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Valley Home Improvement, Inc. I GREER RESIDENCE
I I 340 Riverside Drive, PO Box 60621, Northampton M 01062
Office Phone 413.584. Fax 413 - 585. 1 SCALE DATE: I
Find us on the web at : u v.VaH m eyHomeimprovement,co
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Valley Horne Improvement, Inc. GREER RESIDENCE
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340 Riverside Drive, PO Box b0b21, Northampton, MA 010b2 SCALE: DATE:
Office Phone 413.584. 1522 Fax 413.585.0820 DRAWN 51 5. SILVERMAN 1 14" = 1' -0" 03126113
Find us on the web at : www.ValleyHomelmprovement.com
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Valle Home Improvement, Inc. GR EER R ESIDENCE
340 Riverside Drive, PO Box 60621, Northampton, MA 01062
111 I
SCALE: DATE:
1 Office Phone 413.584.7522 Fax 413.585.0820 0 wN er 5 aILVERMnN 1 /4" 1' - 0' ,, 03/26/13
1 I Find us on the we at : uww.ValleyHomeimprovement.com
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4 ` O LLZ rif dortilampton _ # —_
W DEPARTMENT OF BUILDITNG INSPECTIONS . t j
alf
212 Main Street • Municipal Building
Northampton, Mass. 01060 um��
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, 5 l. V'V / / SI L Viic ?/'7 r 41 , /7 f %ma c,/ v/' /• ,4l. ijil G,.
(iicensee/permittee)
with a principal place of business/residence at:
3Y-4) , 'd k Gir;; i� F..izi ‘. ,, / --7/7Y1 ,/1'4 (phone #) j / ?y.
(Street/city /st to ipc
do hereby certify, under the pains and penalties of perjury, that:
0 I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(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 Company /Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional shod ifnecesssxy to include information pertaining to all contractors)
( ) 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 aware that while homeowners who aaploy persons to do maintenanc construction or hair wodc on a dwelling of
not mat than throe units in whit the homeowner resides or on the grounds appurtenant thereto are not generally considered to be
employers under the worker's oration Ad (GL152,ss 1(5)), application by a homeowner for a license a permit may evidence the
legal status of an employer under the Worker's Compensation Act
I understand that a copy of this statemeot may ba forwarded to the Department of Industrial Accident& Office of Insurance for the
coverage verification and that failure to secure coverago under section 25A of MOL 152 can ladle' the imposition of criminal. penalties
consisting of a fine of up to $1, 500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 3100.00 a day against me.
1' - , 'V
Signed _ day of � � //� � Far dgaetmes#al use only
Permit Number
Z i ‘ 4,69.4., J Map# Lot #
b'ignature of Li ermuttee
, ';:2 '' !'
x ()ti e of C nstinner Affairs and . usiness e us:ition
'w ' _ 7
ry 1 C ' r Pla Baits
o tt rn Nlassactiusetts 0
l me improvement Contractor etzistratioor
Re1=tr tort 131945
Type, in ivi 1ua
Ex, =.ratio/ 10/1372014 Tr* 173
STEVEN A. SILVERMAN
STEVEN SILVERMAN
268 FOMER RD .
SOUTHAMPTON, 01073
1 pdatr ,tsfdreu asxsf return card Mark reason for change,
As &tress Renessat Intones 1..nst (`Art
C.'S CA' .!'r 5-`m ,, ;,y ";
,,, ; (600i'Pa " iq A ,rw b, E.i se r registration satasf for i is ul use ord..
/?Rice of t'caatuuatt .%Mors s Boneless Broni4on
i � i~ E IMPROVEMENT CONTRACTOR
Ot T'# TO before re the expiration date. If found return to:
Office of Consumer Affairs and Business Re uL ti n
,' : R fstratiors; 131345 i Park to Node 1 "t}
Ezpirrttoro t 1 I23 -1 3 $
STEVEN A LVERMAN 1
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STEVEN SILVERMAN t
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SECTION 8 - CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License,Holder : Ste_Ven Silverman _ 077279
License Number
268 F. „ - - . _ . . + - ,, . �. MA 07 07'3 6 /21 /1!t
Addres / Expiration Date
/ 584 -7522
Signature y Telephone
9.. Registered Home improvement Contractor: Not Applicable ❑
Steven Silverman 131945
Company Name Registration Number
268 Fomer Road 4_ 10113 //4 _._._.
Address Expiration Date
Southampton, MA 01073 Telephone 584 -7522
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 El No ❑
11. - Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner- occupied Dwelling„ s 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 supervisor. CMR 780. Sixth Edition Section 108.3.5.1.
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 -vear 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, von 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.
Homeowner Signature
* r&Ticak5ESS R Pi ION 0D
I .
New HcLif.e "...: Addition r 1 — I Replacement Windows Aiteration(s) E: Roolinc 1
ter Doors ::
Accessory Bidg. J Demolitior New Signs : ] Deck;>c. Siding [ ] Other . 1
9 Drnc-rx on °;° r't: rcc,ctt.: .`i0'K, , '' Ail 3 X cJ (:- 0 firtc,fr- ce ( 04a. - f\1(
, „r)ir,',rre . br-rnrre';rn _ _ Y -- 7‘...Nr; ;',r,fi up ortnr: !IfeirT:r,--
4 ttt.o.neU . 4c.irrcttiv:: : 't`'1,.ro. - 11rR ,Il
Pb: •tto:hcz: Rol.
62. lf New house and or addition to existing housing. complete the following:
t fAJ,Ic°°,1riF C'c "- am 1y iv,O r aint P Clt tIr
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h 1;n* q o7,' tC`...,.";TF. 1 ti-ViCh ',S1'71 y or.t s s111 , 7gb÷,' fat h.7.111°TC
gape alachE
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,:, w,:°
t. Ye:rod c" heat.ne f r ti; ttf:;trt, ul Wcod.r,tu Nu L,:e• u' euch
2 F-Er2y Cc ar ia tincheck Erte-gy C.,:rnDlraft:e form alact co?
1. <f cc-
.;-..cch‘z1.1,;,.11c W thy 100 *I, ;:r; Aet „i ies sk1;;. li• 1:.:Aistruct , oe,z1 100 yr .. 10;rlaer
t
t '...)af.rritInt cr (!tdiar I Dor ..■elow °Ini vacs-
;NJ Idlli Cc fpril 10 "d‘ 13u LIe..1flp, ,w;f1 ? r f.:2_1;The?
• SelliC 7a.rk, C 7 Sewf,-1 Pr si.,:1'; v,eI (S-0„y v.ater Sup
___....._
',---- - -
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Ct 1 LS+) rs GipeR , as 3.4-lert c.I t-e subject rppErty
Steven Silverman, Valley Home I3xtprovement,, Inc.
rirr, Ir, rr,l'it e h,r IL; re.,,,it, rIV Aitierle ty, tht,f, t.;.,..C:".: ni,....rf.;rcr • r; aprirc,
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• .S.temen_Siaxerman,_3Ealley Home Irapr.omament,_Inc„... , Az, .','..vrir Aurirel7F-1 At
deCti.°E(..: iv:*.* ',.;..aterrit ;rid inforr 'on u- the foreKorr i.', zi;ifjc..ttic „lre ".-ue, ..inj ii.:3,:rte, tu 'he bt,l'ir r;' u
',.r c7,1cc r , :ne nclic-',
3.47 J-cc• :F z e-
Steven Silverman_
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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 been issued for /on the site?
NO DON'T KNOW YES
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 of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there arty proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
� s
i. _
r = �� E : \s E D Department use only
L City of Northampton
Status of Pe a pt;-
2 Building Department Curb Cut /I:i ewa ermit
212 Main Street Sewer /Septic Ava 1 € t�ty ..
Room 100 'Z''''''' Availability ,. -
oFeuu.owci
0 0°° httSrthampton, MA 01060 �' °. ets of , ctural Plans , � `
phone 413 - 587.1240 Fax 413 - 587.1272 Piot /Sate Pl `'
Other Spea w :, ���
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:
' C o k c- '� Map Lot Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
CI'iiR1511N Cj)QL 12
Name (Print i Current Mailin Address:
`� v .` ! Telephone
Signature
2.2 Authorized Agent: Steven Silverman
Valley H•me Improvement. c. P.O. Box 60627, Florence, MA 01062
Name (Print) Current Mailing Address:
1/111 .. i i 584 -7522
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
?()O (a) Building Permit Fee
1. Building /
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing ___—.. Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. jPc9 9 �
6. Total = (1 + 2 + 3 + 4 + 5) / `�j d� "a�) Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0883
APPLICANT /CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413) 584 -7522
PROPERTY LOCATION 26 CORTICELLI ST
MAP 22B PARCEL 038 001 ZONE URB(100)/WP(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out cs jD / �
Fee Paid - �
(� C/
Tvpeof Construction: REBUILD 34 X 12 DECK (SAME FOOTPRINT)
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 FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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 e•:..,n , -- ( 0
i ? /,
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.
26 CORTICELLI ST BP -2013 -0883
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 22B - 038 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- 2013 -0883
Project # JS- 2013 - 001519
Est. Cost: $14800.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq. ft.): 1 1020.68 Owner: GREER CHRISTINA
Zoning: URB(100)/WP(100)/ Applicant: VALLEY HOME IMPROVEMENT INC
AT: 26 CORTICELLI ST
Applicant Address: Phone: Insurance:
P 0 BOX 60627 (413) 584 -7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:4/3/2013 0:00:00
TO PERFORM THE FOLLOWING WORK: REBUILD 34 X 12 DECK (SAME FOOTPRINT)
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 4/3/2013 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner