23B-074 (4) LLI
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DhLL LEGI=ND
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FLOOR PLAN NOTPS• y ---
-ROOM DIVIClc INDICATOR w
XISTING DIE EXTERIOR WALL
I. . ALL EXTERIOR DIMENSIONS ARE TO THE MAIN _
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EXTERIOR LAYER. DIMENSIONS TO OPENINGS — TINC 2x4E TERIOR WALL
ARE TO THE FRAMING,ROUGH OPENING. -EXSTINbDc41NTcRIORif2YNLLuJCAP W
INTERIOR DIMENSIONS ARE TO THE FINISHED j j -E�ST NG 2 t PLVMaING WALLu nL'c W }co
YJALL. / I
2.CONTRACTOR SHALL VERIFY ALL DIMENSIONS ��' -Exlerrr,2w INTERIOR YVALL N
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AND 15 RESPONSIBLE FOP.ALL DIMENSIONS
(INCLUDING ROUGH OPENINGS). !! $� —� _-NEKN6 EXTERIOR rwLL 0 0
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-NEa,424 EXTERIOR YIALL
M15G NOTE5: 8'3" ch
-NEW 2a4 INTERIOR 112 WALL
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KITCHEN -14EN 2c4 INTERIOR YYALL
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G EXISTING RENDERING
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- - -- -ROOM DIVIEC INDI6ATOR W
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FLOOR PLAN NOTES: NE%�I FILL I EI/6H T LINEN 5Tv �Gc E.T— E:15TIi�G �Y�LL C,�E9�im T 5 T O r� ,TRIOR�� co
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1. ALL EXTERIOR DIMENSIONS ARE TO THE MAIN �' -E%IST NG 7x4 E PRIOR NL LL
EXTERIOR LAYER. DIMENSIONS TO OPENINGS REMAIN,}�' � � ( I i/ ,�
ARE TO THE FRAMING,ROUGH OPENING. � _ -�;nrc-7x41NT'cR1oR 117 WALL�cAP w C6
le° �l'1P�' ' � T���L�L ,�f�1{�G I��• a �L " .p -EXISTINC-7x4PLUMBINGWALLuYTLE
INTERIOR DIMENSIONS ARE TO THE FINISHED ,d�a e v I Gf``55 T.. MATCH �� w }
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NTF F - °1 -F.•'IBT1NG 2.4 INTERIOR WALL
2.CONTRACTOR SHALL VERIFY ALL DIMENSIONS J w
AND 15 RESPONSIBLE FOR ALL DIMENSIONS wnLL . p
EXTE IOP 1^W1.L
(INCLUDING ROUGH OPENINGS): ® -NEW"4
_NEW 2.4 INTERIOR Ir 2 WALL
M15G NOTES:
1
.-NEW 7x4 PLUMBIN&WALL
_NEW?x4 INTEROR WN.I'REFIN15HED FLOOR
I ` I NG ROOK - -.E._-.� -51 CONC.FOUNDATION WALL uJ FOOTING Q.
FOR _I ! ,
MEN, AND LAUNDr`�
INSTALL Nf i
E! --, I Z
;. KITCHEN of NorthamPton
ANDE.R50N N1ND0kN, C#ty De artment �
SIZE TED i I
`r Building P 0. V
Plan Review
I 212 Main StrO8t
A , X0;1�' Northampton, MA
ROOM
f j 3'-111/16"
uj
ROOM W
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PROPOSED FLOOR PLAN - FLOOR 1
LIVING
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PROP05ED RENDERING .�
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y PROPOSED RENDERING FORILLUSTRATIONONLY N05GALE m lL
FOR ILLUSTRATION ONLY NO SCALE
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Suoe visor: \\__ r Not Applicable ❑
Name of License Holder: ,Ve-\ 6n sw\�"S I D d,2-co
Vakle� �,,M�,,e,M�n � License Number
?.c) _ W0. ON O b2 9[2?-116
Address Expiration Date
Signature Telephone
9.Re istered Home Im r ement Contractor: Not Applicable ❑
a1, M1C_ 10 ssu3
Company Nwfn a Registration Number
_Qb .� Qoub � , �--Yuen&-, VAL),- 0102 -1 ) 1-11 1;,o
Address Expiration Date
TelephoneAk2b-��RRtt��E l,Cozz
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. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... X No...... ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) 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 from 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 Annotated,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 Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[0] Other
Brief Description of Proposed //�� .11 �/
Work: W" Wit,
Alteration of existing bedroom Yes o Adding new bedroom Yes 41--No
Attached Narrative Renovating unfinished basement Yes _i No
Plans Attached Roll Sheet/
6a.If New house and or addition to existinq housing, complete the following:
a. Use of building :One Family Two 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. Dimensions
e. Number of stories?
f. Method of heating? A Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
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
I,&Pp Yl �" y)lC�� �L�J�`�� ,as Owner of the subject
property rrrr
hereby auth e Nw cS�fL��s� «4 + �,� �� �om�c�Y►1�fOJe?fY14Y �Z�C-
to act on y behalf,in all matters relative to work autho ' ed by this building permit application.
'—ZL44cl
ignature of Owner Date
1 V Q�,U� c�DrY�C �icr� nrl�,rv� ,'CRC_ as Owner/Authorized
Agent hereby declare that the statements and-information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
_ Ne,`son
Print Name
Signature of Owner/Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side U R: L _ R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parkin k)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0— DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO a
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton Status of Permit:
uilding Department Curb Cut/DrivewayPennit
D212 Main Street Sewer/Septic Availability
1 Ufa � a 24t� ROOM 100 Water/Well Availability,
�! hampton, MA 01060 Two Sets of Structural Plans
plumbing& t13- 87-1240 Fax 413-587-1272 Plot/Site Plans
Etectri Northampton Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION ��`1` �if/j RAJ AWe
This section to be completed by office
1.1 Prouerty Address:
S? <--1�= l �" Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name( 'nt) Current Mailing Ad r s
i ; , Telephone
Signature
2.2 Authorized Aaent: Nc\son
\10L�k'f�' i \�e'x 9"z).90(Z3"- (Co ba):) rtcc kc, Ok 0(02
Name(Print Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building �A ✓ (a)Building Permit Fee
2. Electrical 1 (/U (b)Estimated Total Cost of
o �b • Construction from 6
3. Plumbing 3 S-o; Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
6. Total=(1 +2+3+4+5) �a 6° Check Number ��
This Section For Official:Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-1113
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522
PROPERTY LOCATION 88 SOUTH MAIN ST
MAP 23B PARCEL 074 001 ZONE URB(100)
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Tvneof Construction: REMODEL KITCHEN&INSTALL NEW WINDOW
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
Demoliti elay
ture of 6uildIF117 ng 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.
88 SOUTH MAIN ST BP-2015-1113
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-074 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-1113
Project# JS-2015-002104
Est. Cost: $35000.00
Fee: $210.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 060300
Lot Size(sq. ft.): 18643.68 Owner: DOSTAL STEPHEN C&DIANE O
Zoning_URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT. 88 SOUTH MAIN ST
Applicant Address: Phone: Insurance:
P O BOX 60627 (413)584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.511812015 0:00:00
TO PERFORM THE FOLLOWING WORK.-REMODEL KITCHEN & INSTALL NEW WINDOW
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: 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 5/18/2015 0:00:00 $210.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner