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I rn m o v y > M 1 T r rn rn W 00 j I 'I o rn r M I W 0) uoi w I, n CU i W -4 i, II to LLI ® 36" -- (� ® CC7 I -n co 0) U r (J) 7 M z I , rn i 1 -i Nrm DD j 11 r r DD M DD < DD 0 \OD/ DD \/ Cn �00 I W II (n 7 ,)\ y d) I � I Ii i I 1 �This plan is the proprietary work product of\/allcp DRAWN BY: YHI_ Valley Home Improvement, Inc. DAN 51R015 I Home improvement,Inc.(VHI),Itis III � p JARA MALKI N � delivered for the limited and exclusive purp<se r' 340 Riverside Drive, PO Box 60621, Northampton,MA 01062 supporting the contract bid of VHI,and ' REY15 ED: customer agrees that the elements of this plan shsd Office Phone 413.584.1522 Fax 413.585.0820 & HIGH MEADOW 5T not be republished or presented in any form DATE: 5/� /ZOOt} Find us on the web at: u�uu.ValleyHomelmprovement.com I FLORENCE MAC =ting Project ccobactors without t _ CONTRACT PRINT 5/15/2014 ............. Ij li jl I . III ii O —U z Z z rn 1z) T 5468 li II ii Ili Ii ICI II Ili $ 35L58 - 5958" //'N ii n d tn 0 M U) \ ( M QP U 0 z L LE, CN 5k 5468 jl li jl it ............ This plan is the proprietary l( rietary worproduct of Vallcl. Jill DRANN BY: VHI Valley Home Improvement, Inc. DAN 51RO15 Home Improvement,Inc.(VHI).It is JARA MALKIN delivered for the limited and exclusive purpose(,f 340 Riverside )drive, PO Box 60627, Northampton, MA 0 1062 supporting the contract bid of VHI,and REV15ED: I customer agreas that the elements ofthis rJan sl-' Office Phone 413.5M.1522 Fax 413.555.020 & HIGH MEADOW 5T nt be republished or presented in any for n Find us on the web at: uAay.valleyHorneimprovement.corn for the purpose of enabling or supporting fh,�141o, RACT PRINT 5/15/20 14 FLORENCE MA, competing project contractors without the VATE: 5/15/2014 6ONT permission of,and compensation paid to,W f1........... ---------------- ....................... f - _ I ! 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I 1 '� — w _ ' I II This plan is the proprietary work product of 11111r D RA(W N BY: YH! Valley Home Improvement, Inc. �DAtN 51 RO15 I Home improvement Inc.(Vkl).It is i I I delivered for the limited and exclusive pure..,_n 340 Riverside Drive, PO Box 60621, Northampton, MA 01062 JA(RAt MA(LKI N not the contract bid of VHI,and III, REVIB ED: customer agrees that the elements of this plan sh. I Office Phone 413.584.1522 Fax 413.585.0820 I 8 HIGH MEA(DOY�I 5T not be republished or presented in any form 5/15/14 Find us on the wet)at: w wMalleyHomelmprovement.com for the purpose of enabling or supporting th - - - --- - contractors without the 1 FLORENCE MA compehngproject DATE: 5/15/20-14 GO NTCT PRINT 5/15/2014 ! ' I Pemrrssion of,and compensation paid to,\h fl _- __ s�O�� rO e +� �assatflnsrtts DEPARTMENT OF BUILDING I.NSPECTIONS 212 Main Street ' Municipal Building y j o. Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (IicenserJpermittee) with a principal place of business/residence at: (phone ) do hereby certify, under the pains and penalties of petury, that: I am an employer providing the following workers compensation coverage for my employees working on this job: (asurance 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 Comps ay/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) - (Expiration Date) (attach additional sheer ifnec=sary to ine}ude kdbrmtion p r aimng to an ooatractors) ( ) I am a sole proprietor and have no one working for me. { } I am a home owner performing all the work myself. NOTE.piease be aware drat while homeowners who employ p==to do raklena,,, consmiction•or rsgairwork on a dwelling of not mare than LEL�Wsts in which t�--hem-awac z sides or cc the g=ads appur Laornc tha do are not se msay cowid=to be �10;�.:t��t`�;?vo<�� ;�w�a�,,,�.�,-.(vLFS�1(ij,applicatiaa by a nosne�wo:r for a iics�e ar prmii may tite legal rtatua of an employer under tha Worlwez Compac=tka Act r u " ^d tbai a copy of this ssstemeot may be forwarded to tllo De;`qr�of lndz,�sl Acdd=te dfo:of lar-ar=-.for the ccv�uada socdoa 1SA of MGL 152 can lead to ibaL i oa of criminal p=aitim caasisiffig of a.fic--of up to S1,5W.40=dfor i n of UP to oW y=and civil p=aWes is tt;e fcrm of a Stop Work 06 der and a fm of MOM a&-yn�i"°Rm< J f J 4 ,f' Y t �tl:li 1t l,£7T?SLI1T?f�I' < 11airs and 1�i"I�Z1I"etss ilk"�„ul't'of)O � l L i n l.# c:aY Plaza _ S.Ld•.: wK a 710 Bclston Massa chusetts 02116 Registrat on 13195 Expiration: 10/13,2014 Tr# 232.370 STEVEN A. SILVERAN STEVEN SILVERMAN 268 FOMER Ra, SOUTHAMPTON, MA 0107 __._._ . ___ Update Address and return card.Mark reason for charge. ,Address Itene�kai _ lmplot#rent host Card QPs-CAI i*xn Gfa»olbisfs-v!a+:tt'x.siei+ x,.t�a•6cviJtitid+%oe Office u#Consumer Affairs:��ustnc�s Regulation License or rcvistYntior valid for cncl Yattu!use�snf�' N —HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: a Registration: . 132945 Type: Office of Consumer Affairs and Business Regulation �c .Expiration: 1011WO14 individual 10 Park F Win-Suite 5170 Boston.MA 02116 STE N A.SILVERI511�i1 � k1-0 STEVEN SILVERIAA�i 268 FOMER RIB. SOUTHAMPTON,MA 01;073" Underseeretart Not rali�ithaut signature i 1 4 P :try d �Jcf rc µ+k's 2 �wx4"�8 �.°bw°"i,ai:♦> .< lt+; :':.�� � ' 9d, ^ ------ ' h', 268 FrYnAz n,,__M-A 01073 Address Expirat::on Date Tele whone 9. Reiistered Home ImproveMg 268 Fomer—R-o-ad Address Expiration Daze Southampton, MA 01073 --Telephone 584-7529 SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6,1) Workers Compensation Insurance affidavit rriust be con-,pleted and submitted with tl�,�is appitcation. Failure to provide this nf will result in the denial of the issuance oi the building permit. 11,- Home Owner Exemption Decm��c�m�uol�`h��o*n����o��d�mb��� m�(|) m �o�) ��|i� and 10 allow such homeowner zn engage un individual for hire who does not possess ulicunso. provided that the owner acts as surwirviso r. CMR 7 80 Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)Nvho own a parcel of land on which he/she resides or intends to reside,on which there i.,. or isint"ridcd to be, a one or nv,-, 1,'ami!y dwelling,attached or detachedstructures accessor,."to Such 'Ise Lind!or farm structures. A person wilo corztructs more than one horne in a two-year neriod sh--Il not be considered it homl�nwne-- Stich"horn.cowner"sliall submit to the Building Official,on a form acceptable to the BUilding Officialt±.at lic/she shall be responsible for all such work performed under the bujidinaperinit. As acting Construction Sune your presence on the job site will he required from time to time. during and upon Completion of permit is issued. Also advised that Nvith reference to Chapter 152(Worker,;' Co p:ouution) and Chapter |G (Liability ofEmpioyoom Employe-.s for injuries not resultini-in Death)of the MassachUsetts General Laws Annotated, N,otl may be liable kvpersond you hire in perform work for you tinder this permit. The uodcoigncd^homeo*nor^oeni�cx and assumes nuapnnsihi|ity for comp!iunne`vith the State Build in�Codc`Ckyot �oohznopto: 0rd�ouoccu` Stxe and Locm! Zooin�|.awsmndS�o��o[��osynchuscosCcnu,o( Lu"/sAnnotated. ` A Wti";iii t .':0 J 2'<[ .._ n .. _. a, If New house aild or aiddition, te, eXistlu hopsing. completc thc follCi4,'ng ti 7` s •„,wa ., ,. ;°s ..a,l. .. .' t:=°.., 1...'”:t ...:E _'a't ..� ....._ _ .._._._, .._____ L,:, �....FT'i'�5l ._�13:.d_ry. .!(".l..d c«qtr.a.k �f.�• .............. .. ..._.. . �. f �." ' eY'�1d:42 �44, � 'A ..r � 5 I {'C r SECTaCIN as - OWNER SALITMORIZAYt. N .FC EE COMPLETED WHEN OWNERS AGENT OR CONTRA,CTCR APPLIES FOR BUILDING PERMIT `r C��l�^.� L]—.\.G,�..�....� V.W`.�L � �",�L�.. -. . _. ,=P'_.'�C '."t£'•L '...6' _it� �� ��t°.�3 dF =- ,•.t t..t S .. ,t } � v .dam �f:, "s.�'::3f_ ___ � :°ttt#_fte<•'1^;.. _FP'" t` �_►r"'E: .tl A::' LkIC:�C)f;'�vli p. .d�dt. Spiv .;Fx, ! .Yt� .t_,::'�C k'� kr .ltC' �'..,. t`r F;,'y� mom Steven Silvezrm ......... t _ Section 4. ALL LNTORINIATION MUST BE COMPLETED, or PERMIT CAN BE DENIED 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 ver been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at he Registry of Deeds? NO DON'T K GW YES IF YES: enter Book Page and/or Document # B. Does the site contain brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a rmit been or need to be obtained from the Conservation Commission? Needs to be btained Obtained , Date Issued: C. Do any sig s exist on the property? YES NO IF YE , describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES _ No D ',City of Northampton Status of Permit: uilding Department Curb Cut/DrivewayPermit MAY 2 3 2014 212 Main Street Sewer/Septic Availability ections Room 100 Watzr>Weff Availability ectric,PiumbIng 4 Gas F 01060 Insp hampton, MA 01060 Two Sets of Structural Plans-- i crth2mplc, ti1 phone 413-587.1240 Fax 413-587-1272 Plot/Site P1a6, 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 b C-c\QI 1 \Afo A 6uj SY Oe Map Lot Unit Zone Overlay District Elm St. District.____ ,___. .,_ C8 District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: dame Print) ,� Current M Iiruid�ss_ C <` Telephone Signature 2.2 Authorized Agent: Steven Silverman Valley Home Im r®v nt Inc. P.O. Box 60627, Florence, M 01062 Name(Pri Current Mailing Address: 584-7522 Signat re Telephone SECTION 3 - ESTIMOATED CONSTRUC T i'tu N COSTS Item Estimated Cast(Dollars)to be Official Use Oniy completed by ermit applicant 1. Building 3 (a) Building Permit Fee 2. Electrical r, (b)Estimated Total Cost of u(, 0110 Construction from 6 3. Plumbing ,= Building Permit Fee 4. Mechanical (HVAC) Fir i'roiection ( I I 6. Total =(I + 2 + 3 + 4 + 5) Check Number This Section For Official Use Only Building Permit Number: Date issued: File#BP-2014-1247 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESSIPHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 8 HIGH MEADOW RD MAP 30A PARCEL 079 001 ZONE WSP(100)/SR(56)/URA(44)/ 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: REMODEL KITCHEN 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 INFORMATION PRESENTED: C/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 Permit DPW Storm Water Management emolition Dela Y Sign re of Building Official 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. 8 HIGH MEADOW RD BP-2014-1247 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A-079 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-2014-1247 Project# JS-2014-002100 Est. Cost: $34000.00 Fee: $204.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sg.ft.): 153766.80 Owner: SIROIS DAN&JARA MALKIN Zoning: WSP(100)/SR,(56)/URA(44) Applicant VALLEY HOME IMPROVEMENT INC AT: 8 HIGH MEADOW RD Applicant Address: Phone: Insurance: P O BOX 60627 (413)584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.513012014 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN 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: FeeTvne• Date Paid: Amount: Building 5/30/2014 0:00:00 $204.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner