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17C-158 (3) SharpLine Proposal Construction and Remodeling July 30, 2008 17 Cosgrove Street Job No. 01332 East Longmeadow, MA 01028 (413)246-1071 Proposal Submitted To: Work to be Performed at: Robin Salmaggi 84 Chestnut Street" 7917 E. Palm Lane Florence,MA Mesa,AZ 85207 (480) 984-2310 We hereby propose to furnish all materials,labor,and equipment for the completion of the following job(s): Porch Foundation ❑ Remove windows and door ❑ Reuse flashes and landscape rock ❑ Jack-up porch(as straight as possible*) ❑ Excavate and pour(8) 10"x 4' deep sonotubes—secure frame to footings ❑ Re-install windows and door ❑ Install new brown flashing to bottom skirt ❑ Remove debris *Contractor states porch floor was probably framed with pitch/will not jack to level Please Note: Contractor not responsible for possible damage incurred from jacking i.e., framing, trim, floor,ceiling or roof damage. Material and Labor: $3,800.00 All material is guaranteed to be as specified, and the above work to be performed in accordance with drawings and specifications submitted Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over above the estimate. Contractor agrees to perform the above work and complete it in a substantial workmanlike manner for;the agreed upon;sum with payments to be as follows: Half due upon acceptance of Proposal;Balance due upon completion ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date AAu4thoed 4Sigmnatugre Note—This proposal may be withdrawn by us if not accepted within days. Thank you for contacting SharpLine Construction and Remodeling! License No. 085411 Registration No. 140697 e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. 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 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 sour) 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 s � The Commonwealth of Massachusetts � Department of Industrial Accidents Office of Investigations 600 fFashington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Leaibly Name (Business/Organization/Individual):_S/a'i ' i -�- ✓�) _ Address: 7 �� rJr'`� `� 4— City/State/Zip: Phone#: Are you an emplover?Check th ppropriate box: Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 7. 2. I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions ❑ officers have exercised their 11. Plumbing repairs or additions _3 I am a homeowner doing all work right of exemption per MGL myself. [_No workers' comp. 12.7 Roof repairs insurance required.] c. 152, §1(4),and we have no q ] t employees. [No workers' 13.❑✓Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors 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: — Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: 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 a 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 Investieations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Sianature �—`—�- Date: Phone#• -� V S's Official use only. Do not write in this area, to be completed by city or town official Citv or Town: Permit/License# 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 Supervvisor: Not Applicable 0 Name of License Holder:� C L?�iC'- / l� �` �✓ iJ % / License Nu ber / �' ,f �� � 1;, �2 v / 7 rim Address r Expir tion Da Signature Telephone 9.Registered Home Improvement Con/tractor:. Not Applicable ❑ 11''f��/i Z� C r'Zi l ~ �«`1 /L,,6, 9 / ComanyN me Registration Number ('G1 I///j/d 2 Add�ess/ Expi atio� n Date G r'—�► Telephoned y ' �� / S .. 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 Exempd6fi 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-vear 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 t SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing F7 Or Doors 177 Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [[] Siding[0] Other[Er— Brief Desyriptiggn of Proposed Q Work: // o +-51r Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet 6a. 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 1, .S.T �v�^-� c as Owner of the subject property hereby authorize .0 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1 r1,G I Gt e as Owner/Authorized 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. 1`5'rint 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 #of Parking Spaces Fill: (volume&Location) _. .-_..,...._._ ...,,..._....... ......._, w_ ._,._, _ _ . 1,. .,__.._.. A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and/or Document#' B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 0 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 Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only, CGrty�Of Northampton Status of Permit: . 8010ing Department Curb Cutt6riveway Penn z12 Main Street Sewer/SepticAvalability BUG 9 2008 doom 100 Water/Well Availability, ' w. NOrt�hamp�n, MA 01060 Two Sets QfStructurai Plans phone 4.1�.g87-12 0 Fax 413-587-1272 Plot/Site Plans Other:Specify i,_9PF6JCATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Aim �G��w�� `)� i ��� �, �� ��� l Name(Print) Cu�n�M©Iing!A,k I/ J jy - ��I'' JJ �k `y� 7 Telephone Signature 2.2 Authorized A ent: rk-r'r- / 7 C O,�)ro -� s�- = L , ©�G-� Name(Print) � s Current Mailing A ress: 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) _� �7C> Check Number _ This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0170 APPLICANT/CONTACT PERSON MICHAEL PARKER ADDRESS/PHONE 17 COSGROVE ST EAST LONGMEADOW (413)224-1155 Q PROPERTY LOCATION 84 CHESTNUT ST MAP 17C PARCEL 158 001 ZONE URB. THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: JACKUP ENCLOSED PORCH&INSTALL 8"FOOTINGS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 085411 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOIIATION 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 o 4 _ Signature of Building Officialy 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. BP-2009-0170 GIs#: COMMONWEALTH OF MASSACHUSETTS 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-2009-0170 Project# JS-2009-000224 Est.Cost: $3800.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin MICHAEL PARKER 085411 Lot Size(sq. ft.): 6185.52 Owner: SALMAGGI ROBIN J& Zoning URB Applicant: MICHAEL PARKER AT. 84 CHESTNUT ST Applicant Address: Phone: Insurance: 17 COSGROVE ST (413) 224-1155 O EAST LONGMEADOWMA01028 ISSUED ON:811912008 0:00:00 TO PERFORM THE FOLLOWING WORK:JACKUP ENCLOSED PORCH & INSTALL 8" FOOTINGS 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 8/19/2008 0:00:00 $55.001473 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo