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09-008 (4)
562 KENNEDY RD BP-2017-0255 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 09-008 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Building BUILDING PERMIT Permit# BP-2017-0255 Proiect# JS-2017-000440 Est. Cost: $10000.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC Lot Size(sq. ft.): 277477.20 Owner: GRINNELL FRED B JR TRUSTEE Zoning: RR(100)/WSP(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 562 KENNEDY RD Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 FLORENCEMA01062 ISSUED ON: TO PERFORM THE FOLLOWING WORK:Replace Deck Railings 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 S65.00 212 Main Stieet,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Department use only i RECEIVED City of Northampton Status of Permit: t Building Department Curb Cut/Driveway Permit • 5 ��s 212 Main Street Sewer/Septic Availability NS 2 Room 100 WaterNWeit Availability Northampton, MA 01060 Two Sets of Structural Plans EPT.OFBUILDING NSPEC 10010ne 413-587-1240 Fax 413-587-1272 PIo/Site Plans NORTHAMPTON,MA 01060 Other Specify 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: 51,4 Kett) j &1 Map Lot Unit . 1.. .eCts iTht., 01 b S.3 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �-Y-ed 6DrtnrN_l l 602 ‘c2.ro--vcc_ti IZ L cts M,A 010 g3 Nam- -: t Current Mailing Address: `tt3- GA - 2XDSj lii, «a..„ Telephone Signature 2.2 Authorlee!Aclent: 4ZNamS\--e SN \rem P- 0 6 (00(.01 Florence CA 0407.— Name e(Print) Current Mailing Address: `- t - 6.24-��v2Z Signature 1 Telephone SECTtOt<3-ESTIMATED CONSTRUCTION COSTS I item Estimated Cost(Dollars)to be Oficial Use Only completed by permit applicant - _ r° 1. Building to Ivo (a)Building Permit Fee t / 2. Electrical � f (b)Estimated Total Cost of ( © 000 S I Construction from(6) Plumbing IBu! r3 dnre Penit Fee 4. Mechanical(HVAC) I ----- 5.Fire Protection • S. Total=(1 +2+3+4+5) /4 COO — Check Number .: -cd/ f This Section For Official Lice Only 1 Date Building Permit Number: issued: SIgI18tUl'e: I/ , � Ile-./ I Buildir- Comrni loner/inspector of Buildings ante i Section 4. ZONING Alt Information Must Se Competed. Permit Can Se Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Aepartn cut 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) _ 1 ` #of Parking Spaces r Fill: (volume&Location) _. J A. Has a Special Permit/Variance/Finding ever been issued for/on the site? . NO 0 DONT KNOW 0 ICTS Q IF YES, date issued: ' IF YES: Was the permit recorded at the Registry/of Deeds? NO DON'T KNOVI, j ) YES 0 IF YES: enter Book �j' Page and/or Document B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES Q IF YES, has a permit been or need'to be obtained from the Conservation Commission? Ne'eds to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES Q NO 0 IF YES, describe size, type and location: D. Are there any proposed'changes to or additions of dans Intended for the property? YES 0 NO 0 IF YES, describe size, type and location: vviri me construction activity°return(clearing,grating,excavation,or fitting)over 1 acre or is it part of a common plan that will disturb over i acre? YES V NO V IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 1 f SECTION 5-DESCRIPTION OF PROPOSED WORK(check all at ol(cable) y New House ❑ Addition ❑ Replacement Windows Alterations) 7 Roofing D Or Doors ❑ _ Accessory Bldg. El Demolition ❑ New Signs [0] DecksX Siding [1::11 Other[p] Brief Description of Proposed Work: 16--64_ 41.10' 6 1, Acd),. Alteration of existing bedroom Yes / No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No . Plans Attached Roll Sheet Ga.6f 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 WHEW OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT tV J I, (-Pa V ► 1Qr�\ _s Owner cf the subject 4 property hereby authorize _AI t 1 . y to act on my be - in v1I matters re.- ive to work authorized by is building permit applicatio . -era ? I b Signature.0111- "'- W Date _ t • - c. 41110' 1, a'eATC.--n \.\Ve- YY -1---) as Owner/Authorized Agent hereby 'eciare that thes ate-eats 'And'i o:rr et on on the forersnin,g soolication are true and_.}fra c,ir.:%the bear r my kn,-Y4,1efi Signed and • e pains and penalties of perjury. ' Print NE--.7,-,e -Y1.Fria 1`1'e- �� Signature of Chsriel.44;_n. ..._`a J SECTION 8.CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: 1 Not Applicable O~� Name of License Holder: ��'T�\`:=(1 Si 1 g4(4Yt0.-vm 01-1 9 License Number 2J SChrf�r�'" CJ4 l � t.TOu1t 1-\ \-\(), Cil.0 L3 -' \ 1 Address i Expiration Date cry— `t Sign- u - Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 Cot/moony Name Registration Number P o eox, ( pct. 7/0,71/8 Address - Expiration Date F.I. V!' t!�� \J of Z Telephone 5Zq — SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(ItILG.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 0 11. - Home Owner ExemptiOn The current exemption for"homeowners"was extended to include Cilvnerd lk<<ei?'_cgs of one(?) ar two(2)families and to allow such homeowner-to engage ail individual for hire who does not possess a license,provided ided that the owner acts as suss ervisor.Cfvf no. Sftth 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-t'ea:period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that lie/she shall be responsible i r ail su h w irk,eriormed ender the bsiidie6 'ernect. As acting Construction Supervisor your presence on the job site vitt 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,Ton nsav 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 This plan to lee propnelary work p veld of Valley Hone Improvement Inc.(VHI).Iris delivered for:he NM Red and axluslve purpose of supporting the conked hid of VHl,and customer agrees that he eleleenfs of Iles plan.Nall not be republished orsv stnted in any form la Me purpose of enabling a supporting lie wort of competing project contractors mama this permission al.and oompensetlm pap to,VMI. + —I i. r re p{{ 0 O X G, o N ➢- 11 Itc m 11'; 0 I s O m ti 1 4 r O m m xx I > pm m — N (D o P 171-11-1' J o vu X 0 I 0 DECK j"'''�g""'" ln''" @� d 01 00TPRINT pi\ I . ?X ci 1"7 /12 Gn - 1 i 17 IEI I_ _ c to I n i L '1 B rft it 1-0v,ijr. . I 111vI I I , c. i' II1 o 1 1 / (1 � ;I/ z oiN I m m CI I o Valley Home improvement, Inc. . DECK ` 5C�E5EENEW s NUMBERR DATE ene/2016 340 Riverside Drive,PO Fee:80621,14crihanpton,MA 01002 FOOTPRINT DRAW. s.p Office Phone 413.584.152,' Fax 413.595.0820 FRED GRINNELL n..xnneo . 11 Find us on the wets at: Iv lw.Vallel}lomelmproeement.com i