31A-083 (2) - Paint kitchen, remove wallpaper and skim.
- Paint GLL bath and hall between K and bathroom.
- Paint front parlor.
NEW WORK: In impacted areas only
Walls: (1) coat primer
(2) coats finish
Ceilings: (1) coat primer
(1) coat finish
Woodwork: (1) coat primer
(2) coats finish
OLD WORK: In impacted areas only
Walls: (2) coats finish
Ceilings: (1) coat finish
Woodwork: (2) coats finish
10:00 SPECIALTIES:
10.40 Shower Doors: An allowance of$1,440.00 has been given for the shower doors
and mirrors for GLL bathroom.
11:00 EQUIPMENT:
11.10 Kitchen Appliances:
-NO APPLIANCES ARE INCLUDED. INSTALL EXISTING ONLY
15.00 MECHANICAL AND PLUMBING, to include:
15.4 SEE QUOTE FROM AQUARIUS PLUMBING AND HEATING DATED
MARCH 12, 2014
16.00 ELECTRICAL:
- SEE QUOTE FROM POWER'S ELECTRIC DATED 1/21/14
16.60 Replace existing Zenex vacuum canister in basement
TOTAL PRICE: $154,900.00
7 r1 r
Ok 5
- New wallpaper in 2LL bathroom.
- Rehang and finish 2LL hall.
- Patch and repair laundry walls.
- Patch GLL stairwell hall and hang new ceilings.
- Patch back stair walls.
- Repair plaster walls and ceiling in K.
- Repair hall. v t--
- Repair GLL bathroom.
- Walls and ceilings to receive ''/z" standard drywall. All drywall to be
screwed, taped and sanded three coats and finished smooth ready for
paint. Drywall in existing house to be in impacted areas only. Any
repair to existing walls or ceiling that aren't directly impacted by the
proposed renovation shall be charged on a time and materials basis.
Use MR board in baths as needed.
9.3-9.66 Ceramic Tile &Vinyl: 6zo. OD
An ALLOWANCE of$ as been given for vinyl and all costs associated
with the preparation for, purchase and installation of ceramic tile and vinyl on the project.
Includes subfloor install.
9.31 Carpet:
An ALLOWANCE of$1,200.00 has been given for the purchase and installation
of all carpet and related accessories for 3LL storage room.
9.7 Hardwood Flooring: eUTL f..X s
- Supply and installation of new oak strip flooring in kitchen and kitchen hall.
- The existing hardwood floors shall be refinished in the following areas: AKr#-J
- Ground floor front foyer and Parlor A v*5'rk uL4
- Main staircase and back staircase (treads and risers)
- Second floor hall, laundry, studio and small storage room
- Main stairs to third floor(treads only)
- Third floor hallway
"None of the rooms on any floor that are used for furniture storage will be re-finished at
all. This includes: First floor dining and living rooms, second floor south bedrooms, third
floor bedrooms.
9.92 Interior Painting: to include:
- Paint kitchenette on third floor
- 2LL studio.
- Wallpaper 2LL bathroom.
- Paint 2LL bathroom ceiling/trim/etc.
- Paint 2LL hall and refinish woodwork.
- Paint laundry lower walls and ceiling. Do not remove wall paper.
- Paint GLL stairwell hall.fp-& -r fa�e,-t V vNS7A45 ~r,
- Paint back stair walls. r�
4
- Move owners furniture to allow for radiator replacement.
6.091 DUMPSTER/REFUSE DISPOSAL
Construction/demolition debris only
6.10 ROUGH CARPENTRY LABOR, to include:
Strap ceilings as needed, straighten walls as needed
6.13 FINISH CARPENTRY LABOR, to include:
-New baseboard in 3LL kitchenette.
-New baseboard & crown molding in studio.
- Trim door and new baseboard in 2LL bath.
- Adjust weatherstripping at 2LL tub.
- Rebuild linen w/door at 2LL bath -�-�"-
- Repair woodwork in 2LL hall.
- Fix door to laundry and repair laundry wall.
- Cap wall in laundry for old dryer vent.
- Cap wall in laundry at old washer valve
- Replace crown and moldings in GLL staircase hall.
- Re-install existing kitchen cabinets.
- Build wood enclosures for heating pipe risers �--_
- Replace (3) shelves and brackets in kitchen.
- Install door to parlor from GLL bathroom. �— *S 5�P"� 'b(w S �J
- Fix bulkhead door in basement. "" P�
- Install new medicine cabinet for 2LL bathroom. �-
- Adjust front door.
7.00 MOISTURE AND THERMAL PROTECTION, to include:
7.2 Insulation:
Install insulation in open exterior walls as needed.
Closed cell foam only. Polyiso sheets ok.
8.00 DOORS AND WINDOWS, to include:
No nem, loors or windows are specified.
if.-t 0'-t"M D eve-5
9.00 FINISHES, to include:
9.1 Sheetrock:
Sheetrock to be replaced in following areas:,
- Repair walls in 3LL kitchen
- Studio ceiling and one wall. '
- Repair 2LL bathroom.
3
Apri129, 2014
Eleanor Wakin
Project Specifications:
1.00 GENERAL CONDITIONS, to include:
1. All permits and fees associated with these written specifications.
2. Disposal of all rubbish and construction debris associated with this project and these
specifications. No disposal of owner's personal items or furniture.
3. Subcontractors within these specifications are the sole responsibility of the contractor,
including code compliance, scheduling, performance and payment.
4. Preparation of working drawings for the general project is not included. Specialty shop
drawings for specific built-in cabinets, etc. are not included.
5. Engineering fees associated with this project are not included.
6. Utility fees for electricity and natural gas used during construction are the responsibility
of the owner.
7. Expenses for installation of cable T.V. service to the site shall be the responsibility of the
owner.
8. Final cleaning of the windows shall be by the contractor. Inoperable or inaccessible
windows shall not be cleaned.
9. Final cleaning of the house shall be by the contractor.All floors shall be mopped,
cabinets wiped out, all horizontal surfaces wiped clean.Existing stains or blemishes on
surfaces within existing house not included.
10. Initial organizational and weeding out of owner's property is not included.
2.00 SITEWORK, Not Applicable
3.00 CONCRETE WORK, Not Applicable
4.00 MASONRY, Not Applicable
5.00 STEEL, Not Applicable
6.00 CARPENTRY, to include: y
6.09 DEMOLITION LABOR, to include:
- Pull out kitchen floors.
- Cover floors/protect surfaces.
2
SACKREY
F
CONSTRUCTION COMPANY, LLC
83 SOUTH MAIN STREET I SUNDERLAND,MA 01375 I T: 413.665.9995 I F: 413.665.9905
T Y
SACKREY CONSTRUCTION CO.
CONSTRUCTION SPECIFICATIONS
FOR
Eleanor Wakin
AT
302 Elm St.
Northampton, MA
April 29, 2014
W
A-5
These specifications are based on conversations and meetings with Eleanor Wakin and
are not reflective of estimates prepared by Crawford and Co. or QBE Insurance.
The Commonwealth of Massachusetts
Department of Industrial Accidents
W Office of Investigations
1 Congress Street, Suite 100
H
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lezibly
Name (Business/Organization/Individual): CAL Yt, �-- t.-
Address:
City/State/Zip: Phone#: V k>- (,o T -'i �C )�-
Are you an employer? Check the appropriate box: Type of project(required):
1.0 I am a employer with (e 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. E] New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. o workers comp. right of exemption per MGL
Y � ' P 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.
tContractors 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: J 2- &_—,A S-7 *A_M'GA'Pr 'Cx,� City/State/Zip: VykA (j 10 hAD
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.
I do hereby cer 'y under he pains and penalties of perjury that the information provided above is true and correct.
Si ature: Date:
Phone#:
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 Construction1Supervisor: ], Not Applicable ❑ `�
Name of License Holder: VO '14 , S ���`—�`� (L S � 0-) 11 3 � !
License Number
Addres Expiration Dke
Signatur Telephone
MzRj4lstie`reel"Fto e'1r"ibrbttenibnti Con Mctor: r Not Applicable ❑
Company Namep Registration Number
e
Address (3'1 Expiration Date
Telephone GLP '`1 ili r
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...... ❑
0,ri1ptI0I1
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 aoolicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors E]
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[Oj Other[❑]
Description
Wo k ?,V P hVA R t�`l/Z VVOc o
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
s�r1f=N�"r��irr�hi€�t�s�'���l�ii� i���tliiifiiorti�#a ex�stina`housing:"comafete ttie'fotlowna:
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
E M"C*- �-J Qs K1 t•-K as Owner of the subject
property
hereby authorize ' - —° LL—C,
to pttpn my behalf, in all matters relative to work authorized by this duilding permit application.
of Owner Date
O( .� y�C�l—t(2 tzu prC l,/� �• L L 4,es 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.
3aw-t-k
Print Name
L�{
Signature o wner/Agent Da e
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
hP P L� L This column to be filled in by
Building Department
Lot Size �._ __. 1 i _�._ .w. �..., _a
Frontage
Setbacks Frontm i_
Side L.i ` R.,�=.M R:;
a
Rear
Building Height
Bldg. Square Footage % [
Open Space Footage % �m
(Lot area minus bldg&paved
narking)
of Parking Spaces
Fill:
volume&Location - .- _ _ _. ..�.. __ __ _ -.
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW YES 0
IF YES, date issued.?
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW er YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained , Date Issued:j
C. Do any signs exist on the property? YES 0 NO
.a
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,exc ation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
ity of Northampton ,
uilding Department
212 Main Street p
M Room 100
---- hampton, MA 01060 �
Eiectnc +n o41 - 87-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by,office
1.1 Property Address:
30 �� �� Map Lot Unit
Zone ` O%ierlayDistrict
—� Elm 8t.District CB District'
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
N rint) Current Mailing Address:
413 .
Telephone
Si nature
2.2 Authorized Agent:
S z.., (,�•��, L—C— Y3 S , v kA-tA 5r. Su tg-QERL-AA7
Name(Print) Current Mailing Address:
X13 - �c�� �
Signature I Telephone
SECTION 3-f TIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building '5^I O-D 0 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
5- Construction from 6
3. Plumbing Its0 ® Building Permit Fee
4. Mechanical(HVAC) I �v
5. Fire Protection
6. Total=(1 +2+3+4+5) ( Q'tl Check Number a'y 1z
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2014-1140
APPLICANT/CONTACT PERSON SACKREY CONSTRUCTION
ADDRESS/PHONE 83 SOUTH MAIN ST SUNDERLAND (413)665-9995 Q
PROPERTY LOCATION 302 ELM ST
MAP 31A PARCEL 083 001 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
Fee Paid WV 11
Typeof Construction: REPAIR WATER DAMAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License 040714
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOO MATION 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
Signa ure of Building fficial 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.
302 ELM ST BP-2014-1140
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A-083 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2014-1140
Project# JS-2014-001312
Est.Cost: $116500.00
Fee: $699.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: SACKREY CONSTRUCTION 040714
Lot Size(sq.ft.): 13329.36 Owner: WAKIN ELEANOR
Zoning. URB(100)/ Applicant: SACKREY CONSTRUCTION
AT. 302 ELM ST
Applicant Address: Phone: Insurance:
83 SOUTH MAIN ST (413) 665-9995 O Workers
Compensation
SUNDERLANDMA01375 ISSUED ON:51512014 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPAIR WATER DAMAGE
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 5/5/2014 0:00:00 $699.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner