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23C-026 (5) �s demo out shower and allst back to studs M �lL I c C>`O-'�' new white 3x subway tiled shower walls floor over cent 1 W y �ee r t W W 31 he niche in walls rr << Cie sPQ a i corner seat / City of Northampton �_- EXI5TING ��®� Frameless shouter enclosure BuildingNpa`'"lent m LD Plan Reviw� ! 212 Main c: r s Northampton I ''o^ N VJ m m O W o p U Z O new shower valve and faucet z o� 0 - - - - conflrm exhaust fan is operating properly CD cm m f ry m S_ _ gall mounted sink with new lav faucet & recessed me > �>2 y ap Ill y install owner's wall mounted light @ sink - o m 4 v+ 4 a yU <-----neLv comfort height toilet U N m �radson panel to remain E ' - ne e n ar noluem floor m �; � a 3 new solid core masonite door in existing opehing o eu �11 O ='2 SON O r v PROJECT NOTE5: 2908 o x PROJECT PLAN Ix .. TH15 PLAN SET,COMBINED WITH THE BUILDING CONTRACT,PROVIDES BUILDING DETAILS FOR THE RENOVATION OWNER: 5UNAAND BEN p a INDEX OF DRAWINGS K= PROJECT. THE LEAD CARPENTER SHALL VERIFY THAT SITE CONDITIONS,AND OIMEN51ONS ARE CONSISTENT WITH TITLE SHEET > z = t 3 THESE PLAN5 BEFORE 5TARTING I-NORK.WORK NOT SPECIFICALLY DETAILED SHALL BE CONSTRUCTED TO THE SAME PROJECT UP BATH PROJECT SUMMARY 1 — —, EXI5TING GONOTION5 2 _Q) m QUALITY AS SIMILAR WORK THAT 15 DETAILED.ALL WORK SHALL BE DONE IN ACCORDANCE WITH INTERNATIONAL ADURF55: 509 RIVERSIDE DRIVE N MAIN FLOOR PLAN 3 lQ > BUILDING AND LOCAL 60DE5. KITCHEN PLAN&ELEVATIONS 4 O > "�" i EL !... I• ,iELEGTRIGAL r' N,� .—.. �... �— ..—! `z $ 1 b � + b^lRI1TEN DIMENSIONS AND SPECIFIC NOTES„HALL TAKE PRECEDENCE OVER SCALED DIMENSIONS AND GENERAL CL o NOTE.THE SALE P_R50N/DE51G-NER SHALL BE GORSULTED FOR GLAP.tFIGATION IF 5iTE CONDITIONS ARE DESIGNER: 5,45 3 ' ENCOUNTERED THAT ARE DIFFERENT THAN SHOY4N,1`7 DISGRE?ANGLES A?E FOUND IN THE PL.AN5 OR NOTES,OR IF A I 3 a i - a - f I C7.UE5-r!O"!,0.RI5°5 OVER THE INTENT O�THE P�ANS OR NOTES.CARPENTER OR SUB-CONTRACTOR SHALL VERIFY AND z 03 S� yr � f #. a ?�?' 15 RESPONSIBLE FOR ALL DIMENSIONS(INCLUDIN6ROUGHOPENINGS). `c ALL TRADES SHALL 14AINTAIN A CLEAN b',IM 517E AT`r:END OF EACH vgOrtK c a PI G,A E SEE ADDITIONAL NOTES CALLED OUT ON OTHER SHEETS. Q. 2 IL m© t� j City of Northampton 212 Main Street, Northampton, M.A 01060 Solid Waste Disposal Affda>>it 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: The debris will be transported by: The debris will be received by: ? r Building permit,number: Dame of Permit Applicant Date Signature of Permit Applicant _ 1:.Pr6: E+Edt-oE�a�:4'r%d'i�"vC%u�i�Ee� Ga� l���y'St"vGt?:ci"G�So%�Eu Department of Industrial ACc dents ���w�� aye�eii✓�,��w�aist`i�re so , TC-A 0211' ter.mass.�'o�Id�a e •. R rnr° f .^n^ MrT rw k+ P, �m . �' r kr•H —€� a,. L n� Ll i,::,. y 1.0n �a-i�s�.—cc 1_fr_de-_t. L7, a LCt C`� AuRNeant Information Please Print Legibly Name (Business/Organization/Individual): \�l:i �,��i� �r�'1� .�-\1r1��L)�•r`t"l�'>f°•6�� �� Address: `�G City/State/Zip: (�! �C Y '�Vh©ne#: L�`� Z Are you an employer? Cheep the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New constiltction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑i Remodeling ship and have no employees These sub-contractors have 9• ❑Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition comp.msurance.t [I�Io workers cornp. insurance _ p ,0 � �.,_...���_, __.,_ required.] 7, �N e are a corporation and.its a E.3 ' L�� F°z i ie pani3 ire mu=°te-�tEs 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.❑ Othet comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t 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 am an employer that is providing workers'compensation insurance.for nay employees. Below is the policy and job site information. r Insurance Company Name: Policy#or Self-ins. Lic.#: C)o(JC5 C,-5&Z 1 S Expiration Date: Job Site Address: ql� City/State/Zip: flow - oao2- - Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 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 up 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 certi,fy a the pains ai- penaltie's perjury that the information provided above is true and correct- Sianatur pt1 ��a' X t� "tB1f/� -�� Date: Phone#: Ar- �!\"J'-SSq—icb 0111 Official use only. Do not write in this area, to be completed by city or town official Issuing Authority (circle one): 1.Board of Realth 2.Building Department 3. City/Town Clerk 4.Eieetrica.l Inspector 5.Plumbing Inspector 5. Other Conta.et Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number _ C to J2-1 ' Address Expiration Date -41 Signature 'Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ S /015SV-3 - Company Name Registration Number Address ,�y t 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 Exemiatimn The current exemption for"homeowners"was extended to include Owner-occupied DwellinZs 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.Cli1R 750, 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 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[❑] Other[❑] Brief Description of Proposed fl Work: R t P 4, Q- lACJE 2N' 15ILUC g►�1 1 l i- �r (AKL� �1 AWE PLAN Alteration of existing bedroom Yes No Adding new bedroom Yes /"4 No No 51VUC 6v4` h Attached Narrative Renovating unfinished basement Yes _ No Plans Attached Roll -Sheet 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 . 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, �1 � \l�jY���,2 t l } ��£'�fl �/V 1 ,as Owner of the subject property hereby authorize ` v to act on m behalf, in all a lative t ork authorized b this building permit application. Sig ature of OWrer Date r'r I as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge F and belief. Signed under the pains and penalties of perjury. Print Name L / 6` Signature of Owner A nt 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/Fi ding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit record d at the Registry of Deeds? NO 0 DO KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a ook, body of water or wettands? NO 0 DON'T KNOW C) YES 0 IF YES, has a permi been or need to be obtained from the Conservation Commission? Needs to be obt ned 0 Obtained Q , Date Issued: C. Do any signs a 'st on the property? YES 0 NO Q IF YES, de ribe size, type and location: D. Are there ny proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF Y" , describe size, type and location: E. Will e construction activity disturb (clearing,grading, excavation, or filling)over 1 acre or is it part of a common plan th t will disturb over 1 acre? YES V NO ,0 YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only - City of Northampton Status of Permit: uilding Department Curb Cut/Driveway Permit �w 2 3 2015 212 Main Street Sewer/Septic Availability l Room 100 Water/Well Availability No hampton, MA 01060 Two Sets of Structural Plans -0--ei br -587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify. APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 509 Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 7U� Qty r 0f F i Lye w)(C 111c b l p Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: 60,E Loo(C)-1 -T kor -, Name(Print) Current Mailing Address: l 'l,'5— SY— —I GF�22— Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building / , t OG6 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of 5-00 Construction from 6 3. Plumbing ,50 Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) dQ U Check Number This Section For Official Use Only Date Building Permit Plumber: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0710 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522 PROPERTY LOCATION 509 RIVERSIDE DR MAP 23C PARCEL 026 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 7727 ' Fee Paid Typeof Construction: REMODEL 2ND FLR BATHROOM New Construction Non Structural interior renovations Addition to ExistinP 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 INFOY.MATION 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 eraglition Dela Signature of Bu ding 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. 509 RIVERSIDE DR BP-2016-0710 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23C-026 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-2016-0710 Project# JS-2016-001192 Est. Cost: $17000.00 Fee: $110.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 106006 Lot Size(scp ft.): 25264.80 Owner: WOOD BENJAMIN&SUNA TURGAY zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT. 509 RIVERSIDE DR Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.1112412015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL 2ND FLR 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 11/24/2015 0:00:00 $110.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner