The URL can be used to link to this page

38B-213 (2) ,a-URFA10 128 Ryan Road Estimate Florence, MA 01062 Date Estimate# 4/13/2015 1480 Name/Address Sue Stebbins 18 Fairview Ave Northampton,MA 01060 Terms Project On receipt Stebbins Kitchen Description Total $41,757.57 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 o be paid as Phone# E-mail Signatures_. (413)341-3838 peter @rainhome.net Page 3 128 Ryan Road Estimate Florence, MA 01062 1 WE 1-0 Date Estimate# ��IMPR 4/13/2015 1480 Name/Address Sue Stebbins 18 Fairview Ave Northampton,MA 01060 Terms Project On receipt Stebbins Kitchen Description Installation for kitchen faucet($200) 1 Ea Installation for kitchen sink($400) 1 Ea Installation for ducted range hood($240) I Ea Installation for 5'white vinyl sliding door 1 Ea Frame wall to build broom closet I Ea Installation of 5 panel wood bi-fold closet doors.30 in.x 80 in. 1 Ea Ditra detaching membrane,Schluter Systems.Detaching membrane 240 SF Floor tile installation($3.00/SF) 250 SF Installation for Granite countertops($4000) 1 SF Mini can recessed open light kit,5 in.,white 10 Ea Bathroom window trim 28 LF Repair Termite damage in basement 6'section both sides with Post I Ea Prep and paint walls and trim 1940 SF Toe kick heater includes installation 1 Ea Project material,labor,subcontract Material,per job Labor,per job Subcontract,per job Total Phone# E-mail Signature (413)341-3838 peter @rainhome.net Page 2 HA10 128 Ryan Road ` ` � Estimate Florence, MA 01062 � \ Date Estimate# 4/13/2015 1480 Name/Address Sue Stebbins 18 Fairview Ave Northampton,MA 01060 Terms Project On receipt Stebbins Kitchen Description Building permit fees 1 LS Dump fee for debris per load 2 Ea Remove existing wall and base cabinets I LF Remove kitchen fixtures 1 Ea Removal of existing exterior door and frame 1 Ea Enclose existing door opening with R-21 insulation,drywall,sheathing and siding I MBF Remove soffit above existing cabinets 20 LF Remove existing flooring 2 CSF Removal of baseboard molding 60 LF Remove existing window 1 Ea Open existing wal l and reframe opening to dining room 1 Ea Install trim both sides of new opening to dining room I Ea Raise floor in front room 88 SF Disconnect existing appliances 4 Ea Run new gas line for relocation of stove 1 Ea Installation for kitchen cabinets($4800) I Total Phone# E-mail ` I Signature (413)341-3838 peter @rainhome.net / Page 1 City of Northampton 212 Main Street, Northampton, MA 01 060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: The debris will be transported by: �o The debris will be received by: Building permit number: Name of Permit Applicant Date Signature of Permit Applicant City of Northampton k Massachusetts DEPARTMENT OF BUILDING IMSPECTSONS =x.' ,.' 212 Main Street • Municipal Building �J. `.-Z- `d- Northampton, MA 01060 �{y X71 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT Fshe f Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her n supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which des or intends to be, a one or two family dwelling, attached or detached structures o such use and/or farm structures. A person w ho constructs more than one home in a two- 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 i 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 -' - - Office of Investigations 600 Washington.Street r Boston,AL4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print]Legibly Name (Business/Organizationadividual): Address: t� ��-�•;�n �--�-- City/State/Zip: (\N-- J kOL'Z Phone#: �\\3 Are you an employer? Check the appropriate Tom: Type of project(required): 1.Q I am a employer with 4. gl I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.7 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in an capacity. employees and have workers' . g Y P �'• 9. ❑Building addition [No workers' comp, insurance comp. insurance.$ d. re uire 5. Q We are:a corporation and its 10.❑Electrical repairs or additions q � 3.Q 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.Q Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.Q Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hue 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 mustprovide 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verif cation. I do hereby certi under the pains and penalties perjury that the information provided above is true and correct. Si afar 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 Construction Supervisor: Not Applicable £ Name of License Holder: 1,5--- 6 V5 t License Number 1-� <i Address Expiration Date " Signature Telephone 9 Registered 14 me_Imy�ovemeht Contractor:_ _ u , Not Applicable £ C(n�ompany Name / Registration Number Address �— Expiration Date � 21 elephone\_ ITS-—53 V 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...... £ 71 Ho ne._awner.Egempt on The current exemption for"homeowners"was extended to include Owner-occupied DwellinLm 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. i i i SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations} Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [[--3] Decks [M Siding [0] Other[0] Brief Description of Proposeck Work: `1"C.r LLLS.. Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes v No / Attached Narrative Renovating unfinished basement Yes V No Plans Attached Roll -Sheet a,.:if New.h0Ll'Sd nd.or addltkon to exisring:housing compfete, f6 q.: 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, 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIESFOR BUILDING PERMIT' I, l\.`� 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. Signature of Owner Date I, :7omJWA9..� 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 per' Print Nam Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L:` l R:= L:= R:= I J t Rear ---- Building Height Bldg.Square Footage l % Open Space Footage ! I (Lot area minus bldg&paved parking) #of Parking Spaces i-- Fill: (volume&Location) l A. Has a Spec' l Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW O YES 0 IF YES, date issued:�� IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES Q IF YES: enter Book j ; Page' and/or Document#i 1 � � B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained , Date Issued: i C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: f D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: j E. Will the construction activity disturb(clearing, grading,ex vation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. i i i� -� 13epartment use only. ,' �i -�� City of Northampton StatusofPermit "' E M r-- 5 ..zi Building Department Gorki Cuf/Drlrceway Perini# x = - Ti 212 Main Street SewerlSeeCicAva:rabplrty x NOV 7: f 2 2MS Room 100 ��I1later MONvailabill#y k Northampton, MA 01060 TwaSe#s~ofS#rFctbrai Plans f DEPT.Or But:or.0 INSPECTQi1�Ron 413-587-1240 Fax 413-587-1272 P;-Iofl51 te F .5i J it NORTHAMPTON,MA 01 ;Other Specify 1� s APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMATION This ection fo be completed by office 1.1 Property Address: Lot Unit` - ,;::_ T y. W.Disfrtcf z Mi _EI_m St Dstr:ct - .:, CB Dlstnct =. ' SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED:AGENT:::. 2.1 Owner of Record: Name(Print) Current Mailing Address: \ =1 Z- % a .,%�Z Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address Sign re Telephone SECTION 3'-ESTIMATED CONSTRUCTION COSTS. . Item Estimated Cost(Dollars)to be Official Use-Only completed by ermit applicant 1. Building '3 ^� �'� (a) Building Permit Fee 2. Electrical C_v (b) Estimated Total Cost of to'nstructicn'from 6 3. Plumbing Z ow Building Permit Fee .� 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Officials Use Onl Date Building Permit Number: Issued: Signature: Building Commissionerllnspector'of Buildings: . '' Date File#BP-2016-0670 APPLICANT/CONTACT PERSON THOMAS MALONE ADDRESS/PHONE 128 RYAN RD FLORENCE01062(413)885-9038 PROPERTY LOCATION 18 FAIRVIEW AVE MAP 38B PARCEL 213 001 ZONE URB(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT I 4L 4Q 1 Fee Paid ' Building Permit Filled out Fee Paid Typeof Construction: REMODEL KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 055236 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved 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 Si ure of Bui ding O ficia 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. 18 FAIRVIEW AVE BP-2016-0670 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B -213 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-2016-0670 Project# JS-2016-001120 Est. Cost: $41757.00 Fee: $271.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq. ft.): 4486.68 Owner: STEBBINS SUSAN Zoning URB(100)/ Applicant: THOMAS MALONE AT. 18 FAIRVIEW AVE Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 WC FLORENCEMA01062 ISSUED ON.11/17/2015 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 11/17/2015 0:00:00 $271.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner