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AUDIO NOTES:
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RELEVANT INSTALLERS TO VERIFY THE EXACT
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1.ALL APPLIANCES&UTILITIES TO HAVE DEDICATED
CIRCUITS PER NATIONAL ELECTRIC CODE F7 I— >1
STANDARDS. SEE MFG'S SPECS FOR OTHER
REQUIREMENTS
Z: CL 2.ELECTRICAL RECEPTACLES IN BATHROOMS,
2 KITCHENS AND GARAGES SHALL BE G.F.C.I.PER
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3.SMOKE AND CO DETECTORS WILL BE PROVIDED
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6.ALL SURFACE MOUNTED FIXTURES TO BE
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1.UNO-ALL SWITCHES TO BE 45"0/6 A5F. OUTLETS X
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COUNTERTOPS TO BE 3"ABOVE COUNTER FROM v'\/ Duplex
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Valley Home Improvement, In C 393 Riverside Drive Florence, SCALE:SEE VIEW SHEET NUMBER
340 Riverside Drive, PO Box 60627, Northampton, M,4 01062 Ma 01062 CABINET QETDETAILS DATE:9/25/2015
Office Phone 413.584.7522 Fax 413.585.0820 Joyce Vann DRAWN BY:S.G. 3
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Valley Home Improvement, In C 393 Riverside Drive Florence, SCALE:SEE VIEW SHEET NUMBER
340 Riverside Drive, PO Box 60627, Northampton, M,4 01062 Ma 01062 CABINET QETDETAILS DATE:9/25/2015
Office Phone 413.584.7522 Fax 413.585.0820 Joyce Vann DRAWN BY:S.G. 3
Find us on the web at: wuwMalle Homeim rovement.com
r ms pran is the proprietary won;prooucr or vaney rrome improvement,rne.t vrrp,it is oenvereo ror me umrrea arty excrosrve purpose or supporting the contract ma or vnt,ana customer agrees marine erements or tors pran snap nor oe repuoosneo or presentee in any
form for the purpose of enabling or supporting the work of competing project contractors without the permission of,and compensation paid to,MI.
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Valley Home Improvement, I n C. 393 Riverside Drive Florence, GARAGE SCALE:SEE VIEW SHEET NUMBER
340 Riverside Drive, PO Box 60621, Northampton, MA 01062 Ma 01062 DATE:9/25/2015
Office Phone 413.5841522 Fax 413.585.0820 Joyce Vann KITCHEN DRAWN BY:S.G.
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Valley Home Improvement, I n C. 393 Riverside Drive Florence, GARAGE SCALE:SEE VIEW SHEET NUMBER
340 Riverside Drive, PO Box 60621, Northampton, MA 01062 Ma 01062 DATE:9/25/2015
Office Phone 413.5841522 Fax 413.585.0820 Joyce Vann KITCHEN DRAWN BY:S.G.
Find us on the web at: u>t,w,v
.Yalle Homelm rovement.com
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FOR REF. ONLY
r City of Northampton o
' Building Department
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212 Main Street Q
Northampton, MA 01060 Z
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o TH15 PLAN SET,COMBINED WITH THE BUILDING CONTRACT,PROVIDES BUILDING DETAILS FOR THE RENOVATION OWNER: Joyce Vann INDEX OF DRAWINGS �LJ p O
PROJECT. THE LEAD CARPENTER SHALL VERIFY THAT SITE CONDITIONS,AND DIMENSIONS ARE CON51STENT WITH TITLE SHEET } Z x
THESE PLANS BEFORE STARTING WORK.W PROJECT SUMMARY 1 ORK NOT SPECIFICALLY DETAILED SHALL 8£CONSTRUCTED TO THE SAME PROJECT 393 Riverside Drive y N
EXI5TIN6 GONDTIONS 2
QUALITY AS 51MILAR WORK THAT 15 DETAILED.ALL WORK SHALL BE DONE IN ACCORDANCE WITH INTERNATIONAL ADDRE55: Florence,Ma MAIN FLOOR PLAN 5 L t6
BUILDING AND LOCAL CODES.
� ELECTRICAL PLAN 4
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eyBLDv F£R�17:NRITTEN DIMEN51ON5 AND SPECIFIC NOTES SHALL TAKE PRECEDENCE OVER SCALED DIMENSION5 AND GENERAL ry 46 •^'"� ^ NOTES.THE SALE PER50N/DESIGNER SHALL BE CONSULTED FOR CLARIFICATION IF SITE CONDITIONS ARE DESIGNER:IL.te _ E
Q i ENCOUNTERED THAT ARE DIFFERENT THAN 5HOINN,IF DI5GREPANGIE5 AR FOUND IN THE PLANS OR NOTES,OR IF A
QUESTION ARISES OVER THE INTENT OF THE PLANS OR NOTES.CARPENTER OR SUB-CONTRACTOR SHALL VERIFY AND li 62
! 15 RESPONSIBLE FOR ALL DIMENSIONS(INCLUDING ROUGH OPENINGS).
o ALL TRADES 5HAI.L MAIN7,.dN A GLEAN WORK SIT E A7 THE END OF EACH WORK DAY.
o PLEASE SEE ADDITIONAL NOTES GALLED OUT ON OTHER SHEETS.
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NaMe (Business/Organization/Individual):'la C ,t �< s�'�• ' �Irlrl In
Address: `
City/State/Zip: C`�� �C �� ` h e #:
ire you an employer? Check the approprts-te box: 'Type of project(required): i
1. I am a employer-with 4• ® 1 alga a general contactor and 1
employees (full andlorpart-tirl,e).°
have hired the sub-contractors o'. ® New construction
2.E1 I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling
ship and have no employees These sub-contractors have g• ® Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.
9. Q Building addition
r equLe�.r .] J. y vile are a cori oradon and Its I Lj -1, ut aacal.ic;pataa c-z cUtJILL 011S
3.® I am a homeowner doing all work officers have exercised their 11.®Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] f c. 152, §1(4), and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
fi Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I cane an employer that is providing workers'compensation ins arance for my etraployees. Below is the policy and joh site
btformation.
Insurance Company Name: oi �',��
Policy#or Self--ins. Lic.#: 0Q'; 0602- 1, Exoiratlon Date: a
Jon Site Address:_ �W-f �d�' t)f• 1v lam, cily/s.tate/zipBbow, � 0106Z,
Attach a coley of the workers' compensation policy declar2don page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage vprif cation.
I do hereby cerdI rA the pains card penaitae�', perju that the information provided above is true and correct
` lay 11 s
Signature: ��lx f'lifl�/�� t°t.df' �/ -�� Date
Phone#:
Qn i'aci:
Giiy of flortha.mpion 212 Main Street, Northampton, M.A 01060
Solid haste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 1 i 1, S 150A.
Address of the work: 3 9?J �j e,Y-5 At
The debris will be transported by: # —
The debris will be received by: � � VO C
Building permit number:
Name of Permit Applicant
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Date Signature of Permit Applicant
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor`: `�, Not Applicable 13 Name of License Holder: �( 41�1 i�l(�(� )0(� DG
License Number
O Eck« rx, Sk— j �l-1 f
`7 Vick 0100 �3 2c� '�`
Address Expiration Date
Signature lephone
9.Registered Home Improvement Contractor: Not Applicable ❑
Company Name) Registration Number
Address �1I 1 Expiration Date
Telephone
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....... ❑ No...... ❑ .
11. - Home Owner Exem>��g�m
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§uperyisor.CTt R 790, rSizth )edition Section 109.3.5.1.
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 ARth 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 Alterations) Roofing
Or Doors E3
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[0] Other[O]
Brief Dc(iption of Propo�ed
Work: Nile 0r
tj
Alteration of existing bedroom Yes— )(—No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes _ No
Plans Attached Roll -Sheetyr
b
Ba. If New house and or addition to existing 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? 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.
1. Septic Tank. City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
���(f \VCknr- ) as Owner of the subject
property
hereby authorize `
to act on my behalf, in all matters lative fo work authorizeN by this building permit application.
Signature of Owner Date
_�Det` +bloi,!tt as Owner/Authorized
Agent hereby declare that the st4tements an ormation on the foregoing application are true and accurate,to the best of my knowledge
and belief.
1 \t(1:'`[ -il itct .I lr.V_t[1� t �I•�ItI�C rJT!'I eri Ir
Print fume
Signature of Own er/Agent Date —�
Section 4. ZONING Alt 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 L: R: L: _ R: .
Rear f
Ov
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 DONT KNOW 0 YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW ( YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES
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 o NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O 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
*has will A i—irFt over 1 acre? YES ( 1 i l0 1
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
RECEl f Northampton Status of Permit:
ng Department Curb Cut/Driveway Permit
��'� Main Street Sewer/Septic Availability Room 100 Water/Well Availability OEPrOFBUILpIpton, MA 01060 Two Sets of Structural Plans
NOR7NAMPr1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELL
SECTION 1-SITE INFORMATION
This section to be completed by office
1.1 Property Address:
Dy-i� Map Lot Unit
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTiMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
complete by ermit applicant
1. Building /��� (a)Building Permit Fee
2. Electrical t (b)Estimated Total Cost of
Construction from(6
3. Plumbing 1 6 Oo Building Permit Fee
4. Mechanical(HVAC) $tea
5. Fire Protection rl
6. Total=(1 +2+3+4+5) it r p Check Number '
This Section For Official Use Only
Building Pernnit Number: Issued:
.�iJr,ar:tr�.
Building Commissioner/Inspector of Buifdings Date
File#BP-2016-0536
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522
PROPERTY LOCATION 393 RIVERSIDE DR
MAP 30A PARCEL 022 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT 1----7 92:�
Fee Paid 70
Building Permit Filled out
Fee Paid
Typeof Construction: REMODEL KITCHEN&STRIP&SHINGLE GARAGE/BREEZEWAY ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 106006
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOJR<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
D olition Delay
Sig re of uiWkF0ffiial 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.
393 RIVERSIDE DR BP-2016-0536
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30A-022 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-2016-0536
Project# JS-2016-000892
Est.Cost: $41205.00
Fee: $267.87 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 106006
Lot Size(sq. f.): 37810.08 Owner: HUDSON RICHARD L&JOYCE VANN
Zoning:URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT. 393 RIVERSIDE DR
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON.1012012015 0:00:00
TO PERFORM THE FOLLOWING WORK.REMODEL KITCHEN & STRIP & SHINGLE
GARAGEIBREEZEWAY ROOF
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 10/20/2015 0:00:00 $267.87
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner