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17A-172 (3)
motion light new block foundation and concrete floor under mudroom \ \shelves coats WP new roofing and cellulose insulation - — - - -� seperate zone fhVY, heat bench vct flooring throughout cut back asphalt min. 2' verify on site. step level floor with kitchen an install vct flooring only _step cabinet/ mirror above — ' g y bench more cubbies UP utility ag G®SNELL / CR®TEAU GARAGE CONVERSION 'mss L IL 2�r►PG . lSTI � � ,��A7oi' ,. sv 8J;..L-.i C motion light new block .foundation and concrete floor under mudroom O \\shelves coats WP \ c new roofing and cellulose insulation JC-i lil al4 L.il l\, II IMY heat♦ co) bench vct flooring throughout cut back asphalt min. Z' verify on site. ��step _ level floor with kitchen an install vct flooring only step cabinet/ mirror above ' bench more cubbies Q T I UP utility f - G®S ELL / CR®TEAU GARAGE CONVERSION ; l v k l t� e ' f F x J' t_ +� r IAU A� i S ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRliCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address: Applicant Address: City/Town: Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2.1b): Heating Degree Days(HDD65)from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing% (100 x b_a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE ❑ Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and N_V4C Trade-Off Worksheet, if applicable; ❑ -VAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating Svstem Evaluation Attach Home Energy Rating Certificate(HERS ratin score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: ��rl Wall+Ceiling Area 7-5) sq.ft. b. Glazing Area',39• 7)�sq.ft. c.Glazing%(100 x b=a) S % ITION with Glazing % (c.) up to 40%may use 780 C.MR Table J1.1.2.3.1 below: MA.EMUM U-value WNLMUM R-Values Fenestration' Ceilin ' Wall Floor Basement Wall Slab Perimeter,Depth 0.39' R-37 I R-13 R-19 R-10 R-10,4 ft 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) -NOTE-- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED q TO: APPLIED MORTGAGE SERVICtS CORPORATION .& LAWYERS TITLE INSURANCE CORPORATION TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # -NOTE- SURVEYOR::%Adk7-- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY Kil 'o. Of RAN E. IZER -4 #35032 SURY -MORTGAGE LOAN INSPECTION PLAT- NORTHAMPTON, MASSACHUSETTS . PREPARED FOR DONALD G. BERTRAND, DEBRA B. 0,LEARY & DOROTHY L. •LUdEY SCALE: 1 "=301 . ' .JANUARY .17 , 2003 HAROLD L. EATON AND ASSOCIATES, INC. • REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL` STREET_;'" HADLEY - MASSACHUSETT! s o4'tttAMPlo ���-\ B �asst:riTnsctfrs {o DEPARTMENT OF BUILDING I.NSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Massa 01060 ' WORKER'S COMPENSATION ViSURANCE AFFIDAVIT I, Nelson Shifflett - Valley. Home Improvement Inc. with a principal place of business/residence at: 340 Riverside Drive, Northampton,MA 01060 (phone#) 584-7522 (stmt/city/s.af"J-rin) do hereby certify, under the pains and penalties of perjury, that: (,'� I am an employer providing the following worker's compensation coverage for my employees working on this job: A.I.M. Mutual Ins. Co. WMZ8005610 01 2008 2/1/09 (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) (Insuran=Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compauy/Poticy Number) (Expiration Date) (Nacre of Contractor) (Insurance-Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml sheet if neoczary to nwhtdo mBor nation pett xuang to aII ocrtnctora) ( ) 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 vAWa hom town=who employ pasoat to do maintenance,consuuctioo or repair work on a dwelling of not moca than throe units in which the homeowner resides or oa tba gmuads appurtanant thade,are not geoeralhy 000sidered to be employers under the worlceez ration Act(GL152,ss 1(5)),application by a homcowncr for a license or permit may evidence the legil status of an maployer under the Worltoet Companation Act I undo st:md that a copy of this uatemeat may bo forwarded to the DexQn wwad oflndzishial Accidard Ohrroa of ln%uanco for tba coverage verification and that failure to secure coverago under section 25A of MGL 152 can lead to the imposition of mminai penalties consisting of a fine of up to S 1,500.00 andlor imprisotunent of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. Signed this day Of !M do ad For dgxrtm uw use only /y) Permit Number // Map* Lot A- ^ ~ ° - ' w FS .1 Licensed ConstrUction SuDervisor: Valley Home Improvement, Inc. Lim-ise Number 9, R�i�re�gdHo:m:�m&rovementC�ont��ctor� N-3t Applicable El Valley Home 1 105543 340 Rjversidita�� Address Expiration Dat�, Northampton, MA 01060 584-7522 SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6)) V,lorkers Compensation InSUrance affidavit must be completed and subt-nitted with this application. FZ-Iftire to provid--,�., this affidavit _v,i-11 result in the dental of the issuance of the building permit. ^ Thc current exerrip|ioofor'hnmeownos" was exteridedminclude [one(l) or two(2) fiallli|ir,-�s m�m���xud,hom�o�n�xtovu8ugoun�dk'Nuo lb,h�r who Ju:xnu posa�xa6conxo as sul)ervisu.CNIR 780 Sixth Edition Section 108.3.5.1, I)efinition of Homeowner Person (s)%vlio own a parcel ofland(it) which lic"'she resides or intencts to reside,oil which there is,or (s intended \v be, a one co two family dwelling attached ordmuchcJx/ruum*saxc*xou,y(nyoohuso and/orfarui stri.WtUres. A person Nvlio constructs )1101.e thall One 110111C irl a 61,0-vej1E noi sucli"llonleolvner-sliall Submit it)the Buildirio Official,oil a Corm acceptable to the Buildin- OfficiJ,thqt Jle/sbe sluill be As acting �m/,�exmccuudujobsiuvU|bomqvimd6n/nhmcto/in�, Umian �o n� on completion uf the work for which this � Also bcudvised\hx/vidh reference |nChapter 152 (\Yurkco' Cvmp000Vion) mid Chapter 153 (ii:biU/yofEmp{oyemm Do1PIoVcmf()I-injuricl,not resulting ill Death) n the K4uouchuettS General Laws Annmmod. vou may be liable foryosnn(s) you hire(o perOunn work [brynu Under this permit. The Lit]dcmiL,tied ^homc^wocr'ccniOm and uoumcx nspnoxihUi4/for compliance nitbt6c Su(c Building Code, City of Northampton 0rdioanccs, State and Luca| loniuoLuns and State nf0x000kos:ncGcncm| Laws &nxo/mnd. Romoom,r,8igonhlrc_____� _ WE(_QN S-DESCRIPT11ON1 OF PROPOSED WORK(cherk all %pp ig- L N c vv 1-1 o tv�e D Addition 0 Replacement Windows, Afte,atlon(s) RoaNnIq Co Or Doors Lj njolij AcceFsory Bld& C073EDemolitiDnO New Sips 'L Decks Sidivg Other Bri(.f c! Prq',o�;(�d Wotk� 6)"vi/n-f —4110011 brfv'vwr� Aherubon of exis,�mp roo;'n _,Yes Y613 NO Plans Machcd RoH hQuo 6s. 1UPIRN houla AM oe�addjfionjo edsthig, hdtisid comrActo theJOU010g: a. Use of bulldmg Ona Family Ij, Numoerol rcoms in each Mily umt_- c, Is thares gampe d. Ffw'.')4�"d humv Famage 01 new constructton. ---------- L I r n I' r I e s? !4ctho-j Fi.-,�Qms or Wmdatams.........Numin; of each F, F.�,-:e r gy C on,E e r v p cn C o r pi i a %Iascheck. E-nergy G:,,mpN`nm--e lori-n attached? of ocnsiructi(- L cantrucuen wimbi 10D ft, --Yes No. Is ('01-1structon WaNn 100 p% Humplairl or celf,,�r floor f)e1ov, !ini0ed gfade A1�z"h 6"�1 (2 k� V611 bwldrrte,confomi to the Budding and Ming reqdation'-;? Yen No , I. Septic lank_ Coy Sewer xy-"-� Pf lvate %vq��l Cit� vqiter SECKON M -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ................. as Owner d the subject pmpeoy Nelson Shiffle pj�o. pment,_,_Inc.._ a-f:f on >v U n v bm i�I" j;t a ql r-,Iat te I S -A t Ive kUVI Cg L.Vhfa�Kled, by I hi s bu 0 d i rip ve i i i��it a opka 6(wxl S 45W ! - re oi Owmer Date hereby declatc that thiv staturtrent- mid ir&,�fr-mAiom on thd fon��xlivi� knewledgo and bdliK a;jplicaticn Ivue ,.irtd to the [>�sl, (;I w� Signed under the pmns wd pamlUes of tacdul. Nelson,Shitflatt- PAA Nam:! Dn k! 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 Frontage c1 C (ye L Setbacks Front Side L: Jd R: 1:) L: / R: Rear Building Height 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 for/on the site? NO L/ DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO &111 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 J 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 intended for the property ?YES — No IF YES, describe size, type and location: 1L) r 2008 i t;U Piepartrpept use only , } City of Northampton Status or feimtt � 1 , Building Department Curb Wu Q`4ve a�Perm,i h i Y 212 Main Street Sdwer/Se0tJc Availabiiity4 Room 100 VY aterlVJel!Ava►lab�lity g t W Northampton, MA 01060 Twro Sets of Structural Plans a � phone 413-587.1240 Fax 413.587.1272 Other Si�eCl �� }wX$���'��,�x�. � m ry iJ ti✓` 4��*� r �� i � APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OFD T .Q AMIlL;Y AidNG s AU, G — 7 2;'08 SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be niplete'd by! f* � r -30 /klil F S <S1 Map I:ot Unit Zone Overlay District Elm St.District GB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: L G40 1674 r& 6141. ry hr,-' Name(P ' 1 Current Mailing f�ddres LL- Telephone S tune 2.2 Authorized Agent: Nelson Shifflett Valley Home Improvement, Inc , F.O. Box 60627, Florence �MA 01062 Name(P int) r Current Mailing Address: 584-7522 Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars)to be Official Use only completed by ermit applicant 1. Building (a) Building Permit Fee i GEC 2. Electrical (b) Estimated Total Cost of $� Z'CC> Construction from 6 3 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection e. Total =(1 + 2 + 3 +4 + 5) ; tic?.! Check Number `( ` t c. Li 0, (J- This Section For Official Use Only Building Permit Number: Date Issued: _ Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0142 APPLICANT/CONTACT PERSON Valley Home Improvement,Inc ADDRESS/PHONE P O Box 60627 FLORENCE (413) 584-7522 PROPERTY LOCATION 30 HOWES ST MAP 17A PARCEL 172 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Aiuildiniz Permit Filled out 1 ee Paid Typeof Construction: Convert garage to mudroom,bath and laundry New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON RATION PRESENTED: Approved 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 Demolition Delay Signature of Building 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 30 HOWES ST BP-2009-0142 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block: 17A- 172 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Perrmt: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0142 Project# JS-4 009-000181 Est. Cost: $35000.00 Fee: $210.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group_ Valley Home Improvement, Inc Lot Size(sy. fl.): 7623_00. Owner: GOSNELL JONATHAN K& TUT RB Applicant: Valley Home Improvement. •.nc .,'T. JV i U`yy C: :: i Applicant Address: Phone: Insurance: P O Box 60627 (413) 584-7522 FLORENCEMA01062 ISSUED ON.811112008 0:00:00 TO PERFORM THE FOLLOWING WORK.-Convert garage to mudroom, bath and laundry POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: K _ Service: Meter: Footings: ' Rough: - a4_Q a Rough:Y/jS-x de House# Foundation: /<-3 Urivcway Fin:.i: a Final:I, `- f °' ���t t ,Final: !�! "�� "© 94q/,t g Rough Fra.m: l CP<-NDtk5 GAs RoL.SU) Gas: Fire Department Fireplace/Chimney: Pon 11: Oil: � Insulation: Final: { V`Smoke. Final: or �J �✓� / �� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occutlano Si nature: FeeTyRt:_ Date Paid: Amount: Building 8/11/2008 0:00:00 $210.0024499 212 Maid Street,Phon (413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo