31A-086 BP-2024-1140
12 VERNON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-086-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-1140 PERMISSION IS HEREBY GRANTED TO:
Project# EXTERIOR STARIS 2024 Contractor: License:
Est. Cost: 13000 VALLEY HOME 077279
Const.Class: Exp.Date: 06/21/2026
Use Group: Owner: PAINTED ROCK FOUR LLC
Lot Size(sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 6H62301-1
FLORENCE, MA 01062
ISSUED ON: 09/12/2024
TO PERFORM THE FOLLOWING WORK:
REMOVE AND REBUILD EXTERIOR STAIRS
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:
Gas: 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: /1/11
Fees Paid: $125.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buildine Commissioner
SEp
2 20e4
The Commonwealth of Massac - - Hs
Office of Public Safety and Ins 'orti o cnuiinr
r Massachusetts State Building Code(780 C � �g4roZ lltvsp c7.70
Building Permit Application for any Building other than a One-or Two- ettng
(This Section For Official Use Only)
Building Permit Numben2'/• //'IC) Date Applied: Building Official:
SECTION 1:LOCATION
12 Vernon St. Northampton 01080
No.and Street City/Town Zip Code Name of Building(if applicable)
31A 0.86-001
Assessors Map# Block#and/or Lot #
SECTION 2 PROPOSED WORK
Edition of MA State Code used loth If New Construction check here 0 or check all that apply in the two rows below
Existing Building 12 Repair 0 Alteration ❑ Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy ❑ Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No 0
Brief Description of Proposed Work Rebuild exterior staircase
SECTION&COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) N/C
Total Area(sq.ft.)and Total Height(ft.) N/C
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-10 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 C H-3 0 H-4 0 H-5 0
I: Institutional I-10 1-2❑ 1-3 0 1-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION&CONSTRUCTION TYPE(Check as applicable)
IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 0 IV 0 VA 0 VB 0
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal:
Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0
Private 0 or indentify Zone: or on site system CIrequired 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No❑ Yes 0 No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Painted Rock Four LLC 100 Main St. _ Northampton MA 01060
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Duke Corliss __413:695-4017 duke@dukecorliss.com
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10e CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Valley Home Improvement Inc
Company Name
Steven Silverman 077279
Name of Person Responsible for Construction License No. and Type if Applicable
340 Riverside Drive PO Box 60627 Florence MA 01062
Street Address City/Town State Zip
413 _584-7522 - - Anne@valleyhomeimprovement.com
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes CI No CI
SECTION 1Z CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $13,000 Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $13,000 (contact municipality)and write check number here 6/
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 1f 5afa! Z
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in th' �l
application is true and accurate to the best of my knowledge and understanding. ))kJ '5V
Steven Silverman President 413-584-7522 9/9/2
Please print and sign name Title Telephone No. Date
340 Riverside Drive Florence MA 01062 Anne@valleyhomeimprovement.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: 9/2-7624/
Name Date
CONSTRUCTION CONTROL WAIVER
From: 6tGULA J 1 V(S'
To:
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for
construction control in certain situations. In accordance with code section 104.10, I request that you
grant a modification to waive the requirement for construction control of the project at
12 Ike c o.f\ S�
because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire
safety, and will be done in accordance with the prescriptive requirements of the code.
Thank you for your consideration.
Respectfully,
•
The Commonwealth of Massachusetts
r Department of Industrial.-1 ccidents
Y `"�' .; 1 Congress Street.Suite 100
7.,-=,,r Boston, MMA 02114-2017
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Applicant Information ` V��t Please Print I.e iihlh
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:SO I 3221.1 g.:varti cost r.h r arx.I 1141 r Bunt:the a%t,i•t.•ttua•tvn l:std en tux arts•rh.d+Itrrl.
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Itou:.vxllera ttiho submit shun•rlltda%it indicattns they are dune:a]l wcrk anti Lac l:1rL multi,:ve tu:leU..1 mltaat nub tiul II CC\3Itttlal ll malt:aims aaeh
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I ant an employer that is providing workers'compensation insurance for nt'employees. Below is the policy and job site
information.
Insurance Ct iripan'Name. t \
PttLt, =or Self-ins.Lie. Expiration Date: 2.1 12025
Job Site Address: t2 .t/CYI''t City.siatc.'Zip: l %cwei_ce.
Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date).
Failure to arguer coverage as required under]1GL c. 15_2. :25.1 is a erinunal sialat:oa punish:11)k b. a line up to S1.5O0.00
attd or one-year imprisonment.as well as clY u,tit: form of a STOP WORK ORDER and a sea of,r(i to 5250.1'11
day against the violator.A ropy of this Stati icnt ma) be k'i-i x ded to the Office of It..1 estigabons of the DIA icr insurance
coverage verification.
I do hereby certify wider tt h/p• t s and penalties 'perja nforinalion provided ubo/re is true and correct
S;.�tuturY: Litt_
Phone=: L\t,2.3-
I Official use only. Do net write in this area.to be er)nlpleted by city ur town officiaL
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} C.tiN or Timm __-_- __-- Permit license s _
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,suing Authoriry(circle one):
l I. Board of Health 2. Building 1)e11a1-ttttt'ill 3.City/Town Clerk •1. Electrical Inspector 5. Plumbing Inspector
b.Other -
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City of Northampton
�„. `- Massachusetts
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CDEPARTMENT OF BUILDING INSPECTIONS
;;yip ! 212 Main Street • Municipal Building -;
Northampton,, Mk 01060 c 4 .v ,‘ -
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, 554, 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 Pv1GL c 111, S 150A.
The debris will be disposed of in:
Valley Recycling,Northampton
Location of Facility:
The debris will be transported by:
Name of Hauler: Valley Home Improvement
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-- : 7/29/2024
Signature of Applicant., j :n��� - Date
:.•.•• Cominonwealtli of Massailiusetts •
Division of Occupational Licensors
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• 9 Board of Building ReAulations and Standards
I ConstWiiin Su 1.1,beirvisor
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CS-077279 4... ...1.z.......:Itii,:,..7•.:•y.1 K,Ic pi res:OW 2 1/2024
il lil4,,! I 1 fr;
. ' STEVEN A SiVEfitelpisi, :'
PO BOX 606 t.,11 I t 1,,Z.; 41, .3 VI %t ''',.11 ,
FLORENCE MIA 0106 ; 1 .,•••04:1 17 ''''' :'''•• '-...:-., • :.. . 1,./ '• — 11 •:, -,..If,
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THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affartk)na Business Regulation
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1000 Washing z 11,9:04,- Suite 710
BostooFKassach.aseits=9,g1 18
Home I mr ro frE. Or.:-eigistration
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1.4 t , --..V..:1 ::,e iqt ation: 105543
• VALLEYr. .HOME IMPROVEMEN INC k....,, r....z....- ..... ------ t pj alien: 08/20/2024
P.O. BOX 60627 • . , —..— i i
FLORENCE, MA 01062
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Update Address and Return Card.
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THE COMMONWEALTH OF MASSACHUSETTS , . .
Office of Consumer Affairt,,B.Business Regulation • Registration valid for individual use only before the .
HOME IMPROVEttitCONTRACTOR expiration dale. If found return tv: •
T.Y.;REF.. Zu4iocalio rl . Office of Consumer Affairs and Business Regulation •
• .__._—_, -0-1thienn
i•! • 411.442.E31
tTi . 101.10 Washington Street •Suite 710 •
'w,:i4,--3',.. • :-',TipiEs-§ Boston,MA 02110
VAL.LEY HOME IMP -.tilt-Me-i-
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STEVEN A.S ANt i
ILVERM .% 1•4•47--±47 .1.:i • /2 ,
340•RIVERSIDE DRIVE%54.N., -!..v..-,.,.....-:.2::-.1." 4..1 ge........ra.1446,..4.
:-LORFNCE,MA 01062 '•-•%*-- 7.2-','"'"- 45' . .
,^....1.;:i-:*:-.91.-•.•?...' Undersecretary Not valid without signature
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