29-162 PAGE THREE
CANCELLATION RIGHT
You may cancel this agreement if it has been signed by a party thereto at a
place other than- the 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 right.
DO NOT SIGN THIS CONTRACT IF TH
7
A ANY BLANK SPACES.
Homeowner(s)
Contractor
-----------------------------------------------------------------------------------------------------
NOTE IN ADDITION TO THE HOMEOWNER'S RIGHTS BY THE LAW, THE CONTRACTOR CAN REQUEST
ARBITRATION TO RESOLVE DISPUTESWITH THE HONIEO'YVNER IF THAT IS AGREED TO BY BOTH
PARTIES IN THE CONTRACT. IF THE CONTRACTOR APPLIES FOR ARBITRATION, THE HOMEOWNER
MUST DELAY 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 Consumer Affairs
and Business Regulations and the consumer shall be required to submit to
such arbitration as approved in MGL C.142A.
Contractor Homeowner
Notice: The signatures of the parties above apply only to t e agreement of the
parties to alternate 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- t9-LI.- I-,tA (lSTZ k 4&S CE20/
Materials or Labor To Be upplied By Homeown r(s) _ C3 r b.dV�r
F7t(JTT'o 8:-C!i� `F--- S KS
IF CONTRACTOR IS DOING WORK FOR WHICH CONSTRUCTION-RELATED PERMITS ARE REQUIRED,
THE CONTRACTOR MUST OBTAIN THOSE PERMITS FOR THE HOMEOWNER. HOMEOWNERS WHO
OBTAIN THEIR OWN PERMITS FOR THAT WORK CANNOT MAKE CLAIMS TO THE GUARANTY FUND
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 obtain the following permits:
Building s Demolition
Plumbing Electrical
Gas Other (Describe)
Total,Qontract Price ( in dollars and ritten o in words) ����'�c�U 'c � vJ✓4
V'-4�-� - -- ,
Downpayment of S must be paid by this date Com' `r �y (}^[ �•t G
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
Schedule of Remaining Payments:
Amount At What Point -,
-- C vzy ks c v y/
Descri tion of An Warranti s B Contractor: (9 _
A cLp W B 0, 7 r A Y G` :77�
Description Of ` Lien Or Security Interest In The Residence As Part Of This Contract:
No��
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 510,000 IF THEY ARE UNABLE TO
COLLECT THOSE LOSES FROM THEIR CONTRACTORS. FOR,INFORMATION ABOUT ARBITRATION
AND THE GUARANTY FUND, CONTACT THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS
(617) 727-7780
HOME IMPROVEMENT CONTRACT
This is the co plexe a ement etween the contractor and the homeowner made on this
date (g
Name of Contractor:
Address: S' 0 t CA-6(2Y b,? Pz, c c
( may not be a post office box) 8,��
Telephone Number: , 7Z-
I
--,
Name of Salesperson (if any) ►e, C i et N
AS OF JULY 1, 1992, ALL 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 M 1301, BOSTON IAA 02108,
(617) 727-8598. Ly��� 7 2ap .Z rJ
Contractor's Registration Number ,SO 8 to 67
HOMEOWNERS WHO DEAL WITH UNREGISTERED CONTRACTORS CANNOT OBLIGE THEM TO GO
TO ARBITRATION AND CANNOT MAKE CLAIMS TO THE GUARANTY FUND UNDER THE HOME
IMPROVEMENT LAW.
Name(s) of omeowner(s) IyM�2Cr,a2�sr �G ��?s'
Address $` ac2I bBn is MP OQ , i zi-oreN
Home Telephone: S$'Y-3 Work Telephone:
Date Work Will Begin: f ;Z-0, 2 1 _
Date Work Will Be Substantially Completed: d c� 26-0
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 delays
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.
r
Description of Work by Cc�tractor: - � � ( �� 1 11 ��d IT
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OCT 10 2001
DEPT OF BUILVIVI Cti1 )
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,
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORNER'S COMPENSATION INSURANCE Arl AAVIT
(l'►cellseeiperm ace)
with a principal place of businessJresidence at:
2"i C ke(7 y
(streeticity/s�atr/zip)
do hereby certify, under the pains and penalties of per3wy, that:
I am an employer providing the following worker's compensation coverage for my
employees working on this job:
=�C°r4 J
(Insurance Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Coi par y/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Ex-pimbon Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expi-ation Date)
(attach additional duct tfnrccizary to include infoc¢utioo paininiag w all occi'-rndot3)
O I am a sole proprietor and have no one worldng for me.
( ) I am a home owner performing all the work myself.'.
NOTE:plcasc be Awarc that whilc homcowDc"who cmploy pcmD=to do trniut.caan =rzruc'.ioa or repair worst on a dwelling of
not wom than thrco units to wfnnch the homy owvcr rcudcs or on the grounds apputtcaani thacto arc oot gatcrally ooas:dcrcd to be
employers under the woeica's axnpcz zatica Act(GL152,sa 1(5))�application by a homcovma for a license cc pauld may evidcaoc the
legal etatuc of an omployer under the Worfcoes compomafyon Ac(.
I under: d that a copy of this a t=zor nyay bo foa wardad to tho Departaxot of Dial Aoadw&Offioa of I-x n for ti-
coveza Vaificatioa and that failure to scatre covenrgo under section 25A of MOL.152 can lead to tho imposition of criminal peaalfies
ooasisting of a fine of up to S 1,500.00 and/or imprisoanxat of up to one year and evil pmaltia in t6c form of a Stop Work Orde:and a
fins of S 1.00.00 a day against the
For dcp,utmc3al tuo only
permit Number
2v P41 Lot 4
"xS zj Signature of Licrose&permitice e
SECTION'$ CONSTRUCTIQN?SERVICE-,S
8.1 Licensed Construction Supervisor: ^ Not Applicable ❑
Name of License Holder /V h
License Number
2-9 Mick—car"i O� �- 4=�� ��� �'� � � � 6 '
Address � � ( /� Expiration Date
Signature Telephone 7
R n: fir n r M .:: � Not Applicable El
Company Name Registration Number
Address Expiration Date
Telephone
- V, V
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 affid�
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑ CZ /V c +;Zrtfl-
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)famili,
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner act:
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-wear 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
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 M
SECTION 5 DE9CRIPTION1QWA6'A'6§f RKi check all a Iicable
li.-..,5:.dw n's+s NY1�'✓r 3)flN'...:.:.'tr,i.:.uE - i WK'.: .9Yw. ia33G .7:d. nkv: %Ria«4a?.,i Y�?kb'MM„41d,9^.fi'i@' _ ?kin;....) v
ff,P-A;" -
New House ❑ Addition �5(, Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Descrip ion of Proposed Work: G'+W LIL,(z—C n� n L'�
Alteration of existing bedroom Yes�No Adding new bedroom Yes �� No
Attached Narrative o Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet +
6a. if Ne iv house aa"W dif .to�e�rM-fin housing:-complete the foll;awln :
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. 7_S Dimensions /3
e. Number of stories? 1 `C
i.//w I� )t tZ0IGC �;c;(.
f. Method of heating? He+—t 0;1Y Fireplaces or Woodstoves Number of each
�S a 1 41-4 "i I�
g. Energy Conservation Compliance. �a Mascheck Energy Compliance form attached?
h. Type of construction L%j
i. Is construction within 100 ft. of wetlands? Yes �No. Is construction within 100 yr. floodplain Aaes
j. Depth of basement or cellar floor below finished grade Sc; �-4 (,' ( Cs'� -'
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7aOWNER,AUTHORIZATION TO BE COMPLETED WHEN
ow OR CONTRACTdR`APPL ES:,,F IR-BUILDING PERMIT
AJ, as Owner of the subject prope
hereby authorize to ac
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
logos-
R_ t C^WA, -_—r_ 01 f-f 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 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 0--z'k t--c J °�t la/ 0-0
Frontage
Setbacks Front C t4 , teY j.-v t lv�-r
mss•
Side L: - R: Y-C L:_ C R:_
Rear
Building Height i lU
U 3s' •
Bldg. Square Footage (zc.c Z z v
Open Space Footage pr
(Lot area minus bldg&paved 7� �C� �d f
parking) C C {�J
#of Parking Spaces Z �-
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 �i _ 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:_
_ f Nbrthampton
__h v it n g Department
Main Street e.
r 1 0 2"Ti oom 100 e
Nutharopton, MA 01060
587-!1240 Fax 413-587-1272 Pio ISIte�Pl," s `'
DEPT OF BUIL a ! 4'
i NORIHAMPTON,MA olorn Other=Speo fy` _.
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INF,ORM,ATION
This section'Ab—e completed by office
1.1 Property Address: "
'
Elm St. District ' CB District
SECTION-2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
M#:R 6 A L='T� i�c f,�� :' ' S `II` c3 4. I�=Y� lLa °Ct lb w ', F'4�?t�-(c=
Name(Print) Current Mailing Address: .�
ci---
Telephone—
Signature
2.2 Authorized Agent:
!+y ry
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
1. Building (a) Building Permit Fee
2. Electrical ` c (b) Estimated Total Cost of
7 Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) .� J 4'(; , •.t: Check Number
This Section For Official Use Only
Building Permit'Number: 5 - Date issued:
Signature: —
Building Commissioner/lnspector of Buildings Date
File#BP-2002-0392
APPLICANT/CONTACT PERSON Richard Finn
ADDRESS/PHONE 29 Hickory Drive (413)584-4172
PROPERTY LOCATION 98 BRIERWOOD DR
MAP 29 PARCEL 162 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONL)':
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Oq 44
Fee Paid .�
Typeof Construction:_CONVERT 19 X 15 DECK TO 3 SEASON PORCH&REPLACE FRONT&PART OF
REAR ROOF SHINGLES
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Buildinp,Plans Included:
Owner/Statement or License 050848
3 sets of Plans/Plot Plan
THE FO LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IriFfiRMATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 C13 Architecture Committee
Permit from Elm Street Commissi
Signature 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.
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98 B1? t,,wuoD DR BP-2002-0392
61S#1 OF MASSACHUSETTS
Ma :Block:29- 162 CITY OF NORTHAMPTON
Lot: -001
Permit: BUildln�
Category: ADDITION BUILDING PERMIT
Permit# BP-2002-0392
Project# JS-2002.0600
Est. Cost: $15500.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Richard Finn 050848
Lot Size(sq.ft.): 10018.80 Owner: POWERS MARGARET A
Zoning URA Applicant: Richard Finn
AT: 98 BRIERWOOD DR
Applicant Address: Phone: Insurance:
29 Hickory Drive (413) 584-4172
FLORENCEMA01062 ISSUED ON:10 116101 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT 19 X 15 DECK TO 3 SEASON
PORCH & REPLACE FRONT & PART OF REAR ROOF SHINGLES
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:j//{r` •,, t°T House# Foundation: 1plvr�s S
Driveway Final:
Final: Final: b ~ 3 0a `=,
Jldd z T rc"' Rough Frame: k
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: (VA
Final: Smoke: Final: t%� `_aLi(. Oa
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc atn e
Fee Type: Receipt No: Date Paid: Check No Amount:
Building 10/16/01 0:00:00 2791 $75.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
C " �? Building Commissioner-Anthony Patillo