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29-034 JAN -11 -2010 14:42 FINCI< & PERRAS INS 1 413 52? 5970 P. 21/@2 PRODUCER (413) 527 -5520 FAX (413) 527 -5970 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Finck & Perras Insurance Agency, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Tk118 CERTIFICATE DOES NOT AMEND, EXTEND OR 6 Campus Lane ALTER THE C • _ ' FORDED BY THE FOLIC _ - =__ LOW. Easthampton, MA 01027 Rebecca Kubosiak INSURERS AFFORDING COVERAGE NAIC # mucus) • .ert '. Dunn r. Canstruetion er ces, Inc. INSURER A: Trave ers 43 Burt Road INSURER 5: Westhampton, MA 01027 INSURER c: INSURER 0: INSURER E CDVERAG THE PCSUCIES OF INSURANCE LISTED BELOW PIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCt TENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALI THE TERMS. EXCLUSIONS AND COIT1ONS OF SUCH poLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C TYPE O I AN P OLICY I R n � S F t D�RATt�1 METE - ' GENERAL. LAM 6800473PO46 08/19/2009 08/11153.6 ee.c m occunnews S 1,000,431 COMMERCIAL GENERAL LIHSILrTY T s 5OO, ■ I I ernagwonV mitwitAktga cUoMS NADE pri OCCUR MED ExP (Any One Me+) S 110, I 1 I A X PERSONAL& AW INJURY $ 1,004, I' 1 GENERAL AGGREGATE $ 2,000, r. I GEM. AGGREGATE ��LIMIT APPLIES PER PCOMMIX OOUCYS COMMIX AGG ' 5 2 ,000 , I 1 I PC1t.IG^r .I > k ` LC J AUTOMOBILE LIABILITY t> SINGLE LENT s ANY AUTO — ALL OWNED AWEOS ( I pe) MORN, s Sf,'tIEt* D AU1 — HIRED AUTGG sODEy INJURY � - NQN.QL NED ARJTQ : DAMAGE i A 6 AR . AUTO QNLY . EA ACCIDENT $ ANY Aum EA ACC $ ' AUTO ONLY! AEG f EXOESSIUMERELIA u a* rIY EA(21 OCCURRENCE $ OCCUR p CLAIMS MAD AGGREGATE $ i s DEDUCTIBLE 5 EMPLOYERS` T111 AMID . ! . P- C P~ MB I aR l3CCLe `l"VL H.L. EACH ACCIDENT $ EL DISEASE - EAEAM'[.OYF?E $ If yes. daggrible under _.. SPEOAL VISIOf t EL. DISEASE • POLICY war s `. OTNER DMA/re= OF OPERATIONS( LOCATORS MECUM EXCLUSIONS AVM Wf ENOORSEaer3i'f SPECIft PR Reference: Ryan- 40 Pioneer Knolls markers compensation certificate of insurance to follow directly froi the carrier. ; I7 IL L! -1.... CANCELLATION smou D AIJY CIF THE ABOVE DESgtlSED POUCIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURERTVE.L EMDEAVOR TO MAN. City' of Northampton 10_ DAYS %mor l Haman) THE C� gL TIIIICATE It7ER NIHAU= To THE LEFT, Attn: Ban ding Dept. cur FAILURE TONAL SUCH PICNICS SHALL WOWS ND Q!UGA I0$ OR LINTY 212 Main St. (WARY KIND U' Oil THE nL7rll +siq. ITS AGENTS ORnsPQEFENTATNEE. Northampton, MA 01060 sum REPRESENTATNE ISIAPILarte. a.. Rebecca Kubosiek/BECKY ACa2D 25 (2004108) FAX: (413) 587 -1272 fBACORD CORPORATION i888 Proposal Customer /Owner: Jim & Chris Ryan Robert 121, Address: 75 Chesterfield Rd. Dunn, City, State, Zip: Leeds, MA 01053 Phone: 413 584 -1319 Construction Services, inc. Proposal Date: 11/30/09 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: 40 Pioneer Knolls We propose to furnish all material and perform all labor necessary to complete the following: Kitchen: Remove all existing cabinetry and counter tops. Remove existing kitchen sink. Remove baseboard heating covers. Remove existing floor covering. Remove existing entry door. Re- design kitchen layout to include a two seat peninsula and broom closet. Install cherry "Legacy" or "Wellbome Forest" cabinets with slide out shelves, self closing drawers and an opening above stove suitable for built in microwave /exhaust fan. Install granite counter tops with under -mount two basin sink, new faucet w /spray, and soap dispenser. Install garbage disposal. (Granite to be selected by homeowner from standard selection) Install low profile baseboard heat covers. Install recessed lighting over cabinets and peninsula as well as the area over the kitchen table. (A total of seven fixtures) Install a "full view" 32" door to replace existing entrance. Install oak hardwood floors color match as close as reasonable to existing hallway floors. Tape and sand all walls as necessary for a paint ready finish. Paint all walls and ceiling with one coat of "Benjamin Moore" primer and two coats of finish. Sand and prepare all woodwork and trim for one coat of primer and two coats of finish. (Walls, ceiling and trim colors selected by homeowner) Bath: Completely remove all plaster and lath from bathroom. Remove existing tub /shower unit, toilet, vanity and sink. Expand and reframe tub /shower unit area to accommodate a six foot tub unit by partial removal of linen closet in hall. Expand entrance door to accommodate new 30" pocket door. Install new "Acker" 6' tub shower unit with new "Symons" shower valve. Install new "low profile" base board heat covers. Install new "Toto" two button toilet. Install new 48" vanity with granite counter top and white under -mount sink. Install new "Delta" bath faucet. Install new bathroom exhaust fan ducted to the outside, with light and heat option. Install cement board surrounding upper area above tub /shower unit to accept tile. Install tile (color selected by homeowner) above tub /shower unit. Install cement board on floor surface to accept floor tile. Install tile (color selected by homeowner) for bathroom floor. Install water resistant gypsum wall board to remaining walls and �4UUNG vI6U frn 4.,o4t,14aez ii111 Rot.iiut }C Cou tut,tto.t fO/t 1(1.1 I Proposal Customer /Owner: Jim & Chris Ryan Robert j Address: 75 Chesterfield Rd. MR , A unn l 1 City, State, Zip: Leeds, MA 01053 Dunn, C.C� Phone: 413 584 -1319 Construction Services, Inc, Proposal Date: 11/30/09 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: 40 Pioneer Knolls We propose to furnish all material and perform all labor necessary to complete the following: Bath cont: standard grade to ceiling. Tape and sand all wall surfaces to a paint ready finish. Paint all walls and ceiling with one coat of "Benjamin Moore" primer and two coats of finish. Sand and prepare all woodwork and trim for one coat of primer and two coats of finish. (Walls, ceiling and trim colors selected by homeowner) Porch: Remove exit door. Remove existing windows and wood work. Install full view exit door expanded to 36" opening. Install "Integrity Ultrex" casement windows with wood interior prefinished in white in three exterior walls. Level existing floor with "over pour" concrete. Install bead board finish with chair rail on rear interior wall. Install compact electric heat unit with thermostat and blower in rear wall. Install three (3) recessed lights with dimmer. Add additional outlets to meet MA Electrical code. Paint all walls and ceiling with one coat of "Benjamin Moore" primer and two coats of finish. Sand and prepare all woodwork and trim for one coat of primer and two coats of finish. (Walls, ceiling and trim colors selected by homeowner) Demolish and remove cement and stone slab to the rear of the porch. Remove and dispose of awning type structure over slab. Whole House Fan: Frame opening in main hallway to accept whole house fan. Fan size to be determined and installed. Trim and finish opening. V•I.afl "?)ctt fat warwa?444Sl J obent ` ) t4ML, S. CanAtttawn ti'ty U 9.tc. cut t Proposal Customer /Owner: Jim & Chris Ryan Robert LE, Address: 75 Chesterfield Rd. ow Ell Dunn, City, State, Zip: Leeds, MA 01053 Phone: 413 584 -1319 Construction Services, inc. Proposal Date: 12i28i09 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: 40 Pioneer Knolls We propose to furnish all material and perform all labor necessary to complete the following: Additional items added as of 12/26/09. This page shall be incorporated into the original contract. Strip and sand all hardwood floors in the entire house. Seal all floors with three coats of floor grade poly- urethane. Add canned recessed lights to hallway and remove existing lamp. Remove electrical socket and repair ceiling void for paint ready finish. Add water proof canned recess light over shower. Upgrade tile to "Val Pretra Roman Avorio 12x12 for floor. Upgrade (add) wall tiles outside of tub unit four (4) feet high with "Torello" chair rail and "Romano Avorio Moat" accent on all walls. Upgrade tiles inside and over tub walls to "Val Pretra Roman Avorio." Demo porch floor and remove existing concrete to achieve adequate thickness for new slate tile. Pour new 4000PSI fiber reinforced concrete floor in porch area. Add and install "Rustic Multi Color Tumble" 12x12 slate to new porch floor. Rebuild exterior walls on new floor to include pressure treated wall plated with 2x6 window base walls. Connect and add air conditioning duct to porch area. Insulate walls and new slab according to MA building code. Add new insulated nine (9) light door between the garage and porch glfcaxcfi, $ou, 1ivc wroule.ttt1 italielt 3 Tuna, Conn:ttuaula ,9nC. cc¢ a•ottt ro Proposal Customer /Owner: Jim & Chris Ryan Robert 1b Address: 75 Chesterfield Rd. Dunn j}3 City, State, Zip: Leeds, MA 01053 i ran Phone: 413 584 -1319 Construction Sery ices, Inc. Proposal Date: 11/30/09 43 Burt Rd. Westhampton, MA 01027 (413) 250 -7430 Project name: 40 Pioneer Knolls We propose to furnish all material and perform all labor necessary to complete the following: All construction related debris will be removed from the job site and disposed of at the Northampton Sanitary Landfill. All electrical work will be performed by a licensed electrician. All plumbing work will be performed by a licensed plumber. Bathroom light fixtures, medicine cabinets, mirrors and towel holders are not included in this proposal. These items must be selected and purchased by the homeowner. These items will be installed by the appropriate contractor at no additional charge. The price includes all building, electrical and plumbing permits, as well as all associated inspections and fees. No additional charges will accrue without notification to the homeowner of such charges. See page 4 for amended work and materials as of 12/26/2009 (Price below reflects amendment) We propose to complete this project in accordance with above specifications for the sum of: Fifty nine thousand seven hundred eighty six dollars and twenty four cents $ 59,786.24 Payments to be made as follows: 1. $19,928.75 when work is scheduled 2. $19,928.75 when cabinets arrive 3. $19,928.74 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 signature: Date: Contractor's signature: Date: J L.L1 c /w, aZetuut - Rutza . t Dnnn, 'a. Co.rI . e zAn fvz'o.vt as Jan 11 10 02:25p Robert kJ. Dunn, Jr. (413) 527 -2953 p.2 Proposal Customer /Owner: Jim & Chris Ryan Robert a Address: 75 Chesterfield Rd. '* nny City, State, Zip: Leeds, MA 01053 Phone: 413 584 -1319 Construction SerV,ces, inc. 43 Bart Rd Westhampton, MA 01027 Proposal Date: 11/30/09 (413) 250 -7430 Project name: 40 Pioneer Knolls We propose to furnish all material and perform all labor necessary to complete the following: All construction related debris will be removed from the job site and disposed of at the Northampton Sanitary Landfill. All electrical work will be performed by a licensed electrician. All plumbing work will be performed by a licensed plumber. Bathroom light fixtures, medicine cabinets, mirrors and towel holders are not included in this proposal. These items must be selected and purchased by the homeowner. These items will be installed by the appropriate contractor at no additional charge. The price includes all building, electrical and plumbing permits, as well as all associated inspections and fees. No additional charges will accrue without notification to the homeowner of such charges. Seepage 4 for amended work and materials as of 12/26/2009 (Price below reflects amendment) We propose to complete this project in accordance with above specifications for the Suns of: Fifty nine thousand seven hundred eighty six dollars and twenty four cents $ 59,786.24 Payments to be made as follows: 1. $19,928.75 when work is scheduled 2. _ $19,928.75 when cabinets arrive 3. 519,928.74 when complete Acceptance: If the price, specifications, and conditions are satisfactory, please sign and return one copy to: Robert IL Dunn, Jr. Construction Services, Inc. 43 Bart Road Westhampton l 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 /Owvner signature: 21 1/ Date: JO- 1/20 Contractor's signature: at Cl ,� Date: /76-C 0 gf—A r7 °i fos • ^ " J d...t :X . ir .cticw cfw;. -c, 4 rm.-y-144 • 1,1a..achu.ett. - Department of Nu)lit• ■:11et■ cp Board of Buildlin2, RCt2uI ttinn. and standard. J ost,..�t t- __ License: CS 85846 Restricted to: 00 ROBERT H DUNN JR ' 43 BURT RD WESTHAMPTON, MA 01027 �--‘,..— ------ —���` Expiration: 3/5/2011 d "mnii. Tr -t: 13540 ✓1e Vr ammo nraseae o ILaksac6uJe License or registration valid for individul use only * Office of Consumer Affairs & Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration: 133318 10 Park Plaza - Suite 5170 .. i Expiration: 6/6/2011 Tr# 700220 Boston, MA 02116 Type: Individual ROBERT H. DUNN, JR. ROBERT DUNN JR. 43 BURT RD. g--- (,..c,,,,,. b iL WESTHAMPTON, MA 01027 Undersecretary N ot valid with ut signature The Commonwealth of Massachusetts Department of Industrial Accidents `M _ . Office of Investigations Fr � ` �„�_ 600 Washington Street r Boston, MA 02111 vi ii. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information 1 Please Print Legibly Name ( Business /Organization/Individual): R A-1 /1 • b •`1 n ✓ Address: `{ 3 ' 1• ;..) - i 72 — 0 City /State /Zip: es T-1-4 erG 1EF''\ rnA Phone #: 1 4 13 c `sue 7`F 3 C Are ou an employer? Check the appropriate box: Type of project (required): 1 I am a employer with 4. I am a general contractor and l / / / /// employees (full and/or part- time).* have hired the sub - contractors 6. ❑ New construction 2.0 t am a sole proprietor or partner- listed on the attached sheet. 7.1S,Zemodeling ship and have no employees These sub - contractors have 8. 0 Demolition working employees and have workers' g for me in any capacity. $ 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. 0 We are 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 MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *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. Contractors 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 - contractors 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: Q e ") 0-7 E� 1 6 r n al s City/State /Zip: „� . ' 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 Investi! '. s o - IIA for insurance coverage veri cation. I / hereby certify u t er t e pains and penalties / , rjury that the information provided above ' true and correct` Si ature: Date: // i:lr b Phone #: Official use t nly. Do not write i this a - - a, 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. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : b ce +2 T t"i �, .1 �✓� CS 5V IG/ License Number 0 i--% ` 5 , &who : t'v 1 rn A Address � � r I,� Exp ati ate €2\ � yi3 sz) 7 3 0 Sign. r: Telephone 9. R- . istered Home Impro ent Contractor: Not Applicable ❑ bc=/t , C I . iJ :� r1 J ✓' 7333/ corn. any Name Registration Number & f r �2 ,D i-� S " % /.l P-»�p 771n /r) f} (© / c / 1..c / i4d• ress Expiration Date ( Telephone 4/ 3L' , SECTION 10- WORKERS' 0 ' ENSATION 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 affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors ID Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [❑ Siding [0] Other [0] Brief Description of Proposed Work: remodel existing bath, remodel existing kitchen, remodel existing three season porch, upgrade exisiting smoke detectors Alteration of existing bedroom Yes xxx No Adding new bedroom Yes xxx No Attached Narrative Renovating unfinished basement Yes xxx 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? 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 . I. Septic Tank City Sewer 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 1, 11 / - f �"-n V"1 J f , as Owner /Authorized Agent h eby declare that the statements and iMormation on the foregoing application are true and accurate, to the best of my knowledge and belief. (Signed and = the pains and p- nalties of . - . t'" :me / Signature • Owner /Agent Dat 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 O DONT KNOW ® YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O 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 O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO O 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. Department use only City of Northampton Status of Permit: 2Q�Q Building Department Curb Cut/Driveway Permit M'‘‘‘\ 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 587 - 1240 Fax 413 587 - 1272 Plot/Site Plans 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 i t `" ) CE- Aj2c') /ZS Map Lot Unit /th ,a. - Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: James and Chris Ryan Chesterfield Rd. Leeds, MA 01053 Name (Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: 43 Burt Rd. Westhampton MA 01027 43 Burt Rd. Westhampton MA 01027 Name (Print) Current Mailing Address: 43 Burt Rd. Westhampton MA 01027 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 48,786 (a) Building Permit Fee 2. Electrical 4,000 (b) Estimated Total Cost of Construct from (6) 3. Plumbing 4,000 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 3,000 6. Total = (1 + 2 + 3 + 4 + 5) 59,786 Check Number / A36 2 161 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0661 APPLICANT /CONTACT PERSON ROBERT H DUNN ADDRESS /PHONE 43 BURT RD WESTHAMPTON (413) 527 -2953 PROPERTY LOCATION 40 PIONEER KNLS MAP 29 PARCEL 034 001 ZONE URA(100) / /WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out j / ��j Fee Paid 7 J a Typeof Construction: REMODEL KITCHEN,BATH & 3 SEASON ROOM 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 FOLLOWING 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 Signature of Building Official Dat- 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. 40 PIONEER KNLS ' BP -2010 -0661 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 29 - 034 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- 2010 -0661 Project # JS- 2010- 000960 Est. Cost: $59786.00 Fee: $358.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT H DUNN 085846 Lot Size(sq. ft.): 11979.00 Owner: RYAN GRACE S & JAMES M RYAN & CHRISTINE H RYAN Zoning: URA(100) / /WSP Applicant: ROBERT H DUNN AT: 40 PIONEER KNLS Applicant Address: Phone: Insurance: 43 BURT RD (413) 527 -2953 WESTHAMPTONMAO1027 ISSUED ON :1/19/2010 0 :00 :00 TO PERFORM THE FOLLOWING WORK: REMODEL KITCHEN,BATH & 3 SEASON ROOM 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 :/ . c27 / Rough : &i — ` House # Foundation: / 3' / Driveway Final: Final: ©�;I �(Z �� Fin�d�ly� ,z1 PeN / 571 /t Y r�r Rough Frame:. 1 c,LEG 5I r° �1 10 iS Gas: Fire Department Fireplace /Chimney: Rough: Li.- ` - ` Oil: Insulation: Final: Smoke: Final: OK 5fI2io L i — . THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of OccupancyS i z la l 3& v Signature: Yp Feel e: ' Date Paid: Amount: Building 1/19/2010 0:00:00 $358.20 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo