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L , k. d 6 1 ly ! hid'r+ F Jr r Jr L , Ir{' r Jr _ W 4jj1 t` r � P r m 4 1r� t t efs't' 1 �Y 17 09/02/2014 15:51 14133820241 VISTA HOME IMPROVE PAGE 01/04 ista HOME IMPROVEMENT Fax Toy ci- From; / / wf l r- Pam ( Pages: p` Phone; Q �� y Date= Re: " cc: ©Urgont Q For Review D Please Comment CI Please Reply 0 Please Recycle r Comments: 1348 EL M STRECT WEST SPPJNGFIELD,MA 01089 PHONE# 888-697-2322 FAX#493-382-0241 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record Card [New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map-Block-Lot: 28 -063-001 Zoning: Assessment: Location: 361 SYLVESTER RD Neigborhood: 2 Land: #Living Units: 1 Deed Book: 10040 Building: 1 Class: R-101 Deed Page: 36 Total: Dwelling Information Building Sketch Style: Raised Ranch Year Built: 1976 Story Height: 1 s Attic: None � Wood Deck Basement: Full Wood�Deck b Total Rooms: 6 16 96 C 42 Bedrooms: 3 Full Baths: 1 Half Baths: 0 24 1 Fr/B 2 loos Exterior Walls: Alum/Vinyl Unfinished Area: 0 42 Ground Floor Area: 1008 Total Living Area: 1164 Finished Basement Living 0 X 700 Area: Basement Recreation Area: 0 X 0 _Addition Information: Woodburning Fireplace 0 /0 Lower 1 st Story 2nd Story 3rd Story Stacks/Openings: � ry Basement One Sto Frame 1 Metal Fireplace 0/0 �Frame Overhang ��� Stacks/Openings: � g ��� Heat/Central A/C: Basic Frame Overhan �� Heating System: Warm Air Wood Deck___� E��� Fuel Type: Oil Wood Deck Frame Over ==E hang Quality Grade: C+ Physical Condition: Good Interior/Exterior: Same Condition/Desirability/Utility: AV http://www.northamptonassessor.us/noho/propertydetail.php?map_no=28 -063-001&pagec... 8/29/2014 �. a _. -.;. 1 i �, _ .� 4 o ,. .- ., � .- -. Y �,. , i_. ,>, Y ( .. f' s t4 L'. � } M1 � t _ � � 1, (� , t ,, �., . . ,� . __ _. _ � � � 4 � S: ,j .. _., i f j 6 l _ __ �. •, d, �x. I w i s 'u s i i 7� + 3 v s i # a i C cA Xi Olt lie k propw5al Page No. of Pages CT REG.NO. 0621848 VISTA HOME IMPROVEMENT COLOR WIDTH MA Ran G.NO. 162058 2003 Riverdale Street I West Springfield, MA 01089 INSULATION Toll Free: 1-888-597-2323 * Local: 413-382-0249 FAX: 413.-382-0241 Proposal Submitted To Homeowner Work To Be Performed At Name Street Street 1,L/ City State city State Date of Plans -----C_4� ---------- Date Telephone to 77 We hereby m t specifications and estimates for: SN/ _L A 7'v---A 11 .4 &4A x1 IV6 f A-r IF AJ AM Date work will start Date work will be completed All material is guaranteed to be as specified. All work to be completed In a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications must be made in writing on an Add-on/Moditication of Contract form and may become an extra charge over and above the amount stated herein. This agreement is contingent upon delays beyond Our control.Owners to carry fire,tornado and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance.Homeowner agrees to pay for all work as set forth beiow. If the homeowner defaults,homeowner agrees to pay all costs of coi- lection,including reasonable attorneys fees,in addition to other damages incurred by contractor,An 18%per month service charge will be assessed for all payments not made within 10 days of due date per the schedule below, We prOP05C hereby to furnirlb material labor-complete in accordance with the above specifications,for th sum of: lt oAV Said amount shall be paid as follows: Note:This proposal may be withdrawn by us if not accepted within days. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT CW THE THIRD BbS&ESS DAY AFTER THE DAY OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT.(SATURDAY IS A LEGAL BUSINESS DAY IN CONNECTICUT.)THIS SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT AND THE HOME IMPROVEMENT ACT.THIS INWUMENT IS NOT NEGOTIABLE. Signature of Contractor or authorized representative *(VWe)have read the terms stated hgTein they have been ex ned to(me/us),and(Ii'We)find them to be satisfactory and hereby accept them. Signature of Homeowner(s): X_ PLOT PL&?j Ib jzjOlin IN yy fi In a0 pvopoesi�-c nuRdngs, aaccesisor'y stn"�crzuires av?d d'stances!'n the Plop;see S"ruic-Itur 'e,tom the qgopeM i lines. A! iot aso be shown, Please incucatte the side W 4 the lot is located on a corner. ti O --------------...... STREET 110d5ted 0 121-111,21, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 .` Iz Boston, MA 02114-2017 "�rwrvt. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/individual):VISTA HOME IMPROVEMENT/BRIAN RUDD Address:2003 RIVERDALE ST. City/State/Zip:WEST SPRINGFIELD, MA 01089 Phone #:413-382-0249 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 9 4. ❑ l am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working or me in an capacity. employees and have workers' g y p t7'• ,. 9. E] Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their l I.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.1RI Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:SOUTHWICK INSURANCE Policy# or Self-ins. Lic.#:JUB2E072183 Expiration Date:03/12/2015 Job Site Address: to City/State/Zip: `�:JAar-e,►e e. M A G I OU Z 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$1,500.00 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 D1A for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct" Si nature: Date Phone#:413-382-0249 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holde C) C ,, 15 l(-y License Number S at 4k en A- c t O W i► 11 "7 cf Address Expiration Dfite 1 3 " CG.'-4 Signatur Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ \,� �a• �� �rr..�nr�rv�v�•�- � lea-,�r.�� 1�..�... C-)kV Company Name —�' Registr ion Number lay Address Expirati n Dat "AA Telephone(_qi3)32-Q2a-!j 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 buW 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 Alterations) ❑ Roofing ❑ Or Doors 71 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [56 Siding[C71 Other[�] Brief Description of Proposed Work: BUILDING SCREEN ROOM/PORCH ON EXISTING DECK. Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X 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 1 Vc a as Owner of the subject property _ hereby authorize _�� s5t-t� ��Ztiy� rV�112 to act on my behalf, in all matters relative to work aut orized by this building ermlt a plicatlon. 5�� L�•� M��c a� l Signature of Owner Date 1 `-Y-\�x,r. ,�,,,_ , 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. Print Name I , Signature of Owner/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 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 � DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW ® YES 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 © 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: 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: LJ Building Department Curb Cut/Driveway Permit i r y(�l.� AUG 212 Main Street Sewer/Septic Availability Room 100 WaterNVell Availability &Gas Inspe�t1Ons rthampton, MA 01060 Electric,Plumbing hampion,MA 01066 Two Sets of Structural Plans p one 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 1.1 Property Address: This section to be completed by office �';U S ��en -c,'� ; Map Lot Unit I _..:�ti'v'.¢.,\C R � fYl PV 0 lal�'�.-- Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: IRENE SZYMANSKI 361 SYLVESTER RD. Name(Print) Current Mailing Address: \ 413-584-5467 C S e.'( Telephone Signature 2.2 Authorized Agent: 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 5,900 (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) 5,900 1 Check Number This Section For Official Use Only Building ermit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0233 APPLICANT/CONTACT PERSON VISTA HOME IMPROVEMENT ADDRESS/PHONE 2003 RIVERDALE ST WEST SPRINGFIELD (413)382-0249 PROPERTY LOCATION 361 SYLVESTER RD MAP 28 PARCEL 063 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid B Permit Filled out „ : 60 Fee Paid T peof Construction: CONSTRUCT SCREEN PORCH ON EXISTING DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106156 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION PRESENTED: pproved 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 of ion ela nature of Buil ng fficia 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. 361 SYLVESTER RD BP-2015-0233 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:28-063 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-0233 Project# JS-2015-000435 Est.Cost: $5900.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VISTA HOME IMPROVEMENT 106156 Lot Size(sc.ft.): 42340.32 Owner: SZYMANSKI IRENE Zoning-: Applicant. VISTA HOME IMPROVEMENT AT. 361 SYLVESTER RD Applicant Address: Phone: Insurance: 2003 RIVERDALE ST (413) 382-0249 WC WEST SPRINGFIELDMA01089 ISSUED ON.•911 012 014 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SCREEN PORCH ON EXISTING DECK 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 9/10/2014 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner