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23A-174 (4) 36 PINE ST BP-2017-0342 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A- 174 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-2017-0342 Project# JS-2017-000561 Est.Cost: $29000.00 Fee: $188.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 106006 Lot size(so. ft.): 5183.64 Owner: DOHERTY BLAKE Zoning:URB(100)/ Applicant: VALLEY HOME IMPROVEMENT INC AT: 36 PINE ST Applicant Address: Phone: Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation F L O R E N C E MA 01062 ISSUED ON:9/22/207 6 0:00:00 TO PERFORM THE FOLLOWING WORK:WINDOW/DOOR REPLACEMENT, INTERIOR FINISH UPGRADES MODIFICATIONS 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 Sienature: FeeType: Date Paid: Amount: Building 9/22/2016 0:00:00 $188.50 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0342 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 36 PINE ST MAP 23A PARCEL 174 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT O co Fee Paid Building Permit Filled out Fee Paid Tvpeof Construction: WINDOW/DOOR REPLACEMENT, INTERIOR FINISH UPGRADES MODIFICATIONS 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 INFOQ,MATION 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 1:11-i oli of/ilioonn//elay fA )/// ! Signature of:Lidding O'¢ial 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 n C a of Northampton Status of Permit: G % 1 ,,Buil•ing Department Curb Cut/Driveway Permit } ,, yYQ ,,,/// "___ 12 Main Street Sewer/Septic Availability .�'v Room 100 Watermell Availability d(E Northampton, MA 01060 Two Sets of Structural Plans cAdt phone 413-557-1243 Fax 413-587-1272 Plot(Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 f SITE INFORMATION 1.1 Property Address: This section to be completed by office a) Pt n 51- Map Lot Unit__ TI \pfenC.-t. Zone tivedayDistrict Ell7m St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 7 iCtkx hc,y A- ?Ma\\ 6keaYt c C7‘cu. 9 t \otevict Mc, oio(OZ Name(Pnn Current Mailing AJdr s: • ATelephone Signature 2.2 Authorized Anent: Da r,.F)(act )43 ViaUz3 libmae S&vafart rnm e 0: e tcotn,n ,A1g 0062_ Name(Print) Current Mailing Address: .p Signature Telephone SECTION a-ESTIMATE;CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be 1 Offictel Use Only completed by permit applicant t 1. Building 3n / f C • (a)Building Permit Fee 2. Electrical 4.. 2. Soca (b)Estimated Total Cost of Construction from(6) 3. Plumbing 6i,aflsq Permit Fee I 4. Mechanical(HVAC) 5.Fire Protection o S. Total=(1+2+3+4+5) $ ` ism Check Number 359/er /thing J This Section For Official Use Only, Permit Number. Issue Datued: Building Camm5stone&>penbr of olslldngs Date Section 4. ZONING AR Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning ibis column to be Idled in by Building Deparuoent Lot Size Frontage - — Setbacks Front Side L: R: L: . R . Rear A Building Height ��J Bldg.Square Footage Open Space Footage % _. (Int area minus bldg&paved #of Parking Spaces -- - '— - — • Fill: (volume&Location) A. Has a Special p� Permit/Variance/Finding ever been issued for/on the site? NO. 0- ___DONT KNOW__ YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW CD YES 0 .F YES: enter Book Page and!or Document ft B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Heads to be obtained Obtained L/ , Date Issued: C. Do any signs exist on the property? YES o NO IF YES,describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO g IF YES, describe size, type and location: E. Will the construction activity disturb(clearing grading,excavation, or filling)over 1 acre or is it part of a common plan ...8. rlichirh neer 1 IF YES,then a Nodhampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacemen�,jndows Alteration(s) Roofing C Or Doors (E�, Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks IO Siding[CI Other[Ell Brief DeApliopp of os Pr ed 1 1 1 Work: Wl�doJ�i7ed feQ`lQ..-..'t' r —n4er; n�S JegGI�-Ar c r:se-S Alteration of existing bedroom Yes No �/Adding new bedroom Yes /` No Attached Narrative Renovating unfinished basement Yes Y, No Plans Attached Roll -Sheet sa. If New house and or addition to existino housing. complete the following: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? L Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck 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. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERSN�\\,^AGENT �O,R\,CONTRACTOR APPLIESS FOR BUILDING?ERM T UMtSR k ,\(\�-�Aa 2111 6jQ l j ,as Owner of the subject property �\ ppU \1� hereby auth ee V Q Ak Tty n& (C�cj(nc& — to act ppn���y half,in all me - tM to wort authoraed Nis building penrita pl icatio >< W tri) c Signature of Owner Date L n ?) 1 .:rv‘ \M Eit4 Fa ..,Axiiny�zr�.r1�2r — Sr1` as Owner/Authorized Agent hereby declare that the statements and-n formation on the forgoing application are true and accurate_,to the best of my Imewledoe and belief. Efemph tj t -Li.A` Y?t td. Print Name 8(s% l C Slgnatere of Gernert/agent ?ale SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: (� ,,,1 Not Applicable Name of License Holder: �J(j1 t'�\('` �D(t�AoJrA �3 ,OOLn 1 License Number Adl,a©NcCAn -v Sa— kICV-N-a)nao�OO FlAbia(� 7113)20/(71 �--��s Expiration Date Signa�� Telephone aI - D�,--7 22- 9.ReWgirsster�ed Home Improvement Contractor. Not Applicable ❑ t - b s . e IMwenVi -° 4D 5543 Company Name t Registration Number V-0 B'O &D(O 1 WVPflU nv.(\lo . i in 1)8 Address - 22 Expiration Date Telephone L1J. Z4.7)52-Z SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(RAGS.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-oecuoied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire nice does not possess a license,Provided that the owner acts as so/Denison CMR 700, Sixth A'didon Section 100..3.3.1. 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 lit(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 undersianed"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 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Dimes&Affidavit In accordance of the provisions of MGL c 40, 554, I acknowledge 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: 3(0 c)xttS The debris will be transported by: V('Latd AAD .LI'v_pronneJL — The debris will be received by: \fin Ht 6 ce_t_ Jr �O Building permitnumber: U J Name of Permit Applicant U t . a 8 31 IU c Date Signature of is er 'L • FW„,.. ,iassjcn v:5$i5 Department of :±44',4 Jig '{W'r U�ard of 8urldmy Nigalatmas anq a•a„_�.y: LicenseCS-106006 cn a an Sup. r 44r DANIEL S BRADBURY i r '' dd 12 DICIONSON STREBra ' ri" NORTHAMPTON MA.:14664 :lel* - Commissior:c,. :x Ptranon 07113/2017 e Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105543 _7 Type Pnvate Corporation Expiration: 7/17/2018 TTA 419291 VALLEY HOME IMPROVEMENT INC = STEVEN SILVERMAN P.O. Box 60627 FLORENCE, MA 01062 s _ Update Address and return card.Mark reason for change, scni r. 20M-05'11n Address n Renesvai _ Employment n Lost Card (ill, cw oU4 ytctl-.urt chilern OfficeConsumer Affairs&Busin Regulation L c nse o r g s ra Ion -d far nd- n-1 a. only `E HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 agstraa n:- 105543 Type .a sal emess Regulation 47 Expiration 7/4'7/2018 Private Corporation 10 Park Plaza Suite 5170 22��` Boston,MA 02116 VALLEY HOME IMPROVEMENT INC. STEVEN SILVERNIAN 340 Riversideor. _. __ Northampton,MA 01060 - Undersecretary Not valid without signature laninznnnownt oflownzalalitectfenno ," Office 6j 1. e 60001 Washington Street Boston,MA 02111 -_- www.mass.govldia Workers' Compensation insurance Affidavit: Euilders/Contraetors/Electrteians/Plambers Anolicant Information Please Print Legibly Name(Business/Organization/Individuual): p�'LL\ 'FSU '& -t-. . .r ''`:— f e r- Address: 3U , �iV b C\C 0(t\JC _.. City/StateiZip: t \Of '6`ll �._ oa°b e#: 4 3-�alk i` 22 Are yon an employer? Check the appropriate box: Type of project(required): 1.5] I am a employer with IS 4. D I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp. insurance camp. insurance.: 0 required.] 5. 0 We are a corporation and its , 10.❑Electrical repairs or additions 3.❑ 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 MOL 12.0 Roof repairs insurance required.] t c. 152, $1(4),and we have no employees.[No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box 51 must Mao fill mit the section below showing their workers'conacnsatian 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. !Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mast provide their workers"comp.policy number. I am an employer that is providing workers'contpexsation insurance for my employees. Below is the policy cad fob site information. t� Insurance Company Name: PcY ci c/?:JP il t . Policy#or Salf--ins. Lie.#: �f..iCJ:`.9n� �-''iJ C+"Zi�-� _ Expiration Date: ] '=� i i7� Job Site Address: 3(0 \' \Y�-�„ l C T\ City/State/Zip: Yto(e _�c 1'"l - (D\D6Z Ac.actr a tom;tai doe w phrens'co ^pe st^:o t pocky Meelacicc on page(showing Cite policy number as t e tion. date). Failure to secure coverage a. _ecu......suer Section 25.-,..MGL 152 can lead to the Lrupoiaari of criminal penalties of a fine up to$1,500.00 and/or cue-year imprisomret,as well as civil penalties in the four of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Iavestisations of the DIA for insurance coverage-eriiica:iou. I do hereby certify ri/4gtthepains nnld penaltieLokverfto e aget the t fou.. _rcv!dedx rr !c tt e anz!0.27;-Jot. aisnatur# .iv"tilili+t !t/ flit Zit jfAii.^v Pae:Pirralf:a: �_ IU.I�� t�t Olikierii a:.e_ n>e?y. Do trot w ire in this erect. to be tonnnntn,r1 fro hth, Mout turildetolII City an Town: limottlitettore. Ii If h 11 1.Boa d f'decals 2.!,.r<dinz Debartment 3. C wnwwn er.,erIc 4.iliectroledit litimect .. _tri s iinsbeettotii fi.Other Contact Person': Mrs plan m Inc prepnehry were product of Valley Hoe,mprovemenl.Inc V141) It Oeliveretl for the emoted and etit)SWe purpose ofstip/0116)g the ennead bid or VH(and cuslomer agrees that the e,mrwms of this Wee erten not be reputlrsMJ or tnenenled et any loam for the pllryose of enabllpp or supPoNng the work of Competing pro(pbt&ntedors wet hot'len pemuss lw of and compervallton paid b,VH,. 1 T s C „ 8 Y ii 1.2 a m mIPJ ^ X Ti"S } 02 nl El 01111 IIIIIII 1 f I) 11 4 . �_ . .. o C(1fro1.1 // WX! ,, T11 g V T" 1 x z r /reCs 0 : 7J ; 1 i Q m /Zl -.. �.��a E#S.EN ( r> ZIl 1P-012" - r ti 1"-3\— - - \ ; r ri CS► LI ep do F'1'1 —I N O — I 4' 1 O AP I4t...z,„. Ir k\ Ir s IR O X A m z 0 O rn A ST.F. FLORENCE,MA EXISTING rrfd.e.SEE VIEW _SHEET uun+eEa 36 PINE Valley Home Improvement, Inc. o�o6z EXISTING 19 nhIE 9121/201fi 340 Riverside Drive,PO Box 60621,Northampton,MP.01062 Office Phone 413594,1522 Fax 413585.0820 DamanC4NbTIONB DRAWN By sc. Find us on the web at'. tuuf.ValleyHomeimprove111cnt.con: s FLOOR PLAN NOTES: . M E L EXTERIOR OIMENSI0NS ARE TO THE MAIN ,-/ EXTERIOR LAYER DIMENSIONS TO OoENINGS ARE TO w rt TNTEFFAHIN G,ROUGH OPENING. INTERIOR A 5 DIMENSIONS ARE TO THEIINIEHED NALL x.CONTRACTOR SHALL DIME ALL DIMENSIONS AND IS FOR RESPONSIBLE FOR ALL DIMENSIONS(INCLUDING _ ROUGH OPENINGS). 2 in x GENERAL NOTES: - - - - _— -- --- ul - 3 u o 0 THE LEAD CARPENTER SHALL FULLY COMPLY WITH THE 2009 IRC AND ALL ADDITIONAL STATE AND LOCAL CODE G -41-11" - CT REQUIREMENTS"S i. �flpfE6d WR0 ITTEN DIMENSIONS ON THESE DRAWINGS SHALL HAVE "'f' X 11'V" PRECEDENCE SHALSERIFD DIMENSIONSNDIS .NSIGENERAL OFFICE BATH E CONTRACTORI DIMENSIONS INCLUDING ROUGH OPENINGS)OPENINGS)RESPONSIBLE FOR ALL /] CONDITIONS ON THE JOB AND MUST NOTIFY THIS OFFICE OF '1'-10" XS'-9" 7'-10" X5"91I ANY VARIATIONS FROM THESE DRAWINGS A. THE GENERAL CONTRACTOR IS RESPONSIBLE FOR THE DESIGN AND PROPER FUNCTION OF PLUMBING,HVAC AND I ` La ' EM:LOT EXT ZS& E ELECTRICAL SYSTEMS.THE LEAD CARPENTER OR SUBCONTRACTOR SHALL NOTIFY THE OFFICE WITH ANY PLAN CHANGES REQUIRED FOR DESIGN AND FUNCTION OF N PLUMBING.HVAC AND ELECTRICAL SYSTEMS. x DESIGN ALAMEN ENTRGAND)BDALDNGWITHB,TE MASTER BDRM AND LOCAL AMENDMENTS ROOF. SNOW LDAD DETERMINED BYAMENOED I.R.C. 13'-2" X 16''7" FLOOR. 40PSF LL a SOIL 2000 P5FALLOWABLE(ASSUMED) FROST DEPTH.4.O' g THIS STRUCTURE SHALL BE ADEQUATELY BRACED FOR WIND 11 LOADS UNTIL THE ROOF FLOOR AND WALLS HAVE BEEN PERMANENTLY FRAMED TOGETHER AND SHEATHED. S`' $Q INTERIOR FINISH NOTES, ‘, CO _ RENDERINGS ARE NOT TO SCALE,ALL RENDERINGS ARE 1 FOR ARTISTIC DEPICTION ONLY.PLAN UPDATES MAY NOT BE \ W `" 2 REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE V " o USED FOR CONSTRUCTION. . EX'FYFF 2 rr .SEE FINISH PLANS B SCHEDULE FOR SPECS K i Ig N FxTFRmM � R FINISH NEL S T 0 o a< 4 'b"_ Y.a'7" — __ E3%32E36 6 4 FIXT]St5 �— _ LL CO Cr. 0 W o FENDERINGS MENOTTO BCALEPLL RENDERINGSARE S OR ARTISTIC DEPICTION ONLY PLAN UPDATES MAY NOT BE S ' CO O q5 REFLECTED IN RENDERINGS.RENDERINGS SHALL NOT BE / I (SFT DTI— Ca N Z Q USED FOR CONSTRUCTION, GI (� r _ Uj 3€ -SEE FINISH AND PLANS®SCHEDULE FOR SPEC S \V V]I_/" X 118II d eF R- HAGEN ANT}NIL 00r19-' �— >: n \ \ OP C V oo $ is 22. � �� 3 31I 8L_, 1' EN 4-1' in a f £ Fa � . — ?D'. IT F � _ " co Fc a m > an TN x,8;04 ST . r— I E n to — mom 1. °<_ ppm 2nd FLOOR PLAN AS BUILT o op N n'' z yyt 1/4"=1' 31,2 o E▪ E. \ mOLL Ione Is peen me proprietary work rwauct of Valle y"ane hmproremenr.IOL(VHhide(teetered rex the nn¢a and exr.rtmep se or svppce?^9�wntract td or vM.end nrsrwrnr eorees Thal the elements or his plan Shall notbe re busted of presented in any purpose of enabling or supporting the woe orcomvabg Assoc(contractors wdhonuthe yermissm',or and limp pato to, n. pn _S ((� • UJ 1 ('r(� O V O ttO� V• rn b A F rn b Tti , O 0 4 _ -111 T DOSE O ACl • I - I 111 0 Lo a _ � T Valley Home Improvement, Inc. 36 PINE StFLORENCE,MA s`" SEE"` UMBER 340 Riverside Drive,PO Pox 60621,Northampton, MA 01062 01062 HATE a¢,rzors 4 Office Phone 413 554 Fax 413565.0820 ,[ DOHERTY DRAWN BY S.G. Find us on the web at'. uuw.ValtegHomelmprovement.com/ _a, re`e,,