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03-027 (7) inHome Handyman Services PROJECT NAME: Brett and Deb Denhart 595 Coles Meadow Road Northampton,MA 01060 Date:April 5,2007 413-587-7935 Consultant: Richard A.Ahlstrom Install new Marvin sliding glass door per plans. Marvin CN 8068 One lite Temp.Low E II with Argon Two point locking system 2 point muilti-point lock Brass PVD HDL—non keyed Standard screen Primed pine interior Stone white clad exterior Install two(2)new Marvin French Casement windows per plans. Marvin C FCM-LR 4836 One lite Temp.Low E II with Argon Folding handel Standard screen Primed pine interior Stone white clad exterior Install one(1)new Marvin sliding window Marvin CGL4030 One lite Temp.Low E II with Argon Standard screen Primed pine interior Stone white clad exterior Wrap openings with membrane barrier. Install new units. Wrap nailing flanges for weather protection. Trim out exterior of new Marvin units and re-install siding. Provide and install new vinyl light block for new exterior light location. MECHANICAL Consult with Orchard Valley Heating and Cooling to confirm framing layout. Install plumbing rough,to code,per plans,by sub. Rough plumbing includes: Drain lines in walls into floor for toilet,shower,lavatory,kit ink in island and laundry set up on outsides wall. Water lines to same locations. Relocating drain line hung from ceiling at base of main stairs to outside wall. Installation of sewage ejector pump in floor and rough installation of water lines. Venting of new drain lines into existing vent pipes. Water lines will not be connected to main water lines at this point. Back fill around drain pipes in floor. Patch in cement slab at locations of new drain lines. Float concrete patch so as to level with existing cement slab. All other mechanicals to be installed during Phase Two. BY: BY: Authorized signature,Ink Black inc.dba inHome Handyman Services Owner(s) Date: 137-A Damon Road, Northampton,MA 01060 (413)584-7700 Office (413)584-7706 Fax inHome Handyman Services PROJECT NAME: Brett and Deb Denhart 595 Coles Meadow Road Northampton,MA 01060 Date:April 5,2007 413-587-7935 Consultant: Richard A.Ahlstrom 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. This contract replaces contract for complete basement renovation signed and dated March 31,2007 BASEMENT BUILD OUT THROUGH ROUGH,PHASE ONE The Scope of Work for phase one includes the following work items: Provide necessary city building permit for phase one,basement build out rough. A second permit will be necessary for remainder of work,to be called phase two. Provide site and dust protection as practical. Provide one 10 yard dumpster on site for project and client use. Build out basement rough through phase one,in accordance with the client approved plans and specifications,to be attached and become part of this agreement. Note:Locations of toilet,shower,wet wall location of vanity sink,and Kitchen Island cannot be changed after the concrete is cut and the rough plumbing is cemented in the floor. —'qlwxnw � FOUNDATION PREPERATION AND SLAB WORK Chisel out foundation crack at wall above gas furnace. Apply bonding agent and mortar with hydraulic cement. Apply one(1)coat of Dry loc interior latex damp-proofing material on foundation walls. Layout locations of interior walls in bath and kitchen area and determine slab cuts. Pull existing sliding glass door so as to cut foundation. Cut cement slab for rough plumbing to new bath for one(1)toilet,one(1)single bowl sink location and one(1)4' wide shower. Cut slab at area of lines to water pump in far corner of basement so as to bury water line and power line in floor. Cut foundation wall at location of existing sliding glass door for new wider 8' wide sliding door unit. Wall to be flush cut to slab. Concrete cutting and cement removal,by sub. Remove cement debris. Demo and remove existing drywall on framed walls above foundation on West and South walls. Remove existing insulation and vapor barrier. Clean basement space after concrete cutting is complete. ROUGH CARPENTRY Existing posts and beams,windows,exterior doors,stairs,and ceiling joists to remain,unless otherwise noted on plans. Remove insulation in ceiling and store in garage behind plywood barrier. Layout outside and interior walls to existing floor plan. Existing cement exterior walls to be framed over with 2x4s,set at 16"o.c.,with 2x4,PTP sole plates. Doorways to be framed to code and specs. Air space of one inch to be between foundation wall and 2x4 wall. Top plate of walls to be nailed to joist. Construct new interior partition walls per plan. Interior partition walls to be 2x4s,set at 16"o.c.,with 2x4,PTP sole plates. Alter framing at center stairway wall so as to be open to main hallway. Demo short section of existing framing under stairway landing so as to open hallway floor plan. Section of ceiling will follow angle of stair stringers to first floor. Add blocking through out basement for installation of drywall. Demo existing windows. Frame openings for new three(3)new Marvin windows and one(1)new Marvin sliding glass door per plans. Alter framing at stairway wall so as to be open to hallway. Demo short section of framing under stairway landing so as to open hallway floor plan. BY: BY: Authorized signature,Ink Black inc.dba inHome Handyman Services Owner(s) Date: 137-A Damon Road, Northampton,MA 01060 (413)584-7700 Office (413)584-7706 Fax . . 45,° Collector Rack (vertical & horizontal available) Roof or ground mount Wall mount Two 45° Kits For vertical: part# 185543 BFS (Qty 2 for 1 or 2 collectors, 3 for 3, 4 for 4) For horizontal: part# 074324 BFW(Qty 2 per collector) Tilt Collector Rack (10° - 30°, vertical or horizontal) f r. `f For vertical: Qty 2 per collector For horizontal: Qty 2 kits for 2 collectors, 3 for 3, 4 for 4 THERMOMM EVACUATED HEAT-PIPE SOLAR COLLECTOR 1 ; a t� s r WON F^ ID r c as ... Caring for the Environment through Technology ' F Since its foundation in 1981, Thermomax has been renowned for its pioneering design and manufacture of hi-tech vacuum tube solar collectors and temperature controllers. Today millions of Thermomax systems provide solar hot water and space heating or cooling in a wide range of applications. Measured Thermal Performance 90 80,T- ------- - ---- - - ----mot ,60 ----------------- 777- --------ev -- . c s0 - �. 40 40 70 > -It pperswiil,Switzerland W 2 _�-{�—Florida Solar Energy Center,USA 10 L 7 0 0.02 0.04 0.06 0.08 OA - (Tnt-Ta)IG ` The efficiency of the Thermomax collector remains extraordinary even at high operating temperatures. Our web site is so complete that we couldn't cover the USDT 2005 is a microprocessor based temperature information with brochures. controller that regulates solar water heating systems. THERMO TECHNOLOGIES 9009 MENDENHALL COURT, SUITE E COLUMBIA, MARYLAND 21045, USA Phone: (410)997-0778 Thermomax Vacuum tube solar Fax: (410)997-0779 ( ; collectors §nwoom ulmi e-mail: info @ thermomax.com perform with superiority even in USDT 2004 cloudy,windy and cold conditions. calculates energy collection and displays the results on its LCD window. , «� S �.: 0 �t The Pump Control Unit Twin-coil tanks is a compact unit that includes all the are ideal for radiant heating systems,optimizing USDT 3002 necessary fittings for easy solar gain, and boiler backup(gas,wood stove, is a BTU meter and has inputs for four installation. or oil)heating systems. temperature sensors. It controls two pumps. THE POWER OF THE SUN STIE B E L LT,RO N Flat Plate Solar Collector SOL 25 PLUS The SOL 25 PLUS is ideal for many applications ! f. y " Residential or commercial water heating �- • Space heating R t. • Swimming pools Advantages Include: Maximum Efficiencies q" The SOL 25 PLUS is a highly efficient thermal collector. The net absorber surface of almost 28 sq feet results in a maximum output of 21,000 btu/day per panel. The SOL 25 PLUS also offers features such as a high selective absorber coating, low-iron, tempered solar glazing, and very effective insulation around the absorber plate. The internal fluid tubes are copper. Installation Time Is Minimized The large panel size and the availability of a full complement of custom designed mounting accessories minimizes the installation costs. Appealing Design The SOL 25 PLUS has a low profile, making it visually less obtrusive and compatible with existing architectural designs. Lasting and Reliable Energy Saving Investments Stiebel Eltron uses only the most durable materials. The SOL 25 PLUS is the culmination of over 30 years of experience in the thermal solar business. Specifications Total surface area sgft 29.06 sqm 2.7 Net effective surface area sgft 28 sqm 2.6 Collector output range Btu/day 21,000 W/day 6155 Max.temp. °F 410 °C 210 Typical transfer flow rate Gal/h 13-80 1/h 50-300 Working operating pressure PSI 50.7 bar 3.5 Max.operating pressure PSI 87.0 bar 6 Tested to pressure PSI 160 bar 11 Pressure toss PSI 0.44 in/bar 30 Dimensions in. 87 15/16 x 48 1/8 x 3 1/16 mm 2233 x 1223 x 78 Weight without heat transf.fluid lb. 108 KG 49 Recommended mounting angle loo-90, Plumbing connections in. 3/4°BSOT Frame anodized aluminum, corrosion resistant Absorber copper, chromium-oxide selective surface Thermal insulation mineral wool Absorptivity/emissivity 95%/5% Light transmission 92% Heat transfer fluid non-toxic polypropylene glycol solution 9O L AR This product certified by the Stiebel Eltron Mildly Cloudy Solar Rating and Certification 17 West Street 3 y Corporation c/o FSEC,1679 Clearlake Road West Hatfield,MA 01088 Day Rating in C Cocoa,F1,32922 Model No. Sol 25 Plus Category C (321)638-1537 \�? www.solar-rating.org Gross Area 2.73 m(29.42 ft) 22 MJ/day T/FIC�� SRCC Document OG-100 Serial Number: 21 Mbtu/day Distributed by: STIEBEL ELTRON, Inc. " 17 West Street, West Hatfield, MA 01088 Phone: (413)247-3380 • (800) 582-8423 Fax: (413) 247-3369 E-mail: info @stiebel-eltron-usa.com Please visit our web site at www.stiebel-eltron-uso.com #40 i 1 W Harvest the C' . . . . _ . . . . . The , new - ` ` ' SOL 25 PLUS solar _ collector, offers all the latest features known to the industry -a s �k✓ Over 30 Years of Solar Panel Ex erience t 'x 3a RD M CERTIFICATE OF LIABILITY INSURANCE DATE(MMtDDlYYYY) 4/22/08 THIS CK IFICATE IS ISSUEDASA MATTER OF INFORMATION `field, Bugbee & Masse Ins ONLYAND CONFERS NO RIGHTS UPONTH_CERTIFICATE ,enter Street HOLDER.THIS CERTIFICATEDOPS NQr AMEi+D,EXTE D OR ® Box 28 ALTER THE COVERAGE AFFORO 13Y THE POLICIES mow. _-----e, MA 0.. .- INSURERS AFFOROM COVERAGE NAIL# ASURED NSURERA: OneBeacon DonavinGratz -,-�.--'---• _.-�.. .--, -. ._-.._-_ _-...-.. ..._.....__._...- INSURER B Travelers Ins CO d/b/a/ Green in Green INSURER C: 90 Linseed Road _ ....... _-_....-....-..-.------... .-..__.-.....-... INSURER D, West Hatfield, MA 01088•-9505 ------_..._- __..._- -........... ._-_.. ..- j INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREWNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY gE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE wINSURANCF IN$R 158'. ._�._.._._...---' - -r_..._.... __..._�.. ..._-._...._ �-....__...,...,._.._ ..------.. POLICY NUMBER POUCYEFFEC11%E FSLIC M0=ATION LIMIT$ GENERAL LIABILITY EACH OCCURRENCE S 1 r 000,000 A COMMERCIALGENERAL,LIABILITY FBlTJ27730 10/16/07 10/1S/0$ PREMISES E..� samaenca S 300 060 CLAMS MADE i,X...l OCCUR MEDEXP(Any meperson) _.. $ S 000 PERSONAL&AOVINJURY S 1,20-0'-0-00 _........;—__.. ....--•—.—_--- GENERAL AGGREGATE S 2,000,000 GE_N'L AGGREGATE UtdT APPLIES PER: PRODUCTS-COMP/OPAGG S 2,000,000 F7POLICY JET � LOC - -- - - �AUTOMOSILE LIABILITY COMBINED SINGLE LINAT ..._-.�ANY AUTO (���+U -- $- ---...__... ALL OWNED AUTOS I, BODILY INJURY $ SCHEDULED AUTOS (Per perspr7) HIRM AUTO$ S BODILY INJURY ' NON-OYNVEDAUTO$ (PeracduenU PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ l ANY AUTO EA ACC S 1 DTHSRTHAN AUTO ONLY: AGG S '---.. _... . EXGESWMBRELLA LIABILITY EACH OCCURRENCE S f OCCUR CLAIMS MADE AGGREGATE —— $ — s i DEDUCTIBLE S RETENTION S S OTH- WORKBZS COMPENSATION AND WCS EMFI OYERS'LIAB s ITV 8 7PJU135886C887 11/8/07 11/$/08 E.L.EACH ACCIDENT $ 100,000 I\E ANY PRORiIETOR)ppRTNER/D(EGUT ... . OF'PICERIMEMBEREXCLUOED7 E.L.DISEASE-EA EMPLOYEE $ 100 000 If)",dewA to!Crider r _._.._....._ SPECIAL PROMS CN S bebw E.L-DISEASE-POU CY LMT S 5()0,000 OTHER i D ISCRIPTION OF 0 FERATIONS I LOCAIONS 1 VEH CLES I EXC L USIONS ADDED BY EN D CIRSEMENT/SPECIAL PROVISIONS CSTrIFICATE HOLDEN CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIESBE CANCELLED BEFORE THE EXPIRATION BRE'TT DENHART DA7E THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAIL 30 DAYS W RITTEN 595 COLES MEADOW ROAD NOnCETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DOSO SHALL NORTHAMPTON, MA 01050 I NPOSENO OBLIGATION FR LIABILITY OF ANY KI N THE INSURER,ITS AGPNTS OR REPRESENTATI'VES AUTHORIZED REPRESENTATIVE ACORD 25(2001/03) C;ACORD CORPORATION 1988- j SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder )Jft V`l) r License Number Address Expiration Date Signature �S Telephone 9 Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address r / _ ` Expiration Date t% o (G� � �'✓ Telephone 0 7. 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 buildine 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [r-3] Decks [0 Siding[n] Other 114 C R Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes 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? 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 Y������rized y is bng mit aco Signature of Owner Date f ,as Owner/Authorized Agent hereby declare that the statements and informs ion on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under and p Ities f e 'ury. Print e / 08 Sign re o caner/Agent Date 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 Size Frontage Setbacks Front 100 Side L: R: L: j4 q R: OD Rear !b d 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 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q 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 ® 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 Off IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ` Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability ROOM 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ON� OR #}_FAMILI SECTION 1 -SITE INFORMATION I Ato 2 3 This so !on to be completed by office 1.1 Property Address: _ coies 0 Map ! Lot �-' `�� s��t7 nit 4 S Irlj 0 R1('o1A 0D"j 0,V), 610(�o Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ Name(Print) Current Mailing Address: —3 0 w q®S�7 Telephone 1 Signature 2.2 Authorized Agent: Name Print) Current Mailing Address: Signat 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 V V (b)Estimated Total Cost of Construction from 6 3. Plumbing Lo ®0 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 0 00*© Check Number Z�`t U,co This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0928 APPLICANT/CONTACT PERSON DONAVIN A GRATZ ADDRESS/PHONE 90 LINSEED RD WEST HATFIELD (413)247-6045 PROPERTY LOCATION 595 COLES MEADOW RD MAP 03 PARCEL 027 001 ZONE RR/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid uildin Permit Filled out ee Paid 17 i Lt - T peof Construction: Install Thermal Solar Panel Array New Construction Non Structural interior renovations Addition to Existing -- Accessory Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE FO OWING 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 Z8'Z c 7� 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. inHome Handyman Services July 24, 2007 C-ILF [ Building Commissioner r Anthony Pitillo f i JUL F 2U07 212 Main Street R t Northampton, MA 01060 ( LLHL IS Dear Tony, I am writing to inform your office that my company inhome Handyman Services will not be completing the project at 595 Coles Meadow Road Northampton for a finished a basement. The owners of the property are Brett and Deb Denhart. The Rough framing is 90 % complete. The floor is cut for rough plumbing. The drainpipes in the floor are in place and have been inspected by your staff. The floor cut has not been filled in by my company. Three (3) new windows installed and one Sliding glass door. Exterior work around the windows and door have been completed. No electrical work was done. Please close out the existing permit in under my license for the project. Thank you, Richard Ahlstrom P.O. Box 1026, Northampton,MA 01061 v�`i cc 533- I9 b a Cc// Z97 - GG7-1 — The Commonwealth of Massachusetts u�irMr Department of Industrial Accidents 600 Washington Street Boston Mass. 02111 Workers' Com ensation Insurance Affidavit:Buildin lumbin lectrical Contractors MAW name: le" fj se '1 / //./7 /S 4-6 address �J '✓��'''��0"1 ��e` city 4 O/ ��n�9� state: A' oy zip: Q/OG phone#1 87 -720 0 work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel �❑ I am a sole proprietor and have no one workin in an ca ad El Building Addition I am an employer providing workers' compensation for my employees working on this job. company name: /1411, -P-1 address: ���� 7 /9 �cJa► .�''/sY► lee,a city_ if/,1� //JTh a..�.4 -- �� phone insurance co. /7' 00 SJg 7 D ZOO( ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name: address: city phone#: insurance co. policx# company name: i address: city. phone#• insurance co. IDOliCZ# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of■fine up to 51,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that■ copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby recertify under the pains and penalties of perjury that the information provided above is true and orrect signatu:re��"� Date / Print name Phone# L only do not write In this area to be completed by city or town official : permlVUcenae# ❑Building Department immediate response is required ❑Licensing Board ❑Selectmen's Office son: phone#; ❑Healtb Department []Other X73) SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: p / Not Applicable ❑ Name of License Holder: ,C�1 a�^ �ry /S �� CS 07-34/,5Y License Numbe 7-11S l/ lVaS017 A w d 4 K-�- %// /� 8 Address Expiration Date /* S -770 a Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 41-e G Company 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. 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors E3 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other[CI] Brief Descri tion f Proposed P P Work: o • In C-0 Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes 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? 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 �j� �� as Owner of the subject property 1 ^ hereby authoriz to act on my behalf,' all mat s relative fo work authorized by this building permit application. Signature of Owner Date I A as Owne uthorized 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. jeIG/! Gr /"d LiIS7 -ar�� Print Name 4 tz Date Signature of Owner/Agent 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 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 0 DON'T KNOW ,Q"% YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW ® YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained I , 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 NO VIQ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. . V nhI'i Department use only City of Northampton -. ,Status of Permits Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 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 This section to be completed by office 1.1 Property Address: r EqS Co(es Nlec�ow Rc4A Map Lot Unit Npc{1n� •,•P �-- i MA, 61 Dl�b Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 515 Go(e s �-_ Name(Print) Current Mailing Address: Telephone 15S 1_ 7 9 3 5 ig ture 2.2 Authorized nnAgent, : ( 1 /`lC.�m.rA A `S'""�� ��5 f�tieltSOn (ieyl d� 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 - O v 0 0 (a)Building Permit Fee ,7 Aj 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing �u u O a Building Permit Fee 4. Mechanical(HVAC) / 5. Fire Protection 6. Total=(1 +2+3+4+5) 2 0 Q ' 60 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date t • File#BP-2007-0992 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 137A DAMON RD NORTHAMPTON (413)584-7700 PROPERTY LOCATION MAP 03 PARCEL 027 001 L SP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid LIguilding Permit Filled out ee Paid Typeof Construction: New Construction Non Structural interior renovations Addition to Existing Accessory Structure - Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE FO LOWING 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 Commissi 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. PZAA,IA G-ej�_ t� PQMA� 595 COLES MEADOW RD BP-2007-0992 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 03 -027 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Pernut: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-0992 Project# JS-2007-001602 Est. Cost: $0.00 Fee: $140.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: INHOME HANDYMAN SERVICES_ Lot Size(sq. ft.): Owner: DENHART BRETT C&DEBORAH G Zoning: RR/WSP Applicant: INHOME HANDYMAN SERVICES -n, r-q r7rl Applicant Address: Phone: Insurance: 137A DAMON RD (413) 584-7700 NORTHAMPTONMA01060 ISSUED ON:412412007 0:00:00 TO PERFORM THE FOLLOWING WORK:ROUGH CONSTRUCTION FOR BASEMENT BUILD OUT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground:..5-.j,2-- rvice: Meter: tFoot ings: Rough: ough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Final: Smoke Fina1:pep, '"q CLOS ' I�0 U`X 0't, 0-� Gov�.6 S (f1J e� l THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. W FlIf Ce Signature: FeeType• Date Paid: Amount: Building 4/24/2007 0:00:00 $140.001546 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Cormnissioner-Anthony Patillo