18C-092 (9) Cost Code Summary
200 Administration: site visits, estimating, billing, obtain $225
permit, order materials, etc.
250 Demolition: remove trim, etc. at existing units, Labor: $325
remove existing window units, remove section of Disposal fee: $50
wall to facilitate door installation, dispose of
demolition waste and packaging from new units and •
other waste material.
300 Rough Carpentry: Excavate and backfill for new Labor: $1255
landing footings, mix and pour new concrete piers, Materials: $4455
frame new landing and steps to grade, install
decking, treads, risers and rails. Install new door
and new window units. Air seal all units
35G Finish Carpentry: Trim exterior of new door and new Labor: $1185
windows (this will require trimming siding back to Materials: $225
allow for the installation of 5/4x5 (actual 1 "x41/2"
casings) installation of wooden drip caps to match
existing. Caulk siding to casing and casing to
window joints. Install interior trim on new door and
new windows with detail to match existing, patch
flooring as able or install some type of transition
strip to blend existing finish floor with new door
threshold.
Dave Chicoine Construction Services, Inc. proposes to do the work outlined
herein for the sum of $7720 with payments as follows: $4000 deposit required
before door and windows are orders. $2000 second payment once windows are
installed and landing is complete (except long lead bath window). $1000 third
payment once door is installed and all interior and exterior trim is complete. $720
'i5 final payment once both windows are installed and trimmed and job has reached
satisfactory completion.
00 ; 1 / 9 \ Respectfully submitted on November 2, 2004. / 41,-4 (?,/,
i ^ Signature indicates acceptance of terms outlined herein
a Newkirk
Thank you for your business!
Dave Chicoine Construction Services, Inc.
16 Edgehill Place
Amherst, MA 01002
413/246 -7536
Marty Newkirk
32 Gleason Rd.
Northampton, MA
Window and Door Replacement Proposal
November 2, 2002
This proposal includes pricing for labor and materials necessary to complete the
following.
Remove five existing windows and install new Andersen 400 series tilt wash 6
over 6 units. Remove one additional window unit and wall section below it and
install a new Marvin Integrity sliding door with a landing at exterior and steps to
grade with basic code required railings at steps. Exterior of new door and
windows to be factory clad with field applied pre - primed finger jointed wood
casing and wood drip caps to match front airlock window trim as close as
possible. Landing and steps to be framed with A.C.Q. pressure treated lumber,
double dipped galvanized joist hangers and fasteners and Trex brand composite
decking at landing and steps. Railings to be basic pre - finished black "wrought
iron" type rails.
Interior trim to match existing interior trim featuring 3 1 /2" colonial casing at
sides and head with squared transition blocks at top corners. New bath window
to be provided with privacy glass at both sash. All new units to be installed with
necessary flashing at exterior, necessary caulking and foam air sealant at
perimeters. Dave Chicoine Construction Services, Inc. will handle all waste
disposal and obtain necessary building permit. All painting interior and exterior
by others. Dave Chicoine Construction Services, Inc. carries necessary licenses
and insurance. Certificates are available upon request. Please see attached cost
code summary for pricing information.
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'�'° DEPARTMENT OF BUILDING INSPECTIONS • __
INSPECTOR 212 Main Street • Municipal Building ' e
,• `
Northampton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Lis /her construction sups: -.'i sor. 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 fegulations. 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
1 , 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
r
I
I •
_,•09 Al r P) O-f r -
I <� ( ifs 4 �cn fl 1 -
9� y S "+11 �7assRCllncclta' _ t-----' e h.
�� DEPARTMENT OP DUILDIN.G INSPECTIONS , --
212 Main Street ' Municipal Building
Northampton, Mss. 01060 r'
WORIQ IZ'S CO1 FENSATION LNSIJRANCE AIFU)A.v1i"
•
I "../., (4, t e J te
—
(1iccus•dpermittec)
with a principal place of business/residence at:
76 ��A14, /7 /Q � h fr / - 7` M J (phone) 6 / 1 /T -‘. 75
,
(s unity /staler =p)
do hereby certify, under the pains ;mod penalties of perjusy, dial .
11 ( ) I am an employer providing the followint [worker's cornoensa on coverage for my
•
employees working an this job:
(Lturanc Company) (Policy Nt rnncr) (axpirtion Dom)
( ) I am a sole proprietor, general contractor or horneow (ci cle one) and have hired
the cootractors listed below who have the followvioe worker's c•mpensation policies:
(Name of Contractor) (In12ranc; Coinpart }"i?o c{ Numlcr) (i✓ \pinnt:on Date)
(Name of Con manioc) (Insurance Company/Policy Nu.ncrr) ( —pin - ition Date) ,
(Name of Con=tra;) ansuranca Co mpa.n }•/Pol c . Number) (Expiration Date)
•
(Name of Contractor) (Insurance Comezny/Poticy Numbc-r) (Expiration Date) .
(aIISth _edihoccr 6a7 ifacoc1a :-t inc.'u& infortn+_oo pc- "th=i=s to .11 opus - -tors)
-
am a sole - proprietor and have no one wog for me.
( ) I ain a. home owner performing all the work myself.
NOTE: pi-4= be arrltt tt . w1Jc bemcrnarrcrs w'bo employ pcsoas co do r- ,,,,,-, cs,:.craa r rgszir wont as t d" th g of •
pot t=ore th:o t`sne =its in wsy the bomoawocr mid= or oo the crou.ocb wptutea:rl tbc- -.o r...- out �r.1ly arid. - cal to be
ciipioye -i rrK the wuirt mien Aa (GO 52.= t (5)). rppti,aboo by a bommava far c lit... a pcinh r - y cs the
legil c tar of an e,ployx under duo Woriues. Compooxtioa Act
1 y.odcKaad thft a copy of thia cttc¢ami may b. fos-a+urded to tbo pcc,.rtrocct of 1. A.-cidcu' otLoo oft='" far tb.
cove agc v iEc ioa aad ttz L• iltac to sentrc ti= outrage trod= soetion 2.5A or MOL 152 as led to the mica of aiminsr pm-Alias
eoosi ing of a fine o(u p to S 1 }OOAO .ndlor impriyoatoc l orup to ooc yut and aril pmalua w tSc form of a Stop Work Ordc and a
fim o(S 100.00 a a_y tpinu tnc
For dcpartzx u,c o=ty -
'1. ` / `` /4/ Mzp: Number
C / i•�p —_ Lol
S`L Qtrc of Lic�scclPcrrnittcc
[a te _ - .J •
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SECTION 8 - CONSTRUCTION SERVICES ,{
8.1 Licensed Construction Supervisor: Not Applicable ❑
E
Name of License Holder : — //a 1' E t r r; 4 t
License Number
('),1 Ai h,,/ ei0t/Z CrOcI/,Js
Address Expiration Date
Signature Telephone
:9:ReAiter'e oirielmatiVerrieritCentraEtor A .,, ` `7 Not Applicable ❑
d"r CX a'r eiJ¢rtv-"•4J C•
Company Name Registration Number
/ e Q L r . / 7 7 / ` A � � - ✓ / ) 7 / 4 1 /7/' /W/ -�
Address Expiration Date
Telephone 9/3 T ' 7r76 /W7 e C /07(0c
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"
11... loille°0 Wrier Eie mt
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
f ,.
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition n . Replacement Wjridows Alteration(s) n Roofing (l
Or Doors GO
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [E] Siding [CI] Other [D]
Brief Descri i of Ijro osed / /
Work: /+ J4 /� �j /2.9 4.4 fr ,.t"7 t w,,'h '.i e...i1 0/x G4 Fit' tf// /n" "' y - , 7rAi -70 t / OIL<
Alteration of existing bedroom Yes No Adding new bedroom Yes v No
Attached Narrative Renovating unfinished basement _ Yes I/ No
Plans Attached Roll - Sheet
Ga_ ( Nevsf,klasesar►Qdlt�o�� eacstcr►c=hnrsinq carip�efth€oTfa� 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 .
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
, 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
1, , as Owner /Authorized
Agent 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. r
Print Name
t.,04
Signature of Owner /Agent Date
0 ,
Section 4. ZONING All Informatibti 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 —.. I _I +• [ yu.
Frontage - -- -- I ' i i i
Setbacks Front i I I 1
Side L: R:'- L: R:
Rear
Building Height 1 E I
l
Bldg. Square Footage i I 1% i 1 s i
Open Space Footage % ____I
(Lot area minus bldg & paved .
r E
parking)
# of Parking Spaces
Fill: ; I -
(volume & Location) t , `
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 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 0
IF YES, describe size, type and location: !
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO O
IF YES, describe size, type and location: 1
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 Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Nortf�;mpton °;; . p -.
pp • • ' a -partment $ s ' . •
EE ti V p 1 %� . in Street robe �° t �
i �' .: :in in . r e a a �� �`;
j ' i North. j •� :n; MA 0411036-5087- e;ol�uiakla"
{J NOV p�io�le 58 ' yr Fax 1272 P t , 0 � . * ` W
APPLI iJ tkT, A ER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE7NFORMATION
1.1 Property Address:
This sec,----.. o to b e c o m pletert byofhce : -77 � ' Map� Lot Unit
Z Overlay Distrrct
Elm St..Di CB D�st
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
■
2.1 Owner of Record: �y a
Name (Print) Current M iling ddress:
Telephone
Signature
2.2 Authorized Agent:
c------ _._,..,,"4...v.,‹ G °1;,c6•; / q) ?X A»?h /f7
Name (Print) Current Mailing Address
6/1 L// J ( (. "i S" e
S ature Telephone
SECTION 3 - ESTIMATED - CONSTRUCTION COSTS I
Item - Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 7 '1'9 (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) Check Number ‘,gY `` � This Section For Official Use Only
. gate
Building Permit Number. Issued:
Signature:
Building Comm /inspector of Buildings Date
File # BP- 2005 -0552
APPLICANT /CONTACT PERSON DAVID CHICOINE
ADDRESS/PHONE P 0 BOX 798 AMHERST (413) 246 -7536
PROPERTY LOCATION 32 GLEASON RD
MAP 18C PARCEL 092 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ��tt5 �
Building Permit Filled out XDp�
Fee Paid el
Typeof Construction: INSTALL REPLACEMENT WINDOWS & DOOR WITH LANDING & STEPS TO
GRADE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 061582
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOOIATION PRESENTED:
pproved 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 Co ion
Z 00
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.
32 GLEASON RD BP- 2005 -0552
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18C - 092 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Category: BUILDING PERMIT
Permit # BP- 2005 -0552
Project # 3S- 2005 -0724
Est. Cost: $7000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DAVID CHICOINE 061582
Lot Size(sq. ft.): 11238.48 Owner: NEWKIRK MARTI
zonina: URB Applicant: DAVID CHICOINE
AT: 32 GLEASON RI
Applicant Address: Phone: Insurance:
P 0 BOX 798 (413) 246 -7536
AMHERSTMA01004 ISSUED ON:
TO PERFORM THE FOLLOWING WORK :INSTALL REPLACEMENT WINDOWS & DOOR
WITH LANDING & STEPS TO GRADE
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: Bk.- /a - 10.13y
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Sign ''�:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 11/5/04 0:00:00 689 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo