24A-018 (9) 119 PROSPECT AVE
BP-2007-0246
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24A-018 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0246
Project# JS-2007-000372
Est. Cost: $15740.00
Fee: $70.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Karen Carter 070008
Lot Size(sq. ft.): 11238.48 Owner: WOOLF JASON&KAREN SULLIVAN
Zoning: URB Applicant: Karen Carter
AT: 119 PROSPECT AVE
223 Main __ insurance:
Street (413) 221-7419 ()
LeedsMA01053 ISSUED ON:9/6/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL BATHROOM
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: ACi21 U‘4, House# Foundation:
/ ' Driveway Final:
Final:9'l'f _O(� 41.5fe Final: / J
/�!/�D lO6 Rough Frame: biz- /B
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
0 < nizolD6 1-eat‘
THIS PERMIT MAY BE REVOKED BY THE C OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. //
Certificate of Occupancy P Y Signature: •
FeeType: Date aid: Amount:
Building 9/6/2006 0:00:00 $70.001749
212 Main Street,Phone(413)587-1240, F<ax: (413)587-1272
Building Commissioner-Anthony Palillo
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File#BP-2007-0246
APPLICANT/CONTACT PERSON Karen Carter
ADDRESS/PHONE 223 Main Street Leeds (413)221-7419()
PROPERTY LOCATION 119 PROSPECT AVE
MAP 24A PARCEL 018 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out / ! L D
Fee Paid �``f
Typeof Construction: REMODEL BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 070008
3 sets of Plans/Plot Plan
THE F LOWING 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 ' ion
_ e'/ 4-' -e-,11------- 49/5/90 ,
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.
Department use only
City of Northampton Status of Permit:
R� (� wilding Department Curb Cut/Driveway Permit
L� J L� 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
SFp — 5 pt86 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:I l progeL-€ wn,,� Map Lot .._, _ Unit
,)ova—p
�^� �A (�� � a� Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
3 c, so vL (rvwf:1 l� e.�-� Su C t i v C-tt
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent: `C,` 2
Cam^ Z-- 3 •( L-e�� ,9�C It
Name(Print) Current Mailing A ss:
Signatur Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building O r,a ,LCit, 0 (a)Building Permit Fee
2. Electrical "t (b)Estimated Total Cost of
jib 4cO00 ,(./\7 Construction from(6)
3. Plumbing JD Building Permit Fee
4. Mechanical (HVAC) (/
5. Fire Protection
6. Total=(1 +2+3+4+5) g (S) 7'-1 Check Number /77 91)
This Section For Official Use Only 111
Date
Building Permit Number Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
r
Section 4. ZONING All Informatibtt 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 _.
is E
Frontage —
Setbacks Front
Side L: R: L: I R:i ( I
Rear
r J
Building Height ' _.._._I
Bldg.Square Footage I % i ---i
Open Space Footage % ---
(Lot area minus bldg&paved `; '_, i
parking)
I i
#of Parking Spaces
Fill:
(volume'&Location) '
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:%
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book '! Page and/or Document#I I
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission? •
Needs to be obtained Obtained 0 , Date Issued: I
C. Do any signs exist on the property? YES 0 NO Q
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 0
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 Q
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 n Addition ❑, Replacement Windows Alteration(s) � Roofing n
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [E] Siding[0] Other[0]
/471441; QC 4 '�'�,
Brief Description of Proposed � h 8w f/WY w" K'�d'`� f`�Q l
Work: r e�av� �ex�sfi hl-� � ���aa w�� '� $. � �w
P 4,6t k v�
Alteration of existing bedroom Yes No Adding new bedroom Yes No $'t (
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
ea:t Nevi`-iro tie do adtir6Vto exis nc 3iol iria oWpTetatiaa I6Wi g:
a. Use of building:One Family Cwo 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, ,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, ROAENN ,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.
rint Name
q /5-7 v,6
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES t
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: � "' ry ( b'O d 0 S,
License Number
22� -\4 S. . (5 c-(0 '-
Address Expiration D to
/Vl k O1O c 1) 'ii 3 — 2-24-1 4ff1
Signature Telephone
•ZReister`ed•Home'1m4aveinent:Goetracfns< N la .N Not Applicable ❑
2 (--f
Company Name II Registration-Number 1� 13 ( o
Address t Expiration Date
3-610/v..t ek4 0) ?A"4---- Telephone 2-4)I — )'-f I
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 0 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
,
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�yE Cris ofNarf17 11ipton !t
At i+l E g7casnc noclfs- =�
I ems' DEPARTMEIJT OP DUILDrIG INSPECTION'S 41
212 Main Street ' Municipal Building
• Northampton, Mass. 01060 •r
WORKER'S CO NIT ENS ATIO.N OBISTJRAN(..k. AFFIDAVIT
•
(liccns-X/pcmittec)
with a principal place of business/residence zt: -
.44 A Oi O S"-3 (phone ) N l; - L2 c- (4 9
(s Jc yIstatrlap)
do hereby certify, under thc.pains and penalties of perjury, that
( ) I am an employer providing the following'worker's compensation coverage for my
employees worng on this job:
•
•
•
(L^suriac Conp;...av) (Policy Nurter) (.=:-piruoo Dai)
( ) I am a sole proprietor, general conrrac-tor or homeowner (ci cie one) and have hired
the contractors listed below who have the following worker's comnen_sadon pe>�cies:
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(Name of Conn c or) (In uranc;; Comp nyfPoLici Nu.n±C) (r':piruuo Duc)
(Name of Coop-actor) (Insu anc_ company/Policy `umcrr) (1=4iriion Date)
•
•
•
(Name of Connaaor) (t>Znlran Compare}•/policy Nurnkr) (E.xpirden Date)
•
(Name of Contractor) (Instrancz Company/Policy Numtr) (Expiration Date).
(ansC11 .�.001I S_SoC.tf acec+_ry to=cluck inforLRLloo pcu•ictias to..1.1 etc—tors)
( I arr-1 a sole proprietor and have no one wort ng for me.
( ) I am.a home owner performing all the work myself.
NOTE_ptese be aorare +1 1e hoax:Q..om u-ba coley pc-tom to da -+ r cs;r-sop a rgau work on. of
not now=tb=tso'_t=i'u in t•Jaidi the bomoowoc raid=or cc III.crow:Ida swu,-tea_=tbecu c_z not Cr-11y weld.--oi to be
=ploy=unG=the wcrkez _., Act(GU 52-a 1(5)),:topliaioo by.bomcoaae fc s tic_oc pcmrt tr_y evideocr the
1c1 -=.c of ca Mayor uote..er to Woc orh Coocar;oa A .
I uaac o,.od rb.e a copy of tat.air®cest m„y bo r«-,.ard.a to tb0 Dopartmost of1n.duzr;a Accidcali OZoe orlocm..000 for tt,.
covc-, c vcirc=tioa and ttts Lilac to spa re to'vr a„nAr•union 23 A of MOL 152 can 1=4 to the i ritioa of claims(pc vltia
cocci;ag of a floc of up to S 1 500.00.:for of up to ooc yr r rod dvi)prn.lua io form of a Stop wort Ord=sod
fig of S 100.00 s dsy tgp.iao ox
For only
PcTtnit�t Number
Map:—_ Lot
Stt aLure of Lit /Pcrrnitt,— C13 I A
c F2 o4' _
, it of 'artljampta •� =—_�• . `� _ zI
;..„1„,..4,,,,
4
AR a ssacliusetts '_ —
'�"c.`�}'� DEPARTMENT OF BUILDING INSPECTIONS ^4 =g— —
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060 `
e
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 t egulations. 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, 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
,-
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Karen Carter ''j l SEP - 5 2006 1J
MA CS LIC. #070008
HIC #124718 L
223 Main Street DEFT OF E''l uI 'G INSP01060 S
01060
Leeds, Massachusetts 01053
(413) 586-8733
CONSTRUCTION AGREEMENT
This agreement is between Karen Carter, a State Licensed Construction Supervisor and Home
Improvement Registrant, herein referred to as "Contractor"; and Jason Woolf and Karen
Sullivan herein referred to as "Owner".
IN CONSIDERATION of the promises as stated below, it is mutually agreed as follows:
• Contractor promises to furnish the necessary labor and materials, including tools, required to
complete work in a timely and quality manner at 119 Prospect Ave. Northampton, MA
01060 for owner as outlined in the attachment one, Scope of Work, which owner and
contractor understand and include as part of this agreement, subject to the Conditions,
attachment two.
• Owner promises to pay to Contractor in consideration for performance of the work as
outlined in the Scope of Work, attachment one as follows:
• Total cost: $15,740.00
• Payment 1: due upon signing of contract: $5246.00
• Payment 2: upon completion of rough inspections $5247.00
• Payment 3: upon final inspections $5247.00
• Performance: the work will be performed by Contractor persuant to the Agreement and shall
be substantially commenced on or before: September 6. 2006 , and will be substantially
completed on or before: October 15,2006.
• Requirements: all home improvement contractors and subcontractors shall be registered with
the Massachusetts residential contractor's guaranty fund. (The residential contractor's
guaranty fund is a State fund out of which an owner aggrieved by a registrant(s) may be paid
part of all of their damages under rules and regulations promulgated by the secretary of the
Massachusetts Office of Consumer Affairs and Business Regulations.)
• Any inquiries about a contractor or any subcontractors relating to a registration should be
directed to:
Director
Home Improvement Contractor Program
One Ashburton Place, Room 1301
Boston, MA 02108
(617) 727-8598
• Permits: Necessary building and sub-trade permits will be secured and in place as required;
contractor shall secure permits as the agent of the owner. Owners who secure their own
construction related permits or deal with unregistered contractors will be excluded from the
guaranty fund provisions of MGL c. 142A.
• Cancellation: Under Massachusetts General Laws (MGL), the owner has a legal right to
cancel this contract if so desired, without penalty or obligation within a period of 3 business
days after signing and to reclaim any deposit made at signing.
• No work shall commence prior to the signing of the Construction Agreement and transmittal
to the Owner of a copy of such Agreement.
•
• The owner agrees that the foregoing terms, specifications and conditions are satisfactory and
are hereby agreed to. Authorization is given to do the work as specified and payment will be
made as outlined above. The owner, upon signing this Agreement represents and warrants
that she/he is the owner of the aforesaid premises and that she/he has read and agreed with
this contract.
DO NOT S N THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
/-1-ICEContractor DateVS/
r
Owner Date
S. • U U
wner Date
Scope of work and specifications are based on, but not limited to, architectural
plans and drawings, discussions between client and contractor, product
manufacturer's information, subcontractor input.
Attachment One: Scope of Work
Fixed Cost Work
• Obtain building permits and schedule inspections
• Mtgs with sub-contractors and customer as work progresses
• Demo: existing bathroom walls remove casing to save if possible; removal of debris
• Install new Drywall @ ceilings and walls after plumbing and electrical rough
• Install tile backer where new tile to go
• Install new tile @ floor and tub
• Re-install existing trim if re-usable otherwise install new trim
Allowance work:
• Allowance pricing is based on projected reasonable costs, however,actual costs will vary some
what. Variations from the projected allowance costs will appear as credits or additions to the
final payment amount.Electrical and plumbing allowances include projections for fixtures.Tile
work includes cost of substrates and tiles.
Fixed Costs (labor and materials)
• General Construction Costs
• Demo and Hauling
• Installation of medicine cabinet
• Installation of new shower door @ existing
shower
• Finish carpentry (trim and any built-ins)
Total fixed costs 5700.00
20% profit
overhead 1140.00
Total fixed with 20% mark-up 6840.00
Allowances
Prime and Paint 700.00
Plumbing: labor and fixtures 1500.00
Electical: labor/fixtures 1000.00
Insulation 200.00
Drywall and Tiling allowance 5500.00
Total Allowances 8900.00
Total Job Costs 15,740.00
Attachment Two:
CONDITIONS
Arbitration
The contractor and the homeowner hereby mutually agree in advance that in the event the
contractor has a dispute concerning this contract, the Contractor may submit such a dispute to a
private arbitration service which has been approved by the Secretary of the Executive Office of
Consumer Affairs and Business Regulations and the Consumer shall be required to submit to
such arbitration as provided in MGL c. 142A.
Karen E. Carter
Contractor
Owner
(NOTE: The signatures of the Parties above apply only to the agreement of Parties to
alternative dispute settlement initiated by the Contractor. The Owner may initiate
alternative dispute resolution even where this section is not separately signed by the
Parties.)
Changes in the work
During the progress of construction the Owner may order extra work without invalidating this
agreement. Any extra work must be first authorized by the Owner. The estimated amount for
such extra work shall be determined by the contractor and agreed upon by all parties in advance,
if possible. Any extra work will be done on a time and materials basis at an hourly rate of forty
dollars ($40.00) an hour.
Requirements of public bodies
Any changes, alteration, additions to, or deletions of any drawings or specifications which may be
required by any public body, utility, or inspector shall constitute a change in the work and shall be
paid for in the same manner as any other change in the work.
Existing out-of-plumb and out-of-level conditions
Unless otherwise agreed, the contractor is not responsible for correcting existing out-of plumb
and out-of-level conditions in existing structure.
Matching existing finishes
The Contractor calls the attention of the Owner to the limitations of matching finish surfaces.
Although the contractor will make every effort to match existing textures, colors and planes, exact
duplication is not promised.
Termites and Rot
The Contractor shall not be obligated to perform any work or correct damage caused by termites
or rot, unless otherwise specified herein.