31B-084 (2) 77 HENSHAW AVE BP-2017-1353
GIS a: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3113-084 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: REPAIR BUILDING PERMIT
Permit# BP-2017-1353
Project JS-2017-002249
Est.Cost:$15000.00
Fee: $97.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 15071.76 Owner: MOSTAFA ASHIOUIE
Zoning: URC(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 77 HENSHAW AVE
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:5/23/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:FINISHING WORK AND REPLACE 1 PLASTER
CEILING
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 tt 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 5/23/2017 0:00:00 $97.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1353
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 77 RENSHAW AVE
MAP 31B PARCEL 084 001 ZONE URC(100)/
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: FINISHING WOR- AND 4:0.4p
I PLASTER CEILING
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
INEFODMATION PRESENTED:
pproved 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
//em//lition D. y
Sign. . 'o ;uilding O rcial 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.
Gep I ', n use onry 1
City of Northampton1 ?tus oPermit: 1
—" _ Building epar rne,nt Curb Cu Ddu W_v Permit
212 Main Street Sewer/Septic Availability
yyppyy Room 100 VJeterAWell Availability
ft
. ( 2 2 ' Northampton,MA 01060 Two Sets of Structural Plans
p.i 4f 3-5E7.1240 Pax 413-587-1272 Plot( Plans
s.ee Other Specify . _.
L
`APPL!CATECWI TO CONSTRUCT,ALTER, REPAIR RENOVATE OR GEfMOLISH A GME OR TWO FAILED(DWELLING
SECTION 9>SETE NEFORI/AT/ON 1
-- -- -... _. _.. . __.This section to be completed by office . _
14 Prontett Address: ..Q
Mop 31� ._ Lot o`�y....Unit
7'7 alas/ t() 40-e- Zone Overlay District
Elm SL District C5 District
1
5E0710132.PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Gamer:if Reoordd:
ei SI Ii F0I ju MLcrMFTi' 77 hlerS( Yu) AvE
Name(Print) - Current 4ailing Address:
pone T=M h Signature
22
22 Ai/thrill—id Ant
L
Name(Print) Currant
c U � i � Gurta Nailing Addas
WI/44N
Of i Ai
1 0lgi tur ' enFa-ry -... -
( Sem Estimated Cost(6oilars)to be Official Use Only
I complete'by permit applicant
t Building (a)Building Permit Fee
�--
000
i : ecru- . - I r ;voce �=
` I Consm;c[ion fawn (Si
1 S. 'h g td n. rser• (a rite i 1
I • 1,.> ._... I4. Mambanical(HOAC) —a_
III
B.Fire Protection /}
n. To i (f n : 3+F+o) � Mr) SCh ckNumber., -9y 7 t y 7
I triliallar iUmutmsaunenanapiamurwt Badirr,5 aaris
Section 4. ZONING Alt In`om5 m Must EeC nptet d.Permit Can ce r;bnitd ova.To Mtomtbatt iniormabbn
Existing Proposed Required by Zoning
This colt=m bt fiBttmby
- Bd7AngDqueucat
iLot Size
Frontge
Sthuc:F Flout
Side
Pear
BuidingHeight : 1
Btdq. Square Footage I - { I _....` ..
Open Space Footage ---
(LotarsemmusbldgMpatmd ._ -!
° It of Parking Spaces '
(mlanedioxadonl ___ _ _.
A. Has a./Special Permit/Variance/Finding ever been issued for/on the site?
4/
NO DENT KNOW C) YEss f
6F YES,date issued: _.__. a...
;F YES: Was the permit recorded at the Registry of Deeds?
tr ever...- ++",aandlor Dacument N
B. Does the site contain a brook ody of water or wettandsa NO 0 DONT MOW 0 YES C
9 ., o J obtambe r the Can Y tion cDm 4 ssIon(
MmeMm5 ue n.r _ - d r -;ns .e J sued.
C. Do any signs e dst o the property? YES CD ID 0
IF YES, descrih size, type and location:
1ES, oescilbe.r__ Lv end local on
ESt S-
TFs,they:n r\h7Tharn7ronc.omt 14 _s ct1tns:.‘e.nteri Perme,tcmen the_P t tb-2
SEC T iOli 5-DESCRIPTION OF FROPOSED WORK fait-Pk all aocdioabi=_j
New House 1 Addition Rep Gamont Windows Aietationtsj ERoaring
Or Doors D
Aeceesag Bldg. E Demolition E New Stens [al Decks ID Siding ID] °them
Brief Descdpdon of Proposed - �-,p
Work: /94 iN Iri IJ r & Feld_ IR�Fty;S j 41$ 1 '- C; 1.ri( C 61,E ill A`.l
Alteration of existing bedroom Yes No Adding new bedroom Yes No 11. 11 i N--'
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Rbll -Sheet
Gaff Mew house and dr arc,i[ben fa e Ra find honcho c ta- este tike fratEainrtniz:
a. Use of building :One FamilyTwo Family Other
b. Numbs of rooms in each family notNumber of Bathrooms
c. !s there a garage attached?�._
d. Proposed Square footed,of n=_w construction._ Dinensians
Numbar of stones?
f. Method ofhaating? Fireplaces orWoodstoves Number of each
g. Energy Conservation Compliance. Massrheck Energy Compliance form attached?
h. Type of construction
G- Is construction within 100 it of wetlands? Yes No. Is constitution widen 100 yr. door/plain- Yes ND -
j, Depthofbasementorcellarfloorbelowinishedgrade
—
k.
Will building coirorm to the 5uiidng and Zoning regulations? Yon redo.
Oth outhi -4+'G'.._. _
SECTION 7a.OWNER AUT-0CRELaT1O*.TOES COMPLETED, WHEN
OWNERS AGENT OR CONTRACTOR ACTOR APPLPES FOR UGPLDIWO PERRAPT
r t 451 kb josi ; F4
by LL,thorin c/ !0 , /'ty1/ /Kr
toant on my bpi.in all r Teracai_ti e to work authorized by this building permit splice cn.
Signature of Owlet Bate
i -.- :.ai c.:.e
aiL crD It/ 37/L d . .
f
SECTION 8.CONSTRUCTION SERVICES
&I Licensed Construction Sur^,enrison ` Not Applicable 0
Name of License/folder: ��v n J14V`i —
License Number
7 tLrrcr;�t / d S
±`6 - rArl rruiscrA nOs, V 1
{' 3. �.A2V \ I€
Address f/+/ l r Reek-anon One
1 •
Signal : Tei•Jphone
S Repissteeed Horne improvement Contractor NM Anglicans
Vett.'. _ /055(113 -
ComnsnvNarpe Reg?statloo Nunes/
()_D 4,04 711 ? {?e
Address _ EzpirsScn Data
! f
I 'f'f.4=`? f ct Q\hS>r s Telephone \1f 2
.e SECTION 1o.1NORi XERS'CoM?E.SSAT6®N SISGk ANCE AFFf EY T(151.Ps.L,c. 152,¢25C(())
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavitMI result
in the denial of the Issuance of the building oannit.
Signed Affidavit Abashed Yes a No CI
Sr
ouch biome-um _ ._,._ UN Me De thus act ftamites littEhtttt,tattIO'Ede,44n t.4 bverstttits
as suspensions-v.CI 1P fintib Foiletsta Tecucu 188.3.T.1
Deftriten of Homeowner:Person(s)who ohm a pareell of land on which he/she resides or intend&ca reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached strictures accessory to such use and/or fang
;frees'gres 4n ;en who cat:trcct mare fbne/KA hente us atempest h ned shaI1 hot the OfehAh:athalaF need +mein,
3.11ch`3er er shall suimit to tht if ail e t op a Shur ..c eta' e to the&ndi cahliOiht -_r Dot
r :thiT r.e e ttOtft t O _ -_ smut che chnothi um-Me
As acting COD tnsedmn 8fitsenfeng your presence on the lob she Wit he rz_mred nom time to time.during md ton
co ontedoe of the Berk for which this pe mit is issued ..
Also be advised that with ret rence to Chapter.152(Workers'Componsation) sant Chapter 153(Liability of F^i_Loyers to
Employees for Minibus not resulting in Death)of the Massachusetts General Laws Annotated,^ttu tneav be lag for persons)
you him to perform work for you under this permit.
The udet"igned"homeowner"=hates and assemstresponsibility for compliancewi:h the Sate3ui.'_1*e Code,Cit of
Northmentee C-as Loan' cootim I am_ S,._of DiassechusensC neral Laws Asthaturcet
City ofNoirhampton 212 Ma:.-r) Rtreet, Ncatb=ptOn, MA 01060
Solid Waste Disposal A ,davit
In accordance of the provisions of i'diGL c 40, S54; I ac<nowledge 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 MGI_ c 111, S 150A.
Address of the work: dell,-__ g7✓ _
The debris will be transported by V tit
Thedebris will be received by: V411'y face- 1,4
`
Building permit,number: _
Name of Permit Applicant /4I / /J/4f- ; �r voin't7/tI
-5/7 ;
J 7 111
1
,
Thmt.il-pElf,Th St,eel
:n-1., MA 02111
-413roi.mass.gov/dia
Workers' if ompend_fl n il000rronoo Aa_8d°Vli 1 ide niCon acio a iectzl., rias/22urakers
ApDlllczaut Laido matemts Phase flint Legibly
11_
, nLa Cgarzzafw Jlad r>,m,t. .iU.Ott\ t1t. '[iL J_,Ljrf3'✓C. Y` v jar,
Address: , ''\i`.0 a---=.C1at
nL
Ciy/State/Zip: At�tenkc:..... l 'I Yh.�.._ T+fhhone': c 13—Co oL{-1
Are yet au employer Cheek the LpproploMe's® Type of project(required):
1.01 am a employer with t, 01 am a Detmaml en .tor and
d 'aired[h s to n a yrsempbsyms(IV amVor pan-timer
6. ❑Nev t¢ns s::e!ion
I' 0 r :fpr 7 b-or partner-
t Cato cueds,..at. 7_ ,DP ,,.Ler.,_
ship and have no employees These sub-contractors have 8. ❑Demolition
aorl'ng for me du any cal.-act; employees and have workers'
9. Li Building addition
[{n a.o ' s' como. incalra;r.c
comp. msttza`tc t
r oqured.) 5. 0 Vie are a coiporation and its 10_ri Elect-mat repairs or additions
3.7 i,m a homeomner doing all work officers have exercised their 11.0 Plumbing repairs or additions
mystlf.[No workers' comp. right of exemption p,r Advi. 12.0 Roof renairs
insurance required.]; c. 152, g1(4), and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applicant that checks box XI must also fill out the section below thawing their workers'conapz Mica Moloy thicnna6m.
Homeo ewers mho snbmlt this affidavit Thdisaeing they are doing all um lc and then Mitt outside connanms mu,st submit a new or idavit firth^_sting such.
•horm actors that check this box must aaache_d an additional sheet showlag the use aftbe tib-coavacors and state whether or notMose entities have
employees. Itthe sub-conaaciors have employees,they mast provide their wooers'comp.policy=hex
,t
Policy 9 .n '.,,_ m. L -fir. m Emta.:,,a Lim.., css� � � ,p ry2.fa tl 6.
fob 6i uz
, t`b' _ _ .11_. _y _. ,. -
u; Ci altye
- imae a - s .
i'h:e e s _I ceder c._ .f.v.,, sal o .e �o.y u_..-1
_Per,1a to• L500.00 a d/o, r;mmisolmmnt,as well as_ z ,in Mt form_nf STOW rOPV On a fir-_e
of up to 5250.00 a day against the violates E„advised flat a copy oft is statement maybe forwarded to the Office of
c.e e CSDfl2/9
STEVEN ASILt R1'i..t ,a y �1
'S9TOht RPO D _ q=
SOJTHA3 OR fAn 6iG7
`g-diExpiration:
Commissions:: 06/21/20-12
//I ids iPL, i — ✓ /
d Office (+ I`1 < L.J.
� m ;e o Consumer i i-LC Eild. Business Remdation
10 Pain Plaza - Suite 5170
Boston, MassaChus t`us 02116
Homemtpi.r em
r ..i cQRfraCiOt Rc ist'_IFeII
_ icz 105543
J„ce' 'data COrsor ion
Expira3cs: 7/171201S _.T, 2291
;'ALL-Y
i 051 t_r .
g__.
Li,,dh ] '10.. .. :
Mdd. 031,dt MINN. Ea-isms Residasids
v Li-: $ t r3 313S
`/ � t .a.0 ld MA 02116
�]lif