31A-317 (3) Wood Floors:
We will patch in strip oak flooring where needed to do our work. We will sand and finish flooring with 3
coats of urethane to match existing.
Shower Door: (Allowance of $743)
Install (1) brushed nickel hinged shower door with'.' clear glass and a handle pull, to the hall bathroom
area. (To be field measured.)
Bathroom fixtures:
Install owner supplied (2) towel bars, (2) toilet paper holders and (t) mirrors to the bathroom areas.
Bathroom Vegitine:
Vent two bathroo f fan, fight/ heat fixtures through roof using metal duct and black metal roof vents.
We propose to fu i ish the material and labor necessary for the completion of the above stated work for
the sum of:
Sixty Thousand en Hundred Twenty Three Dollars. 60,723,00
Payment as follow::
$20,000 upon sta (Demolition)
$25,000 upon row.' inspections.
$10,000 upon com . letion of Painting.
$5,723 upon comp etion of the proposal.
All work to be co it pleted in a workmanlike manner according to standard practices.
Any alterations o deviations from the above specifications involving extra cost
will be executed o E ly upon written orders in the form of a change order, and win become an extra charge
over and above th estimate. All agreements contingent upon strikes accidents or delays beyond our
controL Owner t i carry fire tornado and other necessary insurance. Our workers are covered by
workman's comp. insurance. A certificate of liability insurance will be mailed to the above address upon
request.
r
Respectfully Sub', itted by . % if Harlow Builders.
ACCEP 'LANCE OF FROPO,SAL
I accept the abov stated prices, specifications and conditions. You are hereby
Authorized to do he work as specified. Payinent will be made ' outlined.
'. _ -� i
Date 1 -- 1 - Signature c - "-' _ j` .:
Sheetrock:
1/2"gypsum board installed to new framed walls, a moisture resistant board applied to new bathroom
walls. Fastened with 1 "1/4 screws, taped, coated (3) applications, sanded to a paint ready surface.
Includes patching of existing sheetrock where needed. Master Bedroom Ceiling to be scraped, coated
three applications and sanded to a smooth and paint ready surface.
Cement Board:
We will install Dura rock cement board to tub and shower area's fastened with screws.
Painting:
Three bedrooms, two bathrooms a Hallway, one living room wall, kitchen ceiling, Dog tub area and
shelving. Walls and ceilings to be painted with (1) coat primer and (2) coats finish.
All new and old base case and trim to be painted with (1) coat primer and (2) coats finish.
(Owner to have choice of color and finish.)
Interior Doors:
Solid core birch doors with satin nickel hinges and 4 9/16" double rabbitted jambs.
(3) 2668, (1) 2868, (1) 4068 dbL doors.
Door Hardware:
Schlage Plymouth Brushed nickel door knobs.
(1) Entry, (1) Deadbolt, (5) Privacy, (2) Passage and (1) set of Dummy Knobs.
Door Stotts:
Satin nickel door stops (3) Wall stops and (5) hinge stops.
Vanity Cabinet:
(1) 36" bathroom vanity with one large door and three drawers on the right side.
Door style Manchester, color platinum gray with brown glaze.
(1) 30" bathroom vanity with one large door and three drawers on the left side.
Door style Manchester, color antique white with brown glaze.
Vanity Tops: (By Owner)
Supplied, delivered and installed by 3SM marble & Granite.
Interior trim:
Trim to match existing. (Ranch Trim)
Baseboard trim to be #8731, 3'//" pine. Window and door casing to be #8730 2 %/z" pine.
Window sills and closet cleats to be 1x4 pine trim. Closet shelving to be h12 pfj pine with #8912 closet pole.
(2) sets of white pole cups and (3) white shelf pole brackets.
Install new chair rail to bathroom area's # 8630. install #B 8009 pfj crown molding to master bedroom ceiling.
Existing bedroom windows will be cased out in ranch trim to match the living room windows.
Underlayment:
We will add a layer of 'A" ulc plywood underlayment to bathrooms sub floor.
Tile Flooring & Walls:
Install owner supplied ceramic floor tile to two bathroom floors. Install owner supplied wall tile from top
of master bedroom tub 3 sides to ceiling and from shower base in hall bathroom to ceiling.
_----
Living Room Area:
(3) Pella Architect series #7586 active / passive inswing doors with white clad exterior and unfinished
interior. Grills 7/8" 1 wide and 4 high. Multi point lock, satin nickel handle set. Hinge screen satin nickel.
Exterior Windows:
Master Bedroom:
(1) Marvin Integrity ICA2955 Casement window
Master Bath:
(1) Marvin Integrity, Replacement Casement window. (Field Measure)
Exterior Trim:
Pine wood to match existing.
Siding:
lx10 pine boards with 1x2 pine batts to match existing.
Exterior Stain:
Solid color stains to match existing. Coat two applications.
Plumbing:
Includes: Permit, Disconnecting and removal of existing bathroom plumbing fixtures.
Re- plumbing as needed to install tub, shower, (2) toilets and (2) vanity sinks.
New plumbing supplies and drain to dog tub area. Dog tub and faucet Fixtures by owner
Fixtures and faucets included listed below. (Brushed Nickel finish)
Re-use existing (2)toilets and (1) shower base.
(1) Kohler 36x60 white Mariposa bath tub with integral apron and 3 sided tile flange.
(2) Danze Antioch Lavatory faucets 8" wide spread with brush nickel finish ($394)
(2) Valves / Brush nickel trim
(2) Wax Rings
Heating:
Install two new floor registers with duct work to the living room floor area.
Move heat in hall bathroom to under vanity cabinet.
Move heat in bed 2 from under cabinet back to a floor register.
Electrical:
Includes: Permit for electrical work. Disconnect and relocate wiring for new construction.
Material and labor for switches, receptacles, ceiling fixtures and heat as per code.
Living room: Remove two outlets on south wall, add (2) S3 way switches for exterior lights.
Hallway: Add (1) rocker switch to match, change out ceiling fixtures. Master Bedroom: Add new light switch for
center light. Move switch behind head board area, S3 for exterior lights. Add switch and light to new closet area.
Move smoke detector. Master bedroom bath: Remove existing electric heater, add new fan/light/heat ceiling
fixture. Bedroom One: change out light fixture in closet to a florescent light fixture.
Bedroom Two: Add Si switch and center light, remove two existing outlets, add power strip to under side of new
counter top, remove cable tv, move telephone to desk area. Hall Bathroom: Add GFI outlet to vanity area, add new
fixture to shower area, add new fan/light/heat ceiling fixture, remove electric heater. Dog Tub Area: Add GFI
outlet.(Owner to supply decorative fixtures.)
Insulation:
Non expanding spray foam insulation around new widows and exterior doors.
��
PROPOSAL
Harlow Builders
336 Coles Meadow Rd.
Northampton, Ma. 01060
(413) 586 -0465
Submitted to: 6/26/12
Ellen Kaufman (413) 250 -1465
126 Vernon St.
Northampton, Ma. 01060 Page 1 of 4
We hereby submit specifications and estimates for renovation work to the existing single family home.
All materials and labor to complete. All permits obtained by Harlow Builders.
All debris caused by construction removed by Harlow Builders.
See attached drawings for details on framing and placement of fixtures.
Drawings By: Rice Yun Architects Dated 5/19/10
Demolition:
All demolition as per plans for a complete job.
Remove partial, interior finishes, sheetrock, exterior finishes, siding and Sheathing.
Remove partial framing and flooring.
Living Room:
South wall, windows and framing.
Hallway Bathroom:
Plumbing fixtures, Vanity cabinet, tile walls and flooring.
Master Bedroom:
Doorways and closets, Demo partial exterior east wall, for one new window location.
Demo Partial south wall for new door location.
Master Bathroom:
Plumbing fixtures, Vanity cabinet, tile walls and flooring, medicine cabinet and electric heat.
Bedroom One:
Closet area.
Bedroom Two;
Doorways , closet and partial base cabinets.
Pantry Area:
Closet area and partial shelving.
Framing:
Livinj Room: Frame three new doorway openings into the existing south wall.
Master Bedroom; Frame for a new interior doorway opening, a walk-in closet and a new exterior window
and door opening.
Bedroom One: Frame in one closet doorway.
Bedroom Two: Frame in existing doorway opening. Frame for a new doorway opening to hallway.
Frame for a new closet area. All framing as per plans and code regulations.
Exterior Doors:
Master Bedroom Area:
(1) 3068 Therma -Tru Smooth Star #S- 2000 -LE flushed glazed, prefinished standard white,
Left hand fiberglass in swing Door with Nickel Hinges and a adjustable aluminum sill.
(1) 3068 Larson #349 -52 white full light storm door with removable screen and glass. (Nickel Hardware)
•
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s)
- who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants person(s) who seek to use
the hou re owner exemption,-to act as their own_ constiuctiron supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulations. The inspection process requires that the. building department be called to
inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building- inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires; these inspections before the work is concealed, failure to
secure these inspections can' result in failure to obtain a certificate of occupancy
until the work can be inspected:
lithe homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will . be responsible to make sure that the trades hired secure their proper
jermits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
1 , understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued tome.
Date
Address of work
location
. .. .
The Commonwealth oPfassachusetts
Department of Industrial Aecidents . '
Office of Investigations . .
•.* .—::: tz--- t t. I
i, T=1 "7 " 600 Washington Street
• :1........: : z..--- .0 Boston, MA 02111
.*,.. -.::---.--
www.mass.gov/dia . .
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organiiation/Individual): f:kr\ t,‘-.Z ' 1/4,1/41 \ 0 ..Z...-cS
• • Address: 1 est)i 42,3 mozck. 4 SZS:, • •
• t
City/State/Zip: t Tin ol 4 Phone.#: t II C.)9 CC
(o, ) S -
• 1 Ar an emP .th 4 l
employer? .Check eck the appropriate boa: Type of project (required):
a general co et or and I
6. 0 New construction
- employees (fiill and/oipait-tiffte).* have hired-the sub-contractors
2.0 I am a sole proprietor or partner- listed on the attached sheet: 7. 0 Remodeling
These sub-contractors-have 8. 0 Demolifion '
• sap and have no employees
worlang . for me in any capacity. employees and have workers'
... . • 9. 0 Building addition
[No workers' comp. insurance comp. insurance. 4- . . •
• requ . . 5. 0 We are a corporation and its 10.0 Electacal repairs or additions
officers havelxercised their • . 11.0 Plumbing repairs or additions
3.0 I ani a homeowner doing all work
right of exemption per MGL
myself [No workers' comp. 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 woricers' compensation policy inforraation. •
t Homeowners who submit this affidairit 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 numb. . '
I am an employer that is providing workers' compensation insurance for my einployees. Below is the policy and job site
information. • . .
Insurance Company Name: 'S t ? k to Xt c • 1 LCOLIA.C.A •
A
Policy # or Self-ins. Lic. #: 1 ..,..) CA._ cc Qs 3 'Z.. ( a Expiration Date: ' % 1 t 't l IA ..
• • Job Site Address: I..t. V %Li" tv4i■ • City/State/ZiptViT\41\ • Ma pi t,
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 forn;i of g STOP WORK. ORDER and a fine
of up to S250.00 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 'aims , d penA' , ,-,", of , duly at the information provided above ' true and correct.
iy. .tuie: _......rdi% _:.1 _......P , ,r4' ••‘ • Date: , 1 • I ■
Phone #: (M r) cv,k;.---(=0442C - • • •
•
cOffit::Tuso:n: Permit/License #
y . Do not write in this area, ta be completed by c'ity or town officiaL
Issuing Authority (circle one):
• .
:1. Board of Health 2. Building Department 3. Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES .
,
8.1 Licensed Construction Supervisor: Not Applicabl2 ❑
Name of License Holder `et +J S'a 7 fit Oo
License Num er
-- L — S ( => . t �� 1 113
Address Expiration Date
Signature Telephone
". _ z - r t .. e ... , , =+. - 6 Not Applicable ❑
\k 1 0 0 5 --
Company Name Registration Number
\\ ot;,∎ V3�. \‘ ka \ I a
Address Expiration Da e
334 -M S OW C Telephone c��—" I�
SECTION 10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M G L..c,152, §-25C(61) .
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 buildin permit.
Signed Affidavit Attached Yes No ❑
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 posse ss 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 Jcheck all pplicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) (] � Roofing E
Or Doors "'
Accessory Bldg. ❑ Demolition El New Signs [0] Decks [C] Siding [Mk Other [0]
Brief Description of Proposed
Work: RQ C,b,■■q�'Q . � bC ® o,rc\ S 3 t341c'ec.nNs yaft utistc. - No liv i C +h e.cr,
Alteration of existing bedroom rr No Adding new bedroom Yes No
Attached Narrative yc..S Renovating unfinished basement Yes f No
Plans Attached Roll - Sheet
/ q t � , ® . �SC�e e .
a. Use of building : One Family Y Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms o7
c. Is there a garage attached? \/ c
d. Proposed Square footage of new construction. SQL Dimensions J K-
e. Number of stories? Sfiett
f. Method of heating? o.S \-t Fireplaces or Woodstoves \J t S Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? �1'V
h. Type of construction
t.- 1'CaoSJ
i. Is construction within 100 ft. of wetlands? Yes 1 No. Is construction within 100 yr. floodplain Yes J No
j. Depth of basement or cellar floor below finished grade 4
k. Wiilbuilding conform to the Building and Zoning regulations? Yes ✓ No .
I. Septic Tank City Sewer 7 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.
S ignature of Owner Date
S \i a k �� eW % \ S , 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.
5 O\k ?
Print Name
is
Signatur- o Owner /Agent Date
,
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
- i
Existing Proposed Required by Zot1%ng
This column to be filled in by
Building Department
Lot Size Ilk
Frontage 1 1 i t 1
Setbacks Front 1 1 1
Side L:! R:. L:; # R:i 1
iii=
LJ
Rear 1 1 (
Building Height i I j
Bldg. Square Footage % 1. 1 1 1=
_Open. Space Footage "/° — — —
(Lot area minus bldg & paved 1 1
parking)
# of Parking Spaces
--
Fill: 'C :
(volume & Location)
A. Has a Special Permit /Variance /Finding ever b = -n .sued for /on the site?
NO 0 DONT KNOW 0 Y: 0
IF YES, date issued:_
IF YES: Was the permit recorded at the R . istry of Deeds?
NO 0 DONT KNOW • YES 3
IF YES: enter Book a Page and /or Document #! t
B. Does the site contain a brook, body 4 water or wetlands? NO Q DONT KNOW Q YES 0
IF YES, has a permit been or n =-d to be obtained from the Conservati Commission?
Needs to be obtained 0 Obtained 0 , Date Is ued:
C. Do any signs exist on the pr. • - rty? YES 0 NO 0 \
IF YES, describe size, lie and location:
_._. D. Are there any propose. changes to or additions of signs intended for the property ? S 0 NO 0
IF YES, describe size, type and location: 1
E. WIII the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of - common plan
that will disturb over 1 acre? YES Q NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
i City of Northampton
JUN ' 2012 Building Department
212 Main Street
Room 100 3
Northampton, MA 01060 � �� °����`���
phone 413 - 587 -1240 Fax 413 - 587- 1272 ‘"
_ y � � ��� •off r �� � �
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 IV- office
(o e, c ` aNfa� �` Loot ' -Unit
C) o r1 Ste.
Zove
y ttr t btstrI t' ..
SECTION 2 -: PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
E I I r MCA r) 1 .7( \re,c n T.
Name (Print) Current Mailing Address:
(4 QS —C3 — 14
Telephone
Signature
2.2 Authorized Agent:
� cro� �os 3 %∎ �3 (.0 ( S ' O w 9.-b .
Name (Print) Current Mailing Address:
(4 "'S sI36 (0S
Signature Telephone
SECTION 3 ';ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building ` 1 3n 33 (a) Biuiiding F'errrt[t Fee
2. Electrical 3 S'.=D 0 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing (( Building Penult Fee I „
g , o
4. Mechanical (HVAC) 5-0
5. Fire Protection //657
6. Total = (1 + 2 + 3 + 4 + 5) � 3 Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
illUaralP
Signature: //J / / /� / ®® A
Building CommissionerMspector of Buildings Date
126 VERNON ST BP- 2012 -1172
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31A - 317 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- 2012 -1172
Project # JS- 2012- 002004
Est. Cost: $52803.00
Fee: $316.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HARLOW BUILDERS 052460
Lot Size(sq. ft.): 19602.00 Owner: KAUFMAN ELLEN Z
Zoning: URA(100)/ Applicant: HARLOW BUILDERS
AT: 126 VERNON ST
Applicant Address: Phone: Insurance:
336 COLES MEADOW RD (413) 586 -0465
NORTHAMPTONMA01060 ISSUED ON: 6/28/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: Renovate 2 bathrooms, Add 3 doors to living Rm
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 6/28/2012 0:00:00 $316.80
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner