36-228 (7) i ms pran is me proprietary wont proaucr or vartey name improvement,mc.t vrrq.it is aenverea ror me umirea ana exclusive purpose or supporting me comracr oto or vni,ana customer agrees inat me elements or tuts plan span not oe repuansnea or,v,
forni for the purpose of enabling or supporting the work of competing project contractors without the permission of and compensation paid to,VHI.
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48 WINTERBERRY LANE SCALE:sEvtEw sHEErNUnnBEi
Valle Morrie Improvement, Inc. KIDS BATH
FLORENCE,MA 01062 :DATE:10/26/2015
340 Riverside Drive,PO Box 60621, Northampton, MA 01062
Office Phone 413.584.7522 Fax 413.5b5.0520 �� N� SCHEMATIC
DRAWN BY:S.G.
Find us on the web at wuw.Valle Homelm rovement.ronl _ L
FLOOR PLAN NOTES:
--------
I. ALL EXTERIOR DIMENSIONS ARE TO THE MAIN __. _ _ _ _ __ oeNO« Z
Id_—.
EXTERIORLAYER. DIMENSIONS TO OPENINGS ARE TO w
uj
THE FRAMING,ROUGH OPENING. INTERIOR ueTNn dr:reu
DIMEN5IONS ARE TO THE FINISHED MALL. xev excwu NN T
m 2.CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND 15
r y RESPONSIBLE FOR ALL DIMENSIONS(INCLUDING
_ . „Obe Ci
City of NorthaMP o" m
ROUGH OPENINGS). c Uy',
c - - -
- = Building Department H1iNT. IX6 ,058
2 MOTES: Plan Review w Z
w �
212 Main Street
Northampton,MA 01060 xlxulfT.YNLL"IIMHtlO°�,� � �,_ .
THE LEAD CARPENTER SHALL FULLY COMPLY WITH THE 2009 -
o IRC AND ALL ADDITIONAL STATE AND LOCAL CODE t Nwwea in Nx own Ncwo x ttABB'
6
REQUIREMENTS.
° WRITTEN DIMENSIONS ON THESE DRAWINGS SHALL HAVE ✓ - - - _ NwlxrsNareawu E3 ttoee
PRECEDENCE OVER SCALED DIMENSIONS.THE GENERAL (+
g CONTRACTOR SHALL VERIFY AND IS RESPONSIBLE FOR ALL S E CT!Q N C D Q(�_ TH O
5 m DIMENSIONS(INCLUDING ROUGH OPENINGS)AND -- y
m CONDITIONS ON THE JOB AND MUST NOTIFY THIS OFFICE OF / REF. 'rO Npk 1OX "` xc"R Nd
E ANY VARIATIONS FROM THESE DRAWINGS.' FOR ONLY
� w° LEJ -�
U.
THE GENERAL CONTRACTOR IS RESPONSIBLE FOR THE ? xe.mxxwrnx wu �[� ^�
11 y nxo MT-
DESIGN AND PROPER FUNCTION OF PLUMBING,HVAC AND —
ELECTRICAL SYSTEMS.THE LEAD CARPENTER OR STONE PIECE SF f=1_F TO MfsTGf I l� LAITY ±�
SUBCONTRACTOR SHALL NOTIFY THE OFFICE WITH ANY Ah e
D YvALL GAPS
E PLAN CHANGES REQUIRED FOR DESIGN AND FUNCTION OF
1 h PLUMBING,HVAC AND ELECTRICAL SYSTEMS. _ aoroeeeorewcnw —�B m
c REA TO ALLOW FOR HEAD HEIGHT @ VANITY�\ - — --
DESIGN CRITERIA: 20091RC AND IBC ALONG WITH STATE -
_ AND LOCAL AMENDMENTS 'n
?; ROOF: SNOW LOAD DETERMINED BY AMENDED I.R.C. <--_-- ,-__ -� _ _ SKY LIGHT REMAINS AINS c
i ° FLOOR 40 PSF LL - \ �� C
° SOIL: '2,000 PSF ALLOWABLE(ASSUMED). NEW PRE-PRIMED TRIM C
FROST DEPTH: 4'-0" q1EW 45N VANITY AND TOP,4"STANDARD
@ SKYLIGHT'AND
o BAGK5PLA5H C7 j DOORS
° THIS STRUCTURE SHALL BE ADEQUATELY BRACED FOR WIND i— —
6 LOADS UNTIL THE ROOF,FLOOR AND WALLS HAVE BEEN 1 ROUND,UNDERMOUNT SINKS NElt BASEBOARD TO
PERMANENTLY FRAMED TOGETHER AND SHEATHED. NEN FIXTURES BYOWNER r
E ; MATCH EXISTING IN
° INTERIOR FINISH NOTES: \
ac RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE \ HOME,EX 15TING TSO tt�
FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT BE �. z
`m a REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE IEW REG PIED GAB TO MATCH VANITY
NEW TILE FLOOR 5 c
o USED FOR CONSTRUCTION.I
Z i O
aa -SEE FINISH PLANS &SCHEDULE FOR SPEC'S
m 112"GLA55,TILED SHOYIER �. /– i m 9
y EXTERIOR FINISH NOTES:
?ti ENCLOSURE, PANICLE
x io RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE - _ ' ° r� - W Z
b c' FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT BE MARDI^A RE d I L'Y' I x�l W
c REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE i - `�/ e R '+ _Z
° 1"Yi,A,LL GAP AND O
I ro y USED FOR CONSTRUCTION. _ J
SEE FINISH AND PLANS&SCHEDULE FOR SPECS
THRESHOLD RESHOLD TO I-4ATGH CO U.
Q. VANITY �\< ii DOOR TO REMAIN,MAKE
NEW VALVE AND TRIM BY x \\ � COSMETIC REPAIRS TO
OV%!NER - \\\ GOUGES IN DOOR
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P � bay 60617
IPik UJ 1flf4iy.5f66.E[ifCSC&E3
= Department of Industrial Accidents
Office of InvestigatiGns
600 Washington Street
Boston, MA 02111
u ww.mass.govIdia
ViTarkers° Campe salon tusura.nce Affidavit: Ruilders/CGutractary lectricians/Plumbers
Al2plicant Information Please Print Legibly
Name (Business/Organization/Individual): \�(��,�('�� '�� ,-V����(j '�� ►��" ,
Address: '�G
City/State/Zip: D-(-(P_ 1,Ce_ �� �Vhone #: �, -�o �`� Z
Are you an employer? Check the appropriate box: Type of project(required):
1. 1 am a employer with 1 4. ❑ I am a general contractor and I
employees (full and/or part-time). have hired the sub-contractors 6. ❑ New construction
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
o workers' comp. insurance comp. insurance.
required.] 5. 171 We are a corporation and its LO.L_J 1 ���6aiL�a iE>t,aats oa a��atrt,�t�
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.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
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 my employees. Below is thepolicy and job site
information.
Insurance Company Name: (('
a
Policy#or Self-ins. Lic.#: CQ JGJ 0 6O2— 1 Expiration Date: a �/y�
Job Site Address: � W 11 ,4-8" �� aAftL.. City/State/Zip:T kye lC t° l/ a a Old G
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 yerificatio n.
I do hereby certify �r the pains a ld penalti, perjury that the information provided above is true and correct.
Si mature: °l � '`' Date: IO l S
;2
Phone#:
1 11
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
5. Other
Contact Iverson: Phone#:
+ t i
City of Northampton 212 Main Street, Northampton, M.A. 01060
Solid Waste Disposal Affidavit
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 171, S 150A.
Address of the work:
The debris will be transported by: ULJ,U V6'nLjl�rU4e Y1t"-9
The debris will be received by:
Building permit,number:
Dame of Permit Applicant k4--
Date Signature of Permit Applicant
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:_ �� (1 �1�°�{UVLC�
License Number
Address Expiration Date
Signature Telephone
S.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...... ❑
1`1. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(]) 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 750, Sixth Edition Section 103.3.5.1.
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 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[p] Other[CQ
Brief Description of Proposed
Work: Rr- OO C-X. QE a 16Ar11S- NO CHIANCSE To VX ' vP Ian NO 91-kTiAlA t CNAN66,
Alteration of existing bedroom Yes No Adding new bedroom Yes No
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 .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR C� �^
CONTRACTOR APPLIES FOR BUILDING PERMIT
1, A rl A \At , 'l as Owner of the subject
property
hereby thorize
to act n If in al matters relative to work authorized by this building permit application.
Sig to f OW er Date
11_ v ]lcr1 c�1 11�vmD��''� 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
and belief.
Signed under the pains and penalties of perjury.
2 &I Ve-v
Print Name
Signature of Owner/Ag nt Date
, 1
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 'ssued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:'
IF YES: Was the permit recorded at the Regist of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of ater or wetlands? NO Q DON'T KNOW (D YES 0
IF YES, has a permit been or need o be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained Q , Date Issued:
C. Do any signs exist on the prop y? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed c anges to or additions of signs intended for the property? YES Q NO 0
IF YES, describe size type and location:
E. Will the construction activity disturb(clearing,grading, excavation, or tilling)over i acre or is it part of a common plan
that will disturb over 1 acre? YES V NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton status of Permit:
_ Building Department Curb Cut/Driveway Permit
Main Street Sewer/Septic Availability
oom 100 Water/Well Availability -
P �lo ha pton, MA 01060 Two Sets of Structural Plans
0 a` 13 587 1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLIC ,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
qj3 �,(}(n�-e►� �,r'fy Lo-e— Map Lot Unit
('it w-' ,r (e—= J Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Amu hAmp ; Lane ffi6-tee Mme._ o cmoz
Na drQj Current Mailing Address:
i41 3- T Z"7-- y oP?
Telephone
Signature
2.2 Authorized A ent:
Name(Print) Current Mailing Address: i7`E
Aw- // AIR
Signature Telephone
SECTION 3-EST11MATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 2.4/, ovo (a)Building Permit Fee
2. Electrical f �� (b)Estimated Total Cost of
Construction from 6
3. Plumbing 3 7U6 Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+ 3+4+5) o1c1 5DD Check Number
This Section For Official Use Only
Date
Building Permit Plumber: Issued:
Signature:
Building Commissionerlinspector of Buildings Date
File # BP-2016-0865
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522
PROPERTY LOCATION 48 WINTERBERRY LN
MAP 36 PARCEL 228 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvpeof Construction: REMODEL 2 BATHROOMS
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 TION 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
o " la
S-_/�
Signa ure 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.
48 WINTERBERRY LN BP-2016-0865
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-228 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-2016-0865
Project# JS-2016-001458
Est. Cost: $29500.00
Fee: $191.75 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 75358.80 Owner: MITRANI AMY JO
Zoning: Applicant: VALLEY HOME IMPROVEMENT INC
AT: 48 WINTERBERRY LN
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.11612016 0:00:00
TO PERFORM THE FOLLOWING WORK.REMODEL 2 BATHROOMS
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 1/6/2016 0:00:00 $191.75
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner