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29-038 (2) -------------- -- -------- 4\ c- IN N� s"' We propose to furnish the material and labor necessary for the completion of the above stated work for the sum of. Total Proposal: Eleven Thousand Five Hundred Forty Sic Dollars $11,546 .00 Payment as follows: $2,000.00 upon start/Demo of basement bathroom. $2,000.00 upon completion of basement bathroom. $2,000.00 upon demo of 1st floor bathroom. $3,546.00 upon completion of painting. $ 2,000.00 upon completion of proposal. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra cost will be executed only upon written orders in the form of a change order 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.A certificate of liability insurance will be presented prier to start. Our workers are fully insured by workman's compensation insurance. Respectfully Submitted by O� Harlow Builders. ACCEPTANCE OF PROPOSAL I accept the above stated prices, specifications and conditions. You are hereby authorized to do the work as specified. Payment will be made as o lined. Date Signature_ r� Signature Harlow Builders Page 3 of 3 Lander-Bathroom l.doc Interior Painting: All walls and ceiling to be painted(1)coat primer,(2)coats finish. Finish trim and wainscoting to be stained and urethaned. Owner Will supply vanity cabinet,counter top,mirror,all plumbing fixtures,and decorative electrical fixtures. Basement Bathroom: Demo: Remove existing toilet.Remove partial wall finishes and framing. Cut and remove partial concrete flooring for plumbing work Plumbing: Rough in new shower stall and toilet,Install new toilet,and shower stall(Sterling#V36HG) with all related plumbing. Electrical: Reroute existing dryer 220 volt electrical line to bathroom. New location will be to the left of existing washer. Framing: Extend existing 2x4"wall to enlarge bathroom for installation of new toilet and shower stall. Sheetrock: 1/2"gypsum board applied to new walls and partial ceiling area's,fastened with 11/4'9 screws,taped, coated (3)applications and sanded to a paint ready surface. Flooring• Fill in and repair concrete floor to a finished surface for VCT flooring. Install VCT flooring to concrete floor. Approx. 45 sq. ft. Install vinyl base where needed for a finished appearance. Harlow Builders Page 2 of 3 Lander-Bathroom l.doc t, f � d PROPOSAL Harlow Builders 336 Coles Meadow Rd. Northampton, Ma. 01060 (413) 586-0465 Submitted to: 05102/01 Jon and Tammis Lander 68 Pioneer Knolls Florence , MA 01060 (413) 584-3249 The scope of this project is to remodel (2) bathroom areas. We hereby submit specifications and estimates for the work to be performed. All materials and labor to complete as specified. All permits obtained by Harlow Builders. All debris caused by construction removed by Harlow Builders. V Floor Bathroom: Demo: All fixtures,walls to studs,and floor surfaces to subfloor removed. Ceiling will be left intact. Plumbing: Shorten baseboard heating from 5' to 4' Install sink,toilet,and tub with all related plumbing. (Fixtures by others) Electrical: Electrical rough work to remain the same.Install new decorative fixtures. Sheetrock: 1/2"gypsum board applied to new walls,fastened with 11/4"screws,taped,coated(3)applications and sanded to a paint ready surface. Trim: Bead panel wainscoting installed on walls 4' high. New Ranch door casing#8730 on(2)doors. New Ranch baseboard trim#8720 Cap kneewall with 1 x 8"pine with scotia moulding. We will cut hole in existing closet floor and build laundry shoot to basement. Floor: Demo existing VCT floor and underlayment to%11 pine board subfloor. Glue and screw down new V2"AC plywood underlayment. Fasten 1/4"luau underlayment to AC plywood. Install new vinyl flooring.Approx. 70 sq. ft. Harlow Builders Page 1 of 3 Lander-Bathroom l.doc Y . O��n�pTO 9� °g Gxt� of 'Wart4a111ptum M � 6 �asaackttsctta t DEPARTMENT OF BUILDING INSPECTIONS 212 Main 'Street ' Municipal Building 'o Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (Iia;nser,/permittee} with a principal place of business/residence at: �V' (phone#) � (stmet/city/stafe/ap) do hereby certify, under the pains and penalties of perjury, that: (�aln an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, ne eral contracto or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (anach additional shed ifnocc=ry to include information pettnining to all ooatna rs) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that Y&Uo homeowners who employ paioas to do m.irdcn* =oonsirvctionor repair work on a dwelling of not more than three units in which the homoowncr resides or on the grounds appurtenant th=e are not&,cncrallY ooasida d to be enploycm under the veadcc's oompeaw4on Ad(GL152,ss l(5)�application by a homeowner fora license a permii may evidence the legal stabs-of an employer underthe Workees Compematioa Act I understand dud a copy of this cutemeal may be fomutW to the Department of Indsntrial Accidents•OtEoo of Imurwoe for tha coverage verification and that failure to secure covemgo trader section 25A of MGL 152 can lead to the'imposition of aiminal penalties i comisting of a fine of up to S1,500.00 and/or imprison 3t of up to one year and civil penalties in the form of a Stop Work order and a fine of S 100.00 a day against rte Foe dqustartrtl use only Permit Number � { Lot# Signatt=of Litxnsee/PeinAttce e I 8.1 Licensed Construction Supervisor: \1 Not Applicable ❑ Name of License Holder License Nu ber '-7�1 Address Expiration Date c d� V\17\ Signature T lephone f Not Applicable ❑ Company Name \ C Registration Number Address Expiration Date s —72 � C e_� �° 1� elephone ���p�, /c) C'�) SECTION 10-WORKERS'COMPENSATIgN 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...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellinss 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 1.52(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 w f E d I *ha u» 1-V � _N D�WO KI lhik 69 If '­M'aMN ,� »e� s� New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolitiong!", New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: � C7\� \ `� �� �c`ao'`� lz�a/'e", ; Alteration of existing bedroom Yes y No Adding new bedroom Yes No Attached Narrative Cam_ Renovating unfinished basement Yes No Plans Attached Roll D - Sheet❑ a. Use of building : One Family y Two Family_ Other b. Number of rooms in each family unit: Number of Bathrooms c� c. Is there a garage attached? V d. Proposed Square footage of new construction. �Je— Dimensions e. Number of stories? f. Method of heating? ��� }toy ��' S�_ Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. _Mascheck Energy Compliance form attached? h. Type of construction `�Q �•L��K� i. Is construction within 100 ft. of wetlands? Yes f 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 y/ Private well City water Supply slur rl 01YN�R AU7Ht�RI ±bYYh� 1tS AG � t' OIV7F7ACTQ ATON -TO BE O ,D� t 'LIE APpS 11VI11*N �Ot3UILIC= RMI' as Owner of the subject property hereby authorize LO�� o- `© to act on my beha in all matte Xs rela ive to work authorized by this building permit application. Signa r of Owner Date 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 nalties of perjury. S �e' � Print Name Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF 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 v/ DON'T KNOW_ YES IF YES, date issued: _ IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW _ YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: f E ' f Y� r fib.+. ...���',,.,,.... ».......-... .......�v.-.� , • ity of Northampton ilding Department 212 Main Street 00 Room 100 N r hampton, MA 01060 0 41 - 87.1240 Fax 413587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTIO,.N 1 .SITE INFORMAThON 1.1 Pro ert Address: This',sectign�tobe cAmple#eby f 'e P Y y Ma Lit f Ell, t r n SU 1 Zo Y rlay>Drl riot�� N i ,ptU' ImSt bis#rci # x n C Dfs#rTt f SECTION 2­ PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: + r Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) x Current Mailing Address: oe Signature Telephone ECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building c (� (a) Building,Permlt Fe'e= 2. Electrical (b) Estimated Total O0st of Q� Con"struction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) I (t, Check Number This Section For Official Wo,:Onl Building Permit Number: "' Date Issued: Signature Building tommissionerfinspector'of Buildings Date f '. ' BP-2001-0887 GIs#: COMMONWEALTH OF MASSACHUSETTS "wii�* CITY OF NORTHAMPTON Lot: -001 Permit: Buildinq Category BUILDING PERMIT Permit# BP-2001-0887 Project# JS-2001-1617 Est. Cost: $11546.00 Fee: $50.00 PERMISSIONIS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 Hariow Builders 052460 Lot Size(sq. ft.): 11979.00 Owner: LANDER JONATHAN E&TAMMIS P Zoning URA Applicant. LANDER JONATHAN E & TAMMIS P AT. 68 PIONEER KNOLLS Applicant Address: Phone: Insurance: 31 HAROLD ST Workers Compensation FLORENCEMA01062 ISSUED ON.°519101 0:00:00 TO PERFORM THE FOLLOWING WORK REMODEL TWO BATHROOMS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: date Paid: Check No: Amount: Building �� j 4731 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo