Loading...
16A-001 , , I I / , , . - ., ' \ N. 1 , . , . .............„ .........._ . . . , ...... - (, j' ; -''' Proposal Customer /Owner: Robert and April Gougeon Robert 01, Address: . Street Dunn, City, State, Zip: Leeds, MA 01053 Phone: (413) 584 -2801 Construction Services, Inc. 43 Burt Rd. Westhampton, MA 01027 Proposal Date: August 22, 2011 (413) 250 -7430 Project name: Kitchen & Baths We propose to furnish all material and perform all labor necessary to complete the following: Continued from page 2 All electrical work will be done by a fully licensed and insured electrician. All plumbing work will be completed by a licensed and insured plumber. Additional work not specified in this contract will result in additional charges. Additional carpentry work will be completed at the rate of $50.00 per hour per person. Electrical, plumbing, and tile work will be charged at the rate charged to the general contractor plus 15% . No additional charges will be added without knowledge of the homeowner(s). This contract includes removal and proper disposal of all construction related debris from the worksite. The price also includes all permits (general building, plumbing, electrical, etc.) as well as all inspections and fees due the City of Northampton. We propose to complete this project in accordance with above specifications for the sum of: Ninety eight thousand three hundred dollars $ 98,300.00 Payments to be made as follows: 1. 34,575.00 When permit application is filed 2. $24,575.00 Before rough bath inspection 3. $24,575.00 Before rough kitchen inspection 4. 14,575.00 plus any extras when complete Acceptance: If the price, specifications, and conditions are satisfactory, please sign and return one copy to: Robert H. Dunn, Jr. Construction Services, Inc. 43 Burt Road Westhampton MA 01027 The customer copy of this proposal will be signed by the contractor before work commences. Any work or materials not specified above will result in additional charges. This proposal is valid for 30 days unless otherwise specified. Customer /Owner signat e: . Date: 7 Contractor's signatur : cL,C Date: ( k)/ Ns. r Proposal Customer /Owner: Robert and April Gougeon Robert in Address: VSpring Street 0° Dunn, City, State, Zip: Leeds, MA 01053 Phone: (413) 584 -2801 Construction Services, inc. Proposal Date: August 22, 2011 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: Kitchen & Baths We propose to furnish all material and perform all labor necessary to complete the following: Continued from page 1 House bath: Install a tub shower unit with tile* walls. Install pedestal sink provided by homeowner. Install faucet and shower valve pre selected. Install radiant heat in floors. Install floor tile* selected by homeowner. Install lighting* (canned) and bathroom fan as required by code. Install a new window unit preselected by the home owner. Old Bath Conversion: Demolish and remove the old tub unit, tile, sink and toilet. Terminate all plumbing connections. Cut new entry into master bedroom and install door. Install two canned lights switched from the hallway and mater bedroom. Sheet rock, tape and sand room to a paint ready finish. Trim entry and doors to match existing rooms. *Kitchen granite counter tops are budgeted at $4500.00, in a standard grade of granite, that includes standard polished edge, kitchen sink cut out, faucet, soap dispenser and faucet valve cutouts and standard installation. Higher grade granite, additional cut outs, or non standard edging will result in additional charges. *Kitchen lighting includes up to six recessed (canned) lights with standard trim rings. Higher grade lighting as well as any additional lighting will result in additional charges. *Master bath tile is budgeted at $1200.00 for the floor and wall tile. as well as any non standard installation will result in additional charges. *Master bath lighting includes up to four recessed (canned) lights with standard trim rings. Higher grade lighting as well as any additional lighting will result in additional charges. *House bath tile is budgeted at $600.00 for the floor and wall tile. Selection of a higher grade tile as well as any non standard installation will result in additional charges. *House bath lighting includes up to three recessed (canned) lights with standard trim rings. Higher grade lighting as well as any additional lighting will result in additional charges. �fl.(IRLM (j.“ co, a;O,t IU .JUJAWM. Co.tttictwit CSI PRU�A(:NA. .I �LG. r 02 A2 dZO 2 L r Proposal Customer /Owner: Robert and April Gougeon Robert lb Address: Spring Street •• Dunn, City, State, Zip: Leeds, MA 01053 Phone: (413) 584 -2801 Construction Services, inc. Proposal Date: August 22, 2011 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: Kitchen & Baths We propose to furnish all material and perform all labor necessary to complete the following: Entry: Construct 8'x10' entry way /mud room on the driveway side of the house with entry into the kitchen area. Install concrete block wall base on three sides with door opening. Construct floor with 2x8 joist and walls using 2x6 construction with a total of five (5) windows, one exterior door, and one full view glass door. Walls will be insulated, sheet rocked, taped and sanded to a paint ready finish. Walls and doors will be trimmed to existing house. Kitchen: Remove existing cabinets, plumbing, and electrical. Remove existing wall into formal dining room. Install engineered beam with pillars at booth ends to create open area. Install new radiant heat in kitchen floor area. Construct new island with cherry matched finish and seating in the area facing the dinning room. Install new cherry cabinets according to the design pre selected by the homeowner. Install granite counter tops* pre selected by the homeowner. Install new sink, faucet and disposal preselected by home owner. Install new canned lighting* in kitchen area. Install new hardwood floors to match existing hall floors as close as reasonably possible. Master Bath: Construct a custom tile shower approx five feet wide with two showerheads and two control valves. Includes custom glass door. Tile will be pre selected * by the homeowner and professionally installed. Install a "soaking tub ", one toilet, and dual sinks and vanity with granite counter tops. The shower valves and and faucets pre selected by the homeowner. Install radiant heat in floors. Install floor tile selected by the homeowner. Install a new window unit above the soaking tub. Install lighting* (canned) and bathroom fan as required by code. *Ina v 2 c4t !,at ,ana Lazwuj Ra,eu. .J1.. .C. rut, et. LINiaTAta tc. $VAA'A,C+1 9Y1C. cal rt. r144.1tea 1 Robert and April Gougeon 544 Spring Street Florence MA 01062 — r ._._ , Media Room Formal Dinning Bedroom Bedroom H /S ~� Proposed, i l House B� 4. To Cellar -' _ Kitchen " (Cur2nt Bath) P roposed Proposed Master p i Bedroom Entry Master Bath y ■ gF L. _, ...,,,,,,--\ _,... ,_ , . „, , . . ,, ,_ . .,1 ,___, . ,______, Proposed Mud 1 H Room Master _ iiiii i • i —I I Bedroom l t — i —--- - , . The Commonwealth of Massachusetts Print Form Department of Industrial Accidents *l Office of Investigations = ° � _��1= t 1 Congress Street, Suite 100 _ . • Boston, MA 02114 -2017 r„ www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business /Organization Name: Ropbert H. Dunn Jr. Construction Services, Inc. Address: 43 Burt Rd. City /State /Zip: Westhampton, MA 01027 Phone #: 413 250 7430 Are you an employer? Check the appropriate box: Business Type (required): 1. 0 1 am a employer with 3 employees (full and/ 5. Retail or part- time).* 6. ❑ Restaurant/Bar/Eating Establishment 2. ❑ I am a sole proprietor or partnership and have no 7. ❑ Office and /or Sales (incl. real estate, auto, etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non- profit 3. ❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4), and we have 10. ❑ Manufacturing no employees. [No workers' comp. insurance required] ** 11.0 Health Care 4. ❑ We are a non - profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. * *If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should check box #1. 1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy information. Insurance Company Name: Acadia Insurance Co Insurer's Address: 222 South 9th Street City /State /Zip: Minneapolis Minnesota 55440 -1100 Policy # or Self -ins. Lic. # WC- 20 -20- 002334 -02 Expiration Date: 10/08/12 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 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 lnvestigatio DIA for insurance cov e verification. 1 do h reb Y certi , under the pains and enalt' s of perjury that the information provided ve is true and correct. Signat J oal,1 h Date: Z� f t Phone #: `{/ 3 7 3 Officia us only. Do not ite in t 's area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone #: www.mass.gov /dia , SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 4,14 ... Name of License Holder ,c,�E� =T 1 4 . ^ License Number 3 Otis- - � .n A �LaS - f}-arn , Pr -S� /.3 A. • : � 1°1 1' y s-� ;� / 1� Expira o n Da e yt3 �- z / T • '.. - r: Telephone 9. -- si. ire. Homelm. i• , C.ni • t.r: Not Applicable ❑ MI o l+4 1 L. s. 'Th fr ..-- /1/4333 / 4 Company Name Registration Number ger r tOe-5 1-571-m fzm (r f ' ddre Expir on to b ' Telephone ` 13 fl3c) SEC ION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation sur ce affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuan of the building permit. Signed Affidavit Attached Yes X No ❑ 11. - Home Owner Exemption 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 l 6 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) " Roofing ❑ Or Doors D Accessory Bldg. El Demolition ❑ New Signs [O] Decks [D Siding [0] Other [0] Brief Descripfo of roposed Work: mO • X t3 r( 71-} SiEFP1 fr44 For m4s? N G K1 Tc.h n Alteration of existing bedroom Yes % Adding new bedroom Yes No / �� moo Attached Narrative Renovating unfinished basement Yes v' No � M 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: 7 Number of Bathrooms c. Is there a garage attached? 1)0 d. Proposed Square footage of new construction. «O v cz. F Dimensions D e. Number of stories? 1 f. Method of heating? 0 / Ar 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 NVA k. Will building conform to the Building and Zoning regulations? V Yes No . I. Septic Tank City Sewer 17 Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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, i v 6 e02. -'T �3�► r> ' ' , 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 un r the pains and penalties • •: jury. ame S Sign re of Owner /Agent Dat 1 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 � - � �r,, Building Department Lot Size 3. q L n�p-e 3 T 7 P1"t r.:e, Frontage /70. a-7 / 70 "-17 Setbacks Front / r /(05-( p / r Side L: 0 R: 1 f0 L: av W. / Rear AO / fi r Building Height /8/ r Bldg. Square Footage /1trii % 19Ar/ T Open Space Footage % (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Spe • l Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 iDONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained 0 , Date Is ed: 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 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 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. e 4" Department use only RE EIVED of Northampton Status of Permit: Bu ding Department Curb Cut/Driveway Permit AUG 2011 12 Main Street Sewer /Septic Availability AUA7 3 0 22111 Room 100 WaterlWell Availability ort ampton, MA 01060 Two Sets of Structural Plans DEPT. OF BUILDING'' :: - 3- ;7 -1240 Fax 413- 587 -1272 Plot/Site Plans NORTHAMPTON MA 01060 Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office 3 /q %.5,0/1L . Map Lot Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 4 6 tr2 'I - @`7 � A r 1 a� CC�I/\ r� r - % ' Name (Print) 1" Currer� Mailing klr ,it /3 S' ,,3 -o /i Telephone Signature 2.2 Authorized Agent: N, / . ' • • ate f4 , v .,. ale- ?!...6 6i - ` 2 W 6S m g-t1 y)T 1 ame (Pri ) Cu nt Mailing Address: ' r ..4...---- 13 c� 7 V30 Si. • - r> Telephone SEC ' ON 3 - ESTIM D C NSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 77 lit.) (a) Building Permit Fee 2. Electrical i J55 0 (b) Estimated Total Cost of 77 Construction from (6) 3. Plumbing /Q 0017 Building Permit Fee 4. Mechanical (HVAC) 4 7 1 i Fire Protection / 6. Total = (1 + 2 + 3 + 4 + 5) 4 7t9 37, 12) Check Number V This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date j 1 File # BP- 2012 -0202 APPLICANT /CONTACT PERSON ROBERT H DUNN or ADDRESS /PHONE 43 BURT RD WESTHAMPTON (413) 527 -2953 a N PROPERTY LOCATION 544 SPRING ST MAP 16A PARCEL 001 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /� ‘5..� Fee Paid / Typeof Construction: MOVE BATH, ADD BATH,KITCHEN REMODEL & ADD MUDROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 085846 3 sets of Plans / Plot Plan THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: 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 Demolition Delay 97/1 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. 3 544 SPRING ST 9 BP- 2012 -0202 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16A - 001 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- 2012 -0202 Project # JS- 2012- 000309 Est. Cost: $98300.00 Fee: $589.80 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT H DUNN 085846 Lot Size(sq. ft.): 162478.80 Owner: GOUGEON ROBERT E & APRIL A Zoning: URA(100)/ Applicant: ROBERT H DUNN AT: 544 SPRING ST Applicant Address: Phone: Insurance: 43 BURT RD (413) 527 -2953 WC W ESTHAM PTON MA01027 ISSUED ON: 9/12/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: MOVE BATH, ADD BATH,KITCHEN REMODEL & ADD MUDROOM 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 9/12/2011 0:00:00 $589.80 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner