25C-039 -T4L-E T-O-AWNINGWNDO
CAMBRIDGE TUB / DELTA
VALVE Ef OUAC BATH REMODEL
O ONDINE PERSONAL SHOWER 2Q6 NORTH ST.
ILE OVER DUROCK NORTHAMPTON
586-0334
PAD THIS WA L 1 /2"
RECESSED MED� C�B STAINLESS SHOWER ROD
l TILE FLOOR OVER WIRE LATH o
� o
ED SINK / GLASS H LF
,BOVE REWYE AND REINSTALL
O i HEAT TO ALLOW FOR TUB
DELTA FAU E T INS CATION
i o
0
QUIETEST FAN W/
HUMIDISTAT INSULATE ALL WALLS /
MIOI�TURE RESISTANT
SVETTROCK THROUGHOUT
CUSTOM MADE OVEF TOIL
STORAGE CAB 1 .6 POD ERFLUS VYAt LS PRIMED / CEILINGS
F Ni HE3D
3
0 Va11ey Home lmprovemertt, Inc. 1999
RE TRIM Not to try do;ca:ed or wed for any purposs wtdxxA
EXISTING DOOR wry pem�,of Va".ay More Improvement,Inc.
320 RiversHe Dr.P.O.Box 60677 NortfmmpEon,AAA OicD--
MARBLE THRESHOLD T&-413-584-7= Fax ate MARBLE
-TIL-E TO-AWNINGWNDO
CAMBRIDGE TUB / DELTA
VALVE Ef OUAC BATH REMODEL
O ONDINE PERSONAL SHOWER 2Q6 NORTH ST.
ILE OVER DUROCK N RTHAMPTON
586-0334
PAD THIS WA}-L 1 /2" STAINLESS SHOWER ROD
I :
RECESSED ME° I B \ ` TILE FLOOR OVER WIRE LATH o
I C � o
ED SINK / GLASS jHt LF o
BOVE RE��/E AND REINSTALL
HEAT—TO ALLOW FOR TUB
DELTA FAU E i �� INSTALLATION
QUIETEST FAN W/
HUMIDISTAT INSULATE ALL WALLS /
MIOI�TURE RESISTANT
S�ETTROCK THROUGHOUT
CUSTOM MADE OVEF TOIL
STORAGE CAB 1.6 PO I ERFLUS VYAhLS PRIMED / CEILINGS
3 F NI HE3D
c \®Valley Home Improvement, Inc. 1999
RE TRIM Not to b3 duplicated or wed for arty w�without
EXISTING DOOR wri"en pem Lkslon of va"sy t bme tmproyement Inc.
320 R}versile Dr. P.O. Box 60627 Nodharnom MA 01CD--
MARBLE THRESHOLD Ter:413-584-7622 Fax 413�r)-O=
b�o Oe9
Grins of 'Nazt1lail ptall
e ffi ass arhnoClio
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street a Municipal Building '
Northampton, Mass. 01060
WORKEW S COMPENSATION INSURANCE AFFIDAVIT
I, Nelson A. Shifflett / Valley Home Improvement, Inc.
(licensee/permittee)
with a principal place of business/residence at:
320 Riverside Drive, Northampton, MA 01050 (phone#) (413) 584-7522
(std-_t/ci ty/stat czi p)
do hereby certify, under the pains and penalties of perjury, that:
n I am an employer providing the following workers compensation coverage for my
employees working on this job:
Travelers Insurance Co. U13888139983 2/1/00
(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 worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) Gms rance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(auarh additioml shock if neeesury to ine}ude information pertaining to all cowraetors)
( ) 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 whilo homeowners who employ pemm to do maimcnx=,comtruction or rrpair work on a dwelling of
not mote than throe unite in which the homeowner r=d=or on the grounds appurtenant thwdo are not Ccoerstly considered to be
employers under the worker's oompensation Act(GL152,ss 1(5)),application by a homoowncr for a Berate or permit may evidence the
legal states of an employer under tho Wodcar's Compensation Ant
I undeatand that a oopy of this cuLement may be forwarded to tbo Deperw os of Industrial Aocidm Office of Imwance for the
coverage verificatioo and that failure to sect=cowrago under section 25A of MGL 132 can lead to tho imposition of criminal penalties
000sisting of a fine of up to S 1.300.00 andt-imprison of up to one year and civil pmaltics in the form of a Stop Work order and a
fmo of S 100.00 a day against ma
Signed this3L---day of.I1cJ � 1999, For dcpauneaW meanly
- --- Permit Number
Map# Lot#
Situ re of Li erne
gna
a
-v > o
v v
�p m
ZO m
R � z
Ln Z
rn O
z o —�
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � y S Z Z Alterations
NORTHAMPTON, MASS. �f6"f �j � 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
4 r
Garage
1. Location � � / Lot No.
2. Owner's name 01: P A 17�4'IW ��.f'l�L�l/�� Address Z6,'6
3. Builder's name Address _3ZO
Mass.Construction Supervisor's License No. -1160 3D C) Expiration Date 7/170
4, Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL- �� 0o
The undersigned cenifies that the above statements are we to the best of his, i
knowledge and belief.
Signature of responsible app.icant
Remarks
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This columa to be filled in
by the building Department
Required
Existing Proposed By Zoning
Lot size V
Frontage
Setbacks - front F Ono
by
G'
- side L: L: R:
- rear l
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paned parking)
# of -Parking Spaces
# of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
(, is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: lueunnoe of a zoning permit does not relieve an appno burden to comply witla_eU
zoning requlraments and obtaln call required permits from the Board of Health, Conser'Votion
Commiaaion, Department of Publio Works and other npplionble permit granting authorities.
FILE #
File No.AP&05_(oo t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: lam/ ht�/r C_
Address: elephone:
2. Owner of Property:
Address: 26)& 1�10 /�/' STl1 %, /i'n, �ji,%L�lephone: Gf/.j ��-a3� 5/
3. Status of Applicant: Owner _Contract Purchaser Lessee
- ✓pl Other(explain):
4. Job Location: q e) -/
Parcel Id: Zoning Parcel# &? District(s):4de'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
C�
6. Description of Proposed UseMlork/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNadance/Finding ever been issued for/on the site?
NO y/ 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#
9. 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:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-0568
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P O Box 60627 (413)584-7522
PROPERTY LOCATION 206 NORTH ST
MAP 25C PARCEL 039 ZONE URB
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: REMODEL BATH
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
T OLLOWING 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 Commission
Z
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.
206 NORTH ST BP-2000-0568
GIs#: COMMONWEALTH OF MASSACHUSETTS
a MV-Block:25C-039 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0568
Project# JS-2000-1008
Est.Cost:$9000.00
Fee: $50.00 PERMISSION IS HEREBY.GRANTED TO:
Const.Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot Size(sq.ft.): 1 1891 .88 Owner: KIROUAC REAL&BARBAR&KEVIN
Zoning:URB Applicant: Valley Home Improvement, Inc
AT: 206 NORTH ST
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers Compensation
FLORENCE 01062 ISSUED ON.1217199 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL BATH
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 12/7/99 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo