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17C-042 (6) 216" __..24" < 18"..... --48ra' —__.._.. _._. -42"--- --= - -- 83-1' ...- 23,-.. _-__45, 33" _ 1 a 36" 24".. __.._20" 82 a.. I I -. - s M W1 8301L r�i `i W4230 �BFLS330WD N U u Q g1 D T i �DWR �� 1°C13'! .-... _ { m 6� Z p SB36 -J BFLS330WD LU p ' II U L) a `t N N m - F Z ._ p 9-0 trim panel to fit L Q outside comer moulding provided i i e mm z p �- REVASHELF 5349-1527DM-2 TO BE FIELD INSTALLED IN BC615 • '— "' "- DOOR WILL BE SHIPPED LOOSE FROM ULTRACRAFT n 1; 1 m . , (V fV i LL 24,. 12�"k _ 19a" 32.. All dimensions_size designations given are y This is an original design and must not be Designed:8/24/2006 subject to verification on job site and TBCHN010MrS il/ released or copied unless applicable fee has Printed:2/23/2008 adjustment to fit job conditions. -- J J been paid or order placed. ----, i hunter kitchen All Drawing#: I L�L o0 0 QQ -Tj ei"M "MEW: Note: This drawing is an artistic 2020Fj Designed: 8/24/2006 interpretation of the general appearance Of TECHNOLOGIES Printed: 2/23/2008 the design. It is not meant to be an exact rendition. hunter kitchen All Drawing #: 1 I I DD 00 Note: This drawing is an artistic Designed: 8/24/2006,; interpretation of the general appearance of TECHNOLOGIES Printed: 2/23/2008 the design. It is not meant to be an exact rendition. 'I �I hunter kitchen All Drawing rF7 111J H o 171 Note: This drawing is an artistic D signed: 8/24/2006 2/ 6 20 20 interpretation of the general appearance of TECHNOLOGIES 11 Printed: 2/23/2008 1 the design. It is not meant to be an exact rendition. hunter kitchen All Drawing IJEvt1 A0V_SEN rD rte , I ,sr�w NFu) U IE-00 s : D t l�uc,u sr 200` The Commonwealth of Massachusetts t 7 Department of Industrial Accidents WCO O&WSOPONS 600 Washington Street Boston,Mass. 02111 Workers' Cowens ation Insurance Affidavit:Buildin JunaJbi lectric2l Contractors 'n ' E address: '7 city state: zip: OlNe phone# '�1' 3 work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Rcmodel ❑ Igm a sole7propprigtorVand haven kin in an c din Addition � g c/-V Bu" no ou�Nwor" M IN/i/s/l/l/m/a/m/ //2/�M I am an employer providing workers' compensation for my employees working on this job. COMP8nV Dame: 1,112//'/V A"-"7 I' /�4-7 A1V,-F'1'70-7 address: lXnz2li� citV_ le� phone#• 99©0 ,insurance co. ce RolicV# Al 45f ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: companv name: address; city: iDhone N: insurance co. Rolicx# company name: address: city: phone#• insurance co. R2,licx# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the lmpositloa of erhninal pearlHes of a fine up to SI,500.00 aadlor one years'imprisonment as well as clvll penalties la the form of a STOP WORK ORDER rod a fine of 5100.00 a day agaimt me. I nndersband that• copy of this statement may be forwarded to the Omce of InvesHgatlom of the DIAfor coverage veriflcaHon. I do hereby cerlify under thepains and penalties of perjury that the information provided above is true andcorrect. signature —Date //X/mp Print name_!�� /,-V - Ph one# —__ 0❑eMcial use only do not write In this area to be completed by city or town official '1 '0 e only do not write In this area to be completed by city at.response i_,required'c city'or tow I n: permittlicenst# ❑Building Department Y Licensing Bond [Ell check if immediate respowe is required Selectmen's Office contact person: pbone 0; ❑Healtb Department (roved Sept 20W) ❑Other SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ / -mil - �,�� Name of License Holder: � <Gc R C s o '7 / License Number Address Expiration Date Signatur Telephone S3s - �Qa 9.Registered Home Improvement Contractor: Not Applicable ❑ // � /x/17 ZG/ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation 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 buildi g permit. Signed Affidavit Attached Yes....... No...... ❑ 11. - Home Owner Exemption 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 hire 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 home 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 permit. As acting Construction Supervisor your presence on the job site will be required from time to time,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 Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors Is Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M Siding[D] Other[❑] Brief Description of Proposed // // /� / Work: K.,�+�-C/-- Z-Gs1lo VA Alteration of existing bedroom Yes /\ No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll 6a. If New house and or addition to existing housing, complete the following: a. Use of building :One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT /-e—� as Owner of the subject property hereby authorize 6�.-.� , l X—� �� to a ehalf,in all matters relative to work authorized by this building permit application. \ C- I/ 9 v Signature of Owner bate I, Z GGC., i l3 Z'21� as Owner uthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date ( � r Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DON'T KNOW 0 YES C) IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES l NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. r � Department use only City of Northampton Status of Permit: _..... 130ding Department Curb Cut/Driveway Permit ,7 'i',2'f2 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans Q�*U%87-1240 Fax 413-587-1272 Plot/Site Plans Other Specify AP FL TIQN TO CONSTRQdG,ALTgR,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTIO141-SITE`INFORMATION This section to be completed by office 1.1 Property Address: 15 5 S11C t't e U 6, Map Lot Unit /C7l0/iC-%-t c,. p/f 4 o/Q 6 Z• Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: me Print) Current Mailing Address: G Telephone ignature 2.2 Authorized Agent: / Name(Print) Current Mailing Address: Z--� ,�A&l�--� 4•;33-9°/0 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building coo (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of 0 0 O Construction from 6 3. Plumbing 0 O D Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =(1 +2+3+4+5) ?j 0 0 O Check Number -7 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0799 APPLICANT/CONTACT PERSON INHOME HANDYMAN SERVICES ADDRESS/PHONE 903 HAMPDEN ST HOLYOKE (413) 533-9900 Q PROPERTY LOCATION 55 SHEFFIELD LANE MAP 17C PARCEL 042 001 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 fypeof Construction: RENOVATf KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 073454 3 sets of Plans/Plot Plan THE F L LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF IATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* 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 Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay � 200 g 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. BP-2008-0799 GIs #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS I'ein it: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2008-0799 Project# JS-2008-001225 Est. Cost: $38000.00 !-CC: S,,190.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group INHOME HANDYMAN SERVICES 073454 Lot Size(sq. ft.): 12763.08 Owner: HUNTER JEFFERSON E&PAMELA C Zoning:URB Applicant: INHOME HANDYMAN SERVICES AT: 55 SHEFFIELD LANE Applicant Address: Phone: Insurance: go') 1 iA;\1PQEN ST (413) 533-9900 O Workers Compensation HOLYOKEMA01040 ISSUED ON:312512008 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE KITCHEN POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: 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 Si nature: FeeType• Date Paid: Amount: Building 3/25/2008 0:00:00 $190.001780 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo p�� ok vv 55 SHEFFIELD LANE BP-2008-0799 Gls#: COMMONWEALTH OF MASSACHUSETTS 1�1axBlock: 17C-042 CITY OF NORTHAMPTON ► Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category BUILDING PERMIT Permit# BP-2008-0799 Project# JS-2008-001225 Est. Cost: $38000.00 Fee: $190.00 PERMISSION IS HEREBY GRANTED TO: C onst. Class: Contractor: License: Use Group: - INHOME HANDYMAN SERVICES 073454 Lot Size(sq. ft.): 12763 08 Owner: HUNTER JEFFERSON E&PAMELA C Zoning: URB Applicant: INHOME HANDYMAN SERVICES AT: 55 SHEFFIELD LANE Applicant Address: Phone: Insurance: 903 HAMPDEN ST _ (413) 533-9900 (�_ Workers Lompellsatmil HOLYOKEMA01040 ISSUED ON:312512008 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE KITCHEN POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: s House# Foundation: Driveway Final: Final: ?—/P final: V A 11D$ Rough Frame: Gas: Fire Deaartment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: ON I( (10 I-O ul f THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA N OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy ,1 Signature: -- - FeeType. V Date aid: Amount: Building 3/25/2008 0:00:00 $190.001780 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Conunissioner-Anthony Patillo