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• CONTRACT
CASE HANDYMAN SERVICES
L J
PROJECT NAME:
Case Mr.James Dostal Date: 6-4-04
Handyman® Mrs.Nancy Dostal
624 Ryan Road
Services Florence,MA 01062
Consultant: Richard A.Ahlstrom
413-586-1390(H)
3.) SCREENED PORCH ADDITION:
■ Design specs and plans to be approved by owner.
■ Demo railings and remove from site.
■ Alter deck to fit new gable roof system.
■ Extend deck into yard 5' (+/-) with railing and stairs to ground.
■ Provide and install piers to code.
■ No work is included to replace existing piers.
■ Railing to have 4x4 posts with decorative caps and 2x4 rails and 2x2 balusters.
■ New railing and 5/4 x 6 decking material to be cedar.
■ Provide and install pressure treated plywood on deck of screened porch section.
■ Steps to have open risers.
■ Framing for upper-screened porch section to be 2x pressure treated material.
■ Rafters to be KD 2x stock.
■ Provide and install '/z" water resistant drywall on ceiling.
■ Trim stock and 2x railing stock to be cedar. '
■ Provide and install one (1)wood screen door.
■ Provide and install two (2) fixed Velux skylights in new roof.
■ Trim interior of skylights in pine.
■ New roof to be covered with 30 lb felt and 30 year shingles. n
■ White drip edge to be run to eves and rakes. o
■ New roof to be tied in to existing roofing.
■ Apply one coat of quality decking stain on decking and trim.
■ Prime and paint ceiling one (1) coat exterior white flat paint.
■ Provide and install SCREEN TIGHT product on walls and end gable.
■ Provide and install nylon screening.
■. Floor covering is not included.
■ Pull existing flashing on chimney and replace with new lead coated copper flashing.
$27,206.89
G/� y Total: $57,365.86
Gi /ds-t
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NOTE: This proposal may be withdrawn by CASE if not approved by an authorized CASE General Manager/Officer or accepted within
15 days of presentation.
License Number(s): Construction Supervisor CS 073454 Expiration Date(s):04/10/2006
Home Improvement # 132192 Expiration Date(s):12/05/2004
START DATE: CASE will contact the owner within five business days upon receipt of this signed contract and it's first
paN.Itnent.to schedule the work.
PAYINIENT, wi w made a llows:
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DEPARTMENT OF BUILD13,,'G 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 1has/her construction sups,: ,, :or. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two farm
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 r',egulations. 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
r
Pf3rca tl1alll}�toii -
4 f �Za3aitclJt:stlla'
4 a DEPARTMENT OP BUILDD\10 INSPECT101.'S -
212 Alain Strcct ' 'Kunicipal Building
Northampton, Mass. 01060
«VOMC?I IS CONUENSATIO.N MSU-RA.NCE AFFMiiAM'
Il
_ .� �� r ---,
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-
% ith a principal place of business/residence at: -
/37-.9 ,Ow.,.-.e•-. i(/di-�•.... �._ U;hone�.') 5�-77oa
(srr_-vci p)
do hereby certify, under dic.pa_i is and penalties of pcgury, h:1
PeI am an employer providing the following!workcr's comocnsa:j'on cove zgc for Iny
employees worUng on diis job:
4✓C 77O24 7oUN
On ILr=Conrz-z1) (Polic'NU-mir_r) -- (r–pirtior.Due)
O I am a sole proprietor, general contrcor or homeow70er(ci cie one) amd have hired
the contractors listed below wllo have the folio%vine workers comaerLszaon policies:
1++'aII1: 0; CO�r:-.1Ci0S) (lR�l!r1RC,^. COIT]D1Tl}-��GUC"i ?�IU-Q1=<.) -- �'-)lidGQi?DIIC}
(Name of Cocraclor) (Irnsuranec. ComoazwPolim, Numcrr) (LaDir.:aon Date)
(Name of Coa=CIOr) Rnstuancz Comp=y/PoUcy N.Lmbu) (Expiiz6oa Date)
(Name of Coarxa=r) (Iruuranc-- Comcaay/Pob y Number) (Expiraoa Datc).
(a¢SC'31 adltac�!trcc.ifncc��-tn a�c!ud_rafnr�;oa r n.=;.,�w.1J ooas-�v:3)
( } I am a sole proprietor and have no oae worh-ing for me.
( ) I am,a home owner performing all the work myself.
NOTE:plc.=>x acnrt(fi••M WG LUOo aCT]t4 by GS IQf p,=o=W CS7 �^ �is c rcpav work on a d.xIE-_Z of
ant most t1Yn tisw_tmr-j in u-ic+h the bomoown--rc-ido or ca the}z-01n L7pu�the a.-c ooc C=).r.1ty occ:d=ci to Lc _
cixploye-�uncle the��i:di�..,�--..•;en Au(GL`15�t(5)�:�plie.�oo by a 6omwa�a fc a lice.a Fxz:nit�y e�-id�ce tLe
Ic-gs1 n of en crployot under dao work�e,Coazpoo3aLioa Ad_
l�desiand chat a co,"of tb;a mrem.1 my bo foci xdsd to tbo Departmeoi or Lo,—tor tba
covcnsc v+ci(atioa aad lh_t L-iltzc w striae�covczn�e t:ndc wc�ioQ 23 A of hldt!52 ca icd m the ix�osaioa of eimia+l Pcnslria
ooast:mg of a tint of up to S I}Oo.00&rWc)r 6nprj3�of up to ooe yt=;and a%i1 prn+.hio is be foray ora Stop Work Ord--and a
rim of S 100.00 a day a�A me
For only
/ / PcrMjt NLLM--x
��.�•�— X 4 —� �d�"j!u t,ia��-- Lot
y
tgnaturt of Licros4=�ccmiucc e -- -1
SECTION 8-CONSTRUCTION SERVICES t 1
8.1 Licensed Construction Supervisor: / 1 Not Applicable ❑�/ G �/
Name of License Holder: /t/G fi e..�. H /�7�'7✓i"1 CIS O�% J -/
License Nu er
137-,4 /Ja.•�.,� ,�� �!/o� y io o F
Address Expiration Date
Signature Telephone
�:TteQsfere `tom lmara`venen :Contracfuta 4 '- H Not Applicable ❑
/3z/!7z
Company Name Registration Rum er -- --
//7,!�ir12C ��j5o�-.•�,�C,�.�,�...-�+ Sc,�-✓�u"s _ �Zw 5�Z o o �a
Address Expiration Date
-7
l —14 LA 01'0-" IGe• W/Z:L--' Telephone 15 t^7;0Ir
SECTION 10-WORKERS'COMPENSATION INSURANCE AFEIDAVM(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...... ❑
¢ om ,,MR
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
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SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑- Replacement Windows Alteration(s) F-� Roofing
Or Doors F1
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[[3] Other[C�]
Brief Description of Proposed /! �Ud� / �J
Work: O✓Cdr �°X IS" •7e, .G�r G y
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa Cf Newi orrse=aK& ddit>dn:fo eacisti is fifiiacts ncw�compCe tt o foii E :
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-OWNER;AUTHORIZATtON-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRA'CTOR'APpLIES FaR BUILDINGPERMIT-
I, Ji r*�► �o S�•� ,a r o the su?�je�b
property
hereby authorize y►r!�+Y f!o-a, �s.�f .c—/rc�Lr
to act on my behalf,in all mafteK relative to work authorized by this building permit application.
Signature of Owner Date
I, l as Owner/ orized
hereby declare that the statements and information on the foregoing application are true and accurate,to the best of m w edge
and belief.
Signed under the pains and penalties of perjury.
,,lee Gera.,.-.r -.44
Print Name
Signature of Owner/Agent Date
Section 4. ZONING All Informatibtt 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
--— —
Frontage
Setbacks Front ii
Side L:i r „r ' R: L: R:
Rear '
Building Height
Bldg.Square Footage
Open Space Footage %
(Lot area minus bldg&paved i �F-1
-kin
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES 0
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 Page; : and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ,%& 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 Obtained Date Issued:
C. Do any signs exist on the property? YES Q NO Vj
IF YES, describe size, type and location: j
D. Are there any proposed changes to or additions of signs intended for the property? YES NO
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 Q r NO
i
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
y Building Department art ewa
212 Main Street ewer ,e tt a ili
Room 1001 rMfellAyaa [ V y
Northampton; MA 01060 1' Se
phone 413-587-1240 Fax 413-587-1272 PlatSt�tans x �
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 11-SITE INFORMATION � `f 7✓�C� �Ce3l.,2 �✓!�J� "
1.1 Property Address: r �� r .; This sectron to be cocnp[eted b�office
G 2 y �y�.� Q.< Mai Lot unit
f
Zone x Overlay D�strrcf
fl r�.•� 10 �
x'Elrit St DistPut ' �' ,C@ District
SECTION 2-PROPERTY"OWNERSHIPIAUTHORIZE"D AGENT '.
2.1 Owner of Record:
. i."e
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
"Oel C ./...-If 2-i9 Gk,..,.e.-�
Name(Print) Current Mailing Address:
Signature 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 {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) Check Number
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2005-0318
APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES
ADDRESS/PHONE 137A DAMON RD NORTHAMPTON (413)584-7700
PROPERTY LOCATION 624 RYAN RD
MAP 28 PARCEL 051 001 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
Typeof Construction: ADD NEW BATH TO EXISTING,RENO BASEMENT, 10/27/04 ADD ROOF OVER
PORCH&ADD 8 X 8 PLATFORM
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
INF9RMATION 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 sion
c'OC7
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.
624 RYAN RD BP-2005-0318
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:28-051 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-2005-0318
Project# IS-2005-0416
Est. Cost: $57365.00
Fee:$263.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: INHOME HANDYMAN SERVICES 073454
Lot Size(sg.ft.): 12632.40 Owner: DOSTAL JAMES M&NANCY L
Zoning: SR Applicant. INHOME HANDYMAN SERVICES
AT. 624 RYAN RD
Applicant Address: Phone: Insurance:
137A DAMON RD (413) 584-7700 Workers
Compensation
NORTHAMPTON MAO 1060 ISSUED ON.9121104 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD NEW BATH TO EXISTING, RENO BASEMENT,
10/27/04 ADD ROOF OVER PORCH &ADD 8 X 8 PLATFORM
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 9/21/04 0:00:00 1038 $263.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
624 RYAN RD BP-2005-0318
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mau-.Block: 28-051 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-2005-0318
Project# IS-2005-0416
Est.Cost: $57365.00
Fee: $263.00 PERMISSION IS HEREBY GRANTED TO.
Const. Class: Contractor: License:
Use Group: INHOME HANDYMAN SERVICES 073454
Lot Size(sq. ft.): 12632.40 Owner: DOSTAL JAMES M&NANCY L
Zoning: SR Applicant: INHOME HANDYMAN SERVICES
i, rt i_
Applicant Address: Phone: Insurance:
137A DAMON RD (413) 584-7700 `Yorkers
Compensation
NORTHAMPTON MAO 1060 ISSUED ON:9121104 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD NEW BATH TO EXISTING, RENO BASEMENT,
10/27/04 ADD ROOF OVER PORCH &ADD 8 X 8 PLATFORM
POST THIS CARD SO IT IS VISIBLE FROM HIF, STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings: '' //
Rough: Rough: ��%� House# Foundation: /`7D��~-5 0`C
Driveway Final:
Final: Final: �/ ��
�' Rough Frame:&K ,r--26
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 6/r 4, —/& -O
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI OF
ANY OF ITS RULES AND REGULATIO
Certificate of Occupancy Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 9/21/04 0:00:00 1038 $263.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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