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22D-099 (2) 74 RYAN RD BP-2017-0970 GIS 4: COMMONWEALTH OF MASSACHUSETTS Mao:Block:22D-099 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2017-0970 Protect 4 JS-2017-001673 Est.Cost:$27000.00 Fee: $165.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STURDY HOME IMPROVEMENT 093603 Lot Size(sq. ft.): 8407.08 Owner: DENNO MICHAEL J & BRENDA A Zoning: URAp00)/WSP(100)/ Applicant: STURDY HOME IMPROVEMENT AT: 74 RYAN RD Applicant Address: Phone: Insurance: P O BOX 51033 (413) 543-5906 WC INDIAN ORCHARDMA01151 ISSUED ON:3/3/2017 0:00:00 TO PERFORM THE FOLLOWING WORK STRIP 1 LAYER OF SIDING OFF EXISTING HOUSE, INSTALL 17 WINDOWS, BUILD A 6X10 FRONT PORCH 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: FeeTvpe: Date Paid: Amount: Building 3/3/2017 0:00:00 5165.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2017-0970 APPLICANT/CONTACT PERSON STURDY HOME IMPROVEMENT 0 lc ADDR.ESS/PHONE P 0 BOX 51033 INDIAN ORCHARD (413)S43-5906 PROPERTY LOCATION 74 RYAN RD /:,0 1 T� v MAP 22D PARCEL 099 001 ZONE URA(109)/WSP(100)( OVA / w_ +✓V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid `( ((4 V `/' Building Permit Filled out ,}� Fee Paid 4Y �} Tvoegf Construction: STRIP 1 LAYER OF S F EXISTING HOUSE, INSTALL 17 WINDOWS, BUILD A 6X10 FRONT PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building,Plans Included: Owner/Statement or License 093603 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: t Approved 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 I 1 D -i /►I Signature of Building 0 ficial 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. Department use only City of Northampton Status of Permit ( _ Building Department Curb Cut/Driveway Permit t 212 Main Street Sewer/Septic Availability 23 LVa� Room 100 Water/Well Availability It Northampton, MA 01060 Two Sets of Structural Plans .. - phone 413-587-1240 Fax 413-587-1272 PlotSitePlans_ Olb¢r Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 •SITE INFORMATION 1A Prop flv Address: This section to be completed byoffice ., LI itn yc(1 O 4 Map Lot Unit {Br?nre 4.,(AA Zone Overlay District • Elm St.District CS District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 2A Owner of Record: �} .. kit I c'hc utJ l JG_a1 v Q "14 C_�-�(CAA. 4-bacJ. Flores-cc ,t' A Name(Print) CunggnntM3I c(". : 4a?'9g i t ll lelep one Signature 2.2 Authorized Agent: S-K.V1 ..1 {,{crus.,-airttl in&j c' tc . 459 4'rk,1n {r k� SL 13 `.6. .L o.tS i Name(Print) - Current Mailing Address: c`It;J 9-s3 SI el Signature •�• Telephone SECTION 3•ESTIMATED CONSTRUCTION COSTS Rem Estimated Cost(Dollars)to be Official Use Only corn•leted b .,jmit a•Meant 1. Building 6-2bD0 CLt (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 (1 +2+3+4 +5) Vit:,(/r' Check Number /fyir This Section For Official Use Only Building Permit Number: Date Issued' Signature Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING AU Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size I Frontage Setbacks Front . L Side I.: - 12:.. L. R _. Rear _ Building Height Bldg. Square Footage I' % i Open Space Footage _ (Lot area,onus bldg&paved parking) #of Parking Spaces - - (volume&Location) A. Has a�S'pecial Permit/Variance/Finding ever been issued for/on the site? NO lyDONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW ' YES (3 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex ation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House D Addition ❑ Replacement WinjWWs Alteration(s) Roofing in Or Doors � Accessory Bldg. ElDemolition ❑ New Signs OD) Decks Ip Siding(L%a✓ Other(fes Brief Description,of Proposed t , L : ,k Work:5ir1pU)Yl rG.pSe ed3,h u+- - y AO - Work: (.44404044. s/ :1 t.-in:Al-Mi., ar,+t -"Ata'..{ + f r-iyei ,ys; : , -n A- e it l ce'l- pws ItYr(n-`t- Alteration of existing edroom Yes No Adding new bedroom Yes _elle - Attached Narrative Renovating unfinished basement Yes t- . No Plans Attached Roll -Sheet 6a.If New house and or addition to 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? L 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 SewerPrivate well City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 7I ' i/Y Q - ,as Owner of the subject Property -y. hereby authorize 7 (. - �. 0114eint1/LlimitC . ........ to act on my behalf,in all matters rel. Me to work authorized .y this building permit application. Signatureeooff Owner� Date I, .".) `I 'ZYA-Q- • • , • _ - ti- - ,as Owner/Authorized Agent hereby declare at 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. - 1 2k 2 Prime 1111 • 7 Signature of Owner/Agent D.te SECTION 8-CONSTRUCTION SERVICES 8.1 LicopSed Cousteau110'n SSupervlSQr: Not Applicablerb �❑} h Name of License Holder: , l �3+-cA.A.(ek 1 - C.5—eq r'i ,vO3 Q,, / License Numberu )1O rkriviy4 S°:€& `(/1i4(C${ cud- f 7l Li' Address '1 O E_xpvaarian Dalfleee re` e,,.r.G��t�+kT. hone at8-`13R3 . SignaiCe . / Telephone 9.Reg7sstered Home Improvement Contractor: Not Applicable Ci Z11. /..1 6141[..' _ t 1 SA 51'91. 1 Company Na ' . Registration Number LES et 51—fctth` ek)- (aat i7 Address p Expiration Date —Jr [Viii"-i'—/�ef_ha t9. kt- of 1 Telephonj3)9-1V1. 01l0 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(Ma.c-152,§25C(6)) Workers Compensation Insurance affidavit must be cornpleted and submitted with this application,Failure to provide this affidavit will result in the denial of the issuance of the building ermit. Signed Affidavit Attached Yes....... No ❑ 11. — Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 10823.1. Definition of Homeowner:Person(s)who own a parcel of Mod on which heishe resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached stmctnres 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. Asacting Cogstruction Supervisor your presence on the job site will he 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 mOv 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 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: 'I`I \9CLn V-62.0 , The debris will be transported by: (ISA LOe-4e The debris will be received by: LLS1+- j10_6\( Building permit number: Name of Permit Applicant f r('. (mac' rsc--MQ,2.Am p-�mc Date Signature of Permit Applicant dv afd( wN 3 -2 /f 6i4Y 01 •_ampton ------------ ------- d1g 01060 __ ====__ - - - - mo. _., .. ==-=_=-_- I , ::: I. E. ': III�IIInnI�V sosimii.,--- - V T • _ NEW ROOF TO BE UNDER EXISTING FASOIA.-. / i ASPHALT SHINGLES TO --jai -y1]ROOF PITCH T B.P. MATCH EXISTING WI 154 FELT _ FASCIA AND SOFFIT TO MATCH EXISTING'" -2%6 RAFTERS®16'00 In (FRONT ELEVATION 3]X10 HEADER/ _ 244 CEILING JOISTS®16"OC NV VINYL SOFFIT 6%b FT POST PT RAILING AND BAVLSTER �All� .op. 2X6 PT FLOORJOIST5®16"00 32%6 FT FLUSH BEAM---- Imo+ 5/4X6 DECKIN 17"X 46"CONC.COLUMNS W/BIGFOO-r 2%6 PT LEDGER BOLTED fLOOR PLAN - �O55 SECTION ( -- - FRAMING PLAM_ I 7)(6 PT LEDGER BOLTED 1014"X 6 0"COVERED ENTRY ADDITION Rdoi I / - • _ . IDB LOCATION' 79 RYAN RD FLORANCE MA NEW COVERS PORCH - PUN PROVIDED BY I ]X6 PT FLOOR JOISTS®ib'OG STURDY HOME IMPROVEMENT 454 MAIN 5T REUSE EXISTING GRANITE STEP TB D. INDIAN ORCHARD — 16113169/39 + M—_ . 1 '.6" - --j. 37N FLUSH BEAM( '17"%4B"CCNO.COLUMNS VW BIGPOOi VERIFY WIDTH ON JOBSITf 459 Street Toll Free (877)378-8739 �, �r Springfield,Main MA01151e Worcester (508)797-6600 E-mail:HRMiSturdyHome.com Springfield (413)543-5906 www.SturdyHome.com New Haven(203)848-2118 HOME IMPROVEMENT, INC. Fax {413)543-320Q MA REG.#151711 CT REG.#601525 WINDOWS * SIDING • ROOFING a ADDITIONS Name l OPP I (tC f. 2t1, Y l/a -',€/��UKa HomeC9.1- yYr`n � � Business Phone Address nA_ltit IIyA tled o Cell Phone Other TownMity ,�^ Representative date �o tenrriC: /Wig ''SJ n tow i et- e I'. I Lta 1,6 I/we the owner(s)of the premises described hereinafter, referred to as Owner,offer to contract with Sturdy Home Improvement, Inc.hereinafter referred to as Contractor,to furnish,deliver and arrange for installation of ail materials to improve the premises as described below. ' vee No SIDING SCOPE OF WORK: he❑ 1. Contractor to obtain required building permit(see attached permit authorization form) 1,47-2 3_ Family home. git ❑ 2. Provide certificate of insurance for workers compensation,general liability. (see attached certificates). I "" ❑ 3. Keep job site in a clean and orderly manner in a broom swept condition. I3-"❑ 4. Provide job site dumpster,set on planks,to remove job related debris only.Please Note:dumpster for contractors use only.(see dumpster clause). WI 0 5. Provide OSHA approved staging to safely perform work. Q"""❑ 6. Customer to remove all ornamental and personal items away from house,yard and walls outside,etc. a---❑ 7. Strip O layers of siding off existing house. Wood clapboards b Vinyl 0 Cedar Shakes A.---- Stucco 0 Aluminum a Other ❑ (98. Gutter helmets to be removed and reinstalled by others. ❑ el. Remove and dispose of gutters attached with spike ferrule. ❑ (k(0. Remove and reinstall existing gutters strapped to roof. Install straps under shingle over shingles . ❑ Wit Remove and reinstall existing gutters with hidden hangers. Linear feet_ L1+' ❑12. Furnish and install new gutters ALL linear feet,and downspouts .11.4^ (10'lengths). Color 64,41-fin ❑ CCa'la Remove Satellite Dish up to 24"in diameter. Alignment and installation by others. ❑ Mgt Remove and reinstall the following items: t_ 0 Shutters.(see number 16) ❑Doorbell (Mir"' ❑Storm door ['Street numbers Grower meter(power lines to remain,wrap around anchors) ❑Lights (see number 15) � bre- al'ellephone 0 Water meter liable TV lines Dryer vents Ali"'❑14.Install insulation under siding.318 fan fold 0 Tyvek 74 Polar Board_.. .9 High density poly styrene/Green Board_ a'1 Total Squares 7f( gr" ❑15.Install customer provided light fixture on house. Please note additional wiring is not included. Quantity ._ ❑ .install shutters on house.Quantity Color. Louvered Panel ❑ Ern.Extensions of water faucets on the exterior of horns are not Included. Please note if needed,this will be an additional$150.00 each. (9' ❑18.Furnish and install - sid' Color %71 n. gnat Total number of squares S-O,. --. (a - ❑19.Install Corrie . Color IN Act Tr- Style L 3 Q Linear feet O . [1 ❑20.Install /red Light blocks y-dA Dryer vents 11e5 . Water blocks. Color Re JS. , . pts- a41.Porch ceiling to be covered with soffit siding. Total squares --)4 J1 [.("'"❑22. Install J channels around windows and doors. Color_4g+'t& Style ❑ 223.Install vinyl soffit on overhangs. Vent soffit boards prior to installing vented soffit materials. Color G'7 Linear feet a is ❑24.Install aluminum coil stock on fascias on front, rear and sides of house. Color L✓1-, i lr _Linear feet. ,421.-- - . LitrU 25. Install aluminum wraps around ,3 LL window and A-U- door(s). ex 44#/L e e J},.s,-..1- zi 026.Cover Gables End vents with siding to prevent air-flow.(if the the roof is vented with soffit and ridge vents,then gable end vents must be closed in order to qualify for warranty coverage). 10 > 2e-0 27.Owner agrees to cut back or remove any landscaping 18"from house In order for contractor to gain access around perimeter of foundation. 0 28.Addendum(A)=OTHER WORK. Chia 29.Acceptance Page. �s/, j • ❑ ❑30. Work not included: 1. Final cl ayning of windows 2.Any rotted wood(other: !V ' 2U'`ft" ,f las. LU_c4 IrleL�,11 ) e‘")' Pei., Mat Moroi ik +"inti, J. Inititila .. Initials Initials 459 Main Street Toll Free (877)378-8739 Springfield, MA 01151 Worcesterfiel (508)1797-6600 a���D� E-mail: HR urdyHome.co com Springfield (413)543-5906 www.SturdyHome.com New Haven (203)848-2118 Fax (413)543-3200 HOME IMPROVEMENT, INC. WINDOWS • SIDING • ROOFING • ADDITIONS MA REG.#151711 CT REG.#601525 Name ilk i lt rDe KNO Home Phone4r 6 8 48 Business Phone Address Y R N U n , Cell Phone Other Town/City i� h� M11,0.. Representative,� ,/ Date Rt. s-erfcc, IM4 . -To 11 K. Z/p124./i I/we the owner(s)of the premises described hereinafter,referred to as Owner,offer to contract with Sturdy Home Improvement, Inc. hereinafter referred to as Contractor,to furnish,deliver and arrange for installation of all materials to improve the premises as described below. Yes No WINDOW SCOPE OF WORK: 13 ❑ 1. Contractor to obtain required building permit(see attached permit authorization form) 1 ✓2 O 3c) Family home. [•]-' ❑ 2. Provide certificate of insurance for workers compensation,general liability.(see attached certificates). rS ❑ 3. Keep job site in a clean and orderly manner in a broom swept condition. 0"*. ❑ 4. Provide job site dumpster,set on planks, to remove job related debris only. Please Note:dumpster for contractor's use only. (see dumpster clause). 4---❑ 5. Homeowner to remove all personal contents away from all windows as needed in order to install windows. If additional labor is needed at the time in order to remove personal items, a cost assessment will be made at that time. gr U 6. Provide manufacturers warranty on all windows. &' ❑ 7. Remove and dispose of /7 (quantity)windows. ❑ 0 8. Remove and dispose of (quantity)storms. ( ❑ 9. Remove and reinstall stops. Please note:if stops need to be replaced,an additional cost assessment will be made at that time. 0' ❑ 10.Remove and reinstall trim. Please note: if trim needs to be replaced,an additional cost assessment will be made at that time. Please note: The normal process of removing stops and trim on old windows will disturb paint/stains/wood on windows. Sturdy Home Improvement, Inc. will not be held liable for any paint/stain/wood surrounding the opening of any windows. ❑ WT. Remove weights in pockets and dispose. trar✓❑ , 12. Insulate wsies with fiberglass insulation. ly ❑13. Provide all silicone sealant. ❑ al.4. Install aluminum wraps around windows. Quantity 0 Color O . ar ❑ 15. Install new ✓rW(replacement windows. Quantity 1? Manufacturer 0ex/de- goo. ` Model CM?. . Sw cu eatery/. ❑ /'U16. Install new construction windows. Quantity Manufacturer Model ln•M a-c...., ❑ fl❑17. Install bay/bow windows. Vinyl Wood Quantity Manufacturer Model Other zee❑ V• 't 1B. Install new glazing on each window:Low-E Low-E with argon Chere'ewe*/other VAG.c- . ❑ 1l-19. Install grids in each window: 5/8" 0 Colonial style .0 other 0 . GBG © Interior Grids 0 re 0 Brasstone 0 Brushed Nickel O i' Top Sash tr Bottom Sash 0 px+`c.' S4Vic 0^ ❑20. Install new hardware on window. Color t•-[4Y0 . . a ❑21. Provide screens with windows:half screens ~ full screens 0 aluminum 0 fiberglass 0 . art 22. Owner agrees to meet the installer during the hours of 7 AM to 4 PM for final measurements. All final measurements will be made by the installer. Failure to meet with installer will delay the installation of windows. Ir CI 23. Addendum(A)=OTHER WORK. l' ❑24. Acceptance Page ❑ a•{'25. Work not included: 1. Final cleaning of windows 2.Any rotted wood(other: Initials //" Initial454 . Initials Addendum (A) OTHER WORK t' lUuArt 1�-tMece+„t..ol- J w i `1c 05etiia � GTfkea( otrio/lel Awwt-i 7r0 cetuef. k.. 1`41 Twni�cc, �'-�ylc_ 6,c145 , 5 rer ttK A•...2 FmHse. cx',-- clout, -keds-- '�a,u%T . sic= Bdia i-yrApp . r X /ad r/LGffute- h -e- /) Peck. torn Ff,j t5. Ai,.Q cgree Pen' Vied /7uw/ 7s `Yoco. — mitt MSZ✓ e9 aoLi-e Y �Ii�gl f I / l% Initials �. Initia4nitials STURDY HOME IMPROVEMENT, INC. MA REG. #151711 Legend: PAGE 2 - SIDING PLAN GT REG. #601525 g L /vj/vvv� 1-uH.-w, T� Light Block El kg. M W ,,, , �t p Water Block D 9 1 n Dryer Vent I2 1 I`"Y.r-u..-c- 2G Lr—. M1U' Gutters Q • _ DS a t1 ww TO2 Downspout 44........n._ �,Yt;. —S3 u�k ..� GV (v 'M "t'i �— Gable Vent g 64 a am 8 i6 ��� E yr _ Electrical Outlet h ?r I 11 C41.41-7 61I a8 2 [M] 1 Material / yes 13 1 0 Dumpster Dumpster gciori0UL� Ltoo , 5-13 FRONT OF HOUSE INC = Area to be done NIC = Area not included „ori 24,E Please Note:Any area not shown on this plan is not included initials xi Initials ; Initials STURDY HOME IMPROVEMENT INC. ACCEPTANCE PAGE MA REG.4151711 CT REG.40601525 ANY WORK NOT STATED ON PREVIOUS PAGES IS EXCLUDED The following schedule will be adhered to unless circumstances beyond the contractor's control arise: Work scheduled to begin the week of__ /___J____. Expected completion date / / Weather permitting. The cash price for labor and material as described above is: 1st payment 2nd payment 3rd payment 4th payment Contract Total (upon ) NM1rMvd213 14-4-43c c' - Cro, Roof $ urnochLAat e 4.<16-e' Ventilation $ — r t.+i%V A Other work^`' $ '-jt .' K `1O" #<�� /kegit - 11yoo Roofing total $ — $ - $ — $ $' -" " Siding $ [Thea.- $ r 3'00 $ 630.`7.. $ `Oct, . $ .t roe , Windows $ $3t . $ SOt . $ 32.03." $ 12c ' e $ goe. . Special orders $ $_' $ $ $ -. Other $ — $ ...> $ $ $ Totals $27D0o.• $ J�7G0•` $ $ $ - 2 Terms: Cash Finance CH AI.t, Is (never! APPIve( Credit Card:p - •-L�7/ a7 - Exp.date_ ___ / ____Cade_ Payment schedule: Any balance not paid in full within thirty days, will be charged 1.8%interest per month. In order to meet the completion schedule,the following matedalequipment must be SPECIAL ORDERED before the contracted work begins. (Law requires that any deposit or down-payment required by the contractor before work begins,may not exceed the greater of(a.)one-third of the total contract price or(b.)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule) $ (J to be paid for 0 $ o to be paid for 0 Any additional work orders are to be paid for once accepted and approved by purchaser. Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this contract. Additional provisions are stated on reverse side and are part of this contract. In witness whereof Purchaser(s)has/have hereunto signed their names this '10 day of 20 /7 and acknowledge receipt of a true copy of this contract. UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THATTHE OWNER IS READY FOR THE WORK TO BEGIN. THE PURCHASE PRICE QUOTED ABOVE WILL BE HONORED ONLY UNTIL ! ) )11-7 (Date). You the Purchaser(s)may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See notice of cancella- tion farm for an explanation of this right. Signature affixed below also acts as receipt that Purchaser(s)received separate cancellation forms. The following Is a requirement by Massachusetts General Law,Home Improvement Contractor Law MGL c 142A: 'The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dis• -cancer ng this .ontract, the contractor may submit such dispute to a private arbitration service which has been approved by the office of Consumer A and Busine-s Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. / \ ��[[ / _//// r Representative:CO/l/Y dr...-et L� Owner: YY f iiir Owner. NOTICE:The signatures 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 separately by the part!- " Do not sign this contract it the - any'lank Sp-,- Submitted A // Accepted 9 / ' 4if (7 ntativK/fj 'Representative Purch Accepted Accepted by: by: Representative Purchaser Date gyi flee o onsumer Affairs nd Business Regulation' ' (4 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvem&iit_Contractor Registration . Registration: 151711 4 j Type: Supplement Card STURDY HOME IMPROVEMENT I� ii3,l it 2,(. r Expiration: 6/26/2018 DAVID DIAZ lI tF '1-1 ,11-77=_I \ 459 MAIN STREET 0• 1 i 1;If I. INDIAN ORCHARD, MA 01151 I Jr/ ' Update Address and return card.Mark reason for change. scar 0 zoM 05/11 9 Address 9 Renewal 9 Employment 9 Lost Card CC9/o Vomneoamea/N/@/(,zac/me(a gr—Oftlee of Consumer Affairs&Business Regulation License or registration valid for individual use only before the expiration date. If found return to: r MEIMPROVEMENT CONTRACTOR P -Registration: Office of theaa-anon date. and Business Regulation 9 .151 Z�i1, Type: 10 Park Plaza-Suite 5170 ExpuaGad;6/26LP7 i Supplement Card Boston,MA 02116 STURDY HOME IMPROVEMENT INC DAVID DIAZ 459 MAIN STREET > 4-. x4a *-- 1/4_,—)g-,;(4 / -1e, INDIAN ORCHARD,MA 01151 Undersecretary Not valid without signatligi Massachusetts Department of Public Safety- Nir Board of Building Regulations and Standards License: CS-093603 Construction Supervisor ', , DAVID DIAZ 270 TREMONT ST SPRINGFIELD MA 0, Expiration: Commissioner 0810712017 The Commonwealth of Massachusetts w__ Department of Industrial Accidents 5=g ,= Office of Investigations C `= 1 Congress Street, Suite 100 +T�[ Boston, MA 02114-2017 t-.� www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information y Please Print Legibly Name(((Business:Organization/Innd`ividual): 11(C'-*-t 'Yh2 'v ?y'ype.in..4v.� ..�(• Address: t\5g Ytifih .�Y�¢kA- �}- 13 J ............ ... City/StatetZip: „ .L'}Lvri Pri1-At11 ....... Phone#: L{ C Are you an employer? Check the appropriate box: Type of project(required): 1.al-am a employer with 1p 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the atfarhed sheet. 7. ❑Remodeling 2.❑ I am a sok proprietor or painter- ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 4. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees, [No workers' l3. Other 'Siftylq'*'�r�w3.'r" comp. insurance required.] a 4. sfth t41SLoe,i *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors 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-coatracton 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: 14(.4.424.024104\ cMJrkx( A 3-4FLC Policy#or Self-ins. Lie. #: ` l—SS-1.,kci „as - Expiration Date:i,)e)) ) ) Job Site Address: 1 " "yao City/Stare/Zion/Yefla (1)4 " __ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure tosecure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 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 under the pains and penalties of perjury that the information provided above is true and correct. Signature: . Date: _...4'j (I. Phone it: Kt." 913" ?IC(2) Official use only. Do not write in this area,to he completed by city or town official. City or Town: PermittLicense # 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#: Ar' RO n� CERTIFICATE OF LIABILITY INSURANCE 1DATE(MM/DD)YYYYI 07/27/7016 T.W&CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: ORCHARD INSAGCY INC PHONE FAX 485 MAIN STREET (AIC,No,Ext): WC,No): E-MAIL INDIAN ORCHARD,MA 01151-1241 ADDRESS: 28YCR INSURER(S)AFFORDING COVERAGE NAICM INSURED INSURER A: TRAVELERS INDEED:MY COMPANY OFAMERICA STURDY HOME IMPROVEMENT,INC INSURER B: INSURER C: INSURER D: PO BOX 51033 INSURER E: INDIAN ORCHARD,MA 01151 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 19 Ta CERTIFY THAT THEPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR ERE POLICY PERIOD INDICATED. NOTWITHSTANDING ANT REQUIREMENT,TERM OR CONDITION OPANT CONTRACT OR OTHER DOCUMENT WDH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCEAFFDROEDSY THE POLICIESDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CON011IONS OF SUCH POLICIES.LIMITS SHOWN HAT HAVE BEEN REDUCED BY MD CLAIMS %NSR ADD SUB POLICY EFF DATE FOLIEYEXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYWQ IMMIDDIYYYY) LENTS GENERAL LIABILITY EACH OCCURRENCE q COMMERCIAL GENERrA%LIABILITY DAMAGE TO RENTED $ CLAIMS MADE I I OCCUR. PREMISES(Ea occurrence) MED EX?(Any one person) $ PERSONAL&ACV INJURY $ GENL AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ —1 POLICY piPROJECT Ii LOC PRODUCTS-COMPIOP AGG $ • AUTOMOBILE LIABILITY COMBINED SINGLE $ ANYAUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) — HIRED AUTOS BODILY INJURY $ NONCE/NED AUTOS (Per acdtlent) PROPERTY DAMAGE $ (Per accident) - I UMBRELLA LIAR -OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION$ $ A WORKER'S COMPENSATION AND X I WC STATUTORY IOTIER EMPLOYER'S LIABILITY YIN UB-5B368505-15 07/21/2010 07/21/2017 LIMITS MA'PROPERITORIPARTNEWFxECUTIVE I-1 OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1.000,000 Dyes,RIPON OOF OPERATIONS below DESCRIPTION E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATICNSILOCATIONSNEHICL ESIRESTRICTION515FECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT VE v n. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010ACORD CORPORATION. All rights reserved. A D DATE(MMNDIMY) CERTIFICATE OF LIABILITY INSURANCE 8/5/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy les)must be endorsed. If SUBROGATION Is WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME,CT Nadine West Orchard-Dowd Insurance Agency LLC PHONE FAX 14 Robala Road wIC.No EV0:413-4371050 AAA No):411-41]-1450 Holyoke MA 01040 ADDRESS: nwestddowd.com PRODUCER ID x:STDBHOM-02 INSURER(S)AFFORDING COVERAGE NAPO% INSURED NSURER A:At lantiC Casualty Insurance Company 42814 Sturdy Home Improvement, Inc. P.O. Box 51033 N SURER B: Indian Orchard MA 01151 NSURFR C: NSURERD: NSVRERE: _ COVERAGES CERTIFICATE NUMBER:397345024 x5RER F: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LSR TYPE OF INSURANCE AOOLSUBR POLLS-VEEP POLICY EXP INSR Awn POUCY NUMBER I MMNDNYYY) IMMOONTal) LIMITS A GENERAL LIABILITY M185000199 8/7/2016 8/7/2012 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea ur a occrence) $50,000 CLAIMS-MADE I I OCCUR MED EXP Vary one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OPAGG $2.000,000^ —1 POLICY I jF r LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per Person) $ ALL OVTNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTYDAMAGE $ HIRED AUTOS (Pea accident)0 NON-VMEDAUTOSS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- CH- ANDEMPLOYERS'LIABILITY YIN TORY IMITfi FR ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.OISF'cE•EA EMPLOYEE $ Ify deuiba under DESCRIPTION OF OPERATIONS belowELDISEASE-POLICY LIMIT $ DESCRIPTION OF OPERA➢ONS I LOCADQNS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Workers, Compensation Certificate of Insurance to follow separately from the carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I p 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD I ` � - ilift ` < V �' Htixt / t Ill 0NAtt itMtptRQVSh:ti.t-,- 't. i"1 4731M0 Si4;tEEbE tirlvdirte-gar Omani-le WORCESTER SPRINGFIELD BARTI ORD 459 MAIN STREET-P.O.BOX 51033-SPRINOHELD,MAOIISI MA.REG#151711 CT.REGk 601425 811-33TURDY FAX 413-543.1200 5YNwSTORDYHOltMH.COM QWNE,R. PERMIT AUTHORIZATION Name: M /( hae L bnninO Address: 'It 'cLi�l it City/State/Zip: Er')orenc-e OD ea Z I, P d16e L, b -eYt ra 0 (owner), of the property located at: ~p-i yat-t tic ci. -jo.Pnte_F4authorizeSturdyHome Improvement, Inc. To act as my agent for the construction project taring place at the above address. I also, authorize Sturdy Homo Improvement,Inc to obtain a building permit for this project. I understand and accept responsibility to comply with all regulations and required inspections. -At l �/''1 a/wiN/7 Signature of Owner :ye Date Signature of Owner Date :.. 23. 1,17 3:26''d Sturdy tyre TP 'cveten: tic, 6771 du t SYURD�r HOME IMPROVEMENT WORCESTER SPRINGFIELD HARTFORD 459 MAIN STREET-P.O.90X51033-SPRINGFIELD,MA01151 MA,REG N 151711 CT.REG#601525 1-a77-3-STURDY 508-797-6600 413-543-5906 FAY 413-543-3200 FAX COVER SHEET nate !1 • • To: &A I Id n� Fax # cl l'r - 177 7-- Company:Company: Number of pages including cover c9.. Reference: riq OxiATIl rd Notes: -14c Io, Here i s 4-he pi 0-E- Ft cif) -1C{ 74 v/ctii to cud Ri.eace co vco_ have am/ qMs-i-Icns 4(13- S 2 - tc4 f 7hLJlY^ L CU1 .'o. 225. 2 3 25 A ,.., ,ay _Tr ,yer'rn- Vr oll• F. 2 PLOT PLAN DATE: tri 23) 14- House Number: nil Lot Number: 1 Ovmer of Lend: M I Ghon Y .�h h fl Zone: (nJ Street&Parcel ft: 114 411a �- 'G r -0 _ Rear Yard • L Ft. SICe Yard + Side Yard I3r Ft House Jg Ft • Semack 0 5FI. Nearest Street = Nearest Street ft ft. R frontage SIDEWALK StreetAvenueRood Mork North Point Signature ., PLANNING AND ZONING INFORMATION 'yps of occneapcy Lton1 Vont Setback from Proper,.Line