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I A \ j rCP^ a, ra lki 4 i n , 990£ I w�l I N V 1 N livaa I 1 i 11 11-5-2013 Re Zoning This project involves adding 112 sq ft of living space (add bathroom and 2nd floor study,without closet) above the footprint of the existing structure. Existing setbacks and percentage of lot coverage do not change. Neither is there a change in the number of bedrooms of the use of the existing rooms. Nelson Shifflett Valley Home Improvement, Inc. P.O.BOX 60627,NORTHAMPTON,MA 01062 413-584-7522 FAX 413-585-0820 DESIGN / BUILD VALLEYHOMEIMPROVEMENT.COM ADDITIONS • RENOVATIONS 1, 5"29 3I //'s' )0/3 Hello Chuck This permit is for a small 2nd story bath and study addition. I've looked at it with Dave Vreeland and he has agreed to visit again to create a framing plan after we remove sheetrock. We have two options for dealing with the bearing for the dormer over the garage, but can't determine which one will work until we can see existing conditions. Our plan is to do the interior demolition towards the end of next week,then submit a framing plan the follow week as an addendum to this application. Let me know if you have any objections to this. Thank you Zeh' P•------- Nelson Shifflett. -I, 1IL� . /0;,e:—4 i, ,r F t,:' . ••`11'.,„Ilf,:: :r ,,;11' ' — t < �, , ,#4,r './ ' � �j �� .'f'' ' ' t l 1 >+ � '., f ` 1-',Z,'- kli Alu z f r \ . ■ d� k. - 4 \ . IV L c'* r E ,--_.r.::, -•r" r • � V -'N. .„.„..„:, •I. ' ,1111i1111 -,tt> o =_ ds }at �P�h�I ��i�1� I I1 j R �, . b� � If � iyii� I it,� I 1 l II !�+I+ ll ( ` x ,,,a fi r 7 - 4 - 1' •t Jla� l 1�l� �ii,njI�11lit i,aN�1 0li�dp �ill l i(( I j,ia p, il 1 jj � �i)/l I11I�jlll�; �, = -', z..'g+ ' a t' t t D� T t �llit�I I,l I . v x P" - 7 `!r ,f ItEkk 1Ual 1}44 � V 1 1 �l' .g4.1'0011111) •�1 II1h111li1 (41 � .# r -11111i} w �'?! k'.I f I I1 xF 5 L r B w As _' :� 1t l'Lx�1 Nnx#llttntp1I n ' _*=u� $- � ;+ 6 lassscil rsetts ill '— DEPARTMENT OF BUILDING LNSPECTIONS 4 _=_I i 212 Main Street ' Municipal Building Northampton, Mass. 01060 ow vas WORKER'S COMPENSATION INSURANCE AFFIDAVIT UZ/V /L1/,%/ ��//1v e V/Z1 /`o/4.f :i:/1t/� 6 /'V1CC/Irij ( . (l icenseeIpermittee) with a principal place of business/residence at: t ll- - / hone# g-7672— (street/city!s to'Lips 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: (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 additioml 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 persons to do mamteaaace,construction or repair work on a dwelling of not more than three units in which the homeowner resides or oa the grounds appurtenant thereto are not vocally 000adered to be employers uncle the worker. maim Act(GL152,ss 1(5)),application by a homeowner for a license or permit 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 Departmcot of Industrial Accidents'Offioe of Insurance for the coverage verification and that failure to secure coverage under section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,500,00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a firm of 5100.00 a day against me. /{�� Signed/A::: J day of Jr/ 4 ''A, ' 4�'J par do a(use only / / • Permit Number �1„ i•A /11 //_t‘.7/ i' j Mar p# Lot# ignature of Li.. -- "ermittee SECTION 8-CONSTRUCTION SERVICES .1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: 060300 Valley Home Improvement, Inc. License Number // I 340 Riverside Drive. Northampton, MA 01a60 9/22 -� --- - ' -- - Address Expiration Date 584-7522 Signature Telephone 2,1 d'ipom 9. Registered Home Improvement Contractor: Not Applicable ❑ Valley Home Impvement, Inc. 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 IEJ No 0 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied DwellinEs 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 he,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 be 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 —_-- --_- _._-- . • qii tSLLS,..:. ,DE.,...SCRiPTION OF PROPOSED WORK (dheck oil avpiin;„tblc.,) New House `.2, ! Addition Li 1 Replacement Windows Aiteration(s)r".. I Raclin!: I-7 i Dr Doors : : i Accessory Bldg. :-.I - Dernolitio7'.:1 New Signs ' I Decks ' i Siding [ 1 Other : I TC., 1., 07 '15t7 4/5 9*/crie/oliy &cid,>i,""ov1/4 np, ,IV.,`11:511,;-,i. -,o'..,t-Tuvi:'t ,`-....-, — !1c, r°71:-.,--.. .`, a:!-Icc R1' &IL If New house and or addition to existing housing. conipiete the following: (..7.- ., 1 ":)ti Ic.,:' , Cc N,•IrT1::)H ''.7,. t C'''''''..0 1 :t.,,:1,-;!) 'ar t'y :r , ;:: 17■ '"';:q't i:',-t.',-4.: . .:;71,-1,C.14e:G? 1.1 rm;•-tt,....tt .t:;,,,,...,,,tr. f 7., t tr,t, tt. 1!...!"A `'.:.` 1'.t:',R t '11 d 0‹,f,04:7 ..-- ,YI'' ell,,!., •t _ef-._g........ ,,, .,. .„ .. Vell":,:d. Ili' *leol. ;i;,-; r Nit— 1;;;,— n` t;oic./1 ja :::: rel:.`;',:l?::C:d. Enc:2"4 C411,111 1-17.C. fDr m ii...tIcr cc? '.-1C;r;' ,ItR1 , . ■,„c,....,•1‘,.10 t1(.1 Ar Ur 1 10::: °I :„.pf s r...:)nStrJr:t 311 s,..-",.. L' :00 yi `11,:: :l./1.,1 :).(tlf..;‘,/ l l, t,;. riuk_tni,,), :111:i ?,',;',1',R s,..,...g..I.Vhe:.' :',? Y:.::.__ No i ------ ' A C 7.y Sev,,,, f "-- Pr vi,-.1-,,,,, tt.,::.i `,..,1 ...,.atet S:..rx y .. , i SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT . - \)OM0) 4ClaiNitk-- , zis Cp..,,,,,ci ct *.-i.-: sLil..„!ect Nelson Shiflett, Valley Home Improvement, Inc. rn,' i.;,:-•it. ' :..! ...rI --ro:',.1t-,!,., •°::: Att.- 1.....1 v.,)1'*, ,-..1.:0v,:'ri`tq: :)°, 1°0, 1"...,...1 .; nil ,,,F.:,:-'1: a virz,'Itt,',.i Sii:la*Are 0! CfaYier ,Itr i „ Nelson Shitflott, ±',. :IN: 7:ir: '' . 3t1:111C ':) l',I'lf.1 tr;11r—i'!.,",L,Il the f:rttr,,,Nr i.,,,, il:Jr.!=cfltic,, ...r,;t ,,'WI ortd il •t,,L,r,11,,:”, l'„! '.11.,1l,:t.--,*., ■:l rt-y t-sc.wic.CrC, 7 nt lief ,..;.-C,I.:— il--1°, DE;',:" ':: a'" -..i r..,:%Li Nelson Shifflett_ I , .„ :.,., , ,/ , • , ___ 7,1*.ti,1 ,_ ,, _.... 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 Frontage _ A)0 C14,Tt'O N — Setbacks Front a Side L: R: �d N1(R: Rear ' (- - (1)Building Height Bldg. Square Footage 4yy/a % 44/S) Open Space Footage , % (Lot area minus bldg&paved /) V 4,4.) c i parking) #of Parking Spaces /74" C1N GG Fill: (volume&Location) L,' ,',' 6 .P9e r 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 re/ a 114 Registry of Deeds? NO DON'T KN W 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 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: Department use only City of Northampton Status of Pt�rmit: oaoioVri NOMINvr1LON +. SNO1103dSNI;NIa1Eng13O is Building Department Curb Cut/Driveway Psrmite, 212 Main Street Sewer/SepticAvaila6ility ?< NOV 6 20I3 Room 100 V riWell�Avai�abillty '4"7:,,:,,,,„'Northampton, MA 01060 TwoS'etsof Structural Plans x* hone 413-587.1240 Fax 413-587.1272 Plot/Site Plant.,5 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 a 9.3 i9av L b4-111 &Dc.a Map Lot -Unit Zone Overlay District Elm St. District .CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 1 2.1 Owner of Record: - i 3 � `'�_�� R lC. _) IaeaC I r ar .��a�o -f / O S1 �c^�ccin Current Mailing Address: ii_ 9 Name(Print) • `O� 0 v " a--- ,/,w Q N COW/VI: Telephone Signature 2.2 Authorized Agent: Nelson Shifflett Valley Home Improvement, Inc. P.O. Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: WI"P / .. 584-7522 Signature / Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS i Officia.! "se O 1y !tern Estimated Cost(Dollars) to be .. , ., r:, completed by permit applicant 1. Building _ (a) Building Permit Fee 2. Electrical 3 (b) Estimated Total Cost of Construction from(6) 3. Plumbing � Building Permit Fee ��� 4. Mechanical (HVAC) i -'1'.-- 5. Fire Protection II 6. Total = (1 + 2 + 3 + 4 + 5) 1.,L Check Number I • I' ♦ This Section For Official Use Only l Building Permit Number: _ Date Issued: _ Signature: __ Building Commissioner/Inspector of Buildings Date ` do de„....4 11 -7^11$ File#BP-2014-0586 O (. oui,k5 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC t ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413)584-7522 A A g-,,,✓ PROPERTY LOCATION 273 PARK HILL RD V MAP 43 PARCEL 124 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /G 3 �LL/ Fee Paid Typeof Construction: CONSTRUCT 8 X 22 2ND FLR ADDITION(BATH/STUDY ADDITION) 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 INFO ATION PRESENTED: L/ p oved 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 Demolit.• Delay OW' //s,;(16 Sig . -•r- . it a rng • 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. 273 PARK HILL RD BP-2014-0586 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:43- 124 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-2014-0586 Project# JS-2014-000981 Est. Cost: $41000.00 Fee: $246.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 060300 Lot Size(sq. ft.): 54885.60 Owner: PROCACCINI ALFONSO&ARIANE VUONO Zoning: Applicant: VALLEY HOME IMPROVEMENT INC AT: 273 PARK HILL RD Applicant Address: Phone: Insurance: P 0 BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:12/2/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 8 X 22 2ND FLR ADDITION (BATH/STUDY ADDITION) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Numbing 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 12/2/2013 0:00:00 $246.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner