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WORCESTER, MA oi6lo-1723 LOCATION 135 NORiH- MAIN gIREET
PHONE: SM-752-8W NQRTWAMPTt?N. MA
FAX; DOB-752-8518 ..
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HOME IMPROVEMENT COWRRCTOR
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A D I CONTRACTINCimP.
DAVID PIETROWICZ
4 ORTON ST
WORCESTER,MA 01844 poput+Ad i reef-
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ADI Contracting, Inc.
Facility Management Specialists
General Contractors
Jarrett Krosoczka January 5,2007
135 North Main St.
Northampton,MA 01062
Please review the following proposal for your Studio renovation project.
Pre-Construction
Site Plan Use mortgage tape surrey.
Design Permit drawings.
Permits and fees. $5.00/$1,000.00
Variance,Special Permit Finding, Board of Appeals Does not include legal counsel if required.
Studio renovation
Demolition
Remove existing garage doors.
Remove existing windows.
Remove existing shingles.
Remove existing soffit and fascia.
Concrete
Pour new concrete floor over existing Does not include floor insulation if required.
Rough Plumbing
Provide and install gas piping and through wall vent. Allowance $ 600.00
Rough Electrical
Provide and install new rough electrical. Allowance $ 900.00
Rough Carpentry
Install two new Harvey Classic Replacement windows. 28x45.5, DH.036 U-Factor
Install new Therma Tru Patio door. 6-0 x 6-8
Install two Velux VS Venting Skylights 306VS
Install new 30 year Architectural Shingles,Ridge Vent
Add vents in fascia as required.
Attach ceiling joist extensions,steel studs to allow for proper depth for insulation.
Insulate walls(R-13)and ceiling(R-30).Install styrofoam venting to ridge
Install blue board and plaster. Smooth finish on walls;Texture on ceiling.
Finish Carpentry
Install door and window trim.
Install baseboard and trim.
Provide soffit venting.
Finish Electrical
Provide and install outlets per code.
Install two ceiling fans. Allowance $ 200.00
Install one exterior light. Allowance $ 50.00
Finish Plumbing
Provide and install new LPG Heater. Allowance $ 1,100.00
Rinnai'RHFE-556FAIII
Painting
Prepare,prime and paint two coats all walls.
Materials
Framing materials and supplies
Finish trim and millwork supplies
Insulation
Disposal 10 cubic yds
Total $ 19,567.17
4 Orton St.,Worcester,MA 01604, Office 508-755-5151,Fax 508-752-8561
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SSOTION 8-CONSTRUCTION SERVICES'
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: IJ j�I�� r' ,��� d �SA
License Number
Add ss
QA�'& A
v, Expiration Date
Signs ure V Telephone
I +ii]strlbil tJih h k'i Not Applicable 13
P:!71tc.tl(,;a
Company Name Registration Number
Address / Expiration Date
,,
49 � + G'i/ 4 14' Q (01;1 Telephone zV-t '7!�'-V
SECTION 10-WORK15,01 COMPENSATION WSWRANCE 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...... ❑
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 1.08.3.5.1.
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 Ofcial,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 F-1 Replacement Windows Alteration(s) ❑ T ofing
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [M Siding[O) Other[❑]
Brief Description of Proposed
Work: f'/wt1sN 1A/afr- it inlL O F 670,t2 e._ 20-0 +A45 W)AAaws glar
ting bedroom Yes No Adding new bedroom Yes No
Attache Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
i 41A u .1 au ,a-ricf rr c�cl iair .t+ ti� g#xt llra.. Yril l to �i <r�ll.�W� rct:
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
I, J���� 050 f u!G as Owner of the subject
property
hereby authorize / r� C��x.ITZe-Ae_ 711JG" 1XIC
to act on my behalf, in all matters lativ tow u ized by this building permit ap ication.
r/ 5 k7
Signature of Owner Date
I, R Y/1) f''I T'/�, )1AJ /I z. as Owner ulh6rized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of m)
and belief.
Signed under the pains and penalties of perjury.
lei
Print Na e
Signature of Owner/Agent Date
Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
nA This column to be filled in by
1 r, Building Department
Lot Size
Frontage ._771_y .. ..... . _. ;
Setbacks Front
A.
Side L: L .. __ R..
Rear
Building Height
Bldg. Square Footage1 % W°
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 0 YES 0
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; Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , 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,exc6ation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
J� NflentGt31t1
City of Northampton t 'Y"�+ �
Building Department � �� x
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212 Main Street
7 771 J
Room 100 .1Nkrei(�fli�
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Northampton, MA 01060 1$w Sid, T�
phone 413-587-1240 Fax 413-587-1272fo � it a
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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
13,15- 774 Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: j l 3Y, A4nM,4,4�7at.
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent: i �,�jj
I7 Ix i �+l�C T 10le aA ClGSf'
Name(P' t) Current Mailing Address:
Signature V Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building Ar- a 00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing - .. Building Permit Fee
4. Mechanical(HVAC) d
5. Fire Protection
6. Total=(1 +2+3+4+5) 9, Check Number C
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissionedlnspector of Buildings Date,
JAN 1 9 2n01
t OW, BP-2007-0724
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: renovation BUILDING PERMIT
Permit# BP-2007-0724
Project# JS-2007-001103
Est. Cost:
Fee: $95.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DAVID A PIETROWICZ 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:111912007 0:00:00
TO PERFORM THE FOLLOWING WORK.-FINISH INTERIOR GARAGE SPACE, REPLACE
WINDOWS,DOORS & REROOF
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 1/19/2007 0:00:00 $95.001269
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo