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Tim � lJ� � 11 I tl I � � ` � 4? av 1 Cl\ ! f : l � a t op Z Z � o!a o a � t `�,� : ` P � � � ��' c "" � r a�� !fir, .�� �'� , � `_' `�=-fir..-� - w , �.'l�tsryr •t,�" � � ,' rK ��'$ � ty» y�, � , W�� '�,#� � ��1�+f�n,��a ty R'$' �t `�{�� �.r5 �4r1�' -�� �� r �r % � 7�r'� t rrr r ,�. . r `� .. _.. ,. �; b „� e� .: ,� ��. ,� . fi � ��,v�.��� ._ MORTGAGE LOAN INSPECTION IVA Y SEG �i pEPt 4F B�ILDiNG IMAP 01060� L/�7-' yz it NaRTt�+MF`t�N, CJ �t L dY "7 rr rv� N v SOWET TD TNT ©L ovj1d6: ;W1 EASEMEVr TD SUEKl 5Otiu C /1,/d2511 PAGI CZ), X AA1 EASE4/EYr- TD MASS ELF 7 EIC Co.' X.W01-1 2517N o / 1Y,� V , iA5E, MEstlT TO Tr<I- L'/TY Q DF it/0 27NArt/1 PTD.,tl ff 2521 F967 E 27/. 1 ~ ��2 I3DD, IE,�FsTelL 294, 1, hereby report- that the premises shown on this plan is not located within a Flood Area as shown on Department- of 11.U.D. Federal Insurance Administration Man- community Number 250167 000_1A Identification Date_Apri.l l By: ONOCO SAVINGS BAIT" J F. • DEPARTMENT OF BUILDrNG I1vSpECTI(?�JS 212 Maia Street ' Municipal Building Northampton, Mass. 41060, WORKER'S COMPENSAITON TN URANCE AFFIDAVIT el or s 1 Y 1 "z mHoue Ire rove nt._..:a nc. {li cerl. lp�rrnitt�7 ,Ailth a principal place ofbu Iess/residence --t: _v�'CJ J V g e r D-r i c,2� -'jam t 's ft 0106_0 `4)" L? ;^{ hereby pp /�fi.�-f.-;TrS under't'4�;Ys. t�p and �3 ¢ ,} �'(��f'(.� do hereby ce + )�v l]llder the p,-,—ins a nd pen i ies Ui`�)fil.riu I9 had`• } I.am an employer pro idin the following workers compeasahon cove ge ear r�iy einplovees working on this-iob: American International Group Pending 2/01/02 (Lw (--tompam') iA o!icy Number) ( ir-4tion Date) } I am a stale proprietor, general contractor or ho eovyner(circle one) and have hired the contractors lister below who 1 tie ci'l xms vvor &s cornpensation pohdes- �Nlame of Con==r) (l.nsu=c CcmpanytPotiq Nunibcr) (Expiration Date) (Mxne of C o u t.actor) V Omsurancc Conipanyi?olicv Number) ',Epp ration late) Ta ze c`S Cnk riMtcr) (1n, mance C:of rii-nvtPc Ucy Number) (Expiration Date) -a me.ai Con* ctorj (insurance C l /policy Numb--) (Expimtion Datz) (attach ad&doexI 2ht--t it m .to iwiti& L4�ca=oa pfttUa=jg to ail r3) } I am a sale proprietor and have no one working ibr rite. I am a home owner,performing all the work mys NOTE:plea he:aware that v&i Io hoaxownm mbo e=piny pc=,!,=to do M&MtM=ct,ommucaon or repair was va a dwm llag of not more than throe tmira in W ich the hmooAzer remdcs or co the Voua&apPvrtsa9=thoeto arc not golly oocaidemd to be craployrxa under The vAxkc&0=pcnsz1icn Act(Gi t 2 i(5)),apFli i a by a 6Gmoawaa fos a lick ct t-y tfto ltgsi ant- ofanaxployorundtv th&Workees Compmmatiou Aa- I of du ti a copy O this zutcmea may ba fovwttrdod to the uepsrtzr eva of Tnefasattial A=dwte Of6oe of T=unDoe for the oovms verdenwo ozd tit fuh=to s=='Quango sttstirr Us::6-25A cf MQL 152=tad 1,(mars�on of cxisnaxsal pen Wel of a.fim ofup to$1,500.00 a Wbe of tip to cnc vtr and civil peaattios in the fo=of a"&crp W mk order and a Signed this l;n day of 2001 Fot t Permit Number _ lit SiPatmt of U eras SEG ION -CONSTRUCTION SERVICES .1 Licensed Construction a ervisor. Not Applicable EJ _ f � 060300 �n�e Holder : hi�L 1 e I Improvement- , Inc . License Number Valle Home Improvemen 320 Riverside Drive_ 9/02 A ldrss Expiration Date s Nort:hamp on, MA 01060 Signature Telephone f A/� 564-7522 y F ; .. Not Applicable Cl Valley Home Itttprovementi, Inc. 105543 rrmgA" Name Registration ;dumber _.__.320 Riverside Drive 7/17%02 Address Expiration 0ate �_ s Nort:hapton, MA 01060 Telephone 5£14__-7522 SEdlrtoN 10-WORKERS,COMPENSATION INSURANCE,AFFIDAVIT(m,G.L:c. 152, 25C(6)). Workers 0ompensation 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. � igned Affidavit Attached Yes......, YJ No...._ C3 �] The current exemption for"homeowmers"was extended to include Owner-occupied l3wellinLs of one(1) or Ovo(2)families and to allow such homeowner to engage an individual for hire who ages not possess a license,provided that the owner acts as supervisor.CNIR 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 lie,a one or two family dwelling,attached or detached structures accessary to such use and:`or farm structures,A 12erson who constructs more than one home in a two-year period shall not be considered a homeowner. Stich"homeowner"shall submit to the wilding Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed antler the building permit. As acting Construction Supervisor your presence on the jolt site will be required firon,time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 157(Workers' Compensation) and Chapter 153 (liability of Employers to F.mnployees for injuries not resulting in Deatl-t)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.'horneowner"certifies and assumes responsibility for compliance with the State BuildinU. Code.City of Northampton Ordinances,State and Local Zoning haws and State of Massachusetts General Laws Annotated. Homeowner Signature "~ CTN4N+N`S• C?ESCRNPT , I PROPOSED MRK-00heck a(I appNicabie New House 0 Addition X Replacement Windows Alteration(s) 0 Roofing G Or Doors I Accessory Bldg. 1 DemolitionD New Signs Decks { ] Siding[ ? Other[ rref Description of Proposed Work: ax)y<<f ©` C'X1177•,6 Ao!d, �y�✓c✓�F°Q���i � i FElteratort of existing bedrooms;____._�Y"es No r�d��e°�� rte°�; bedroom Yes No Attached Narrative _ Renovating unfinished basement Yes !/No Plans Attached Roll; Sheet V -2 E i ga. Use of building ; one Paily wo Family other b. Number of rooms in each family unit Number of Bathroorr<s____.__ c. "there a garage attached? d. t-'ropo-ed Square footage of new construction. Dirrensio=7s e Number of stories? hAethod of heating? 1v_ . _ �/� ..._.._ Fireplaces or'vVoodstoves Number of each i g. Energy Conservation Compliance. �;��„� Mascheck Energy Cortphance form attached? t ype or construction, / i. > construction within 100 ft. of wetlands? _Yes _ !/ No. Is construction within 100 yr. flcodpla.in Yes -No Depth of basement or cellar floor below finished grade k. 'Y'VI4 building conform to the Building and Zoning regulations? `?es No . I jI. Septic Tank City Seger Private well �. City water Supply SECTION 7&-OWNER AUTHQRIZAT I N-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT S t James & Susan Hale as Owne=r of the subject property Nelson Shifflett Va11e Home Improvement, Inc . to act on 1, ;rurwby=authorize _._. � � �,_ r behalf tr al` triatAers relative to won authorized bl(this building permit applicat, n. I 1 of 1 ,AO S g ature of owner Da e Nelson Shifflett, Vallev 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 myy r� s «;ecge and belief. I 1 Signed under the pains and penalties of per ury. 1 Nelson Shifflett II Print Name L Signature of Owner/Age _ Date _ -- Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION f Existing Proposed Required by 2,oning i Tbis column to be tilled i r C� thampton epartment � ' 21 n Street APR 1 1 2001 103 � 77 4 i Northa pto , MA 01060 �� �� S 24 Fax 413-587-1272 pF L N r�r lreV�-ON,MA 01060 I APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 2.1 Pro arty-Address: his sedio t6 b#, y vt d a oaf#i j Lot 219 Bayberry Lane Norte hams t on MA 0 6 c�nc' Ortay I?isirit �a� SECTION 2— PROPERTY OWNERSHIP/AUTHORIZED AGENT .1 Owngr of Regord: t Jam & S _sa_L?..__I L ..._..___. m_ Bayberry Lane -N ( �'rit' �r' � czar P4 Mtlaeling Address: iti;orthampton, MA D1060 Telephone St r� wre 586-7323 .2 Auttyorized Agent: Nelson Shi f f let t Val. 1_ eHome Improvement, Inc., P G. Box 667, F1crence� MA ,.p10_ 2 1 Narne(Print) Current��ar(in�AC�ress: i 584 7,522 l s s' ` Signature 1elenhone ! C'TI� ,E:!jMA ED CO�ISTRt1CTION,"0 TS _w ite�t Estimated Cost ',Dollars)to be Official Use Only yt completed h permit a hcant Building _ _ (a)Building Permit Fee 2. Electr,cat (b)Estimated Totall Cost of CC_ Construction frqrn.6 3. r urrrb.ing Building Permit Fee I j !mechanical (HVAC) 5. Fire Protection _ 6 ;otal =0 +2 + 3 + 4 + 5a �j•3-dn Check Number , r� This Section For Official Use Only Building PeIrmit number; !'70(., Cate Issued: j Signature', Building Cornmissioner/Inspector cif Buildings Cate � File#BP-2001-0796 APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ADDRESS/PHONE P O Box 60627 (413)584-7522 PROPERTY LOCATION 27 BAYBERRY LANE MAP 35 PARCEL 232 ZONE SR 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:_CONVERT EXISTING DECK TO PORCH&ADD 6 X 14 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 THEPLLOWING 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 Co sion Permit from CB Architecture mmittee Signature of Building Oflicial 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. WOW Y Lail BP-2001-0796 GIS#: COMMONWEALTH OF MASSACHUSETTS F - 2 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: alteration-addition BUILDING PERMIT Permit# BP-2001-0796 Project# JS-2001-1494 Est. Cost: $27500.00 Fee: $137.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Valley Home Improvement, Inc 060300 Lot Size(sq.ft.): 48787.20 Owner: HALE SUSAN&JAMES Zoning: SR Applicant. Valley Home Improvement, Inc AT. 27 BAYBERRY LANE Applicant Address: Phone: Insurance: P O Box 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:4112101 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONVERT EXISTING DECK TO PORCH & ADD 6 X 14 DECK 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 signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/12/010:00:00 13399 $137.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo