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35-119 t ✓fte 'L�an�ernxu�eallfi �.��t Board of Building Regulatio s and Standards HOME IMPROVEMENT CONTRACTOR Registration: 143343 Expiration: 7/8/2006 t -Type: Private Corporation !t INTERSTATE CU$ OIVIXITCHEN&BATH,INC. JAMES YIZNITSIo ti , 558 CHICOPEE STS 101 l � CHICOPEE,MA 03' Administrator ✓.i�o�xmzoatetsea a��/�iiaGar/LUaetC6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055676 Bi �_ `'U1/0511962 t -4/_ bi/05/'W Tr.no: 7616.0 - R �f 00 JAMES A YIZNITV 18 CROW HILL RD'' G MONSON, MA 01057 Commissioner ,4 i 60;6" 36„ 36„ 54" I �! 60R-BATH-1 i i O rn I 24„ I I 33„ IV I 216 1 z 361611 �I -. _._---is-an_ ._ _-______.___._______.__- ---- _--___._______._-____ �All dimensions_size designations given are 7(1 This original design and must not be Des,gned:5/16/2005 subject to verification on job site and F;-H N .o e<. released or copied unless applicable fee has Printed:5/16/2005 adjustment to fit job conditions. been paid or job order placed. Thurman All Drawin10: 1 It is understood that the price agreed upon herein does not include possible expense entailed in coping with hidden or unknown contingencies found at the job site. Contingencies include but are not limited to inability to reuse existing water, vent and waste pipes; air shafts, ducts, grilles, louvers and registers, the relocation of concealed pipes, risers, wiring or conduits, the presence of which cannot be determined until the work has started, or imperfections, rotting or decay in the structure or parts thereof necessitating replacement. Anything not mentioned above is the responsibility of the homeowner. Total cost for work above $32,780.00 5% MA tax 819.00 Grand Total $33,599.00 Schedule of payment Upon signing of this agreement 50% $16,799.50 Upon start of work 30% $10,079.70 Upon substantial completion of work 20% $ 6,719.80 *Substantial completion means all plumbing and electrical fixtures are installed and functional. Accepted by Homeowner Date Homeowner Date i S/ DSO Contractor Date g. Devonshire tub/shower valve K 304-K-NA h. + trim KT395-45-CP i. Kohler Devonshire faucet K394-4-CP j. Gerber drain 0041813 D. We will supply and install insulation in exterior wall per code. E. We will repair the sub floor where needed and supply and install a new concrete board sub floor. F. We will supply and install new cove molding around the existing ceiling ready for paint or stain. G. We will supply and install a small bypass replacement window. The window will be a white vinyl with a ''/z" screen and low E glass. The exterior trim will be wrapped in white aluminum. H. We will supply and install a new Wilsonart laminate vanity top with a bevel edge. Color for top and edge is Terra Rocca. I . Carpentry will include taking out and re-install current vanity, install customer supplied mirror and a cabinet over toilet, install toilet paper holder, towel bar, trim for small window. Interstate Custom Kitchen &Bath will not warranty any products or materials that are supplied by the customer. Customer accepts full responsibility for product and installation. 6. We have allotted $2,400.00 for plumbing. This will include installing a new Sterling tub kit w/walls, shower fixture,body sprays, slide bar, re-install existing toilet and sink. Install new lav faucet. Install kitchen sink and faucet. Repair outside spigot. This is plumber's final bill plus 25% for handling. 7. We have allotted $400.00 for the electrician to bring up to code the outlet, hang lights over vanity. This will be electrician's final bill plus 25% for handling. Customer is supplying the light. Move all outlets behind sink and disposal. G.F.I.'s in kitchen? 8. All necessary permits will be obtained by Interstate Custom Kitchen &Bath. Customer will be responsible for all fees required by a work change order. 4. The following describes work that will be done to the kitchen. A. We will take out the current countertop in the kitchen and the backsplash and dispose of in the dumpster. B. We will repair the outside corner of sheetrock left of dishwasher. This might require moving the dishwasher slightly to the right. C. We will supply and install new Wilsonart laminate counters with a bevel edge. The color selection for the counter and bevel edge will be Mesa Twilight. D. We will supply and install a new the backsplash. Allotment for tile Selection is $ No decos have been figured in this allotment Tile selection Size Pattern will be Grout selected is E. We will supply and install an oak cabinet as close as possible to Existing kitchen cabinets. Size is 36" X 18" deep and kitchen height. Cabinet will have(2) two doors, (2) two drawers, the door style is square raised panel. F. We will supply and install cove molding around the existing ceiling ready for stain or paint. 5. The following describes work that will be done to the bathroom A. We will gut the existing bathroom to the studs and discard all debris into the dumpster. The existing toilet, vanity sink and existing ceiling will all be saved and re-used on this project if possible. B. We will supply and install new 1/2"moisture resistant greenboard sheetrock through the bath. C. We will supply the following from United Plumbing. a. Sterling Ensemble E32RH-0 b. Kohler slide bar kit K8516-CP c. Kohler handshower K8503-CP d. Kohler supply elbow K9513-CP e. 2 X Body sprays K8510-CP f. transfer valve K 405-K-NA trim KT9474-4-CP R , H. We will supply and install new door trim on the hallway side of the entrance to bedroom ready for stain or paint. I. We will supply and install new baseboard through the entire room to match ready for stain or paint. J. We will supply and install new cove molding around the existing ceiling ready for stain or paint. K. We will take care of any firing that may need to be done in this room. 3. The following describes work that will be done on the Cave room. A. We will remove all wall board, door, window and baseboard trims and dispose of in dumpster. B. We will remodel that room's closet to match the Hotel room closet to end up with two closets. C. We will supply and install insulation in the exterior walls. We will also install sound board on the wall between the Cave and the bathroom before sheet rocking. D. We will supply and install new V2" sheetrock on all the walls ready for primer. E. We will supply and install all new baseboard through the room to match existing house trim ready for paint or stain. F. We will supply and install new cove molding around the existing ceiling ready for stain or paint. G. We will supply and install new window trim and door trim on closet and both sides of main door ready for stain or paint. H. We will replace the existing closet doors with a new bifold door. I . We will supply and install a new 6 panel pine pre-hung door ready for stain or paint. J. We will take care of any firing that may need to be done in this room. K. We will supply and install (2)two new white vinyl double hung replacement windows with %z screen and low E. glass. The exterior trim will be wrapped in white aluminum. f ' K S S Serving MA and CT Since 1986 558 Chicopee Street, Chicopee, MA 01013 (413) 532-2727 • CT (860) 242-2121 • FAX(413) 532-1448 May 12, 2005 Leonard Thurman 43 Drewsen Drive Florence, MA Tel: 586-1078 We propose to do the following remodeling work at the address listed above. We will Also supply and install materials as described in accordance to the layout and design that Is attached, agreed upon, and signed by the customer. 1. We will supply a dumpster on the site and allot for it to be emptied once. Size is 15 yards and will be a maximum weight of 2 ton. Each additional ton is $100.00.The dumpster will be weighed at pick up and any additional charge will be passed along to the Customer,on a work change order. 2. The following describes work that will be done on the Hotel room A. We will remove all wall board, door,window and baseboard trims and dispose of in dumpster. B. We will remodel the three closets between the rooms called Hotel and Cave and make it into two closets. (Size of each to be determined on the Measure.) C. We will supply and install insulation in the exterior wall to code. D. We will supply and install new 1/2" sheetrock on all the walls in the Hotel room. E. We will supply and install new'pine trim on the entrance door to room, the closet door and the window."Style of trim will match the trim in the house, which is square trim with a routered edge. F. We will replace the existing closet door with a bifold door. G. We will supply and install a six panel pine door pre-hung ready for stain with a small jamb to fit walls. New Kitchen Cabinets • Refaced Kitchen Cabinets • Complete Bathrooms Complete Jobs • Ceiling To Floor MA Lic.#104417 CT Lic.#0554583 558 Chicopee Street Chicopee, MA 01013 TELi MA (413) 532-2727 MA Lic. #104417 ATE t6W, HOME REPAIR IT'C - E fit, 1 C. CONTRACT CT (860) 242-2121 CT Lic. #0554583 -� FAX (413) 532-1448 Licensed & Insured Serving MA&CT Since 1986 Date 61 2'C 1 j,home repair contractor,hereinafter referred to as"Contractor" AND G n Tele hone y ` s Z °/Z,'7e %DDRESS bl 2, hereinafter referred to as"owner"of the real estate described above. Owner desires contractor to supply the following labor and materials as stated before and as specified on addended Job Description Sheet and/or Material Sheet, said documents being incorporated as part of this agr ent. Start Date ��� ZL'�'�5 Substantial Completion Date Refacing Policy All stiles, rails a d finished ends shall be installed using either a high or low pressure laminate applied to all existing exterior surfaces of cabinets with either adhesive, fastener or a combination of both which shall be determined by contractor. It is understood that in the resurfacing of owners existing cabinets,contractor shall not be responsible for any defects in job where it is caused by existing cabinets. It is understood that it shall be the obligation of the owner to stain or paint any unfinished,exposed areas. Due to the characteristics of wood, there are inconsistencies such as knots, mineral streaks, shading etc... which actually adds to the jrroduct's beauty; therefore, natural variation in the color or texture of the finished wood product are not to be considered as defects: since we are not dealing with a man-made product. %caner agrees to pay contractor for the aforesaid goods and services as follows: (A) CASH PRICE OF THE WORK 1 B) DOWN PAYMENT MADE BY THE OWNER 10% (C) UNPAID CASH BALANCE ITEM(A)LESS ITEM(B) $ 330 9,9�°— (D) PAYMENT WHEN MEASURE 30% $ IS4 7�ti"'_ (E) PAYMENT START INSTALLATION 30% $ /0" U! 7 (F) BALANCE DUE UPON COMPLETION OF INSTALLATION. CHECK TO MADE OUT TO / 8j COMPANY AND TO BE GIVEN TO INSTALLER 30% By law all home improvement contractors and subcontractors shall be registered and that any inquires about a contractor or subcontractor relating to their proper registration should be directed to: Director, Home Improvement Contractor Registration,One Ashburton Place, Room 1301, Boston, MA 02108:Telephone 16171727-8598 Anv and all necessary construction-related permits shall be secured by the contractor.The owner who secures his own permitts) or deals with unregistered .contractors will be excluded from the guaranty fund. i;ontractor warrants and represents that adequate Workman's Compensation and Public Liability coverage has been secured and that the policies are in force and e in good standing. contractor shall not be liable for any delays due to causes beyond the control of the Contractor.Any alteration or deviation from the specifications herein stated ill he an extra for which a reasonable charge will be made by the Contractor.Such charges shall be determined and agreed upon before any additional work i,� lone-A work change order will be issued for all additional work. s understood that the owner shall,at his own expense,correct any and all pre-existing violations of the local building,plumbing,and electrical codes other than u-:ose specified herein.The Contractor shall not be responsible for the following unless specifically expressed herein:increasing the electrical power or amperage Cher in the panel box or from the outside poles;water pressure;water drainage;or pipes in the walls or floors.No plumbing or electrical work shall be done by t.r,Contractor unless specified herein and at an additional cost mutually agreed upon. It is hereby agreed that title to the merchandise and equipment to be installed hereunder shall remain in the title of the contractor,and the owner agrees that anv property installed herein,no matter how same is affixed to the realty and as landlord waives any claim to same so long as there remains a balance due and owing. In the event of a default hereunder,the contractor may enter the premises of the owner and remove any and all the equipment installed herein. In the event the owner refuses to allow the Contractor to commence performance of the work to be rendered or continue performance under this Agreement,that the Contractor, is a measure of damages will be entitled to receive from the owner as liquidated damages a sum equal to 30%of the contract price,in addition to all expenses incurred by the contractor along with reasonable attorney fees. NOTICE TO OWNER: YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERETO AT A PLACE OTHER THAN AN ADDRESS OF THE CONTRACTOR WHICH MAY BE HIS MAIN OFFICE OR BRANCH THEREOF, PRO- VIDED YOU NOTIFY THE CONTRACTOR IN WRITING AT HIS MAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED. BY TELEGRAM SENT OR BY DELIVERY,NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. DO NOT SIGN THIS CONTRACT IN BLANK! YOU ARE ENTITLED TO A COPY OF THE CONTRACT AT THE TIME YOU : IGN IT. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. WE,THE AFORESAID OWNERS, CERTIFY THAT IMMEDIATELY "AFTER THE SIGNING OF THE AFORESAID AGREEMENT,A COMPLETELY EXECUTED COPY WAS FURNISHED TO US. I it witness whereof the parties have hereto set their hands and seals,the day and year above written. L 412S�Z. �z L.S. ontract /_/, Owner Owner 04��MP _Lify of Wartl amptan z r � � jlGlassacl�useffs � ' - DEPARTMENT OF BUILDITIG INSPECTIONS _ INSPECTOR '212 Main Street • Munic;ipll Build ng 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 has/her construction sup(".visor. The state defines"Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or t»wo fdnu�_- 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 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 - 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 �`n�' ��') 1 Su j 4, —i tty Z x t iy ('IQ tJs(, 14 I o�-c�v�rroTO ti —= F E (riff >�f �LT� f1�i3111}liDlt _ � R J f �Za�aRCE[asrtta' _ a DEPARTMENT OP BUILDr�\,C INSPECTIOI.'S 212 Main Strcet Municipal Building Northampton, Mass. 01060 WORICER'S CONIOENSA'nON 1'SURA.NCE AFFM/�Vj I, J ✓� � A tr; ,z/j ri-s K i;� s, rl� C'�es -� { Xfrv5 Oiccas p-rmlticc) � %Vlth a principal place of businessfresidence at: - — ^S Cj,#-'rc'tl U, C� �'©��'� � .'� �1° �3 (phone-') r7 (scr�.t/ci rr/sta.tt/a p) do hereby certify, under the.p?JM and penalties of perjury, ihat I (► I am an employer providing the following''«Iorkces coinocnsZno, coverage for in) employces worong on utis job: >1, ('4-T-( y-y4C(? s jan>_r-an=Coorzz\,) (Potic-.Nu- bcr) (r:-piF-,00r, Da -) 1 O I am a sole proprietor, general con>raaor or homeowner (curie one) znd have hired the contractors listed below wbo have the folio%ving worker's c000ert_tzion policies: I (NIMc 0i Cont^CiOr) (In uranc- COtilD1S7}'/PQVCf �tt1II1�C;) (Expinduon Datc) I i (Name of Cono°acior) (Inssraacc ComoanyiPo!im, Numic-�r) (Expiration Dar-) (N2me of ConrMCIG.-): (Laamanc: C.omp.an)-IPoUc)• Numbu) (E%pirz6on Daic) i i (NzMc of Contractor) (Lnsuraac-- Compauy/Pobcy Numbzr) (Explm6on Date). (aasc3:d!it:ocal irac�.i_1-to mc?vcE iaror=�:ioa pctaiaiar,to all ooa7-con) O I am,a sole proprietor and have no one working for me. ( ) I am,a home OWDer performing all the work myself. lNOTE:piece be taut bomco.m=—bo cmplay pa'ooa u =—acioo c rcpair work oo.d%%v-L:-;:of ant mort tlLn LSOe—,j is ,-bcb tbx bo=a rtmda«oo the pv z, xppur�tbeaa L,ox g==Hy oL,=.&o!to be -aVloy—ante the..ui c c==P as p=(GL4 S2-a l(5)1 zpptieanon b-y a bomwa-oa fcr c lice_oc permit r=y r id- the 'eGA—of at esployer uodar dt Wockala Compomalion Act_ !I t uod.en,.ad th.a a°oPY oCtbi.mtemsa m...y be ror�+nrded to the peparemooc of I.odait_riJ Aeedeats'Ofrioe of la�unoee for the oOvcntsc vaif cuioo and lhs L ilta c to scwrt lwvctase uodcz soaion 25 A of}fdt!51 oa ltd to the ia7osifioa or m:n.l pcazllie 000iiaitxg of a tint of up to S I}00.00 and/or i- riwam-y orup w ooc yar and a%il pm,.luo is do roan or.Stop Wort;Ord-and a j fium of SIDODO a d_y Lpi=Mr- IFor.�...�,=��•• u,c oaf y -- i A PC7m7t NUML--r Lot Si of Lic=iscc/PC e -- SECTION 8:-"CONSTRUCTION SERYfCES 8.1 Licensed Construction Supervisor: ,)y} Not Applicable ❑ Name of License Holder: , rti 1, �. Y ' `� 2 i` S ��S (z `7 License Number / / �--/ 6 Address Expiration Date Y' � q 2 - 2 r7 Signature/ Telephone( arstere �H" )mprAyeme mt - Not Applicable ❑ -Nt,S 17J--ZJ j i 0 A, 17 C l.;,, � �.�iZI j' s�,-AC Lf Y 3 Company Name Registration um er -— C' (f f7C rn y'yy d c 0 3 7 $ o Address Expiration D to Telephone /'N-1Z-2777 SECTION 10-WORKERS'"COMPENSATION INSURANCE-AFF,10 -(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...... ❑ or ME a M ` 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 i �-t.o �(,•S�1n-Z^'I r I SECTION 5-,DESCRIPTION OF PROPOSED WORK(check'all applicable1 New House ❑ Addition ❑; Replacement Windows Alterations) Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[O] Other[Oj Brief Description of Proposed t:,V t ' !ZU C.(t"t /ac Work: L't-J tS IA'Affl-.6 t�, A-1a, Ft eolZ )1u, '13 oRf- Sfty o—t 11 -J*te1-tf1Z('N('j � t; Alteration of existing bedroom Yes No Adding new bedroom Yes x No'. ��✓!"� �t�S �` ttached Narrative S(r23 ('),7_11 Renovating unfinished basement Yes No ans ace Roll -Sheet sa���-Ne .: ause�an ;>r�`ct�d> ia�to��c>»sti>rliiatcyslnar_�cornn�eteutfae 4 fowTnct: 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 L 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 Ta-OWNERAUTHORIZATION,-;TO BE COMPLETED`WHEN OWNERS.AGENTARCOMTRACTOR.APPu FQR'6U!►DING"PERMIT as Owner of the subject property hereby authorize i J f�i2 $'! f 7f i1J i7✓t► ' 'l(PC�?-' 117fi� . to act on my behalf, in all matters relative to work authorized by this building p it application. Signature of Ownell Date I, t yo/v i't Si'5"V, as Owner/Authorized Agent hereby declare thaf 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. i 1 Print Name Signature of Own ,Agent Date �V Section 4. ZONING All Informatioh Must Be Completed.Permit Can Be Denied Due To Incomplete Information Ems, 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 F7777 - Bldg.Square Footage % Open Space Footage �_ % j (Lot area minus bldg&paved - parking) #of Parking Spaces r- Fill: (volume,&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT 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 f DONT KNOW YES 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 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 , NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. - ' _,. : Th City of Northampton Building Department - 6 _212 Main Street Room 100 Northampton; MA 01060 T"413-587-1240 413-587-1240 Fax 413-587-1272 � rtV 1 r ZX APPLICAT,IQN.TO CONSTRUC ,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.1.-SITE INFORMATION �� � Thissectro�,tofbe co�pTeted.,by-Af�ce 1.1 Property Address* L(� ;117,C, Sys Zones LEI Overlay��s W. dt f-L i;sULs) �1 o Im SE'Dlstact� �a CB�LS tnct .: SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: ,.LSA-sJ I tt4 ,44,*,Q (,-k./6(rl`J Jl i2 Name(Print) Current Mailing Address: �— Telephone � _ Signature q f , o ri t 2.2 Authorized Agent: t Name(P'nt) �' �I A _ Z�r .�f��Y Current Mailing Address: e A, q_.S'-3Z..Z"1Z`T Signat Telephone SECTION 3-ESTIMATED'CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ,� �� (a)Building Permit Fee 2. Electrical s (b)Estimated Total Cost rOf `r' o o Construction from 6 3. Plumbing 7( b y Q Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection C 6. Total=(1 +2+3+4+5) 2 17 'Check Number �!d Thi s Section f6ir Official Use Onl Date Building Permit Number. As sued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2005-1145 APPLICANT/CONTACT PERSON INTERSTATE CUSTOM KITCHEN&BATH INC ADDRESS/PHONE 558 CHICOPEE ST CHICOPEE (413)532-2727 PROPERTY LOCATION 43 DREWSEN DR MAP 35 PARCEL 119 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid .16 74 mzl �- Typeof Construction: REMODEL KITCHEN&BATH New Construction Non Structural interior renovations Addition to Existiniz Accessoly Structure Building Plans Included: Owner/Statement or License 055676 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 Stree ommission 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. 43 DREWSEN DR BP-2005-1145 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35- 119 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2005-1145 Project# IS-2005-1547 Est. Cost: $32780.00 Fee: $151.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin INTERSTATE CUSTOM KITCHEN & BATH INC 055676 Lot size(sa. ft.): 13285.80 Owner: THURMAN LEONARD O JR&SUSAN M zoning: SR Applicant: INTERSTATE CUSTOM KITCHEN & BATH INC AT. 43 DREWSEN DR Applicant Address: Phone: Insurance: 558 CHICOPEE ST (413) 532-2727 WC CHICOPEEMA01013 ISSUED ON.5119105 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL KITCHEN & BATH 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 5/19/05 0:00:00 $151.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo Y �hh x �} a ;IS 3MAK TW VMWI 8�` , .y F C F ,x< d 1£•✓: x ab IM 4K-10 q ��,r,=;•s � `� "s� �a�i` rT � ��a 4"r, ,r }, , R itw: " " �a x� �� $ ^.�4 ` e:tom' � �� ��. : z •{ y,€r F'r € „�e NEE !.r �e„ ,� � t x: �:. 4 xS y.'�t SFa 1W ii NIAMEY x 'a' nE �` .fi a "r c - . akes ..: z'c` d nl,£,a s a 3 tx,. 1 a'a, :. ntt. a,,., r t t. xs .. Isms gamang . ESA yk MINIM g � d �' "' •Cs�. 1 -e., to r u T {`y '100 `vey-PAPAT d- "�,�fl .�ry A• ,� a � q;"2v zh - ��,'"' A�' r� � � � - �^ � 4 1 � �£< � '�... 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INK" §• q,.. � .,y r 'S ,`z '`"��6 •c '�,. w �g�s �"' 4�`' h� `' �=v" a'�" '� s. s:R Vow- 1p, r - !- 7 a' Y fl'a'n a� • p.,i"u $ i ;° $ �` a ,'•"taA'# t i � ��- ab � � �s c � r� f�� -g ,� �' �� ,ass ,��, ��.�a^ � •�� ����,M,�;,� „� �y�, j a� � �r ., a € 5'�' 'u '"¢ PUe,'a? �,• a _ " "tom � �, £w-.. ,r " sots Al I r NR Awn q r 43 DREWSEN DR BP-2005-1145 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma :B ock: 35-119 CITY OF NORTHAMPTON #` Lot:-001 Permit: BuiidinQ 4. ate a : BUILDING- PERMITI-�--'--' Permit# BP-2005-1145 Sect# IS-2005-1547 Est,Cog$3278Q.00 Fee:$151.50 PERMISSION IS HEREBY GRANTED TO: Coast.Class: Contractor: License: Use Group;_ INTERSTATE CUSTOM KITCHEN & BATH INC 055676 Lot Sizefsa.ft.): 1325.80 OwItJRMAN LEQXAM O JR&SUSAN M zoxun SR .Annlictt�rt: INTERST�._:AT C!)STf�M KITCHEN & E1ATH INC . JT. 43 D�N RR Annlicant Address: P one: Insurance: 558 CHICOPEE ST (413)532-2727 WC CHICOPEEMA01013 ISSUED UN.5/19105 0.00:(!0 TO PERFORM THE FOLLOWING WORK REMODEL KITCHEN & BATH 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: ✓,! Soos #Rough;ne/0 g Foundation: Of Driveway Final: Final: Final: l/�1�= 0K �© } C'6446 4k* Rough Frames Gas: FireDeuartment Fireplace/Chimney: Rou h• Oil: Insulation: Final: Smoke: Final:61C O,9-0,4--- �1 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. CertificaLe of Oc C upanW Zz�/� Signature: FeeTyue: Date Paid: Amount: Building 5119105 0:00:00 $151.50 212 Mani Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo r