' c UZ$]( ewe hne iaa IZ.O ftepors { u oxame mqt»red j t ° ° ° 13. Qther r ll1• � . a�eie s t�sac 1Fi sent abo flB oa Ar:neerFon TlakiwsLerrirE agit I I I'M poiiey Itia�e t wfio sebna this orit asa ail a ssd ale oettide caanaaoss sent se6r�;t s seer s ied sscis =Gee�eockas.�eRr3ectfiisbaamtataWe�edsaadditiaortisl�eets�awi�il�ea®ROft�e �eeida+rworiers'oasep-P�F I am m expbyw#kokpesr ►wariwx'a 1at,j6rmy empipyam .&ow is AepWky mdfMi she Wonw tit. Irl811Ta1M v COmparay Name:_y,____ - — Policy h or Sel€inL Tae#: Eli Date: Job Site Address: Ckylstaterdr-ip. Aft 9b;;a CM of ft woviwW eoaepa ativa pelky decimtioa pW(sbowbg the po&y■iaasber asd espiratim date). PaO"1 n sum tie as mad uOft Soctioa 25A dMM C. M tray ind to the ivebi i of a dmW pwnWws of a fine rap I o SI,Sf.00 eaad/or one-yew k4wbumenw,as trod as"penvies in dw fam of a ffop WORK ORDER and a fine Of up to SM 09 a dnY SPitvt the vnlalor. Be arlvbad that a CON of h afahumat may be fan aarded to the Office of Inveft moss of dw DIA for kounave covenN o vari6cotioo. Ida Aw rby a wo we ands ofFG rfi wyAw*e60 1 W*4 pi»r aiawertr ixe mlprmar. —--- Dale• 16C.Mott W aw va*. DO mW WAV br�a►+ ,rw be cetap4&d by edq►.r,avarrr�'i I F air Town' rwud l jeewae d n d of Bed* Z..�! � CWrowa L" e t &MW*rk d b gwciwr I PIMMbig ilispedw ker ict Pairaoa• py�� ix-A SEtlllt 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: ' S�'�li,,0 L J c.J oz,/`z--- /� License Num+b�erC� (2 � J�I'��.l �VL y G J,,2 .P 2 4 C9/0„�G1 J—/a Address Expiration Date Signature Telephone 11 Not Applicable ❑ Company Nalne Registration Number Address Expiration Date (•, -e. a o L v Telephone I' P_�L S/k l©lal l i h1 f fkFt IVA- T Mal— 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...... ❑. 5 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 15'3 (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 v New House ❑ Addition ❑ Replacement endows Alteration(s)❑ Roofing ❑ . Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding[/x' Other[ ] Brief Description of Proposed Work: /ki IV_ L 4tI LA) a r- - 0✓` �' Alteration of existing bedroom Yes f-'�No Adding new bedroom Yes c/No Attached Narrative O Renovating unfinished basement Yes _No Plans Attached Roll O•Sheet D a. Use of building:One Family Two Family LI/ 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. fioodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations?. Yes No . 1. Septic Tank City Sewer Private well City water Supply 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 ,> k VX. ( � Ln}' e-C, `Z.�- 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. 1 Signed under the pains and penalties of perjury. Print Na Signa re of Owner Agent Date 1- 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 y� 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: c _ - City of Northampton a Building Department 212 Main Street jj Room 100 �--- aecu� thampton, MA 01060 ,�- E.lectrl� 587.1240 Fax 413-587-1272 Ncr1h�::nptoi�. APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE iNFORMATION This sectionto be compFete byµoff�c "" 1.1 Property Address: AV OP I c;.a li ar (�roG•C- Zone ° ` a`� `:, Overly " �strt rc � EIm,St�Distr�ctCB Dis rict SECTION 2 `PROPERTY OWNERSHIP/AUTHOAIZED"AGENT 2.1 Owner of Record: �.e � zr ZL ('(� frcq �v!`el e ,1,4 act. Sv�e C Name(Print) Current Mailing Address: Telephone Signature _ 2.2 Authorized Agent: vt y r" C- 3 3 �'r4 fC, -z S'F C C-L vf• s face ,fir c« , �' 7- CL, mac--) Name(P int) Current Mailin" Address: t ? , Y- Cr46 2 Sign- re Telephone S TLON-:3 ESTIMATED CONS'T:RUCI'ION"COSTS Item Estimated Cost(Dollars) to be Official Use"Only completed by ermit applicant 1. Building (a) Building Permit t-ee 2. Ele c.rical (b) E=stimated Total Cost of Construction from "6 3. Plumbing Building Permit fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) e).. 0 6 Check Number / O Ell This Section For Official Use Only Building Perrhit"Number: Date Issued; ( "Signature: — Building Comm issioner/Inspector"of Buildings Date 1-3 KING AVE-7 BARDWELL ST BP-2015-1342 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-023 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:_replacementwindows/siding BUILDING PERMIT Permit# BP-2015-1342 Protect# JS-2015-002446 Est.Cost: $39820.00 Fee: $70.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN WALZ 060612 Lot Size(sq. ft.): 17119.08 Owner: SHEBEK PETER M JR MAIL TO:EAGLE CREST Zoning. URB(100) Applicant: JOHN WALZ AT. 1-3 KING AVE - 7 BARDWELL ST Applicant Address: Phone: Insurance: 66 Bray Street (413) 592-2376 Workers Compensation CHICOPEEMA01020 ISSUED ON.612212015 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL VINYL SIDING & REPLACEMENT WINDOWS 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 6/22/2015 0:00:00 $70.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner