31B-171 (5) oat�°To
City of Northampton REQUIRED INSPECTIONS
> i 1. Footings and Walls
x
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
N0. 1583 Office of the Building Inspector
Zoning Foran No. 963538
Date 5/18/98 F440.00 Check# 9048
Page, 31B Parcel 171 ,Zone URC Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT valley Home Improvement Inc before Building Inspections
has permission to remodel bathroom Inspection on Site—Foundations
situated on 41 Henshaw Ave - Margaret Carver Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect
Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs D
k
Smoe Detectors
(Fire Department)
and woodstoves
Other
r THIS CARD MUST BE DISPLAYED IN A CONSPICUOUSC ] ISES
Certificate of Occupancy
Building Inspector
FILE # n ��
APPLICANT/CONTACT PERSON:
DE:' ADDRESS/PHONE: to fez,
N01,
PROPERTY LOCATION: 44
MAPS JS PARCEL:
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION_CHECKLIST
ENCLOSED REQUIRED DATE
— Fee Paid
lRyii1ding Permit Filled nut
9v-,/' -
TvnP of Congtnirtinn-
ndpl6n2 Interior
I Pint Plan
O�
THF�OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received &Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
N,�rePtic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation Commission
.S z
OC
Signar Date
10
NOTE:Issuano of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applionble permit granting authorities.
Lam.
MAY 14 W8
ii �:. .:.,`;PFCTO'S File No.
;;EPI OF 8C IO
ffUKir�;,�, �
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Appplicant:
'd0 l301C :�17,
Address: Jzo elephone:
2. Owner of Property:
Address: V 6,;4/,!;�, /T Iephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): o7ei2
4. Job Location: /US' %
Parcel Id: Zoning Map# Parcel# Z21 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �i." c &I / ,l /,I
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: _4,-' Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO « DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO k—� DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES, has a permit been or e d e obtained from the Conservation Commission?
Needs to be obtaine Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
x
10. Do any signs exist on the property? YES NO c/
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
TZLts Com re be Pi11ed in
by the Aftd1d- y Ikpartment
Required .
Existing Proposed By Zoning
Lot size
J �
Setbacks
side L;
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking)
;pf -Parking spaces
Of Loading Docks
Fill:
(volume -& location)
'13 . Certification: I hereby* certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: - APPLICANT's SIGNATURE
1{ NOTE: Issuanoe of a zonin
zonin g Permit does not relieve an applioants burden to oompty with all
g requirements and obtain all required permits from the Board of Health. Conservation _
Commission. Department of Pubiio Works and other applioable permit granting authorities.
`;.4'.,. FILE #
W1406
Vanity. custom wood/tie vanity with
drop in sink, recessed light
erber 1.6 gal toilet
acrylica harmonie 54'X54" drop in 1/2 wall wood cap
tub-whthout whirlpool 37' min.
/ emove existing chimne
glass block below/vinyl awning 1
window above /
wet fixture /heat lamp existing door
1 �\
file walls over durock to 72' nutone .tfano'.. light
l='
file skirt and apron file floor
/ / /
delta tub/shower valve, extended install cast iron radiation
spoutith
wondine hand held s ra
No Scale Carver/Ray Bathroom Remodel
41 Henshaw, Northampton
ob
i ®Valley Home Improvement, 1?
int to ba d+up!icated or LzrA for er. _
-: r_rm: s!on of varia;• !
1
. :�
320 FL?va�lde Dr. P.O.O. B27 ox 606t«: .:_:;•�', ) �
Tel:413-584-7522 Fac 413 58:ra8?�
t MAY 1 4W
'Yrt1Rl,<<
Vanity. custom wood/tile vanity with
drop in sink, recessed light
�erber 1.6 gal toilet
acryiica harmonie 54`x5 " drop in I 1/2 wall wood cap
tub-whthout whirlpool 32" min.
glass block below/vinyl awning remove existing�chimne
window above �1
wet fixture-- /heat lamp existing door
u
tile walls over durock to 72" nutone Ifan
recessed light
file skirt and apron
the floor
delta tub/shower valve,-extended install cast iron radiation
pout with ondine hand held spray
No Scale Carver/Ray Bathroom Remodel
41 Henshaw, Northampton
y 0b"
0 Valley Homg Improvement,
P
Not to ba du0 aced or stood for anv c-
e7:7anr_rm,::s`.on of Vafie;
320 Ftr',rarrlde Dr. P.O.Box 60M
Tel:413-584-7622 Fatc 413-585-082
(C"IX
of Yortl1alliptolt
1 � � � fitasaarhnarffa —'
v — _
DEPARTMENT OP 13UILDING INSPECTIONS =_
212 Main Strcct ' Municipal Building
C Northampton, Mass. 01060
J,
�—�-rVORTtER'S COMPENSATION INSURANCE AT A AVIT
I, Nelson A. Shifflett / Vasey tiome Improvement, Ince.
(li ccusec/permi ttec)
with a principal place of business/residence at:
320 Riv rside Dri No .hamps:nn. MA 01060 (phone#) (413) 584-7522
(strcct/ci ty/SL-ttr/bp)
do hereby certify, under the pains and penalties of perjury, that:
R I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Eastern Casualty Ins. Co. wC9660047 2/1/99
(Insurance Company) (Policy Number) (Expiration Dare)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) Omuranoc Company/Policy Numbcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (1nsu mcc Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional.boa if Doo—ALry to include information pauiaing to all cou"dors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:pteam be atvate that while bomoowuers who ccaploy pawn,to do maiutcnaocr,coaeruction or repair work on a dwelling of
not mole than throe uaiu in which the bomeowver rrsidca or on ehe vu wds appurtaaun thereto are oot ecoemily coosidc od to be
employee undo the wocka',oon>pmsation Ad(CL152,s,1(5)) Applicaiioo by a homeowm for a liceme or permit may evidcboe tbo
41,11 ej"of an employer vadat the Workeea comgen ation Ad
-
I understand that a oM of this etatemrat may be forwwdod to the Departmcot of InduatriJ Aaadea&Odroe or In"waoce for dw
ooratgo vaitiatiou acid tlut failure to aaun coverage under secfioa 25A of MOL 152 can lad to the imposition of Q imi al peaal<ia
000siAing or a ftoe of up to S 1,500.00 aadror impxisomnass of up to orae yc ar and civil pmaltia in the form of a Stop Work order and a
find of 5100.00 a day agnimt tt>G
Signed this �, - day of1 For dapart�al tae only
-),1/4 _ _ ,✓� Permit Number -
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!` Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �g7 J Alterations
NORTHAMPTON, MASS. 11PIX14' 19 98 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location /Us� � Lot No.
2. Owner's name Address 'ell
/ffiUSf� Ale
3. Builder's name/I-SOA/SdIX'�X OI'f/fiWMdress J-W X/4�IJX X14/d�,,I'd�/iOlditJ
Mass.Construction Supervisor's License No. 000306 Expiration Date
4. Addition
5. Alteration Y ^ti G C_ e&,i A.)d rhwr Z rt\ C4
6. New Porch / L _ �Ipa
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
V
14. Estimated cost:- ��
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
gnaiure of responsible app ican!
Remarks
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