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ADI Contracting, Inc.
Facility Management Specialists
General Contractors
Jarrett Krosoczka March 22,2007
135 North Main St. Revised May 5,2007
Northampton, MA 01062
Please review the following proposal for your renovation project.
Pre-Construction
Site Plan $ _
Design $ _
Permits and fees. $ 94.50
Variance, Special Permit Finding, Board of Appeals N/A $ -
Kitchen Renovation $ 45,412.92
Demolition
Remove and store existing appliances.
Demo existing cabinets and countertops.
Remove existing drywall from walls and ceilings.
Remove existing door frames and save.
Remove partitions.
Remove existing flooring.
Rough Plumbing
Provide and install new rough plumbing for kitchen sink. Allowance $ 3,000.00
Rough Electrical
Provide and install new rough electrical. Allowance $ 1,800.00
Rough Carpentry
Construct new partions and support beams.
Insulate all exterior walls.
Install blue board and plaster. Smooth finish on walls;Texture on ceiling.
Install new sub floor as required.
Install Hardi-Backer cement board on floor.
Kitchen Cabinets and Countertops
Provide and install custom cabinets Allowance $ 12,500.00
Provide and install custom granite countertops. Allowance $ 6,000.00
Finish Carpentry
Install new window and door trim to match.Use original trim when possible.
Install baseboard and thresholds.
Ceramic Tile
Prepare and level floor as required.
Install ceramic tile floor,grout.
Finish Electrical
Provide and install ground fault outlets,sink and ceiling light.
Finish Plumbing
Install supply to dishwasher and ice-maker.
Provide and install Badger Disposal. Allowance $ 150.00
Provide and install Moen Kitchen faucet. Allowance $ 350.00
Painting
Prepare,prime and paint two coats all walls.
Materials $ 2,268.00
Framing materials and supplies
Subfloor,cement board
Finish trim and millwork supplies
Flooring and walls.
Approx. 180 sq.ft ceramic tile,grout and mortar 6.00/ft.tile allowance $ 1,512.00
Disposal 20 cubic yds $ 630.00
- Total $ 49,917.42
4 Orton St., Worcester,MA 01604, Office 508-755-5151,Fax 508-752-8561
Jan 04 07 02: 09p �RE/MAX ADVANTAGE 1 508-767-0474 P• 1
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REAL , 1M AN MORTQACE INSPECn ON PLAN
"" NAME JARRETT J. KRQS—QCSKA °
R�GIS'1'IrRLG LAND SURVEYORS m
'sv�ESTS,M oi6so-1723 z LOCATION 135 NQRTM MAIN STREET �
PHONE: 50e-752-8ee5
r0i 508-752-6905 _ NQR—T•IAMPlQN,_„Ma N
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LOT 237
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JAN-18-2007 15:21 NACKINTIRE INS AGENCY INC 508 366 5202 P.01i01
AG SI T. µ CF.RTIFI(;AI k Ur 6,1ADIL-1 I T I U•4/.LO/.CvU1
ooucER (508)366-6161 FAX (08' 366-5202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ackintire Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CORTIFICATI+
HOLDER.THIS CERTIFICATE DOES NOT AM6N0,EXTEND OR
7 'ist Main Street ALTER THE ICOVEMGE AFFOR ED BY THE POLICIES BELOW.
fie_ .jprough, MA 01581-1531
INSURERS AFFORDING COVERAGE NAIL#
iultip A.D.I. Contract ng, Inc. INSURRRA: National Grange Mutual Ins Co. 14788
4 Orton St. INSURER a: Citation Insurance Company 40274
Worcester, MA 01604 wsuRFAc; American Home Assurance Co.
INSURER o;
INSURER E.
THI;POLICIES OF INSURANCE LISTE0 BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOIJCEO BY PAID CLAIMS,
VOR TYPE 4F INSURANCE POLICY NDMBER POLICY CTIVE P {1GY FikwIRA N LIMITS
OINERALL(ABILITY MPS86478 05/14/2006 05114/2007 EACH OCCURRENCE 3 1 000,0660
COMMERCIAL GENERAL LIABILITY bAMAGE TO RENTED i 500,00
CLAIMS MADE ry I OCCUR MRD"P IAnv one person) S 10.00
A PERSONAL a ADV INJURY 6 110001000
GENERAL AGGREGATE $ 210001000
GEN'L AGGREGATE LIMIT APPLIES PER. PF40DUCTS-COMF11OPAGG $ QOQ 00
POLICY EC7 =
AUTOMOBII.BLLaidM 06MMYK8014 03/14/2006 03/14/2007
CO SINGLE LIMIT
ANY AUTO (E1N511i
ALL OWNED AUTOS
BbbLLY1NJURY 5
X SCHEOULIFO AUTO& (Per p 6w) 100,
HIRED AUTOS BODILY INJURY
NON-OWNEDAUTOS (Perswoent) $ 300,0
PROPERTYDAMAGE $
(Per w ddenl) 1q0 Q
GARAOF LIABILITY AUTO ONLY-£A ACCIDENT $
ANY AUTO OT14ER THAN FA ACC t
AUTO ONLY., AGG $
EXONS tUMBRELLA LIABILITY RACK OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE
$
DEDUCTIBLE $
RI=TENTION $ $
WORKERSCOMPENBATIONAMD WC 995-15-76 02/01/2006 02/01/2007 wCSrA u• OTH
EMPLOYERS`UA U 17Y E.L.EACH AGCIQ�NT $ 100,000
OfFIC R M0�RE CLUDED?FcLIrnE
E•L•DISEASE-EA EMPLOYEE $ 100,00
4es,describe ender
6C14 PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 50030100
OTHER
DESCRIPT)AN pP OPERATIONS 1 LOCATIONS 1 VEWICL ES/t:XCLU9IONS ADDED BY ENOORSRMR?NT/sPECL4L PROVISIONS
SHOULD ANY OF THR ABOVE ORSCRIUD POLICIES RB CANCELLED BEFORE THE
EXPIRATION DATE THFAGOP,THE IMIJING INSURER WELL ENDEAVOR TO MAIL
City of Northampton 1.0 DAYS WRITTEN NOTIDt'TO THE CIERTIFICATr HOLDER"Amp TO THE t.zfrr.
Building Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPORQ No OBIT-I"PON OR LIASI4iT•Y
212 Main St. Rolm 100 OF ANY KINDA T p INauR IT Adthr"11 RSP ENTATWES.
Northampton, MA 01060 AUTHORIXED RE N rry
J. MI chae, +a Nk
ACORD Z6( ojioe) FAX: (413)S&7-1272 CACORD CORPORATION 1988
TOTAL P.01
t° Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
` Registrati : 137004
Type: .priVat+e Corporation
A D I CONTRACTING MC„
DAVID PIETROWICZ _
4 ORTON ST
WORCESTER,MA 01604 Deputy Adnumintrator
NttnC: PS i37^4$1t
Tr.tai: U
` qtr
DAVID AA RiET6 03
4 ORTON ST
WOR fVMR, MA 6*6ft ..
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: wz CS d qI a/(,-
License Number
Add ss Expiration Date
J Ul( t try 7 5_1
Signature Telephone
9.Registered Home Improve ment Contractor: Not Applicable ❑
, alp%
Companv Name rr Registration Number
Address Expiration Date
(ty0 Telephone L-09-�5��� <IS
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 Exemption
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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) --[Roofing ❑
Or Doors I]
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[0] Other[0]
Brief Description of Proposed f�
Work: IL AIUVATIL. rl l rZ A�-Y
Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes V'o' No
Attached Narrative Renovating unfinished basement Yes s� 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 A PPLIES FOR BUILDING PERMIT
I, J� 417 J ° 1 \f 055' (?�' as Owner of the subject
property f T1
hereby authorize t U A-)12- C + f tJ
to act on my behalf, in all matters lative t work a f � 1 o i e this building permit_ appli/// ti/oon.
Signature of Owner Date
9 - r"J /i 4-- as Own uthorized
Agent hereby declare that the statements nd information on the foregoing applicati n are true and accurate,to the best o dge
and belief.
Signed under the pains and penalties of perjury.
V/ J l
Print N
11 LkV)
lxtu I)_MT '.,/� -
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
r j This column to be filled in by
U v 5 Yyt Building Department
Lot Size
Frontage
Setbacks Front y
Side VL: /0. R: 5-0 1 1 L: _ R:
Rear CD l
Building Height
Bldg. Square Footage .79
Open Space Footage %
(Lot area minus bldg&paved //,M at (/
parking)
#of Parking Spaces i
Fill:
(volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T 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 0 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:
E. Will the construction activity disturb(clearing,grading,ex vation, 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.
` t
Department use only
City of Northampton
Status of PerMtr
Building Department Curb Gut/Driveu y Permit
A , r i�l -112 Main Street Sewer!SepticAvatlabiGty,
I'/l A"
i 1 — Room 100 WaterANO 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
1.1 Property Address: This section to be completed by office
/3 Alt)1? !,f ,V+. 1 /1 Map Lot Unit
tr ft Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
PS'R 0 AIZ 41)'ewi4�0)'Jlc AP
Name(Print) Current Mailing Address:
0/7 IZ40-
Telephone
Signature
2.2 Authorized Agent:
Na rint) Current Mailing Address:
C/
Si na ure 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
OU. ""~ Construction from 6
3. Plumbing Building Permit Fee
c3) �C1C?• --
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2 +3+4+5) Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2007-1091
APPLICANT/CONTACT PERSON DAVID A PIETROWICZ
ADDRESS/PHONE 4 ORTON ST WORCESTER (508)755-5151
PROPERTY LOCATION 135 NORTH MAIN ST
MAP 17C PARCEL 237 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out a on
Fee Paid
Typeof Construction: CONSTRUCT OPENING IN KITCHEN WALL&REPLACE CABINETS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 071816
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 m Elm Street C ssion
or
c..�
.6
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.
BP-2007-1091
cis#: COMMONWEALTH OF MASSACHUSETTS
.y CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2007-1091
Project# JS-2007-001103
Est. Cost: $49917.00
Fee: $225.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DAVID A PI ETROW I CZ 071816
Lot Size(sq. ft.): 13285.80 Owner: KROSCOZKA JARRETT J
Zoning.URB Applicant: DAVID A PIETROWICZ
AT. 135 NORTH MAIN ST
Applicant Address: Phone: Insurance:
4 ORTON ST (508) 755-5151 WC
WORCESTERMA01604 ISSUED ON.511112007 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT OPENING IN KITCHEN WALL &
REPLACE CABINETS
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 5/11/2007 0:00:00 $225.00MO
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo