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23D-168 (7) Department: Reference No: BP-1999-0531 Building,Electrical & Mechanical Permits Fee Type: Receipt No: Non structural interior renovations REC-1999-001450 Paid By: Paid in Full On: Valley Home Improvement, Inc Tue Nov 24,1998 Received By: Check No: Linda Lapointe 9768 DEPARTMENT'S COPY Amount: $40.00 DEPARTMENT FILE COPY 134 MAPLEWOOD TERR CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: j/ ?-4f BP-1999-0531 $40.00 GIS U: Map Block: Lot: Address: Zoning: Use Group: Lot Size: 3324 23D 168 001 134 MAPLEWOOD TERR URB 44866.8 Contractor: License Type: Insurance: Valley Home Improvement, Inc CSL Workers Compensation Address: License No.: Insurance No.: P O Box 60627 060300 WC9660047 City: State: Zip Code: Phone: FLORENCE MA 01062 (413) 584-7522 Project No: Category of Work: Const. Class: Cost Estimate: JS-1999-1008 Non structural interior renovati $5,000.00 Description of Work: INSTALL WINDOW GeoTMS®1997 Des Lauriers&Associates, Inc. Signature: File#'BP-1999-0531 APPLICANT/CONTACT PERSON Valley Home Improvement, Inc ADDRESS/PHONE P 0 Box 60627(413)584-7522 PROPERTY LOCATION 134 MAPLEWOOD TERR MAP 23D PARCEL 168 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 91a I 7 Type of Construction: New Construction Non Structural interior renovations /77_� eGc Addition to Existing Accessory Structure Building Plans Included: Owner/Occupant Statement or License# 3 sets of Plans/Plot Plan t_Y THE JOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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 Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Co Signature o ilding 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. irii ff % ._ii ' fii NO . File No. �99 j�j il V 2 0 ;998il KEPT` ZONI G PERMIT APPLICATION (§10 . 2) t,_. NoriHkrrrroN RJR al'�F;, PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of plicant: £/f 2 J /T :7>- ,G ige-f!�C���2 s' (' , Address: 320 ,e/i /S/icc .02 yae/7/.a /Z ephone: 6 9/-75 2 Z 2. Owner of Property: rJai, / rweiie cif'% ES Address: /jff .0..—71-e G!/dDI 7if Z� Telephone: LI—Ar�5T T 5 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): /2?5/i 77/74 — /7 . ��� _ 4. Job Location: /3 V /21/f"-�e' GU 2&zS T* --/e — Parcel Id: Zoning Map# /2,P Parcel# /6y District(s): �L26- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Sio,5 4- i'1/1/7,/pry 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • ,vs fig/J kJ/� �a wD 7. Attached Plans: 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 PermitNariance/Finding ever been issued for/on the site? NO f ' DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO f_ 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 need to be obtained from the Conservation Commission? • Needs to be obtained Obtained ,date issued: _ (FORM CONTINUES ON OTHER SIDE) • r 10. Do any signs exist on the property? YES NO 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: 21. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This coaaam to be rilLed in by the Dal/ding Department Required . Existing Proposed 4 By Zoning Lot size (,J' 1Lr Frontage 9 Setbacks - frnnt w ()A )J - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # pf Parking Spaces #'rof Loading Docks Fill: 4vol-i me--& location) • -13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. • DATE: /J 17- APPLICANT'S SIGNATURE / /�'�9/- it NOTE: Issuanoe of a zoning permit does not relieve an apptt nt's burden to oomph/ with all zoning requirements and obtain all required permits from the Board of Health, Conservation __ Commission, Department of Public Works and other applicable permit granting authorities. z1��' FILE # oy g ;, a Gift! of Northampton i --Y t,�`., ) l. _€ B �et•►11" V 2 0 it ,,�+�, if�.' OV 0 jiiasearhrtartta v..troismo. _.. . 2-=_Jrf...-- y DEPARTMENT OP BUILDING INSPECTIONS • f ""r'rQf1s71gi'/'ECrj 212 Main Street • Municipal Building 40I060 /y,S Northampton, Mass. 01060 fir''��. WORKER'S COMPENSATION INSURANCE AFFIDAVIT 1, Nelson A. Shifflett / Valley Home Improvement, Inc. (Lccnsceipernvttcc) with a principal place of business/residence at: 320 Riverside Drive, Northampton, MA 01060 (phone#) (413) 584-7522 (strcct/ci ty/stalcJa p) do hereby certify, under the pains and penalties of perjury, that: QC 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 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 compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Datc) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if necessary 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 acrare that while homeowners who employ persons to do me intmaare,construction or repair work on a dwelling of not mace than three units in which the homeowner resides or on the grounds appurtenant thereto art not germ ally oowidcrod to be employes under the worker's compensation Ad(GL152t3 1(5)),application by a homeowner for a license or permit may cvidraoe the legal status of an employer under the Worker's Compensation Ad. I understand that a copy of this statcmait may be forwarded to the Deportment of Industrial Accidents'Moe of Inxuinoe for the coverage verification and that failure to ecorc coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties noasisring of a fuse of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a finer of 3100.00 a day against me. Signed this day of , 199 For dial use only .7 // ?�2, , u��'/ 4e Permit Number r !,-r'//J .r. Map# Lot# ©Valley Home Improvement, Inc. 1998 Not to be duplicated or used for any purpose without written parrs; cn of Valley Home Improvement,Inc. s ` / • 320 Riverside Dr. P.O. Box 60627 Northampton,MA 01080 j I U L J L5 Tel:413�-7522 Fwc 413-585-0820 j i juUL_NUv2o998 1 DEFT GFulo!r�c _ NORTHAMPTON MA 010060NS ,• t. . ,,., ,: . - 1 NNx / \ II ^ I II IIII • 1- • ! . " I ' ' II411 I .1T . 1 I FT III IIiIIrI11 • IT ' , iT ' IL ' I , \\ \ ...\ .\I \ \ \ , , ! \ ` \ \ \ \ \ i \ \ \ \ \ \ \ I , I ! JI ' I : I ' 1 . I \. I • I I i I i • ( i • I l I • I i I - I I N/1111fZ13 (Lk Ai DDED 7-5ivi/!Hi J.J1ii9J1 Al /D.-) / L3'/ ft)nPlt&vv£,O Tr/I, (1= PROJECT COST'4111MARY !! JjJ .11 PROJECT NAME: i NOv 2 n ;aS-+: PROJECT NO. DE J rr nit: 'Pd>w CATEGORIES PTON MA p: ,_; MATERIAL LABOR SUBS 1. Permits & Fees 4,6 2. Demolition 3. Dust Protection 4. Excavation & Backfill - Sitework 5. Footings & Walls 6.Other Masonry 7. Framing 8. Exterior Trim - Decks - Landings 9. Siding - Shutters - Trim 10.Roofing & Ventilation 'rg i 'y d so xt. Do is sc "°' ��(� o?/O 11.Wi d v�s -'g'Sk li s - cJ 12.Electric 13.Plumbing 14.HVAC 15.Insulation 16.Sheetrock 17.Floors - Hardwood &Vinyl 18.Tile -Wall & Floor 19.Cabinets &Vanities 20.Int.Trim - Stairs - Underlayment 21.Shelving - Built-ins 22.Interior Doors 23.Hardware - Shower Doors - Specialty 24.Gutters 25.Paint/Prime 26.Countertops • 27.Service/Warranty • 28.Other SUB TOTAL o.00 TAX TOTAL 0.00 0.00 0.00 PROJECT TOTAL 0.00 Revised 9/30/98 ©Valley Home Improvement, Inc. 1998 1 Not to be duplicated or used for any purpose without Witten pamnission of Valley Home Improvement.Inc. 1 320 Riverside Dr. P.O. Box 60527 Northampton,MA 01080 Tel:413-584-7522 Fax:413-585-0820 /�' L �\ \\ \ fI II l 1 . r - I . 1 , I ' ; 1 , ' 1 I , • I ! , I ' i i 1 I ; ; I I ! ; ; ; . i ; yip 1 , ' ; \\ \ } 1 , . \ \ \• � • 1 ' I 1 • \ \ \ \ N. I1 \ \ \ I - • ' \ \ • • 1 , 1 ; I ail � II � I j ; • ' 1 1 HP/l/1I3 IUTAl.oDcv /SI'iJi1H7 J,•,lii9!lAl io,J . / it/ m/Ifile ovO.O irngi7e' Al !0 it/ a 70 I3 < 7). ni to ! v tri D m .6 0 i "i o I. omit d 'ti o al, r = et, _ i Z r cat 3v, o to z 1. XI , t 1..., t7 ... r , 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5•9 ei-75 yZ Alterations %r. NORTHAMPTON, MASS. i GGTDi3 F/Z ZZ 1 g Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location /-3i/ /7 7--/w47-6 7,..4� Lot No. i 2. Owner's name Z�/// f/ ?1?'t h S Address /3V /!I/¢i�LGt" S i j�'+e 3. Builder's name, Z4-5;1 t/5,q/1:-- e p I' i1 cl'n i T,rl�/f4,Bdr sus 3ZO /4,45'j S J•C /1/'Y/4,77/14 f'z ' Mass.Construction Supervisor's License No. do0.30o Expiration Date 7/`�/D-0 4. Addition ^ /�,� 5. Alteration /9G/,d W/ti C°d4 � -_i /}-?at a 1 6. New Porch 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 14. Estimated cost- 5/2e0 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ' 1;11/4,,,,..c(//1 PM �Signature of responsible appiicont , t Remarks /964 4r f//ics GG'',n.v/"/d ttio /,'t /Gvv eiei.fY 6,6/i-J