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24A-006 (8) BP-2008-0054 35 TERRACE LANE COMMONWEALTH OF MASSACHUSETT Gls#: S CITY OF NORTHAMPTON Map:Block: 24A-006 Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Category: Permit# BP-2008-0054 Project# JS-2008-000080 Est. Cost: $33000.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Harlow Builders 052460 Lot Size(sq. ft.): 17859.60 Owner: GRYGORCEWICZ MICHAEL&MEGAN Zoning: MLR Applicant: Harlow Builders :'r ' T iz r,%7Z A 1 ! A�._q= -Applicant Address: Phone: Insurance:(413) 586-0465 336 COLES MEADOW RD Workers Compensation NORTHAMPTONMA01060 ISSUED ON:7/19/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN & BATHROOM & ENLARGE DOORWAY POST THIS CARD SO IT IS VISIBLE FROM THE STREET BuildingInspector Inspector of Plumbing Inspector of Wiring D.P.W. p Underground: Service: Meter: Footings: ' Rou h: -67�� � f Rough House# Foundation: g Driveway Final: Final: �l-0% /�(,�,Final:iet.'3/-c-7 R.(f ' 1 Rough Frame:Q k 52.v/)71' 07.4, Gas: Fire Department Fireplace/Chimney: Insulation: Rough: Oil: Final: Smoke: Final: OK //-G•O 7 14z, THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL TION . Certificate of Occupancy Si mature: FeeTvpe: Date Pai : Amount: Building 7/19/2007 0:00:00 $120.008679 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2008-0054 APPLICANT/CONTACT PERSON Harlow Builders ADDRESS/PHONE 336 COLES MEADOW RD NORTHAMPTON (413) 586-0465 PROPERTY LOCATION 35 TERRACE LANE MAP 24A PARCEL 006 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out X l Fee Paid i a0- Typeof Construction: REMODEL KITCHEN&BATHROOM&ENLARGE DOORWAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052460 3 sets of Plans/Plot Plan THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 Commi ' n e,... ---- Signature of Building Offici 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. d - ' Department use only City of.Northampton Status of Permit: r L I % , in-1 M B i g Department Curb Cut/Driveway Permit �' ' �� 'CIA U t7i I 1 ',Main Street Sewer/SepticAvailabi(ity L� , oom 100 Water/Well Availability -y� - ' I,J'' ton, MA 01060 Two Sets of Structural Plans • V to Ant 3 -1240 Fax 413 587-1272 Plot/Site Plans Other Specify APIi' .1L NT 1i: CT TER, 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: 35 -1-----e_vc'0.cs._ 1_1) • Map Lot Unit , -o. • Ac \ � , c /d {o D Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: I awe ,1 0s6, \� ,, q,,,�c'G,l, ,, tZ 3 S Te-cv u C� Li), Name(Print) Current Mailing Address: Li(3` 5 v D— O 1 % I v Telephone ` ) O Signature 2.2 Authorized Agent: 3 C4 (:),,--Q Name(Print) Current Mailing Address: - <--%/:41:1-/ ((-1( S---. ?'C --"(:)(/(66--- Signe ure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building a / i' ®® (a)Building Permit Fee 2. Electrical , (b)Estimated Total Cost of y p4Z) Construction from(6) i 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) (3- 0scs. Check Number Ai 7 9v ao This Section For Official Use Only Date Building Permit Number: Issued: Signature: 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 ! f Side L: R L. R: Rear t Building Height I Bldg. Square Footage ( I Open Space Footage % (Lot area minus bldg&paved �I { parking) \\ / ' ff ofPark^'..,,Spaces \ L_._- rt va a.b vru..w ._ Fill: — --- ---- — (volume&Location) A. Has a Special Permit/Variance/Finding ever been is ed for/on the site? -- NO 0 DONT KNOW 0 \, ES 0 IF YES, date issued:; IF YES: Was the permit recorded at the Registry • Deeds? NO 0 DONT KNOW 0 / YES IF YES: enter Book / Page _ and/or Document# i B. Does the site contain a brook, body of wat or wetlands? NO, Q DONT KNOW O YES O IF YES, has a permit been or need to b obtained from the Conservation Commission? ' Needs to be obtained 0 Obtained ® Date Issued: C. Do any signs exist on the property? ES © NO 0 IF YES, describe size, type and I�bcation: l i D. Are there any proposed changes/to or additions of signs intended for the pr \perty? YES O NO O IF YES, describe size, type a,nd location: , E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or' it part of a common plan that will disturb over 1 acre?/YES J NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. e - - SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [ED] Decks [C] Siding [CO Other[0] Brief Description of Proposed (> + ,�l Work: �i�l1E' � G�� 0.NG> t,G\\�1 CSd E ()lo.0 ^2� ©4�Llo. Alteration of existing -,e�room Yes .7 No - Adding new bedroom Yes V No Attached Narrative ,� Renovating unfinished basement Yes V- No Plans Attached Roll -Sheet 7— sa If New-house-'and oradditionto existing`-housing:;complete the:fottowinq: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: i j Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. C� 12. Dimensions e. Number of stories? S .XM�. f. Method of heating? SC\.V`e Q. Fireplaces or Woodstoves I Number of each g. Energy Conservation Compliance. • Masscheck Energy Compliance form attached? OP h. Type of construction Cb.1-4� i. Is construction within 100 ft.of wetlands? Yes 7--No. Is construction wittjin 100 yr. fluuciplain --- Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? v Yes No.. I. Septic Tank _ City Sewer Private well City water Supply V SECTION 7a-OWNER.AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT i,\ M eq tr av, F. l r o(,P(AJi(l , as Owner of the subject property �/ hereby authorize SO-Off Frt r IOW to act on my behalf, in all matters relative to work authorized by this building permit application. 7 f I/0'1 Signature of 21 ner di , Date I, Sc.J� t)w QA .CCo V�u\\flS ,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. Print Name Signature of Own r gent Date ' - SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: (\C� Not Applicable ❑V/ • Name of License Holder: c_01V- \\c 11 0k--, ‘\%\.--> \l3bk..-C43 License N mber 33 C, c�!�� rReci, y ost Address Expiration Date ) 416'0 Signs ure Telephone = . 9.:Registere il'Home_Irriproveinent Contractor::-�; ,�"brr ;;,;,�;�,; � . � Not Applicable 0 c\ % Company Name Registratio Num er (Z osc Address r�(( Expiration Date Telephone )1 9- Sad So 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 0 11.. Home Qwvner.EXeMptio 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. - i Homeowner Signature J v The Commonwealth of Massachusetts �, Department of Industrial Accidents 1 I, Office of Investigations 0 600 Washington Street Boston,MA 02111 _°° www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): S g �WO ¢ '�5 � \\ 0� `,,V� c QS`S Ca Address: 3�G C stA 4?_..3 `Mekszl..:..> �1- d�y. Vn 1 , 0\c(c) City/State/Zip: \N�Q\ Phone.#: ('I..' cs‘(l, O(1 Are an employer?Check the appropriate box: Type of project(required): 1. I am a employer with `3 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. co*^^ °ur t insurance --� ' �-- required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1111 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] -"-`"tray applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I.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: INcs qc:A�'`Z E My\Cv c)Su..oz),('\c,Q, GK2), Policy#or Self-ins. Lic. #: L.J CS`, t iza 3 'D�a'ol i a o0 y' Expiration Date: g j- y 107 Job Site Address: 3 Te Cc-faC12. vR__, City/State/Zip: rNA ►ten WAr �bi , Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that 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 the pai s and enalties of per' ry that the information provided abov is ttrrt 1� � �e and correct. t Signature: Date: � Phone#: - 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �� �� Li of Northampfort • 7 $�vivo.ti��IAt 1 assachusetts �� t_ ' } =" DEPARTMENT OF BUILDING INSPECTIONS ., /-, e INSPECTOR 212 Main Street • Municipal Building _ O V s, Northampton, MA 01060 . ,r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup::: , sor. 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 backfill), 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 the homeowner hires other trades to perform work (electrical, plumbing& gas) the 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, S cob e>,C'\b ) 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 c7()/. .1O"--) Address of work ,--- rs � k\o a1 location 3 S — “- �, 1�1 PROPOSAL Harlow Builders 336 Coles Meadow Rd. Northampton, Ma. 01060 (413) 586-0465 Submitted to: 11/1/99 Michael and Megan Grygorcewicz (413)582-0181 35 Terrace Ln. Northampton, Ma. 01060 Page 1 of 3 We hereby submit specifications and estimates for the renovation of a first floor Kitchen, bathroom and hallway. All materials and labor to complete. All permits obtained by Harlow Builders. All debris caused by construction removed by Harlow Builders. See attached drawings for details on framing and placement of fixtures. Demolition: Kitchen: Remove existing kitchen cabinets and counter tops. Remove existing base and case. Remove existing exhaust fan and patch-in. Remove vinyl flooring and underlayment down to sub-floor. Remove existing door slab. Remove existing exhaust fan. Hallway: Remove partial finish and framing to enlarge doorway. Bathroom: Remove existing tub, toilet and sink. Remove window casing, stops and sill. Remove all ceiling and wall finishes to framing. Remove existing hallway closet. Remove existing vinyl flooring and underlayment down to sub-floor. Framing: Frame in existing hall closet doorway. Frame new opening into dining room area. All necessary framing as per plans for a complete job. Electrical: Kitchen: ($3,500 Allowance) Disconnect & reconnect all existing wiring and re-feed as needed. Using existing 200 amp electrical service. Install (1) dishwasher circuit (1) microwave hood circuit (1) garbage disposal electrical hook-up (2) GFI outlets (6) outlets (2) Recess with switches. Bath:($1,000 Allowance) (1) Fan lite combination. (1) Vanity light with switch. (1) GFI. (Owner to supply decorative fixtures. Harlow Builders Page 2 of 3 Plumbing : ($4,500 Allowance) Includes: Disconnecting and removal of existing plumbing fixtures. Re-plumbing as needed to install a new bathtub, toilet, vanity faucet, dishwasher and kitchen sink. Fixtures and faucets listed below, plumbing permit and labor. (1)Kohler#K3423 1.6 gallon toilets w/seats. (1)Aker TO-60, 5' Tub only W/Symmons#S-96-2 valve. Fiberglass white tub surround kit. (1) Delta #2530 lavatory faucet (1) Elkay# CR332 33"x 22"DBL. Bowl stainless sink. ($250 Allowance) (1)Delta 400 single lever kitchen faucet with spray. (1) In sink aerator Badger 5, 1/2 H.P. disposal. Add $95.00 for water to refrigerator for icemaker. Heating : Bathroom: Re-locate cast-iron baseboard heat from beneath the existing window area to a new location. All required piping as needed. Hallway: Eliminate cast-iron baseboard heat. Insulation: Bathroom exterior wall will have 4" fiber glass insulation (R-13) installed with a poly vapor barrier. We will install fiber glass insulation around window unit. Sheetrock: 1/2"moisture resistant board applied to bathroom walls and ceiling. Fastened with 1"1/4 screws, taped, coated (3)applications,sanded to a paint ready surface. Kitchen area and hallway to be patched and skim coated as needed and sanded to a paint ready finish. Painting : Kitchen, bathroom and Hallway walls and ceilings to be painted with (1) coat primer and (2) coats finish. All trim to be painted with (1) coat primer and (2) coats finish. Kitchen Cabinets : ($7,500.00 Material Allowance) Diamon Kitchen cabinets with maple wood with Windom door style and wheat finish. Upper cabinets to have a crown molding installed. Countertops : ($5,200.00 Material Allowance) Solid suface corian countertops installed to kitchen area. (Choice of color by owner) Vanity Cabinets: ($950.00 Material Allowance) Diamon cabinets with maple wood with Windom door style and wheat finish.. (1)30"Vanity cabinet with two doors. (1) 18"tall linen closet cabinet. Vanity Toy: ($350,00 Material Allowance) Cultured Marble top and bowl. Harlow Builders Page 3 of 3 Interior Door: ($350.00 Allowance) Install (1) Morgan wood door slab only to kitchen/carport area. Interior trim : Base and case to match existing. Bathroom window to be trimmed out with vinyl material. Flooring: ($2,080.00 Allowance) Underlayment: We will add 5/8" ulc plywood underlayment to bathroom and kitchen area. We will install vinyl sheet goods to the kitchen and bathroom area's. (color by owner) We will patch-in oak flooring to the hallway area where needed, sand and urethane. Appliances: We will install owner supplied appliances to the kitchen area. Stove, Refrigerator, Dishwasher and microwave hood vented. Bathroom fixtures: We will install owner supplied towel bar, toilet paper holder and mirror to the bathroom area. We propose to furnish the material and labor necessary for the completion of the above stated work for the sum of: Thirty Five Thousand Five Hundred & Twenty Three Dollars $37,938.00 Payment as follows: $10,000.00 Upon start (Demolition),$10,000.00 upon rough inspections, $10,000.00 upon finish paint and $7,938.00 upon completion of contract. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra cost will be executed only upon written orders in the form of a change order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes accidents or delays beyond our control . Owner to carry fire tornado and other necessary insurance. A certificate of workman's comp. insurance, liability insurance, license and registration will be presented upon signing. Respectfully Submitted by_ G✓of Harlow Builders . ACCEPTANCE OF PROPOSAL I accept the above stated prices , specifications and conditions . You are hereby authorized to do the work as specified . Payment will be made as outlined . n � Date 111 b 10'1 Signature Q -w1 uit pi6 _ Signature Qi 0 0 Dw uP 13'-9" 0 M Bath � ® _ o _ V � e Kitchen �-- Hall G.IND ---� (2) 9. 5 microlambs' Enlarge Doorway . CL i Il u a r. 3068 jj Living room MEM �� Kitchen NMI [..1 OO I o o [ LI \l- lao Hall ( - .ezewav LI T Bedroom 2 Dining room I / 1 Car Garage \ 12'-4"x 13'-5" Li 11'-3"x 13'-5" CL Add Remove window > Windows CL Bedroom 3 0 0 CL Remove window Demo closet area 3k3' /Add new doorway -- =Is '� II 2868i, quo Closet ` 7'-5'k 6' 6'x 6>- �-' / 12668 u 2668 t 7. Master Bedroom 15'-2"x17'-10" Li Cathedrial EXISITING FLOOR PLAN 18'-10" ` 3068 I I I n r _. --/__. DW in i �--uP— ^O v po 13'-9" Bath O c Living room _ _ :a-- c I V L Kitchen Hall � (2)9.5 microlambsf Enlarge Doorway Breezeway A h 1 Car Garage Bedroom 2 CL Dining room 17-4"x 13'-5" Add 1 V-3"x 13'-5" Remove window Windows CL Bedroom 3 ° ° —_r CL II Ill .1Remove window Demo closet area 356. v Add new doorway >17 K____1_12868 Bath Closet 7'-5"x 6' 6'x 6'„3 1 �2668 Master Bedroom - 5'-2"x1 T-10" PROPOSED FLOOR PLAN