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Since 1965 MA/CT/RI Licensed and Insured-www.sederandson.com-Toll-Free(888)594-0066-Direct(860)989-9385-Fax(860)271-8112 Job Name: ARTIST STUDIO Job Number: 20090601-FOU1 Customer Information: Company Name: Estimate First Name: STEVE FOUNDS Quote Date: Monday, June 01, 2009 Address: 15 FAIR STREET- REAR City: NORTHAMPT MA Estimated Start Date: Estimated Completion Date: Phone Number: 413-441-5980 08-Jun-09 10-Jun-09 Projects for this Job Project Name Notes PHASE ONE INCLUDES PERMITS/INSPECTIONS/PLANS AS NEEDED Project Tasks Qty Work To Be Performed Price Extended 1 Fix up the exterior,move exterior door and frame interior walls $2,416.00 $2,416.00 Repair eves and close in gaps in the siding(spray for wasps first) Demo interior sheetrock and remove debris from ceiling Move exterior door to North wall(where old garage door is now) Build make-shift door with plywood on 2'x2'frame with a couple of hinges to replace East-facing old entry doorway Build archway between rooms South to North along interior wall to include 1 st window framing Frame off old opening between rooms.Frame toilet/sink walls parallel to the interior wall-include the electrical panel and plumbing access hole.Frame Main interior room for sheetrock,slider and windows Cover archway and slider frame with plywood until doors located Clean area of job related debris-secure before and after digital photos for homeowner-transmit photos when complete for verification - as needed Payment Schedule Gross Total: $2,416.00 Discount%: % Payment Notes: 1/2 DEPOSIT Total: $27416.00 11/2 UPON COMPLETION Half-way Completion Definition: Monday,June 01, 2009 Page 1 of 2 Property Owner/Agent: Contractor: _2009_000.1883 Bk:9881 Pg:20 Page: 1 of 1 1?E&MCT yE COVENANT: Recorded: 07/06/2009 12:25 PM KNOW ALL MEN BY THESE PRESENTS That James Steven Founds and Sandra A. Founds owner(s)of the real estate at 15 Fair St. Northampton,MA 01060,more particularly shown as: Parcel-No:4633 Deed Date: 02/13/2004 Book/Volume/Page : 07685/286 Description: Beginning at the Northwesterly corner of the tract hereby conveyed on the Southerly side of Fair Street,the same being the Northeasterly corner of land now or formerly of one Jasinski,said point being two hundred fifty(250)feet,more or less, Easterly from the intersection of Bridge Street and said Fair Street,and thence EASTERLY—on said Fair Street forty-seven(47)feet,more or less,Easterly to land now of formerly of John Paczka,alias,et ux:thence SOUTHERLY--along land now or formerly of said John Paczka,alia,et ux one hundred eighty(180)feet,more or less,to land now or formerly of one Borowski:thence WESTERLY--along land now or formerly of said Borowski forty-seven(47)feet,more or less,to land now or formerly of said Jasinski;thence NORTHERLY—along land now or formerly of said Jasinski one hundred eighty(180) feet,more or less,to the goizit of beginning. hereby Covenant and Agree that "The accessory structure at 15 Fair St.Northampton,MA 01060 will be used as storage, a workshop or studio. It will not be used as a dwelling unit or sleeping space without first obtaining a special permit from the Zoning Board of Appeals." a sealed instrumen this June 26,2009. i�J `'C' n J�LI L Executed as yo COMMONWEALTH OF PENNSYLVANIA r Notarial Seal �ames teven Founds oiamJ.Parks,Notary Public McCandless Twp.,Ar eghe P 2cotxaroos My C.ortKdssion Fees�8. Membef,fennsylvanie Association N Ntltar" Founds ;ommonwealth of Pennsylvania) �`q ` e Sandra A County of Allegheny )SS: On this � day of .Tu 120 0� personally appeared before me, a Notary Public TgME( S/E✓c'd �v.vcPS°t SiO cx(.2 9 �ov,• ,p set his/her hand and his/her seal to this instrument. .,,l 'TTEST: FIP� PSHIRE,€ aRJa�v c &F-,REGISTER A/k T]7 R ATA, T r%n1Tnt1TTV 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 person(s)who seek to use the home owner exemption, to act as their awn construction 'SUP 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-9 various s ages,w�iic i i ludefound ore ba�kf�ll), sonotube holes (before your) a rough building inspection (before work is concealed), insulation insvection (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 wor'cariNfie 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. .(dome owner/resident's signature requesting exemption) I will call to scledule all required b,—di rig mspeet ons necessary for the building permit issued to me. Date Address of work location L 3, The Commonwealth of Massachusetts Department of Industrial Accidents ' Office bf In vestigations 600 Washington Street Boston MA 02111 www.mass gov/dig Workers' Compensation Insurance Affidavit: ]Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual): rilt Ci Address:--a City/State/Zip: C fi 06676 Phone#: 4(17— ,3 I S' U 04 S� Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ 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. [3 New construction 2. am a sole proprietor or partner- listed on the attached sheet. 7_&� Remodeling ship and have no employees These sub-contractors have g P ❑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-werle---- - —-- officers have,exercised their i 1. Plumbing repairs or additions myself [-No workers' comp. right of exemption per MGL 12.❑Roof repairs . insurance required.]f 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. t 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip- 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 tip to-$1,500.00-and/orone-year-imprisonments-as well-as civil pen-aJties-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 certi der epains and penalties ofperjury that the information provided above is true and correct. // / Signature: Date: Cd 2 Z k Phone#: 1 3 DJficial Ilse only. Do not write in this area,to be completed by city or town of-cial City or Town: Permit/License# Issuing Authority(circle one): I.Boar-d--o-fHeaft4t-?.—Buildia,-D pa-rtme-nt 3. City/Town Clerk-4.-EleKtrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: �/ Not Applicable ❑ Name of License Holder:_r''llt de-i �' -% Lf-j 7� V Q� License Number Address Expiration Date ur3 - uU S ignatuW Telephone 9.Re'#ster6d.FIbMb lnt`rr��eitie f,Co #ac o -.. Not Applicable ❑ Company/Name Registration Number x.111. -1 I t �c� �'l1 Address p f,�— Expiration Date t �`` cr Telephone � /S `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....... No...... ❑ ti>: 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-a€-the-wvrk-for-whill-this-perrnit-is-issueEl.----------.__ _..-- - 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 GeneralLaws Annotated. Homeowner Signature SECTIONS-DESCRIPTION OF PROPOSED WORK(check all applicable►' New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑ r—� Or Doors Acce33ory Bldg. ❑ Den,I q Win. ❑ New Siyns [C] Decks [q Sadhig[pj Other[a Brief Description of Propo d / , Work: Da WI°�dU�/ r—o- t l �, r Alteration of existing bedroom Yes -.--V---No Adding new bedroom Yes 'k— No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet a. U f building:One Family Two Family Other b. Number of room ' ch family unit: Number of Bathrof- ensions c. Is there a garage attached? f�- d. Proposed Square footage of new onstruction. t?(1 1/ ;7 e. Number of stories? f. Method of heating? Fireplace Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy liance form attached? h. Type of construction (.J0 U i. Is construction within 1 . of wetlands? Yes �rNo. Is construction within 100 yr. floodpla Yes No j. Depth of base nt or cellar floor below finished grade k. Will buil ' g conform to the Building and Zoning regulations? -8--Yes No. I. S is Tank Lc City Sewer Private well City water Supply SECTION 7a­OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, c �-C ..L_ (� S as Owner of the subject property hereby aet- rize L/V��✓ - - to act y be If, in all TAWs relative o work authorized by this building permit application. Si atu of Owner Date I, 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 Nam Signatur caner/Agent Date w 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 Si �... Fronta a Setbacks Front Side L:j_._.._._... R Rear C� Building Height Bldg. Square Footage ON " Open Space Footage _ _ % (Lot area minus bldg&paved -kin #of Parking Spaces Fill: 1 volume&Location) .. �---------- "° A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES IF YES, date issued:n IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book _ Page _ and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Or DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES NO 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 IF YES, describe size, type and location: 1. ..ill 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060Strutt�a �arts phone 413-587-1240 Fax 413-587-1272i � � ��� � i s. APPLICATION TO CONSTRUCT,AL . -R N"A'0__O INOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION'- 1.1 Proaertv Address: his section to be completed by office /57 FI/AL "I Lot Unit Overlay-District EW,St.:-District CB District SECTION 2-PROPERTY OWNERSHIP/AU lTHORIZED AGENT 2.1 Owner of Record: v Name(Print) Current Mailing Address: !�tr:3 Telephone Signature 2.2 Authorized Aaent: /f Sr•�ca� l I Z wtT c.���r+c-- ✓ �yt/�c1, w119` Name( nnt) - Current Mailing Address: '113 _, I S-- Clv L&' Sign ure Telephone SECTION,:!-ESTIMATED CONSTRUCTION,COSTS Item Estimated-Cost(Dollars)-to-be Official Use Only com leted b ermit a licant 1. Building t 'J i v o (a)Building Permit Fee 2. Electrical 10' (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number pl -This`Sectidn-F°or OfficiafI-use Onl Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-1088 APPLICANT/CONTACT PERSON CHARLES SEDER ADDRESS/PHONE 80 CONKLIN RD STAFFORD SPRINGS (413)315-0045 PROPERTY LOCATION 15 FAIR ST MAP 25C PARCEL 257 001 ZONE SC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Ev Fee Paid Typeof Construction: CONSTRUCT SLIDER/WINDOW FRAMING&REMOVE WALL IN DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 94375 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 Demolition Delay ,;7; •-�-- v 1 L c ff 2 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. 15 FAIR ST BP-2009-1088 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C-257 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-2009-1088 Project# JS-2009-001573 Est. Cost: $2416.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHARLES SEDER 94375 Lot Size(sq. ft.): 8450.64 Owner: FOUNDS TAMES S &SANDRA A 7onin?: set 100)/ A—milicant: CHARLES SEDER_ -- - AL': 15 FAI`r2 61- Applicant Address: Phone: Insurance: 80 CONKLIN RD (413 311 5-0045 STAFFORD SPRINGSCT06076 ISSUED ON:71612009 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SLIDER NINDOW FRAMING & REMOVE WALL IN DET GARAGE 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: 6i: Final: Smoke: Final: 't-) THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of�rccuy c�1 f _ t, Signature: FeeType: Date Paid: Amount: Building 7/6/2009 0:00:00 $55.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo