Loading...
31B-059 10 LANGWORTHY RD BP-2016-1560 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B-059 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2016-1560 Project# JS-2016-002665 Est. Cost: $54150.00 Fee: $351.98 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: UseGroup: VALLEY HOME IMPROVEMENT INC 106006 Lot Size(sq. ft.): 7623.00 Owner: PERRY CHRISTOPHER H&VIVECA S GREENE Zoning: URA(100)/URB(0)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 10 LANGWORTHY RD Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation FLOREN CEMA01062 ISSUED ON.:6/29/20I6 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL BATHROOM & MUDROOM 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 6/29/2016 0:00:00 $351.98 212 Main Street, Phone(413)587-1240.Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner File#BP-2016-1560 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 10 LANGWORTHY RD MAP 31B PARCEL 059 001 ZONE URA(I00)/URB(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT //�z Fee Paid C fL 360,cf7 Wii / q Building Permit Filled out Fee Paid Typeof Construction: REMODEL BATHROOM&MUDROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106006 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR TION PRESENTED: proved 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 •-moY 'on Delay difiee Sig atureo :•ildi • icial 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. Department use only City of Northampton Status of Pemiit: Building Department Curb Cut/Driveway Pe¢nit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site.Plans cc Other Specify , co APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING r p .,a ZSECTIQN 1 -SITE INFORMATION This section to be completed by office 1.1 rp.eberty Address: Pa LQnQ s.D0a i1 Map Lot Unit $,Sars— �rF( Zone Overlay District Elm St District C5 District SECTION 2-PROPERTY O1&11ERSHIPIAUTHORIZED AGENT //2�.�1 Owner of Record: 34/AS Pei n...‘ , \Jvile-Ca- Cw-eene 10 >.}5v„ eta -ki,.o-.-r.�-+cv. (\0. oloica Name(Print)^ Current Ma ' Address: 'R s Telephone Signature 2.2 Authorized Agent: fir. P tc - 12r� A[dad -OW TAni ,'a&mtt (0010a-7 FiOr , A°R>a d Name(Print) 4 `� Current Mailing Address: Szi� tlV CD4-1522 Signature Telephone CFCT)0(4 3-ESTIMATED CONSTRUCTION COSTS Item I Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1 1. Building -� L S 6 to (a)Building Permit Fee 2. Eleofrical t- loo (5)Estimated Total Cost of r Construction from(6) Li co - e 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) $ 54 , 15oCheck Number_3S4 S'n7 357. 9'8 This Section For Official Use Only. Building Permit Number. Coe Icalea: Duriding Co ',sio- o. 0 Suiidin@su__ Section 4. ZONING i AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning saw column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: A: L: R: . ' Rear N Building Height - /A Bldg.Square Footage Open Space Footage ,o 0 - - (Lot arca minus bldg&paved _ uarlzincl #of Parking Spaces • Fill: (vomme&Loeation) • A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0__ -___ DONT KNOW NES_.0 IF YES, date issued: IF YES: Was the permit recorded at the P,egistry of Deeds? NO 0 DONT KNOW O YES O I enter Smolt Page and/or Document 4 B. Does the site contain a brook, body of water or wetlands? NO 4,4 DONT KNOW V YES t. IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q Date issued: C. Do any signs exist on the property? YES NO (" IF YES, describe size, type and location: r D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and Location: t \all the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan tioichamigton Storm Water Manamoment Permit from the DOW is raguirad. SECTION S•DESCRIPTION OF PROPOSED WORK(check all a pnIicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing F— or Doors 0 Accessory Bldg. Demolition ❑ New Signs IC] Decks ID Siding KZ) Other(01 Brief Description of Proposed n j Work 2E \nao , t VtAfl cx.ro P )Cictzt Alteration of existing bedroom Yes ^ No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes X.. No Plans Attached Roll •Sheet Ss.tf New house and or addition to existina housing, complete the followince: t'v( IA a. Use of building:One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms o. Is there a garage attached? d. Proposed Square footage of new construction. _._Dimensbns e., Number of stories? t, Method of heating? Fireplaces or Woodstoves Number of each g. Enemy Conservation Compliance. Masschei* Energy Compliance form attached? h, Type of construction_ I, Is construction within 100 ft. of wetlands? Yes _No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Wi0.building conform to the Building and Zoning regulations? Yes No. I, Septic Tank City Sewer Private well City water Supply SECTION 7a•DtarNEet AUTHORIZATION-TO PE COMPLETED WHEN omit-Rs AGENT OR CORTRACTORAr'PLIEE3 FOR SEiLDth! 'FERRET !, f Ce *- 4ylt i • ,es Owner of the subject property hereby Y. a e•-•e•-•Flo actp r be :hi n I matt Motive to-,WDit avidleitee tiisaw r4V- - Papplication. 61fit( e Signa of Own ar 1 I. \--laity ech ?)(10K1t, \„(C1 1SritteCce 1 ti0 m Hint"- Sr r .sOwrierfAuttiorized Agent hereby declare that the cateternems ancitinorniailan on the foilt!wioing enpr c_i on a. _'true d aCtIlitce, to the best of my Icricuylefge and belief "����o.. bete / *-• I It lee teute__-o -Lari5o ___ • SECTION B•CONSTRUCTION SERVICES B.t Licensed Construction Supervisor: Not Applicable 0 Name of License Holder �,,:,JY 1062DOG License Number •l Sky 13C ,7-44yK* n VGa t t7113),2(),(7 Address 1 Expiration Date Signature "-' Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 • hr- IC 4. -11Ar OiON1e-Siff t)-- 55`d Comae Na re s Registration Number Address . Epiratlon Date Telephone`It 6-St4-i a • SECTION taw WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,e,iS2,§26C(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 17 . Il. - Home Owner Exem tion The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the outer acs as supervisor.Chia dn. Shut Edirtivo Sandlot Definition of Homeowner:Person(s)oho out 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 nerson who constructs more then one ileum in a 02o-veer period shall not be ennsidered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be res..nvsibl;for: such work ,erformed hitch.the h'gdian;emit As acting Construction Supervisor your presence on INC job site will to required from time to time,during and upon completion ofeh work for ror wrOok his pgrYlt is±sutO. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter lig (Liability ofEnmloyers to Employees for injuries not resulting in Death)of Re Masachuststs General Laws Annotated,vmu may he liable for persons) you hire to perforin work for you under this pewit. 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. Home:niter Signature City of Northampton 222 Ma;_ Steel; \o-rh2�room 4_ 0-1060 Solid Waste Disposal Affidavit in accordance of the provisions of MGL c 40, S54, I acknowledoz that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MOL c 111, S 150k Address of the work: In too Road The debris will be transported by: QQ,b Vq.,‘AksiTi yosvrthv4-- The debris will be received by: Q. e cy1 ; „ Building permit number: Name of Permit Applicant t _ _ _. ,r ��_ Date Signature of Per,-ii Applicant • license, CS-106005 ,xxx • DANIEL S ERADBNRY - r 12 DICKINSON STREET NORTHAMPTON ill,050HI d .. Corn miss:crier wrsior. 0n1>2017 077 tD�W„ > , r r P i 6 /0 . ,'i/ cin � s `' Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105543 Type: Private Corporation Expiration: 7/17/2018 Tit 419291 VALLEY HOME IMPROVEMENT INC,-__- -— STEVEN SILVERMAN P.O. Box 60627 FLORENCE, MA 01062 • Update Address and return card.Mark reason for change. _O..r �mu;m Address %- -..--_ ' I_ Employment 7Lost Cara Office of Consumer Affairs A Business Regulation License or registration valid for'vnduadrm - ql Y HOME IMPROVEMENT CONTRACTOR beforeth7j expiration date. Tifound return to: agia.ranon: 106543 Type: Ceriza of Caacianer-glia- ,:.ess % Lan Expiration ]117/2018 Private Corporation 10 Park Plaza Suite 5170 Boston,M_A 02176 VALLEY HOME IMPROVEMENT INC. STEVEN SILVERMAN_ - - 340 RiversideDr Northampton,MA 01060 — Undersecretary Not valid without signature a ✓c4s;1i s dsliteal Basun, MA 02111 aw»vcv.mass.gov/diaa Workers' Compensation Insurance Affidavit: ,f,a .tiers/ContractorsPerleetr ci<ans/PEa;ra'bers Aunt3Cant Information 'Neese Print Legibly Name(Busincss/Organizationilndividual): \la UAL T-\C }iv itTh ovr_tc m'1, 1erri- .3-1/2,c, 7 Address: .3-1/2,c, 't2, cf✓'Ysocc.. �1f1\Sc City/State/Zip: fit, f via. ` O\ h e#: : ro%Li;�3S?2, Are you an employer? cheek the appropriate box: Type of project(required): 1.al I ata a employer with ]C+' 4- 0 I am a general contractor and 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contactors have g, 0 Demolition working for me in any capacity. employees and have workers' <1 Q Building addition [No workers' comp. insurance comp.insurance,- required.] 5. 0 W e are a corporation and its 10.0 Electrical repairs or additions IQ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required,]t c. 152, §1(4.),and we have no employees. [No workers' 13_L_ Other comp.insurance required.] `Any applicant that checks box 4:1 must also fill out the section below showing their workers'compensation policy information Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 3Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities Lace employees. lithe sub-contractors have employees,they must provide their woitcrs'comp.policy number. I an act eanplbper that is providing workers'c©rerpeasaffan brsaara vice for rey employees. Below zs rke pcdup end jab mese C' rTh Insurance Company Name: (-7,1��{".`�� � 1 ).L.9- t� (t} Froc° 1 Po'ti0y#or Self ins Tic. J.. t�.J�...J'i DC: j -- Expiration Date: "' t ) i Job Site Address: �� l p u.c> 4 city/State/Zia:\ tv1 k M&-°tea°U - — .. _arYfrratfaaff pa _.✓ Laafff.f.,"athfil afage t„tuanvrn$the ae9vaa number n&: r ynCaeet. Failure m secure coveraue as required under Sec on 25A ofM i c. )52 San the `_p0-uties O_fa fine up tool 500.00 and/or one-yea; imprisonme as well as 1 e .ly,s intheof a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised Mai a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. T do hereby eerdy5t j yktrivalse pains¢c°t!Pentr iffft . -Jkrjt zkera the._jorzzs w+.deA n_ ._ :.. c r __» s�Ftsi, s".isnae i�sr Ji IV u"' A -' . 61/PI./( -au f_ "� V . a._... a:1E; iJyeiaarmil.eni 3..t r _ F _o u. ''