Loading...
29-144 - 1 r G 1.10G11.0 :21V(.1-- 37Ng210- uaOZO}'uSa5'£nlobdxd a uaoHfi'ai;a�mnrZSL'b}e g5a£m lbatau}outlo d n;pyu0;A 901.0 Y14 'uo}duey}!o1y LZ909 CIVON 111H 2vneids V9 xo9 Od'anpQ appan;a ovg -1'clVg gigaw Q 51/��2! 37N9CI15dJ 212N01 '7U) liU aAo�dual a H fall � 9� �s� NM N(.1 I - — ,f/ N �V c . ` c.� I # i l Imo.. I, - \\ s‹:-- .c, - \:;•'z an„c.- " -r ' " ., i*t:'......ifil, '1 .. e _■ ,;; Tims \ � ,• i■ ,' i t : „ , v�x ' t - . N, L;. e t ;Z p t ',1 f- 41�• k.. - ;e' (--r)— �..J vial I 11 w ti,!';M';i?! •'•).” I J r �� �� I ��n,I z I 9 l . ww w i 1 ■. I■ 1 ! -.• CN ,,,.._ --_-: - 6 �I: t I ., _411 1k _� VIP---- . ,_ iliggilifill 01 II 1 I l' '' ----.-' 11:1: .-$flt I i:.. 4 f .. :? ) ©• 1:G. ..I :-i fir: - 1 1 I 1-1 ri--gatl: LU 0, ! ,�_illith.,pi�l��i;t°.1E- .1 i [ir �II .... CI tn it 1 ki jJ1ftijititi;IiJIIiJIiIiIiIØiI!Oi !Ijjill��jlllj`i!I Gl:; 7G.ai G�,.1= .■■■ ,. 1.i(!11�'�t�iii�!4 !,!mmHi 11 ��I • 1_1 j _ !;fii�raj�i;i'I�'j; r•... Wm.Iphorrr mil 1 i -1--- riL 0— I npoopelliphl N... IN RN —E----1 I i „, til-ii-cic' .„,,,,,.,„„i,„„,„,„„�iti iblii 11,11,11„IllIIIHI i,,, Ai.. lio iiii „,.... Ili 0 11001 i ,i ili o _? '' 'Gl4— I•,I'I■r U w z 111!I{li i;i I il �i,; h r 11111 11 lit co � ' l �o if.,o !il i�lj,j 1 111 llll lllill l 11.1 ,—._ _ — . ,-- ) 111111111101111410111 11111111 w ,i�iii f �!o o w 1l1;1� ,ij�, ({ hliul Pu!ull l P Il;i ii 3 Ir�I� � �I'illl'IP��IIIIiIlllIl IlV 9 IVIl :i lJiIl II �4 �`. `� � /V I „z w i� i ih ' z v w 01,1011 h IIIIiIuuhll-iPI �" w iII�II�iptllh g � I Ii a h - i i s Q Ca tu w v o ill a eE�eEe! ! !rr�E! E't > w 03 l[; II1llPiI1IiIIIiI;I1IIt1tP1iIiihP ..0-,� ` v wko0 °Ill al CI \� r vaoQzw zu ���z LIT i,., iii00w,O0 villwwo•flQOw ��''”" ow xoK U U iM O • Q I j, o lee,:: .: www�� w� w t,. ca�zzz�z it �� ., I •:!• � u it ,.`� I i /-1,,,11,: u n .,--2.-. 111111111°1 r ' .Tt1ARPi. w r o of$ 01ii of rft &nt trni *_ -.� :yll -=:.• ��y�� ��{gidaaarilIISttta DEPARTMENT OF BUILDITjC INSPECTIONS 212 Main Street • Municipal Building ' Northampton, Mass. 01060 ��� um' WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, 57-G!�ei�51.1/f1? , 77 // i_L1`J //-OM i 1�2/r' /ffil /z i j,1�l.C.., (licenseeJpermittee) with a principal place of business/residence at: 3 � 4 )6"/<7, ,,z f1.4 (phone#) 25V-15-02 / (street/city!statthips do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following worker's compensation coverage for my employees working on this job: / /G/6//:/Lsi�1. -4iLGz boe/7- G)Z1 ji`: z! // . (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 Cora-parry/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) .. (Expiration Date) (attach additional sheet if necessary 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 employ persona to do maintenance,nce,wastructionor repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant thereto are not generally considered to be employers under the worker's ccampassatiaa Act(GL152,13 1(5)),application by a homeowner for a license or permit may evidence the legal statue of an employer under the Wcrkees Compensation Act. I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents'Office of Insurance for the coverage verification and that failure to secure coverage under section 25A of MOIL 152 can lead to 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 5100.00 a day against me. Signed��.• 1 day of '� J r i^, -2.63 For depa 2l use only ,, /�' Permit Number . �f' Mr ; 41, ; %� J Map# Lot# ignature of Li•-•. _ .ermittee SECTION 8-CONSTRUCTION SERVICES .1 Licensed Construction Supervisor: Not Applicable ❑ Name of License_F older: Steveri Silverman 077279 _, License Number 268 Forcer Road • [ - ++ • • , MA 0107'3 _ 6/21/1i' Address I Expiration Date jig'5 8 4-7 5 2 2 Signature Telephone 9. Registered Home Improvement Contractor:, Not Applicable ❑ Steven Silverman _ __ 131945 Company Name Registration Number 268 Fomer Road 10/131/f Address Expiration Date Southampton, MA 01073 _Telephone 58477522 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 No ❑ 11. - Home.Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings 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-year 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, 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. Homeowner Signature _ e ',:CTIQN 5 DESCRIPTION OF PROPO ED WORK (chick rill ic it ) New House Addition LI l Replacement Windows , Alteration(s) C 1 Rootint I.-3 ar Doors :1 Accessory Bldg. Demolition) New Signs r ) Decks-4-A' Siding 1,1 play ) Q ie,f E1G'_f"1 1: on ;! t'fC(;<:o'G .�J(v!. QC?lbt,,,« I (1,-:'7.CI( i r) y, e Jc)çt'ti« .__ii t`e. S I (e____ R3 of K:1 1Z rr " ,,„ t �a t,,,F ;)r.t'"r,•'m _______Y:4-c. No- A �Lnptrvri 11 tier;.;"• YP.. Nr: r"tteLtt;' : rr_1t1.`'" ew e ir,l1 =J bii-,z'ITi.-A Y I'14 Pla. 'e6 cr Wrc t Poll F • r W 83. If New house and or addition to existing housing, complete the following: . 1 tl,,,e .:),t Di IG g C e 7.rn ly 1%.4;-) r rnlli C` "''r 7 1= R; lli`,'l:"'1' r7' rt.,, .'4 n each 4ai7.4 Glr'tt.: '4.l ';... nit „=t6 fecn..?G/ Gt I e,:r.r.wq,; jr, tor t,,ka! p W „' rr?°n' .. ,rtr pia i;,rl ! 1 prl;it 'r` / 1. Vet;-o; o'r 'ivolirLir i I..0. ti4.v 'im. 'Wi'f 0.-„try'1,: r Ikox-'1..4 us t.:oeli 2 E`”Er 'y t.1.:;":ervi:tcn �cr"'p IJ :c M "'_hick Eci£e"'g"y'`C.,°rn:ilsc3n:c ior'rr G1:t2,Cl'GG?a_. .,,...„......... ....... ' l ;,t CC'OTuCtor`1 . t t.,r:,•o_tt-,..;lic;rl v+rt;lr:�r 1001 ot w.,; ,.rit5 r s'e5 sl .. is r.:orrs1ru;t,inrr ovs,t,rs t Ct?yi. °!t ,<4)l.'elT 'f r, • ti; :-.4. k° r at a; 'n r.It•I I .-r f Eai:ir I aUr J tc 'r e*r @filler, grade S ° ',1' 1i :?ti Idt cc-'form tc :Le kink:mg ;vci .,rring r`: ,c JaIrc':;? Y W; 1°t!s i. Sc '2'il",_ C;•y SeWe't Pr va wel cs y water ,uc y �n € SECTION 7a • OWNER AUTHORIZATION •TO BE COMPLETED WHEN E OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1-05e 0N k '_,((zi t is ; wrir:r ct t',.-:., W suL ct -� it„ lic lily, ..i.rrin417e Steven, Silverman, .Valley.Home_,Improvement, Inc.. ::t 31; rr r ,. i.dr AI ,sa:te: , r;9,it.R'° Iii vi)i ° iaa'.ic::r. r.: b., Illy L..1;„`.14, ri' r ..,:hill(..tiC.) die i.3:Ji 1 U ' ,':ler ;:aC Stamen Silverman,.._Na1,1ey Home Impxo ement, Inc„ i ',,,Ncit-rIAti rra r.7r,`Ir:pr,ft hc'_t`v dcc`vre _W. ."c S 'lterrie,76, Nid rrSforC'lilt;an ei the forergoIr p„T ti01.4 !bolo rC ,ti c"lrrid ouLi.rrAtr, BU ',lie bt.;4, L.I illy Lrenvi ci3c -nc belief. lip".czl .. .cc `i..- _,_,a _ .L..d l:`:: cola°._ uf M•7:,.1 .., [ Ct Silve a.. •___.____________. . �_.._._.__ S0;t .!•'!..RF-.:,0! ,:r,.'“7,,,A!,::rt i ill , __, .. , _ „_ : _ /1 iii/A/ to 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 J 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 =t the Registry of Deeds? NO DON'T NOW YES IF YES: enter Book Page and/or Document# B. Does the site cont.' a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, ha a permit been or need to be obtained from the Conservation Commission? Needs to •e obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there am/ proposed changes to or additions of signs intended for the property?YES ._ No IF YES, describe size, type and location: . . . , __........ ., C l �� - If Department use only Northampton Status of f �t:Sip , 2013 B l g Department Curb Cut/Dl eway Pet it . , • Main Street Sewer/Septic Avaiiabi ty A Piumbin9 g Gas Inspection�oom 100 W /Well Availability ' r,l" Y , Electric ti ,,��,,,,, rn{ ,;a . - -- 'ton, MA 01060 1w Sets of ?i ctUral Plans ? p one 413-587-1240 Fax 413-587-1272 Plot/Site P: 44 P: Other Sped 4 ' s APPLICATION 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 (.09 SCCU CC t'T■11 p q Map Lot Unit T,C)< e'r'1C Zone Overlay District Elm St.District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: -5-V.�/0h}-T--e_�rn..1 — one2 (�Li S®�c -�•�-r U A - I are a° K)i 0. i0&2- Na e(Pr! t) Current nt M ing Address: )0-e-l Telephone S n .ure 2. uthorized Agent: Steven Silverman Valley Home Improvement nc. P.O. Box 60627, Florence, MA 0106.2 Name(Print) :. Current Mailing Address: /^ /(/ /////1- -' 584-7522 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be I Official Use Only completed by permit applicant 1. Building 13 000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing - Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection /� 6. Total = (1 + 2 + 3 +4+ 5) I ), /�!')n Check Number V / ,5 `O This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0302 51P- 115 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC Wee a ADDRESS/PHONE P 0 BOX 60627 FLORENCE (413)584-7522 e PROPERTY LOCATION 64 SPRUCE HILL AVE MAP 29 PARCEL 144 001 ZONE / Ac .0�� ,:x THIS SECTION FOR OFFICIAL USE ONLY: ' PERMIT APPLICATION CHECKLIST °'ENCLOSED REQUIRED DATE ��h g d ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Q l rV -0 Fee Paid `J/ lw�r Typeof Construction: REPLACE 27 X 14 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 FOLL 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 -•,. 'tion Delay 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. 64 SPRUCE HILL AVE BP-2014-0302 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 29- 144 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Deck BUILDING PERMIT Permit# BP-2014-0302 Project# JS-2014-000503 Est. Cost: $13000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq. ft.): 30099.96 Owner: TONER JOSEPH A&TERESA Zoning: Applicant: VALLEY HOME IMPROVEMENT INC AT: 64 SPRUCE HILL AVE Applicant Address: Phone: Insurance: P 0 BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:9/16/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 27 X 14 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 9/16/2013 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner