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EXTEND HOT AIR HEAT «➢ �] G-0 SLIDER
IN:Str I I ILE
NEW 100 A- ELECTRIC
SERVICE
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INSTALL BILCO BULKHEAD ON
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T ADD WINDOW
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ADD WINDOW
—UP NEW VINYL SIDING
TRIM COVERAGI=
AND GUTTERS
THROU4HOUT•
HEATH 16 X 28 ADDITON
19 LINCOLN AVE.
REFOOF ENTIRE HOUSE OVER EXISTING PLYWOO NORTHAMPTON
586-2730
NEW FRONT DOOR REPLACE ALL WINDOWS
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®Valley Homo improvement, Inc. 1999
Not to b-a dupllcatod or used for any purpose without
writ!on ponnl.."lon of Va!!ov Homo Improvoment, Inc.
320 Ftivornld Dr. P.O.Box 60627 Northampton, MA 0106D
Tol:413-584-7622 Fax:413-585-0820
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9 1 141 OL� 191IC-
fM t 7 H19 rd A ZfJ
Valley Home Improvement Inc 1999
Not-tD t*dup6catod c.:and for any Purpose without
pea,LxLsl,ai of Vz-r3v Home lmproywrenL irr_
320 Rivorsile Dr.P.O.Box 60617 Northampton,MA 010.f
Tel:413-684-7522 Fax 413-5&r,0820
�° map°� : 41999
AUG Crzf�iozl�ttnt�rtorr
B � ;.i , I.J � �lassarhnsrtta
� pf�f of i3t,� t
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
Nelson A.Shifflett / Valley Home Improvement, Inc
(licensee/permittee)
with a principal place of business/residence at:
320 Riverside Drive Northampton, MA 01060 (phoneli)_(413) 584-752?
(strm_t/ci ty/statrJ2i p)
do hereby certify, under the pains and penalties of perjury, that:
n I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Travelers Insurance Co. UB888D9983 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 Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml:hod if nec,=&my to irolude information petuiuing to all ooatractors)
( ) 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 aware that whilo homeownaa who employ pcnom to do maintauoce,oonsoruetioa or repair work on a dwelling of
not more than three units iu which the homeow resides or on the group do apputtemut ihecdo art not C=xraky oomidercd to be
employers under the nwcicer"occrspeusation Ad(GL152,z l(5)�application by a homeow=for a ticmx or pmrmd may evidence the
1ega1 status of an employed under the Worircla Compomation AcL
I undcrs d that a oopy of this ctatemmt may he forwarded to the Dc mAmced of In&vt4 ial Accideds'Ofrioc of!pomace for the
coverage verification and flat failure to&=ure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
cotnisting of a fine of up to S 1,300.00 and/or t of up to one year and civil peaattia in the form of a Stop Work Order and a
firm of S 100.00 a day against tna.
Signed this_ day of_ 3 1999 For use outy
Permit Number
• �`:'�` Maptl Lot it
Signature of Li crmi tcc
MORTGAGE LOAN INSPECTION
9UG 41999
DEPT(�F 31111
�O
i
.y
Wo v.S LL
2 :5
//v c aL All 1-2
I hereby report that the premises shown on this plan is not located within a Flood
Hazard Area as shown on Department of Ii.U.D. Federal Insurance Administration Maps,
Community Number 250167-0002A
Identification April 3, 1918
ny: -71�"
TO THE NORTHAMPTON INSTITUTION FOR SAVINGS OWNER'
VICTORIA POTTER� ESTATE OF
AWD THE LAWYERS TITLE INS. CO. - ONLY LOCATION
19 117 NCOr,N AV h: NORT1111PI PION, PIA
10. Do any signs exist on the properly? YES NO yr 1
IF YES, describe size, type arid location:
Are there any proposed changes to or additions of signs intended for the properly? YES NO .
IF YES, describe size, type and location: �4
11 . ALL INFORMATION MUST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colu� Co Le tilled i.n
by the Building D-pnrtm+nt
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -- f rnnr
- side L: Cdr R:� L: lv R: A)
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paired ps L9gi
# of Parking spaces
# �of Loading Docks
�V r
Fill :
-(volume -& location)
Q rf9 uCC H G C a W -7D .Toro 0o6CJ
13 . Certification : I hereby certify that to information contained herein
r� is true and accurate to the best of my knowledge .
DATE: 8' 3. 92 APPLICANT's SIGNATURE_— C
NOTE: lauuanoo of n zoning permit door not relieve an npplion t' burden to oomply with aril
xoning requlromontrn and obtain nil required permltu from the ord of Hoalth, Connorvotstion
ColTlnllatilon, Department of Publlo Workn and other npplloablo permit granting nuttioritiou.
r[VT 6i jFiJe No�g –80 | 37
\
� 9� ���T�� ���� � � �
.~��"�^"^� � ����'� APPLICATION « ^r�= ^ =~�
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: Telephone:
2. Owner nYProperty:
Address: /4' hone
3. Status oYApplicant: Ownur —Contract Purchaser __Lessee
'
Other (explain): p'/--`
4. Job Location;
Parcel Id: Zoning 01up Parce| D/u�noqs>
(TO 8E FILLED |NBY THE BUILDING DEPARTMENT)
5. Exindng Use of3kuciure8P rope rty
G. Description of Proposed U additional sheets if
7. Attached Plans: Sketch Plan Site Plan ngineonyd/8unxeyedP|uns
Answers to the following 2 questions may be obtained by checking with the Building Dept or P lanning Departffwnt Files.
8. Has o Special PannbyVuhunoo/Fnding ever been issued for/on the site?
N DON'T KNOW YES |F YES,date issued:
IF YES: Was the permit recorded ut the Registry ofDeeds? `
N 0 DON'T KNOW YE `
IF YES: enter Book Poge and/or Document
'
Q. Does the site contain a brook, body of water orwetlands? N DON'T KNOW YE
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs tube obtained Obtained date issued:
(FORM CONTINUES ON OTHER SIDE)
70
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Ur c r' ..t Z m
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ri
o y
Zoning
Miscellaneous Additions.Repairs.Alterations,etc. Tel.No. �`� / ��1�> Alterations
NORTHAMPTON, MASS. 2 1 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location L Lot No.
2. Owner's name /�/� f //�' y f /f7�f Address
3. Builder'sname�y'ilG/ Y /t�il� r T'�"/i''lC��sf�lfi�j. Address -'�� /��ls`���
Mass.Conswc6on Supervisor's License No, O Expiration Date_
4. Addition LU"i (/}-r Of Poo-1 Z V Zt, in AAA L/ /�ruJ yrodo��
5. Alteration t '"
6. New Porch
7. Is existing building to be demolished.
8. Repair after the Fire
9. Garage '//J No.of cars Size
10. Method of heating ."P/4
11. Distance to lot lines !'D
12. Type of roof AQ hA�'�
13. Siding house V
14. Estimated cost:- S Od'O�J
The undersigned certifies that the above statements are true to the best of his. I
knowledge and belief. /
6
Signature of reipontible appicani
Remarks
File#BP-2000-0137
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ,
ADDRESS/PHONE P O Box 60627 (413)584-7522
PROPERTY LOCATION 19 LINCOLN AVE
MAP 25C PARCEL 059 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
T_ypeof Construction CONSTRUCT 16 X 28 ADDITION INSTALL SIDING&WINDOWS
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
. _Approved as presented/based on information presented.
'V 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: § 1•2)-`, Q w/ZONING BOARD OF APPEALS S{rur-ire
Received&Recorded at Registry of Deeds Proof Enclosed ���fcs
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 mmission
Signature of Building 6tficial 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.
V y I
i SEP 1 319,99 '
ZONING BOARD OF APPEALS FINDING APPLICATION FOR TH F .O,RTHAMPTON
rllr
(Change of a Pre-Existing Non-Conforming Use or ` 40,
1. Applicant's Name: k6,4 oyL � yC
Address:3dogl JL/ Q/ P06oX 4o d. )__0LAeep ne: `11.3 Shy
2. Property Owner's Name: &t k
Address: J Gj L 1,Jl r) A 1 /y C_ /!)`/Uri 0/06/ Telephone: 5k(p 7 J//,�0
3. Status of Applicant: Owner Contract Purchaser Lessee Other xplain)'�OrJJY/ 2
4. Parcel Identification: Zoning Map# o�J�- Parcel# Zoning District(s) UC
Street Address: ,S I)M L,;�' -
5. Finding is being requested under Zoning Ordinance: Section- 3 , Page le-9 -
6. Narrative Description of Proposed Work/Project:(use additional sheets if necessary)
d G J- d ., 2e-
o
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4", /X Ac/ 71o,yZ�>'l � �07� �i Al
7. State How Work/Proposal Complies with the following Finding Criteria: (see also Section 9.2 ;for Signs
Section 7.0). If the change,extension or alteration conforms to zoning in all respects,no Finding is required.
*Explain why the existing building, lot or use is legally pre-existing non-conforming. (Buildings, lots or uses that
are in existence at the time new zoning is enacted are protected under grandfathering provisions)"
� tJC V ",, ♦/)j
ellIAL/j t
*Does the change,extension or alteration create a new violation of the zoning,which would require a variance?
Yes NoJ� If Yes,explain how: a U1 lyr r %
f / G / GH'l�rV
av
*Explain how the change,extension or alteration shall not be substantially more detrimental than the existing
nonco forming use to the nei hborhood: d�� r%y� � �l/rJ e►%l.
G' ti d,-1 , ' '
w/
8. Attached Plans: Sketch Plan_ Site Plan I-- None Required
9. Certification: I hereby certify that the information contained herein is true and accurate to the best of my
knowledge. I(or the landowner, if I am not the landowner)grant the Zoning Board and Planning Board
permission to enter the property to review this permit application. /p
Date:__ - f - Applicant's Signature:
Owner's Signature(if different from applicant's):
Copp �1 S,Sr �� n� �� d 8-/G 9