43-135 (7) 45 LONGFELLOW DR BP-2002-0840
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:43- 135 CITY OF NOWI'HAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0840
Project# JS-2002-1399
Est. Cost: $35000.00
Fee: $175.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Valley Home Improvement, Inc g60300
Lot Size(sq. ft.): 32539.32 Owner: LIEBERMAN BRUCE&MARSHA GREEN
Zoning: SR Applicant: Valley Home Improvement, Inc
AT: 45 LONGFELLOW DR
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:4/8/02 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN, 2 BATHS, NEW
WINDOWS, ADD MUDROOM WITHIN EXISTING GARAGE
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: I Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAIVIPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 4/8/02 0:00:00 14835 $175.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0840
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P 0 Box 60627 (413) 584-7522
PROPERTY LOCATION 45 LONGFELLOW DR
MAP 43 PARCEL 135 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /7� �� /7
Fee Paid
Typeof Construction: REMODEL KITCHEN,2 BATHS,NEW WINDOWS,ADD MUDROOM WITHIN
EXISTING GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060300
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 Commissio
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to com ly with all zoning
requirements and obtain all required permits from Board of Health,Conserva 'on Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of M L 40A. Contact Office of
Planning&Development for more information.
Department use only
City of Northampton Status of Permit: .
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 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
.1 �()r Map Lot /35- Unit
/ne Zone 5-e Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
POv �iz�UniiN del Li,beya, y M4.s4r9//5 1 N :3
Na e( t) Current Mailing Add`
Telephone
Signature
2.2 Authorized Agent:
Pt /, co dA/b/y'1't+e Z�r�a f-�G'..t, P i (� 6)7 ,� ' /✓
Name(Print) �J Current Mailing Address:
.5iY- 77 J. •
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building S\ ��� (a) Building Permit Fee
2. Electrical / (b) Estimated Total Cost of
5 O 3 Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 3 5 Coo Check Number / �
qq This Section For Official Use Only
Building Permit Number: —B6bo(.` L& Date issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size '
'FP et)
Frontage
Setbacks Front A
ail
Side L: R: R:
17 Rear D \
Building Height LiP i N
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 issued foL/on the site?
NO DON'T KNOW YES •
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES •
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs ntended for the property?YES
No
IF YES, describe size, type and location:
..
'a
-ECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) 1
New House 0 Addition 0 Replacement Windows Alteration(s) ( Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: /96✓C/ A ki,cn1. Ent/I i el`/ 41,1 y - ? ct6"�� -Nl e-'w,.?efea;s
Alteration of existing bedroom Yes L"No Adding new bedroom Yes L No
Attached Narrative 0 Renovating unfinished basement Yes t' No
Plans Attached Roll 0 • Sheet
64 ff=`Newo Olitei tid ofladdititittitiVellaittg4itititliig.tompleteAke fit]lowin
a. Use of building : One Family /—wo 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. /C/ ' Dimensions
e. Number of stories? 4-2
f. Method of heating? o.�5' A-- Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
CType of construction ,A-) fi
i. Is construction within 100 ft. of wetlands? Yes v No. Is construction within 100 yr. floodolain Yes No
j. Depth of basement or cellar floor below finished grade
is
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 CONTRACTOR APPLIES FOR BUILDING PERMIT
P1i G I`L �jl,44 r✓ , as Owner of the subject property
herebyauthorize t l(j Ft/ • - /c/ to act on
m e f, in all ma ters r lative to work authorized by this building permit application.
l/ «
_ _ v}
Signatur of Owner Date
}�L I , L i
' (/`) oyl .ci',€ r /` , as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application art true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
jti Al (Sh t FTl/e /t
Print Name 4 r `/'' 3- 0g-
Signature of Owner/Age /Z&/,- -
Date
SECTION 8 - CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not .Apoi:cable 0
Name of License Holder: Nelson Shifflett 060300
Valley Home Improvement, Inc. License Number
340 Riverside Drive 9/02
Address Expiration Date
Northampton, MA 01060
Signature Telephone
Araw/ 584-7522
• Not Applicable 0
Valley Home Improvement, Inc. 105543
Company Name Registration Number
340 Riverside Drive 7/17/02
Address Expiration Date
Northapton, MA 01060 Telephone 584-7522
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. =allure 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 Owner-occupied Dwellings of one(I) 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 780, 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 om 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 nnotatcd, 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 Massachusett General Laws Annotated.
Homeowner Signature
o--iN.
t+ f p1.
;� � 4�Ii14 QII of Nzn f mpthri 1 ^ m-Y
� j B Alasaacllnsetts =_� `
_ ��__
DEPARTMENT OP BUILDING INSPE IONS ==rf
212 Main Street ' Municipal Bui ding 'any= •s'
Northampton, Mass. 01060 r',
WORKER'S COMPENSATION INSURAN AFFIDAVIT
ll I, Nelson A. $hifflett / Valley Home Improvement, Inc.
(licensee/permittee)
with a principal place of business/residence at:
340 Riverside Drive, Northampton, MA 01060 (phone#) (413) 584-7522
(sL !/city/stat izip)
do hereby certify, under the pains and penalties of perjury, that
(O I am an employer providing the following workers compensation coverage for my
employees working on this job:
American Int'l Companies CQ06254374Ql 2/1/03__
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compens2tion policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Comnany/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyiPolicy Number (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifneoeasary to include information pertaining to all contractors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homeowners who ernplay person to do rrairr!r*r,.er Oa or repair work on a dwelling of
not more than three units in which the homeowner resides or on the grounds appurtenant thereto are cot generally coetideted to be
employers under the worms comae-tsxtion Act(GL152,ss l(5)),application by a homeowocr f a liaise cc permit may evidence the
legal etatua of an employer under the Workers Compensation Act
I understand that a copy of this statcenmt may be forwarded to the Departmmj of Industrial +Leaden&Offsoo of insurance for the
coverage verification and that failure to secure coverage uncles section 25A of MGL 152 can 1 to the imposition of criminal penalties
comisting of a fine of up to S 1,500.00 andkor imprisonment of up to one year and civil peralti in the form of a Stop Work Order and a
fine of S 100.00 a day against me.
Signed this day of 42 ()eat- For use only
Permit umber
'-n -V � f : '�,-, Map4 Lot 4
C 't
em , , , , ,
H
.
II
1 CONCRETE FLOOR GAS/VENTS
II
I I I
ISLAND . A.C. POOL HEATER
II \
i
II .
I i 4"STEP
1 1 GAS UNIT HEATER .
1 1 - -\ .
.
00 ° D
GoI °
I
UPQ
-
I _
--- TILE HERE LIEBERMAN EXISTING
il ,
.- CONDITIONS
O,
SCALE 3/16
TILE -MECHANICALS
i
111111 II , _ I..Illill I
v
HARDWOOD FLOOR �I
UP THROUGHOUT 11 `
1 -N
I I (---
.,
, I
I,L . ' -� `� y - I .
r N
TE r
ELECT METER
1
Aorp.c‘
iw
i Ii \i...,-
I 111����:�1�I 1
II ��� I I 1
II
I, I I GAS/VENTS '
1 CONCRETE FLOOR • ', I I I
II I I II I O FUTURE DOOR A.C. POOL HEATER
I I I
II 1 l38"CORNER LAZY SUSAN
II 1 4-
I
VENT I
I I UNDER CAB.LIGHTS l 3'O"MIN i
II I
_ I I MICRO 0 \ 1 1 -\ iWIRE SHELVING BY CREATIVE
I I I
W24 118"RECYCLE .... PLUMBING VENT _ _I
SHELF AND ROD SPACE `
`" z/WINDOW SEAT DETAIL TO ' OIO I 15"DRAWER BASE / ;
FOLLOW
Ig.�3/8" 9 0. RELOCATE GAS
GAS RANGE ...
10"GRANITE SERVING SHELF ! UNIT HEATER B
' I /I \ OVER 8"WALL MUDROOM VENT THROUGH
y 112"TRAY BASE CHASE IN
� I MUDROOM
t l .
W42 130"PAN DRAWRECERS
rsy0 I SE .�I NEW FIRE DOOR FIRE CODE S.ROCK
\ I 3.0 —1 1- /4"MASONRY ,
OP N SHELVES\1 24"� RAIL u F OOROP AT N
N
BASE CAB WINE RACK I 1 N
'O I I INFILL HARDWOOD AND 3 2
K.,_,_
REFINISH \
GRANITE TOPS/ N / - - - - TILE FLOOR LIEBERMAN KITCHEN
/ or .. ,. CABINET DETAIL TO FOLLOW /INTERIOR REMODEL N
1-"7 ( 4%iI "BUILT IN"REFER. Ul
OPEN SHELVES 1 I N
Id Z SOFFIT ABOVE Q 2 I SCALE 3/18 N
GRANITE TOP L--, 1 UP--
J I9 I F I
�� MECHANICALS
\ u"BASE CABS. ALARM P . • \ � I
` RELOCATION 4+'
S, BY OTHERS NEW NO WORK HERE
N TILE .---V—
N COLD AIR I
N RETURN FLOOR
UP ' )1 1
. RELOCATE LAV. NEW FAUCET I I .
N II
Q II
HARDWOOD FLOOR I I
_UP_ THRJUGHOUT II
r 1
_ 1
. I (1-
` --- te s
1 1
ELECT METER
�,/, , / //1 i . L i , i i i i i /
rr/ r ,,rr
dv=___,Ae/
1
0
J
rlp
` vinyl floor MSTR.BEDROOM
\
h____L__'' ' ' " ' ' > 01114A 0 0 1 .
-
\
Nj
O \
SHELVES L..
---- BEDROOM#1 vinyl floor -----A
C
el \
+- „._
L4 -- _.------N\\ .,
♦ Cv�ECHANICALS
f-i--iNv♦ vvv
�u
♦ MUSIC ROOM
♦
♦ I
♦ It
,, L \\A UP/
\ \\\
y V A
♦ , / \�\\1 \
/ UP
BEDROOM 112
__UP
,j j
s
BEDROOM#3 \
LIEBERMAN 2ND FLOOR \
EXISTING CONDITIONS \
♦ SCALE 3/16 `
\
•
•
i i r / / / r r r /,` / r/ r/ l / /// // / //l/ ////// / / / / // / / /// / /// / //i l////P77__f
•
Z____F=R\ fil ;;; '
N 0 I=
.
FUTURE DOOR
a
NEW
\ TILE MSTR.BEDROOM •
FLOOR \
•
NEW CHERRY FLOOR N
1
�� 1 " CLEAR GLASS DOOR �0 •
II - -
- . ,
42 X 48 TILE SHOWER
0
SHELVES
I
BEDROOM#1 NEW TOP AND FAUCET NEW
10 TILE \ ti
FLOOR °
INFILL IRONING BD. 1
L.
jrOAK FLOOR LL � 1
NEW BIFOLD DOORS
1 ", N
L_ r 4I I-
•
ECIANIC�ALS
I/ I -,,
MUSIC ROOM
•
L I BUILT IN CABINETS AND
t 1\ ,,""t/
WINDOW DETAIL TO FOLLOW
N\ \.7' if UP -4> -
-j
UP •
/ V / •
d / •
y /
\ / \
7UPS •
BEDROOM#2 -UP�r OAK FLOOR •
1 •
OAK FLOOR BEDROOM#3
(------t
LIEBERMAN 2ND FLOOR
REMODEL •
SCALE 3/16 .
BUILDING DEPARTMENT
NORTHA►MP T ON, MA
Those documents shall be kept on file at the site of
work and shallboopentothe Inspector of Buildings.
Any changes made to tho drawings of the
construction,must have written approval of the
Inspector of Buildings.Plans st conform to Ma
State Building code.
Inspector of Buildings