16A-020 - _ - 1 n _ 1 J _- -
: 1
r--r
--1. s 1 /I
/ new sink and faucet 1 p- ` ---
l• `—' ; p/W
r Existing base and wall cabs to remain
`® install new painted soffits throughout! I /
1 1 // V add under cab lights.
duct existing microwave through soffit /I'
>0 i T
install new hardware throughout 1/2 wall with wood serving shelf
sl-
1 new pots /pan drawers
1 new granite tops C• r � YANEZ
pull wall cabinet forward
LL.
remove wall cabs
T Q � -' 'f-',_ -%
li , _ -__ -_ _ __ ., _ _ ~ 2ND FLOOR BATH WORK.
install new granite top with undermount sink and new faucet.. raise top 3"
modify soffit and install two recessed lights and wine rack in — - 1
c ; to remove 2nd vanity, top, and plumbing and modify electric to create closet space.
Al ALLOWANCE All Granite $4,000.00 Hardware $150.00 Sink and Faucet $1,100.00
^
.'
^
1
ii •
4-- - -r., F , ,
,.., , „,..., ,
new sink and faucet
i 6- - r ,
. , I Existing base and wall cabs to remain
--_,,, install new painted soffits throughout! /
/
l duct existing microwave through soffit
\ ' I install new hardware throughout ---z, 1/2 wall with wood serving shelf
, new granite I pull wall cabinet forward
1_,
| _]
r -- --- ---' �
remove / T / �
�� ��| � ----- / � - ' '
|- �� - ��� � / � ��F� FLOOR ��TW�����
.�� ______J ___--_ "-`°^^ ' ^-����'^ BATH / vv�^.�.~.
|�� ��� --- ---
��/ _,
\ install new granite top with undennount sink and new fauoeL�raioe top 3^
modUyoo�tand in�U wine � '
install `.'
c 2nd vanity, top, and plumbing and modify electric to create closet apaoe.
ALLOWANCES: All Granite $4,000.00 Hardware $150.00 Sink and Faucet $1,100 00
NI,IsNachttscit licpartin(nt PO)
1 V Board Of BM 111 . 41'4 Re'.iilatitOIN and 'Mani! Ards
Consd'uc,a4n Superit ,ock
license: CS 60300
Restroled to. 10
NELSON A SHIFFLETT
340 RIVERSIDE DR PBX60627
FLORENCE. MA 01062
Expotit,on r22/2010
r Try.: 3435
At 4 1 1/(le
Board or Building Regulations and Standards
License or registration I. add for intlivitiol use ont,
z' HOME IMPROVEMENT CONTRACTOR hefore the expiration date, If found return to:
. , Registration: 105543 Board of Building Regulittions and Standards
Expiration: 7/17/2010 Tr# 270246 One Ashburton Placc Rtn 1301
Boston, Ma. 02108
Type: Private Corporation
VALLEY HOME IMPROVEMENT
Nelson Sh4flea —3 ) / 2 1 / 1 /./
34 Rwersitl0Dr. VP/ /
N lh roplon. 01 Adtninisttatur Not Montt signature
1
SECTION 8 - CONSTRUCTION SERVICES 1
3 Licensed Construction Supervisor: Not Applicable l=t
Nameof License Holder :Nelson Shiff lett 060300
Valley Home Improvement, Inc. License N.Imher
340 Riverside Northamp 01060_ _9/22/1
Address Expiration Date
584 -7522
S ,n ature Telephone
9,3egisteredHome Improvement Contractor: Not Applicable El
Valley Home Improvement„—Inc.. 105543
Company Name Registration Number
340 Riverside Drive ...__ -- 7/17/10
Address Expiration Cate
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 1Kl No 0
11. - Home Owner EYClmption
The current exemption for "homeowners" vas extended to include Owner- occupied Dwellin =gs °Cone (1) or two(2) families
and to allow such homeowner to cn pee an individual for hire who does not possess a license, provided that the owner acts
as supervisor. C'MR 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.!shc shall he
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, duri iti anr! nr n"
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 15. (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, von 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 — _
• .
�� '` GiiR of aztl am teal = *moo
; .�, .?, � d Alassuellnseffs ^__ --_' =
° 'xo ` DEPARTMENT OP BUILDING INSPECTIONS 4
• 212 Main Street 0 Municipal Building
Northampton, Mass. 01060 us "'
WORKER'S COMPENSATION TThiSIMANCE AFFIDAVIT
1, Nelson .Shifflett - Valley.Home Improvement Inc.
(li censee/permi ttee)
with a principal place of business/residence at:
340 Riverside Drive, Northampton,MA 01060 (phone#) 584 -7522
(strr~t/city!s, !zip)
do hereby certify, under the pains and penalties of perjury, that:
(0 1 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 Date)
( ) 1 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 additicaal sip if necessary to include information pertaining to all =tractors)
( ) 1 am a sole proprietor and have no one working for me.
( ) 1 am a home owner performing all the work myself.
NOTE: please be aware that while homeowners who employ pawns to do roaintcnanen wasntitctioa or repair work on a dwelling of
not more than three =nits is which the homeowner resides or oa the grounds appurtenant thecae arc not generally considered to be
employers under the workeel carc =lake Act (GL152. s 1(5)), application by a homcowna fora boa= cc permit may evidence the
legal status of an employer unit the Worker's Compensation Act
I understand that a copy of this statement may bo forwarded to the Depertmcat of Industrial A idea& Oflloe of Insur'•wca for the
coverage verifrca1ioo and that failure to secure coverage trader section 25A of MGL 152 can pe el to the imposition of criminal penalties
wing of a fine of up to S1,300.00 andloc impr isonmrtL of up to one year and civil penalties in the form of a Step Work Order and a
fins of SI00.00 a day against me
Signed this / day of )&y )€2'0(j For dgsrtma7sl use only
W Permit Number _
,(e) Mapif Lot4'
,V L.5/i7i _ ?!
I _ 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. Northrmplcrn, MA ni Ain 9/22/08
Address Expiration Date
584 -7522
Signature Telephone
, °/ 4'
9 Re_istered''H.4 a "Im.rovement. _ , Not Applicable ❑
Valley Home Impovement 3nc_ 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 El No ❑
Home,uwner`Exemption
The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (I) 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 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
( 1
+, A' v.:C1'ti7:11 %, DESCMPTION OF PRAEQALDcmil i‘sriri!icithlo) i
i - t
i New Houf;o , ,..i I AC;dition Li peplacement Windows i A:toration(s) [7: Roofing 0
Or Doors
f 1
i Accessory Bldg. 0 I Demolition New Signs 1 i Decks [ .} Siding [ I Other kl
i
i
t i!'.; Ettnc. On f';! Pr( N ;
''' " - .00, i 6" Ze (44 - ti/ekt - 41(
;
;
, 17: ;:11
1 Ai.brfiLi NorQztiv.:
Plars Roil
6:1. If New house and. or addition to existino housing„ , :complete the folloWinct•
,.
1 ;,.,-, liF■f:' Of budding : One Fiinily ..,..., • Tv:AD Farnil.^
Normer ot rczyns o'l eacri !ar..; Ur:1C_, _. , Ntrinf ot iiatb.rCon7rF
• _
k tr.ff: il t CI ;1 g It 317.! CI a : t achE;10
,
Sr
c. ;q;yr;ler
f. VethOj of hoziting? Fir (1 Or Wc Nor;74.;:tr of oach
,. 2 F..netz. Ce7scrvatic..7: Cor7 EnErily C birti 25:tii.ChEd?
1 ‘,,pc,„ ;A ecnsiructidn
t ,
ts co•nitt:,;z1.icii witiiil 100 ft, Y No. Is cz.)nstfodn wI 100 vt, rldvi; Yf _No
of A .('.,i eel4i root'
% WM bviding corlorm to 1!',o lAnIding chid 20niraR rilar;A7Itik`;:,'''
..•• ....,..___ -•• _____ - •
1 '
1 E. Ser.;:tic Tank Ctl:Y S Pf r ' t a 7 WO ,.„ City water Sw);y
''- SECTION 7a - OWNER AUTHORIZATION - TO DE COMPLETED WHEN
ottermis AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
0 Se Atir s 0•.•,,-ner d t., LUbjeCt pn3p i
Iteleby ,irlcirtr e N ., 1.,spn 514 g1.pt,, Valley Home_ Improyentent,. Inc.,. . . _ „. . to , on
6ttels r-te to :' atAhlryied bit Vitf, 1);;tifitri: PEUnit OrZIPliCjItiCn.
Pk C A ii r /
SigitEure ot eiler L:ate
"...............
. 1
{Relso n-Shifilett ,Va /le y_ xerneat.,_I ric,. , A---. c Afy,n1
1 dim! MC Irr t h ' C titttetnert5 ;.!..ni infoti the, foR,,iF atopEca tioll i:“.,-; Nie atod i3Getrr ate, Li the 1)e,•5t, el fry %
krcwledne c.nd belief.
i
I
Sq7ed . ..rid2r ti 7z.: d.rx or ur r:Qcr.. i
_Nel , Shiff lett_
/I
"Si;:;r:l.': it'? :if 0.10r/11
I'M!!!
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
c Building Department
Lot Size ;' j W y(41
Frontage �Lr� 4 Ai G _
Setbacks Front 7
Side L: • !u : R:
Rear 1 1 Lt.'
Building Height
0
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 1/ Sp 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 (/
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 oT Pernilt:
\ \' Building Department Curb Cu /Driveway Permit "
212 Main Street Sewer /Septic Availability
7nD$ Room 100 Wate lWell Availability
PAO�`! — 7 N orthampton, MA 01060 Two' Sets of , Structural Plans
phone 41;3 - 5,'87.1 40 Fax 413-587-1272 Plot /Site P lans
_._ -� Other Spec
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 j
1GL0 14 )`(> Map. ! / Lot Q L i
b Unito�
i
Cyr® 41 ,C, ay District
Elm St. District CB District J
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
NIA) ` r/c� a <�L ao') ) " tie
Name Priy Current li Add s:
a 4.4;/ i _� Telephone
SFn ue
2.2 Authorized Agen r Nelson Shi f f lett
Valley Home Improvement. Inc. P.O. Box 60627, Florence, MA 01062
Name (Print) Current Mailing Address:
584 - 7522
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
/0 d d Construction from (6)
3. Plumbing —0d Building Permit Fee
J
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5} �� C7C7 X14 Check Number �yV/ 7 lity(;2? ....—
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature: ___
Bu Commissioner /Inspector of Buildings Date
File # BP- 2009 -0504
APPLICANT /CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS /PHONE P 0 Box 60627 FLORENCE (413) 584 -7522
PROPERTY LOCATION 209 FAIRWAY VILLAGE
MAP 16A PARCEL 020 024 ZONE URA /WP /WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out doll( 6 / (9 Q .—
Fee Paid y / 7 7
Typeof Construction: REPLACE KITCHEN COUNTER S /SINK & LIGHTING
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 FO OWING 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
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.
•
BP- 2009 -0504
GIS #: COMMONWEALTH OF MASSACHUSETTS
K ter
:141V-'026 CITY OF NORTHAMPTON
Lot: -024 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2009 -0504
Project # JS- 2009 - 000695
Est. Cost: $21500.00
Fee: $129.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 060300
Lot Size(sq. ft.): Owner: YANEZ ELVIRA
Zoning: URA/WP /WSP Applicant: VALLEY HOME IMPROVEMENT INC
AT: 209 FAIRWAY VILLAGE
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584 -7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:11/13/2008 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE KITCHEN COUNTERS /SINK &
LIGHTING
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 11/13/2008 0:00:00 $129.0024914
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo