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Valle Home Improvement, Inc.
Valley �
P.O.BOX 60627,NORTHAMPTON,MA 01062
4i3-584-7522
FAX 413-585-0820 DESIGN /BUILD
ADDITIONS• RENOVATIONS
APR - 2008
4-s-o8
Anthony Patillo
Northampton Building Commissioner
Re: Bowers/Beede set back
Dear Mr.Patillo
Attached is a revised plot plan showing the removal of the deck that was encroaching on the
15' side lot setback on this project.
If you need any additional information,please let me know.
Thank you
Nelson Shifftett
Valley Home Improvement,Inc.
l
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRliCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: h1 le y 7't% s ,0 . = Site Address: %j t)y (i i 5 1 N
Applicant Address: Y f r L&,,S City/Town: - /Ij 1 761,1)
!� Use Group:
' S d 9 7 d Date of Application:
Applicant Phone: Applicant Signature:
Compliance Path (check one): A,-( /VJ L Wl i j�rC>✓�- �1 ON
❑ Prescriptive Package(Limited to I-or 2-familv wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.lb): Heating Degree Days(HDDbs)from Table J5.2.Ia:
(For items d. through i.,fill in all values that apply from Table J5.2.Ib:)
a. Gross Wall Area sq.ft f. Wall R-value R-
b. Glazing Area' sq.ft. g. Floor R-value R-
c. Glazing%o(too x b:a) % h. Basement wall R-
d. Glazing U-value U- i. Slab Perimeter R-
e. Ceiling R-value R- j. Heating AFUE
❑ Component Performance: "Manual Trade-Off"(Limited to wood or metal framed buildings only)
Climate Zone (from Figure J6.27) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade-Off Worksheet from Appendix J, [and hTAC Trade-Off Worksheet,if applicable"
❑ L4Scheck Software
Attach Compliance Report and Inspection Checklist F rintouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate (HERS ratio_score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
��DITJON all+Ceiling Area�sq.ft. b. Glazing Area`! sq.ft. c. Glazing%(too x b_a)with Glazing % (c.) up to 40%may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM U-value WN11i UM R-Values
Fenestration' C "" ' Walf Floor asement Wall Slab Perimeter,De tb
039' R-3 131'3 - -10 R-10,4 ft
1 Glazing Area may be either ough Opening or tfnit di. ens' .
2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units.
3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area
(i.e.-not compressed over exterior walls,and including any access openings.)
❑ "SUNROOM" addition (greater than 40%glazing-to-wall and ceiling gross area)
Attach "Consumer Information Form"from 780 CMR Appendix B.
Official's-Name: Official's Signature:
Application Approved D'` Denied ❑ Date of Approval/Denial: '
Reason(s) for Denial: (provide additional details as needed on back side)
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 060300
Birthdate: 09/22/1950
Expires: 09/22/2008 Tr. no: 1182.0
Restricted: 1G
NELSON A SHIFFLETT
340 RIVERSIDE DR PBX60627 z�—
FLORENCE, MA 01062 Commissioner /
_� ✓x'1.2 +.�'i ��?%Y� -L'2 -1 C��2/ G � �� %x✓CLC�C%,�+?�,�
-- Boar or Bul�d�lna egula46]n5 an 5tandarc1s
" l Oneshbunor_ Plac - Room 1301
s
Boson. `Jassachusz s 02' 10S
Home Improvement Cor_trac-c-r Re. istraiior_
Repistraticn. Z
Type: a.. 7 rC C ..cn
Exciraticn: -
HOME MP°OVE?41ENT INC.
Nelscr Snirie t
P.O. 60627 - - -
FLORENCE, M„ 01062
L cdate address and return car;. ',Iar reason for chime.
Address — Renewal — E-tolo%ment Lost Cirri
JPS-�.a :r 30yt-,wC�--_3694
Board ji Building Regulations and Standards License or registration valid for individul use oni
___; :',1PRCVEMEN700NTRAC70R before the expirati,n date. If found return to:
=_E— Registration: ^C5�a3 Board of Building Regulations and standards
_ One Ashburton Place Rm 1301
cxp,ration: 7/?7'2rC3 Boston,Ala. 02108
Type: Private Carperaticn
rc;cn ..? _ Deputy .ldministraror Not without ithout signature
3
r
O�SttA1dAJO
s� Eg Gxo of
9 8 �asaacflnsrits
<� DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION ViSURANCE AFFIDAVIT
I, Nelson .Shifflett - Valley. Home Improvement Inc.
(licellseelpermittee)
with a principal place of business/residence at:
340 Riverside Drive, Northampton,MA 01060 (phone#) 584-7522
(sb-c_-t/city!kat/:tip)
do hereby certify, under the pains and penalties of perjury, that:
(x) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
A.I.M. Mutual Ins. Co. WMZ8005610 01 2008 2/1/09
(Insurance Company) (Policy Number) (Expiration Daze)
( ) 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/Podcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Ntunber) (Expiration Dale)
(Name of Contractor) (Inszlrance Company/Policy Number) (Expiration Date)
(attach additioml sheet if necessary to include information pertaining to all ccatractors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing ail the work myself.
NOTE:please be aware that while homcowners who employ persons to do maintrnancq constt ction os repair work on a dwelling of
not atom than three units in vAnch the homeowner resides or ou the vouad3 appurtenant lhatto are not geeeraily considered to be
employers under the vmdues o=pensation Act(GL152,w 1(5))�application by a homeowner for a license or permit may evidence the
legal status of an employer underthe Worker's Compeosation Act
I undemmd that a.copy of this sutemend may be forwarded to tho Depwtmecd of Ind,Lstrial AocideedLi OfSoa of Irouuaom for the
coverage verification and that failure to secure covetago undo section 25A of MGL 152 can lead to the imposition of Mmmat penalties
consisting of a fine of up to$1,500.00 and/or k4nisommerit of up to ow year and civil penalties is the form of a Stop Wont Order and a
fina o(5100.00 a day against me.
Signed this C/ _#y of�� For�„t„�,�Uxy
/yI Permit Number
// Maps Lot
SECTION 8-CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Nelson Shifflett _ 060300
Valley Home Improvement, Inc. License Number
340 Riverside Drive, Northam pton{ MA n1060 9/22/08
Address Expiration Date
584-7522
Signature Telephone
9 Re'isfere orne Iirn roveirtent C nt'ractir Not Applicable ❑
Valley Home Improvement, Inc- 105543
Company Name Registration Number
340 Riverside Drive 7/17/08
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....... N No...... ❑
11. .- Home O +irner 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-vear 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 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 a State of Massachusetts General Laws Annotated.
Homeowner Signature z _
l
'rCTION S. DESCRIPTION OF PROPOSES?WORK(chrck �sEE r�Ei��hir)
N
New House L-1 Addition �,M__.a_ Replacement Vfindows Alterationo)01- Routing, E7
CEs Doors ;1 '(A)
Accessary Bldg. 0 Demolition) New Signs } Decks Siding# ] g Other ]
Dew-m; on & Prqonco
C.'' Srnrti��TIC) C'
Mr Unn ul ey C' rT p har cbbl e7 Y^`,i ....,.... . '4C) t.f:Ing new ".lf''i*tl^r,•'^", Ny'; _ W
!,It�L1Jc:.; NJrI lsa _ E< e1 "rear �. �,nfrnlo lte a ersl�rrt _ Y-� !-40
i Plans lWashat put shout
S& If New house and or additian to existing housing, complete the fallowing:
of blji lcun . t r+L' ".ani !y
8
L 1\«.tMON f:'-. MC ,"S ;I Bach "=1r"' y t,nJ: ` `��.rC`"ktt..,rr or ..am oo'.'e °
6 urp um 01 M&tt:V S........... Nor us- of f::ach
._." ..,
raw °-"`Ff �.,r'.:'S_r't.:.:.^,'v ;L�f'"t. ;c4 z;=e. r tc_a_o rt,� El1:''C'y.4r_rrMmue iLir'i'I r3:tu,Cl:EG.^�� ...
'
r i1 ,"t C.'.i G J Gr 1"l�L�
_ Cw0b .0sq WJI 1 IDU 1 ''d w.t .Hass'? Yes "� No. 4 CM. rM : l tirosW 100 q a __ • __
s
1
po 4 t Kerr
NT nu k i p afm n to M fawPt:wg 5nd 1.. ,dy rngulni( n?
t
a
°Giil <'-ttti ity tiro,�tei `.;i:;{.
SECTION 7a • OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
s J.",t,cr tt t c L u bj c t
t
.Nelson,,S}�i€fl O, Valley Home fi
ru Lei`- d ,;r al --lcatt4rt" k`.bee to Wyk a stt'ul ecl 0 INS Ujung Puna a airli..hw,).
slj-.2-jr?0 €? het qtr,
Net,1son--,S.hi—f f at t,Val ey—Hone ..Inpx-o-v211 ere Lt,.—ix c,,
h "'lad" de.e_°re lot Ou Matetnctit, i�nc: lftt"''f-i"t,;m C"i, tlw. fotC-,Koir r (:a 11e t u.", G!
„cc" Mcg e End belid.
Nelson ,Shi€f
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 ��� " '{ Sfl M
Frontage 13 0
Setbacks Front '10t 7L'' 3�
Side L: JQ} R: J 1) L: DO, R: 5J
I
Rear
Building Height /
Bldg. Square Footage �J0 %
Open Space Footage v % J 16 C n
(Lot area minus bldg&paved 3 b Acct Gi I l Y LtG ��j
parking)
#of Parking Spaces
Fill:
(volume&Location
* 4)' (,k i.&
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 t�l
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'
y
City of Northampton Status 61"P" r"P
Building Departmentub Cut�DYivewaP rrnt
212 Main Street Sewer/Septic Ava 1 biilty
Room 100 was /Well"Availability ;; qw
Northampton, MA 01060 TivSets of Strcfural Plans `
phone 413-587.1240 Fax 413-587.1272 PlotlSrte 3t s da,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TAO FA I EL4G
SECTION 1-SITE INFORMATION
1.1 Property Address: This section to be completed by office'
13 99,,6Ere Map Lot Unit
� v I, Zone Overlay District
Elm St. District_,— CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
S ASN L' /C-(dr ,.j
Name(Printl Current Mailing Address:
Telephone
Sifg6ture
2.2 Authorized Aeent: Nelson Shif flett
Valley Home Improvement, Inc. P.O. Box 60627, Florence, M& OI062
Name(Print) Current Mailing Address:
y
/� 584-7522_
Signature Af Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
cam feted by ermit applicant
1. Building /o (a) Building Permit Fee
2. Electrical / (b) Estimated Total Cost of
L�0 Construction from 6
3. Plumbing X000 Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) S SO() Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2008-0843
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P O Box 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 13 BAYBERRY LANE
MAP 35 PARCEL 236 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinj4 Permit Filled out
Fee Paid
T}peof Construction: CONSTRUCT 6 X 15 DINING RM ADDITION&REBUILD 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 FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
D olition Delay
Signature of Buildin fficia Dat
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.
BP-2008-0843
G1S#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-0843
Project# JS-2008-001288
Est. Cost: $55500.00
Fee: $277.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
USe croup: Valley Home Improvement, Inc 060300
Lot Size(sq. 111 40946.40 Owner: BOWERS GEORGE&SHAYNE BEEDE
Zoning: SR Applicant: Valley Home Improvement, Inc
AT: 13 BAYBERRY LANE
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522
FLORENCEMA01062 ISSUED ON:41812008 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 6 X 15 DINING RM ADDITION &
REBUILD DECK
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
tnderground: 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 4/8/2008 0:00:00 $277.5023929
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo