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18C-116 (2) BP-2005-0725 GIS#: COMMONWEALTH OF MASSACHUSETTS 4011.11111110111/ 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-2005-0725 Project# 3S-2005-1006 Est. Cost: $13400.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DAVID CHICOINE 061582 Lot Size(sq.ft.): 9539.64 Owner: MARTIN JOHN H&MARTHA C J MARTIN Zoning: URB Applicant: DAVID CHICOINE AT: 46 ALLISON ST Applicant Address: Phone: Insurance: P O BOX 798 (413) 246-7536 WC AMHERSTMA01004 ISSUED ON:1/19/05 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATE KITCHEN 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: Receipt No: Date Paid: Check No: Amount: Building 1/19/05 0:00:00 723 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo File#BP-2005-0725 APPLICANT/CONTACT PERSON DAVID CHICOINE ADDRESS/PHONE P 0 BOX 798 AMHERST (413)246-7536 PROPERTY LOCATION 46 ALLISON ST MAP 18C PARCEL 116 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 7,39 _ Typeof Construction: RENOVATE KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 061582 3 sets of Plans/Plot Plan THE FOLLOWING 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 from Elm Street Co 'ssion 2O0 / 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. I E . _ �— • �� ( Harr Department use only 7-7 i i;- 9ty Of N rti mpton Status of Permit: "l� Bading; artmeng JAN 1 8 & '5 Cut/DrivevWay Permit 212 Mai freer '! Sewer/Septic Availability A el Roorr . P j L______- WaterIW ll Avalability AM 1 kor45npt51 01060DE�f- TWo/Sets of_ tructural Plans hid phone 413-587 a 2j0 F 41-3-687-1272 -" Plot/Site Plans ` immtt sioriS Other Specify APPLLCATION TO CONSTRUCT?ETER,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 / J /9//i f/N f72-- . Map Lot Unit Zone Overlay District Elm St.District rR District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.1 Owner of Record: Name(Print) Current Mailing Address: .1-f.r�' Of 2/ Telephone Signature 2.2 Authorized Agent: / / Z?1 1 Ch/Li)he /1 pF�t:`/ Wei-4 A €#- Name(Pri. Current MailinggwAAddress: r C/,.-,.. 2/13 z 713 Sign- ire Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item - Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee // oI d 2. Electrical / i 3 (b)Estimated Total Cost of / 3 y OP ' 4 Construction from(6) i 3. Plumbing 207 a Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection AV/ 7 it 6. Total =(1 +2+3+4+5) /2 GJOD Check Number 7;- J ID This Section For Official Use Only Date Building Permit Number. Issued: Signature: 7 Building Commissioner/Inspector of Buildings 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 _ j 1 __i Side L: R I L:� R:�1 i • 1 Rear I Building Height • 1...____ _.__ Bldg. Square Footage 1 ; % i Open Space Footage �--{ (Lot area minus bldg&paved k 1 1--= i ' 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 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES 0 IF YES: enter Book Pagel and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW O YES IF YES, has a permit been or need to be obtained from the Conservation Commission? ' Needs to be obtained Q Obtained Date Issued: C. Do any signs exist on the property? YES ® NO Q IF YES, describe size, type and Location: I • I D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. f.. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ : Replacement Windows Alteration(s) n Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [GI Decks [E] Siding[ ] Other DE( Brief Des ription of Proposed Work: 4•cr, Artr014e/ ✓//440 U.a7'$ J J/.9 1zaye";y G4r/cr /, pv+l/.� Alteration of existing bedroom / Yes 4/ No Adding new bedroom Yes " No Attached Narrative V Renovating unfinished basement Yes e/ No Plans Attached Roll -Sheet sa lfNevi�hocise and or-addto�_to exrs#inhouslnc,_complete fF� ollai�q: 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 ,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 of Owner Date I, //4- CG!i 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. C C4 -' i Print N e Si ature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 C / Name of License Holder: C%;L, tit GJ O e/ License Number Address Expiration Date C-,4 9/7 -V e 1.f3" Si ature Telephone 9.:RegisteredIT riellmntbveme itContractor.?.4 , Not Applicable 0 Cam/;eO/Ner tri✓✓;G61 e , /4/// Z Company Name Registration Number C.4 4 ;!/ 71 c..c ,4.•.4 A ' /4! Address Expiration Date Telephone 24/4 7Y7-4 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 l/ No 0 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 ¢SttaMp7, t'� ',.'u"I,..‘'._.,,-,..4v'a.'."a.0v-!;..,.—.,.,.-.-et-.-.r a:4k.-0. -*__� Crzl i orf1�al�t nn . • - __ ...,,%,,i w ....„; assNthitsett9 _�;l-;-_a1-1—__=..1.! DEPARTMENT OF BUILDING INSPECTIONS =.a z /. INSPECTOR 212 Main Street • Municipal Building �- Northampton, MA 01060 . HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups:, isor. 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 any 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 backfiil). sonotube holes (before pour), 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 homeowner hires other trades to perform work (electrical plumbing s, gas) the u the homeowner u� hires v .... µu....� r....v.... ....... �................, r'•----„_--a a'-"� ---- 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 I • • '' ),�.�� (rii of Northampton • 1 — A��� E jcZcs.Rchnsrfta' + � ��- • DEPARTMENT OP BUILDING INSPECTIONS 212 Main Street Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT • (li cxnsxlpertn.i tter) with a principal place of-business/residence at: — -- /l o`i:l/ 2/, A (phone ) 4,7_z Ve-7r3/ (so- Ed ty/natciri p) do hereby certify, under the pains and penalties of perjury, that ( ) I am an employer providing the followinc worker's compensation coverage for my employees worldng on this job: • (Innu-nc Comcanv) (Policy Numrr_r) (r:-pir.stion Dates) ( ) I am a sole proprietor, general contractor or homeowner (cce one) and have hired the contractors listed below who have the following worker's comnen_cedon po iciest (Name of Co:`.'_^c or) (In uranc Colnpariyi?oUCi Nam c-) (i_`p ruuon Datc) (Name of Cono-aaor) (insurance Company/Po!ic Nuo r) (Exni lion Date) (Name of Couraeto,-) (t surancz Company/Policy Nasks) (Expirrtioo Date) • (Name of Contractor) (Ln_nuance Company/Policy Numix.r) (Expirtion Date) (aost adu�oml�c�ifucca.:}to ctchx& portaiming to all poor-_cnr3) ({/I am a sole proprietor and have no one worming for me. ( ) I am.a home owner performing all the work myself. NOTE:plesc bc ea.--Arc the { ]c 6emwµvera wbo carp lay pewm to rSo r^, rc,-.a wort oo.dwa..Ui-lz of mot mat tb_m tr-oc=ram is wbctz tux bocnoo oc-read=cc cc the pvua6 z,7putteo.r_tbe-eo�:oo( —ally ocF:d.-c to bc eitplayes und.. the wott:ee^s ri-.p— -uon Act(G121S23=t(5)),ppticaioo by.bomoo0.ac fc a br.r_-,c cc l,ao.trt zy eidexx the legal Hive of an=playa(uoder do Wocic ea Coaapomatian Aa- I uodosaaod tha a copy of this mtnosaca may ba for an rd.od to Lb.pco.rtm of of In.d...g id nceadart!Offio.of 4zur.003 for covcagc v o'if c tioo and that[iitac to saute'covcrc c t odr-soctioo 23 A of MOL 132 cm irk to the i +cioa of tsimio-I pcaikia coca tag of z floc oCttp to SI.500.00 and/or icapau000 oCup to ooc yc=r znd evil tx+.tua s tbc focal of.Stop Work Ordc and. rim o(S 100.00 z day zpin.11 coc For dap.+ta.�.�1 u.c drily Permit NUsobcr /0 6� M.3p"__ Lot" itpaaturc of Lianscc/Pcrrn.iucc Uste Dave Chicoine Construction Services, Inc. 16 Edgehill Place Amherst, MA 01002 413/246-7536 Jack & Jesse Martin 46 Allison Street Northampton, MA 01060 Proposal Dave Chicoine Construction Services, Inc. proposes to perform a general contracting and carpentry/renovation service to complete the following phases of work. Wall Removal: remove top sections of basement stairwell walls to create oak capped Y/2 walled opening between dining room and kitchen. Note: wall removal assumes existing basement walls are non-load bearing. No structural beams or other structural framing is included. Remove doorway wall to basement at top of basement stairs. Replace existing basement stair treads and risers with new oak treads and paint grade risers. Renovations to existing kitchen: Replace existing countertops with new plastic laminate countertops featuring beveled edge top with matching backsplash. Provide new high quality stainless steal sink and new faucet, spray and garbage disposal. Provide new 30" ducted microwave/vent hood combination unit. (Appliance to be selected by owner). Relocate existing dishwasher to left of existing sink location. Rework various cabinets to accommodate owner specified layout including reinstalling owner provided used cabinets. Install new end panel to left of dishwasher. Existing corner cabinet to be modified to allow the installation of two revolving lazy susan units, one mounted on existing cabinet bottom and 2nd unit mounted on a new mid-height shelf. Construct a 3 bay recycling center cabinet unit with full height rollout drawers to accommodate bagged recyclables. Recycling center to be constructed with birch plywood with details to match existing cabinets, as close as possible. Unit to feature a plastic laminate countertop to match adjacent kitchen countertops. Approximate unit dimensions: 60" long, 20" deep, 36"— 40" tall. 1 Mechanicals: Plumbing/Heating. Demo existing baseboard heat at basement stairwell wall. Demo existing instant hot water heater. Add two new toe kick heaters, one in existing sink base cabinet and one in new recycling center cabinet. Furnish and install new surface mounted sink, faucet, spray and garbage disposal with new trap and plumbing in sink base cabinet. Relocate existing dishwasher to left of existing sink. Provide new water shut offs as needed. Electrical: Demo existing electrical in basement stairwell walls. Demo existing instant hot water heater. Rework switching to existing dining room ceilirg fixture. Provide circuits to power new toe kick heaters, rewire dishwasher. Provide one GFCI receptacle. Install new microwave hood (selected by cwner) with ductwork and wall cap by DCCSI. No lighting, switching or additional electrical is included. Finishes: Drywall — install new 1/2" gypsum wallboard ceiling over existing kitchen ceiling with smooth finish ready for paint. Note: all interior and exterior painting staining, wall prep, wall paper removal and wood finishing to be provided by others. New kitchen ceiling to terminate at transitional "beam" (upper 12!" +/- section of existing wall) between existing dining room and stairwell wall to basement. No work is planned for existing dining room ceiling. Flooring — some minor oak wood floor patching at removed wall area is planned. No refinishing of existing dining room floor is included. Kitchen flooring including new underlayment to be provided by others. Please note: this proposal is as comprehensive as possible. Any work not outlined herein is not included. Additions to or changes made during the course of the project shall be billed as a change order and preformed upon written approval and payment prior to work beginning. Please see the attached :ost coded summary for pricing information. DCCSI carries necessary licenses and insurance certificates are available upon request. 2 Cost Code Summary 100 - Administration: Estimating, billing, project management, office work, permit fee $375 200 — General Supervision: site visits, client meetings, design review, selections, subcontractor scheduling and supervision $450 320 — Demolition: Remove existing wall sections, shelving nook, existing countertops, cabinets, etc. Dispose of demolition waste, Disposal fee: $450 Labor: $775 400 — Temp Services: Protect existing dining room floor. General cleaning; erect and mai stain necessary dust curtains. Final cleaning provided by others. Materials: $75 Labor: $320 450 — Rough Carpentry: Construct 1/2 wall cap framing, add necessary nailers and blocking at transition to dining room ceiling. Materials: $100 Labor: $350 500 — Fnish Carpentry: Cabinet work, countertops, recycling center, wall caps, stair treads and floor patching as outlined. Materials: $3100 Labor: $2800 600 — Drywall: New kitchen ceiling Materials: $100 Labor: $350 700 — Mechanicals: Range hood and ductwork installation Materials (including unit) $375 Labor: $225 725 — Plumbing and Heating: Contracted price: Theroux Plumbing & Heating: $2200 800 — Electrical: Allowance for outlined electrical work: $1400 Total project costs: $13,445 3 Payment Schedule $3500 deposit required before work begins /9 4/ 3Ji /z /�� $3500 due when demo of walls and existing countertops is done. Plumbing/heating demo is done and electrical demo is done. $3500 flue when recycling center is complete, new countertops are installed and cabinet work is complete. $3000 due when plumbing and electrical work is finished, drywall, floor patch, basement stairs, wall caps and micro hood is complete. $445 final payment due when job has been completed and all inspections are complete. Resped.fully submitted ate-1; Signature indicates acceptance of proposal and terms outlined herein. (flack Martin Jesse, artin Thank you for your business! 4