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32C-155 (4) inHome Handyman Services PROJECT NAME: Ms.Donna Shotwell 39 Kingsley Avenue Northampton,MA 01060 Date:September 24,2008 413-586.5993 Consultant: Richard A.Ahistrom We hereby propose to perform remodeling and/or repair work upon the above mentioned premises per the following description,scope,allowances,exclusions and general conditions. 1.) BATH RENOVATION: • Pull and replace tub and shower in first floor bath. • Protect interior living space from dust and debris. ❑ Provide necessary city building permits. ❑ Cover and protect existing vanity and vanity top. ❑ Pull toilet and remove from site. ❑ Shut off water to shower. O Demo tub and shower tile and remove from site. ❑ Demo existing shower valve and shower wall. ❑ Demo and remove backer board on two remaining tub walls to ceiling. ❑ Remov w -install. O Demo and remove existing ceiling light ❑ Vanity lighting and mirror to remain. ❑ Frame new 2x6 wet wall at shower valve end. ❑ Provide plumbing services for new tub,valve,and toilet locations. ❑ Provide and install one(1)Kohler Dynametric 5.5 cast iron tub in white. ❑ Provide and install one(1)new Temptrol shower and tub valve with handheld ❑ Provide and install a new location for toilet rough O Provide and install one(1)Panasonic fan/light unit in bath ailing. ❑ New fan/light to be switched at existing switch location with a timer switch. O Provide and install backer board for tile. O Provide and install new W'drywall as needed. ❑ Tape drywall and sand smooth. , O Pull and replace existing floor tile in areas of new work as needed. O Floor tile to be provided as needed at additional cost. / ❑ New floor tile to be a blend of the existing. ❑ Set floor tile and grout. O New grout color on floor tile to blend with existing. O Provide and install ceramic tile on three(3)tub/shower walls to ceiling. O Tile to be set on W'tile backer board with Ditra water proofing membrane applied. ❑ Tile to be laid straight and square. 0 Provide and install a row of horizontal deco tile in field tile. O Shower walls to have one(1)ceramic corner caddie. ❑ Grout tile and caulk comers,caulk tile to tub. O Provide and install one(1)fixed shower rod. • Prime and paint ceiling one(1)coat ceiling white. • Paint window a(1)coat trim color. 13 Paint walls t trim color. 1840 O k avd/T! ❑ Provide an install one(1)new Toto Drake elongated toilet in white. ❑ Provide and install one(1)soft close elongated toilet seat in cotton. O Install bath hardware provided by owners. Total:$17,934.71 The following allowances are included; Os Allowance for wall tale and details$750.00 ''"'..'. •, Allowance for plumbing services$2,250.00 Allowance for electrical services$375.00 NOTE:This proposal may be withdrawn by inHome if not approved by an authorized inHome General Manager/Officer or accepted within 15 days of presentation. License Number(s): Construction Supervisor CS 073454 Expiration Date(s):04/10/2010 Home Improvement 0 149724 Expiration Date(s):02!02/2010 .ST D TE; luffomg will contact the owner within five business days upon receipt of this signedcontract and its first payment,to schedule the work. PAYMENT,will be made as follows: 25%upon signipg 54.083.68 30%upon start SS-MOA1_ 30%upon start of We SS-WAX IS%upon comoletion $2,690.21 ACCEPTANCE: The above prices,specifications,conditions,and Terms and Conditions on the reverse side are hereby accepted. You are authorized to perform the work specified. B BY: Autho signature,Ink Blaek inc.dba inHome Handyman Services Owner(s) Q Date: If-.x4- a? 903 Hampden Street Holyoke,MA 01040 (413)5847700 or(413)533-9900 Office (413)533.9904 Fax The Commonwealth of Massachusetts Department of Industrial Accidents — Kara 600 Washington Stred Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit:BnUdin lambia lectrical Contractors name: g/ e A A e/ A is have rn address: A'fAA'I r0e7 Aoy,-Ills* &-A-1/ city state: /NA an: nhane# work site El I am a homeowner performing all work myself. Project Type: 0 New Construction MRemodel ❑ 1 am a solc ro vrictor and have no one workin in ca an aci i❑Buldin Addition r"lam"aWnAe"mp]oyer providing workers'compensation for my employees working on this job. commas Dome., m IA" J" S--,- e g city_ At" nbonetF: �i 33' 00 1 insurance co. • ' e # `?0 I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: comuanv nam : address• cis,• phone N• insurance co. DOHEV S company Dame: - -- - - address: City. obone N• aura ee el. Failure to secure coverage as required under Section 25A of MGL 152 can lad to the imposition of erhniaal peniaMaa era tine up to S1�00. and/or one years'imprbonment as well as civil penalties In the form of a STOP WORN ORDER and it On of S100.00 a day agatest me. I tmdsntatsd that a copy of this statement may be forwarded to the Office of Invaadsotlons of the DIA ter coverage vniflatieo. I do hereby terrify under the painOs and pendties ojpsrJwry that the Jajoraration provided above is true and eorratct Signature � 4A 4 -&—— Dete - Z?,-4—,La Print name 14 /r'/jV0S--+ Phone# oMciel use only do not write In this arm to be completed by city or town official city or towpermit/license N swidj%Dprment • ❑Lleewft Board ❑check If immedlate response is required ❑Salectmews Ofnee ❑Hnitb Dopart sot contact person: pbone M; ❑Otbor (rtveed Sept 2003) SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. / / 1 Not Applicable ,❑1 U Name of license Holder: iC Gam?ccr �f?4- ryY✓l C 5 7 3 L4 5–7 / License Number 2/5 / A1,,s,,-7 !�tb y lzo l O Address Expiration Date zG,X---/ 't-- 533 -9`�oa Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ /i7/74mc s /Y772 y Company Name Registration Number 7-03 //-ft Z/0 z Address Expiration Date Telephone '553- fi�w 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...... ❑ 11. - Home Owner Exemption 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 anolicable) New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[01 Other[C7] Work: Brief Description of Proposgd� 1c '/ / r ff55 7"h Cw /7 l �G Alteration of existing bedroom Yes _No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes 2�,,_No Plans Attached Roll -Sheet ea.If New house and or addition to existing housing, complete the followina: 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 AP/PLIES FOR BUILDING PERMIT I, �d///I� ��Z�f wC 6/ as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to/work authorized Ify this building permit applicatio . Signature of Owner Date I, �G ��„-�/�'�i �f•� as Owner horized 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. _;C'c.`,e" . It Print Name 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: 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 Q DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO © DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: 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 O NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • J Department use only 'City of Northampton Status of Permit: Building Department Curb Cut/Ddveway Permit 212 Main Street Sewer/Septic Availability Rpom 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 4 �-687-1 0 Fax 413-587-1272 Plot/Site Plans 4 Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ff SECTION 1 -SITE INFORMATION 1.1 Proagrtv Address: This section to be completed by office 3q I►1 C s(r-vt Ave o ttiC Map Lot Unit Zone Overlay District Elm at District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �o V-1 o a Name(Print) / Current Mailing Addre ®C7&z'-.t' Telephone q S Signature ID 2.2 Authorized Agent: RICA4,-/ d /s 2!S/1/lkf i r, /�r,-e �.✓ti f ��`�la�e Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION CQM Item Estimated Cost(Dollars)to be Official Use Only com leted by rmit applicant 1. Building / O b (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of �Q 6 Construction from 6 3. Plumbing a 0 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+,.4+5) d o Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0592 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 903 HAMPDEN ST HOLYOKE (413) 533-9900 Q PROPERTY LOCATION 39 KINGSLEY AVE MAP 32C PARCEL 155 001 ZONE URC000)//WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 17 Xo; Typeof Construction: REPLACE BATH TUn&TILE FLOOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 073454 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 p 2" t e�c, 1 2-410103' 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. _ MEW my WSW its VIA z F t R�4 y a rx 3 8 } Mvp too 8 kn SO �A KdR im r `p.,y-p iF t t 4 ionic AV W Ann To 00" SA vivo toy is NOW it n a T l wV n' v a' most &I�Wv lots Y r i s d Ap es. -t elks� Nown TATIN it no? WON Y k RN i 43 E F' Yi' $ Sk apf 5` iwo t '1 5+ ^ per; w � W� s"%b ,,5"t�.`€':'r+� r i �* S'S,*%,y r' s}y� k ' - *x x WWI qa- WtN won no AK QW, d " s 1 'i h .jl JnL o i 2 R s � < SOW Vp �1 `s� � is �'�.., '� � 'Me on wg :u rMOM, .ykd>. � ? Mgt a ay. 01,,. 39 KINGSLEY AVE BP-2009-0592 GIs#: COMMONWEALTH OF MASSACHUSETTS Man:Block:32C- 15s CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Bui ding DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) BUILDING PERMIT Permit# BP-2009-0592 Proiect# JS7,2009-000$4$ Est.Colt.117000.00 Fee $IQ2 00 PERMISSION IS HEREBY GRANTED TO: Coast Class: Contractor. License: Use crrorip: INHOME HANDYMAN SERVICES 073454 Lot Size(sq ft.): 6011.28 (honer SHOJWELL DONNA M, 7.t�r:s uPC( 00)//wP Applicant: INHOME HANDYMAN SERVICES Aml cant Address: Phone: Insurance: 903 HAMPDEN ST (413)533-9900() Workers CoMRensatlon HOLYOKEMA01040 ISSUED O1V:1211112L08 0:00:0 TO PERFORM THE FOLLOWIN G WORK REPLACE BATH TUB &TILE FLOOR POST 11111 CARD SO IT IS VISIBLE FROM THE STREET Insi�cetqr of Flunking Inspector of Wiring D.P.W. Building inspector Underground: Service: Meter: Footings: R°tch' Dl: ou- gh,: tS, +I4ouse# Foundation: ,. . .,. , .. �� l)rivewak"Finatc,.` Final: —2.Z- ? Final:/ Rough Frame�� Gas: Fire Department Fireplace/Chimney Zz _ is Uils Insulation: Final: Smoke: Final: 01 at 1z3 ,01 �0Li(I THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Cettific to�f Oc' anc , Si nature: k. e e� ���a° Dil#e Paid: Amoualf.� r ., Biulding 12/11/}2.0080:00:00 $102.001937 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo