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23A-105 (11) r r rn —1 / ; °d d• r ram iz ,,-'),, , I� 1'' - V ' ' ‘,'; i /, , : ;',/,'::".::::,-,,,,,,:,,,I,:ii::,,,,,,,._,,,,,,:;: ..,,ci\ /./..,,,,:,.;‘.4:44::,,,,,,::-..7 . .;, --wa. gill . its /\ z, . 4 i ,f �. . 1*1 CC I \ AyVv .\.‘„:,;,-,‘ ,-.‘ , .-„:,-- s A\ \S : ‘,-.-. ,\-,,,\-::;,-,<\:\\-- :<:<5;A\ v AAA V AV : .\A ; . VAV �� A : \v �A� V. V: : V A AAA AA V V ',,‘‘ ':\‘‘‘-'-:.\- ‘<', :--.\‘-.-- ,:- : '‘ .-\ A vv v V< ,,- \;,$.\\,:,<::‘,:<.':,-,:‘,,:.:v.. v v v• V vAVA\ VV AAVvA \- AAVv A \vv \ _ AV ' v v \\V V A V ` \ V A vA A \ \:„.-,-, ,,,,V v` : vA , , A.w � ` A V v v: . v - v. v \ V. A V. yvVv v A V. R (/�}}�� VAv v \ \ A v A\,;,,,AA v V Avv V AV `GRG icey v AA <:,-.\,-„,- v \,A -y � A� ;A�_.�� �\;A �.A,A ::„ A�w,.AA\V:. \<\:‘,..,: A .A o - z N P o c = r rnn 0 or _ 0 z0 03 7J ts1 ill X(�T� �rnjZp >rn \ H -I 0ras_ O r"zrn 111 \ -,_. - n 0G�u?IU O =:-.- I- 70 .a -Ay CI 11 C Oz-� C (n ..4 O rn I '-\ \ 5i - z G. I J � - . ‘ ..4.111/4 \ \, y 12'-6" *CD ,,: .-:',,,,, :,:;‘;, ,„; ‘:,\\. \ \‘ x \\, Ns‘ , \\, \N .\ , \N.\N, \ ,. \ \\ \ \„ \‘‘\,,,N, ‘,\,\ \\\ N ,‘ A) v; \• , ,,- ;;,„-‘‘', \‘;' \‘‘,\v A y�V A\ � VyA vv w\N V v\v �C v .,v A A A v V ;, ,•\\ \\ ���wA�A ‘41‘ . \i-n . :VA "A � ,�A \ ':' � ' NV A\. AAA. A\ \,;;\\\ \ V�V A AV A.AA V A�� VAs ` \• -A� A. A AV AA yA v•• ; ‘,\;', :;‘, \ ' •A. --AA- v \.A v V 5A 5._A \ . \ \ \ \ \ \` \�\�`\ \\\\\ \ \ \ \\\y�• \ \ \A \.§,.,‘;'',` \ \\ DRAWN BY: 5G y p REVISED: Valle Home Improvement, Inc.G. BOUTELLE, WILL AND ANN u„.„,, SCALE: 145 50. MAIN STREET 340 Riverside Drive,PO Box 60621,Northampton,MA 01062 VARIES Office Phone 413.584.1522 Fax 413.585.0820 NORTHAMPTON, MA DATE: 03/01/13 Find us on the web at: u t.tu.ValleyHomelmprovement.com 1 Valley Home Improvement, Inc. P.O.BOX 60627,NORTHAMPTON,MA 01062 413-584-7522 FAX 413-585-0820 DESIGN / BUILD VALLEYHOMEIMPROVEMENT.COM ADDITIONS • RENOVATIONS 10-16-2013 Charles Miller Northampton Building Department . Boutelle free standing deck Dear Mr. Miller Attached is a permit application for a free standing deck at the rear of an existing garage. This deck will be less than 8"off grade and will be unattached. We are building it under the drip line of a large maple tree which is to remain in place. Because of this we are not able to excavate into the root system,therefore the plan shows 4"solid blocks under the deck. Also,because I was concerned about lot coverage, I called Carolyn in the planning department. She indicated that because the decking has gaps, it is considered a permeable surface and is not calculated into lot coverage. Let me know if this all works,or if you have any questions. Thank you VA 4,- otifeae71 Nelson Shifflett. icotAMp2. st (-14,$ Gitg al N r#F &ntptun , _**_� .�� fir _.__ $�' may'°r•0 -. :ii i(j 4.1 lassacitttsetts __s= DEPARTMENT OP BUILDING INSPECTIONS . _4444 212 Main Street • Municipal Building Northampton, Mass. 01060 am 5 WORKER'S COMPENSATION INSURANCE AFFIDAVIT ,)/L1/4/)611/7A j, S U V /v iL. -r� / L M. 1� 2/%1-L / /Z%/ Z .J (licenseeJpermittee) with a principal place of business/residence at: 3Y-0 i=d v z- Alf .A74‘-' ./I--' /-Tfi: //� r/1/-1 (phone#) :.- q-7,5—Z2 (s ct/city!s,atff7ip5 do hereby certify, under the pains and penalties of perjury, that: 0 I am an employer providing the following worker's compensation coverage for my employees working on this job: f9 //1.%-/23 41-M G i teht 5?'G/%ZIP- Z/1/// (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 neces a y 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 persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the omeowner resides or on the grounds appurtenant thereto are not generally considered to be employers under the worker's comperisnien Act(GL152,ss t(5)),application by a homeowner for a license or wit may evidence the legal status of an employer under the Worker's Compensation Act I understand that a copy of this statement may be forwarded to the Deportment of Industrial Accident'Office of Insurance for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to$1,500.00 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. ,-y Signed s day of `F----:,- J i ill A i t-L)3 r For&p to al use only f /�� Permit Number II ✓��r'/, ; i / �" MaP4 ,Lot# ignature of Li.., :- 'ermittee Massach,aels Safely Board of Budd Ing Redulatons and Standards Coli.trucuon Superi tsr I & 2 amil t sense CSFA-000300 •; NELSON A SHIFYLET , • ,„;,=4 PO BOX 60627 ; FLORENCE MA 4110624; t72.- - Exau'avort C olnnus vane( 09(22/2014 • •Z‘., r•7i-•-•:•••le I 1(2 11 11'e'(.1 Wea / ital/Ifje j 1 \*-6 /r\ ;47171 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105543 Type: Private Corporation Expiration: 7/1712014 TOO- 226093 VALLEY HOME IMPROVEMENT INC. Nelson Shiffleft P.O. Box 60627 FLORENCE, MA 01062 Update Address and return card.Mark reason for change. Address Renessal Employment Lost Card scr, 2,34.1 or, SECTION 8 -CONSTRUCTION SERVICES .1 Licensed Construction Su•ervisor: Not Applicable ❑ Name of License Holder : Nelson Shif f let. _ 060300 Valley Home Improvement, Inc. License Number 340 Riverside '_. ' - .. • _ uptrn, MA (11060 9/22/ Address Expiration Date 584-7522 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Valley Home Imx�_ • �+ • • 105543 Company Name Registration Number 340 Riverside Drive 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 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 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may he liable for persons} 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 , *7,_gitoN S. DESCRIPTION OF PROPOSED WORK (check oil NITI„idgile) i . New tici. e L.: f Addition -1 I Replacement Windows Xteration(s) E 1 Roofing 1.- I Or Doors :: 1 i Accessory B . .D Demolitio,7.:;.] New Signs ' 1 Decks ` „ Siding i, } Other I 1 ,..- Dc"..c-I.e. on :' -c.. r n -,” ,-,tsllF ht-ttrt""".-,erl y:...., 'JO ."„e-i pp tl ,I.. t)f-ttl'rtf '" :-,t;tt.`tCle":.: ',tttsrt(It'.-: rttztt`titt ,ttt; .tet"Eltiltz...t '...t.vt,ritt:r't ''tr..*.• r'.itt, 713-1 t'tt'..X... 1",.:7.7 63. 1f New house and or addition to existing housing, complete the following: ..,: ::,1., Ir:,-,.- , C''t... 7talli kr 'Lvt,t7ttt °:., 1^...i *1 ;'; hyr-5 1 ear:) "51-1 ty tt''' t \!J.-V.:it' ftt* Lche': ' '` ',.. t'' F'.• :,1 ,,*■;•,.t.:,; *, Ve!.. ..,:d :2..' 'ir_-,011F.,' r. 1 ,..r ,„--;..t....—tw,:',„*.1,w,,,,,:, r‘tr- i.,,,• ," ,cich p !,-:71;" " 7'.;tC-!ttEtttro-,:tC _t;r*;- la-cc _,.._ Nt!.,-2-:',::7" 7:11C"gy C:irr7D1'1.17:C f:orn :tad cc? , :t co':;:r,..,::t C. 10:: 1 :r)t V"..:t!t :liC:S7 Ye.S N . ii. r.:.,nstrunt dil w `..! i' :O( **1ttt "Itett"mt.n! 7'7 it-Itt'lr 1 fqttt ":tetttiftett "r"totheC: l't;t(ttf." ft nu kit-6: tt;t:t•tnr-rt to ',"."tt:t. rftt.mi: t"11;1 ?".t!tr'4", ft.41.,ht10/t'.? Y...-t:. No „. ...:.4..t..1c -8.;k _ C `..y Sewer PI va":e we i „ y vo;iter S:01) y_ .,...,... i I SECTION 7a - OWNER AUTHORIZATION -TO BE COMPLETED WHEN 1 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT . as T..1...,,riel cl ..-.,.. suL,c-ct VD,..:■fit!? Nelson Shifflett, Valley Home Improvement, Inc. rr,. LI,. i„.1! I.K. :„.1.,...: t,, .,It t- 1,1 vi) ,-. ....1,:tho.1,,ta: . Pn-f7 .... 4:: 7 i )f777. 7: ,i7q...ii,:,,-1:11(...,-.1 1 „. ,„ _____ k-..Q■-.....!SL,k (L, ■1 :Jr?Ce* U•Kle, „ion tit Ili I — I els_on_Shi fil_at t, _Valley Home Imp ovementInc, , ,1,-, '..,7,-ni-rt.,\,e.4-t7E-1 .r.E.:t--,,, hc. tv dt_,c':-!rr' *..7-;'o. -..'t,..% :-',Jterrit-tt's :nrc tr.11r-i.-t,.•orl u- the. f3rc..-F.,,:lr e '1•,.•11:4 C.111C^, ..,!(°: !,•u t. clf ill ...,•.tr.,.. 1.,,, 'he-, t,,,,,-,:,; !;* Iry 1•,rtwk'cc. tr.nc- bciicf .. -cti ...,-,t2.1.- T: ttAtti• ",t, C.. i C.:!... el I''-'..:7 Nelson Shifflett , .. i .,,, 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 i _Lf"(/00 Frontage _ /0 S /d1 Setbacks Front N 0 //,XN`i Side L: 9 R: 1$' L: 9 R:SS Rear Building Height 41/fr Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved (////s parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 4.7 DON'T KNOW YES IF YES, date • issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 4/- 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 /41 IF YES, has a P ermit 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: D. Are there any proposed changes to or additions of signs intended for the property?YES_ No IF YES, describe size, type and location: ��: 1/I irk Ng, �_' l; Department use only 7 y of Northampton Status of Perini: "`< < 6 2013 Holing Department Curb Cut/Driveway;Permit 212 Main Street Sewer/Septic Availability Electric, Plumb ,o North, �°��� Room 100 Via ; /Welt Availability i ins '� �, '�'ft a,ouo��No 'hampton, MA 01060 TvidSets of Structural Plans phone 413 587.1240 Fax 413-587-1272 Plot/Site Pilo 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 ..S j' Map Lot Unit . _ Zone Overlay District Elm St.District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Marne rint} \ Current Mailing Address: ` • �l� ` L Telephone -Signature \ _' `� L` J� �\'. 2.2 Authorized Agent: Nelson Shi f f l e t t Valley Home Improvement, Inc. P.O. Box 60627, Florence, _MA Q1062 Name(Print) Current Mailing Address: Dildif/(a7T 584-7522 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Doilars)to be I Of fM+ Use Only ._.._........,�_ completed by permit applicant 1. Building 5-0©v (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(5) , 3. Plumbing Building Permit Fee l � 4. Mechanical(HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 +4 + 5) 57,00 Check Number 31 7g, (� This Section For Official Use Only I Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0453 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC � ^„ ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413)584-7522 r PROPERTY LOCATION 143 SOUTH MAIN ST P� MAP 23A PARCEL 105 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 3 1 794 ipso Fee Paid Typeof Construction: CONSTRUCT FREE STANDING DECK 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 INF9RMATION 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 Signature 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. 143 SOUTH MAIN ST BP-2014-0453 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A- 105 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Deck BUILDING PERMIT Permit# BP-2014-0453 Project# JS-2014-000791 Est. Cost: $5000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 060300 Lot Size(sq. ft.): 7710.12 Owner: BOUTELLE WILLIAM Zoning:URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 143 SOUTH MAIN ST Applicant Address: Phone: Insurance: P 0 BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:10/18/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT FREE STANDING DECK 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 10/18/2013 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner