32C-315 (5) FLOOR PLAN NOTES: �alf'1ee" t I aW aw/ NaT� H.~ a r �('
�,� M
L ALB EYTERpR 01H@N86'IN5 ARE TOTNE MAN
c EXTERIOR LATER. DIMENSIONS TO OPENIN65 ARE TO p
ill
THE rRAMING.Rav6H OPENING, INTERIOR / � City of Northampton M
3 MS0N510115 ARE TO THE FINISHED MALL. / �� Building Department $g
3.LEAD CARPENTER SHALL VERT FY ALL DIMENSIONSFN p G
BANDM RESPONSIBLE FOR ALL DIMENSIONS Plan RevieS
EE ONCLUDING ROUGH OMEN NGSB 212 Main Street LA $
} GENERAL NOTES: Northampton, MA01060
gg
o C
55
c THE LEAD CARPENTER SHALL FULLY COMPLY WRH THE 2009 At It t I1 1(,jt chew
•�� �a��
IRCANO AI LADDRIONAL STATE AND LOCAL CODE /// RR. eL.Y_"
`� REQUIREMENTS. --- 5W(y, I F � /
E WRITTEN DIMENSIONS ON THESE DRAIMNGS SHALL HAVE a'�i W � vQ✓I�y �E
PRECEDENCE OVER SCALED DIMENSIONS.THE GENERAL Y/ /w�
E CONTRACTOR SHALL VERIFY AND IS RESPONSIBLE FOR ALL E.1.
5 DIMENSONS{INCLUDING ROUGH OPENINGS)AND
e CONDITIONS ON THE ADBAND MUST NOTIFY THIS OFFICE OF
S ANY VARIATIONSFROM THESE DRAWINGS. Ce
E
THE GENERAL CONTRACTOR IS RESPONSIBLE FOR THE i{_i�ril 111110:'� 0O
DESIGN AND PROPER FUNCTION OF PLUMBING,IWAC AND "
&, ELECTRICAL SYSTEMS.THE LEAD CARPENTER OR = J
SUBCONTRACTOR SHALL NOTIFY THE OFFICE WITH ANY I
E PLN4 CHANGES REQUIRED FOR DESIGNNID FUNCTION OF h, A , U.
ttWSNG,HVAC AND ELECTRICAL SYSTEMS. -
NE1N TUB w/ TILED SURROUND
I DESIGN CRITERIA 2009 IRC AND IBC ALONG WITH STATE 1 0
AND LOCAL AMENDMENTS '. .-'1 '-v1 Q
?; ROOF. SNOW LOAD DETERMINED BY AMENDEDIR.C. 4� C
E FLOOR'. 40PSF LL. G
E SOIL: la PSF ALLOWABLE(ASSUMED). —""""'
FROST DEPTH:a••-a•ti DYAtER ROD AND ACCESSORIES f� , E NEIN VINYL FLOOR
N THIS STRUCTURE SHALL BE ADEQUATELY BRACED FOR‘MND I -` [�t A
ELOADS UNTIL THE ROOF.FLOOR AND WALLS HAVE BEEN //--''�� } •
PERMANENTLY FRAMED TOGETHER AND SHEATHED. 1 ln T
0
S` NIFRHM PINLPH MOTES- 4
RENDERNOS ARE MOTTO SCALE;ALL UPDATES
NSSAO pp, LT'
a FOR ISTIC DEPICTIONGSRENAN UPDATES MAY NOT BE VANITY REMAINS -- ' � -:tv Qy o
x REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE - } 1 F Q
o USED FOR CONSTRUCTION. � , N Gr1ANC,E TO I �yV) S'
0SEE FINISH PLANS 8 SCHEDULE FOR SPECS 1 ` } Q X
IN TOILET W .LI EraaaMWOH NOTE • 4t
v RENDERINGS ARE NOT TO SCALE;ALLRENDERINGS PRE I I a
�',�
R`o FOR ARIIS 110 DEPICTION ONLY PLAN UPDATES MAY NOT BE I a Z
REFLECT ED IN RENDERINGS.RENDERINGS SHALL NOT BE ~
USED FOR CONSTRUCTION, • f L Go
EE -SEE ANON AND PLANSE SCHEDULE FOR SPECS I
L ~ I' DO R REMAINS z
TILED NAINSCOTINU REMAINS` •
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41 HENRY ST BP-2017-0705
GIS ft: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32C-315 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-2017-0705
Project# JS-2017-001163
Est Cost:$25500.00
Fee:$166.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 5488.56 Owner: BAK JAMES A&BAK 2008 REVOCABLE TRUST
Zoning: URC(I00)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 41 HENRY ST
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584-7522 Workers Compensation
F L O R E N C EMA01062 ISSUED ON:11/22/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:UPDATE BATH FIXTURES, ADD 1ST FLOOR
LAUNDRY - NO STRUCTURAL CHANGES
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 11/22/2016 0:00:00 $166.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File# I3P-2017-0705
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 41 HENRY ST
MAP 2 PARCEL 315 001 Z NE URC(10Q)//
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee tin
d
Building �i u!}
Building Permit Filled out 0.1(9
Fee Paid
T neof ,onstruction: UPDATE BATH F .T ,ADD 1ST FLOOR LAUNDRY-NO STRUCTURAL
CHANGES
New Construction
Non Structural interior renovations
_ Addition to Existing
Accessory Stricture
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 ATION PRESENTED:
jApproved 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 Pennit 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
A.47
Si , of:uil.ing 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.
Department use only _
City of Northampton Status of Permit
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
NOV2Room 100 WaterNVell Availability
*V I Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
DEFT Ce 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
in t21/4. Map Lot Unit
Zone Overlay District
Elm St.District CH District
SECTION 2-PROPERTY OWNERSHIP1AUTHORIZED AGENT
2.1 Ownerw of Record: `L
IvCt C Rt r\CYtrc.t ✓'- QyT—Q� (kg..,_Ln ( 0(00
Name Print)\ Current Mailing Addrhss. 1
Ct 35 ei37
7
Signature _ Telephone
2.2 Authorized Arent:
S\-eQen S.Ayesi ry - 2c.&. (mal FICIEDnc4 6ACC CACAPa-
Name(9 a P ) 4 II Current Mailing Address: q
Si n-�refl
14t -SaLt-7Saa-
Telephone
I
sECTEOP3-F321t4ATEE COftPSTFUODIOld COSTS I
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building q 0i 50O (a)Building Permit Fee
I
2. Electrical I U 5j•J I (b)Estimated Total Cost of i
I I 50� I Construction from (6)
iumicing I ✓ai SOO Ie-iihel,.t P.a,..m-p«Fos
4. Mechanical (HVAC)
5.Fire Protection {(,��
6. Total=(1 +2+3+4+5) as, 5 /0o Check Number, 0 (-//J/
l Th e`vection For Official Use Orin'Date
CvY
IBuilding Permit Number: I I Issued:
Signature:
Suiiding Commissioner/Inspector of Buildings Date
Section 4. ZONING AU Information Must Be Completed. Permit Can Ce Denied Due To Incomplete Information
®® RldingDpar Zoning
This column to be filled in by
Bu
r
Frontage
Setbacks Front
Side 1.: . . R:
Rear
Building Height
Bldg.Square Footage M.. NIA
Open Space Footage
(Lot area miaus bldg&paved
lurldt
mem FS=
ram
Fill: SION
(volume@Location)
A. Has a Special Permit/Variance/Fina g ever been issued for/on the site?
NO 0 DONT 1030W 111 YES 0
IF YES, date issued:
...... ........ ......._. .
IF YES: Was the permit recorde. at the Registry of Deeds? ,^'�
- V YES 0
a, .
.:
IF YES: enter Rook / Page and/or Document #
B. Does the site contain a br.ok,body of water or wetlands? NO 0 DONT KNOW 3 YES 0
9F YES, has a permit .een or need to be obtained from the Conservation Commission?
Heeds to be obtxt._ed 3 n4tained , nets c<_ed:
U
C. Do any signs exl- on the property? YES CD NO 3
IF YES, des¢Yibe size,type and location: - - -
n. Aro there t:N=ve pr re _to or 7.64itlros rstrc Mtn' «—.- YES t"\ !!.°
C
F YES, describe size, type and location:
r. wn:me co rct:opc fear °refund toreanng,peahong,EXICEVaZIOR,or ; )over sore ol i ;use of=_cd: -son pion
that w,dil disturb over ' acre? YES 0 NO 0
IF YES,then a Nerhentpton Stam Water Menegernert Perrot fro=m the DPW is required.
SECTION 5-DESCRfPT(oN OF PROPOSED WORK(check all applicable)
New House ri Addition E Replacement Windows Alteration(s) Roofing E
Or Doors 0 _
Accessory Bldg. C Demolition 7 New Signs (❑) Decks (D Siding(0) Other t
Brief Description of Proposed sr
Work: ITPOA 't' F3ATN -I/TM/LES ' iiii:l I 51- GAlllftlOPI i12rdr/NGN FLQ'/ ill16- No Sr,vcruhu-
Alteratlon of existing bedroom Yes No Adding new bedroom Yes LC No t-NRN 6E5
Attached Narrative Renovating unfinished basement Yes No AO CNAN r_ '.
Plans Attached Roil Fe
Ba.Gi New house and or addition to erlsttnet housing,corrid ete the follUw na:
e. Use of building :One FamilyTwo FamilyOther
b. Number of rooms in each family unit: Number of BathroomS�_..,,,_
ft is there a garage attached?
d. Proposed Square footsore of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces orWoodstoves 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 IDO 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 Plicate well Citywate�Suf>I>!S'
SEC/70R 7a.OWNER AUTNOP'ILATION.TO PE COfi4FLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
_,C of relset
{ property C
hereby a Cr ria 'PJ.`{'n Com\Wden.C.Ara
to act on my shelf,in all• �matters/relative to work authorized by this building permit application.
Signature of &at Date __
, A�,Y"V l J.- V"�'YY "1 as ONmerion fit-tooted
Menthitsint iheitafutt..o?re that dee atatenennts and,nrr. 1 n on the._ _ _ u i = - ,
Signed under the pains and penalties of Derjury.
?.\Sf ri �//l/GCx Yt
n;Pane: if if/
SECTION 8•CONSTRUCTION SERVICES
ti Licensed Construction Suppervisor. ` Not Applicable ❑
�^
Nome af Linens Hader: \!i°SSl ted) c;SCn}c1r
License Number
ol•eo i a 94C k it \s\A fl 13 _ ke 1241
Address Expiration Date
;Sir .4
Si• Telephone
99,,Reeistered j4ome imorovement Contractor. Not Applicable ❑
C >
Combas+name Registration Number/
_en, e oK, 7t:0i ^"? 711 ? f' .
Addre�sss"" - Expiration Date
Fiel!-t/'C- VIt Q\b iL Telephone j^1y,ia
•
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.152,¢25C(6)) f
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit win result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yea....... @. No
H.-Home Owner Exemption
The current e ntio.n for .Sari,.__ _a e, 0nded(0 ineiwj.s.&z__ ei Lt"
•
City of Northampton 212 Main Street, Northgnpton, MIA 01060
Solid Waste Disposal Affidavit
in accordance of the provisions of MGL c 40, S54, 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 ofthe-work: 4I PtenrU7 9r
\, c
The debris will be transported by: 1! /-� i , RA_
K ,y` }
The debris will be received by: \it ! • h �i
•
Building permit number.
Name of Permit Applicant ! I • mak • e _ _ -
r
1
ii/z/A
Date Signature of Permit Applicant
-
500 P/cishn oy &tree,'
Boston, MA 02111
www.;wass.govidia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): \p((��'t'L\'Vern.z .1-6 V1�D'��J�'vf4'V')�ir . Sin
J -1
Address: -FJ`\C �1‘Cy&Sy\C Ccv)n
City/State/Zip: Y\p/ffLc c al-Phone#: L 5%LA--1522
Arert�you an employer? Check the appropriate box: Type of project(required):
01
1. I am a employer with 7 S 4- ❑ I am a general contractor and I
employees(full and/or part-Muer' have hired the sub-contactor
6. ❑ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodel:g
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in anycapacity. employees and have workers'
9. ❑ Budding addition
[No workers' comp.insurance comp. insurance.-
required.] 5. 0 We are a corporation and its ion Electrical 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 12.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' l3.0 Other
comp.insurance required.]
=Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
1Contractors 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. utile sub-contractors have employees,they must provide their workers'comp.policy number.
Tam tin: pley_ r,t Is providing workers'cn=vn_. __o_ ...zn o ,ia»employees. Below Is she policy and.Job site
information. /�
Insurance Company Name: j�n(lC<=.i`G- [Stiff.;i`It r'l(-r t'] �C.�,�^
t
Policy R.`nr Self=�rs. Lic.-: (_:{,.f_CClot C7 Exoiracn Date: gel ii
Job Site Address. 4\ k C\,ri Cit-,/State/Zip: 1aY-k4yyl p-csi 1`440 0
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 ciiminal penalties of a
tine up to $!,53n 00 A d/or one-yerr treprionrieent,one—y_ ae well as civil pence nes in the .o,,.. of -STOP wnpa n n_ _d_—.
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
Investigancret of the DIA for insurance coverage:/ertication.
I da hereby cerOR,4.14er'i e"(gym and pe.mirie'.Wiper;,.rr that the in nrmalion provided above is true and correct
/�7s1 Jel.
+' + f \‘\12 h�
S :,ami vii ;J (1 • /cay..+'t ,id ->i Dab:
Pione B: i�-/a.�—.
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Pa r3 of Month 3.3ailz>mj D nr t =eta 3 City/Town Clark 4Elentdinial 9nepec'er c Plenahliee
fi r ?ssor.:
3.5:55rd n c 9 keg 33s
Loser se- CS-077279 `' 5
.._�.struct on Sucrrn yS ` `' `d
Fr ga
STEVEN A '
263 FOMER ROAD
SOUTHAMPTON MA 01073
('✓1.—n C-A-- Expira on:
Commissioner 06/2112018
/
//r( T{iE))/c-J/n!(1(77(// of r (t//) fc/, ///,./ /`/;
Office of Consumer Affairs and Business Rewulation
10 Park Plaza - Suite 5170
Boston,Massachusetts 02116
Home Improvement Contractor Registration
Re9str3tion: 105543
Tyoe: Pnvate Corporatian
Expiration: 7117/2013 Td 413291
VALLEY HOME IMPROVEMENT INC
STEVEN SILVERMAN _ _ _.. ... . ..
P.O. Box 60627
FLORENCE, MA 01052
i.... va. ..J._..al 553335513n( lost Liva
Office of Costumer Ormnn BLISIfIr.1 33.3laden Lizest orrgis..a:an a la for ice Md u.d use only
"' HOME IM155.0VE..1.3317 .. :i, .. .. .
ften i^anon 10554s TYfK= Office of t DTI'u.ner—Affairs a53 Businem itogioo.Sov
- Ex ratien' , rr'2O o .,,e 345555.5.35 •crta Spa
BosmO.VALLcs( F4.53.33 M. fyiio
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