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22D-083 t f , j • >! r a.l. {- C jcj 1 y . , m r -- r ., I . I,k ti Estimate RaintuamDate Estimate# 4/23/2013 1292 AIMPROVV, 128 Ryan Road Florence, MA 01062 Name/Address Lindsay and Sarah Davison 35 Bliss Street Florence, MA 01062 Terms Project On receipt Davison Kitchen Description Total $15,735.20 We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total. Payments to be made as follows: half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices. Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature. Prices, specifications and conditions are satisfactory and are hereby accepted upon signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. Phone# E-mail ' Signature 413 885-9038 tomnrainhome.net Page 4 Estimate ti minim Lilo Date Estimate# r&/ 4/23/2013 1292 MPRO�� 128 Ryan Road Florence, MA 01062 Name/Address Lindsay and Sarah Davison 35 Bliss Street Florence.MA 01062 Terms Project On receipt Davison Kitchen Description 26 SY Plumbing to code 1 Electrician to code 1 Building permit fees I ES Recycler fees Mixed loads 1 Ea Project material, labor,subcontract Material. per,job Labor. per job Subcontract.per job *Project Subtotal *Project Total Total • We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total. Payments to be made as follows: halt'of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices. Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature. Prices, specifications and conditions are satisfactory and are hereby accepted upon signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. Phone# E-mail Signature 413 885-9038 tom @rainhome.net Page 3 A 1°�R•�.lf Estimate Rainhgm Date Estimate# 4/23/2013 1292 128 Ryan Road Florence, MA 01062 Name/Address Lindsay and Sarah Davison 35 Bliss Street Florence.MA 01062 Terms Project On receipt Davison Kitchen Description Gypsum drywall, 1/2 in.plain board Ceilings 60 SF Gypsum drywall, 1/2 in. plain board Walls 368 SF 6-panel colonial prehung interior doors 36 in. x 80 in. 2Ea Closet shelves for entry area 3 Ea Softwood moulding 114 LF 9-lite fir prehung exterior doors for behind storm door(Allowance$270.00) I Ea 6-panel prehung steel exterior doors for rear entrance from screen porch area(Allowance$150.00) I Ea Priming and Painting, latex 603 SF Cabinets rule of thumb Base and Wall cabinets(Allowance$5500.00) 20.5 LF 18.5 LF Laminated plastic countertops(Allowance$16.00 LF) 25 LF Sheet vinyl flooring(Allowance$19.50 SY) Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the sum total. Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified. All work to be completed in a manner according to standard practices. Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature. Prices, specifications and conditions are satisfactory and are hereby accepted upon signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. Phone# E-mail Signature --- - 413 885-9038 tom@rainhome.net Page 2 ��e• :tfo �� Estimate irainhau. Date Estimate# 4/23/2013 1292 128 Ryan Road Florence, MA 01062 Name/Address Lindsay and Sarah Davison 35 Bliss Street Florence, MA 01062 Terms Project On receipt Davison Kitchen Description Removal of flooring(Numbers of layers yet to be determined and not sure if asbestos floor under vinyl) 176 SF Remove existing plumbing fixtures 2 Ea Removal of door, frame and hardware 1 Ea - Removal of walls and closets on breezeway 48 SF Removal of gypsum 108 SF Removal of Base cabinets 18 LF Removal of Wall cabinets 15 LF Removal of countertops 16 LF Door opening framing 1 Ea Stud walls 112 SF Kraft-faced fiberglass insulation 179 SF Total We propose to hereby to furnish material and labor-complete in accordance with the above specifications, for the sum total. Payments to be made as follows: half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified. All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature. Prices,specifications and conditions are satisfactory and are hereby accepted upon signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. Phone# E-mail Signature 413 885-9038 tomOrainhome.net Page 1 City of Northampton I7,li r I,''t, ' °xx 5 S '_ Massachusetts r?S " cf�, ri, L' * � ,R , DEPARTMENT OF BUILDING INSPECTIONS « S \ + * y. 212 Main Street • Municipal Building w �J', b Northampton, MA 01060 d-, O r ar''!',,: N % INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner 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 any person(s)who seek to use the home owner exemption, to act as their own construction 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. If the 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 permits 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 I, 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 to me. Date Address of work location • The Commonwealth of Massachusetts Department of Industrial Accidents spoil, t=' Office of Investigations �_ = 600 Washington Street IM°9� T, ,.. . Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): e\- Lp■.S ZAkCP _ Address: \"Z_�6 4 -1� 'C-�- City/State/Zip: c -AC .f— DV* 2- Phone #: 0, x-663 i Are you an employer? Check the appropriate$ox: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7. r-Remodeling ship and have no employees These sub-contractors have 8. n Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. rvi We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.F1 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 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: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certcfy under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: '1- Phone#: \ -- � lU b — Official use only. Do not write in-this 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: J SECTION 8-CONSTRUCTION.SERVICES 8.1 Licensed Construction Supervisor: �,,,p Not Applicable ❑ Name of License Holder: \ r�gIYyG] P(\.S U , 'r �- CS -d SS23'v License Number Ojc- - F* PO- O oxoL t - 1 r- 7_01N Address Expiration Date -gnature Telephone 9.Registered Home InprovementContractor: 71_4 `+ ,.__. Not Applicable ❑ (1-.\s1-3 T-r‘c, l b S-�1 S.-- Company Name Registration Number \2 (1-2- p - 0■ 6 2 10 --1—%Li Address Expiration Date Telephone 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 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 resides 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 • a SECTION 5=DESCRIPTION OF PROPOSED WORK(check all applicable) .; ,, .1 New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [[] Siding[D] Other[D] Brief Description of Proposed Work: N'tSeNsDC: V■•kci"c" Alteration of existing bedroom Yes '� No Adding new bedroom Yes V No Attached Narrative Renovating unfinished basement Yes ■ No Plans Attached Roll -Sheet sa. If New house and oradditi on 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 I, UkV16,V\ It(Ci Kt , as Owner of the subject property hereby authorize ‘1,t-AY\N4h.1 . im. f? tic`i' to act on my half, in al matters re . e to work authorizeld by this building per it ap lication. ,? 7 2 13 Signature o O er Date I, 00aLk I , as Owner/Authorized Agent hereby declare that the statt ments d information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed_.under the pains and pen-ties of perjury. Print Name II Signature of fawne gent 4 D.te • t ... Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by ioning This column to be filled in by ' Building Department — , ! ! Lot Size -------- — Frontage . Setbacks Front I Side L: , R:L---; L:1—...i R:L_____.! i I 1 1 r 1 , Rear ______ Building Height Bldg. Square Footage i t 1 1 1 i t --- Open Space Footage % -- --- , / (Lot area minus bldg&paved ! parking) i 1 I #of Parking Spaces Fill: 1, l (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:; I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book I Page; 1 and/or Document It; ; 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 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: 1 D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 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 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ____.) DepartmeiAt use only R EC I " City of Northampton Status of Permit I Building Department Curb Cut/Driveway Permit's'' t 4' - 3 2013 212 Main Street Sewer'/Septic Availability' • Room 100 Water/Well Availability Northampton, MA 01060 , Two Sets of Structural Plans = w, . 'f DEPT.OF BUILDING IN�'PECTIONphone 413-587-1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON,MA 01050 , 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 ,' 35 -BU( S S - • °.Map-- Lot = i Unit _ ~ (• i - Zone , Overlay District. EIm St District CB District '. SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED.AGENT = 2.1 Owner of Record: �u� �( 35 ‘3<(ss SV. '� Name ) I Current Mail' g Ad ess: .-t ! i t(3 3 36 — X55 I._. _ill. Telephone Signature 2.2 Au ••r' •dA•ent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS, Item Estimated Cost(Dollars)to be Official Use Only _ completed by permit applicant .. 1. Building (a) Building`.Permit Fee - 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) , S 1 S- /-6 -Check Number. . . , . ,This.Section-For Official Use Only Building Permit Number _ Date _ Signature _ Building Commissioner/Inspector of Buildings - Date - • 35 BLISS ST BP-2014-0016 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 22D-083 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2014-0016 Project# JS-2014-000073 Est.Cost: $15735.00 Fee: $95.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq. ft.): 16030.08 Owner: DAVISON LINDSAY&SARAH M RIGNEY Zoning:URA(100)/WSP(100)/ Applicant: THOMAS MALONE AT: 35 BLISS ST Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 FLORENCEMA01062 ISSUED ON:7/16/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN 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 7/16/2013 0:00:00 $95.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner