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36-216 (7) I-I , u Y„N �a y 1--W-111v va"-ynuttonnprovernenr,trialvnq.itisaettvereatormeumaeaanaexcrusivepurpose or supporting me contract ora or vtrt,ana cusromer agrees roar me etemenrs or rms pran snap nor oe repuousnea or presenrea in any form ror the purpose of enabling or supporting the work of competing project contractors without the permission of,and compensation paid to,VHL i I «� II U3 O r Nib I tt � l t� u 0 j I - ....._ I u n r -i rnI Irn I r � I I I -- I 5 I I 114tt (A 301 24 1�j f I ( ( j F � I, tl;lrl AM t S. — k t Vill ril t.� z I i - r 1 I � N m �+- af �� i I I •[ (t i I �;t I I fl I i r I' p , rn I I li N I i o rn fi rd { F' f I 111 Irn I I { it's � I I z I I m Z o 16 BRICH SCALE:SEE VIEW SHEET NUMBER Valley Dome Improvement, Inc. LANEFLORENCEMA01062 D1 SHOWER DATE:9l30I2015 340 Riverside prive, PO Box 6062 , Northampton, MA 01062 DETAIL Office Phone 413.584.1522 Fax 413.585.0820 DRABEK DRAWN BY:S.G. 6 Find Us on ti'le web at: uuwA/aI1egHomeImprovement.com m Z Tb CL _ CABINET/VANITY NOTES: w 0 ` 1.ALL CABINETS -Nc'Rn CONFIRM ii i' FINISH WITH h HOME OWNER PRIOR TO ORDERING. 2.50LID WOOD -'�% DOORS.SPECIAL BEADING OR TRIM w c6 a I I > N !A TO BE%._r:L_p..�i r{:i_'J(1 7:`%L. : .�_OLE. w p } o j I CONFIRM DOOR&DRAWER STYLES WITH HOME OWNER Q co R AB REG MED GABS PRIOR TO ORDERING. Q W 3K 3.SPECIAL HARDWARE SUCH AS REV-A•5HELF OR OTHER U p p EG MED G 5., FULL MIRROR FRNT ti MANUFACTURED HARDWARE WILL BE PROVIDED BY VV/. N . a FULL MIRROR FRNT OWNER PURGH 4.CABINET MOLDING TO BE INSTALLED ON SITE;MATCH '. ISLAND CABINET COLOR IF APPLIES;CABINET MOLDING OANER PURGH o i SPEC ISMG=`CONFIRM PROFILE AND DIMENSION WITH ! c � —✓— — TILE B/S HOME OWNER. 5. SEE APPLIANCE SPECIFICATIONS FOR DIMENSIONS, r. T ti POWER,AND GAS DEMANDS. 6.INSTALL VANITY PER MANUFACTURER SPECIFICATIONS. v --— l.REFER TO FAUCET SPECIFICATIONS FOR GLARENGE �— REQUIREMENTS 8.CONFIRM FINAL MATERIALS FOR BAGK5PLA5H AND VANITY TOP WITH HOME OWNER PRIOR TO ORDERINC, E I 4.ALL DOORS AND DRAWERS TO BE SOFT CLOSE,UNLE55 ° Lu m y SPEG'D 10.COUNTER FABRICATION:CONFIRM ALL FIXTURE N b"DWR 6°DWR MEASUREMENTS AND CENTERLINES,SEE COUNTERTOP L I ii i PLAN FOR DETAILS 6"DWR SCRIBE e> 3 a CABINET FRONT ELEVATION _VANITY SIDE ELEVA±ION — �- 04 oc 1/2 in= 1ft 1/2 in= 1fs o c o a NICHE SHELF�2Y1 ay 54 in=1ft C i aE4 = w W �t V V m y m w Q I { W LLI E Z tj Cl I P I r. O Q , V • 2 r .� < -=_ - NAME:BROl1N d o b"DWR II I = r . � U) F c— C > REI✓NAN T o o E lI L j •EDGE DETAIL: E E Z U PENCIL ! i O 3 N X E- I . io ++ y Ln co _Q y�z v.AN!TY TOfl SCHEMATIC cZ o qu � co _ LLI can, Lu LIJ GF61 >�- LLJ Sconce Lu GO NECTION cb 0 04 m ELECTRICAL, DATA, & AUDIO NOTE5: hat rit RELEVANT INSTALLERS TO VERIFY THE EXACT LOCATION FOR OUTLETS,L*HT5,51,41TCHES, CABLE,DATA,PHONE,AUDIO,VACUUM,ETC. U. Lu 1.ALL APPLIANCES&UTILITIES TO HAVE DEDICATED -S CIRCUITS PER CURRENT ELECTRIC CODE STANDARDS AT TIME OF INSTALLATION. SEE MFG'S SPECS FOR OTHER REOUIRFMENT5 2.ELECTRICAL RECEPTACLES IN BATHROOMS, KITCHENS AND&ARA6ES SHALL BE 6.F.C.i.PER NATIONAL ELECTRICAL CODE REOUIREMENTS. 3.5MOKE AND CO DETECTORS INILL BE PROVIDED < cc, AND INSTALLED IN ACCORDANCE Y41TH NFPA u� 4.CIRCUITS SHALL BE VERIFIED NITH HOME OYqNER 5.FINAL 5V41T(HE5 FOR TIMERS AND DIMMERS U- L"lul 6-ALL SURFACE MOUNTED FIXTUPE5 TO BE SELECTED AND PURCHASED BY rz 1.ALL DECORATIVE FIXTURES TO BE 5ELECTF-0 AND .2 PURCHASED BY 10 > &.BATH VENTILATION TO BE AND 15 PURCHASED BY CD Ln q.UNO-ALL 51-NITCHES TO BE 46"01C A5F. OUTLETS TO BE 15"Olr,A5F. OUTLETS OVER Q) t COUNTERTOPS TO BE 31L ABOVE COUNTER FROM co v FLOOR PLAN NOTES: w EX15 T€NG YNINDOI/� AND TRIM m _ I• ALL EXTERIOR DIM EN51ON5 ARE TO THE MAIN o TO RE M'�"N EXTERIOR LAYER. DIMENSION5 TO OPENING5 ARE TO H ANEL �,�?IATOR 51�ED 5Y PLU1�'SEtR--------- m THE FRAMING,ROUGH OPENING. INTERIOR w ° DIMENSION5 ARE TO THE FINISHED WALL. p NATURAL GHIERRY DOUBLE C1-05ET DIVIDING Y\ALL MOVED 2.CONTRACTOR SHALL VERIFY ALL DIMENSION5 AND 15 RE5PON51BLE FOR ALL DIMENSIONS(INCLUDING e' \/AN T Y.AND RECESSED' RE-ROUTE E V*NT PIPE ROUGH OPENINGS). W n C7 ME JIG11 = CABINETS UPDATE E PLUMBING AND ELECTRICAL > N � W o } m W T-7 1/2" 1!2" CY&B, TAPED,5ANDED, PRIMED GENERAL NOTES: �' z J H NEOREST TOILET%4ITH %" DEDICATED ELECTRICAL- — / ° CLOSET 5 T©RAGE IR.EMA€N5 THE LEAD CARPENTER SHALL FULLY COMPLY WITH THE y OUTLE T 2009 IRC AND ALL ADDITIONAL STATE AND LOCAL CODE REQUIREMENTS. EXT 126 EXT 2226 WRITTEN DIMENSIONS ON THESE DRAWINGS SHALL HAVE PRECEDENCE OVER SCALED DIMENSIONS.THE GENERAL CONTRACTOR SHALL VERIFY AND IS RESPONSIBLE FOR NEVI TP AND ACCE55OIRIE 5 ALL DIMENSIONS(INCLUDING ROUGH OPENINGS)AND CONDITIONS ON THE JOB AND MUST NOTIFY THIS OFFICE OF ANY VARIATIONS FROM THESE DRAWINGS. J S TILE SHO&�ER _. \ _ - THE GENERAL CONTRACTOR IS RESPONSIBLE FOR THE LL m ___�_ _ DESIGN AND PROPER FUNCTION OF PLUMBING,HVAC B KALLS AND -ice ^ k� -� - — -- AND ELECTRICAL SYSTEMS.THE LEAD CARPENTER OR Q ro -- SUBCONTRACTOR SHALL NOTIFY THE OFFICE WITH ANY ` FLOOR � - -- - \ _ —_T _ -- PLAN CHANGES REQUIRED FOR DESIGN AND FUNCTION uj — OF PLUMBING,HVAC AND ELECTRICAL SYSTEMS. N5N GLA55 � — --- -.- -_ ®.. °e �q� DESIGN CRITERIA: 20091RC AND IBC ALONG WITH STATE }O m 514Od !ER DOOR AND L11---- i - AND LOCAL AMENDMENTS z - ROOF: SNOW LOAD DETERMINED BY AMENDED I.R.C. rI l} ° � t - -- O Etl.,aO5URE =- {�° - " LLf------ FLOOR: 40 PSF LL. a Z SOIL: '2,000 PSF ALLOWABLE(ASSUMED). FROST DEPTH: 4'-0" ti LINEAR DRAIN THIS STRUCTURE SHALL BE ADEQUATELY BRACED FOR WIND LOADS UNTIL THE ROOF,FLOOR AND WALLS HAVE BEEN c= NEV�51-€OI1ER \ — / I - SHEATHEpMANENTLY FRAMED TOGETHER AND TI y --- -! LOU ---- - c VALVE AND TRIM 4 lu — INTERIOR FINISH NOTES: v ----- --- RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE N `oN c Z t � --_-� FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT p BE REFLECTED IN RENDERINGS.RENDERINGS SHALL o - NOT BE USED FOR CONSTRUCTION. u RL y % _ _ EXT 24687=T a i m° SEE FINISH PLANS &SCHEDULE FOR SPECS Z W W 4 F6 U % \� ` EXTERIOR FINISH NOTES: Z W NENTILEFLOOR - w m ° ' RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE coo" x. T€F.� D�F'T1 i�::l"1 _ :;.! 6o FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT o BE REFLECTED IN RENDERINGS.RENDERINGS SHALL -I 0 Err c lnl NOT BE USED FOR CONSTRUCTION. G C E y UJI E o -SEE FINISH AND PLANS&SCHEDULE FOR SPEC'S `� LD:S pp��?�6 �p+�(/�, r{ fit}, FLOOR GENERAL 5YMSOL LE6ENO BtSTIHG o CV 1 MISTING NT.WALL ® V O O V V N6V GT.WPLL N&4 Flfb5T O lO m Q c li C Es(STING INT.WALL ® Dcan 110A8 _m > IXSTNG (b y d O 1 O NSNINT.WhLL EMSTWG LD. 11!768 fl. p IXTIHf.WALL E i NITM:'. Z ROOM F&N15H 5CHE-, Ii -- - — U d r= � _ROOM NAME AREA, INTERIOR(50 FT CEILING FIN&�rf HEIGHT GS.LING i--IN15H 3 �c- - G -- ,9 t�i -- �_—� - GE MOLDING nINDO� CAS& G DOORCA�1`�G I -- __. _€t. '`�p,� _.�,^ -.,._._ __ _.. -_ _ - _ __--- ____ weRm wi.L rxi.TUrtEfxloLD � �I ,�-t G58 CL 1 � o C`i,�c i F? G 5!P" v� tt t f r'af K _ - \\\.. CA Xf3Y iNT.SHPW ER W4LL In /{ O t7 _ ROOM - -- - - — - �� ROOM . �d �tRE 1TEh.',R °y^x F_i} rc_i €N�• �PS`1` - ems! "* f tl = —_ -- - - -- _ r— G* I .ck�IE�G ri�I�c BA-5E f�QL�a U s10l�' y'f�G J0 1 1N" aoND:TloxwaL � ) 2 m .,� .I� `/ 'a� ..I hC 4-_,�_- G hNC F,..,.,..L N�10.4LINdj�c o o a m R 1 D, 5HiO/�EFm p 4h s/A -��aYi.�ip, I L�nr zznh}y -- _ - --- -- - BONE: I � FOUNANDIFWT WG � EV5TIHG NALINb EL O 1 �> E E E•TING DINExSM o u PRJroSED DIHEt16tlN `. —Y'_�"—i, •�/ � O m u- 111-1.—•—r r r r „ , ­r, ......P­ ........FF�•ty—1.nFsocn VUFurmlinnnteuanoexclusivepurposeorsupporzingthe contract ora or vnt,ana customer agrees tnar the elements or tms pan span not oe repuousnea or presentea to any form for the purpose of enabling or supporting the work of competing project contractors without the permission of,and compensation paid to,VH1. {I a t11 O Z zzC� Arn I " , rn 2� r /v � O * r O z Z k. Ornr zco ; M z O A D A m � Z O Z - O m A O z Z U, —I /f .. o' A N l i r rn z O 1 C z ZPzx n0 m Zm to Z ti 1 v K 'T ! I I ' - � t1 - 1 �i I4 O1 Lit 4 P� X19 - fit i I ji si 1 N _ I I ' ! I III lit Lit, II r i, lit - --`. _ .— � A��=� ,.-_ �___ _;_ I= . _ . > > _..� it �►� 1 _� 191iII ,1�I;I� I�1Bli' ���I�� I _ — I 1. I � I ! III , j j � l I IIIII ij ' � 111111 rn. 1 1 1 , I II ?c `�� ii Il � � � i ICI ll � ii lillli % li iliii � I � I I I I � lill i ' I A ,<R Al CO qN Valley Home Improvement, Inc. 16 BRICH EXISTING SCALE:SEE VIEW SHEET NUMBER 340 Riverside Urive, PO Box 60627, Northampton, MA 01062 LANEFLClRENCEMA01062 DATE:9/30/2015 �C3N®TIONS Office Phone 413.554.7522 Fax 413.555.0520 DRABEK DRAWN BY:S.G. _ 2 Find us on the uveb at: wuw.Valle Homelm rovement.com C W m , ' z 4 _ POW Wt m > N N n c ! / w rn z � r 3� Sara•. x'r * +I 1 '' II J . � �k� � �, � �� r�� ���� �� ��� _*. ,� .��� I p � Ii City of Northampton � " '� � ent :w Bulid►ng eP o ( Z Plan Re View . : � 212 Main Street �-- am MA 01060 0 North Pton, ISP O Lu 1 ' t vK � mi fi 1Vaq s 0 j] J ate,- ' i; I r* II T ate' �5 _ ! "`-�.: I1{ 4•..�• p y m s tl v. 4 � 7, a r �" 1 � ....�• Q u s � 1 = W WRI I `.. --1 m W LL 4 3fj ° 1 _ `$ _ Syr � :� ( I yt-• 1, LIJ m � � 3 �r ��. rte` '- •� .1 w 1 ! L I E -v Ul :a PROJECT NOTES: o o a PROJECT i�Ll� E Z o TH15 PLAN SET,COMBINED WITH THE BUILDING CONTRACT,PROVIDES BUILDING DETAILS FOR THE RENOVATION OWNER: DRABEK INDEX OF DRAWINGS O _O s PROJECT. THE LEAD CARPENTER SHALL VERIFY THAT SITE CONDITIONS,AND DIMENSIONS ARE GON515TENT WITH I TITLE SHEET > ° PROJECT SUMMARY t Z zS THESE PLANS BEFORE STARTING WORK.NORK NOT SPECIFICALLY DETAILED SHALL BE CONSTRUCTED TO THE SAME PROJECT 16 BRIGH LANE k EXISTING GONDTION5 2 Q T QUALITY AS SIMILAR WORK THAT 15 DETAILED.ALL WORK SHALL BE DONE IN ACCORDANCE WITH INTERNATIONAL ADDRE55: FLORENCE,MA cV � � � � PROPOSED FLOOR PLAN 3 L � BUILDING AND LOCAL CODES. BATH ELECTRICAL PLAN 4 CL ' '� " r _ ,� VANITY DETIAL5 5 10 ° r._ BLDG PER',IT: _ NRITTEN DIMENSIONS AND SPECIFIC NOTES SHALL TAKE PRECEDENCE OVER 5GALED DIMEN51ONS AND GENERAL H tR1��TAB — — — — O cV �� """ ` NOTES.THE SALE PER50NIDE516NER SHALL BE CONSULTED FOR CLARIFICATION IF SITE CONDITIONS ARE 5ALF51OF51ONER: DAN 5RAD5URY U L`o ENCOUNTERED THAT ARE DIFFERENT THAN SHOWN,IF DISCREPANCIES ARE FOUND IN THE FLAN5 OR NOTES,OR IF A QUESTION ARISES OVER THE INTENT OF THE PLANS OR NOTES.CARPENTER OR SUB-CONTRACTOR SHALL VERIFY AND m 15 RESPONSIBLE FOR ALL DIMENSIONS(INCLUDING ROUGH OPENINGS). E > ALL TRADES SHALL MAINTAIN A GLEAN NORK SITE AT THE END OF EACH WORK DAY. � N ° I ✓ 4 PLEASE SEE ADDITIONAL NOTES GALLED OUT ON OTHER SHEETS. CL t ` arm s �r VII I Ij ( O E BY tep en Gross at 2:20 pm, Sep 30, 2015 v 6 — — — — — — — — — o City oi-CNorthampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Aff&7it In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: k n ch LLOC"— The debris will be transported by: (1► :V -y-yu The debris will be received by: V61LV\ �� t c�-k Building permit number: Name of Permit Applicant VVU-T q/-z8 1 /15 5 -- 1 Signature of Permit App ' Date Signature of Permit App "�Cy' �'vEP��wCIL',"rPT%6'-C-�,.uG� 6Pp li'�+':e,c,,:re.•t ^�, v..r�p,i�a,� ar� �bu1%�',�et�;✓z�terrt� Department of Industrial A ccidents - 600 ashin-ton Stwet 02111 t ,,o ass.gov1die r t'! •'."' r..,.;... r^. P {-� ,-.,(*r^.rc +--, m C' ... T`. °h i L 1 t1 a. t m t� �r �� •�L ��6 r 1_t;d ,7ft. � ffderj Cc,L 6 � T of a1 6 L aLca A2i)Ucalilit Information Please Print Le����� NaMe (Business/Organization/Individual): ��0 a 'O(-eta c)( Address: �u) City/State/Zip: A' C)IV hone #: �4 Are you an employer? Check the appropriate box: Type of project(required): 1. 1 am a einployer with 4. ❑ I am a general contractor and 1 6. ❑ New construction employees (_full and./or part-time). have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ® Building addition [No workers' comp.cQ �. insurance comp. insurance.}_ - . . i 6 � �,-_....,�, _�--�._•_ „_._____ required.] J. I l i e are a corporation and Its B tQ.L—j zzt t eass¢r ie ,raEa it aueeieavana 3.❑ I am a homeowner doing all work officers have exercised their 11.[] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ; c. 152, §1(4), and we have no employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infortnation. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for ney employees. Below is the policy and job site information. i �^ Insurance Company Name: (�jl',�,rG` C �` ),(I �'' ►�� G r'' J-P Policy#or Self-ins. Lic.#: C,,QCJcE)C G� Expiration Date: a Job Site Address: `)i rdn City/State/Gip: �� 1.Q , Poo I 0(oz Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration elate). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1;500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify fr the pains aid penaltie "perjury that the information provided above is true and correct Signature log ���i f�� ' /Sf "°� Date: I o�(J 11) � e Phone#: Officiad use only. Do not write in this area, to he completed by city or town official � f � k.7 uiz x uvann. ncnr"T"nFa�5e��n5n^rr Issuing Authority(circle one): a. Board of Realth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector E{ 6. Other Person: uy pip r L..Lul'W.�',.cu� " L�91©flh4 Il. tE SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor'. `� ,, Not Applicable ❑ Name of License Holder: �f� ��('\ 1:? ��� � 1�'1 I 0�C�D� License Number 5k `71 i31 2-o 11 Address \ Expiration Date Signa ure Te e 9 Registered Home Improvement Contractor: Not Applicable ❑ 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 building 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 ail 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 Alterations) Roofing ❑ Or Doors (] Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks [p Siding[01 Other[a Brief Descript''K of Proposed Work:_ 14-C— 6 E(r Alteration of existing bedroom Yes_ No Adding new bedroom Yes ✓` No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. 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. 1. 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 1, Kope �" � ,l/ as Owner of the subject property hereby authorize to ac n all m rs relative to work aNithorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the stAtements and�irrrormation on the foibgoing application are true and accurate,to the best of my knowledge and belief. Z:�t2ned undeF the ilcins and penaities Of rea 'I lry nt Name Signature of Owner/Agent Date 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 � DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW �'C YES O 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 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation,or filling)over i acre or is it part of a common plan r-at rn N disf-rtl over 1 acre? YES ( No IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only _ _......_�j f Northampton Status of Permit: C_; L ng Department Curb Cut/Driveway Permit 2 Main Street Sewer/Septic Availability } oom 100 Water/Well Availability OCT - 2 2015 N pton, MA 01060 Two Sets of Structural Plans hone 413 587 1240 Fax 413-587-1272 Plot/Site Plans Qt101rie,Plumbing&t3as Inspevtiotw Other Specify leam APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: j(.0 ej"(-CVN Map Lot Unit C r--K—C Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: N Current Mailing Address: 4 Z Telephone Signature 2.2 Authorized Aclent: DAn F).rCtAbQrL� �AQ Name(Print) '-- Current Mailing Address: 913- 3 q---7 5 22-.- Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $ ';�6 5(:> (a) Building Permit Fee 2. Electrical i Ca (b)Estimated Total Cost of Construction from 6 3. Plumbing d,U C� 5z> Building Permit Fee 4. Mechanical(HVAC) •, 00o 5. Fire Protection — 6. Total=(1 +2+3+4+5) 2..C�C^i . co Check Number This Section For Official Use Only Date Building Permit Number: Issued: Building Commissioner(Inspecior of Buildings Date File#BP-2016-0446 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522 PROPERTY LOCATION 16 BIRCH LN MAP 36 PARCEL 216 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out J&001 6 Z� Fee Paid Tyneof Construction:_REMODEL BATHROOM New Construction Non Structural interior renovations Addition to Existing- Accessory Structure Building Plans Included: Owner/Statement or License 106006 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved 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 D itio Delay �d-40�6" Sig o Buil g E al 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. 16 BIRCH LN BP-2016-0446 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-216 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2016-0446 Project# JS-2016-000737 Est. Cost: $31200.00 Fee: $202.80 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 106006 Lot Size(sq.ft.): 86248.80 Owner: DRABEK ROBERT&YAN SHEN Zoning: Applicant: VALLEY HOME IMPROVEMENT INC AT. 16 BIRCH LN Applicant Address: Phone: Insurance: P O BOX 60627 (413)584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.101212015 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL BATHROOM 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: FeeType• Date Paid: Amount: Building 10/2/2015 0:00:00 $202.80 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner