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31B-031 (3) BP-2021-2254 38 MYRTLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 B-031-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-2254 PERMISSIONIS HEREBY GRANTED TO: Project# RENOVATION Contractor: License: Est. Cost: 18600 QUALITY CONSTRUCTION 065065 Const.Class: Exp.Date:02/05/2022 Use Group: Owner: DOBRSKA, ELIZABETH Lot Size (sq.ft.) Zoning: URC Applicant: QUALITY CONSTRUCTION Applicant Address Phone: Insurance: 85 BENEDICT ST (413)222-6304 WC231 S2245 1 1 030 WEST SPRINGFIELD, MA 01089 ISSUED ON:12/02/2021 TO PERFORM THE FOLLOWING WORK: REBUILD PORCH,BATH &KITCHEN RENO 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. Signature: . I Fees Paid: $121.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner cK COL 6 etrU•eit &, The Commonwealth of Massachus- • iftC r-., FOR Board of Building Regulations and Sta i ,.rds 'r Massachusetts State Building Code, 78% C IPAL ITY OEM ..�U Building Permit Application To Construct,Repair, c eno to Or Demdl' h Rev .ed M,r 2011 One-or Two-Family Dwelli : 1'F'r°` e0c9/ This Section For Official Use Only-°'QTy,e'/t�1 Building Permit Number: 8P—a-i--a�Sy Date Applied: TON Ai•—c a o�sI�NV I` /1 L�V Its-) ' J�OS 5 bZ , iZ-2 Z02f Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro erty ddress• 1.2 Assessors Map&Parcel Numbers 38 rl Trite— at, 1.la Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water_er Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public® Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owger'of ecor Pi t e4 JobN/53 ---0.... 00V o-.mP-Vc)t1 I M 1) oto6o Name(Print) City,State,ZIP 381-He -e- M-- 413--2s3-94ti8 No.and Street.' Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building ik Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0 Demolition Cl Accessory Bldg. ❑ Number of units Other 0 Specify: Brief Description of Propo ed Work2: 9._eb L.....1 -t.1At eAc l S'T'n' g.kde_ • a"rck1 Jul'eGJ do►ZC s ',V?t5 _ W --_ . • m C 1-1.e.0 r-eg-b 1 u-.S t SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ /f 600 1. Building Permit Fee: $ ; Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ / T, 6 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 CplistQrr ti Supervisor License(CSL) (�6�o 6�- ©Z^D 27 eX �b c,l.� License Number Expiration Date Name of CSL I�s1 er es- g r List CSL Type(see below) No.and Street Type Description Wea— _ / / / �i} Unrestricted(Buildings up to 35,000 cu.ft.) '1�i '�/ `t (, R Restricted 1&2 Family Dwelling City/Town,State, M Masonry rOnQ RC Roofing Covering d I WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1Z/471 Zo2� h S.1 n HIC Registration Number Eipiuradon Date HIC Co any�tzIlinr HI Re 'strant ame t /�erte c7� 6 i Qc d�hoo.co m No.and et Email address City/Town,State,Z Telephone SECTION 6: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 .❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S 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. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. e�2y C _ C40. 12-- I-- 202_( not Own or Authorized Agent's Name(Ele onic Si ature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at Information on the Construction Supervisor License can be found at 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Contntoizi 'c'alth of.tlussuchusetts • i3 Department of Industrial.-1 c•cidents l Congress Street. Suite 100 Bo-rtotl, .11.-1 0?114-201" www.no'►r.nluss.got,'dia • 11utker+' ('unlpcnsation Insurance.1ff►dasit: Builder''Cuutractor' Electrician+.Plumbers. 10 Bk. k 11 1 1)N%I I II I III. Pk.K'II 11 I\(; . t I JIOtt1 I 1. ltlillicant I,if rmatilln Please Print I.e:lib's Name IH,.,::::•• I I1;.1,.;.01,11 In, .'.t us:1: �e_IT CeiDu Address: C "� (IA. 01b(961 Z-�-it1 State Zip: Wesk- SgV't.V1.cI� _�� Phone -: ( L3 ) 2OLf ► 2 -� \n a au ►n ctnptuaar:'( hay►the appn!prult tHra: 1 (\11C of project(required). { • �1 Jt:t J:n:rti.'.c•,I:, in:�.,�}::,11ail 4 iJ,•I I+.u-(wk.I' 'J \iU LUn.trllit]Utl !l _ I.,In J-.•.•1:j•:•7n:'.t•r.•r cargo-:t,:np Jak LJ.:n..:ry,! L .•ot[.n : r n>:(r, S. KCr11UJi I1 r1 C_ f4any lit,J:tt t intr../1 I Alt J L.•:i -. Ltar L,Iu:J11 :I. 11 I`..'L,,tla•. :..ar .n,J:Jr:: qua J 11I I1urldtn addition 1 1 1 am J j4'.I.,".\I:il and•L:II I- :I:nt__.,!::rJ,b.,:,:V..'aJua.1.•..niL ur,nt. t°I.1.-tl. I'.,tl: t:!J:41,Lrtf.rs41.,:,rC1,.l I, , . .tl,.r- �r:r .:v•at,,,n v:-.ter J:!..ur Jr. -,d- I I.7 I:liitrllJl repairs or JJJItIUIls rt.pn.l.t,N I:1::11 .I:II,1•...:C, 11 1 J I lutnhtn_ repairs or addition. 1.nu.1 .1:•.I.0,•,altJ:'.'i and 1 Lr.::utcJ a.,. .Jh-CJi-.ti.vl•.I1+LJ .r :1,.JCJ4:1..I I ,Root repair. ► 1• 1.:,. ,.Ih:.•t.nJ, ,a•LJ.:cl:q 1.',..,Jr.J I:J}..1 r.. I:lp u;.ut::I. r yy(// 14 i O tt tc 1 TO•`r"' F�^" r. v., J:,.J..r}v:..l l•.•t;Jau il,1,1a.�:-.:w.•_.ta�r..J 1 u r_'I:I,t, :r;tu•:2 Ira 1!1. u :1.J:IJ', :ha,a r.r..a:'6.,.::-. I\o.L,..u:r.".,•!:ip 1'!,LIJ'1.•.t:yur:.f •\tr. J71•11.Jilt Lw:.1::.►,.I,,a+'1 tau-.:J,..,Ill,.n_l Ilt.:._::';,'u ha I.,:. ,:1.^.,r:1.:1.:II:+ eta::,-.011:7c:e.JI!.,:1 :1.'!a:o'.'I.l-.L:u•,u:'Ia:l lL•r.Jflt •.ri u:J.:JI:r.-_I}a Jtc J.-:c_J.:L.:.IL Ant:Li:au:.J:•1•.1:.V7:1:J.1.:'lau ,c'.•1:::1 J c:•,J1:11.1,i'.:r,J(.Jla:c•L.I: t..,an J::vl•.llul illy►.t:1,.h.'\1:11..-1 JI1J.1):.:J:, 1 I1a•,I-. S,:1J.l.7+JI:.i':J:i'.,I:.-la::ur:nd it 1,. ,ub.,,I:LJ.:..r•.l.J'...rr l.,_•::,.11:44 I11a•.11,u'.IJ,(:ICI: .toil::, .,tal• {`-., .cuiah r I am an employer that is providing►rurAt'r.'compensation insurance fur my employees. Belau-is the policy and job site in furnraliun. ln.uran.e(_.anpans Name: YYn -''E-- Jtt/\.S PohLA =or Self-ut>. L.r� 1�_ 1.\ptratton I)ste. t!.,h Site :\ddre.'.. �d I� m v+vtia t titate Ile A,O 60 - Attach a cups of the ssurkers ct► tpensation policy declaration page(+laslag the pulley number and expiration date). Failure to.e.un.o%erase a. reuumd under \1GL_ c. 152. 2'.\ 17,a criminal \tolatrort punishable hs .l line up to 51.51lil t II l nd or one-sear imprisonment.a. sell a..t'It pen-doe. ul the Conn of a S ht y' WORK 0)RI)1-:K and.1 line of up to S251).l)It a Ja\ s�Jut.t the \rotator. :\ cony it this statement nos be for sarded to the Office of Inscstl 2atnnl,of the 1)1,1 ter nl.uran.e .o\i1JCC \Cri lr.Jtiott. /du hereby certilv under der pains and penalties of perjuty that the information provided above is true and correct. Oate /z—I— 2ou til_naUlre c�////]]]� Phone 13) Z!►+(. gE 0 C4 Official use only. Do not write in this area.to he completed ht'city or town official ('its or-fuss n: Permit.License a Issuing.1uturits (circle one): I. Board of Ilealth 2. Building Department 3.( its I uN n ( Icrk 4. Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone kt: City of Northampton , •. ` Massachusetts ^� tt c 1, DEPARTMENT OF BUILDING INSPECTIONS q 212 Main Street • Municipal Building vj $ `.-��w„,, Northampton, MA 01060 'PSI',V 3,�C\' _gip CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: `,c)eLiza— T �� s1� - /10 1742-6_ n IA i The debris will be transported by: Name of Hauler: 3 e t2 1 CA t-L-----9--- Signature of Applicant: Date: _ --1/4---a0A+-5 -? -w \---1 SI, ,I,A.r— i.16.c)- 2-z. A I6 - , ig IV rS2—t ____ , , ._, IA Side- ,c.v , --� a QUALITY CONSTRUCTION 85 Benedict Street West Springfield, MA 01089 413-222-6304 License No. 065065 Registration No. 121479 www.j erzydc. Elizabeth Dobrska 38 Myrtle Street Northampton, MA 01060 Cell: 413-250:9498 Side Porch, Bathroom and Kitchen Renovation Removal existing side porch floor, walls and installation new concrete support columns • Installation new 12" sanno tubes 4' deep and pouring concrete • Repairing exterior brick foundation wall, leveling, and replacing rim board if needed • Framing floor with 2"x4" PT joists and installation1"x6" PT floor boards • Installation 4"x4" posts (TBD by customer), railings , windows , storm door and framing walls for storage space • Installation of T1-11 siding or equivalent on storage area • Repairing or replacement of any loose clapboards on exterior walls if found damaged during demo • Painting of exterior of back porch (NEW) Total $7,500.00 Interior kitchen and bathroom remodeling, plus miscellaneous • Remove all existing sheetrock / plaster from interior walls of bathroom and framing new opening for 30" door • Removal of existing toilet and bathroom shelving • Installation R-15 insulation , new sheetrock , taping the joints and two finish coats of joint compound, sanding ,priming , painting walls and ceiling • Installation new tiles on the floor and walls as requested • Framing and finishing new wall between tub and toilet as suggested by contractor • Installation of medicine cabinet. sink, toilet, and new bathroom door • Removal of kitchen sink and existing sheetrock / plaster/tile in sink area • Framing and finishing of kitchen wall to support new cabinets and separate bathroom from kitchen • Installation new cabinets and countertops in the kitchen with trims and mouldings to match existing 1 • r" f":5,7 L 6XjL. L4 ' aiL'4 `3. • . • .?".§-tir,L.'j •1,,T1 oc.-7,,,h' •,;. • '71IFjif.'f•.-..47 7 LOC) ' 11:717-i 7 ,d' • • pSct.: * • • • ; ,YIj t 0i1J9 • H. •;'-.‘ • •-.(• - ,3-1-1.1'07--41-0.-.0*Ti •• • . ,; • . •'•-•- •••-• • '514F5T.1 '010, tr.44513 ; . . . • Installation of ceiling tiles (NEW) and crown mouldings • Preparation of area for new washer and dryer and install washer& dryer, installing cabinets in laundry room • Removal of old flooring tiles from side pantry and mudroom • Trimming existing doors • Finishing (trim/casing/etc.) door opening from foyer to living room • Increasing height of door opening from foyer to dining room and finishing trim/casing/etc. • Increasing height and width of door opening from kitchen to dining room and finishing trim/casing/etc. • Install threshold between living room and arched passage (to hide uneven floor) • Removing old tiles on top of stairs landing • Removing all construction debris • Replacement of floorboards on front porch • Labor only for all the above, materials will be extra charge Total $18.600.00 Payment schedule: Installment Amount Due upon Down Payment $500.00 Acceptance of proposal 2 $5,000.00 Start of back porch project 3 $5,000.00 Competition of porch and start of bathroom 4 $5,000.00 Kitchen cabinets are installed Final $10,600.00 Completion of project Jerzy Cebula Date 11/17/2021 Customer ignature Date