23B-071 ON ni (..il 0 > -- 0
Z i rti 0 >
.,. x
70 11111111111MOP ni rri r" 0 tz3
r 1" (3
.. r .. A
QN < @ r C
tO :_te, --0( r 1 >
0 0 t
(4.11
--- (3 (SI t:3 1-
0
> 7J -I
> ni > ( s'
—i — I >
1 1 03 A
\ i rn z
A A tz0 t:
0 ni A
A -1 \\■ C Z >
ii tii ni c ., (s) "
A 70
a% - i rn rri
IIIIIIIMINNI
1 (22) . 13
Z - 0
C r‘)" 73
0
1 , Z
0 \ 0 t:".3 r
-.I
‘1
T z
A 0 1
rti
/ _
_ 2 io , ---- i
(S1 \,..)
-I
Cill
_ ni
6)
0 ,
.......
rn 0N4
- 73 N.)
w
IIP C:1) X
z NJ
J r- (3
to 0
-. 0 0
GIIIIIMED rn 0
z
(s)
r
(5)
_ _ _______
Valley Home Improvement, Inc. GARY AND LAURASIENKIEINIGZ
ki
340 Riverside Drive, PO Box 60627, Northampton, MA 01062 TITLE: KITCHEN REMODEL SCALE: DATE:
Office Phone 413.584.7522 Fax 413.585.0820 DRAWN BY: 5A5 1/4= 1' - 0" 08.23.2012
Find us on the web at : u.u.w.ValleyHomelmprovement.com --
----- ' 1 ' 1
(N
I I 1 ry
N F– N
V c co
_ w
EXISTING WINDOWS r 2 -
k:---11 ,-. - '.,, ,. _ w {� _.�.f -;�:. �,t , ; x �. ::,:,,c, ;r x k .x,?' !: ,w,a..tt:�€t.>at ,:.: ,a:,. ,.a�".'' Z
04 r_ WOOD SHELVING J
n u
( v�
/ VINYL FLOORING K1' EK N ,
r-,1 STAND UP k?. n
PANTRY FREE7.FR J j
USE 32" X 32" 12 LITE FIXED UNIT IN GABLE z (a p
TO MATCH GARAGE NEW VINYL DH WINDOW STING WINDOW - z O
<
_. �Y - V' `� fi r . A2 i. j ,� I POCKET DOOR „ )_ Ill til
GAS STOVE F ULL HEIGHT WALL / VENT L ' I _ � fig
q r
�[w l I / . t_ 5: DEM 2 Z
z z I LAMINA1'I TOPS "C w cz
VAULTED CEILING `� 4° _ KITCHEN / •
O x H
? 1 /2 WALL ��� I I
-1 / 4 ,-/
I -
O I CLOSE OFF DOORWAY.
7 -q =�/ _ I i MATCH BOOKCASE DESIGN ON DINING ROOM SIDE 1
�� ��, _ d (BY OTHERS)
NEW WINDOWS ON GABLE WALL � _ _
g
5a L _ J V .D O E
— 1 — , „ _ R OUGH PLUMB FOR FUTURE BATH £ O 2 O
2 , - �„ -2 _ -- 0 0-
r��
PREFINISHED HARDWOOD FLOG • NG - I co E
Lti BY OWNER WIDEN CASED OPENING TO MIN 32" m
® ® 1 I VINYL FLOORING ` O :Jr- O
�� a X a
c \ 3 E to
to
N
DRYWALL OVER DOOR EXISTING WINDOW EXISTING WINDOW O
WITHIN INTERIOR - L t N
LEAVE DOOR ON OUT SIDE Q (
INSTALL WIDER ENTRY DOOR p }
(SUPPLIED BY OWNER)
L ,___13 EXISTING PORCH N 33
- O P
0 - in m
co qi
1 6- 1-
2
u6-
N Z
V
m O u.
1
1
'1
,1
4 5ti&Mp 1 .
4 ..e $ Crxt z f North amp ton ► _*
+jai, � 8 lasaarilttsetta _ ' �= Ar
DEPARTMENT OP BUILDING INSPECTIONS 4 — t t
212 Main Street 'Municipal Building `s�,'
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE Alr•IUAVfl
I, ,Vii-504f SW i %4-E_- 7 V 1 y 7'/�/ r, . L L
(licenserlpermittee)
with a principal place of business/residence at:
3 4 10 /11/2_,-.5 i 2 1)nlii`z / �(/0.�2f?9,.nioi ; 01,4' (phone #) 58 `q- 7ZZ.
(street/city!stat,/:ap) f /uG o
do hereby certify, under the pains and penalties of perjury, that:
I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Acadia Insurance Company WCA5029908 2/1/2013 "
(Insurance Company) (Policy Number) (Expiration Date)
( ) 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: .
• (Name of. Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifnecessasy to include information pertaining to all contractors)
( ) 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 aware that while homeowners who employ persons to do maintenance, construction or trpairwork on a dwelling of
not more than throe units in which the homeowner resides or on the grounds apputtansnttbereto are not generally considered to be
employers under the worker's compensation Act (GL152,ss l (5)), application by a homeowner for a liaise or permit may evidence the
legal status of an employer underthe Worker's Compensation Ad
I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents' Office of Iuxiuranoe for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to $1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of S100.00 a day against me.
in!
Signed this / day of 1 "i-4 20/4 For daml use only
Permit Number -
' 1,. iA ,r7)24' Map# Lot #
Signature ofLf.. .. •ermittee
'•4 "
'4ViVt7,
-,,
„, — , pi ', ,' 'k's" •, , ' , ' . .:" . ".i. , ' ' i L
....
/ : , -:. ,r;•]q•,,..), -:,,,'
1
f t '
,, . „.1. ,.;t. - 3
vrfl ,A
1,11,“ )1,, -1,i-ii) ocx. , uanr„.n,i,„164.8
-01 U..4 aiA,/ plitp«.1 11 3 1V/ 1 4 ,H,11,, :**;4 1 -+ , fa 60,, aybi.,N.',..';'..). IN3i 31*;OH
v = Ak. U. ,, lo .5;31.;-# 1)41 11,14 4 )14 ' 11, 441144 1)
1 )14,4 1 141,1t114,, .1 ir
11 44 ,,, , .. )sriair I v,,r.1.1,i i' 1,41,/ .44ri 1
L0 I, 0 Vi'4. NC,,)IdrJ Si iinc
()d d' 29,7„
''. H 4A N A t 7 i,.:, S
, N''.: '! N
Itl]s't‘i:t:A ) ui ,
, -
-',,i;ri; \ - ,-, --,,—,(, ) 1 -- - , i.. ,,
" 1 /' ' l/..,)it !I ' ) le," , ,,,,,,, f , ,,,, , te
/ t i ...,
,.. : .
SECTION 8 - CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License_Holder : Steven Silverman_ 077279
License Number
268 Fora- R. -. • , - it. • u I I 6 / 21 /1■
Address Y � Expiration Date
584 -7522
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Steven Silverman 131945
Company Name Registration Number
268 Fomer Road _ 10 /.x,3 //2
Address Expiration Date
Southampton, MA 01073 Telephone 584 77522
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 131 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 1083.5.1.
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
, t
.'F;CTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
1 New House 7I Li Replacement Windows ; Alteration(s)' it. Roofing 0
,
, Or Doors r...1 ( .
' Accessory Bldg. 3 Demolition3 New Signs : I Decks I, ] Siding [ ] Other
.. . ............ — —
.3'ir...' Dev:. • lot on r;.' Pr( rx)en No.K e OM if la ETE P- 00 EL OF Kt RAIN • , 14 On) wi POWs • ) en) E / tENV aoPt
--,,
A DIDDIsSiD
.1,1:r.I.Fhort :II' t' y s!Art htlintrs.„ _ _VI; _7_ NO Orti,nR new Oftaq:11'"*" 'Y e-ti 74 ' lo ....4
:-tie ;..: 'att. 'e Qe.r..)votlr p., „Iltvilblrec,4 l..41
Pb' t A.Ltzlzhed Roll See
6. If New house and or addition to existing housing, complete the tiiowt'/OC 46 TO
t totplcing . C' °Thni ly Two 7 amrly
, Ls NA'rl.trer o' re' s n each !arily 1.trk,t: Nurnne. rit l7siithroo-T,.5, l
I',
d rreptr,, SQuare fnchip,e, nt new .7...ontr,ic,r ', Dr": itertSK/c!,
Sh::•tez.
t. 'i'ett-o o' fleatlig ['rt.'s; ..r./et, ur Woodt,LOve'.., r' of eoch
E F-ery Cc Cor ia-f:e Win:check Enc-gy Cormplran:e form attael,c0 ...
y pe :,I co
•z.o..::*1',U...c 1W 1 (t 'AK .:ilICS? .._ _ ittS NI;) li, unistruct: ,A1 vw- vlic 100 yr . loo;lolat:r
aw;.enient <o! cellar L or neler .1h&0 graefr
, k '... ou ldirf: ccr form to he 13thICtrlp, anti ?, n. fa Yet„ No
l. Set:tic 8'sk C..:7,y Sewer Prstaitta ,....0 Cl*„9 water Sup y ,..„......,_ '
____ l
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
( i 4 f koz. fr i 5 r m x / 1 zr.k. e z-- as 'Owner d t subje.ct pr" tv
tle°"M"; , Steven Silverman, Valley Home Improvement, Inc. , :o :. on
rp,.° Le r! ,1 I I N *tVats..1 'OPS inr.tiloolerf t.), INS b.„:e:',! fl E petr it aoplicatrovr
71.1 . 41. •
..„...._., _ ...._
Sri:cat:Ire 01 06 er :', i , 71 t, f , : iiPir 11/ -
---- . _
•S.t.exen—ailmermart, Valley Home Imprsayernent, Inc . :Is `,) ACefit
ht.t.-0 dec'2re t'lat. t'le v.aterrtelts una Inforr e;1 tire foreKoir i,, inrplreatton , ..ire true kind neur lo 'he lyes,t u' try
krewlecce End belief.
St:. ..; tl DEll 87 ptrlititivi LI'
Steven Silve .t. •„ I h .._.....
so ,*:..11.7:. 07 `.,`t.. ....l•
lir
..,
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
`DENTED DUE TO LACK OF 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 e - been issued for /on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded . the Registry of Deeds?
NO DON'T NOW YES
IF YES: enter Boo Page and /or Document #
B. Does the site c• tain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YE , has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , 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:
,
r'. Department use only
11 1 A�� �� City of N or th amp t on Status of Re, it
____________/
Building Department
,' ,:
pE
g part en t Curb Cut /[ P ; rt
! h � ,: e cr"o NS 2 12 Main Street S wer /Septic A al la f t y �
'+oyoso ROOM 100 - /We l Availability a ,,,z,;,,,,,,,,,,<1,,,,,
Northampton, MA 01060 0 S ets of ctural Plans
phone 413- 587 -1240 Fax 413 - 587 -1272 Pl /Site P� r ` � , p
Other Spec(
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
y - S - /f , /,1J 5 / Map Lot Unit
/ t// (S _ i 1.. °-/C6 2 Zone Overlay District
Elm Si District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: 9 8 ,.. ,-/
(7 - Y IL 5//,/ //4)/ C / � >, c , `/71 a.
Na Prini) ' (� Current Mailing Address:
• -- /�}/�/ Telephone 5211/ ,.. ,•r9 ICl/
Signature 7 L
2.2 Autho ized Agent: Steven Silverman
Valle Home Im•rovement ,, P.O. Box 60627, Florence, MA 01062
Name (Print) /70/ Current Mailing Address:
, /fh i 584 -7522
Signature ' Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 5 3 WD (a) Building Permit Fee
i
2. Electrical 3 MD (b) Estimated Total Cost of
Construction from (6)
3. Plumbing 2 ULU Building Permit Fee
4. Mechanical (HVAC) (o CIO
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 58, lot Check Number
This Section For Official Use Only
Building Permit Number: .,.7 Date Issued:
/� / /_%� % / /� %�i ,it Alip
Signature: i /// /�� / • Date
B Commis ion /In pe or • ruildings
98 SOUTH MAIN ST BP- 2013 -0210
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23B - 071 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2013 -0210
Project # JS- 2013- 000341
Est. Cost: $58600.00
Fee: $354.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 21736.44 Owner: SIENKIEWICZ GARY L & LAURA A
Zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 98 SOUTH MAIN ST
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584 -7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:8/24/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: REMODEL KITCHEN & REPLACEMENT
WINDOWS
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 8/24/2012 0:00:00 $354.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner