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Richard A. AhIstrom
Owner
137 A Damon Road, Northampton, MA 01060
tel:413.584.7700,fax: 413.584.7706
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FROM CASE HANDYMAN SERVICES FAX NO. : 413 584 7706 Sep. 17 2004 12:09PM P1
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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
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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.
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■ 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
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212 Main Street ' Municipal Building
1"Torthampton, Mass. 01060
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(4 I am an empioyer providing tllc compensation covera—.e for my
employees working on delis job:
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(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)
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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