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11A-010 (5)
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I � I , - - Valley Home Improvement Inc. I the Reidy RESIDENCE I 1 Drive, PO 584 22x 60621, Northampton, 413.585 0820 SCALE: DATE: I Find us on the web at : u�,u,u.YalleyHomelmprovement.com DRAWN BY: I GOMILLION 1 10.22.12 _ . [ [ [ [ , [ , I [ I I , [ , , , \\1 , , , I ,,.. \ \ t,.....1 o' ._. 1 , 4 .,, , ,....... in' , -0 c, 01 .z z 0 co at! - ......... I , fl›(.‘„ 1 -7 o, 8 < i n'' 0, 0 c, \ 1 _ Salle dome Improvement Inc , the Reidy RESIDENCE ' . , 1 aluilliill 340 Riverside Drive, FO Box 60621, Northampton, MAk 01062 I PLOT PI,AN 5CAkLE: DikTE: Office F'hone 413.584.1522 Fax 413.565.0820 1 'DRitkiAtt,1 BY: .60MILL101,1 , I/16 ' - l'-0" 10.22.12 Find us on the web at : www.\lalleyi-lomelmprovement.com __ _ _ Valley Home Improvement, Inc. P.O.BOX 60627,NORTHAMPTON,MA 01062 413-584-7522 FAX 413-585-0820 DESIGN / BUILD VALLEYHOMEIMPROVEMENT.COM ADDITIONS • RENOVATIONS 10-10-2012 Northampton Building Department Re: Reidy/White Garage and house addition. Louis,Chuck I'm hoping to get this project through zoning and supply framing plans to you early next week,so we can start work the end of next week,or the following week. Both my excavator and foundation guy have openings. Chuck if you're available on Monday, I can stop in to go over any concerns. With the exception of the 2"d floor gable roof intersection, I think framing is fairly straightforward. In addition to the work show on the attached floor plans and elevations,we will be upgrading the existing heating system by air sealing and insulating the ductwork throughout. We'll also do a blower door test with attic and basement air sealing. All new work will meet stretch code standards. I've spoken with Carolyn re the curb cut,and I plan to meet with the DPW to get approval for the location of the new driveway and infill of the existing driveway. Thank you )46°S11(ifAl Nelson Shifflett $ti ij y,; ,j,e .4la5saeltanrtts ° l_ '=W' DEPARTMENT OF BUILDING INSPECTIONS ~ =_`=f • 212 Main Street ' Municipal Building 7,,4 =1�.•' Northampton, Mass. 01060 • WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, /(/iLSO Af ER//Gt_z_/i vI Y / . .! 'r/ %av'sfiteZr;JL (licensee/permittee) with a principal place of business/residence at: 3'to X21 of 51 1)�l_l✓'Z/rf/O477f %i ; /19.41 (phone#) 58 e/-7 zz (strw.t/city!statJsip) 4/06 0 do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following worker's compensation coverage for my employees working on this job: . Acadia Insurance Company WCA5029908 2/1/2013" (Insurance 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 Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) - (Expiration Date) (attach additional sheet if necessary to include information pertaining to all contractors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ parsons to do maintenance,nce,construction or repair wink on a dwelling of not mote than three units in which the homeowner resides or oa the grounds appurtenant thereto are cot generally considered to be employers under the worker's portion Act(GL152,ss 1(5)),application by a homeowner for a license a permit may evidence the legal status of an employer under the Worker's Compensation Ad. I understand that a copy of this staternent.may be forwarded to the Department of Industrial Accident,'Office of lrmuranoe for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties coasisting of a fine of up to 51,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of 5100.00 a day against me. Signed this -/Si- day of 7i--4 20/2. For departmental useonly Permit Number .I/ - ,l4.4(Aard ' /'''-'0• Map# Lot Signature of IS.. .. •ermittee , tfolpvina-naiealtA ap" oackdefat . .-\ • Office of C011511111C1-Affairs&Business Regulation License or registration valid for individul use only .. ___,--------. ;—=---.7-_, -..--7----r HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: .2105543 Type: ; xpiration::-rj-117/2012 Private Corporation 10 Park Plaza-Suite 5170 -,-- -"—," :;:-2:s,•-7-2::::',:itz:4-f-f-t::::::. Boston,MA 02116 VALLEY HOME liciliF,t—avEkim"---.0iT---,0c. .,, „1,-,_,_„..„,, - ■.7.7=-.:-.:, - ,:= Nelson Shifflett ',c,..`:::-,::::,:f:A!",i-i,--:.---.-J.:.,, di, or ite7 1 ' ....'- Undersecretary Nilyvalid without signature r .',..:, Massachusetts- Department of Public Salet■ 1 1; Board of Building Regulations and Standards Construction Supervisor License One-and Two-Family Dwellings License: CS 60300 .ii-7,1:A ••. ,, NELSON A SHIFFLETT , • 340 RIVERSIDE DR PBX60627 FLORENCE, MA 01062 Expiration: 9/22/2012 (ommissi"lier Tr#: 2383 SECTION 8-CONSTRUCTION SERVICES .1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Nelson Shif f left 060300 Valley Home Improvement, Inc. License Number 340 Rive . . . w4. s 1 . 1 9/22// Address Expiration Date 584-7522 Signature Telephone 9. Registered Home Improvement Contractor:, Not Applicable ❑ Valley Home Improvement, Inc. 105543 Company Name Registration Number 340 Riverside Drive .-- 7/17/12 Address Expiration Date Northampton, MA 01060 Telephone 584-7522 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 building permit. Signed Affidavit Attached Yes lISI 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 1.53 (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 ' !b00/2-0-e,1/4- c0A-4-V,-,,r71A4. -F;CTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) fapsj.cni add/' Pl?"117/ r-— j I - -- _ 4vtdAS A , 1 New House CI Addition 8( Replacement Windows f Alteration(s) 0 Roofing i Or Doors D l i Accessory Bldg. 0 1 Demolition° New Signs : ) Decks [ ) Siding[ ] apeac.. ) , 1 ... ..... .,, .. _ ....., __........_......._____ Bic' Dov,:riDt on ot rf("1:0"eC No*k 411 /111/€16.1/26_, 4,44,ety /"Wair S e,.) ../dedow.).-f egad .2t,1 A.Pil Iwo r9r 6A-r9ll .11;cristr:pn D' tiyistinp, brIr:roonli.. 404;V No Ad lip new nEtrtrocyr Yes No AttaLtici.7 Narrative Itit,iluvottrR,,,..iittrinAteci liaunkr,rit Ye-, No Pb 7s fi,tta:hed Rolf Se .t -A v to da-k- SmPlf d,/ . 71,is" 711/10 i 1 I h•J is 6a. If New house and or addition to existing housing, complete the following: Use DI Oth Icing . C'7c, ram ly 1.. .. Two ramtly Ot-er i 1 I) karttOfti of =Ts oi each ?airily unit: Ntr-tbi;r ot BF:trircom.F. . ! c, h, --1;q: a garage alaelled?,_11.42,_,,,, , J r Fop:„P.,tR„. Squort: fOO,ii; at new ,°,..:•,,ftztruCt in c)itf- Drielic•Ki.t.,,e1Y.1.11600-6j.r SAL Ocid• 7 '- e: No-ih- f‘it riy.tes) . f. Vettrod of tloating? 1X., ,J4 ij 17/4i I i'rrp Clt,e, or WoodStOv;:t, Norrttr t)" coCh , g Fr erErs Ce-servaticri Oorrp ia-:c ..,„7(te i MLisctiQck Encrgy Complian:e form a:tactleci? of cc.":`,IruMiCi 4/04■1/ .,,A. .. co•rAl„a1(!I w,th 11 1O ft of ,,,v.te,,;:itc0 Yes No'. Ls constructi w:hr 100 yr, lootiplain , 1 , 2I1A!')of tsay,rntlfit -;,*)! cellar E:.icir nelow "intf.11ed gfaCE: 4/ „..lJ .7/A vim /./111>Lip A I k mii :::iu Idii-E,, coy form to he (3irk:II-IR 3rd 20flifiR rC„,e,,,,LIIIC''0 c..---Yet'. No f L StIstie 7etic Cy rsiew&r Pr trat;?, well _ City water SUN) Y_ 4-"____. „........-1 I SECTION 7a - OWNER AUTHORIZATION -TO BE COMPLETED WHEN I OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as OiAner cf trle subject property tif.:,i:thy aignort2e. Nelson Shif f let t, Valley_Home Improvement, Inc. My 'XI' ,,, in 0, "IiItttiT ,V0ttet., tu t,v)Ik authirlito '.., . If tif, L.,„..A1 ni; C/euril ,i'splICf'x ,ifi 't .,_.2.7.. Sikra:Jre at Ookler 1,,ote Itels...n Shifflett. Valley_ilome—ImwsmAneml,__Inc. , ,v, :-.)7,1t*.f/Ailtrtfil7frfi AEP:rit 1 hirreby deciairc that tnu :,tatcrricrits iiind infoirTilt!ofi or Ow fortRoir g aublication are '1.10:.! and atxur,itt.„ to thie, be et my kr cwlecze znd belief. Si.;-.ed . :-..cc• *.1-: p1.2vs ar'd ;-:-L-lif ttn Li' Nelson Shifflett_ _ I--1.1 Nasr,..t Stet re 0* :...%‘-ielf.,,•717t 111 /4 0”, °11- . .._ _ _ _ /0-/o- e •: ,„: Section 4. ALL INFORMATION 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 ..2f 77? Frontage /i c/ // Setbacks Front ,rd • Ye Side L: R: S L:1.R: S Rear 3_; 35 Building Height c2S 0,1 Bldg. Square Footage % /576 • S. X Open Space Footage (Lot area minus bldg&paved /9 10 6 e)S/ G 0, parking) /Q 6 #of Parking Spaces t Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ✓ DON'T KNOW 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 IV 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: • G. Department use only �G f 0 y of Northampton Status of la����t ,. �� • dry :uilding Department CurbCut/DfvewayP r it� 0 ���•� 0 212 Main Street Sewer/SepticAvailebf1r oFa� e Room 100 V liwell AvaFlabt]ity ,. . Northampton, MA 01060 Tw Sets of, Ctural Plans phone 413-587-1240 Fax 413-587-1272 t/Site tP?t! 'a ! - , drier Sped'' ' 'ia z ''''°''''':: APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Property Address: / 3� C .0 0 cal This section to be completed by office eorda4J Map Lot Unit p 2 �L c Zone Overlay District Elm St.District_ CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /r1c14 41•11 6( . 6 u>h;7 38 1tciAi4rd PS . - Name rent) ; Current Mailing Address: Telephone, Signature 1 2.2 Authorized Agent: Nelson Shif f lett Valley Home Improvement. Inc. P.O. Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: Wi��l/, 584-7522 . Signature / Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building Off¢ (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of 3o 00 Construction from (6) 3. Plumbing deco Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection It 6. Total =(1 +2 +3 +4 +5) A t .5. 00() Check Number `�13 6t( 4;'f 0 This Section For Official Use Only Building Permit Number: Date Issued: Signature: - Building Commissioner/Inspector of Buildings Date _ .. ..__ . ._. __ .__________. .._ .__. . . . MORTGAGE LOAN INSPECTION THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY -------?-.,..e.c.(. ----i / „..1.4,_ ok To 0.4.. t.re...C4.3 u-,(Y-4 &Arta i F' , /6 / - ) cam-, 165'± i SHED ti . . ._ . 1(-) c\I 1 LAWisAi . ao 0 a ► / CC z �Q J W in c I % (7 • I , fg', il% �O Y \ .` 6>: 80'± 1: ,4 <<> THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE 1 BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS, AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. 1 TO THE FLORENCE SAVINGS BANK AND THE FIRST AMERICAN TITLE INSURANCE COMPANY - ONLY a( S�c/i r/-c,Ti,a i0 4 3_lr�� FAA c,Tel Sri 7- /�� File#BP-2013-0415 01P'IS Ot/\ APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC -Q9' n��' �, 1 ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413)584-7522 Pt. PROPERTY LOCATION 38 LEONARD ST a MAP 11A PARCEL 010 001 ZONE URA(100)/ 0 .. Let' THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid rte.- Building Permit Filled out 3(339/ Fee Paid Typeof Construction: CONSTRUCT 24 X 24 DET GARAGE,2 STORY C 14e ADDITION(PANTRY,PORCH,MUDRM,LIV RM,ENLARGE BEDRM&MOVE DRIVEWAY i]) New Construction 1" 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: ,/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 Demolition Delay 7-0V5 Signa f 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. 38 LEONARD ST BP-2013-0415 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11A-010 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2013-0415 Project# JS-2013-000661 Est. Cost: $65000.00 Fee: $390.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq. ft.): 29010.96 Owner: WHITE GREGORY W&PATRICIA J REIDY Zoning:URA(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 38 LEONARD ST Applicant Address: Phone: Insurance: 340 Riverside Dr (413) 584-7522 Workers Compensation N O RTHAM PTO N MA01060 ISSUED ON:7/24/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 24 DET GARAGE(FOUNDATION ONLY)2 STORY ADDITION(PANTRY,PORCH,MUDRM,LIV RM, ENLARGE BEDRM & MOVE DRIVEWAY - need IA engineering 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 7/24/2013 0:00:00 $390.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner