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Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del disei o. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informaciOn contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 4 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a - Construct approx. 30x12 deck off back of house, deck will no longer be a small straight section then large octagon, deck is to be 12' out for almost entire length, and cut back in to fit a set of stairs next to path - Deck will be all pressure treated lumber for the frame, and all treks decking and railing systems Misc - Remove roofing on small section of roof, reflash, ice and water, and roll roof entire section to prevent any water leaking - Fix Section of dry rot in basement with new PT Lumber Materials & Labor: $42,500 Payment on 8/12/13 of$16,250 Deposits Received: $3,500 Balance due after 8/12/13: $16,250 $6,500 Balance Due: $32,500 Next payment Monday 19th $8,125 * Price does not include cost of kitchen cabinets, kitchen countertops, or vanities, just to install. Additional Work: Any additional work must be documented in a change order, and submitted and approved by the owner, and reviewed by the provider agency for eligibility, prior to commencing said work. Thank You, r-C Joe Stefanelli -Owner Customer Phil Stefanelli -Owner Customer Insured By: Traveler's, - Liability and Workman's Comp Licensed Massachusetts General Contractors #98013 MA HIC #150412 heavily damaged we will have to discuss other options) Bathroom - Remove tile from bathroom walls, re-sheetrock and tape 3 coats - Install new hardware on bathroom cabinet and paint cabinet to brighten up - Continue kitchen floor right through bathroom - Install new vanity cabinet, reinstall toilet over new floor Upstairs Bedroom - Sheetrock over current ceiling with 3/8" sheetrock - Tape 3 coats and finish sand, prepare, prime and paint ceiling two coats ceiling white - Install small profile crown molding around ceiling, caulk and paint white to match Upstairs Bathroom - Remove toilet and vanity, trash vanity - Install new vinyl floor - Repair a few damaged tiles on walls and re-grout to blend with existing - Re-install toilet - Install new vanity cabinet - Kill and paint trim around window to cover up stains Insured By: Traveler's, - Liability and Workman's Comp Licensed Massachusetts General Contractors #98013 MA HIC #150412 fflJOPIE______ pACELIPTERS'fi/OME /MPRO✓EMEIvT House Painting - Kitchens - Bathrooms - Windows + Doors - Additions 244 Brainerd St South Hadley, MA 01075 Office (413) 532-4517 Cell (413) 355-4676 Joe.homefacelifters(&gmail.com I www.HomeFacelifters.com July 17, 2013 Work Performed at: Jill and Felice Northampton, MA Description: Kitchen - Gut kitchen down to bare walls, remove floor and subfloor if necessary - Install kitchen cabinets (same layout as current) and hook up all appliances and fixtures (gas line needs to be ran to stove location) - 1FrstaW quartz countertops over all base cabinets, including an island in the middle with an overhand for benches - Lay engineered hardwood floor throughout kitchen and into hall area by front door - Replace current entry door off kitchen with new fiberglass 9 lite entry door, similar style - Paint walls, customer to pick color - Install new storm door over entry door with self storing screen - Hang new solid 30" door in place of accordion door on bathroom - Replace current baseboard with new white baseboard - Paint all trim in kitchen white, except bi-fold closet door - tile backsplash with subway tiles and grout - install new door into bathroom 6 panel solid Insured By: Traveler's, - Liability and Workman's Comp Licensed Massachusetts General Contractors #98013 MA HIC #150412 BIG Pro Deck Deign , Deck Information Deck 1 Construction Method - Beam Flush With Joist Footing Type - In-Ground Live Load, - 60 . Dead Load - 10• Decking Spacing - 1/8 in Joist Spacing - 16 in Beam Spacing - 84 in Post Spacing - 76 5/8 in Decking - L5/4x6 S/OGravel Path Grooved Trex- Decking Beams - L2x8 Treated Southern Pine No. 1 Joists - L2x6 Treated Southern Pine No. 1 Posts - L4x4 Treated Southern Pine No. 2 Deck Height - 24 in Diagonal Bracing - Yes Joist Overhang - 0 in Beam Overhang - 0 in Decking Deflection Factor - 360 Joist Deflection Factor - 360 Beam Deflection Factor - 360 Pref Decking Size - 5/4x6 Pref Joist Size - NONE Pref Beam Size - NONE Pref Post Size - NONE Diag Brace Height 1 - 24 in Diag Brace Height 2 - 24 in Railing 9 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 11 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 10 Railing Height - 36 in Baluster Spacing - 3 3/4 in Railing 8 Railing Height - 36 in Baluster Spacing - 3 3/4 in Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del diseiio. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informaciOn contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 9 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a BIG m Pro Deck DesignTM m i:4. xi Railing Details View 1 x h i fj i Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del diser o. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informaci6n contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 8 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a : a 3 Pro Deck DesignTM riv „,4, • Joist Layout View P f o. a. o. o. <.e „ '"'. - N N N N N N N N N N N N N r — r r ... Wa r. t —1 - =i O : + v ■R 7: 1 ` ^ r.:: ^ M --I J - - .. V �l �l r J 1 �l a �1 --1' -,1 @ J J 8 C ; C C C P C C C P C C. O' C' C' 1 , A A A N .r n r.,. . � � ' w i C' C' p' C. a' C' p' C' 5- C' C' C' C C C C C n O O O O O O O O O O O O O O O c O O O n n n n n n n n n n n n n n n n n n n Notes: Al!joist and stringer spacing dimensions are measured in OC. Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimacibn final del disei o. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacibn contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 7 of 24 Doc ID c281668b-1293-4f6b-8417-71678909393a BIGX Tin Pro + I1�1 Post View 9 fl6in 9f16 1n 6 ft 10 in 6 ft 10 in 6 ft 10 in 6 ft 10 in 6 ft 10 1n 3ft6in 3ft6in 61n 6111 6 in 6 in 13asePuint Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimation final del diseno. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la information contenida en esta pagina esta conforme a los terminos en la negation,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 6 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a BIEGf„ , , Pro Deck DesignTM 7a Dimension View 4 ft w--.16 16 ft 26 ft _,— 6 ft w- 4 ft 16 ft ; 6ft II 1 Al Al / a a A k a r,t7 0 -8 ,.} 8 IN M n T _ - � 1 11.--.0 20 ft 0'4-.6 6 ft • 4ft 16 ft 6ft 20 ft 6ft 26 ft Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del disei o. EDGENET,INC.no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacion contenida en esta pagina esta conforme a los terminos en la negaciOn,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 5 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a . T 3 Pro Dec DesignTM rr,,,,,,z.f., xi 3D View 0 III ii. y, 1 1 \\\1111111.11 *,,,...,,,,, .,_ ..., i f li 1 , ,, . i ,..„7, , ., , ,, ,ii, i ..,'. ,, i6 ,v ... ,,,„. ii„t, 210,,.. .. I Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimation final del disel o. EDGENET,INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informacibn contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 3 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a BIGra "SI TM ,;047_ 3 Pro Deck Design ',,,, ' ; Home Visualization '-'qqAmf-,30,c4iiie.,.,...,:,:laki,,:-,, ,,, ,,,,:.,..,:„,,,:;2,;;;,,,,-....i. ' ,, :,;viroxli, . .- ' r`: :n Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci6n final del disero. EDGENET,INC. no asume ninguna responsibilidad del use o de la Salida correcto de este programa.Toda la informacibn contenida en esta pagina este conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 2 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a BIGz ?) 3 so 3 Pro Deck Design . Estimate Prepared for: Store Information: HOME FACELIFTERS 2610-655 MEMORIAL DRIVE#2610 244 BRAINERD ST SOUTH HADLEY, MA 01075-1798 CHICOPEE, MA 01020 4133554676 (413) 593-5400 Estimate Created: 07/24/2013 Days Valid: 14 Estimate Prepared by: DENNIS Design Systems 8 Decks Total Price (pre-tax): $1,417.07 "Please take this quote to the Contractor Services or Special Services Desk." "Products and prices shown online may vary from those at The Home Depot store near you. Prices shown on this quote may be different due to changes in product availability and market conditions. Prices for identical items may also vary from store to store." "Los productos y precios demonstrados en linea pueden variar de los en el almacen The Home Depot cerca de usted. Los precios demonstrados en esta cotizacion pueden ser diversos debido a los cambios en condiciones de la disponibilidad y del mercado del producto. Los precios para los articulos identicos pueden tambien variar de almacen al almacen." "*Special Order Items where price is not included in total - Please take to The Home Depot Special Services Desk for a price quote." "* Los Articulos de la Orden Especial donde el precio no se incluye en total -Favor de Ilevar a la Mesa de Servicios Especiales del Home Depot para una cotizacion del precio." Warning and Important Instructions: This is not a final design plan or estimate. EDGENET, INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia e instrcciones importantes: Esto no es un plan ni una estimaci0n final del disel o. EDGENET, INC. no asume ninguna responsibilidad del use o de la salida correcto de este programa.Toda la informaci0n contenida en esta pagina esta conforme a los terminos en la negacion,situada en el extremo de este documento. Copyright©1989-2013 Edgenet, Inc. Page 1 of 24 Doc ID c281668b-1293-4f6b-8417-71878909393a PETTENGILL INSURANCE Fax: Aug 12 2013 02:36pm P002/002 '� °� CERTIFICATE OF LIABI ITYr INSURANCE DATE(MM/DO/YYYr) _ 8/12/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE ID OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A •ONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorse ent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s- PRODUCpR 1 CONTA T N••ME: Judy Pashko Complete Benefit Solutions ' I PHONE (800) 684-5470 FA7L N,.(473)538-5762 One Carando Drive, Suite 1 I E- 1 I _,.;E:s:]p ashko @cant pl.etepaLyrallaolutions.com `,1 ' INSURERS AFFORDING COVERAGE NAIC# Springfield MA 01104 ■ ■ 0( INSURE•A:Sentinel Insurance Comeau LTD 11000 INSURED �V INSURE-e:Travelers Insurance PHILIP STMFANELLI DBA HOME FACELZFTRS INSURE'C: 244 BRAINERD STREET INSURE• 0: INSURE-E: SOUTH HADLEY MA 01075 INSURE"-F: COVERAGES CERTIFICATE NUMBER:CL1210500403 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN •EDUCED BY PAID CLAIMS, Ski TYPE OP INSURANCE '�e h -UBR LI Y EFF POLICY EXP .1 >, POLICY NUMBER I(IRM/DD/YYYY) IMM1pO/YYYY7 LIMITS GENERAL LIABILITY EACH OCCURRENCE I$ 500,000 AMAGE X I COMMERCIAL GENERAL LIABILITY PjEMfSE3��E occurrence)I i$ 500,000 A 1 1 CLAIM$.MADE ,X j OCCUR 7685UPD9545 '/23/2012 8/23/2013 MED EXP(Any One person) $ 10,000 76$SUPD9595 ('/24/2013 8/23/2014 PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 1,000,000 POLICY PRO- LOG $ AUTOMOBILE(ABILITY COMB • IN LE LIMIT !E8 8ccIdentl ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED BODILY INJURY(Per accltlent AUTOS AUTOS ( ) NON-OWNED PROPERTY PAJVIA E HIRED AUTOS AUTOS Per accident) $ $LAB FMBRELLALIARET OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION STATU- OTH- ANO EMPLOYERS'LIABILITY `,/N ][ •; ,� ER ANY PROPRIETOR1PARTNER/EXECUTIVE E.L.EACM ACCIDENT $ 100 OFFIOEWMEMBER EXCLUDED? Y ( N IA ,000 (Mandatory In Mil :X208179 123/2012 8/23/2013 E.L.DISEASE-EAavMPLOXE: S 100 000 DESCRIPTION eTiO 0 OrPERAT10NSbelou ;2C208179 -/23/2013 8/23/20151 iI E.L.DISEASE-POLICY LIMIT 5 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additianel Remanke Schedule,if more space is required) Note: Philip Stefanelli is excluded from Workers' Compens-tion coverage • _CERTIFICATE HOLDER CANC LLATION (413)587-1272 SHO LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton ACC'RDANCE WITH THE POLICY PROVISIONS. Attn: Building Department 212 Main Street AUTHOR ZEP REPRESENTATIVE Northampton, MA 01060 ACORD 25(2010/05) ©19 7c-2010 ACORD CORPORATION. All rights reserved- INSOZ5(2otoos).01 The ACORD name and logo are regis erect marks of ACORD w City of Northampton M eY Massachusetts ' ,4 ft ( -,,,,,4-'A.., '.:i CIF : - -,v t {� ;.- { t.--:,,,;, DEPARTMENT OF BUILDING INSPECTIONS r1., ?, if V " ' 212 Main Street • Municipal Building rva �' .€! Northampton, MA 01060 " � ,',. 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 a 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 ��+. i1� Department of Industrial Accidents zi p Office of Investigations ' - t_ '' 600 Washington Street ie. • Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ��6 vi"-e- ` e- L. rj Address: Z U 4 01 'i t f ci S. 'r City/State/Zip: 5°"�t� k'`tC-�2y r'fn 0 (0 7 rPhone #: Li 3 2 Si Are you an employer? Check the appropriate box: Type of project(required): 1.Im 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [emodeling These sub-contractors have ship and have no employees 8. ❑ Demolition working for me in any capacity. employees and have workers' [11[No workers' comp. insurance comp.insurance. $ 9. Building addition required.] 5. n 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.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ 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: Q 2 f(U ■ 1 `I AS o f`WL"( Co . Policy#or Self-ins.Lic. #: Expiration Date: ' Job Site Address: Z ( L o C, b(' S1- c City/State/Zip: F r"'e t {'t-IAI 010 GX? 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 Investigations of the DIA for insurance coverage verification. Ido hereby cer u ,,g ' - e pa s and pe' # 'es of perjury that the information provided ab ye is true and correct. Signature: /L Date: j 12 /13 Phone#: (.(6 r y 6 -2 6 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#: • SECTION 8 CONSTRUCTION.SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: X#\ `S 1y,r-_l`c q�d 13 License Number guy it\tiS St , �Sd Lt1', fIC&, $4 Oto.7 �o L P -id c3 Address Expiration e X13 Li 676 Sign e Telephone 9''Registered F-(dHome.imp rove me t Cotractor ::a: _ y Z7 Not Applicable ❑ l` Ira ct1'Z Company Name Registration Number 2(L'( Y2f,(;✓�Q (c( St- 3/ zy 19 - Address Expiration Expiration Date 50'41\ 'k. c r KI IPUA Telephone 3 5 3 L `JD/ SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(1111.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 'E Owner xem . ption 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 • • , J SECTION 5:DESCRIPTION OF PROPOSED-WORK(check all applicable) , ••- New House ❑ Addition El Replacement V�indows Alteration(s) ' Roofing n Or Doors '� Accessory Bldg. n Demolition El New Signs [El] Decks 92 Siding[O] Other[El] Brief DescriptiQn of Proposed (( ,�, - / Work: i--iGVV.� V•Q„j ectiJII LIS 14 IL 1li&I.4 ( V`Q � Inc*f i V�� deo r/ C�ect (IF( k: 16.''C` Alteration of existing bedroom Yes No Adding new bedroom Yes No , , l/�- Attached Narrative Renovating unfinished basement Yes No (910 L/o)Plans Attached Roll -Sheet sa If.New house and or:addition to ezisting housing complete followma. a. a of building : One Family SC/ Two Family Other b. Num er 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`fAPPLIES FOR BUILDING PERMIT ■ I, , as Owner of the subject P P rty n hereby authorize a) Si-:e7 4�.. to act on my behalf, in all matters�ve to�work authorized by this building permit application. Signature of Owner Date I, ‘-" (1.4.,1e\ s C\ , as Owner/Authorized Agent hereby declare that t e tements an information on the for6going application are true and accurate,to the best of my knowledge and belief. Signed under the pains and pe Ities o erjury. Print Name Jlle b {2 Signature of 0.....:ge• Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information b Existing Proposed Required by'Zoning :..!` `` This column to be filled in by Building Department Lot Size I _ i L, Frontage ` + 3 Setbacks Front S I L i Side L:i'b CI R: ( 0 L:��a�,i �,R: L % 1 i I Rear U `�v Building Height l 5 1 — E Bldg. Square Footage FT I = i i -- - Open Space Footage (Lot area minus bldg&paved ; ( e f , parking) 1 1#of Parking Spaces I Fill: i �--- ' ^ (volume&Location) . A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO - DON'T KNOW Q YES 0 IF YES, date issued:' t i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES Q IF YES: enter Books j Page# j and/or Document#1 B. Does the site contain a brook, body of water or wetlands? --NO DONT KNOW - YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO fG 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 1.,,! IF YES, describe size, type and location: —r E. Will the construction activity disturb(clearing,grading,;xcavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO ,$ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. _._._ Department use only ___ City of Northampton Status of Permit ti a x ,� r � Building Department Curb Cut/Driveway Permlt� +' 2013 AUG 4 212 Main Street • Sewer/SepticAvallabllty' Room 100 Water/Well Availability DE,: Fahs Northampton, MA 01060 Two Sets of Structural Plans = .a " R' J` 413-587-1240 Fax 413-587-1272 Plot/Site-Plans Plans g # a t. a g r, ril OtherSpecify - 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 Zq ( Loc 'sfi S� p Ma Lot Unit fieArr W(( 1 ) "Zone `! Overiay District .., Erm,StDistrict ! CB Distnet e SECTION 2-PROPERTY OWNERSHIP/AU_THORIZED.AGENT 2.1 Owner of Record: Fell(e Lesser 7qt c.oc.itf St tFlcri-etikCP Name(Print) Current Mailing Address: E4 t3 6s,- --52°S Telephone Signature 2.2 Authorized Agent: -.›1 cps �i-,e— ' tit' 2 c((-{ 6 r-kt • rc it- / Name Prin ._, / ® Current Mailing Address:CI Si gnat ) LG) ass- 676 9 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): - Building Permit Fee 3. Plumbing 2,660 -.t 4. Mechanical(HVAC) = 5. Fire Protection 6. Total=(1 +2+3+4+5) 4 2 1 d U b Check Number _ , 'Phis Section ForOfficial Use Only ` : Date Building Permit Number. - Issued: Signature:. - - Building Commissioner/Inspector of Buildings Date f 0011 File#BP-2014-0180 F APPLICANT/CONTACT PERSON JOSEPH STEFANELLI ADDRESS/PHONE 244 BRAINERD ST SOUTH HADLEY (413)355-4676 ,/r ;v 1E PROPERTY LOCATION 291 LOCUST ST �" MAP 23A PARCEL 096 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out f 6' Fee Paid a3 Typeof Construction: CONSTRUCT` X 10 DECK,REMODEL KITCHEN&2 BATHROOMS New Construction /Y� Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 98013 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOION PIjESENTED: A-' pproved VAdditional permits required(see below) f'4(L C Ic 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 3(4) �►AOR� rt �u t i T° ZONING BOARD PERMIT REQUIRED UNDER: § -350 it 3l 4) (7) F.0 (3Ae�K Finding Special Permit Variance* ll 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 D- • ition Delay Sign.��o Bu'din_ Officia 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. File#BP-2014-0180 APPLICANT/CONTACT PERSON JOSEPH STEFANELLI ADDRESS/PHONE 244 BRAINERD ST SOUTH HADLEY (413)355-4676 PROPERTY LOCATION 291 LOCUST ST MAP 23A PARCEL 096 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /03c 1V542 Fee Paid Typeof Construction: CONSTRUCT 23 x 10 DECK,REMODEL KITCHEN&2 BATHROOMS New Construction Non Structural interior renovations Addition to Existing, Accessory Structure Building Plans Included: Owner/Statement or License 98013 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION 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 Dela 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. 291 LOCUST ST BP-2014-0180 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A-096 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-2014-0180 Project# JS-2014-000310 Est.Cost: $42000.00 Fee: $252.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOSEPH STEFANELLI 98013 Lot Size(sq. ft.): 5967.72 Owner: MCCUTCHEON JILL&FELICE M LESSER Zoning: URB(100)1 Applicant: JOSEPH STEFANELLI AT: 291 LOCUST ST Applicant Address: Phone: Insurance: 244 BRAINERD ST (413) 355-4676 WC SOUTH HADLEYMA01075 ISSUED ON:8/21/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 23 x 10 DECK, REMODEL KITCHEN & 2 BATHROOMS 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 8/21/2013 0:00:00 $252.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner