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City of Northampton
Massachusetts rh
i� DEPARTMENT OF BUILDING INSPECTIONS
v . 212 M ain Street •
Municipal Building 's)
Northampton, MA 01060
INSPECTOR Js "
Valley Home Improvement Inc.
PO Box 60627 February 27, 2013
Florence, MA 01062
Subject Location: 17 Reed Street
Map Block: 39D -009
Mr. Shifflett,
Your building permit application and plans dated 2 -27 -2013 have been a pproved as drawn and per this
memo. All work must meet all applicable codes whether noted or not.
Please follow up on the following items:
These items will need to be accomplished as the project moves forward and before rough inspections;
1. Proof of a recorded letter stating the basement shall not be used as a sleeping space or
interconnected smokes and CO detectors throughout the structure. (sample provided)
2. The bath laundry will need to be completely insulated and air sealed. (separated from the balance of
the basement)
3. Insulation and air sealing shown on plan.
4. Bulkhead work shown on plan
5. A smoke /CO at the bottom of the stair and a CO within the mechanical room.
6. Copy of plans in electronic format updated to show all work intended. (bulkhead, CO /smoke,
insulation /air barrier)
As of August 4 2011 the 8 Edition MA code is the 2009 IRC with MA amendments.
In the following are some generic requirements which seem to be problematic.
This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes.
Read only international codes are available on line at httP: //publicecodes cyberre s
must also consider the MA amendments to these codes which can be found at www.mass.gov /dps /bbrs one
The current relevant building Lodes are:
2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 IECC, AA115, MA amendments.
1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments.
Relevant items must be submitted to the building department for approvals before inspections and or
Certificates of Occupancy can be issued.
Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday
through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email
address is: cmiller(cr�northamptonma.
Thank you for • r cooperation on these matters.
Chuck Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
,t1AMP,,
9A, Via. QUIT 1 XDrtilantp nn i _ * *
� : ' 1 0 • Massachusetts a '_
c _- wT r+sv. _ —
DEPARTMENT OF BUILDING • INSPECTIONS • --- _
212 Main Street • Municipal Building
Northampton, Mass. 01060 �'
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, S G/'/
s»- V/ n.7/ / / /OM iE ti,a/c /it /L% .C_...
(Iicenseelpermittee)
with a principal place of business/residence at:
3 fU / 'z$ i� � -- . I 7 , 2 1,f71; f ,' 2 Yil ,44/4 (phone #) h / 2_—
(s etJcityfstat?I7ip)
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)
( ) 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 additianl shed if nearrary 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 pasom to do m airTtmene*, amsavction or repair work on a dwelling of
not more than throe units in which the homeowner resides or on the grounds appurtenant thereto arc not generally considered to be
employers under the worker's compensation Act (GL152,43 1(5)), application by a homeowner for a license a permitmay evidence the
legal status of an employer under the Worker's Compensation Act
I understand that a copy of this srstemeet may be forwarded to the Deportment of Industrial Accidents' Oboe of henna= for tba
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 S1,S00.00 and/or imprisonment of up to one year and civil penalties k the fans of a Stop Work Order and a
f me of 3100.00 a day against me.
Signed /4s' ' _day of e uV f ilY, -2,63 Fa- dgr> luseonly
, Permit Number _
49 ] ' " i if . ,' / Map# , Lot #
ignature of Li.... -- "ermittee
1 SECTION 8 - CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Nelson Shi f l,ett 060300
Valley Home Improvement, Inc. License Number
340 Riverside Drive, Northampton, MA 01060 9/22/0
Address Expiration Date
584 -7522
Signature Telephone
9. Registered me Improvement Contractor. Not Applicable ❑
Valley Home Improvement, rm 105543
Company Name Registration Number
340 Riverside Drive _ 7/17/1:1
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 ]iIJ 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 faun
structures. A person who constructs more than one home in a two -near 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, von may be liable for person(s)
you hire to perform work for you under this permit.
The undersianed "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
(.7.11QN . DESCRIPTION O PROPOSED WORK (chedk MI ziaptichlt...)
Addition 0 T Windows Alteration(t) 0 Roofing 0
0? Doors
Accessory Bldg. D Demo litionD New Signs : 1 Decks [ 1 Siciing [ 3 Other : j
3 Delx r„;`.. Pr( r."..-o‘!,ec: No.k 1 I 4 .1 ittiA w 2 . 1 e". 41 1, „: — i cit Vs Id d L cl-cl
_ ...
„ivmp bet:!orn YI.:-..f: 1,-- t,od.ng new . .:Ieriroc . r, Yes --- No
4,tt Narrer.-.. r--,e Y tt, ” No
Pla7s !..ttact Poh S „
6a. If New house and or addition to existing housing. complete the following:
of ouiloing, : OnE
: b c anl,)er i.;." to,;:ms. o each !arty urEt: 7 or
a:tached?
j Fr S.,yege toot, c:,', new f:;onstroch on Di'nensio.ls
f
,.... wor or stx;neF,?
f. Vett of hootrtg? - irt.V.: il..C,',..f.i ^,:it WC(XitOsr NUrr11 Uf e0C11
E. Er Cc servatten Comp:iar-,:e. MSCheCk Enc C:Dmplian:e form attached?
1)rpt: Of con0fuctien
i ... cofr,tr,;0.1C,•1 vrtfr in 10D 1 of wet. c? Yes No. Is construth:A wi!nir FOG yi. fli.; Yes Mt)
of bwiernent f.'f celf,v Uoor nekm 'InttAeci grade.
cor.form to 1he Busking rind 2 regs:lationf;? Yes No
t t. Stptic Tank Cf Sewer Private. %Nett City water Strpray
SECTION 7a . OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I .
I, .
,Ifr ...h V
_y . as Owner el t.:7E subject pe3perty
tier ee:11 Nelson - . if f lett, „ yalley Home_Improv_ement„_Inc . „,,_,,,,,________ tr, a:1 on
my brlitl in it61 rneler . ref' i VV,:nk aUttle b tnis bd nE: , ,, - .)ennt ant lication
I S 0 erler
t , Itel&O,1,hiatle.tt-8-3-alleYart ( WPM ent , In. , AF, OWIrtEtliAtilriOn761 4:141
hercty deCtilte " J l i r . ' Stattmcnts :..-rid inforrnton erl the fbregorrii nrpiic.:Itic:I iJ re '‘ .3r::.1 accurate, to 'ire fas..,!.. GI toy
.'„rc End belief.
S-Ed - _;not_-- 1 .ort a!,....:,1via of
Nelson_ Val!! f let t ,
...„..._.
-
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
Setbacks Front
Side L: R: L: R:
Rear -
Building Height
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 / 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 ody 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 ?�1 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:
i I3epartment use only
FEB �M amity of Northampton Status of Pefrritt
2 20,3 3uilding Department Curb Cut /Driveway P rnit
212 Main Street Se /Septi aty
DEPT. C7 6J1L65 INSPECTIONS Room 100
NORTHAMPTON, MA 01060 R Water/Weil AV21��i?1i tjl *
Northampton, MA 01060 T o Sets ofSr CtGra Plans
phone 413. 587.1240 Fax 413- 587 -1272 Pint / Site F
C)ther S
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
)7V, 5A1 ir11(Adole) 4/k de a/) le i f
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
/ 7 (e 1 J7 , Map Lot Unit
71/0 `pfyj�,,r,n ,4 )i� Zone Overlay District
n �� � Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
0.4,Ak d sou)'
— Name Current Mailing Address:
r Telephone
Ogre
2.2 Authorized Agent: Nelson Shi f f lett
Valley Home Improvement, Inc. P.O. Box 60627, Florence, MA 01062
Name (Print) Current Mailing Address:
• li 44.t/ 584 -7522
Signature /" Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building /0 00 , (a) Building Permit Fee
2. Electrical v (b) Estimated Total Cost of
Construction from (6)
3. Plumbing 7 ; � Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) )0/000 Check Number c ( o '/ 07
This Section For Official Use Only
Building Permit Number: Date Issued:
I Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0775
APPLICANT /CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413) 584 -7522
PROPERTY LOCATION 17 REED ST
MAP 38D PARCEL 009 001 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 (
Fee Paid �� `P yEP /01
Typeof Construction: REBUILD BULKHEAD, CONSTRUCT BASEMENT BATH /LAUNDRY ROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 060300
3 sets of P ans / Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
NF 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
11• e1 . O• -
Signature of Building 0 f cial 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.
17 REED ST BP- 2013 -0775
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38D - 009 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2013 -0775
Project # JS- 2013- 001323
Est. Cost: $20000.00
Fee: $120.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 060300
Lot Size(sq. ft.): 10018.80 Owner: DUNPHY JOHN A
Zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 17 REED ST
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584 -7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:2/27/2013 0:00:00
TO PERFORM THE FOLLOWING WORK: REBUILD BULKHEAD, CONSTRUCT BASEMENT
BATH /LAUNDRY ROOM
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 2/27/2013 0:00:00 $120.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner