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17C-043 (3)
Cambridge Tub Clear Glass Shower Enclosure Exisitng Recessed Wall cabinets/ New doors and Hardware Monitor Valve (R) st Fl Exisiting Door I I✓I I1UVU UU1 L) Window I Glass Door Tiled shower base Tile walls and Ceiling Tile Floor 2nd Floor \" Tile Wainscoting Toto 1 .6 Pedastal sink Recessed Medicine Cabinet Toto 1.6 Granite Top/Undermount Sinks Y�1 x 7 Recessed Medicine / Cabinets/Matching Vanity ,I R a� Valley Home Improvement, , Inc. 340 Riverside Drive, PO Box 60627, Northampton, MA 01062 Ackelsberg / Plaskow August 24, 2007 Board of Buildir� Re`�ilatio ns n Sta.zd<� w on` .shb r?on Place - Rion: I � '_ Boston, -'Massachusetts _2 R8 Home Impro-„'Lment ContracroC P,ec)-istraticn R.egis[raticn: ype: SiLVEFRNIANI MA 0 10 7 ire i;�i.aCa_;;lurcss an,: ;crur❑ -iar -eusun �r ;�an;e. ___ �uciress Rene, al — '^oi0,m^. n r Car d _ 3uari or 3w[ding Re_ularions and standards License or istrarion ,aliu for indi.;dui use ur. . ',1,= G�iEiv1EVT ��N�RAC'�R �)eiore me 3oard o[3u;iu;n�: fir=_t;cn: one.-ashourtoji ac 3 X01 3osrou. 'via. )=:')8 J'-_,./c S:L”_. .,..� Deput,-'.Adrninistr:aor Nor',1llL c.T!"ou, ..�" ..ar _ j res EC Comm�ss�orer 9�0 G�e $ ,� : 4�assxcfsnsc:f3 DEPP 2-TI MEN7 Or BUILDIZG INSPECTIONS 212 Main Street ' Idumicinal Building Northampton, ;'Yfass. 01060 ' WORKER'S COINEPENSATIOti T-N-SL-RA NCE AFMAVt7 i; Nelson Shir le-t - Valley Horne lmrovement w; a principal place of onesslresidence at: 3-0 Riverside Dr_ve, Northamoton, M_A 01060 (phone:-} �z--7522 -:o 21ereUu C--1—sir uncle: "nC X 15 and ptn ltieS ..._::�ovees wor iz on 'Co: Q. C .M. Mutual fns . Co . WMZ8005610 01 2007 2/ / 9 _71=) _ -'=, _ Scie propretor, zpnerai CCa:-actor mac' eo Wirer cz _.= --we ,_:red Coa aczers -pro have the eilC:� � wcr�erS cc^^e^sad0_ ___c:es: N me C1 Con!-~c.=, ":x553 ^�.0 Jr C.Jz=�zor) '1'Si[" :CC CJT?' '%r''C... �itn^vim:, _ ..�J:.✓ .',,; '.�uL;C'. v1 Co :.a::: i \=+ Ii l^..Jii:�:?.. i��,ii."; .1:i=^.Z" �_JJ ✓ Ji tiName of ConmC:Jr) Nittm}x•j tii-:ton Date) (aI:3L..additiocal S L zoos it J to i=:O MAIi0a pcz=Lnag 311 DCc===-M) ( j I am a sale proprietor and have no one wor�g for:me. ( j I am a home owner periorrnillg all the viorc myseif. '.MOTH_pl= be awzme thu wElo ho=o-Amcn who e=play pe..=to do- c=sc.ccion cr t-sa-Crk oa a dwelling of cat meca the a throe uais in witch the caamvn r=d=or as tSe gou.- xp rte-=thccto ue om g==Ily oxrzxsd to be c=piay=under the werjtdz c=p=s•Ica Art(GLI52-s l(5)), PPiL-zdcn i7y a camovr=for a G0=C cc pc...a=--y cv:d==tb lust dasasa of an employer under tho Wocicoec Compemsiion Act 1 u-Ycrz•^d tt=a copy of this cater^suer:ay be forwarded to tba iCepnrsara.*of Inr L.-^is!Aec CM06 o:%= ^-^^^for the cove a$e vacation and that U- _to=It coverage under sccl om 25 A cf MCI.152 as lad to tba icaPashioa nt psi Penalties 0ocriz—:_3 of a fore of up to 51,500.00 and/ar of uP to c=yea and civil pemhics is the form of a Stco Weric Ord Ind a f---cf 5100.00 a day against trx Sianed this 1-57 ay of Zoo For drat u=aaiy Permit Number SECTION 8 - CONSTRUCTION SERVICES 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Steven Silverman 077279 License Number 268 Fom 6/21/08 Address Expiration Date zo 7 584-7522 Signature Telephone i 9 Registered Home Improvement Contractor: Not Applicable ❑ Steven Silverman 131945 Company Name Registration Number 268 Fomer Road 10/13/08 Address Expiration Date Southampton, MA 01073 Telephone 584-7522 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 building permit. Signed Affidavit Attached Yes X 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-vear period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable to the Budding 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 ' 'fECTIOW S. DESCRIPTION OF PROPOSED WORK(check all auolicabW Now House ❑ Addition ❑ Replacement Windows Alteration(sj. Roofing 0 Or Doors ❑ i Accessory Bldg. ❑ Demolition❑ New Signs Decks [ ] Siding [ Other . 1 3ric` Dex-io'.on of Prcposed work: �t�"{i i` L_ �— 6-L� I cr:ittr)n o` ,Nxrsiln: '.)errrom Yes No +r„t:ng new narlrrr,^^ YeS `X'dr I -�ttachec Narratr- FCnpvdltn�; ;nftnt5lrct! L'd�>rfn:r.t r�; ?'Jc Plar; Attached Roll Sheet 6a. If New house and or addition to existing housing, complete the following_ ,_. Use of ouilcing : Cne family _ _ Two `amity _ _4t-er C P+umoer of rco^”s in each ;amity unit:�_.�.._..__._._._ Nufnrle, or Sathrccros.. I;; ,-efen garage a:tacheC? ;1 PrCpJbocC Square lCCtage of new construct.on 7raen5lgn _ '•1,,tr�t;. �t ,t G:rte-.' _____�.._.___—_ _____.. ITC{; is i..0 or :Vcodt;tiP/,, 5 a e f.'_-C."., r C• i LrTt71']n__ `Or 71 J:tLr_l ,_C� 9 ^Ef�_l t,%"�_fVn:IC:'l ..Jr"C 1i1"C=. '. _,�_, _C'S _rl_ �'l '- a<i'1 U IICtI Jnlht,r ICr� l or'4_�t c:nCS? ""es U(i ;r rr'it :7( :',ci. -t. toil :nr cellar I:oor oelovr •lnrslleC �,fac`_� I :dlh ou.lcar-c; _-crforrn to ;hi: BUilcing and 2�ninq r'w� l,]tic^ ? Y�: _ No �t ( tIC -2'7k C ;y Sewer Pr Va; Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning nis column to be filled in by Building Deb artment Lot Size Frontage Setbacks Front ,✓ Side L: R: L: R:�,`' Rear rF' Building Height Bldg. Square Footage % Open Space Footage ?7a (Lot area minus bldg&paved o arkin s) R of Parking Soaces Fill: (voiume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW 174 YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO x 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES_ No ' IF YES, describe size, type and location: I' Department.use onI pity of Northampton Status of�� if , :<: Building Department Curb Cut/66V& x ,.at 'p�' 212 Main Street Sewer/Septic AV6 - 9 _ Room 100 W Availability � � Northampton, MA 01060 7i" ' ets of ctural Plans IN phone 413.587.1240 Fax 413-587-1272 Plof/Slte I?L Other SpeEify � N .., APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING l SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: H/J.L Map Lot_ Unit Zone Overlay District Elm St. District CB District. SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /L LC' TL �e!"- j C /y/f"�'l f,�L115rim . Vi)//tK% (J/ iZC' �'I'1,� Z. i N,a;�e(Print) Current Mailing Address: Telephone Signature ��(,;�I? 2.2 Authorized Agent: Steven Silverman Vallev Nome TmnirnvemArtt. Tnn P.O. Box 60627, Florence, MA 01062 Name(Print) Current Mailing Address: 584-7522 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building if (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of q Construction from 6 3. Plumbing I o Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) '1 1 f©CV Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0579 APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ADDRESS/PHONE P O Box 60627 FLORENCE (413) 584-7522 PROPERTY LOCATION 5 HILLCREST DR MAP 17C PARCEL 043 001 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 Typeof Construction: REMODEL 2 BATHS - New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 077279 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO,W4ATION 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 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-2008-0579 GIs #: COMMONWEALTH OF MASSACHUSETTS NOWWWW"I", CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate,gory: BUILDING PERMIT Permit# BP-2008-0579 Project# JS-2008-000892 Est. Cost: $29900.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class_:_ Contractor: License: Use Group: Valley Home Improvement, Inc 077279 Lot Size(sq. ft.): 12240.36 Owner: ACKELSBERG MARTHA A& Zoning: URB Applicant: Valley Home Improvement, Inc AT. 5 HILLCREST DR Applicant Address: Phone: Insurance: P O Box 60627 (41-A) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.12/17/2007 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL 2 BATHS 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 Signature: FeeTvpe• Date Paid: Amount: Building 12/17/2007 0:00:00 $120.0023400 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo