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03-027 (7)inHome Handyman Services PROJECT NAME: Brett and Deb Denhart 595 Coles Meadow Road Northampton, MA 01060 Date: April 5, 2007 413-587-7935 Consultant: Richard A. Ahlstrom Install new Marvin sliding glass door per plans. Marvin CN 8068 One lite Temp. Low E II with Argon Two point locking system 2 point muilti-point lock Brass PVD HDL — non keyed Standard screen Primed pine interior Stone white clad exterior Install two (2) new Marvin French Casement windows per plans. Marvin C FCM-LR 4836 One lite Temp. Low E II with Argon Folding handel Standard screen Primed pine interior Stone white clad exterior Install one (1) new Marvin sliding window Marvin CGL4030 One lite Temp. Low E II with Argon Standard screen Primed pine interior Stone white clad exterior Wrap openings with membrane barrier. Install new units. Wrap nailing flanges for weather protection. Trim out exterior of new Marvin units and re -install siding. Provide and install new vinyl light block for new exterior light location. MECHANICAL Consult with Orchard Valley Heating and Cooling to confirm framing layout. Install plumbing rough, to code, per plans, by sub. Rough plumbing includes: Drain lines in walls into floor for toilet, shower, lavatory, kit ink in island and laundry set up on outsides wall. Water lines to same locations. Relocating drain line hung from ceiling at base of main stairs to outside wall. Installation of sewage ejector pump in floor and rough installation of water lines. Venting of new drain lines into existing vent pipes. Water lines will not be connected to main water lines at this point. Back fill around drain pipes in floor. Patch in cement slab at locations of new drain lines. Float concrete patch so as to level with existing cement slab. All other mechanicals to be installed during Phase Two. BY: BY: Authorized signature, Ink Black inc. dba inHome Handyman Services Owner(s) Date: 137-A Damon Road, Northampton, MA 01060 (413) 584-7700 Office (413) 584-7706 Fax inHome Handyman Services PROJECT NAME: Brett and Deb Denhart 595 Coles Meadow Road Northampton, MA 01060 Date: April 5, 2007 413-587-7935 Consultant: Richard A. Ahlstrom We hereby propose to perform remodeling and/or repair work upon the above mentioned premises per the following description, scope, allowances, exclusions and general conditions. This contract replaces contract for complete basement renovation signed and dated March 31, 2007 BASEMENT BUILD OUT THROUGH ROUGH, PHASE ONE The Scope of Work for phase one includes the following work items: Provide necessary city building permit for phase one, basement build out rough. A second permit will be necessary for remainder of work, to be called phase two. Provide site and dust protection as practical. Provide one 10 yard dumpster on site for project and client use. Build out basement rough through phase one, in accordance with the client approved plans and specifications, to be attached and become part of this agreement. Note: Locations of toilet, shower, wet wall location of vanity sink, and Kitchen Island cannot be changed after the concrete is cut and the rough plumbing is cemented in the floor. —'qlwxnw� FOUNDATION PREPERATION AND SLAB WORK Chisel out foundation crack at wall above gas furnace. Apply bonding agent and mortar with hydraulic cement. Apply one (1) coat of Dry loc interior latex damp -proofing material on foundation walls. Layout locations of interior walls in bath and kitchen area and determine slab cuts. Pull existing sliding glass door so as to cut foundation. Cut cement slab for rough plumbing to new bath for one (1) toilet, one (1) single bowl sink location and one (1) 4' wide shower. Cut slab at area of lines to water pump in far corner of basement so as to bury water line and power line in floor. Cut foundation wall at location of existing sliding glass door for new wider 8' wide sliding door unit. Wall to be flush cut to slab. Concrete cutting and cement removal, by sub. Remove cement debris. Demo and remove existing drywall on framed walls above foundation on West and South walls. Remove existing insulation and vapor barrier. Clean basement space after concrete cutting is complete. ROUGH CARPENTRY Existing posts and beams, windows, exterior doors, stairs, and ceiling joists to remain, unless otherwise noted on plans. Remove insulation in ceiling and store in garage behind plywood barrier. Layout outside and interior walls to existing floor plan. Existing cement exterior walls to be framed over with 2x4s, set at 16" o.c., with 2x4, PTP sole plates. Doorways to be framed to code and specs. Air space of one inch to be between foundation wall and 2x4 wall. Top plate of walls to be nailed to joist. Construct new interior partition walls per plan. Interior partition walls to be 2x4s, set at 16" o.c., with 2x4, PTP sole plates. Alter framing at center stairway wall so as to be open to main hallway. Demo short section of existing framing under stairway landing so as to open hallway floor plan. Section of ceiling will follow angle of stair stringers to first floor. Add blocking through out basement for installation of drywall. Demo existing windows. Frame openings for new three (3) new Marvin windows and one (1) new Marvin sliding glass door per plans. Alter framing at stairway wall so as to be open to hallway. Demo short section of framing under stairway landing so as to open hallway floor plan. BY: BY: Authorized signature, Ink Black inc. dba inHome Handyman Services Owner(s) Date: 137-A Damon Road, Northampton, MA 01060 (413) 584-7700 Office (413) 584-7706 Fax 45,° Collector Rack (vertical & horizontal available) Two 45° Kits For vertical: For horizontal: Roof or ground mount Wall mount part # 185543 BFS (Qty 2 for 1 or 2 collectors, 3 for 3, 4 for 4) part # 074324 BFW (Qty 2 per collector) Tilt Collector Rack (100 - 300, vertical or horizontal) For vertical: Qty 2 per collector For horizontal: Qty 2 kits for 2 collectors, 3 for 3, 4 for 4 yna, [A [ L', I t4/ J\TVAJ Caring for the Environment through Technology Since its foundation in 1981, Thermomax has been renowned for its pioneering design and manufacture of hi -tech vacuum tube solar collectors and temperature controllers. Today millions of Thermomax systems provide solar hot water and space heating or cooling in a wide range of applications. Measured Thermal Performance 90 - ,60 --------------- so ------------------- ------ — ----------------------- — ---- 4740 U70 Rapperswiil, Switzerland _ W2 - -{'— Florida Solar Energy Center, USA - 10 - 0 0 0.02 0.04 0.06 0.08 0.1 (Tm - Ta)/G The efficiency of the Thermomax collector remains extraordinary even at high operating temperatures. Thermomax Vacuum tube solar collectors perform with superiority even in cloudy, windy and cold conditions. The Pump Control Unit is a compact unit that includes all the necessary fittings for easy installation. Our web site is so complete that we couldn't cover the information with brochures. THERMO TECHNOLOGIES 9009 MENDENHALL COURT, SUITE E COLUMBIA, MARYLAND 21045, USA Phone: (410) 997-0778 Fax: (410) 997-0779 e-mail:info@thermomax.com t Twin -coil tanks are ideal for radiant heating systems, optimizing solar gain, and boiler backup (gas, wood stove, or oil) heating systems. USDT 2005 is a microprocessor based temperature controller that regulates solar water heating systems. USDT 2004 calculates energy collection and displays the results on its LCD window. USDT 3002 is a BTU meter and has inputs for four temperature sensors. It controls two pumps. THE POWER OF THE SUN Flat Plate Solar Collector SOL 25 PLUS STIEBELELTRON 1 The SOL 25 PLUS is ideal for many applications! • Residential or commercial water heating • Space heating • Swimming pools . Advantages Include: Maximum Efficiencies The SOL 25 PLUS is a highly efficient thermal collector. The net absorber surface of almost 28 sq feet results in a maximum output of 21,000 btu/day per panel. The SOL 25 PLUS also offers features such as a high selective absorber coating, low -iron, tempered solar glazing, and very effective insulation around the absorber plate. The internal fluid tubes are copper. Installation Time Is Minimized The large panel size and the availability of a full complement of custom designed mounting accessories minimizes the installation costs. Appealing Design SOLA The SOL 25 PLUS has a low profile, making it visually less obtrusive and compatible with existing architectural designs. Corporation FSEC, 1679 Clearlake Road 17 West Street West Hatfield, MA 01088 Day Rating in Cc/o Lasting and Reliable Energy Saving Investments Cocoa, FL 32922 (321)638-1537 www.solar-rating.org Model No. Sol 25 Plus Gross Area 2.73 m (29.42 ft) Stiebel Eltron uses only the most durable materials. The SOL 25 PLUS is the culmination of over 30 years of experience in the thermal solar business. SRCC Document OG -100 Serial Number: Specifications Total surface area sgft 29.06 sqm 2.7 Net effective surface area sgft 28 sqm 2.6 Collector output range Btu / day 21,000 W / day 6155 Max. temp. °F 410 °C 210 Typical transfer flow rate Gal / h 13-80 1 / h 50-300 Working operating pressure PSI 50.7 bar 3.5 Max. operating pressure PSI 87.0 bar 6 Tested to pressure PSI 160 bar 11 Pressure loss PSI 0.44 in / bar 30 Dimensions in. 87 15/16 x 48 1/8 x 3 1/16 mm 2233 x 1223 x 78 Weight without heat transf. fluid Ib. 108 KG 49 Recommended mounting angle 101-90, Plumbing connections in. 3/4` BSOT Frame anodized aluminum, corrosion resistant Absorber copper, chromium -oxide selective surface Thermal insulation mineral wool Absorptivity / emissivity 95%/5% Light transmission 92% Heat transfer fluid non-toxic polypropylene glycol solution Distributed by: W STIEBEL ELTRON, Inc. " 17 West Street, West Hatfield, MA 01088 Phone: (413) 247-3380 • (800) 582-8423 Fax: (413) 247-3369 E-mail: info@stiebel-eltron-usa.com Please visit our web site at www.stiebel-eltron-uso.com #40 SOLA This product certified by the Solar Rating and Certification Stiebel Eltron Mildly Cloud y y Corporation FSEC, 1679 Clearlake Road 17 West Street West Hatfield, MA 01088 Day Rating in Cc/o Cocoa, FL 32922 (321)638-1537 www.solar-rating.org Model No. Sol 25 Plus Gross Area 2.73 m (29.42 ft) Category C 22 MJ/day \�? TIFIC SRCC Document OG -100 Serial Number: 21 Mbtu/day Distributed by: W STIEBEL ELTRON, Inc. " 17 West Street, West Hatfield, MA 01088 Phone: (413) 247-3380 • (800) 582-8423 Fax: (413) 247-3369 E-mail: info@stiebel-eltron-usa.com Please visit our web site at www.stiebel-eltron-uso.com #40 , Harvest the The new SOL 25 PLUS solar collector, offers all the latest features known to the industry Over 30 Years of Solar Panel Experience '77-7-777-777'77 � t�rnpere Cra�bl+e ct�rrosio� frame Low pr6tia cart 311 F + omp-lemet a E . F1 RDM CERTIFICATE OF LIABILITY INSURANCE DATE (MIMtDDNYYY) 4/22/08 THE CKVIFICATE IS ISSUEDASA MATTER OF INFORMATION 13ugbee & Mass* Ins ONLYAND CONFERS NO RIGHTS UPON THECERTIFICATIE HOLDER. THIS CERTIFICATEDOES NUr AMM EXTEND OR _enter Street ALTER THE COVERAGE AFFORDED 13Y THE POLICIES mow. Box 28 ----e, MA 01014 I--—.. . — INSURERS AFFOROM COVERAGE NAIL ASURED Donavin Gratz TLlh�S"URERA: OneReacon INSURER : Travelers Ins CO d/b/a/ Green in Green 90 Linseed Road INSURER C: INSURER 0: West Hatfield, MA 01088-9505 . ... ...... .. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH Rr=SPECTTO WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS $I)I3JF-CTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -pK TYPE QE INSURANCF POLICY NUMBER POUCYEFFEC-n%E DATE WMIDDICEY) PO ED=ATID� EI&M LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 r 000L 000 A COMMERCIAL GENERAL LIABILITY FBlTJ27730 10/16/07 10/16/08 300"000 —516(ra -1 CLANS MADE OCCUR MED.EXP(Anypneparsm) $ —.5,090 _ffRLOtLA �&AVY I I NJURY S 1 J., 00--0,0_00 -- 7 $ 2 000 000 . ....... �. .— f GENERAL .A�GGREGATE . . . PRODUCTS- QMPIOPAGG GEN'LAGGREGATE UtdT APPLIES PER: s 2,000,000 POLICY JET F7 LOC AUTOMOSILE LIABILITY COMBINED SINGLE LIWT MY ALTO (Ea eeddcM $ ALLOWNEDAUTOS $ BODILY INJURY SCHEDULED AUTOS (Per pown) HIRMAUT08 OILY INJURY NON-OVOJED AUTOS (PeracddanU PROPERTY DAMAGE (Per accident) GARAGE LIMILITY AUTO ONLY - EA ACCIDENT EA ACC OTHFRTHAN MY AUTO AUTO ONLY: AGG S pCESSfUMBRELLA LIABILITY EACH OCCURRENCE $ $ ioccuR CLAIMS MADE AGGREGATE i DEDUCTIBLE $ RETENTION $ I WORKERS COMPENSATION AND WC STATU. EMR.CrYERS'LLABLITY ANY PROPRJFr0R1PA2TNER/E)(8CUTNE 7pjQE5886c687 11/8/071 11/8/08 E.L. EACH ACCIDENT $ 100,000 OF:PICERIMEMBER EXCLUOED7 If)", dewA to! uder E.L. WEASE - EA EMPLOYEE $100 000 SPECIAL PROMS CIN S b,*.w Ek- DISEASE - POLICY LMT $ 500000 OTHER I) tMCRIPTION OF 0 FIERATIONS I LOCAIONS I VEH ICLIES I EXC L USIONIS ADDED By EN D CIRSEMENT i SPECIAL PROVISIONS CER'rIFICATE HOLDER BRETT DENHART 595 COLES MEADOW ROAD NORTHAMPTON, MA 01060 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ar; CANCELLED BEFORE THE EXPIRATION DATE THERFOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOnCETO THE CERTIFICATE HOLDER NPIMED TO THE LEFT, BUT FAILURE TO DOSO SHALL I MPOSENO OBLIGATIONFR LIZ16TY OF ANY, KIN111115-ON THE INSURER, ITS AGPNTS OR REPRESENTATNES. .4 oe�l --pop AUTHORIZED REPRESENTATIVE "--ZOO" I )? ACORD 25 (2001/0a) ACORD CORPORATION 1988 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Name of License Holder )Jft V `l) r Not Applicable ❑ License Number Address Expiration Date Signature �S Telephone 9 Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Addressr / t% (G� � o �'✓ Telephone _ 0 7. Expiration Date 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. Affidavit Attached Yes....... )q 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 ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [ZI] Other 114 C�R � Brief Descri tion of Proposed P6-RoUov0 moo si i 5��� y � � "vL 11 b ' `�� � '���I'�� �J Work: 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 Ias Owner of the subject property hereby authorize to act on my Y������rized yisbngmitaco Signature of Owner Date f , as Owner/Authorized Agent hereby declare that the statements and informs ion on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under and p Ities f e 'ury. Print e Date Section 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO KA DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q 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, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO Off IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front 100 Side L: R: L:j4 q R: OD Rear ! b d 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 0 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO KA DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q 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, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO Off IF YES, then a Northampton Storm Water Management Permit from the DPW is required. V City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 Department use only Status of Permit: Curb Cut/Driveway Permit Sewer/Septic Availability Water/Well Availability Two Sets of Structural Plans Plot/Site Plans Other Specify t --- ; APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A SECTION 1 - SITE INFORMATION 1.1 Property Address: 13 li Co ies ITVA A Fl o g 'ti o po lloA lriDej 0,V), 6100o SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ Name (Print) 2.2 Authorized Agent: ki Au,� 2 Name Print) 4!!: L. Signat SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be comDleted by permit applicant 1. Building�j /f/� .1► 01 Vv 2. Electrical 3. Plumbing 0 `7, C() 0 0 b Map Zone F 4 APR 2 3 �nno ion to be completed by office Lot ` �� it7 t nit Overlay District Elm St. District CB District 0 Current Mailing Address: _3 �"1 7 w q 0 Telephone ALV 1 / r0 boa -17 o <�l Current Mailing Address: Telephone Official Use Only (a) Building Permit Fee (b) Estimated Total Cost of Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 0 O, © Check Number Z� `t U, co This Section For Official Use Only Building Permit Number: Signature: Building Commissioner/Inspector of Buildings Date Issued: Date ov- File # BP -2008-0928 APPLICANT/CONTACT PERSON DONAVIN A GRATZ ADDRESS/PHONE 90 LINSEED RD WEST HATFIELD (413) 247-6045 PROPERTY LOCATION 595 COLES MEADOW RD MAP 03 PARCEL 027 001 ZONE RR/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ee Paid V 1714. V -N-W - Typeof Construction: Install Thermal Solar Panel Array New Construction Non Structural interior renovations Addition to Existing -- Accessory Structure Building Plans Included• Owner/ Statement or License 3 sets of Plans / Plot Plan - THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Commission Permit DPW Storm Water Management Demolition Delay i8' Loc7� 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. 3-077 inHome Handyman Services July 24, 2007^ c S Building Commissioner r AnthonyPitillo f i J UL 2 2U07 212 Main Street R t Northampton, MA 01060 0-1 0, Dear Tony, I am writing to inform your office that my company inhome Handyman Services will not be completing the project at 595 Coles Meadow Road Northampton for a finished a basement. The owners of the property are Brett and Deb Denhart. The Rough framing is 90 % complete. The floor is cut for rough plumbing. The drainpipes in the floor are in place and have been inspected by your staff. The floor cut has not been filled in by my company. Three (3) new windows installed and one Sliding glass door. Exterior work around the windows and door have been completed. No electrical work was done. Please close out the existing permit in under my license for the project. Thank you, Richard Ahlstrom P.O. Box 1026, Northampton, MA 01061 a�`cc 533- 19ba Cc// Z 97 - 6 67-17 — The Commonwealth of Massachusetts RLS u�irMr Department of Industrial Accidents 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors na= le" C /Y' -'I 44-6 city 4/,o /-A= 9� state: �1�%,� zip: Q/0�• � phtme #1 720 0 I am a homeowner performing all work myself. Project Type: U New Construction [-]Remodel I am a sole proprietor and have no one workinin an ca aclty. El Building Addition %///%%/////'%/%//j//////%%/O///%%///%/%/%%//%/%%/%/%%%��%%/%//%//%/////%/%�%//%%/�1%/////�%%%i I am an employer providing workers' compensation for my employees working on this job. address: � 7 /9 loot Y7 JG d a oe city_ if/,1� /ITh a..�.4-- phone insurance co. 7 / /t'/ ah4a/ /r7.5Yr"G= 60 . DolicV # 'ROO S58 -7 0 , 2-0 0 to U I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: companv name: address: city phone #: insurance co. policx # company name: i address: city. phone #• insurance co. IDOliCZ # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of trimiml penalties of ■ fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that ■ copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains and penalties of perjury that the information provided above is true and orrect Signatu:rf �_ Date / Print name Phone # emcial use only do not write in this area to be completed by city or town official city or town: permit/license # ❑Building Department ❑ ❑Licensing Board check if immediate response is required ❑Selec�en'a Ofncc ❑Healtb Department contact person: phone #; []Other (m'sed Serl 2(X73) SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: p / Name of License Holder : , C �1 a �^ �ry /S �� ,� W F/� - Not Applicable ❑ CS 07-34/,5Y License Numn/be y%o /o g Expiration Date Address /* 5 - 77o a Signature Telephone 9. Registered Home Improvement Contractor: 41-e G Not Applicable ❑ Company Name Registration Number Expiration Date Address Telephone 5$y 7? U O 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. Affidavit Attached Yes....... , v 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 E3 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [a Brief Descri tion f Proposed P P -tr-vtxwlw� tit O Work: o • to C c.r�5�°"� Alteration of existing bedroom Yes No Adding new bedroomYes 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 I �j� �� as Owner of the subject property 1^ hereby authoriz to act on my behalf, ' all mat s relative fo work authorized by this building permit application. Signature of Owner Date lei C- 14/- 10(- , as Owne uthorized 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. jeIG/!Gr/"d LiIS7 -ar�� Print Name 4 tz Signature of Owner/Agent Date Sartinn 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW Q"% YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW ® YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW ® YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained I , Date Issued: C. Do any signs exist on the property? YES 0 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 NO VIQ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side Rear L: R: L: R: 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 0 DON'T KNOW Q"% YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW ® YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW ® YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained I , Date Issued: C. Do any signs exist on the property? YES 0 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 NO VIQ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. A n n n r. r) N7 SECTION 1 -SITE INFORMATION Department use only City of Northampton -. ,Status of Permits Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well 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 This section to be completed by office 1.1 Property Address: r EqS Coes Niec4ow Rc4A Map Lot Unit "A, 6 I OL p Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 515 Go(e s �-_ Name (Print) Current Mailing Address: Telephone '5S 1 _ -) ig ture 2.2 Authorized Agent, /`lC.�m.rA �`S-""�� ({ 1 t eltSO� (�)�yl d� Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building -O v 0 0 ,7 Aj (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing �u u O a / Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 2 0 Q'60 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date t File # BP -2007-0992 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 137A DAMON RD NORTHAMPTON (413) 584-7700 PROPERTY LOCATION MAP 03 PARCEL 027 001 L SP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT iNew �-,onsuucuuu Non Structural interior renovations Addition to Existing Accessory Structure - Building Plans Included• Owner/ Statement or License 3 sets of Plans / Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Major Project: Site Plan AND/OR ZONING BOARD PERMIT REQUIRED UNDER: Finding Special Permit Special Permit With Site Plan Special Permit With Site Plan Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Septic Approval Board of Health Water Availability Sewer Availability Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commissi 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.