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35-243 (5) 35 LADYSLIPPER LN BP-2017-0897 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 35-243 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2017-0897 Project# JS-2017-001524 Est.Cost: $10500.00 Fee:$68.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sg. ft.): 42558.12 Owner: BLOOM PETER A&CATHERINE M znnine Applicant: VALLEY HOME IMPROVEMENT INC AT: 35 LADYSLIPPER LN Applicant Address: Phone: Insurance: P O BOX 60627 (41.3) 584-7522 Workers Compensation. FLORENCEMA01062 ISSUED 0M2/7/20170:00:00 TO PERFORM THE FOLLOWING WORK:ADDING 12 FOOT 4 PANEL FIXED UNIT AT BACK OF HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.F.W. Building Inspector Underground: Service: Meter: Facings: Rough: Rough: House IS 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 2/7/2017 0:00:00 $68.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0897 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 35 LADYSLIPPER LN MAP 35 PARCEL 243 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT - '•_ -TION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT /7 Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ADDING 12 FOOT PANE ED UNIT AT BACK OF HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 077279 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 Signature of B ding 0 icial 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. Department use only City of Northampton status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Weil 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 OHMIC FAMILY DWELLING SECTION 1 SITE INFORMATION IA Fropsr;v Address: '- -- m This section to be completed by office.. 52) LI v LClr''C- IJ.aP Lot Unit_,,, J Zone Overlay District Eim St District _ Ca OtSuict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: re-0-41e,tint EA en Na 1 Current Mai`..Atl. - s: ([/ . .La; - OUn-. elephone 1�1tt Signature 2.2 Authorised&dent: I r r. 3.f1 Name Print nt (ess: moa )/e Jtila (Thr 2- (Print) . Cuurren[Mailing Address: 111I� 1 . < atr y - 75a Signature Telephone SECT e . .I .CONSIT2'IPCTIOM COSTS Item Estimated Cost((Wars)to be Vidal Use Or+iy completed by permit applicant 1. Building f0 000 (a)Building Permit Fee 2. Electrical Soo (b)Estimated Total Cost of t ( 1 Constr coon from(6) 3. run. _ i E_._ a P"nnit Fee, 4. Mechanical(F^vAC) 5.Fire Protection //'" n46B� 5, Total=(1 +2+3+4+b) 10)50b Check Number 36546-3 rQ _ This Section For Official Use On[vFerin `J Duna, - I n>.a -... it t\Jmoer: issued: rt Signature alerting Co mi sslo,aa4nspestorot Eril;iings Cas Section 4. ZONING All Information/dust Pe Completed. Permit Can 6e Denied Due To Incomplete information Existing Proposed Required by Zoning Thisdatwimto be&ll by Building oePrtment Lot Size FrontageSetbacks Front Side Li _. _.. I2: L R: Rear Building Height — - / - Bldg. Square Footage % Open Space Footage .. % j/ (Lot area mivus bldg 4paved peeking,) N of Parking Spaces Fill: . .. .. .. _ _ .... ... .. __ .. A.(volume�� a sanSpecial. Permit/Variance/Finding KNOW inding ever vo {//'�y\ ba. n issued torten the site? 0 0 / YES 0 _ IF YES, date issued: / iF YES: Was the permit recorded at thee Registry of Deeds? el;YES: enter Book / _' �l and/or Docu:�_..t. // Page Document r B. Does the site contain a brook, bo of water or,wettands? NO 0 DONT KNOW 0 YES 0 !IF YES, has a permit been u'need to be obtained from the Conservation Commission? Needs to be ebtatned ,///f fibtair.ed fl , r._te catered. /r v C. Do any signs exist on/property? YES 0 NO .. . IF YES, describe/e, type and Location: D. Ar there any ra..aO4aaed cikittraet igri PidditiOrir af ,a ._'rot perCy? YES 0 ttO Cd. VP YES, de c,be size, type and location: F �,('`� a..hq_ e ie on, or' y)u_r t .sae _Cleaif, common p;an that will eta ado overI ace? YES Ido () i IF YL-S,then a Northampton Storm Water Management Permatm:n the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(theca all aoolicanie) New House 0 Addition O Replacement Windows Alteration(s) Roofing E Or Doors 0 Accessory Bldg. El Demolition E 1 New Signs pi Decks [❑ Siding(q) Other j Brief Description of Proposed Work: ADD1N{ 12i 4 Poi( EtA tsvtT e BAct cc HUE Alteration of existing bedroom__Yes x No Adding new bedroom Yes 7< Nom/ Attached Narrative Renovating unfinished basement Yes _. !'_No Plans Attached Roll -Sheet -- se.Ef thew house seed or adciEEon €o axes€fnre houshmgt cortF rEste Ole€eileiwetvr$: 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 It of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No - j. Depth of basement or cellar floor below finished°rade A Will building conform to the Building and Zoning regulations? Yes No. i. Septic Tank City Sewer Private salt pit)-water Supply SECTPOUJ Fa=OWNER AUTHORIZATION•TO as COMPLETED WEN 4 OWRERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERM T - (pe r t-+- (4n:i'ner .- Q'')\Dori- -a _ edged property t nc to yFeer y 4 a-1 Ao12uthor %H '''7e/ to act oJ)gil(/ all m¢ders ria tcdrk au#no-..,<�O9hy this 6a 0lng it2pp e v .l I•__ )einTh iii1 "e'.✓YY-S1�- , as Owner/Authorized e_hr _ .H r Nf:„ and e_ ,e Signed under ane pains and penalties of penury. { .n � n_ Ow ;ant SECTION 8-CONSTRUCT€ON SERVICES 8.t Licensed Construction Supervisor: Not Applicable 0 Name of license Holder: §� tti �t \c`,taiilL'A tm ]��. License Number Z�:S 14 cc c < k m `t'r'z,rr 2 \f�C b C" (U 12-1 \ !P Address / t Expiration Date ilh J� J , /1 - ] -D.. -. Signalu e 'Telephone 9,Reeisteted Home Improvement Contractor: Not Applicable 0 es_tr, Ell Crean /05593 Company Name Registration Number J9 0 _ mix Pori _ / 7// 71/8 Address - Expiration Date Y lO scfn(Ca it) t0 J 9+w Telephone SOV\ sCeD SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(I4.G.L,c.152,F 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 C,9; No ❑ Ian The current'exemptionfe _ .. _t .re extendedly includeC .e.er ea blwelltetex of one t l) cm r*o(2)Swathes and to Pilaw such homeowner to engage w individual for hire who does not possess a Hauge,Hoot: -d alai: the owner acts zs=enter,CMR 78p MUM Edifiers e chest i6"rn3.5 t. Deftoifdan of Non eawner:Person(s)who our 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 Emerson who constructs more Hen Roe home in sr two-veer Exerted thug kat be coacidered a hameaweier. Such"homeowner"shall submit to the Bedding Official,on a form acceptable to the Building Official. thee tie/ska shell be elle le ft if bit sitth et mit ruenitimeredder the 3Vet '_gesture. As acting CON strrnedam St©eerilsor your presence on the job site will be required from time to time,diarine^nd'iiben completion of the work for which this permit is issued. Also be advised that with reference Co 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 roes'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 tbe State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. E9+=e^..ner'.: ire • City of Northampton 212 Math Street, Northampton, 12A 01060 Solid Waste Disposal Alf davit In accordance of the provisions of MGL c 40, 554, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the-work (35 L049 ppc," LC[ne The debris will be transported by: V(1},11,5 blankan o' is uc The debris will be received by: VCLUP Z . ch Building permit number: • • Name of Permit Applicant \iCt tcvLi o Inn ra7-i,4— i /23/7 flare • Slgnatureof Permit Applicant J^_... . ....w 500 Wash itiette Stier; Boston, MA 02111 vriv'3 a;wss.go'vklia Workers' Compensation Insurance Affidavit: B ider6/CHitractors/E1ectaicians/Fiumbers ADDlicatnt information Please Print Legibly Name (r3mYnesstrganl3utiov;Sndrviduat): \i, 'tel ` Lr _Ltr510FV..t'A1,`}t'. '"o' . ,i,n Address: 31G i ` v^- :1c i l : r, City!'State/Zip:_f \ol '1.c \-\1A- D1 Ph e#: L113—��%4 1`c 22 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 1 am a generalconnector an4. ❑ I ttd I 6. ❑New construction employees (full andiorpa,-titne)P e ve hired the sub-contractors 2.0 1 am a sole proprietor or partner- These on the a taed sheet. . ❑Remodeling ship and have no employees These subcontractors have k, ❑Demolition working for me in any capacity, employees and have workers' 9. ❑ Building addition [No workers' comp, insurance comp. insurance.. required.] 5. 0 We are a corporation and its 10.❑Eleetrieal repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] i C. 152, §1(4),and we have no ❑ employees. [No workers' 13. Other_ .. comp.insurance required.] *Amy applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. k Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $:ontracmrs 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 lithe subcontractors have employees,they must provide their workers'comp.policy number. Caen in empia,yer thrl p,�a ... ! Eters co:n a.a. ,:a_v _,useeiy emP,L3.772e.,t Mor Oniepullry ntd,_5 e3t irrforralion. Insurance Company Name: Pre V"..Py.anI .4ci Policy pr CaU .a . Exofration Date: -@ ; ar Job Site Address: `2 _ •'142(:)C,.. ; C12__ c;raAstatelrio: `�{t )Cf 1��1. CJ4O�., mp Attack z caw of the evore_<s' ca &.,atiomm po ky derhee ten?sage(eium41 g the policy member and expiration date). Failure in sec ere coveraire or required under Seddon 25A of Ma.c. 152 can lead to Pee imposi ou of,.*mi al pena:ties of a fine up to$1,.50000 and/or one-year i ori n_ennt, 1, A& Is_ ejtalpenalties PI th. ,of qui P 1.770P-vn n .:r'_ y ri-e of up to$250.00 a day ageinat the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations plait DIA far i s.....r........verege yerii:ca..,,.. VI I do hereby eertifj theactene pas ed benaidekty n nary their the imjormawion provided above is tree and correct • Sp a_— J airs a Date: � 1 O'J\1� a i .,...... _.... �.._� I I w • ..;ng Rec sans : nt:ares __._,e CS077275 _r _ c_ STEVEN ASILVER?1AN 259 FOMER ROAD SOUTHAMPTON MA 01071 --'-� Expi ration: ConmsS;o¢er 06121!2018 rr. (;.{.C/tf/ NfUf'fel .15 51. IN-.1.i(tf� // it'rf : f Office of Consumer Affairs and Bitsiiae s Reculation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration R izstrs:icr: 1D5543 Type: Privste Corporation Expiration. 7/17.2018 Tr: at .'.Sl VALLEY HOME IMPROVEMENT INC. STEVEN S;LVERMAN P.O. Box 60627 r_ORENcF. friA 01061' __.. _ . ... . .,.. - -npia=n/ait w&'>x C31 C) -Cam .r 9;1.1i:549 o .. R. . r:��; Licen• or ; :ration .ivd f;r;...hi u.J u.c o91_c E 0•Ir _ C.CNI5ACT05 is09:io � type; Cit:.of C aeu e A eau r' ,...e r“'..aia riun r _ eticn: .; _ -e._s �=P t au,u I1to:a • In • ,. n r CC to ir w C11! 1F ?HA) lBIg _ Y _ r g BUILDING D PAR 9EN I xA M col co Giese plans twe beep T s' --kg; A .: �, , +# Po t %U Y O Q kx ' a S's. N .r C Af ,� � h� air x-girt,941 Kgit-g- Fi ..F J .meq i Q 0 n y "k•, i— 2 � I Y ae0� N +ytlbkr "i 1 vI J at xM.. F JR'+,t 5, O nC —lT b� 1 yj K 4 ,h w ui KK T'SiT' ~ -1 b 1I:. `v u•r ` asr M t Lu W � O 5 g ..v :, . ,.� h a� Sr _ c �� r t aii J a ` fix e : r m m _ ., z A 1 maft O'S tt A s ,_ UooE • C o al a __ , fun E -" PROJECT NOTES: _m ' PROJECT PLAN le E F.11 N , PLAN SET COMB I NED WITH THE BUILD I NG CONTRACT,PROVIDES BUILDING DETAILS FOR THE RENOVATION OWNER: BLOOM INDEX OF DRAWINGS 6 PROJECT. THE LEAP CARPENTER SHALL VER I FY THAT SITE CONDITIONS,AND 01MENSION5 ARE CONSISTENT WITH TITLE SHEET 2 26 THESE PLANS EFORE STARTING WORK.WORKNOT SPECIE I[ALLY PETALED 5XN.1.BE LOHSTRVLTEDTO THE SAME PROJECT 35 LAPYSLIPPERIANE PROJECT SUMMARY 1 U MAIN FLOOR PIAN L Q T' II DUALITY A551MIIAR WORK iXAT 15DETAILED.ALL WORK SHALL BE DONE IN ACCORDANCE WITH INTERNATIONAL ADDRESS'. FLORENCE,MA HEADER DETAILS 3 L 0 W 11411111-110 l 1 BUILD NG AND LO LODES ELECTRICAL PLAN 4 a 7 B$ L� 1 �'�� � !`. BLDG PERCIT �RYLT152R-yFVA01 _ ,_ _ _ _ `777 WRITTEN HIMEN SIO NSANO SPELIFlO NOTES SHALL TAKE PREFEO ENOE FVER SCALED TIMENDITIO AND GENERAL p ry cc. cc NOTES THE EDT PER50rvlOE51GNER SHALLBELOrvSVLISC FOR CIES AIREFONIFSITE EPLANSORARE DESIGNER: 2 1l 1 ryt INCENCOUNTERED THAT ARE DIFFERENT THAN SHOWN,I F NOTESPCARPE ARE FOVNOINONTPLANS OR NOTES.OR IF A VERIFY ,�TB,, � r I3 1I 11 L/V(.H11011.1.; NIS RESPONSIBLE AR SES OYER THEINTENT OF TCLUDIN SORNOTPENIIRPENTE:Oft SUB CONTRACTOR SHALL VERIFY AND W apN W qm • IS RESPONSIBLE FOR ALL DIMENSIONS(INCLVSIIE ROUGH OPENINGS), jm9 eO" ALL TRADES SHALL MAINTAIN A CLEAN WORK SITE AT THE END OF EACH WORK DAY. 0 pp f� }:rpii ,, ,, JS the diJ/iri ire, Lot .' )mir f/i,iii I PLEASE SEE ADDITIONAL NOTES CALLED OUT ON OTHER SHEETS. �A U £n 31N2O W Ga j - F �R U ES RRYC This plan is the proprietary work product of Valley Nome Improvement,Inc.(VW) It Is delivered for me anile.]and exclusive purpose of suppoRmy the contract and of vw,and customer agrees Mal The elements of this plan shall not be republished or presented in any form for the purpose of enabling or suppotng he work of competing project contractors without the permission or and conpensatron pad to,VHf ■ _2844L 2844 2844 I 11 ® ; - .. lei .� _ - n -_: - - rr• - - - i H 5® 6, L 1 II II --Li 1 11H n o_ H I I II ...ne_w : I Hill) I i , z ti III I 3'-0I' P I I mo z m E D z o m N O m z T I. 0 A e — I.pti i -n r_ t t3 nal Dw V e olaiXmlii r - tri m 1 IS' Pal hMI ' EXIS NG UNIT it u II I C_ .. 1I ' - I IP i x P m I 1 j I I I 1 1 I TI . -- 1 11 / I I III �'I ® W o I - I yy_ I I I _ IIIIIIIIIIpIIIIII IIIIIIILIIp II® _ a ': _ • 4 _ ® _. .... 'u L ', i. L-1-17 '± L _ u' 2_ L 5, u LL Ll ll i. u 5.--L Valley LADYSLIPPER LANEFSCALE:SEE VIEW SHEET NUMBER ey Home ImprovementInc. 5LORENCE,MA 01093 DATE 27/2017 /� 340 Riverside Drive, PO Dox b062l, Northampton, MA 01062 MAIN FLOOR PLAN L Office Phone 413.584.1522 Fax 413 555.0820 BLOOM OFAWN BY Find us on the web at: uw.u.YalleLNomelmprovement.com 1 ! 13, 5.E a X ya S EXISTING 2X10 RIM (2ND FLOOR) L 11 (BEDROOMS ABOVE) ^9 to i� + fIJI(,1� jVI �� II 3II I � 1 II II Il _ IJ Y I11 __JI o 3 a I L— _ —� to MG6x20 STEEL HEADER &) _J 1 Q p 1 r— r 1 �_-1 II— (2) 3/8x5 1/b GRK RS5 W EXISTING 2X4 TOP PLATE �/ 0 3.5x3.5 versa column W o � �►+�I = � 12 10„ �1 , , . 000 i eERLo FssP. / I I I I NE"O. . 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L 17 v f7 i DAVID A. =b — m i, gap VREEIAND W a v L' CIVIL mE uN ip H.1 HEADER DETAIL 1 Nw�Ba17 z a { v 3/4 In = 1 R � s T . sv = ° U 217117 --- X E; This plan is the propnelan woo*product of Valley Hone improvement,molvHI) u is dohvered for he limited and exclusive purpose of supporting the contract Gid of VH6 end customer agrees that the elements albs plan shall not be republished or presented in any form for the purpose of enabling or supporting the work of competing project contractors without the pomading or,and compensation paid lo,VHI rn r rn N°nZ rn I 73 5-: -.4 : . T a) -11 a O • ,, z • • • • Ilk , : , . ..., • ci• •: :A--). . m: ®. • •liailliiiiii:. • \� • III to Ill 02 Z N T Z FR `Yl a 0 CIN Ox -t ? c z A 0 j = o •o v 00 1 p A Z 4� O Dtn -1 r 1 - _s { 2 1- 2 -t m O A sz tsi Z tP (SI C - Z IJ O o A ° -� 2 O O O H 3 O 1 N -n m 3 A w - 40 O Z ° O xX O ° r- -A4 H ° ° _ Z A• 00 rn 3 2 n 1 OA z z D ° -I Z O 'A-I z O frll O z Z € rn - v ° r z 0O m A P rn o tI1 n, RI LP V mut cby nz 2y V E Valley Home Improvement, Inc. 35 LADYSLIPPER LANESCALE:SEE VIEW SHEET NUMBER 340 Riverside Drive, PO Box 60621,Northampton,MA 01062 FLORENCE,MA 01093 ELECTRICAL, DATA, DATENj309 Office Phone 413.584.7522 Fax 413.555.0520 BLOOM & AUDIO PLAN DRAWNer.s.G. 4 Find us on the web at: uwu.ValleuHomelmprovement.com ao.wmua