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24C-156 (2) NOTICE OF SCHEDULE CHANGES The Contractor agrees that when delays become known to the Contractor, the Contractor will advise the Owner as soon as is reasonable, DELAYS IN COMPLETION DUE TO HIDDEN CONDITIONS The Owner hereby acknowledges and agrees that in certain remodeling work, the demolition of portions of the pre-existing structure may reveal additional defects, conditions or the need for additional work, which must be repaired, altered or carried out in order to commence or to complete the work described under the contract. In such case(s), the Owner agrees that the duration of the work and the scheduled date of comple- tion may differ from the date stated on the front, and that such variation which is not avoidable by the Contractor shall not be considered to be a violation of this contract. ADDITIONAL WARRANTY INFORMATION All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers warranties, the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. The warranty gives the Owner specific legal rights, and Owner may also have other rights which vary from state to state. Under Massachusetts law, sales of goods carry an implied warranty of merchantability and fit- ness for a particular purpose. All material is guaranteed to be as specified. All work to be completed fin a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be exe- cuted only upon written orders, and will become an extra charge over the estimate. All agreements contin- gent upon strikes, accidents or delays beyond our control. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor, and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workman- like manner. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Payment Section (front) for'Or the reason that he deems himself or the payments to be insecure. If, however, he deems himself to be 'insecure, he may require, as a prerequisite to continuing the work described herein, that the balance or the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. INSURANCE contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees, or his subcontractors in the performance of, or as a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury, CONSTRUCTION RELATED PERMIT ACQUISITION 'Fhe Contractor under provisions of Chapter 142A or the General Laws is required to apply for and obtain all ­onstrucfion reiatf_-;d Dermits, The Contractor shall not be deemed responsible for delays in the work in `.his agree mein caused by regulatory, permit granting or inspectional agencies, agencies, _,­ifies cr individuals, Notice: It the Owner obtains his own con structi on-re fated permits for the work described under this agreement, the Owner is hereby advised that in the event of a dispute, judgment and nonpayment of the contractor, the Owner will not be entitled to make a ciaim- to or collection from the guaranty fund established by Chapter 142A.. M.G.L, Mi 0 D-F-K-W" t ­_,Jmo 'hc A,s.,. .xd.,;==.0 reia,019 t(."", "J r j j on"k, r, owever, by Owr ai 4',J Uanne ap pj '0 'J 4 F v EXE J ng" advised 'Maf hrc,,, shou!d not sign this Agreement i- mess, and until 4A.' b! 0;­ P-na,0 ­d, void, deieted or not applicabie� and until ail exhibits z rel,-ilk- herein iG F, "-"7 i­'�, 1Q, n t 11-i-"at 'neorporated, are attached hereto. V, c nt' r>v e­- d bs,�, 'he IL.....-r,,A,, mri Sadl.,tIlsetts- It rn,,,_�,st be executed r di_v.cate, a-� an -Yiv­,,:,,i No �,.-York under t'he shal r py ,�r, 4_0 ve 0 h anri Owner of a -,x,-) y t'ho- h Qt : A FrEPIN#200FING & SIDING CO. Page No. of i Pages MAWIC 4 54 West t Street PROPOSAL EASTHAMPTON, MA 01027 All home improvement contractors and subcontractors 527-3640 engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Submitted . , Chapter 142A of the general laws, must be registered with To: +�v t `�cam!`t vti` `h1��. _ - the Commonwealth of Massachusetts. Inquiries about v registration and status should be made to the Director, ( V Home Improvement Contract Registration, One Ashburton A 'Xi Place, Room 1301, Boston, MA 02108 (617) 727-85981 JOB NAME/NO. I\1\ PHONE DATE JOB LOCATION ARCHITECT DATE \ p DATE OF PLANS > i l J l 4't -kL. U �s We hereby submit specifications and estimates for work to be performed and materials to be used: t Construction related permits \ } i { I, 1 7 gi WORK SCHED LE Con tractor,y 1 1*egin the work or order the materials before the third day following the signing of this Agreement unless specified herein wr'tiRng. o actor will begin the work on or about U' (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by J (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 considere as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in material and workmanship for a period of ;t� 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 subco ractors,employees or agents,is discovered within one year after completion of any job,including clean up,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. j We Propose hereby to furnis i material and labor —complete in accordance with above specifications, for the sum ofd. j SP�I�e-n� �Y1f�(,t �,�P�'� ( 0 t� 1 �.�v" dollars($ Payment to be made as follows: % Gb ( )upon signing Contract; f\, V Name of Ctractor/Designated Registrant 'V ($ )upon completion of Street Address %($ )upon completion of <_-)<\ k. to •.R t �1'-L f�i� j ri i _ � :•`� Q City/State Pho e ($ \`gip )shall be made forewith upon \ 3 -7 i:'`'' completion of work under this contract. Registration No Social Security No. Notice: No agreement for home improvement contracting work shall require a down Nam ov tJl f 7essman payment (advance deposit) of more than one-third of the total contract price or the a 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 equipment, A orized Signature whichever amount is greater. N e:This proposal may be withdrawn by us if not accepted within days. Acceptance of Proposal I have read both sides of this document 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. Dye/O_NOT SIGRTHIS CONTRA�T IF THERE ARE ANY BL�rNK SPACES. d f' t Date { 't Ir Signature °� Signature Date�^ � °` ��'� I RTANT INFORMATION ON BACK Lzf-g of Warthamptan DEPARTMENT OF BUILDING INSPECTIONS /? INSPECTOR 212 Main Street * Municipal Building s Northunpton, MA 01060 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 sups:_-,-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 � �•C 1tA�•fpT , _j'� Q J E t}1 L�anr3lrtcc(fa' — u DEPARTMENT OP BUILDrNG INSPCCrl01.'S 212 Train Strcct Municipal Building Northampton, Mass. 01060 i WOMCER'S COiYII'ENSATTON MSURA-NCE AFFIDAY17' i o (li ccvs.^cJpczm�tTcc) vrILL a principal place of businesr/residencc at- (pnone..) 3 i (sar...t/c�t •/staicf�p) do hereby cerdfj,. under dlc.palns and penalties of perJu-ry.; .hat r - ( ) I am an employer providing die follo%vint; �vorkcr's coinpcnsatio, coverage Lor Iny elnpiovecs worUng on this job: l (Lasu-rmcc Comr.al) (Pcliccr NtL=�_r) -- (r:•pir<tior, Dzlr / } I a a sole proprietor, general contractor or homeowner (c cie one ) and have hir \ l the com ntractors listed below crho hive the following worker's comp_-n axon pokie ([+IISIl: Oi Con`^Ci0'1 (In-s-ufalic-c Compa�1). l�otrci I'ALMCC:) Datc) j (Name of Coomaor) (lnsunnc: Comoa.awPoucy \um-zr) (-Expirz6oa Dare) f (Name of Connaclo;) (Insurance Com pan)/PoUq- Numb,--[) (ExpLim6oa Daic) (Name of Contractor) (Insurance COmraay/PoUcy Numbcr) (E\ptnaoo Datn). (a2a .u-,:-ocal rbca.if ncrts..ry to mc!v�iaformia oa pcsaiaiag to.11 _c.o:s) - _ ` am a sole proprietor and have no one wor dng for me. ( ) I am,a home owner performing all the work myself. NOTE:plese be eP irC"I'k{ ]e 6cmcnwvcn wbo aaploy pezonr to d:) - c=—zce oa a igair,.cork on.d..c --Z of a.oe coact the LITOc vita is%%-t is t the bamoo ocr raids a cc the U.Qunces zppLUtco:rl tbecn s,ooe Coeeliy oeesid=cd to be e-ploye-s uar a the koci cs s C=P,--•.,;on Ace(GLI52s l(S)�:pptic=ao by a hommova fcr--bc _or pcmit rty e rdco=Ebc Icgs1 a ..of ea-=loyer wader din Compeo�r Ad I uadasraad that a.oopy of tbu au_m oaa.y bo for-+--d d to the D p-, cot of Indaasriar,u.,aA— Offioo of lrur�noe for tb- covcad^c YG i('cclioa aad tltu r_um to tcrarrc Fovr��t�.cr sactiotz 25A of h(GL 152 cna led to the i=positioa of cimiasl pcca W= eoosira of L riot or up to S I}00.00 artQfor and of up to ooc yezr end aNil pamo-ja is t5c Corm of a stop WorE Ordcr Lad a rim 0(-7100.W L d_y Lpti=me �^'... ' For dcq,rta,�•�u,c only j S' Wr-C Pcrmit NumtLot of Lic=scclPcnniucc e F;' r SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone 9�Re Sere""ilfforrie tFi1 touemenCoitctacw ' ° Not Applicable .❑ �0 t O Comnany Name Q Registration Number Address L Expiration Date d A'4 Telephone 4.3� SECTION 10-,WORKERS'COMPENSATION INSURANCEAFFIDAI/IT(M:G:L.c.152,5-25C(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...... Ll 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 � e SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition E] Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [tom] Decks [C] Siding[0] Other[[J] Brief Description of Proposed ` i Work: C O �XISi lit �'�� c��SQ Alteration of existing bedroom Yes No dding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a ev ions a d v �dl�call�� a.,e>e f�ngh 0 sl 'i p of cav��lM 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 Crriservation 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 SECTION7a,-OWNERAUTHORIZATION.-TOBE'CCMP.LETED WHEN OWNERS AGE T QR CONTk?AC OE APt?LIES FOR BUI DING:P.ERMIT 1, 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 I, e 11 i)d �i�� ,as Owner/Authorized Agent heMby declare that the statem s and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties(fperjury. ­%1 Print Na a Sigriat re of Owner/Agent Date .- Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete 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 0 DON'T KNOW 0 YES 0 IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page! and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO Q 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 Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. GI ofi Northampton titsvit`� �E � � 9-IMina Department urb OeltlF7faue�eia a ��x ` 212 Main Street 0 :c7Prwe° 4' El tit }�,"': ac"xw ks. '" f Opm 100 tE as ' at-a r �o 20rthar Toon, MA 01060 phone 413-587 i-1240 Fax 413-587-1272te Ptart� � J C APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SI.T,E`INFORMATION 1.1 Property Address: This sectrorr to pe com Cued 6g office S r (�cc) �y��,il � 1 Map Lot ltnit a .r C�\Vi J'1G� 2 ome Overfa Drstncf EI> f-Distrucb —MOWtEtcf SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AdENT; 2.1 Owner of Record: Name(Print) Current Mailing Addres : Telephone Signature 2.2 Authorized Agent: Nam Pri )� Current Mailing Address: L. t3 X111, - Sig ture Telephone GTION 3-ESTIMATED,-CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by per it applicant 1. Building L� (a-)-Building Permit Fee 2. Electrical (b):Estimated Total Cost'of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+ 5) Check Number This:,Sec ion rFor,Official Use Only Daie Building Permit Issued: Signature: Building Commissioner/inspector of Buildings Date , ,ti; .ST BP-2007-0270 G1S#: COMMONWEALTH OF MASSACHUSETTS .r r,24C- 156 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2007-0270 Project# JS-2007-000406 Est. Cost: $7000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Pepin Roofing & Siding Co 107104 Lot Size(sq. ft.): 34194.60 Owner: VOLKMAN FRANCES C Zoning: URB Applicant: Pepin Roofing & Siding Co AT. 40 ARLINGTON ST Applicant Address: Phone: Insurance: 54 West St (413) 527-3640 EASTHAMPTONMA01027 ISSUED ON:911512006 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & 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: FeeType: Date Paid: Amount: Building 9/15/2006 0:00:00 $25.004792 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo 40 ARLINGTON ST BP-2007-0270 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24C- 156 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-0270 Proiect# JS-2007-000406 Est. Cost: $7000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Pepin Roofing & Siding Co 107104 Lot Size(sg. £t.): 34194.60 Owner: VOLKMAN FRANCES C Zoning: URB Applicant: Pepin Roofing & Siding Co AT: 40 ARLINGTON ST Applicant Address: Phone: Insurance: 54 West St (413) 527-3640 EASTHAMPTONMA01027 ISSUED ON.91IS12006 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & 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: tfi C THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL ONS. c �.� Certificate of Occupancy Si nature: FeeType: Date Paid: Amount: Building 9/15/2006 0:00:00 $25.004792 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo