17A-188 (2) I
Respectfully Submitted by : � %_i 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. Paymen I be made as outlined.
Date 1 A Il k Signature I
Signature
Exterior painting:
Paint siding and trim with 1 coat primer and 2 coats of exterior finish paint. (Color to match existing)
Paint(2) exterior door slabs with (2) coats of exterior finish paint. (Color by Owner)
Paint (2) exterior door jambs with (2) coats of exterior finish paint. (Color by Owner)
INTERIOR
Electrical: ($250 Material ,Labor& Permit Allowance)
Disconnect existing center light and install a new light fixture.Add 1 outlet to the house wall.
Insulation:
We will add R-13 Fiberglass insulation to the existing wall cavities and spray foam the joints.
We will install R-38 Fiberglass insulation to the ceiling area.
Sheetrock:
1/2"gypsum board applied to walls and ceiling,fastened with 1 1/4" screws,taped, coated (3) applications
and sanded to a paint ready surface.
Interior trim:
Window sills to be 1x4 pine.
Door and window casing to be#B8730 clam case, clear pine.
Baseboard to be#B8720 clam base, clear pine.
Crown molding to be 3 5/8" #B8009 primed and fingered jointed pine.
Interior Painting:
All new walls and ceilings to be painted(1) coat primer, (2) coats finish.
All interior doors and trim to be painted with (1)coat primer,(2) coats finish.
Flooring wood:
Install Eco silent sound HD pad and 3/8" thick pre-engineered hardwood flooring on top of the existing
porch concrete slab.
We propose to furnish the material and labor necessary for the completion of the above stated work for
the sum of:
Fifteen Thousand, Four Hundred& Three Dollars. $15,403.00
Payment as follows:
$5,000 upon Start of Demolition.
$5,000 upon completion of the exterior,
$5,403 upon completion of the project.
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. Our rates are $35 per hr. and 15% on the material.
All agreements contingent upon strikes, accidents or delays beyond our control.
Owner to carry fire tornado and other necessary insurance.
Our workers are covered with workman's compensation insurance.
Certificate of liability insurance will be sent to the above address upon request.
PROPOSAL
Harlow Builders
336 Coles Meadow Rd.
Northampton,Ma 01060
(413) 586-0465
Submitted to: H-(413) 727-3113
Ross & Erica Bell C- (413)210-6505
21 Kimball St.
Florence,Ma,01062 Page 1 of 3 November 7,2013
The scope of this project is to Renovate a 98 SQ. Ft. porch,
We hereby submit specifications and estimates for the work to be performed.
All materials and labor to complete the project. All permits obtained by Harlow Builders.
All debris caused by construction removed by Harlow Builders.
Owner's responsibility:
Remove the contents from the porch area.
Demolition:
Remove the existing exterior handi-cap ramp and railings.
Remove the existing awning style windows, two porch doors, interior finishes and the carpet flooring.
Remove the siding and trim from the bottom of the porch up to the soffit.
Remove partial gutter and rotted roof trim facia. Remove(1) existing basement window and frame.
Exterior Steps:
We will build a set of steps from the ground to the deck. (material to match the existing deck.)
Framing:
We will add or remove partial exterior wall framing,as needed to do our work.
We will frame(1)window opening using pressure treated lumber to the existing basement window area.
Proposal doest not include replacing and rotting wood.
Windows: Install Paradigm vinyl windows,with /2 screens,to the existing window openings.
White vinyl windows with low E and argon filled glass.
(1)2463 double hung,tempered glass. (1) 1263 fixed casement tempered glass. (5)3663 double hung's.
Install (1)white vinyl Awning window to the existing basement window opening.
Exterior Doors:
(1)3068 Therma Tru Full light fiberglass door unit with 4 9/16"jambs with low E glass.
(1)2868 Roycroft copper red,Therma Tru 1/2 light fiberglass door unit with Ellin d -glass.
Hardware: Install(2) new shlage entry knobs,keyed alike,to the(2) new entry doors, Plymouth style,
with brass finish.
Exterior Trim:
We will trim out the exterior of the porch,windows, doors and corners using in 5/4" pine material.
Siding:
Install 6" cedar clapboards siding,to three sides of the porch.
Gutters:
We will replace the existing aluminum gutter and downspouts with new aluminum gutters and spouts.
City of Northampton
Massachusetts eN
DEPARTMENT OF BUILDING INSPECTIONS , l`
212 Main Street • Municipal Building vj•
Northampton, MA 01060 ,rs�W71!
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. 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, 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
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 0 600 Washington Street
i -4l6,1,4=r Boston, MA 02111
' _�,;,_o''- www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): \ -VY< W2k,\c. `14...:^3'
Address: 'S-"'S c__,-.3k e s Vim.... RVk\ * ,- AC
City/State/Zip: Phone #: j — �;�--
\A,ree you an employer? Check the appropriate box: Type of project(required):
1I I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners 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: :7'.oC.) ,---, • O' • r fi k. L '( -
Policy#or Self-ins. Lic.#:W tQ.S-00 ,3 a& 1 ,1-_- ct Expiration Date: 9 i
Job Site Address: Q) /�.rn��� �J4' `A'�CJ\ R. W(\- City/State/Zip: ' ■,\'1(c)c).\
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 p nalties ff.;erju / at the information provided above is e and correct.
Date:
Signature: `
4.77 1
Phone#: '/ .56‘',C7,
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#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable £
''c 4(op
Name of License Holder: J C;.c `\ G
License Number
(0.- '.L\A\4CV-\ —7 Pc
Address Expiration Date
7 4 (3)
Signature Telephone
'9.Registered-Home Improvement Contractor _„ ,,,. '_ ,,,_ Not Applicable £
Company Name Registration N mber
�� ��,�� \\cs444Q 41 I( )
Address Expiration Date
Telephone 1 S'c d4
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 £
11: -.Home Owner Exemption
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.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacem Windows Alteration(s) n Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition New Signs [D] Decks [E] Siding ] Other[D]
Brief Description of Propose '�
Work: c\av � >X1�\l>1\U -IN (y C'G4
existing bedroom Yes J No Ad?ng new bedroom Yes 7.-'No Alteration of e g
Attached Narrative ye.-.5 Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
-0.a,.if New=house.and:or addition to xistinq,house isti:iom6Tete the following::
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: — Number of Bathrooms SC?,`,4■ -'
c. Is there a garage attached? y
d. Proposed Square footage of new construction. cO-t� 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 N4, No. Is construction within 100 yr. floodplain Yes X 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 '`j 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
SC.C, \CVN.C.V■`,--D ‘i .Pi \NC\,(� ‘\,v \tUI 10� ,as Owner/Authorized
9 hereby Agent hereb declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed in�and penalties of perjury.
cw b°w
Print Name
— - � ,� ��
Signatu�re of Owner/Agent 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 1 1 1 .3-_4 •
Frontage 1 ___...I 1 .—. _ 1 1__.._._ ___.__._.__._._J
Setbacks Front L 1 1 %t
Side L:t t R:f , I L: /' R:= 1 1 1 1
Rear �___ ',l /� a
f „
Building Height 1-1 `. r—_]
Bldg.Square Footage 1----1 "'--j % 1=' - 1 .
Open Space Footage % \��
(Lot area minus bldg&paved L_1 1_,�.J i
parking)
#of Parking Spaces 1 1 `.
Fill: I I •
(volume&Location) i i I
A. Has a Special. Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES Q
IF YES, date issued:, 7
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW Q YES 0
IF YES: enter Book ( — Pagel .nd/or Document#1 s
B. Does the site contain a brook, body,of water or wetlands? NO ` DONT KNOW Q YES Q
IF YES, has a permit been or need to'be obtained from t'- Conservation Commission?
Needs to be obtained Q Obtained • , Date Issued: 1
C. Do any signs exist on the property? YES 0 \ NO Q
IF YES, describe size, type and locatio . 1 I
D. Are there any proposed changes t. •r additions of signs inte'ted for the property? YES Q NO 0
IF YES, describe size, typ- =nd location: 1 \\
E. Will the construction activity disturb(clearing, grading, excavation, or filling)ov 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO 0 �N
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
•
•
% •
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- 4 n I, , - 212 Main Street
-1 orthampton, MA 01060
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APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
rDnE-1,C.,:p Fn.:L ' phrone
-'' cdi°1's 3 587-1240 Fax 413-587-1272 Eldift$Wideltigwomoriv4:"ei,:mvitioessommirues-R62
SECTION 1 -SITE INFORMATION • :.:..... :
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SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT: • --•
•2.1 Owner of Record:
s Cg.. 6: i'l Ck.k.- . C6tcr"-k\ Qi IC; rb .. 1
---,
rl
Name(Print) Current Mailing Address:
Telephone
gnature
2.2 Authorized Agent:
1
S'c..sz \A c3at':\f '-,,) -3-31::, C-5 .1 %`/■F7' "„'"6:: Z_). qS6 -Iv•k _
\-\ R
Name(Print) Current Mailing Address:
: l,, .
7:cr- '', 41(‘-) I-4 13--S--e -'7 —
Signature ' 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
2. Electrical (b) Ettirnated Total Cost of
. ..
Construction from(6) ,
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection S ,
6. Total=(1 +2+3+4+5) /3:Azz,,,, ,... Check Number . \\-1)
• . This Section For Official Use Only • • .
• -
• , ., Date . .
Building Permit Number: • • . Issued: •
Signature: . • . •
Building ComMisSioner/InspectorbfBuildings '- •Date•
..-•,,,-
•
•
File#BP-2014-0701
APPLICANT/CONTACT PERSON HARLOW BUILDERS
ADDRESS/PHONE 336 COLES MEADOW RD NORTHAMPTON (413)586-0465
PROPERTY LOCATION 21 KIMBALL ST
MAP 17A PARCEL 188 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out ii7te 0 2�j
Fee Paid ��JJ
Typeof Construction: RENOVATE 7 X 14 ENCLOSED PORCH(SAME FOOTPRINT)
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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 Commission Permit DPW Storm Water Management
•'million Delay
/i
Signature of Building 0 ficial 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.
21 KIMBALL ST BP-2014-0701
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A- 188 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2014-0701
Project# JS-2014-001192
Est. Cost: $13000.00
Fee: $78.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: HARLOW BUILDERS 052460
Lot Size(sq. ft.): 14810.40 Owner: MCGRATH NANCY&MARGARET TACY C/O ROSS J BELL
Zoning:URB(100)/ Applicant: HARLOW BUILDERS
AT: 21 KIMBALL ST
Applicant Address: Phone: Insurance:
336 COLES MEADOW RD (413) 586-0465 Workers
Compensation
NORTHAMPTONMA01060 ISSUED ON:12/9/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATE 7 X 14 ENCLOSED PORCH (SAME
FOOTPRINT)
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 12/9/2013 0:00:00 $78.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner