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25C-059 (6) - ..,- r r n_es nor ExJ711ZZ-- J.? 14 C y HEA f �q&171D,<) 1 > I/A1COLlJ I91/1" A/D/TH19172ioZKJ ®Valley Home Improvement, Inc.1999 [� 40t to bo duoticatod c-uezd for any purpose without "-'ten pwmiss i of Var:3v Home Improvement, I= L..J JeO Rivorsk3e Dr.P.O.Box 60627 Norttarnpbon,MA 010?' Tel;413sa84-7622 F=413-585-0620 J i UP FPT LANDING AND STAIR l,te REFOOF ENTIRE HOUSE OVER EXISTING PLYWO k: ADD WINDOW NEW VINYL SIDING TRIM COVERAGE AND GUTTERS THROUGHOUT HEATH 16 X 28 ADDITON 19 LINCOLN AVE. t.1n0'rW,& AtYrnK1 ®Valley Home Improvement, Inc. 1999 Not to bs duplicated or used for any purpose without n vMten permission of VaI!ov Home Improvcxnent,Inc. il_\1 320 Riverntde Dr. P.O.B3 x 60627 Northampton,MA 010W Tel:413-584-7622 I=413-585-0820 q �s .y s, ?r� N p r —4 �4 °e 9 �LI17Z;� Mllt� IITt -n--�---��R^ , p���� �lxssxtEtnsctts � , 63ri 1 CAF ,� AUG c9 ^-�^--'°•-°-°'"'"""' DEPARTMENT OF BUIL NG INSPECTIONS 212 Main Street a Municipal Building ' Northampton, Mass. 01060 WORKER'S CONTENSA'TION INSURANCE AFFIDAVIT I, Nelson A. 5hifflett / Valley Home Improvement, Inc. (licensct/permittee) with a principal place of business/residence at: 320 Riverside de Dri ve, Northampton, MA 01.060 (phone#) (413) 584-7522 (strcet/city/stafehip) do hereby certify, under the pains and penalties of perjury, that: ( 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, gener4l 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) (E)Tiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance C.Jompany/PoLicy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (artach additiocn!shod ifnocen ry to seclude information pataining to all ooatraants) ( ) 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 persons to do maiatmsac;constvctioa or repair work on a dwelling of not more than throe units in which the bomeowner resides or on the srou b6 apputunaat tberdo am toe gmaalty eoasidered to be employers under the worker's compensation Act(GL152,ss 1(5)),application by a homeowtrr for a liceme or permit may evidcaoe the legal status of an employer uadar the Workeda Compeo at Act 1 understand that a copy of this Bateman may be fns w ded to the Department of Indautrial Aoadeot'Office of kawwoe for tha coverage verification sad that failure to secure coverage under section 25A of MOL 152 cat tad to the impoa oa of criminal peaatties comWing of a fine of up to S 1,500.00 and/or imprisomxsrt of up to one year sad civil peaatties in the form of a Step Work Order and a firm of 3100.00 a day Wiwi tree. Signed this^ day of 3 1999 For deputwwwuaoonly /j Permit Number _ f',•v�. Map# Lot# Signature of Li M Zy �.___......+._ .'�cam' 70 •C v -c � p •v > -pt Z �m7 O 4 o 't to Z .a > > ° 3, v� O E� Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �`� ��1� Alterations NORTHAMPTON MASS. SL'� v /� 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location l �-/ �' /� } % G� - Lot No. 2. Owners name z . ,.T�/7y / � Address 3. Builder's name ,r// -L /.f/ ��� 1���°G��s>1f�/� Address 1 U .�'il/f•�s��� ,�,� Mass.Construction Supervisor's License No. O6 0'3 Q Expiration Date 4. Addition i (0 X9 fiVt 3- r,rtJ-r of POy-1 z' t t,S,;QC /yysr aiJ-o elaw 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 �/7/� H. Distance to lot lines (0 9 12. Type of roof /)J AO 13. Siding house ✓/o 1/1 14. Estimated cost- .5 Od'0VIO The undersigned certifies that the above statements are true to the best of knowledge and belief. � l Signature of responsible appicant Remarks MORTGAGE LOAN INSPECTION 41999 .� �DEI'T ter�l�i� �U K'iH„rs °i���' i D a <<o c I .y y. S 71 I 11V C rL Al .19 i I I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on Department of H.U.D. Federal Insurance Administration Maps, Community Number 250167-0002A Identif' t Date April By: , TO THE NORTHAMPTON INSTITUTION FOR SAVINGS OWNER, VICTORIA POTTER�ESTATE OF AND THE LAWYERS TITLE INS. CO. - ONLY LOCATION 19 LINCOLN AVE NORTHAMPTON, MA 10. Do any signs exist on the property? YES NO y 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 column tc be filled in by the Building Department Required Existing Proposed By Zoning Lot size `I/(o 3Y UZti Frontage Setbacks - side L:. R: L: (o R: // - rear �.y • 3� � �� Building height jG ' /6 � 5 Bldg Square footage 3 %Open Space: (Lot area minus bldg ' &paved parking} # of Parking Spaces #' 'of Loading Docks !� r Fill: -(volume -& location) Vm � uCC A 6c ag �a torov�swi 13 . Certification: I hereby certify that th information contained herein �* is true and accurate to the best of my knowledge. CXiS'Ko�5 182 DATE: Y,3' 92 APPLICANT's SIGNATURE NOTE. ISSunnOe of o zoning permit does not relieve nn applion burden to oompty witf) iii zoning requlr©ments and obtain nil required permits from the nrd of Honith, Conservotion Commission, Depnrtment of Publio Works and other npjanonble permit granting authoritiou. FILE # '— ' | | �� � -8/)-v��~7 � �iJe �o��" ~ ~ | c~ / L-_---' - ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1 Name of Applicant: Address Telephone: 2. Owner oyProperty: Addnass / / � m*apnone 3. Status ofApplicant: O°mor —Contract Purchaser Les-see Other (exp/oin) 4. Job Location: Parcel Id: Zoning Map Parcel District(s): (TO BE FILLED |NBY THE BUILDING DEPARTMENT) 5 Existing Use ufStructure/Property 6 If 6. Description of Proposed Uso8WodoPnojocVOocupndon: (Use additional sheets ifnecenoory): 7. Attached Plans: Sketch Plan Site Plan nQ\naerod/Sun/eymdP|ann Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Departrnent Files. 8. Has a Special PorrniUVzhonoe/Finding ever been issued for/on the site? ` N DON'T KNOW YES |F YES,date issued: IF YES: Was the permit recorded ot the Registry nfDeeds? N DON'T KNOW YE IF YES: enter Book Page and/or Document 0. Does the site contain u brook, body nf water nrwetlands? NO '~~~~DDN'T KNOW YES_______ lF 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) Y i or (Qjv(,4 ) i i '�•: t t,••,,tii,v+.>..:. ,-,;.:•. >,>,k 00, .tr..t>t>tr;r�+i;.nr„v:;;�.rsrtr.rb;rtitrtit><r..titi:iir,..,�xitxr:hi:r... 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 Buildiniz Permit Filled out Fee Paid &fl 1 r� T_ypeof Construction CONSTRUCT 16 X 28 ADDITION,INSTALL SIDING&WINDOWS New Construction Non Structural interior renovations Addition to Existina 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. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed All (5 Finding Required under: § —w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed0` 5 Q\01\ CW\--`f, p- ` 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 0� x' 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.