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•
� jen� k�iroD�\ 128 Ryan Road Estimate
Florence, MA
01062 Date Estimate #
3/19/2010 982
Beth and Jeff Firmin Prince
Terms Project
On receipt Firmin basement rev 6
Description subtotal
2 Ea
Lentals for door and windows in brick
32 LF
Building permit fees
1 LS
Recycle fees Mixed loads
4 Ea
Project material, labor, equipment, subcontract
Material, per job
Labor, per job
Equipment, per job
Subcontract, per . job
*Project Subtotal
*Project Total
Total $53.493.34
We propose to hereby furnish material & labor complete in accordance with the above specifications, for the sum total. Payments to be made as
follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance 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 tire, tornado, and other necessary insurance Acceptance of
Proposal will commence with the hotne owners signature. Prices, specifications and conditions are sati, 'act() y and are h. rep ' accepted upon
signature. Rainbow Horne Improvement is authorized to do the work as specified and to be paid as sp ifi This estit to i good for 30 days.
Phone # E -mail t' �,•
Signature
413 885 - 9038 peter@rainhome.net 7
Page 5
i , ; - - -- = - - --- ��
128 Ryan Road Estimate
Rainhou
Florence, MA
01062
Date Estimate #
\ �' 'll_. , tfPROVj —';'
3/19/2010 982
Beth and Jeff Firmin Prince
Terms Project
On receipt Firmin basement rev 6
Description subtotal
1 Ea
Gypsum wallboard screwed 1/2 in. on walls
1403 SF
Gypsum wallboard screwed 1/2 in. on ceilings '
552 SF
Gypsum Add for taping and finishing wall joints
1403 SF
Gypsum add for taping and finishing ceiling joints
552 SF
Furring over extend joist
390 SF
Brick wall demolition 8 in. thick walls
• 66 SF
Patching and leveling compound
100 SF
Furring over masonry 12 in. OC
162 SF
Plywood sub floor 3/4 in.
162 SF
Insulation board on floor 1 -1/2 in. thick (R -7.5)
162 Acre
Access door for electric panel and gas meter molded face interior doors
Total
We propose to hereby furnish material & labor complete in accordance with the above specifications, for the sum total. Payments to be made as
follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance 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. ceptance of
Proposal will commence with the home owners signature. Prices, specifications and conditions are sate factsry and are hereby accepted upon
signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as spp itietd" This estimate i food for 30 days.
I
Phone # E -mail C/ 7' Z
is Signature ?
413 885 peterce�rainhome.net j /7
Page 4
•
-" " °
128 Ryan Road Estimate
Rainhau
Florence, MA
01062
Date Estimate #
3/19/2010 982
•
Beth and Jeff Firmin Prince
Terms Project
On receipt Firmin basement rev 6
Description subtotal
4 Ea
Window opening framing, 2" x 4" Over 5' to 6' wide (4 in. x 8 in. header)
8 Ea
Carpet pad and carpet allowance of combined total ($25.00 SY)
63 SY
Carpet stairs
13 Ea
Softwood moulding
370 LF
Box post and trim •
2 Ea
Double -hung insulating glass wood windows
8 Ea
Sheet vinyl flooring (Allowance $20.00SY)
5.5 SY
Kraft-faced fiberglass insulation, 3 -1/2 in. (R -15)
1698 SF
Exhaust Air deluxe bath fan with light, NuTone 100 CFM, 3.5 sones
l Ea
Jacketed fiberglass insulation for 1/2 in. pipe 1/2 in. thick
120 LF
Bath vent kit. Deflect-0 Flexible duct
Total
We propose to hereby furnish material & labor complete in accordance with the above specifications, for the sum total. Payments to be made as
follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance 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. cceptance 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 and to be paid as spe ifiedf This estimate is good for 30 days.
Phone # E -mail
Signature
413 885 - 9038 peter@ rainhome.net
Page 3
128 Ryan Road Estimate
„ Florence, MA
01062
�� Date Estimate #
AA/1
3/19/2010 982
Beth and Jeff Firmin Prince
Terms Project
On receipt Firmin basement rev 6
Description subtotal
Electrical work for receptacle outlets Standard indoor, duplex wall outlet lighting fixture outlets
Ceilingswitches Standard indoor wall switch
35 Ea
Light fixtures basic ceiling
4
Electrical work for fire or smoke detectors outlet box only
2 LS
Electrical work for fire or smoke detectors Add for detector unit
2 LS
Light fixtures wall sconce $25.00 allowance
2
Painting priming all walls and ceiling
1840
6 -panel colonist prehung interior doors 36 in. x 80 in.
4 Ea
9 -lite fir prehung exterior doors 36 in. x 80 in.
1 Ea
Locksets Passage latch, no lock
3 Ea
Double cylinder high security lockset
1 Ea
Door framing, 2" x 4" To 3' wide (4 in. x 4 in. header)
Total
We propose to hereby furnish material & labor complete in accordance with the above specifications, for the sum total. Payments to be made as
follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of and the balance 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 tire, tornado, and other necessary insurat e. Acceptance of
Proposal will commence with the home owners signature. Prices, specifications and conditions are satisfactory and are h reby accepted upon
signature. Rainbow Home Improvement is authorized to do the work as specified and to be paid as sp cified. This esti! to is good for 30 days.
Phone # E -mail / C
Signature
413 885 - 9038 peter@rainhome.net tr A r
Page 2 i 1 '
�a 128 Ryan Road v ,, - Z Estimate
Florence, MA
01062
Date Estimate #
\141PR0��`^
3/19/2010 982
Beth and Jeff Firmin Prince
l ) 3 \ \ S��
Terms Project
On receipt Firmin basement rev 6
Description subtotal
Moving return drain pipes closer to exterior walls move gas pipe up
1
Plumbing for bathroom
1
Plumbing fixtures allowances, toilet, seat. vanity and sink top, faucet, shower, shower faucet ($1800.00)
Doesn't include mirror or medicine cabinet and assessories
1
Removal of windows Wood
16 SF
Concrete slab sawing, subcontract 8 in. deep, Unit
15 LF
Below grade waterproofing, elastomeric Sprayed, troweled, or rolled, 2 coats
450 SF
Placing grading topsoil By hand, slope site
ICY
Stud walls 2 in. x 4 in.
1388 SF
Demo Knock down and pile on site Drywall on wood studs
1066 SF
Fiberglass batt insulation 6 -1/4 in. Kraft faced, R -19, between ceiling joists at sun room
162 SF
Total
We propose to hereby furnish material & labor complete in accordance with the above specifications, for the sum total. Payments to he made as
follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance 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 lire, tornado, and other necessary insuran . cceptance 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 and to be paid as sp ciiied. This estimate i good for 30 days.
Phone # E -mail / Signature
413 - - --
413 885 - 9038 peter g rainhome.net
Page 1
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 person(s) who seek to use
the home owner exemption, to act as their owii 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 responsible to make sure that the trades hired secure their proper
jermits 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
'
T
The Commonwealth of Massachusetts
Department of Industrial Accidents •
p ,==,.-7=---
t. iW = � Office of Investigations •
$ a 600 Washington Street
E!_ # Boston, MA 02111
www.mass gov /din
- Workers' Compensation Insurance Affidavit Builders/ Contractors /Electricians/PIumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Indivirinal): (Lc v�W �� t (1X t ..,, `f i e -
- • Address: \-),j'" `2.sc-.., (L Z , . . •
City /State/Zip: •-(ol r. - Phone. #: \ j --6T --4 d 3 f
Are you an employer? Check the appropriate box: • Type of project (required): /
1. ❑ I am a employer with - 4. D a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub- contractors
2.0 I am a sole proprietor or partner- on the attached sheet 7. Remodeling
ship and have no. employees These sub- contractors have. .8. 0 Demolition
• working for me in any capacity. Moyers and have workers'
9.
Bu addition
[No workers comp- insurance CQ
.inst*+_ .t_. _._
required:] 5. 0 We are a corporation and its 10 Electrical repairs or addictions
officers havexercised their mg repairs or additions 3. I am a homeowner doing all work • . 11. Plumb' r
myself [No workers' comp- right of exemption per MGL
12.0 Roof repairs
. 152, 1 , and we have no
insurance required.] t c 4 � § ()
employees. [No workers' 13.0 Other
comp. insurance requited. ] . •
*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.mdicatiag they are doing all work and then hire outside contractors must subnut anew affidavit indicating such.
=Contractors that ch' + this box must attached an additional sheet showing the name of the sub - contractors and state whether m -not those entities have
employees. lithe 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: 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 uncter.Section 25A ofMGL c 152 can lead to the imposition of criminal penalties of a
fine up to 51,500.00 and/or one -year imprisonment as well as civil penalties in the form ofa STOP WORK - ORDER and a fine
of up to $250.00 a day against the violator. Be advised *that a copy of thus statement may forwarded to the Office of
� __...�.. � �__. _; : . _ .... ...:. .�� _mow
Investientions of the DIA for insuranc coverage verifoafion
_ Ido hereby certify under the pains and penalties ofperjury that the informationprovrded _abave-rs_true and_corr ___
0
Signature: • Date: • .
Phone #: LA \ \ " _ ,) .
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,lnspector 5. Plumbing Inspector
6. Other
.
Contact Person: Phone #:
•
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑ g
Name of License Holder : 7 �MCkue∎e , 5 5 Z3 `
License Number
010 ( L ■ _ 1 r — 7.QriZ
Address Expiration Date
•
(st1 —84S
Signature Telephone
9: !.b k1tIF = f T ri its_ ' Not Applicable ❑
13
Company Name Registration Number
\ R-yr. tz. - r '. (X619 Z ti 0 Lt—
Address Expiration Date
Telephone V' tl
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 nj No ❑ CAN � C.
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 1083.5.1.
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 buildine 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 applicable)
New Hous El Addition Alteration(s) 23 Roofing
Or Doors EI
' F
Accessory Bldg. D g� �-� Demolition New Signs [0] Decks OE3 Siding [0] Other [0]
Brief Description
Work: e -cwes ��S - .Cur aers. \•*kinra~el.
Alteration of existing budm " om Yes � No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement V" No
Plans Attached Roll - Sheet
411' a. Use of buliding : One Family Two Family Other
b. Number of room 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 wit in10VfLnfwoetlondo? Yes No. Is construction wit in 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building confom, to the Building and Zoning regulations? Yes Nn.
I. Septic Tank _____ City Sewer Private well City water Supply
S
� L e
ovi / + ^ as Owner of the subject
property
he authorize Qu]~,
o act o y behalf, in all matters relative to work authorized by this building permit application.
Signature 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 penalties of pe,jury.
Print Name
—\O
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
a
Lot Size 1 ' a
Frontage I H i
Setbacks Front € 1 i
Side L: I R: L: � Y 1 R: _ i t g
Rear = = : i
Building Height ? i = I I
Bldg. Square Footage = 1 % ---_" 1 I
Open Space Footage - %
r --
(Lot area minus bldg & paved t ! 1 1 1 L—..
parking)
# of Parking Spaces
Fill: i
(volume & Location) l i
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW i►! YES
z
IF YES, date issued: i
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book 1 Pa 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 Obtained ® , Date Issued:
C. Do any signs exist on the property? YES 0 NO l
IF YES, describe size, type and location: € I ,
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO i7,I�
IF YES, describe size, type and location:
i
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 NOf
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
+ 4 `
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060 � � �
°' ; l phone 413 =587 -1240 Fax 413 - 587 -1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 4 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
3 3 11 S map Lot Unit
i 0 1060 `
3GrP Zone Overlay District
Elm 5C' District CB District
SECTION 2,- PROPERTY OWNERSHIP /AUTHORIZED AGEN
7 2.1 Owner of Record:
- lI (t Qd t Aio 4.1.
I Iarhe (Print) Current Mailing Address:
( ' L Telephone
Signature`
2.2 Authorized Agent:
�Clrn me( u•t. �• Z �tU(ZnLG- >�4 o IA Z
Name (Print) Current Mailing Ad ress:
old F
Signature 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)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection _
6. Total= (1 +2 +3 +4 +5) Say cx Check Number k )v, 4
This Section For Official Use Only
r � �
:
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File # BP-2010-1001 cpita (.E 4T SSA
APPLICANT /CONTACT PERSON THOMAS MALONE
5114 (o -" �' `
ADDRESS/PHONE 128 RYAN RD FLORENCE (413) 885 -9038
OA , Q 1d (SSuE
1 S
PROPERTY LOCATION 33 HILLSIDE RD e
MAP 24D PARCEL 301 001 ZONE URA(100)/ f
THIS SECTION FOR OFFICIAL USE ONLY: d \Z
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid � � 130
Typeof Construction: FINISH BASEMENT (FAMILY RM,OFFICE & BATH)
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 BASEMEN T R E4'CItZ- s 2. MEANS of F(zr&S
s- - KF A N p CO DE a ct o rtS Pt n- GCA RRfr Ce A
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INW RMATION PRESENTED:
1/ 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
sliY//6
Signature of Building 0 ficial 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.
RD . i BP- 2010 -1001
GIS #: COMMONWEALTH OF MASSACHUSETTS
/41)- 301 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- 2010 -1001
Project # JS- 2010- 001471
Est. Cost: $53493.00
Fee: $320.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS MALONE 055236
Lot Size(sq. ft.): 5096.52 Owner: PRINCE JEFFREY THOMAS & BETH FIRMIN
Zoning: URA(100)/ Applicant: THOMAS MALONE
AT: 33 HILLSIDE RD
Applicant Address: Phone: Insurance:
128 RYAN RD (413) 885 -9038 WC
FLORENCEMA01062 ISSUED ON :5/17/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: FINISH BASEMENT (FAMILY RM,OFFICE &
BATH),BSEMENT REQUIRES 2 MEANS OF EGRESS,SMOKE &CO DET PER CURRENT CODE
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 5/17/2010 0:00:00 $320.40
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo