23C-026 509 RIVERSIDE DR BP- 2011 -0717
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23C - 026 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Non structural interior renovations BUILDING PERMIT
Permit # BP-2011-0717
Project # JS- 2011- 001181
Est. Cost: $6300.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 25264.80 Owner: WOOD BENJAMIN & SUNA TURGAY
Zoning: URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 509 RIVERSIDE DR
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584 -7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:3/10/2011 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL INTERIOR PERIMETER DRAIN &
CONCRETE SLAB
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 3/10/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner
File # BP- 2011 -0717
APPLICANT /CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS /PHONE P 0 Box 60627 FLORENCE (413) 584 -7522
PROPERTY LOCATION 509 RIVERSIDE DR
MAP 23C PARCEL 026 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out G7�� `�P�J� -
Fee Paid
Typeof Construction: INSTALL INTERIOR PERIMETER DRAIN & CONCRETE SLAB
New Construction
Non Structural interior renovations
Addition to Existing
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
INF9RMATION 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
Demolition Delay
3P7 1I
Signature of Building Official Date /
g g
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 k
City of Northampton Status of Permit:
\`•1 Building Department Curb Cut /Driveway Permit
-
%*/G 212 Main Street Sewer /Septic Availability
, Room 100 W er /Well Availability
•rthampton, MA 01060 Two Sets of Structural Plans
• "'
3-587-1240 Fax 413-587-1272 Plot /Site Plant':
Other Specify
AP AT1ON TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
C 9 '-
Ma .__ _ Lot - - -. -�_ Unit
Zone � Overlay District
Elm St. District CB District__
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
jtiNti 1A/606
Name (Printer Current Mailinv.,,;dress:
!„ Telephone
` 1 ignature
2_2 Authorized Agent: Steven Silverm-
Valley Home m•roveme.t i el P.O. Box 60627, Florence, MA 01062
Name (Print) � Current Mailing Address:
584 - 7522___
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item l Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building ` (a) Building Permit Fee
2. Electrical 3 a) (b) Estimated Total Cost of
_ J /G Construction from (6)
? "" h :ng Building Permit Fee j !
4 Mechanical (HVAC)
5. Fire Protection `
6. Total = (1 + 2 + 3 + 4 + 5) y or) Check Number 7 e 05S
This Section For Official Use Only 1 (
Building Permit Number: Date Issued: 1
Signature:
Building Commissioner /Inspector of Buildings Date
•
�.
-
Section 4. •
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 bee issued for /on the site?
NO DON'T KNOW ES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body • water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or n-•ed to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the pr•.erty? YES NO
IF YES, describe size, ty�e and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
tdtie J eni Wirdtwf. A. terativAr(.t.) ; Root
W Doors,
Acceiri,ory,Eidg. ' rnitio New Signs 1 Decs Sitirg Othet
pt,t, ir2fr c
GA if New house and or addition to existing_housinesonapiete the following.
rrr,
1 :Ut yt Li
U
Pt' y
SECTION 7i - OWNER AUTIIORIZAT;ON - TO DE COMPLETED ViLIEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Steven Silverman, Valley Home Improvement, Inc
St.ev,en,Silyexntan,_V_alley_Home_,Inpro3tezaen.t
A.;," th'Ir" 'C.. E .t!tt.'ittl.ttl ,t7P1 ' tr tto r ttltE, Et% ;:Et U t
Steven Silverman / /
- „
. ,
SECTION 8 - CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable
Name of Licen Holder : Steven Silverman_ ___ 077279
License Number
268 Fa - r Ro -cam, S . - „• •.n,._ 0 07�_ __ I 6/21/12
Address ��1 Expiration Date
584-7522
Signat•, re `telephone
9. Registered Home Improvement Contractor: Not npplicab e ❑
Steven Silverman 131945
Company Name Registration Number
26 Fomer Road - -__ 1
i
Address Expiration Date
Southampton, MA. 01073 Te ephon = 584 - 7522 e •
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 I �
will result in the denial of the issuance of the building permit. _- !
Signed Affidavit Attached Yes No ❑
11.- Home Owner Exemption
The current exemption for `'homeowners” was extended to include Owner - occupied Dwellings of one (1) or two(2) lai111lies
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 ol'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
Situetures. A person who constructs more than one home in a two -Fear period shad not he 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 l mplo }ers to
itmployees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, von may be liable for person(s)
yoli dire to pet rortn work for you under this permit.
1 he undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building code City o
Northampton Ordinances, State and Local Zoning Lags and State of Massnelmsetts General i ws Annotated.
tatedr
Homeowner Signature
01,142-1-/e). //t.e Cap
()nice of Consumer Affairs and gusiness ReEltilation
I 0 Park Plaza - Suite 5170
Boston, Massachusetts 02116
1-10nie Impl Contractor Registration
Registration: 131945
Type: Individual
Expiration: 10/13/2012 Tr* 204500
STEVEN A, SILVERMAN
STEVEN SILVERMAN
268 FOMER RD,
SOUTHAMPTON, MA 01073
Update Address and return card- 11 14arli; reason for change.
Address Relict\ al Entplo( meat Last Card
ttti
(tifice ("oriiiiinier Affair:, ItiosinrssItiittulatin Licywie at ret(ist ratina valid for int/iv use only
HOME IMPROVEMENT CONTRACTOR before the aspiration date. If found return to:
Registration: '131245 Type: OA lice of t on(unter A f Si IN and it uNintis.s
10 Part( - Suite 5170
Expiration: 1i7.113/2
Itastort, ALA 112115
STEVEN vERtilikt4
STEVEN SiLVERMAII
268 FOMER RD
SOUTHAMPTON. MA 01073 at A and ithOtil
.140
liikSA'trA Ot POIAtiA: Saftt
of 13iiiitifnLi
Cs 77279
STEVEN A SILVERMAtiit
FOMER
SOUTHAMPTON, MA 01 01 3
6;21,2012
2000b
O4 'C11AM p .
� �j ® sassarilnsetts -_
%--.244:4,,,y ..4. DEPA RTMENT OF BUILDrNG LNSPECTIONS , _
212 Main Streei~ `Municipal Building
1y =SV,�
Northampton, Mass. 01060
WORKER'S COMPENSATION rrNsi RANCE AFFIDAVIT
I, /ViL_663A_ vi / / -- l// --,—e- / /fe ../---7/ / / __,-;1 L
(licenseePpermit ee)
with a principal place of business/residence at:
3 `fo l e)vz"..5 J.62_ ) ./i/Z ,/r/DA /7 /W4 hli.: (phone #) `' . 8`f - Z
(strzvf/cif 'fs 't' /zip) D/ C'
do hereby certify, under the pains and pen1l:es of perjury, that:
() I am an employer providing the following worker's compensation coverage for my
employees working on this job:
/SZi(L SS X/1.5, (i'U . , F6 :5 D / 2///02
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:.
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Connpany/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) ' (insurance Comapany/Policy Number) (Expiration Date)
(attach additional shed if n aiy to include information pertaiais4 to all ors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE: please be award that while hcnxown°ra w'ao employ prss= to do n--, construejon or repair work on a dwelling of
not me a'thra t ..a ms's hi which Ea hotrelsowan r`zsici. or on the gonads appurtenant thereto are not wally considered to be
employers under the worker's conapeosstion At (GL152,s3 1(5)), application by a homeowner for a lip or permit may evil the
legal statue of an employer undarthe Worker's Compare aL;oa Ao
r ua and that a copy of this statm:rmat may be fcawazda to the Department of lah lads Accidents' Office of Insurance for liar
coverage verification and, that failure to pure coverage urn aeai on 25A of le1GL 152 can lead to the imposition of criminal penalties
consisting g of a fine of up to $1,500.00 and/cr imprisonment °f staff one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.O13 a day ay.illA me.
Signed this /f day of 1-4 ) . 1 Far departmental use only
� /I , �' 4 Permit Number
5 ' -6 / '- � _ Lot#
Si�n.e of L .�see/Permf I J
Future Bulkhead access
I Ol-6" --------i
I - - ---
____, _ 11 _ 11 _ ,
perimeter drain I F - 1 1 4 ABS perimeter drain installed
connected to sump pit,
. li
under new 4" concrete floor
sump pump not installed I /
4--)
unless conditions I
\
warrant it. re-grad L
0 li
portion Of
basem fit I I
1 1
Electrical work: to mi ' ize 1 Sani D ■
5 keyless ceiling slope. I I Tr MIMI
MEI
lights installed on 3 1 I -1 1 I moo Er)
--1 1 1 1 _ mum ,
way switch; GFCI c 1 - - :,
MN ' 26
outlet near sump pit I I
1
L
_J L 1111011
J
L ilf 1 J
,
15'-6" >. .< 18' >
Approx. 560 SF