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17C-324 44 HIGH ST BP-2016-1361 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-324 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-2016-1361 Project# JS-2016-002342 Est.Cost: $16450.00 Fee: $110.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq. ft.): 12763.08 Owner: MARTIN ANNELISE J Zoning: Applicant: VALLEY HOME IMPROVEMENT INC AT. 44 HIGH ST Applicant Address: Phone: Insurance: P O BOX 60627 (413)584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:5/19/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 10 X 15 BASEMENT BEDROOM 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 Sitmature: FeeTyne: Date Paid: Amount: Building 5/19/2016 0:00:00 $110.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2016-1361 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE01062(413)584-7522 PROPERTY LOCATION 44 HIGH ST MAP 17C PARCEL 324 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 3 Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 10 X 15 BASEMENT BEDROOM New Construction Non Structural interior renovations Addition to Existin Accessory Structure Building Plans Included: Owner/Statement or License 077279 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: Approved Additional permits required(see below) IV 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 5—ly-101 Signature of Build' g dfficial 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. Department use only - City a Northampton Status of Permit: FRE -�_.._•`:�-'gUlldi g Department Curb Cut/Driveway Permit 21 Main Street Sewer/Septic Availability l� hOOm 100 Water/Well AvailabilityNo ha pton, MA 01060 Two Sets of Structural Plans 587 1240 Fax 413-587-1272 Plot/Site Plans 144 01060 Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OINNERSHIP/AUTHORIZED AGE14T 2.1 Owner of Record: 9 +-ly Nryah C,_4 ��orerZ�t YAG. Na a Print) Current Mailin Address: LAI'k cA8- LAW Telephone Signat e 2.2 Authorized Agent: \ PO (00bLI f�torcoc.c I'Y1U Oto(g Name(Print) Current Mailing Address: ARE/ 113 -5& , e7S 22 Signature Telephone SECTICF1 r-ESTIMLA.TED CONSTRUCT10H COSTS Item Estimated Cost(Dollars)to be Of ficial Use Only completed by permit applicant 1. Building f 5 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 'i?' 3. Plurnbing ( ( r—luft ltngr Parrnit Fee i 4. Mechanical(FIvAC) 5.Fire Protection —� 6. Tatai=(1 +2+3+4+5) q Check Number 0 This Section For Official Use Only Date Building Permit Number: Issued: c E i Signature: --- --_ Building Commissioner/inspector of Buildings Cate i I 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 L: R: 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 en issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the gistry of Deeds? �+ NO l Oil-4T KN^1.°1W YES IF YES: enter °ook Page and/or Document# B. Does the site contain a brook, bo y of water or.wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been o need to be obtained from the Conservation Commission? Reeds, to be obtained � Obtained � Date Issued: C. Do any signs exist on a property? YES 0 NO IF YES, describe ze, type and location: D. Are there any p, posed charges to or additions of signs it for t! rroperty? YES NO IF YES, de ribe size, type and location: C. vvili ine C struction activity disturb(clearing,araaing cxcavaaon, br tiiling)over 1 acre or is it part of a common plan that will `isturb over i acre? YES 0 1\10 0 IF YES,tf yen a Nllor hanipton Storm Water I'Aanacement Permit from the IDPVV is required. SECTION 5-DESCRIPTION OF PROPOSED WORK check all a Ilcable) New Mouse ❑ Addition ❑ Replacement Windows Alterations) `� Roofing F7 Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs ,1131 Decks [Q Siding[0) Other[E j Brief Description of Proposed �(� r Work:_ �0 �(' t5 EtN1SHeo �CJI(��{ )c� SASIM M Alteration of existing bedroom Yes No Adding new bedroom V Yes No Attached Narrative Renovatingl unfinished basement _S, Yes No Plans Attached Roll Sheet ea.I;New house and or addition to existing housing, [camplete 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 f • t t e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Majsscheck 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 Sever Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED ! CEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING P5RMIT i property v hereby authorize i\ to act my behalf, in all matters relative to work authorized by this building pejit application. a L Signature ol Owner Date I, [� C�l1�lx" as Owner/Authorized Agent,hereby Cedare that the Staternerlts End iirlforrnation fon the fore-going_pnlication are true and acchmre rlo The hest of my knokitEedge Signed under the pains and penalties of periury. Print N-Iaar-np j L I i SECTION S-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Stt1 �il��`rVV1Ck.t"1 License Number Address Expiration Date Signa re elephone 9. Registered Borne Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephoner( 17)ID SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(FA.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 Exemutio1 The current exemption for"homeowners"was extended to include Owner-accugied I:Iwellfrrs of ane(1) or V,0(2)families and to allow such homeowner to engage an individual for hue who does not possess a license,provided that Che owner acts as supervi!s®r.CIWR.11 80, Sfy-th Edition Sectaon 08.3.5.11. 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 ho m- in 2 two-year perfdd shall not be consfdered a homeawiner. Such"homeowner"shall submit to the Building Official, on a form acceptable to the Building Official,that lie/she shall be ileo nsibie for fill`such veru performed Lvnder the bA1flding r3=et As acting Construction Supenisor 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. HGmeowner SignZtnre 9 The Conimonwealik of Massachusetts O jive of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:'Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): k i� I e n4 Q Address: '� ��``f?V`�'�G\� t �k�--�'' City/State/Zip: A- \Q,(-E CC ` h e#: Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. [_J New construction 2.❑ 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' insurance.: E] Building addition [No workers' comp. insurance comp. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself ' right of exemption per MGL Y �o workerscomp. 12.❑ Roof repairs insurance required.] # c. 152, §1(4),and we have no employees. (No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t 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 am an employer that is providing workers'compensation insurance for nay employees. Below is the policy and joh site information. Insurance Company rdarne: Policy#or Self-ins. Lic.#: 00 0 J<=' 1` � Expiration Date: 17 Job Site Address: City/State/Zip: '�t�Y�XI(,� �� 0l0 6Z_ Attach a copy of the wormers' compensation policy declaradojn page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MG� 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 i%v ORK ORDER and a fine of up to $250.00 a day against the violator. Be advised tl~at a coo of this statement may be-0170:aided to the Office of Investigations of the DIA for insurance coverage v rification. I do hereby certify t the pains a;d penaltie, , perjury that the information provided above is true and correct Si ature: + v ---�� Date: Phone#: vs— 0frr+l?„sA only. Dia notW T't?in this aaa'_.a,, to be comp.let;,d bV cite or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 5. Other Contact Perste: Phone#: I City of Nlortha npton 212 Main Street, Northampton, 01060 Solid 'Waste Nsposal Afndavit 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 1, S 150A. Address of the work: LAI-\ The debris will be transported by: The debris will be received by: \ & ' + ' . Building permit number: Nam, e of Permit Applicant Date Signature of Permit Applicant NOTES. l - I ALL EX =RIO,?.DIMENSIONS ARE TO THE KNIT I � - - - ! c��91G'•3,I nv.Ci ly'il.i I/-14 TG GP,�..UIU`4:a:�-J i K �.._. i ` THE FRAMING ROU(rH J CNINV IN! R10? I v' ------------- t,'TO I i n❑ I�u I D r t_L i ------------------ --- --_ / _ j �G`!T�iGTO,.-�;�:-`. T_I I !`.1 ii ' r 6 W ' I l RESPONSIBLE FOR ALL DIMENSIONS(INCLUDING ROUGH GPENING-5). - -- --- -- — -- — -- — -- � j� rn I m i --_— Z-,— -a--r• r rT - _ ,r:..,.. ;A:.. :•.. •:•:-'. ; 28.0 ; - � -. ... THE LEAD CARPENTER SHALL FULLY COMPLY WITH THE 2009 :•j ,9 -Ar -I i IRC AND ALL ADDITIONAL STATEAND LOCAL CODE 7. ---- -- -- ------ - --f- t > REQUIREMENTS. w = y ' WRITTEN DIMENSIONS ON THESE DRAWINGS SHALL HAVE PRECEDENCE OVER SCALED DIMENSIONS.THE GENERAL '• CONTRACTOR SHALL VERIFY AND IS RESPONSIBLE FOR ALL n --- - DIMENSIONS(INCLUDING ROUGH OPENINGS)AND - - - - CONDITIONS ON THE JOB AND MUST NOTIFY THIS OFFICE OF w i I,'•i�� � � � ANY VARIATIONS FROM THESE DRAWINGS. THE GENERAL CONTRACTOR IS RESPONSIBLE FOR THE ;• I 10-0 112 —` '. — - i DESIGN AND PROPER FUNCTION OF PLUMBING,HVAC AND i ! ELECTRICAL SYSTEMS.THE LEAD CARPENTER OR ' I SUBCONTRACTOR SHALL NOTIFY THE OFFICE WITH ANY I PLAN CHANGES REQUIRED FOR DESIGN AND FUNCTION OF 5HE._F Y`IITH 16LOiH noU. i PLUMBING,HVAC AND ELECTRICAL SYSTEMS. I — , 4YVOODSHELYES@EACH ENDOFCLOSET �}'� ! ' DESIGN CRITERIA: 2009 IRC AND IBC ALONG WITH STATE `s _ AND LOCALAMENOMENTS ROOF: SNOW LOAD DETERMINED BY AMENDED LR.C. �, washer ; -- 6'BfA55 SOLID GORE M CORE E CLOSET DOORS j FLOOR: 40 PSF LL. SOIL: 2,000 PSF ALLOW.SBLE(ASSUMED). , �€: 1.20 RIGID FOAM INSULATION APPLIED TO FOUNDATION NALL5 FROST DEPTH: 4'-0" ! j —a— -- FIBERGLA55 INSULATION BA TTS FOR INTERIOR PARTITIONS r diyar THIS STRUCTURE SHALL BE ADEQUATELY BRACED FOR MIND - -- -------------------- LOADS UNTIL THE ROOF,FLOOR AND WALLS HAVE BEEN PERMANENTLY FRAMED TOGETHER AND SHEAT HED. r (- <' no CARPET ON FLOOR T 1 L A'i INTERIOR FINISH NOTES: ° RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE ' 5 AND CEILING et d '� /' _— # DRYWALL ON HALL FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT BE '' ! `i ' el Q. REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE o USED FOR CONSTRUCTION. 4 I !' " Lu ,W } j L ; N, NEW PRIMED COLONIAL GA5ING ON DOORS,NINDON5 AND BASEBOARD -+ U -SEE FINISH PLANS &SCHEDULE FOR SPEC'S i atSFPETED STAIRS;ADD RISERS AND HANDRAIL--' , tl "--�� o 0 z o EXTERIOR FINISH NOTES UP— ELECTRIC BASEBOARD HEAT = RENDERINGS ARE NOT TO SCALE;ALL RENDERINGS ARE t; + T L. o FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT BE �._ •, @� UJI REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE ie y ! .:_ HARD NIRED GO/5MOKE TIED IN T OF HOUSE � C y !` USED FOR CONSTRUCTION. 4 3JJ !I SEE FINIS4 AND PLANS&SCHEDULE FOR SPEC'S Y p BULK HEAD ACCESS 3 I 7 — NEN 5068 LH 6 PANEL INSULATED FIBERGLASS DOOR KITH LOGK5ET V O V ° IN�^I 6 PANF-L 50LI GORE INTERIOR DOOR5 Z w r I t -- — --- — gym,.•�.� —- -// ? .. (6 �i 4 1 s 281 CL A - EN4s F-- �-r -. �NEN381d .�..;•'': _ r X _: I -- - - - - - - - - - — - - _ v r - 71pe --s--7,�uc u-,e-e- } Z O a _ I I � rr � L 26 -3 -- --- / S/I�Cts "e US7- aUia Q` �'1z o > ( d ;z o ------114 in = ft T--) U�/Q O p 3 y .a PLAN F11 ooR ••�•�r•u• •�•••�r•�r^�—y--M..vu...— --y..u.ao-'p—....an.....u.,.•tar.n.�ua..ve.au w.ills❑r..r<eu anu exclusive purpose of suppomng me conrracr ata or vrat,arm customer egress marine elements or cors pian sitar,not ae raptiDitsnoo<+r prescrirea in b iorm for the purpose of enabling or supporting the work of competing project contractors without the permission of,and compensation paid to,VH1. 7.� P _i 7 Cl C7fij (11 :nlu rJ C. is 111 y lil N ?.5 yG, } 13 Fit r Ct t At i1 g9y�i itl q �L (ll q C{ Q. 1R D � {� v_ iii n, Cj 711 O L lli ni 1 i -1 It N O ni LP CI si ;1* 1 I I __ _. _--___. ..\;o:i.i-CTsr" u j.;'i`4_-"'�;!." '-:Sr'x'i!7�T�y�Cr{!S?Y'r'i,-.;a�:-r1-7L--.••j v"[-rl_'a� !'4 L .. ....,+..r} - f t ✓.� :l.:i: :.i.r..t•,, �`.1 ci•r:�o{��' 1. _'��"�'.::�'^i;.�_._.��...._:.y-__�17•`e.��,�'v`.,'•"::'.c:::,�A:<: .t.. x�:.:. EX728a0 .r II.F �• � � � gyp ' I i III i �: I ! l f) q, i ( 7 CL U Ila I ` I 1 3' a'-a eta~ ` I I_ ' I s a t: 1��1 ••. I � E._Xf 3.i Get ti t S.�. a I � ; r rn !4 It zz rt ct D D tSi in N C6-l�yqt 0 1�1 O .,G 2 Ca Valley Home Improvement, (II4/. 44 HIGH SCALE:SEFVIEW SHEE1NUMBER� STREETFL©RENCEIVlA01062 EXISTING 340 Riverside Drive, PO Box 60627,Northampton, MA101062 13r,rE:5rsn_ais �r i� l� Office Phone 41338,4.7522 Fax413.58a.08N ��20 l��I�t�t�l�� MARTIN !� �F;awr,ev=s� Find t,is on the weir at: u.wt.v.Valle omelet rovement.com JJ E2 ; nntr{;