17C-159 (2) SharpUne Proposal
construction and Remodeling September 10, 2007
17 Cosgrove Street Job No. 01282
East Longmeadow,MA 01028
(413)246-1071
Proposal Submitted To: Work to be Performed at:
Anneke Corbett SAME
78 Chestnut Street
Florence, MA 01062
We hereby propose to furnish all materials,labor,and equipment for the completion of the following job(s):
Porch/Kitchen Roof Rebuild
• Draw plans;submit for building permit
• Remove west side of porch roof shingles,deck boards,inspect rafters—replace 3(+/-)known broken
rafters(All rafters may need to be replaced)
• Install new 5/8"CDX plywood,Ice and Water shield and tarpaper
• Install new shingles to match existing;install new flashing against house
• Install new gutter and downspout
❑ Remove debris
Material and Labor: $4,880.00
Al!material is guaranteed to be as specified, and the above work to be performed in accordance with drawings and
specifications submitted. Any alteration or deviation from above specifications involving extra costs will be
executed only upon written order and will become an extra charge over above the estimate. Contractor agrees to
perform the above work and complete it in a substantial workmanlike manner for the agreed upon sum with
payments to be as follows: 112 due upon acceptance of Proposal and balance due upon completion of job
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted. You,are avthofi�ed to do
the work as specifi Payments will be made as outlined above.
C 2 (�J =1 L-Zll
Date ;` Authorized Signature
Note—This proposal may be withdrawn by us if not accepted within days.
p P Y �7 �
Thank you for contacting SharpLine Construction and Remodeling! n! -
License No. 085411 Registration No. 140697 U
opt o Q_,Zr f ,:'y1 L`r2ham t-an _?
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DEPARTMENT OF EUILDLJEG LTiSPECI"IOlYS
INSPECTOR
212 Main Street 0 Municipal Building �
Northampton, MA 01060
HOME ONVINER EXE INIPTION ACICNnWz EDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as l.is/her construction sup"., sor. Thz state defines "Homeowner' as, "i erson(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
welling, 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 build- ::department for the City of Northampton wants any person(s)who seek to
use the home owner exemption, to act as then own construction superwisor 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 bacldiH).
sonotube holes (before Dour). a rough bu ldine insaection (before work is
concealed). insulation inspection (if required)and.afnaLtgg iu��.insnecti.on. 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
unA-the work-can--be-inspected,
-
If the homeowner hires other trades to per form 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_ y
Date
Address of work
location
The Commonwealth of 1L_fassachusefts
�:- -n Department of Industrial Accidents
Q0 ce of Investigations
600 Washingnon Street
"- 41/' Boston, YIr1 01111
�s wxrw.massgav/din
Workers'Compensation Insurance Affida-vit: Builders/Contractors/Elec-tricians/PIumbers
Applicant Information Please Print Le-ibly
Name(Business/Organizadon/Individual): GV0J1, e
Address: / 7 C aJ7
City/Stag/Zip: U/d.,p F- Phone `1(� -/d-7�
Are you an employer?Check the appropriate box: Ty pe of project(required):
1.❑ I am a e=loyer with 4• ❑ I am a general contractor and I
loyees(fun and/or part-time)_
have hired the sub-contractors 6. ❑-New construction
?. T listed on the a*ac4ed sheet 7. I Remode+nv
I 1 am a sore proprietor or partner-
skip and have no D P Ioyees These sub-contractors have
�° � s_ ❑ emoli non
working for me in any capacity. employees and have workers'
[No workers'comp._;= ance CO .ME) insurance.='
9_ ❑Building addition
L..
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 IVIGL 12. Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13-❑ Other
comp.insurance required.]
�xiv app lean caeri¢ooz nsut ago out me scaon oelow showma - workers'cornpen=cu policy information
t Homec-hers who submit this affidavit indicaring they are doing all work and then hire outside contractors must submmt a new aft-davit indicating such.
Contractors that check this box must-attached an additional sheet showfna the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contracrors have empiovees,they must provide then workers'comp.policy nwrtbe.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information
Insurance Company Name:
Policy#or SeIf-ins.Lic. m: 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 up to S1.500-00 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 DLA for insurance coverage verification.
I do hereby cerdfy Un epains and penaLdes of perjury than the information provided above is true and correct-
Date:
Phone
f
VJJtclal use ONLY. Lo not write In this area, to be completed by Clry or town Of l-ciaL
City or _Town: --- -- ------ - --Per-mit/License
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.PIumbing Inspector
6. Other
Contact Per son: Phone
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: /� Not Applicable 0 /
Name of License Holder: / I fti�I Pwr-� e-4115 /X <J
License Number
Address Expiration Date
7
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
/y-a- (- 9 7
Company Name Registration Number
S1!c R1,%-c.- C'oy►,,� t I2 .�s1�1,�.� ////a-Za
Address Exfiration Date
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-vear 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
r
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing E5
Or Doors I]
Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks Siding[0] Other[0]
Brief Descri . µi ion of Pro o ed
Work: ke Yaa*-
Alteration of existing bedroom Yes V- No Adding new bedroom Yes r No
Attached Narrative Renovating unfinished basement Yes tz' _No
Plans Attached Roll -Sheet
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? MD _
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
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.
st:
4, / w
Print Name C
Signature of Owner/Agent Date
Section 4. ZONING Alt 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
Frontage
Setbacks Front
Side L: R: ,,........ L:., ....__' R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage % --
(Lot area minus bldg&paved
parking)
#
ofParking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO V'j DONT KNOW 0 YES Q
IF YES, has a permit been or peed 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:
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 O NO e
IF YES,then a Northampton StormWater Management Permit from the DPW is required.
`.j Department use only
City of Northampton Status of Permit:
Building Department Curb'Gut/, Permit_
12 Main Street Seaver/Septic Availability
Room 100 Water/,W, Availability
>Northarpton, MA 01060 Two Sets of Structural Plan_s
- 3--587-1240 Fax 413-587-1272 Plot/Site Plans ` '
Oth er, pecify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
CAes.16N4 Map Lot Unit
�jvrG��• �� Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
7 G�a,1�Pre�J�--, Lsr•,., psi v.t
Name(Print) Current Mailing Kdress.
-----��G Ayr. )%�-A-7�
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 l 49
This Section For Official Use Only
Date.
Building Permit Number Issued:
Signature:
- ----- — ---- ---- —_—_.
Bi.iilding,Commissioner/Ihspector oF w ings Date
File#BP-2008-0415
APPLICANT/CONTACT PERSON MICHAEL PARKER
ADDRESS/PHONE 17 COSGROVE ST EAST LONGMEADOW (413)246-1071
PROPERTY LOCATION 78 CHESTNUT ST
MAP 17C PARCEL 159 001 ZONE URB
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: REBUILD PORCH ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessary Structure
Building Plans Included:
Owner/Statement or License 085411
3 sets of Plans/Plot Plan
THE FqtLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF94MATION 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 mmission Permit DPW Storm Water Management
Signature of Building 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.
n'rt BP-2008-0415
GIs #: COMMONWEALTH OF MASSACHUSETTS
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-2008-0415
Project# JS-2008-000610
Est. Cost: $4800.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MICHAEL PARKER 085411
Lot Size(sq. ft.): 9801.00 Owner: CORBETT ANNEKE S
Zoning. URB Applicant: MICHAEL PARKER
AT: 78 CHESTNUT ST
Applicant Address: Phone: Insurance:
17 COSGROVE ST (413)246-1071 WC
EAST LONGMEADOWMA01028 ISSUED ON.10/22/2007 0:00:00
TO PERFORM THE FOLLOWING WORK.-REBUILD PORCH ROOF
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 10/22/2007 0:00:00 $50.001457
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo