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28-051 (6) 13 '� I of-I I'o'21-I - -fj P, �A ID00e. Home [] Richard A. AhIstrom Owner 137 A Damon Road, Northampton, MA 01060 tel:413.584.7700,fax: 413.584.7706 nchardahistrorn9comcast.net -- fL )III - -- .-. - -- N,� Li L-A tr I I I %Zk"N.3 V t ELLCoOL, —T-d CoLt:- N&J 4ALL, k4yj 'n-'Crl tia- 1—*Z\PJ 7.1,4 WhLL-5 I U,(." DOS ? '-1kt') pz0\z -�N LL. CST FROM CASE HANDYMAN SERVICES FAX NO. : 413 584 7706 Sep. 17 2004 12:09PM P1 nome Fourld ti 1/ 1 �fOaS Ri- k i` Post-ft"brand fax tranSMiltsi memo 7£71 [O of CO. c. —.... -. Dept. �7 -7 PhoneU Fax 9 137 A Damon Road Northampton, MA 01060 tel: 413.584.7700 fax:413.584.7706 • Provide & install two'(2) deity faucets • Provide and install one (1) wall mirror at vanity sink. • Provide and install two (2) lighting fixtures above sink locations. • Provide & install one (1)new toilet. • Repair texture on ceiling. • Prime new drywall. • Paint ceiling one (1) coat ceiling white. • Paint walls two (2) coats wall color. BY: X-1 ' Authorized signature,Case Handyman Services BY: Owner(s) Dwte: 137 Damon Road,Ste.A Northampton,MA 01060 (413)584-7700 Office (413)584-7706 Fax /.�.� CONTRACT CASE HANDYMAN SERVICES � J PROJECT NAME: Case Mr.James Dostal Date: 6-4-04 Handyman® Mrs.Nancy Dostal 624 Ryan Road / Services Florence,MA 01062 Consultant: Richard A.Ahlstronl 413-586-1390 M We hereby propose to perform remodeling and/or repair work upon the above mentioned premises per the following description, scope, allowances, exclusions and general conditions. Building permits to be provide. 1.) NEW BATHROOM INSTALLATION: ■ Design details and specifics to be approved by owner. • Create new master bath in existing closet space. ■ Provide site and dust protection to protect main house from work area. ■ Demo existing wood flooring. ■ Remove existing closet doors and hardware. ■ Pull hallway entry door and jamb and salvage. ■ Open drywall for new wall framing and rough mechanicals. ■ Frame in doorway to hallway. ■ Create new door opening from hall into new laundry closet. Frame new interior walls for new closet and shower wall. Opening ceiling in basement to run new mechanicals. ■ Relocate HVAC ductwork and vents. ' a ■ Install rough plumbing for new shower,toilet and double sink locations. ■ Vent new plumbing fixtures into attic through asphalt roof. ■ Provide electrical services to demo existing wiring and provide new wiring per plan. ■ Provide and install one (1) Panasonic fan/light unit in ceiling. X ■ Vent fan into attic through asphalt roof. ■ Provide and install one (1) timer switch for fan/light. ■ Patch in oak flooring in closet in hall. ■ Spot sand and poly new flooring. ■ Provide drywall as necessary. ■ Tape and sand drywall. ■ Provide and install one (1) new six-panel door and jamb at closet in bath. ■ Provide and install one (1) six panel door and jamb in new linen closet location. ■ Provided and install wood baseboard to blend with existing trim. ■ Provide & install one (1)new Symmons shower•valve at right side of shower surround. ■ Provide and install one (1) Clarion two-piece sho ver module with-one-aoidedd seat. ■ Shower module 47 '/4" wide x 36" deep x 78 '/4" high in white. ■ Provide & install 90 square feet of 1/4" cement board on floor of bath. ■ Provide and install 90 square feet of ceramic tile on floor. 0�� ■ Provide and install marble threshold at bedroom door. ON2 ■ Grout new tile floor. V el ■ Caulk tile to new shower base. lol ■ Provide & install one (1) 72"vanity cabinet. `�\ ■ Provide & install tall storage cabinet to left of vanity.,/ ■ Provide & install one (1) 72" Swanstone solid surfac unity top with two (2) integral howls--— O fib '1•' �{ � �Ifl�3 >,�f ritl7i'Il�cilli�)f[lll _ B • E &?s�eRthnsctts• ^� m L)Ep/,R1-mE11T OF £UILDP? G INSPECTIONS 212 Main Street ' Municipal Building 1"Torthampton, Mass. 01060 -- 417 \:rith a principal place, of busir,esslr'n'denc-c do IICreby Cer-LLLy• ullCltir dic pains ;1nd pL:nnl'L1e5 Oi ,t:�US�r i11i!i: (4 I am an empioyer providing tllc compensation covera—.e for my employees working on delis job: A f T sir tee_. e. WC-7j,-?-,0Z(,-70-3__ v i Lo t io 5 (Ir dnan=Compam') o;_;cy Nu m,be r) (tom pim on Date) l ) I am a sole prop;`;--tor, general (cUrcle one) and "t:a.'e hired t.l"10 contractors Lstec be.iov v''l:o the toil -:r OCKQ�S C�Ji })eIISv Or! 0!iC.�S: 'N'=C Of('OnLmctor) �- (Ln5um.lc Dale) (Name of Conmno:) -- (laser ace Co�r :�/?c!ie; Nt rntrr) (F 3tin Date) (Nlame of COALr2CTOr) (Insormce (Name of ContTactor) -- (Iast:ranc Cemr a;"olic. Numb_r) (I:;:n�-aio Date) :,..;. (^.(L1G1.`.C�a1JM'al z:Ytt:}':^-... .7 •^"Y;C:r':`.t' � ..•:•,_•.: .:1;.fC:ro.:'it , , J C 1 illl] i1 UIL' plUl?l]CL`Ji 2il'1 lltlti`' no 01]�- ••C �.!ii; 10:- 111- ?iil �l 1:01110 t)�'.'ilC` IiCi:Gi 111111: :11 i_'.,. '�'•. .:, iii')�:�l NO ICE:plczbc tC al'wt 4!It w4 l;]c l'd(If_U•\IY_::UaJ c--r,1�y;r_-r:c::to;:� ._.::..inch a:.:; m cr:-pair not most 1h_o tfzrx unt'�in Zvi c', he l ».•.zr ra u a; u t ._:.�_ •_�cr r!Lhcr _c n t�vtall r o:r::::::- r1ployc-3 u.n.c the%Vczkc1'Z '%ct(C1i lSZs!(51?. ,ic:.iy hn::tco..-xr`:cr s L"=—cc p-rsi: legal ztatur of an Mplo)w under tLn Wtv ee.coct;.t_--ition I.cL I undcntand tbat a copy of Lt-date...,..nuy 1:o forwwdc J to 1?'_D-ji t vaY of rraa - i_]1,,6d.aa:f CI icw of for tlx covcnsc VCrzClloo and Out f:ilurc to:=. micro un-ku cC.i^^25A of MC-L,152 cam ic-d to tl>•impasitia of c-,:-i:.l p t�l::cs comiating of a fin--of up to S 1.30M)J andlcr i^primes ~_of::p to rr.:) .:.d civil perultia in le fc rm of a Ste--`;'c i.Ch:_:A f r�of S 1 0,0.00 a day t :icrt m:. ` Felt dq:aur��ts1 u.c Drily Pcrrntt Nuuttx:r •-- ----- ---- - �� CC77;C'_ SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ® Roofing Or Doors E] Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [X Siding[❑] Other[❑] Brief Descriptio of Proposed Work: t�� 5 O y Alteration of existing bedroom_ Yes No Adding new bedroom Yes Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll= 6a. If New house and or addition to existing housing, complete the following: 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? 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 as Owner of the subject property hereby authorize Al e h/A �� -7— /000, to act on my behalf, in all matters relative to work authorized by t s building permit application. Signaturegf Owner Date C .f•. 'Wr 14 ISIyjo,y as Own 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. 'X f-' C Print Name 4Z Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: f Not Applicable ❑ Name of License Holder: fC/C`!�!//' �7�f`j� 7 CS 673 15 License Number be Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Al-P� C,c f 1-3Z 107 Z Company Name Registration Number /37-FI z2a .-rra.,? lea O Q /Z/0 .5 Address Expiration Date Al.y-*±2L-4? 4— 10114 Telephone -5V--7-26a 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 e,Jr Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning /J �7 This column to be filled in by c (, Building Department Lot Size F I 3o- Frontage Setbacks Front ?�'� t Side L: �J� R: 2� L: 151 R: Z'1 1n �U 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 O DON'T KNOW � YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW g) YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO VN 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: 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 1 Department use only Q ,,� orthampton Status of Permit: ✓ Department Curb Cut/Driveway Permit ain Street Sewer/Septic Availability 'V m 100 Water/Well Availability 16rt mpt n, MA 01060 Two Sets of Structural Plans 417-12 0 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 1.1 Property Address: This section to be completed by office Map d F Lot '-'�/ Unit //Q,e*7 e e Zone k Overlay District /! Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: T•^� es d S le/w�F/� Name(Print) Current Mailing Addr s: Telephone 0566— 9 Signature v 2.2 Authorized Agent: vl c o ` e AA /f /-r*— .16 '004I0-r / r 4.0le A •ter/�J�tiC. 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 2� (�C2 (a)Building Permit Fee 2. Electrical 0000. 0 e (b)Estimated Total Cost of Construction from 6 3. Plumbing Z $ D Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection �iC3 U 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number-&!?j3�� �) IDssued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2005-0318 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 137A DAMON RD NORTHAMPTON (413)584-7700 PROPERTY LOCATION 624 RYAN RD MAP 28 PARCEL 051 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Ai 44 Fee Paid Typeof Construction: } 1 ADD NEW BATH TO EXISTING RENO BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildiniz Plans Included: Owner/Statement or License 073454 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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. File#BP-2005-0318 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 137A DAMON RD NORTHAMPTON (413)584-7700 PROPERTY LOCATION 624 RYAN RD MAP 28 PARCEL 051 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ADD NEW BATH TO EXISTING,RENO BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 073454 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFf3RMATION 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 Signature of Buildin fficial 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. 624 RYAN RD BP-2005-0318 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-Block:28-051 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-2005-0318 Project# ]S-2005-0416 Est. Cost: $57365.00 Fee: $263.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: INHOME HANDYMAN SERVICES 073454 Lot Size(sq.ft.): 12632.40 Owner: DOSTAL JAMES M&NANCY L Zoning: SR Applicant: INHOME HANDYMAN SERVICES AT: 624 RYAN RD Applicant Address: Phone: Insurance: 137A DAMON RD (413) 584-7700 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:9121104 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD NEW BATH TO EXISTING, RENO BASEMENT 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: Receipt No: Date Paid: Check No: Amount: Building 9/21/04 0:00:00 1038 $263.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo