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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No L5 -
/Y Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
11
CF O et Garage
't/L C�hle (
1. Location Lot No.
2. Owner's name-�f� Address- 3&06010-,� LklWf
3. Builder's name'd / O-, A ddress
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
U
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. EsbmatedCOSL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
IV,
Signature of responsible app,icant
Remarks
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DATE(MMMONYI
}i{i�: .}:•. I M �..s:•:• .::•: w1� {•<.::.:{s OSIO1/Y8
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
M WD J. Clayton In* Aeon Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
16,119 Northampton street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
P. O. Bost 888 COMPANIES AFFORDING COVERAGE
Holyoke MA 01041.0888
COMPANY
A CRUM i FORSTER INSURANCE
INSURED
S.E. SULENSK/ ROOFING AND INSURANCE COMPANY
SIDING CO., INC. COMPS
1 W SOUTH sTAEET C
HOLYOKE MA 01040
COMPANY
D
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THUS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
CONDITIONS SIONS AND F SUCH POLICIES. LIMITS SHOWN MAY AVE 3EEN REDUCED BY PAID CLAIMS.
000 TYPE OF NSUANCE POLICY NUMINA R POLICY EFFECTIVE POLICY EXPNATIDN L�ATT8
DATE (AMAIDD/YY) DATE (MMMONY)
A Ge+ERAL LIABILITY 5035219335 12/01/97 12/01/98 GENERAL AGGREGATE s 2,000,000
Z COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP)OP AGO = 1,000,000
>:'<> CLAM MADE FX occuA PEMON AL a AOV NJURY S 1,000,000
OVW*FM a CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE am be) s 50,000
MED EXP(Any one non) $ 5,000
A AUTOMOBILE LIABLITY 1336457205 01/01/98 01/01/99 COMBINED SINGLE LMT $ 1,000,000
ANY AUTO
ALL OWNED AUTOS
GODLY INJURY :
X SCHEDULED AUTOS (P«Paten)
X HMO AUTOS BODILY NAM
x
NON-OWNED AUTOS (Pw s
PROPERTY DAMAGE :
GARAGE LIABILITY AUTO ONLY-EA ACCmefr t
........................................
MY AUTO OTHER THAW AUTO ONLY:
i
f
EXCESS LIABILITY EACH OCCURRENCE s
UMBRELLA FORM AGGREGATE _s
OTHER THAN UMBRELLA FORM $
WOIRILERS COMPENSATION AND j5,STAIR I
10 TH-
EMPLOYERS'LIABILITY
WC5827089 12/31/97 12/31/98 EL EACH ACCIDENT >s 100,000
R nE PROPREM
PAIRTrERSEXEcunVE INCI DISEASE-Pql ICIf UMR s 500,000
OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE S 100,000
OTHER
DESCRIPTION OF OPEiAT10 MOCATIONSNEHICLESISPEC1AL ITEMS
n..i•:{::r;i:;:::::2`::::::;2::`i::::<>::::::�::;:;.:;'::4>•;;:`•:::. ..:..... ..::•:..{p .. .. •i•}''f'`'�• •' ••' ..... :. '�......r.•\ ':i f;}::>
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SHOULD ANY OF THE ABOVE DEWAGED POLICES BE CANCELLED BEFORE THE
EXPIRATION DATE THQEOF,THE HUNG COMPANY WILL ENDEAVOR TO MAIL
18 DAYS WRITTEN NOTICE M THE CERTIFICATE HOLDER NAMED TO THE LET,
BUT FALURE TO MAL SUCH NOTICE SHALL IMPM NO 011LIGATION OR LL40LFTY
OF ANY I ND UPON THE COMPANY,ITS ACM M OR PSWAWft
AUINIOROW PA PRIMITATAIE
HAROLD F. CLAYTON, an.
.{Tv,.;f,.f+.. }•.•.•.v;.:k•n. \•nvvvv.,.}• +r:{.\�tiv:n�.;.;rr:;:+•r;, •
:zi
In iOn-NewS
ueeday,March 30,1993
ConsIF
3o homewo
on contractor
r°R
when improving y our home
Ily Rh7VIN Mciafltlt IIv relrl linp n rnnllnrlm wia'ly :npl The cooll.,le should include a Ifablli-
(you're plowing m:I)fir home inr- pnoll,clinl! ynnlsl,lf with ;I pond r nn Iv release rlaose. This will pievrnt nn-
provennpnis, yon should do voul, trod. vmI ran avoid nn nnp[cas;all :nut paid subronlinclors or material sup-
hornework Intone filling a honie rosily p!cperfcnri' pHrra from making claims upon your
improvement contraclor. You ahonid slmi by pellhrp wtillril properly it your contractor !ails to pay
Mnssarhflsetls enacted a slate esthnnlrs hfim at least !Mee conl,:It' Ihpnu. hirhlde fi "broom dean" clause
law last year which requires bonne inn- tors who arc licensed with the slnlr• which,flakes the contractor responsible
provenleW contractorit to register with Ask the conlraclors for irleiroers and for clean-up and removal of debris as-
(lie slate and provide written contracts conlact the lrfrtencl,s. Ask to imperf socifiled with the lit ojecl.
for jobs over$1,000, the willk'nl our of the rmlliaHm's III[
"Consumers have Hr ninkr sure of jofis. Itenil,fllbri, fhal flit cnnhaclnl Nhro you sign file conlracl ligif.p.
they're denling with a legistered con- is pohnp, 10 put yin ill much wifil:tll dis nlrnl, fir Mille filil von don't inll,nlfou-
lrnclo," cautioned liichard Slewmll, Mniisfned cotlipnller. ally glgll a cofllpledoit rert.ificale. 'Phis
condoner proleclion coordinator for Conlpap the prices and Irpnlrditlirs statement should be signed Imly alter
of Ihr there cnnlrat ems. Yon should the work has been cons leled it; your
Ally. (;en. Scott llarshfiager'M wegler° nlstr consider how each of Ihr cmdiat' Rrnllsfacfioll. l
district office in 5prelgfielo. lots desrrlhed Ihr w'oi k and how hn o
"If consumers firpn t dealing w'fih n "A succegslui home Inryrrovpment job
registered contractor, they don't have she answetpd} nn gnl,slifitls Isn't nulonlalic," Slewald said. "You
necess to the guaranty hoof."Steward All flip delniis of Ihr wok Ili he door have In be careful.'"
said. The fund, eslabliglted by file law, should he set hIIIII In the rm111,10, :Ir.
ennhleq CIIIIRalilel'R who vblfilrl well as n list of all sperilirnlifins, in
judgmenlq agahnst contractors for unsn- (lie ina Ihr brand names and si�.rs of
ligfaclory workmnnship or (nilare to
lhr materials.
complete a job,to collect up to $10,11110 Wail helorp Migning
from the fund if (heir contractors have Never -tip
o a ronhacf imnlydialriy,
gone bankrupt or[fell the stale. fill flinfler how pond Ihr drat cretos.
Steward Raiff that colsulners can call live yourself plenly of lime Io think it
[lie stale Depar(ment of Public Safely t �G.
at(617)727-3200 And figk fir lhp IIm11e over. Ncad and Iniderslnnd the contact y
mod if you have any doulris, cnm�ill :In HOME IMPROVEMENT CONTRACTOR
ingrrovement CorltrnctorR Ilegisirn(ioit rillotney to scp Ihn( it ndrqualely inn• Registration 101718
1,091-11111 to driertithle If a conhad line tech your illtplesls. If you dml't oRlef. �,
registered• with somelh h su
inp, ake re• 11 iv \\\ Type - PRIVATE CORPORATIIIN
Make file call changed. Expiration Expiration 06/29/00
Make swv yml wml'l hr• livid liable
Steward cautioned that jest because for your co mlinctoCR ptobh•ms by hay.
a contractor Mays hr's registered or Ing the conhneffil and the snheonllnr- S.E. SULENSKI ROOFING h SIDIN
lists n regiRlrafimt lunnbcr on Ids sfa- tors crilify that they are insutvd fill
llonary, Wit sill) worth a call. "Let's workmen's vomprnsalloll, fit fillet I% � John R. Riaalis
[are It, if Mottleone Is going III rip you damage will ppisoml null product lia- "'i' '6e ,;AW South St
oft. he tniaht tell ymi nnylhing," he Irflily. It's not a hod idea In hlclude file AI)MI?rnsiRnron HnlyOke MA 01040
said. Insuuanct• rmnh:1113. ltanrl, mill polir)
The registialion of hnitlr lilt. nvnnbel to flip cnnitat+
provenieut conlraclors allowit the sfatp Agire upon the m asimm i amount
III keep irnrk of conyrlandR on those which yml fill, olrlipall,d Io pay. Willi
cuntractorM who also can't net nR moil- (his mminnt inln Ito• roulloct. 'I'hr
gage brokers ui' letidris on their con- Rlmllllp, and congllefion da(rM should hr
lracting jobs. Wriflen cunfarlq are IIMled in file confarl.
alsn required for jubq over$1,01(11• 1'nymetit ql tethnle-i should inr de.
Prior to file law heilig enacted. (,fill- (hopd. [lave your contincfor ngler Ihat
struction supervisorM and vnrious (lie final payment isn'( due limit 111
tradesmen, surf aR electriclatiq old dnyq filler file rom11/lplinn of tine )nil.
F lumbers already had to register with Thiq will nllow sn(liviend little fill III-
Ile state atlif fftn( didn't change, The Rjrectiofl and acv Ilrcescary I•filleclimr:
w exemfils Inferior pahllerM and fin- loll shrrnld aisfi have the Iriltrs III fity
bangers. w i raniy Riirlled mil Orally.
MAY 1 4 1-998 -J!.
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B � e MAY 1 4 Crxf� mm�.az-�17�i1t�r�>Zri
l 15a nch n5clla
DEPARTMENT OF BUILDMG INSPECTIONS
212 Main Street ' Municipal Building 'a
Northampton, Mass. 01060
WORKER'S COMPENSATTON INSURANCE Arl t AVIT
�1 ,� ' ✓� .
jZ
(li censc�/permi ttcc)
with a principal place of business/residence at:
A ' ICJ -- —N
(stir tit}'/st:_�rJz�p����d
do hereby certify, under the pains and penalties of peljtuy, that:
(L�-T am au employer providing the following v,oi ri cl's compensation cove:,ge for my
employees working on this job:
(Laurance Company) (Polio Nlumber) sa on Daze)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Nome of Contractor) (Insurance Comp aayPiohq Nunbcr) (pa-pimtion Date)
(Name of Contractor) (LDszuance Compam-iPohcy Number) (Expiration Date)
(Name of Contractor) (Insurance Coi paay/Policy Numbu) (Ex-pimbon Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(,h additicc l sheet ifncccaizy to inc}ix5c uafrnnvtioa P--L aing wall Inc:on)
( ) 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 awarc that whilo homcownera who employ paw=to do�rr,eMlncc coasb7 oo Or repair work on a dwelling of
not mete than Hiroo tails is which the hoa»owna resides or oo the gowns apptutenard thccto z=not Ccact-2-4 ooasidcred to be
employers tinder tho vvorkc's ccmpcmziion Act(GL152,-s 1(5))�application by a homoow=far a 6ccase cc pau,h may evident the
legal cites of an omployec undortho Workcea Compoonatioa Act_
I understand di t a copy of this rtoj a coi may bo forwarded to the Dt Va tt t of Io�d Aocidca&OfSoo of lnuranoe for the
ooverlEc verification and that faille e to aeatre covcrago tmda soctioa 25A of MOL 152 can lead to tho i on of aimi a4 prnaltics
ooasLsti�of a fine of up to S1,500.00 and/or ira raoamcnt of up to ow-year and civil penalties in the form of a Stop Work Ordcr and a
foie of S 100.00 a day xpinsi me-
Signed this / _day of V 1996 Fordcpartmccealu,00aly
l Permit Number
?? � Map# Lot#
Signahue of Li crmittce
10. Do any signs exist on the property? YES NO
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be Pilled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
' &paved parking)
:of Parking Spaces
f of Loading Docks
Fill:
'4volIf!me--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'L'E: , Aof APPLICANT's SIGNATURE
NOTE: 1 u no® of a zoning permit does not relieve applicant's urden to comply with,..+pll-
zoning requirements and obtain all required permits from the Board of HeaRh. Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
ow ► A08
s'fPT 4F Ri
File
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1.1. Name of Applicant: �� %�
Address:� � � �� �� �' � Telephone:
2. Owner of Property: vL Z
Address: t Telephone:
3. Status of Applicant: Owner '� Contract Purchaser Lessee
-Other(explain):
4. Job Location:
Parcel Id: Zoning Map . Parcel# 0 (cl District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
t yP� CGr CCQ-17 �L �/Z ' C ��'
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitA/adance/Finding ever been issued for/on the site?
NO DON'T KNOW e.% YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW L YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW L--' YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
i
FILE if
_'C
IJAN i'CONTACT PERSON: `
ADDRESS/PHONE: c �
PROPERTY LOCATION:
MAP &6 PARCEL:— 'Zo(4Q ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION.CHECKLIST
ENCLOSED REQUIRED DATE
ZQNTNG FORM FILLED OUT
Fee Paid
Tliiilrfing Permit Filled mit
Fee Pqid
Remndt-lin2 Interior
Additinn t--
i/
THE�LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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`epprovc"*3 4` 1 Iealth •. Well Water Potability-Bd Health
Per ' rom Conservation mission
Signature of Building ector Date
NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Public Works and other applicable permit granting authorities.
r
Department: Reference No: BP-1998-0004
...................................
Building, Electrical & Mechanical Permits
..................................................................••--.............
Fee Type: Receipt No:
Roofing REC-1998-000007
Paid By: Paid in Full On:
S E Sulenski Tue May 19,1998
•--•......................•--..........................................------............ y
......................................
Received By: Check No:
Linda Lapointe 5219
............................•--.....---...................................-----•........ ......................................
DEPARTMENT'S COPY Amount: $20.00
...........................
DEPARTMENT FILE COPY 80 DREWSEN DR
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
19 May, 1998 BP-1998-0004�� Stanley Szewczyk 963535 $20.00
GIS#: Man Block: Lot: Address: Zonin Use Group: Lot Size:
6922 35 106 001 80 DREWSEN DR SR 9016.92
Contractor: License Type: Insurance:
S E Sulenski
Address: License No.: Insurance No.:
103 South Street
City: State: Zip Code: Phone:
HOLYOKE MA 01040 (413) 532-3630
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1998-0006 $1,870.00
Description of Work:
strip& shingle lower roof area
GeoTMS 8 1997 Des Lauriers&Associates,Inc. Signature: