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25C-244 Philip A. Morin Contractor Page No. of Pages REMODELING AND DESIGN PROPOSAL 54 Wilson Street • Ludlow, MA 01056 Tel(413) 589-0957 • MA Reg. #119336 All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by Provisions of Chapter 142A of the general laws, Submitted To: WW, vh e–t— must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727- ��. G Ali 8598.Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. JOB NAME/ JOB LOCATION >We hereby submit specifications and estimates for work to be performed and aterials to be used: Lei 'J r, ',A s ill e�Aj Or "'U 1 j' 1 ' c V ei re— L "A' c-A !i, a,-J- - 1' I Construction related permits: i > WORK SCHEDULE Contractor will not begin the work or order the materials before the third day fol owing the signing of this Agreement,unless specified here in writing.Contractor will begin the work on or about (date).Barring delay caused by circumstar ices beyond Contractor's control,the work will be completed by (date).The Owner hereby acknowledges and agrees that the scheduling dates are approximate a d that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work f urnished hereunder shall be f ree from defe tsin materials and workmanship for a period of following completion and shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,ordamagecausedbytheContractor,hissubcontractors,employeesoragents,isdiscovered within one year after completion of any job,including cleanup,the Contractor sh all,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 foreg ing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: 1C ` i d L%,u � C .� t '0 b dollars Payment to be made as follows- �%($ ) upon signing Contract; Name of Contractor/Designated Registrant V�%($ ) upon completion of "" Street Address %($ ) upon completion of city/state shall be made forthwith upon ' %($ completion of work under this contra t. Phone Federal to No. Notice: No agreement for home improvement contracting work shall require a Nameof an down payment(advance deposit)of more than one-third of the total contract price >or the total amount of all deposits or payments which the contractor must make,in A razed Signature advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount Is greater. Note:This proposal may be withdrawn by us if not accepted within days. Acceptance of Proposal-I have read both sides of this docum nt and all attached documents and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding cci ct.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 t me prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO N_ OT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature x__� Date ""'Z—QLS Signature Date IMPORTANT INFORMATION ON BACK➢ p.2 Sep 15 OS 0113lp I ,. 'a Cart of Part tlull Ivitola 91 as1ork Ord a(fa' DEPARTMENT OP bUlLDrr(C INSPPCTrONS + z 212 Main 'Street Muaicip") Duildin� Nori.hampton, Mass. 010GO NVORKER'S COaNTENSA170N GgStMANCE AFFMA. - I . Ulf (1,ccasc c/perav(tnc) �I-q b a principal place of businessfresidence Pi _ L,4, 1401V I (srrootici ry/sumr>;p) do hereby certify, under We pauu zzid penalties of Perjury. :hat ( ) I am an cmployer providing the follow ng�vvorkcr's comoeasr;on cover3�'e`or )s)y i cmpiovees Nvorsdng on this job. i ,1 (lnsvrnC Comp gyp) (PotiCf�):ucaoccl (Fapirr;on Dart) 1 ( ) I am a sole proprietor, geoual'coatnctor or homeowner(circ;e one)aid hive hitea the coarra tqm fisted below who have the foilowiag worker's compenstoon policies: (tvamc o'Cosc-�aor) ()nsvranc:Coinpanyjr ri4c; Nmmcct) (ir�puutron oatc) (Name of Coocaaor) (LArUmaa CoMPUv/?0U v Numb:r) (L•xnin�00 Date) (N=t of Coar ae1C:) Qnstuaa=Cow wy/PoUcy Nutrbw) (Cvpira000 Dale) (N=c of Contractor) a 4suraaae CntrmpaoylPot cy Numbet) (Eapindoo Datc), cw.es add�eml dea.iree -Y ibd ;dam..ieo P*-Ai.ise u,U meson) PA i ass a WC pfoprietor LA6 have no one woridmS for me. T aai.a home ouroex perforrnmg a#! the-work myscif NOTE:View W*—a 0-.ale aaaa�wecn rto eagioy PMUN is As wAiw....w ec==+ 90 a rawk writ am,dwea ing of ad—thra dzee aa4b 16-lit'!a Z.6oft.--v r reiba or o0 11e vmade gpurtca 46ere.ex CUw%Jly oeptdwW r br eorpl®yaa+ueEv�!.wlceh camposay,aa Flo(CiIJ)3 2.a 1(S)1 ePPlicaaov by.QemW war fai.liea;x a pe'mi(isaT w,dmx rkc Iapi a4.ea.erect.aaieyerarwl.'du weat,l�CamV+a+Kws Aw. i wda:tid da.eePy aJ Vi.aaatio.a�ae.y w te/+.vd.d�.1L.pePera,�a er 4A�+J Aao�y C1de+e!'- ----r«t►. oow'r.yoi cmum nand Ow ULIMM to aeaw taveee je�Bc aaCiiev 2S A d Aldl 131 ae lal a td i9pmO0a eFaiaiotJ Oma1Da ewe,iaaaae e(. UP 4I I}00.00 anCyCr 6W4& W.0 or.P 4 9M yW ash Ciril peatre a U fV"era sW Wart Ordo and a 4"U(slog. yam- . J reaaenLV�s ee1T AClniti HumbtJ Let r d +t:��yc of LiaASOtlPccTniuoc —�"—"`�s� NINOW Wr1 I£: ) o S0OZ-6I- 13S Z0 'd LS6068S£Tb SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone �Re""`ster`ecTHorrieln Fcvemerr Eontractoit F11 Not Applicable ❑ ��L "�`• i � Ci .^� � �`mil � � �v Company Namb / 4rat n Num er ---- Address Date Telephone -'0{. I SECTION 10=WORKERS'COMPENSATION INSURANCE.AFEIDAHkT'`(M.C.L.c.152,,,§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...... ❑ x-411 i 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 Aiuiatated,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 r SECTION 5-DESCRIPTION OF.PROPOSED WORK(check-all-applicable) New House ❑ Addition Replacement Windows Alterations) ❑ Roofing ❑ Or Doors C] Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [p Siding[0] Other[O] BriefDescri nsoRroposed Work: I ✓► Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa Llev LKarrse a�ickdd io . aext S Ift oriiethLLo 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. 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. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-':OWNER AUTHORIZATION-'TO BE COMPLETED WHEN OWNERS AGENTAR CONTRAGTOR'APPLIES'FOR'BUI'LDING PERMIT I. 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, 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 v 't 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 I % F—i I' Open Space Footage % (Lot area minus bldg&c paved ' --- arkin — r #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 Q DONT 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 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 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 , NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ii�c of�Vortf��mpton cts ems . �4 u I g Department fife spt �rtain Street b0m 100 re1C �ct1i1 x r_ 5 20ort�' ' ion; MA 01060 ets."E� 5 ra Plar"ts phone 413-5�7-1240 Fax 413-587-1272 PIo Sit Ian �� tttereetfy APPLICATION To'CCtNORUT. TER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1 This sectron to be completed byroffce 1 Property Address: Untt Zone Overlay Distrct Distnc4 SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner ofRecord: Name(Print) Current Mailing Addre Telephone Y6 — ("6 Signature ,�J 2.2 Authorized Agent: r // y Name(Pri Current Mailing Address: Si ature Telephone SECTION 3-ESTIMATED=CONSTRUCTION COSTS Item - Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building <�0 (a)Building Permit fee S� I , 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) Check Number This Section'For Offtcial`Use Only Date Building Permit Number Issued: Signature: - Building Commissioner/Inspector of Buildings- Date } 249 BRIDGE ST BP-2006-0299 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C-244 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0299 Project# JS-2006-0440 Est.Cost: $5540.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PHILIP A MORIN 119336 Lot Size(sg. ft.): 5096.52 Owner: DEITNER WANDA A Zoning URB Applicant. PHILIP A MORIN AT. 249 BRIDGE ST Applicant Address: Phone: Insurance: 54 WILSON ST (413) 589-0957 LUDLOWMA01056 ISSUED ON:911912005 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING 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 9/19/2005 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo