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CD 0$$ ow Zo v(a J= Doti v CC �X° MM QS o ry O O J m y'm° v 33 d w i 0 � N NID d go n O J y J N N a_ (D CONTRACTOR QUOTE PRINTED ON: 01/14/14 PAGE 1 QUOTE # QB1401001 DATE QUOTED:01/14/14 ENG` �MEERt�N 181 GOODWIN ST VALID UNTIL: 02111114 E RAT N PO BOX 51027 INDIAN ORCHARD, MA 01151 Job: KOPF KENT HICKS CONSTRUCTION MANUFACTURERS OF ROOF & FLOOR TRUSSES Phone(413)543-1298 Fax(413)543-1847 Toll Free(800)456-0187 NORTHAMPTON, MA Quote To:r.k. Miles, Inc. Requested By: ANDY CLOGSTON 24 West St. West Hatfield, MA 01088 Quoted By: Brian Tetreault Attn:ANDY CLOGSTON Phone:(413)247-8300 SPECIAL INSTRUCTIONS: *12" HEEL HEIGHT. ROOF TRUSSES LOADING TCLL-TOOL-BCLL-BCDL STRESS[NCR. ROOF TRUSS SPACING:24.0 IN.O.C.(TYP.) LAYOUTBRT 01/14/14 INFORMATION 50.0,10.0,0.0,10.0 1.15 PROFILE QTY PITCH TYPE BASE O/A LUMBER OVRHG/CANT SHIPPING GHT WEIGHT PLY TOP BOT TRUSS ID SPAN SPAN TOP BOT LEFT RIGHT 1 COMMON 02-00-00 02-00-00 05-07-10 78 3 Ply 7.00 0.00 G1 14-02-00 14-02-00 2 X 4 2 X 6 ----- ----- 1 COMMON 02-00-00 02-00-00 06-02-05 68 3 Ply 7.00 0.00 G2 16-01-00 16-01-00 2 X 4 2 X 6 01-11-00 Common Truss 02-00_00 02_00_00 4 7.00 0.00 T1 14-02-00 14-02-00 2 X 4 2 X 4 05-07-10 57 Common Truss 02-00-00 02-00-00 1 7.00 0.00 T1GE 14-02-00 14-02-00 2 X 6 2 X 4 ----- ----- 05-07-10 63 Common Truss 02-00_00 02-00-00 06-02-05 73 2 7.00 0.00 T2 16-01-00 16-01-00 2 X 4 2 X 4 01-11-00 Common Truss 02-00-00 02-00-001 1 7.00 0.00 T2GE 16-01-00 16-01-00 2 X 6 2 X 4 - 06-02-05 72 Truss Engineering Corporation(TEC)strictly adheres to the'Standard Responsibilities in the Design of Metal Plate Connected Wood Trusses'as defined by TPI Chapter 2(available upon request)regardless of any job specific SUBTOTAL specifications unless clearly defined otherwise in writing by TEC. This product list is Truss Engineering Corporation's INTERPRETATION of plans and drawings as supplied to us. No responsibility is taken or implied by TEC for the structural integrity of the structure below the trusses or the affects of TEC's product on the structure as a whole. The building owner/owner's agent is solely responsible for verifying all dimensions,geometry,loads and load requirements for accuracy and full compliance to construction documents and shall be responsible for notifying TEC immediately of any discrepancies. Truss Engineering Corporation is NOT responsible for field verification of dimensions or special conditions. The building owner/owner's agent is responsible for coordinating all construction details between trades. The truss installer shall follow all BCSI recommendations,construction document specifications as well as any site specific GRAND TOTAL requirements to ensure safe and proper installation. No loading shall be applied to trusses until properly and fully installed,including all sheathing,hangers,wall anchors,lateral web bracing(as shown on individual shop drawings),and permanent bracing(as required by the construction documents). Installation contractor shall refer to the individual truss shop drawings for all structural requirements of trusses,including but not limited to bearing locations and requirements, ply to ply nailing,lateral web bracing,and truss spacing. No trusses supplied by Truss Engineering Corporation may be cut,drilled,or altered in any way without first contacting TEC and receiving engineering documents allowing such. *** THESE DRAWINGS HAVE BEEN REVIEWED AND ARE APPROVED AS AN ORDER *** pproved By: Approval Date: PO#: Requested Delivery Date: 1,31/ T :ob-ed 1 SESSnEl EOO'd SNIISIXE do SNINOId SEEIZVE EEGdIS MSN 0 E s fni I q N ry 0 IMI L ZT/9 rt ZI1L Zl L (18OHO Dqojljlos �ixz Hill E8'Sfl'dJ, '91411SIX 3 -3 7171 Su n n rt w r 0 coma J,O OT 110 1 s i17 rt ri E,En cn I W w t7' 0 C)CD H031 „ � z sqqvm �xz NOIdNVHIEON -307 ZdOH -20f KENT CONSTRUCTION Co. HIGH PERFORMANCE DESIGN/BUILD 20 Stearns Court January 15, 2014 Northampton, MA • All existing exterior walls built to the inside to 9" thickness with 4" closed cell spray foam and 5" dense pack Nu-Wool cellulose. • Electrical brought up to code throughout. • Smoke/CO2 detectors brought up to code throughout. • Renovate kitchen and bathroom. • New dividing walls upstairs • Replace all windows with R-5 insulated frame casement windows. • Insulate all basement rim joints with closed cell spray foam. • Complete Air Seal on existing and new structure. • Paint interior. PO Box 57 /West Chesterfield / Massachusetts 01084 413.296.0123 / khicksconstructionCc)-verizon.net / kenthicksconstruction.com City of Northampton Mail -Kopf 20 Stearns Court https://mail.google.com/mail/u/0/?ui=2&ik=39211afc3d&view=pt&se... 4;i'&W*4 Charles Miller<cmiller @northamptonma.gov> Kopf 20 Stearns Court 1 message Kent Hicks Construction <khicksconstruction @verizon.net> Fri, Jan 17, 2014 at 1:19 PM To: Charles Miller <cmiller @northamptonma.gov> Hi Chuck, Below are the updated Building Permit numbers for the work at the Kopf house. Section 3—Estimated Construction Costs: Item Estimated Costs 1. Building $298,000.00 2. Electrical $ 18,000.00 3. Plumbing $ 15,000.00 4. Mechanical $ 8,500.00 5. Fire Protection $ 2,000.00 6. TOTAL $341,500.00 = { Chuck, Do you need me to email you a new front page with these numbers on it? Or can you make the changes? Thanks, Mary Kent Hicks Construction Co. PO Box 57 West Chesterfield, MA 01084 413.296.0123 www.kenthicksconstruction.com 1 of 1 1/17/2014 4:44 PM Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE Revised 7-2013 Fax # 617-727-7749 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name (Business/Organization/Individual): Kent Hicks Construction Co. Address: 634 Main Road PO Box 57 City/State/Zip: West Chesterfield, MA 01084 Phone #: 413-296-0123 Are you an employer? Check the appropriate box: Type of project(required): 1.NO I am a employer with 4 4. ❑ 1 am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. ❑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 or me in an capacity. employees and have workers' g Y p" Y• 9. RN Building addition [No workers' comp. insurance comp. insurance.l required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing al I work officers have exercised their l L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ± c. 152, §1(4), and we have no employees. [No workers' 13.E:] Other comp. insurance required.] *Aoy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. CContractors 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: Travelers Insurance Policy#or Self-ins. Lic. #: 3551 A6162 Policy#613698713 UB Expiration Date: 4/5/2014 Job Site Address: 20 Stearns Court City/State/Zip:Northampton, MA 01060 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 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 celifiv u er t pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 413-296-0123 _ Official use only! Do not write in this area,to be completed by city or town official. City or Town: PermitfLicense # 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: License Number of I�Ll2a(,� Address y�/7 `(.( Signature Telephone b � _ Expiration Date 9._Renistered Home Improvement Contractor: Not Applicable ❑/ Company Name Registration Number Address \� { Expiration Date Telephone 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.......4 No...... ❑ 11. - Home Owner Exemption The current exemption f'or"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 pen-nit. 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 House ❑ Addition [K Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ['- Accessory Bldg. ❑ Demol" ion ❑ New Signs [r-1] Decks [[=] Siding[o] Other[O] ox Brief Descriptinn of Work:--J.— t r Alteration of existing bedroom 11�y es No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa.If New house and or addition to existing housing, complete the following: 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 I, 141 ____ &I as Owner of the subject property // �f hereby authorize ke✓ 4 ` '< < "� to acct o=n_m�y behalf,in allll matters relative to work authorized by this building permit application. v� e� / Signature of Owner Date 7Agent �Z 'r as Owner/Authorized hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge d belief. Signed under the pain analties of perjury. Print Name Signa ure 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: ( (ou R: W L: I Q' R: Rear Building Height Bldg. Square Footage %, Open Space Footage % (L.ot 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 CC DON'T KNOW 0 YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0-- DON'T 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 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO t IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES NO 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 a! IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 1 Department use only City of Northampton Status of Permit: On Building Department Curb Cut/Driveway Permit Ajons 212 Main Street Sewer/Septic Availability �rov Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 4/ 1.1 Property Address: r_ This section to be completed by office -10 S��rrS (� Map Lot Unit Zone Overlay District F t to bo Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: i 's y (,; t A r. ko tares J+ IJ J I T In I o Name(Print) Current,M ailing2-3 s:su h /tC Telephone Signature 2.2 Authorized Agent: //'' �&-1 &k( PO �1 C t � t t ld olAf Name(Pri ) Current Mailing �dddrress: Si nat a Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com feted by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical ��/�� (b)Estimated Total Cost of Construction from 6 3. Plumbing D j�,OD Building Permit Fee , 4. Mechanical(HVAC) '21 5. Fire Protection 2 6. Total =0 +2+ 3+4+ 5) �2 Check Number ew This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0820 APPLICANT/CONTACT PERSON KENT HICKS ADDRESS/PHONE P O Box 57 WEST CHESTERFIELD (413)296-0123 Q PROPERTY LOCATION 20 STEARNS CT MAP 38B PARCEL 134 001 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 Typeof Construction: EXPAND KITCH/LIV RM&INTERIOR ENERGY RETROFIT New Construction Non Structural interior renovation Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 066104 3 sets of Plans/Plot Plan O �°G����I�C "fe THE FOL WING ACTION HAS P F FN T: I>EN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits requirt,l (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan A ND/OR Special Permit With Site Plan Major Project: Siw Plan,-,ND/OR Special Permit With Site Plan ZONING BOARD PERMIT R,_."i U1R 0 UNDER: § Finding Special Teri»i t Variance* Received&Recorded,it i:egisiry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW `,'ater Availability Sewer Availability Septic Approval Board of 11.,,ii, Well Water Potability Board of Health Permit from Conservatin i C'uu,._:ssion Permit from CB Architecture Committee Permit from Elm Street('n;nn,;; �,n Permit DPW Storm Water Management D of ' el y Si re of Building O frcial Date Note: Issuance of a Zoning permit i r. ve a applicant's burden to comply with all zoning requirements and obtain all required runts _ ,nu Board of Health,Conservation Commission,Department of public works and other applicable t ru�it „ ,thug authorities. *Variances are granted only to those a,, I:- ,vlio meet the strict standards of MGL 40A. Contact Office of Planning&Development for more in f)r- 20 STEARNS CT BP-2014-0820 GIS#: COMMONWEALTH OF MASSACHUSETTS MaQBlock: 38B- 134 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2014-0820 Project# JS-2014-000746 Est. Cost: $341500.00 Fee: $1893.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENT HICKS 066104 Lot Size(sq. ft.): 8450.64 Owner: KOPF SILAS W&LINDA M Zoning_URB(100)/ Applicant: KENT HICKS AT: 20 STEARNS CT Applicant Address: Phone: Insurance: P O Box 57 (413) 296-0123 () WC WEST CHESTERFIELDMA01084 ISSUED ON:112312014 0:00:00 TO PERFORM THE FOLLOWING WORK:EXPAND KITCH/LIV RM & INTERIOR ENERGY RETROFIT 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 si nature: FeeType• Date Paid: Amount: Building 1/23/2014 0:00:00 $1893.00 212 Main Street,Phone(413) 587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner