Loading...
29-374 (3) a t i O �. 15'TO LOT-UNE(MIN.) i HOLLEY KITCHEN / DECK REMODEL 171 FLORENCE RD. NEW 12 X 12 CEDAR DECK NORTHAMPTON AND STAIRS ; 587W8982 REVISED 9-20-00 NEW CEDAR DECKING D 10'x 16 CATHEDRAL CEILING RAILS THROUPMOUT PORCH ROOF AND POSTS LINE OF PORCH OVgRHANG EW GUTTERS AND D.S. EXTENDS OVER EXISTING SWING DOOR ; -- INSTALL OWNERS CEILING FIXTURE VERIFY EXISTING FLASHING AGAINST HOUSE ' ESE SIN !FAUCET/ NEW TILE I 11S.THROUGHOUT o , EXISTIT CORNER WALL CAB. ' ! FORMICA TOPS J WOOD N LAZY SUZAN BASE CAB. 6-EW OGE INSTALL OWNERS P COMPACTOR 9"T STINGS in ER ° ° TFILL WINDOW • NEW STAI S RECONFIG RE ISLAND a .00ATE GAS RANGE AND • ' —� ' SEATING TED MICRO AND CAB. AppVE 21"BA E D ALL CABINET TO MATCH ' NEW OAK PANEL ON BACK RADIUS CORNERS 94LL REFER CAB. FORWARD Rf-I.00ATE REFER AND ' TER LINE W CEDAR RAILS AND BALLOj TSERS THROUG UT NEW REEF. EN�PANEL "DESK SPACE" O EN B W ' WO PD B. ERE EXTEN OVER G OVER U DOOR REPAIR BAD JOINT IN LIVING RM. CEILING/OWNER TO PAINT 7 is rpm Ln ti 130C$ w U1 � - • ' THIS PLAT IS COMPILED FROM DEEDS PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED SEP 2 0 2000 , i FPT OF a S, x 0 cu A M ti. N � N ��/ti�ax►�-orc� / Q—L I IT0: FLORENCE SAVINGS BANK & FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHnWN AND THAT THE BUIi nwr� ARP FnMr C-1 V ullTl 1W TI Ir- I , - �lataasr$nsttfa DEPARTMENT G.F BUIL.L r NG,INISPECTIOVS 212 Main Street ' Municipal Built inl; Northampton, Mass. ,01060 °�• _;`' . l�ifflettm �cE?Vf}I[1? t? 7Z4 '�'T�1PTltr1IC. {IICeTtSCp�i�aitt�) W.. ___n__ with a principal place of businessiresidence at: _p do hereby ceiti V, under the pains and penalties of perjury; tl a : j I am an employer providing the following worker's compensation coverage for my employees working on this iob:' Travelers insurance Co. UB888b9983 2/1/01 (Inca Company) (Policy Number) (Expiration pate) } I am a sole proprietor, general contactor or homeowner(circle one) and have hired the contractors listed below who have the following works compemtion policies: (Name of.Contra=r) (Insurance Compm/Policy Numbc;) (.Expiration lute) F (Name of Contractor) (Ix gran Company/Policy Numb-n-) .expiration Date) Name of Contractor) (Insurance company/poky Number) (Expiration late) (Name of Contractor) (Insurance Company/Policy Number)_ (Expiration Date) 4Affach additicasP sbee if nece=y to mcht&- nfbnnstioa pftt&=n&to 4x eowradm) { } I am a sole proprietor and have no one worldng for me. } I am a home owner performing all the-work myself. NOTE:please be aerate tbat wtuk homeowners who mrMay p4,soaa to da mmtcuw.�,amauua=or repay work on a dwctliag of employ=under tlaa vmrlccex won Act(GLI52,ss 1(5)),application lly a hmnr+sra w for at UOMM or per dime tvide acc tltc legsirte'Of aseaeploYwundOrtheWcuico z Compaxation Ad I sud that a*OPY of thin VhLemw.wAy be forwarded to the Dqxxftma of jd. xi61 4oca&ate Offoo of bt a wX*for the coverage vcnficdioa and ttmt failum to secure oovCmp un drr section 25A of MOL 152 can lead to tha imposition of a iminal psuaWes of a fine of up to S 1,504.00 agar of up to one year aid civil'permtaes is tht foam oft Stop Work Order sod a fim of 3100.00 a day aping me. ! Signed this dO __jay of , 2 000 Far depotmMW use only 011 Permit Number Mao, Lot u Si _ ., SM1104 f3 4 C0%ST ,VCT,! W SERVICES 1 Licensed Construction 5w ry sar: Not Applicable 0 Nameo ic�nseHolder._Nelson Shi f f 1 e t t 060300 Valley Home Improvement, Inc. — License Number 1 320 Riverside Drive 9/00 Address Expiration gate Northampton, MA 01050 _ ! Signature Telephone _ 584-7522 • Not Applicable 0 Vae Improvement, Inc. 105543 lley Hom l Company Narr�e Registration Number 320 Riverside Drive .___._-- 7/17/02 Address - Expiration Date Northapton, MA 01060 Telephone--- 554--7522 SECTION 10.*bRKE-fW,C{>MPENSATIAN 1NSl,ll'1ANCE AFFIDAVIT(M.G L.,,c.152,§25C46)). Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the decrial of the issuance of the building permit, `signed affidavit Attached Yes........ No...... 0 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 Dire 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 tame 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 hermit. As acting C'onstruetion Supervisor your presence on the job site will be required from time to tune,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:coning Laws and State of Massachusetts General Lay=s Annotated. Homeowner Signature -----_ _ ECTIt) <tt tia't 1 WORK ic rk all appl caktle) New House ❑ Addition 91"', Replacement Windows Alter t on(s --TRoof CI �l Or Doors 0 �,y Accessory Bldg. t`1. DemolitionO New Signs [ j Decks L ] Siding tither Brief Description of Proposed Work: 'or li�'��.4 '�q����c>[ /G/a✓r+ Alteration of existing bedroom—_-Yes� _ �JQ� 4ding new bedroom. f�G Yes � 4--N Attached Narrative _ / Renovating unfinished basement Yes Flans Attached Roll - Sheet.V--' l jL a. Use of building : One Family I b. Number of rooms in each family/unit:_—.__._..____ Number of Bathrooms_ _--_,---_-__ I is there a. garage attached? rte' G d. Proposed Square footage of new construction._-_ __.1y ._� Dimensions i e. Number of stories? i f. Method of heating? __.-__-� '� t replaces or Woodstoves Number of each g. Energy Conservation Compliance- Mascheck Energy Cornpiiance form attached? Type of construction __ I i. is construction within x00 ft, of wetlands?,•T Yes I,-`No. Is construction within 100 yr. floodplain --Yes------_No (depth of basement or cellar floor below finished grade ...... - Will building conform to the Building andd Zoning regulations? Yes No . Septic Tank City Sewer, v' Private well City water SuppI .,_lam _ SEC,TION,7a-- WNI"R Al1TWQRtZATION-T4 BE COMPLETED WHEN OWNERS AGENT 60 CONTRACTOR APPLIES FQR BUILDING PERMIT , Cyntthia Holley ...__ _ ------ as Owner of the subject property j hereby authorize Nelson Shifflett, Valle. Home Improvnement, Inc� to act on my behalf, in all matters relative to work authorized by this building permit application. Shat e of owner Gate I l Nelson Shifflett, Valley Home Improvement, Inc. as Owner/AuthorizedAgent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief, � e l Signed under the pains and penalties of perjury. Nelson Shifflett { Print Name j of� Signature k .1 g Own gent Date !'►' 0 1 Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning 'Nis column to be filled in by Building Department Lot size /��6C�% 13 6G v 02 0 Frontage Setbacks Front 30 Side L: / R. lc� l.:��--R. / Rear /,j /,y�J 30 Building Height Bldg.Square Footage I <o /Q �5c o 11,7, Open Space:Footage % ia.orkt ianr�ij a minus bldg&paved 97� / /a t/ ,3 #of Parking Spaces Fill _ (volume&Location' A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO L/1"- DON'T KNOW YES IF YES, date issued: IF YES;: Was the permit recorded at the Registry of Deeds? NO y DON'T KNOW ---- YES —------_.,__� IF YES: enter Bock _ Page � and/or Document# B. goes the site contain a brook; body of water or wetlands? NO �,� DON'T KNOW YES IF YES, has a permit been or deed 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 D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location:_______ _ a #,Northampton �kl O � ' i l g Department � � Ie4 Main Streety � a 2 0 .oOrTI 4 � 3 ��� Nor '5i Upton, MA 01060 r t o_F'-6v' bkl56 7-1240 Fax 413-687-1272 > �..._,. >......., � ,' � � yf�-•mow��� APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATIO >: <: �h�s section to Ike�or�ete�"���ff�e ,. 1.1 Property Address 171 Florence Roam CVIa zfrrt = l Northampton, MA 01060aneriI�f #tic# I St..tII #rFei CB Cllstnt SECTION 2-.PROPERTY OWNERSNIPIAUTHORIZED AGENT 2,1 Owng of Record: Cynthia Holley 171 Florence Road Name Pe€r?t? Current Mailing Address: Telephone S-lgnat e 2.2 Authormzed Agent; Nelson Shifilett Valley Home Improvement, In F.O. Box 60627, Florence, MA 01.062 l —. Narne(Print) Current Mailing Address: 584-7522 Sgna ure Telephone S_E'MQN 3 ESTIMATED CONSTRL[C COSTS 3 !tern Estimated Cast(Dollars)to be Official Use Only completed by ermit applicant 1, Building (a) Building Permit Fee 2. Electrical O� (b)Estimated Total Cast of Canstructio from m 6 3. Plumbing Building Permit Fee 4 Mechanical(HVAC) 5. Fire Protection 6 Total = (3 +2 + 3 +4 + 5) l Check Number This Section For Officiat Use Only Building-PermitNumber; C Date lssued: Signature: Building Corr►missioner/Inspector of Buildings Date t ; • File#BP-2001-0305 APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ADDRESS/PHONE P O Box 60627 (413)584-7522 PROPERTY LOCATION 171 FLORENCE RD MAP 29 PARCEL 374 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 12 X 12 DECK&CONSTRUCT PORCH ROOF OVER EXISTING DECK &KITCHEN RENOVATIONS 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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Comm' ' n Permit from CB Architecture Committee e 01 o©O Signature of Building Offii al 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. 171 FLORENCE RD BP-2001-0305 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma ,Block:29-374 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:alteration-addition BUILDING PERMIT Permit# BP-2001-0305 Project# JS-2001-0495 Est. Cost: $18500.00 Fee: $92.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Valley Home Improvement, Inc 060300 Lot Size(sa. ft.): 13590.72 Owner: HOLLEY CYNTHIA Zoning.URA Applicant: Valley Home Improvement, Inc AT. 171 FLORENCE RD Applicant Address: Phone: Insurance: P O Box 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:9126100 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 12 X 12 DECK & CONSTRUCT PORCH ROOF OVER EXISTING DECK & KITCHEN RENOVATIONS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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 sienature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 9/26/00 0:00:00 12524 $92.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo