24C-046 (7) 345 ELM ST BP-2002-0554
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C-046 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: GARAGE BUILDING PERMIT
Permit# BP-2002-0554
Project# JS-2002-0853
Est. Cost: $30000.00
Fee: $57.60 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot Size(sq. ft.): 10280.16 Owner: BROWN GORDON T&FLORENCE S
Zoning: URA HD Applicant: Valley Home Improvement, Inc
AT: 345 ELM ST
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:12/3/01 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 24 DETACHED GARAGE
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/3/01 0:00:00 14319 $57.60
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
,
File#BP-2002-0554
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P 0 Box 60627 (413)584-7522
PROPERTY LOCATION 345 ELM ST
MAP 24C PARCEL 046 001 ZONE URA HD
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out li / -) N/=.
Fee Paid 1 ll�
Typeof Construction: CONSTRUCT 24 X 24 DETACHED GARAGE
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 LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF a�kMATION PRESENTED:
A
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 Comm'
v L o0
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.
�i C o thampton a Status of Permit:
:uild partment Curb Cut/Driveway Permit
Department use only
21 . J:i Street Sewer/Septic Availability__. ..
NOV 2 g 2001 "•• 100 Water/Well Availability
Nort - n pto , MA 01060 Two Sets of Structural Plans,.. ..,..__
DE�ci Ma �' 124 Fax 413-587-1272 Plot/Site Plans
T o►.
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
345 Elm Street Map Q2 Lot
Zone 11/14,k, Overlay District
Northampton, MA 01060
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 1
2.1 Owner of Record: 345 Elm Street
Floren & Gordon Brown Northampton, MA 01060
Name(P t) Current Mailing Address:
586-6731
—�--_ Telephone
Signature
2.2 Authorized Agent: Nelson Shif f lett
Valley Home Improvement, Inc. P.O. Box 60627, Florence, MA 01062
Name(Print) Current Mailing Address:
584-7522
Sig a re Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 3 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
J Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) 3 rep Check Number
This Section For Official Use Only
Building Permit Number: p i�__ `f' Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
-ECTION 5_DESCRIPTION OF PROPOSED WORK(check all applicable)
New House 0 Addition 0 Replacement Windows Alteration(s) 0 Roofing 0
Or Doors 0
Accessory Bldg. X Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: 43.?r Lt f--7�- )(,„) Ll FALc__ Jrr c'i t 64(4-6 r
Alteration of existing bedroom Yes 1/ No Adding new bedroom Yes L/ No
Attached Narrative C Renovating unfinished basement Yes L/ No
Plans Attached Roll o - Sheet V
a. Use of building: One Family ✓ Two Family Other
b. Number of rooms in each family unit: f— Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. S 76" ' Dimensions .)y,')_ t/
e. Number of stories? 1
f. Method of heating? ./1 / /2 Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
Type of construction 4 /4
i. Is construction within 100 ft. of wetlands? Yes .,-.''''No. Is construction within 100 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 4/ No .
I. Septic Tank City Se Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Florence & Gordon Brown , as Owner of the subject property
hereby authorize Nelson Shifflett, Valley Home Improvement, Inc. to act on
my alf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
1, Nelson Shifflett, Valley Home Improvement. Inc. , as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Nelson Shifflett
Print Name
- --4,
Signature of 0 r/Agent Date
,
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 /o a iee ek
Frontage E//nj"i ��' .P%
Setbacks Front
Side L: R: L: R:
Rear
Building Height c'-) tkl- � " '(?/l!676 r
Bldg. Square Footage /`a /` % 7a 5-d >r�2
Open Space Footage
(Lot area minus bldg&paved / 1 737i. 1
parking) �J ls'0 (s / ?O.
#of Parking Spaces
Fi
ll:( /�
(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 DO NOW 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 L/
IF YES, describe size, type and location: 47
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
SECTION 8 -CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: Nelson Shifflett 060300
Valley Home Improvement, Inc. License Number
320 Riverside Drive 9/02
Address Expiration Date
Northampton, MA 01060
Signature Telephone
584-7522
• ;- :, Hi u u ,r.v- u• .n r.c • Not Applicable 0
Valley Home Improvement, Inc. 105543
Company Name Registration Number
320 Riverside Drive 7/17/02
Address Expiration Date
Northapton, 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 kfl No 0
II. - 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 he 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 and State of Massachusetts General Laws Annotated.
Homeowner Signature
. =AK tiAM p2,_ ..\
�L,,T its OLIO' of Ntrthampton A _* �
$ t: j j0 6 Aassaclinsrtts =-"
""" } DEPARTMENT OF BUILDING INSPECTIONS tt t`
212 Main Street ' Municipal Building
Northampton, Mass. 01060 �~� tilt'
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, ._Nelson A.Shifflett f Valley Home Improvement, Inc.
(licensee/permittee)
with a principal place of business/residence at:
320 Riverside Drive, Northampton, MA 01060 (phone#)_ (413) 584-7522
(streeticity/stareizip)
do hereby certify, under the pains and penalties of perjury, that:
OD) I am an employer providing the following workers compensation coverage for my
employees working on this iob:
American International Companies WC 6554540 00 02/01/2002
(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 workers compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compar y/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet if necessary to include information pertaining to all oon±ractors)
( ) 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,rogation or repair work on a dwelling of
not more than throe units in which the homeowner resides or on the grounds appurtenant therdo are not gem.ally considered to be
employers under the workers onsaticn Act(GL152,ss t(5)),application by a homeowner for a license cc perm#:may evidence the
legal status of an employer under the Worker's Compensation Act
I understand that a copy of this staterneixt may be forwarded to the Departnsaff of Industrial A cideats'Offioe of ioarranoe for the
coverage verification and that failure to segue coverage under section 25A of MOL 152 can dead to the imposition of criminal penalties
oomisting of a fine of up to S 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 SI00.00 a day against mc.
Signed this day of , 2001 For departments'use only
,) 41 _ `^ Permit Number
Lt' �/ �`• Maps Lot 4
Signature of L-•..,t'ig•crma
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rn, u �Vf�n Il`r�
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,. \1 1 i .
':� Li NOV 2 9 2001
C" ' ri� ��� � D sion e�ermi�nation
USE THIS FORM ONLY AFTER A PUBLIC HEARING
APPLICANT:/ • I POWkW\ - (, O 1 Y s �A w 1 . „
ADDRESS:qO Ga 2- T PHONE: d T13' 'LAQ�
OWNER: . '�V . .� p� � j .. ,
ADDRESS: ( � � i Mi
RE:Land or Buildings at:.ays Elm Street,Northampton, ASSESSORS'MAP#:Z4C, ,PARCEL#: )4 le
•
The Historic District,Commission has determined that(the Commission will check one of three boxes):
•
If checked and si ne g d,THETROJECT IS APPROPRIATE under the ordinance and MGL C.40C.
THIS SERVES AS A CERTIFICATE OF APPROPRIATENESS,with the condition that all work be
done in accordance with the description provided by the applicant in his/her application to the Historic
District Co fission and the followin conditions if any):
CI
If checked and signed, MERE IS A UNIQUE HARDSHIP under the ordinance and MGL.
C.40C.
THIS SERVES AS A CERIIFICATE OF HARDSHIP,with the condition that all work be done in •
accordance with the description provided by the applicant in his/her application to the Historic District
Commission and the following conditions(if any):
0
PROJECT IS NOT APPROPRIATE NOR A HARDSHIP under the ordinance and M.G.L.C.40C.
THIS SERVES AS A DISAPPROVAL OF A CERTIFICATE OF HARDSHIP.
If,within 14 days,the applicant does not modify to their project as detailed below,THIS SHALL
ALSO SERVE AS DISAPPROVAL OF A CER1'Ilr'ICATE OF APPROPRIATENESS.
If,within 14 days,the applicant addresses the reasons for denial and modifies their project as
detailed below,and files these modifications with the Commission,the Commission shall,within a
reasonable time period,issue a Certificate of Appropriateness. A Certificate of Appropriateness,with
appropriate dimensional,set-back and other requirements and conditions cannot be issued without these
modifications because the project,as described,does not meet the criteria. These requirements are only for
the purpose of preventing developments incongruous to the historic aspects or characteristics of the
surroundings and of the historic district.
The Commission should address how the project meets OR fails_to meet to Appropriateness criteria:
1. The general design,arrangement,texture and material of the features involved and the appropriateness of
the size and shape of the building or structure in the relationship to land area upon which the building is
situated and to buildings and structures in the vicinity:including:maintain construction design,building
alignment,setback,height,and articulation that are consistent or compatible with traditional
patterns of surrounding buildings and avoid mirrored or highly reflective•
glass:
Lin t tsk u . � 'p L"€ w 1 } �l tt\ \ Vt1
2. The relation of such features involved to similar features of buildings and structures in the surrounding
area,including: preserve,to the extend practical and consistent with encouraging consistent setbacks
and heights,high quality views of landmark buildings:
uV
3. The historic and architectural value and significance of the site,buildings or structure, including: avoid
exterior or facade changes to buildings that would damage historic features or arc not otherwise
readily reversible except when such changes replicate historic features,restore previously damaged
historical features,or are otherwise compatible with the-detail and character of the district:
If the Commission denief a Certificnh'of Appropriateness or if an applicant applies directly for Certificate of
Hardship, the Commission should address how the project meets or fails to meet all the hardship criteria:
•
1. Conditions especially affecting the building or structures involved but not affecting the historic district
generally:
2. Failure to approve the application will involve a substantial hardship,financial or otherwise:
3. Application may be approved without substantial detriment to the public welfare and without substantial
derogation from the intent and purposes of the Ordinance:
The Historic Commission vote was 4—0 . Histori I i ct Commission:
iLWr 1
nATE,:— -1 - O Q
(CUi`Ffiles111' 'les1ELMUAPPROPRIATENESSAND HARDSHIP,elm street rm approved 3/3/97)
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Valley Home Improvement, Inc.
N.O.BOX 60627,NORTHA,MPTON,MA 01062
413-584-7522
FAX 413.585.0820
-DESIGN I BUILD
ADDITIONS • RENOVATIONS
FAX COVER SHEET
T0: jja4 6 DATE: //-.30 '0/
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FROM: N175 •A.
RE: /Vd 14/0"0 / 21 _________
Page one of. „) pages
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ROOM ADDITION 3 0" @
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NORTHAMP.TON,MA refinish ceiling 1' ,__A _
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