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35-276 x New (04-r,5 Lu e LC,,, � vc 4:400 - �' r � vi alb/ CAI 2 • � . i rn p ham; � g � Q o d R { !F „ Corbeil Construction REMODELING PROPOSAL 148 Park Street Easthampton, MA 01027 Tel (413) 527-9286 SUBMITTED TO: JOB DESCRIPTION AND LOCATION Linda and Ron Delamater Renovate basement 78 Woodland Drive Northampton, MA 01062 APPROX START DATE APPROX COMPLETE DATE TELEPHONE DATE: 1/8/04 —2120104— 413-587-9966 JANUARY 10, 2004 I HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: Frame, insulate, install drywall, paint, seal ftaet', all finish work $10,300 • Allotment for electric: assumes 18 recessed cans with 6 switc4es; 14 outlets; Two computer lines; cable TV and speaker wire' 2 t�(�,tl..� //itej�. $2,000 Allotment for HVAC (4 registers in ceiling, furnace room air intake) $ 1,500 Allotment for carpet/vinyl flooring $2,500 • Permit, dump fees, miscellaneous hardware 400 TOTAL $16,700 THIS PROPOSAL DOES NOT INCLUDE: We propose hereby to furnish materials and labor in All material is guaranteed to be as specified. All work will be accordance with the above specifications for the sum of: completed in a workmanlike manner according to standard practice. Any alteration or deviation from the above specifications $16,700 involving extra costs will be done only upon a written change order. The costs will become an extra charge over and above the estimate. This is to include but is not limited to hidden damages Payment to be made as follows: that are uncovered during the course of the job and additional work required by local building inspectors. 1/3 in advance, 1/3 at midpoint, 1/3 at completion. All elements of this agreement are contingent upon accidents or delays beyond our control. The estimate does not include material ^ price increases or additional labor and materials that may be required should unforeseen problems arise after the work has started. The buyer may cancel this transaction(in writing)at any time ut riz ign v prior to midnight of the third business day after the date of this transaction. ` Note. th s proposal ma a withdrawn if not accepted within 30 days. Acceptance of proposal: The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are.au olized to do the,ws� ecified. Pa ent_will be made as oN/tlin d above. Signature: �/ // / Date: 1 O O �� ti$ Crz#fir of Norf4auipton _ I Z � � �i[assacl�usctfe is DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup_:,,i sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and 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 � ti U,xftr 1.7f �.\tLtz"I�itllll}Jf[III 6 }slassar}t(]sctIs /If r)EPAu"tT}.iLNT OI' Euimr1�G INSPECTIONS 212 Alain Street ' Municipal Building N'"orthampton, Mass. 010G0 WORICER'S COMTENSA'TTON INSURANCE A FF_D, I.T ---------- (11Cin -.___-- NvIth a principal place of busir;ess/r,2.s deuce t: iSt7CCUCitfL....C:� ` do 11ere{)}' CCIilI}'. Un:'ct' die 1),ains I'i"d pC:il hies O1 7CrJllf}r, illHt ( ) I am an employer providing the ollo.v;nc :orr:cr1s compensauon coves e or Iny ell2ployets workings on this job: (I==C-- Cotaparn) (Pe e;Ntt^]bcr) ---- (rxpirnon Date) l ) I ant a sole prounetor, honTlrowne: (c,cle one i and 'h V— 'Hired the contractors listed beiow;,-ho 1:� the er ^ii oFk s coL:.pen on ,�.. .es_ Q\,lamc of Contractor) (?nsur ncc Cvt ^,_:'i'ji2 G11Cj T`ui-nbczr) Date) (Name of Contrctor) -- (Imsur_ncc ComDn_:v/Po!icl Nu 1tr r) on, Date) (1..'1amc of CoatTacto, - _ i Date) ") �In,;..slco (_o;n;��n.;ri'oL•c. i�un)fxr) _-.x, ,,:noa ;ate) - (Name of Contractor) - - jasur3I1C-Z Corn-'_.};rPolicr Nu.mi;r*) - fE;:ri-::io- Dare) „Ole 1?IUl?I1CCJi <tilff ilI?V 110 OIl .'0F:•; Ii`' for -mc_ I ?iIl Il hollie C�'i?l iii.=C1`iT11I'! a!! %�' NOTE:plcasc be aP•a:c LEs: -vLilc txrnco 1r .o c pi ,'tx.: =vo I Cr:;:av. .._.n_ t!; c. not mcvc th n L rcc unit in c^'•ployc3 utidct t}x ._a^ic::'b;+a hnt•]co« -r for ICS11:thug of an acnployer uxlc' tLc Wor1;cY'c Coi,m •lion .cL I undcztaad thL a cm,y of tha elate:x cvy be foavnvci J to tbo CYJi tnrre of Irdu:atri_l Aci&o of Ciricv for tir coverage vaiftctioa and that f_iltuz to.-:aLrc co,,-tam ut-.3c: lair 25A of M01,152 can 1,--d to the irriplau ion of a i_1 ptt al:u c`omisting of a rtrr_of up to S I.SOt oo a: 'ct i^:pr, r.max:*1 of lip to cr.:}-W r.:d civil paultica in Ifc[c III Of.%S!c,,, f: of S10v.p0 a clay ag-in:I tn.. . i Pcrrnit Nttullnr _- ---- ]tit - I _ Stwaturc cif i t a JI'crm tr : ? '1 r SECTION 8 nCONSTRUCTf;ON SERVICES 8.1 Licensed Construction Su ervisor: Not Applicablbler❑ Name of License Holder License Number Address ,. 1 Q ,c r Expiration Date Signature Telephone Re" ere T, om rrt :'semen Contracto R A= Not Applicable ❑ Company Name y .- , ,. I� Registration Number Address Expiration Date i� Telephone SEGION"10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M:G:L. c 152, §25C(6)) a 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...... ❑ 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 fu;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 Zonin;Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SEGTIOND PT10"IVO`F PROPOSED INOF3K checks 11 a PP Iicable F u' "",zn.,' ",,"w',?i':}k`r"'.'i'°.';' ''',..z.?,.'".'', ,.... "<'z; ,•...._.. .<, .r. `-,cx. New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ Other [ ] Brief Description of Proposed Work: rJL9 00ele4 Alteration of existing bedroom Yes &---No Adding new bedroom Yes ` No Attached Narrative 0 Renovating unfinished basement L__yF"s No Plans Attached Roll 0 • Sheet _6a�ff4Nevir h tttse a d orx.`=dditiontto` diistin KOh U fik2 p:le�e�the MW IM n: a. Use of building : One Family Two Family Other , o., b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. r' r�: dimensions e. Number of stories? — �f{l� f. Method of heating? " !f,/��`j� � Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction Z.�1 i. Is construction within 100 ft. of wetlands? Yes L__14o. Is construction within 100 yr. floodplain Yes Z---into j. Depth of basement or cellar floor below finished grade 7,a + k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank (City Sewer Private well City water Supply SECTl01�7t�WNERAUTHORIZATION TO,-BE COMPLETED WHEN OWNERSgAGENTOR'CON RA OR APPLIES'Fy l)ILDING'PERMIT . .r � , as Owner of the subject property hereby authorize / Nbl-1 &` to ac, on my beh I#, i all 4e!'PeTative to work authorized by is u ding perm�iplication. S gnature ofwner Date - as Owner/Authorized Agent hereby declare that the tements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and GBQalties of perj N C;dezel"L Print Np� ------• Signature of Owner/Agent Date �I f Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF 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: i 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 DON'T KNOW °"`r YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO L' 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 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: -59 � HUI R, City of Northampton r, Building Department 212 Main Street A4 Room 100 Northampton, MA 01060 ` phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING !,,"i � L r l 4 N J 4 SECTION 1-SITE INFORMATION This secfion to be completed b" office 1.1 Property Address: x IT IT klo �f� ` gyp, lyals fotn�f C.IQ I ►�.t �O ��F!��-� , /L�`f G�fC�� i� A�one��` f •Overlay'D�sEnct Ef►x�St Dlstric�l LL � `3-' _ ,GB©IS�CtC7t _+..' SECTION.2- PROPERTY'OWNERSHIPEAUT.HORIZED-AGENT 2.1 Owner of Record: fA oJV . Name(Punt) /� Current�Ma�ifirlgA dcjless 7— qq9 4( --- Telephone /// Signature -C 2.2 Authorized Agent: Name(Print) Current Mailing Address: c`.,e`,:_. 1011 F f dM Signature > Telephone SECTION 3-ESTIMATED CONSTRUCTION- COSTS-Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (aj Building Permit Fee 2. Electrical . (b)„Estimated.Total Cost of r Construction from: 6 3. Plumbinga Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2+ 3+4+ 5) Check Number This Section'For2Offidal Use Only Building Permit Number: d �2 Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2004-0744 APPLICANT/CONTACT PERSON CORBEIL ASSOCIATES ADDRESS/PHONE 148 PARK ST EASTHAMPTON (413) 527-9286 PROPERTY LOCATION 78 WOODLAND DR MAP 35 PARCEL 276 001 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 7 - Typeof Construction: REMO EL BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 059611 3 sets of Plans/Plot Plan THE F LOWING 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 Street Co ion 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. 78 WOODLAND DR BP-2004-0744 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35 -276 CITY OF NORTHAMPTON Lot: -001 Permit: BUWbg Category: BUILDING PERMIT Permit# BP-2004-0744 Project# IS-2004-1074 Est.Cost: $16500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CORBEIL ASSOCIATES 059611 Lot Size(sg.ft.): 516926.52 Owner: DELAMATER RONALD J&LINDA J Zoning SR Applicant: CORBEIL ASSOCIATES AT. 78 WOODLAND DR Applicant Address: Phone: Insurance: 148 PARK ST (413) 527-9286 EASTHAMPTON MAO 1027-2162 ISSUED ON.-1113104 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL BASEMENT 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: Receipt No: Date Paid: Check No: Amount: Building 1/13/04 0:00:00 1424 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 78 WOODLAND DR BP-2004-0744 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35-276 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category BUILDING PERMIT Permit# BP-2004-0744 Project# IS-2004-1074 Est. Cost: $16500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin CORBEIL ASSOCIATES 059611 Lot Size(sq. ft.): 516926.52 Owner: DELAMATER RONALD J&LINDA J 'Oii7._ y; >_T: �lnnliCnnl: C.O BFTI_. ASSOCIATES AT. 78 WOODLAND DR Applicant Address: Phone: Insurance: 148 PARK ST (413) 527-9286 EASTHAMPTON MAO 1027-2162 ISSUED ON:1113104 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL BASEMENT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: 1/2 tw 3 House# Foundation: Driveway Final: Final: Final: / Rough Frame: ag ' �`Z ✓ Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 'or Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION Certificate of Occu anc ��Si$!nature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 1/13/04 0:00:00 1424 $65.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Conunissioner-Anthony Patillo