36-186 (3) --- -— - 10'11
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I
New wall+door
Re-move existing shelves
2868 New door Carpet
Supporting be m to be rocked ,
post to be woo
® Need to rock wall
-- — -22'9
New Walls
i
New Walls+ Door
Sheetrock both sides
?868
I
- - UP
- -
New Risers&Skirts
Finish Trim:
All door casing to be Colonial style, 2 YZ"casing, #8710.
All baseboard to be Colonial style, 3 %" base, #8385A.
Steel column post to be trimmed with 1x6#2 pine.
Build storage shelving along two walls of new closet area,includes closet pole and shelf along third
wall. Note: Storage shelving to be built out of salvaged lumber from existing shelving that was
dismantled.
Stair Work:
Install new 1x12"#2 pine skirt board on right side of stairs. Install new#2 pine risers to stairs.Re-
install existing stair treads.
Flooring:
Install carpet in newly remodeled area. Approximately 50 square yards of carpet needed.
Flooring allowance of $22.00 per square yard,installed.
We propose to furnish the material and labor necessary for the completion of the above stated work for the sum of:
Eleven Thousand Nine Hundred Dollars $11,900.00
Payment as follows:
Upon beginning of job. $3950.00
Upon completion of sheetrock $3950.00
Upon completion of proposal $4000.00
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 liability insurance will be presented prier to start.
Our workers are fully insured by workman's compensation insurance.
Respectfully Submitted by 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 ill be made gs outlined.
Date Signature / a`�--
Signature 7 e/w4, . -
Harlow Builders Page 2 of 2 Sullivan -Basement 1.0.doc
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Rz. ," NOS 2 PROPOSAL
.. , . Harlow Builders
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336 Coles Meadow Rd.
Northampton, Ma. 01060
(413) 586-0465
Submitted to: 11/09/00
Dennis & Karen Sullivan
878 Burt's Pit Road
Northampton, MA 01062
(413)-584-7819
The scope of this project is to remodel '/2 of basement area.
We hereby submit specifications and estimates for the work to be performed.
All materials and labor to complete as specified.
All permits obtained by Harlow Builders.
All debris caused by construction removed by Harlow Builders.
Basement Remodeling:
Demolition:
Remove existing shelving along two walls.
Remove plywood door leading to bulkhead entrance.
Remove stair treads and risers where needed to allow framing of new wall.
Framing: '
Frame approx. 37 linear feet of 2x4 wall as per drawings supplied
Frame 2x4 closet wall with a doorway.
Frame 2x4 strapping/furring on ceiling to clear electrical and plumbing work
Box in any other additional ceiling areas to allow for sheetrock if needed.
Electrical:
Electrical allowance of $1000.00.
Sheetrock:
1/2"gypsum board applied to new walls, ceiling,and center beam, fastened with 1 1/4" screws, taped,
coated (3) applications and sanded to a paint ready surface.
Existing sheetrock to be taped, coated (3) applications and sanded to a paint ready surface.
Interior Painting/Staining:
All walls and ceilings to be painted (1) coat primer, (2) coats finish.
Finish trim&doors to be finished (1) coat stain, (2) coats urethane.
Doors:
Bulkhead door to be a 2/8x 6/8 insulated six panel steel door.
Stairway door to be a 2/8 x 6/8 six panel wood door.
Closet door to be a 2/8 x 6/8, six panel wood door.
Harlow Builders Page 1 of 2 Sullivan-Basement 1.O.doc
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street a Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVTr
(tic ensee/pei m tree)
with a principal place of business/residence at:
(phone#)
(street/city/state/zip)
do hereby certify, under the pains and penalties of perJLl y, that:
( ) I am an employer providing the following workerjs compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following workers compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
+..
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (E)piration Date)
(attach additions!shod if necesssry to inrh informatioa pertaining to ell oartrl d )
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homeown=who employ peziom to do maintcama coashuctioa or repair work on a dwelling of
not more thaw throe units is which the homeowner rides or on the grounds appurtenant thereto are not Ccee alty coaridcred to be
employexa under the woricc" oompensation Act(GL152,ss 1(5)),application by n homeowner for a metre or permit may evidence the
legs!staters of an employer uoderthe Worker's C.ompematien Act
I understand that a copy of this ttatemmi may be forwarded to tba Depwtc c of Ind<utnal Aociderrt>Offioc of lasuranoo for the
coverage verification and that failure to secure coverage under section 25A of MOIL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to$1,500.00 and/or imprison of up to one year and civil penalties in the form of a Stop Work Order and a
fine of S 100.00 a day against tno.
For dqwtmww use Cody
Permit Number
/ Map# Lot#
Si of Licensee/Permittee
�
SECTION 8-CONSTRUCTION SERVICES-]
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder e 0--Ok D
License Number
Address Expiration Date
Signature Telephone
ompany Name Registration Number
Address Expiration Date
Telephone-
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.
The current exemption for'hooeuwnem'`was extended toinclude one(1) or mvo(2)6miliom
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. ide,on which there
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to res
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~~~~`^~--that with reference t� Chapter ' Compensation)
Employees for injuries not resulting mDeath)of the Massachusetts Geueru Laws Annotated,you may be liable 6opu,eou(m)
you hire to perform work for you under this permit.The undersigned^^honeonmer"certifies and assumes responsibility for compliance with the Stat City
Northampton Ordinances, State and Local Zoning Laws and State o[Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative rte Renovating unfinished basement1Yes No
Plans Attached Roll ❑ - Sheet 0
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? V,tt—S
d. Proposed Square footage of new construction. (4 Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance, Mascheck 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
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.
,711 r
Print Name
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 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
No
IF YES, describe size, type and location:
Crier of Northampton ii a# :
Building DepartmentF
212 Main Streets
Room 100 f � �
`1�ampton, MA 01060
' ne 413-587-1240 Fax 413-587-1272 . .
QK
p tt.4
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
This section to;be complete
1.1 PropertkAddress: d by office ' ,
^3
ICA- y� S \A v�, . Map ' LotUnit
Zone Qverlay District.
Eim,$t.,DIstrict' CB Dtrict
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
s 4— :?Vt
Telephone
Signature
2.2 Authorized Agent:
Name(Print) / Current Mailing Address:
Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical (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
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2001-0519
APPLICANT/CONTACT PERSON Harlow Builders
ADDRESS/PHONE 336 COLES MEADOW RD (413)586-0465
PROPERTY LOCATION 878 BURTS PIT RD
MAP 36 PARCEL 186 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY.:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid '
Tvpeof Construction:_FINISH 1/2 BASEMEN
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 LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § —w/ZONING BOARD OF APPEALS
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 Commi Permit from CB Architecture Committee
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.
878 BURTS PIT RD BP-2001-0519
GIs#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 36- 186 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-0519
Project# JS-2001-0897
Est.Cost:$11900.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: Harlow Builders 052460
Lot Size(sq.1): 31 232.52 Owner: SULLIVAN DENNIS A&KAREN D
zoning: SR Applicant. Harlow Builders
AT. 878 BURTS PIT RD
Applicant Address: Phone: Insurance:
336 COLES MEADOW RD (413) 586-0465
Workers Compensation
NORTHAMPTONMA01060 ISSUED ON.11129100 0:00:00
TO PERFORM THE FOLLOWING WORK:FINISH 1/2 BASEMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
'Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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 sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
ilding 11/29/00 0:00:00 4491 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo