38B-213 BP-2024-0648
18 FAIRVIEW AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-213-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING
U LDING PERMIT
Permit # BP-2024-0648 PERMISSION IS HEREBY GRANTED TO:
Project# addition 2024 Contractor: License:
Est. Cost: 34400 VALLEY HOME 077279
Const.Class: Exp.Date:06/21/2024
Use Group: Owner: FOELSTER LUSARDI ANNA &MARK
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P U BOX 60627 (413)584-7522 6H62301-1
FLORENCE, MA 01062
ISSUED ON: 05/22/2024
TO PERFORM THE FOLLOWING WORK:
REAR SHELL ONLY ADDITION
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:
Final: Final: Final: Rough Frame:
(:as: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 7.
Fees Paid: $223.60
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
2 - Or l/
File #BP-2024-0648
APPLICANT/CONTACT PERSON:VALLEY HOME IMPROVEMENT INC
P O BOX 60627 FLORENCE, MA 01062(413)584-7522
PROPERTY LOCATION 18 FAIRVIEW AVE
MAP:LOT 38B-213-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid S223.60
Type of Construction: REAR SHELL ONLY ADDITION
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
1uikling Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENTED:
Approved Additional permits required(see below) For all projects that need additional reviews 0
as checked below,please see the Office of Planning& Sustainabilitv Permit sage or scan here
T
PLANNING BOARD PERMIT REQUIRED UNDER:tiEl
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 2Z- zoZ q
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.
l RE--
I / J' ±ITT
The Commonwealth of Massachusetts kQY
lir
Board of Building Regulations and St'anda s202Q F R
Massachusetts State Building Code, 80(4 M NICE PALI'l-Y
` NnOFgukohy(' SF.
Building Permit Application To Construct, Repair,Renovate '1j9�rap �, gror s vise Mar 2011
One-or Two-Family Dwelling °s
This Sec on For Official Use Only
Building Permit Number: OP- y-T'if Tate Applied:
Building Official(Print Name) Signature Date
SECTION I:SITE INFORMATION
1.1 Property,Address: 1.2 Assessors Map& Parcel Numbers
Mite' l CLL) i\-k fU('_ ___
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
•
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
_ SECTION 2: PROPERTY OWNERSHIP1
2.1 Owner'of_Accord:
I U(u(c)c)f>1L�-C4ecord:nna -c)e r-' !- C�rK ! o._
Name(Print) City,State.ZIP
1(8 Lr\i\C w '( ,`�XLtA. d 1 -gr3. tHS2 -
i No,and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply)
1 New Cons ruction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition ❑ Accessory Bldg. Cl Number of Units Other ❑ Specify:
Brief Description of Proposed Work': 12-0i11.. — Stied o>n - Acld 1.1 in . 0 0 f)
1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building s ra Li oo 0 1. Building Permit Fee: S Indicate how fee is determined:
0 Standard City,Town Application Fee
2. Electrical S 40 0 0 Total Project Cost3(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: $
4. Mechanical (HVAC) S .-- List:
5. Mechanical (Fire $ ls0
Suppression) Total All Fees``•� ly
Check No.y'7 heck Amount: Cash Amount:
6. Total Project Cost: S 3 4r 100 0 Paid in Full ❑ Outstaudiaa Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)1
01-7 2,79 (a 12l lzozy
SLicense Number Expiration Dat
Name of CSC.Holder List CSL Type(sec below)
No.and Street Type Description
c-LO f{r-% O\0b2 U Unrestricted(Buildings up to 35,000 cu.It.)
R Restricted l 8a2 Family Dwelling
City/Tow,, tate,ZIP Lt Ttfasonry '
RC Rooting Covering
/%/ WS Window and Siding
SF Solid Fuel Burning Appliances
s{t17}SRCA-1S'Z2 T Insulation
Telephone Email address 1) Demolition
5.2 Registered Home improvement Contractor(HTC) 1 05SLA3 $ILO 120 Zy
frt.) te H1C:Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
4a. R,c,tc tov co 2-1
No.and Strut Email address
F-tortxncc nnpr oto(o2
City/Town,State, ZIP Telephone
SECTION 6: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 .❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Y�}�` SVc.Vex-t c7t,�✓fr-ta.-1
to act on my behalf,in all matters relative to,'�-. authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to th b t of my knowledge and understanding.
Srt va , )2 �� �' 5- 0 —2•0a
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
\v\vw.mass zcv:oca Information on the Construction Supervisor License can be found at www_ma s.cov dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type or cooling system Enclosed Open
3. "Total Project Square Footage'may be substituted for"Total Project Cost"
City of Northampton
SMANf�\
Massachusetts ��?' s-- 1?
I.%.f it. :o'1 t- '.,...6''40;''
.Ix ti
wiI
‘ v” DEPARTMENT OF BUILDING INSPECTIONS '; d
`.g'.t'.'�� > 212 Main Street •• Municipal Building uk., �,i
\`! ''` Northampton, MA 01060 s:57:ii. �o
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 5Nvi
The debris will be transported by:
Name of \If-WC-3 iO•rerr%t-r
Signature of Applicant: , "JAL__ Date: (1
The Commonwealth t'alth of.Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
'- Boston, AL-1 0211-1-201
►►,ww..mass.go►/dia
%%utters'C•ampetauat�nn Ittrsvr aster Afradarsitt Ituiiderr'"antrsetarvi leetricianV rinuthrrs.
TO BE F-ILLt)\11114 1 H£ PERSI I I11\t;Al t HORJ'Tl.
.Annlicant Information blr
et-s Please Print Lei
Name i frost s Uri✓,lion tndc. �Y u 1 r: `, �-�--V r z_ �v._C��0Y C
Address: '-b. IF:),( 4 (1)0(.0
0\0(0'2---
City:'StateiZip: c-lorer-y..,a~ C�IPI' _ Phone :•: LAA2J- S LA -F 22--
.►rc duo nopk)yre Clerk the apprsprkalr box:
Type of project(rtgnirtcd)•
s®1 ant J C37440.1147' le ,1 L$ .sxl w Nut•F.tza•,' 7. 0 item, constrov lion
p uprictu iti psrTix c�m[hasc tr.��1c��NsAitlr_ tt9 ax in K. 1 Remodeling
t••rse w txta•eve* tmnn ua: nau:r 1i trC}1
4- Dtrnolition
;0 I am a 11.xantw3n ducag al9%%•d»»•acla jNc vvarlaa ;
101�.1 Building additioni.❑1:Arn a lt•ta?MnCf and t•a11 t•.r hut, ccontraduh `
rrvut thin 311 lttatr.rtun n[6.-r ha.v voirim-:1T.7,'rnsatt.n enaunnrr.r an..wit: 1 1.0 Electrical repairs or additions
praprtrion ui tth ro.�trplu�r c+-
13.0 Thumbing repairs or additions
, 13Jrt a general.uatXa.tt`t iuk.1 I lour land th b t7attartur,tested vn tltr:tt.tth.•d s.tw L 1
Th. sub-eunlrsek.l�sc t�pivyc.xxl)_svc curie ,'.iaap tsa-rsxc_ { I_ Roof repairs
6.0:fit arc a.vrp ratatmand uffwe a Ea+r easnard br r.t:E •S.s.�r,2 m p-t
14 ❑Other
i?`_Frial.and w<e halt oo aT.pla)rea Vsv w.xl.sa -.mp.ir_t>raa:c:eyt:tn:ti) I`!
•.�ttv a.rLn.-att trot cheers box rI trntat nix.fill vat thc x-.'tu.n h•k.0 .lx.,.tn!them .t`mlvrnsnttvn hdi.' infortrutiam.
t r_•ra*Ix)vubtrut thu affidavit indicating tlxy;ter daub:InJ murk and then hire Lt2LJJdr L'.tftractory must aubtnel u nevi atftda\'tt tl.•dllallnL•.ur1L
'C'u t Yi Suss that ctaeei 161:4 tt.ra tnecst atty)Snt an ailthiatacia ah..x t 213V%AaS:hi aiae:1 n.•,u+-.-c tt rjct•rs an1,cu.M)zis-.a out Lkta.ml:t ray.
.=:l.TYel1 tisub-cocinactixs l.sse a kr+ tx u1 pn•.11r ituat t'Utt a szr.2p �rlic t buzabcs
I am an employer that is providing worLers'compensation insurance for my employees. Below Is the policy and job site
information_
Insurance Company Name: t Expiration 1
Polley =or Self-ins. Lie.`: LQ Trs k0 o� jv\'" , Expiration Date: 2l i IZQ2$
Job Site Address: Lb tv'vlo..AJ :State Zip: V h H P-WI;
Attach a copy of the►sorkers`compensation policy declaration page(showing the policy number and etpIratl date).
Failure to secure cos el a as reqturod raider MGL c. 152. ;2.5A is a L--runin:ll•N.iodart n punishable b> a tine up to SI30t0.00
:md'or ace-v= as+aril as civil pia shies in the form of.l STOP WORK ORDER arid a tine of up to S250.00;l
day against the violator.A copy of this stattmneu1 may be fun+•ardexi to the Office of Investigations of tlx DIA for insurance
coverage verification.
1 do herrbi certify under at • and penalties perju nfuraration provided above is true and correct_
/ t
Si natusr: • Date. S 'b D .
Phone,: tA1.. 3- J�"� - S2•2..
M ,
Ofcial use only. Do nor write in this arra,to be completed by cit3•or town official
C'it or Torn: PrrmiWti_icrasc a '
• Issuing Authority(circle one):
I.Board of Health 2. Building Deportment 3.City/Fossil Clerk 4. Eh-en-it-al Inspector S. Plumbing inspector
6.Other •
-
Contact I'etMullt (*hunt it:
Commonwealth of Massachusetts
t } Division of Occupational Licensure
Board of Building Regulations and Standards
Const onf$s rvisor
• .> .f
CS-077279 '_,, }.. E. pires:06121/2024
STEVEN A SSVER,1. !�,. „ �" .,.I.
PO BOX 606 is I1' 0 3 ��,�?•r. r,
FLORENCE Ml 01062I V''. e
Co—.--lo cr ;1'.. ' '^•-, 'I•
.
•
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affair an. Business Regulation
1000 Washing c r t` Suite 710
Boston Mat?sachusetts4! 118
Home Im ro eTxlentyaseto •. egistration
4 i 4'_:::.
---)
ir' ._- 1.,F?. ' ---;7 1�„Type: Corporation
fj ,I .,.� - ci5tt;ation: 105543
VALLEY HOME IMPROVEMENT INC t"".t `t - E ''fation_ 08120/2024
P.O. BOX 60627 l T' ... _ Pl
FLORENCE,MA 01062 \a.>' , irt'
\r,_ .- -' .-- --, . '''''')
tf .. e�\
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairsti&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENt CONTRACTOR expiration date. tf found return to:
TYPE: Gcpocdtiorn Office of Consumer Affairs and Business Regulation
e E jfat(o, 1000 Washington Street -Suite 710
1 ° 4 g'iOFc } Boston,MA 02118
'ALLEY HOME IMPRO ,1 IiAElJT I' �o'_
A�T,
TEVEN A.SILVERM ' •
", `- li /40 RIVERSIDE DRIVE,'', '
,,,,,,•(4,,�(�.4-
LORENCE.MA 01062 f:?;;; ,L' 7;, Undersecretary Not valid without signature