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31B-070 (6) 56 SUMMER ST BP-2020-0395 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-070 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2020-0395 Project# JS-2020-000674 Est. Cost: $122354.00 Fee: $78.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NORMAN JACQUES 060189 Lot Size(sq. ft.): 8102.16 Owner: CHEN HENRY Zoning: URC(100)/ Applicant: NORMAN JACQUES AT. 56 SUMMER ST Applicant Address: Phone: Insurance: 185 SHEARER ST (413) 531-3561 WC PALMERMA01069 ISSUED ON.9/27/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:RELOCATE MASTER BED CLOSET AND CONVERT TO OFFICE SPACE 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 9/27/2019 0:00:00 $78.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner /v c� V-11 v I - I Lti --1 Cl Department use only -- City of Northampton 'fff Building Department ay P�rmit 212 Main StreetSEP Sewer/Septic vaila ility Room 100 WatpoNell A ailab ity Northampton, MA 010 0 Two Sets of truct ral Plans phone 413-587-1240 Fax 41 -58' - Suii Drn: to PI s �— �TNAki ,In p APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A 014E OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION Q 1 aU 9 1.1 Property Address: This section to be completed by office Map ` Lot (/ -7 0 Unit Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address- ,5-7 2 ddress:S7/ -a97(,-I-7 Telephone Signature 2.2 Authorized Aqent: Name(Print) Current Mailing Address: Si ure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building a 3 4-/ (a) Building Permit Fee 2. Electrical � (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) ' s� _ �ucu✓.a+��J — 5. Fire Protection 6. Total = (1 +2 +3+4+ 5) o! a 3 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: 7-Z 7 Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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:pR:I-�J Rear 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 O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW © YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW © YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES Q 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: C 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors Q P`' Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [0 Siding [p] Other[p] Brief Description of Proposed Work: dZC-_ LOCA-Tlr 44A-S6TL--" - C,"S(,-`7— VSLyL0 VACZ �'c-c X,4--'LJ C)J=F1C(-= Alteration of existing bedroom '4 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 - 1. o .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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application- Signature pplication.Signature of Owner Date 1, NO12-tc(AIJ�CQyLS -Aji(.DE'ZS ITZA. C:A.377- /'yC • 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. AJ Print Name SignatureOwn r/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suoervisor: Not Applicable ❑ Name of License Holder: ).1C�n � '('s c s- O(v0 L License Number 13S SHCA2&VZ s r_ G'ACW �cvJ. p/0 4 S o go Address Expiration Date ig ure Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number FsS� sHewax S7'. /",4 c Z-1Ly C�jo Gni -7 l 3 - d 0f? Address Expiration Date s y3 _31 3 1 Telephone 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...... ❑ City of Northampton ' � ' - sus•..•�.:.sic i' •''� Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("MU). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: gC-k�6-b^-- Est. Cost: l a °? 3 7, Address of Work: 6T-ce T - Date of Permit Application: C/-a?CQ-/07 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: �,-A-i5 c-1-JT- INS J G o 3a �— Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts t A. y DEPARTMENT OF BUILDING INSPECTIONS v` 212 Main Street • Municipal Building v''•,, �� Northampton, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work,then such homeowner shall act as supervisor. 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. City of Northampton Massachusetts j G s ' DEPARTMENT OF BUILDING INSPECTIONS 9E 212 Main Street •Municipal Building + Northampton, MA 01060 ��`,C Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: _z-G .Sup*-rGr67C_ S?— (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: �+L"r C_ (Company Name and Address) S7re of Per licant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. '\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type Of project(required): 1.10 I am a employer with employees(full and/or part-time).* 7. [:]New construction 2.rl I am a sole proprietor or partnership and have no employees working for me in 8. TA Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.a I am a homeowner doing all work myself.[No workers'comp.insurance required.]i 10 Q Building addition 4.[3I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.rl I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E]Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] ;Any applicant that checks box 41 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: rA/U,,i F 4b-1/L7" (�Ay S A L 1--, /N S, Cv Policy#or Self-ins.Lic.#: 3 Ff'0 3 Expiration Date: SCS "1T�C�Ht� Job Site Address: 5�, S-r­ City/State/Zip: x'70 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t ins and penalties o erju, that the information provided above is true and correct. Si ature: Cr Date: Phone#: o $— /— l Official use only. Do not write in this area,to be completed by city or town official City 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and Pax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia ® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT Sean Rooney Sean Patrick Rooney,Sr.dba PHONE E:xt FAX 87_8817 .(AIra877-771-6087 famil •COmRoone Insurance Services E-MAILsean.rooneYfarm - 2341 Boston Rd. INSURERS)AFFORDING COVERAGE _,•_WUC f__ Wilbraham MA 01095 INSURER A: Farm Family Casualty Insurance Company 13803 INSURED INSURER B: Jacques Enterprises Inc INSURERC: _.._ 185 Shearer St INSURER D: Palmer, MA 01069 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 RESPECT TO WHICH THIS CERTIFICATE 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . _ 18UBRI.._- -_ __.._-._...---- POLICY EFF POLICY ! ------ INSR �ADDL LIMITS �� TYPE OF INSURANCE I POLICY NUMBER - MMIDDIYYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE S 1.,000.,000. ._ '-'-1 DAMAGE TO RENTED -� CLAIMS-MADE OCCUR PREMISES(Ea_ocanenceZ 1$__10 Q_00-------- -6u-Sin - i MED EXP(Any one person) s _5 000_---- __--- A )C,, Business Owners Policy 2001X1402 04/18/19 104/18/201 PERSONALS�ADVIN_JURY s 1,000 000 ( GENERAL AGGREGATE s 2,000,000 GENt AGGREGATE LIMB APPLIES PER: —__ X POLICY I E PRC'T n LOC PRODUCTS-COMPIOPAGG S 2,000,000 JE OTHER- j AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT s (Ea accident) ANY AUTO I ;BODILY INJURY(Pet parson) s 250,000^— ALL OWNED � SCHEDULED A AUTOS AUTOS2001C6420 BODILY INJURY(Per accident) sS OQ UTWNED PROPERTY DAMAGEIX HIRED AUTOS AOSI Per acadenU S090 00-- $ 9— _ ;sUMBRELLA LIAB OCCUR EACH OCCURRENCE l EXCESS LLAB _ GSAGREGATE s ----_..--.------ ;CWMS•MADE � DED RETENTION s ! S WORKERS COMPENSATION 1 ! STATUTE ER IAND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTfVE Y/N E.L_EACH ACCIDENT __ s .100_O.00 A OFFICERIMEMBER EXCLUDED? ❑NIA 2001 W8563 02/09/19 02/09/20 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1 00,000 _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ snn non I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cinemark THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sean Patrick Rooney,Sr. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Division of Professional Licensure to UKIVGKa ! �r Board of Building Regulations and Standards LICENSE Construction Supervisor 713012019 11S 43 633533 ,S-060189 Expires: 07/30/202013012024 07/30/1969 NONE NONE NORMAN R JACQUES J>�CQUES 185 SHEARER STREET NORMAN ROBERT PALMER MA 01069 185 SHEARER ST PALMER,MA 01069.1432 EyEn s BLU SEX MHGT 5'•10"V. 07/30/69 Commissioner DD[1713112019 Rev OL7lR0f6 .//r �ivivirrvrri•rir�/�r�. //ri•J:ur/i..;,//., Office of Consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street-Suite 710 160328 07/13/2020 Boston,MA 02118 JACQUES ENTERPRISES,INC i NORMAN JACQUES L� No thout signature 185 SHEARER STREET PALMER,MA 01069 Undersecretary c tiOS14A . 0023e1362 I� has:f L,<�,S!ulr,<i rr*p+e'•x a 1 i1 ,�. C1.eu� ? Tia utx CLiJISI'n �ttf cation Safety—& s Tr z1tle�t .. JACQUES BUILDERS A DIVISION OF JACQUES ENTERPRISES, INC. 185 SHEARER STREET PALMER MA O 1069 (413)283-5750 Authorization Form Date: C12-Lf/1!J Project Name/No.: 5-(' s _ Owner: LAfl"`/ Cite it Contractor: Jacques Builders Specifications for Project C eAye,l wet( t n clew( a,,d d2)Ic- /I oc fG �nf✓ ONe`Ce. .,�}c�oL Z �. le�efS I, G lq e✓t hereby authorize Jacques Enterprises,Inc.doing business as Jacques Builders to obtain any and all permits necessary for the above described project at the above disclosed location. Sig of owner/agent Estimated Project Cost: 2 3 f-( JACQUES BUILDERS A DIVISION OF JACQUES ENTERPRISES, INC. 185 SHEARER STREET PALMER MA 01069 (413) 283-5750 ESTIMATE Date: September 8, 2019 Name: Henry Chen Address: 56 Summer Street City, State: Northampton MA Phone: 571-294-7617 We hereby submit specifications and estimates for: Interior Alteration Job Scope: Remove master closet partition and entry door from bedroom Frame new master his/hers closet across front wall. Each closet will have 4' molded raised panel bi-fold doors Heating allowance: Re-set heating and return feeds $1,500 estimated -This price will vary depending on existing equipment condition and its prior installation. Electrical Allowance: Re-run existing wiring as required. Re-run lighting and switching for new layout. $2,500 estimated -This price will vary depending on existing equipment condition and its prior installation. Flooring Allowance: Flooring will be removed and new hardwood installed. $1,400 estimated Sheetrock all new framing and patch all old work as needed with all taping sanding and priming required. No finish painting. Disposal of all waste. Leave work area HEPA vacuumed clean. DESCRIPTION TOTAL Total estimated cost for Interior Alteration as described in above specifications $12,234.00 (price includes allowances listed) We propose hereby to furnish material and labor complete in accordance with above specifications: Twelve Thousand Two Hundred Thirty-four dollars only Payment to be made as follows: Deposit of$4,077 due upon contract, second payment due on start of install $4,078 Final payment due upon completion$4,079 First payment is a non-refundable deposit to secure scheduling. Final payment is due upon job completion. Any additional expenses incurred such as permits, fines and fees will be billed accordingly. All work to be completed in a workmanlike manner according to standard practices. This is an estimated cost based on time figured. Any change in quantity,quality and/or style will be billed as an extra charge. Note:This estimate may be withdrawn if not accepted within eight days Acceptance of Estimate: The above prices, specifications and conditions are hereby accepted. You are authorized to do work specified. Payment will be made as outlined. We authorize you to use any and all pictures taken of this project for business use at no charge. Signature: L4CoU/�`� �uC� _S(o Su�wt CIL N�n- 4vx+nn-s�or-� y S-3 3.S� Vol i i � I C StT I i I 1