17C-231 (5) Valley Home Improvement, Inc.
P.O.BOX 60627,NORTHAMPTON,MA 01062
413-584-7522
FAX 413-585-0820
DESIGN / BUILD
ADDITIONS • RENOVATIONS
8-31-05
Stanley Sadowski
Building Inspector
City of Northampton
Re: Lieberman's Gallery
34 N Maple St. Florence
Dear Stanley
This is the project I mentioned during our recent phone conversation.
Eric Suher is doing the build out for Lieberman's Gallery. He is handling fire
suppression, hvac, egress lighting etc. as part of the lease agreement.
Our work consists of minor changes in the office area...relocating a bath door, and
building a half wall to create an open reception area where there is now an office.
Work in the warehouse area includes creating an employee break area with kitchenette,
two adjacent offices,the installation of two utility sinks and a new overhead door with
egress lighting as shown on the plan.
If you need any additional information,please let me know.
Thank you
Nelson Shi ett
Valley Home Improvement, Inc.
7
The Comntonlvealth of Massachusetts
=1 �� Departrnent of Industrial Accidents
- Office o//nYesGgatioos
660 Washhi, ton Street
Boston, -Mass. 02111
Workers' Compensation Insurance Affidavit
name:
location:
city
phone it
[] I am a homeowner performing all work myself.
[] I am a sole proprietor and have no one working in any capacity
I am an employers providing workers' compensation for my employees 4aorkin on this job.
ct�mpanv name: Valley Home Improvement, Inc .
address: 340 Riverside Drive
city: Northampton, MA 01060 phone#: 413-584-7522
insurance co. Acadia Insuzdnce Co. policy p 0109102-11
am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address:
cim: phone is
insurance co, policy 0
_ --- - - - -
company name:
address:
city: phone ti:
insurance co. policy
Kt�'acl�'addtiionatshcet'tfnecess�'� ��•�< - °�, <. , --�. �,, -.� x
Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a S*rop WORK ORDER and a fine of 5100.00 a day against me. I understand that a
cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herehr certifi'under the pains and penalties of perjury that the information provided above is true and correct.
Signature— Date /,)- r�5
Print name /i -/-L.i/ ��� � Phone 4 `��j- y 7,J i
f
official use onl} do not write in this area to be completed by city or town official
z
t
cit}or to«n: permitilicense r-iBuilding Department
i' oLicensing Board
ti O check if immediate response is required C3Selectmen's Office
[]llealth Department
t contact person: phone k': __, f iOther
Version 1.7 Commercial Building Permit May 15,2000
;ECTION 10 STRUCTURAL PEER REVIEW(780 CMR 110.11)
idependent Structural Engineering Structural Peer Review Required Yes......❑ No......❑
;ECTION 11 - OWNER AUTHORIZATION -TO BE COMPLETED..WHEN
OWNERS AGENT OR'CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
iereby authorize to act on
-ny behalf, in all matters r lativ to work authorized by this building permit application.
I
signature of Owned^/
as Owner/Authorized Agent
1'ereby 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.
6
Signature of Owner/Agent Dat
SECT10N,12 -CONSTRUCTION,SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
SECTION 13 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...... ❑
Version 1.7 Commercial Building Permit May 15,2000
)-ECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
;ONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
).1 Registered Architect:
Not Applicable ❑
Jame(Registrant):
Registration Number
,ddress
Expiration Date
;ignature Telephone
2 Registered Professional Engineer(s):
lame Area of Responsibility
address Registration Number
Signature Telephone Expiration Date
lame Area of Responsibility
address A, Registration Number
Signature Telephone Expiration Date
Jame Area of Responsibility
;ddress Registration Number
Signature Telephone Expiration Date
lame Area of Responsibility
address Registration Number
Signature Telephone Expiration Date
1.3 General Contractor
�Rfffq �:i.:.� .,tn• �- Not Applicable ❑
:ompany Na .
/ s• �L.
tesponsible In Charge of Con uction
ddress
.
signature Telephone
Version 1.7 Commercial Building Permit May l5,2000
Water Supply (M.G.L. c. 40, §54) 7.1 Flood Zone Information: 17.3 Sewage Disposal System:
'ublic ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑
8. NORTHAMPTON ZONING
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
azkins)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW Z"' YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO 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: '—'
r
D. Are there,any proposed changes to or additions of signs intended for the property?YES
No
IF YES, describe size, type and location:
Versionl.7 Commercial Building Permit May 15,2000
;ECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
;UBIC FEET OF ENCLOSED SPACE
nterior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑
Aterior Alt tions Demolition❑ New Signs [ ] Change of Use [ ] Other
gc es ory B uildi g [ ] epairs [
Jt%t L� Cr/1C/j ��L� ./� t`
')ECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
Assembly Io A-1 ❑ A-2 ❑ A-3 ❑ lA ❑
A-4 ❑ A-5 ❑ 113
❑
Business 2A ❑
Educational ❑ 2B I ❑
Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
High Hazard ❑ 3A ❑
Institutional ❑ 1.1 ❑ 1.2 ❑ 1-3 ❑ 3B
1 Mercantile ❑ 4 ❑
Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
I Utility ❑ Specify:
1 Mixed Use ❑ Specify:
Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
xisting Use Group: Proposed Use Group:
xisting Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
>ECTION"6 BUILDING HEIGHT AND AREA
g OFFICE USE ONLY a� t
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTIONS - „ ���,��� �,
'loor Area per Floor(sf) 1st
f
.s.
St 2” " fi�3r
end 3rd
$ y
;rd 4th � Fs
th
otal Area (sf) Total Proposed New Construction (sf)
................................... 2 b Lx
otal Height(ft)
Total Height ft -------------------- r
Version 1.7 Commercial Building Permit May 15,2000
Department use only
City of Northampton Statusjof,Perm'ii
t
a� �
Building Department Curb Cut/Drivewa Permita ��
212 Main Street Sewer/SNAIL, va ab�i�ty''
: §¢� a ,
Room 100 Wa er/We(1`A aIlabrl�ty
MA 01060 T�rvo S s_o#Strut# rat P ans
Northampton, �, � ', �
phone 413-587.1240 Fax 413.587-1272 Plolsite Plans -�
> � � n
4PPLICATION TO CONSTRUCT, REPAIR, RENOVATE&HA 7T4-E OF, OR DEMOLISH ANY BUILDING
OTHER THAN AON O ' ,rWo-�66'bkbc#PANCY
AMILY DWELLING
^vC5
ECTION'1 SITE INFORMATION
1 Property Address: This section to be completed by office
Map Lot Unit
Zone Overlay District
Elm�'$t District -CB District
IECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
�/ lf,�If/lry�j
6'af1G/ arivdJ.�Ar ` r !°`y'l� O 'I/lhta/ rte►
Vame(Print) Current Mailing Address:
',//.j
Signature Telephone
2.2 A,�u/thorized Agenn/t:
Me
Vame(Print) Current Mailing Address:
3 Sj- �/- 17s.� )L
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
/
'5-0 Construction from 6
3. Plumbing v Building'Permit Fee
4. Mechanical (HVAC) ,T ij /rl�d• lt 'e K0
5. Fire Protection �b -
6. Total =(1 + 2 + 3 +4+ 5) oo Check Number i
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Cate
File#BP-2006-0243
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESSIPHONE P O Box 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 34 NORTH MAPLE ST
MAP 17C PARCEL 231 001 ZONE SI
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: RELOCATE BATH DOOR,CONSTRUCT 1/2 WALL OFFICE/RECEPTION AREA
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060300
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
1-1 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
-14W �4� �I-�
Signature of Building Offic al 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.
34 NORTH MAPLE ST BP-2006-0243
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-231 CITY OF NORTHAMPTON
Lot:-001
Permit: Buildinq
Category: BUILDING PERMIT
Permit# BP-2006-0243
Project# JS-2006-0351
Est.Cost: $34000.00
Fee: $137.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group Valley Home Improvement, Inc 060300
Lot Size(sq. ft.): 59241.60 Owner: LIEBERMAN GALLERY
Zoning: SI Applicant: Valley Home Improvement, Inc
AT. 34 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON.91812005 0:00:00
TO PERFORM THE FOLLOWING WORK.-RELOCATE BATH DOOR, CONSTRUCT 1/2
WALL OFFICE/RECEPTION AREA
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 9/8/2005 0:00:00 $137.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
/ J
BUILDING PARTIAL
1 Sync module for horns and strobe
2 Graphic Map
3 Knox Box
4 TRRwo additional exit lightss
RepairaexistinaeexitL� ght
y
34 NORTH MAPLE ST _ BP-2006-0243
GIs#: 'kLTH OF MASSACHUSETTS
Map:Block: 17C-231
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0243
Project# JS-2006-0351
Est.Cost: $34000.00
Fee: $137.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot S?ze(sg_ t.): 59241.60 Owner: LIEBERMAN GALLERY
Zoning: Sl Applicant: VBiiey it ome !ni ioyement. Inn
AT. 34 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:91812005 0:00:00
TO PERFORM THE FOLLOWING WORK.-RELOCATE BATH DOOR, CONSTRUCT 1/2
WALL OFFICE/RECEPTION AREA
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
� t Footings:
Rough:`]'11 "�!� �,Gi� Rough..0i4,L�'9/,rG/aS" Mouse# Foundation:
Driveway Final:
Final:(0�� J Final: �� �'�'� �
Rough Frame:
Gus; sire T)e[ Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: 10H %1441 Final:
THIS PERMIT MAY BE REVOKED BY THE TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGUL TION .
s
Certificate of Occupancy Signature:
FeeType• Date Paid: Amount:
30 DAY TEMPORARY OCCUPANCY EXPIRES 11/30`05
Building 9/8/2005 0:00:00 $137.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-.1272
Building Commissioner-Anthony Patillo